Ngezinye izikhathi, lapho sigeza noma sishintsha izingubo, singase sithole okuthile emzimbeni wethu esasingenakho ngaphambili, njengeqhubu. Kuvamile ukuzizwa wesaba kancane uma lokho kwenzeka. Nakuba kungewona wonke amaqhubu ayingozi, amanye awo kufanele anakekelwe. Namuhla, sizokhuluma nge-'Soft Tissue Sarcoma', umdlavuza ongavamile okufanele unakekelwe. Ungesabi uma uzwa leli gama, ake sichaze konke ngalo kalula.

Kalula nje, iyini i-Soft Tissue Sarcoma?

Igama elithi 'Soft Tissue Sarcoma' livame ukusetshenziswa ezimila ezitholakala ezicutshini zomzimba wethu. Lolu uhlobo lomdlavuza olungavamile. Manje ungase uzibuze ukuthi luyini uluthi oluthambile. Lulula kakhulu. Luyiluthi oluthambile oluzungeza futhi lusekele amathambo nezitho zomzimba wethu.

Cabanga ngalokhu: Uma umzimba wethu uyindlu, amathambo awuhlaka lwaleyo ndlu. Izicubu ezithambile ziyizindonga, izintambo, namapayipi azungeze lolohlaka. Isibonelo:

• Imisipha
• Amafutha omzimba
• Imithambo yegazi
• Imithambo ye-lymphatic
• Imizwa
• Ama-Tendon
• Ama-Ligaments

Njengoba izicubu ezithambile zitholakala yonke indawo emzimbeni, i-'Soft Tissue Sarcoma' ingakhula noma kuphi emzimbeni. Kodwa-ke, ivame ukubonakala ezindaweni ezifana nezingalo, imilenze, isifuba kanye nengemuva lesisu . Ngokuvamile kuvame kakhulu kubantu abadala kunasezinganeni.

Yiziphi izinhlobo eziyinhloko ze-soft tissue sarcoma?

Kunezinhlobo ezingaphezu kuka-70 zalezi zinhlungu zomdlavuza. Ezinye zazo zinezinhlobo ezincane. Akudingeki wazi ngazo zonke, kodwa ake sibheke ezimbalwa zezinhlobo eziyinhloko ukuze sikunike umbono.

Ziyini izimpawu zalesi simo?

Lena yingxenye ebaluleke kakhulu. Esikhathini esiningi, la mathumba akhula kancane kakhulu. Ngakho-ke ungase ungaboni zimpawu izinyanga, ngisho neminyaka. Kodwa-ke, kubaluleke kakhulu ukuthi uqaphele lezi zimpawu:

• Iqhubu elisha livela noma kuphi emzimbeni noma iqhubu elikhona likhula ngokushesha.
• Iqhubu lingase libe buhlungu (lingase lingabi buhlungu ekuqaleni, kodwa bese liba buhlungu).
• Uma ubuhlungu besisu bukhula kancane kancane.
• Indle emnyama noma igazi esitulweni.
• Isicanucanu nokuhlanza .
• Ukwehlisa isisindo okungachazeki .

Kungani lezi zinhlobo zomdlavuza zikhula? Yiziphi izici eziyingozi?

Imbangela eqondile yalesi simo ayaziwa okwamanje. Kodwa-ke, kutholakale ukuthi singabangelwa izinguquko ezithile zofuzo. Futhi, kunezici eziningana ezandisa ingozi yokuthola lesi simo kwabanye abantu.

Ezinye izifo ezizuzwa njengefa

Lezi yizimo ezingavamile kakhulu. Kubalulekile ukwazisa udokotela wakho uma kukhona emndenini wakho onalezi zimo.

• I-Li Fraumeni syndrome
• I-Neurofibromatosis uhlobo 1 (isifo se-von Recklinghausen)
• Isifo sikaGardner
• I-retinoblastoma yefa

Ezinye izinto eziyingozi

• Ukuba nokwelashwa ngemisebe komunye umdlavuza: Kunengozi encane kakhulu yokuba ne-sarcoma endaweni yokwelashwa kwangaphambilini.
• I-Lymphedema: Isimo lapho ukuvuvukala ezingalweni noma emilenzeni kwenzeka khona isikhathi eside ngenxa yokuvaleka kwemithambo ye-lymphatic.
• Ukuchayeka kumakhemikhali athile: Isibonelo, izinto ezifana ne-vinyl chloride kanye ne-arsenic.

Odokotela basithola kanjani lesi sifo ngokunembile?

Uma uya kudokotela onesimila, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho uzohlola isimila. Angase acele ukuhlolwa okuningana ukuqinisekisa ukuthi unesifo.

1. Ukuhlolwa Kwezithombe (ukuskena): Lokhu kusiza ukubona usayizi, indawo, kanye nohlobo lweqhubu.

• I-X-ray
• Ukuskena kwe-CT
• Ukuskena kwe-MRI
• Ukuskena kwe-PET

2. I-Biopsy: Lena yindlela kuphela yokuqinisekisa lesi sifo isikhathi esingu-100%. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu esigaxeni bese uyihlola ngaphansi kwe-microscope. Lokhu kuhlola kuvumela odokotela ukuthola ukuthi hlobo luni lwe-sarcoma, ukuthi isakazeke kangakanani ( isigaba ), nokuthi kungenzeka ikhule/isakazeke ngokushesha kangakanani ( ibanga ). Lolu lwazi lubalulekile ekuhleleni ukwelashwa.

Yiziphi izindlela zokwelapha?

Ukwelashwa okuyinhloko nokusetshenziswa kakhulu kwalokhu ukuhlinzwa ukuze kususwe ngokuphelele isimila somdlavuza. Kodwa-ke, kuye ngohlobo, ubukhulu, kanye nokusabalala kwesimila, ezinye izindlela zokwelapha zinganikezwa ngaphezu kokuhlinzwa noma ngaphambi/ngemva kokuhlinzwa.

• Ukwelashwa ngemisebe: Lokhu kwelashwa kunikezwa ukunciphisa isimila ngaphambi kokuhlinzwa noma ukubhubhisa noma yimaphi amangqamuzana omdlavuza angase asale ngemva kokuhlinzwa.
• Ukwelashwa ngamakhemikhali: Imithi enikezwa ukubulala amangqamuzana omdlavuza. Le mithi inikezwa njengamaphilisi noma imijovo.
• Ukwelashwa okuqondiwe: Imithi eqondisa ama-molecule athile athinta ukukhula kwamaseli omdlavuza.
• Ukwelashwa nge-Immunotherapy: Indlela yokwelapha evuselela amasosha omzimba wethu ukuze alwe namaseli omdlavuza.

Udokotela wakho uzochaza ukuthi yikuphi ukwelashwa okufanelekela kangcono isimo sakho.

Yiziphi izinto okufanele ngiziqaphele ngemva kokuhlinzwa?

Uma ufika ekhaya ngemva kokuhlinzwa, kufanele uqaphele ngenkathi inxeba liphola. Uma unezinye zalezi zimpawu, shayela udokotela wakho noma isibhedlela ngokushesha.

• Umkhuhlane (uma ungaphezu kwama-degrees Celsius angu-38.4).
• Ubuhlungu obukhulu lapho uthinta inxeba lokuhlinzwa noma indawo ezungezile.
• Kuphuma uketshezi olujiyile, olumhlophe/olunobuthi olufana nobovu esilondeni.
• Uma izithungo zivuleka noma isikhala sikhula .
• Ukubomvu okungajwayelekile noma ukushintsha kombala kwesikhumba esizungeze isilonda.

Futhi, yazisa ithimba lakho lezokwelapha uma imiphumela emibi yokwelashwa kwakho imibi kakhulu kunalokho obekulindelekile. Ngezinye izikhathi bangase bakuthumele ekunakekelweni kokwelapha okudambisa ubuhlungu, ithimba labantu abaqeqeshwe ngokukhethekile abangakusiza ukuphatha ubuhlungu nokungakhululeki okubangelwa ukwelashwa kwakho.

Kwenzekani ngemva kokwelashwa? Kungenzeka yini ukuthi ululame ngokuphelele?

Le nkinga ingenzeka kunoma ubani. Uma umdlavuza utholakala kusenesikhathi, ngaphambi kokuba usabalale, futhi ususwe ngokuphelele ngokuhlinzwa, lesi sifo singelapheka ngokuphelele.

Nokho, ngezinye izikhathi lezi zinhlanza zingabuya. Yingakho kubaluleke kakhulu ukuqhubeka nokuhlolwa okulandelayo njengoba udokotela wakho encoma, ngisho nangemva kokwelashwa. Ngokuvamile, ungenza ukuhlolwa okuvamile eminyakeni yokuqala engu-2-3.

Uma unesifo esingavamile njengalesi, kuvamile ukuzizwa unesizungu. Kodwa udokotela wakho kanye nethimba lezokwelapha bakhona ukuze bakusekele. Khuluma nabo ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho. Lapho wazi okwengeziwe ngesifo sakho kanye nokwelashwa, kulapho uzoqiniseka khona ohambweni lwakho.