Ingabe ngezinye izikhathi uzwa ukopha okungajwayelekile kwesitho sangasese sowesifazane ngezinye izikhathi, hhayi ngesikhathi sokuya esikhathini? Noma uvame ukuzwa izinto ezifana nobuhlungu esiswini esigcwele noma esiswini esingezansi? Kulula ukuzithatha njengezivamile. Kodwa-ke, ngezinye izikhathi lezi zingaba izimpawu ze-'Uterine Sarcoma', uhlobo lomdlavuza olungavamile kodwa olubi kakhulu oluvela esibelethweni. Ungesabi uma uzwa leli gama. Into ebaluleke kakhulu ukuqaphela. Ake sixoxe ngalokhu ngokucacile nangokulula.
Kalula nje, iyini i-Uterine Sarcoma?
I-Uterine Sarcoma uhlobo lomdlavuza oluvela esibelethweni. Kodwa-ke, lokhu kuhlukile kancane kuhlobo lomdlavuza wesibeletho esivame ukuzwa ngalo. Ngokuvamile, iningi lomdlavuza wesibeletho lwenzeka olwelwesini lwangaphakathi lwesibeletho (i-endometrium). Lokhu sikubiza ngokuthi ama-Carcinoma .
Kodwa i-Sarcoma uhlobo lomdlavuza oluvela engxenyeni yemisipha yesibeletho (i-myometrium) noma izicubu ezixhumeneyo odongeni lwesibeletho. Cabanga ngakho njengomzimba wethu wakhiwe izingxenye ezahlukene. I-Sarcoma uhlobo lomdlavuza oluqala ezicutshini ezixhumeneyo njengemisipha, amathambo, namafutha.
Lolu hlobo lwe-uterine sarcoma aluvamile kakhulu. Lubangela u-2% kuya ku-5% kuphela wabo bonke umdlavuza wesibeletho. Nakuba lungavamile, olunye lwalo mdlavuza lungakhula futhi lusakazeke ngokushesha, ngakho-ke kubalulekile ukuqaphela.
Yiziphi izinhlobo eziyinhloko ze-uterine sarcoma?
Kunezinhlobo eziningana eziyinhloko zalo mdlavuza. Ngayinye yazo iziphatha ngendlela ehlukile, okusho isivinini okhula ngaso futhi usakazeka ngaso. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lomdlavuza | Incazelo Elula |
|---|---|
| I-Leiomyosarcoma yesibeletho (LMS) | Lolu uhlobo oluvame kakhulu lwe-uterine sarcoma. Luvela engxenyeni yemisipha yesibeletho. Lolu hlobo lunolaka kakhulu, okusho ukuthi lukhula futhi lusakazeke ngokushesha. |
| I-Endometrial Stromal Sarcoma (ESS) | Iqala ezicutshini ezixhumanisayo ezimboze ulwelwesi lwangaphakathi lwesibeletho (i-endometrium). Kunezinhlobo ezimbili zalokhu, uhlobo oluphansi noluphezulu. Uhlobo oluphansi kulula ukuluphatha. |
| I-Unidifferentiated Uterine Sarcoma (UUS) | Lokhu kungaqala emisipheni yesibeletho noma olwelwesini. Lolu futhi uhlobo olunolaka kakhulu olukhula futhi lusakazeke ngokushesha okukhulu. |
| I-Adenosarcoma yesibeletho | Lolu hlobo lunengxube yamangqamuzana ajwayelekile e-glandular kanye namangqamuzana omdlavuza. Lolu uhlobo olungavamile kakhulu lwe-uterine sarcoma. Ngokuvamile luwumdlavuza wezinga eliphansi. |
Ungazibona kanjani izigaba zomdlavuza?
Njenganoma yimuphi umdlavuza, isigaba sinqunywa ukuthi umdlavuza ususakazeke kangakanani emzimbeni. Lokhu kubaluleke kakhulu ekuhleleni ukwelashwa. Kalula nje, nazi izigaba ezine eziyinhloko:
| Isiteji | Incazelo |
|---|---|
| Isigaba I | Umdlavuza ungaphakathi kwesibeletho kuphela. |
| Isigaba II | Umdlavuza ususakazeke ngaphandle kwesibeletho, kodwa wasakazeka nakwezinye izindawo ngaphakathi kwe-pelvis. |
| Isigaba III | Umdlavuza ususabalale ezindaweni ezingaphandle kwesisu kanye ne-pelvis. |
| Isigaba IV | Umdlavuza ususakazekele ezithweni ezikude ngaphandle kwesisu, noma esinyeni noma endukwini. |
Nakuba lokhu kuzwakala kulula, ukuhlonza izigaba zomdlavuza kungaba nzima kancane. Udokotela wakho uzokuchazela isigaba esithile, njengesigaba IB noma IIIA . Ngakho-ke kubalulekile ukulalela ngokucophelela nokukuqonda.
Ziyini izimpawu zalesi sifo?
Izimpawu zalesi sifo zivame ukufana nezinye izifo zabesifazane, ngakho-ke kubaluleke kakhulu ukuzazi.
- Ukopha okungajwayelekile kwesitho sangasese sowesifazane: Ukopha okwenzeka ngemva kokunqamuka kokuya esikhathini, ukopha okwenzeka phakathi kokuya esikhathini, noma ukopha okukhulu kunokopha okuvamile kokuya esikhathini.
- Ukuphuma koketshezi olungavamile esithweni sangasese sowesifazane: Ukuphuma koketshezi olunephunga elibi noma oluxubene negazi.
- Ukuzwa ubuhlungu esiswini esingezansi noma endaweni ye-pelvic .
- Ukuzwa ukugcwala noma isisindo esiswini.
- Ukubamba into efana nesimila endaweni yethanga .
- Ukudinga njalo ukuchama .
- Ukuqunjelwa .
Inkinga enkulu lapha ukuthi lezi zimpawu zivame ukufana nezinye izinhlobo zomdlavuza wesibeletho kanye nezimila ezingezona ezomdlavuza njenge- fibroids . Yingakho sithi uma unezinye zalezi zimpawu, akufanele uzishaye indiva bese ubona udokotela ngokushesha.
Ngezinye izikhathi, lesi sifo singase singabonisi zimpawu kuze kube yilapho sesithuthukile kancane. Leyo yingxenye eyesabekayo kakhulu.
Kungani lolu hlobo lomdlavuza luvela? Yiziphi izinto ezibangela ingozi?
Kalula nje, lo mdlavuza ubangelwa izinguquko ezithile (ukuguqulwa kwezakhi zofuzo) ku -DNA yamaseli emisipheni noma ezicutshini ezixhumeneyo zesibeletho. Lezi zinguquko zibangela ukuba amaseli akhule ngendlela engalawuleki.
Ososayensi abakakazi kahle ukuthi yini ebangela lezi zinguquko ze-DNA, kodwa sebethole izici eziningana ezandisa ingozi yokuthola lesi sifo.
Izinto ezandisa ingozi
- Izakhi zofuzo: Ukuba nesakhi sofuzo esibangela i-retinoblastoma , umdlavuza wamehlo, kwandisa ingozi yokuthola lolu hlobo lwe-sarcoma. Kuphinde kuhlotshaniswe nesimo esingavamile sofuzo esibizwa ngokuthi i-Hereditary Leiomyomatosis kanye ne-Renal Cell Cancer (HLRCC) .
- Ngemva kokuthola ukwelashwa ngemisebe ye-pelvic:Uma uke welashwa ngemisebe endaweni ye-pelvic njengokwelashwa komunye umdlavuza, i-sarcoma ayivamile ukuvela. Kodwa-ke, lokhu kuvame ukwenzeka phakathi kweminyaka emi-5 nengama-25 ngemuva kokwelashwa.
- I-Tamoxifen: Ukusetshenziswa isikhathi eside kwesidakamizwa i-Tamoxifen somdlavuza webele kungayandisa kancane le ngozi.
Ucwaningo luthole ukuthi abesifazane abamnyama banamathuba aphindwe kabili okuthola lo mdlavuza kunabesifazane abamhlophe, kodwa imbangela eqondile ayikakatholakali.
Udokotela usithola kanjani lesi sifo ngokunembile?
Uma uya kudokotela onezimpawu ezishiwo ngenhla, uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwesinqe.
Ngaphezu kwalokho, kungenziwa izivivinyo eziningana ukuqinisekisa lesi sifo:
- I-Ultrasound Engena Kwesitho Sangasese Sowesifazane: Kulokhu, kufakwa idivayisi encane ekhethekile yokuskena (i-transducer) ngesitho sangasese sowesifazane ukuze kuhlolwe isibeletho nama-ovari.
- I-MRI Yesinqe: Lolu uhlobo lokuhlolwa olusebenzisa amandla anamandla okudonsa kanye namagagasi omsakazo ukukhiqiza izithombe ezicacile nezinemininingwane zendawo yesinqe.
- I-Endometrial Biopsy: Kulokhu, kuthathwa ingxenye encane yezicubu olwelwesini lwesibeletho bese ihlolwa.
Udokotela wezifo , uchwepheshe ekuhlolweni kwezicubu, uhlola isampula yezicubu ezithathwe ngale ndlela ngaphansi kwe-microscope ukuqinisekisa ukuthi ingumdlavuza nokuthi uhlobo luni.
Uma umdlavuza usuqinisekisiwe, kungase kudingeke ukuhlolwa okwengeziwe, njengokuhlolwa kwesigaba, ukuze kubonakale ukuthi ususakazeke kangakanani. Cishe uzothunyelwa kudokotela wezifo zabesifazane.
Yiziphi izindlela zokwelapha?
Ukwelashwa okuyinhloko nokujwayelekile kwalesi sifo ukuhlinzwa . Kungakhathaliseki uhlobo kanye nesigaba somdlavuza, into yokuqala okufanele icatshangelwe ukususa umdlavuza ngokuhlinzwa.
| Uhlobo Lokuhlinzwa | Kwenziwani? |
|---|---|
| Ukususwa kwesisu | Ukususwa kwesibeletho kanye nomlomo wesibeletho. |
| Ukususwa okuphelele kwesibeletho nge-salpingo-oophorectomy | Ukususwa kwesibeletho, iqanda elilodwa noma womabili, kanye nepayipi elilodwa noma womabili ama-fallopian. |
| Ukususwa kwesisu okunamandla | Ukususwa kwesibeletho, umlomo wesibeletho, amapayipi okuzala, kanye nezinye izicubu ezizungezile (kufaka phakathi ingxenye yesitho sangasese sowesifazane). |
| Ukususwa kwe-lymphadenectomy | Ukususwa kwama-lymph node lapho umdlavuza ususakazeke khona. |
Ngaphezu kokuhlinzwa...
Ngemva kokuhlinzwa, noma kwezinye izimo ngaphezu kokuhlinzwa, kungase kunconywe ezinye izindlela zokwelapha.
- Ukwelashwa ngamakhemikhali: Ukunikeza imithi yokubulala amangqamuzana omdlavuza.
- Ukwelashwa ngama-hormone: Ngenxa yokuthi ezinye izinhlobo ze-sarcoma zizwela kuma-hormone, kunikezwa imithi yokulawula ukukhula kwazo.
- Ukwelashwa ngemisebe: Ukusetshenziswa kwemisebe enamandla amakhulu ukubhubhisa amangqamuzana omdlavuza.
- Ukwelashwa okuqondiwe: Ukunikeza imithi eqondisa ubuthakathaka obuthile emangqamuzaneni omdlavuza.
Zonke lezi zindlela zokwelapha zingaba nemiphumela emibi. Kodwa ungakhathazeki. Ithimba lakho lezokwelapha lizochaza uhlelo lokwelashwa olungcono kakhulu kuwe, kanye nazo zonke izinzuzo nezingozi.
Ingabe lesi sifo singalapheka ngokuphelele?
Yebo, lesi sifo singelapheka ngokuphelele . Ikakhulukazi uma umdlavuza usezingeni eliphansi futhi ungasakazekanga ngaphandle kwesibeletho (uma utholakale usesesigabeni sokuqala), amathuba okwelashwa aphezulu kakhulu.
Ukubikezela lesi sifo kuncike ezintweni eziningana:
- Uhlobo lomdlavuza (isb., i-LMS noma i-ESS).
- Izinga lomdlavuza - Lokhu kubhekisela ekutheni amangqamuzana omdlavuza abukeka kabi kangakanani uma ebhekwa nge-microscope.
- Ukuthi umdlavuza ususakazeke kangakanani emzimbeni (Isigaba).
- Impilo yakho iyonke.
Into ebaluleke kakhulu ukuthi udokotela wakho kuphela ongakunikeza ulwazi olunembile kakhulu ngesimo sakho. Ngakho-ke ungakhathazeki ngamazinga okusinda atholakala ku-inthanethi. Lezi zibalo ziyisilinganiso nje seqembu elikhulu labantu, futhi zingase zisebenze kuwe noma zingase zingabi wusizo kuwe mathupha.
Ukwesaba okuzwayo uma uthola ukuthi unomdlavuza...
Kuvamile ukuzizwa wesaba, ushaqekile, futhi ukhungathekile uma ufunda ngomdlavuza ongavamile njengalona. Kungaba nzima uma ngokuzumayo ufika ekhanda lakho ngamagama amaningi amasha nolwazi.
Kodwa khumbula, izibalo aziyona indaba yakho. Ithimba lakho lezokwelapha lihambisana nawe kuzo zonke izinyathelo. Khuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bazosebenzisana nawe ukuthuthukisa uhlelo lokwelashwa olusebenza kahle kuwe. Khuluma nomndeni wakho nabangani bakho ngalokhu. Ukusekelwa kwabo kuzoba umthombo omkhulu wamandla phakathi nalesi sikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Uterine Sarcoma uhlobo lomdlavuza olungavamile kodwa olubi kakhulu oluvela esibelethweni.
- Ungalokothi ungazinaki izimpawu ezifana nokopha okungajwayelekile kwesitho sangasese sowesifazane, ubuhlungu besisu esingezansi, noma iqhubu. Bheka udokotela ngokushesha.
- Lesi sifo siqinisekiswa ngokuqinisekile ngokuhlola ucezu lwezicubu (i-biopsy).
- Izindlela zokwelapha ziyahlukahluka kuye ngesiguli, kanti ukuhlinzwa kuyiyona ndlela eyinhloko yokwelapha. Uma kutholakala kusenesikhathi, kungalapheka ngokuphelele.
- Ungesabi ulwazi lomphakathi kanye nezibalo eziku-inthanethi, futhi khuluma nodokotela wakho ngokukhululekile ngesimo sakho.
- Ukusekelwa yithimba lezokwelapha kanye nabathandekayo bakho kubaluleke kakhulu phakathi nalolu hambo.
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