Wake waphawula into engavamile noma enamaqhubu endaweni ethile emzimbeni wakho? Kuvamile ukuzizwa wesaba noma ukhathazekile uma lokho kwenzeka. Namuhla sizokhuluma ngeqhubu elingavamile, kodwa elingavamile kakhulu. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-Solitary Fibrous Tumor (SFT) . Nakuba igama lingase lizwakale liyinkimbinkimbi, masiligcine lilula futhi licacile.
Kalula nje, iyini i-Solitary Fibrous Tumor (SFT)?
Lokhu kubhekisela esimila esiqala ezicutshini ezithambile zomzimba wethu. Cabanga ngezinto ezifana nemisipha, izicubu ezinamafutha, kanye nemizwa emzimbeni wethu. Lezi zibizwa ngokuthi izicubu ezithambile. Ngakho-ke, lezi zimila ze-SFT zingakhula noma kuphi emzimbeni. Kodwa-ke, zivame ukubonakala embozweni wokuvikela ozungeze amaphaphu (i-pleura) .
Uhlobo lwalezi zigaxa lungaba ngezinhlobo ezimbili:
- Ezinye zikhula kancane kakhulu futhi azisabalali kwezinye izingxenye zomzimba (ezingenawo umdlavuza - ezingenabungozi) .
- Ezinye zikhula ngokushesha futhi zingasakazekela kwezinye izindawo (ezinomdlavuza) .
Nakuba lezi zivame ukuba yizigaxa ezingezona umdlavuza, odokotela bavame ukuncoma ukususa isigaxa ngokuphelele, kungaba ngokuhlinzwa noma olunye ukwelashwa, ukuze kuvinjelwe ukuthi singabangeli izinkinga esikhathini esizayo.
Ingabe akhona amanye amagama ala maqhubu?
Yebo, esikhathini esidlule, kwakunegama elihlukile lalokhu. Ngaleso sikhathi, odokotela babecabanga ukuthi la mathumba akheka kuphela ngaphakathi kwesifuba, okungukuthi, elweleni elizungeze amaphaphu. Sibiza lolu lwelwelwesi ngokuthi i-pleura . Yilokhu okusiza amaphaphu ukuthi asebenze kahle ngaphakathi kwesifuba lapho siphefumula. Ngakho-ke, ngaleso sikhathi, la mathumba ayebizwa ngokuthi "amathumba angenamicu e-pleura."
Kodwa-ke, ucwaningo lwakamuva luthole ukuthi la mathumba angakheka noma kuphi emzimbeni, hhayi emaphashini kuphela, njengesibindi, ubuchopho, intamo, kanye nekhanda. Ngakho-ke lelo gama elidala nelide alisasetshenziswa.
Okubalulekile, la maqhuqhuva e-SFT awabangelwa ukuchayeka ku-asbestos nganoma iyiphi indlela. Abangelwa isifo esihlukile, i-`Pleural Mesothelioma`.
Uyini umehluko phakathi kwe-SFT ne-Pleural Mesothelioma?
Abanye abantu bangase badideke ngoba kokubili kungenzeka emaphashini. Kodwa-ke, lokhu okubili kuhluke ngokuphelele. Ake siqonde lo mehluko ngokucacile ngosizo lwetafula.
| Isici | Isimila Esinemicu Esisodwa (SFT) | I-Pleural Mesothelioma |
|---|---|---|
| Isizathu esiyinhloko | Akukho mbangela ethile etholakele. | Ukuchayeka ku-asbestos. |
| Imvelo enomdlavuza | Ngokuvamile akuyona umdlavuza (engeyinhle), kodwa kukhona ithuba lokuba umdlavuza. | Kuhlala kuyisimo somdlavuza. |
| Izindawo lapho kwenzeka khona | Kungavela noma kuphi emzimbeni, kodwa kuvame kakhulu olwelwesini lwamaphaphu. | Ngokuvamile kwenzeka olwelwesini lwamaphaphu (i-pleura) kanye nolwelwesi lwesisu. |
Ubani osengozini enkulu yokuthola la maqhubu?
Nakuba la maqhubu angavela kunoma yimuphi ubudala, avame ukubonakala kubantu abaneminyaka ephakathi kuka-50 no-60. Lesi simo asivamile kakhulu ezinganeni ezincane.
Lokhu akuvamile kangangokuthi lolu hlobo lwe-SFT lubonakala ngaphansi kwezimbili kwezingu-100 zezimila ezithambile zezicubu.
Izingxenye zomzimba lapho kungenzeka khona amaqhubu e-SFT
- Ezicutshini ezixhumeneyo ezizungeze ubuchopho nomgogodla
- Esibindini
- Amaphaphu kanye ne-pleura
- Emigodini engaphakathi kwekhala (ama-Paranasal sinuses)
- Ezicutshini ezithambile ngaphakathi kwe-socket yamathambo (i-orbit) lapho amehlo atholakala khona
- Endlaleni ye-thyroid
Kungani kwakheka la maqhubu? Iyini imbangela?
Eqinisweni, odokotela abakayitholi imbangela eqondile yalokhu. Kodwa-ke, ucwaningo lwamuva nje lusinike izinkomba ezithile. Yilezi zakhi zofuzo ezimbili emzimbeni wethu, okungukuthi `NAB2` kanye `STAT6`Lezi zimila zingase zibangelwe inhlanganisela engahleliwe yezakhi zofuzo ezimbili (ukuhlanganiswa kwezakhi zofuzo). Lolu shintsho lwezakhi zofuzo lungabangela ukuba amangqamuzana aqale ukukhula ngendlela engalawuleki.
Ziyini izimpawu ze-SFT?
Lezi zimila zivame ukukhula kancane kakhulu . Ngenxa yalokho, cishe ingxenye yabantu abane-SFT ababi nazo izimpawu . Izimpawu zivame ukuqala lapho isimila sikhula ngokwanele ukuba sicindezele izitho eziseduze, amathambo, noma ezinye izicubu. Ngakho-ke, izimpawu zincike ekutheni isimila sitholakala kuphi.
Ake sibone ukuthi lezi zigaxa zikhombisa izimpawu zini uma zivela ezingxenyeni ezahlukene zomzimba.
| Indawo yeqhubu | Izimpawu ezingaba khona |
|---|---|
| Umgodi wesifuba (amaphaphu, i-pleura) |
|
| I-Orbit | |
| Ubuchopho | |
| Umhlonzo | |
| Isibindi |
Udokotela usithola kanjani lesi sifo?
Kuye ngezimpawu zakho kanye nendawo okusolwa ukuthi iqhubu likhona, udokotela wakho uzokudlulisela ezivivinyweni ezahlukene.
- Ukuhlolwa kwezokwelapha: Into yokuqala okufanele uyenze ukulalela ngokucophelela izimpawu zakho bese wenza ukuhlolwa ngokomzimba.
- Ama-Impression Scan: Lokhu kusiza ukubona indawo, usayizi, kanye nohlobo lweqhubu. Lokhu kungafaka phakathi ama-X-ray, ama-CT scan, ama-MRI scan, ama-ultrasound scan , kanye nama-PET scan .
- Ukuhlolwa kwamehlo: Uma iqhubu liseduze neso, kwenziwa ukuhlolwa kwamehlo okukhethekile (i-Optical Coherence Tomography - OCT) ukuze kutholakale izinkinga zokubona eziqondile.
- I-Biopsy: Lolu vivinyo olubaluleke kakhulu . Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu eqhubu bese uyihlola ngaphansi kwe-microscope. Lokhu kuzokutshela ngokuqiniseka okungu-100% ukuthi hlobo luni lweqhubu nokuthi lunomdlavuza noma cha.
Ukuhlukaniswa kobukhali bamaqhubu e-SFT
I-World Health Organization (WHO) ihlukanise lezi zimila ze-SFT zibe ngamabanga amaningana ngokusekelwe ebunzimeni bazo kanye nesivinini sokukhula kwazo. Lokhu kubizwa ngokuthi ukuhlungwa.
- Ibanga I (Ibanga Eliphansi): Lezi yizinhlobo ezingenamandla kakhulu. Amaseli azo ngokuvamile angamaseli avamile. Akhula kancane kakhulu.
- Ibanga II (Ibanga Eliphakathi): Lawa maseli abukeka engajwayelekile kancane. Angase akhule ngokushesha kunebanga I. Anamathuba amancane okuba nomdlavuza.
- Ibanga lesi-3 (Ibanga eliphezulu): Lezi yizinhlobo ezinolaka kakhulu. Amaseli awavamile kakhulu. Akhula ngokushesha. Anengozi enkulu yokubuya, abe ngumdlavuza, futhi asakazekele kwezinye izingxenye zomzimba.
Yiziphi izindlela zokwelapha?
Ukwelashwa okuyinhloko nokungcono kakhulu kweqhubu le-SFT ukulisusa ngokuphelele ngokuhlinzwa .
Kwezinye izimo, ukuhlinzwa kungaba nzima kuye ngokuthi iqhubu likuphi. Noma iqhubu lingaba likhulu ngobukhulu. Ezimweni ezinjalo,
- Ukwelashwa ngemisebe:Ukwelashwa ngemisebe kunikezwa ukubhubhisa noma ukunciphisa isimila. Ngezinye izikhathi, lokhu kwelashwa kunikezwa nangaphambi kokuhlinzwa ukuze kuncishiswe isimila ukuze sikwazi ukususwa kalula.
Yiziphi izinkinga ezingabangelwa yilokhu?
Ukwesaba okukhulu uma uthola ukuthi uneqhubu ukuthi lizoba umdlavuza noma lizosakazekela kwezinye izindawo (umdlavuza osakazeka emaphashini). Uma uhlinzwa ukuze ulisuse, leyo ngozi iyancipha kakhulu.
Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi ngisho noma welashwa, la maqhubu angaphinde avele ngezinye izikhathi. Iqhubu eliphinde livele linamathuba amaningi okuba umdlavuza.
Ngaphandle kwalokho, kungase kube nezinye izinkinga kuye ngokuthi iqhubu likuphi.
- Ukukhubazeka: Uma kukhona isimila esizungeze umgogodla.
- Ukuphuma kwegazi emithanjeni: ukunqwabelana koketshezi ngaphakathi kolwelo lwamaphaphu.
- I-Optic atrophy: Ukulimala kwemizwa ethwala imiyalezo esuka esweni iye ebuchosheni.
Linjani izinga lokululama ngemva kokwelashwa?
Abantu abaningi balulama kahle kakhulu ngemva kokususwa kweqhubu ngokuhlinzwa. Kodwa-ke, njengoba sishilo ekuqaleni, akuvamile ukuthi iqhubu libuye, ngakho udokotela wakho uzoqhubeka nokukuqapha. Lokhu kusho ukwenza izinto ezifana nokuskena ngezikhathi ezithile ukuhlola iqhubu elibuyayo. Lokhu kuyinto ebaluleke kakhulu okufanele uyenze ukuze uvikele impilo yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Solitary Fibrous Tumor (SFT) uhlobo olungavamile lwesimila esakheka ezicutshini ezithambile.
- Lezi zingaba umdlavuza noma zingabi umdlavuza. Esikhathini esiningi, lezi akuzona izimo zomdlavuza.
- Iningi labantu alibi nezimpawu. Uma kuvela izimpawu, ziyahlukahluka kuye ngokuthi iqhubu likuphi.
- Ukwelashwa okuyinhloko ukususa ngokuphelele isimila ngokuhlinzwa.
- Ngisho nangemva kokwelashwa, kunengozi encane yokuthi iqhubu libuye, ngakho-ke kubaluleke kakhulu ukuhlala uthintana nodokotela wakho futhi uhlolwe njalo.
- Uma uhlangabezana nanoma yiziphi izigaxa ezingavamile, ubuhlungu, noma ezinye izimpawu emzimbeni wakho, ungesabi futhi ngokushesha thintana nodokotela ukuze uthole iseluleko.
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