Ingabe unesimila odongeni lwesifuba sakho? (Isimila Odongeni Lwesifuba) – Ake sixoxe ngalokhu ngokuningiliziwe!

Kungenzeka ukuthi uke wezwa into engavamile, njengeqhubu elincane esifubeni sakho, wazibuza, "Kuyini lokhu?" Noma mhlawumbe uzizwe wesaba futhi unelukuluku. Kungase kube nezikhathi lapho udokotela ebheka i-X-ray yesifuba sakho bese ethi, "Kukhona ushintsho oluncane odongeni lwesifuba sakho, into efana nesimila." Iyini ngempela "isimila sodonga lwesifuba" noma njengoba odokotela besibiza kanjalo, "isimila sodonga lwesifuba," ingabe sihlala siyingozi, futhi yini okufanele yenziwe ngaso? Abantu abaningi banemibuzo emikhulu ngisho nokushaqeka okuncane ngakho. Ngakho-ke namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Iyini ngempela ithumba eliseludongeni lwesifuba?

Kalula nje, isimila sodonga lwesifuba ukukhula okungavamile ezingxenyeni ezakha umgodi wesifuba sakho. Cabanga ngaso njengegobolondo eliqinile elivikela izitho ezibalulekile nezibucayi njengenhliziyo yakho, amaphaphu nesibindi. Lolu donga lwesifuba lwakhiwe ngezinto eziningana eziyinhloko:

• Izicubu ezithambile: Lokhu kusho izinto ezifana nemisipha, imizwa, kanye nolwelwesi oluncane (`(Fascia)`) oluzungeze imisipha.
• Amathambo: Izinto ezifana nezimbambo zakho kanye ne-sternum (ithambo eliyisicaba eliphakathi kwesifuba sakho ).
• I-cartilage: Lezi yizingxenye ezibushelelezi, ezifana nerabha lapho amathambo ahlangana khona.

Ngakho-ke, isimila singakhula kunoma iyiphi yalezi zingxenye. Kodwa-ke, sivame ukubonakala emathanjeni (ikakhulukazi ezimbanjeni) kanye nase-cartilage .

Ingabe la mantongomane aluhlobo olufanayo? Noma ingabe kunezinhlobo ezahlukene?

Yebo, izimila ezakha odongeni lwesifuba zingahlukaniswa ngezigaba ezimbili eziyinhloko:

1. Izimila Eziyinhloko Zesifuba: Lezi yizimila ezakheka okokuqala odongeni lwesifuba. Zingaba nomdlavuza ( eziyingozi ) noma ezingewona umdlavuza (ezingembi).

2. Izimila Zesibili Zesifuba: Lezi yizimila ezikhula odongeni lwesifuba ngemva kokuba umdlavuza ususakazeke usuka kwenye ingxenye yomzimba (njengephaphu noma ibele). Lezi zimila zesibili zihlala ziyingozi .

Kubalulekile ukwazi ukuthi cishe u-60% wazo zonke izimila zodonga lwesifuba ziyingozi . Kodwa lokho akusho ukuthi zonke izimila zinomdlavuza. Ngakho ungakhathazeki.

Ingabe la mathumba asodongeni lwesifuba avamile? Ubani onamathuba amaningi okuwathola?

Eqinisweni, izimila zodonga lwesifuba eziyinhloko azivamile kangako. Ngokwesilinganiso, abantu abangaphansi koyedwa kwabangu-50 bathinteka yilesi simo. Izimila zodonga lwesifuba eziyinhloko zibanga cishe u-5% wazo zonke izimila ezikhula endaweni yesifuba.

Lezi zimila zingakhula kunoma yimuphi ubudala. Zingavela kunoma ubani, kusukela enganeni encane kuya kumuntu omdala. Kodwa-ke, ezinye izinhlobo zivame kakhulu ezinganeni, kanti ezinye zivame kakhulu kubantu abadala.

Ngokuvamile, izimila ezikhula usemncane (ikakhulukazi ngesikhathi sobuntwana) cishe zincane noma azinawo umdlavuza (zingabi yingozi). Kodwa-ke , njengoba ukhula, ikakhulukazi ngemva kweminyaka engu-40, amathuba okuba izimila zibe zinkulu futhi zibe umdlavuza (ziyingozi) aphezulu kakhulu.

Yiziphi izinhlobo ezahlukene zamathumba ezakheka odongeni lwesifuba?

Manje ake sibheke izinhlobo zamathumba angakhula odongeni lwesifuba. Okokuqala, ake sixoxe ngezinhlobo ezingezona umdlavuza ( ezingenabungozi ).

Izinhlobo zezimila zodonga lwesifuba ezingezona umdlavuza (ezingenabungozi)

Lezi yizimila ezingezona ezomdlavuza ezivame ukwelapheka ngokwelashwa okulula.

• I-Cavernous hemangioma: Lezi zakha ezicutshini ezithambile futhi zivame ukubonakala ezinganeni.
• I-Chondroma: Lolu uhlobo lwesimila esakheka ku-cartilage.
• I-Desmoid tumor: Lezi zimila, ezakheka ezicutshini ezithambile, ngezinye izikhathi zingaphinde zivele ngisho nangemva kokwelashwa .
• I-granuloma ye-Eosinophilic: Lokhu kungakheka emathanjeni, ikakhulukazi i-clavicle noma i-scapula.
• I-Fibrous dysplasia: Lolu uhlobo lwesifo samathambo, oluvame ukubonakala ezimbanjeni.
• I-Lipoma: Lawa amathumba angenangozi enziwe ngezicubu ezinamafutha, ngokuvamile azwakala njengeqhubu.
• I-Lymphangioma: Lezi zimila, ezakheka ezicutshini ezithambile, zivame ukubonakala nasezinganeni.
• I-Myxochondroma: Lokhu kwakha i-cartilage.
• I-Osteochondroma: Lezi futhi uhlobo lwesimila esakheka ku-cartilage.

Izinhlobo zezimila zodonga lwesifuba ezinobungozi

Lezi yizinhlobo zezimila ezinezici zomdlavuza futhi ezidinga ukunakwa nokwelashwa okwengeziwe.

• I-Chondrosarcoma: Lo mdlavuza, okhula ku-cartilage, ungasakazekela emathanjeni, ikakhulukazi izimbambo noma i-sternum (ithambo eliphakathi nesifuba).
• I-Ewing's sarcoma: Lokhu kwakheka emathanjeni noma ezicutshini ezithambile ezizungeze amathambo. Ngokuvamile kuqala ngobambo olulodwa. Kuvame kakhulu ezinganeni nakubantu abadala abasebasha.
• I-Fibrosarcoma:Lesi simila esithambile sibonakala kubantu abadala abasebasha.
• I-Liposarcoma: Uhlobo lomdlavuza oluvela ezicutshini ezinamafutha.
• I-histiocytoma ene-fibrous ebulalayo: Lokhu kwakheka ezicutshini ezithambile futhi kuvame kakhulu kubantu abaneminyaka engu-50-60.
• I-Myeloma: Lona umdlavuza okhula emnkantsheni wethambo. Ngokuvamile ubonakala kubantu abangaphezu kweminyaka engama-40.
• I-Osteosarcoma: Lona umdlavuza odlangile futhi osakazeka ngokushesha owakheka emathanjeni kune-Chondrosarcoma.
• I-Rhabdomyosarcoma: Lokhu kwakheka ezicutshini zemisipha futhi kuvame kakhulu ezinganeni nakubantu abadala abasebasha.

Umdlavuza osakazeka kwezinye izindawo (Amathumba Odonga Lwesifuba Sesibili)

Njengoba sishilo ngaphambili, umdlavuza ungakhula kwenye indawo emzimbeni bese usakazekela odongeni lwesifuba. Lokhu kubizwa ngokuthi isimila sesibili odongeni lwesifuba. Izindawo eziyinhloko lapho lokhu kungasakazeka khona yilezi:

• Isifuba
• Amathumbu amakhulu (`(Ikholoni)`)
• Izinso
• Amaphaphu
• I-Prostate (`(I-Prostate)`)
• Isisu
• Indlala yegilo
• Isibeletho

Yiziphi izimila ezivame kakhulu odongeni lwesifuba?

Uhlobo oluvame kakhulu lwesimila esinomdlavuza odongeni lwesifuba kubantu abadala yi-Chondrosarcoma . Ezinganeni ezincane, i-Ewing's sarcoma uhlobo oluvame kakhulu.

Izinhlobo ezivame kakhulu zezimila ezingezona umdlavuza (ezingenabungozi) yilezi:

• `(I-Chondroma)`
• `(I-Fibrous dysplasia)`
• `(I-Osteochondroma)`

Ziyini izimpawu zesimila esisodongeni lwesifuba?

Lokhu kubaluleke kakhulu. Izimpawu zesimila esisodongeni lwesifuba zingahluka kumuntu nomuntu. Ngezinye izikhathi , ungase ungaziboni izimpawu kuze kube yilapho isimila sikhulu kakhulu. Ukuthi unazo yini izimpawu kuncike ohlotsheni lwesimila onaso, ubukhulu baso, nokuthi sitholakala kuphi. Khuthazeka uma uhlangabezana nanoma yiziphi zalezi zimpawu:

• Isigaxa noma ukuvuvukala esandleni: Lokhu kuvame ukuba uphawu lokuqala olubonakala.
• Umkhuhlane kanye nokungaphatheki kahle: Umuzwa nje "wokungazizwa kahle", umkhuhlane ngaphandle kwesizathu.
• Ukuwohloka kwemisipha: Lokhu kusho ukuthi imisipha esifubeni izizwa sengathi iyaphela.
• Ubuhlungu, ukuthamba, noma ukuvuvukala: Naka uma kukhona ubuhlungu obuqhubekayo kunoma iyiphi ingxenye yesifuba sakho noma uma kubuhlungu ukuthinta.
• Ubunzima bokunyakaza: Ukuzwa ubuhlungu noma ukungakhululeki esifubeni lapho wenza izinto ezifana nokuphakamisa ingalo noma ukujika umzimba.
• Ukwehlisa isisindo ngaphandle kwesizathu.

Okubalulekile: Ukuba nesinye noma ngaphezulu kwalezi zimpawu akusho ukuthi unesimila esifubeni. Kodwa-ke, uma lezi zimpawu ziqhubeka, kuwukuhlakanipha ukufuna iseluleko sezokwelapha.

Kungani kwakheka la mathumba odongeni lwesifuba? Ziyini izimbangela?

Uma sikhuluma iqiniso, ososayensi basenaloAkwaziwa kahle ukuthi yini ebangela la mathumba odongeni lwesifuba. Kodwa-ke, kwezinye izimo, kucatshangwa ukuthi izakhi zofuzo ziyabandakanyeka. Lokhu kusho ukuthi uma othile emndenini wakho eke waba nalezi zimo, nawe ungaba sengozini.

Futhi, ezinye izici zendlela yokuphila zingandisa ingozi, ikakhulukazi yezimila zesibili zodonga lwesifuba. Isibonelo, umdlavuza wamaphaphu ungasakazekela odongeni lwesifuba. Ngakho-ke, umuntu obhemayo unengozi enkulu yokuba nomdlavuza wamaphaphu, okwandisa ngokungaqondile ingozi yokuba nesimila sodonga lwesifuba.

Uzixilonga kanjani lezi zimila zodonga lwesifuba? (Ukuxilongwa)

Odokotela basebenzisa kakhulu izivivinyo zezithombe kanye ne-biopsy ukuthola izimila zodonga lwesifuba. Uma usutshele udokotela wakho ngezimpawu ozishilo ekuqaleni, uzonquma ukwenza lezi zivivinyo.

Ngezinye izikhathi, isimila singatholakala ngengozi ngesikhathi sokuhlolwa kwesithombe (i-X-ray, i-CT scan, i-MRI) okwenziwe ngesinye isizathu. Lokhu kubizwa ngokuthi "ukuxilongwa okungazelelwe." Lokhu kusho ukuthi udokotela uyasithola ngenkathi efuna okunye.

Ukuhlolwa kokuhlonza izimila zodonga lwesifuba:

• I-X-ray yesifuba: Lokhu kungakunikeza ukuqonda okuyisisekelo.
• I-CT scan (i-computed tomography - i-CT scan): Lokhu kungabona ngokucacile usayizi, indawo, kanye nobudlelwano be-tumor nezicubu ezizungezile.
• Ukuskena kwe-MRI (i-Magnetic resonance imaging - i-MRI): Lokhu kungasetshenziswa ukutadisha kangcono isimo sezicubu ezithambile kanye nezinzwa.
• I-Positron emission tomography (i-PET scan) nge-CT scan: Lokhu kusiza ekunqumeni ukuthi isimila sinomdlavuza yini nokuthi ngabe sisakazekele kwezinye izingxenye zomzimba.

Ngezinye izikhathi lezi zivivinyo zezithombe zingaqinisekisa ukuxilongwa. Kodwa uma kungenjalo, kuzodingeka i-biopsy . Lokhu kuhilela ukuthatha ingxenye encane yezicubu ezivela esimila bese uyihlola ngaphansi kwe-microscope. Udokotela wakho uzochaza ukuthi lokhu kuyi-biopsy yenaliti noma enye indlela.

Yiziphi izindlela zokwelapha lezi zimila zodonga lwesifuba?

Ukwelashwa kwezimila zodonga lwesifuba kuvame ukuhlanganisa:

• Ukuhlinzwa - Ukususwa: Lena yindlela eyinhloko yokwelapha. Isimila kanye nenani elincane lezicubu ezizungezile ezingase zithinteke zisuswa ngokuphelele ngangokunokwenzeka.
• Ukuhlinzwa Okwakha Kabusha: Ukuhlinzwa ukulungisa imbobo noma umonakalo odongeni lwesifuba ngemva kokususwa kwesimila. Lokhu kungasebenzisa nezicubu ezivela kwenye indawo emzimbeni.

Uma isimila siyingozi, kungadingeka ukwelashwa okwengeziwe:

• Ukwelashwa ngemisebe: Ukubhubhisa amangqamuzana omdlavuza kusetshenziswa imisebe enamandla aphezulu.
• Ukwelashwa ngamakhemikhali: Ukunikeza imithi ebulala amangqamuzana omdlavuza.

Udokotela wakho uzokutshela uhlelo lokwelapha olungcono kakhulu lwesimo sakho. Isibonelo, ngezinye izikhathi ukwelashwa ngamakhemikhali kunganikezwa ngaphambi kokuhlinzwa ukuze kuncishiswe isimila, esingasuswa ngokuhlinzwa.

Kwenzekani ngemva kokwelashwa? Sinjani isikhathi sokululama?

Ngemva kokwelashwa, udokotela wakho uzokweluleka ngokuthi udinga ukuphumula okungakanani, ukuthi ungaqhubeka nini nemisebenzi evamile nokuthi ungaqhubeka kanjani nayo, nokuthi angakugcina kanjani usesikhathini ngokwelashwa kwakho. Uzokutshela nokuthi uze emtholampilo ukuze uhlolwe ('ama-aphoyintimenti okulandelela') ngezikhathi ezithile.

Ngesikhathi sokululama kwakho, nakekela izinto ezilandelayo njengoba kucebiswe udokotela wakho:

• Imikhawulo Yemisebenzi: Buza ukuthi kufanele ugweme isikhathi esingakanani imisebenzi efana nokuphakamisa izinsimbi noma ukwenza umsebenzi onzima.
• Ukuzivocavoca ngesifuba: Udokotela wakho angase akuncomele ukuzivocavoca ukuze kusize amaphaphu akho asebenze kahle ngemva kokuhlinzwa, njengokuzivocavoca kokuphefumula kanye nokuzivocavoca ukuze kukusize uthole amandla kabusha.
• Indlela yokunakekela inxeba lokuhlinzwa: Lalela ngokucophelela imiyalelo yokugcina inxeba lihlanzekile, indlela yokusebenzisa imithi, nokuthi ungageza nini.

Ingabe ikhona indlela yokuvimbela ukwakheka kwalezi zinhlobo zamathumba?

Akunakwenzeka ukuvimbela yonke imidlavuza yebele , njengoba eminye inqunywa ngofuzo. Kodwa-ke, kunezinguquko ezithile zendlela yokuphila esingazenza ukuze sinciphise ingozi yethu yezinhlobo eziningi zomdlavuza. Lokhu kungasiza futhi ekunciphiseni ingozi yokuthola umdlavuza wesibili.

• Gwema ukubhema nemikhiqizo kagwayi ngokuphelele.
• Thola imijovo enconywe udokotela wakho, njengomjovo we-HPV.
• Thola izivivinyo zokuhlolwa komdlavuza ezinconywayo ezifanele iminyaka yakho kanye nengozi yakho.
• Vivinya umzimba njalo.
• Gcina isisindo somzimba siphilile.
• Nciphisa noma uyeke ngokuphelele ukusebenzisa utshwala.

Khuluma nodokotela womndeni wakho ngengozi yakho yomdlavuza kanye nezinguquko okudingeka uzenze endleleni yakho yokuphila.

Yimaphi amathuba okululama kulesi simo? (I-Outlook)

Amathuba okululama ngemva kokwelashwa kwesimila esisodongeni lwesifuba angahluka kakhulu kumuntu nomuntu. Kuncike ezintweni eziningana:

• Inani lesimila esisusiwe ngokuphelele.
• Ukuthi isimila sesisabalale kangakanani (ikakhulukazi uma sinomdlavuza).
• Uhlobo lwesimila (`(Uhlobo lwesimila)`).
• Izinga lesimila kanye nosayizi waso.

Ngakho-ke, njengoba isimo somuntu ngamunye sihlukile, kubalulekile ukukhuluma ngokukhululekile nodokotela wakho mayelana nokubikezela kwakho.

Kufanele ngimbone nini udokotela?

Uma unesinye noma ngaphezulu sezimpawu zesimila esisodongeni lwesifuba okukhulunywe ngaso ngenhla, bona udokotela. Uzoxoxa ngezimpawu zakho, umlando wezokwelapha womndeni, futhi akudlulisele ukuze uhlolwe okwengeziwe uma kudingeka.

Uma udokotela wakho ekuxilonga ukuthi unesimila esisodongeni lwesifuba, landela uhlelo lokwelashwa njengoba nje eluncoma. Ngisho nangemva kokwelashwa, qiniseka ukuthi uya emitholampilo njalo. Izimila ezisodongeni lwesifuba, ikakhulukazi ezinesifo somdlavuza, ngezinye izikhathi zingaphinde zivele, noma ngabe zisuswe ngempumelelo. Ngakho-ke, ukuthola nokwelapha ukuphinda kwesifo kusenesikhathi kwandisa amathuba akho okululama isikhathi eside.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela wakho?

Uma kutholakala ukuthi unesimila esisodongeni lwesifuba, qiniseka ukuthi ubuza udokotela wakho le mibuzo:

• Hlobo luni lwesimila enginaso?
• Ingabe lesi simila sinomdlavuza?
• Ingakanani isilinganiso sokusinda esijwayelekile salolu hlobo lwesimila enginaso? (Ungesabi ukubuza lokhu, kubalulekile ukuqaphela.)
• Ngidinga ukwelashwa okunjani?
• Ziyini izingozi nemiphumela emibi yalezi zindlela zokwelapha?
• Lokhu kwelashwa kuzophumelela kangakanani?
• Isikhathi sami sokululama sizoba njani? Kufanele ngilindeleni?

` ## Okokugcina, into ebaluleke kakhulu (Umyalezo Oya Nawo Ekhaya) Isibikezelo somuntu onesimila odongeni lwesifuba (`Isimila Odongeni Lwesifuba`) sincike ezintweni eziningi, njengohlobo lwesimila, ukusabalala kwaso, njll. Ngakho-ke, kubalulekile ukuba nengxoxo enhle nodokotela wakho mayelana nesimo sakho **nesimo esithile nokuthi yini ongayilindela.** > Khumbula, **uma izimila odongeni lwesifuba zitholakala kusenesikhathi, amathuba okwelashwa okuphumelelayo nokuphila isikhathi eside okunempilo aphezulu kakhulu.** Ngakho-ke, ungawanaki noma yiziphi izimpawu. Uma ungabaza, funa iseluleko sezokwelapha. Ngikufisela impilo enhle! --- Isimila Odongeni Lwesifuba, Isimila Odongeni Lwesifuba, Umdlavuza, Izimila Ezingenawo Umdlavuza, Ubuhlungu Besifuba, Izimpawu, Ukwelashwa