Leiomyosarcoma
Uhlolojikelele
I-Leiomyosarcoma uhlobo lwesifo somdlavuza oluqala eziseleni ebushelelezi. Izindawo eziningi zomzimba zinawo amathumbu abushelelezi. Izindawo ezinawo amathumbu abushelelezi zihlanganisa uhlelo lokugaya ukudla, uhlelo lokukhishwa kwamaleng, imithambo yegazi kanye nesisu. I-Leiomyosarcoma iqala kakhulu eziseleni ebushelelezi esiswini, esiswini noma emilenzeni. Iqala njengokukhula kwamaselula. Ikhula ngokushesha futhi ingaya kwezinye izingxenye zomzimba. Izimpawu ze-leiomyosarcoma ziyahluka kuye ngokuthi umdlavuza uqale kuphi. Kungase kungabi nazimpawu ekuqaleni kwesimo. I-Leiomyosarcoma uhlobo lwesarcoma yethishu ebushelelezi. I-Sarcoma yethishu ebushelelezi yiqembu elikhulu lemiklamo yomdlavuza eqala eziseleni ezihlanganisa. Izicubu ezihlanganisa zihlanganisa, zisekela futhi zivike izakhiwo zomzimba.
Izimpawu
Leiomyosarcoma ingase ingabangeli izimpawu noma izimpawu ekuqaleni. Njengoba umdlavuza ukhula, izimpawu zingafaka: Ubuhlungu. Ukunciphisa isisindo. Ukupukelela nokugabha. Isibopho noma ukukhula phansi kwesikhumba. Yenza i-aphoyintimenti nodokotela noma omunye ochwepheshe wezempilo uma unezimpawu ezikukhathazayo.
Isikhathi sokubona udokotela
Yenza i-aphoyintimenti nodokotela noma omunye ochwepheshe wezempilo uma unezimpawu ezikukhathazayo.
Izimbangela
Akuqondakali ukuthi yini ebangela i-leiomyosarcoma. Lomdlavuza uqala lapho kukhona okuthinta amangqamuzana emisipha ebushelelezi. Izindawo eziningi zomzimba zinemisipha ebushelelezi. Lokhu kufaka phakathi isistimu yokugaya ukudla, isistimu yokuphuma kwamathumbu, imithambo yegazi kanye nesbele.
I-Leiomyosarcoma kwenzeka lapho amangqamuzana emisipha ebushelelezi ehlukahlukene e-DNA yawo. I-DNA yeseli igcina imiyalo eyalela iseli ukuthi yenze ini. Kuseli ezempilo, i-DNA iyalela amangqamuzana ukuba akhule futhi azinciphise ngesivinini esibekiwe. I-DNA iphinde iyalela amangqamuzana ukuba afe ngesikhathi esibekiwe.
Kuseli zomdlavuza, izinguquko ze-DNA zinikeza ezinye imiyalo. Izinguquko ziyalela amangqamuzana omdlavuza ukuba akhule futhi azinciphise ngesivinini esisheshayo. Amangqamuzana omdlavuza angaqhubeka ephila lapho amangqamuzana asempilweni efa. Lokhu kubangela amangqamuzana amaningi kakhulu.
Amangqamuzana omdlavuza angakha ibala elibizwa ngokuthi i-tumor. I-tumor ingakhula ukuze ihlase futhi yonakalise izicubu zomzimba ezempilo. Ngokuhamba kwesikhathi, amangqamuzana omdlavuza angaqhekeka futhi asakazeke kwezinye izingxenye zomzimba. Lapho umdlavuza usakazeka, kubizwa ngokuthi umdlavuza we-metastatic.
Izici eziyingozi
Izimbangela ezingozi ze-leiomyosarcoma zihlanganisa:
- Ukuba umuntu omdala. I-Leiomyosarcoma ingahle ibe khona kunoma iyiphi iminyaka. Kodwa ivame kakhulu kubantu abadala. Ayivamile kubantwana.
- Ukuba nezinye izimo zezofuzo. Abantu abanezinye izimo zezofuzo bangase babe nenhlanhla enkulu yokuba ne-leiomyosarcoma. Lezi zimo zihlanganisa i-retinoblastoma elidluliselwa ezizukulwaneni kanye ne-Li-Fraumeni syndrome.
Abalimi bezempilo abafumananga indlela yokuvimbela i-leiomyosarcoma.
Ukuxilongwa
Ukuthola i-leiomyosarcoma, ochwepheshe bezempilo bangase baqale ngokuhlolwa komzimba ukuqonda izimpawu zakho. Ezinye izivivinyo nezinqubo ezisetshenziswa ekutholeni i-leiomyosarcoma zihlanganisa izivivinyo zobumfanekiso kanye ne-biopsy.
Ochwepheshe bezempilo bangase babeze ngezimpawu zakho kanye nomlando wakho wezempilo. Ochwepheshe bezempilo bangase bahlole umzimba wakho ukuze bafune izindawo eziqabukile noma izicubu phansi kwesikhumba.
Izivivinyo zobumfanekiso zenza izithombe zangaphakathi komzimba. Izithombe zingasiza iqembu lakho lezokunakekelwa kwezempilo ukuqonda usayizi we-leiomyosarcoma nokuthi ikuphi. Izivivinyo zobumfanekiso zingase zihlanganise:
- MRI.
- CT scan.
- Ukuhlolwa kwe-Positron emission tomography, okuthiwa yi-PET scan.
I-biopsy inqubo yokususa isampula yethishu ukuze ihlolwe elabhoratri. Indlela ochwepheshe bezempilo ababutha ngayo isampula ye-biopsy kuncike lapho ithishu ethintekile ikhona. Nge-leiomyosarcoma, i-biopsy ivame ukuqoqwa ngenhlanzi. Ochwepheshe bezempilo ubeka inhlanzi ngesikhumba ukuze bathole isampula.
Isampula iya elabhoratri ukuze ihlolwe. Imiphumela ingabonisa ukuthi kukhona umdlavuza noma cha.
I-biopsy ye-leiomyosarcoma kufanele yenziwe ngendlela engayikubangela izinkinga ngokuhlinzwa kwesikhathi esizayo. Ngenxa yalesi sizathu, kuyinto enhle ukufuna ukunakekelwa esikhungweni sezokwelapha esibona abantu abaningi abanesihlobo salolu hlobo lomdlavuza. Amaqembu ezempilo anekhono azo khetha uhlobo oluhle kakhulu lwe-biopsy.
Ukwelashwa
Ukwelapha i-leiomyosarcoma kuncike lapho umdlavuza ukhona khona, ubukhulu bakhe nokuthi usakazeke yini kwamanye amalunga omzimba. Impilo yakho jikelele nalokho okufunayo kuyingxenye yohlelo lokwelapha.
Umgomo wokuhlinzwa ukususa yonke i-leiomyosarcoma. Kodwa lokho kungenzeka ukuthi akuyikwenzeka uma umdlavuza mkhulu noma uhilela amalunga aseduze. Khona-ke udokotela wakho angase asuse okuningi komdlavuza ngangokunokwenzeka.
Ukwelashwa ngomgogodla kulwa nomdlavuza ngemisebe yamandla. Amandla angaphuma kuma-X-rays, amaprotoni noma ezinye izinto.
Ukwelashwa ngomgogodla kungasetshenziswa ngaphambi kokuthi, ngemva kokuthi noma phakathi kokuhlinzwa. Kungalapha amakha e-cancer angasuswa ngokuhlinzwa. Ukwelashwa ngomgogodla kungase futhi kusetshenziswe uma ukuhlinzwa kungeyona inketho.
I-Chemotherapy ilwa nomdlavuza ngemithi enamandla. Iningi lemithi ye-chemotherapy linikezwa ngomqondo.
Abasebenzi bezempilo bangase bacebise i-chemotherapy ukuvimbela i-leiomyosarcoma ukuba ingabuyeli ngemva kokuhlinzwa. Kungase futhi kusetshenziswe ukulawula umdlavuza osakazeke kwamanye amalunga omzimba.
Ukwelashwa okuqondiswe ngqo komdlavuza ukwelashwa okusebenzisa imithi ehlasela izinto ezithile emakha e-cancer. Ngokuvimba lezi zinto, ukwelashwa okuqondiswe ngqo kungabangela ukuba amakha e-cancer afe.
Ukwelashwa okuqondiswe ngqo kungaba yindlela yokwelapha i-leiomyosarcoma ekhula kakhulu noma esakazeke kwamanye amalunga omzimba. Isisebenzi sakho sezempilo singase sihlole amakha akho e-cancer ukuze sibone ukuthi imithi eqondiswe ngqo ingakusiza yini.
Ngokokuhamba kwesikhathi, uzothola izinto ezikusiza ukuba ubhekane nokutholakala komdlavuza wakho. Kuze kube yilapho, ungase uthole ukuthi kusiza ukuba:
Buza iqembu lakho lezempilo mayelana nomdlavuza wakho. Buza futhi ngemiphumela yokuhlola kwakho, izinketho zokwelapha, futhi, uma uthanda, umbono wakho, obizwa ngokuthi i-prognosis. Ukwazi okuningi ngomdlavuza wakho kanye nezinketho zakho zokwelapha kungakusiza ukuba wenze izinqumo mayelana nokukhathalelwa kwakho.
Ukugcina ubuhlobo bakho obuseduze buqinile kungakusiza ukuba ubhekane nomdlavuza wakho. Abangane nomndeni bangakunika ukwesekwa okudingayo, njengokusiza ukunakekela ikhaya lakho uma usesibhedlela. Bangakhonza njengokwesekwa ngokomzwelo uma uzizwa ukhuluphala ngumdlavuza.
Tholakala umuntu omuhle omuhle ozimisele ukukuzwa ukhuluma ngethemba lakho nokwesaba kwakho. Lokhu kungaba umngane noma ilungu lomndeni. Ukukhathalela nokuqonda komxhumanisi, umsebenzi wokuxhumana kwezokwelapha, ilungu lebandla noma iqembu lokusekela umdlavuza kungase futhi kusize.
Buza iqembu lakho lezempilo mayelana namaqembu okusekela endaweni yakho. E-United States, ezinye imithombo yolwazi ihlanganisa i-National Cancer Institute ne-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.