Sarcoma Ye-Epithelioid

I-sarcoma ye-Epithelioid

I-sarcoma ye-epithelioid uhlobo lwe-kansa oluyimfihlo oluqala njengokukhula kwamaselula e-soft tissue. Lingase libe kuphi na emzimbeni. Livame ukuqala phansi kwesikhumba esithunzini, esandleni, engalweni, emadolweni noma emilenzeni ephansi. I-sarcoma ye-epithelioid ingabangela ukukhula okuncane, okuqinile noma i-lump phansi kwesikhumba, okuthiwa yi-nodule. Livame ukungabi buhlungu. Kungaba khona ukukhula okukodwa noma okumbalwa. Ngezinye izikhathi ukukhula kubangela amaqhuzu esikhumbeni angapholi. I-sarcoma ye-epithelioid ivame ukuthinta intsha nabantu abadala abasebancane. Kodwa ingathinta nabantu abadala. I-sarcoma ye-epithelioid ithambekele ekukhuleni kancane. Livame ukubuya ngemuva kokwelashwa. I-sarcoma ye-epithelioid uhlobo lwe-kansa oluthiwa yi-soft tissue sarcoma. Lezi zifo zikghona e-connective tissues yomzimba. Kunezinhlobo eziningi ze-soft tissue sarcoma. I-soft tissue sarcomas, kufaka phakathi i-sarcoma ye-epithelioid, ayivamile. Kungcono ukufuna ukunakekelwa esikhungweni se-kansa esinawo okuhlangenwe nakho ekwelapheni abantu abane-sarcoma. Bhalisela mahhala bese uthola umhlahlandlela ophelele wokubhekana ne-kansa, kanye nolwazi oluwusizo lokuthola umbono wesibili. Ungakwazi ukubhalisa noma nini Umhlahlandlela wakho ophelele wokubhekana ne-kansa uzoba ebhokisini lakho le-imeyili maduze. Uzokwase I-sarcoma ye-epithelioid ingaba nzima ukuyiqonda. Ibukeka njengezinkinga ezivamile kakhulu. Ngokuvamile abahlinzeki bezempilo baziqwalasela kuqala lezo zinkinga ezivamile. Isibonelo, i-sore esikhumbeni esingapholi lingase liphuthelwe njengokutheleleka kwesikhumba. Izivivinyo nezinqubo ezisetshenziswa ekuqondeni i-sarcoma ye-epithelioid zihlanganisa:

• Izivivinyo ze-Imaging. Izivivinyo ze-imaging zithatha izithombe zomzimba. Zingabonisa indawo nobukhulu be-sarcoma ye-epithelioid. Izivivinyo zingase zihlanganise i-X-ray, i-MRI, i-CT ne-positron emission tomography, okuthiwa futhi yi-PET scan.
• Ukuthola i-tissue yokuhlola. I-biopsy inqubo yokususa isampula ye-tissue yokuhlola elabhoratri. I-tissue ingase isuswe usebenzisa i-needle ebekwe ngesikhumba bese iya e-kansa. Ngezinye izikhathi ukucutshungulwa kuyadingeka ukuthola isampula ye-tissue. Isampula ihlolwa elabhoratri ukuze kubonwe ukuthi yi-kansa yini. Ezinye izivivinyo ezikhethekile zinikeza imininingwane eyengeziwe ngamaseli e-kansa. Iqembu lakho lokukhathalela impilo lisebenzisa lolu lwazi ukwenza uhlelo lokwelapha. Ukuhlinzwa yilona lokwelapha oluvamile lwe-sarcoma ye-epithelioid. Ngezinye izikhathi ezinye izindlela zokwelapha zingase zisetshenziswe ngaphezu kokuhlinzwa. Izinketho zokwelapha zingase zihlanganise:
• Ukuhlinzwa. Ukuhlinzwa kuhilela ukususa i-kansa nezinye ze-tissue ezempilo ezizungezile. Ukuthatha i-tissue ezempilo kusiza ukuqinisekisa ukuthi wonke amaseli e-kansa asuswe. Ukuthola wonke amaseli e-kansa kunciphisa ingozi yokuthi i-kansa ibuye.
• I-Radiation therapy. I-radiation therapy isebenzisa imisebe yamandla enamandla ukubulala amaseli e-kansa. I-radiation therapy ngezinye izikhathi isebenziswa ngaphambi kokuhlinzwa ukunciphisa i-tumor. Lokhu kwenza kube lula ukuthi yonke i-kansa isuswe ngesikhathi sokuhlinzwa. I-radiation therapy ingase isetshenziswe ngemuva kokuhlinzwa ukubulala noma yimaphi amaseli e-kansa angase asele.
• I-Targeted therapy. I-Targeted therapy isebenzisa imithi ehlasela amakhemikhali athile emaseleni e-kansa awasiza ekukhuleni. Ngokuvimba lawa makhemikhali, ukwelashwa okuqondiswe kungenza amaseli e-kansa afe. I-Targeted therapy ingase ibe yisinqumo uma ungakwazi ukuhlinzwa noma uma ezinye izindlela zokwelapha zingasebenzi.
• I-Chemotherapy. I-Chemotherapy isebenzisa imithi enamandla ukubulala amaseli e-kansa. I-Chemotherapy ingase ibe yisinqumo sokwelapha i-sarcoma ye-epithelioid esakazeka kwezinye izingxenye zomzimba. Ingase isetshenziswe futhi lapho ukuhlinzwa kungelona i-option.
• Izivivinyo ze-Clinical. Izivivinyo ze-clinical yizifundo zezindlela zokwelapha ezintsha. Lezi zifundo zinikeza ithuba lokuzama izinketho zokwelapha zakamuva. Imiphumela emibi ingase ingaziwa. Buza iqembu lakho lokukhathalela impilo ukuthi ungase ube yingxenye yomvivinyo we-clinical yini.

Izivivinyo nezinqubo ezisetshenziswa ukuthola i-soft tissue sarcoma zifaka izivivinyo ze-imaging nezinqubo zokususa isampula yamangqamuzana ukuze kuhlolwe.

Izivivinyo ze-imaging zakha izithombe zangaphakathi komzimba. Zingasiza ekuboniseni usayizi nendawo ye-soft tissue sarcoma. Izibonelo zifaka:

• I-X-rays.
• I-CT scans.
• I-MRI scans.
• I-Positron emission tomography (PET) scans.

Inqubo yokususa amanye amangqamuzana ukuze kuhlolwe ibizwa ngokuthi yi-biopsy. I-biopsy ye-soft tissue sarcoma kufanele yenziwe ngendlela engayikubangela izinkinga ngokuhlinzwa kwesikhathi esizayo. Ngenxa yalesi sizathu, kuhle ukufuna ukunakekelwa esikhungweni sezokwelapha esibona abantu abaningi abanesihlobo saleli hlobo lomdlavuza. Amaqembu ezempilo anamava azo khetha uhlobo oluhle kakhulu lwe-biopsy.

Izinhlobo zezinqubo ze-biopsy ze-soft tissue sarcoma zifaka:

• Core needle biopsy. Le ndlela isebenzisa unhlanzi ukususa amasampula e-tissue evela emdlavuzini. Odokotela ngokuvamile bazama ukuthatha amasampula ezingxenyeni eziningi zomdlavuza.
• Surgical biopsy. Kwezinye izimo, udokotela wakho angase aphakamise ukuhlinzwa ukuze uthole isampula enkulu ye-tissue.

Isampula ye-biopsy iya elabhorethri ukuze kuhlolwe. Odokotela abakhethekile ekuhlaziyeni igazi namalungu omzimba, abizwa ngokuthi yi-pathologists, bazohlola amangqamuzana ukuze babone ukuthi ayimilaza yini. Ezinye izivivinyo elabhorethri zibonisa imininingwane eyengeziwe ngamangqamuzana omdlavuza, njengohlobo lwamanqamuzana angawona.

Amakhetho okwelapha i-sarcoma yamasu alandela ubukhulu, uhlobo nendawo yomdlavuza. Ukuhlinzwa kuyindlela evamile yokwelapha i-sarcoma yamasu. Phakathi nokuhlinzwa, udokotela ohlinzayo ngokuvamile ukhumula umdlavuza kanye nezinye izicubu eziphilile eziwuzungezile. I-sarcoma yamasu ivame ukuthinta izandla nezinyawo. Esikhathini esidlule, ukuhlinzwa kokususa isandla noma unyawo kwakuyinto evamile. Namuhla, kusetshenziswa ezinye izindlela, uma kungenzeka. Ngokwesibonelo, ukukhanya komlilo kanye ne-chemotherapy kungenzeka kusetshenziswe ukunciphisa umdlavuza. Ngaleyo ndlela umdlavuza ungasuswa ngaphandle kokususa ubukhulu bomalunga. Phakathi nokwelashwa kokukhanya komlilo okwenziwa ngesikhathi sokuhlinzwa (IORT), ukukhanya komlilo kuqondiswa lapho kudingeka khona. Inani le-IORT lingaba likhulu kakhulu kunalokho okungenzeka ngokwelashwa kokukhanya komlilo okuvamile. Ukwelashwa kokukhanya komlilo kusebenzisa imisebe yamandla enamandla ukubulala amakhemikhali omdlavuza. Amandla angaphuma ku-X-rays, amaprotoni nezinye izinto. Phakathi nokwelashwa kokukhanya komlilo, ulela etafuleni ngenkathi umshini uhamba ngawe. Umshini uqondisa ukukhanya komlilo ezintweni ezithile emzimbeni wakho. Ukwelashwa kokukhanya komlilo kungenzeka kusetshenziswe:

• Ngaphambi kokuhlinzwa. Ukwelashwa kokukhanya komlilo ngaphambi kokuhlinzwa kunganciphisa i-tumor ukwenza kube lula ukuyisusa.
• Phakathi nokuhlinzwa. Ukwelashwa kokukhanya komlilo ngesikhathi sokuhlinzwa kuvumela ukukhanya komlilo okuningi ukulethwa ngqo endaweni efanele. Lokhu kungasindisa izicubu eziphilile eziwuzungezile indawo efanele.
• Ngemuva kokuhlinzwa. Ukwelashwa kokukhanya komlilo kungenzeka kusetshenziswe ngemuva kokuhlinzwa ukubulala noma yimaphi amakhemikhali omdlavuza asale khona. I-Chemotherapy isebenzisa imithi enamandla ukubulala amakhemikhali omdlavuza. Imithi ngokuvamile inikezwa nge-vein, nakuba eminye itholakala ngefomu le-pill. Amanye ama-soft tissue sarcoma aphendula kangcono kwi-chemotherapy kunabanye. Ngokwesibonelo, i-chemotherapy ngokuvamile isetshenziswa ukwelapha i-rhabdomyosarcoma. Ukwelashwa okuqondiswe kusebenzisa imithi ehlasela amakhemikhali athile kumakhemikhali omdlavuza. Ngokuvimba lawa makhemikhali, ukwelashwa okuqondiswe kungabangela amakhemikhali omdlavuza ukufa. Amakhemikhali omdlavuza wakho angahlolwa ukubona ukuthi ukwelashwa okuqondiswe kungaba usizo kuwe yini. Lokhu kwelashwa kusebenza kahle kwamanye ama-soft tissue sarcoma, njenge-gastrointestinal stromal tumors, ebizwa nangokuthi yi-GISTs. Bhalisa mahhala bese uthola umhlahlandlela ophelele wokubhekana nomdlavuza, kanye nolwazi oluwusizo lokuthola umbono wesibili. Ungakwazi ukuzisusa nganoma yisiphi isikhathi ngokusebenzisa isixhumanisi sokuzisusa kwi-imeyili. Umhlahlandlela wakho ophelele wokubhekana nomdlavuza uzoba ebhokisini lakho le-imeyili maduze. Uzokwase Ukuxilongwa komdlavuza kungazizwa kukucindezela. Ngesikhathi uzofumana izindlela zokubhekana nokuhlupheka nokungabaza komdlavuza. Kuze kube yilapho, ungase uthole ukuthi kusiza ukuba:
• Funda okwanele mayelana ne-sarcoma ukwenza izinqumo mayelana nokukhathalelwa kwakho. Buza iqembu lakho lokukhathalela impilo mayelana ne-sarcoma yakho yamasu. Xoxa ngezinketho zakho zokwelapha. Uma ufuna, buza ngokuqagela kwakho. Njengoba ufunda okuningi, ungase ube nokukhathazeka okukhulu ekwenzeni izinqumo zokwelapha.
• Gcina abangane nomndeni eduze. Ukugcina ubuhlobo bakho obuseduze buqinile kuzokusiza ukubhekana ne-sarcoma yamasu. Abangane nomndeni bangakunikeza ukwesekwa, kufaka phakathi ukunakekela ikhaya lakho uma usesibhedlela. Bangakunikeza ukwesekwa ngokomzwelo uma uzizwa ucindezelekile ngumdlavuza.
• Thola umuntu okhuluma naye. Thola umlaleli omuhle ozimisele ukukuzwa ukhuluma ngethemba lakho nokumesaba kwakho. Lokhu kungaba umngane noma ilungu lomndeni. Ukuhlangana nomxhumanisi, umsebenzi wokuxhumana kwezokwelapha, ilungu le-clergy noma iqembu lokusekela umdlavuza kungase kube usizo.