Ukuthi yini i-Leiomyosarcoma? Izimpawu, Izimbangela, kanye Nokwelashwa

I-Leiomyosarcoma uhlobo lwe-kansa oluyimfihlo olukhula emathinini ebushelelezi emzimbeni wakho. Lawa mathini atholakala ezithombeni ezinjengebele, isisu, imithambo yegazi, nezinye izakhi ezingekati ezisebenza ngokuzenzakalelayo ngaphandle kokuba ucabange ngawo.

Nakuba lokhu kuhlinzwa kungase kubonakale kukhulu, ukuqonda ukuthi yini oyilwa nayo kuzokusiza wenze izinqumo ezinolwazi mayelana nokukhathalelwa kwakho. Le kansa ithonya abantu abangaphansi kuka-1 ku-100,000 minyaka yonke, okwenza kube yinto engavamile kodwa eqinisile ephatheka kahle ngokunakekelwa okufanele kwezokwelapha.

Ukuthi yini i-Leiomyosarcoma?

I-Leiomyosarcoma yi-soft tissue sarcoma eqala lapho amaseli emathini ebushelelezi eqala ukukhula ngokungavamile nangokungenakulawuleka. Cabanga ngamathini ebushelelezi njengamathini alininga imithambo yegazi yakho, isisu, ibele, nezinye izitho ezisebenza ngaphandle kokulawulwa kwengqondo.

Le kansa ingakhula cishe kuphi na emzimbeni wakho lapho kukhona khona amathini ebushelelezi. Izindawo ezivame kakhulu zihlanganisa ibele kwabesifazane, isisu, izingalo, imilenze, kanye nemithambo yegazi. Ngokungafani nezinye izinhlobo ze-kansa ezingase zikhule kancane, i-leiomyosarcoma ivame ukuba nomfutho futhi ingasakazeka kwezinye izingxenye zomzimba wakho.

Igama ngokwalo lihlukaniswa kalula: "leio" kusho ubushelelezi, "myo" kubhekisela emthonjeni, futhi "sarcoma" kubonisa i-kansa yamatishu axhumanayo. Iqembu lakho lezokwelapha lizokuhlola ngokusekelwe lapho yaqala khona nokuthi ibukeka kanjani ngaphansi komkhiqizo.

Ziyini izimpawu ze-Leiomyosarcoma?

Izimpawu ongazihlangabezana nazo ziyahluka kakhulu ngokusekelwe lapho i-tumor ikhula khona emzimbeni wakho. Izigaba zokuqala zivame ukungabangeli izimpawu ezibonakalayo, yingakho le kansa ngezinye izikhathi ingabonakali ekuqaleni.

Nazi izimpawu ezivame kakhulu okufanele uzilandele:

• I-lump noma i-mass ekhula ongayizwa ngaphansi kwesikhumba sakho
• Ubuhlungu besisu noma ukukhuluphala okuqhubekayo
• Ukuphuma kwegazi okungavamile noma isikhathi esinzima (ngokwe-uterine leiomyosarcoma)
• Ukwehla kwesisindo okungachazeki
• Ukukhathala okungaphuli ngokuphumula
• Ubuhlungu endaweni ethintekayo obukhula ngokuhamba kwesikhathi
• Ukushintsha kwesisu noma kwesisu uma i-tumor icinezela izitho eziseduze

Ngezindawo ezingavamile, ungase uqaphele ubunzima bokuqeda uma kuthonya amaphaphu akho, noma izinkinga zokujikeleza kwegazi uma kuhilela imithambo yegazi. Abanye abantu nabo bahlangabezana nokuhlupheka, ukwehla kokudla, noma imizwa jikelele yokuthi kukhona okungalungile emzimbeni wabo.

Khumbula ukuthi lezi zimpawu zingaba nezizathu eziningi ezahlukene, eziningi zazo zingesi-kansa. Noma kunjalo, uma uqaphela ukushintsha okuqhubekayo okukukhathazayo, kufanele ukuxoxe nodokotela wakho.

Ziyini izinhlobo ze-Leiomyosarcoma?

Odokotela bahlukanisa i-leiomyosarcoma ngokusekelwe lapho ikhula khona emzimbeni wakho. Indawo ithonya kokubili izimpawu zakho kanye nendlela yokwelapha, ngakho-ke ukuqonda uhlobo lwakho oluthile kusiza ukuqondisa uhlelo lwakho lokukhathalelwa.

Izinhlobo eziyinhloko zihlanganisa:

• I-Uterine leiomyosarcoma: Ikhula emthonjeni ebushelelezi webele futhi imele cishe i-1-2% yazo zonke izinhlobo ze-kansa zebele
• I-Soft tissue leiomyosarcoma: Ikhula emthonjeni ebushelelezi wezingalo, imilenze, noma umzimba
• I-Gastrointestinal leiomyosarcoma: Yakhiwa emthonjeni ebushelelezi oluhlanganisa isisu sakho
• I-Vascular leiomyosarcoma: Ikhula odongeni lwemithambo yegazi
• I-Retroperitoneal leiomyosarcoma: Ikhula endaweni engemuva kwezitho zakho zesisu

Izinhlobo ezingavamile zingakhula enhliziyweni yakho, amaphaphu, noma ezinye izitho ezinawo amathini ebushelelezi. Uhlobo ngalunye luphatha ngendlela ethile, yingakho i-oncologist yakho izokwenza uhlelo lwakho lokwelapha ngokukhethekile esimweni sakho.

Yini ebangela i-Leiomyosarcoma?

Imbangela eqondile ye-leiomyosarcoma ayikaziwa kakhulu, okungase kube yinkinga uma ufuna izimpendulo. Njengezinye izinhlobo ze-kansa, cishe ivela ekubambaneni kokuguquka kwe-genetic okuqhubekayo ngokuhamba kwesikhathi kumaseli emathini ebushelelezi.

Izici eziningi zingase zinikeze ukukhula kwayo:

• Ukwelashwa ngomgogodla ngaphambili endaweni ethintekayo
• Izinhlobo ezithile ze-genetic ezinjenge-Li-Fraumeni syndrome
• Ukuvezwa ezimweni ezithile ze-chemicals, nakuba lobu buxhumano abubonakali ngokuqinisekile
• Ubudala, njengoba buvamile kubantu abadala abangaphezu kweminyaka engama-50
• Ubulili, ngezinye izinhlobo ezivame kakhulu kwabesifazane

Kwezinye izimo ezingavamile, i-leiomyosarcoma ingakhula kusuka ku-tumor enhle ebizwa nge-leiomyoma (fibroid). Noma kunjalo, lokhu kushintsha kuyinto engavamile kakhulu, kwenzeka kumaphesenti angaphansi kuka-1% yezimo.

Kubalulekile ukuqonda ukuthi ukuba nezici ezingozi akusho ukuthi uzokhula le kansa, futhi abantu abaningi abane-leiomyosarcoma abanazo izici ezingozi ezaziwayo nhlobo. Lokhu akuyona into owayibangela noma owawungayivimba.

Nini okufanele ubheke udokotela nge-Leiomyosarcoma?

Kufanele uxhumane nodokotela wakho uma uqaphela izimpawu ezithile eziqhubekayo ezikukhathazayo, ikakhulu uma zintsha noma ziya kubi ngokuhamba kwesikhathi. Ukutholakala kwangaphambi kwesikhathi kungenza umehluko omkhulu emiphumeleni yokwelapha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu okulandelayo:

• I-lump noma i-mass ekhula noma ishintsha
• Ubuhlungu besisu noma ukukhuluphala okuqhubekayo
• Ukwehla kwesisindo okungachazeki okungaphezu kwamapounds angu-10
• Ukuphuma kwegazi okungavamile, ikakhulukazi izikhathi ezinkulu zenyanga
• Ukukhathala okukhulu okuvimba imisebenzi yansuku zonke
• Ubuhlungu obungaphenduli emithi yokwelapha

Ngezimpawu ezingavamile kodwa ezinzima, funani ukunakekelwa kwezokwelapha ngokushesha uma unebuhlungu besisu obukhulu, ubunzima bokuqeda, noma izimpawu zokopha kwangaphakathi njenge-black stools noma ukugabha igazi.

Thembani izimpendulo zakho mayelana nomzimba wakho. Uma kukhona okungalungile ngokuqhubekayo, kuhlale kungcono ukuthi kuhlolwe. Udokotela wakho angakusiza aqonde ukuthi ingabe kuyadingeka ukuhlolwa okwengeziwe.

Ziyini izici ezingozi ze-Leiomyosarcoma?

Ukuqonda izici ezingozi kungakusiza wena neqembu lakho lezokwelapha lihlale liqaphile, nakuba kubalulekile ukukhumbula ukuthi abantu abaningi abanezici ezingozi abakhe bathuthukisi le kansa. Izici ezingozi zanda nje amathuba uma kuqhathaniswa nabantu abavamile.

Izici eziyinhloko ezingozi zihlanganisa:

• Ubudala: Buvamile kubantu abaneminyaka engama-40-70
• Ukwelashwa ngomgogodla ngaphambili: Ikakhulukazi emathangeni noma esiswini
• Ubulili: Izinhlobo zebele zithinta abesifazane kuphela; ezinye izinhlobo zithinta bobabili abesilisa nabesifazane ngokulinganayo
• Izimo ze-genetic: I-Li-Fraumeni syndrome kanye nabantu abaphila nge-retinoblastoma
• Ukucindezelwa kwe-immune system: Kusuka emithi noma ezimweni zezokwelapha

Ezinye izici ezingavamile ezingozi zihlanganisa ukuvezwa ezimweni ezithile ze-chemicals ezinjenge-vinyl chloride, nakuba ubufakazi balobu buxhumano bungaqinile. Ukuba nomlando womndeni we-sarcomas kungase futhi kukhulise kancane ingozi yakho.

Izindaba ezinhle ukuthi i-leiomyosarcoma ihlala iyinto engavamile ngisho nakwabantu abanezici ezingozi eziningi. Ukuba nalezi zici ezingozi kusho nje ukuthi wena neqembu lakho lezokwelapha kufanele niqaphele futhi nilandele izimpawu.

Ziyini izinhlanganisela ezingaba khona ze-Leiomyosarcoma?

Njengezinye izinhlobo ze-kansa ezinamandla, i-leiomyosarcoma ingabangela izinhlanganisela eziningi uma ingalashwa ngokushesha. Ukuqonda lezi zinto ezingaba khona kuzokusiza uqonde ukuthi nini kufanele ufunani ukunakekelwa kwezokwelapha ngokushesha nokuthi iqembu lakho lokwelapha lisebenza ukuvimbela.

Izinhlanganisela ezivame kakhulu zihlanganisa:

• I-Metastasis: I-kansa isakazeka emaphaphwini, e-liver, noma kwezinye izitho
• Ukuphinda kuhlale endaweni: I-kansa ibuyela endaweni efanayo ngemuva kokwelashwa
• Ukusebenza okungalungile kwezitho: Uma ama-tumor ecinezela noma ehlanganisa izitho eziseduze
• Ukuphuma kwegazi: Kusuka kuma-tumor emithambe yegazi noma ezithweni
• Ukuphahlazeka kwesisu noma kwesisu: Uma ama-tumor evala lezi zitho

Izinhlanganisela ezihlobene nokwelashwa zingase zenzeke, kuhlanganise nezingozi zokucutshungulwa, imiphumela emibi ye-chemotherapy, kanye nezinkinga ezihlobene nomgogodla. Iqembu lakho lezokwelapha lizokulandela eduze ukuvimbela noma ukulungisa ngokushesha noma yiziphi izinkinga ezivela.

Ukuqala nokwelapha i-kansa ngaphambi kokuthi lezi zinhlobo zezinkinga zikhule. Ngokwelashwa okusheshayo, okufanele, abantu abaningi abane-leiomyosarcoma bangagwema izinhlanganisela ezinkulu futhi bahlale benomgangatho omuhle wokuphila.

Indlela yokuxilongwa kwe-Leiomyosarcoma?

Ukuhlonzwa kwe-leiomyosarcoma kudinga izinyathelo eziningi ukuqinisekisa ukuhlonzwa nokuqonda ubukhulu be-kansa. Iqembu lakho lezokwelapha lizothola izilingo eziningi ukuze lithole isithombe esiphelele sesimo sakho.

Inqubo yokuxilongwa ivame ukufaka:

1. Ukuhlolwa komzimba: Udokotela wakho uzobamba ama-lump noma ama-mass futhi ahlole izimpawu zakho
2. Izivivinyo ze-imaging: I-CT scans, i-MRIs, noma i-ultrasounds ukubona usayizi ne-location ye-tumor
3. I-Biopsy: Ukuthatha isampula encane yamatishu ukuze ihlolwe ngaphansi komkhiqizo
4. Izivivinyo zokuhlola: I-scans ezingeziwe ukuze uhlole ukuthi i-kansa isakazeke yini
5. Izivivinyo zegazi: Ukuhlola impilo yakho jikelele nokusebenza kwezitho

I-biopsy yivivinyo elibaluleke kakhulu ngoba yiyona kuphela indlela yokuxilongwa kwe-leiomyosarcoma. I-pathologist yakho izohlola amatishu ukuze iqinisekise ukuthi yilolu hlobo oluthile lwe-kansa futhi ibone ukuthi inamandla kangakanani.

Ukuthola zonke lezi zilingo kungase kubonakale kukhulu, kodwa ngayinye inikeza ulwazi olubalulekile olusiza iqembu lakho lenze uhlelo lokwelapha oluhle kakhulu esimweni sakho esithile.

Yini ukwelashwa kwe-Leiomyosarcoma?

Ukuphathwa kwe-leiomyosarcoma kuvame ukufaka ukubambisana kwezindlela ezilungiselelwe esimweni sakho esithile. Umgomo ukususa noma ukubhubhisa i-kansa ngenkathi ugcina ukusebenza okuvamile ngangokunokwenzeka.

Uhlelo lwakho lokwelapha lungafaka:

• Ukuhlinzwa: Ukwelashwa okuyinhloko ukususa i-tumor ngokuphelele
• I-Chemotherapy: Imithi yokubulala amaseli e-kansa emzimbeni wakho wonke
• Ukuphathwa ngomgogodla: Ama-beams ane-energy ephezulu ukubhubhisa amaseli e-kansa
• Ukuphathwa okuqondiswe: Imithi emisha ehlasela izici ezithile zamaseli e-kansa
• I-Immunotherapy: Ukwelashwa okusiza i-immune system yakho ukulwa ne-kansa

Ukuhlinzwa kuvame ukuba yilona lokokuqala futhi elibaluleke kakhulu lokwelapha uma kungenzeka. Udokotela wakho uzolwela ukususa i-tumor yonke kanye namanye amatishu aphilile ukuze aqinisekise imingcele ecacile.

Ngama-tumor angasuswa ngokuphelele ngokucutshungulwa, noma uma i-kansa isakazeke, i-oncologist yakho ingase ikucele i-chemotherapy noma ukwelashwa ngomgogodla. Lokhu ukwelashwa kunganciphisa ama-tumor, kunciphisa ukukhula kwawo, noma kusize ukuvimbela ukuphinda kuhlale ngemuva kokucutshungulwa.

Iqembu lakho lokwelapha lizocabangela izici ezinjenge-location ye-tumor, usayizi, i-grade, nokuthi isakazeke yini lapho lenza uhlelo lwakho lokwelapha oluqondene nawe.

Indlela yokwelashwa ekhaya ngesikhathi se-Leiomyosarcoma?

Ukuphatha ukunakekelwa kwakho ekhaya kuyi-ngxenye ebalulekile yohlelo lwakho lokwelapha jikelele. Nakuba ukwelashwa kwezokwelapha kuqondisa i-kansa ngokuqondile, ukunakekelwa ekhaya kugxila ekuqondiseni amandla akho, ukuphatha imiphumela emibi, nokusekela impilo yakho jikelele.

Izici eziyinhloko zokunakekelwa ekhaya zihlanganisa:

• Ukudla: Ukudla ukudla okuhlangene kahle ukuze ugcine amandla namandla
• Ukuphumula: Ukuthola ukulala okwanele nokuthatha ama-breaks uma kudingeka
• Ukuzivocavoca okuthambile: Uhlale usebenza ngangokunokwenzeka ngaphakathi kwenqanaba lakho lokududuzeka
• Ukukhathalelwa kwezindwangu: Ukulandela imiyalo yokuhlinzwa ngokucophelela
• Ukuphathwa kwemithi: Ukuthatha imithi ebekiwe njengoba kuyalelwe
• Ukubuka izimpawu: Ukulandelela ukuthi uzizwa kanjani nanoma yikuphi ukushintsha

Hlala uxhumana eduze neqembu lakho lezokwelapha mayelana nanoma yiziphi izinkinga noma imiphumela emibi oyibonayo. Bangakunikeza isiqondiso sokuphatha ukugabha, ukukhathala, ubuhlungu, noma ezinye izimpawu ezihlobene nokwelashwa.

Ungangabazi ukucela usizo emindenini nabangane. Ukuba neqembu lokusekela kwenza umehluko omkhulu endleleni ozizwa ngayo nokuthi ubhekene kanjani nokwelashwa.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho neqembu lakho lezokwelapha. Ukuba uhlelile futhi unemibuzo yakho ekulungele kwenza ingxoxo ibe yiyona ephumelelayo futhi engaphezu kokucindezeleka.

Ngaphambi kwe-aphoyintimenti yakho:

1. Bhala izimpawu zakho: Faka lapho zaqala khona nokuthi zishintshe kanjani
2. Bala imithi yakho: Faka izithasiselo kanye nemithi yokwelapha
3. Lungiselela imibuzo yakho: Yibhale phansi ukuze ungakhohlwa
4. Butha amarekhodi ezokwelapha: Letha imiphumela yokuvivinya ngaphambili noma i-imaging studies
5. Cabanga ukuthi ulethe ukusekela: Ilungu lomndeni noma umngane angakusiza ukukhumbula ulwazi

Imibuzo emihle ongayibuza ingafaka: Yiliphi isigaba se-kansa yami? Ziyini izinketho zokwelapha zami? Yiziphi imiphumela emibi engingalindela? Ukwelashwa kuzithinta kanjani impilo yami yansuku zonke? Iyini i-prognosis yami?

Ungakhathazeki ngokubuza imibuzo eminingi noma ukuthatha amanothi ngesikhathi se-aphoyintimenti. Iqembu lakho lezokwelapha lifuna ukuthi uqonde isimo sakho futhi uzizwe ukhululekile ngohlelo lwakho lokwelapha.

Yini i-Key Takeaway mayelana ne-Leiomyosarcoma?

I-Leiomyosarcoma iyikansa engavamile kodwa enkulu edinga ukunakekelwa kwezokwelapha ngokushesha kanye nokukhathalelwa okukhethekile. Nakuba ukuthola lokhu kuhlinzwa kungase kube ukwesaba, intuthuko ekwelapheni ilungisile imiphumela kwabantu abaningi abaleli simo.

Izinto ezibaluleke kakhulu okumele uzikhumbule ukuthi ukutholakala kwangaphambi kwesikhathi nokwelashwa kwenza umehluko omkhulu emiphumeleni. Ukusebenza neqembu le-oncology elikhulu elikhethekile e-sarcomas kukunika amathuba amahle kakhulu okwelashwa okuphumelelayo.

Uhambo lwabo bonke abantu olune-leiomyosarcoma luhlukile, futhi i-prognosis yakho ixhomeke ezintweni eziningi ezifaka i-location ye-tumor, usayizi, i-grade, nokuthi yabanjwa ngokushesha kangakanani. Hlala ugxile ekuthatheni izinto isinyathelo ngesinyathelo nokugcina ukuxhumana okuvulekile neqembu lakho lezokwelapha.

Khumbula ukuthi awuwedwa kulolu hambo. Ukusekelwa emindenini, abangane, kanye nabanye abantu abaphila nge-kansa kungakunikeza amandla nokukhuthaza kulo lonke ukwelashwa kwakho nenqubo yokubuyela.

Imibuzo Evame Ukubuzwa Mayelana ne-Leiomyosarcoma

Ingabe i-leiomyosarcoma ihlala ibulawa?

Cha, i-leiomyosarcoma ayihlali ibulawa. Nakuba iyikansa enkulu, abantu abaningi baqeda ukwelashwa ngempumelelo futhi baphila impilo egcwele. I-prognosis ixhomeke ezintweni ezinjenge-location ye-tumor, usayizi, i-grade, nokuthi isakazeke yini. Ukutholakala kwangaphambi kwesikhathi nokwelashwa neqembu le-sarcoma elikhulu kuya kusiza kakhulu imiphumela.

Ingabe i-leiomyosarcoma ingavimbeka?

Okwamanje, ayikho indlela ezaziwayo yokuvimbela i-leiomyosarcoma njengoba izimbangela zayo eziqondile zingaziwa ngokuphelele. Noma kunjalo, unganciphisa ezinye izici ezingozi ngokugwema ukuvezwa komgogodla okungadingekile nokugcina ukuhlolwa okuvamile kwezokwelapha. Into ebaluleke kakhulu ukuqaphela izimpawu ngokushesha nokufuna ukunakekelwa kwezokwelapha ngokushesha.

I-leiomyosarcoma ikhula ngokushesha kangakanani?

I-Leiomyosarcoma ivame ukukhula ngokushesha kunokuningi kwezinye izinhlobo ze-kansa, yingakho ukwelashwa okusheshayo kubaluleke kakhulu. Noma kunjalo, izilinganiso zokukhula zingase zihluke kakhulu phakathi kwama-tumor ahlukene nabantu. Abanye bangase bakhule ngokushesha ezinyangeni noma ezinyangeni, kanti abanye bangase bathuthuke kancane isikhathi eside.

Uyini umehluko phakathi kwe-leiomyosarcoma ne-leiomyoma?

I-Leiomyoma yi-tumor enhle (engeyona i-kansa) yemathini ebushelelezi, evame ukubizwa nge-fibroids uma ivela ebeleni. I-Leiomyosarcoma yinguqulo ye-kansa engasakazeka kwezinye izingxenye zomzimba. Nakuba i-leiomyomas ivame kakhulu futhi ngokuvamile ayinabi, i-leiomyosarcoma iyinto engavamile futhi idinga ukwelashwa ngokushesha.

Kufanele ngithole umbono wesibili nge-leiomyosarcoma?

Yebo, ukuthola umbono wesibili kuvame ukunconywa ngezinhlobo ze-kansa ezingavamile ezinjenge-leiomyosarcoma. I-Sarcomas idinga ubuchwepheshe obukhulu, futhi ukubona i-sarcoma specialist kungakusiza uqinisekise ukuthi uthola ukwelashwa okufanele. Izinhlelo eziningi ze-insurance zihlanganisa imibono yesibili, futhi odokotela abaningi be-oncology bakhuthaza abantu ukuba bafune imibono eyengeziwe mayelana nokukhathalelwa kwabo.