Uma udokotela ekutshela noma ingane yakho ukuthi unomdlavuza obizwa ngokuthi "i-Ependymoma," kuvamile ukuzizwa ukhungathekile futhi ukhathazekile. Lapho nje uzwa leli gama, kufika imibuzo engqondweni. "Luhlobo luni lwesifo lolu? Kungani lwavela? Ngenzenjani manje?" Kungokwemvelo ukuthi lezi zinto zifike engqondweni. Ngakho-ke namuhla, ake sixoxe ngalokhu kancane kancane, ngendlela ongayiqonda, futhi kalula.
Kuyini i-Ependymoma?
Kalula nje, i-ependymoma iyisimila somdlavuza esingakhula noma kuphi ebuchosheni bakho noma emgogodleni. Siqala sikhule ohlotsheni olukhethekile lweseli (amaseli e-ependymal) oluhlanganisa amakamelo agcwele uketshezi (ama-ventricles) ngaphakathi kobuchopho bakho kanye naphakathi komgogodle wakho.
Izindaba ezinhle ukuthi ngokungafani nezinye izinhlobo zomdlavuza, awuvami ukusabalala kwezinye izingxenye zomzimba (njengesibindi noma amaphaphu). Kodwa-ke, lezi zimila zingasakazeka ezindaweni eziningana, okuhlanganisa ubuchopho nomgogodla. Ikakhulukazi ezinganeni ezincane , lesi simo singabangela ukwanda okuncane kwamathuba okuphinda sivele ngemva kokwelashwa.
Ukulawula ukucindezeleka nosizi oluzwayo lapho ufunda ngesifo esinjengalesi kubaluleke njengokwelashwa. Ngakho-ke khuluma nomndeni wakho nabangani ngalokhu. Ukusekelwa kwabo kuzoba amandla amakhulu kuwe ngalesi sikhathi.
Ziyini izimpawu zalokhu?
Ngokuvamile, lezi zimila ziqala zincane futhi zikhule kancane eminyakeni eminingi. Ngakho-ke, kungase kungabi nazimpawu ekuqaleni. Uma izimpawu zivela, zincike ekutheni isimila sikuphi.
| Indawo yesimila | Izimpawu ezithintayo |
|---|---|
| Ebuchosheni |
|
| Emgogodleni |
Uma umntwana enalesi simo, esinye sezimpawu zokuqala umama angase aziqaphele ukuthi ikhanda lomntwana likhulu kunejwayelekile .
Yini ebangela i-ependymoma?
Odokotela abazi imbangela eqondile yalokhu, kodwa uma unesifo sofuzo esibizwa ngokuthi i-neurofibromatosis uhlobo 2, usengozini enkulu kancane yokuthola lezi zimila.
Lesi sifo sithinta abesilisa nabesifazane ngokulinganayo. Phakathi kwabantu abadala, sivame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-60. Ezinganeni, ama-30% amacala abikiwe alesi sifo asezinganeni ezingaphansi kweminyaka engu-3.
Ingabe zikhona izinhlobo zalokhu?
Yebo, udokotela uzokutshela ngohlobo lwesimila. Lokhu kuhlukaniswa kakhulu ngokwe "amamaki". Kalula nje, uma amamaki ephezulu, isimila sikhula ngokushesha.
- Ibanga I: Lezi yizinhlobo ezikhula kancane kakhulu, ezingenangozi kakhulu. Zingakhula eduze kwama-ventricle obuchopho noma engxenyeni engezansi yomgogodla.
- Ibanga lesi-2: Lolu uhlobo oluvame kakhulu lwe-ependymoma. Ngokuvamile luvela ebuchosheni.
- Ibanga lesi-3 (i-Anaplastic Ependymoma): Lawa amathumba akhula ngokushesha futhi ayingozi kakhulu. Avame ukuvela ebuchosheni noma ekhanda.
Ungasithola kanjani lesi sifo ngqo?
Udokotela uzokwenza izivivinyo eziningana ukuqinisekisa ukuthi une-Ependymoma.
| Ukuhlolwa | Wenzani ngayo? |
|---|---|
| Ukuhlolwa ngokomzimba nangokwezinzwa | Udokotela uzohlola umzimba wakho, abuze ngomlando wempilo yakho, futhi ahlole ukusebenza kobuchopho bakho kanye nesistimu yezinzwa (ukuhamba, ibhalansi). |
| Ukuskena kwe-MRI | Lokhu kungathatha izithombe ezicacile zobuchopho kanye nomgogodla. Ngezinye izikhathi lokhu kwenziwa ngokujova uketshezi olukhethekile (udayi). Lokhu kwenza izindawo lapho amangqamuzana omdlavuza ebonakala khona ngokucacile ezithombeni. |
| Ukuthepha Komgogodla | Uzophendulwa ngohlangothi bese kusetshenziswe inaliti encane ukuthatha amaconsi ambalwa oketshezi emgogodleni wakho. Lolu ketshezi luzohlolwa ukuze kubonakale ukuthi akhona yini amangqamuzana omdlavuza. |
| Ukuhlolwa kwebhayoloji | Lena yindlela kuphela yokuqiniseka ngokuphelele ukuthi isimila siyi-Ependymoma. Ngesikhathi sokuhlinzwa, kuthathwa ingxenye encane yesimila bese ihlolwa ngaphansi kwe-microscope. Lena yindlela okunqunywa ngayo uhlobo kanye nezinga lesimila. |
Yiziphi izindlela zokwelapha?
Uma ukwelapha, ithimba lodokotela lizokwenza izinqumo ezinhle kakhulu. Lokhu kungafaka phakathi udokotela wezifo zomdlavuza, udokotela wezinzwa, kanye nodokotela wezinzwa. Izinqumo zokwelapha zizocabangela izici eziningi, okuhlanganisa iminyaka yakho, indawo kanye nohlobo lwesimila, kanye nemiphumela emibi.
- Ukuqaphela: Uma isimila sikhula kancane futhi singenazimpawu, udokotela wakho angase angaqali ukwelashwa ngokushesha. Kunalokho, bazoqapha isimo sakho futhi benze i-MRI scan cishe kanye ngonyaka.
- Ukuhlinzwa: Uma isimila sikhulu noma sibangela izimpawu, ukuhlinzwa kuyindlela eyinhloko yokwelapha ukususa isimila esiningi ngangokunokwenzeka. Ngemva kokuhlinzwa, kwenziwa i-MRI ukuqinisekisa ukuthi isimila sisusiwe ngokuphelele. Ngezinye izikhathi, kungase kudingeke olunye ukuhlinzwa ukuze kususwe noma yiziphi izingxenye ezisele.
- Ukwelashwa ngemisebe noma ngamakhemikhali: Lokhu kwelashwa kusetshenziselwa ukubhubhisa noma yimaphi amangqamuzana omdlavuza angase asale ngemva kokuhlinzwa. Kodwa-ke, ukwelashwa ngemisebe kuyingozi kancane ezinganeni ezingaphansi kweminyaka emi-3 ngoba kungathinta ukukhula kwazo kanye nokuthuthukiswa kobuchopho. Ngakho-ke, khuluma nodokotela wakho mayelana nenketho engcono kakhulu yengane yakho.
- Ukwelashwa Ngemithi Eqondiwe: Lezi izindlela zokwelapha ezintsha. Le mithi ihlose amangqamuzana omdlavuza ngenkathi inciphisa umonakalo kumaseli anempilo.
Kwenzekani ngemva kokwelashwa?
Eminye imiphumela emibi yesikhathi eside ingase ivele ngemva kokwelashwa. Lokhu kufaka phakathi izimpawu zomzimba ezifana nekhanda elibuhlungu nokukhathala, kanye nezinkinga zengqondo ezifana nokucindezeleka. Izingane zingase zibe nezinkinga zokufunda noma ukubambezeleka kokukhula.
Kodwa-ke, izinga lokusinda kweminyaka emihlanu kulabo abelashwa i-Ependymoma liphezulu kakhulu. Leli zinga liphansi kancane ezinganeni.
Into ebalulekile ukuthi lezi zimila zingakhula futhi ngemva kokwelashwa, ikakhulukazi ezinganeni. Uma zikhula, zivame ukukhula futhi endaweni efanayo ezaziyiyo ngaphambili. Ngakho-ke, kubalulekile ukubona udokotela wakho ngesikhathi esibekiwe bese uhlolwa ukuqinisekisa ukuthi umdlavuza awukabuyi.
Umlayezo Wokuya Nawe Ekhaya
- I-Ependymoma umdlavuza okhula ebuchosheni noma emgogodleni. Ngokuvamile awusabalali kwezinye izingxenye zomzimba.
- Izimpawu zincike ekutheni isimila sitholakala kuphi. Izimpawu zingase zihlanganise ikhanda elibuhlungu uma lisebuchosheni, kanye nobuhlungu emhlane uma lisemgogodla.
- Ukuhlolwa kwe-MRI kanye ne-biopsy kubalulekile ukuqinisekisa lesi sifo.
- Indlela yokwelapha inqunywa yithimba lodokotela. Ukuhlinzwa kuyindlela yokwelapha eyinhloko. Ngaphezu kwalokho, kusetshenziswa imisebe kanye ne-chemotherapy.
- Ukusekelwa ngokomzwelo komndeni nodokotela kubaluleke kakhulu kuwe nakumntanakho phakathi nalolu hambo.
- Kubalulekile ukuba nokulandelela ngesikhathi esihleliwe, njengoba lesi sifo singaphinde sibuye.
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