Wake wazizwa iqhubu elincane endaweni ethile emzimbeni wakho, mhlawumbe emlenzeni noma engalweni yakho? Ekuqaleni, kungenzeka ukuthi wacabanga, "O, lokhu kungukuvuvukala okuncane nje." Njengoba kungekho buhlungu, kungenzeka ukuthi awuzange ukunake kakhulu. Kodwa uma bungapheli ngemva kwezinsuku ezimbalwa, kuyinto evamile ukuzizwa ukhathazekile kancane. Yingakho kungewona umqondo omuhle ukunganaki yonke iqhubu elivela emzimbeni wakho. Namuhla, sizokhuluma ngomdlavuza ongavamile ovame ukuqala njengeqhubu elingenabuhlungu. Leyo yi-Synovial Sarcoma.
Kalula nje, iyini i-Synovial Sarcoma?
I-Synovial Sarcoma uhlobo lomdlavuza olungavamile oluthinta izicubu ezithambile zomzimba wethu, njengemisipha noma imisipha . Iqanjwe ngokuthi amangqamuzana omdlavuza afana namaseli e-synovial emalungeni ethu. Njengamaseli angaphakathi kwamalunga ethu njengezindololwane zethu, izinqe namahlombe.
Esinye sezici zalo mdlavuza ukuthi ukhula kancane kakhulu . Yingakho ungase ungazizwa ubuhlungu ezigabeni zokuqala. Kwabaningi, izimpawu ziqala ukuvela ngemva kokuba isimila sesikhule ngokwanele ukuba sibonakale noma sizwakale. Ngezinye izikhathi, uma inzwa eseduze icindezelwa njengoba isimila sikhula, kungabangela ubuhlungu noma ukungakhululeki kuleyo ndawo.
Kujwayelekile ukuthi noma ubani azizwe sengathi umhlaba wakhe wonke uphenduka ngokuzumayo lapho ethola ukuthi unomdlavuza. "Kuzosho ukuthini lokhu kimi?", "Impilo yami izobe injani kusukela manje?" Ungase ube nemibuzo eminingi egijima engqondweni yakho. Awuwedwa, futhi le mizwa ijwayelekile kakhulu. Udokotela wakho kanye nethimba lakho lezokwelapha banawe kuzo zonke izinyathelo zendlela.
Kukuziphi izingxenye zomzimba lapho lo mdlavuza ungavela khona?
Lolu hlobo lomdlavuza lungenzeka ezingxenyeni eziningi ezahlukene zomzimba. Ezivame kakhulu yilezi:
- Isisu
- Izandla
- Izinyawo
- Imilenze
- Amaphaphu
Ngaphezu kwalokho, lo mdlavuza ungavela nasemalungeni ethu. Isibonelo:
- Amaqakala
- Izindololwane
- Izinqe
- Amahlombe
- Izingalo
Akuvamile kakhulu ukuthi i-synovial sarcoma ivele esifubeni, ekhanda, noma entanyeni.
Sivame kangakanani lesi simo?
Njengamanye ama-sarcoma ezicubu ezithambile, i-synovial sarcoma ingumdlavuza ongavamile kakhulu . Nakuba ingenzeka kunoma yimuphi ubudala, ivame kakhulu kwabesilisa abangaphansi kweminyaka engama-30 .
Yiziphi izimpawu eziyinhloko zalo mdlavuza?
I-Synovial Sarcoma umdlavuza okhula kancane kakhulu. Ngezinye izikhathi ungalala emzimbeni iminyaka emibili ngaphandle kokubangela izimpawu. Uma kuvela izimpawu, ungase uqaphele:
| Isibonakaliso | Incazelo |
|---|---|
| Iqhubu elibonakalayo noma eliqondakala kalula | Lolu uphawu oluvame kakhulu. Into ekhethekile ukuthi isikhathi esiningi, leli qhubu alibuhlungu. |
| Ukuba ndikindiki | Njengoba iqhubu likhula, lingabangela ingcindezi emthanjeni oseduze. |
| Ubuhlungu | Nakuba kungase kungabi khona ubuhlungu ekuqaleni, ubuhlungu bungase buvele njengoba iqhubu likhula noma licindezela imizwa. |
| Ukuvuvukala | Ungase uqaphele ukuvuvukala endaweni lapho kukhona khona iqhubu. |
Lezi zimpawu zingafana nezezinye izimo ezingatheni kangako, njenge-arthritis noma i-bursitis, ngezinye izikhathi ezingabambezela ukuxilongwa.
Ngakho khumbula, uma ubona noma yisiphi isigaxa esisha emzimbeni wakho, noma ngabe asibuhlungu, futhi sesihlale lapho isikhathi esingaphezu kwamasonto amabili, kungcono ukubona udokotela bese usihlola. Yilokho okungcono kakhulu ongakwenza.
Kungani lo mdlavuza uvela? Iyini imbangela?
Abacwaningi abakayitholi imbangela ethile yalokhu, kodwa bayazi ukuthi kubangelwa izinguquko ezithile (ukuguqulwa kwezakhi zofuzo) kuma-chromosome ethu.
Cabanga nje ngale ndlela. Ama-chromosome ethu afana nencwadi enkulu. Ama-gene angamagama abhalwe kuleyo ncwadi. Kuphela uma la magama elandelana kahle lapho amaseli emzimbeni wethu esebenza kahle. Lapho i-synovial sarcoma ikhula, la ma-chromosome ayaphuka futhi uma ehlanganiswa ndawonye, amanye ama-gene ayabhajwa ezindaweni ezingafanele. Ngokukhethekile, i-gene ebizwa ngokuthi 'i-SYT' ixubana nezinye izakhi zofuzo ezingahambisani nayo. Ngenxa yalokhu kuphazamiseka, umlayezo otholwa amaseli awulungile. Bese amaseli aqala ukuhlukana ngokungalawuleki, akhe isimila somdlavuza.
Udokotela usithola kanjani lesi sifo?
Uma uya kudokotela, uzoqala ngokukuhlola umzimba, abuze ngezimpawu zakho kanye nomlando wempilo yakho. Uma enokungabaza, uzokudlulisela kudokotela wezifo zomdlavuza.
Uchwepheshe uzokwenza izivivinyo eziningana ezahlukene ukuze anqume ubukhulu obuqondile nendawo yeqhubu.
| Ukuhlolwa | Wenzani ngayo? |
|---|---|
| Ama-X-ray | Ungahlola ukuthi iqhubu lithinte amathambo yini. |
| Ukuskena kwe-MRI (Umfanekiso Wokuqabulana Kwamagnetic) | Izithombe ezicacile kakhulu zesimila kanye nezicubu ezithambile ezisizungezile zingatholakala. |
| Ukuskena nge-ultrasound | Kuyasiza ekuqaleni ukuhlonza ukuthi iqhubu liqinile noma ligcwele uketshezi. |
| I-CT Scan (i-Computed Tomography) | Lokhu kubalulekile ukuze kubonakale ukuthi umdlavuza ususakazekele kwezinye izingxenye zomzimba (isib., amaphaphu). |
Ngemva kwalezi zivivinyo, ukuhlolwa okubaluleke kakhulu okuqinisekisa ukuthi lesi sifo sikhona yi-biopsy.Okwenziwa lapha ukuthatha ingxenye encane kakhulu yezicubu esiqwini bese uyithumela elabhorethri. Lapho, udokotela wezifo uhlola amangqamuzana ngaphansi kwe-microscope ukuqinisekisa ukuthi umdlavuza ungowohlobo luni, futhi uma kunjalo, uluhlobo luni lomdlavuza.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okuyinhloko nokujwayelekile kwe-synovial sarcoma ukuhlinzwa . Umgomo uwukususa ngokuphelele isimila esinomdlavuza. Isimila sisuswa kanye nenani elincane lezicubu ezinempilo ezisizungezile ukuze kususwe noma yimaphi amangqamuzana omdlavuza asele. Kwezinye izimo, kuye ngokuthi umdlavuza ususakazeke kangakanani, kungase kudingeke kususwe yonke imisipha noma iqembu lemisipha. Udokotela wakho uzochaza lokhu kuwe ngokusekelwe esimweni sakho.
Ukuhlinzwa kungenziwa njengokwelashwa okukodwa noma kuhlanganiswe nezinye izindlela zokwelapha. Lezi zindlela zokwelapha yilezi:
- Ukwelashwa ngamakhemikhali: Ukunikeza imithi ebulala amangqamuzana omdlavuza.
- Ukwelashwa Ngemisebe: Ukubhubhisa amangqamuzana omdlavuza kusetshenziswa imisebe enamandla aphezulu.
- Ukwelashwa Ngezifo Ezingalawuleki: Ukuvuselela amasosha omzimba wethu ukuze alwe namaseli omdlavuza.
- Ukwelashwa Okuqondiwe: Ukunikeza imithi eqondisa ama-molecule athile athinta ukukhula kwamaseli omdlavuza.
- Imithi yokulwa ne-angiogenesis: Le mithi isebenza ngokuvimbela ukwakheka kwemithambo yegazi emisha enikeza amangqamuzana omdlavuza igazi. Lokhu-ke kunciphisa amangqamuzana omdlavuza izakhamzimba futhi kubangele ukuba afe.
Ukwelashwa okukulungele kuncike ezintweni eziningi, okuhlanganisa ubukhulu besimila, indawo yaso, ukuthi usunesikhathi esingakanani unaso, nokuthi umdlavuza ususakazekele kwezinye izindawo (owakhiwe ngama-metastasized).
Yini ongayilindela ngemva kokwelashwa?
Ngokuthuthuka kwesayensi yezokwelapha, kube nentuthuko enkulu ekwelapheni i-Synovial Sarcoma. Kodwa-ke, kunengozi yokuthi umdlavuza uphinde ubuye ngemva kokwelashwa, ngezinye izikhathi ngisho nangemva kweminyaka. Ngakho-ke, udokotela wakho uzokuhlola njalo ukuze akuhlole iminyaka eminingana ngemva kokwelashwa.
Uma kukhulunywa ngamazinga okusinda komdlavuza, izinga lokusinda kweminyaka emi-5 licishe libe ngu-50% - 60%. Lokhu kusho ukuthi abantu aba-5 noma aba-6 kwabayi-10 abatholakale benalesi sifo basaphila ngemva kweminyaka emi-5. Kubaluleke kakhulu ukubuza udokotela wakho ukuthi lezi zibalo zisebenza kanjani kuwe nokuthi isimo sakho sinjani.
Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?
Ngeshwa, lokhu akunakuvinjelwa ngoba kubangelwa izinguquko kuma-chromosome esingenakuzilawula.
Kodwa, into engcono kakhulu esingayenza ukuvimbela umdlavuza ukuthi ungasabalali kwezinye izingxenye zomzimba (i-metastasis) . Okuwukuphela kwendlela yokwenza lokho ukuxilonga lesi sifo kusenesikhathi bese uqala ukwelashwa ngokushesha okukhulu . Ngakho-ke, qaphela njalo izinguquko emzimbeni wakho. Uma ubona iqhubu elisha elingapheli emavikini ambalwa, qiniseka ukuthi ulibonisa udokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Synovial sarcoma uhlobo lomdlavuza olungavamile oluvela ezicutshini ezithambile. Ngokuvamile luqala njengeqhubu elingenabuhlungu .
- Lesi simo sivame kakhulu entsheni, ikakhulukazi abesilisa abangaphansi kweminyaka engama-30 .
- Uma uneqhubu elisha endaweni ethile emzimbeni wakho futhi selikhona isikhathi esingaphezu kwamasonto amabili, ungabi yisivila noma wesabe, futhi nakanjani vakashela udokotela.
- Uma lesi sifo sitholakala ngokushesha, kulapho ukwelashwa kuzophumelela khona. Leyo yindlela engcono kakhulu yokuvimbela ukusabalala komdlavuza.
- Kunezindlela zokwelapha ezisebenzayo zalokhu, njengokuhlinzwa, ukwelashwa ngamakhemikhali, kanye nokwelashwa ngemisebe. Futhi, ukulandelwa okufanele kwezokwelapha kubalulekile ngisho nangemva kokwelashwa.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho