Uma sizwa amagama athi 'isimila sobuchopho', abaningi bethu bazizwa besaba kakhulu futhi bethukile, akunjalo? Lokho kuvamile impela. Kodwa akusikho konke esikuzwayo nesikucabangayo okuyiqiniso. Ingabe zonke izimila ezikhula ebuchosheni zinomdlavuza? Uyini ngempela umdlavuza wobuchopho? Namuhla, ake sibeke eceleni ukwesaba nokungabaza kwethu ngalokhu futhi sikhulume ngakho kalula, ngendlela ongayiqonda, njengokungathi sikhuluma nomngane.
Ingabe 'isimila sobuchopho' kanye 'nomdlavuza wobuchopho' ziyizinto ezihlukene?
Yebo, lena yinto ebaluleke kakhulu okudingeka siyiqonde kuqala. Isimila sobuchopho yisigaxa esincane noma esikhulu esakheka lapho amangqamuzana obuchopho ekhula ngendlela engavamile futhi engalawuleki. Kodwa akuzona zonke lezi zimila ezinomdlavuza.
Kalula nje, kunezinhlobo ezimbili eziyinhloko zezimila zobuchopho.
| Uhlobo Lwesimila | Incazelo Elula |
|---|---|
| Amathumba Angewona Awemvelo | Lezi akuzona izinhlobo zomdlavuza. Lawa maseli awasabalali ngamandla. Okusho ukuthi, awahambi aye kwezinye izingxenye zomzimba. Kodwa ngenxa yokuthi atholakala ngaphakathi kobuchopho, njengoba lesi simila sikhula, singakhipha izingxenye zobuchopho eziphilile ezizungezile. Ngakho ngisho nalezi zingabangela izinkinga. |
| Amathumba Amabi | Yilokhu esikubiza ngokuthi 'umdlavuza'. Lawa maseli anolaka kakhulu. Akhula ngokushesha futhi asakazeke, abhubhise amaseli anempilo azungezile. Futhi, lawa maseli omdlavuza angasakazeka (asakazeke) aye kwezinye izingxenye zobuchopho noma ezinye izitho zomzimba. |
Ngakho-ke, uyaqonda? Akuzona zonke izimila zobuchopho eziwumdlavuza. Kodwa kungakhathaliseki ukuthi uhlobo luni lwesimila, kubalulekile ukufuna iseluleko sezokwelapha ngoba sitholakala endaweni ebucayi njengobuchopho.
Ingabe zikhona izinhlobo zomdlavuza wobuchopho ngokusekelwe endleleni ezakheka ngayo?
Yebo, sikhuluma ngezinhlobo ezimbili eziyinhloko kuye ngokuthi umdlavuza uqala kuphi.
1. Izimila Zobuchopho Eziyinhloko
Cabanga ngale ndlela, inkinga iqala "ekhaya." Kunjalo nangalena. Lolu hlobo lomdlavuza luqala ngeseli ebuchosheni. Ubuchopho bakhiwe ngezinhlobo eziningi ezahlukene zamaseli. Lolu hlobo lomdlavuza luvela lapho elinye lala maseli lishintsha ngendlela engavamile futhi liqala ukuhlukana ngokungalawuleki.
Izibonelo zalokhu yilezo ezibizwa ngokuthi `ama-Gliomas`, `ama-Meningioma`, `ama-Medulloblastoma`. Lawa magama avame ukunikezwa ngokwengxenye yobuchopho noma uhlobo lweseli lapho umdlavuza ukhula khona. Asikho isidingo sokucabanga ngokujulile ngalokhu nokudida ingqondo yakho. Udokotela wakho uzokuchazela lokhu.
2. Umdlavuza osakazekela ebuchosheni usuka kwenye indawo (Metastatic Brain Cancer)
Empeleni lolu uhlobo lomdlavuza wobuchopho oluvame kakhulu. Okwenzekayo lapha ukuthi amangqamuzana omdlavuza aqale kwenye indawo emzimbeni (isibonelo, amaphaphu, amabele, izinso) ahamba ngegazi aye ebuchosheni bese eqala ukukhula lapho. Kwezokwelapha, lokhu sikubiza ngokuthi 'i-Metastasis'. Kalula nje, kunjengokungathi inkinga iqale "kwelinye idolobha", kodwa igatsha layo liqale "kuleli dolobha".
Udokotela usithola kanjani lesi simo ngokunembile?
Uma unezimpawu ezifana nekhanda elibuhlungu elingapheli, ukuquleka okungachazeki, ukushintsha kombono, noma ubunzima bokuhamba, into yokuqala okufanele uyenze ukubonana nodokotela ngokushesha.
Ngemuva kwalokho, udokotela ulandela lezi zinyathelo:
1. Ukuhlolwa kokuqala: Okokuqala, uzobuzwa ngezimpawu zakho bese kwenziwa ukuhlolwa okuyisisekelo komzimba kwesimiso sezinzwa.
2. Ukuskena: Okulandelayo, kuzodingeka wenze izivivinyo ezikhethekile ukuze ubheke ngaphakathi kobuchopho.
- I-CT Scan: Lolu uhlobo lokuhlola olunikeza isithombe se-3D esinemininingwane eminingi kune-X-ray. Ngezinye izikhathi, kufakwa idayi ekhethekile emthanjeni ukuze kwenziwe lokhu kuskena. Lokhu kuvumela izindawo ezinenkinga ebuchosheni ukuthi zibonakale ngokucacile.
- I-MRI Scan: Uma i-CT scan isola ukuthi kukhona isimila ebuchosheni, udokotela angase ancome i-MRI scan, enganikeza izithombe ezicacile nezinemininingwane eminingi.
3. Ukudluliselwa kuchwepheshe: Uma izikrini ziqinisekisa umdlavuza, uzothunyelwa kudokotela wezifo zomdlavuza noma, uma kungenzeka, kudokotela wezifo zezinzwa.
4. I-Biopsy: Lesi yisiqinisekiso sokugcina nesicacile. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu ezivela esimila bese uyihlola ngaphansi kwe-microscope. Lokhu kungenziwa ngezindlela ezimbili.
- Ukuhlinzwa: Uma isimila sitholakala kalula, odokotela bazovula ugebhezi bese besusa sonke noma ingxenye yaso. Ingxenye esusiwe ithunyelwa ukuze iyohlolwa.
- Ngenaliti (i-Stereotactic Biopsy):Uma isimila singafinyelelwa ngaphandle kokuhlinzwa, kwenziwa imbobo encane kakhulu ekhanda, bese kuthi ngayo, kudluliswe inaliti ekhanda ngosizo lwekhompyutha iye endaweni eqondile yesimila sobuchopho, bese kutholakala isampula yeseli.
Isampula yezicubu etholwe ngale ndlela ihlolwa ngudokotela wezifo ukuze kutholakale ukuthi ingumdlavuza noma cha, nokuthi uhlobo luni.
Ungakwazi yini ukuhamba nomdlavuza wobuchopho?
Lena inkinga abantu abaningi abanayo. Ukutshelwa ukuthi unomdlavuza akusho ukuthi kufanele uyeke ukuphila. Ngokuhlela kahle, ungahamba, ujabule, futhi uhlanganyele emisebenzini. Kodwa kufanele nakanjani ukhulume nodokotela wakho ngalezi zinto kuqala.
- Ukushayela: Ukuthi uyakwazi yini ukushayela kuncike ezimpawini zakho (isib. izinkinga zokubona, ukuxhuzula) kanye nendawo lapho umdlavuza ukhona ebuchosheni bakho. Kufanele ucele imvume kudokotela wakho yokwenza lokhu.
- Ukuhamba ngendiza: Ngokuvamile ungahamba ngendiza cishe ezinyangeni ezintathu ngemuva kokwelashwa. Kodwa-ke, qiniseka ukuthi ubuza udokotela wakho. Ngoba ukushintsha kwengcindezi ngaphakathi kwendiza kungabangela ikhanda elibuhlungu noma ukuvuvukala kobuchopho.
- Ukwelashwa kanye nemibhalo: Uma uphuthelwa ukwelashwa ngenxa yohambo lwakho, khuluma nodokotela wakho mayelana nokuthi kungashintshwa yini isikhathi sakho. Futhi, letha incwadi evela kudokotela wakho echaza isimo sakho, imithi, kanye nanoma yimaphi amadivayisi (ama-port noma ama-implant) onawo. Lokhu kubaluleke kakhulu esikhumulweni sezindiza.
- Nakekela impilo yakho:
- Phatha imithi yakho esikhwameni sakho osiphethe. Izikhwama ezinkulu (imithwalo elayishiwe) zingalahleka.
- Zivikele emagciwaneni. Geza izandla zakho njalo noma usebenzise i-sanitizer yezandla.
- Ukwelashwa komdlavuza kungenza isikhumba sakho sizwele elangeni, ngakho sebenzisa isivikelo selanga.
- Gcina amandla omzimba wakho. Phuza amanzi amaningi usuku lonke. Gcina ukudla okulula okuncane eduze.
- Uma uzizwa ukhathele, thatha ikhefu. Ungalokothi ube namahloni okucela usizo ngesihlalo sabakhubazekile endaweni efana nesikhumulo sezindiza.
Umlayezo Wokuya Nawe Ekhaya
- Akuyona yonke into ebizwa ngokuthi 'isimila sobuchopho' 'esingumdlavuza'. Kukhona nezimila ezingenabungozi.
- Kunezinhlobo ezimbili eziyinhloko zomdlavuza wobuchopho: Umdlavuza oyinhloko (oqala ebuchosheni) kanye nomdlavuza osakazeka ebuchosheni usuka kwenye indawo emzimbeni.
- Uma unezimpawu ezifana nobuhlungu bekhanda obuqhubekayo, ukuquleka, ukushintsha kwamehlo, noma izinkinga zokulinganisela, bona udokotela ngaphandle kokuchitha isikhathi.
- Ukuhlolwa okufana nokuskena kwe-CT, ukuskena kwe-MRI, kanye ne-biopsy kubalulekile ukuze kutholakale ukuxilongwa okunembile.
- Ngisho noma kutholakale ukuthi unomdlavuza, ungaphatha impilo yakho ngeseluleko nokwelashwa okufanele kwezokwelapha, futhi ngemvume kadokotela wakho, ungenza imisebenzi eminingi evamile.
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