Uma umthombo womdlavuza ungatholakali? Ake sixoxe nge-(Carcinoma of Unknown Primary - CUP)

Ngezinye izikhathi, uma sizwa okuthile okungahambi kahle noma okuhlukile emzimbeni wethu, siya kudokotela. Uma siya, ngezinye izikhathi sithola ukuthi sinomdlavuza, nokuthi ususakazeke usuka kwenye ingxenye yomzimba uye kwenye (umdlavuza osakazeka kalula). Kodwa-ke, odokotela bathi kunzima ukusho ngqo ukuthi lo mdlavuza uqale kuphi ngempela, futhi akunakwenzeka ukuwuthola. Yilapho-ke sizokhuluma ngalesi simo (i-Carcinoma of Unknown Primary) noma i-CUP .

Kuyini (i-Carcinoma of Unknown Primary - CUP)? Ake sikuqonde kalula

Manje ungase ucabange, 'Bathi banomdlavuza, kodwa abazi ukuthi uvelaphi, kungenzeka kanjani lokho?' Kulungile, ake sichaze lokhu kancane.

Umdlavuza ngokuvamile uchazwa njengokukhula okungajwayelekile, okungalawuleki kwamaseli emzimbeni wethu. Indawo lapho umdlavuza uqala khona ibizwa ngokuthi 'umdlavuza oyinhloko' noma 'isimila esiyinhloko' . Manje, amaseli avela kulo mdlavuza oyinhloko angaqhekeka futhi ahambe aye kwezinye izingxenye zomzimba ngegazi noma uhlelo lwe-lymphatic, lapho angaqala khona ukukhulisa amaseli amasha omdlavuza. Yilokho esikubiza ngokuthi 'umdlavuza osakazekayo' noma 'umdlavuza osabalalayo'. Abanye odokotela nabo bakubiza ngokuthi 'umdlavuza wesibili' .

Ngakho-ke, (i-Carcinoma of Unknown Primary) noma i-CUP isho ukuthi unomdlavuza wesibili osakazeke kanje emzimbeni wakho, kodwa odokotela abakwazi ukuthola ukuthi umdlavuza oyinhloko uqale kuphi. Sebenze izivivinyo eziningi, kodwa abakwazi ukuthola umdlavuza wokuqala. Kodwa ungakhathazeki, noma ngabe abakwazi ukuthola umdlavuza wokuqala, kunezindlela zokwelapha lesi simo se-CUP. Ngezinye izikhathi, kuye ngolwazi oluvela ezivivinyweni, bangaselapha ngemithi ekhethekile yokulwa nomdlavuza.

Kungani lo mdlavuza oyinhloko ungatholakali? Yiziphi izizathu?

Kulungile, manje cishe usuyaqonda ukuthi iyini i-CUP. Kodwa kungani lo mdlavuza ungatholakali kusenesikhathi? Kungaba nezizathu eziningana zalokho.

• Ngoba umdlavuza oyinhloko mncane kakhulu: Ngezinye izikhathi umdlavuza wokuqala mncane kangangokuthi awutholakali ngisho nangokuhlola izithombe, okungukuthi, ama-scan. Kufana nokufuna inhlanzi encane elahlekile olwandle.
• Ngoba isimiso sakho somzimba sokuzivikela siwubhubhisile: Umzimba wethu unesimiso esihle sokuzivikela, esibizwa ngokuthi isimiso somzimba sokuzivikela. Ngezinye izikhathi lesi simiso somzimba sokuzivikela singathola umdlavuza oyinhloko bese siwubhubhisa. Kodwa ngaleso sikhathi, amanye amangqamuzana omdlavuza kungenzeka ukuthi asesakazekele kwezinye izingxenye zomzimba.
• Ngoba yasuswa ngesikhathi sokuhlinzwa ngesizathu esithile:Ake sithi kwadingeka uhlinzwe ngenxa yesinye isifo. Mhlawumbe ngaphandle kokwazi, umdlavuza oyinhloko kungenzeka ukuthi ususiwe ngesikhathi sokuhlinzwa. Ngemuva kwalokho, lapho umdlavuza osakazeke kamuva utholakala, indawo yokuqala ayitholakali.

Yiziphi izimpawu ezingase zivele ku-CUP?

Kunezimpawu eziningana ezivame ukufika engqondweni uma sicabanga ngomdlavuza. Lezi zimpawu zingavela futhi endabeni ye-CUP. Kodwa ngoba nje unalezi zimpawu, akufanele yini wesabe ukuthi umdlavuza? Kodwa uma ubona okuthile okusha noma okuhlukile emzimbeni wakho, uma kungapheli ezinsukwini ezimbalwa, noma uma kubonakala sengathi kuya kuba kubi kakhulu, kufanele nakanjani ubone udokotela futhi ukhulume ngakho.

Nazi ezinye izimpawu ezingase zibangelwe umdlavuza:

• Ukukhwehlela okuqhubekayo: Ukukhwehlela okuhlala isikhathi eside, ngaphandle komkhuhlane.
• Izinkinga zokugaya ukudla: Uma unezimpawu eziqhubekayo njengesisu esivuvukele, ukuqunjelwa, noma isifo sohudo.
• Ukukhathala: Ukuzizwa ukhathele ngaso sonke isikhathi ngaphandle kwesizathu.
• Ukuzizwa usuthi ngisho nangemva kokudla kancane noma ukwehlisa isisindo ngaphandle kwesizathu: Uma unesifo sokudla esinciphile, zizwe usuthi ngisho nangemva kokudla kancane, noma uma unciphisa isisindo ngaphandle kokuzama.
• Umkhuhlane ongachazeki: Ukuzizwa nje ushisa futhi ushisa.
• Isigaxa noma ukuvuvukala noma kuphi emzimbeni: Uma unesigaxa entanyeni, emakhwapheni, embotsheni, noma kwenye indawo emzimbeni wakho esingasuki, mhlawumbe ngenxa yobuhlungu.
• Ukujuluka ebusuku: Uma ujuluka kakhulu ebusuku ngaphandle kwesizathu esithile.
• Ubuhlungu besifuba noma besisu: Ubuhlungu obuqhubekayo esifubeni noma esiswini.
• Ukuchama njalo: Uma udinga ukuya endlini yangasese kaningi kunokujwayelekile.
• Ama-lymph node avuvukele: Uma ama-lymph node azungeze intamo, i-groin, noma ngaphansi kwamakhwapha ezwakala evuvukele.

Odokotela basibona kanjani lesi simo se-CUP?

Ukuthola i-CUP kuyinqubo ethatha isikhathi esiningi nezinyathelo eziningi. Into yokuqala odokotela abazama ukuyenza ukuthola isimila esiyinhloko esikhulume ngaso ekuqaleni, leso umdlavuza owaqala ngaso.

Isinyathelo sokuqala ukuhlolwa ngokomzimba . Bazokubuza ngezimpawu zakho kanye nanoma yiziphi ezinye izinkinga zempilo ongase ube nazo. Bangase bakubuze nokuthi kukhona yini emndenini wakho oke waba nesifo esifana nomdlavuza. Bazokubuza nanganoma yimiphi imithi, amavithamini, kanye nezithasiselo ozithathayo.

Ngemva kwalokho, kungenzeka ukwenza izivivinyo eziyisisekelo.

• Inani legazi eliphelele (i-FBC)
• Iphaneli eyisisekelo ye-metabolic
• Ukuhlolwa kwegazi okungabonakali kwendle
• Ukuhlolwa komchamo

Lezi zivivinyo zibheka noma yiziphi izinguquko ezingabangelwa umdlavuza. Uma zikhona ezitholakalayo, ungathunyelwa kudokotela wezifo zomdlavuza .

Okulandelayo, udokotela wezifo zomdlavuza cishe uzoyala ukuba kwenziwe i-biopsy . Lokhu kuhilela ukuthatha ingxenye encane yezicubu endaweni lapho kusolwa khona ukuthi umdlavuza ukhona. Le sampula yezicubu ihlolwa ngaphansi kwe-microscope ngudokotela wezifo .

Kwezinye izinhlobo zomdlavuza, ukubukeka kwamaseli kuyashintsha. Ngakho-ke udokotela wezifo uzobheka izinguquko emaseli akho ukuze abone ukuthi ziluhlobo luni lomdlavuza. Bangasebenzisa futhi leli sampula lezicubu ukwenza ezinye izivivinyo ezikhethekile. Isibonelo:

• Ukuhlolwa kofuzo
• I-immunohistochemistry
• Ukuhlola i-DNA yamaseli nokuzama ukuthola ukuthi umdlavuza waqala kuphi.

Ngaphezu kwalokhu, udokotela we-oncologist angenza nezinye izivivinyo:

• Ukuhlolwa kwezithombe: Ukuhlolwa okufana ne-CT scan, i-MRI, kanye ne-PET scan kungasiza ekutholeni ukuthi umdlavuza ususakazeke kangakanani noma ukuthi uqale kuphi.
• I-Endoscopy: Lokhu kuhilela ukufaka ipayipi elinekhamera encane emzimbeni wakho ukuze kuhlolwe izitho zakho zangaphakathi nezicubu.
• Ukuhlolwa kwezimpawu zesifo somdlavuza: Ezinye izinhlobo zomdlavuza zikhipha izinto ezithile egazini. Lokhu kuhlolwa kubheka ukuba khona kwalezi zinto.

Iphathwa kanjani i-Carcinoma of Unknown Primary (CUP)?

Ithimba lakho lezokwelapha lizokwakha uhlelo lokwelapha olusekelwe olwazini olutholakala ekuhlolweni kwakho komdlavuza.

Ngezinye izikhathi, odokotela bezifo bayakwazi ukubona umdlavuza oyinhloko, okusho umdlavuza oqale kuqala. Uma kunjalo, bahlela ukwelashwa ngokusekelwe kulolo hlobo lomdlavuza.

Kodwa-ke, uma ukuhlolwa kungakwazi ukubona umdlavuza oyinhloko, ithimba lezokwelapha lingaphendukela ekwelashweni okuvamile. Kunezindlela eziningana zokwelapha ongase uzinikwe:

• Ukuhlinzwa: Uma umdlavuza ugcinwe endaweni eyodwa yomzimba, ukuhlinzwa kungenziwa ukuze kususwe leyo ngxenye yomdlavuza.
• Ukwelashwa ngamakhemikhali: Uma umdlavuza ubonakala sengathi ususakazekele ezindaweni eziningi zomzimba, kunganconywa ukwelashwa ngamakhemikhali. Lokhu kuhilela ukunikeza imithi ebulala amangqamuzana omdlavuza.
• Ukwelashwa ngama-hormone: Ezinye izinhlobo zomdlavuza zidinga ama-hormone ukuze zikhule. Lokhu kwelashwa kusebenza ngokuvimbela amangqamuzana omdlavuza ekutholeni ama-hormone awadingayo.
• Ukwelashwa nge-immunotherapy:Lokhu kuvuselela amasosha omzimba wakho, okuwuvumela ukuthi ufune futhi ubhubhise amangqamuzana omdlavuza.
• Ukwelashwa ngemisebe: Lokhu kwelashwa kusetshenziswa uma umdlavuza ubonakala utholakala endaweni eyodwa yomzimba. Kusebenzisa imisebe enamandla amakhulu ukubhubhisa amangqamuzana omdlavuza. Kunezindlela eziqondisa imisebe evela ngaphandle (ukwelashwa ngemisebe yangaphandle) kanye nezindlela eziqondisa umdlavuza ngaphakathi (imisebe yangaphakathi).
• Ukwelashwa okuqondiwe: Uma ukuhlolwa kungahlonza uhlobo lomdlavuza, ukwelashwa kungaqondiswa ebuthakathakeni obuthile kulawo maseli omdlavuza. Lokhu kubizwa ngokuthi ukwelashwa okuqondiwe.

Into ebaluleke kakhulu ukuthi ithimba lakho lezokwelapha likhethe ukwelashwa okukulungele. Ngakho-ke khuluma nabo ngokucophelela futhi ubabuze yonke imibuzo onayo.

Angakanani amathuba okululama uma kwenzeka umdlavuza we-CUP?

Lokhu kuyinto abantu abaningi abafuna ukuyazi. Kodwa-ke, uma sikhuluma ngamazinga okusinda komdlavuza, sidinga ukuqonda ukuthi uyahlukahluka kakhulu kumuntu nomuntu. Kunezici eziningana eziwuthintayo:

• Uhlobo lomdlavuza: Uhlobo luni lomdlavuza, uma lutholakala ekugcineni.
• Ukuthi umdlavuza ususakazeke kangakanani emzimbeni.
• Indlela ukwelashwa okuphumelele ngayo.
• Impilo yakho iyonke.

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi la mazinga okusinda ayizilinganiso kuphela. Asekelwe kokuhlangenwe nakho kwabanye abake baba nalolu hlobo lomdlavuza ngaphambili. Isimo sakho singase sihluke kakhulu. Ngakho-ke, kungcono ukubuza udokotela wakho we-oncologist ukuthi yini ongayilindela ngokusekelwe esimweni sakho.

I-Carcinoma ye-Unknown Primary ingase ibuye ngemva kokwelashwa. Ezimweni ezinjalo, udokotela wakho angasikisela ukuthi uhlanganyele ovivinyweni lwezokwelapha lwezindlela ezintsha zokuhlola.

Kudingeka futhi sicabange ngempilo yengqondo.

Uma utholakala unesifo esifana ne-CUP, kungaletha ukungaqiniseki okukhulu nokwesaba. Kuvamile ukuba nemicabango efana nokuthi, 'Angazi ukuthi umdlavuza uvelaphi, angazi ukuthi ukwelashwa kuzophumelela yini.' Ucwaningo luye lwabonisa nokuthi abantu abane-CUP banamathuba amaningi okuthuthukisa izinkinga zengqondo njengokucindezeleka nokukhathazeka kunabantu abanezinye izinhlobo zomdlavuza osakazeke kakhulu.

Ngakho-ke, uma uzizwa ngale ndlela, ungabi namahloni noma ungazifihli. Kubalulekile ukukhuluma nomuntu omethembayo, njengomeluleki noma isazi sokusebenza kwengqondo, bese uthola ukwesekwa. Ithimba lakho lezokwelapha lizokuqonda nalokhu.

Ingabe i-Carcinoma of Unknown Primary (CUP) ingavinjelwa?

Singase singakwazi ukuvimbela ngokuphelele ukukhula komdlavuza oyinhloko oholela ku-CUP, ngoba eminye imidlavuza nayo ithonywa izici zofuzo.

Kodwa-ke, kunezinto ezimbalwa esingazenza ukuze sinciphise ingozi yethu yokuba nomdlavuza ngokuvamile. Ukulandela lezi zinyathelo kuzosisiza kakhulu ekuvikeleni hhayi ku-CUP kuphela, kodwa nakwezinye izinhlobo eziningi zomdlavuza.

• Uma ubhema, yeka: Ukubhema kuyinto ebangela umdlavuza.
• Uma uphuza utshwala, yehlisa noma uyeke ngokuphelele.
• Gcina ukudla okunempilo: Gcwalisa ipuleti lakho ngemifino, izithelo, imifino eluhlaza, ubhontshisi, ubhontshisi, inyama engenamafutha nenhlanzi. Nciphisa ukudla okusheshayo okunamafutha amaningi, ushukela nosawoti.
• Gcina isisindo esinempilo kuwe: Ukugcina isisindo esinempilo ngobude bakho kusiza ekuvikeleni ezifweni eziningi.
• Vikela isikhumba sakho uma ubhekene nelanga: Gqoka izibuko zelanga, isigqoko, bese usebenzisa isivikelo selanga esifanela uhlobo lwesikhumba sakho. Lokhu kunganciphisa ingozi yomdlavuza wesikhumba.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-(Carcinoma of Unknown Primary - CUP). Kuyisimo esiyinkimbinkimbi nesicindezelayo. Kuyaqondakala ukuthi noma ubani azizwe eshaqekile kakhulu futhi engaqiniseki lapho etshelwa ukuthi unomdlavuza, ukuthi usakazekile, kodwa imbangela ayitholakali.

Kodwa, into ebaluleke kakhulu ukwazi ukuthi awuwedwa. Kukhona ithimba lodokotela abanekhono abazokusiza futhi bakwelaphe.

• Khuluma nabo ngazo zonke izinkinga zakho nokwesaba kwakho. Ungafihli lutho.
• Funda ngemithi yokwelapha kanye nemiphumela yayo emibi.
• Ungase udinge ukwesekwa ngokomzwelo nangokomzimba ngesikhathi sokwelashwa nangemva kokwelashwa. Khuluma nodokotela bakho ngalezo zinto futhi.
• Khumbula, i-CUP akuyona ngempela isigwebo sokufa. Ngokuthuthuka kwezokwelapha zanamuhla, kunezindlela zokwelapha ezingabhekana ngempumelelo nalesi simo.

Ngakho-ke, bhekana nale nselele ngesibindi, ulandele iseluleko sezokwelapha, futhi ukufisela ukululama okusheshayo!

` I-CUP, i-Carcinoma engaziwa Eyinhloko, Umdlavuza, Umdlavuza Osakazekayo, Umdlavuza Osakazekayo, Umdlavuza Oyinhloko, Izimpawu Zomdlavuza, Ukwelashwa Komdlavuza