I-sarcoma yezicubu ezithambile zabantu abadala

Isoftoma sarcoma (STS) umdlavuza owakhiwa ezicutshini ezithambile zomzimba. Izicubu ezithambile ziyaxhuma, zisekele, noma zizungeze ezinye izitho zomzimba. Kubantu abadala, i-STS ayivamile.

Kunezinhlobo eziningi zomdlavuza wezicubu ezithambile. Uhlobo lwe-sarcoma luxhomeke kwizicubu ezakha ku:

• Imisipha
• AmaTendon
• Amafutha
• Imithambo yegazi
• Imikhumbi yeLymph
• Imizwa
• Izicubu emalungeni naseduze

Umdlavuza ungakha cishe noma yikuphi, kepha uvame kakhulu ku:

• Inhloko
• Intamo
• Izikhali
• Imilenze
• Isiqu
• Isisu

Akwaziwa ukuthi yini ebangela ama-sarcomas amaningi. Kepha kunezici ezithile zobungozi:

• Ezinye izifo ezuzwe njengefa, njenge-Li-Fraumeni syndrome
• Ukwelashwa ngemisebe kweminye imidlavuza
• Ukuchayeka kumakhemikhali athile, njenge-vinyl chloride noma ama-herbicides athile
• Ukuba nokuvuvukala ezingalweni noma emilenzeni isikhathi eside (i-lymphedema)

Ezigabeni zokuqala, kaningi azikho izimpawu. Njengoba umdlavuza ukhula, ungadala isigaxa noma ukuvuvukala okuqhubeka kukhula ngokuhamba kwesikhathi. Izigaxa eziningi AKUWONA umdlavuza.

Ezinye izimpawu zifaka:

• Ubuhlungu, uma bucindezela inzwa, isitho, umthambo wegazi, noma imisipha
• Ukuvaleka noma ukopha esiswini noma emathunjini
• Izinkinga zokuphefumula

Umhlinzeki wakho wokunakekelwa kwezempilo uzokubuza ngomlando wakho wezokwelapha bese enza ukuhlolwa komzimba. Ezinye izivivinyo zingafaka:

• Ama-X-ray
• Iskena se-CT
• I-MRI
• Ukuskena kwe-PET

Uma umhlinzeki wakho esola umdlavuza, ungaba ne-biopsy yokuhlola umdlavuza. Ku-biopsy, umhlinzeki wakho uqoqa isampula lezicubu azohlola elebhu.

I-biopsy izokhombisa ukuthi umdlavuza ukhona yini futhi isize ukukhombisa ukuthi ikhula ngokushesha kangakanani. Umhlinzeki wakho angacela ukuhlolwa okwengeziwe ukuze kufakwe umdlavuza. Isiteji singasho ukuthi ungakanani umdlavuza okhona nokuthi ususabalele yini.

Ukuhlinzwa ukwelashwa okuvame kakhulu kwe-STS.

• Ezigabeni zokuqala, isimila nezinye izicubu ezinempilo ezizungezile ziyasuswa.
• Kwesinye isikhathi, kudingeka kususwe inani elincane nje lezicubu. Ngezinye izikhathi, indawo ebanzi yezicubu kufanele isuswe.
• Ngomdlavuza othuthukile owakhiwa engalweni noma emlenzeni, ukuhlinzwa kungalandelwa yimisebe noma i-chemotherapy. Kuyaqabukela ukuthi isitho singadinga ukunqunywa.

Ungase futhi ube nemisebe noma i-chemotherapy:

• Isetshenziswe ngaphambi kokuhlinzwa ukusiza ukunciphisa isimila ukuze kube lula ukususa umdlavuza
• Isetshenziswa ngemuva kokuhlinzwa ukubulala noma yimaphi amangqamuzana omdlavuza asele

I-Chemotherapy ingasetshenziselwa ukusiza ukubulala umdlavuza osuwusebenzisile. Lokhu kusho ukuthi isakaze ezindaweni ezahlukene zomzimba.

Umdlavuza uthinta indlela ozizwa ngayo ngawe nangempilo yakho. Unganciphisa ukucindezela kokugula ngokujoyina iqembu lokusekela umdlavuza. Ukwabelana nabanye abaye baba nokuhlangenwe nakho okufanayo nezinkinga kungakusiza uzizwe ungaphansi kwesizungu.

Cela umhlinzeki wakho akusize uthole iqembu lokusekelwa labantu abatholakala ukuthi bane-STS.

Umbono wabantu abanomdlavuza osheshe welashwa umuhle kakhulu. Iningi labantu abasinda eminyakeni engu-5 bangalindela ukuthi bangabi nomdlavuza eminyakeni eyishumi.

Izinkinga zifaka imiphumela emibi evela ekuhlinzweni, ekhemotherapy, noma emisebeni.

Bona umhlinzeki wakho nganoma yisiphi isigaxa esikhula ngosayizi noma esibuhlungu.

Isizathu sama-STS amaningi asaziwa futhi ayikho indlela yokuyivimba. Ukwazi izici zakho zobungozi nokutshela umhlinzeki wakho lapho uqala ukubona izimpawu kungakhulisa amathuba akho okusinda kulolu hlobo lomdlavuza.

STS; Leiomyosarcoma; IHemangiosarcoma; Kaposi’s sarcoma; I-Lymphangiosarcoma; I-synoomaal sarcoma; Neurofibrosarcoma; Liposarcoma; I-Fibrosarcoma; I-histiocytoma enobungozi; Dermatofibrosarcoma; I-Angiosarcoma

IContreras CM, iHeslin MJ. I-sarcoma yezicubu ezithambile. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 31.

Iwebhusayithi yeNational Cancer Institute. Ukwelashwa kwabantu abadala kwezicubu ezithambile ze-sarcoma (PDQ) - inguqulo yezempilo. www.cancer.gov/types/soft-tissue-sarcoma/hp/adult-soft-tissue-treatment-pdq#section/all. Kubuyekezwe uJanuwari 15, 2021. Kufinyelelwe ngoFebhuwari19, 2021.

UVan Tine BA. Ama-Sarcomas wezicubu ezithambile. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 90.