Ingabe unesimila esinjengalesi entanyeni yakho? Ake sifunde ngqo nge-Carotid Body Tumor!

Wake wazizwa uneqhubu entanyeni yakho? Noma ingabe kukhona umuntu omaziyo owake waba nalo wakhuluma ngalo? Ngezinye izikhathi kuyinto evamile ukuzizwa wesaba noma unelukuluku uma ubona into efana nale. Namuhla sizokhuluma ngohlobo oluthile lweqhubu olungajwayelekile olungenzeka entanyeni, kodwa abantu abaningi abazi ngalo. Odokotela bakubiza ngokuthi 'i-Carotid Body Tumor' . Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, ake sixoxe ngalo kalula.

Iyini le 'Carotid Body Tumor'?

Kalula nje, isimila somzimba we-carotid yisisu esikhula sizungeze imithambo yegazi emibili eyinhloko (imithambo yegazi) kuzo zombili izinhlangothi zentamo yakho. Sibiza le mithambo yegazi ngokuthi imithambo yegazi ye-carotid. Lena yileyo ethwala igazi lisuka enhliziyweni yakho liye ekhanda nasebuchosheni bakho. Ifana namapayipi amabili ayinhloko athwala amanzi esuka epompo yamanzi aye ethangini.

Manje, lapho lo 'mthambo we-carotid' uhlukana khona, kuba neqoqo elincane lamaseli, elibizwa ngokuthi 'umzimba we-carotid'. Lena yingxenye ebaluleke kakhulu. Ngoba, yilokhu okuzwa inani lomoya-mpilo kanye ne-carbon dioxide egazini lethu futhi kwazisa ubuchopho. Ngakho-ke, lapho amaseli kulo 'mzimba we-carotid' eqala ukukhula ngendlela engavamile, yilapho kwakheka khona isimila esibizwa ngokuthi 'isimila somzimba we-carotid'.

Lokhu kubizwa ngamanye amagama, isibonelo, 'i-Carotid Body Paraganglioma' noma 'i-Carotid Body Chemodectoma' . Kodwa-ke, igama elivame ukusetshenziswa kakhulu yi-'Carotid Body Tumor'.

Ingabe lesi simila siwuhlobo lomdlavuza?

Lo mbuzo uyethusa abantu abaningi uma bewuzwa. Kodwa-ke, izindaba ezinhle ukuthi iningi lalawa 'Carotid Body Tumors' awawona umdlavuza. Okusho ukuthi, 'ayi-Benign' , noma amathumba angenangozi. Ezinye izifundo zithi angaphansi kuka-10% awo aba umdlavuza, okungukuthi, 'ayi-Malignant' . Ngakho-ke, ungesabi ukucabanga ukuthi umdlavuza uma ubona iqhubu entanyeni yakho. Kodwa-ke, kufanelekile ngempela ukulibonisa udokotela ukuze athole ukuthi liyini ngempela.

Ubani ongakha lesi 'Simila Somzimba Se-Carotid'?

Empeleni, lesi simo singakhula kunoma ubani. Kodwa-ke, amathuba okuba naso angase abe phezulu kancane ngenxa yezici ezithile.

• Ucwaningo lukhombisile ukuthi abesifazane banamathuba amancane okuthola la mathumba kunabesilisa .
• Futhi, lesi simo sivame ukubonakala ngemva kweminyaka engama-20. Kodwa-ke, singabonakala ngezikhathi ezithile kubantu abasebasha.

Sivame kangakanani lesi simo?

Ama-Carotid Body Tumors empeleni ayisimo esingavamile kakhulu. Ngokusho kweminye imibiko, cisheKuthinta cishe umuntu oyedwa kwabangu-30,000. Ngakho-ke akumangazi ukuthi bambalwa abantu abake bezwa ngakho, noma abazi ngakho.

Lolu hlobo luni lomphumela olungaba nawo kuwe?

Esikhathini esiningi, lawa 'ma-Carotid Body Tumors' awabangeli ubuhlungu ezigabeni zokuqala. Ngakho-ke, abanye abantu bangase bangazi nokuthi banesimila esinjalo. Kodwa-ke, uma udokotela ebona isimila esinjalo, angancoma ukuthi sisuswe. Lokhu kungenxa yokuthi lesi simila singakhula kancane kancane. Njengoba sikhula, singacindezela eminye imithambo yegazi kanye nemizwa entanyeni, okubangela izimpawu ezahlukahlukene.

Ziyini izimpawu zalokhu?

Nakuba kungase kungabi nazimpawu ekuqaleni, njengoba isimila sikhula, siqala ukucindezela imithambo yegazi ezungezile. Ungase ube nezimpawu ezifana nalezi:

• Kungase kuzwakale iqhubu elincane noma ukuvuvukala ohlangothini olulodwa lwentamo . Lolu uphawu lokuqala abantu abaningi abaluqaphelayo.
• Kungase kube nokushintsha kwezwi noma ukushoshozela .
• Ungase uzizwe ungenamizwa olimini lwakho .
• Ungase ube nomphimbo obuhlungu .
• Izinkinga zokugwinya (i-Dysphagia) zingase zibe khona.

Cabanga nje, mngani wakho, ake sithi Sunil. Sekuyisikhathi eside manje, uSunil eqaphele ushintsho oluncane ezwini lakhe uma ekhuluma, kubonakala sengathi unomsindo omncane. Umphimbo wakhe nawo uzwakala sengathi uyaklwebheka. Uma ethinta intamo yakhe, uzwa iqhubu elincane ohlangothini olulodwa. Ekuqaleni, wayecabanga ukuthi yindlala evuvukele ebangelwa umkhuhlane, kodwa awuzange uphele ngisho nangemva kwezinsuku ezimbalwa. Kwakuyilapho eya khona kudokotela kuphela lapho asola khona ukuthi lokhu kungaba 'i-Carotid Body Tumor' futhi wathunyelwa ukuze ayohlolwa okwengeziwe.

Okubalulekile: Ukuba nalezi zimpawu akusho ukuthi unesimila somzimba esinomdlavuza. Zingabangelwa nezinye izinkinga zempilo. Ngakho-ke, kungcono ukubona udokotela ngaphandle kokwesaba.

Kungani la mathumba omzimba we-carotid akheka?

Eqinisweni, abacwaningi abakakatholi ukuthi yini ngempela ebangela ukwakheka kwalezi zimila. Kodwa-ke, bakholelwa ukuthi izici ezithile zingase zibe nomthelela kulokhu.

• I-Hypoxia: Abantu abanenkinga yokuntuleka komoya-mpilo isikhathi eside emizimbeni yabo banamathuba amaningi okuthola lezi zimila. Isibonelo, abantu abahlala ezindaweni eziphakeme (ngaphezulu kakhulu kolwandle) noma labo abanezifo ezithile zamaphaphu bangase babe sengozini enkulu.
• Izimo ezingavamile: Ezimweni ezingaba ngu-90%, lezi zimila zikhula ngokungahleliwe, ngaphandle komlando womndeni. Lokhu kusho ukuthi othile angazithola ngisho noma kungekho muntu emndenini wakhe owake waba nazo ngaphambili.
• Amacala omndeni:Ezimweni ezingaba ngu-10%, kuba nokuxhumana kwezakhi zofuzo. Lokhu kusho ukuthi uma othile emndenini enalesi simo, nabanye banamathuba amaningi okuba naso. Lokhu kubizwa ngokuthi 'ukuthambekela kwezakhi zofuzo' .

Odokotela bakubona kanjani lokhu?

Uma ubona udokotela oneqhubu entanyeni yakho, into yokuqala abayenzayo ukuhlola ikhanda nentamo yakho ngokucophelela. Uma besola ukuthi unezimpawu zesimila somzimba esine-carotid, bangase bakucele ukuthi kwenziwe ezinye izivivinyo ukuze kuqinisekiswe ukuthi unesifo.

Yiziphi izivivinyo ezisetshenziswa kulokhu?

Ukuhlolwa kwezithombe kusetshenziselwa kakhulu ukuhlonza la mathumba. Okungukuthi, ukuhlolwa okubona okungaphakathi emzimbeni ngaphandle.

• I-CT scan: Lokhu kusebenzisa i-X-ray ukuthatha izithombe ezinemininingwane zezingxenye zomzimba. Kungabonisa ubukhulu, indawo, kanye nobudlelwano besimila nezicubu ezizungezile.
• I-MRA (i-Magnetic Resonance Angiography - i-MRA): Lena inqubo esebenzisa amasimu kazibuthe namagagasi omsakazo ukuthatha izithombe ezinemininingwane zemithambo yegazi. Lokhu kuwusizo kakhulu ekuboneni ukuthi isimila somzimba we-carotid sixhunywe kanjani emithanjeni yegazi.
• I-MRI (Umfanekiso Wokuqagela Okune-Magnetic): Lokhu kusebenzisa amasimu kazibuthe kanye namagagasi omsakazo njenge-MRA. Kodwa-ke, kungaveza izithombe ezicacile zezicubu ezithambile. Lokhu kungasiza ekutholeni ulwazi olwengeziwe mayelana nohlobo lwesimila.
• I-Ultrasound: Lokhu kusebenzisa amaza omsindo avame kakhulu ukudala izithombe zangaphakathi lomzimba. Lokhu kungasiza ekunqumeni ukuthi isimila siqinile noma sigcwele uketshezi.

Kusekelwe olwazini olutholwe kulezi zivivinyo ukuthi udokotela angaqinisekisa ukuthi lokhu 'kuyi-Carotid Body Tumor'.

Yiziphi izindlela zokwelapha lokhu?

Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe ngokusekelwe ezicini eziningi, okuhlanganisa izimpawu zakho, ubukhulu besimila, kanye nempilo yakho iyonke. Kunezindlela eziningana zokwelapha eziyinhloko:

1. Ukuhlinzwa ukuze kususwe isimila: Ezimweni eziningi, ukwelashwa okungcono kakhulu kwalezi zimila ukuhlinzwa ukuze kususwe isimila ngokuphelele.

2. Ukwelashwa ngemisebe: Ezimweni lapho ukuhlinzwa kungenzeki khona noma kulabo abangafuni ukuhlinzwa, lokhu kwelashwa ngemisebe kungasetshenziswa. Kusebenzisa imisebe enamandla amakhulu ukubhubhisa amangqamuzana esimila noma ukuwavimba ekukhuleni kwawo.

3. Ukufakwa kwe-transcatheter:Lokhu kungase kuzwakale njengegama eliyinkimbinkimbi, kodwa ngamagama alula, kuhilela ukuvimba imithambo yegazi enikeza isimila ngegazi. Kufana nokuvimba ipayipi lamanzi. Ithubhu elincane (i-catheter) lifakwa emthanjeni wegazi, liye endaweni lapho igazi ligeleza khona liye esimila, bese kufakwa into encane lapho ukuze kunqunywe ukunikezwa kwegazi. Lokhu kubangela ukuthi isimila silahlekelwe ukugeleza kwegazi futhi siqale ukuncipha. Le ndlela ngezinye izikhathi isetshenziselwa ukunciphisa isimila ngaphambi kokuhlinzwa.

Kwenzekani uma ngihlinzwa?

Uma isimila somzimba we-carotid sikhulu, singashiya imbobo encane emthanjeni we-carotid lapho sisuswa. Uma lokhu kwenzeka, udokotela ohlinzayo uzofaka i-patch noma i-graft ngesikhathi sokuhlinzwa ukuze avale imbobo futhi abuyisele umthambo esimweni esijwayelekile. Lokhu kwenziwa ukuvimbela noma yikuphi ukuphazamiseka kokugeleza kwegazi.

Ingabe ukwelashwa kungabangela izinkinga?

Iningi labantu abathola ukwelashwa kwesimila somzimba esine-carotid ababi nezinkinga. Kodwa-ke, ngenxa yokuthi lokhu kwelashwa, ikakhulukazi ukuhlinzwa, kuhilela imithambo yegazi eminingi ebalulekile kanye nemizwa entanyeni, kunethuba lokuthi kungase kube nezinkinga ezincane. Ezinye zalezi zinkinga zifaka:

• Ubunzima bokugwinya (i-Dysphagia)
• Ukulimala kwemizwa yobuchopho: Lokhu kungabangela ushintsho lwesikhashana noma ngezinye izikhathi oluhlala isikhathi eside ezwini kanye nokungazweli kolimi.
• Izinkinga zokuphulukiswa endaweni yokuhlinzwa
• Isifo sohlangothi: Lokhu akuvamile kakhulu, kodwa kukhona ingozi.

Udokotela uzoxoxa nawe ngazo zonke lezi zingozi ngaphambi kokuqala ukwelashwa. Buza nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngaleso sikhathi.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Ngemva kokuhlinzwa ukuze kususwe isimila somzimba esise-carotid, kuvame ukuthatha amasonto amathathu kuya kwamane ukuze kuphole ngokuphelele . Phakathi naleso sikhathi, kubaluleke kakhulu ukunakekela inxeba lokuhlinzwa njengoba udokotela wakho ekutshela. Futhi, phumula ngokwanele, udle ukudla okunempilo, bese ulandela imiyalelo kadokotela wakho. Buza udokotela wakho ukuthi kufanele uzinakekele kanjani ngesikhathi sokululama kwakho.

Ingabe ikhona indlela yokunciphisa lokhu kwenzeka?

Ngeshwa, ayikho indlela ecacile yokuvimbela noma yokunciphisa ingozi yokuba nesimila somzimba esibizwa ngokuthi i-carotid. Kodwa-ke, uma othile emndenini wakho eke waba naso (okungukuthi, umlando womndeni), kungumqondo omuhle ukukhuluma nodokotela wakho ngengozi yakho nokuthi yiziphi izivivinyo ongayenza uma kudingeka.

Yini okufanele ngiyilindele uma nginesimila somzimba esibizwa ngokuthi i-carotid?

Uma udokotela wakho ethi unesimila somzimba esinomdlavuza, uzobheka izimpawu zakho kanye nobukhulu besimila ukuze anqume uhlelo lokwelashwa olungcono kakhulu kuwe. Ngezinye izikhathi, uma isimila sincane kakhulu futhi ungenazo izimpawu, udokotela wakho angase akuncome "ukulinda ngokuqapha." Lokhu kusho ukuthi ngeke welashwe ngokushesha, kodwa uzohlolwa ngezikhathi ezithile ukuze kubonakale ukuthi isimila siyakhula noma uma uthola izimpawu ezintsha. Phakathi nalesi sikhathi "sokulinda ngokuqapha", uma uthola izimpawu ezintsha, kufanele utshele udokotela wakho ngokushesha.

Ingabe lokhu kungelapheka ngokuphelele?

Yebo, ingelapheka ezimweni eziningi. Ikakhulukazi ngemva kokuba isimila somzimba we-carotid sesisusiwe ngokuphelele ngokuhlinzwa, ngokuvamile akudingeki ukwelashwa okwengeziwe. Kodwa-ke, kubalulekile ukuqhubeka nokulandelela nodokotela wakho njengoba lezi zimila zingaphinde zibuye ngezikhathi ezithile.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ezifana nalezi, ikakhulukazi:

• Uma kutholakala iqhubu elisha entanyeni
• Uma kukhona ushintsho olungachazeki ngezwi
• Uma unenkinga yokugwinya
• Uma une-ndimung engapheli olimini lwakho

Bonana nodokotela ngokushesha bese uyohlolwa. Njengoba kushiwo ngaphambili, akuzona zonke lezi zimpawu ezibangelwa umdlavuza womzimba one-carotid. Kodwa-ke, kuwukuhlakanipha ukwazi kahle ukuthi iyini imbangela bese uqala ukwelashwa ngokushesha okukhulu, uma kudingeka.

Umlayezo Wokuya Nawe Ekhaya

Isimila somzimba we-carotid uhlobo lwesimila esikhula eduze kwemithambo yegazi eyinhloko entanyeni, futhi ngokuvamile asisona umdlavuza (siyingozi). Lokhu akuvamile futhi kungase kungabangela izimpawu ekuqaleni. Kodwa-ke, njengoba isimila sikhula, singathinta imizwa nemithambo yegazi ezungezile.

Khumbula: Uma ubona iqhubu noma iqhubu elingavamile entanyeni yakho, noma uma ushintsha izwi lakho noma kunzima ukugwinya, ungalishayi indiva bese ubona udokotela ukuze akunike iseluleko. Uma sitholakale kusenesikhathi, lesi simo singelashwa ngempumelelo. Ungesabi, into ebaluleke kakhulu ukuhlala unolwazi!

Uma uneminye imibuzo mayelana nalokhu, zizwe ukhululekile ukukhuluma nodokotela wakho. Uzokunikeza lonke ulwazi oludingayo.

Isimila Somzimba We- Carotid, Isimila Somzimba We-Carotid, Isimila Sentamo, I-Paraganglioma, I-Chemodectoma, Umdlavuza Wentamo, Isimila Semithambo Yegazi