Ngezinye izikhathi sibona izinguquko ezincane emehlweni ezingane zethu. Mhlawumbe elinye iso libonakala libheke phambili kancane kwelinye, noma ingane ivame ukuthi libukeka lifiphele kancane. Nakuba sicabanga ukuthi lezi yizinto ezivamile, ngezinye izikhathi kungase kube nesizathu salokhu okudingeka sisinake. Esinye sezizathu ezinjalo kungaba yisimo esibizwa ngokuthi i-Optic Glioma. Lesi isimila esikhula ebuchosheni. Ngakho-ke ake sixoxe ngakho konke ngamazwi alula namuhla.
Kuyini i-Optic Glioma?
Kalula nje, i-Optic Glioma iyisimila sobuchopho esikhula ngokushesha kakhulu . Sivame ukubonakala ezinganeni ezingaphansi kweminyaka eyi-10. Eqinisweni, sibanga u-5% kuphela wazo zonke izimila zobuchopho zezingane.
Lesi simila sikhula sizungeze i-optic nerve, i-nerve exhumanisa amehlo ethu nobuchopho bethu. Kukhona uhlobo lweseli ebuchosheni bethu olusiza futhi londle amangqamuzana ezinzwa, abizwa ngokuthi amangqamuzana e-glial. Lawa maseli yilapho lesi simila siqala khona.
Njengoba lesi simila sikhula, siqala ukucindezela iso kanye ne-optic nerve. Lokhu kungabangela ukubona okufiphele futhi, uma kungelashwa kahle, ngisho nobumpumputhe . Kodwa-ke, ngenxa yokuthi singakhula sibe sikhulu kangaka, izinguquko embonweni zingase zingabonakali ngokushesha. Kungathinta iso elilodwa noma womabili.
Kodwa izindaba ezinhle kakhulu lapha ukuthi, nakuba lesi kuyisimo esibi kakhulu, sivame ukuphulukiswa ngokuphelele.
Isizathu esiyinhloko sokuthi lezi zimila ziyingozi kungenxa yendawo ezikuyo ebuchosheni. Inzwa yethu yokubona ixhumana nobuchopho ngesikhungo samahomoni emzimbeni wethu. Ngakho-ke njengoba isimila sikhula, singathinta nalokho. Lokho kusho ukuthi kungabangela ukungalingani kwamahomoni, izinkinga zokulawula inani likasawoti namanzi emzimbeni, futhi kuthinte izinto ezifana nesifiso sokudla kanye nokulala .
Ngokuvamile, ubuchopho bethu bunesivikelo 'segazi ebuchosheni' ukuze sibuvikele. Yilokhu okuvimbela ukutheleleka ekufinyeleleni ebuchosheni. Ngenxa yalesi sivikelo, izimila ezinjengalesi zivame ukungasabalali ngaphandle kobuchopho ziye kwezinye izingxenye zomzimba. Kodwa-ke, akuvamile kakhulu, okungukuthi, ngaphansi kuka-5%, ukuthi lesi simila sisabalale ngale kobuchopho nomgogodla.
Ziyini izimpawu zalokhu?
Izimpawu zesimila sobuchopho ziyahlukahluka kuye ngokuthi sithinta kuphi ebuchosheni. Endabeni ye-optic glioma, izinkinga zokubona yizona eziyinhloko. Kodwa singazibheka njengezimpawu zesinye isifo. Ake sibheke ukuthi yiziphi izimpawu eziyinhloko.
| Isibonakaliso | Incazelo Elula |
|---|---|
| Ukuphuma kwebhola leso (i-Proptosis) | Iso elilodwa noma womabili abonakala ephuma ngaphezu kokuvamile. Sithi 'amehlo aphuma njengesimila'. |
| Izinkinga zokubona | Ukubona okufiphele, ubunzima bokubona imibala, ukulahlekelwa kancane kancane kokubona kwelinye iso noma kuwo womabili. Izingane ezincane zizama ukusondela kuthelevishini ziyibukele. |
| Izinkinga ezihlobene nama-hormone | Ukwanda noma ukwehla kwesisindo okungachazeki, ukukhula okungavamile (ukwehluleka ukukhula ube mude), kanye nokuthomba kwasekuqaleni. |
| Izinkinga zesistimu ye-endocrine | Izinto ezifana nokuchama njalo nokuphuza ngokweqile. |
Kukhona okunye okukhethekile. Uma ingane yakho itholakale inesifo sofuzo esibizwa ngokuthi i-Neurofibromatosis 1 (NF1) , isengozini enkulu yokuthola i-Optic Glioma. Cishe u-15% wezingane ezine-NF1 zihlakulela lezi zimila. Kodwa into ebalulekile lapha ukuthi izimila eziningi ezikhula ngale ndlela zizoncipha noma ziyeke ukukhula zodwa ngokuhamba kwesikhathi, ngaphandle kokwelashwa. Ngakho-ke akuzona zonke izingane ezine-NF1 ezizodinga ukwelashwa ngalokhu.
Lesi sifo sitholakala kanjani?
Uma udokotela wakho esola ukuthi unalesi sifo, uzokwenza izivivinyo eziningana ukuze asiqinisekise. Uma lesi sifo sesitholakele, isimila sinikezwa 'ibanga', noma ukuhlukaniswa, ngokusekelwe ebunzimeni baso. Leli banga linikezwa ngokuthatha ingxenye encane yezicubu zesimila bese uyihlola ngaphansi kwe-microscope. Amabanga 1 no-2 ayizimila zezinga eliphansi. Izingxenye ezimbili kwezintathu zazo zonke i-gliomas ye-optic yezingane zingalolu hlobo. Amabanga 3 no-4 ayizimila zezinga eliphezulu.
Okulandelayo yizivivinyo eziyinhloko ezisetshenziselwa ukuxilongwa.
| Ukuhlolwa | Kwenziwani ngalokhu? (Kwenziwani?) |
|---|---|
| Ukuhlolwa okuphelele ngokomzimba | Qonda impilo yengane iyonke. Hlola izinto ezifana nokuphakama, isisindo, nokukhula. |
| Ukuhlolwa kokubona | Udokotela wamehlo ulinganisa ngokunembile izinto ezifana nokubona ngamehlo kanye nokubona imibala. |
| Ukuhlolwa kwe-CT scan | Lokhu kungathatha izithombe ezinemininingwane zobuchopho kanye nemizwa exhunywe esweni. Kungasiza futhi ekunqumeni ukuthi kukhona yini isimila nokuthi sikuphi. |
| Ukuhlolwa kokuskena kwe-MRI | Lokhu kufana ne-CT scan, kodwa kusebenzisa omaginethi namagagasi omsakazo ukukhiqiza izithombe ezicacile. Kunikeza imininingwane engcono kakhulu ngohlobo lwesimila. |
Lezi zivivinyo zingase zihilele ochwepheshe abahlukahlukene. Isibonelo, udokotela wezingane, udokotela wezinzwa, kanye nodokotela ohlinza amehlo. Bonke bazohlangana, babukeze imiphumela yokuhlolwa, bafinyelele esiphethweni sokugcina, bese bekuchazela. Uma ukuxilongwa kuqinisekisiwe, isinyathelo esilandelayo ukukhetha inketho yokwelashwa engcono kakhulu ngokusekelwe empilweni yengane yakho kanye nobunzima besimila.
Yiziphi izindlela zokwelapha lokhu?
Odokotela bacabangela izici eziningana lapho bekhetha indlela yokwelapha engcono kakhulu.
- Ubudala bomntwana, impilo yakhe iyonke, kanye nomlando wakhe wezokwelapha
- Uhlobo, indawo, kanye nosayizi wesimila
- Ubukhulu besifo
- Indlela umzimba wengane osabela ngayo emithini, ekwelashweni nasekuhlinzweni (lokhu kubaluleke kakhulu ezinganeni ezincane)
- Isivinini lesi sifo esingaqhubeka ngaso
Ukwelashwa ngamakhemikhali
Lezi zimila zivame ukwelashwa nge-chemotherapy, ehilela ukunikeza umzimba imithi ebulala amangqamuzana omdlavuza, inciphise isimila, futhi ibuyisele umbono.
Ukwelashwa Kwanamuhla (Ukwelashwa Okuqondiwe)
Izindlela zokwelapha ezintsha ezibizwa ngokuthi 'izindlela zokwelapha eziqondiswe kuma-molecularly' nazo ziphumelela kakhulu. Lezi ziqondisa futhi zihlasele ngqo amangqamuzana omdlavuza.
Ukwelashwa ngama-hormone
Uma isimila sithinte ingxenye yobuchopho elawula ama-hormone, ukwelashwa kokufaka esikhundleni sama-hormone kungadingeka ukulawula izimpawu ezibangelwa yiso (isib. ukuphuza ukukhula).
Ukuhlinzwa
Ukuhlinzwa akuvamile ukudingeka kulezi zimila. Ukuhlinzwa kucatshangelwa kuphela uma isimila sithinta kakhulu umbono noma uma ingane isezinhlungwini ezinzima. Uma udokotela wakho encoma ukuhlinzwa, uzokudlulisela kudokotela ohlinza izinzwa.
Ukwelashwa ngemisebe
Uma isimila singasabeli ku-chemotherapy, inketho elandelayo ukwelashwa ngemisebe. Lokhu kuhilela ukusebenzisa umshini okhethekile ukuletha imisebe enamandla aphezulu esimila, kubhubhise amangqamuzana omdlavuza futhi kubangele ukuthi sinciphe.
Umlayezo Wokuya Nawe Ekhaya
- I-glioma ye-optic iyisimila sobuchopho esikhula ezinganeni, kodwa ngokuvamile siyalapheka.
- Uma ingane yakho inezimpawu ezifana nokushintsha kokubona kwayo, iso elilodwa eliphuma phambili, noma izinguquko zamahomoni, qaphela. Uma ubona into efana naleyo, bona udokotela ngokushesha.
- Ukuhlolwa okufana ne-MRI kanye ne-CT scans kusetshenziselwa ukuxilonga lesi sifo. Ungesabi, lokhu kwenziwa ngokuphephile ngaphansi kokuqondisa kodokotela.
- Ukwelashwa ngamakhemikhali kuyindlela yokwelapha evame ukusetshenziswa kakhulu. Ukuhlinzwa akuvamile kakhulu.
- Uma unemibuzo noma ukungabaza ngalokhu, kungcono ukuxoxa ngakho konke ngokukhululekile nodokotela wakho.
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