Created at:1/16/2025
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I-Ependymoma uhlobo lomdlavuza wengqondo noma womgogodla ovela kumaseli okuthiwa amaseli e-ependymal, ahlanganisa izindawo ezigcwele i-fluid ohlelweni lwakho oluphakathi lwemisipha. Nakuba igama lingase lizwakale liyesabekayo, ukuqonda lesi simo kungakusiza uzizwe ulungile futhi uqonde ukuthi kusho ukuthini nokuthi kuphathwa kanjani.
Lezi zinhlobo zomdlavuza zingase zenzeke kunoma iyiphi iminyaka, nakuba zivame ukuxilongwa kubantwana abancane nabantu abadala abaseminyakeni yabo engama-30 nama-40. Izindaba ezinhle ukuthi i-ependymomas eminingi ikhula kancane, futhi ngokunakekelwa komtholampilo okufanele, abantu abaningi bayaqhubeka bephila impilo egcwele, esebenzayo.
I-Ependymoma umdlavuza okhula emaseleni e-ependymal, okuyi-seli ekhethekile ehlanganisa ama-ventricles ebuchosheni bakho kanye nengxenyekazi ephakathi yomgogodla wakho. Cabanga ngala maseli njengokugqoka kwangaphakathi kwezindawo lapho i-cerebrospinal fluid igeleza khona ohlelweni lwakho lwemisipha.
Lezi zinhlobo zomdlavuza zingase zikhule kunoma iyiphi indawo ohlelweni lwakho oluphakathi lwemisipha, kodwa zivame ukuvela kuma-ventricles engqondo noma eceleni komgogodla. Indawo lapho umdlavuza ukhula khona ivame ukunquma ukuthi yiziphi izimpawu ongazihlangabezana nazo nokuthi odokotela baphatha kanjani ukwelashwa.
I-Ependymomas ihlukaniswe njengomdlavuza wengqondo oyinhloko, okusho ukuthi iqala ebuchosheni noma emgogodleni kunokuba isakazeke kwenye indawo emzimbeni wakho. Ingaba yi-benign (engeyona umdlavuza) noma i-malignant (umdlavuza), kanti iningi liwela phakathi kwalezi zigaba.
Odokotela bahlukanisa i-ependymomas zibe izinhlobo eziningi ngokusekelwe lapho zikhona khona nokuthi zibonakala kanjani ngaphansi komkhiqizo. Ukuqonda lezi zinhlobo ezahlukene kungakusiza uqonde kangcono isimo sakho esithile.
Izinhlobo eziyinhloko zihlanganisa:
Iqembu lakho lezokwelapha lizocacisa ukuthi yiluphi uhlobo olulokhu unalo ngokuhlola ngokucophelela amasampula e-tissue. Lolu lwazi lubasiza ukuba bakhe uhlelo lokwelapha olufanele kakhulu isimo sakho.
Izimpawu ze-ependymoma zincike kakhulu lapho i-tumor itholakala khona nokuthi ikhulu kangakanani. Ngenxa yokuthi lezi tumors zingacindezela i-tissue yengqondo noma yomgogodla oseduze, ngokuvamile zibangela izinkinga ezihlobene nendawo ethile eziyithintayo.
Uma une-ependymoma yengqondo, ungase uhlangane nalezi:
Nge-ependymomas yomgogodla, izimpawu zivame ukufaka:
Kubalulekile ukukhumbula ukuthi lezi zimpawu zingakhula kancane kancane ezinyangeni noma ezeminyaka. Abantu abaningi baqala ngokuzidela njengengcindezi noma ukukhathala, okuqondakala ngokuphelele. Uma ubhekene nezimpawu eziqhubekayo, ikakhulukazi izikhathi zikhanda ezihlangene nezinye izimpawu zezinzwa, kufanele uxoxe nodokotela wakho.
Imbangela eqondile ye-ependymoma ayiqondakali ngokuphelele, okungaba yinto ecasulayo uma ufuna izimpendulo. Lokho esikwaziyo ukuthi lezi zifo zikhula lapho amaseli e-ependymal eqala ukukhula nokwahlukaniswa ngokungenakulawuleka, kodwa isiqalisi sale nqubo asiqondakali kakhulu ezimweni eziningi.
Ngokungafani nezinye izifo zekhanda, i-ependymomas ayibonakali ibangelwa izinto zokuphila njengokubhema noma ukudla. Azithwali, futhi ezimweni eziningi, azithathwa kubazali bakho.
Kodwa-ke, kunezimo ezimbalwa zezofu ezimbi ezingandisa ingozi:
Kubantu abaningi abaxilongwe nge-ependymoma, ayikho imbangela noma izingozi ezibonakalayo. Akuyona iphutha lamuntu, futhi cishe akukho lutho obungalwenza ukuvimbela. Ukugxila ekuqhubekeni nokuphathwa nokunakekelwa kuvame ukuba yindlela enhle kakhulu.
Kufanele uxhumane nodokotela wakho uma ubhekene nezimpawu zezinzwa eziqhubekayo, ikakhulu uma ziya ziba zimbi ngokuhamba kwesikhathi. Nakuba lezi zimpawu zingaba nezizathu eziningi, kuhlale kungcono ukuthi ziqaliswe ngokushesha kunokuba kube sekwephuzile.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu:
Shaya izingcingo zezinsizakalo eziphuthumayo ngokushesha uma uhlangabezana nenhlungu yekhanda ebuhlungu kakhulu, ezwakala sengathi "iyinhlungu yekhanda ebuhlungu kakhulu ekuphileni kwakho," ukulahlekelwa ngokungazelelwe koqaphile, noma izimpawu zezinzwa ezinzima ezivela ngokushesha.
Khumbula, izimo eziningi zingabangela lezi zimpawu, futhi eziningi azilona iziphumo zezinkinga zobuchopho. Noma kunjalo, ukuhlolwa kwangaphambi kwesikhathi kuvumela ukwelashwa okusheshayo uma kukhona okuthile okubalulekile okutholakele, futhi kungakunika ukuthula kwengqondo uma imbangela ingaphansi kokukhathazeka.
Eziningi ze-ependymomas zenzeka ngaphandle kwanoma yiziphi izingozi ezicacile, okusho ukuthi zingathinta noma ubani. Noma kunjalo, kunemithelela embalwa abaguli baye bayibona engase ibe usizo ukuyiqonda.
Ubudala buthatha indima, ngezikhathi ezimbili eziphezulu lapho i-ependymomas ivame kakhulu ukuxilongwa:
Izimo ezingavamile zezofu ezingandisa ingozi zihlanganisa:
Kubalulekile ukuqonda ukuthi ukuba nengozi akusho ukuthi uzokuthola i-ependymoma. Abantu abaningi abanengozi abazitholi izifo zomdlavuza, kuyilapho abantu abaningi abaxilongwe nge-ependymoma abanawo amaqiniso aziwayo.
Nakuba ukucabanga ngezingozi kungase kubonakale kukucindezela, ukuqonda izinselele ezingase zenzeke kuzokusiza wena neqembu lakho lochwepheshe bezempilo ukuba nilungiselele futhi niphendule ngokuphumelelayo. Izingozi eziningi zingaphathwa noma zivinjelwe ngokunakekelwa okuhle.
Izingozi ezivela embozweni ngokwawo zingafaka:
Izingozi ezihlobene nokwelashwa zingase zenzeke kodwa ziphathwa ngokucophelela:
Amathuba okuphinda kuvele umbozo kuyinkinga enye, kungakho ukunakekelwa okuqhubekayo kubaluleke kakhulu. Iqembu lakho lochwepheshe bezempilo lizokwenza uhlelo lokulandelela olufanele isimo sakho.
Khumbula ukuthi iqembu lakho lochwepheshe bezempilo liyazi kahle ukuvimba nokulawula lezi zingozi ezingase zenzeke. Ukuxhumana okuvulekile mayelana nanoma yiziphi izinkinga noma izimpawu ozibona kuzosiza ukuba banikeze ukunakekelwa okuhle kakhulu.
Ukuhlola i-ependymoma kuhilela izinyathelo eziningi, futhi udokotela wakho uzokuqondisa kuzo zonke. Inqubo iqala ngokuxoxisana ngemininingwane ngezimpawu zakho kanye nokuhlolwa komzimba, kufaka phakathi ukuhlolwa kwezinzwa ukuhlola imiphendulo yakho, ibhalansi, kanye nokuhlanganiswa.
Izifundo zokuthola izithombe yisinyathelo esibalulekile esilandelayo:
Ukuxilongwa okuqinisekisiwe kudinga isampula yethishu, okusho ukuthi:
Iqembu lakho lezokwelapha lingase futhi lincome ukuhlolwa okwengeziwe ukuze lihlolwe ukuthi umdlavuza usakazeke yini, nakuba i-ependymomas ingasakazeki kancane ezingxenyeni eziningi zomzimba. Lonke inqubo yokuxilonga lisiza odokotela bakho ukuba benze uhlelo lokwelapha oluphumelelayo olufanele isimo sakho.
Ukuphathwa kwe-ependymoma ngokuvamile kuhilela indlela yeqembu, ngabadokotela bezinzwa, ochwepheshe be-oncology, nabanye ochwepheshe basebenza ndawonye. Umgomo oyinhloko ngokuvamile ukususa ingxenye enkulu yomdlavuza ngangokunokwenzeka ngenkathi ulondoloza umsebenzi wakho wezinzwa.
Ukuhlinzwa cishe njalo kuyindlela yokuqala yokwelapha:
Ukwelashwa ngomgogodla kuvame ukulandela ukusebenza:
I-Chemotherapy ngezinye izikhathi isebenza:
Uhlelo lwakho lokwelashwa luzokwenziwa ngokuvumelana nesimo sakho esithile, ucabangele izinto ezinjengendawo yesibopho, usayizi, izinga, iminyaka yakho, nokuphulukisa kwakho konke. Iqembu lakho lezokwelapha lizochaza yonke indlela yokwelashwa ecebiswayo futhi likusize ukuqonda ukuthi yini okufanele uyilindele.
Ukuphatha izimpawu ekhaya kuyiyingxenye ebalulekile yohlelo lwakho lonke lokunakekelwa. Ngesikhathi ukwelashwa kwezokwelapha kubhekana nesibopho ngokwalo, kunezinto eziningi ongenza ukuze uzizwe ukhululekile futhi usekele ukuphulukisa kwakho.
Ukulawula ubuhlungu:
Ukuze usekele impilo yakho yonke:
Izincazelo zokuphepha ziyabaluleka:
Khumbula ukuthi ukuphathwa kwezimpawu kuhlukile kakhulu. Lokho okusebenza komunye umuntu kungenzeka kungasebenzi komunye, ngakho-ke sisebenzisana eduze neqembu lakho lezempilo ukuze uthole izindlela ezinhle kakhulu zesimo sakho.
Ukulungiselela izivivinyo zakho zezokwelapha kungakusiza ukuthi uthole okuningi ngesikhathi sakho neqembu lakho lezempilo. Ukuba uhlelile futhi ulungile kusiza uqinisekise ukuthi yonke imibuzo yakho iphendulwe futhi ulwazi olubalulekile luthunyelwe.
Ngaphambi kokubuka kwakho, buza ulwazi olubalulekile:
Cabanga ukuthi ulethe umuntu osekela:
Imibuzo ongase ufune ukuyibuza ifaka phakathi:
Unganqikazi ukucela ukucaciswa uma ungaqondi lutho. Iqembu lakho lezokwelapha lifuna ukuba uqonde kahle ngesimo sakho nezinketho zokwelashwa.
Into ebaluleke kakhulu okumele uyikhumbule ngo-ependymoma ukuthi nakuba ukwamukela leli bika kungase kuzwakale kukucindezela, abantu abaningi abaneli simo bayaphila impilo egcwele, enenjongo. Ukunakekelwa kwezokwelapha kwamanje kuye kwathuthukisa kakhulu imiphumela kubantu abane-ependymoma.
Impumelelo yokwelashwa ivame ukuxhomekeke ezintweni ezifana nendawo yomdlavuza, usayizi, nomazinga, kanye nokuthi ungasuswa ngokuphelele kangakanani ngokusebenza. I-ependymomas eminingi, ikakhulukazi izinhlobo ezikhula kancane, ziphendula kahle ekwelapheni.
Iqembu lakho lezokwelapha linekhono elikhulu lokwelapha i-ependymoma futhi lizohlangana nawe ukudala uhlelo lokwelashwa oluhle kakhulu. Unganqikazi ukubuza imibuzo, funa imibono yesibili uma ufuna, bese uthembela kwinethiwekhi yakho yokusekela phakathi nalo lohambo.
Khumbula ukuthi isipiliyoni sabo bonke nge-ependymoma sihlukile. Nakuba kuyinto evamile ukucinga ulwazi ku-inthanethi, isimo sakho esithile kanye neprognosis ingahlolwa ngokuqondile yiqembu lakho lezokwelapha eliyazi yonke imininingwane yecala lakho.
Akuwona wonke ama-ependymoma ane-cancer ngendlela evamile. Amanye uhlobo, njenge-subependymoma, kubhekwa njengengalimi futhi akhula kancane kakhulu. Noma kunjalo, ngisho nama-tumors engqondo angalimi angabangela izinkinga uma ekhula amakhulu ngokwanele ukucindezela izingqimba ezizungezile. Udokotela wakho uzochaza izici ezithile ze-tumor yakho nokuthi lokhu kusho ukuthini ngokwelashwa kwakho nokubheka kwakho.
Ama-ependymoma awasakazeki kaningi ngaphandle kwesistimu yezinzwa eziyinhloko kwamanye amalunga omzimba wakho. Uma esakazeka, kuvame ukuba ngaphakathi kwe-cerebrospinal fluid kwamanye amalunga engqondo noma umgogodla. Lokhu kuvamile kakhulu kunamanye ama-cancer amaningi, okuyizindaba ezinhle ngokuhlela ukwelashwa.
Abantu abaningi abadingi ukwelashwa okuqhubekayo okusebenzayo ngemuva kokuphela kokwelashwa kwabo kokuqala. Noma kunjalo, uzodinga ukuvakasha okuqhubekayo nokuhlolwa kwe-imaging ukuqapha noma yiziphi izimpawu zokubuyela kwe-tumor. Ukuvamile kwalokhu kulandelela kuvame ukuncipha ngokuhamba kwesikhathi uma konke kuhlala kuzinzile.
Izingane eziningi ezilashwe nge-ependymoma ziqhubeka ziphila impilo evamile, esebenzayo. Izindlela zokwelapha izingane zivame ukugxila ekunciphiseni imiphumela yesikhathi eside ngenkathi zithinta kahle i-tumor. Amaqembu e-oncology yezingane ahlanganisa ochwepheshe abaqonda izidingo ezikhethekile zezingane ezikhulayo futhi basebenza ukuvikela ukuthuthuka okuvamile lapho kungenzeka.
Kuyinto evamile ukukhathazeka ngezimpawu, ikakhulukazi ekuqaleni kwesikhathi sakho sokulandelela. Gcina umbhalo wanoma yiziphi izimpawu ezintsha noma ezikhathazayo bese uxoxa nazo neqembu lakho lezokwelapha emihlanganweni yakho evamile noma ngokushesha uma kudingeka. Izimpawu eziningi ezikhathaza iziguli zivela zingena-xhumano ne-ependymoma yazo, kodwa kuhlale kungcono ukuhlola nokuthola ukuqinisekiswa.