Dsrct
Uhlolojikelele
Ama-tumors amancane ase-desmoplastic (des-moe-PLAS-tik) (DSRCT) uhlobo lwe-cancer oluqala kaningi esiswini. Ngezinye izikhathi lobu hlobo be-cancer lungase lube ezingxenyeni zomzimba. Ama-tumors amancane ase-desmoplastic uhlobo lwe-cancer elingavamile oluqala njengokukhula kwamaseli. Ukukhula kuvame ukwenzeka esicwebe esigubungela ngaphakathi kwesisu kanye ne-pelvis. Le lining yesicwebe ibizwa ngokuthi i-peritoneum. Amashelu e-cancer angasakazeka ngokushesha kwenye imizimba eseduze. Lokhu kungafaka i-bladder, i-colon ne-liver. Ama-tumors amancane ase-desmoplastic angenzeka kunoma ubani, kodwa avame kakhulu kubafana abasha nabafana. Ukwelashwa kwama-tumors amancane ase-desmoplastic kuvame ukubandakanya ukusetshenziswa kwezindlela zokwelapha ezihlukahlukene. Izindlela ezingase zifakwe ukucutshungulwa, i-chemotherapy ne-radiation therapy. Ama-tumors amancane ase-desmoplastic uhlobo lwe-soft tissue sarcoma. I-soft tissue sarcoma iyigama elisetshenziswa ukuchaza iqembu elikhulu le-cancer elizaqala kuwo wonke amatishu axhuma, asekele futhi azungeze ezinye izakhiwo zomzimba.
Izimpawu
Amasimptomu e-Desmoplastic small round cell tumor ahlukahluka kuye ngokuthi umdlavuza uqala kuphi. Ngokuvamile uqala esiswini. Izimpawu nezimpawu ze-desmoplastic small round cell tumors esiswini zihlanganisa: Ukukhula kwesisu Ubuhlungu besisu I-Constipation Ukukhuluphala komchamo Yenza i-aphoyintimenti nodokotela wakho uma unezimpawu nezimpawu eziqhubekayo ezikukhathazayo.
Isikhathi sokubona udokotela
Yenza i-aphoyintimenti nodokotela wakho uma unezimpawu eziqhubekayo nezinkomba ezikukhathazayo.
Izimbangela
Akuqondakali ukuthi yini ebangela i-desmoplastic small round cell tumors.
Odokotela bayazi ukuthi umdlavuza uqala lapho i-cell ithuthukisa izinguquko ku-DNA yayo. I-DNA yeselula iqukethe imiyalo eyalela iselula ukuthi yenze ntoni. Izinguquko zitshela iselula ukuthi izale ngokushesha. Lokhu kudala iqembu lamaseli omdlavuza elibizwa ngokuthi yi-tumor. Amashelu omdlavuza angahlasela futhi abhubhise inyama yomzimba enempilo. Ngokuhamba kwesikhathi, amaseli omdlavuza angahlukana futhi asakazeke kwenye ingxenye yomzimba.
Ukuxilongwa
Izivivinyo nezinqubo ezisetshenziswa ukuthola i-desmoplastic small round cell tumors zihlanganisa:
- Izivivinyo ze-Imaging. Izivivinyo ze-imaging zisiza iqembu lakho lokunakekelwa ukuqonda usayizi nendawo yomdlavuza wakho. Izivivinyo ze-imaging zingafaka i-ultrasound, i-CT, i-MRI ne-positron emission tomography (PET).
Ukususa isampula yethishu ukuze kuhlolwe. Umhlinzeki wakho wezinsizakalo zempilo angase akukhuthaze inqubo yokususa isampula yamangqamuzana ukuze kuhlolwe. Lokhu kubizwa ngokuthi i-biopsy. Isampula ingase iqoqwe ngesikhathi sokuhlinzwa. Enye indlela ingase kube ukuthola isampula ngenhlanzi edlula ngesikhumba.
Izampula zethishu zithunyelwa elabhoratri ukuze kuhlolwe. Izivivinyo zingatshela iqembu lakho lokunakekelwa impilo ukuthi umdlavuza ukhona yini. Ezinye izivivinyo zelebhu zihlalutya amangqamuzana omdlavuza ukuze kuqondwe ukuthi yiziphi izinguquko ze-DNA ezikhona. Imiphumela ingasiza ukukhipha ezinye izinhlobo ezifanayo zomdlavuza futhi iqinisekise ukuthi ukuxilongwa kwakho kulungile. Imiphumela iphinde isize iqembu lakho lokunakekelwa impilo likhethe ukwelashwa okuhle kuwe.
Ukwelashwa
Ukwelapha i-desmoplastic small round cell tumor kuncike esimweni sakho. Ithimba lakho lokunakekelwa kwezempilo licabanga ngendawo yomdlavuza wakho nokuthi ugcine usakazeke yini ezingxenyeni zezinye zomzimba. Abantu abaningi abane lobu hlobo bomdlavuza bathola ukuxuba kokwelapha.
Umgomo wokuhlinzwa ukususa wonke umdlavuza. Kungase kungabi khona uma umdlavuza ukhulela ezihlabathini eziseduze. Uma lokho kwenzeka, umhlinzeki wakho wezempilo angase akukhuthaze ukwelashwa nge-chemotherapy ngemithi enamandla ukuze unciphise umdlavuza kuqala.
Uma kungenakwenzeka ukususa umdlavuza ngokuphelele, udokotela wakho angase asebenze ukususa okuningi ngangokunokwenzeka. I-Chemotherapy ne-radiation zingase zinconywe ngemuva kokuhlinzwa ukubulala noma iyiphi iseli yomdlavuza engase ihlale.
I-Chemotherapy isebenzisa imithi enamandla ukubulala amaseli omdlavuza. I-Chemotherapy ingase isetshenziswe ngaphambi kokuhlinzwa ukuze unciphise umdlavuza. Lokhu kwenza kube lula ukususa ngokuhlinzwa. I-Chemotherapy ingase futhi isetshenziswe ngemuva kokuhlinzwa ukubulala noma iyiphi iseli engase ihlale ngemuva kokusebenza.
I-Chemotherapy ingase futhi ibe yindlela yokwelapha umdlavuza osakazeke ezingxenyeni zezinye zomzimba. Kulesi simo, i-chemotherapy ingasiza ukulawula izimpawu, njengokubuhlungu.
Izindlela ze-Chemotherapy zingafaka:
- I-Chemotherapy ethonya umzimba wonke. I-Chemotherapy ivame ukunikezwa njengomuthi ofakwa ngomqondo. Imithi ihamba kulo lonke umzimba wakho. Imithi ibulala amaseli akhula ngokushesha, kufaka phakathi amaseli omdlavuza. Ingasetshenziswa ukwelapha i-desmoplastic small round cell tumors kuphi na emzimbeni.
- I-Chemotherapy enikezwa kuphela esiswini. Nge-desmoplastic small round cell tumors esiswini, imithi ye-chemotherapy inganikezwa ngokuqondile endaweni eseduze nezihlabathini zakho zesisu. Lo mzimba ubizwa ngokuthi yi-peritoneal cavity. Ukunikeza i-chemotherapy kule ndawo kuphela, imithi ifudunyezwa futhi ifakwe esiswini. Imithi ishiywe endaweni isikhathi esithile bese isuswa. Le nqubo ibizwa ngokuthi yi-hyperthermic intraperitoneal chemotherapy (HIPEC). Kungase kube yindlela yokwelapha ngemuva kokuhlinzwa.
I-Radiation therapy isebenzisa imisebe enamandla yamandla ukubulala amaseli omdlavuza. Amandla angase avela emithonjeni efana ne-X-rays namaprotons. Ngesikhathi se-radiation therapy, ulela uthule etafuleni futhi umshini uhamba-hamba ngawe. Umshini uqondisa i-radiation ezintweni ezithile emzimbeni wakho.
Nge-desmoplastic small round cell tumors ethinta isisu, i-radiation ingase ibe yindlela yokwelapha ukubulala amaseli omdlavuza asele ngemuva kokuhlinzwa.
Uma umdlavuza wakho usakazeke kwezinye izingxenye zomzimba, i-radiation ingase ibe yindlela yokwelapha ukusiza ukulawula izimpawu, njengokubuhlungu.
Ukuphathwa kwemithi ehloselwe ukuhlasela izinto ezithile ezikhona ngaphakathi kwamaseli omdlavuza. Ngokuvimba lezi zinto, ukwelashwa ngemithi ehloselwe kungabangela ukufa kwamaseli omdlavuza.
I-Targeted therapy ingase inconywe uma umdlavuza wakho ubuyela ngemuva kokwelapha. Ingase futhi inikezwe uma umdlavuza wakho usakazeke kwezinye izingxenye zomzimba. Umhlinzeki wakho wezempilo angase ahlole amaseli omdlavuza wakho ukuze abone ukuthi imithi ye-targeted therapy inamandla okuqeda umdlavuza wakho. I-Targeted therapy ingasetshenziswa yodwa noma ihlanganiswe ne-chemotherapy.
Ukuxilongwa ngomdlavuza kungase kuzwakale kukucindezela. Ngesikhathi uzofumana izindlela zokubhekana nokuhlupheka nokungabaza komdlavuza. Kuze kube yilapho, ungase uthole ukuthi kusiza ukuba:
- Funda okwanele ngomdlavuza ukwenza izinqumo mayelana nokunakekelwa kwakho. Buza umhlinzeki wakho wezempilo imininingwane mayelana nomdlavuza wakho. Buza ngezindlela zakho zokwelapha. Uma uthanda, buza ngokuqagela kwakho. Njengoba ufunda okuningi nge-desmoplastic small round cell tumors, ungase ube nesibindi ekwenzeni izinqumo zokwelapha.
- Gcina abangane nomndeni eduze. Gcina ubuhlobo bakho obuseduze buqinile. Kuzokusiza ukubhekana nokuxilongwa kwakho nethonya elilindele empilweni yakho. Abangane nomndeni bangakunikeza ukwesekwa okuwusizo. Isibonelo, bangakusiza ngemisebenzi efana nokunakekela ikhaya lakho uma usesibhedlela. Bangasebenza njengokwesekwa ngokomzwelo uma uzizwa ucindezelekile ngumdlavuza.
- 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 lebandla noma iqembu lokusekela umdlavuza kungase futhi kusize.
Buza umhlinzeki wakho mayelana namaqembu okusekela endaweni yakho. Noma hlola enhlanganweni yomdlavuza, efana ne-National Cancer Institute noma i-American Cancer Society.
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 lebandla noma iqembu lokusekela umdlavuza kungase futhi kusize.
Buza umhlinzeki wakho mayelana namaqembu okusekela endaweni yakho. Noma hlola enhlanganweni yomdlavuza, efana ne-National Cancer Institute noma i-American Cancer Society.
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.