Ukhathazekile ngeqhubu endaweni ethile emzimbeni wakho? Mhlawumbe lisemlenzeni wakho, engalweni, noma esiswini. Esikhathini esiningi, la maqhubu ajwayelekile anamafutha (i-Lipoma) awayona ingozi, kodwa ezimweni ezingavamile, angaba umdlavuza. Namuhla, sizokhuluma ngohlobo olungavamile lomdlavuza oluqala kumaseli amafutha emzimbeni wethu. Lokhu sikubiza ngokuthi i-Liposarcoma. Ungakhathazeki, ake sichaze konke ngamagama alula.
Kuyini i-Liposarcoma kalula?
Kalula nje, i-Liposarcoma uhlobo lomdlavuza oluqala emangqamuzaneni amafutha emzimbeni wethu. Luhlobo lomdlavuza olungavamile kakhulu. Nakuba lungavela noma kuphi emzimbeni, luvame ukutholakala esiswini, ezingalweni nasemilenzeni. Luyingxenye yeqembu elikhulu lomdlavuza obizwa ngokuthi ama-soft tissue sarcomas.
Odokotela basebenzisa kakhulu ukuhlinzwa ukususa lezi zimila ezinomdlavuza. Kodwa-ke, ezinye izinhlobo ze-liposarcoma zingaphinde zivele. Ngakho-ke, kubaluleke kakhulu ukuhlala ngaphansi kokuqashwa kwezokwelapha isikhathi eside ngemva kokwelashwa. Ngemuva kwalokho, uma kuvela isimila esisha, singabonakala ngaphambi kokuba sisakazeke.
Lokhu kuthinta kanjani umzimba wami?
Kuya ngohlobo lwe-liposarcoma onayo. Ngokuvamile, lawa mathumba avame ukuvela ezingalweni noma emilenzeni, ikakhulukazi endaweni yethanga noma ngemuva kwedolo. Angavela nangemuva kwesisu.
Ingxenye engcono kakhulu ukuthi izimila eziningi ze-liposarcoma zikhula kancane kakhulu futhi azibuhlungu. Ungase ungaboni noma yiziphi izinguquko kuze kube yilapho unesisu esikhulu emzimbeni wakho futhi sikhula kakhulu.
Kodwa khumbula, uma lesi simila sikhula futhi sicindezela imizwa, singadala ubuhlungu. Futhi, kuye ngokuthi sitholakalaphi isimila, singathinta izitho ezizungezile. Cabanga nje, uma isimila esinjengalesi sikhula eduze kwamaphaphu akho, ungase ube nobunzima bokuphefumula.
Ingabe lesi sifo sivamile? Ngubani ositholayo?
Cha, lesi akusona isifo esivamile nhlobo. Njengoba kushiwo ngaphambili, lolu uhlobo lomdlavuza olungavamile kakhulu . Ngokwezibalo, lesi simo senzeka cishe koyedwa kubantu abayikhulu lezinkulungwane.
Lesi sifo ngokuvamile sivame kakhulu kwabesilisa kunabesifazane. Amadoda aphakathi kweminyaka engu-50 no-65 asengozini enkulu. Kodwa-ke, kukhona uhlobo olulodwa lwe-Liposarcoma olungakhula nakubantu abaphakathi kweminyaka engu-35 no-55.
Izinhlobo ze-Liposarcoma kanye nemvelo yazo
Kunezinhlobo eziningana eziyinhloko ze-liposarcoma. Nakuba izimpawu zazo zifana, ukwelashwa kanye nokubikezela kwesifo kungahluka. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lwe-Liposarcoma | Amaphuzu abalulekile |
|---|---|
| I-liposarcoma ehlukaniswe kahle (i-WDLS) | Lolu uhlobo oluvame kakhulu (30%-50%). Lawa amathumba akhula kancane kakhulu, angenabuhlungu. Angavela ezingalweni, emilenzeni, noma esiqwini. Ngezinye izikhathi abizwa ngokuthi amathumba angavamile e-lipomatous . |
| I-Myxoid liposarcoma | Uhlobo lwesibili oluvame kakhulu (cishe u-30%). Ngokungafani nezinye izinhlobo, lokhu kungenzeka nakubantu abaneminyaka ephakathi kuka-35-55. Kuvame kakhulu ukwenzeka emilenzeni, futhi kungasakazekela emisipheni nasesikhumbeni esizungezile. |
| I-Dedifferentiated liposarcoma (DDLS) | Amanye amacala e-WDLS angaphenduka lesi simo kamuva. Lolu uhlobo olukhula ngokushesha futhi olunzima. Kungenzeka kakhulu ukuthi luphinde luvele ngemva kokuhlinzwa. |
| I-liposarcoma e-Pleomorphic | Uhlobo olungavamile nolunzima kakhulu (5%-10%). Lukhula ngokushesha kakhulu futhi lungasakazeka ngokushesha ezithweni ezikude, njengamaphaphu. |
Yiziphi izimpawu okufanele uziqaphele?
Izimpawu ze-liposarcoma ziyahlukahluka kuye ngobukhulu besimila kanye nendawo esikuyo. Abanye abantu bangase bangabi nazimpawu nhlobo. Abanye bangase babe nezimpawu ezilandelayo noma ngaphezulu:
- Isigaxa esisha noma esikhulayo ngaphansi kwesikhumba: Khathazeka uma unesigaxa esinjengalesi, ikakhulukazi ngemuva kwedolo noma endaweni yethanga. Silingana nebhola legalofu (cishe amasentimitha ama-5) noma ngaphezulu.Qiniseka ukuthi ukhuluma nodokotela nganoma yisiphi isigaxa.
- Ubuhlungu noma ukuvuvukala: Ukuvuvukala, ikakhulukazi endaweni yesisu.
- Ukuzizwa ubuthakathaka engalweni noma emlenzeni lapho kukhona khona isimila.
- Ukuzizwa usuthi ngokushesha nje lapho uqala ukudla.
- Ukudla akunambitheki.
- Ukuqunjelwa.
- Igazi elisesihlahleni noma esihlahleni esimnyama/esithambile.
- Isisu esibuhlungu.
- Ukuhlanza igazi .
- Ubunzima bokuphefumula.
Lesi sithelo sizwakala kanjani esandleni sakho?
Esikhathini esiningi, lesi sithelo sizwakala njengebhola elithambile, elifana nerabha . Ungase uzizwe sengathi ungasihambisa kancane uma usicindezela ngeminwe yakho.
Kungani lolu hlobo lomdlavuza lukhula?
Ngokwesayensi, lo mdlavuza ubangelwa izinguquko ezakhiweni zethu zofuzo. Lezi zinguquko zibangela ukuba amaseli amafutha ahlukane futhi aphindaphindeke ngendlela engalawuleki, okudala izimila ezinomdlavuza. Isizathu esiqondile sokuthi kungani lezi zakhi zofuzo zishintsha asikaziwa okwamanje. Kodwa-ke, abacwaningi bathole izici eziningana ezandisa ingozi:
- Ukuthola ukwelashwa ngemisebe kweminye imidlavuza.
- Ukuchayeka kumakhemikhali afana ne -vinyl chloride endaweni yokusebenza.
- Ezinye izimo zofuzo ezizuzwa njengefa .
Udokotela ukuhlonza kanjani ngokunembile lokhu njenge-Liposarcoma?
Uma ubona udokotela ngenxa yesinye sezimpawu ezingenhla, uzoqala akuhlole bese ebuza ngezimpawu zakho. Ngemuva kwalokho, bangase bakuthumelele izivivinyo eziningana ukuqinisekisa ukuxilongwa.
- I-CT scan (i-Computed Tomography - i-CT scan): Lokhu kungabonisa ngqo ukuthi isimila sikuphi, ubukhulu baso, nokuthi siseduze kangakanani nezitho ezinkulu zomzimba.
- Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - I-MRI): Lokhu kuskena kusiza ukuhlola ukuthi isimila sithinte yini imizwa ezungezile, imithambo yegazi, kanye nemisipha.
- I-Biopsy: Lolu vivinyo olubaluleke kakhulu. Lapha, kuthathwa ingxenye encane kakhulu yezicubu esigaxeni bese ihlolwa ngaphansi kwe-microscope. Lokhu kungasiza ekunqumeni ukuthi umdlavuza ungowomdlavuza yini, futhi uma kunjalo, uhlobo luni lomdlavuza.
- Ukuhlolwa kwama-molecule kanye nofuzo: Lokhu kuhlolwa kungakhomba uhlobo oluthile lwe-liposarcoma.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kwe-liposarcoma kuncike ohlotsheni lomdlavuza, ukuthi usakazeke yini, futhi uma kunjalo, ukuthi usakazeke kuphi. Ungadinga inhlanganisela yokwelashwa okungaphezu kokukodwa.
1. Ukuhlinzwa:Lena yindlela yokwelapha eyinhloko. Udokotela ohlinzayo ususa isimila somdlavuza kanye nenani elincane lezicubu ezinempilo ezisizungezile, eqinisekisa ukuthi akusahlali ngisho namaseli omdlavuza amancane kakhulu.
2. Ukwelashwa ngemisebe: Ngezinye izikhathi lokhu kwelashwa kunikezwa ngaphambi kokuhlinzwa ukuze kuncishiswe isimila. Lokhu kuvame kakhulu kwi-myxoid liposarcoma. Ukwelashwa ngemisebe kunikezwa nangemva kokuhlinzwa ukuze kuncishiswe ingozi yokuthi umdlavuza uphinde ubuye.
3. Ukwelashwa ngamakhemikhali: Lokhu kwelashwa kusetshenziselwa izimila ezinkulu kakhulu noma ezisakazeke kabanzi ukuthi zingasuswa ngokuhlinzwa.
Uyini umehluko phakathi kwe-Liposarcoma kanye nesimila esinamafutha esivamile (i-Lipoma)? (Lokhu kubaluleke kakhulu!)
Abantu abaningi banombuzo mayelana nokuthi banesimila esinamafutha esivamile noma umdlavuza. Kunomehluko ocacile phakathi kwalokhu okubili. Uzokuqonda kahle lokhu uma ubheka leli thebula.
| Isici | I-Liposarcoma | I-Lipoma (isimila esinamafutha esivamile) |
|---|---|---|
| Imvelo | Kunomdlavuza. Kungasakazeka. | Akuyona umdlavuza. Ayisabalali. |
| Indawo | Kungenzeka ngaphakathi emzimbeni, phakathi kwemisipha. | Ngokuvamile itholakala ngaphansi kwesikhumba. |
| Ukukhula | Ngokuvamile iba nkulu ngokuhamba kwesikhathi. | Ikhula kancane kakhulu noma ayikhuli nhlobo. |
| Ukwelashwa | Kudingeka ukuhlinzwa, ukwelashwa ngemisebe, kanye ne-chemotherapy. | Ngokuvamile akukho ukwelashwa okudingekayo. Zisuswa kuphela ngenxa yezizathu zobuhle noma uma zibuhlungu. |
| Ingozi yokuphila | Kungaba yingozi empilweni. | Akukaze kube yingozi empilweni. |
Into ebaluleke kakhulu ukuthi, ungazami ukuthola ukuthi hlobo luni lwesimila onaso wedwa. Qiniseka ukuthi uyasibonisa udokotela futhi ulandela imiyalelo yakhe.
Yimiphi imibuzo okufanele ngiyibuze udokotela?
Kuvamile ukuba nemibuzo eminingi uma ufunda ngesifo esingavamile kangaka. Uma uya kudokotela wakho, ungakhohlwa ukubuza le mibuzo.
- Uhlobo luni lwe-Liposarcoma enginalo?
- Yikuphi ukwelashwa okungcono kakhulu kimi?
- Angakanani amathuba okuba isifo sami selapheke ngokuphelele ngalezi zindlela zokwelapha?
- Imisebenzi yami yansuku zonke izothinteka kanjani ngesikhathi sokwelashwa?
- Kungenzeka yini ukuthi lesi simila siphinde sikhule ngemva kokwelashwa?
- Kudingeka ngibe ngaphansi kokuqashwa kwezokwelapha isikhathi esingakanani?
Umlayezo Wokuya Nawe Ekhaya
- Uma unesimila esisha emzimbeni wakho noma uma isimila esikhona sikhula, ikakhulukazi uma sikhulu kunebhola legalofu, funa iseluleko sezokwelapha ngokushesha.
- I-Liposarcoma ingumdlavuza ongavamile kakhulu, ngakho-ke akufanele wesabe ngokungadingekile yonke ithumba elinamafutha emzimbeni wakho.
- Udokotela kuphela kanye nokuhlolwa okudingekayo okungahlukanisa phakathi kwesimila esinamafutha esivamile (i-Lipoma) kanye ne-Liposarcoma. Ungalokothi uzihlole.
- Ukwelashwa kungaphumelela kakhulu, futhi ukutholakala kwalesi sifo kusenesikhathi kwandisa kakhulu amathuba okululama.
- Ngisho nangemva kokwelashwa, kubalulekile ukwenza izivivinyo ngokwesimiso esinqunywe udokotela.
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