Okudingeka ukwazi nge-Adenoid Cystic Carcinoma (ACC)!

Uma ubona into engavamile njengeqhubu endaweni ethile emzimbeni wakho, noma ngabe ayibuhlungu, kuyinto evamile ukuzizwa wesaba noma unesifiso sokwazi, akunjalo? Noma uma into efana nokushintsha kwezwi lakho noma ubunzima bokugwinya iqhubeka, sikhathazeka kancane. Ngezikhathi ezinjalo, kubaluleke kakhulu ukuqaphela lolu hlobo lomdlavuza olungavamile esikhuluma ngalo namuhla olubizwa ngokuthi i-adenoid cystic carcinoma, noma "i-ACC" ngamafuphi.

Iyini i-adenoid cystic carcinoma (ACC)? Masiyiqonde kalula!

Kalula nje, i-Adenoid Cystic Carcinoma uhlobo lomdlavuza olungavamile kakhulu, okungukuthi, olungavamile. Luvame ukuvela ezindlaleni zethu zamathe noma ezindaweni ezifana nekhanda nentamo. Kodwa-ke, ngezinye izikhathi lungavela kwezinye izingxenye zomzimba, isibonelo, esikhumbeni, ezicutshini zebele, emlonyeni wesibeletho, noma endlaleni ye-prostate.

Kukhona la mathumba "(ACC)``, angaba aqinile, ayindilinga, angenalutho. Angaba nokubukeka okunezimbobo, njengalawo "shizi waseSwitzerland" . Cabanga nje, lawa maseli omdlavuza aziphatha ngendlela ehlukile kancane.

Lezi zimila ze-ACC zivame ukukhula kancane . Okusho ukuthi, azikhuli kakhulu ngesikhathi esisodwa. Kodwa-ke, ngokuhamba kwesikhathi, zingaba nolaka kakhulu futhi ziphathe ngendlela engalindelekile . Lokho kusho ukuthi noma umdlavuza ususwa ngokuhlinzwa, kungenzeka ukuthi ubuye kamuva. Eqinisweni, abantu abaningi abane-adenoid cystic carcinoma baphinde babuye phakathi neminyaka emihlanu kuya kweyishumi. Yingakho, uma utholakala unalesi sifo, kubalulekile ukuqhubeka nokuskena nokuhlolwa ukuze kuqashwe isimo sakho.

Ingabe lesi simo sivame kangakanani? Ingabe kufanele ngikhathazeke?

Eqinisweni, i-adenoid cystic carcinoma uhlobo lomdlavuza olungavamile kakhulu . Lubalelwa cishe ku-1% wabo bonke umdlavuza wekhanda nentamo. Luthinta cishe abantu abangu-4.5 kwabangu-100,000 emphakathini jikelele. Isibonelo, e-United States, cishe abantu abangu-1,200 batholakala benalesi sifo minyaka yonke.

Ngokuvamile, i-ACC ikhula kubantu abaneminyaka ephakathi kuka-40 no-60. Lesi simo sivame kakhulu kwabesifazane. Ngakho-ke, njengoba ubona, asivamile kakhulu.

Ziyini izimpawu zalokhu? Ingabe nami nginazo lezi?

Izimpawu ze-adenoid cystic carcinoma ziyahlukahluka kuye ngobukhulu besimila nokuthi sitholakala kuphi . Ungase ubhekane nalokhu okulandelayo:

• Isigaxa esingenabuhlungu endaweni ethile emzimbeni.
• Ubunzima bokuphefumula.
• Ubunzima bokugwinya.
• Ukusha kwezwi.
• Ubuthakathaka bemisipha.
• Ukuminyana kwamakhala.
• Ukopha ekhaleni.
• Ubuhlungu (kwezinye izimo).
• Izinguquko zombono.

Kodwa khumbula, ngoba i-ACC ingumdlavuza okhula kancane, ayibonisi izimpawu ngaso sonke isikhathi . Ingaba khona ngisho nangaphandle kwezimpawu. Yingakho kubalulekile ukufuna iseluleko sezokwelapha uma ubona noma yini engavamile.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Uma ngikhuluma iqiniso, ochwepheshe abakaqiniseki ukuthi yini ngempela ebangela i-adenoid cystic carcinoma . Bacabanga ukuthi kungenzeka ukuthi ibangelwa izinguquko ezithile zofuzo ezenzeka ngokuhamba kwesikhathi. Into ebalulekile ukuthi i-ACC akuyona inkinga yofuzo , futhi azikho izici ezaziwayo eziyingozi zayo. Lokho kusho ukuthi akudingeki ukhathazeke ngokuthi "Ingabe yilokhu engikwenzile okubangele lokhu?"

Yiziphi izinkinga ezingaba khona ze-ACC?

I-Adenoid cystic carcinoma ingasakazeka (isakazeke) emzimbeni wonke ngezindlela ezimbili eziyinhloko. Lokhu kuyinto okufanele ikhathazeke ngayo.

1. Ukuhlasela kwe-perineural: Ezimweni eziningi ze-ACC, amangqamuzana omdlavuza ahlasela imicu yezinzwa ezungeze isimila. Lokhu kwenzeka ngendlela ecashile kangangokuthi kungaba nzima ngodokotela ukuyithola, ngisho nange-scan noma ngesikhathi sokuhlinzwa.

2. Ukusabalala kwegazi: Amaseli omdlavuza aphuma esimila angahamba aye kwezinye izingxenye zomzimba wakho ngegazi lakho.

Lolu hlobo lwe-adenoid cystic carcinoma, oluyisigaba sesi-4 , luvame ukusabalala emaphashini nasesibindini . Ngokungafani nezinye izinhlobo zomdlavuza, i-ACC ayivamile ukusabalala ema-lymph node. Kodwa-ke, kungenzeka ku-5% kuya ku-10% wamacala.

Lesi sifo sitholakala kanjani? (Ukuxilongwa)

Uma udokotela wakho esola ukuthi ungaba ne-adenoid cystic carcinoma, cishe uzokwenza i-biopsy . Lokhu kusho ukuthatha isampula encane yezicubu zakho bese uzithumela elabhorethri ukuze zihlolwe. Udokotela angenza nokuhlolwa okukodwa noma ngaphezulu kwezithombe, okufana nalokhu:

• Ukuskena kwe-CT (ukuskena kwe-computed tomography)
• I-MRI (i-magnetic resonance imaging)
• Ukuskena kwe-PET (ukuskena kwe-positron-emission tomography)
• I-Ultrasound

Ngenxa yokuthi i-ACC iyisimo esingavamile, kungathatha isikhathi ukuxilonga . Kungathatha izivivinyo eziningana ngaphambi kokuthi uthole ukuxilongwa bese uqala ukwelashwa. Ngakho-ke, kubalulekile ukuba nesineke futhi ungesabi.

Yiziphi izindlela zokwelapha i-ACC?

Ukwelashwa kwe-adenoid cystic carcinoma kuncike ekutheni umdlavuza ukuphi nokuthi usakazeke yini . Kunezindlela eziningana zokwelapha eziyinhloko:

• Ukuhlinzwa:Ukwelashwa okuyinhloko kwe-adenoid cystic carcinoma ukuhlinzwa. Umgomo uwukususa isimila esiningi ngangokunokwenzeka. Kwezinye izimo, udokotela wakho ohlinzayo angadinga nokususa ama-lymph node noma ingxenye yenzwa.
• Ukwelashwa ngemisebe: Lokhu kusiza ukubulala noma yimaphi amangqamuzana omdlavuza asele ngemva kokuhlinzwa. Noma, ukwelashwa ngemisebe kunganikezwa njengokwelashwa okukodwa.
• Ukwelashwa ngamakhemikhali: Imithi efana ne -cisplatin, i-vinorelbine, i-paclitaxel, ne-carboplatin isetshenziselwa ukwelapha izimo ezithuthukile noma ezisakazeke kakhulu (i-ACC).
• Ukwelashwa okuqondiwe: Imithi efana ne-lenvatinib kanye ne-sunitinib ivimba isenzo samaprotheni asiza ukukhula komdlavuza. Odokotela basebenzisa lezi zindlela zokwelapha eziqondiwe ezimweni ze-ACC ethuthukile noma esakazeke kabanzi.

Ingabe ikhona indlela yokuvimbela lokhu?

Ngenxa yokuthi azikho izici ezaziwayo zengozi ye-(ACC), okwamanje ayikho indlela yokunciphisa ingozi yakho . Futhi, ayikho indlela yokuvimbela i-(ACC) ukuthi ingaphinde ivele. Lokhu kubuhlungu kancane, kodwa yilokho okwenzekayo njengamanje.

Iyini inhloso ye-ACC? (I-Outlook)

I-Adenoid cystic carcinoma ingumdlavuza okhula kancane . Ngenxa yalokhu, odokotela bavame ukuwuthola kusenesikhathi futhi bawuphathe ngempumelelo. Kodwa-ke, njengoba sishilo ngaphambili, kuvamile ukuthi i-ACC ibuye ngemva kweminyaka eminingi - ingaba sendaweni efanayo eyayiyiyo ngaphambili, noma ingaba sendaweni ehlukile yomzimba. Uma kwenzeka, kungaba nzima kakhulu ukwelapha.

Ake sifunde ngezinga lokusinda.

Izinga lokusinda leminyaka emihlanu kubantu abane-adenoid cystic carcinoma liyi-80.4% . Lokhu kusho ukuthi abantu abangu-80.4% abanalesi simo basaphila ngemva kweminyaka emihlanu. Izinga lokusinda kweminyaka eyi-10 liyi-61.3% .

Khumbula, la mazinga okusinda ayizilinganiso nje . Awakutsheli ukuthi uzophila isikhathi esingakanani noma ukuthi uzosabela kanjani ekwelashweni. Kungcono ukukhuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe.

Ngizinakekela kanjani? Impilo yengqondo ibaluleke kakhulu!

Ngenxa yokuthi i-ACC iyisimo esingavamile, kungathatha isikhathi ukuthola ukuxilongwa. Kungayithinta ngempela impilo yakho yengqondo nengokomzwelo . Ngakho-ke, ukukhuluma nomeluleki noma uchwepheshe wezokwelapha kungakusiza ukuthi ubhekane nemizwa eyinkimbinkimbi onayo. Abantu abaningi bathola amaqembu okusekelana ewusizo.Ungathola impumuzo ekucindezelekeni ngomculo noma amakilasi okwelapha ngobuciko. Zama ukunciphisa ukucindezeleka ngokuzivocavoca kokucabanga, njengokuzindla .

Kufanele ubonane nini nodokotela?

Uma une-adenoid cystic carcinoma, tshela udokotela wakho ngokushesha uma unezimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu . Ukushintsha kwezimpawu kungasho ukuthi umdlavuza wakho usukhulile. Ngakho-ke, ungashalazeli lutho, ngisho noma luncane.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Nansi eminye imibuzo ongayibuza udokotela wakho mayelana ne-ACC:

• Ikuphi ithumba elinomdlavuza?
• Yiziphi izimpawu engingase ngizibone?
• Ingabe umdlavuza usakazekele kwezinye izingxenye zomzimba wami?
• Ingabe isimila singasuswa ngokuhlinzwa?
• Ingabe ngizodinga ukwelashwa ngemisebe?
• Ngingaya emsebenzini ngenkathi ngelashwa umdlavuza?
• Kuthatha isikhathi esingakanani ukwelashwa?

Ungesabi ukubuza imibuzo efana nale. Kubaluleke kakhulu ukukhuluma nodokotela wakho ngakho konke okusengqondweni yakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuthola ukuxilongwa kwe-adenoid cystic carcinoma kuyisenzakalo esishintsha impilo. Ukwelashwa kwasekuqaleni kuvame ukuphumelela . Kodwa-ke, ukungaqiniseki okuhambisana nakho kungaba nzima ukubhekana nakho. Ukufunda ukuphila ne-adenoid cystic carcinoma kuthatha isikhathi.

Into ebaluleke kakhulu ukwazi ukuthi awuwedwa. Cabanga ngokujoyina iqembu lokusekelana lapho ungakhuluma khona nabantu abake badlula ezimweni ezifanayo nezakho. Udokotela wakho uhlala ekhona ukuze akusize. Themba bona futhi ucele izinsiza kanye nosizo oludingayo. Ngokuhlolwa njalo nangokulandela iseluleko sabo, ungaqhubeka ngempumelelo nalesi simo.

I- Adenoid cystic carcinoma, i-ACC, umdlavuza, umdlavuza wekhanda nentamo, umdlavuza wendlala yamathe, izimpawu zomdlavuza, ukwelashwa komdlavuza