Ingabe uke waba nokuqubuka noma ukuqubuka okunamaqhubu esikhumbeni sakho ngokuzumayo, ikakhulukazi ezindaweni ezingashiswanga yilanga, njengesisu noma emathangeni akho? Kungase kulume noma kubukeke njenge-eczema. Nakuba abantu abaningi becabanga ukuthi lokhu kuyinkinga yesikhumba evamile, ngezinye izikhathi kungaba uphawu lokuqala lwesifo sesikhumba esingavamile esibizwa ngokuthi i-Mycosis Fungoides. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.
Kalula nje, iyini i-Mycosis Fungoides?
Igama lisikisela ukutheleleka kwesikhunta, kodwa akunjalo. I-Mycosis I-Fungoides empeleni iyisimo esibangelwa amaseli e-T, uhlobo lweseli elimhlophe egazini lethu, eliphenduka amaseli omdlavuza.
Cabanga ngale ndlela, la maseli e-T afana namasosha emizimbeni yethu. Umsebenzi wawo ukusivikela ezifweni ngokulwa namagciwane anjengamagciwane namagciwane angena emzimbeni. Kodwa kulesi sifo, la maseli e-T afanayo aphenduka amangqamuzana omdlavuza futhi aqale ukuthinta isikhumba sethu.
Lesi sifo singeseqembu lomdlavuza elibizwa ngokuthi i-Cutaneous T-cell Lymphoma (CTCL) . Okusho ukuthi, yi-T-cell lymphoma ethinta isikhumba. Ngakho khumbula, lokhu akuwona umdlavuza wesikhumba, umdlavuza wegazi othinta isikhumba. Akuwona amangqamuzana esikhumba, kodwa amaseli e-T egazini aba amangqamuzana omdlavuza lapha.
Ziyini izimpawu zalesi sifo? Sishintsha kanjani kusukela esigabeni kuya esigabeni?
Izimpawu ze-Mycosis Fungoides aziveli ngokuzumayo. Zivela ngezigaba, kanye nezinguquko esikhumbeni. Kodwa-ke, akuwona wonke umuntu obhekana nazo zonke lezi zigaba. Abanye abantu bangase babe nezigaba eziningana ngesikhathi esisodwa.
Ukuze kube lula ukuqonda, ake sibheke lezi zigaba.
| Isiteji | Ukubukeka Nezimpawu |
|---|---|
| Isigaba se-Premycotic | Kuvela ukuqhuma okunamaqhubu. Lokhu kuvame ukubonakala ezindaweni ezingashiswanga yilanga, njengesisu esingezansi, amathanga, izinqe kanye namabele. |
| Isigaba se-patch | Isikhumba esizungeze ukuqubuka siba sincane. La mabala angase alume futhi ome. Angase abukeke njenge-eczema. |
| Isiteji se-plaque | Amaqhubu amancane noma ama-plaque aphakanyisiwe avela esikhumbeni. Lawa amaqhubu aqinile, aphakanyisiwe angazwakala esandleni. |
| Isigaba sesimila | Amathumba akheka esikhumbeni. Lawa angena ajule esikhumbeni kunama-plaque okukhulunywe ngawo ngaphambili. Avame ukuvela emathangeni, embotsheni, emakhwapheni nasezindololwaneni zangaphakathi. Lawa mathumba angangenwa yigciwane uma elimala. |
Uma lesi simo siba sibi kakhulu, inani elikhulu lamaseli e-T anomdlavuza liqala ukujikeleza egazini. Lawa maseli abizwa ngokuthi amaseli e-Sézary . Uma lawa maseli eba maningi kakhulu egazini, lesi simo singakhula sibe yisimo esibizwa ngokuthi i-Sézary Syndrome . Lokhu kungabangela ukuqubuka okubomvu emzimbeni wonke.
Kungani kwenzeka into efana nale?
Imbangela eqondile yalokhu ayaziwa okwamanje , kodwa ochwepheshe bakholelwa ukuthi ukuguquka kwezakhi zofuzo kungaba nendima. Kalula nje, kucatshangwa ukuthi amaphutha ku-DNA emaseli ethu abangela ukuba amaseli e-T abe nomdlavuza.
Kodwa into ebalulekile ukuthi lezi zinguquko zofuzo azidluliselwa ezizukulwaneni ngezizukulwane. Lokho kusho ukuthi awuzithuthukisi ngoba nje abazali bakho babenazo. Abacwaningi basaphenya ukuthi ubuthi obuthile noma izifo ezingokwemvelo zingabangela lokhu yini.
Into ebaluleke kakhulu ukuthi i-Mycosis Fungoides ayisona isifo esithathelwanayo. Ayidluliselwa kusuka komunye umuntu iye komunye nganoma iyiphi indlela.
Udokotela ukuthola kanjani lokhu?
Ukuthola lesi sifo kungaba nzima kancane ngoba ezigabeni zokuqala, izimpawu zaso zifana kakhulu nezimo zesikhumba ezivamile njenge-eczema noma i-psoriasis. Ngakho-ke, kunzima ukubona ukuthi yi-Mycosis Fungoides ngokubheka nje isikhumba.
Ngakho-ke, udokotela wakho uzokwenza izivivinyo eziningana ezengeziwe ukuqinisekisa noma ukuqeda lesi sifo.
- Ukuhlolwa kwesikhumba: Lokhu ukuhlolwa okubaluleke kakhulu. Kuhilela ukuthatha ingxenye encane yezicubu endaweni ethintekile yesikhumba bese uyihlola elebhu.Lesi sampula sezicubu sihlolwa amaseli omdlavuza ahlobene ne-Mycosis Fungoides. Kungadingeka ukwenza izivivinyo eziningana ze-biopsy ukuthola amaseli omdlavuza aqondile.
- Ukuhlolwa kwegazi: Kuthathwa isampula yegazi bese kubhekwa izinguquko emaseli egazi kanye nezimpawu ezithile zamakhemikhali.
- Izinqubo zokuthwebula izithombe: Ukuhlolwa okufana ne-CT scan noma i-PET scan kungenziwa ukuze kubonakale ukuthi umdlavuza ususakazekele yini kuma-lymph node noma kwezinye izitho zangaphakathi.
Isigaba salesi sifo sinqunywa kanjani?
Uma lesi sifo sesitholakele, odokotela bazonquma 'isigaba' saso. Lokhu kuwukuhlukaniswa kokuthi umdlavuza ususakazeke kangakanani nokuthi unzima kangakanani, kusukela esigabeni soku-1 kuya kwesesi-4. Lokhu kubaluleke kakhulu ekuhleleni ukwelashwa okungcono kakhulu kuwe.
Uma unquma ngalesi sigaba, amaphuzu alandelayo ayacatshangelwa:
- Usayizi wezilonda zesikhumba (amabala, amathumba, amathumba).
- Ukuthi lezi zilonda zisakazekele esikhumbeni esingakanani.
- Ingabe umdlavuza ususakazekele kuma-lymph node?
- Ingabe amangqamuzana omdlavuza angene egazini?
- Ingabe isisabalale kwezinye izitho ngaphandle kwesikhumba?
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kwe-Mycosis Fungoides kuncike esigabeni sesifo kanye nezinguquko esikhumbeni sakho. Umgomo oyinhloko wezindlela eziningi zokwelapha ukulawula izimpawu nokugcina ikhwalithi yempilo yakho.
Udokotela wakho angase akunikeze izindlela zokwelapha ezifana nalezi:
- Ukwelashwa okuqondiswe esikhumbeni: Lokhu ukwelashwa okusetshenziswa ngqo ezindaweni ezithintekile zesikhumba. Lokhu kufaka phakathi ama-gel angaphandle, ama-steroids, ama-retinoids, kanye ne-phototherapy .
- Ukwelashwa okuhlelekile: Lezi yizidakamizwa ezinikezwa njengamaphilisi noma ngemithambo yegazi. Zithinta amangqamuzana omdlavuza emzimbeni wonke. Izibonelo zifaka phakathi izidakamizwa ezifana ne -methotrexate .
- Ukwelashwa nge-immunotherapy: Lokhu kuhilela ukuvuselela amasosha omzimba ethu ukuze sibone futhi sibhubhise amangqamuzana omdlavuza.
- Ukwelashwa okuqondiwe: Le mithi ihlonza futhi ibhubhise ngqo amangqamuzana omdlavuza kuphela, ngaleyo ndlela ibangele umonakalo omncane kumaseli avamile.
- Ukwelashwa ngemisebe: Ukusetshenziswa kwemisebe yamandla enamandla ukubhubhisa amangqamuzana omdlavuza noma ukuvimba ukukhula kwawo.
Ukwelashwa ngamakhemikhali, ukwelashwa esivame ukuzwa ngakho uma sikhuluma ngomdlavuza, akusetshenziswa kabanzi kulesi sifo ngoba akusebenzi kahle kulesi sifo futhi kunemiphumela eminingi emibi.
Impilo izoba njani ngalesi sifo?
Lesi sifoAkukho ukwelashwa okwamanje. Kodwa ungakhathazeki. Ngokutholakala nokwelashwa kusenesikhathi, abantu abaningi bangaphila impilo evamile ngaphandle kwezimpawu iminyaka eminingi.
Ukubikezela kwakho kuncike ezintweni eziningana, okubaluleke kakhulu kuzo isigaba sesifo.
Ngokwezibalo, uma kutholakale ukuthi unegciwane ezigabeni zokuqala (esigabeni sokuqala), amathuba okusinda iminyaka eyi-10 aphezulu afinyelela ku-95%. Uma lesi sifo siba sibi kakhulu (esigabeni esithuthukile), lesi sikhathi singancishiswa sibe yiminyaka emithathu kuya kwemihlanu. Kodwa khumbula ukuthi lezi yizinombolo nje. Izinto eziningi zithinta lokhu, njengobudala bakho kanye nempilo yakho iyonke. Ngakho-ke, udokotela wakho kuphela ongakunikeza incazelo engcono kakhulu yesimo sakho.
Ingabe lokhu kungavinjelwa? Kufanele ngenzeni?
Ayikho indlela eqinisekisiwe yokuvimbela i-Mycosis Fungoides ukuthi ingakhuli. Kodwa kunezinto ongazenza ukuze unciphise ingozi yokuthi lesi sifo siqhubekele esigabeni esibucayi kakhulu. Okusho ukuthi, hamba uyohlolwa njalo.
Into ebaluleke kakhulu ukuhlola isikhumba sakho okungenani kanye ngenyanga. Iya esibukweni ubheke wonke umzimba wakho. Bheka amabala amasha, ama-moles, ama-warts, noma izinguquko kumbala noma usayizi walezo ezikhona. Uma ubona noma yiziphi izinguquko, ungazinaki futhi ubone udokotela wesikhumba ngokushesha. Uma uzithola ngokushesha, ukwelashwa kuzophumelela kakhulu.
Imibuzo okufanele uyibuze udokotela wakho
Uma utholakale unalesi sifo, ungase ube nemibuzo eminingi engqondweni yakho. Ungagodli lutho, buza udokotela wakho.
- Yiziphi izindlela zokwelapha enginazo?
- Ingabe ikhona imiphumela emibi kulezi zindlela zokwelapha?
- Liyini ithuba lokuthi lesi sifo sibuye ngemva kokwelashwa?
- Kwenzekani uma ngingatholi ukwelashwa?
- Yini engingayenza ukuze ngivimbele lesi sifo ukuthi singabuyi?
Umlayezo Wokuya Nawe Ekhaya
- I-Mycosis Fungoides ayiwona umdlavuza wamaseli esikhumba. Ungumdlavuza owenzeka kumaseli e-T egazini, kodwa uthinta isikhumba.
- Ezigabeni zokuqala, izimpawu zayo zifana kakhulu nezimo zesikhumba ezivamile njenge-eczema noma i-psoriasis.
- Lesi sifo asithelelani nhlobo. Akunasidingo sokwesaba ukusidlulisela komunye umuntu siye komunye.
- Ukutholakala kwalesi sifo kusenesikhathi kubaluleke kakhulu ekwelashweni okuphumelelayo kanye nokuphila isikhathi eside nokunempilo.
- Uma usola noma yiliphi ibala elisha, eliqhubekayo, noma elishintshayo, isilonda, noma iqhubu esikhumbeni sakho, bona udokotela ngokushesha.
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