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Carcinoma Yemvelaphi Engaziwa

Uhlolojikelele

I-carcinoma engaziwa isiqalo sayo yi-diagnosis ochwepheshe bezempilo abayinikezayo lapho bengafikelanga ukuthi umdlavuza uqale kuphi. I-carcinoma engaziwa isiqalo sayo yiyona umdlavuza ophambili osemukele emzimbeni. Ngokuvamile, ochwepheshe bezempilo bathola umdlavuza lapho ukhula endaweni lapho uqale khona. Indawo lapho umdlavuza uqale khona ukukhula kubizwa ngokuthi yi-primary cancer. Ngezinye izikhathi ochwepheshe bezempilo bathola umdlavuza lapho usemukele. Lapho umdlavuza usemukele kubizwa ngokuthi yi-metastatic cancer. Ku-carcinoma engaziwa isiqalo sayo, ochwepheshe bezempilo bathola i-metastatic cancer. Kodwa abakwazi ukuthola i-primary cancer. I-carcinoma engaziwa isiqalo sayo ibizwa nangokuthi yi-occult primary cancer. Amaqembu ezempilo avame ukusebenzisa uhlobo lwe-primary cancer onayo ukusiza ekubeni anqume ukwelashwa. Uma kutholakale ukuthi une-carcinoma engaziwa isiqalo sayo, le ngxenye yolwazi ayikho. Iqembu lakho lezempilo lizozama ukuthola ukuthi uhlobo luni lomdlavuza onalo.

Izimpawu

Izimpawu nezimpawu zekarsinoma yokuqala engaziwa zihlanganisa: Ukukhokha okungapheli. Ukukhathala kakhulu. Ukuvuvukala okungenanjongo ecacile. Ukunciphisa isisindo ngaphandle kokuzimisela. Ukupukelela nokugabha. Ubuhlungu engxenyeni yomzimba. Ukukhula kwesisu. Ama-lymph nodes avuvukile. Yenza i-aphoyintimenti nodokotela noma omunye ochwepheshe wezempilo uma unezimpawu ezikukhathazayo.

Isikhathi sokubona udokotela

Yenza i-aphoyintimenti nodokotela noma omunye ochwepheshe wezempilo uma unezifo ezikukhathazayo.

Izimbangela

Imbangela ye-carcinoma yokuqala engachazwanga ivame ukungaziwa. Abasebenzi bezempilo basebenzisa le diaginosisi lapho bethola izimpawu zomdlavuza osukele kodwa bengenakukwazi ukuthola ukuthi umdlavuza uqale kuphi. Indawo lapho umdlavuza uqale khona ukukhula kubizwa ngokuthi umdlavuza oyinhloko. I-carcinoma yokuqala engachazwanga ingenzeka uma: Umdlavuza oyinhloko mncinyane kakhulu ukuba ubonwe ngezivivinyo zokwenza izithombe. Umdlavuza oyinhloko ubhujiswe yi-immune system yomzimba. Umdlavuza oyinhloko usususiwe ngenxa yomsebenzi wokwelapha omunye umqondo.

Izici eziyingozi

Ubungozi be-carcinoma yokuqala engachazwanga kungenzeka buhlobene nokuthi: Ubudala obukhulu. Lolu hlobo lolwempilo luvamile kakhulu kubantu abadala kuno-60. Mlando womndeni wansengaphambili wokugula ngomdlavuza. Uma ilungu lomndeni oluseduze lwaluno-carcinoma yokuqala engachazwanga, ungase ube nobungozi obukhulu balolu hlobo lomdlavuza. Kukhona ubufakazi bokuthi i-carcinoma yokuqala engachazwanga iyavame kakhulu kubantu abanamlando womndeni wokugula ngomdlavuza oqala ephusini, emphefumulweni noma esibindini. Ukubhema ugwayi. Abantu ababhema ugwayi bangase babe nobungozi obukhulu be-carcinoma yokuqala engachazwanga.

Ukuxilongwa

Ukuthola i-carcinoma yokuqala engaziwa, ochwepheshe bezempilo bangase baqale ngokuhlola umzimba wakho. Amanye amafomu angase afake ukuhlolwa kwezithombe kanye ne-biopsy. Uma iqembu lakho lezempilo lithola i-carcinoma yokuqala engaziwa, lizoqhuba ezinye izivivinyo ukuthola indawo lapho umdlavuza uqale khona. Ukuhlolwa komzimba Ochwepheshe bezempilo bangase bahlole umzimba wakho ukuze baqonde kangcono izimpawu zakho. Ukuhlolwa kwezithombe Ukuhlolwa kwezithombe kwenza izithombe zomzimba. Zingabonisa indawo nobukhulu bomdlavuza. Ukuhlolwa kwezithombe kungase kufake: I-scan ye-Computerized tomography, ebizwa nangokuthi i-CT scan. I-Magnetic resonance imaging, ebizwa nangokuthi i-MRI. I-Positron emission tomography scan, ebizwa nangokuthi i-PET scan. I-Biopsy I-biopsy inqubo yokususa isampula yethishu ukuze ihlolwe elabhoratri. Elabhoratri, ukuhlolwa kungabonisa ukuthi amaseli ethishu ayimilaza yini. Amanye amavivinyo angabonisa uhlobo lwamaseli ahilelekile emdlavuzini. Ku-carcinoma yokuqala engaziwa, ukuhlolwa kubonisa ukuthi amaseli omdlavuza asakazeke kwenye indawo. Ukuhlolwa kokufuna umdlavuza oyinhloko Uma i-biopsy ithola amaseli asakazeke kwenye indawo, iqembu lakho lezempilo lisebenza ukuthola ukuthi aqale kuphi. Indawo lapho umdlavuza uqale khona ukukhula ibizwa ngokuthi umdlavuza oyinhloko. Ukuhlolwa kokuthola umdlavuza oyinhloko kungase kufake: Ukuhlolwa komzimba. Ochwepheshe bezempilo bangase benze ukuhlolwa komzimba ophelele ukuze bafune izimpawu zomdlavuza. Ukuhlolwa kwezithombe. Ukuhlolwa kwezithombe kungase kufake i-CT ne-PET scans. Ukuhlolwa kokusebenza kwamalungu. Ukuhlolwa kwegazi okuqapha ukusebenza kwamalungu kutshela iqembu lezempilo ukuthi amalungu asebenza kahle kangakanani. Imiphumela ingase inike iqembu izinkomba zokuthi umdlavuza ungase ube uthinta amanye amalungu, njengezinso ne-liver. Ukuhlolwa kwe-tumor marker. Abanye umdlavuza bakhipha amaprotheni angatholakala egazini. Ukuhlolwa kokuthola la maprotheni, okuthiwa ukuhlolwa kwe-tumor marker, kungase kusize ukuthola umdlavuza oyinhloko. Izibonelo zokuhlolwa kwe-tumor marker zifaka i-prostate-specific antigen test ye-prostate cancer kanye ne-cancer antigen 125 test ye-ovarian cancer. Ukuhlola amaseli omdlavuza elabhoratri. Ochwepheshe bezempilo elabhoratri bangase baqhubeke nokuhlola amaseli omdlavuza ukuze bathole ezinye izinkomba zokuthi aqale kuphi. Ngezinye izikhathi lezi zivivinyo zingathol umdlavuza oyinhloko. Uma lokhu kwenzeka, awusenaso i-carcinoma yokuqala engaziwa. Kwabanye abantu, umdlavuza oyinhloko awutholakali. Uma lokhu kwenzeka, iqembu lakho lezempilo lizosisebenzisa ulwazi oluvela kuwo wonke ukuhlolwa kwakho ukwenza uhlelo lokwelashwa. Ukunakekelwa eMayo Clinic Iqembu lethu lochwepheshe beMayo Clinic elinakekelayo lingakusiza ngezinkinga zakho zempilo ezihlobene ne-carcinoma yokuqala engaziwa Qala Lapha

Ukwelashwa

Ukwelapha i-carcinoma yokuqala engakaziwa kuvame ukubandakanya imithi. Izindlela zokwelapha umdlavuza ezisebenzisa imithi zihlanganisa i-chemotherapy, i-immunotherapy kanye ne-targeted therapy. I-Carcinoma yokuqala engakaziwa yilomdlavuza osedume emzimbeni. Imithi yomdlavuza ingahamba emzimbeni ibubulale amaseli omdlavuza. Ngezinye izikhathi ochwepheshe bezempilo basebenzisa ezinye izindlela zokwelapha, njengokuhlinzwa kanye ne-radiation therapy. I-Chemotherapy I-Chemotherapy iwelapha umdlavuza ngemithi enamandla. Kukhona imithi eminingi ye-chemotherapy. Iningi lemithi ye-chemotherapy linikezwa nge-vein. Ezinye zitholakala ngendlela yephukuthe. I-Immunotherapy I-Immunotherapy yomdlavuza iyindlela yokwelapha ngemithi esiza isimiso somzimba sokuvikela ukubulala amaseli omdlavuza. Isistimu yokuvikela umzimba iluma izifo ngokuhlasela amagciwane nezinye izicubu ezingafanele zibe emzimbeni. Amaseli omdlavuza aphila ngokufihla esistimwini sokuvikela umzimba. I-Immunotherapy iyasiza amaseli esistimu yokuvikela umzimba ukuthola nokubulala amaseli omdlavuza. I-Targeted therapy I-Targeted therapy yomdlavuza iyindlela yokwelapha esebenzisa imithi ehlasela amakhemikhali athile kumaseli omdlavuza. Ngokuvimba lawa makhemikhali, izindlela zokwelapha eziqondiswe zingabangela ukufa kwamaseli omdlavuza. I-Radiation therapy I-Radiation therapy iwelapha umdlavuza ngemisebe yamandla enamandla. Amandla angatholaka ku-X-rays, amaprotoni noma ezinye imithombo. Ngesikhathi se-radiation therapy, ulela etafuleni ngenkathi umshini uhamba ngawe. Umshini uqondisa ukushisa kwizindawo ezithile emzimbeni wakho. I-Radiation therapy ingasetshenziswa kwi-carcinoma yokuqala engakaziwa ezikumadwini ambalwa kuphela omzimba. Ingasetshenziswa futhi ukusiza ukulawula izimpawu, njengomdlavuza okhulayo obangela ubuhlungu. Ukuhlinzwa Ukuhlinzwa kokusika umdlavuza kungasetshenziswa kwi-carcinoma yokuqala engakaziwa ekuphela kwendawo eyodwa. Amaqembu ezempilo angasebenzisa ukuhlinzwa ukususa amaseli omdlavuza e-liver noma kuma-lymph nodes. Ukunakekelwa okuthuthukisayo Ukunakekelwa okuthuthukisayo kuwuhlobo oluhlukile lokunakekelwa kwezempilo olusiza abantu abanezifo ezinkulu ukuthi bazizwe bekhulu. Uma une-cancer, ukunakekelwa okuthuthukisayo kungasiza ekuqedeni ubuhlungu nezinye izimpawu. Iqembu lochwepheshe bezempilo linikeza ukunakekelwa okuthuthukisayo. Lokhu kungabandakanya odokotela, abahlengikazi nezinye izisebenzi eziqeqeshwe ngokukhethekile. Umgomo wabo ukulungisa ikhwalithi yokuphila kwakho nentsapho yakho. Ochwepheshe bokugcina ukunakekelwa okuthuthukisayo basebenza nawe, nentsapho yakho kanye neqembu lakho lokunakekelwa ukukusiza uzizwe ukhulu. Banikeza ukwesekwa okwengeziwe ngenkathi unokwelashwa komdlavuza. Ungaba nokugcina ukunakekelwa okuthuthukisayo ngesikhathi esifanayo nezindlela zokwelapha umdlavuza ezinamandla, njengokuhlinzwa, i-chemotherapy noma i-radiation therapy. Uma ukunakekelwa okuthuthukisayo kusetshenziswa kanye nezinye izindlela zokwelapha, abantu abane-cancer bangase bazizwe bekhulu futhi baphile isikhathi eside. Cela i-aphoyintimenti

Ukuzinakekela

Ukubhekana ne-carcinoma yokuqala engaziwa kuhlanganisa ukufunda ukubhekana nokuhlupheka. Abantu abaningi abane-kansa leli banokuhlupheka. Izimpawu zokuhlupheka zihlanganisa ukukhathazeka, ukwesaba, ukudumazeka noma ukuthukuthela nge-kansa yakho. Lezi mizwa ingase ibe khona ngoba leli qiniso liza nemibuzo eminingi. Umuntu onecarcinoma yokuqala engaziwa angase abe nezivivinyo eziningi futhi angazi ngempela ukuthi i-kansa yaqala kuphi. Ngezinye izikhathi akucace ukuthi iyiphi indlela yokwelapha engcono kakhulu. Ngokuhamba kwesikhathi, uzothola okuzokusiza ukuba ubhekane nemizwa efana nokuhlupheka nezinye. Kuze kube yilapho, nansi eminye imibono yokubhekana. Funda okwanele mayelana ne-kansa ukuze wenze izinqumo mayelana nokukhathalelwa kwakho Buza iqembu lakho lokukhathalela impilo mayelana ne-kansa yakho, kuhlanganise nemiphumela yokuhlolwa kwakho, izinketho zokwelapha, futhi, uma uthanda, isiprognoses sakho. Njengoba ufunda okwengeziwe mayelana ne-kansa, ungase ube nokukhathazeka okwengeziwe ekwenzeni izinqumo zokwelapha. Gcina abangane nomndeni eduze Ukugcina ubuhlobo bakho obuseduze buqinile kuzokusiza ukuba ubhekane ne-kansa yakho. Abangane nomndeni bangakunikeza ukwesekwa okuwusizo ozosikudinga, njengokusiza ukunakekela ikhaya lakho uma usesibhedlela. Futhi bangasebenza njengokwesekwa ngokomzwelo uma uzizwa ukhuluphuke nge-kansa. Thola umuntu okhuluma naye Thola umlaleli omuhle ozimisele ukukuzwa ukhuluma ngethemba lakho nokukhathazeka kwakho. Lokhu kungaba umngane noma ilungu lomndeni. Ukukhathalela nokuqonda komxhumanisi, umsebenzi wokuxhumana kwezokwelapha, ilungu lekilasi noma iqembu lokusekela i-kansa kungase futhi kusize. Buza iqembu lakho lokukhathalela impilo mayelana namaqembu okusekela endaweni yakho. E-United States, ezinye imithombo yolwazi ihlanganisa i-National Cancer Institute ne-American Cancer Society.

Ukulungiselela ukuqokwa kwakho

Yenza i-aphoyintimenti nodokotela noma omunye ochwepheshe wezokunakekelwa kwezempilo uma unezifo ezikukhathazayo. Uma uchwepheshe wakho wezokunakekelwa kwezempilo ecabanga ukuthi ungaba nomdlavuza, ungase uqondiswe kwisazi. Ngokuvamile lo ngudokotela oqeqeshwe ukunakekela abantu abane-kansa, obizwa ngokuthi ungum-oncologist. Nansi imininingwane ezokusiza ukulungiselela i-aphoyintimenti yakho. Okufanele ukwenze Uma wenza i-aphoyintimenti, buza ukuthi kukhona yini okufanele ukwenze ngaphambili, njengokuzila ukudla ngaphambi kokwenza i-test ethile. Yenza uhlu lwe: Izimpawu zakho, kufaka phakathi noma yiziphi ezibukeka zingahlobene nesizathu se-aphoyintimenti yakho. Ulwazi oluyisisekelo lomuntu siqu, oluhlanganisa ukucindezeleka okukhulu, izinguquko zakamuva ekuphileni nomlando wezokwelapha womndeni. Yonke imithi, amavithamini noma ezinye izithasiselo ozithathayo, kufaka phakathi izilinganiso. Imibuzo okufanele uyibuze udokotela wakho. Cabanga ukuthi ulethe ilungu lomndeni noma umngani ozokusiza ukukhumbula ulwazi olunikezwe. Ngokwe-carcinoma engaziwa yokuqala, ezinye zemibuzo eyisisekelo okufanele uyibuze udokotela wakho zihlanganisa: Yini ebangela izimpawu zami? Ngaphandle kwesizathu esivame kakhulu, yiziphi ezinye izimbangela ezingaba khona zezimpawu zami? Yiziphi izivivinyo engidinga? Iyiphi indlela engcono kakhulu yokwenza? Yiziphi ezinye izindlela zendlela oyiphakamisa? Nginezinye izimo zezempilo. Ngingaziphatha kanjani ndawonye? Ingabe kunemithetho engidinga ukuyilandela? Kufanele ngibone isazi? Ingabe kuneephamphlethi noma ezinye izinto ezinyathelisiwe engingazithola? Yiziphi iwebhusayithi ozicebisa? Unganqikazi ukubuza eminye imibuzo. Okufanele ukulindele odokotela wakho Udokotela wakho cishe uzokubuza imibuzo eminingana, efana nale: Izimpawu zakho zaqala nini? Ingabe izimpawu zakho ziye zaqhubeka noma ngezikhathi ezithile? Zingakanani izimpawu zakho? Yini, uma kukhona, ebonakala ilungisa izimpawu zakho? Yini, uma kukhona, ebonakala ibeza izimpawu zakho? Ngo-Mayo Clinic Staff

Ikheli: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.

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