Ngezinye izikhathi uthola amaqhubu amancane emzimbeni wakho wonke, akunjalo? Isikhathi esiningi, asiwanaki kakhulu. Sicabanga ukuthi, "Lokhu kungaba yi-cyst nje" noma "Kungaba yi-fatty tumor." Kodwa ngezinye izikhathi kuhle ukukhathazeka kancane ngezinto ezinjengalezi. Namuhla, sizokhuluma ngohlobo lwe-tumor olungavamile kakhulu, kodwa olubaluleke kakhulu okufanele siluqaphele. Sibiza lawa ngokuthi ama-Solitary Fibrous Tumors (SFTs) .
Iyini ngempela i-Solitary Fibrous Tumor (SFT)?
Kalula nje, i-SFT uhlobo lwesimila esakheka ezicutshini ezithambile zomzimba wethu. Nakuba zingakheka noma kuphi emzimbeni, zivame ukutholakala embozweni wokuvikela ozungeze amaphaphu ethu.
Kunezinhlobo ezimbili zala ma-nut e-SFT.
1. Ezinye zikhula kancane kakhulu futhi azisabalali kwezinye izindawo (ezingenawo umdlavuza - ezingenabungozi) .
2. Olunye uhlobo luwumdlavuza/oluyingozi, olukhula ngokushesha kakhulu futhi lungasakazekela kwezinye izingxenye zomzimba .
Into ebalulekile ukuthi iningi lalezi zimila ze-SFT azinawo umdlavuza . Kodwa-ke, odokotela batusa ukuthi kungcono ukususa lezi zimila, kungaba ngokuhlinzwa noma ngezinye izindlela zokwelapha.
Kwakubizwa ngokuthini lokhu ezinsukwini zakudala?
Esikhathini esidlule, odokotela babecabanga ukuthi la mathumba akhula kuphela esifubeni. Yingakho ayebizwa ngokuthi “amathumba angenamicu e-pleura.” Lapha, ‘(pleura)’ kubhekiselwa kulwelwesi oluncane oluhlanganisa ingaphakathi lodonga lwesifuba sethu futhi luvikele amaphaphu ethu. Lolu lwelwesi luphinde lukhiqize amafutha adingekayo emaphashini ethu ukuze ahambe kalula lapho siphefumula.
Kodwa manje sesiyazi ukuthi la mathumba angakhula noma kuphi emzimbeni, hhayi esifubeni kuphela, njengesibindi, ubuchopho kanye nentamo. Ngakho-ke lelo gama elidala alisasetshenziswa.
Ingabe i-SFT kanye ne-Pleural Mesothelioma ziyizinto ezimbili ezihlukene?
Yebo, lezi yizimo ezimbili ezihluke ngokuphelele.
- I-Pleural Mesothelioma: Lona umdlavuza okhula olwelwesini lwamaphaphu (i-pleura). Imbangela eyinhloko yalokhu ukuhogela i-asbestos .
- I-Solitary Fibrous Tumor (SFT): Lawa ma-SFT awahlobene ne-asbestos. Amathuba awo okuba nomdlavuza mancane. Futhi, ngokungafani ne-mesothelioma, ama-SFT angakhula noma kuphi emzimbeni. Imbangela eqondile yama-SFT ayaziwa okwamanje .
Ubani osengozini enkulu yokuthola la mathumba?
I-SFT ingakhula kunoma yimuphi ubudala, kodwa ivame kakhulu kubantu abaneminyaka ephakathi kuka-50 no-60.Phakathi kwabantu abadala, lesi simo asivamile kakhulu ezinganeni ezincane. Eqinisweni, ngaphansi kuka-2% wezimila ezithambile ezibikiwe ziyi-SFTs.
Yini ebangela i-SFT?
Imbangela eqondile yalokhu ayaziwa okwamanje, kodwa abacwaningi bakholelwa ukuthi izakhi zofuzo zethu ezimbili , i-NAB2 kanye ne-STAT6, ziyahlangana. Umbono wamanje uwukuthi lesi sakhi sofuzo esishintshiwe singase sandise ingozi yokuthuthukisa i-SFT.
Yiziphi izimpawu ezibangelwa yi-SFT?
Lezi zimila ze-SFT zivame ukukhula kancane kakhulu. Ngakho-ke cishe ingxenye yabantu abane-SFT abanazo izimpawu . Izimpawu ziqala ukuvela kuphela ngemva kokuba isimila sesikhule ngokwanele ukuba sicindezele izitho eziseduze, amathambo, noma ezinye izicubu.
Izimpawu ziyahlukahluka kuye ngokuthi isimila sitholakala kuphi. Ake sibone ukuthi lokho kusebenza kanjani.
| Indawo yesimila kanye nezimpawu ezingaba khona | |
|---|---|
| Esifubeni (amaphaphu, i-pleura) |
|
| Endaweni yesokhethi leso |
|
| Ngokuphathelene nekhala kanye nemigodi ye-sinus |
|
| Okuhlobene nobuchopho |
|
| Okuhlobene nentambo yomgogodla |
|
| Okuhlobene nesibindi |
|
| Okuhlobene ne-thyroid |
|
Udokotela uthola kanjani ukuthi lokhu kuyi-SFT?
Ukuhlolwa kuyahlukahluka kuye ngezimpawu zakho kanye nendawo okusolwa ukuthi ikhona isimila. Ukuhlolwa okuyinhloko yile:
- Ukuhlolwa Kwamehlo: Uma unezinkinga zokubona, ukuhlolwa okukhethekile njenge-Optical Coherence Tomography (OCT) kungasiza ekutholeni imbangela yezinkinga zamehlo akho.
- Ukuskena Kwezithombe: Kungenziwa i-X-ray, i-CT scan, i-MRI scan, i-Ultrasound scan , noma i-PET scan ukuze kubonakale kahle ukuthi isimila sikuphi kanye nosayizi waso.
- I-Biopsy: Lolu vivinyo olubaluleke kakhulu nolucacile . Kuthathwa ingxenye encane kakhulu yezicubu esigaxeni bese ihlolwa ngaphansi kwe-microscope. Lokhu kungaqinisekisa ngokuphelele ukuthi isigaxa sinomdlavuza noma cha.
Ukuhlukaniswa kwe-World Health Organization (WHO)
I-World Health Organization (WHO) ihlukanise izimila ze-SFT ngamagremu ngokusekelwe ebunzimeni bazo. Leli gremu libhekisela ekutheni isimila singakhula ngokushesha kangakanani, ngokusekelwe endleleni amangqamuzana abukeka ngayo ngaphansi kwe-microscope. Lokhu kuhlukile ezigabeni zomdlavuza.
- Ibanga I (Ibanga Eliphansi): Lezi yizinhlobo ezingenamandla kakhulu. Amaseli afana kakhulu namaseli avamile. Akhula kancane kakhulu. Angase angabingeli zimpawu.
- Ibanga II (Ibanga Eliphakathi): Amaseli akuleli banga abukeka engajwayelekile kancane kunalawo aseBangeni I. Ngakho-ke, izinga lokukhula liphezulu kancane. Amathuba okuba nomdlavuza nawo aphezulu.
- Ibanga lesi-3 (Eliphezulu): Lawa aqukethe amangqamuzana angajwayelekile kakhulu. Lawa mathumba anolaka, akhula ngokushesha, futhi anamathuba amaningi okubuya ngemva kokwelashwa, abe umdlavuza, futhi asakazekele kwezinye izingxenye zomzimba.
Yiziphi izindlela zokwelapha ze-SFT?
Ukwelashwa okuyinhloko nokungcono kakhulu kwesimila se-SFT ukuhlinzwa . Udokotela uzozama ukususa sonke isimila ngokuhlinzwa.
Kwezinye izimo, ukuhlinzwa kungase kungenzeki kuye ngokuthi isimila sikuphi. Ezimweni ezinjalo, ukwelashwa ngemisebe kunikezwa ukuze kuncishiswe isimila futhi kusibhubhise. Ngezinye izikhathi, ukwelashwa ngemisebe kunikezwa nangaphambi kokuhlinzwa ukuze kuchotshozwe isimila futhi kube lula ukusisusa.
Yiziphi izinkinga ezingaba khona ze-SFT?
Ukwesaba okukhulu kumuntu one-SFT ukuthi ngabe izokuba nomdlavuza noma isakazekele kwezinye izindawo (umdlavuza osakazeka kabanzi). Le ngozi ingancishiswa kakhulu ngokuhlinzwa ukuze kususwe isimila.
Noma kunjalo, ngisho nangemva kokwelashwa, ngezinye izikhathi isimila se-SFT singaphinde sivele . Lolu hlobo lwesimila lunethuba elikhulu lokuba nomdlavuza.
Ezinye izinkinga zingase zivele kuye ngokuthi isimila sitholakala kuphi.
- Ukukhubazeka kwezingxenye zomzimba
- Ukuphuma koketshezi (ukuqongelela koketshezi phakathi kwezingqimba zamaphaphu)
- Ukulimala kwemizwa ethwala imiyalezo esuka emehlweni iya ebuchosheni (i-Optic atrophy)
Umbono kanye nokuthi kufanele ubonane nini nodokotela?
Abantu abaningi bayalulama ngokuphelele ngemva kokuhlinzwa ukuze kususwe isimila. Kodwa-ke, njengoba sishilo ekuqaleni, akuvamile ukuthi isimila sibuye sibe umdlavuza. Ngakho-ke, udokotela wakho uzokwenza ukuhlolwa okuvamile ukuhlola ukuthi ngabe siphinde sibuye yini.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, qiniseka ukuthi ubona udokotela:
- Ubuhlungu besifuba
- Ubunzima bokuphefumula
- Ukukhathala ngokweqile ngaphandle kwesizathu
- Izinkinga zokubona
Uma ubona udokotela wakho, ungakhohlwa ukubuza le mibuzo:
- Ikuphi ithumba?
- Ingabe lokhu kungasuswa ngokuhlinzwa?
- Yiziphi izimpawu zokuthi isimila singase siphinde sivele?
- Kufanele ngithole iskeni kangaki?
- Yiziphi ezinye izinkinga okufanele ngikhathazeke ngazo?
Kuvamile ukuzizwa wesaba uma uthola ukuthi unesimila. Kodwa khumbula, nakuba i-SFT iyisimo esingavamile, singelapheka ngokuphelele ngokwelashwa okufanele. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha okukhulu, kungakhathaliseki ukuthi izimpawu ziyini.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Solitary Fibrous Tumors (ama-SFT) uhlobo olungavamile lwesimila olwakheka ezicutshini ezithambile zomzimba.
- Iningi lalezi azinawo umdlavuza (ongemuhle), kodwa ezinye zingaba umdlavuza (eziyingozi).
- Esikhathini esiningi, azikho izimpawu ezigabeni zokuqala. Izimpawu ezivelayo zincike endaweni lapho kukhona khona isimila.
- Ukwelashwa okuyinhloko ukususa ngokuphelele isimila ngokuhlinzwa.
- Njengoba kunengozi encane yokuthi isimila sibuye ngisho nangemva kokwelashwa, kubaluleke kakhulu ukuthi uhlolwe njalo njengoba kuceliwe udokotela wakho.
- Uma uneqhubu elingavamile, ubuhlungu, noma olunye uphawu emzimbeni wakho, ungalushayi indiva bese ubona udokotela ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho