Ngaba uyayazi i-Uterine Sarcoma? Makhe sithethe ngayo ngokweenkcukacha!

Mhlawumbi ukhe weva ngomhlaza wesibeleko. Kodwa ngaba uyazi kakuhle ukuba olu hlobo lomhlaza lubizwa ngokuba yi-Uterine Sarcoma? Ayiqhelekanga kangako, kodwa kubalulekile ukuyazi. Kuba, ukuba ifunyenwe kwangethuba, kulula ukuyinyanga , kwaye kusoloko kulungile ukunyamekela impilo yethu. Ngoko ke, masithethe ngayo ngendlela elula onokuyiqonda.

Yintoni i-Uterine Sarcoma?

Ngamafutshane, le sarcoma yesibeleko ikhula kumaleko wemisipha yesibeleko sakho, ebizwa ngokuba yi "Myometrium". Uninzi lwemiphunga yesibeleko ikhula kumaleko angaphakathi esibeleko, ebizwa ngokuba yi "Endometrium". Sibiza ezi "miphunga ye-Endometrial" okanye "iiCarcinomas". Nangona kunjalo, olu hlobo lwe "Sarcomas" aluxhaphakanga kangako . Kukwakho nezinye iintlobo ezingaqhelekanga ze "Sarcoma" eziqala kwiiseli ezixhasayo zemaleko yesibeleko.

Ingaba oku kungaba kubi kangakanani?

Enyanisweni, i-uterine sarcoma inokukhula kwaye isasazeke ngokukhawuleza kunomhlaza we-endometrial oqhelekileyo. Nangona kunjalo, ayizizo zonke i-uterine sarcomas ezinobungozi obufanayo. Ugqirha wakho uya kugqiba ukuba i-sarcoma inobungozi obungakanani ngokusekelwe kwizinto ezifana nokuba ikuphi kunye nohlobo lwe-sarcoma.

Kwakhona, ugqirha uza kujonga inqanaba lomhlaza ukuze abone ukuba usasazekile na (`staging`) .

Yintoni iCancer Staging?

Xa sifunda ngomhlaza, enye yezona zinto zinkulu esinoloyiko ngazo kukuba ingaba usasazeke kwamanye amalungu omzimba (i-metastasized). Ngoko ke, ukuze sifumanise ukuba umhlaza usasazeke kangakanani, oogqirha banika inani (ukusuka ku-1 ukuya ku-IV). Okukhona inani liphezulu, kokukhona umhlaza usasazeke ngakumbi emzimbeni . Le nkqubo yokwahlulahlula ibizwa ngokuba yi-"staging." Oogqirha basebenzisa olu lwazi ukucwangcisa unyango.

Zithini izigaba ze-uterine sarcoma?

Kukho amanqanaba amane aphambili e-uterine sarcoma:

• Inqanaba lokuQala: Umhlaza ukwisibeleko kuphela.
• Inqanaba lesiBini: Umhlaza usasazeke ngaphandle kwesibeleko uye kwi-pelvis.
• Inqanaba lesi-3: Umhlaza usasazeke kwiindawo zesisu ezingaphandle komngxuma we-pelvic, umzekelo, ukuya kwiindawo ze-lymph.
• Inqanaba lesi-4: Umhlaza usasazeke kwiindawo ezikude ngaphandle kwesisu, okanye usasazeke kwisinyi okanye kwi-rectum.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Amaxesha amaninzi, i-uterine sarcoma ikhula kubantu abangaphezu kweminyaka engama-40 ubudala. Nangona kunjalo, kuye kwaxelwa ukuba le meko inokwenzeka nakubantu abaneminyaka engama-20 ubudala. Ubudala obuqhelekileyo bokuxilongwa bumalunga neminyaka engama-60 ubudala.

Ziziphi izinto ezibangela umhlaza wesibeleko?

Izinto ezithile zinokunyusa umngcipheko wakho wokuba ne-uterine sarcoma. Makhe sijonge ukuba zeziphi:

• Imitha ye-pelvic: Ukuba ukhe wanyangwa ngemitha ngaphambili kwindawo yakho ye-pelvic, inokunyusa kancinci umngcipheko wakho wokuba ne-uterine sarcoma. Nangona kunjalo, oku akwenzeki rhoqo. Nangona kunjalo, kudla ngokuvela phakathi kweminyaka emi-5 ukuya kwengama-25 emva konyango lwemitha.
• Ukusetyenziswa kweTamoxifen: Ukuba iyeza elithi ``Tamoxifen`` lisetyenziswa kumhlaza webele ixesha elide (iminyaka emihlanu nangaphezulu), likwanyusa umngcipheko wokufumana i-uterine sarcoma.
• I-Genetics: Ukuba ne-gene ebangela i-retinoblastoma, umhlaza wamehlo, kwandisa umngcipheko wokufumana ezinye iintlobo ze-uterine sarcoma.

Enye into kukuba, nangona abaphandi bengekafumani unobangela ochanekileyo, bafumanise ukuba abafazi abamnyama banamathuba aphindwe kabini okufumana esi sifo kunabafazi abamhlophe .

Ixhaphake kangakanani i-uterine sarcoma?

Olu luhlobo lomhlaza olungaqhelekanga kakhulu . Lubandakanya kuphela phakathi kwe-3% kunye ne-7% yazo zonke iintlobo zomhlaza wesibeleko. Oko kuthetha ukuba asinto eyenzeka kuye wonke umntu.

Zithini iimpawu? Uzibona njani?

Iimpawu eziphambili ze-uterine sarcoma zinokufana nezo zomhlaza we-endometrial kunye nezimila ezingezizo zomhlaza ezifana ne-fibroids. Ke ngoko, ukuba unayo nayiphi na kwezi mpawu, kubalulekile ukubona ugqirha ukuze ahlolwe.

Nazi ezo mpawu:

• Ukopha okungaqhelekanga kwilungu lobufazi okungahambelani nokuya exesheni okanye okwenzeka emva kokuya exesheni.
• Ukuphuma kwegazi kwilungu lobufazi kunye nevumba elibi.
• Ukuziva iqhubu/iqhubu kwilungu lobufazi okanye kwi-pelvic.
• Ukuziva ugcwele, ukuziva unzima esiswini.
• Intlungu yesinqe.
• Ukufuna ukuchama rhoqo.
• Ukuqhinwa.

Khawucinge nje, umntu ogama linguNimali uyekile ukuya exesheni kangangeenyanga, kodwa ngequbuliso uqala ukopha kwakhona. Okanye mhlawumbi unemvakalelo enzima esiswini sakhe, kwaye uziva ngathi ufuna ukuchama rhoqo. Ukuba unento efana nale, ungayeki, ucinge, 'Oku kumele ukuba kuqhelekile.'

Ngamanye amaxesha, i-uterine sarcoma isenokungabonakalisi zimpawu ide ibe phambili. Kunqabile kakhulu ukuba kubekho abantu abangenazo kwaphela iimpawu.

Yintoni ebangela i-uterine sarcoma?

I-Uterine sarcoma ibangelwa ziiseli ezingaqhelekanga (iiseli ezinobungozi) ezahlukanayo nezisasazeka emzimbeni wonke. Ezi seli zakha ikakhulu eludongeni lwemisipha yesibeleko, olubizwa ngokuba yi-``Myometrium```.

Izazinzulu azikayazi eyona nto ibangela i-uterine sarcoma, kodwa uphando luyaqhubeka malunga neendlela zokuyixilonga, ukuyinyanga, kunye nokuthintela.

Ungasixilonga njani esi sifo? (Ukuxilongwa)

Ukuba ugqirha wakho ukrokrela ukuba une-uterine sarcoma, uza kuqala akuhlole ngokwasemzimbeni aze akubuze ngembali yakho yezonyango. Emva koko, uza kwenza uvavanyo lwe-pelvic, oluza kuhlola i-vagina yakho, umlomo wesibeleko, isibeleko, iityhubhu ze-fallopian, ama-ovari, kunye ne-rectum. Ukuze ahlole la malungu, ugqirha uza kufaka iminwe emibini eneglavu kwi-vagina yakho nakwi-rectum ukuze akhangele nantoni na engaqhelekanga. Angasebenzisa isixhobo esibizwa ngokuba yi-speculum ukujonga ngaphakathi kwi-vagina yakho.

Ukongeza, ugqirha angenza olu vavanyo:

• I-ultrasound edluliselwa kwisini: Oku kungathatha imifanekiso yezicubu ezithambileyo zenkqubo yakho yokuzala, kuquka amalungu omzimba. I-transducer ekhethekileyo ifakwa malunga ne-2-3 intshi kwisini kwaye ihlolwe isibeleko kunye nama-ovari. Ngamanye amaxesha i-uterine sarcoma kunye ne-fibroids zinokubonakala zifana kwi-ultrasound.
• I-biopsy ye-endometrial: Kule nto, ugqirha uthatha isampuli encinci yezicubu ezivela kulwelo lwangaphakathi lwesibeleko aze ayithumele kwilebhu.

Eyona ndlela yokuqinisekisa ngokuqinisekileyo ukuba unayo na i-uterine sarcoma kukujonga iiseli ezithathwe kwi-biopsy okanye emva kokususwa kwesibeleko phantsi kwe-microscope.

Wakuba ufunyaniswe une-uterine sarcoma, kuya kufuneka wenze olunye uvavanyo ukuze kuchongwe inqanaba lomhlaza (staging). Uvavanyo olufana ne -MRI (Magnetic Resonance Imaging), i-CT (Computed Tomography), i-PET (Positron Emission Tomography), kunye ne-X-ray yesifuba zinokunceda ekuqinisekiseni ukuba umhlaza wakho usasazeke kwamanye amalungu omzimba wakho.

Ugqirha wakho angakuthumela kwingcali yomhlaza yabasetyhini, enokukunceda ekuxilongeni nasekunyangeni.

Zithini iindlela zonyango? (Unyango)

Ugqirha wakho angasebenzisa enye okanye ezingaphezulu kwezi ndlela zilandelayo ukunyanga i-uterine sarcoma: utyando, unyango lwe-radiation, i-chemotherapy, kunye nonyango lwe-hormone.

Utyando

Utyando lokususa umhlaza ludla ngokuba lolona nyango luphambili. Ugqirha angasusa umhlaza kuphela. Okanye, angenza olunye okanye ngaphezulu kolu tyando lulandelayo ukususa izicwili kunye namalungu achaphazelekayo:

• Ukususwa kwesibeleko: Ukususwa kwesibeleko sakho kunye nomlomo wesibeleko (ngamanye amaxesha kuthiwa "yi-hysterectomy epheleleyo"). Ugqirha wakho angenza utyando olungenamsebenzi kakhulu esebenzisa isixhobo esibizwa ngokuba yi-"laparoscope" ukususa isibeleko.
• Ukususwa kwesibeleko ngokupheleleyo nge-salpingo-oophorectomy: Ukususwa kwesibeleko, i-ovaries enye okanye zombini, kunye ne-fallopian tubes enye okanye zombini.
• Ukususwa kwesibeleko, umlomo wesibeleko, zombini iityhubhu ze-fallopian, kunye nezinye izicwili ezingqongileyo, kuquka nenxalenye yelungu lobufazi.
• Ukususwa kwe-lymphadenectomy: Ukususwa kwee-lymph nodes kunye nokuvavanywa kwazo ukuze kubonwe iiseli zomhlaza.
• I-Laparotomy: Kwenziwa utyando esiswini ukujonga ukuba umhlaza usasazeke na. Kwezinye iimeko, amanye amalungu achaphazelekileyo ngumhlaza anokususwa.

Unyango lweMisebe

Unyango ngemitha lunyango lomhlaza olusebenzisa ii-X-reyi ezinamandla aphezulu ukutshabalalisa iiseli zomhlaza ngelixa kunciphisa umonakalo kwiiseli eziphilileyo. Unyango ngemitha lunokunikwa ngaphakathi (ngaphakathi) okanye ngaphandle (ngaphandle). Zombini ezi ndlela zingasetyenziselwa i-uterine sarcoma.

Ezinye zeziphumo ebezingalindelekanga zonyango lwemitha zezi:

• Ukudinwa.
• Urhudo.
• Isicaphucaphu nokuhlanza.
• Utshintsho lolusu.
• Ukudumba kwesinyi.
• Ukudumba kwemilenze (i-Edema).

Unyango ngamakhemikhali

I-Chemotherapy lunyango olusebenzisa amayeza ukubulala okanye ukucothisa ukukhula kweeseli zomhlaza ezahlulahlula ngokukhawuleza. La mayeza adla ngokunikezelwa ngemithambo yegazi. Oku kunokubangela iziphumo ebezingalindelekanga ezibi. Ngamanye amaxesha unyango lwe-radiation kunye ne-chemotherapy zinokunikwa kunye.

Ezinye zeziphumo ebezingalindelekanga ze-chemotherapy zezi:

• Isicaphucaphu nokuhlanza.
• Ukulahleka kweenwele.
• Ukulahlekelwa yintliziyo.
• Inani legazi eliphantsi.
• Ndidiniwe.

Unyango lweHormone

Iihomoni zizinto eziveliswa yimizimba yethu ukulawula imisebenzi ethile. Imizekelo ibandakanya i-testosterone kunye ne-estrogen. Ngamanye amaxesha, iihomoni zinceda ukukhula komhlaza.

Unyango lweehomoni lusebenza ngokuthintela ukusebenza kweehomoni nokulawula ukukhula komhlaza. Iihomoni ezifana ne-`(Progestins)`, `(Gonadotropin-releasing hormone agonists)`, kunye ne-`(Aromatase inhibitors)` zisetyenziselwa ukunyanga i-uterine sarcoma.

Ngaba i-uterine sarcoma ingathintelwa? (Ukuthintela)

Enyanisweni, asikazi ukuba singayithintela njani i-uterine sarcoma. Nangona kunjalo, siyazi ngezinto ezinobungozi, ezifana nonyango lwe-radiation kwi-pelvis kunye nokuthatha i-tamoxifen yomhlaza webele. Kwiimeko ezininzi, iingenelo zale ndlela zonyango zingaphezulu kuneengozi zokufumana i-uterine sarcoma, ingakumbi kuba sisifo esingaqhelekanga.

Ukuba ufumana naluphi na unyango lomhlaza, thetha nogqirha wakho malunga neengozi ezibandakanyekileyo uze ujonge izinto ezilungileyo nezingalunganga malunga neendlela zonyango ezikhoyo.

Injani imeko emva konyango? (Ingxelo yokuxela kwangaphambili)

I-Uterine sarcoma inzima kancinci ukuyinyanga kunezinye ii-umhlaza zesibeleko, kwaye i-prognosis yayo ixhomekeke kuhlobo lwe-tumor onayo, umgangatho womhlaza (ukuba iiseli zomhlaza aziqhelekanga kangakanani xa zijongwa nge-microscope), kunye nokuba isasazeke kangakanani emzimbeni wakho. Thetha nogqirha wakho malunga ne-prognosis yemeko yakho.

Emva konyango, cwangcisa utyelelo oluqhubekayo nogqirha wakho. Ukuba une-uterine sarcoma, usenokuba sengozini enkulu yokuhlaselwa zezinye iintlobo zomhlaza.

Ngaba i-sarcoma yesibeleko inganyangeka ngokupheleleyo?

Ewe, i-uterine sarcoma inokunyangeka, ingakumbi ukuba ikwizinga eliphantsi (iiseli aziqhelekanga kangako) kwaye azisasazekanga ngaphandle kwesibeleko. Kwezinye iimeko, unyango olongezelelweyo, olufana ne-chemotherapy kunye nonyango lwe-radiation, lunokufuneka ukuze kutshatyalaliswe ngokupheleleyo iiseli zomhlaza.

Ungaphila ixesha elingakanani nale sifo?

Akukho ndlela yokuchaza ngokuthe ngqo ukuba umntu one-uterine sarcoma uza kuphila ixesha elingakanani. Isiphumo sakho sixhomekeke kwizinto ezininzi, kuquka uhlobo lwe-sarcoma onayo, ukuba isasazeke kangakanani, ubudala bakho, impilo yakho ngokubanzi, kunye nendlela umzimba wakho osabela ngayo kunyango.

Ngokutsho kweNational Cancer Institute, izinga lokusinda kweminyaka emihlanu kwi-uterine sarcoma emva kokufunyaniswa kwesifo liyahluka phakathi kwe-41% kunye ne-95%, kuxhomekeke kuhlobo lwe-sarcoma kunye nobungakanani bokusasazeka kwayo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiva ngento efana nale, kuyinto eqhelekileyo ukuba nemibuzo emininzi engqondweni yakho. Nazi ezinye zemibuzo onokuzibuza ugqirha wakho:

• Kuza kufuneka kangaphi ukuba ndibe novavanyo lokulandelela kunye neenkqubo zokuthatha imifanekiso?
• Zijonge ntoni ezo mvavanyo zongezelelweyo?
• Ziziphi iimpawu ezinokubonisa ukuba umhlaza wam ubuyile?
• Zeziphi izinto ekufuneka ndizilandele imihla ngemihla ukuze ndihlale ndisempilweni?
• Iqela lam lezonyango linxibelelana njani kwaye lihlaziya njani ulwazi malunga nesicwangciso sam sonyango?
• Uhlobo lwe-uterine sarcoma endinayo luchaphazela njani iindlela zam zonyango kunye noqikelelo lwesifo?

Okubaluleke kakhulu: Awuwedwa! (Umyalezo oya ekhaya)

Ukuba ufunyaniswe unomhlaza, kubaluleke kakhulu ukuqonda ukuba awuwedwa.Buza ugqirha wakho malunga namaqela enkxaso kubantu abanomhlaza wesibeleko kunye nabo bafumana unyango. Ungafumana ulwazi oluthe kratya ngawo kwicandelo lakho lengingqi lombutho ofana ne-American Cancer Society. Ugqirha wakho unokukwazi ukukuthumela kumsebenzi wentlalontle okanye kwingcali yezempilo yengqondo ukuze akuncede ujongane noxinzelelo lokufumanisa ukuba unomhlaza .

Amanqaku amafutshane ekufuneka uwakhumbule:

• I-Uterine Sarcoma yimeko engaqhelekanga kodwa imbi kakhulu .
• Kubaluleke kakhulu ukuba uqaphele iimpawu kwaye ungazityesheli .
• Ukuba unamathandabuzo, bonana nogqirha ngokukhawuleza.
• Kukho unyango, ngoko ke hlala unethemba.
• Baninzi abantu abanokukunceda nabakuxhasayo kolu hambo.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

I- Sarcoma yesibeleko, Umhlaza wesibeleko, Impilo yabasetyhini, Iimpawu zomhlaza, Unyango lomhlaza, i-Gynecology