Ingabe unesimila esikhula kancane eduze kwelinye lamalunga akho? Ake sifunde nge-Tenosynovial Giant Cell Tumor!

Wake wazizwa sengathi uneqhubu elincane elikhula emzimbeni wakho, ikakhulukazi eduze kwelungu? Kungase kube buhlungu kancane uma ulicindezela. Kuvamile ukuzizwa wesaba kancane uma ubona into efana nale. Kodwa akuzona zonke iziqhubu eziwumdlavuza. Namuhla sizokhuluma ngeqhubu elilodwa elinjalo, elingelona umdlavuza, kodwa elidinga ukukhathazeka okuthile. Leso yisimo esibizwa ngokuthi `(Tenosynovial Giant Cell Tumor)`.

Luhlobo luni lwesimila lolu? `(I-Tenosynovial Giant Cell Tumor)` kalula

Kalula nje, i-Tenosynovial Giant Cell Tumor iyisimila esingeyona umdlavuza esikhula ezicutshini ezithambile ezizungeze amalunga akho. Lawa avame ukubizwa ngokuthi izimila ezingengozi. Lokhu kusho ukuthi azinawo umdlavuza futhi azibangeli umdlavuza.

Lezi zingezinhlobo ezingavamile zesimila esibizwa ngokuthi "i-Giant Cell Tumor." Lezi zimila ngokuvamile azisabalali kusuka kwenye indawo kuya kwenye emzimbeni. Kodwa-ke, zingakhula futhi zikhule ngokushesha endaweni lapho zakheka khona.

Kuye ngokuthi isimila sitholakala kuphi, kungenza kube nzima ukuhambisa ilunga kuleyo ndawo futhi kubangele ubuhlungu. Ngezinye izikhathi lezi zimila zingakhula futhi zicindezele amathambo, zize zibangele ukuphuka kwamathambo.

Ngokuvamile, kudingeka ukuhlinzwa ukuze kususwe lesi "Tenosynovial Giant Cell Tumor." Abanye abantu bangase badinge nokwelashwa ngemisebe.

Lokhu kuthinta kanjani umzimba?

Kunezinhlobo ezintathu ze-"Tenosynovial Giant Cell Tumor", kuye ngokuthi zakheka kanjani ezicutshini ezahlukene zomzimba:

1. Ama-cyst akha ulwelwesi lwamalunga akho: Lawa akha ulwelwesi oluncane oluhlanganisa ingaphakathi lamalunga akho (i-synovium). Njengamalunga angaphakathi njengamadolo akho nezindololwane.

2. Ama-Throat Cysts: Ama-Tendon ayizakhiwo ezifana ne-band ezixhumanisa imisipha yethu namathambo ethu. Lawa ma-cysts angakheka engxenyeni evikelayo ezungeze la ma-tendon, ebizwa ngokuthi i-Tendon Sheath.

3. Ama-bursal cyst: Ama-Bursae ayizikhwama ezincane, ezigcwele uketshezi ezitholakala eduze kwamalunga, lapho kuhlangana khona imisipha, imisipha, namathambo. Ahlinzeka ngokuhlanzeka nokuvikela amalunga. Ama-Bursae nawo angakhula.

Nakuba lawa ma-"Tenosynovial Giant Cell Tumors" angavela noma kuphi emzimbeni, avame ukubonakala ku:

• Iminwe noma izithupha
• Amaqakala noma Izinyawo
• Amadolo
• Izingalo
• Izindololwane

Kuthiwa futhi noma isimila esinjengalesi siphulukisa, abanye abantu banamathuba amancane okuthola isifo samathambo noma i-osteoarthritis kulelo lunga kamuva.

Ubani othola lezi zinto kaningi? Zivame kangakanani?

Noma ubani angakha lesi "Tenosynovial Giant Cell Tumor". Kodwa-ke, sivame kakhulu emaqenjini athile:

• Kuvamile kakhulu kwabesifazane kunabesilisa.
• Iminyaka engu-30 kuya kwengu-50 ubudalaKuvamile kubantu abadala.

Kodwa ungakhathazeki, lesi `(Tenosynovial Giant Cell Tumors)` siyisimo esingavamile kakhulu. Emhlabeni wonke, abantu abangaphansi kuka-50 esigidini bahlakulela lezi zimo minyaka yonke. Ngakho-ke lesi akusona isifo esithinta wonke umuntu.

Ziyini izimpawu?

Izimpawu ezivame kakhulu zalesi sifo yilezi:

• Isigaxa noma isimila esiphuma esilungwini.
• Ubuhlungu buyanda uma uhambisa leyo ngxenye.
• Ukuvuvukala.

Ngaphezu kwalokho, ilunga eliseduze nesimila lingaba nezimpawu ezilandelayo:

• Umuzwa wokuqina, ukukhiya, noma umsindo "wokuchofoza" lapho ushukumisa ilunga.
• Ukuzizwa ufudumele esikhumbeni esizungeze ilunga.
• Ukuqina kwejoyinti.
• Ilunga lizizwa libuthakathaka futhi lingenampilo .

Yiziphi izimpawu ozitholayo nokuthi zinzima kangakanani kuncike ezintweni eziningana:

• Uhlobo luni lwezicubu lesi simila esenziwe ngazo.
• Ikuphi emzimbeni?
• Ukuthi isimila sikhulu kangakanani.

Abantu abaningi bathola ukuthi bane-Tenosynovial Giant Cell Tumor ngemva kweminyaka eminingi yezimpawu. Ngakho-ke kungcono ukutshela udokotela uma ubona noma yiziphi izinguquko ezintsha noma amaqhubu emzimbeni wakho.

Kungani izimila zifana nalolu hlobo?

Ochwepheshe abakayitholi imbangela ethile yokuthuthukiswa kwalezi "Tenosynovial Giant Cell Tumors." Kodwa-ke, ezinye izifundo zithole ukuthi kunezinguquko ezithile kuma-chromosome abantu abakha lezi zimila.

Ama-chromosome ayizingxenye zamaseli ethu eziqukethe ulwazi lwethu lwezakhi zofuzo (i-DNA). Uma la ma-chromosome onakele, angabangela izinguquko ezahlukahlukene emzimbeni. Ikakhulukazi, okwamanje kucatshangwa ukuthi la mathumba akhula ngenxa yenqubo ebizwa ngokuthi ``Translocation``, lapho izingxenye zama-chromosome zihlukana khona futhi zihlangane ngezindlela ezintsha.

Ukubona kanjani lokhu?

Udokotela uzoxilonga le "Tenosynovial Giant Cell Tumor" ngokukuhlola, ngokwenza "Ukuhlolwa Komzimba", nokwenza "Ukuhlolwa Kwezithombe".

Kuye ngokuthi isimila sikuphi, ungase ukwazi ukusizwa ngaphansi kwesikhumba sakho. Udokotela uzohlola ngokucophelela isimila nendawo ezungezile. Ngaphezu kwalokho, bazokwenza okukodwa noma ngaphezulu kokuhlolwa okulandelayo ukuze bathathe izithombe zesimila:

• Ama-X-ray
• Isikeni se-MRI (Magnetic Resonance Imaging)
• Ukuskena nge-ultrasound

Udokotela angase futhi athathe isampula encane yesimila noma izicubu ezizungezile ayithumele elebhu ukuze ihlolwe. Lokhu kubizwa ngokuthi "i-biopsy." Lokhu kuzosiza ekunqumeni ukuthi hlobo luni lwesimila.

Iphathwa kanjani?

Ama-tumor e-Tenosynovial Giant Cell avame ukususwa ngokuhlinzwa. Udokotela wakho uzosusa isimila ngokuhlinzwa okuvulekile noma ngenqubo ebizwa ngokuthi i-arthroscopy. Ngezinye izikhathi isimila singasuswa kanye nezicubu ezithintekile ezisizungezile.

I-Arthroscopy inqubo lapho kufakwa khona ithubhu elide, elincane elinekhamera nokukhanya (okubizwa ngokuthi i-arthroscope) ngezimbobo eziningana ezincane esikhumbeni eduze kwejoyinti. Ngesikhathi ubheka ngaphakathi kwejoyinti, kusetshenziswa amathuluzi amancane ukususa isimila nezinye izicubu ezonakele. Le nqubo ayibandakanyi ukusikwa okukhulu, ngakho-ke ukuphulukiswa kungashesha.

Udokotela wakho ohlinzayo uzochaza ukuthi hlobo luni lokuhlinzwa ozokwenziwa nokuthi yini ongayilindela ngemva kwalokho. Isikhathi sokululama sizoncika ku:

• Kwakuxhomeke ekutheni isimila sitholakala kuphi emzimbeni.
• Kuya ngokuthi inkulu kangakanani.
• Kuye ngokuthi kususwe izicubu ezingakanani ngesikhathi sokuhlinzwa.

Amanye ama-tumors e-Tenosynovial Giant Cell angelashwa ngezindlela ezithile ze-chemotherapy, ukwelashwa komdlavuza. Nakuba i-chemotherapy ivame ukusetshenziselwa ukubulala amangqamuzana omdlavuza, ezinye izinhlobo ze-chemotherapy nazo zingahlasela futhi zibulale la ma-tumors angengozi.

Enye yezinto ezibalulekile ngala ma-`(Tenosynovial Giant Cell Tumors)` ukuthi ane-`(Recurrence Rate)` ephezulu. Lokhu kusho ukuthi noma ngabe asuswe ngempumelelo ngokuhlinzwa noma abhujiswe nge-`(Chemotherapy),` kunethuba elikhulu lokuthi isimila esinjalo sizophinde sikhule.

Akuvamile kakhulu, uma isimila silimaze kakhulu ilunga, kungadingeka ngisho nokususa ingxenye yelunga, njengengalo noma umlenze, enelunga. Kodwa-ke, lokhu kwenzeka kaningi kakhulu.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Ngeshwa, ayikho indlela yokuvimbela ukukhula kwalesi `(Tenosynovial Giant Cell Tumor)` emzimbeni wakho. Ngenxa yokuthi imbangela eqondile yalokhu kwakheka ayaziwa, akunakwenzeka ukubikezela ukuthi kuzovela nini, kubani, noma kungani.

Kwenzekani uma unesimila esinjengalesi?

Ngemva kokususwa kwe-Tenosynovial Giant Cell Tumor, ungalindela ukululama okuphelele. Ngemva kokususwa kwesimila, kuzodingeka uhlale uxhumana nodokotela wakho futhi uye emihlanganweni yokulandelela njalo. Udokotela wakho uzoqapha ukululama kwakho futhi ahlole izimila ezintsha. Uma kuvela isimila esisha, singatholakala futhi selashwe ngokushesha okukhulu.

Nakuba lezi zingewona umdlavuza futhi zingabangeli umdlavuza, kunethuba elihle lokuthi uzoba nama-Tumors e-Tenosynovial Giant Cell. Abantu abangaphezu kwengxenye abaye baba nalesi simo bazophinde babe nalezi zimila. Mhlawumbe endaweni efanayo lapho zaqala khona ukubonakala, noma kwezinye izicubu emzimbeni. Udokotela angase futhi akubize lokhu ngokuthi ukuphinda kwalesi sifo.

Ingabe ngeke ngikwazi ukuya emsebenzini/esikoleni ngize ngilulame?

Ngemva kokususwa kwe-Tenosynovial Giant Cell Tumor, ungase ungakwazi ukuya emsebenzini noma esikoleni kuze kube yilapho iphola. Isibonelo, uma kufanele ume emsebenzini, uma isimila besiseqakaleni lakho, noma uma uchitha isikhathi esiningi uthayipha kukhompyutha, uma uhlinzwa ngomunwe, kungase kudingeke uthathe ikhefu emsebenzini noma emakilasini ukuze unike umzimba wakho isikhathi sokuphola. Ukuthi kuzokuthatha isikhathi esingakanani kuzoncika ekutheni ukuhlinzwa kwenziwe kuphi kanye nobukhulu besimila. Udokotela wakho ohlinzayo uzokutshela lokhu.

Ungakhohlwa ukubuza udokotela wakho noma udokotela ohlinzayo ngaphambi kokuba uqalise imisebenzi evamile noma ukuzivocavoca ngemva kokuhlinzwa.

Kufanele ngimbone nini udokotela?

Uma ubona iqhubu elisha noma ukukhula noma kuphi emzimbeni wakho, ikakhulukazi eduze kwelunga, futhi ikakhulukazi uma kubuhlungu, qiniseka ukuthi ubona udokotela. Ngisho noma kungesona "i-Tenosynovial Giant Cell Tumor" (Isimila Esikhulu Seseli Esiyi-Tenosynovial), uma ubona udokotela ngokushesha nganoma yisiphi iqhubu, kulapho lingatholakala khona futhi lelashwe ngokushesha.

Uma ngokuzumayo ungakwazi ukuhambisa ijoyinti, kuyisimo esiphuthumayo. Uma lokho kwenzeka, hamba uye esibhedlela ngokushesha.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma usuyazi ukuthi unalesi simo, kunemibuzo ebalulekile okufanele uyibuze udokotela wakho:

• Uhlobo luni lwe-Tenosynovial Giant Cell Tumor enginalo?
• Yiziphi izivivinyo okudingeka ngizenze?
• Ingabe ngidinga ngempela ukuhlinzwa?
• Angakanani amathuba okuthi lesi simila siphinde sikhule?

Ingabe lezi zimila zihlukile ku-`(Ganglion Cysts)`?

Kokubili "ama-Tenosynovial Giant Cell Tumors" kanye "nama-Ganglion Cysts" kuyizinhlobo zama-tumors akha emalungeni.

Umehluko omkhulu phakathi kwalezi ezimbili ukuthi zakheka kuphi. Ama-tumors e-Tenosynovial Giant Cell akheka ngaphakathi noma eduze kwamalunga. Ama-Ganglion Cysts ama-cyst agcwele uketshezi akheka ngaphansi kwesikhumba sakho.

Zombili lezi zinhlobo zamathumba azilokothi zibe yingozi, okusho ukuthi aziwona umdlavuza.

Uma ubona amaqhubu noma amaqhubu amasha esikhumbeni sakho, ikakhulukazi uma ebuhlungu noma enza kube nzima ukuhambisa ilunga, bona udokotela.

Okokugcina, izinto okufanele uzikhumbule

Yiqiniso, uma uzwa igama elithi "isimila" uyesaba. Kodwa "amathumba e-tenosynovial giant cell" awakaze abe nomdlavuza, futhi awabangeli umdlavuza. Ezimweni eziningi, kudingeka ukuhlinzwa ukuze kususwe la mathumba. Uma "isimila se-tenosynovial giant cell" esisodwa sivele, kunethuba lokuthi kuzovela amanye esikhathini esizayo.

Ngakho-ke, khuluma nodokotela wakho ngalokho okufanele ukuqaphele. Uma ubona iqhubu elisha noma ukukhula, bona udokotela ngokushesha. Into ebaluleke kakhulu ukuphepha, ukuthola ulwazi olufanele, nokuthola ukwelashwa okufanele.

Izinkinga zamaseli amakhulu e - tenosynovial, izimila zamalunga, izimila zamathambo, izimila zezicubu ezithambile, ubuhlungu bamalunga, ukuhlinzwa, izimila ezingezona umdlavuza