Created at:1/16/2025
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I-Nasopharyngeal carcinoma uhlobo lomdlavuza oluqala e-nasopharynx, ingxenye engaphezulu yomlomo wakho ngemuva kwesinqe sakho. Cabanga ngayo njengendawo lapho izindawo zokuphefumula zixhumana khona nomlomo wakho. Nakuba lo mdlavuza ungavamile ezindaweni eziningi emhlabeni, kubalulekile ukuqonda ngoba ukutholwa kwasekuqaleni kungenza umehluko omkhulu emiphumeleni yokwelashwa.
Lesi simo sithinta ukwakheka kwe-nasopharynx yakho, okudlala indima ebalulekile ekuphefumuleni nasekulumeni. Izindaba ezinhle ukuthi ngezinketho zokwelapha zanamuhla, abantu abaningi abane-nasopharyngeal carcinoma bangazuza imiphumela emihle, ikakhulukazi uma kubanjwe ngokushesha.
I-Nasopharyngeal carcinoma ithuthukiswa uma amaseli e-nasopharynx eqala ukukhula ngokungenakulawuleka. I-Nasopharynx yakho ihlala ngemuva kakhulu komgodi wakho, ngaphezulu kwengxenye ebushelelezi yephahla lomlomo wakho. Yindawo encane kodwa ebalulekile ekukusizeni ukuphefumula futhi ixhuma isinqe sakho nomlomo wakho.
Lo mdlavuza uhlukile kwamanye ama-head and neck cancers ngenxa yendawo yawo ehlukile nezici. I-Nasopharynx ifihliwe ngaphakathi kwekhanda lakho, okwenza ukutholwa kwasekuqaleni kube nzima ngoba awukwazi ukubona noma ukuzwa kalula le ndawo.
Okwenza lo mdlavuza ube nokubaluleka okukhethekile ukuxhumana kwawo okukhulu nezici ezithile ze-genetic kanye nokutheleleka kwe-viral. Ngokungafani namanye ama-cancers athuthuka ngengozi nje, i-nasopharyngeal carcinoma ivame ukuba nezici ezingozi ezibonakalayo ezinikezela ekukhuleni kwayo.
Izimpawu zokuqala ze-nasopharyngeal carcinoma zingaba zimuncu futhi zididaniswe kalula nezinye izimo ezivamile njengezinhlungu zesinqe noma uketshezi. Yingakho abantu abaningi bengaqapheli ukuthi kukhona okuthile okubi okwenzekayo kuze kube yilapho umdlavuza uthuthukile.
Nawa ama-symptom avamile ongawahlangabezana nawo:
Njengoba umdlavuza uqhubeka, ungase uhlangabezane nezimpawu ezijwayelekile njengokuhlanza isisindo ngaphandle kwesizathu, ukukhathala, noma ukuhlupheka ekugeleni. Lezi zimpawu zikhula ngoba i-tumor ingaphazamisa imisebenzi evamile endaweni yekhanda nezinqenqe zakho.
Kubalulekile ukuqaphela ukuthi eziningi zalezi zimpawu zingaba nezinye izimbangela ezingathi sína. Noma kunjalo, uma uhlangabezana nezinye zalezi zimpawu ndawonye, noma uma ziqhubeka amasonto amaningana, kubalulekile ukubona udokotela wakho ukuze uthole ukwelashwa okufanele.
Odokotela bahlukanisa i-nasopharyngeal carcinoma ngezinhlobo ezahlukene ngokusekelwe endleleni amaseli omdlavuza abonakala ngayo ngaphansi komkhiqizo. Ukuqonda uhlobo lwakho oluthile kusiza iqembu lakho lezokwelapha ukuhlela indlela yokwelapha ephumelelayo yisimo sakho.
Izinhlobo eziyinhloko zihlanganisa:
Uhlobo olungacacile empeleni yilona elivamile emhlabeni jikelele futhi ngokuvamile lunxulumene kakhulu nezici zezinto eziphilayo nokutheleleka yi-viral. Udokotela wakho uzokunquma uhlobo lwakho oluthile ngokuhlola i-biopsy, okuhilela ukuthatha isampula encane yethishu ukuze ihlolwe elabhoratri.
Wonke uhlobo lungase luziphathe kancane ngokuhlukile futhi luphendule ngezindlela ezihlukile ekwelapheni. Kungakho kubaluleke kakhulu ukuthola ukuxilongwa okuchane kakhulu ukuze uthuthukise uhlelo lwakho lokwelapha oluqondene nawe.
I-Nasopharyngeal carcinoma ithuthuka ngokuhlanganiswa kwezici zezinto eziphilayo, ezokuzungezile, nezokutheleleka ezisebenza ndawonye isikhathi eside. Ngokungafani nezinye izinhlobo ze-kanseri lapho imbangela ingacaci khona, abacwaningi baye baqaphela abanye abanye abathunyelwe abalulekile kule meko.
Izici eziyinhloko ezingabangela i-nasopharyngeal carcinoma zihlanganisa:
Emacaleni ambalwa, ezinye izinto zingase zifake isandla ekuthuthukiseni:
Kubalulekile ukuqonda ukuthi ukuba nokunye noma ngaphezulu kwezinto ezingobungozi akusho ukuthi uzokuthuthukisa ngokuqinisekile i-nasopharyngeal carcinoma. Abantu abaningi abanezinto ezingobungozi eziningi abawutholi lo mungozi, kanti abanye abanezinye izinto ezingobungozi ezimbalwa bayawuthuthukisa.
Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu eziqhubekayo ezingaphuli ngezindlela zokwelapha ezivamile noma uma izimpawu eziningi zivele ndawonye. Ukunakekelwa kwasekuseni kwezokwelapha kungenza umehluko omkhulu emiphumeleni.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela:
Kufanele ufune usizo lwezokwelapha ngokushesha uma ubhekene nalokhu:
Khumbula, lezi zimpawu zingaba nezizathu eziningi ezahlukene, eziningi zazo azisona isikweletu. Noma kunjalo, ukuzihlola kuvumela ukutholakala okulungile nokuthula kwengqondo, noma ukwelashwa okusheshayo uma kudingeka.
Izinto eziningi zingandisa amathuba akho okuthola i-nasopharyngeal carcinoma, yize ukuba nezinto ezingozi akusho ukuthi uzothola le kansala. Ukuqonda lezi zinto ezingozi kungakusiza wenze izinqumo ezinolwazi mayelana nempilo yakho nokuhlolwa.
Izinto ezingozi ezibaluleke kakhulu zihlanganisa:
Izici ezingavamile kodwa eziqakathekile zengozi zihlanganisa:
Ezinye izimo ze-genetic ezingavamile zingakwandisa ingozi, nakuba lezi ziyisigaba esincane kakhulu samacala. Udokotela wakho angakusiza ukuhlola ingozi yakho ngokwezimo zakho ezithile nomlando womndeni.
I-Nasopharyngeal carcinoma ingabangela ubunzima kokubili kusuka ekukhuleni kwayo kanye nokwelashwa. Ukuqonda lezi zinkinga ezingase zenzeke kusiza wena neqembu lakho lezokwelapha ukulungiselela nokubuka izimpawu zokuqala ezidinga ukunakekelwa.
Izingozi ezivela ekukhuleni kwayo ngokwakho zingafaka:
Ezimweni eziphambili, izinhlungu ezingavamile zingase zivele:
Izinhlungu ezihlobene nokwelashwa zilawuleka ngokuvamile kepha zingafaka umlomo owomile, ukushintsha kwesikhumba okuvela e-radiation, noma ukucindezelwa kwesistimu yokuvimbela umzimba okwesikhashana okuvela e-chemotherapy. Iqembu lakho lokunakekelwa kwezempilo lizokunaka eduze futhi linikeze ukunakekelwa okusekayo ukuze kunciphisa le miphumela.
Ukuxilongwa kwe-nasopharyngeal carcinoma kudinga izinyathelo eziningi ngoba isibopho sikhona endaweni enzima ukufinyelela kuyo. Udokotela wakho uzosebenzisa ukuxuba kokuhlolwa komzimba, ukuhlolwa kwezithombe, kanye nokuqoqwa kwezicubu ukuze enze ukuxilongwa okuchaneka.
Inkqubo yokuxilongwa ivame ukuqala nge:
Uma kutholakala ukuthi kukhona umdlavuza, ukuhlolwa okuqhubekayo kuzosiza ekutholeni ubukhulu nokuqala komdlavuza:
Kwezinye izimo, udokotela wakho angakuncoma ukuhlolwa okukhethekile okwengeziwe njengokuhlolwa kwe-genetic noma izifundo eziningi zezithombe. Inqubo ephelele yokuxilonga ngokuvamile ithatha amasonto ambalwa, ivumela iqembu lakho lezokwelapha ukuba lenze uhlelo lokwelapha olufanele kakhulu isimo sakho esithile.
Ukuphathwa kwe-nasopharyngeal carcinoma ngokuvamile kuhilela ukwelashwa ngomgogodla njengendlela yokuqala, ngokuvamile kuhlanganiswe ne-chemotherapy. Izindaba ezinhle ukuthi lolu hlobo lomdlavuza ngokuvamile luphendula kahle kulezi zindlela zokwelapha, ikakhulukazi uma utholakala ngesikhathi.
Izindlela zokwelapha eziyinhloko zihlanganisa:
Uhlelo lwakho lokwelashwa luzoxhomeka ezintweni eziningi:
Emacaleni athuthukile, ukwelashwa okwengeziwe kungafaka i-immunotherapy, esiza isimiso sakho sokuvikela ukulwa nomdlavuza ngokuphumelelayo. Ukuhlinzwa akudingeki kakhulu ekukhipheni komdlavuza wase-nasopharyngeal ngoba ukwelashwa ngomgogodla kuvame ukuba nomphumela omuhle kakhulu kuluhlobo lomdlavuza.
Iqembu lakho lokunakekelwa kwezempilo lizokuqapha eduze phakathi nokwelashwa futhi lilungise uhlelo lwakho njengoba kudingeka. Abantu abaningi baqeda ukwelashwa kwabo ezinyangeni ezimbalwa kuya ezinyangeni eziningi, kuye ngendlela ethile ekhethiwe.
Ukuphatha ukunakekelwa kwakho ekhaya ngesikhathi sokwelashwa kuhilela ukugxila enjabulweni, ekudleni, nasekuqapheleni noma yiziphi izinguquko ezinkulu. Iqembu lakho lokunakekelwa kwezempilo lizonikeza imiyalelo ekhethekile, kepha kunezindlela ezijwayelekile ezingakusiza uzizwe kangcono futhi usekele ukuphulukiswa kwakho.
Izinyathelo zokunakekelwa ekhaya ezibalulekile zihlanganisa:
Izindlela ezengeziwe zokunethezeka ezingasiza:
Xhumana neqembu lakho lokunakekelwa kwezempilo ngokushesha uma uhlangabezana nokuqhuma, ubuhlungu obukhulu, ubunzima bokuqeda umoya, noma yiziphi ezinye izimpawu ezikhathazayo. Bangakunikeza isiqondiso futhi balungise uhlelo lwakho lokwelashwa uma kudingeka.
Ukulungiselela izivivinyo zakho zokwelashwa kungasiza ukuqinisekisa ukuthi uthola izinzuzo eziningi ekuhambeleni kwakho futhi ungakhohlwa imibuzo noma ukukhathazeka okubalulekile. Ukulungiselela okuhle kusiza nodokotela wakho ukuba akunikeze ukunakekelwa okuhle kakhulu.
Ngaphambi kokubonisana kwakho, buza le mininingwane elandelayo:
Lungiselela imibuzo okumele uyibuze udokotela wakho:
Cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni ukuze akusize ukukhumbula ulwazi nokukunikeza ukwesekwa ngokomzwelo. Unganqikazi ukucela udokotela wakho ukuba aphindele noma achaze noma yini ongayiqondi kahle.
Nakuba ungakwazi ukuvimbela ngokuphelele i-nasopharyngeal carcinoma, ikakhulukazi uma unezici ezingozi ze-genetic, kunezinyathelo ongazithatha ukuze unciphise ingozi yakho. Ukuvimbela kugxila ekugwemeni izici ezingozi ezaziwayo uma kungenzeka futhi ugcine impilo enhle ngokujwayelekile.
Izinyathelo ezingasiza ekuqedeni ingozi yakho zihlanganisa:
Kubantu abasezingeni eliphezulu lokungena engozini ngenxa yomlando womndeni noma uhlanga:
Ngeshwa, njengoba ukutheleleka yi-Epstein-Barr virus kuvamile kakhulu futhi izici zezofudu ezingeke zishintshwe, ukuvimbela okuphelele akuvamile. Kodwa-ke, lezi zinketho zokuphila okunempilo zingasekele inhlalakahle yakho yonke futhi zingakusiza ukunciphisa ingozi yakho.
I-Nasopharyngeal carcinoma iwumdlavuza ophatheka, ikakhulukazi uma utholakala ekuqaleni. Nakuba ukuxilongwa kungase kuzwakale kukhulu, kubalulekile ukwazi ukuthi lo mnyombo uvame ukuphendula kahle ekwelapheni, futhi abantu abaningi baqhubeka bephila impilo egcwele, enempilo ngemuva kokwelashwa.
Izinto ezibaluleke kakhulu okumele uzikhumbule ukuthi izimpawu eziqhubekayo zidinga ukunakekelwa kwezokwelapha, ukutholakala ekuqaleni kwenza umehluko omkhulu emiphumeleni, futhi kukhona ukwelashwa okuphumelelayo. Iqembu lakho lokunakekelwa kwezempilo lizoqala nawe ukwenza uhlelo lokwelapha olufanele isimo sakho esithile.
Hlala uxhumene neqembu lakho lezokwelapha, ulandele uhlelo lwakho lokwelashwa ngokucophelela, futhi ungangabazi ukubuza imibuzo noma ukukhuluma ngezinkinga. Ngokunakekelwa okuhle nokusekelwa, ungakwazi ukubhekana nale nselelo ngempumelelo bese ugxila ekuphileni kwakho nasempilweni yakho yesikhathi esizayo.
Nakuba i-nasopharyngeal carcinoma ingadluliselwa ngqo njengamanye ama-genetic diseases, kukhona iphethini yokubuthana komndeni, ikakhulukazi phakathi kwamaqembu athile ezizwe. Uma unezihlobo eziseduze ezinale kansala, ingozi yakho ingaba phezulu, kodwa lokhu akusho ukuthi uzoyithola ngokuqinisekile. Le kansala cishe ivela ekuhlanganiseni kokuthambekela kwe-genetic nezici zemvelo ezisebenza ndawonye.
Ubude bokwelashwa buyahluka kuye ngesimo sakho esithile, kodwa abantu abaningi baqedela ukwelashwa kwabo okuyinhloko phakathi nezinyanga ezingu-2-3. Ukwelashwa ngomgogodla kuvame ukuthatha amasonto angu-6-7 okwelashwa kwansuku zonke, kuyilapho izinhlelo zokwelashwa nge-chemotherapy ziyahluka. Udokotela wakho uzokunika isikhathi esicacile esisekelwe ehlelweni lakho lokwelashwa, futhi ukunakekelwa okulandelayo kuyaqhubeka iminyaka eminingana ngemuva kwalokho.
Njengamanye ama-cancer, i-nasopharyngeal carcinoma ingabuya, kodwa lokhu kwenzeka kubantu abambalwa. Iningi lokuphinda kuvela kwenzeka eminyakeni embalwa yokuqala ngemuva kokwelashwa, kungakho ukuya emakonsathini okuhlola okujwayelekile kubaluleke kakhulu. Uma umdlavuza ubuyela, kusekhona izinketho zokwelashwa ezitholakalayo, kufaka phakathi ukwelashwa okwengeziwe ngomgogodla, i-chemotherapy, noma ukwelashwa okusha.
Izinkinga zokuzwa zingase zenzeke kokubili ngenxa yomdlavuza ngokwawo nangokwelashwa, kodwa lokhu akwenzeki kubo bonke. Umdlavuza ungavimba imibhobho yakho yokopha amanzi ezindlebeni, kuyilapho ukwelashwa ngomgogodla kungathinta izakhiwo zokuzwa. Noma kunjalo, abantu abaningi bagcina ukuzwa kwabo, futhi lapho kwenzeka izinkinga, zivame ukuphathwa ngezinsiza zokuzwa noma ezinye izindlela zokwelapha.
Izimpawu eziningi zomdlavuza we-nasopharyngeal zihlangana neemeko ezivamile njengezifo ze-sinus noma i-allergies. Ukwahlukana okubalulekile ukuthi izimpawu zomdlavuza zivame ukuba zihlala njalo, zikodwa, futhi azithuthuki ngokwelashwa okuvamile. Uma unezimpawu ezihlala isikhathi esingaphezu kwamasonto ambalwa, ikakhulukazi uma ziya ziba zimbi, kubalulekile ukubona udokotela wakho ukuze uthole ukwelashwa okufanele.