Ingabe ingane yakho inalezi zimpawu? Ake sifunde nge-germinoma ebuchosheni!

Wake waphawula ukuthi ingane yakho ihlala ikhala ngekhanda, ngezinye izikhathi iyahlanza, inenkinga yokubona, noma ikhathele kakhulu kunokujwayelekile? Ngezinye izikhathi lezi zinto zingaba izimpawu zesifo esivamile. Kodwa-ke, akuvamile, ukuthi zibe uphawu lwesimo esibucayi kakhulu, njenge -germinoma . Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe namuhla.

Iyini i-Germinoma? Masiyiqonde kalula!

Kalula nje, i-germinoma uhlobo lwesimila esikhula ngaphakathi kobuchopho bakho. Odokotela babiza lawa ngokuthi “ama-germinoma angaphakathi kwekhanda.” Avame ukukhula ezindaweni ezimbili zobuchopho. Esinye yisifunda se-pineal , okuyilapho i-pineal gland yakho itholakala khona. Esinye yisifunda se-suprasellar , okuyilapho i-pituitary gland yakho itholakala khona.

Manje ungase uzibuze ukuthi yimaphi amathumba eseli lamagciwane (ama-GCT). Avela kumaseli okuzala emizimbeni yethu. Okusho ukuthi, kumaseli akhiqiza isidoda endodeni kanye namaqanda kowesifazane. Ngokuvamile, la mathumba eseli lamagciwane (ama-GCT) avela kuma-ovari noma emasendeni. Kodwa ama-germinoma ahlukile kancane. Okwenzekayo kulokhu ukuthi lawo maseli eseli lamagciwane aya ebuchosheni noma emgogodleni futhi akhulele lapho njengesimila. Nakuba amanye alawa engaba angewona umdlavuza (angabi yingozi), ama-germinoma amaningi anomdlavuza (ayingozi).

Kodwa nansi into, la ma-germinoma anezindlela zokwelapha ezinhle, futhi isibikezelo sihle kakhulu. Akhula kancane, ngakho-ke kunethuba elihle lokuthi angelapheka ngokuphelele ngokwelashwa.

Ivame kangakanani le germinoma?

Eqinisweni, izimila zamangqamuzana egciwane ezakheka ebuchosheni azivamile. Kodwa-ke, phakathi kwalezo zimila ezingavamile , ama-germinoma yiwona avame kakhulu. Avame ukutholakala ezinganeni nakubantu abadala abasebasha, abaneminyaka ephakathi kweyi-10 nengama-20. Kutholakale nokuthi abafana banamathuba amaningi okuzihlakulela kunamantombazane.

Ziyini izimpawu ze-germinoma?

Uma i-germinoma yakheka ebuchosheni, ingabangela ingcindezi ku-cerebrospinal fluid (CSF) ngaphakathi kobuchopho. Lokhu kubizwa ngokuthi i-hydrocephalus . Ingcindezi ebangelwa yilesi simila noma ingcindezi ebangelwa ukuqongelela kwalolo ketshezi ingabangela izimpawu ezahlukahlukene . Ake sibone ukuthi ziyini:

• Ubuhlungu bekhanda obuvamile: Lokhu kungaba ikhanda elihlukile nelinzima kakhulu kunekhanda elivamile.
• Isicanucanu nokuhlanza: Lesi simo singaba sibi kakhulu, ikakhulukazi ekuseni.
• Izinkinga ngokuxhumana kwemisipha (i-ataxia):Izinto ezifana nokukhubeka lapho uhamba, njengokungakwazi ukugcina ibhalansi yakho.
• Izinkinga zokubona: Ukubona okufiphele, ukubona okukabili, ubunzima bokubheka phezulu, njll.
• Ukushintsha kwesimo sengqondo: Ngokungazelelwe uzizwa uthukuthele, udabukile, noma ukhathazekile.
• Ubunzima bokugxilisa ingqondo: Kunzima ukugcina ingqondo yakho igxile ngenkathi ufunda noma usebenza.
• Ukukhathala: Ukuzizwa ukhathele kungakhathaliseki ukuthi ulala kangakanani.

Ngaphezu kwalezi zimpawu, izimpawu ezihlobene nama-hormone zingase zenzeke kuye ngokuthi isimila sitholakala kuphi. Isibonelo, uma isimila sikhula eduze kwe-pituitary gland, okulandelayo kungase kwenzeke:

• Ukuzizwa womile kakhulu futhi uchama njalo: Lokhu kuyisibonakaliso sesimo esibizwa ngokuthi isifo sikashukela insipidus .
• Ukuthomba kusenesikhathi noma kubambezelekile.
• Ukukhula okuphazamisekile ezinganeni.
• Ukulala ngokweqile noma ukuvilapha.

Okubalulekile: Ungesabi ukuthi yi-germinoma ngoba nje unesinye noma ezimbili zalezi zimpawu. Kodwa-ke, uma lezi zimpawu ziqhubeka, ikakhulukazi enganeni, kungcono ukubona udokotela ukuze uthole iseluleko.

Kungani le germinoma yakheka?

Lena indaba eyinkimbinkimbi kancane. Ngesikhathi sokukhulelwa, okungukuthi, lapho umntwana esesibelethweni sikanina, lawo maseli egciwane esikhulume ngawo ngaphambili avame ukuhamba aye emaqanda noma emasendeni. Yilapho eba khona amaseli amaqanda noma amaseli esidoda.

Kodwa-ke, ku-germinoma, amanye ala maseli ayaphambuka futhi ahambe aye ohlelweni lwezinzwa oluphakathi , okungukuthi, ebuchosheni noma emgogodleni. Uma enza kanjalo, esikhundleni sokuba amaseli amaqanda noma amaseli esidoda, akhula ndawonye ngendlela engavamile futhi akhe inqwaba endaweni eyodwa noma ngaphezulu yobuchopho. Uma engelashwa, la maseli angasakazeka kwezinye izingxenye zomzimba.

Ochwepheshe bezokwelapha abakakazi kahle ukuthi kungani lokhu kwenzeka kwasekuqaleni. Kusesesigabeni socwaningo.

Ungayibona kanjani i-germinoma?

Uma udokotela esola ukuthi i-germinoma iyatholakala, uzokwenza izivivinyo eziningana.

• Ukuhlolwa kwezithombe: Lokhu kuvame ukuhilela ukuskena kwe -MRI (Magnetic Resonance Imaging) . Lokhu kungabonisa ngokusobala ukuthi kukhona yini izimila ebuchosheni noma emgogodleni.
• Ukuhlolwa kwezimpawu zesisu: i-alpha-fetoprotein (AFP) kanye ne-human chorionic gonadotropin (hCG) egazini lakho kanye noketshezi lwe-cerebrospinal (CSF)Amazinga amakhemikhali abizwayo ayahlolwa. La mazinga asiza ukuhlukanisa nokubona ukuthi ngabe yi-germinoma noma olunye uhlobo lwesimila se-germ cell.
• I-Biopsy: Uma ezinye izivivinyo zingaphelele, udokotela angathatha isampula encane yesigaxa asihlole elebhu ukuze abone ukuthi sinamangqamuzana omdlavuza yini. Kodwa-ke, i-biopsy ayidingeki kuwo wonke umuntu, njengoba ezinye izivivinyo zivame ukusiza ekuxilongeni.

Ngezinye izikhathi kungathatha isikhathi ukuqaphela ukuthi izingane zine-germinoma, ngoba izimpawu ezifana nokuphazamiseka kokunaka kanye nokuba buthakathaka kungahlotshaniswa nezinkinga zempilo yengqondo. Kungakhathaliseki ukuthi imbangela iyini, lapho ingane yakho isheshe itholakale, kulapho ingaqala khona ukwelashwa ekudingayo ngokushesha.

Ukunquma isigaba somdlavuza (ukulinganisa)

Ngemva kokuxilongwa, udokotela uzonquma isigaba se-germinoma ngokubheka ukuthi isisabalale kangakanani. Ihlukaniswa ngokuthi i-localized (M0) , okusho ukuthi ayikasabalali, noma isakazeke/isakazeke kakhulu (M+) , okusho ukuthi isisabalale.

Lokhu kuhlukaniswa kuyasiza kakhulu kodokotela ekuhleleni ukwelashwa.

Iphathwa kanjani i-germinoma?

Ama-germinoma amaningi angelapheka ngokuphelele ngokwelashwa ngemisebe . Lokhu kwelashwa kuhilela ukusebenzisa imisebe enamandla aphezulu, njenge-X-ray, ukubhubhisa isimila. Kodwa-ke, ukwelashwa ngemisebe kungabangela imiphumela emibi yesikhathi esifushane neyesikhathi eside. Kungandisa futhi ingozi yokuba nomunye umdlavuza esikhathini esizayo.

Ngenxa yalokhu, odokotela be-radiation cancer bahlela ukwelashwa ngokucophelela. Umgomo wabo ukunikeza umthamo omkhulu odingekayo ukubulala isimila ngenkathi benciphisa ingozi yemiphumela emibi. Kwezinye izimo, i-chemotherapy inikezwa ngaphambi kokwelashwa ngemisebe ukuze kuncishiswe isimila. Lokhu kuvumela i-germinoma ukuthi ilashwe ngomthamo ophansi wemisebe.

Yini engingayilindela uma ngine-germinoma?

Eqinisweni, isibikezelo se-germinomas sihle kakhulu. Abantu abangaphezu kuka-90% abathola ukwelashwa ngemisebe bangaphila iminyaka eyi-10. Amathuba okuthi izimila zibuye aphansi kakhulu. Ngisho noma zingabuya, zivame ukubhujiswa ngokuphelele ngomunye umjikelezo wokwelashwa ngemisebe.

Kodwa-ke, ulwazi lomuntu ngamunye lungahluka. Kubalulekile ukubuza udokotela wakho ukuthi ukuxilongwa kwakho kanye nohlelo lwakho lokwelashwa kuzothinta kanjani amathuba akho okululama.

Ngingazinakekela kanjani mina noma ingane yami?

Enye yezinto ezinhle kakhulu ongayenza uma kwenzeka i-germinoma ukuthi:Sebenza eduze nethimba lakho lezokwelapha ukuze uphathe imiphumela emibi yokwelashwa. Ukwelashwa ngemisebe kanye ne-chemotherapy kuyindlela yokwelapha ephumelelayo ye-germinoma. Kodwa-ke, azinazo izinkinga zomzimba nezingokomzwelo.

Akekho ongabikezela ngqo ukuthi uzosabela kanjani ekwelashweni. Kodwa-ke, udokotela wakho angakufundisa ngemiphumela emibi evamile. Ukuqonda ukuthi yini engenzeka kungakusiza ukuthi ulungele.

Uma ungumnakekeli wengane ethola ukwelashwa komdlavuza, khuluma nengane yakho ngalokho okwenzekayo ngendlela efanele iminyaka yayo. Hlala nomntwana wakho. Faka abantu abakusekelayo. Sebenzisa zonke izinsiza ozidingayo ukuze unakekele ingane yakho ngendlela eqinile.

Kufanele ngimbone nini udokotela?

Bona udokotela uma uvame ukuba nekhanda elibuhlungu, izinkinga zokubona, noma ezinye izimpawu ezingaba yizimpawu zesimila sobuchopho. Uma ubona noma yiziphi zalezi zimpawu enganeni yakho, qiniseka ukuthi ucela iseluleko sezokwelapha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Ikuphi isigaba sale germinoma? Ikuphi?
• Yikuphi ukwelashwa okuncomayo?
• Ungayiphatha kanjani imiphumela emibi yesikhathi esifushane yokwelashwa?
• Yimiphi imiphumela emibi yesikhathi eside okufanele ngiyiqaphele?
• Kukangaki lapho kuzodingeka ngize khona ukuze ngilandelele ukuvakashelwa kwami?

Ekugcineni, kukhona okufanele ucabange ngakho!

Abantu abaningi bayakhathazeka futhi besabe lapho bezwa igama elithi "umdlavuza." Lokhu kwesaba kuyakhula ikakhulukazi uma isimila sisebuchosheni, okufana nekhompyutha emzimbeni wethu. Kodwa-ke, khumbula ukuthi lesi simo, esibizwa ngokuthi i-germinoma, ngokuvamile singelashwa ngokwelashwa ngemisebe. Lokhu akusho ukuthi ukwelashwa kuzoba lula noma ukuthi akukho bungozi bemiphumela emibi. Kubalulekile futhi ukuya ezivivinyweni zokulandelela ukuze kubonakale ukuthi isimila sesibuyile yini. Kodwa-ke, ngokwelashwa, abantu abaningi bayalulama ngokuphelele ku-germinoma. Kubaluleke kakhulu ukubuza udokotela wakho ukuthi ukuxilongwa kwakho kuthinta kanjani amathemba akho esikhathi esizayo. Ungayeki!

I- Germinoma, izimila zobuchopho, umdlavuza, umdlavuza wezingane, ukwelashwa ngemisebe, i-chemotherapy, izimpawu zobuchopho