I-sarcoma yesibeletho

I-steroma yesibeletho umdlavuza ongavamile wesibeletho (isibeletho). Akufani nomdlavuza we-endometrial, umdlavuza ovame kakhulu oqala emgqeni wesibeletho. I-steroma yesibeletho ivame ukuqala emisipheni engaphansi kwalolo hlaka.

Imbangela ngqo ayikaziwa. Kepha kunezici ezithile zobungozi:

• Ukwelashwa kwemisebe edlule. Abesifazane abambalwa bahlakulela i-uterine sarcoma eminyakeni emihlanu kuya kwengu-25 ngemuva kokuthola ukwelashwa ngemisebe komunye umdlavuza we-pelvic.
• Ukwelashwa okwedlule noma kwamanje nge-tamoxifen yomdlavuza webele.
• Ubuhlanga. Abesifazane base-Afrika baseMelika banengozi ephindwe kabili eyabesifazane abamhlophe noma abase-Asia.
• Izakhi zofuzo. Isakhi esifanayo esingajwayelekile esidala umdlavuza wamehlo obizwa nge-retinoblastoma naso sandisa ubungozi be-uterine sarcoma.
• Abesifazane abangakaze bakhulelwe.

Uphawu oluvame kakhulu lwe-uterine sarcoma ukuphuma kwegazi ngemuva kokuya esikhathini. Yazisa umhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha ngangokunokwenzeka mayelana:

• Noma yikuphi ukuphuma kwegazi okungeyona ingxenye yesikhathi sakho sokuya esikhathini
• Noma yikuphi ukopha okwenzeka ngemuva kokuya esikhathini

Kungenzeka ukuthi ukopha ngeke kube ngumdlavuza. Kepha kufanele ngaso sonke isikhathi utshele umhlinzeki wakho mayelana nokopha okungavamile.

Ezinye izimpawu ezikhona ze-uterine sarcoma zifaka:

• Ukukhishwa kwesitho sangasese sowesifazane okungabi ngcono ngama-antibiotic futhi kungenzeka ngaphandle kokuphuma kwegazi
• Isisindo noma isigaxa esithweni sangasese noma esibelethweni
• Kufanele uchame kaningi

Ezinye zezimpawu ze-uterine sarcoma ziyefana nalezi ze-fibroids. Ukuphela kwendlela yokutshela umehluko phakathi kwe-sarcoma ne-fibroids kungukuhlolwa, okufana ne-biopsy yezicubu ezithathwe esibelethweni.

Umhlinzeki wakho uzothatha umlando wakho wezokwelapha. Uzophinde ube nokuhlolwa ngokomzimba kanye nokuhlolwa kwe-pelvic. Ezinye izivivinyo zingafaka:

• I-Endometrial biopsy yokuqoqa isampula lezicubu ukubheka izimpawu zomdlavuza
• I-Dilation ne-curettage (D & C) ukuqoqa amaseli esibelethweni ukuze afune umdlavuza

Ukuhlola izithombe kuyadingeka ukudala isithombe sezitho zakho zokuzala. I-Ultrasound yamathambo ekhanda ivame ukwenziwa kuqala. Noma kunjalo, imvamisa ayikwazi ukuhlukanisa phakathi kwe-fibroid ne-sarcoma. Ukuhlolwa kwesikhumba se-MRI kungadingeka.

I-biopsy esebenzisa i-ultrasound noma i-MRI ukuqondisa inaliti ingasetshenziswa ukwenza ukuxilongwa.

Uma umhlinzeki wakho ethola izimpawu zomdlavuza, ezinye izivivinyo ziyadingeka ukuze kubekwe umdlavuza. Lezi zivivinyo zizokhombisa ukuthi unomdlavuza ongakanani. Zizophinda zikhombise ukuthi ngabe selisabalele yini kwezinye izitho zomzimba wakho.

Ukuhlinzwa ukwelashwa okuvame kakhulu komdlavuza wesibeletho. Ukuhlinzwa kungasetshenziselwa ukuxilonga, isigaba, kanye nokwelapha i-sarcoma ye-uterine ngasikhathi sinye.Ngemuva kokuhlinzwa, umdlavuza uzohlolwa elebhu ukubona ukuthi usuthuthuke kangakanani.

Ngokuya ngemiphumela, ungadinga ukwelashwa ngemisebe noma i-chemotherapy ukubulala noma yimaphi amangqamuzana omdlavuza asele.

Futhi ungaba nokwelashwa kwamahomoni ezinhlotsheni ezithile zezimila eziphendula ama-hormone.

Ngomdlavuza ophakeme osakazeke ngaphandle kwesikhumba, ungahle ufune ukujoyina isilingo somtholampilo somdlavuza wesibeletho.

Ngomdlavuza obuyile, imisebe ingasetshenziselwa ukwelashwa okunciphisayo. Ukunakekelwa kwe-palliative kuhloswe ukukhulula izimpawu nokuthuthukisa ikhwalithi yokuphila komuntu.

Umdlavuza uthinta indlela ozizwa ngayo ngawe nangempilo yakho. Unganciphisa ukucindezela kokugula ngokujoyina iqembu lokusekela umdlavuza. Ukwabelana nabanye abanokuhlangenwe nakho okufanayo nezinkinga kungakusiza uzizwe ungasodwa.

Buza umhlinzeki wakho noma abasebenzi abasesikhungweni sokwelashwa komdlavuza ukuthi bakusize uthole iqembu lokusekela labantu abatholakala benomdlavuza wesibeletho.

Isibikezelo sakho sincike ohlotsheni nesigaba se-uterine sarcoma owawunaso lapho welashwa. Ngomdlavuza ongakaze usabalale, okungenani abantu ababili kwabathathu abanomdlavuza ngemuva kweminyaka emihlanu. Inani lehla uma umdlavuza usuqale ukusabalala futhi kuba nzima ukwelashwa.

I-steroma yesibeletho kaningi ayitholakali kusenesikhathi, ngakho-ke, isibikezelo sibi. Umhlinzeki wakho angakusiza uqonde umbono wohlobo lwakho lomdlavuza.

Izinkinga zingafaka:

• I-perforation (imbobo) yesibeletho kungenzeka ngesikhathi se-D no-C noma i-endometrial biopsy
• Izinkinga ezivela ekuhlinzweni, emisebeni, nasekhemotherapy

Bona umhlinzeki wakho uma unezimpawu zomdlavuza wesibeletho.

Ngoba imbangela ayaziwa, ayikho indlela yokuvimbela i-sarcoma ye-uterine. Uma uke waba nokwelashwa ngemisebe endaweni yakho ye-pelvic noma uthathe i-tamoxifen yomdlavuza webele, buza umhlinzeki wakho ukuthi kufanele uhlolwe kangaki ukuthola izinkinga ezingaba khona.

Leiomyosarcoma; I-endometrial stromal sarcoma; Ama-sarcomas angahlukanisiwe; Umdlavuza wesibeletho - i-sarcoma; I-sarcoma yesibeletho engafani; Izimila ezixubene neMullrian; I-Adenosarcoma - isibeletho

IBoggess JF, Kilgore JE, iTran AQ. Umdlavuza wesibeletho. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 85.

UHowitt BE, uNucci MR, Quade BJ. Izimila zesibeletho zesibeletho. Ku: Crum CP, Nucci MR, Howitt BE, Granter SR, Parast MM, Boyd TK, eds. Ukuxilongwa kwe-Gynecologic ne-Obstetric Pathology. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 20.

Iwebhusayithi yeNational Cancer Institute. Ukwelashwa kwesibeletho sarcoma (PDQ) - inguqulo yezobuchwepheshe yezempilo. www.cancer.gov/types/uterine/hp/uterine-sarcoma-treatment-pdq. Kubuyekezwe uDisemba 19, 2019. Kufinyelelwe ngo-Okthoba 19, 2020.