Ingabe unezinhlungu ezingapheli emhlane? Funda ngamathumba omgogodla!

Ngezinye izikhathi uthola nobuhlungu emhlane, akunjalo? Mhlawumbe kuyinto evamile, kungaba yinto evela ekucindezelekeni okuncane noma ukuma kabi. Kodwa-ke, kunezinye izinhlungu emhlane eziba zimbi kakhulu, zibe zimbi kakhulu kangangokuthi awukwazi ngisho nokulala ebusuku, futhi zingabi ngcono ngisho nangemithi. Ngezikhathi ezinjengalezi, kudingeka siqaphele kakhudlwana. Ngoba, kungaba futhi uphawu lwesimila esikhula emgogodleni.

Iyini isimila somgogodla?

Kalula nje, isimila somgogodla siyisigaxa noma inqwaba yamaseli angajwayelekile akhula ngaphakathi komgogodla wakho, ezicutshini eziwuzungezile, noma ekholomu yakho yomgogodla .

Cabanga ngakho, umgogodla wakho, noma lokho esikubiza ngokuthi 'ithambo lakho lomgogodla,' kufana nekholomu ende, eguquguqukayo yethambo evikela umgogodla wakho. Iqala phansi kwekhanda lakho futhi yelulele phansi kuze kufike ethanjeni lakho lomsila. Umgogodla wakho uyisakhiwo esiyisilinda. Igijima phakathi komgogodla wakho, kusukela engxenyeni engezansi yobuchopho bakho (isiqu sobuchopho) kuya engxenyeni engezansi yomhlane wakho. Yilapho kutholakala khona imicu yezinzwa namaseli. Yilokhu okuthwala imiyalezo esuka ebuchosheni bakho iye kuwo wonke umzimba wakho futhi ibuyele ebuchosheni bakho.

Manje, kunezindawo eziningana lapho lezi zimila zomgogodla zingatholakala khona:

• Ngaphakathi kwentambo yakho yomgogodla (intramedullary).
• Ezicutshini ezimboza umgogodla wakho (meninges) (intradural-extramedullary).
• Lesi sikhumba esimbozayo siphakathi kwamathambo omgogodla (i-vertebrae) (ngaphandle kwe-dural).
• Emathanjeni (ama-vertebrae) omgogodla.

Lezi zimila zingaba ezingezona ezomdlavuza (ezingembi) noma ezibangela umdlavuza (eziyingozi) . Kodwa-ke, uma lesi simila siqhubeka nokukhula, singalimaza izicubu ezahlukahlukene emgogodleni wakho.

Amathumba aqala ukuvela emgogodleni noma emgogodleni abizwa ngokuthi amathumba omgogodla ayinhloko . Ngezinye izikhathi, umdlavuza ovela kwenye indawo emzimbeni ungasakazekela emgogodleni. Lawa abizwa ngokuthi amathumba omgogodla asakazeka kalula noma amathumba omgogodla wesibili . Eqinisweni, lawa mathumba esibili avame kakhulu kunemathumba ayinhloko.

Izimila zomgogodla zihlukaniswa kanjani?

Odokotela bahlukanisa lezi zimila zomgogodla zibe izinhlobo eziningana, kuye ngezici eziningana:

• Lapho isimila sitholakala khona emgogodleni: entanyeni (esibelethweni), emhlane ongaphezulu nophakathi (esifubeni), emhlane ongezansi (esinqeni), noma endaweni ephansi kakhulu yomgogodla (esinqeni).
• Lapho isimila sitholakala khona ngaphakathi kwentambo yomgogodla: Okusho ukuthi, ngaphakathi kwendwangu emboze intambo yomgogodla (i-dura), kodwa ngaphandle kwentambo yomgogodla (intradural-extramedullary), ngaphakathi kwentambo yomgogodla (intramedullary), noma ngaphandle kwalesi simbozo, phakathi kwamathambo (extradural).
• Kungakhathaliseki ukuthi isimila saqala ukwakheka emgogodleni, noma ukuthi umdlavuza usakazeke kwenye indawo: okungukuthi, kungakhathaliseki ukuthi ungowokuqala noma owesibili.
• Kungakhathaliseki ukuthi isimila sinomdlavuza noma cha: okungukuthi, kungakhathaliseki ukuthi ``sibi`` noma ``siyingozi``.

Izindawo ezahlukene zomgogodla

Ake sibone ukuthi lezi zindawo zomgogodla ziyini:

• Umlomo wesibeletho: Yilapho intamo yakho ikhona khona.
• Isifuba: Kusukela phezulu komhlane wakho kuya phakathi.
• Isifunda se-Lumbar: Ingxenye engezansi yomhlane.
• I-Sacrum: Iphuzu eliphansi kakhulu lomgogodla.

Nakuba isimila somgogodla singakhula noma kuphi emgogodleni, sivame ukubonakala ezindaweni zesifuba kanye ne-lumbar .

Izindawo zezimila ngaphakathi komgogodla

Odokotela bachaza nezimila ngokusekelwe lapho zakheka khona emgogodleni:

• Isimila sangaphakathi kwesisu nangaphandle kwesisu: Lolu hlobo lwesimila lutholakala ngaphakathi kwesembozo esincane (i-dura) esizungeze intambo yomgogodla, kodwa ngaphandle kwentambo yomgogodla. Cishe ama-40% ezimila zomgogodla angalolu hlobo.
• Isimila sangaphakathi kwe-medullary: Lezi zimila zikhula ngaphakathi komgogodla. Cishe u-5% wezimila ungowalolu hlobo.
• Isimila esingaphandle kwesikhumba: Lezi zimila zitholakala ngaphandle kwesimbozo (`(dura)`) esizungeze intambo yomgogodla. Okusho ukuthi, eduze kwamathambo (`(vertebrae)`) akha umgogodla. Cishe ama-55% ezimila akhula ngale ndlela.

Ezinye izinhlobo ezithile zezimila zomgogodla

Umgogodla wakho uyisakhiwo esiyinkimbinkimbi esakhiwe izinhlobo eziningi ezahlukene zamaseli nezicubu. Ngakho-ke, kunezinhlobo eziningi zamathumba angakhula emgogodleni. Ake sibheke ezimbalwa zazo:

• I-Astrocytoma: Lesi isimila esikhula emaseli asekelayo ngaphakathi komgogodla. Kunezinhlobo ezimbili ezingengozi (ezingezona umdlavuza) kanye nezimbi (ezinomdlavuza).
• I-Chordoma: Lezi yizimila ezingavamile, ezinomdlavuza ezakheka emgogodleni nasekhanda. Zivame ukutholakala phansi komgogodla (sacrum) kanye nethambo lomsila (coccyx).
• I-Ependymoma: Lesi isimila esakheka emaseli agudla imigudu lapho uketshezi lwe-cerebrospinal lugeleza khona ebuchosheni nasemgogodleni.
• I-Glioblastoma: Lesi isimila esinolaka kakhulu, esinomdlavuza. Sivela kumaseli abizwa ngokuthi "ama-astrocyte" asekela amaseli ezinzwa emgogodleni nasebuchosheni.
• I-Hemangioblastoma: Lesi isimila esivela emithanjeni yegazi exhumanisa nohlelo lwakho lwezinzwa oluphakathi (`(uhlelo lwezinzwa oluphakathi)`). Okusho ukuthi, imithambo yegazi ebuchosheni nasemgogodleni.
• I-Meningioma: Lesi isimila esikhula esicutshini esimboza umgogodla kanye nobuchopho ("ama-meninge"). Esikhathini esiningi asisona isifo somdlavuza ("esibi"), kodwa ngezinye izikhathi singaba sikhulu ngokwanele ukuba sibe yingozi empilweni.
• I-Neurofibroma: Lesi isimila esingesona umdlavuza (esingesihle) esikhula emithanjeni yomzimba. Singakhula nasemithanjeni yomgogodla. Lokhu kuvame ukuhlotshaniswa nezimo zofuzo.
• I-Osteosarcoma: Lolu uhlobo lomdlavuza wamathambo. Nakuba lungaqala emgogodleni, luvame ukubonakala emathanjeni esinqeni nasemadolweni.
• I-Schwannoma: Lesi isimila esikhula emaseli azungeze imicu yomgogodla, uhlelo lwezinzwa oluseceleni, kanye nemizwa ye-cranial. Lezi zivame ukungabi nomdlavuza ('ezingenabungozi') futhi azivami ukuba nomdlavuza.
• I-hemangioma yomgogodla: Lesi isimila esivela ezicutshini zemithambo yegazi ngaphakathi komgogodla. Lezi uhlobo oluvame kakhulu lwesimila somgogodla esiyinhloko. Esikhathini esiningi, asisona umdlavuza ('sibi').

Yiziphi izinhlobo zomdlavuza ezingasakazekela emgogodleni?

Nazi ezinye izinhlobo ezivamile zomdlavuza ezingaqala kwenye indawo emzimbeni bese zisakazeka (zisakazeke) emgogodleni:

• Umdlavuza wamaphaphu: Uma umdlavuza usakazekela emuva kwabesilisa, ngokuvamile umdlavuza wamaphaphu.
• Umdlavuza webele: Uma umdlavuza usakazekela emgogodleni kwabesifazane, umdlavuza webele uvame kakhulu.
• Umdlavuza we-prostate.
• I-leukemia (umdlavuza wegazi).
• I-Lymphoma (umdlavuza wesistimu ye-lymphatic).
• I-multiple myeloma (umdlavuza wohlobo lweseli elimhlophe legazi).
• I-Melanoma (umdlavuza wesikhumba).
• I-Sarcoma (umdlavuza wezicubu ezixhumeneyo).
• Umdlavuza wezinso.
• Umdlavuza we-thyroid.
• Umdlavuza womgudu wakho wokugaya ukudla.

Lezi zinhlobo zomdlavuza zivame ukusabalala emathanjeni omgogodla.

Ubani othola izimila zomgogodla?

Noma ubani angaba nesimila somgogodla. Kodwa-ke, abantu abanomdlavuza, ikakhulukazi umdlavuza wamaphaphu, webele, kanye nowendlala yesinye, banamathuba amaningi okuba naso. Lawa yilawo esiwabiza ngokuthi izimila zomgogodla zesibili noma ezisakazeke kakhulu.

Izimila zomgogodla eziyinhloko (lezo ezakheka kuqala emgogodleni) azivamile kakhulu. Kodwa-ke, cishe zikhula kubantu abadala abaneminyaka ephakathi kuka-65 no-74 kanye nezingane ezineminyaka ephakathi kuka-10 no-16.

Zivame kangakanani izimila zomgogodla?

Izimila zomgogodla zesibili (ezisakazeka kalula) zivame kakhulu . Zibalelwa ku-97% wazo zonke izimila zomgogodla. Ucwaningo lubonise ukuthi phakathi kuka-30% no-70% wabantu abanomdlavuza bazosabalala umdlavuza wabo uye emgogodleni.

Izimila zomgogodla eziyinhloko (lezo eziqala emgogodleni) azivamile. Izimila zomgogodla eziyinhloko ezingezona umdlavuza (`(ezingenobungozi)`) zibanga cishe u-0.5% wazo zonke izimila ezisanda kutholakala. Izimila zomgogodla eziyinhloko ezibangela umdlavuza (`(ezilimazayo)`) azivamile neze.

Ziyini izimpawu zezimila zomgogodla?

Izimpawu zesimila somgogodla zincike ezintweni eziningana:

• Ikuphi futhi kanjani isimila emgogodleni.
• Ukuthi isimila sikhulu kangakanani.
• Hlobo luni lwesithelo leso?

Amanye amathumba omgogodla awabangeli zimpawu ngoba awakhulu ngokwanele ukucindezela izicubu ezizungezile. Kodwa-ke, njengoba isimila sikhula, izimpawu, ikakhulukazi ubuhlungu, ziqala ukuvela.

Ubuhlungu obubangelwa izimila zomgogodla

Uphawu oluvame kakhulu lwezimila zomgogodla ezingengozini nezimbi ubuhlungu bomhlane. Ubuhlungu buvame ukuzwakala emhlane ophakathi noma ongezansi, njengoba izimila zivame ukukhula kulezo zindawo zomgogodla.

Ubuhlungu obubangelwa umdlavuza womgogodla buvame ukubukeka kanje:

• Akukho ukuxhumana okuqondile nanoma yikuphi ukulimala, ukucindezeleka, noma umsebenzi womzimba. Kodwa-ke, ubuhlungu bungase bukhule ngesikhathi sokuzivocavoca, ukuquleka, noma ukukhwehlela.
• Kufana nobuhlungu obungajabulisi obuzwakala ngaphakathi .
• Kuqala kancane kancane futhi kuyanda kancane kancane.
• Kuqhubeka ebusuku, ngezinye izikhathi kuze kube sezingeni lokuphazamiseka kokulala.
• Ngokuhamba kwesikhathi, kuba nzima ukubekezelela ngisho noma ungenzi lutho.
• Ayiphenduli ezinhlunguni ezivamile noma ekwelashweni okuvamile.

Ake sithi unesifo somhlane, siqala ngaphandle kwesizathu esithile, asipheli ngisho nalapho ulele ebusuku, futhi kuzwakala sengathi siya siba sibi kakhulu, ungasithathi njengento nje evamile yomhlane. Kubaluleke kakhulu ukubona udokotela bese uthola iseluleko.

Izimila zomgogodla nazo zingadala ubuhlungu obukhulu , okuwubuhlungu obuvela emhlane kuya ezinqeni, emilenzeni, ezinyaweni, noma ezingalweni. Lokhu kuvame ukuba ubuhlungu obuhlabayo nobukhali.

Ezinye izimpawu zezimila zomgogodla

Kuye ngokuthi indawo kanye nohlobo lwesimila sikhona, ezinye izimpawu zingase zivele ngaphezu kobuhlungu. Lokhu kwenzeka lapho isimila sikhula futhi sibeka ingcindezi emgogodleni, ezimpandeni zemizwa, emithanjeni yegazi, noma emathanjeni omgogodla.

Ezinye izimpawu zingase zihlanganise:

• Ukuba ndikindiki, ukuqaqamba, noma ukulahlekelwa umuzwa emilenzeni, ezingalweni, noma esifubeni.
• Ubuthakathaka bemisipha emilenzeni, ezingalweni, noma esifubeni.
• Ukunyakazisa noma ukudonsa imisipha.
• Ukuzwa ukuqina emhlane noma entanyeni.
• Ukungakwazi ukulawula amathumbu nomchamo (`(ukungakwazi ukuzibamba)` kanye `(ukungakwazi ukuzibamba)`).
• Ubunzima bokuhamba, okungaholela ekuweni.
• I-Scoliosis noma okunye ukukhubazeka komgogodla okubangelwa isimila esikhulu noma esiyingozi.
• Ukukhubazeka . Lokhu kungenzeka ezingxenyeni ezahlukene zomzimba, ngamazinga ahlukene, kuye ngemizwa ecindezelwe yi-tumor.

Yini ebangela izimila zomgogodla?

Imbangela yesimila somgogodla incike ekutheni siyinhloko noma sesibili (i-metastatic).

Izimbangela zezimila zomgogodla eziyinhloko

Ososayensi abakayazi imbangela eqondile yezimila eziningi zomgogodla eziyinhloko. Ezinye zingase zibangelwe ukuchayeka kumakhemikhali abangela umdlavuza. Abantu abanamasosha omzimba abuthakathaka banamathuba amaningi okuthola ama-lymphoma (umdlavuza wohlobo lweseli lomzimba) emgogodleni. Ngezinye izikhathi izimila zomgogodla zingaba semindenini. Ngakho-ke kucatshangwa ukuthi kungase kube nokuxhumana kwezakhi zofuzo.

Izimbangela zezimila zomgogodla zesibili

Izimila zomgogodla zesibili (ezisakazeka kalula), njengoba igama lisho, yilezo eziqala lapho umdlavuza owaqala kwenye indawo emzimbeni usakazeka (osakazeka kalula kancane kancane) uye emgogodleni.

Lokhu kuvame ukwenzeka lapho amangqamuzana omdlavuza ehlukana nesimila esiyinhloko bese engena ohlelweni lwegazi noma lwe-lymphatic. Ngenxa yokuthi lezi zinhlelo zithwala uketshezi emzimbeni wonke, amangqamuzana omdlavuza angathwalwa futhi esuka kwenye ingxenye yomzimba aye kwenye.

Futhi, amangqamuzana omdlavuza angaqhekeka esimilaneni esiyinhloko, ikakhulukazi isimila esisemgodini wesisu, futhi akhule ezindaweni eziseduze, njengesibindi, amaphaphu, noma amathambo.

Ngenxa yokuthi umgogodla wakho unegazi elihle futhi useduze nezinhlelo ze-lymphatic nezemithambo yegazi, umdlavuza uvame ukusabalala.

Zitholakala kanjani izimila zomgogodla?

Ngenxa yokuthi izimila zomgogodla eziyinhloko zivame ukungabi nazimpawu (`(ezingenazimpawu)`), odokotela bazithola zingahleliwe lapho benza `(ukuhlolwa kwezithombe)` ngesinye isizathu.

Abantu abanezimpawu zomdlavuza womgogodla bavame ukucabanga ukuthi ubuhlungu babo bomhlane bubangelwa ukulimala okusanda kwenzeka. Kubalulekile ukubona udokotela uma unesifo somhlane, ikakhulukazi uma unomdlavuza.

Udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Bazokwenza nokuhlolwa kwezinzwa ukuze bahlole lezi zimpawu:

• Ubuhlungu emgogodleni (uma ucindezelekile).
• Ukuncipha kokuzwa kobuhlungu kanye/noma izinga lokushisa.
• Ukusabela okungavamile.
• Ubuthakathaka bemisipha.

Udokotela wakho uzophinde akucele ukuthi uhlolwe ukuze aqinisekise ukuthi kukhona yini isimila noma cha.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale isimila somgogodla?

Ngaphezu kokuhlolwa ngokomzimba nangokwezinzwa, udokotela angenza ezinye izivivinyo eziningana ukuqinisekisa ukuthi kukhona isimila somgogodla:

• Ukuhlolwa kwezithombe:Uma umuntu onomdlavuza eba nobuhlungu emhlane ngokuzumayo, into yokuqala azokwenza i-X-ray yomgogodla. Lokhu kungenxa yokuthi izimila zomgogodla ezisakazekile zivame ukwakheka emathanjeni omgogodla. I-MRI kanye/noma i-CT scan ingenziwa futhi ukuze kubhekwe umgogodla, imizwa, kanye nomgogodla ozungezile (amathambo nezicubu ezithambile). Uma isimila sisakazekile, ukuhlolwa kwezithombe kungenziwa kwezinye izingxenye zomzimba ukuthola ukuthi siqale kuphi.
• Ukuhlolwa Kwegazi: Ukuze uthole ukuthi iqhubu linomdlavuza (elibi noma elibi), udokotela wakho angase akucele ukuthi kwenziwe i-biopsy. Lokhu kuhilela ukuthatha isampula encane yezicubu ezivela eqhubu bese ulihlola. Udokotela wezifo uzohlola isampula ukuze abone ukuthi liyakhula, liyasakazeka, futhi uma kunjalo, lisheshe kangakanani. Uma iqhubu linomdlavuza, i-biopsy ingasho nokuthi hlobo luni lomdlavuza. Lokhu kubalulekile ekunqumeni ukwelashwa.
• Ukuskena kwamathambo: Lokhu kuhilela ukufaka inani elincane kakhulu lezinto ezinemisebe emthanjeni wakho bese usebenzisa ubuchwepheshe bokuthwebula izithombe ukuhlola amathambo akho. Ngokubheka indlela izinto ezinemisebe ezihamba ngayo, kungabona ukukhubazeka emgogodleni wakho.
• Ukuhlolwa kwegazi: Udokotela wakho angase akucele ukuhlolwa kwegazi ukuze kuhlolwe amazinga angajwayelekile ezinto ezifana ne-calcium ne-alkaline phosphatase egazini lakho. Lapho izicubu zethambo ziwohloka ngenxa yomdlavuza, umzimba ukhipha lezi zinto egazini.

Ilashwa kanjani isimila somgogodla?

Ukwelashwa kwezimila zomgogodla kuyahlukahluka kuye ngomuntu nomuntu. Kuya ngokuthi isimila sikuphi, sikhulu kangakanani, nokuthi siluhlobo luni. Imigomo yokwelashwa kwezimila zomgogodla ezisakazeke kabanzi yile:

• Ukunciphisa ubuhlungu bakho.
• Gcina noma uthuthukise ukusebenza komgogodla wakho kanye nemizwa yomgogodla.
• Thuthukisa ikhwalithi yempilo yakho kanye nempilo yakho.

Umgomo wokwelapha izimila zomgogodla eziyinhloko ukususa ngokuphelele isimila esibangela izimpawu, uma kungenzeka.

Ithimba lochwepheshe abahlukahlukene livame ukuba yingxenye yokwakha uhlelo lokwelapha izimila zomgogodla. Lokhu kungafaka phakathi odokotela bezinzwa, odokotela abahlinzayo bomgogodla, odokotela bezifo zomdlavuza, odokotela bezifo zomdlavuza ngemisebe, odokotela bamathambo, odokotela bezifo zomchamo kanye nodokotela abahlinzayo bemithambo yegazi.

Yimiphi imithi kanye nokwelashwa okusetshenziselwa izimila zomgogodla?

Izindlela zokwelapha izimila zomgogodla ziyahlukahluka kuye ngohlobo lwesimila.

Ukwelashwa kwezimila zomgogodla ezisakazeke kakhulu (ezimbili)

Ithimba lakho lezokwelapha lingasebenzisa inhlanganisela yezindlela zokwelapha ezahlukene ukwelapha isimila somgogodla esisakazeke kakhulu:

• Ukwelashwa ngamakhemikhali: Imithi yokwelapha ngamakhemikhali ingabulala amangqamuzana omdlavuza emgogodleni nasemzimbeni wonke. Lokhu kwelashwa kunganikezwa ngemithambo noma njengephilisi. Ngezinye izikhathi i-chemotherapy nayo isetshenziselwa ukunciphisa isimila ngaphambi kokuhlinzwa.
• Ukwelashwa ngemisebe: Lokhu kuhilela ukusebenzisa ama-X-ray anesilinganiso esiphezulu ukubhubhisa amangqamuzana esimila noma ukunciphisa isimila. Ukunciphisa isimila kunganciphisa ubuhlungu noma ezinye izimpawu.
• Ukuhlinzwa ngemisebe oku-Stereotactic: Lena inqubo engahlinzeki, engahlaseli esebenzisa umsebe wemisebe oqondile kakhulu noncane ukuze kuqondiswe isimila, okunciphisa ukuchayeka kwemisebe ezicutshini ezizungezile.
• Ukuhlinzwa: Ngokuvamile, abantu abanezimila zomgogodla ezisakazekile bacatshangelwa ukuhlinzwa kuphela uma kulindeleke ukuthi baphile isikhathi esingaphezu kwezinyanga ezintathu kuya kwezine futhi isimila singaphenduli emisebeni noma ku-chemotherapy. Ukuhlinzwa kungasiza ekunciphiseni ubuhlungu nezinye izimpawu, kulondolozwe ukusebenza kwezinzwa, futhi kuzinzise umgogodla. Udokotela wakho ohlinzayo angase ancome ukuhlinzwa okuvulekile kwendabuko noma inqubo engangenisi kakhulu. Ngemva kokuba isimila sisusiwe, inqubo ebizwa ngokuthi i-vertebroplasty noma i-kyphoplasty, lapho kufakwa khona i-bone cement emgogodleni, ingenziwa. Lezi zinqubo zinikeza ukwesekwa nokuzinza emgogodleni, zithuthukise ukunyakaza, futhi zinciphise ubuhlungu. Cishe abantu abayi-10% abane-metastases yomgogodla enezimpawu bangelashwa ngokuhlinzwa.
• Ukuqapha: Ithimba lakho lezokwelapha lingawuqapha ngokucophelela umdlavuza ngokuhlolwa okuvamile ukuze libone ukuthi uyakhula noma uyasakazeka.

Ukwelashwa kwezimila zomgogodla eziyinhloko

Uma unesimila esiyinhloko esingesona umdlavuza (esingesihle), uma singabangeli zimpawu noma izimpawu ezincane kuphela, futhi uma singashintshi umbala noma singakhuli, udokotela wakho angase akuncomele ukuhlolwa kwe-MRI njalo ukuze kuqashwe.

Ezinye izimila zomgogodla eziyinhloko zingelapheka ngokususwa ngokuphelele kwe-en bloc. Kodwa-ke, ezinye izinhlobo zezimila, ikakhulukazi izimila ezingaphakathi kwe-medullary, kunzima ukuzisusa ngokuphelele ngaphandle komonakalo omkhulu ezinzwa.

Uma isimila sakho somgogodla sinomdlavuza (siyingozi), uzodinga ukwelashwa komdlavuza okukhulunywe ngakho ngenhla.

Ungakuvimbela kanjani ukuvuvukala komgogodla?

Izindlela zokuvimbela izimila zomgogodla zincike ekutheni ziyinhloko noma zesibili (ezisakazeka kalula).

Ukuvimbela izimila zomgogodla eziyinhloko

Ngeshwa, izimila zomgogodla eziyinhloko azikwazi ukuvinjelwa.

Ezimweni ezingavamile kakhulu, izimila zomgogodla eziyinhloko zingabangelwa yizimo ezithile zofuzo. Isibonelo:

• Uhlobo lwe-Neurofibromatosis 2 (NF2): Abantu abanalesi simo sofuzo (sofuzo) bangase babe nezimila ezingezona umdlavuza ongqimbeni lwe-arachnoid noma amaseli e-glial asekelayo omgogodla.
• Isifo sikaVon Hippel-Lindau (VHL): Lesi simo esingavamile sezakhi zofuzo sihlotshaniswa nezimila zemithambo yegazi ezingezona umdlavuza (i-hemangioblastomas) ebuchosheni, e-retina, nasemgogodleni, kanye nezinye izinhlobo zezimila ezinso noma ezindlala ze-adrenal.

Uma othile emndenini wakho oseduze (umfowabo noma umzali) enalesi simo, kubalulekile ukuthola ukwelulekwa noma ukuhlolwa kwezakhi zofuzo ukuze ubone ukuthi nawe unalesi simo. Ukutholwa kwangaphambi kwesikhathi kwezimila zomgogodla kuyindlela engcono kakhulu yokuthola imiphumela emihle kakhulu.

Ukuvimbela izimila zomgogodla zesibili (ezisakazeka kakhulu)

Ngeshwa, akuzona zonke izimila zomgogodla zesibili (ezisakazeka kalula) ezingavinjelwa. Abantu abaningi baqala ukutholwa benomdlavuza osakazeka kalula.

Indlela engcono kakhulu yokuzama ukuvimbela izimila zomgogodla zesibili ukuthola ukwelashwa kwe-adjuvant noma ukwelashwa kwe-neoadjuvant uma utholakale unomdlavuza wendawo. Umgomo wokwelashwa kwe-adjuvant ukunciphisa isimila esiyinhloko nokuvimbela amangqamuzana omdlavuza aqhekeze isimila sokuqala ekubeni akhe izimila ezisakazekile.

Odokotela basebenzisa izinhlobo ezahlukene zokunakekelwa okusekelayo futhi bacwaninga nezindlela ezintsha zokwelapha.

Iyini i-prognosis yezimila zomgogodla?

Umbono wesimila somgogodla uncike kakhulu eminyakeni yakho, impilo yakho iyonke, nokuthi isimila sinomdlavuza noma cha, nokuthi siyinhloko noma sisakazeka kalula. Uma unesimila somgogodla, ithimba lakho lezokwelapha lingakunikeza umbono omuhle wokuthi yini ongayilindela. Ungesabi ukubabuza imibuzo.

Ngokuvamile, ukutholakala nokwelashwa kwesimila somgogodla kusenesikhathi kuholela emiphumeleni emihle kakhulu. Uma unezimpawu zesimila somgogodla, njengobuhlungu bomhlane obuba bubi kakhulu ebusuku, kubaluleke kakhulu ukubona udokotela.

Ngingazinakekela kanjani uma nginesimila somgogodla?

Uma unesimila somgogodla, kubaluleke kakhulu ukulandela uhlelo lwakho lokwelashwa ngqo. Yile ndlela ongathola ngayo okuningi kuso. Uzodinga nokusekelwa ukuze ubhekane nemiphumela engokomzimba, yengqondo, neyenhlalo yokuphila nobuhlungu bomhlane kanye/noma umdlavuza.

Kufanele ubonane nini nodokotela mayelana nomdlavuza womgogodla?

Uma ngokuzumayo uba nobuhlungu obukhulu emhlane, noma uma ubuhlungu bukhula, kubalulekile ukubona udokotela, ikakhulukazi uma unomlando womdlavuza.

Uma uba nezimpawu ezintsha noma uma izimpawu zakho ezikhona ziba zimbi kakhulu ngenkathi uthola ukwelashwa kwesimila somgogodla, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele u-1990.

Kuvamile ukuzizwa wesaba uma uthola ukuthi unesimila somgogodla. Kodwa khumbula, ithimba lakho lezokwelapha lizokwakha uhlelo lokwelapha oluqondene nawe, olunemininingwane ukuze kusizwe ukunciphisa ubuhlungu bakho futhi kuthuthukiswe ikhwalithi yempilo yakho. Ukuhlolwa njalo ngemva kokwelashwa komdlavuza kungasiza ekutholeni ama-metastases omgogodla kusenesikhathi. Uma uba nezimpawu zesimila somgogodla, shayela udokotela wakho ngokushesha.

Ekugcineni, khumbula lokhu.

Izimila zomgogodla ziyinto okufanele uyesabe, kodwa kubaluleke kakhulu ukuziqaphela.

• Ungakushayi indiva: Uma unezinhlungu zomhlane eziqhubekayo neziya ziba zimbi kakhulu ezikugcina uphapheme ebusuku, ungakuthathi njengento evamile. Funa iseluleko sezokwelapha.
• Thola imbangela: Izimila zomgogodla zingaba eziyinhloko noma ezesibili (zisakazeka zivela kwenye indawo). Ukuxilongwa okunembile kubalulekile ekwelapheni.
• Kunezindlela zokwelapha: Kunezindlela zokwelapha ezahlukene kuye ngohlobo, indawo, kanye nosayizi wesimila. Ukwelashwa kungatholakala ngezinto ezifana nokuhlinzwa, ukwelashwa ngemisebe, kanye ne-chemotherapy.
• Ukutholwa kusenesikhathi kubalulekile: Njenganoma yisiphi isifo, lapho isimila somgogodla sitholakala ngokushesha, kulapho ukwelashwa kuzophumelela khona.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho. Hlala uphilile!

Izimila zomgogodla, Izimila zomgogodla, Umdlavuza womhlane, Ubuhlungu bomhlane, Umgogodla, I-Neurology, Izimpawu zomdlavuza