Ubuhlungu beCarcinoid? Izimpawu, Izimbangela, Nokwelapha

Ubuhlungu beCarcinoid yigumbi lezimpawu ezingase zivele uma ama-tumors athile akhula kancane okuthiwa ama-carcinoid tumors ekhipha ama-hormones egazini lakho. Lezi tumors zivame ukuqala esiswini sakho noma emaphashini futhi zikhiqize izinto umzimba wakho ovame ukuzenza ngezinani ezincane.

Nakuba igama lingase lizwakale liyesabekayo, ama-carcinoid tumors avame ukukhula kancane futhi aphatheka kalula ngokwelashwa okufanele. Abantu abaningi baphila impilo egcwele, esebenzayo naleli simo uma lihlonziwe kahle futhi linakekelwa yiqembu labo lokunakekelwa kwezokwelapha.

Ziyini izimpawu zokungezwani kweCarcinoid?

Isici esiqondakala kakhulu ukubopha kobuso obuza futhi buhambe ngokungalindelekile. Ubuso bakho, intamo, futhi ngezinye izikhathi isifuba singase sibe bomvu futhi sizizwe sishisa, sihlale kuphela imizuzu embalwa kuya emahoreni amaningana.

Izimpawu ongazihlangabezana nazo zivela kuma-hormones amaningi la ma-tumors akhiphayo. Nazi izimpawu ezivamile umzimba wakho ongazihlanganisa nazo:

• Ukubopha kobuso noma ukubomvu okuzizwa kushisa uma kuthintwa.
• Ukhukhula olukhulu olwamanzi olungase lube khona izikhathi eziningi ngosuku.
• Ukufiphaza noma ubunzima bokuqeda umoya, ikakhulukazi ngesikhathi sezimpawu.
• Isikhathi esisheshayo noma esingajwayelekile sokubetha kwenhliziyo ngesikhathi sezimpawu.
• Ubuhlungu besisu noma ukukhukhumela.
• Ukuphefumula okungase kuvele ngesikhathi sezimpawu.

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile ezikhula ngokuhamba kwesikhathi. Lezi zingase zihlanganise ukushintsha kwesikhumba ebusweni noma ezandleni, ubuhlungu bezingxenye zomzimba, noma ukukhukhumela ezinyaweni.

Okwenza lesi simo sibe yisikhethe ukuthi izimpawu zivame ukuza ngezigaba kunokuba zihlale zikhona. Ungase uzizwe uphilile phakathi kwezimpawu, okwenza lesi simo sibe nzima ukuqaphela ekuqaleni.

Yini ebangela ubuhlungu beCarcinoid?

Ubuhlungu beCarcinoid buvela uma ama-carcinoid tumors akhiqiza kakhulu ama-hormones athile, ikakhulukazi i-serotonin. Lezi tumors uhlobo lwe-neuroendocrine tumor olukhula kancane futhi lungase lube ezingxenyeni ezahlukene zomzimba wakho.

Leli simo livame ukuvela uma ama-tumors ese asakazeke e-liver yakho noma uma i-tumor elikhulu likhona ngaphandle kwesisu sakho. Lokhu kwenzeka ngoba i-liver yakho ivame ukuhlunga nokwehlisa ama-hormones amaningi, kodwa uma ama-tumors edlula lesi sistimu sokuhlunga, ama-hormones agcwala egazini lakho.

Izici eziningana zinquma ukuthi ama-carcinoid tumors azobangela izimpawu zokungezwani yini:

• Indawo ye-tumor elikhulu (amaphashini noma izindawo ezithile zesisu zivame kakhulu)
• Ubukhulu nenani lama-tumors akhona
• Uma ama-tumors ese asakazeke e-liver yakho
• Ubuningi be-hormone ama-tumors akhiqizayo
• Amandla omzimba wakho okuqeda la ma-hormones amaningi

Ama-carcinoid tumors amaningi esiswini sakho esincane awabangeli ubuhlungu ngaphandle uma esakazeke e-liver. Noma kunjalo, ama-tumors emaphashini noma kuma-ovaries angabangela izimpawu ngisho noma enga sakazanga ngoba akhipha ama-hormones ngokuqondile ekujikelezeni kwakho okukhulu.

Nini kufanele ubona udokotela ngenxa yobuhlungu beCarcinoid?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nokubopha kobuso okuphindaphindayo kanye nokukhukhula, ikakhulu uma lezi zigaba zenzeka njalo izinsuku eziningana. Nakuba izimo eziningi zingabangela lezi zimpawu ngabanye, ukuxuba kuyadingeka ukuhlolwa kwezokwelapha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa izimpawu ezinkulu ngesikhathi sesigaba. Lezi zihlanganisa ubunzima obukhulu bokuqeda umoya, ubuhlungu besifuba, ubuhlungu besisu obukhulu, noma ukukhathazeka okungapheli uma ukubopha kuphela.

Kubalulekile futhi ukubona udokotela wakho uma uqaphela ukuthi ukudla okuthile, ukucindezeleka, noma imisebenzi iqhubeka nokubangela izimpawu zakho. Ukugcina ulwemi lokho okuletha izigaba zakho kungasiza iqembu lakho lokunakekelwa kwezokwelapha ukwenza ukuxilongwa okuchane kanye nokuthuthukisa uhlelo lokwelapha oluphumelelayo.

Ziyini izici ezingozi zokungezwani kweCarcinoid?

Ukuba nama-carcinoid tumors akhona yisici esiyinhloko sokungezwani. Noma kunjalo, akuwona wonke umuntu onama-carcinoid tumors ozoba naleli simo.

Amathuba akho okuba nobuhlungu beCarcinoid ayanda ngalezi zici:

• Iminyaka engaphezu kuka-50, lapho ama-carcinoid tumors avame ukuxilongwa khona
• Ukuba nama-carcinoid tumors ase asakazeke e-liver yakho
• Ama-tumors amakhulu asemashini, esiswini, noma kuma-ovaries
• Ama-carcinoid tumors amaningi akhona emzimbeni wakho
• Umlando womndeni wama-neuroendocrine tumors noma ama-multiple endocrine neoplasia syndromes
• Izimo ezithile ze-genetic ezandisa ingozi ye-tumor

Ubulili nabo busebenza, ngabesifazane abavame kakhulu ukuba nama-carcinoid tumors ngokujwayelekile. Noma kunjalo, uma kuziwa ebuhlungwini beCarcinoid ngokukhethekile, ingozi ihlobene kakhulu nendawo ye-tumor nokusakazeka kunezincazelo zedemographics.

Lokhu kushiwo, abantu abaningi abanazo izici ezingozi abazange babe nobuhlungu beCarcinoid, futhi abanye abantu abangenazo izici ezingozi ezicacile bayaba nalo. Kungakho ukunaka izimpawu nokuthola ukuxilongwa kwezokwelapha kubaluleke kakhulu kunokukhathazeka ngezici ezingozi zodwa.

Ziyini izinhlanganisela ezingase zibe khona zokungezwani kweCarcinoid?

Nakuba ubuhlungu beCarcinoid buvamise ukuphatheka, izimo ezingaphathwe zingabangela izinhlanganisela ezithinta inhliziyo yakho nempilo yakho jikelele. Izindaba ezinhle ukuthi ukwelashwa okufanele kunciphisa kakhulu ingozi yalezi zinkinga.

Inhlanganisela ebucayi kakhulu yisifo senhliziyo seCarcinoid, esithinta ama-valve enhliziyo. Ama-hormones amaningi angabangela ukukhuluphala nokubola kwama-valve athile enhliziyo, ikakhulukazi ngakwesokudla senhliziyo yakho. Lokhu kuvela kancane kancane futhi kungase kungabangeli izimpawu ekuqaleni.

Ezinye izinhlanganisela ezingase zivele ngokuhamba kwesikhathi zihlanganisa:

• Ukuhlaselwa kweCarcinoid, ukusabela okungavamile kodwa okuyingozi ngokubopha okukhulu nokushintsha kwezinga lokucindezela kwegazi
• Ukungahlangabezeki kokudla ngenxa yokukhukhula okuqhubekayo nokungahlangabezeki kokudla
• Ukuvimbela kwamathumbu uma ama-tumors ekhula ngokwanele ukuvimba izindawo zamathumbu
• I-Pellagra, isimo esibangelwa ukungabi khona kwe-niacin ngenxa yokuguqulwa kokuguqulwa kwemvelo
• Ukubola noma ukubola ezingxenyeni zesisu ezizungezile ama-tumors

Ukuhlaselwa kweCarcinoid kukhathaza kakhulu ngoba kungase kwenzeke ngesikhathi sezinqubo zezokwelapha, ukucindezeleka okukhulu, noma ngezinye izikhathi ngaphandle kokuxwayisa. Ngesikhathi sokuhlaselwa, ungase uhlangabezane nokubopha okukhulu, ukuguquguquka okubi kwezinga lokucindezela kwegazi, nezingqinamba zokubetha kwenhliziyo.

Izindaba ezikhuthazayo ukuthi ukulandelela okuvamile nokwelashwa okufanele kungavimbela izinhlanganisela eziningi. Iqembu lakho lokunakekelwa kwezokwelapha lizohlola izimpawu zokuqala futhi lilungise uhlelo lwakho lokwelapha ngokufanele.

Ubuhlungu beCarcinoid buxilongwa kanjani?

Ukuxilongwa kobuhlungu beCarcinoid kuhilela ukulinganisa amazinga e-hormone emanzini akho nasegazini, kanye nezifundo zokuthola izithombe ukuthola noma yimaphi ama-tumors. Udokotela wakho uzokuqala ngovivinyo lwe-urine lwehora le-24 ukuhlola amazinga aphezulu e-5-HIAA, umkhiqizo wokwehluka kwe-serotonin.

Izivivinyo zegazi zingalinganisa amazinga e-serotonin ngokuqondile futhi zibuze ngeminye ama-hormones la ma-tumors angase akhiqize. Udokotela wakho angase futhi ahlole i-chromogranin A, i-protein ephuma kuma-neuroendocrine tumors amaningi.

Izifundo zokuthola izithombe zisiza ukuthola i-tumor elikhulu futhi zibone uma liye lasakazeka. Lezi zivame ukubandakanya:

• Ama-CT scans esifuba sakho, isisu, ne-pelvis ukubuka ama-tumors
• Ama-Octreotide scans, asebenzisa umkhondo oqoshiwe obopha kuma-carcinoid tumors
• Ama-MRI scans ukuthola izithombe eziningi zezindawo ezithile
• I-Echocardiogram ukuhlola ama-valve enhliziyo yakho ngenxa yomonakalo
• Izinqubo ze-Endoscopy uma kukhona ama-tumors esiswini

Ngezinye izikhathi ukuxilongwa kuthatha isikhathi ngoba izimpawu zingase zibe zingekho noma zicindezelwe ezinye izimo. Udokotela wakho angase akucele ukuba ugcine idayari yesimpawu, uqaphele ukuthi ukubopha noma ukukhukhula kwenzeka nini nokuthi yini engase ibibangele.

Uma izivivinyo zokuqala zikhomba ubuhlungu beCarcinoid, udokotela wakho angase akukhuthaze ukuba ugweme ukudla okuthile nemithi engase ibe yimbangela yezimpawu ngenkathi uqedela umsebenzi wokuxilongwa.

Yikuphi ukwelashwa kobuhlungu beCarcinoid?

Ukwelashwa kugxile ekulawuleni izimpawu zakho nasekulawuleni ama-tumors amakhulu. Indlela iqembu lakho lokunakekelwa kwezokwelapha elikhethayo ixhomeke esimweni sakho esithile, kufaka phakathi ukuthi ama-tumors akho akuphi nokuthi asebenza kangakanani.

Imithi ivame ukuba yindlela yokuqala yokwelapha ukulawula izimpawu. Ama-somatostatin analogs afana ne-octreotide noma i-lanreotide anganciphisa kakhulu ukubopha nokukhukhula ngokuvimba ukukhishwa kwe-hormone evela kuma-tumors.

Uhlelo lwakho lokwelapha lungase luhlanganise izindlela eziningana:

• Ukuthola izibopho zenyanga ze-somatostatin analogs ukulawula ukukhiqizwa kwe-hormone
• Imithi yokulwa nokukhukhula ukuthola impumuzo phakathi kwezibopho
• I-Niacin supplements ukuvimbela i-pellagra
• Imithi yenhliziyo uma kukhona isifo senhliziyo seCarcinoid
• Imithi yokwelapha okuqondiswe e-tumor eyaqhubekayo
• Ukwelashwa okuqondiswe e-liver uma ama-tumors esakazeke lapho

Ukususa ama-tumors ngokusebenza kungase kunconywe uma kungenzeka, ikakhulu uma une-tumor elikhulu elingasuswa ngokuphelele. Noma kunjalo, ukusebenza akuvamile ukwenzeka, ikakhulukazi uma ama-tumors esakazeke kakhulu.

Ngama-tumors e-liver yakho, izinqubo ezikhethekile ezifana ne-hepatic artery embolization zinganciphisa ukunikezwa kwegazi kwe-tumor nokukhiqizwa kwe-hormone. Lezi zinqubo zingabonelela ngokunciphisa izimpawu ngisho noma ukususa i-tumor ngokuphelele kungenzeki.

Ungaphatha kanjani ubuhlungu beCarcinoid ekhaya?

Ukuphatha izimpawu zakho ekhaya kuhilela ukubona nokuqeda izimbangela ngenkathi usekela impilo yakho jikelele. Abantu abaningi bathola ukuthi ukudla okuthile, ukucindezeleka, noma imisebenzi ingaletha izigaba zokubopha.

Ukushintsha kokudla kungenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku. Ukugwema ukudla okuphezulu ku-tyramine, histamine, noma okuyizimbangela ezaziwayo kunganciphisa ubukhulu nokuvamile kwezimpawu.

Cabanga ngokwenza lezi zinguquko zokuphila:

• Gwema utshwala, ukudla okunoshukela, nama-cheeses asebekhulile avame ukubangela izimpawu
• Dla ukudla okuncane, okuvamile ukuthuthukisa izimpawu zesisu
• Hlala uthola amanzi, ikakhulukazi ngesikhathi sezimpawu zokukhukhula
• Sebenzisa amakhono okuqeda ukucindezeleka afana nokuzivocavoca okumnandi noma ukucamngca
• Gcina idayari yesimpawu ukuthola izimbangela zakho siqu
• Thatha imithi ngokuqondile njengoba kunqunyiwe, ngisho noma uzizwa uphilile

Ngesikhathi sezimpawu zokubopha, thola indawo epholile, enhle ukuphumula kuze kube yilapho izimpawu ziphela. Izingubo ezibukhali, ezivumela umoya ukuba uqede, zingakusiza uzizwe ukhululekile ngalesi sikhathi.

Kusiza ukufundisa amalungu omndeni ngesimo sakho ukuze akwazi ukukunikeza ukwesekwa ngesikhathi sezimpawu. Ukuba neqembu lokuphatha izigaba ezinkulu, kufaka phakathi ukuthi nini kufanele ufunani ukunakekelwa okuphaphandwayo, kunika wena nabathandekayo bakho ukuthula kwengqondo.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho kusiza uqinisekise ukuthi uthola okuningi ngesikhathi sakho nodokotela wakho. Ukuletha ulwemi oluqondile ngezimpawu zakho kuzosisiza udokotela wakho ukuqonda isimo sakho kangcono.

Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zenzeka nini nokuthi zihlala isikhathi esingakanani. Qaphela noma yiziphi izibonelo ozibonile, njengokudla, imisebenzi, noma izimo ezibonakala zibangela izigaba.

Letha lolu lwemi e-appointment yakho:

• Idayari yesimpawu eningiliziwe ehlanganisa izinsuku ezimbili
• Uhlu lwemithi yonke, izongezelelo, nama-vitamins owaqopha
• Umlando wakho wezokwelapha, kufaka phakathi noma yikuphi ukuxilongwa kwemikhakha yangaphambili
• Umlando womndeni wama-tumors noma izifo ze-endocrine
• Imibuzo ofuna ukuyibuza ngezinketho zokwelapha
• Ulwemi lokuthi izimpawu zithinta kanjani imisebenzi yakho yansuku zonke

Cabanga ngokuletha ilungu lomndeni omethembayo noma umngani e-appointment yakho. Bangakusiza ukuba ukhumbule ulwemi olukhulu futhi banikeze ukwesekwa ngokomzwelo ngesikhathi sokubonisana ngokuxilongwa nezinketho zokwelapha.

Ungangabazi ukubuza imibuzo nganoma yini ongayiqondi. Iqembu lakho lokunakekelwa kwezokwelapha lifuna ukukusiza uzizwe ulwemi futhi uqiniseke ngohlelo lwakho lokunakekelwa.

Iyini into ebalulekile ngokungezwani kweCarcinoid?

Ubuhlungu beCarcinoid yisimo esiphatheka kalula esiphendula kahle ekwelapheni okufanele. Nakuba ukuthola lokhu kuxilongwa kungase kuzwakale kukhulu, abantu abaningi abanalo ubuhlungu beCarcinoid baphila impilo egcwele, esebenzayo ngokunakekelwa kwezokwelapha okufanele kanye nokulungiswa kokuphila.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuxilongwa kokusheshisa nokwelashwa kwenza umehluko omkhulu ezingeni lempilo yakho nasekubhekeni kwesikhathi eside. Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezokwelapha ukuthola ukuxuba okufanele kwemithi kanye nokulungiswa kokuphila kungalawula izimpawu zakho ngempumelelo.

Hlala uxhumene neqembu lakho lezokwelapha futhi ungangabazi ukuxhumana uma uqaphela ukushintsha kwezimpawu zakho noma unezinkinga ngokwelashwa kwakho. Ngokunakekelwa okuqhubekayo nokukhathalela, ungaphatha lesi simo ngempumelelo ngenkathi ugcina impilo yakho jikelele nokuphuza kwakho.

Imibuzo evamile ebuzwa ngokungezwani kweCarcinoid

Ingabe ubuhlungu beCarcinoid bungaphiliswa ngokuphelele?

Nakuba ayikho impilo yobuhlungu beCarcinoid, ingaphathwa kahle ngokwelashwa okufanele. Abantu abaningi bathola impumuzo enkulu yezimpawu ngemithi efana nama-somatostatin analogs. Emacaleni ambalwa lapho i-tumor elikhulu lingasuswa ngokuphelele ngaphambi kokusakazeka, izimpawu zingase ziphele ngokuphelele.

Ingabe ubuhlungu beCarcinoid bufana nomdlavuza weCarcinoid?

Cha, zihlangene kodwa zihlukile. Ama-carcinoid tumors yi-neuroendocrine tumors amakhulu angase abangele izimpawu noma angabangeli. Ubuhlungu beCarcinoid bubhekisela ngokuqondile egumbini lezimpawu ezivela uma lezi tumors zikhishwa ama-hormones amaningi egazini lakho. Ungaba nama-carcinoid tumors ngaphandle kokuba nobuhlungu.

Izimpawu zokungezwani kweCarcinoid zikhula ngokushesha kangakanani?

Izimpawu zivame ukukhula kancane kancane ezinyangeni noma eminyakeni njengoba ama-tumors ekhula futhi akhiqize ama-hormones amaningi. Noma kunjalo, abanye abantu bahlangabezana nokuqala okungazelelwe kwezimpawu, ikakhulukazi uma benesimbangela njengokudla okuthile noma ukucindezeleka. Ubuhlungu buvamise ukungabonakali kuze kube yilapho ama-tumors esekhona isikhathi esithile.

Ingabe ukucindezeleka kwenza izimpawu zokungezwani kweCarcinoid zibe zimbi?

Yebo, ukucindezeleka komzimba nokucindezeleka kwengqondo kungabangela izigaba zokubopha futhi kwenze izimpawu ezinye zibe zimbi kubantu abaningi abanalo ubuhlungu beCarcinoid. Ukufunda amakhono okuqeda ukucindezeleka nokuqeda izimbangela ezingadingekile uma kungenzeka kungasiza ekuthuthukiseni ubukhulu nokuvamile kwezimpawu. Udokotela wakho angakunikeza isiqondiso ngezindlela zokuqeda ukucindezeleka ezisebenza kahle esimweni sakho.

Ingabe ngizodingeka ngilandele ukudla okukhethekile phakade?

Abantu abaningi abanalo ubuhlungu beCarcinoid bathola ukugwema ukudla okuthile okubangela izimpawu isikhathi eside, kodwa ukulinganiselwa kokudla kuvame ukuphatheka kalula futhi akulinganiselwe kakhulu ukudla kwakho. Iqembu lakho lokunakekelwa kwezokwelapha noma isazi sokudla lingakusiza ukuthuthukisa uhlelo lokudla oluzinzile oluthuthukisa izimpawu ngenkathi uqinisekisa ukuthi uthola ukudla okufanele. Ukulinganiselwa okuthile kuyahlukahluka kumuntu ngamunye ngokusekelwe ezingcazelweni siqu.