Ukuthi yini i-Liposarcoma? Izimpawu, Izimbangela, Nokwelashwa

I-Liposarcoma uhlobo lomdlavuza olukhula emagatsheni amaningi omzimba wakho. Nakuba lokhu kungase kuzwakale kukhathaza, ukuqonda ukuthi yini nokuthi iwelashwa kanjani kungakusiza uzizwe ulungile futhi ungakhathazeki ngalesi simo.

Lo mdlavuza wezicubu ezithambile ukhula kancane ezimweni eziningi, unika odokotela isikhathi sokuqamba izinhlelo zokwelapha ezisebenzayo. Nakuba kubhekwa njengokungavamile, kulimaza abantu abangu-2-3 ku-100,000 minyaka yonke, ukuthuthuka kwezokwelapha kuye kwathuthukisa kakhulu imiphumela yabantu abaxilongwe nge-liposarcoma.

Ukuthi yini i-Liposarcoma?

I-Liposarcoma iyisigxobo esibi esenziwa lapho amaseli amafutha eqala ukukhula ngokungavamile nangokungenakulawuleka. Cabanga ngayo njengezicubu zamafutha ezilahlekile izibonakaliso zokukhula okuvamile futhi ziqale ukwenza isigxobo noma ibhala.

Lezi zigxobo zivame ukuvela emilenzeni yakho, ngemuva kwezinqunu zakho, noma esiswini sakho. Noma kunjalo, zingakhula noma kuphi lapho unezicubu zamafutha khona, okuyikho cishe yonke indawo emzimbeni wakho. Izindaba ezinhle ukuthi liposarcomas eziningi zikhula kancane, ngokuvamile izinyanga noma iminyaka.

Kunezinhlobo eziningi ze-liposarcoma, ngayinye iziphatha ngokuhlukile. Ezinye ziyaqina kunezinye, kodwa iqembu lakho lezokwelapha lizocacisa ukuthi yiluphi uhlobo olulile futhi lenze uhlelo lokwelapha oluqondene nesimo sakho.

Zithini izinhlobo ze-Liposarcoma?

Ukuqonda izinhlobo ezahlukene kusiza ekuchazeni ukuthi izindlela zokwelapha zingase zihluke kanjani umuntu ngamunye. Udokotela wakho uzobona ukuthi yiluphi uhlobo olulile ngokuhlolwa okukhethekile.

Izinhlobo eziyinhloko zihlanganisa:

• I-liposarcoma ehlukanisiwe kahle: Lolu uhlobo oluvamile kakhulu futhi oluqine kakhulu. Lukhula kancane futhi aluvamile ukusabalala kwamanye amalungu omzimba.
• I-Myxoid liposarcoma: Lolu hlobo luvamile ukuba kubantu abadala abasebancane futhi lunethemba elihle uma libambekele ekuqaleni. Ngezinye izikhathi lingasabalala, kodwa ngokuvamile liphendula kahle ekwelapheni.
• I-Pleomorphic liposarcoma: Lolu uhlobo oluqine kakhulu, oluvamile ukusabalala ngokushesha. Nakuba lokhu kuzwakala kukhathaza, kukhona ukwelashwa okuqondiswe ngqo okutholakala.
• I-Dedifferentiated liposarcoma: Lokhu kuvela lapho i-liposarcoma ehlukanisiwe kahle ishintsha futhi iba namandla ngokuhamba kwesikhathi.

Uhlobo ngalunye ludinga indlela ehlukile yokwelapha. Iqembu lakho le-oncology lizochaza ukuthi yiluphi uhlobo olulile nokuthi lokhu kusho ukuthini ohlelweni lwakho lokuphatha.

Zithini izimpawu ze-Liposarcoma?

Abantu abaningi bayabona i-liposarcoma njengobala oluhlungu noma ukukhula okuqhubeka kukhula ngokuhamba kwesikhathi. Ukuqala ungacabanga ukuthi iyibala nje elingenakulimaza lamafutha, okuqondakala ngokuphelele.

Izimpawu ezivamile ongazihlangabezana nazo zihlanganisa:

• Ibhola elithambile, elingenakulimaza ongalibona phansi kwesikhumba sakho
• Ukuqhubeka kokukhula kobala ezinyangeni noma ezikhathini eziningi
• Ukuzizwa ugcwele noma ucindezelwe endaweni ethintekile
• Ubuhlungu noma ukungakhululeki uma isigxobo sicindezela izinzwa noma amalunga
• Ukunciphisa ukunyakaza uma isigxobo sithinta imisipha noma izikhonkwane
• Ukukhula kwesisu noma ukuzizwa ugcwele ngokushesha lapho udle (ezigxobeni zesisu)

Kubalulekile ukuqaphela ukuthi liposarcomas eziningi azibangeli zimpawu nhlobo emazingeni azo okuqala. Kungakho ezinye zitholakala ngesikhathi sokuhlolwa kwezokwelapha okuvamile noma ukuhlolwa kwezithombe kwezinye izimo.

Uma ubona amabala angavamile noma izimpawu eziqhubekayo, kuyinto evamile ukuzizwa ukhathazekile. Okubalulekile ukuwahlola ngokushesha ukuze uthole ukuzola noma uqale ukwelashwa ekuqaleni uma kudingeka.

Yini ebangela i-Liposarcoma?

Imbangela eqondile ye-liposarcoma ayiqondakali ngokuphelele, okungase kuzwakale kukhathaza lapho ufuna izimpendulo. Lokho esikwaziyo ukuthi yikhula lapho amaseli amafutha ehlangabezana nezinguquko ze-genetic ezenza akhule ngokungavamile.

Lezi zinguquko ze-genetic ngokuvamile zenzeka ngokungahleliwe ngokuhamba kwesikhathi, hhayi ngenxa yanoma yini oyenzile noma awuyenzanga. Cabanga ngayo njengesistimu yokulungisa iseli evamile yomzimba wakho ngezikhathi ezithile ilahlekelwe yinkinga ebe isanda ikhula ibe yinto enkulu.

Izici eziningi zingase zifake isandla kulezi zinguquko zeseli:

• Ukwelashwa ngomgogodla kwangaphambili endaweni (nakuba lokhu kungavamile)
• Izimo ezithile ze-genetic njenge-Li-Fraumeni syndrome
• Ukuvezwa ezimweni ezithile ze-kemikhali, nakuba ubufakazi buncane
• I-mutations ye-genetic eyenzeka ngokwemvelo ngokuhamba kwesikhathi

Kubantu abaningi abaxilongwe nge-liposarcoma, ayikho imbangela ecacile noma isici. Akuyona iphutha lakho, futhi cishe bekungekho lutho obungalwenza ukuze ulivimbele.

Nini okufanele ubone udokotela nge-Liposarcoma?

Kufanele uxhumane nodokotela wakho uma ubona ibhola elisha noma isigxobo, ikakhulu uma likhula noma lishintsha ngokuhamba kwesikhathi. Nakuba amabala amaningi engekho umdlavuza, kuhlale kungcono ukuwahlola ekuqaleni.

Hlela i-aphoyintimenti uma uhlangabezana nalokhu okulandelayo:

• Ibhola elisha eliqhubeka izinsuku ezimbalwa
• Ibhola elikhula noma elizizwa lihlukile
• Ubuhlungu noma ukucindezela endaweni eseduze nebhola
• Isigxobo esikhulu kune-intshi ezi-2
• Ibhola elijulile kunokuba lisekhukwini lesikhumba
• Izimpawu ezinjengokulahleka kwesisindo okungachazeki noma ukukhathala kanye nebhola

Ungakhathazeki ngokuphazamisa udokotela wakho ngezinkinga eziphathelene namabala. Abahlinzeki bezempilo bangathanda kakhulu ukuhlola into ebonakala ingelona ubuhlungu kunokulahlekelwa into ebalulekile.

Uma uhlangabezana nobuhlungu obukhulu, ukukhula okusheshayo kobala, noma ezinye izimpawu ezikhathazayo, ungangabazi ukufuna ukunakekelwa kwezokwelapha ngokushesha.

Zithini izici ezingase zikhulise ingozi ye-Liposarcoma?

Nakuba noma ubani angathuthukisa i-liposarcoma, izici ezithile zingase zikhulise ingozi yakho kancane. Ukuqonda lokhu kungakusiza uhlale uqaphile, nakuba ukuba nezici ezingase zikhulise ingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile lesi simo.

Izici eziyinhloko ezingase zikhulise ingozi zihlanganisa:

• Iminyaka: Izimo eziningi zenzeka kubantu abaneminyaka engama-40-60, nakuba kungenzeka kunoma iyiphi iminyaka
• Ukwelashwa ngomgogodla kwangaphambili: Ukuba nokwelashwa ngomgogodla eminyakeni eminingi edlule kungase kukhulise ingozi kancane
• Izimo ze-genetic: Izimo ezifuywe ezimbalwa njenge-Li-Fraumeni syndrome
• Ubulili: Kuvame kakhulu kubantu kunabesifazane
• Ukuvezwa ezimweni ze-kemikhali: Ezinye izifundo zikhomba ukuxhumana nezimweni ezithile ze-kemikhali zezimboni, nakuba ubufakazi buncane

Kubalulekile ukukhumbula ukuthi ukuba nenye noma ngaphezulu kwezici ezingase zikhulise ingozi akusho ukuthi uzokuthuthukisa i-liposarcoma. Abantu abaningi abanazo izici ezingase zikhulise ingozi abazithuthukisi lomdlavuza, kanti abanye abangenazo izici ezaziwayo bayazithuthukisa.

Kunokukhathazeka ngezici ezingase zikhulise ingozi ongenakulawula, gxila ekuhlaleni uqaphile ngezinguquko emzimbeni wakho nasekugcineni ukuvakasha okuvamile kwezokwelapha.

Zithini izinhlanganisela ezingase zenzeke nge-Liposarcoma?

Nakuba ukucabanga ngezinhlanganisela kungase kuzwakale kukhathaza, ukuziqonda kusiza wazi ukuthi yini okufanele uyilinde futhi nini okufanele ufuna ukunakekelwa okwengeziwe. Izinhlanganisela eziningi zilawuleka ngokunakekelwa okuqondile kwezokwelapha.

Izinhlanganisela ezingase zenzeke zihlanganisa:

• Ukuphinda kuvela endaweni: Isigxobo siphinda sikhule endaweni efanayo ngemuva kokwelashwa
• I-Metastasis: Umdlavuza usabalala kwamanye amalunga omzimba, ngokuvamile emaphashini
• Ukucindezelwa kwezinzwa: Izigxobo ezinkulu zicindezela izinzwa eziseduze, zibangela ubuhlungu noma ukungazizwa
• Izinkinga zokusebenza kwamalunga: Izigxobo zesisu zingase zithinte ukugaya noma ezinye izisebenzi zamalunga
• Imiphumela emibi yokwelashwa: Imiphumela yesikhashana noma ehlala njalo evela ekuhlinzweni, emgogodleni, noma e-chemotherapy

Amathuba okuba khona kwezinhlanganisela ahluka kakhulu kuye ngohlobo nesethi ye-liposarcoma yakho. Izinhlobo ezihlukanisiwe kahle azivamile ukusabalala, kanti izinhlobo eziqine kakhulu zidinga ukulandelelwa eduze.

Iqembu lakho lezokunakekelwa kwezempilo lizoxoxa ngesimo sakho esithile futhi lenze uhlelo lokulandelela ukuze libambe izinhlanganisela ezingase zenzeke ekuqaleni lapho zilawuleka khona kakhulu.

I-Liposarcoma ihlonishwa kanjani?

Ukuthola ukuxilongwa okuqondile kuhilela izinyathelo eziningi, futhi udokotela wakho uzokuqondisa ngasinye. Inqubo yenzelwe ukunika iqembu lakho lezokwelapha isithombe esiphelele kakhulu ngesimo sakho esithile.

Inqubo yokuxilongwa ngokuvamile ihlanganisa:

1. Ukuhlolwa komzimba: Udokotela wakho uzobamba ibhola futhi akubuze ngezimpawu zakho nomlando wakho wezokwelapha
2. Ukuhlolwa kwezithombe: I-CT scans, i-MRI, noma i-ultrasounds ukubona usayizi, indawo, nezici zesigxobo
3. I-Biopsy: Ukuthatha isampula encane yesicubu ukuyihlola ngaphansi komkhiqizo we-microscope ngamaseli omdlavuza
4. Ukuhlolwa okwengeziwe: I-X-rays yesifuba noma i-CT scans ukuhlola ukuthi umdlavuza usabalale yini
5. Ukuhlolwa okukhethekile: Ukuhlolwa kwe-genetic kwesicubu sesigxobo ukuze kunqunywe uhlobo oluqondile

I-biopsy yiyona uvavanyo oluqakathekile kakhulu ngoba litshela udokotela wakho ngokuqinisekile ukuthi ibhola liyomdlavuza yini nokuthi yiluphi uhlobo.

Uma yonke imivimbo isiphelile, udokotela wakho uzochaza imiphumela nokuthi isho ukuthini ohlelweni lwakho lokwelapha. Ungangabazi ukubuza imibuzo noma ucele incazelo mayelana nanoma yini ongayiqondi.

Yini ukwelashwa kwe-Liposarcoma?

Ukwelashwa kwe-liposarcoma kuqondene nomuntu ngamunye kuye ngohlobo, usayizi, indawo, nesethi yesigxobo sakho. Izindaba ezinhle ukuthi kukhona izinketho eziningi zokwelapha ezitholakalayo, futhi iqembu lakho lezokwelapha lizosebenza nawe ukuze lithole indlela engcono kakhulu.

Izinketho eziyinhloko zokwelapha zihlanganisa:

• Ukuhlinzwa: Lokhu ngokuvamile kuyindlela eyiyinhloko yokwelapha, ejolise ekuqedeni isigxobo esiphelele ngemikhawulo ecacile
• Ukwelashwa ngomgogodla: Imisebe yamandla aphezulu esetshenziswa ngaphambi noma ngemuva kokuhlinzwa ukuqeda amaseli omdlavuza asale
• I-Chemotherapy: Imithi ehlasela amaseli omdlavuza, ngezinye izikhathi isebenza ezinhlotsheni eziqine kakhulu
• Ukwelashwa okuqondiswe ngqo: Imithi emisha ehlasela izici ezithile zamaseli omdlavuza
• Izivivinyo zezokwelapha: Ukufinyelela ekwelapheni okuvivinywayo okungase kube nomphumela omuhle

Kubantu abaningi abanalo uhlobo oluhlukanisiwe kahle lwe-liposarcoma, ukuhlinzwa kuphela kungase kube ngokwanele. Izinhlobo eziqine kakhulu zingase zidinga ukuxubana kokwelapha ukuze kufinyelelwe umphumela omuhle kakhulu.

Iqembu lakho le-oncology lizosetha uhlelo lokwelapha oluqondene nesimo sakho. Bazochaza isinyathelo ngasinye, okumele ukulindele, nokuthi ungaphatha kanjani noma yimiphi imiphumela emibi engase ibe khona.

Ukuthi ungathatha kanjani ukwelashwa ekhaya ngesikhathi se-Liposarcoma?

Ukuphatha ukunakekelwa kwakho ekhaya kuyisigaba esibalulekile sohlelo lwakho lokwelapha jikelele. Izindlela ezilula zokunakekelwa kwakho zingakusiza uzizwe ukhulu futhi zisekele impilo yakho phakathi nokwelashwa.

Nawa amaqhinga okuzisupport ekhaya:

• Landela imiyalo yokunakekelwa kwesilonda: Gcina izindawo zokuhlinzwa zicocekile futhi zomile njengoba kuqondiswe yiqembu lakho lezokunakekelwa kwezempilo
• Thatha imithi njengoba kuqondiswe: Lokhu kuhlanganisa imithi yokuhlanza ubuhlungu, ama-antibiotics, noma ezinye izindlela zokwelapha eziqondiswe
• Gcina umsebenzi olula: Ukuhamba okukhanyayo noma ukwelula njengoba kuvunyelwe udokotela wakho
• Dle ukudla okunomsoco: Gxila ekudleni okunamaprotheni amaningi ukuze usekele impilo futhi ugcine amandla
• Thola ukuphumula okwanele: Ukuphumula kwakho kudinga ukulala okwengeziwe nesikhathi sokuphumula ngesikhathi sokwelashwa
• Qaphela izinguquko: Gcina uqaphele izimpawu futhi ubike izinkinga ezintsha ngokushesha

Ungangabazi ukuxhumana neqembu lakho lezokunakekelwa kwezempilo ngemibuzo mayelana nokunakekelwa kwasekhaya. Bafuna uzizwe uqinisekile ngokuphatha ukunakekelwa kwakho phakathi kwama-aphoyintimenti.

Cabanga ngokuqapha i-journal elula yokuthi uzizwa kanjani usuku ngalunye. Lokhu kungakusiza wena nodotimba bakho ukulandelela intuthuko yakho futhi ulungise ukwelashwa njengoba kudingeka.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukuba ulungile ngama-aphoyintimenti akho kungakusiza uthole okuningi ngesikhathi sakho neqembu lakho lezokunakekelwa kwezempilo. Ukulungiselela kancane ngaphambili kunganciphisa ukukhathazeka futhi kuqinisekise ukuthi zonke izinkinga zakho ziqondwe.

Ngaphambi kwe-aphoyintimenti yakho:

• Bhala imibuzo yakho: Faka noma yini oyithandayo mayelana nokuxilongwa kwakho, ukwelashwa, noma imiphumela emibi
• Bala izimpawu zakho: Qaphela ukuthi zaqala nini, zishintshe kanjani, nokuthi yini ezenza zibe ngcono noma zimbi
• Letha imithi yakho: Faka yonke imithi yokwelapha, izithasiselo, nemithi yokuthengwa ngaphandle kwesikripthi
• Butha amarekhodi akho wezokwelapha: Imiphumela yokuhlolwa kwangaphambili, izifundo zezithombe, noma imibiko evela kwabanye odokotela
• Cabanga ngokuletha ukwesekwa: Ilungu lomndeni noma umngani angakusiza ukukhumbula ulwazi futhi anikeze ukwesekwa ngokomzwelo

Ungakhathazeki ngokubuza imibuzo "eminingi" kakhulu. Iqembu lakho lezokunakekelwa kwezempilo lilindele imibuzo futhi lifuna ukuqinisekisa ukuthi uyaqonda isimo sakho nezinketho zokwelapha.

Uma uzizwa ukhulu, kulungile ukucela ulwazi olubhaliwe noma ukuhlela ucingo lokulandelela ukuxoxa nganoma yini ongayiqondi ngokuphelele ngesikhathi se-aphoyintimenti.

Yini okubalulekile mayelana ne-Liposarcoma?

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-liposarcoma, nakuba iyinkinga, ngokuvamile iyakwelashwa, ikakhulu uma ibambekele ekuqaleni. Abantu abaningi abanalo uxilongo bayaphila impilo egcwele, esebenzayo ngemuva kokwelashwa.

Ithemba lakho lixhomeke ezintweni eziningi ezihlanganisa uhlobo lwe-liposarcoma, usayizi nendawo yayo, nokuthi itholakele nini ekuqaleni. Izinhlobo ezihlukanisiwe kahle zinemiphumela emihle kakhulu, kanti ngisho nezinhlobo eziqine kakhulu ngokuvamile zingaphathwa ngempumelelo ngokwelashwa kwamanje.

Okubalulekile ukusebenzisana eduze neqembu lakho lezokunakekelwa kwezempilo, ukulandela uhlelo lwakho lokwelapha, nokuhlala uqaphile ngesimo sakho. Ukuthuthuka kwezokwelapha kuqhubeka nokuthuthukisa imiphumela yabantu abane-liposarcoma, kunika wena nodotimba bakho amathuluzi amaningi okulwa lomdlavuza ngempumelelo.

Khumbula ukuthi ukuba nomdlavuza akuchazi. Ngokwelashwa okuqondile nokusekelwa, ungaqhubeka uphishekela imisebenzi nobuhlobo obubalulekile kuwe.

Imibuzo Evamile Ebuzwayo Mayelana ne-Liposarcoma

M1: Ingabe i-liposarcoma ihlala ibulawa?

Cha, i-liposarcoma ayihlali ibulawa. Izinhlobo eziningi, ikakhulu i-liposarcomas ehlukanisiwe kahle, zinezilinganiso ezinhle zokuphila uma ziphathwa ngokufanele. Izinga lokuphila iminyaka emihlanu liyahluka kuye ngohlobo, kodwa imiphumela jikelele iye yathuthuka kakhulu ngezindlela zokwelapha zamanje. Ithemba lakho lomuntu siqu lixhomeke ezintweni ezinjengohlobo, isiteji, nendawo yesigxobo sakho.

M2: Ingabe i-liposarcoma ingavikeleka?

Ngeshwa, ayikho indlela ezaziwayo yokuvimbela i-liposarcoma ngoba izimo eziningi zenzeka ngenxa yezinguquko ze-genetic ezingahleliwe emagatsheni amafutha. Noma kunjalo, ukugcina ukuhlolwa okuvamile kwezokwelapha nokucwaninga ngokushesha noma yimaphi amabala amasha noma izigxobo kungase kuholele ekutholeni ekuqaleni nasemiphumeleni emihle yokwelapha. Ukugwema ukuvezwa okungadingekile komgogodla kungase kunciphisa ingozi kancane, kodwa lokhu akuhlale kungenzeki noma kulula.

M3: I-Liposarcoma ikhula ngokushesha kangakanani?

Izilinganiso zokukhula ziyahluka kakhulu kuye ngohlobo lwe-liposarcoma. Izinhlobo ezihlukanisiwe kahle ngokuvamile zikhula kancane kakhulu izinyanga noma iminyaka, kanti izinhlobo ze-pleomorphic zingase zikhule ngokushesha. Abantu abaningi bayabona ibhola labo liqhubeka likhula izinyanga eziningi. Uma ubona ukukhula okusheshayo kunoma yiliphi ibhola, kubalulekile ukufuna ukwelashwa kwezokwelapha ngokushesha.

M4: Ingabe ngizodinga i-chemotherapy ye-liposarcoma?

Akuwona wonke umuntu one-liposarcoma odinga i-chemotherapy. Izinqumo zokwelapha ziyahluka kuye ngohlobo, usayizi, indawo, nesethi yesigxobo sakho. I-liposarcomas eziningi ezihlukanisiwe kahle zingaphathwa ngokuhlinzwa kuphela. U-oncologist wakho uzoxoxa ukuthi i-chemotherapy ingase izuzise isimo sakho esithile futhi ichaze izinzuzo nemiphumela emibi engase ibe khona.

M5: Ingabe i-liposarcoma ingabuya ngemuva kokwelashwa?

Yebo, i-liposarcoma ingabuya, kodwa lokhu kuyahluka kakhulu kuye ngohlobo nokuthi isigxobo sisusiwe ngokuphelele ekuqaleni. Izinhlobo ezihlukanisiwe kahle zinezilinganiso ezincane zokubuyela, ikakhulu uma zisusiwe ngokuphelele ngemikhawulo ecacile. Iqembu lakho lezokunakekelwa kwezempilo lizosetha uhlelo lokulandelela ukuze liqaphele noma yiziphi izimpawu zokubuyela, okungase kuphathwe ngempumelelo uma kutholakala ekuqaleni.