Uyafuna ukwazi nangomdlavuza oyingozi obizwa ngokuthi i-Angiosarcoma?

Wake wezwa ngegama elithi Angiosarcoma? Mhlawumbe akunjalo. Ngoba lolu uhlobo lomdlavuza olungavamile, okungukuthi, uhlobo lomdlavuza olungavamile ukubonwa. Kodwa kubaluleke kakhulu ukuthi siqaphele izinto ezinjengalezi. Ngoba, lolu umdlavuza ongaba yingozi kakhulu futhi usakazeke ngokushesha. Ngakho ake sixoxe ngalokhu ngokuningiliziwe nanamuhla.

Kuyini i-Angiosarcoma?

Kalula nje, i-angiosarcoma iyisimila somdlavuza esiqala ongqimbeni lwangaphakathi lwemithambo yegazi noma imithambo ye-lymphatic. Cabanga ngakho njengenethiwekhi yale mithambo emizimbeni yethu yonke. Ngakho-ke lo mdlavuza ungakhula noma kuphi emzimbeni lapho le mithambo ikhona khona.

Kodwa-ke, ivame ukubonakala esikhumbeni sekhanda, entanyeni, noma emabeleni. Siyibiza ngokuthi i-cutaneous angiosarcoma. Ngaphezu kwalokho, ingakhula nasezithweni zangaphakathi njengenhliziyo (i-cardiac angiosarcoma), isibindi kanye ne-spleen, kodwa ayivamile kangako.

Kuvamile ukuzizwa ushaqekile futhi wesaba uma uthola ukuthi une-angiosarcoma. Lokhu kungaba umdlavuza onzima futhi onzima ukuwulapha. Kodwa lokho akusho ukuthi awunazo izinketho. Udokotela wakho uzokweluleka ngezindlela zokwelapha ezingcono kakhulu zesimo sakho.

Sivame kangakanani lesi simo?

Ama-Angiosarcoma uhlobo olungavamile kakhulu lwe-soft tissue sarcoma. Ama-soft tissue sarcoma nawo uhlobo olungavamile lwesimila. Cabanga nje, ngisho nasezweni elifana neMelika, ama-angiosarcoma atholakala kubantu abacishe babe yisigidi minyaka yonke. Avame ukuvela esikhumbeni sakho, ikakhulukazi ekhanda lakho.

Ziyini izimpawu?

Izimpawu ze-angiosarcoma ziyahlukahluka kuye ngokuthi ithinteke kuphi emzimbeni. Isibonelo, i-angiosarcoma eyenzeka esikhumbeni (kufaka phakathi isikhumba sekhanda, ubuso, intamo, kanye namabele) ingaba nezimpawu ezifana nalezi:

• Ziqala njengezinhlayiya ezincane ezibomvu noma eziluhlaza okwesibhakabhaka , bese zisakazeka kancane kancane, zibe zikhulu, bese ziqala ukuphuma igazi kalula.
• Indawo yesikhumba ensomi, efana nokuqubuka noma ukuphuka. Kungase futhi kube nezikhwebu ebusweni.
• Isilonda esingapholi, noma isilonda esikhula kancane kancane.

Uma une-angiosarcoma esithweni sangaphakathi, njengesibindi sakho, ungase ungaboni zimpawu kuze kube yilapho isimila sesikhule ngokwanele ukuthinta ukusebenza kwaleso sitho. Noma, isimila singase sicindezele izakhiwo eziseduze. Izimpawu ze-angiosarcoma esithweni sangaphakathi zingafaka:

• Ukukhathala okukhulu.
• Ubuhlungu endaweni ethintekile.
• Ubuhlungu bekhanda, umuzwa wokungakhululeki.
• Ukwehlisa isisindo ngaphandle kwesizathu.
• Ubunzima bokuphefumula(Lesi yisici esivame kakhulu se-cardiac angiosarcoma.)
• I-jaundice kanye nobuhlungu obuqhubekayo esiswini esingaphezulu kwesobunxele (lokhu kungaba izimpawu ze-angiosarcoma yesibindi).

Ingabe i-Angiosarcoma ibuhlungu?

I-Angiosarcoma ingase ibangele ubuhlungu noma ingabubangeli. Isibonelo, ama-angiosarcoma akhula esibindini sakho noma espleen angase abangele ubuhlungu esiswini esingaphezulu. Kodwa lokho kuvame ukuba ngemva kokuba isimila sesikhule kakhulu futhi isifo sesiqhubekele phambili. Ama-angiosarcoma akhula esikhumbeni angase angabi buhlungu nhlobo. Esikhundleni salokho, angase abukeke njengokulimala okungapholi, okusabalalayo.

Kungani i-Angiosarcoma ikhula?

I-Angiosarcoma ibangelwa amaseli angaphakathi kwemithambo yegazi yakho eshintsha kusuka kumaseli ajwayelekile kuya kumaseli angajwayelekile. Ngokungafani namaseli ajwayelekile, lawa maseli omdlavuza awafi. Kunalokho, ayaqhubeka nokwenza amaseli amaningi, ekugcineni akhe amathumba. Lawa maseli omdlavuza ayaqhubeka nokukhula esuka emithanjeni yegazi ethintekile. Ngokuvamile, asakazekela kwezinye izingxenye zomzimba.

Yiziphi izinto ezibangela ingozi?

Abacwaningi bathole izici eziningana ezandisa ingozi yokuthola i-angiosarcoma. Lezi yizi:

• Ubudala nobulili: Nakuba i-angiosarcoma ingakhula kunoma yimuphi ubudala, ivame kakhulu kubantu abangaphezu kweminyaka engama-60. Amadoda anamathuba amaningi okuthola i-angiosarcoma eyinhloko kunabesifazane.
• Ukwelashwa ngemisebe: Ngezinye izikhathi i-angiosarcoma ingumdlavuza wesibili. Lokhu kusho ukuthi iqala eminyakeni eminingana (ngokuvamile cishe eminyakeni engu-8-10) ngemva kokwelashwa ngemisebe kolunye uhlobo lomdlavuza (ngokuvamile umdlavuza webele).
• Ukuchayeka kumakhemikhali: I-angiosarcoma yesibindi ihlotshaniswa nokuchayeka kumakhemikhali afana ne-polyvinyl chloride, i-arsenic, ne-thorium dioxide. Ngezinye izikhathi, i-angiosarcoma ayibonakali kuze kube yiminyaka eyi-10-40 ngemva kwalokhu kuchayeka.
• I-lymphedema Engapheli: Cishe u-5% wazo zonke i-angiosarcomas zihlotshaniswa nohlobo lwe-lymphedema engapheli (ehlala isikhathi eside) ebizwa ngokuthi i-Stewart-Treves syndrome. Lokhu kuvame ukuthinta abesifazane abaye bahlinzwa i-mastectomy kanye ne-lymph node dissection ukuze bathole ukwelashwa komdlavuza webele.
• Izifo zofuzo: Cishe u-3% wazo zonke i-angiosarcomas zenzeka kubantu abanezimo ezibangelwa izifo zofuzo. Izimo ezithile zifaka phakathi i-bilateral retinoblastoma, i-Maffucci syndrome, i-neurofibromatosis, kanye ne-Klippel-Trenaunay syndrome.

Ukubona kanjani lokhu?

Udokotela uzoqala akuhlole ngokomzimba bese ekhuluma ngezimpawu zakho. Bazophinde bakubuze ngomlando wakho wezokwelapha. Isibonelo, uma wake welashwa ngemisebe noma unomsebenzi ohilela ukuchayeka kakhulu kumakhemikhali athile, udokotela angase asole i-angiosarcoma.

Okulandelayo, ukuhlolwa kwezithombe kungenziwa ukuze kubonwe usayizi nendawo yesimila. I-CT scan, i-MRI, kanye ne-PET scan yizona zivivinyo ezivame kakhulu ezisetshenziselwa ukuxilonga i-angiosarcoma. Uma udokotela wakho esola i-breast angiosarcoma, kungadingeka ukuthi uhlolwe i-mammogram noma i-ultrasound. Uma udokotela wakho esola i-cardiac angiosarcoma, kungadingeka ukuthi uhlolwe i-transesophageal echocardiogram.

Ekugcineni, kuzodingeka wenze i-biopsy . Lokhu kuhilela udokotela ukuthatha amasampula amancane ezicutshini zakho, uketshezi, namaseli. Lawa masampula athunyelwa elabhorethri, lapho udokotela wezifo ewahlola khona ukuze abone ukuthi aqukethe yini amangqamuzana omdlavuza. Ukuhlolwa kwelabhorethri okubizwa ngokuthi i-immunohistochemistry kungaqinisekisa ukuthi une-angiosarcoma.

Izigaba ze-Angiosarcoma

Ukuhlolwa komdlavuza kusiza odokotela ukuthi bahlukanise ukuthi umdlavuza ungonakalisi kangakanani nokuthi ususakazeke kangakanani. Ama-Angiosarcoma ahlelwa ngezigaba kusukela esigabeni sokuqala (esokuqala) kuya kwesesine (esine). Isigaba sokuqala sisho ukuthi isimila asikasabalali ngale kwalapho siqale khona. Isigaba sesi-4 sisho ukuthi sesisakazekele ezingxenyeni ezikude zomzimba. Ngenxa yokuthi ama-angiosarcoma ayimidlavuza enamandla, ekhula ngokushesha, avame ukusabalala kakade (okungukuthi, asesigabeni esithuthukile) ngesikhathi etholakala ukuthi anesifo. Avame ukusabalala emaphashini.

Ukwazi isigaba somdlavuza wakho kusiza udokotela wakho ukuthi anqume ukuthi yiziphi izindlela zokwelapha ezizokusiza uphile isikhathi eside.

Iphathwa kanjani?

Ukuhlinzwa ukuze kususwe isimila kuyindlela yokwelapha evame kakhulu ye-angiosarcoma. Odokotela bangase batuse ukwelashwa ngemisebe noma ngamakhemikhali ngaphambi noma ngemva kokuhlinzwa ukuze kuncishiswe isimila noma kubulawe noma yimaphi amangqamuzana omdlavuza asele.

Izindlela zokwelapha ezintsha zomdlavuza, njengemithi yokwelapha eqondiwe kanye ne-immunotherapy, okwamanje ziyathuthukiswa ukulwa ne-angiosarcoma. Kuye ngesimo sakho, udokotela wakho angase ancome enye yalezi zindlela zokwelapha noma isivivinyo somtholampilo esihlola izindlela zokwelapha ezintsha zomdlavuza.

Ingabe lokhu kungavinjelwa?

Awukwazi ukuvimbela zonke izici ezibangela i-angiosarcoma. Isibonelo, awukwazi ukuzivimba ekuzuzeni isifo sofuzo noma ukudinga ukwelashwa ngemisebe yomdlavuza. Kodwa-ke, kunezinto ongazenza ukuze unciphise ingozi yakho yokuthola i-angiosarcoma, njengokunciphisa ukuchayeka kwakho kumakhemikhali athile anobuthi.

Kwenzekani uma ngine-Angiosarcoma?

Ngenxa yokuthi ama-angiosarcoma aqala emithanjeni yakho yegazi, angasakazeka ngokushesha okukhulu. Uma esesakazekile, ama-angiosarcoma kunzima kakhulu ukuwaphatha. Ngisho noma ephela ngemva kokwelashwa, maningi amathuba okuthi aphinde avele.

Odokotela bathola izindlela eziphumelela kakhulu zokwelapha i-angiosarcoma. Kodwa-ke, amazinga okusinda asephansi. Cishe abantu abangu-35% kuphela abatholakale benesifo i-angiosarcoma abasaphila eminyakeni emihlanu ngemva kokuxilongwa.

Kuvamile ukuzizwa wesaba lapho uzwa ulwazi olufana nalolu. Kodwa into ebaluleke kakhulu ukuqonda isimo nokulandela iseluleko sezokwelapha.

Ngizinakekela kanjani?

I-Angiosarcoma umdlavuza okhula ngokushesha. Ungazinakekela, uphumule, futhi uphumule. Zinike isikhathi sokuqonda ukuthi kwenzekani emzimbeni wakho. Khuluma nodokotela wakho ngezinto ongazenza ukuze usekele ukwelashwa kwakho. Nazi ezinye iziphakamiso ezingasiza:

• Zama ukunciphisa ukucindezeleka kwakho. Uma uzizwa ucindezelekile ngemva kokuxilongwa kwakho, awuwedwa. Umdlavuza uyacindezela. Izinto ezifana nokuzindla, ukuzivocavoca ngokuphumula, nokuphefumula okujulile kungasiza.
• Zinike isikhathi sokuphumula. Ungase uzizwe ukhathele kakhulu, "ukhathele," ngemva kokwelashwa komdlavuza. Zama ukuphumula ngangokunokwenzeka.
• Zama ukudla ukudla okunempilo njalo. Ukwelashwa kwakho kungathinta isifiso sakho sokudla. Zama ukudla ukudla okunempilo (ungayeki ukudla). Uma unenkinga yokudla, khuluma nochwepheshe wezokudla.
• Xhumana nabanye. Ukubhekana nomdlavuza kungazizwa unesizungu, ikakhulukazi ngomdlavuza ongavamile njenge-angiosarcoma. Cela udokotela wakho ukuthi akuxhumanise namaqembu okusekelana lapho ungabelana khona ngemizwa yakho nabantu abaqondayo.

Kufanele ngimbone nini udokotela?

Bona udokotela uma ubona noma yiziphi izinguquko esikhumbeni sakho (ikakhulukazi amaqhubu noma izilonda ezingapholi ekhanda lakho, ebusweni, noma entanyeni). Tshela nodokotela wakho uma ubona noma yikuphi ukuklwebheka okusha, njengalapho wake welashwa khona ngemisebe.

Uma usuvele welashwa i-angiosarcoma, shayela udokotela wakho uma uzizwa sengathi izimpawu zakho ziya ziba zimbi kakhulu. Futhi mtshele uma unezinkinga ezingalindelekile noma ezinzima ngendlela engavamile ekwelashweni kwakho.

Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Eminye imithi yokwelapha umdlavuza ingathinta amasosha omzimba wakho, yandise ingozi yokuthola izifo. Uma uke wahlinzwa, ungase ube nezinkinga endaweni yokuhlinzwa. Kufanele uye ekamelweni eliphuthumayo uma:

• Uma umkhuhlane ungaphezu kwama-degrees Celsius angu-100.4 (38.3 degrees Celsius), umkhuhlane ungaba uphawu lokuthi unesifo.
• Uma unezinhlungu ezingenakukwazi ukulawulwa yimithi yakho yokudambisa izinhlungu.
• Uma uhlanza kakhulu noma unesifo sohudo esiqhubekayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

I-Angiosarcoma umdlavuza ongavamile kakhulu. Ungase uzibuze ukuthi kungani uthole lo mdlavuza nokuthi udokotela wakho angakwenzani ukuze akusize. Nansi eminye imibuzo ezokusiza ukuthi ube naleyo ngxoxo:

• Isigaba sami se-angiosarcoma siyini?
• Yikuphi ukwelashwa okuncomayo?
• Iyini imiphumela emibi yazo?
• Liyini ithuba lokuthi umdlavuza uphinde ubuye ngemva kokwelashwa?
• Ingabe ngidinga ukuhlanganyela esivivinyweni somtholampilo?
• Iyini inkomba yesifo sami?

Izinto okufanele uzikhumbule kafushane

I-Angiosarcoma umdlavuza ongavamile kakhulu, okhula ngokushesha. Lokho kusho ukuthi uma une-angiosarcoma, cishe ubhekene nomdlavuza onzima. Ungase uzizwe ucindezelekile kakhulu ngokuthi kuzokwenzekani ngokulandelayo. Kuvamile ukuzizwa ungaqiniseki ngekusasa. Kodwa akudingeki ubhekane nalokhu kuxilongwa wedwa. Yabelana ngokukhathazeka kwakho nodokotela wakho. Angachaza izinketho zakho zokwelashwa kanye nekusasa lesifo kuwe. Futhi, mcele ukuthi akuxhumanise nezinhlelo nezinsizakalo ezingakusiza. Ungalokothi ulahle ithemba.

I- Angiosarcoma, umdlavuza, umdlavuza wemithambo yegazi, umdlavuza we-lymphatic, umdlavuza wesikhumba, umdlavuza ongavamile, izimpawu zomdlavuza