I-mesothelioma enobungozi

I-mesothelioma ebulalayo iyisimila somdlavuza esingavamile. Kuthinta kakhulu ulwelwesi lwephaphu nesifuba (i-pleura) noma ulwelwesi lwesisu (i-peritoneum). Kungenxa yokuchayeka isikhathi eside kwe-asbestos.

Ukuchayeka isikhathi eside kuma-asbestosi kuyingozi enkulu kakhulu. I-asbestos iyinto emelana nomlilo. Kwake kwavame ukutholakala ekuvaleni, ophahleni kanye nophahla lwamavinyl, usimende namabhuleki ezimoto. Yize abasebenzi abaningi be-asbestos bebhema, ochwepheshe abakholelwa ukuthi ukubhema uqobo kuyimbangela yalesi simo.

Abesilisa bathinteka kaningi kunabesifazane. Ubudala obumaphakathi bokuxilongwa yiminyaka engama-60. Iningi labantu libonakala lisihlakulela lesi simo cishe eminyakeni engama-30 ngemuva kokuxhumana ne-asbestos.

Izimpawu kungenzeka zingaveli kuze kube yiminyaka engama-20 kuye kwengu-40 noma ngaphezulu ngemuva kokuchayeka ku-asbestos, futhi zingafaka:

• Ukuqunjelwa kwesisu
• Ubuhlungu besisu
• Ubuhlungu besifuba, ikakhulukazi lapho udonsa umoya
• Khwehlela
• Ukukhathala
• Ukuphelelwa umoya
• Ukwehla kwesisindo
• Imfiva nokujuluka

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa abuze lowo muntu ngezimpawu zakhe nomlando wezokwelapha. Ukuhlolwa okungenziwa kufaka phakathi:

• I-x-ray yesifuba
• Isikena se-CT esifubeni
• I-Cytology ye-pleural fluid
• Vula i-biopsy yamaphaphu
• I-Pleural biopsy

I-Mesothelioma kaningi kunzima ukuyithola. Ngaphansi kwesibonakhulu, kungaba nzima ukutshela lesi sifo ngaphandle kwezimo ezifanayo nezicubu.

I-mesothelioma ebulalayo umdlavuza onzima ukwelashwa.

Ngokuvamile alikho ikhambi, ngaphandle uma lesi sifo sitholakale kusenesikhathi futhi isimila sisuswe ngokuphelele ngokuhlinzwa. Isikhathi esiningi, lapho kutholakala ukuthi lesi sifo, sisuke sesithuthuke kakhulu ukuze sihlinzwe. I-Chemotherapy noma i-radiation ingasetshenziswa ukunciphisa izimpawu. Ukuhlanganisa imishanguzo ethile yamakhemikhali kungasiza ekwehliseni izimpawu, kepha ngeke kuwelaphe umdlavuza.

Kungalashwa, iningi labantu lisinda cishe izinyanga eziyi-9.

Ukubamba iqhaza esivivinyweni somtholampilo (ukuhlolwa kokwelashwa okusha), kunganikeza umuntu izinketho zokwelashwa eziningi.

Ukuphumula kobuhlungu, i-oxygen, nezinye izindlela zokwelapha ezisekelayo nakho kungasiza ekunciphiseni izimpawu.

Unganciphisa ukucindezela kokugula ngokujoyina iqembu lokwesekwa lapho amalungu abelana ngokuhlangenwe nakho okuvamile nezinkinga.

Isikhathi sokusinda esijwayelekile sihluka kusuka ezinyangeni ezi-4 kuye kwezingu-18. I-Outlook incike ku:

• Isigaba sesimila
• Iminyaka yomuntu nempilo ejwayelekile
• Ukuthi ukuhlinzwa kuyindlela yokukhetha
• Impendulo yomuntu ekwelashweni

Wena nomndeni wakho ningafuna ukuqala ukucabanga ngokuhlela kokuphela kokuphila, okufana nalokhu:

• Ukunakekelwa kwe-Palliative
• Ukunakekelwa kwabahlengikazi
• Imiyalo yokunakekelwa kwangaphambili
• Abasebenzi bezempilo

Izinkinga ze-mesothelioma ebulalayo zingafaka:

• Imiphumela emibi ye-chemotherapy noma i-radiation
• Ukuqhubeka nokusabalala komdlavuza kwezinye izitho

Shayela i-aphoyintimenti nomhlinzeki wakho uma unezimpawu ze-mesothelioma ebulalayo.

Gwema ukuvezwa kuma-asbestos.

Mesothelioma - ebulalayo; I-malignant pleura mesothelioma (MPM)

• Uhlelo lokuphefumula

I-Baas P, i-Hassan R, i-Nowak AK, i-Rice D. I-mesothelioma emibi. Ku: Pass HI, Ball D, Scagliotti GV, eds. IASLC Thoracic Oncology. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 53.

I-Broaddus VC, iRobinson BWS. Izicubu zomzimba. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 82.

Iwebhusayithi yeNational Cancer Institute. Ukwelashwa kwe-malignant mesothelioma (umuntu omdala) (PDQ) - Uhlobo lochwepheshe bezempilo. www.cancer.gov/types/mesothelioma/hp/mesothelioma- ukwelashwa-pdq. Kubuyekezwe ngoNovemba 8, 2019. Kufinyelelwe ngoJulayi 20, 2020.