Wake waphawula ukuthi kukhona iqhubu elincane eliso lakho elingapholi futhi ngezinye izikhathi liba likhulu? Noma iqhubu elincane eliphuzi ekhoneni
leso lakho ? Ngezinye izikhathi asizinaki kakhulu lezi zinto, kodwa ngezinye izikhathi zingaba yinto okufanele sikhathazeke ngayo. Namuhla sizokhuluma ngohlobo lomdlavuza wesikhumba olungavamile, kodwa
oluthinta kancane.
Kuyini i-Sebaceous Carcinoma?
Kalula nje, i-'Sebaceous Carcinoma' uhlobo lomdlavuza olungavamile oluvela
ezindlaleni ezikhiqiza uwoyela esikhumbeni sethu, ezibizwa ngokuthi 'izindlala ze-sebaceous.' Ubuwazi ukuthi igama elithi 'sebaceous' lisho 'ukukhiqiza uwoyela.' Lo mdlavuza
uthinta kakhulu izinkophe zamehlo . Isizathu salokhu ukuthi izinkophe zethu zinenani elikhulu lalezi zindlala ezikhiqiza uwoyela. Kodwa-ke, njengoba lezi zinkophe zingekho nje kuphela ezinkopheni zamehlo, kodwa futhi nanoma yikuphi emzimbeni wethu lapho kunezinwele khona, lo mdlavuza ungavela kwezinye izingxenye zomzimba. Lezi zinkophe zikhiqiza uketshezi olunamafutha olubizwa ngokuthi
'sebum.' Lo mdlavuza uvikela isikhumba sethu emagciwaneni.
Ingabe lo umdlavuza onzima?
Yebo, i-'Sebaceous Carcinoma'
uhlobo lomdlavuza olungasakazeka ngokushesha, futhi lunolaka . Lubizwa kanjalo ngoba luvame ukusakazeka ngokushesha kusukela lapho lwaqala khona ukuya kwezinye izingxenye zomzimba. Umdlavuza osakazeke kwezinye izindawo ezinjengalona ubizwa ngokuthi 'umdlavuza we-Metastatic'.
Yimaphi amanye amagama alokhu?
Igama elithi "carcinoma" yigama lezokwelapha elisho umdlavuza. Ngakho-ke, odokotela bangase babize lokhu ngokuthi "i-sebaceous carcinoma" "i-sebaceous gland carcinoma" "i-sebaceous gland adenocarcinoma
Kuvamile kangakanani lokhu?
I-carcinoma yesikhumba
engavamile kakhulu . Cabanga ukuthi u-5% kuya ku-10% womdlavuza wesikhumba yizimila ezikhula ezinkopheni. Kulezo zimila, cishe u-1% kuphela yi-carcinoma yesikhumba esikhumbeni.
Ivame kakhulu kwabesifazane nakubantu abaneminyaka ephakathi kuka-60 no-80. Kodwa-ke, ingavela nakubantu abasebasha, abantu abadala, futhi ngezinye izikhathi ngisho nezingane ezincane.
Yiziphi izimbangela zomdlavuza we-sebaceous?
Ochwepheshe abazi kahle ukuthi kungani abanye abantu beba ne-sebaceous carcinoma. Kodwa-ke, njengezinye izinhlobo zomdlavuza wesikhumba,
ukuchayeka emisebeni yelanga eyingozi (i-UV) kuyisici esiyingozi.Lokhu kucatshangwa ukuthi kuyisizathu esisodwa. Futhi, abantu abathole ukwelashwa ngemisebe ekhanda noma entanyeni, ikakhulukazi besebancane, basengozini enkulu yokuthola lo mdlavuza.
Yiziphi izinto ezibangela ingozi?
Abanye abantu basengozini enkulu yokuthola lo mdlavuza. Isibonelo:
- Abantu abanesimo esingavamile sofuzo esibizwa ngokuthi i-Muir-Torre syndrome basengozini enkulu yokuthola i-sebaceous carcinoma . Basengozini enkulu futhi yomdlavuza we-colorectal . I-Muir-Torre syndrome uhlobo lwe-Lynch syndrome, olubangela ukwakheka kwamathumba ezindlala ze-sebaceous.
- Ezinye izifundo zisikisela ukuthi le ngozi iphakeme kancane nakubantu bomdabu wase-Asia .
Ngaphezu kokuguga kanye nokuchayeka elangeni, kunezinye izinto eziningana eziyingozi:
Ziyini izimpawu?
I-carcinoma ye-Sebaceous
ivame ukutholakala esweni elingaphezulu , njengoba kulapho kutholakala khona izindlala ze-sebaceous. Kodwa-ke, ingakhula nasesweni elingezansi. Ngezinye izikhathi kungadingeka ukuthi uvale ijwabu lakho ukuze ubone ukuthi unalo yini.
Izimpawu ezibonakala ejwabini:
- Iqhubu eliqinile, eliyindilinga, eliphuzi, elingenabuhlungu elibukeka njenge-pimple.
- Inxeba eliphuma igazi, elingapholi, noma eliphola bese liphinde livele.
- Isikhumba esijiyile, esiphuzi noma esibomvu, esinoqweqwe singabonakala emakhoneni ezinkophe, eduze kwezinkophe.
Izimpawu ezingase zivele uma lesi sifo siba sibi kakhulu:
Uma le "Sebaceous Carcinoma" ingelashwa, lesi simo singaba sibi kakhulu futhi sibonise izimpawu ezifana nalezi:
- Izinkophe ziyawa.
- Ukwakheka kwama-cyst anamanzi, anamanzi kuzo zombili izinkophe zamehlo eziphezulu nezingezansi.
- Amehlo abomvu, abukeka njenge-conjunctivitis .
- Ukukhubazeka kokubona.
Ingabe wonke amaqhubu asembozweni wejwabu anomdlavuza?
I-carcinoma ye-sebaceous ayivamile. Ngakho-ke,
ungesabi uma ubona iqhubu esweni lakho . Kodwa, qiniseka ukuthi ubona udokotela ukuze alihlole. Ezimweni eziningi, akuyona umdlavuza, kodwa yisimo sesikhumba esivamile njengalesi:
- Ukuvuvukala kwejwabu leso `(Blepharitis)`
- I-chalazion (ebizwa nangokuthi 'induna esweni')
- Ukutheleleka kwamehlo
- Isigaxa esisesweni , sisibiza ngokuthi 'i-stye' (ukutheleleka kwe-oil gland)
Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha uma ubona iqhubu elisha esweni lakho, isilonda esingapholi, noma yini ehlukile kunejwayelekile.
Kuphi okunye emzimbeni lapho lokhu kungavela khona ngaphandle kwamehlo?
I-carcinoma ye-sebaceous ingakhula nasekhanda lakho
, ezindlebeni, noma entanyeni . Ingavamile, ingakhula nasemhlane wakho, esifubeni, esiswini, ezithweni zangasese, noma ezinqeni. Kufanele ubone udokotela uma ubona noma yikuphi kwalokhu okulandelayo:
- Uma ubona ushintsho kuphawu lokuzalwa noma kwenye indawo esikhumbeni sakho.
- Uma kuvela amathumba amasha esikhumbeni, ngisho nangaphakathi endlebeni.
- Uma ubona amaqhubu esikhumba eba makhudlwana, apinki noma aphuzi, futhi opha kalula .
Umdlavuza we-sebaceous usakazeka kanjani?
I-Sebaceous Carcinoma cishe isakazekela kuma
-lymph node . Lawa ama-gland amancane ayingxenye yesistimu yethu ye-lymphatic, ehlanza futhi isuse amaseli alimele.
Ukuthola kanjani lokhu ngqo? (Ukuxilongwa)
Uma usola ukuthi unesifo esifana nalesi, kufanele uqale ubonane
nodokotela wesikhumba . Uzobheka iqhubu, athathe isampula encane yalo, bese elihlola ngaphansi kwe-microscope ukuze abone ukuthi akhona yini amangqamuzana omdlavuza. Lokhu kuhlolwa kubizwa ngokuthi
i-skin biopsy . Uma iqhubu lisejwabu leso, ungase ubone
nodokotela wamehlo . Angenza futhi le biopsy.
Uhlola kanjani ukuthi umdlavuza ususabalele?
Uma i-biopsy yesikhumba iqinisekisa ukuthi une-carcinoma ye-sebaceous, kuzodingeka ubone ithimba lodokotela ukuze kutholakale ukuthi une-carcinoma ye-sebaceous, futhi welashwe. Udokotela wakho uzothatha umlando wakho wezokwelapha, enze ukuhlolwa ngokomzimba, futhi ahlole ukuthi umdlavuza ususakazeke yini kuma-lymph node akho noma kwezinye izitho zomzimba. Udokotela wamehlo uzohlola amehlo akho ukuze abone ukuthi isimila sesisakazeke yini esweni.
Yiziphi izindlela zokwelapha?
Ukwelashwa okuyinhloko kwe-carcinoma ye-sebaceous ukuhlinzwa.
Izinketho zokuhlinzwa:
- Ukususwa kwendawo ebanzi:Lokhu kuhilela ukusika isimila somdlavuza kanye nendawo encane yesikhumba esinempilo esizungezile. Lokhu kwenziwa ukuqinisekisa ukuthi wonke amangqamuzana omdlavuza asusiwe.
- Ukuhlinzwa kwe-Mohs: Lolu uhlobo olukhethekile lokuhlinzwa. Umdlavuza kanye nezicubu ezizungezile eziphilile (umkhawulo) kususwa ngezingqimba eziningana. Njengoba ungqimba ngalunye lususwa, luhlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini amangqamuzana omdlavuza asele. Uma ekhona, nawo ayasuswa. Le nqubo iphindaphindwa kuze kube yilapho wonke amangqamuzana omdlavuza esusiwe .
- Ukwelashwa ngemisebe: Uma ungakwazi ukuhlinzwa, ukwelashwa ngemisebe kungacatshangelwa.
Kuye ngokuthi ukuhlinzwa kuzokwenziwa kangakanani, kungadingeka futhi ukuthi
uhlinzwe kabusha . Lokhu kwenzelwa ukunciphisa izibazi ezenzeka ngemva kokuhlinzwa nokusiza ukubuyisela ukusebenza kwamehlo kanye nokulingana kobuso. Udokotela wakho wesikhumba noma udokotela ohlinzayo we-oculoplastic, uma kudingeka, angenza le nqubo ngokushesha ngemva kokuba isimila sisusiwe.
Ukwelashwa komdlavuza osuthuthukile
Uma i-sebaceous carcinoma isisabalale kwezinye izindawo (i-metastatic), ukwelashwa kuyahlukahluka, kuye ngokuthi umdlavuza usabalale kuphi. Kungenziwa ukuhlinzwa ukuze kususwe ama-lymph node athintekile. Ukwelashwa ngemisebe noma okunye ukwelashwa komdlavuza nakho kungasetshenziswa.
Ingabe lokhu kungaba yingozi? Angakanani amathuba okululama?
Izindaba ezinhle ukuthi ngokwelashwa, abantu abangaphezu kuka-90% abanalesi sifo bayasinda. Labo abathola ukwelashwa zingakapheli izinyanga eziyisithupha kusukela izimpawu ziqale banethuba elingcono kakhulu lokululama. Kodwa-ke, i-sebaceous carcinoma ingaba yingozi uma isakazeka.
Ukubambezeleka ekuxilongweni nasekulashweni kungenza umphumela ube mubi kakhulu. Kwenzekani ngemva kokwelashwa?
Ngenxa yokuthi i-sebaceous carcinoma ingaba umdlavuza onzima, ngisho nangemva kokwelashwa, abanye abantu,
cishe oyedwa kwabane, banethuba lokuthi umdlavuza uphinde usabalale noma usabalale (ukusabalala kwe-metastasizing). Ngakho-ke, kubalulekile ukubona udokotela wakho ukuze athole ukunakekelwa okulandelayo ngesikhathi esibekiwe. Ngale ndlela, odokotela bangahlola ukuthi isifo siphinde sibuye futhi, uma kukhona izimpawu zokubuyela emuva, baqale ukwelashwa ngokushesha.
Yini ongayenza ukuze uthuthukise impilo yakho?
Ungandisa amathuba akho okululama ngokwenza lezi zinto:
- Yenza ukuhlolwa kwesikhumba njalo ngenyanga. Lokhu kuzokusiza ukuthi ubone izinguquko zesikhumba ngokushesha.
- Thola ukuhlolwa kwesikhumba njalo ehhovisi likadokotela.
- Thatha izinyathelo zokunciphisa ukuchayeka kwakho elangeni. Lokho kusho ukuthi,Ukusebenzisa i-sunscreen, ukugqoka izigqoko ezibanzi, kanye nokugqoka izibuko zelanga ezivikela i-UV.
Uyini umehluko phakathi komdlavuza we-sebaceous, i-sebaceous hyperplasia, kanye nama-cyst e-sebaceous?
La magama angadida ngoba azwakala efana, kodwa lezi yizimo ezintathu ezahlukene:
- I-Sebaceous hyperplasia: Lokhu akusiwo umdlavuza. Kuyisitshalo esingenabungozi esikhula embotsheni yezinwele. Ungase ube namaqhubu amaningana athambile, ashukumayo njengalawa. Lawa avame ukutholakala esilevini, ezihlathini, ebunzini, ekhaleni, noma esifubeni, emhlane nasemahlombe.
- Ama-cyst anamafutha: Lawa awawona umdlavuza. Akheka ngaphansi kwesikhumba lapho i-sebaceous gland ivinjelwa ukwakheka kwamangqamuzana esikhumba afile namafutha. Angahanjiswa kalula ngaphansi kwesikhumba. Avame ukuvela ebusweni, entanyeni, noma esiqwini. Lawa ma-cyst angadinga ukwelashwa uma eba makhulu noma ethelelekile.
Kufanele ubonane nini nodokotela?
Uma ubona into efana nale
, qiniseka ukuthi ubona udokotela :
- Isigaxa noma ukukhula esweni lakho.
- Ukukhula okusha esikhumbeni noma ushintsho lwezimpawu zokuzalwa noma amanye amabala.
- Amaqhubu esikhumba aphuma igazi kalula.
Izinto okufanele uzibuze udokotela
Uma ubona udokotela, ungabuza le mibuzo:
- Kungani ngithole lo mdlavuza wesikhumba?
- Ingabe ngisengozini yokuthola ezinye izinhlobo zomdlavuza wesikhumba?
- Yikuphi ukwelashwa okungcono kakhulu kimi?
- Ingabe ngisengozini yokusabalala komdlavuza (umdlavuza osakazeka emaphashini)?
- Kufanele ngihlolwe kangaki umdlavuza?
- Ingabe ngisengozini yokuthola ezinye izinhlobo zomdlavuza emzimbeni wami?
Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)
Uma ubona noma yiziphi izinguquko esikhumbeni sakho, kungcono ukutshela udokotela wakho. Esikhathini esiningi, lezi zinguquko azinangozi. Eqinisweni, izinto ezifana namaqhubu namaqhubu ezinkopheni zakho nazo zingabangelwa yizimo ezingezona umdlavuza.
Kodwa-ke, i-'Sebaceous Carcinoma' iyisifo esingavamile kodwa esibi kakhulu esingasakazeka ngokushesha. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungaba nomthelela omkhulu ekululameni kwakho. Ngakho-ke, ngaphandle kokungabaza, funa iseluleko sezokwelapha. Impilo yakho iyona ebalulekile!
I-Sebaceous Carcinoma, Umdlavuza Wesikhumba, Umdlavuza Wamehlo, Umdlavuza Wesikhumba, Izimpawu Zomdlavuza, Ukwelashwa Komdlavuza
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