Wake wezwa iqhubu elincane ohlangothini lwentamo yakho wazizwa wesaba kancane? Kuvamile ukuzizwa ukhathazekile uma ubona into efana naleyo. Kodwa khumbula, akuwona wonke amaqhubu entamo ayingozi. Namuhla sizokhuluma ngesimo esingase senzeke entanyeni, abantu abaningi abangakaze bezwe ngaso, kodwa okufanele kakhulu ukwazi ngaso. Leso yisimo esibizwa ngokuthi i-Carotid Body Tumor.
Kalula nje, iyini le Carotid Body Tumor?
Cabanga nje ukuthi unemithambo yegazi emibili eyinhloko kuzo zombili izinhlangothi zentamo yakho, ethwala igazi lisuka enhliziyweni yakho liye ekhanda lakho nasebuchosheni. Njengamapayipi amabili ayinhloko aletha amanzi endlini yakho. Sibiza le mithambo yegazi ngokuthi imithambo ye-carotid .
Lapha, lapho le mithambo yegazi emibili eyinhloko ihlukana khona, kuneqoqo elincane kakhulu lamaseli. Lokhu kubizwa ngokuthi 'uMzimba we-Carotid'. Umsebenzi walo oyinhloko ukuqapha izinto ezifana namazinga omoya-mpilo, amazinga e-carbon dioxide, kanye nokushisa egazini. Kufana 'nenzwa' encane emzimbeni wethu.
`Isimila Somzimba We-Carotid` ukukhula okungavamile kwamaseli, noma isimila, esikhula `kuMzimba We-Carotid.` Ngezinye izikhathi sibizwa ngokuthi `uMzimba We-Carotid Paraganglioma` noma `uMzimba We-Carotid Chemodectoma`.
Ingabe lezi zimila zinomdlavuza? (Zingemnandi?)
Lena yinkinga enkulu kubantu abaningi. Izindaba ezinhle ukuthi iningi lala ma-'Carotid Body Tumors' awawona umdlavuza (angabi yingozi) . Okusho ukuthi, awasabalali kwezinye izingxenye zomzimba. Ezinye izifundo ziphakamisa ukuthi ngaphansi kuka-10% walokhu kungaba umdlavuza (oyingozi) .
Ngakho-ke, ungesabi ngokushesha uma ubona iqhubu entanyeni yakho bese ucabanga ukuthi umdlavuza. Kodwa akuwona umqondo omuhle ukulishaya indiva. Into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha okukhulu.
Ubani ongaba nalesi simo? Sivame kangakanani?
Kungenzeka kunoma ubani, kodwa kuvame kakhulu kwabesifazane kunabesilisa. Ngokuvamile kwenzeka ngemva kweminyaka engu-20.
Kodwa lesi yisimo esingavamile kakhulu. Ngokwesilinganiso, cishe umuntu oyedwa kwabangu-30,000 unethuba lokuthuthukisa i-'Carotid Body Tumor'. Ngakho-ke ungabona ukuthi lokhu kuyivelakancane kangakanani.
Lokhu kuzongithinta kanjani?
Esikhathini esiningi, le `Carotid Body Tumor' ayibangeli ubuhlungu ezigabeni zokuqala. Kodwa-ke, inkinga ukuthi le thumba ingakhula kancane kancane. Njengoba ikhula, iqala ukucindezela eminye imithambo yegazi ebalulekile kanye nemizwa entanyeni. Yingakho izimpawu zingase zivele. Ngenxa yalesi sizathu, udokotela angase ancome ukususa le thumba ngokuhlinzwa.
Ziyini izimpawu zalokhu?
Njengoba kushiwo ngaphambili, kungase kungabi nazimpawu nhlobo. Kodwa-ke, njengoba isimila sikhula, singadala izimpawu ezithile ngenxa yokucindezeleka kwemizwa nemithambo yegazi ezungezile. Ake sibone ukuthi ziyini.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ifindo entanyeni | Lolu uphawu oluyinhloko noluvame kakhulu. Luzwakala ohlangothini lwentamo, ngaphansi komhlathi. |
| Ukuhosha kwezwi | Lokhu kungase kube ngenxa yokukhula kwesimila nokucindezela imizwa elawula izwi. |
| Ukulunywa kolimi | Lesi sibonakaliso singavela uma imizwa ehlobene nokuzwa kolimi ithintekile. |
| Umphimbo obuhlungu | Abanye abantu bangase babe nobuhlungu obungachazeki emphinjeni wabo. |
| Ubunzima bokugwinya (i-Dysphagia) | Ukuzizwa sengathi uyaminza lapho ugwinya ukudla noma isiphuzo. Lokhu kungenzeka uma isimila sikhula futhi sithinta imisipha emphinjeni. |
Iyini imbangela yalokhu?
Abacwaningi abakayitholi imbangela ethile yalokhu. Kodwa-ke, kutholakale ukuthi lesi simo sihlotshaniswa nokwehla kwamazinga omoya-mpilo emzimbeni (i-hypoxia) . Isibonelo, abantu abahlala ezindaweni eziphakeme basengozini enkulu yokuthuthukisa lesi simo.
Kunezindlela ezimbili lokhu okungenzeka ngazo:
1. Okwenzeka ngezikhathi ezithile: Lokhu kunjalo kuma-90% ezimo . Lokhu kusho ukuthi noma ubani angakuthola, ngaphandle komlando womndeni.
2. Okwemindeni: Ezimweni ezingaba ngu-10%, lokhu kungazuzwa njengefa kumalungu omndeni ngenxa yezizathu zofuzo. Uma othile emndenini eke waba nalesi simo, kunethuba elincane lokuthi nabanye bazosithola.
Odokotela bakuthola kanjani lokhu?
Uma uya kudokotela oneqhubu entanyeni yakho, into yokuqala azokwenza ukuhlola ikhanda nentamo yakho ngokucophelela. Uzohlola uhlobo lweqhubu, ukuqina kwalo, nokuthi liyahamba yini.
Uma kusolwa ukuthi kukhona i-'Carotid Body Tumor', kunconywa ukuthi kwenziwe ezinye izivivinyo eziningana ukuze kuqinisekiswe.
Ukuhlolwa kokuxilonga
- I-CT Scan: Lokhu kusiza ekuqondeni kahle ubukhulu nendawo yesimila ngokuthatha izithombe zomzimba ezihlukaniswe ngezigaba.
- Ukufanekisa nge-magnetic resonance (MRI): Kusetshenziswa insimu yamagnetic, kungatholakala izithombe ezicacile kakhulu zesimila kanye nezicubu ezithambile ezizungezile.
- Ukuskena nge-ultrasound: Lokhu kusiza ekutholeni ukuqonda okuyisisekelo ngohlobo lwesimila ngokusebenzisa amaza omsindo.
- I-Magnetic Resonance Angiography (MRA): Lolu uhlobo olukhethekile lwe-MRI scan. Lungabheka eduze imithambo yegazi entanyeni kanye nokunikezwa kwegazi esimila.
Iphathwa kanjani?
Udokotela wakho uzonquma ukwelashwa okungcono kakhulu ngokusekelwe ezimpawini zakho, ubukhulu besimila, kanye nempilo yakho iyonke. Kunezindlela eziningana zokwelapha eziyinhloko.
- Ukususwa kwesimila ngokuhlinzwa: Lokhu kuyindlela yokwelapha evame kakhulu futhi ephumelela kakhulu. Ikakhulukazi uma isimila sikhulu noma sibangela izimpawu, kwenziwa ukuhlinzwa ukuze kususwe ngokuphelele. Ngezinye izikhathi, lapho kususwa izimila ezinkulu kakhulu, kungase kube nomonakalo othile emthanjeni wegazi oyinhloko (umthambo we-carotid). Uma lokhu kwenzeka, udokotela ohlinzayo uzosebenzisa i-patch noma i-graft ukulungisa umonakalo ngesikhathi sokuhlinzwa.
- Ukwelashwa Ngemisebe: Ezimweni lapho ukuhlinzwa kungenzeki, noma uma isiguli singafaneleki ukuhlinzwa, lokhu kwelashwa kusebenzisa imisebe enamandla amakhulu ukulawula noma ukunciphisa ukukhula kwesimila.
- Ukufakwa kwe-Transcatheter:Lena inqubo eyinkimbinkimbi kancane. Kalula nje, ihilela ukudlulisa ipayipi elincane emthanjeni wegazi bese ivimba umthambo ohambisa igazi esimila. Lokhu kubangela ukuthi isimila sinciphe ngoba sincishiswe igazi. Lokhu kuvame ukwenziwa ngaphambi kokuhlinzwa ukuze kube lula ukuhlinzwa.
Ingabe ukwelashwa kungabangela izinkinga?
Iningi labantu abathola ukwelashwa kwesimila somzimba esine-carotid ababi nezinkinga. Kodwa-ke, ngenxa yokuthi lokhu kwelashwa, ikakhulukazi ukuhlinzwa, kwenziwa eduze kwemithambo yegazi ebucayi kakhulu kanye nemizwa entanyeni, kunengozi engavamile yezinkinga.
- Ubunzima bokugwinya (i-dysphagia)
- Ukulimala kwemizwa yekhanda
- Izinkinga zokuphulukisa amanxeba okuhlinzwa
- Ingozi encane kakhulu yokushaywa yisifo sohlangothi
Udokotela wakho uzokuchazela kahle lezi zinto ngaphambi kokuhlinzwa.
Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?
Ngokuvamile kuthatha cishe amasonto amathathu kuya kwamane ukululama ngokuphelele ngemva kokuhlinzwa. Phakathi nalesi sikhathi, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Uzokunikeza imiyalelo yokuthi ungaligcina kanjani inxeba lokuhlinzwa lihlanzekile. Uma unemibuzo mayelana nokuthi ungazinakekela kanjani ngesikhathi sokululama kwakho, ungangabazi ukubuza udokotela wakho.
Ingabe ikhona indlela yokuvimbela lokhu?
Ayikho indlela eqondile yokuvimbela noma yokunciphisa ingozi yokuba nesimila somzimba esibizwa ngokuthi i-carotid. Kodwa-ke, uma othile emndenini wakho enalesi simo (umlando wezakhi zofuzo), kuwukuhlakanipha ukukhuluma nodokotela wakho ngengozi yakho.
Uma udokotela wakho esekutshelile ukuthi une-Carotid Body Tumor futhi uyayiqaphela (ukulinda ngokuqaphela), uma uthola noma yiziphi izimpawu ezintsha (isib. ukushintsha kwezwi, ubunzima bokugwinya), yazisa udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- `I-Carotid Body Tumor` iyisimila esakheka eduze komthambo wegazi oyinhloko entanyeni. Lokhu akuvamile kakhulu.
- Into engcono kakhulu ukuthi iningi lalezi azinawo umdlavuza (azinabungozi).
- Uphawu oluyinhloko yiqhubu elingenabuhlungu ohlangothini lwentamo.
- Uma ubona iqhubu elingavamile entanyeni yakho, ungesabi, lihlole kudokotela ngokushesha.
- Lokhu kungelapheka ngokuphelele ngokuhlinzwa, ngakho-ke kubaluleke kakhulu ukufuna iseluleko sezokwelapha esifanele.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho