Ingabe umdlavuza ususabalele futhi wabangela amathumba kwezinye izingxenye zomzimba? Ake sixoxe ngalesi simo, i-Carcinomatosis.

Ungase ucabange, "O, nginomdlavuza, futhi manje ususakazekele kwezinye izingxenye zomzimba wami." Noma mhlawumbe udokotela wakho ukutshelile ngalesi simo. Lena indaba engathi sína ngempela, kodwa ake sicacise ngalokhu. Ngoba, ulwazi lungamandla.

Kalula nje, iyini i-carcinomatosis?

Ake sithi unomdlavuza engxenyeni ethile yomzimba wakho. Ngezinye izikhathi, lawa maseli omdlavuza ayahlukana lapho, aye kwenye ingxenye yomzimba wakho, bese eqala amathumba amasha lapho, njengeqembu lezitshalo ezincane ezisakazeka ngasikhathi sinye. Yilokho esikubiza ngokuthi i-carcinomatosis , ngezinye izikhathi i-carcinosis .

Lokhu ngezinye izikhathi kungaba uphawu lokuqala lomdlavuza. Okusho ukuthi, kuqala ukutholwa njengomdlavuza osakazeke ngale ndlela. Kodwa, esikhathini esiningi, lesi simo senzeka ngemva kokuba usuvele uphila nomdlavuza isikhathi esithile.

Empeleni lolu uhlobo lomdlavuza osakazeke kakhulu . Kalula nje, kusho ukuthi umdlavuza ususakazeke kakhulu. I-carcinomatosis iyisibonakaliso sokuthi umdlavuza ususakazeke kakhulu . Ngokuvamile kunzima ukwelapha ngokuphelele. Kodwa, ungesabi. Odokotela bakho bazoncoma ukwelashwa kokuqeda izimpawu okuzolawula izimpawu zakho futhi kukusize uphile ngenjabulo nabathandekayo bakho isikhathi eside ngangokunokwenzeka.

Yiziphi izinhlobo eziyinhloko ze-carcinomatosis?

Sibona izinhlobo ezintathu eziyinhloko zalesi simo se-carcinomatosis. Izinhlobo zomdlavuza ezibangela uhlobo ngalunye nazo zihlukile.

1. I-Leptomeningeal carcinomatosis: Lokhu kwenzeka lapho umdlavuza usakazekela emaqakaleni azungeze ubuchopho bakho kanye nomgogodla . Ngokuvamile uhlotshaniswa nomdlavuza webele, umdlavuza wamaphaphu, kanye ne-melanoma, uhlobo lomdlavuza wesikhumba.

2. I-Pulmonary lymphangitic carcinomatosis: Lokhu kwenzeka lapho umdlavuza owaqala ebeleni lakho, emaphashini, esiswini, ezinso, esibindini, noma emathunjini usakazekela ohlelweni lwe-lymph emaphashini akho .

3. I-Peritoneal carcinomatosis: Lokhu kwenzeka lapho umdlavuza usakazekela olwelwesini lwesisu sakho, olubizwa ngokuthi i-peritoneum . Lesi simo sivame ukubangelwa umdlavuza wesibeletho, umdlavuza wesisu, umdlavuza wamathumbu amakhulu, noma umdlavuza wamathumbu amakhulu.

Ziyini izimpawu? Ingabe ziyafana kuwo wonke umuntu?

Cha, izimpawu ze-carcinomatosis azifani kuwo wonke umuntu. Ziyahlukahluka kuye ngokuthi umdlavuza usakazeke kuphi . Cabanga ngakho, izimpawu azibonakali uma usakazeka ebuchosheni, kodwa uma usakazeka emaphashini.

Nazi ezinye izimpawu ezingaba khona kuye ngokuthi isimila somdlavuza sikuphi:

• Ubuchopho:
• Ikhanda elibuhlungu
• Izinkinga zokudideka kanye nenkumbulo
• Amagama amaphaphu (Amaphaphu):
• Ukuphefumula okunenkinga
• Ubuhlungu besifuba
• Ukukhwehlela
• Ukukhwehlela igazi
• Amagama esisu (Isisu):
• Uhudo
• Isicanucanu nokuhlanza
• Ubuhlungu besisu
• Ukwehlisa isisindo okungahlosiwe

Ungacabangi ukuthi ngoba nje unesinye noma ezimbili zalezi zimpawu, unalesi simo. Kodwa-ke, uma unomdlavuza, kubaluleke kakhulu ukutshela udokotela ngokushesha uma uthola noma yiziphi izimpawu ezintsha ezifana nalezi.

Kungani lokhu kwenzeka? Yiziphi izimbangela ze-carcinomatosis?

Kalula nje, i-carcinomatosis yenzeka lapho isimila esibi esiqale engxenyeni ethile yomzimba wakho sisakazekela kwenye ingxenye yomzimba wakho. Ngokuvamile, izimila ezintsha eziningi zakha ezindaweni ezingaphezu kweyodwa. Eqinisweni, ngisho nochwepheshe bezokwelapha abakwazi ukusho ngqo ukuthi kungani umdlavuza usakazeka kanje . Kodwa uma usakazeka kanje, kudala izinselele ezintsha ekuphileni nomdlavuza.

Ukubona kanjani lokhu ngqo? Hlobo luni lokuhlolwa olwenziwayo?

Uma une-carcinomatosis, kungenzeka ukuthi usuvele ulwa nomdlavuza. Ngakho-ke, odokotela ngezinye izikhathi bayazibuza, "Ingabe izinzuzo zokuhlola ukuqinisekisa lesi simo ziyakufanelekela ukungakhululeki ongase ukuzwe ngenkathi ukwenza lokhu?"

Kodwa-ke, kunezivivinyo eziningana ezingasiza ekuxilongeni lesi simo:

• I-Bronchoscopy: Kule nqubo, udokotela usebenzisa ithubhu enekhamera encane ukubheka ngaphakathi kwamaphaphu akho. Bangase futhi bathathe isampula yezicubu (i-biopsy) ukuhlola amangqamuzana omdlavuza.
• I-X-ray yesifuba: Lokhu kungabonisa izimpawu zokuvuvukala kwamaphaphu.
• Ukuskena kwesifuba sakho nge-computed tomography (CT): Lokhu kuvame ukusetshenziselwa ukukhombisa izimila esiswini. Kungabonisa nezimpawu zezimila emaphashini.
• I-Electrocardiography kanye ne-echocardiography: Lezi zivivinyo zibheka ukuthi inhliziyo yakho isebenza kanjani. Zingahlola nokuthi inhliziyo yakho yonakele yini ngenxa yezinkinga zamaphaphu.
• Ukuskena kwe-V/Q yamaphaphu: Lokhu kuhlola amahlule egazi emaphashini.
• Ukuskena kwe-MRI (i-Magnetic resonance imaging (MRI): Lokhu kungathatha izithombe ezicacile kakhulu zezimila ebuchosheni bakho noma esiswini.
• Iskeni se-positron emission tomography (PET):Kulokhu, odokotela bafaka umuthi onemisebe emzimbeni wakho bese bebheka izimpawu zokuthi umdlavuza ususakazekele emaphashini noma esiswini.
• Ukumpompa komgogodla: Udokotela wakho angase athathe isampula yoketshezi lwakho lwe-cerebrospinal - uketshezi oluzungeze ubuchopho bakho nomgogodla - ukuze ahlole amangqamuzana omdlavuza.
• I-ultrasound yesisu sakho noma i-pelvis: Lokhu kungahlola ukwakheka koketshezi esiswini sakho (isimo esibizwa ngokuthi i-ascites ). Abantu abaningi abane-peritoneal carcinomatosis banalesi simo.

Ngakho-ke, yiziphi izindlela zokwelapha lokhu?

Ngokuvamile, i-carcinomatosis iyisibonakaliso sokuthi umdlavuza ususakazeke ngale kwephuzu lapho ungasakwazi ukwelapheka khona. Udokotela wakho uzokucabangela lokhu lapho ekunikeza ukwelashwa. Kwezinye izimo, udokotela wakho angase ancome ukunakekelwa kokunciphisa ubuhlungu, okuqeda izimpawu . Noma, bangase bakhulume nawe ngokunakekelwa kwe-hospice, okunikeza induduzo ekupheleni kwempilo yakho.

Nazi ezinye izindlela zokwelapha ezingasiza ekunciphiseni izimpawu ze-carcinomatosis futhi zikusize uphile isikhathi eside:

• Ukuhlinzwa: Udokotela wakho ohlinzayo angasusa izimila olwelwesini lwesisu sakho (peritoneum) (ukuhlinzwa kwe-cytoreductive) noma izimila emaphashini akho. Uma uketshezi lunqwabelene ebuchosheni bakho, bangase bafake into efana ne- shunt ukuze bakhiphe uketshezi futhi banciphise ingcindezi.
• Ukwelashwa ngemisebe: Lokhu kwelashwa kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Udokotela wakho angase anikeze ukwelashwa ngemisebe ezimilaneni ezibangela izimpawu emaphashini noma ebuchosheni.
• Ukwelashwa ngamakhemikhali: Ukwelashwa ngamakhemikhali kubulala amangqamuzana omdlavuza emzimbeni wonke. Odokotela basebenzisa izinhlobo ezithile ze-chemotherapy yomdlavuza wesisu (indlela ekhethekile ebizwa ngokuthi "i-HIPEC") kanye nomdlavuza wobuchopho (indlela ekhethekile ebizwa ngokuthi "i-intrathecal chemo").
• Ukwelashwa okuqondiwe kanye nokwelashwa nge-immunotherapy: Uma umdlavuza oyinhloko usabela kahle kulezi zindlela zokwelapha futhi ususakazekele ebuchosheni noma emgogodleni, udokotela wakho angase akuncome lokhu kwelashwa.

Ingabe ikhona indlela yokuvimbela lokhu?

Ayikho indlela yokuvimbela i-carcinomatosis. Kodwa ungathatha izinyathelo zokusiza ukuyikhomba kusenesikhathi ukuze udokotela wakho akwazi ukuyelapha. Uma usuvele unomdlavuza osukhulile, khuluma nodokotela wakho ngezimpawu ze-carcinomatosis ukuze wazi ukuthi yini okufanele uyiqaphele.

Ngakho-ke, yini elandelayo? Singathemba?

Ngeshwa, alukakabi khona ikhambi le-carcinomatosis okwamanje. Kodwa-ke, ukubikezela kwakho kuncike ezintweni eziningi.Isibonelo, izici ezifana nokuthi umdlavuza waqala kuphi (uhlobo lwesimila esiyinhloko) kanye nobudala bakho kungathinta ukubikezela kwakho. Kungase kube nokwelashwa okungakusiza uphile isikhathi eside futhi ube nempilo engcono .

Kubaluleke kakhulu: Kungcono ukukhuluma ngokukhululekile nodokotela wakho ngesimo sakho sesikhathi esizayo ukuze wazi ukuthi yiziphi izinketho zakho ezingcono kakhulu.

Uzinakekela kanjani? Yini ongayenza phakathi nalesi sikhathi?

Uma uphila ne-carcinomatosis, kunezinto ongazenza ukuze ulondoloze izinga lempilo yakho:

• Buza ngezinketho zokwelapha: Ngisho noma wena nodokotela wakho ninquma ukungalandeli ukwelashwa okunamandla, kungase kube khona ukwelashwa okungasiza ekunciphiseni izimpawu zakho nokulawula umdlavuza.
• Tshela udokotela wakho ngezinguquko ezimpawu zakho: Uma izimpawu zakho zishintsha noma ziba zimbi kakhulu, udokotela wakho uzokutshela ngezindlela zokusiza ukuzilawula.
• Tshela abathandekayo bakho ukuthi udingani: Ngokuvamile, umndeni nabangane bafuna ukusiza, kodwa abazi ukuthi udingani. Mhlawumbe ungathanda othile akwenzele imisebenzi yakho yasekhaya, akwenzele ukudla, noma achithe isikhathi nawe.
• Cela usizo lokuhlela ikusasa: Buza udokotela wakho ngezinhlelo ezingakusiza ngezinyathelo zokugcina zohambo lwakho lomdlavuza.

Okudingeka sikukhumbule kukho konke lokhu

Kwabaningi, i-carcinomatosis ingase iphawule isigaba sokugcina sohambo lwabo nomdlavuza. Kodwa kusekhona ithemba lokuphila kahle nomdlavuza isikhathi eside ngangokunokwenzeka. Kunezindlela zokwelapha ezingasiza ekunciphiseni izimpawu zakho, futhi kwezinye izimo, zikunike isikhathi esengeziwe. Uma une-carcinomatosis, udokotela wakho angakhuluma nawe ngezinketho ezingakusiza ukuthi usebenzise impilo yakho nesikhathi sakho kahle. Ungalokothi uhlupheke wedwa, cela usizo njalo . Ithimba lakho lezokwelapha kanye nabathandekayo bakho banawe.

i- carcinomatosis, umdlavuza, ukusabalala komdlavuza, umdlavuza osakazekile, izimpawu, ukwelashwa, ukunakekelwa kobuhlungu, ukunakekelwa kobuhlungu