Iyini i-Solitary Fibrous Tumor? Izimpawu, Izimbangela, Nokwelapha

I-solitary fibrous tumor uhlobo oluyimfihlo lokutholakala kwezicubu ezithambile ezingakhula cishe kuphi kuphi emzimbeni wakho. Lezi zintubungeni zikhula ezicubeni ezivamise ukusekela nokuhlanganisa izicubu zakho, futhi nakuba igama lingase lizwakale liyesabekayo, iningi lalezi zikhulu lilungile, okusho ukuthi azisabalali kwenye ingxenye yomzimba wakho.

Cabanga ngalezi zintubungeni njengeqembu elingavamile lezicubu ze-fibrous ezakha ezindaweni lapho zingavamile ukuvela khona. Abantu abaningi abathuthukisa i-solitary fibrous tumors bangabantu abadala, ngokuvamile phakathi kweminyaka engu-40 no-60, yize zingase zenzeke kunoma iyiphi iminyaka.

Ziyini izimpawu ze-solitary fibrous tumor?

Izimpawu ongase uzibone ziyahluka kuye ngokuthi i-tumor ikhula kuphi emzimbeni wakho. Abantu abaningi abanawo nhlobo izimpawu, ikakhulukazi uma i-tumor incinyane noma itholakala endaweni engaphazami imisebenzi yomzimba evamile.

Uma izimpawu zivele, ngokuvamile zibangelwa yi-tumor ecindezela izitho, izicubu, noma izakhiwo eziseduze. Nazi izimpawu ezivamile ongase uzibone:

• I-lump noma i-mass engenabuhlungu ongayizwa ngaphansi kwesikhumba sakho
• Ubuhlungu esifubeni noma ukuphefumula buhlungu uma i-tumor ikhula esifubeni sakho
• Ubuhlungu esiswini noma ukuzizwa ugcwele ngokushesha uma udle uma kukulesi sitho sakho
• Ubuhlungu emhlane noma ukungakhululeki emzimbeni wakho
• Ukukhokha okungapheli, ikakhulukazi uma i-tumor iseduze nemiphunga yakho

Abanye abantu baye baba nezinto odokotela abazibiza ngokuthi “izimpawu zokucindezela” njengoba i-tumor ithatha isikhala esiningi kancane kancane. Lezi mizwa ngokuvamile ithuthuka kancane ezinyangeni noma ngisho neminyaka, kungakho izintubungeni eziningi zingatholakali kuze zikhule kakhulu.

Kwezinye izimo ezingavamile, ungase ube nezimpawu ezingavamile njengokuhlupheka ngokweqile kweswekile egazini, ukukhishwa okukhulu, noma ubuhlungu bamalunga. Lokhu kwenzeka uma izinhlobo ezithile ze-solitary fibrous tumors zikhulula ama-hormone noma ezinye izinto egazini lakho, yize lokhu kwenzeka kubantu abangaphansi kuka-5% abanezi zintubungeni.

Ziyini izinhlobo ze-solitary fibrous tumor?

Odokotela ngokuvamile bahlukanisa i-solitary fibrous tumors ngokusekelwe lapho zikhula khona nokuthi ziphatha kanjani. Umehluko obaluleke kakhulu uwukwahlukaniswa phakathi kwezinhlobo ezilungile nezibi, okusiza ekuqondeni ukwelashwa kwakho nokubuka kwakho.

I-solitary fibrous tumors ezilungile yenza cishe u-80% yazo zonke izimo. Lezi zikhulu zihlala endaweni eyodwa futhi azisabalali kwenye ingxenye yomzimba wakho, yize zingase zisabangele izinkinga uma zikhula kakhulu zicindezele izakhiwo ezibalulekile.

I-solitary fibrous tumors ezibi ayivamile kodwa iyikhathazo ngoba inamandla okusabalala. Lezi zintubungeni zivame ukukhula ngokushesha futhi zingase zibuyele ngemuva kokwelashwa, kungakho udokotela wakho uzokugcina uqaphile uma ukuhlolwa kukhombisa lolu hlobo.

Ngokusekelwe endaweni, lezi zintubungeni ngokuvamile zichazwa njenge-pleural uma zikhula ekuqaleni komphefumulo wakho, noma i-extrapleural uma zikhula kwenye ingxenye yomzimba wakho. Izintubungeni ze-Pleural empeleni kwakuwuhlobo lokuqala olutholakele, kungakho ungase uzibone zikhulunywa kakhulu ezincwadini zezokwelapha.

Yini ebangela i-solitary fibrous tumor?

Impendulo eqotho iwukuthi odokotela abakuqondi ngokuphelele ukuthi yini ebangela ukuthuthukiswa kwe-solitary fibrous tumors. Ngokungafani nezinye izifo ezinezinxephezelo ezicacile ezinto ezibangelwa indlela yokuphila noma ukukhishwa kwemvelo, lezi zintubungeni zibonakala zivele ngokungahleliwe ngaphandle kwanoma yiziphi izinto ezibangela.

Okwaziyo ukuthi lezi zintubungeni zikhula lapho ezinye izicubu ezicubungulweni zakho ziqala ukukhula ngokungavamile. Umzimba wakho ngokuvamile unezinhlelo zokulawula ezinhle ezitshela izicubu ukuthi zikhule nini nokuthi ziyeke nini, kodwa okuthile kuphazamisa le nqubo uma kuziwa kwi-solitary fibrous tumors.

Ucwaningo lwamuva luye lwabonisa ukuguqulwa okuthile kwe-genetic ngaphakathi kwezicubu ze-tumor, ikakhulukazi ezihlanganisa i-genes ebizwa nge-NAB2 ne-STAT6. Noma kunjalo, lezi zinguquko zibonakala zivele ngokungahleliwe kunokuba zidluliselwe kubazali bakho noma zibangelwe izinto ezingaphandle.

Ngokungafani nezinye izinhlobo eziningi zezintubungeni, i-solitary fibrous tumors ayibonakali ihlobene nokubhema, ukukhishwa kweradieysheni, ukukhishwa kwezinto ezikhemikhali, noma ezinye izinto ezingaba yingozi ezaziwayo. Lokhu empeleni kungase kududuze ngoba kusho ukuthi cishe akukho lutho obungalwenza ukukuvimbela ukuba lungathuthuki.

Nini okufanele ubona udokotela nge-solitary fibrous tumor?

Kufanele uxhumane nodokotela wakho uma ubona noma iyiphi i-lump noma i-mass entsha kunoma iyiphi ingxenye yomzimba wakho, ikakhulukazi uma ikhula noma ibingela ukungakhululeki. Nakuba iningi le-lumps ne-bumps liyingozi, kuhlale kungcono ukuba zibukelwe ochwepheshe bezempilo.

Gcina amehlo akho kuwo wonke ubuhlungu besifuba obuqhubekayo, ukuphefumula buhlungu, noma ukungakhululeki esiswini okungenanjongo ecacile. Lezi zimpawu zidinga ukubukwa kwezokwelapha, ikakhulukazi uma ziya ziba zimbi ngokuhamba kwesikhathi.

Funani usizo lwezokwelapha ngokushesha uma uhlupheka ngokungazelelwe, ubuhlungu besifuba obukhulu, ukuphefumula kunzima, noma izimpawu zokopha kwangaphakathi njengokukhokha igazi noma ubuhlungu besiswini obukhulu. Nakuba lezi zimpawu azivamile ukubangelwa yi-solitary fibrous tumors, zidinga ukubukwa ngokushesha kungakhathaliseki isizathu.

Ungakhathazeki ngokuzizwa uyiphutha ngokufuna ukunakekelwa kwezokwelapha ngezimpawu ezingase zibonakale zincane. Ukutholakala kwangaphambi kwesikhathi nokubukwa kwezokwelapha kuhlale kuholela emiphumeleni emihle, futhi udokotela wakho angathanda ukukubona ngokushesha kunokuba kamuva uma kuziwa kunoma yiziphi izimpawu ezingavamile.

Ziyini izinto ezingaba yingozi ze-solitary fibrous tumor?

Iqiniso liwukuthi i-solitary fibrous tumors ayinazo izinto eziningi ezingaba yingozi ezicacile, okuyinto engase idide futhi iduduze. Ngokungafani nezinye izimo eziningi, lezi zintubungeni zibonakala zikhula ngokungahleliwe kubantu abahlukene.

Iminyaka yinto ehambisana kakhulu odokotela abayitholile. Abantu abaningi abathuthukisa lezi zintubungeni bangabantu abadala abasebasenkulwini, ngokuvamile phakathi kweminyaka engu-40 no-70, yize kunezimo ezibikiwe kubantu abasebancane nabantu abadala.

Akubonakali kukhona ukukhetha okukhulu phakathi kwamadoda noma abesifazane, futhi lezi zintubungeni zenzeka kuwo wonke amaqembu ezizwe nezinhlobo. Umbukiso womndeni wakho awubonakali udlala indima, njengoba lezi zintubungeni azidluliselwa emindenini.

Ukukhishwa kweradieysheni kwangaphambili kwakucatshangwa ukuthi kungaba yinto engaba yingozi, kodwa ucwaningo lwamanje luphakamisa ukuthi lobu buhlobo bubuthakathaka kakhulu. Okufanayo kuya kwezinto ezingaba yingozi emsebenzini noma izinto ezibangelwa indlela yokuphila ezingase zikhulise ingozi yezinye izinhlobo zezintubungeni.

Ziyini izinhlupheko ezingase zenzeke nge-solitary fibrous tumor?

Izinhlupheko ongase ubhekane nazo ziyahluka kakhulu kuye ngokuthi i-tumor yakho itholakala kuphi nokuthi ilungile noma imbi. Abantu abaningi abanezintubungeni ezincane, ezilungile abanawo nhlobo izinhlupheko ekuphileni kwabo konke.

Inhlupheko evamile iwumphumela nje we-mass ekhula. Njengoba izintubungeni zikhula, zingacindezela izakhiwo ezibalulekile futhi zibangele izinkinga ngemisebenzi yomzimba evamile.

Nazi izinhlupheko eziyinhloko ezingase zithuthuke:

• Ubunzima bokuqeda uma i-tumor icinezela imiphunga yakho noma indlela yomoya
• Izinkinga zokugaya uma iphazamisa isisu sakho noma amabele
• Ubuhlungu noma ukungakhululeki okuvela ekucindezeleni imithambo noma ezinye izindawo ezinzima
• Ukunciphisa ukunyakaza uma i-tumor ithonya imisipha noma amalunga
• Ukuphuza igazi, yize lokhu kungavamile futhi ngokuvamile kwenzeka kuphela ngezintubungeni ezinkulu

Nge-solitary fibrous tumors ezibi, ukukhathazeka okuyinhloko iwuthuba lokubhebhetheka kwenye ingxenye yomzimba wakho. Lokhu kwenzeka cishe ku-10-15% yezimo futhi ngokuvamile kuhlanganisa imiphunga, isibindi, noma amathambo.

Inhlupheko engavamile kodwa ebukhali ebizwa nge-Doege-Potter syndrome ingase ibe khona uma izintubungeni zikhiqiza i-insulin-like growth factor eningi kakhulu. Lokhu kubangela amazinga eswekile egazini aphansi kakhulu futhi kudinga ukunakekelwa kwezokwelapha ngokushesha, yize kuchaphazela abantu abangaphansi kuka-5% abanezi zintubungeni.

I-solitary fibrous tumor ihlonishwa kanjani?

Ukuhlonishwa kwe-solitary fibrous tumor ngokuvamile kuqala ngodokotela wakho ebuza ngezimpawu zakho futhi enze ukuhlolwa komzimba. Uma bethola okuthile okukhathazayo, bazoyala ukuhlolwa kwezithombe ukuze babone kangcono ukuthi kwenzekani ngaphakathi komzimba wakho.

Isinyathelo sokuqala esivamile yi-CT scan noma i-MRI, engabonisa usayizi, indawo, nezici zanoma iyiphi ikhulu engavamile. Lezi zithombe zisiza udokotela wakho ukuthi aqonde ukuthi i-tumor ithonya izakhiwo eziseduze futhi ahlele indlela engcono yokuhlola okuqhubekayo.

Ukuqinisekisa ukuhlonishwa, cishe uzodinga i-biopsy, lapho isampula encane ye-tumor isuswa futhi ihlolwe ngaphansi kwesikrini. Lokhu ngezinye izikhathi kungenziwa ngenhlanzi ngesikhumba sakho, yize izampula ezinkulu zingase zidinga inqubo encane yokucutshungulwa.

I-pathologist izobheka izici ezithile ezibonisa i-solitary fibrous tumors, kuhlanganise nezivivinyo ezikhethekile zokubala eziqaphela amaprotheni athile. Bazokwazi futhi ukuthi i-tumor yakho ilungile noma imbi, okubalulekile ekuhleleni ukwelashwa kwakho.

Ukuhlolwa okuqhubekayo kungase kuhlanganise umsebenzi wegazi ukuze uhlole impilo yakho yonke futhi ngezinye izikhathi izithombe ezikhethekile ukuze ubone ukuthi kunezinye izintubungeni kwenye ingxenye yomzimba wakho. Udokotela wakho uzochaza ukuthi yiziphi izivivinyo ezidingekayo ngokusekelwe esimweni sakho esithile.

Iyini ukwelashwa kwe-solitary fibrous tumor?

Ukuhlinzwa kuyindlela eyinhloko yokwelapha iningi le-solitary fibrous tumors, futhi ukususwa okuphelele ngokuvamile kunikeza izinga lokululama elihle. Umgomo ukususwa yonke i-tumor kanye nezingxenye ezincane zezicubu ezempilo ukuqinisekisa ukuthi azikho izicubu ze-tumor ezishiywe ngemuva.

Ngezintubungeni ezilungile ezisusiwe ngokuphelele, ukuhlinzwa kudinga ukwelashwa kuphela okuzodinga. Abantu abaningi baqhubeka bephila impilo evamile ngaphandle kwezinye izinkinga ngemuva kokususwa okuphumelelayo kokucutshungulwa.

Uhlobo oluthile lokuhlinzwa luyahluka kuye ngokuthi i-tumor yakho itholakala kuphi. Izintubungeni zesifuba zingadinga ukuvulwa kwesifuba, kuyilapho izintubungeni esiswini zingadinga ukuhlinzwa kwesisu. Udokotela wakho uzochaza indlela ethile abayincoma ngayo esimweni sakho.

Ngezintubungeni ezibi noma izimo lapho ukususwa okuphelele kungenakwenzeka, iqembu lakho lokwelapha lingase likucele ukwelashwa okuqhubekayo:

• Ukwelashwa ngeradieysheni ukuqondisa noma iyiphi i-tumor cells esele
• I-Chemotherapy, yize lezi zintubungeni ngokuvamile zingaphenduli kahle emithi ye-chemotherapy evamile
• Imithi yokwelapha ehloselwe izici ezithile ze-tumor
• Ukuqapha okuvamile ngezithombe ukuqapha noma yiziphi izimpawu zokubuyela

Uma i-tumor yakho incinyane futhi ayibangeli zimpawu, udokotela wakho angase akukhuthaze indlela “yokubuka nokulinda” ngezithombe eziqondile ukuqapha noma yiziphi izinguquko. Lokhu kuvame kakhulu kubantu abadala noma labo abangabantu abafanele ukuhlinzwa.

Indlela yokuphatha izimpawu ekhaya ngesikhathi sokwelashwa kwe-solitary fibrous tumor?

Ukuphatha izimpawu zakho ekhaya kugxile kakhulu ekuhlaleni ukhululekile nasekusekeleni impilo yakho yonke ngesikhathi usebenza neqembu lakho lezokwelapha. Izinyathelo ezithile ongazithatha ziyahluka kuye ngezimpawu zakho nendawo lapho i-tumor yakho itholakala khona.

Ukulawula ubuhlungu, imithi yokunciphisa ubuhlungu engaphezu kokuthengwa njenge-acetaminophen noma i-ibuprofen ingasiza, yize kufanele ukhangele nodokotela wakho ngemithi ephephile esimweni sakho esithile. Ama-heat noma ama-cold packs angase futhi anikeze induduzo ebuhlungwini bendawo.

Uma uhlupheka ngokuphefumula kunzima, ukulala ngekhanda eliphakeme kuma-pillows engeziwe ngezinye izikhathi kungasiza. Imisebenzi emnene njengezihambo ezimfushane zingase futhi zisekele umsebenzi wemiphunga yakho, kodwa gwema ukukhathala uma uhlupheka ngokuphefumula.

Ukugcina ukudla okuhle kubaluleke kakhulu uma i-tumor yakho ithonya ukudla kwakho noma ukugaya. Ukudla ukudla okuncane, okuvamile kungase kube lula kunokuzama ukudla izingxenye ezinkulu, futhi ukuhlala unamanzi kusekela ukululama kwakho konke.

Gcina idayari yezimpawu ukuze uqaphe noma yiziphi izinguquko endleleni ozizwa ngayo. Qaphela lapho izimpawu zilungile noma zimbi, njengoba lolu lwazi lungaba lubalulekile eqenjini lakho lezokunakekelwa impilo ekuhleleni ukunakekelwa kwakho nokuqapha intuthuko yakho.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho neqembu lakho lezokunakekelwa impilo. Qala ngokubhala zonke izimpawu zakho, kuhlanganise nokuthi zaqala nini nokuthi ziguquke kanjani ngokuhamba kwesikhathi.

Letha uhlu oluphelele lwemithi yonke oyithathayo, kuhlanganise nemithi engaphezu kokuthengwa, izongezelelo, nemithi yemifino. Ezinye zalezi zingase zihlangane nokwelashwa noma zidinga ukuyeka ngaphambi kwezinye izinqubo.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Izihloko ezibalulekile zingase zihlanganise izinketho zokwelapha, isikhathi sokululama esilindelwe, izinhlupheko ezingase zenzeke, nokuthi yini okulindelekile ngezinqubo ezahlukene.

Cabanga ngokuletha ilungu lomndeni omethembayo noma umngani e-appointment yakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo ngesikhathi esingase sibe yisikhathi esibuhlungu.

Butha noma yimaphi amarekhodi ezempilo wangaphambili, imiphumela yokuhlola, noma izifundo zezithombe ezihlobene nesimo sakho. Uma ubona odokotela abanye ngale nkinga, ukuba nalezi zirekhodi ziyatholakala kungasiza udokotela wakho wamanje ukuthi aqonde isithombe sakho sezokwelapha esiphelele.

Iyini into ebalulekile nge-solitary fibrous tumor?

Into ebaluleke kakhulu okumele uyiqonde nge-solitary fibrous tumors iwukuthi nakuba zizwakala zesabekayo, abantu abaningi benza kahle kakhulu ngokwelashwa okufanele. Iningi lalezi zintubungeni lilungile futhi lingaphathwa ngempumelelo ngokuhlinzwa kuphela.

Ukutholakala kwangaphambi kwesikhathi nokukhathalelwa kwezokwelapha okufanele kwenza umehluko omkhulu emiphumeleni. Uma ubona noma yiziphi izinto ezingavamile, ubuhlungu obuqhubekayo, noma ezinye izimpawu ezikhathazayo, ungangabazi ukufuna ukubukwa kwezokwelapha.

Khumbula ukuthi ukuba nesimo esingavamile akusho ukuthi ubhekene nesimo esingenakwenzeka. Ukwelashwa kwamanje kwezokwelapha kunokwelapha okuphumelelayo kwe-solitary fibrous tumors, futhi abantu abaningi babuyela emisebenzini yabo evamile ngemuva kokwelashwa.

Hlala uxhumene neqembu lakho lezokunakekelwa impilo futhi ungesabi ukubuza imibuzo noma ukukhuluma ngezinkinga. Baphethe ukukusekela kulolu daba futhi bakusize ukufeza umphumela ongcono kakhulu.

Imibuzo evamile ebuzwa nge-solitary fibrous tumor

Ingabe i-solitary fibrous tumors ihlale iyisifo somdlavuza?

Cha, cishe u-80% we-solitary fibrous tumors ilungile, okusho ukuthi ayisabalali kwenye ingxenye yomzimba wakho. Ngisho nalapho imbi, ngokuvamile ikhula kancane futhi ingaphathwa ngempumelelo uma itholakala ngokushesha. Udokotela wakho uzokunquma uhlobo oluthile nge-biopsy nokuhlola.

Ingabe i-solitary fibrous tumors ingabuya ngemuva kokuhlinzwa?

Ukubuyela kungenzeka kodwa akuvamile uma i-tumor isusiwe ngokuphelele ngezindlela ezicacile. Izintubungeni ezilungile azivamile ukubuyela ngemuva kokususwa okuphelele kokucutshungulwa, kuyilapho izinhlobo ezibi zinethuba elikhulu lokubuyela. Udokotela wakho uzokukhuthaza ukuqapha okuvamile ngezithombe ukuqapha noma yiziphi izinguquko.

I-solitary fibrous tumors ikhula ngokushesha kangakanani?

Lezi zintubungeni ngokuvamile zikhula kancane ezinyangeni noma eminyakeni, kungakho abantu abaningi ababoni izimpawu kuze kube yilapho i-tumor ikhule kakhulu. Izinga lokukhula lingahluka phakathi kwabantu, futhi izintubungeni ezibi zingase zikhule ngokushesha kunalezo ezilungile.

Ingabe abantwana bangathuthukisa i-solitary fibrous tumors?

Nakuba kungavamile, i-solitary fibrous tumors ingase ibe khona kubantwana nabasakhulayo. Noma kunjalo, zivame kakhulu kubantu abadala abasebasenkulwini. Uma zivele kubantu abasebancane, ngokuvamile ziyahlala futhi ziphendula kahle ekwelapheni kokucutshungulwa.

Ingabe kukhona engingakwenza ukuvimbela i-solitary fibrous tumors?

Ngeshwa, azikho izindlela zokuvimbela ezaziwayo ze-solitary fibrous tumors njengoba singakuqondi ukuthi yini ebangela ukukhula kwazo. Zibonakala zivele ngokungahleliwe ngaphandle kwezinxephezelo ezicacile ezintweni ezibangelwa indlela yokuphila, ukukhishwa kwemvelo, noma ukuncipha kwe-genetic ongakuguqula.