Ake sithi uthola iqhubu elincane emlonyeni wakho, mhlawumbe ngaphansi kolimi lwakho noma esihlathini sakho. Alilimazi nhlobo, ngakho-ke ungase ungalinaki kakhulu. Kodwa ngisho nento encane njengalena kubalulekile ukuyiqaphela. Namuhla sizokhuluma ngohlobo lomdlavuza olungaqala ngezimpawu ezinjengalezi, okuyinto engavamile kodwa okufanele siyazi. Leyo yi-Adenoid Cystic Carcinoma, noma i-ACC.
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Iyini ngempela i-adenoid cystic carcinoma (ACC)?
Kalula nje, i-ACC uhlobo lomdlavuza olungavamile kakhulu. Ivame ukuqala ezindlaleni zamathe emlonyeni wethu. Ubuwazi ukuthi kunezinhlobo ezintathu eziyinhloko zezindlala zamathe emlonyeni wethu?
1. Izindlala ze-Parotid: Lezi zitholakala eduze kwezindlebe, kuzo zombili izinhlangothi zezihlathi.
2. Izindlala ezingaphansi kwe-mandibular: Lezi zitholakala ngaphansi komhlathi wethu ongezansi.
3. Izindlala ezingaphansi kolimi: Lezi zitholakala ngaphansi kolimi.
Umdlavuza we-ACC uvame ukuqala kulezi zindlala, kodwa ngezinye izikhathi ungavela kwezinye izingxenye zomlomo, umphimbo, izindlala zokujuluka, noma ngisho nezindlala zokudabuka.
Esinye sezici eziyingqayizivele zalo mdlavuza ukuthi ukhula ngokushesha kakhulu. Ngakho-ke ngezinye izikhathi ungasakazekela kwezinye izingxenye zomzimba ngaphambi kokuba kuvele izimpawu. Ngisho nangemva kokwelashwa nokwelashwa, ungaphinde ubuye eminyakeni eminingi kamuva.
Ziyini izimpawu zalokhu?
Uphawu oluyinhloko noluqalayo lomdlavuza we-ACC kungaba yiqhubu elingenabuhlungu elivela emlonyeni, ngaphansi kolimi, noma ngaphakathi esihlathini. La maqhubu akhula abe makhudlwana. Ngaphezu kwalolu phawu oluyinhloko, kungase kubonakale ezinye izimpawu eziningana.
| Isibonakaliso | Incazelo |
|---|---|
| Ubunzima bokugwinya | Ukuzizwa sengathi uyaminza uma ugwinya ukudla neziphuzo. |
| Ukushintsha izwi | Izwi liyahoshozela noma lihluke kunelivamile. |
| Ubuhlungu noma ukungakhululeki kobuso | Ngenxa yokuthi lo mdlavuza ungasakazeka ngemizwa, ezinye izingxenye zobuso zingase zibe nokungezwani noma ubuhlungu. |
| Ubuthakathaka bemisipha yobuso | Ukuzwa sengathi uhlangothi olulodwa lobuso luyadonswa noma kunzima ukulawula imisipha. |
| Ubunzima bokuphefumula ngekhala | Ukuminyana kwamakhala noma ukuphuma kwegazi emakhaleni. |
Uma unezinye zalezi zimpawu, sicela ungazinaki. Bona udokotela womndeni wakho ngokushesha. Uzokwazi ukuthola imbangela eqondile.
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Check Availability →Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela, uzoqala akubuze ngezimpawu zakho. Okusho ukuthi, ulibonile nini iqhubu, ukuthi liyakhula yini, ukuthi libuhlungu yini, ukuthi uzizwa ungenamizwa, njll. Ngemuva kwalokho uzohlola ngokucophelela umlomo wakho, ubuso kanye nentamo yakho. Uzohlola futhi ukuthi kukhona yini ama-lymph node avuvukele entanyeni yakho.
Ngaphezu kwalokho, kungase kudingeke ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.
- Ukuhlolwa Kwezithombe: Lokhu kuskena kusiza ekunqumeni ubukhulu obuqondile besimila, indawo yaso, nokuthi umdlavuza ususakazeke yini.
- I-MRI (Umfanekiso Wokubukana Kwamagnetic): Isebenzisa insimu yamagnetic ukuthola izithombe ezinemininingwane.
- I-CT scan (i-Computed Tomography): Kuqoqwa uchungechunge lwe-X-ray ukuze kudalwe izithombe ezinemininingwane.
- Ukuskena kwe-PET (i-Positron Emission Tomography): Kusiza ekuboneni izindawo zamangqamuzana omdlavuza ngezithombe ezinemibala.
- I-Biopsy: Lolu wuhlolo olwenziwa ukuqinisekisa ngokuphelele ukuthi umdlavuza noma cha. Lapha, kuthathwa isampula encane kakhulu yezicubu ezivela esimila bese ihlolwa ngaphansi kwe-microscope. Lokhu kuhlolwa ngudokotela wezifo.
Kungani lolu hlobo lomdlavuza lukhula?
Odokotela abakayazi imbangela eqondile ye-ACC, kodwa bakholelwa ukuthi lo mdlavuza ubangelwa izinguquko ezithile (ukuguqulwa kwezakhi zofuzo) ezakhiweni zethu zofuzo.
Into ebalulekile ukuthi lezi zinguquko zofuzo azizuzwa njengefa. Okusho ukuthi, azidluliselwa kusuka kumzali kuya enganeni. Ziyizinguquko ezenzeka ngokungahleliwe ngesikhathi sokuphila, mhlawumbe ngenxa yezinto ezifana nezinto ezibangela umdlavuza endaweni ezungezile.
Yiziphi izindlela zokwelapha?
Ukwelashwa okuyinhloko kwe-ACC ukususwa kwesimila ngokuhlinzwa kanye nezicubu ezizungezile.
1. Ukuhlinzwa
Uhlobo lokuhlinzwa olwenziwayo luncike endaweni yesimila. Indlala yamathe ethintekile isuswa kanye nesimila, kungaba siphelele noma ingxenye yaso. Ngenxa yokuthi umdlavuza we-ACC ungasakazeka ngemithambo, odokotela bahlola ngokucophelela imithambo ezungezile ngesikhathi sokuhlinzwa. Ngezinye izikhathi imithambo elawula ukunyakaza kobuso ingonakala. Kodwa-ke, uma lokhu kwenzeka, amasu okuhlinzwa athuthukile njengokuvuselelwa kobuso angasetshenziswa ukubuyisela leyo mithambo ekusebenzeni okuvamile.
2. Ukwelashwa Ngemisebe
Ngemva kokuhlinzwa, ukwelashwa ngemisebe kuvame ukunikezwa ukubulala noma yimaphi amangqamuzana omdlavuza asele. Ngezinye izikhathi, lokhu kwelashwa kusetshenziswa lapho ukuhlinzwa kungenzeki. Kodwa-ke, lokhu kwelashwa kungabangela imiphumela emibi njengomlomo owomile, ubunzima bokugwinya, kanye nokulimala kwamazinyo. Ngakho-ke, kubalulekile ukusebenzisana eduze nodokotela wakho kanye nodokotela wamazinyo ngesikhathi sokwelashwa.
3. Ezinye izindlela zokwelapha
Kwezinye izimo ezithuthukile, odokotela bangase bacabangele nezinto ezifana nokwelashwa ngamakhemikhali noma ukwelashwa okuqondisiwe. Lezi izindlela zokwelapha ezisesesigabeni socwaningo.
Kwenzekani ngemva kokwelashwa?
I-ACC ingumdlavuza ovame ukubuya. Ngakho-ke, kuyimpoqo ukuya ekuhlolweni njalo nasekuhlolweni ngemva kokwelashwa. Ngokusho kukadokotela, ngokwenza lezi zivivinyo ngesikhathi, uma umdlavuza uphindela, ungatholakala futhi welashwe kusenesikhathi.
Kubalulekile ukuqonda ukuthi nakuba kunezibalo zamazinga okusinda, ziyizilinganiso nje kuphela. Isiguli ngasinye sihlukile, kanjalo nezimpendulo zaso ekwelashweni. Ngakho-ke, ulwazi olungcono kakhulu ngesimo sakho lungatholakala kudokotela okwelaphayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Adenoid cystic carcinoma (ACC) uhlobo lomdlavuza olungavamile oluvela ezindlaleni zamathe.
- Uphawu lokuqala kungaba yiqhubu elingenabuhlungu emlonyeni noma entanyeni.
- Qaphela futhi izimpawu ezifana nokushintsha kwezwi, ubunzima bokugwinya, kanye nokungazweli kobuso.
- Uma unezinye zalezi zimpawu, ungesabi futhi ubone udokotela ngokushesha.
- Ukwelashwa okuyinhloko ukuhlinzwa, kulandelwe ukwelashwa ngemisebe.
- Ngisho nangemva kokwelashwa, umdlavuza ungaphinde ubuye, ngakho-ke ukuhlolwa njalo kwezokwelapha kubalulekile.
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