Wake wezwa 'ngemisipha ebushelelezi'? Lezi azifani nemisipha esezingalweni nasemilenzeni yethu esiyilawula ngamabomu. Ziwuhlobo olukhethekile lwemisipha esebenza ngokuzenzakalelayo ezithweni zomzimba wethu, njengamathumbu ethu, imithambo yegazi, kanye nesibeletho. Cabanga nje, umdlavuza ongavamile futhi osakazeka ngokushesha ungavela endaweni enjalo. Lowo mdlavuza ubizwa ngokuthi iLeiomyosarcoma, noma i-LMS. Nakuba leli gama liyinkimbinkimbi kancane, ukuliqonda kungaba yinto ebaluleke kakhulu kuwe nakubantu obathandayo.
Iyini ngempela i-leiomyosarcoma (LMS)?
Kalula nje, i-leiomyosarcoma (LMS) uhlobo lomdlavuza olungavamile nolunolaka oluqala emisipheni ebushelelezi emizimbeni yethu. Le misipha ebushelelezi itholakala ezindaweni eziningi emizimbeni yethu. Isibonelo:
- Isinye
- Imithambo yegazi
- Amathumbu amakhulu namancane
- Isisu
- Isibeletho
Lo mdlavuza, obizwa nge-LMS, ungoweqembu elikhulu lomdlavuza obizwa ngokuthi ama-soft tissue sarcomas . Enye yezinto eziyingozi ngalo mdlavuza ukuthi la maseli omdlavuza akhula ngokushesha kakhulu. Ngezinye izikhathi, lesi simila singaphindeka kabili ngobukhulu ngenyanga. Futhi, la maseli omdlavuza angahamba egazini futhi asakazekele kunoma yiziphi izicubu ezithambile emzimbeni.
Abanye abantu ababi nazo izimpawu ezigabeni zokuqala. Ngesikhathi izimpawu zivela, lesi sifo kungenzeka ukuthi sesibe sibi kakhulu. Ngakho-ke, singaba yingozi empilweni. Kodwa-ke, uma sitholakala kusenesikhathi futhi selashwa kahle , kunethuba elikhulu lokululama ngokuphelele.
Kuvamile ukuzizwa ukhungathekile futhi ushaqekile uma utholakala unomdlavuza. Khumbula ukuthi awuwedwa. Ithimba lakho lezokwelapha likhona ukuze likusize. Bangakunikeza noma yiluphi ulwazi noma ukwesekwa okudingayo.
Yiziphi izinhlobo eziyinhloko zomdlavuza we-LMS?
Umdlavuza we-LMS ungahlukaniswa ngezinhlobo ezintathu eziyinhloko, ngokusekelwe lapho ukhula khona.
| Uhlobo lomdlavuza | Umsuka nencazelo |
|---|---|
| Izicubu ezithambile zomzimba LMS | Lolu uhlobo oluvame kakhulu lwe-LMS. Lukhula ezicutshini zomzimba. I-leiomyosarcoma yesibeletho, ekhula esibelethweni, iyisibonelo esihle salokhu. |
| I-LMS enesikhumba noma engaphansi kwesikhumba | Lolu hlobo lwenzeka emisipheni emincane ebizwa ngokuthi imisipha ye-piloector esikhumbeni nasemahlweni. Le misipha inesibopho sokukhulisa nokukhulisa inhlamvu yeso lethu. |
| I-LMS yemvelaphi yemithambo yegazi | Lolu uhlobo lwe-LMS olungavamile kakhulu. Umdlavuza ukhula emthanjeni wegazi omkhulu, njengemithambo yamaphaphu kanye ne-inferior vena cava, okuholela emaphashini. |
Ziyini izimpawu zalo mdlavuza?
Izimpawu zomdlavuza we-LMS ziyahlukahluka kakhulu kuye ngobukhulu besimila nendawo esikuyo. Abanye abantu bangase bangabi nazo izimpawu ekuqaleni. Kodwa-ke, njengoba isimila sikhula, ezinye izimpawu zingase ziqale ukuvela.
| Uhlobo oluyisici | Izinto okufanele uzibone |
|---|---|
| Izimpawu ezivamile | |
| Iqhubu | Isigaxa noma ukuvuvukala okungenabuhlungu, okuqinile. |
| Ezinye izici | Ukuqunjelwa, umkhuhlane, isicanucanu nokuhlanza, ubuhlungu, ukukhathala okukhulu, ukwehla kwesisindo ngaphandle kwesizathu esibonakalayo. |
| Uma kungumdlavuza wesistimu yokugaya ukudla (amathumbu, isisu)... | |
| Ubuhlungu besisu | Ubuhlungu besisu obuvamile. |
| Izinguquko esitulweni | Indle emnyama ngenxa yegazi elidlula kuyo. |
| Ezinye izici | Ukulahlekelwa yisifiso sokudla, isicanucanu, nokuhlanza. |
| Uma kungumdlavuza wesibeletho... | |
| Ukopha okungavamile | Ukopha okungajwayelekile phakathi kokuya esikhathini noma ngemva kokunqamuka kokuya esikhathini. |
| Ezinye izici | Ukudinga njalo ukuchama, ukukhishwa koketshezi lwesitho sangasese sowesifazane okungavamile. |
Iyini imbangela yokwakheka kwe-LMS?
Odokotela abakayitholi imbangela eqondile yalokhu. Kodwa-ke, kukholelwa ukuthi izici ezimbili eziyinhloko zingadlala indima. Esinye izinguquko zezakhi zofuzo ezizuzwe njengefa. Esinye ukuthi ngesikhathi sokuphila, izinguquko ezingahleliwe ezakhiweni zofuzo zomuntu siqu zibangela ukuba amangqamuzana avamile akhule ngokungalawuleki futhi abe amangqamuzana omdlavuza.
Abacwaningi bathole ukuxhumana phakathi komdlavuza we-LMS nezimo ezithile zofuzo. Ezinye zalezi zimo zifaka:
- Isifo sikaGardner
- I-Gorlin syndrome
- I-retinoblastoma yefa
- I-Li-Fraumeni syndrome
- Uhlobo 1 lwe-Neurofibromatosis (NF1)
- I-Tuberous sclerosis
Ungasithola kanjani lesi sifo?
Uma uba nanoma yiziphi izimpawu, udokotela wakho uzoqala akuhlole ngokomzimba bese ebuza ngezimpawu zakho. Ngemuva kwalokho, bazoyala ukuhlolwa okukhethekile kwezithombe ukuze bathole ubukhulu obuqondile nendawo yomdlavuza.
- I-Angiography - ukuhlola imithambo yegazi
- I-CT scan (i-computed tomography - i-CT scan)
- Ukuskena kwe-MRI (Umfanekiso we-Magnetic resonance - i-MRI)
- Ukuskena kwe-PET
Kodwa-ke, ukuqinisekisa lesi sifo ngo-100%, kuyadingeka ngempela ukuhlolwa kwegazi .
I-biopsy ihilela ukuthatha ingxenye encane kakhulu yezicubu ezivela esimila somdlavuza bese uyithumela elabhorethri ukuze ihlolwe ngaphansi kwe-microscope. Udokotela wezifo uhlola izicubu ukuze anqume ukuthi umdlavuza we-LMS noma cha.
Yiziphi izindlela zokwelapha i-LMS?
Ukwelashwa kuncike ngobukhulu, uhlobo, indawo yomdlavuza, nokuthi ngabe ususakazeke yini. Kunezindlela eziningana zokwelapha eziyinhloko.
- Ukuhlinzwa: Noma nini lapho kungenzeka, ukwelashwa okuyinhloko kwe-LMS ukuhlinzwa ukuze kususwe ngokuphelele isimila. Umgomo ukuvimbela umdlavuza ukuthi ungabuyi.
- Ukwelashwa ngamakhemikhali: Uma isimila sikhulu, noma uma amangqamuzana omdlavuza esakazekele kwezinye izingxenye zomzimba, udokotela angase atuse ukwelashwa ngamakhemikhali.
- Ukwelashwa ngemisebe: Ngezinye izikhathi ukwelashwa ngemisebe kunikezwa ngaphambi kokuhlinzwa ukuze kuncishiswe isimila (ukwelashwa nge-neoadjuvant). Kusetshenziswa futhi ngemva kokuhlinzwa ukubulala noma yimaphi amangqamuzana omdlavuza asele (ukwelashwa nge-adjuvant).
- Ukwelashwa okuqondiwe: Lena indlela entsha yokwelapha. Isebenzisa imithi ehlasela futhi ilimaze amangqamuzana omdlavuza kuphela. Lokhu kwelashwa kunganikezwa kodwa noma kuhlanganiswe nezinye izindlela zokwelapha.
Iyini inhloso yalesi sifo?
Ukubikezela kwe-LMS kuyahlukahluka kakhulu kumuntu nomuntu. Kuthonywa kakhulu yisigaba, ubukhulu, nendawo yomdlavuza. Into ebaluleke kakhulu ukuthi uma lesi sifo sitholakala futhi selashwa kusenesikhathi, singalapheka ngokuphelele.
Kodwa-ke, uma lesi sifo sitholakala sekwephuzile, okungukuthi, esigabeni esithuthukile njengeSigaba sesi-4, ukwelashwa kuba nzima kakhulu. Esimweni esinjalo, nakuba lesi sifo singelapheki ngokuphelele, ukwelashwa kungasilawula futhi kwandise impilo yesiguli.
Amazinga okusinda ayizibalo nje ezisekelwe kudatha evela kubantu ababenalesi sifo esikhathini esidlule. Ngakho-ke, ungenzi izinqumo ngekusasa lakho noma ukhathazeke ngalo ngokusekelwe kulezo zinombolo. Umuntu ongcono kakhulu ukwazi kahle ukuthi isimo sakho siyini udokotela okwelaphayo. Khuluma naye ngalokhu ngokukhululekile.
Imibuzo ebalulekile okufanele uyibuze udokotela wakho
Uma uthola ukuthi unomdlavuza we-LMS, kuvamile ukuba nemibuzo eminingi engqondweni yakho. Kubalulekile ukubuza udokotela wakho le mibuzo bese uthola ukuqonda okucacile ngesimo sakho.
- Umdlavuza wami utholakala kuphi emzimbeni wami?
- Ingabe umdlavuza usabalale kwezinye izindawo?
- Umdlavuza wami ukusiphi isigaba?
- Yiziphi izindlela zokwelapha enginazo?
- Ziyini izingozi nemiphumela emibi yalezo zindlela zokwelapha?
- Liyini ithuba lokuthi umdlavuza uphinde ubuye ngemva kokwelashwa?
- Yini ongangitshela yona ngekusasa lokugula kwami?
Uma unesifo esingavamile njengalesi, kuvamile ukuzizwa unesizungu. Uma kungenzeka, joyina iqembu lokusekela abantu abanalesi simo. Kungaba umthombo omkhulu wamandla engqondo. Khumbula, ithimba lakho lezokwelapha lihlala likhona ukukusiza.
Umlayezo Wokuya Nawe Ekhaya
- I-Leiomyosarcoma (LMS) uhlobo lomdlavuza olungavamile nolukhula ngokushesha oluvela emisipheni ebushelelezi.
- Izimpawu zincike endaweni umdlavuza okhona kuyo. Ngezinye izikhathi kungase kungabi khona zimpawu nhlobo ezigabeni zokuqala.
- Uma uhlangabezana nezimpawu ezifana neqhubu elingavamile emzimbeni wakho, ubuhlungu obungachazeki, noma ukwehla kwesisindo, bona udokotela ngokushesha.
- Lesi sifo singalapheka ngokuphelele ngokutholakala kusenesikhathi kanye nokwelashwa okufanele.
- Kubalulekile ukukhuluma ngokukhululekile nangokwethembeka nodokotela wakho ngesimo sakho, ukwelashwa, kanye nekusasa lakho. Awuwedwa.
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