Ungase uzibuze, "Lokhu kuhlolwa kwegazi engikwenzayo akukwazi yini ukungitshela ukuthi nginomdlavuza?" Lona umbuzo onengqondo kubantu abaningi. Okunye ukuhlolwa kwegazi kunganikeza izinkomba ezithile mayelana nomdlavuza. Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi izinhlobo eziningi zomdlavuza azikwazi ukutholwa ngokuhlolwa kwegazi kuphela . Kodwa-ke, lokhu kuhlolwa kubaluleke kakhulu enkambisweni yokuxilonga umdlavuza, ukuwulapha, kanye nokuqapha lesi sifo. Namuhla, ake sixoxe ngalokho lokhu kuhlolwa kwegazi okungasitshela kona nokuthi ngeke kusitsheleni ngomdlavuza.
Ingabe umdlavuza ungatholakala ngokuhlolwa kwegazi kuphela?
Kalula nje, ngokuvamile akunjalo. Ukuhlolwa kwegazi kufana nengxenye eyodwa yephazili. Udinga ezinye izingcezu ukuze ubone isithombe sonke. Lokho kusho ukuthi uma udokotela esola umdlavuza, uzokwenza ezinye izivivinyo eziningana ngaphezu kokuhlolwa kwegazi ukuze akuqinisekise.
Kodwa-ke, kunezinhlobo ezithile zomdlavuza, ikakhulukazi umdlavuza ohlobene negazi, ezinganikeza inkomba enkulu ngokuhlolwa kwegazi. Isibonelo:
- I-Leukemia
- I-Lymphoma (i-Hodgkin lymphoma kanye ne-non-Hodgkin lymphoma)
- I-Multiple Myeloma
Ngenxa yokuthi lokhu kuhlobene ngqo negazi noma isimiso somzimba sokuzivikela, singathola umbono ngakho kusukela ezinguqukweni ezisemaseli egazini.
Izinhlobo zokuhlolwa kwegazi ezisetshenziselwa umdlavuza
Odokotela basebenzisa izinhlobo ezahlukene zokuhlolwa kwegazi ukuhlola umdlavuza nokubona ukuthi umzimba usabela kanjani ekwelashweni. Ake sibheke izinhlobo eziyinhloko.
| Igama Lokuhlolwa | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| Inani Eliphelele Legazi (i-CBC) | Lokhu kuhlolwa okuvamile kakhulu. Kulinganisa inani lamaseli abomvu egazi, amaseli amhlophe egazi, nama-platelet egazini lakho. Uma inani lamaseli amhlophe egazi lakho liphezulu noma liphansi ngendlela engavamile, kungaba uphawu lomdlavuza wegazi, njenge-leukemia noma i-lymphoma. Kodwa-ke, ayikwazi ukubona umdlavuza okhula ezithweni ezifana namaphaphu noma amabele. |
| Ukuhlolwa Kwegazi Kophawu Lwesimila | Izimpawu zesifo somdlavuza zingamakhemikhali athile akhiqizwa amangqamuzana omdlavuza noma umzimba ngenxa yomdlavuza. Lezi zivivinyo zihlola amazinga angaphezulu kwalawa egazini. Izibonelo: Ukuhlolwa kwe-PSA , okuhlola umdlavuza wendlala emadodeni, ukuhlolwa kwe-CA-125, okuhlola umdlavuza wesibeletho kwabesifazane. Kodwa-ke, akuwona wonke ukwanda kwalezi zimpawu okubonisa umdlavuza, njengoba kungabangelwa nezinye izizathu. |
| Ukuhlolwa Kwamaprotheni Egazi | Amazinga aphezulu kakhulu amaprotheni egazini angaba uphawu lomdlavuza wegazi, ikakhulukazi i-multiple myeloma. Ngezinye izikhathi, la mazinga amaprotheni afakiwe esivivinyweni onaso, njenge -Comprehensive Metabolic Panel (CMP) . |
| Ukuhlolwa Kweseli Lesisu Esijikelezayo (i-CTC) | Lokhu ukuhlolwa okuyinkimbinkimbi kancane. Kubheka izingcezu ezincane zamaseli aphuke esimila somdlavuza futhi ajikeleza egazini. Kuvame ukusetshenziswa ukuthola umbono wesimo somuntu onomdlavuza webele, we-prostate, noma wamathumbu amakhulu. |
Yiziphi ezinye izivivinyo ezizodingeka ngaphandle kokuhlolwa kwegazi?
Ake sithi unesifo esingavamile ekuhlolweni kwegazi lakho. Lokho kukodwa akusho ukuthi udokotela unomdlavuza. Kuzodingeka enze ezinye izivivinyo eziningana ukuze aqinisekise lokho.
- I-Biopsy: Lolu vivinyo olubaluleke kakhulu olungaqinisekisa ngokuphelele ukuthi umdlavuza ukhona noma cha. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yesitho noma izicubu ezisolisayo bese uyihlola ngaphansi kwesibonakhulu.
- Ukuhlolwa kwezithombe: Lokhu kungasiza ekunqumeni indawo kanye nosayizi wesimila. Izibonelo zifaka phakathi ama-X-ray, ama-CT scan, ama-MRI scan, kanye nama-PET scan.
- Ukuhlolwa Okukhethekile: Kunezivivinyo ezikhethekile zezinhlobo ezithile zomdlavuza. Isibonelo, i-mammogram isetshenziselwa umdlavuza webele kanti i-Pap smear isetshenziselwa umdlavuza wesibeletho.
Ingabe umdlavuza ungatholakala ezigabeni zawo zokuqala ngokuhlolwa kwegazi?
Ngokuvamile kunzima ukuthola umdlavuza ezigabeni zawo zokuqala ngokuhlolwa kwegazi okuvamile. Kodwa-ke, ngokuthuthuka kwesayensi yezokwelapha, kuvela izindlela ezintsha zokuhlola.
Isibonelo, ukuhlolwa kwegazi okukhethekile okubizwa ngokuthi ukuhlolwa kweGalleri kutholakale ukuthi kuyakwazi ukubona izinhlobo zomdlavuza ezingaphezu kuka-50. Futhi, kwenziwa ucwaningo ekuhlolweni okungabona umdlavuza kusenesikhathi ngokutadisha amaphethini amaprotheni egazini (amaProteomics). Nakuba lokhu kungakabi yinto evamile ezweni lethu, kunamandla okuguqula ukutholakala komdlavuza esikhathini esizayo.
Kodwa khumbula, uma uthola imiphumela emisha yokuhlolwa efana nale, kufanele ukhulume nodokotela wakho ukuze akuqonde ngokugcwele bese unquma ukuthi yini ozoyenza ngokulandelayo.
Ulungiselela kanjani ukuhlolwa kwegazi?
Udokotela uzokunikeza imiyalelo ekhethekile ngaphambi kokuhlolwa kwegazi.
- Ezinye izivivinyo zingadinga ukuzila ukudla cishe amahora angu-8-12. Lokhu kusho ukuthi awukwazi ukudla noma ukuphuza noma yini ngaphandle kwamanzi.
- Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile isikhashana ngaphambi kokuhlolwa.
- Ngakho-ke, landela imiyalelo kadokotela ngqo ngaso sonke isikhathi .
Ukukhishwa kwegazi kuthatha imizuzu embalwa kuphela. Kuba nomuzwa omncane wokuhlaba lapho inaliti ifakwa, kodwa mncane kakhulu.
Yini okufanele uyenze uma imiphumela yombiko ingajwayelekile?
Kungathatha usuku noma ezimbili, noma ngisho nangaphezulu, ukuthi imiphumela yokuhlolwa kwegazi ibuye. Uma umbiko wakho uqukethe noma yini ephakamisa izinsolo zomdlavuza, udokotela wakho uzokudlulisela kuchwepheshe womdlavuza, udokotela wezifo zomdlavuza .
Ngemuva kwalokho, udokotela onguchwepheshe uzokwenza izivivinyo ezidingekayo, aqinisekise isifo, futhi athuthukise uhlelo lokwelashwa olufanele kakhulu kuwe.
Into ebaluleke kakhulu ukuthi, ungesabi uma ubona into engavamile embikweni. Udokotela wakho kuphela owazi kahle ukuthi isho ukuthini. Khuluma naye umchazele.
Uma umbiko wami wokuhlolwa kwegazi ujwayelekile, angikwazi yini ukuthola umdlavuza?
Lona umbuzo obalulekile abantu abaningi abawubuzayo. Impendulo ithi, yebo, kungenzeka.
Ukuthi ukuhlolwa kwegazi okuvamile kuyinto evamile akusho ukuthi unomdlavuza isikhathi esingu-100%. Ngoba njengoba sixoxile ngaphambili, izinhlobo eziningi zomdlavuza (ikakhulukazi umdlavuza ongahileli igazi, njengalezo ezikhula ezithweni zomzimba) azibonakali ekuhlolweni kwegazi okuvamile.
Ngiyaqonda ukuthi kungaba nzima kangakanani ukulinda imiphumela yokuhlolwa ngemva kokusola umdlavuza. Kodwa-ke, odokotela benza izivivinyo eziningana ukuze bafinyelele ekuxilongweni okunembile. Ukuhlolwa kwegazi kuyisinyathelo esisodwa nje kulolo hambo. Ngakho-ke, kubalulekile ukuthemba ithimba lezokwelapha nokulandela iseluleko sabo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwegazi kukodwa akukwazi ukuqinisekisa ukuthi kukhona umdlavuza, kodwa kuyithuluzi elibaluleke kakhulu enkambisweni yokuxilonga.
- Eminye imidlavuza yegazi, njenge-leukemia kanye ne-lymphoma, ingatholakala ngokuhlolwa kwegazi okulula njenge-CBC.
- Nakuba ukuhlolwa kwezimpawu zesimila njenge-PSA kanye ne-CA-125 kuwusizo, amanani abo aphezulu kuphela awabonisi ukuthi kukhona umdlavuza. Kungabuye kuphakanyiswe ngezinye izizathu.
- Ezinye izivivinyo, njenge-biopsy, zivame ukudingeka ukuze kuqinisekiswe umdlavuza.
- Kungakhathaliseki ukuthi yini esembikweni wakho, ungakhathazeki ngayo wedwa. Khuluma nodokotela wakho njalo, umchazele, bese uthola iseluleko esidingekayo.
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