Created at:1/16/2025
I-Hepatocellular carcinoma uhlobo oluvamile kakhulu lomdlavuza welaphu oluqala ezintweni eziphambili ze-liver ebizwa ngokuthi yi-hepatocytes. Lo mdlavuza ukhula lapho lezi zinto ziqala ukukhula ngokungajwayelekile nangokungenakulawuleka, zenza ama-tumors e-liver yakho.
Nakuba ukuzwa nganoma yiluphi uhlobo lomdlavuza kungase kuzwakale kukhulu, ukuqonda i-hepatocellular carcinoma kungakusiza ukuthi uqaphele izimpawu ekuqaleni bese uphenya izinketho zokwelapha. I-liver yakho inamandla kakhulu, futhi ukuthuthuka kwezokwelapha kuye kwathuthukisa kakhulu imiphumela yabantu abanesimo.
I-Hepatocellular carcinoma, evame ukufingqiwe njenge-HCC, umdlavuza oqala ezintweni eziphambili zasebenza ze-liver yakho. I-liver yakho inezinhlobo ezahlukene zezinto, kodwa i-hepatocytes yenza cishe u-80% we-liver yakho futhi iphatha iningi lemisebenzi yayo ebalulekile njengokucwengwa kwezinto eziyingozi nokukhiqiza amaprotheni.
Lo mdlavuza ngokuvamile ukhula kancane eminyakeni eminingi, ngokuvamile e-liver eselimale ngezimo ezinye. Iningi lamacala liba kubantu abanesifo se-liver esiqhubekayo noma i-cirrhosis, okuyisibopho se-liver tissue.
I-HCC imele cishe u-75% yayo yonke imidlavuza ephambili ye-liver emhlabeni jikelele. Igama elithi "ephambili" lisho ukuthi umdlavuza uqale e-liver ngokwayo, kunokuba usakaze khona kusuka kwenye ingxenye yomzimba wakho.
I-Hepatocellular carcinoma ekuqaleni ngokuvamile ayibangeli izimpawu ezibonakalayo, kungakho kunzima ukuyithola emazingeni ayo okuqala. Uma izimpawu zivele, zingase zibe njengezinye izinkinga ze-liver ongazibhekana nazo kakade.
Nawa ama-symptom avamile ongawabona:
Abanye abantu bangase babe nezimpawu ezithile njengoba umdlavuza uqhubeka. Lezi zingafaka ukukhula ezinyaweni nasezinyaweni, ukudideka noma ukuhluleka ukucabanga ngokucacile, nokushisa umkhuhlane ngaphandle kwesizathu esicacile.
Khumbula ukuthi lezi zimpawu zingase zenzeke ngezimo eziningi, ikakhulukazi uma usuvele une-sickness yesibindi. Okubalulekile ukunaka izimpawu ezintsha noma ezikhona eziqala ukuba zimbi ngokuzumayo.
I-Hepatocellular carcinoma ingahlelwa ngezindlela eziningi ukuze usize odokotela bahlele indlela yokwelapha engcono kakhulu. Ukuqonda lezi zinhlobo kungakusiza ukuba uxoxe kangcono isimo sakho esithile neqembu lakho lokunakekelwa kwezempilo.
Ngokuya ngokuthi amaseli omdlavuza abonakala kanjani ngaphansi komkhiqizo, i-HCC ihlukaniswe kulawa maqembu:
Odokotela futhi bahlukanisa i-HCC ngendlela yayo yokukhula. Amanye ama-tumors akhula njengomthamo omkhulu owodwa, kanti amanye abonakala njengezinoduli ezincane eziningi kulo lonke isibindi. Kukhona futhi uhlobo olungavamile oluthi i-fibrolamellar HCC oluvame ukubathinta abantu abasebancane abangenayo i-sickness yesibindi.
I-Hepatocellular carcinoma ivela lapho okuthile konakalisa amaseli akho e-liver ngokuphindaphindiweyo ngokuhamba kwesikhathi, kubangela ukuba abe yomdlavuza. Imikhakha eminingi ivela ezimweni ezingapheli ezingela ukuvuvukala okuqhubekayo nokuqina e-liver yakho.
Izimbangela eziyinhloko ezivamile zihlanganisa:
Izimbangela ezingavamile zihlanganisa ukuboshwa yi-aflatoxins, ezingama-toxins akhiqizwa yisikhunta esingonakalisa ukudla okuthile njenge-peanuts ne-corn. Ezinye izimo eziwumfuyo ezihlupha ukugcinwa kwe-iron noma i-copper e-liver zingakhuphula ingozi yakho.
Ukuba nokunye kwalokhu akusho ukuthi uzokuthola umdlavuza we-liver. Abantu abaningi baphila nge-liver disease engapheli ngaphandle kokuthola i-HCC.
Kufanele uxhumane nodokotela wakho uma uqaphela noma yiziphi izimpawu ezintsha noma ezimbi kakhulu, ikakhulukazi uma usuvele une-liver disease. Ukutholakala kwangaphambi kwesikhathi kungenza umehluko omkhulu ekwelapheni nasemiphumeleni.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalezi:
Uma une-hepatitis B, i-hepatitis C, noma i-cirrhosis eqhubekayo, ukulandelelwa njalo ngumhlinzeki wakho wezempilo kubalulekile. Udokotela wakho cishe uzokuncoma ukuhlolwa okujwayelekile ukuze ahlole izimpawu zokuqala zomdlavuza welobe, ngisho noma ungenawo ama-symptom.
Ungalindi uma kukhona okubonakala kuhlukile noma okukukhathazayo ngempilo yakho. Iqembu lakho lezempilo likhona ukusiza, futhi ukunakekelwa kwama-symptom ngokushesha kuvame ukubangela imiphumela emihle.
Ukuqonda izingozi zakho kungakusiza wena nodokotela wakho ukuba nizenze izinqumo ezisekelwe olwazini mayelana nokuhlola nokuvimbela. Ezinye izingozi awukwazi ukuzishintsha, kanti ezinye ungase ukwazi ukuzihlanganisa ngokulungisa indlela yokuphila nokukhathalelwa kwezokwelapha.
Izingozi ongenakuzishintsha zihlanganisa:
Izingozi ongasenza ukuzithonya zihlanganisa:
Uma unezingozi eziningi, lokhu akusho ukuthi uzophuka umdlavuza wesibindi. Abantu abaningi abanezingozi abaphuli umdlavuza we-HCC, kanti abanye abantu abanezingozi ezimbalwa bayaphuka. Okubalulekile ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuqapha impilo yesibindi sakho nokubhekana nezingozi ezingashintshwa.
I-Hepatocellular carcinoma ingabangela izinkinga ezihlukahlukene, kokubili ezivela kumdlavuza ngokwawo nasesibindini esinempilo engalungile. Ukuqonda lezi zinto kungenza ukwazi ukubona izimpawu zokuqala nokufuna ukunakekelwa okufanele uma kudingeka.
Izingozi ezivamile ezihlobene nomdlavuza zihlanganisa:
Izingozi ezingavamile kodwa ezingathi sína zihlanganisa ama-blood clots emithanjeni yegazi yesibindi, izinkinga zezinso, nomdlavuza osakazeka kwezinye izingxenye zomzimba wakho njengemiphunga noma amathambo.
Iqembu lakho lokunakekelwa kwezempilo lizokunaka ngokucophelela ngalezi zingozi futhi ngokuvamile lingazivimba noma liziphathe kahle uma zitholakala ngokushesha. Kunezindlela zokwelapha eziningi ezitholakalayo ezisiza ekuqondiseni ikhwalithi yempilo yakho ngisho noma kuthuthukiswe izingozi.
Nakuba ungakwazi ukuvimba zonke izimo ze-hepatocellular carcinoma, ungathatha izinyathelo eziningi zokunciphisa kakhulu ingozi yakho. Ukuvimbela kugxile ikakhulu ekuvikeleni isibindi sakho ezimweni ezivame ukubangela i-HCC.
Nawa amasu okuvimbela asebenza kakhulu:
Uma usuvele une-chronic liver disease, ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukulawula isimo sakho kubalulekile. Lokhu kuhlanganisa ukusebenzisa imithi njengoba kulotshiwe, ukuya ekuhlolweni okujwayelekile, nokulandela izincomo zokuhlola.
Khumbula ukuthi ukuvimbela kusebenza kakhulu uma kuqalwa kusenesikhathi, kodwa akukaze kube sekude kakhulu ukwenza izinguquko ezinhle zezempilo yelaphu lakho.
Ukuhlola i-hepatocellular carcinoma kuhilela izinyathelo eziningi ukuqinisekisa ukuba khona komdlavuza nokunquma ukwanda kwawo. Udokotela wakho uzosebenzisa ukuxuba kwezivivinyo ukuthola isithombe esiphelele sesimo sakho.
Inqubo yokuhlola ngokuvamile iqala ngezivivinyo zegazi ukuhlola umsebenzi welaphu lakho nokubheka abameli bomdlavuza. I-Alpha-fetoprotein (AFP) iyipuroteni engase iphakamiseke kubantu abane-HCC, nakuba akuwona wonke umuntu onomdlavuza welaphu onamazinga aphezulu e-AFP.
Izivivinyo zokuthwebula umfanekiso zidlalela indima ebalulekile ekuxilongeni:
Kwezinye izimo, udokotela wakho angakuncoma ukuhlolwa kwesibindi, lapho isibonelo esincane sethishu yesibindi sisuswa futhi sihlolwe ngaphansi komkhulu. Noma kunjalo, ukuhlolwa kokufanekisa kuvame ukwanele ekuxilongeni, ikakhulukazi uma kuhlanganiswe nomlando wakho wezokwelapha nemiphumela yokuhlolwa kwegazi.
Lonke inqubo yokuxilonga ingathatha amasonto ambalwa, okungase kuzwakale kukucindezela. Iqembu lakho lokunakekelwa kwezempilo liqonda lokhu futhi lizokugcina ulwazi kulo lonke inqubo.
Ukuphathwa kwe-hepatocellular carcinoma kuncike ezintweni eziningi ezifaka usayizi nenani lezimpuka, umsebenzi wakho jikelele wesibindi, nempilo yakho jikelele. Iqembu lakho lokunakekelwa kwezempilo lizoqala nawe ukwakha uhlelo lokwelapha oluqondene nawe.
Nge-HCC yesigaba sokuqala, ukwelashwa okuphulukisayo kungafaka:
Ngezimo eziphambili, izinketho zokwelapha zifaka:
Oncologist yakho izochaza ukuthi yikuphi ukwelashwa okuyikona okuqondene nesimo sakho. Abantu abaningi bathola ukuxuba kokwelashwa, futhi ukwelashwa okusha kuqhubeka kukhula futhi kuvivinywa.
Ukuphathwa kwe-hepatocellular carcinoma ekhaya kuhilela ukunakekela impilo yakho yonke ngenkathi usekela ukwelashwa kwakho kwezokwelapha. Ukududuzeka kwakho kanye nekhwalithi yempilo kubalulekile phakathi nohambo lwakho lokwelashwa.
Gxilisa ukunakekela ukudla ngokudla ukudla okuncane, okuvamile uma unesifiso esibi. Khetha ukudla okulula ukulugaya futhi oluphezulu ngamaprotheni ukuze usize ukugcina amandla akho. Hlala uthambile, kodwa landela noma yikuphi ukulinganiselwa koketshezi udokotela wakho angakuncoma uma une-fluid retention.
Amasu wokunakekela ekhaya awusizo afaka:
Gcina umbhalo wemizimba yakho kanye nanoma yiziphi izingozi ezivela ekwelapheni. Ulwazi olufana nalolu lusiza iqembu lakho lokunakekelwa kwezempilo ukulungisa ukunakekelwa kwakho njengoba kudingeka. Unganqikazi ukubiza udokotela wakho uma unezinkinga noma uma izimpawu ziyanda.
Cabanga ngokujoyina iqembu lokusekela noma ukuxhumana nabanye abanezivivinyo ezifanayo. Ukusekelwa ngokomzwelo kubaluleke kakhulu njengokunakekelwa komzimba ngalesi sikhathi.
Ukulungiselela izivivinyo neqembu lakho lokunakekelwa kwezempilo kungakusiza ukuba uthole okuningi ngesikhathi sakho ndawonye futhi kuqinisekise ukuthi uthola ulwazi nokukhathalelwa okudingayo. Ukulungiselela okuhle kungasiza futhi ekunciphiseni ukukhathazeka ngokuya kudokotela.
Ngaphambi kwesikhathi sakho sokuya kudokotela, bhala zonke izimpawu zakho ezikhona, kufaka phakathi ukuthi zaqala nini nokuthi zishintshe kanjani. Qaphela noma yimiphi imithi oyithathayo, kufaka phakathi imithi yokuthengwa ngaphandle kwelayisensi kanye nezinye izinto, njengoba ezinye zingathinta isibindi sakho.
Lungiselela lezi zinto ezibalulekile:
Ungakhathazeki ngokubuza imibuzo eminingi kakhulu. Iqembu lakho lokunakekelwa kwezempilo lifuna ukukusiza ukuthi uqonde isimo sakho kanye nezinketho zokwelapha. Uma ungaqondi okuthile, cela incazelo noma cela ukuba ulwazi luchazwe ngezindlela ezihlukile.
Thola amanothi ngesikhathi sokuya kudokotela noma ubuze uma ungarekhoda ingxoxo. Ukuba nolwazi olunembile oluzokubuyekezwa kamuva kungaba usizo kakhulu lapho wenza izinqumo zokwelapha.
I-Hepatocellular carcinoma iyisimo esinzima, kodwa ukuyiqonda kukunika amandla okusebenzisana kahle neqembu lakho lokunakekelwa kwezempilo. Ukutholakala kwasekuqaleni ngokuhlolwa okuvamile, ikakhulukazi uma unezingozi, kungathuthukisa kakhulu izinketho zokwelashwa nemiphumela.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi izinketho zokwelapha ziye zaphucuka kakhulu eminyakeni yamuva. Abantu abaningi abane-HCC bangagcina ikhwalithi yempilo enhle, futhi abanye bafinyelela ekuphulukiseni isikhathi eside noma ekuphulukiseni, ikakhulukazi uma umdlavuza utholakala ekuqaleni.
Ubuhlobo bakho neqembu lakho lokunakekelwa kwezempilo kubalulekile kulo lonke uhambo. Hlala uhileleke ekunakekelweni kwakho, buza imibuzo, futhi ungangabazi ukufuna imibono yesibili uma ucabanga ukuthi kuzosiza. Ukusekelwa komndeni, abangane, nezinhlangano zabaguli kungenza umehluko obalulekile ekuphileni kwakho.
Gxila kulokho ongakulawula, njengokulandela uhlelo lwakho lokwelashwa, ukugcina ukudla okuhle, nokunakekela impilo yakho yobuhlungu. Khumbula ukuthi ukuba nethemba nokuba olukhulu kuyizixhobo ezinamandla ekulawuleni noma yiluphi usongo lwempilo.
Ukuphila ne-hepatocellular carcinoma kuyahluka kakhulu kuye ngesigaba sokutholakala, umsebenzi wakho jikelele wesibindi, nokuthi uphendula kangcono kanjani ekwelapheni. Abantu abatholwe benesigaba sokuqala se-HCC abafanelekela ukuhlinzwa noma ukuhlinzwa kwesibindi bavame ukuba nemiphumela emihle yesikhathi eside.
Kubantu abanesimo esiphambili, ukwelashwa okusha njengokwelashwa okuqondiswe kanye ne-immunotherapy kuye kwathuthukisa kakhulu izikhathi zokuphila. U-oncologist wakho angakunika ulwazi oluqondile olusekelwe esimweni sakho, kodwa khumbula ukuthi izibalo ziyizikhombisi eziyisisekelo futhi isipiliyoni somuntu ngamunye sihlukile.
Yebo, i-hepatocellular carcinoma ingase iphiliswe, ikakhulukazi uma itholakala ekuqaleni. Ukususwa kwesigxobo ngokusebenza, ukutshalwa kwesibindi, nezinqubo zokunciphisa konke kungaba ukwelashwa okuphulukisayo kwabaguli abakhethiwe kahle.
Izici eziyinhloko zokwelashwa zihlanganisa ukuthola umdlavuza ekuqaleni, ukuba nomsebenzi omuhle wesibindi, nokuba unempilo eyanele yokwelashwa okunamandla. Ngisho nakumacala athuthukile kakhulu, abanye abantu bathola ukuthula kwesikhathi eside ngezinhlanganisela ezintsha zokwelapha.
I-hepatocellular carcinoma ngokwayo ayidluliselwa ngqo, kodwa ezinye izimo ezikhuphula ingozi yakho zingadluliselwa emindenini. Isibonelo, ezinye izifo ze-genetic ezihlasela ukusebenza kwe-iron noma i-copper zingadluliselwa emindenini futhi zikhulise ingozi yomdlavuza wesibindi.
Ngaphezu kwalokho, i-hepatitis B ingadluliselwa kunina kuye engwaneni ngesikhathi sokuzalwa, kungakho ukugonywa kubaluleke kakhulu. Uma unomlando womndeni wesifo sesibindi noma umdlavuza wesibindi, xoxa ngezincomo zokuhlola nodokotela wakho.
Ukunciphisa ukudla okubaluleke kakhulu ukugwema utshwala ngokuphelele, njengoba kungalimaza kakhulu isibindi sakho futhi kuphazamise ukwelashwa. Kufanele futhi unciphise usawoti uma une-fluid retention futhi ugweme ukudla okunqunyiwe noma okuphekwe kancane ukuze unciphise ingozi yokutheleleka.
Gxila ekudleni ukudla okulinganiselayo okuneprotheni eyanele ukuze ugcine amandla akho. Gwema ukudla okungaba ne-aflatoxins, njengamantongomane noma amabele ane-mold. Iqembu lakho lokunakekela impilo noma umchwepheshe wokudla lingakunikeza isiqondiso esithile sokudla ngokuya ngezidingo zakho zomuntu siqu nelenkaneli yokwelashwa.
Ukuqina kokulandelela kuncike ehleni lakho lokwelashwa elithile nendlela ophendula ngayo ekwelapheni. Ngesikhathi sokwelashwa okuqhubekayo, ungase ubona onkologisi wakho masonto ambalwa ukuze alandelele intuthuko yakho futhi aphathe noma yimiphi imiphumela emibi.
Izivivinyo zegazi ezihlola ukusebenza kwesibindi kanye nama-tumor markers zivame ukwenziwa njalo, ngezinye izikhathi masonto onke noma nyanga zonke. Izifundo zokwakha izithombe ezihlola impendulo yotshwala zivame ukwenziwa njalo ngeminyaka embalwa. Iqembu lakho lokunakekelwa kwezempilo lizokwakha uhlelo oluqondile lokulandelela oluhambisana neqembu lakho lokwelashwa nezidingo zakho zomuntu siqu.