Uyazazi i-Uterine Sarcoma? Ake sixoxe ngayo ngokuningiliziwe!

Cishe uke wezwa ngomdlavuza wesibeletho. Kodwa uyazi kahle ukuthi lolu hlobo oluthile lomdlavuza lubizwa ngokuthi i-Uterine Sarcoma? Akuvamile, kodwa kubalulekile ukwazi ngakho. Ngoba, uma kutholakale kusenesikhathi, kulula ukukwelapha , futhi kuhle ngaso sonke isikhathi ukunakekela impilo yethu. Ngakho-ke, ake sixoxe ngakho ngendlela elula ongayiqonda.

Iyini i-Uterine Sarcoma?

Kalula nje, le sarcoma yesibeletho ikhula engxenyeni yemisipha yesibeletho sakho, ebizwa ngokuthi "i-Myometrium". Iningi lomdlavuza wesibeletho likhula engxenyeni yangaphakathi yesibeletho, ebizwa ngokuthi "i-Endometrium". Sibiza lokhu ngokuthi "umdlavuza we-Endometrial" noma "i-Carcinomas". Kodwa-ke, lolu hlobo lwe-"Sarcomas" aluvamile kakhulu . Kukhona nezinye izinhlobo ezingavamile ze-"Sarcoma" eziqala emaseli asekelayo ongqimbeni lwesibeletho.

Kungaba kubi kangakanani lokhu?

Eqinisweni, i-uterine sarcoma ingakhula futhi isakazeke ngokushesha kunomdlavuza we-endometrial ojwayelekile. Kodwa-ke, akuwona wonke ama-uterine sarcoma ayingozi ngokulinganayo. Udokotela wakho uzonquma ukuthi i-sarcoma iyingozi kangakanani ngokusekelwe ezicini ezifana nokuthi itholakala kuphi kanye nohlobo lwe-sarcoma.

Futhi, udokotela uzohlola isigaba somdlavuza ukuze abone ukuthi ususabalele yini (`staging`) .

Kuyini Ukuhlolwa Kwesifo Somdlavuza?

Uma sifunda ngomdlavuza, okunye kokwesaba okukhulu esinakho ukuthi ngabe ususakazeke kwezinye izingxenye zomzimba (owakhiwe ngama-metastasized). Ngakho-ke, ukuze bathole ukuthi umdlavuza ususakazeke kangakanani, odokotela banikeza inombolo (kusukela ku-1 kuya ku-IV). Uma inombolo iphakeme, kulapho umdlavuza ususakazeke khona emzimbeni . Lolu hlelo lokuhlela lubizwa ngokuthi "ukulinganisa." Odokotela basebenzisa lolu lwazi ukuhlela ukwelashwa.

Yiziphi izigaba ze-uterine sarcoma?

Kunezigaba ezine eziyinhloko ze-uterine sarcoma:

• Isigaba I: Umdlavuza usesibelethweni kuphela.
• Isigaba II: Umdlavuza ususakazeke ngaphandle kwesibeletho wangena ethangeni.
• Isigaba sesi-3: Umdlavuza ususakazekele ezindaweni zesisu ezingaphandle komgodi we-pelvic, isibonelo, kuma-lymph node.
• Isigaba IV: Umdlavuza ususabalele ezindaweni ezikude ngaphandle kwesisu, noma ususabalele esinyeni noma endukwini.

Ubani onamathuba amaningi okuthola lesi simo?

Ngokuvamile, i-uterine sarcoma ikhula kubantu abangaphezu kweminyaka engama-40. Kodwa-ke, kubikwe ukuthi lesi simo singavela kubantu abaneminyaka engama-20 ubudala. Isilinganiso seminyaka yokuxilongwa sicishe sibe yiminyaka engama-60 ubudala.

Yiziphi izinto ezibangela ingozi yokuthuthukisa i-uterine sarcoma?

Izici ezithile zingandisa ingozi yakho yokuthola i-uterine sarcoma. Ake sibheke ukuthi ziyini:

• Imisebe ye-pelvic: Uma wake welashwa ngemisebe endaweni yakho ye-pelvic ngaphambilini, kungase kwandise kancane ingozi yakho yokuthola i-uterine sarcoma. Kodwa-ke, lokhu akwenzeki kaningi. Kodwa-ke, kuvame ukwenzeka phakathi kweminyaka emi-5 nengama-25 ngemuva kokwelashwa ngemisebe.
• Ukusetshenziswa kwe-Tamoxifen: Uma umuthi othi "Tamoxifen" usetshenziswa isikhathi eside (iminyaka emihlanu noma ngaphezulu), kwandisa nengozi yokuthola i-uterine sarcoma.
• Izakhi zofuzo: Ukuba nezakhi zofuzo ezibangela i-retinoblastoma, umdlavuza wamehlo, kwandisa nengozi yokuthola ezinye izinhlobo ze-uterine sarcoma.

Okunye ukuthi, nakuba abacwaningi bengakwazi ukuthola imbangela eqondile, bathole ukuthi abesifazane abamnyama banamathuba aphindwe kabili okuthola lesi sifo kunabesifazane abamhlophe .

Ivame kangakanani i-uterine sarcoma?

Empeleni lolu uhlobo lomdlavuza olungavamile kakhulu . Luhlanganisa kuphela phakathi kuka-3% no-7% wabo bonke umdlavuza wesibeletho. Lokho kusho ukuthi akuyona into eyenzeka kuwo wonke umuntu.

Ziyini izimpawu? Uzibona kanjani?

Izimpawu eziyinhloko ze-uterine sarcoma zingafana nezomdlavuza we-endometrial kanye nezimila ezingezona umdlavuza njenge-fibroids. Ngakho-ke, uma unezinye zalezi zimpawu, kubalulekile ukubona udokotela ukuze ahlolwe.

Nazi lezo zici:

• Ukopha okungajwayelekile kwesitho sangasese sowesifazane okungahlobene nokuya esikhathini noma okwenzeka ngemva kokuya esikhathini.
• Ukuphuma kwegazi esithweni sangasese kanye nephunga elibi.
• Ukuzwa inqwaba/iqhubu esithweni sangasese sowesifazane noma esinqeni se-pelvic.
• Ukuzizwa ugcwele, umuzwa wokusinda esiswini.
• Ubuhlungu be-pelvic.
• Ukudinga ukuchama njalo.
• Ukuqunjelwa.

Cabanga nje, othile ogama lakhe linguNimali useyekile ukuya esikhathini izinyanga eziningi, kodwa ngokuzumayo uqala ukopha futhi. Noma mhlawumbe unomuzwa onzima esiswini sakhe, futhi uzizwa sengathi udinga ukuchama njalo. Uma unokuthile okufana nalokhu, ungapheli amandla, ucabange ukuthi, 'Lokhu kumele kube yinto evamile.'

Ngezinye izikhathi, i-uterine sarcoma ingase ingabonakali izimpawu kuze kube yilapho isiqhubeke kakhulu. Akuvamile kakhulu ukuba nabantu abangenazo nhlobo izimpawu.

Yini ebangela i-uterine sarcoma?

I-sarcoma yesibeletho ibangelwa amangqamuzana angajwayelekile (amangqamuzana amabi) ahlukana futhi asakazeke emzimbeni wonke. Lawa maseli akheka kakhulu odongeni lwemisipha yesibeletho, olubizwa ngokuthi ``Myometrium``.

Ososayensi abakayazi imbangela eqondile ye-uterine sarcoma, kodwa ucwaningo luyaqhubeka ngezindlela zokuxilonga, ukwelapha, kanye nokuvimbela.

Ungasithola kanjani lesi sifo? (Ukuxilongwa)

Uma udokotela wakho esola ukuthi une-uterine sarcoma, uzoqala akuhlole ngokomzimba bese ebuza ngomlando wakho wezokwelapha. Ngemuva kwalokho, uzokwenza ukuhlolwa kwe-pelvic, okuzohlola isitho sakho sangasese sowesifazane, umlomo wesibeletho, isibeletho, amashubhu e-fallopian, ama-ovari, kanye ne-rectum. Ukuze ahlole lezi zitho, udokotela uzofaka umunwe owodwa noma emibili enegilavu ​​​​esithweni sakho sangasese sowesifazane kanye ne-rectum ukuze abheke noma yini engavamile. Angasebenzisa nedivayisi ebizwa ngokuthi i-speculum ukuze abheke ngaphakathi kwesitho sakho sangasese sowesifazane.

Ngaphezu kwalokho, udokotela angenza nalezi zivivinyo:

• I-ultrasound ye-Transvaginal: Lokhu kungathatha izithombe zezicubu ezithambile zesistimu yakho yokuzala, kufaka phakathi izitho zomzimba. I-transducer ekhethekile ifakwa cishe ngamasentimitha angu-2-3 esithweni sangasese sowesifazane bese ihlola isibeletho nama-ovari. Ngezinye izikhathi i-uterine sarcoma kanye ne-fibroids kungabukeka okufanayo ku-ultrasound.
• I-biopsy ye-endometrial: Kulokhu, udokotela uthatha isampula encane yezicubu olwelwesini lwangaphakathi lwesibeletho bese eyithumela elabhorethri.

Ukuphela kwendlela yokuqinisekisa ngokuqinisekile ukuthi une-sarcoma yesibeletho noma cha ukuhlola amaseli athathwe ku-biopsy noma ngemuva kokususwa kwesibeletho ngaphansi kwe-microscope.

Uma usutholakale une-uterine sarcoma, kuzodingeka ukuthi uhlolwe okwengeziwe ukuze kutholakale isigaba esiqondile somdlavuza (isigaba). Ukuhlolwa okufana ne-MRI (Magnetic Resonance Imaging), i-CT (Computed Tomography), i-PET (Positron Emission Tomography), kanye ne-chest X-ray kungasiza ekunqumeni ukuthi umdlavuza wakho ususakazekele kwezinye izingxenye zomzimba wakho.

Udokotela wakho angakudlulisela kudokotela wezinsana zabesifazane, ongakusiza kokubili ekuxilongeni nasekuphatheni.

Yiziphi izindlela zokwelapha? (Ukwelashwa)

Udokotela wakho angasebenzisa enye noma ngaphezulu yalezi zindlela ezilandelayo ukwelapha i-uterine sarcoma: ukuhlinzwa, ukwelashwa ngemisebe, i-chemotherapy, kanye nokwelashwa ngama-hormone.

Ukuhlinzwa

Ukuhlinzwa ukuze kususwe umdlavuza kuvame ukuba yindlela eyinhloko yokwelapha. Udokotela ohlinzayo angase asuse umdlavuza kuphela. Noma, angenza okukodwa noma ngaphezulu kwalokhu okulandelayo ukuze asuse izicubu nezitho ezithintekile:

• Ukususwa kwesibeletho: Ukususwa kwesibeletho sakho kanye nomlomo wesibeletho (ngezinye izikhathi okubizwa ngokuthi "ukususwa kwesibeletho okuphelele"). Udokotela wakho angase futhi enze ukuhlinzwa okuncane kakhulu esebenzisa idivayisi ebizwa ngokuthi "i-laparoscope" ukuze asuse isibeletho.
• Ukususwa kwesibeletho okuphelele nge-salpingo-oophorectomy: Ukususwa kwesibeletho, iqanda elilodwa noma womabili, kanye nepayipi elilodwa noma womabili ama-fallopian.
• Ukususwa kwesibeletho okunamandla: Ukususwa kwesibeletho, umlomo wesibeletho, amapayipi omabili e-fallopian, kanye nezinye izicubu ezizungezile, okuhlanganisa nengxenye yesitho sangasese sowesifazane.
• Ukususwa kwama-lymph node: Ukususwa kwama-lymph node nokuwahlola amaseli omdlavuza.
• I-Laparotomy: Kwenziwa i-incision esiswini ukuze kuhlolwe ukusabalala komdlavuza. Kwezinye izimo, ezinye izitho ezithintekile umdlavuza nazo zingasuswa.

Ukwelashwa Ngemisebe

Ukwelashwa ngemisebe kuyindlela yokwelapha umdlavuza esebenzisa ama-X-ray anamandla amakhulu ukubhubhisa amangqamuzana omdlavuza ngenkathi kunciphisa umonakalo kumaseli anempilo. Ukwelashwa ngemisebe kunganikezwa ngaphakathi (ngaphakathi) noma ngaphandle (kwangaphandle). Zombili izindlela zingasetshenziswa kwi-uterine sarcoma.

Eminye yemiphumela emibi yokwelashwa ngemisebe yile:

• Ukukhathala.
• Uhudo.
• Isicanucanu nokuhlanza.
• Izinguquko zesikhumba.
• Ukuvuvukala kwesinye.
• Ukuvuvukala kwemilenze (i-Edema).

Ukwelashwa ngamakhemikhali

Ukwelashwa ngamakhemikhali kuyindlela yokwelapha esebenzisa imithi ukubulala noma ukubambezela ukukhula kwamaseli omdlavuza ahlukana ngokushesha. Le mithi ivame ukunikezwa ngemithambo yegazi. Lokhu kungabangela imiphumela emibi kakhulu. Ngezinye izikhathi ukwelashwa ngemisebe kanye ne-chemotherapy kunganikezwa ndawonye.

Eminye yemiphumela emibi ye-chemotherapy yile:

• Isicanucanu nokuhlanza.
• Ukulahlekelwa izinwele.
• Ukulahlekelwa yisifiso sokudla.
• Inani legazi eliphansi.
• Ngikhathele.

Ukwelashwa ngama-hormone

Ama-hormone ayizinto ezikhiqizwa yimizimba yethu ukulawula imisebenzi ethile. Izibonelo zifaka phakathi i-testosterone ne-estrogen. Ngezinye izikhathi, ama-hormone asiza ukukhula komdlavuza.

Ukwelashwa ngama-hormone kusebenza ngokuvimbela ukusebenza kwama-hormone nokulawula ukukhula komdlavuza. Ama-hormone anjenge-`(Progestins)`, `(Gonadotropin-releasing hormone agonists)`, kanye ne-`(Aromatase inhibitors)` asetshenziselwa ukwelapha i-uterine sarcoma.

Ingabe i-sarcoma yesibeletho ingavinjelwa? (Ukuvimbela)

Eqinisweni, asikazi ukuthi singayivimbela kanjani i-uterine sarcoma. Kodwa-ke, siyazi ngezinto eziyingozi, njengokwelashwa ngemisebe e-pelvis kanye nokuthatha i-tamoxifen yomdlavuza webele. Ezimweni eziningi, izinzuzo zalokhu kwelashwa zidlula izingozi zokuthola i-uterine sarcoma, ikakhulukazi njengoba kuyisifo esingavamile.

Uma uthola ukwelashwa komdlavuza, khuluma nodokotela wakho ngezingozi ezihilelekile bese uhlola izinzuzo nezingozi zezinketho zokwelapha ezitholakalayo.

Sinjani isimo ngemva kokwelashwa? (Isibikezelo)

I-sarcoma yesibeletho inzima kancane ukwelapha kuneminye imidlavuza yesibeletho, futhi ukubikezela kwayo kuncike ohlotsheni lwesimila onaso, izinga lomdlavuza (ukuthi amangqamuzana omdlavuza awavamile kangakanani uma ebhekwa ngaphansi kwe-microscope), nokuthi isisabalale kangakanani emzimbeni wakho. Khuluma nodokotela wakho mayelana nokubikezela kwesimo sakho.

Ngemva kokwelashwa, hlela ukuvakashelwa njalo nodokotela wakho. Uma unesifo se-uterine sarcoma, ungase ube sengozini enkulu yokuthola ezinye izinhlobo zomdlavuza.

Ingabe i-sarcoma yesibeletho ingalapheka ngokuphelele?

Yebo, i-uterine sarcoma ingelapheka, ikakhulukazi uma isezingeni eliphansi (amangqamuzana awavamile) futhi ingasakazekanga ngaphandle kwesibeletho. Kwezinye izimo, ukwelashwa okwengeziwe, njengokwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe, kungadingeka ukuze kubhujiswe ngokuphelele amangqamuzana omdlavuza.

Ungaphila isikhathi esingakanani nalesi sifo?

Ayikho indlela yokusho ngqo ukuthi umuntu one-uterine sarcoma uzophila isikhathi esingakanani. Umphumela wakho uncike ezintweni eziningi, okuhlanganisa uhlobo lwe-sarcoma onalo, ukuthi selusabalale kangakanani, iminyaka yakho, impilo yakho iyonke, kanye nendlela umzimba wakho osabela ngayo ekwelashweni.

Ngokusho kweNational Cancer Institute, izinga lokusinda kweminyaka emihlanu ye-uterine sarcoma ngemva kokuxilongwa lihluka phakathi kuka-41% no-95%, kuye ngohlobo lwe-sarcoma kanye nobubanzi bokusabalala kwayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uzwa ngento efana nale, kuvamile ukuba nemibuzo eminingi engqondweni yakho. Nansi eminye imibuzo ongayibuza udokotela wakho:

• Kukangaki ngidinga ukuhlolwa kokulandelela kanye nezinqubo zokuthatha izithombe?
• Yini efunwa yilezo zivivinyo ezengeziwe?
• Yiziphi izimpawu ezingabonisa ukuthi umdlavuza wami ubuyile?
• Yimiphi imikhuba okufanele ngiyilandele nsuku zonke ukuze ngihlale ngiphilile?
• Ithimba lami lezokwelapha lixhumana kanjani futhi libuyekeze kanjani ulwazi mayelana nohlelo lwami lokwelashwa?
• Uhlobo lwe-uterine sarcoma enginayo luthinta kanjani izinketho zami zokwelapha kanye nokubikezela kwami?

Okubaluleke kakhulu: Awuwedwa! (Umyalezo Wokuya Ekhaya)

Uma kutholakale ukuthi unomdlavuza, kubaluleke kakhulu ukuqonda ukuthi awuwedwa.Buza udokotela wakho ngamaqembu okusekela abantu abanomdlavuza wesibeletho kanye nalabo abathola ukwelashwa. Ungathola futhi okwengeziwe ngawo ngegatsha lendawo lenhlangano efana ne-American Cancer Society. Udokotela wakho angase akwazi ukukudlulisela kusonhlalakahle noma uchwepheshe wezempilo yengqondo ukuze akusize ubhekane nokucindezeleka kokuthola ukuthi unomdlavuza .

Amaphuzu amafushane okufanele uwakhumbule:

• I-sarcoma yesibeletho iyisimo esingavamile kodwa esibucayi .
• Kubaluleke kakhulu ukuqaphela izimpawu futhi ungazinaki .
• Uma ungabaza, bonana nodokotela ngokushesha.
• Kukhona ukwelashwa, ngakho-ke hlala unethemba.
• Baningi abantu abazokusiza futhi bakusekele kulolu hambo.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

I- Sarcoma Yesibeletho, Umdlavuza Wesibeletho, Impilo Yabesifazane, Izimpawu Zomdlavuza, Ukwelashwa Komdlavuza, I-Gynecology