Ingabe lo mdlavuza "ogcwele ijeli" ungaphakathi esiswini sakho? Ake sifunde nge-Pseudomyxoma Peritonei (PMP)!

Wake waba nokungakhululeki esiswini, umuzwa wokugcwala, noma ukuqunjelwa okuqhubekayo? Ngezinye izikhathi sicabanga ukuthi lezi yizinto ezivamile, kodwa ezimweni ezingavamile, kungase kube nesinye isizathu ngemuva kwalezi zimpawu. Namuhla sizokhuluma ngesimo somdlavuza esingavamile kakhulu, kodwa esibaluleke kakhulu. Leso yisimo esibizwa ngokuthi i-'Pseudomyxoma Peritonei', esiphinde sisibize ngokuthi '(PMP)' ngamafuphi.

Iyini i-Pseudomyxoma Peritonei (PMP)?

Kalula nje, i-`Pseudomyxoma Peritonei` uhlobo lomdlavuza olungavamile kakhulu. Okwenzekayo kulokhu ukuthi ingaphakathi lesisu sakho, okungukuthi, isisu nendawo esizungezile (`(i-peritoneal cavity)`) ligcwele amangqamuzana omdlavuza. Lawa maseli omdlavuza akhiqiza inani elikhulu lento efana nejeli, ethambile ebizwa ngokuthi ``mucin`` . Cabanga nje, kufana nokuthi ingaphakathi lesisu sakho ligcwele ijeli! Yingakho abanye abantu bebiza lesi sifo ngokuthi ``isisu sejeli.``

Igama elithi "Pseudomyxoma Peritonei" lisho into efana nokuthi "isimila esingamanga se-mucinous se-peritoneal cavity." Odokotela bakubiza lokhu ngokuthi "isimila esingamanga" ngoba akufani neminye imidlavuza eqala endaweni eyodwa bese isakazeka. Empeleni iqala ngesigaxa esincane esibizwa ngokuthi "i-polyp" esakheka ku-appendix yakho, i-appendix .

Uma le polyp iphuma ku-appendix, amangqamuzana omdlavuza enza leyo nto efana nejeli engikhulume ngayo aqala ukusabalala esiswini sonke. Ngokuhamba kwesikhathi, lokhu kungathinta uhlelo lwakho lokugaya ukudla.

Yiziphi izimpawu esizizwayo lapho senza i-PMP?

Izimpawu ze-PMP zivame ukuvela ngokuzumayo. Ungase ungaziboni ekuqaleni, noma ungase ucabange ukuthi ziyinto evamile, njengokuqunjelwa noma ukungagayi kahle kokudla. Kodwa uma lezi zimpawu ziqhubeka noma ziba zimbi kakhulu, kufanele ukhathazeke.

Nazi ezinye zezimpawu eziyinhloko:

• Ukuvuleka kwesisu: Isisu sibonakala sivuvukile futhi sikhulile.
• Ubuhlungu besisu: Lesi sithako esifana nojeli esiswini singazwakala njengokungakhululeki noma ubuhlungu obujwayelekile.
• Ukuqunjelwa: Ukuqunjelwa kungavimba amathumbu amakhulu futhi kwenze kube nzima ukuphuma kwendle.
• Ubunzima bokukhulelwa: Kwabesifazane ikakhulukazi, kungaba nzima ukukhulelwa umntwana ngenxa yengcindezi ebangelwa yilesi sibeletho esigcwele ujeli noma ukuvuvukala kwezitho zokuzala.
• I-Hernia: Ukucindezela okwandayo ngaphakathi esiswini kungabangela ukuthi esinye sezitho zakho siphume ngemisipha. Kwabesilisa, i-hernia ye-inguinal iwuphawu oluvamile lwe-PMP.
• Ukudla akunambitheki.
• Isicanucanu.

Ngezinye izikhathi, udokotela angase athole lesi simo 'se-PMP' kusenesikhathi ngesikhathi sokuhlolwa kwakho kwaminyaka yonke noma ngesikhathi ekuhlola esinye isimo. Kodwa abantu abaningi bathola ngakho kuphela uma izinkinga zabo zesisu ziqhubeka futhi ziba zimbi kakhulu.

Kungani le PMP yenzeka? Iyini imbangela?

Eqinisweni, ochwepheshe abakazi kahle ukuthi yiluphi uchungechunge lwezehlakalo oluholela ku-PMP. Kodwa bayazi ukuthi kuqala ngokukhula okuncane okubizwa ngokuthi i-polyp ku-appendix. Ukusuka lapho, amangqamuzana omdlavuza enza i-mucin ahambe aye esiswini.

Khumbula, i-'PMP' iyisifo esingavamile kakhulu . Sithinta cishe umuntu oyedwa kuya kwabane kwabayisigidi ngonyaka. Ngakho-ke ungesabi ngokungadingekile ngokuzwa ngalokhu.

Odokotela bathola kanjani ukuthi bane-PMP?

Uma uya kudokotela, bazokubuza ngezimpawu zakho. Unesikhathi esingakanani unazo, nokuthi ziya ziba zimbi yini? Ngemuva kwalokho bazokwenza ukuhlolwa ngokomzimba. Bazophinde ba-ode ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe.

Ukuhlolwa kwegazi

Udokotela wakho angase akucele ukubalwa kwegazi okuphelele (i-CBC). Angase akucele nokuhlolwa kwegazi ukuze kubhekwe izimpawu zomdlavuza. Lezi yizinto ezingabonisa ukuthi unomdlavuza emzimbeni wakho.

Ukuhlolwa kwezithombe

Ukuhlolwa kungenziwa ukuze kubonakale ukuthi izitho zakho zesisu zikhulisiwe, zigcwele uketshezi (ama-ascites), noma zinenqwaba ye-mucin, njenge-"jelly belly":

• I-ultrasound yesisu.
• I-CT scan.
• Ukuskena kwe-MRI.

Ngaphezu kwalokho, udokotela angenza i-biopsy yenaliti, okuhilela ukuthatha isampula encane yoketshezi noma izicubu ngaphakathi esiswini sakho. Udokotela wezifo uzohlola isampula ngaphansi kwe-microscope (cytology). Ngezinye izikhathi i-laparoscopy ingenziwa ukuze kubhekwe ngaphakathi esiswini sakho futhi kuthathwe amasampula ezicubu.

Yiziphi izindlela zokwelapha i-PMP? Ingabe ingelapheka?

Ukwelashwa kuncike ezintweni eziningi, okuhlanganisa isimo sakho kanye nempilo yakho iyonke. Kwezinye izimo, odokotela bangelapha futhi baze baphulukise ne-Pseudomyxoma Peritonei.

Ngokuvamile, lokhu kwelashwa kuhilela ukuhlinzwa. Lokhu kuhilela ukususa zonke izitho eziqukethe amangqamuzana omdlavuza. Ungase futhi unikezwe i-chemotherapy (i-intraperitoneal chemotherapy) ngesikhathi sokuhlinzwa. Kodwa udokotela ohlinzayo uzokwenza lokhu kuphela uma ukuhlinzwa kungasusa wonke noma ingxenye enkulu yomdlavuza noma i-mucin. Leso sinqumo senziwa ngesikhathi sokuhlinzwa.

Kunezinhlobo ezahlukene zokuhlinzwa zokwelapha i-PMP.

Isibonelo, uma une-mucin emathunjini akho amancane noma emathunjini amakhulu, udokotela wakho uzokwenza ukuhlinzwa kokususa amathumbu . Kukhona nezinye izinhlobo zokuhlinzwa ezisusa izitho ezithile:

• I-Cholecystectomy: Ukususwa kwenyongo yakho.
• Ukususwa kwesisu nge-salpingo-oophorectomy yamazwe amabili : Ukususwa kwamapayipi akho e-fallopian, ama-ovari, kanye nesibeletho.
• Ukususwa kwesibindi nge-capsulectomy: Ukususwa kwengxenye yobuso besibindi sakho.
• Ukususwa kwe-omenectomy: Ukususwa kwengqimba enamafutha phambi kwesisu .
• Ukususwa kwe-Peritonectomy : Ukususwa kwe-membrane ezungeze ingaphakathi lesisu sakho kanye ne-pelvis (i-peritoneum).
• Ukususwa kwe-spleenectomy : Ukususwa kwe-spleen yakho.

Yiziphi izinkinga ezingaba khona ngesikhathi sokuhlinzwa?

Uma uhlinzwa ukuze kususwe izitho zomzimba, kuhlale kukhona amathuba ezinkinga ezifana nokopha ngokweqile , ukutheleleka, noma ukuvuza kwe-anastomotic . Ukuhlinzwa okukhulu nakho kungabangela izinkinga ezisongela ukuphila. Kuthiwa cishe i-1 kuya kwezimbili zeziguli (1-2%) ziyafa ngemva kokuhlinzwa okukhulu. Ngakho-ke, kubalulekile ukuxoxa ngakho konke lokhu nodokotela wakho.

Ingabe kukhona ezinye izindlela zokwelapha ezingabandakanyi ukuhlinzwa?

Ngezinye izikhathi udokotela wakho angase ancome ezinye izindlela zokwelapha ezingezona ezokuhlinzwa, njenge:

• Ukuqapha Okusebenzayo : Uma une-PMP yesigaba sokuqala, noma uma kuyisimo esinolaka kakhulu, futhi ingozi yokuhlinzwa inkulu kunengozi yesifo, udokotela wakho angase asikisele ukuqapha okusebenzayo. Lokhu kuhilela udokotela wakho ukuqapha impilo yakho njalo. Bangenza izivivinyo zezithombe kanye nokuhlolwa kwegazi ukuze babone ukuthi i-PMP iyasakazeka yini.
• Ukunakekelwa kobuhlungu : Uma ungakwazi ukuhlinzwa, udokotela wakho angase akuncomele ukwelashwa okufana nokwelashwa ngamakhemikhali noma ngemisebe okungalawula isimo se-PMP futhi kunciphise izimpawu.

Njengamanje, odokotela bacwaninga nangokufakelwa kwamathumbu amancane njengokwelashwa kwabantu abane-PMP emathunjini amancane.

Hlobo luni lwekusasa umuntu one-PMP angalulindela?

Kwezinye izimo, ukuhlinzwa kokususa wonke amangqamuzana omdlavuza esiswini kungasiza ekulawuleni lesi sifo isikhathi eside . Ezinye izindlela zokwelapha zingakusiza ukuthi uphile nalesi sifo isikhathi eside.

Uma ukhuluma "ngezinga lokusinda", into ebaluleke kakhulu okufanele uyikhumbule ukuthi lesi yisifo esingavamile kakhulu. Lokhu kusho ukuthi bambalwa kakhulu abantu abasitholayo. Abacwaningi bafunda lokho abakwaziyo ngaso emaqenjini amancane kakhulu abantu. Uma unalesi sifo, kungcono ukubuza udokotela wakho ngalolu cwaningo "lwezinga lokusinda" nokuthi luthinta kanjani isimo sakho.

Ngizinakekela kanjani? (Ukuzinakekela)

Uma uke wahlinzwa ukuze kususwe amangqamuzana omdlavuza noma ukuze kususwe izitho ezithile zomzimba, kubalulekile ukukhumbula ukuthi umzimba wakho udinga isikhathi nokuphumula ukuze ululame. Isibonelo, uma uhlinzwa ukuze kususwe ubende, udokotela wakho uzochaza ukuthi lokhu kuzokuthinta kanjani.

Uma ukhetha ukunakekelwa kokunciphisa ubuhlungu, kungase kudingeke ukuthi welashwe ngomdlavuza njengokwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe impilo yakho yonke. Kubalulekile ukuhlala uqinile futhi ulandele imiyalelo kadokotela wakho ngokucophelela.

Ngingambona nini udokotela?

Uma une-'PMP', kufanele nakanjani wazise udokotela wakho ezimweni ezilandelayo:

• Uma kuvela izinkinga ngemva kokwelashwa. Isibonelo, uma kukhona ukopha ngokweqile ngemva kokuhlinzwa, noma uma kunezimpawu zokutheleleka enxebeni lokuhlinzwa.
• Uma imiphumela emibi yokwelashwa imibi kakhulu kunalokho obekulindele.
• Uma kunezimpawu zokuthi i-'Pseudomyxoma Peritonei' ivele kabusha ngemva kokuhlinzwa.

Ekugcineni, umyalezo obaluleke kakhulu (Umyalezo Wokuya Ekhaya)

I-Pseudomyxoma Peritonei (PMP) iyisifo esingavamile kakhulu nesiyinselele. Ochwepheshe abakakazi kahle ukuthi kungani siqala. Ungase ube naso isikhathi eside kodwa ungaboni noma yiziphi izinguquko ezinkulu emzimbeni wakho. Uma kuvela izimpawu, zingaba lula njengokuqunjelwa noma ukuqunjelwa.

Ngakho-ke, kungaba yinto eshaqisayo ukuzwa ukuthi izimpawu zakho zibangelwa yisifo esingavamile kangaka. Kungaba yinto eqeda amandla ukutshelwa ukuthi ukwelashwa kuzohilela ukuhlinzwa ukuze kususwe isitho esisodwa noma ngaphezulu esiswini sakho. Kungaba nzima ukuqonda konke lokhu ngesikhathi esisodwa.

Kodwa ungakhathazeki. Odokotela bakho bayaqonda ukuthi ungase ube nemibuzo eminingi - mhlawumbe ngisho nemibuzo efanayo izikhathi eziningana. Njengoba ufunda ngezinketho zakho zokwelashwa futhi ucabangela izinyathelo zakho ezilandelayo, bafuna ukuzwa konke okusengqondweni yakho. Lelo yilungelo lakho. Ukuba sesimweni esihle sengqondo nakho kusiza kakhulu ekwelashweni.

I- Pseudomyxoma Peritonei, i-PMP, umdlavuza, umgodi wesisu, i-mucin, isisu esijiyile, i-appendix, ukuhlinzwa