Wake waba nesimila esifana nalesi? Ake sixoxe ngama-Desmoid Tumors!

Wake waphawula iqhubu noma ukuvuvukala okungajwayelekile endaweni ethile emzimbeni wakho wabe usukhathazeka? Ngezinye izikhathi lezi zinto zingase zingabi yingozi kangako. Kodwa-ke, namuhla sizokhuluma ngohlobo lwesimila olukhethekile futhi oludinga ukunakwa okukhethekile. Lawa abizwa ngokuthi amaqhubu e-desmoid. Ake sibheke ukuthi ayini, ukuthi kungani akheka, ukuthi angabonwa kanjani, nokuthi angaphathwa kanjani.

Ayini ama-Desmoid Tumors? Ake sithole kalula!

Kalula nje, izimila ezifile aziwona umdlavuza . Kodwa zibizwa nangokuthi i-aggressive fibromatosis. Lokho kusho ukuthi ngezinye izikhathi zingakhula ngokushesha okukhulu nangobudlova. Zakha ezicutshini zomzimba wethu. Cabanga ngakho njengeglue ebamba izingxenye ezahlukene zomzimba wethu ndawonye.

Nakuba lezi zimila zingakhula noma kuphi emzimbeni, zivame ukubonakala esiswini, ezingalweni, emilenzeni, futhi ngezinye izikhathi ekhanda nasentanyeni .

Into ebaluleke kakhulu ukuthi lezi zimila azisabalali zisuka kwenye indawo emzimbeni ziye kwenye (azisabalali) njengomdlavuza.

Nokho, kunenkinga eyodwa. Lezi zimila zivame ukukhula kancane . Kodwa-ke, ezinye zingakhula ngokushesha kakhulu futhi zisakazeke ezicutshini eziseduze (ezingena ngaphakathi). Uma kunjalo, kunzima kakhulu ukuzisusa ngokuhlinzwa. Enye into ukuthi kungenzeka ukuthi zibuye (ziphinde zibuye) ngisho nangemva kokwelashwa. Kodwa akusona isimo sabo bonke abantu esifanayo, futhi kubalulekile ukukhumbula lokho.

Zikhona yini izinhlobo zalezi zinhlobo zamantongomane?

Yebo, izimila ezibangelwa yi-desmoid zingahlukaniswa zibe izinhlobo eziningana eziyinhloko, kuye ngokuthi zakheka kuphi:

• Izimila ezibangelwa yi-desmoid odongeni lwesisu: Lezi zikhula odongeni lwezicubu (udonga lwesisu) oluzungeze izitho zomzimba ngaphakathi kwesisu sethu (njengesisu).
• Izimila ze-desmoid zangaphakathi kwesisu: Lezi zikhula ezingxenyeni zezicubu ezizungeze amathumbu (i-mesentery).
• Izimila ze-desmoid ezingaphandle kwesisu: Lezi zikhula ngaphandle kwesisu nodonga lwesisu. Zivame ukuqala emahlombe, ezingalweni ezingaphezulu, odongeni lwesifuba kanye nasemilenzeni engaphezulu. Zingakhula nasekhanda nasentanyeni.

Ziyini izimpawu? Sazi kanjani ukuthi sinaso?

Izimila ezi-Desmoid azihlali zibangela izimpawu ezinkulu. Kodwa-ke, izimpawu zivela kuphela lapho isimila sikhula ngokwanele ukucindezela imizwa noma izitho zomzimba eziseduze. Lokhu kungafaka:

• Isigaxa noma ukuvuvukala: Lokhu kuvame ukubonakala ezingalweni, emilenzeni, noma esiswini.
• Isicanucanu nokuhlanza: Lezi zimpawu zingase zivele uma kukhona isimila esiswini.
• Ubuhlungu noma ukungakhululeki: Lokhu kungase kuzwakale lapho isimila sicindezela imizwa, izitho zomzimba, noma imithambo yegazi eduze kwesimila.
• Kunzima ukunyakazisa ingalo noma umlenze.

Okubalulekile: Akuzona zonke izigaxa ezakha emzimbeni eziyisimila esibuhlungu. Kodwa-ke, uma unesigaxa esikhulu kunezinsika ezimbili (cishe amasentimitha ama-5), siqhubeka nokukhula, noma sibuhlungu , kungcono ukubona udokotela ukuze uthole iseluleko.

Kungani la mathumba abangela ukuvuvukala kwezicubu? Ziyini izimbangela?

Lezi zimila zakha lapho amangqamuzana asezicutshini ezixhumeneyo eshintshashintsha futhi aqala ukuhlukana ngokushesha nangokungalawuleki. Ngokuhamba kwesikhathi, lawa maseli angaphezulu aqoqana futhi akhe isimila.

Odokotela abasazi kahle ukuthi kungani la maseli eshintsha kwasekuqaleni. Kodwa-ke, ucwaningo luthole izinguquko eziningana zezakhi zofuzo ezihlobene nezimila ezifile. Lolu lwazi lungasiza ekuthuthukiseni ukwelashwa okuhlose lezo zinguquko futhi kulawule ukukhula kwezimila.

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici Eziyingozi)

Abanye abantu banamathuba amaningi okuthola izimila ezibangelwa yi-desmoid. Ake sibheke ukuthi bangobani:

• Ubusha: Lesi sifo sivame ukutholakala kubantu abaneminyaka ephakathi kuka-30 no-40.
• Ukuba ngowesifazane: Abesifazane banamathuba amaningi okuthola lezi zimila, ikakhulukazi ngesikhathi sokukhulelwa noma ngokushesha ngemva kokubeletha. Zivame ukuvela odongeni lwesisu. Ngenxa yokuthi amazinga e-estrogen ayanda ngesikhathi sokukhulelwa, abanye ochwepheshe bakholelwa ukuthi kukhona ukuxhumana phakathi kwe-estrogen kanye nezimila ze-desmoid.
• Ukuba nesimo esibizwa ngokuthi i-Familial Adenomatous Polyposis (FAP): Lesi yisimo esizuzwe njengefa. Phakathi kuka-5% no-10% wabantu abane-FAP bahlakulela izimila ezibangelwa yi-desmoid. Ngokuvamile, lezi zimila zikhula lapho kwakuhlinzwa khona ngaphambilini ukususa ukukhula okuncane (i-colon polyp) ku-colon.
• Ukuhlukumezeka: Ucwaningo lukhombisile ukuthi ukulimala okukhulu, noma ukuhlukumezeka okuphindaphindiwe endaweni efanayo (isibonelo, ukushaywa ngokuphindaphindiwe endaweni efanayo ngenkathi udlala imidlalo), kwandisa ingozi yokuba nesimila esibizwa ngokuthi i-desmoid tumor.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Uma unalezi zimpawu, udokotela wakho uzoqala ngokukuhlola umzimba bese ebuza ngezimpawu zakho. Ngemuva kwalokho, angenza lezi zivivinyo ezilandelayo:

• Ukuhlolwa kwezithombe: Okuvame kakhulu yi-CT scans kanye ne-MRIs. Lokhu kungabona ngokucacile isimila emzimbeni.
• I-Biopsy: Lolu uhlobo lokuhlola olubaluleke kakhulu okufanele lwenziwe . Lokhu kuhilela ukuthatha ingxenye encane yezicubu ezivela esimila bese uhlola amaseli ngaphansi kwe-microscope. Lena yindlela kuphela yokuthola ukuthi hlobo luni lwesimila.

Uma udokotela wakho esola ukuthi une-FAP, angase enze ukuhlolwa okwengeziwe. Akuwona wonke umuntu one-desmoid cysts one-FAP. Kodwa-ke, kubalulekile ukwazi ukuthi unayo yini, ngoba abantu abane-FAP basengozini enkulu yokuba nomdlavuza wamathumbu amakhulu.

Ukwelashwa kanjani? (Ukwelashwa)

Ama-Desmoid tumors avame ukuphathwa ngendlela efanayo nama-cancer tumors. Lokhu kusho ukuthi cishe uzosebenzisana nethimba lodokotela abavela kochwepheshe abahlukahlukene, okuhlanganisa nodokotela we-oncologist.

Esikhathini esidlule, ukuhlinzwa kwakuyindlela eyinhloko yokwelapha lezi zimila. Kodwa-ke, njengoba kutholakale ukuthi lezi zimila zinethuba elikhulu lokubuyela emuva ngemva kokuhlinzwa, ukwelashwa kwamanje kusekelwe kakhulu emithini. Ezinye izindlela zokwelapha zifaka:

• Ukuqapha okusebenzayo (noma ukulinda ngokuqapha): Uma isimila sakho sikhula kancane kancane futhi singabangeli izimpawu ezinkulu, udokotela wakho uzokuqapha njalo. Bazokwenza ukuhlolwa okuvamile. Uma isimo sakho sishintsha, ukwelashwa kungaqalwa ngokushesha okukhulu.
• Ukuhlinzwa: Kungase kudingeke ukuhlinzwa uma isimila sikhula ngokushesha kakhulu noma sibangela izimpawu ezinzima. Noma, uma isimila sisengozini yokubangela inkinga enkulu, njengokuvaleka kwamathumbu, kungase kwenziwe ukuhlinzwa.
• Ukwelashwa okuqondiwe: Le mithi isebenza ngokugxila ku-genes noma amaprotheni athile asiza ukukhula kwezimila ezibangelwa yi-desmoid. Udokotela wakho angase ancome uhlobo lomuthi olubizwa ngokuthi i-Tyrosine Kinase Inhibitor (TKI).
• Ukuhlinzwa kwe-Cryoablation: Lokhu kungenye indlela yokuhlinzwa. Kusebenzisa ukubanda okukhulu ukubhubhisa isimila. Lokhu kwelashwa kungasetshenziswa ezimila ezincane ezitholakala ngaphandle kwesisu (isibonelo, ezingalweni nasemilenzeni).
• Ukwelashwa ngamakhemikhali: Le mithi isetshenziselwa ukunciphisa noma ukuqeda ngokuphelele izimila ezibangelwa yi-desmoid. Kodwa-ke, kunemibono ehlukahlukene mayelana nempumelelo yalokhu kwelashwa.
• Ukwelashwa ngama-hormone: Imithi yama-hormone efana ne-Tamoxifen ingasiza ekumiseni ukukhula kwezimila ezibangelwa yi-desmoid.
• Ukwelashwa ngemisebe: Ukwelashwa ngemisebe kungasetshenziswa ukunciphisa noma ukubhubhisa isimila. Kusetshenziswa kodwa noma kuhlanganiswe nezinye izindlela zokwelapha.

Ingabe ngidinga ukubona udokotela njalo? (Ukulandelela)

Yebo, nakanjani. Ngisho nangemva kokwelashwa, kuzodingeka ubonane nodokotela wakho njalo ngoba kunethuba elikhulu lokuthi izimila ezibangelwa yi-desmoid zizobuya.Ngokuvamile, kuzodingeka ukuthi uhlolwe futhi uhlolwe njalo ezinyangeni eziyisithupha eminyakeni emithathu yokuqala. Ngemva kwalokho, uma kungekho zinkinga, kuzodingeka ukuthi uye kohlolwa kanye ngonyaka noma njalo eminyakeni emibili. Udokotela wakho uzonquma ukuthi kufanele uze kangaki, kuye ngesimo sakho.

Yini engingayilindela ngalesi simo? (Isibikezelo)

Izimila ze-Desmoid azifani kuwo wonke umuntu. Abanye abantu banazo kodwa ababonisi zimpawu. Cishe abantu ababili kwabayishumi banazo futhi ziyaphela ngaphandle kokwelashwa. Kodwa-ke, kwabanye, zingakhula zibe yingozi empilweni.

Kuye ngohlobo lokuguqulwa kwezakhi zofuzo kulesi simila, odokotela bangenza ukuqagela ngokuthi isimila sizoba nolaka kangakanani nokuthi kungenzeka kangakanani ukuthi sibuye ngemva kokwelashwa. Kodwa akukho okungashiwo ngokuqinisekile.

Ngisho noma kungewona umdlavuza, lokho akusho ukuthi kufanele ulinde nje. Isimila esibuhlungu yisimo esibucayi okufanele siqashwe udokotela wakho.

Linjani izinga lokusinda? (Amazinga Okusinda)

Izimila ze-Desmoid azivamile ukuba yingozi empilweni, kodwa zingaba yinkinga kuwe ukuqhubeka nokuzilawula.

Into ebaluleke kakhulu lapha izinga lokusinda elingenakuphindwaphindwa (`izinga lokusinda elingenakuphindwaphindwa`) . Ngemva kweminyaka emihlanu, leli zinga lingasukela phansi lifike ku-23% liye phezulu lifike ku-65%. Lokhu kuncike kakhulu kuhlobo lokuguqulwa kwezakhi zofuzo esimila.

Udokotela wakho uzochaza ukuthi yini ongayilindela ngokusekelwe ekuxilongweni kwakho.

Okubaluleke kakhulu: ukwesekwa kochwepheshe

Izimila ezibizwa ngokuthi i-Desmoid zingaba yinto engalindelekile. Zingabangela ubuhlungu, zinciphise ukunyakaza, noma zithinte izitho eziseduze. Lokhu kungaqiniseki kungaba yinto ecindezelayo kakhulu. Ezinye izimila zikhula kancane futhi zingase zingadingi ukwelashwa ngokushesha, kodwa ezinye zidinga ukuphathwa ngokucophelela okukhulu.

Ngenxa yokuthi ama-cyst e-desmoid ayisimo esingavamile futhi asithinta ngendlela ehlukile umuntu ngamunye, kubalulekile ukufuna ukwelashwa eqenjini lochwepheshe abanolwazi ekuphatheni lezi zimo eziyinkimbinkimbi. Indlela ehlukahlukene inikeza ithuba elihle kakhulu lokuphatha izimpawu nokuthuthukisa ikhwalithi yokuphila.

Okudingeka sikufunde kulokhu (Umyalezo Okufanele Uwuthathe Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, kunezinto ezimbalwa ezibalulekile okudingeka uzikhumbule:

• Nakuba isimila esibuhlungu singesona umdlavuza, akuyona into okufanele ithathwe kalula.
• Uma uneqhubu noma ukuvuvukala okungajwayelekile emzimbeni wakho, ikakhulukazi uma kuqhubeka nokukhula noma kubuhlungu, ungachithi isikhathi bese ubona udokotela ngokushesha.
• Lesi simo singaba nzima kancane, ngakho ukuthola ukuxilongwa okunembile kanye nokusekelwa yithimba lezokwelapha elinolwazi kuzokusiza kakhulu ukuthi uphile ngempumelelo nalesi simo.
• Ungesabi, kodwa qaphela. Into ebaluleke kakhulu ukulandela iseluleko sezokwelapha esifanele.

Uma uneminye imibuzo mayelana nalokhu, qiniseka ukuthi ukhuluma nodokotela wakho. Hlala uphilile!

Izimila ezithambile , i-fibromatosis enamandla, izimila zezicubu ezixhumeneyo, izimila ezingezona umdlavuza, izimpawu zesimila, ukwelashwa kwesimila, Impilo yaseSri Lanka