Umdlavuza Wesinye
-Delile
- Izinhlobo zomdlavuza wesinye
- Inguquko yesifo se-carcinoma
- I-squamous cell carcinoma
- I-Adenocarcinoma
- Ziyini izimpawu zomdlavuza wesinye?
- Yini ebangela umdlavuza wesinye?
- Ubani osengozini yomdlavuza wesinye?
- Utholakala kanjani umdlavuza wesinye?
- Uphathwa kanjani umdlavuza wesinye?
- Ukwelashwa kwesigaba 0 nesigaba 1
- Ukwelashwa kwesigaba 2 nesigaba 3
- Ukwelashwa komdlavuza wesisu sesigaba 4
- Uyini umbono wabantu abanomdlavuza wesinye?
- Ukuvimbela
- Q:
- A:
Uyini umdlavuza wesinye?
Umdlavuza wesinye uvela ezicutshini zesinye, okuyilungu lomzimba eligcina umchamo. Ngokusho kweNational Institutes of Health, cishe amadoda angama-45,000 nabesifazane abangu-17,000 ngonyaka batholakala ukuthi banesifo.
Izinhlobo zomdlavuza wesinye
Kunezinhlobo ezintathu zomdlavuza wesinye:
Inguquko yesifo se-carcinoma
I-Transitional cell carcinoma uhlobo oluvame kakhulu lomdlavuza wesinye. Kuqala kumaseli wesikhashana kusendlalelo sangaphakathi sesinye. Amaseli wesikhashana ngamaseli aguqula ukuma ngaphandle kokulimala lapho izicubu zelulwa.
I-squamous cell carcinoma
I-squamous cell carcinoma ngumdlavuza ongandile e-United States. Kuqala lapho kwakheka amangqamuzana amancanyana, acabalekile esinyeni esinyeni ngemuva kokutheleleka isikhathi eside noma ukucasuka esinyeni.
I-Adenocarcinoma
I-Adenocarcinoma nayo ingumdlavuza ongavamile e-United States. Kuqala lapho amangqamuzana ayindlala akha esinyeni ngemuva kokucasulwa isikhathi eside nokuvuvukala. Amaseli endlala yilawo akha izindlala ezifihla amafinyila emzimbeni.
Ziyini izimpawu zomdlavuza wesinye?
Abantu abaningi abanomdlavuza wesinye bangaba negazi emchameni wabo kodwa bengezwa buhlungu ngenkathi bechama. Kunezimpawu eziningi ezingakhombisa umdlavuza wesinye njengokukhathala, ukwehla kwesisindo, nobumnene bethambo, futhi lezi zingakhombisa izifo ezithuthuke kakhulu. Kufanele unake ikakhulukazi lezi zimpawu ezilandelayo:
- igazi emchameni
- ukuchama kabuhlungu
- ukuchama kaningi
- ukuchama okuphuthumayo
- ukungabambeki komchamo
- ubuhlungu endaweni yesisu
- ubuhlungu emhlane ongezansi
Yini ebangela umdlavuza wesinye?
Imbangela ngqo yomdlavuza wesinye ayikaziwa. Kwenzeka lapho amangqamuzana angajwayelekile ekhula futhi anda ngokushesha nangokungalawuleki, bese ehlasela ezinye izicubu.
Ubani osengozini yomdlavuza wesinye?
Ukubhema kwandisa ingozi yokuba nomdlavuza wesinye. Ukubhema kubangela uhhafu wawo wonke umdlavuza wesinye kwabesilisa nabesifazane. Izici ezilandelayo ziphinde zenyuse ingozi yokuba nomdlavuza wesinye:
- ukuvezwa kwamakhemikhali abangela umdlavuza
- izifo ezingamahlalakhona zesinye
- ukusetshenziswa ketshezi okuphansi
- ukuba ngowesilisa
- ukuba mhlophe
- ukuba mdala, ngoba iningi lomdlavuza wesinye wenzeka kubantu abaneminyaka engaphezu kwengama-55
- ukudla ukudla okunamafutha amaningi
- ukuba nomlando womndeni wesifo somdlavuza wesinye
- ukuthola ukwelashwa kwangaphambilini ngomuthi wokwelapha ngamakhemikhali obizwa ngeCytoxan
- ukuthola ukwelashwa ngemisebe kwangaphambilini ukwelapha umdlavuza endaweni ye-pelvic
Utholakala kanjani umdlavuza wesinye?
Udokotela wakho angahlola umdlavuza wesinye esebenzisa eyodwa noma eziningi zezindlela ezilandelayo:
- ukuhlolwa komchamo
- ukuhlolwa kwangaphakathi, okubandakanya udokotela wakho ukufaka iminwe efakwe amagilavu esithweni sakho sangasese noma engxenyeni ukuze uzwe izigaxa ezingakhombisa ukukhula komdlavuza
- i-cystoscopy, okubandakanya udokotela wakho ukufaka ishubhu elincane elinekhamera encane kulo ngomchamo wakho ukubona ngaphakathi kwesinye sakho
- i-biopsy lapho udokotela wakho efaka khona ithuluzi elincane nge-urethra yakho bese ethatha isampula elincane lezicubu esinyeni sakho ukuhlola umdlavuza
- ukuskena kwe-CT ukubuka isinye
- i-pyelogram efakwa emithanjeni (IVP)
- Ama-X-ray
Udokotela wakho angalinganisa umdlavuza wesinye ngesistimu esukela ezigabeni 0 kuye ku-4 ukukhomba ukuthi umdlavuza usabalale kangakanani. Izigaba zomdlavuza wesinye zisho okulandelayo:
- Umdlavuza wesigaba se-0 awusabalalanga udlula ulwelwesi lwesinye.
- Umdlavuza wesigaba 1 wesinye usakaze udlula ulwelwesi lwesinye, kodwa awukafiki ungqimba lwemisipha esinyeni.
- Umdlavuza wesigaba sesibili ususabalalise ungqimba lwemisipha esinyeni.
- Umdlavuza wesigaba sesithathu ususabalele ezicutshini ezizungeze isinye.
- Umdlavuza wesinye wesigaba sesine ususabalalise wedlula esinyeni waya ezindaweni ezingomakhelwane zomzimba.
Uphathwa kanjani umdlavuza wesinye?
Udokotela wakho uzosebenzisana nawe ukunquma ukuthi ikuphi ukwelashwa okufanele akunikeze ngokuya ngohlobo nesigaba somdlavuza wesisu sakho, izimpawu zakho nempilo yakho yonke.
Ukwelashwa kwesigaba 0 nesigaba 1
Ukwelashwa kwesigaba 0 nesigaba 1 somdlavuza wesinye kungafaka ukuhlinzwa ukukhipha isimila esinyeni, ekhemotherapy, noma e-immunotherapy, okubandakanya ukuthatha umuthi obangela ukuthi amasosha omzimba wakho ahlasele amangqamuzana omdlavuza.
Ukwelashwa kwesigaba 2 nesigaba 3
Ukwelashwa kwesigaba 2 kanye nesigaba 3 somdlavuza wesisu kungafaka:
- ukususwa kwengxenye yesinye ngaphezu kwe-chemotherapy
- ukususwa kwesinye sonke, okuyi-cystectomy enamandla, kulandelwe ukuhlinzwa ukudala indlela entsha yokuthi umchamo uphume emzimbeni
- i-chemotherapy, i-radiation therapy, noma i-immunotherapy engenziwa ukunciphisa isimila ngaphambi kokuhlinzwa, ukwelapha umdlavuza lapho ukuhlinzwa kungeyona inketho, ukubulala amangqamuzana omdlavuza asele ngemuva kokuhlinzwa, noma ukuvimbela umdlavuza ukuthi ungaphindeki
Ukwelashwa komdlavuza wesisu sesigaba 4
Ukwelashwa kwesigaba sesine somdlavuza wesisu kungafaka:
- chemotherapy ngaphandle kokuhlinzwa ukukhulula izimpawu nokwelula impilo
- i-cystectomy enamandla nokususwa kwama-lymph node aseduze, kulandelwe ukuhlinzwa ukudala indlela entsha yokuthi umchamo uphume emzimbeni
- i-chemotherapy, i-radiation therapy, ne-immunotherapy ngemuva kokuhlinzwa ukubulala amangqamuzana omdlavuza asele noma ukukhulula izimpawu nokwandisa impilo
- izidakamizwa zokuhlolwa komtholampilo
Uyini umbono wabantu abanomdlavuza wesinye?
Umbono wakho uncike kokuhlukahluka okuningi, kufaka phakathi uhlobo nesigaba somdlavuza. Ngokwe-American Cancer Society, amazinga okusinda kweminyaka emihlanu ngezigaba ayalandela:
- Izinga lokusinda leminyaka emihlanu labantu abanesifo somdlavuza wesigaba 0 lisondele kumaphesenti angama-98.
- Izinga lokusinda leminyaka emihlanu labantu abanomdlavuza wesigaba 1 wesinye cishe ngamaphesenti angama-88.
- Izinga lokusinda leminyaka emihlanu labantu abanesifo somdlavuza wesigaba sesibili lingamaphesenti angama-63.
- Izinga lokusinda leminyaka emihlanu labantu abanomdlavuza wesigaba sesithathu cishe ngamaphesenti angama-46.
- Izinga lokusinda leminyaka emihlanu labantu abanesifo somdlavuza wesigaba sesine lingamaphesenti ayi-15.
Kukhona izindlela zokwelapha ezitholakala kuzo zonke izigaba. Futhi, amazinga okusinda awahlali etshela yonke indaba futhi awakwazi ukubikezela ikusasa lakho. Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho mayelana nokuxilongwa nokwelashwa kwakho.
Ukuvimbela
Ngoba odokotela abakakwazi ukuthi yini ebanga umdlavuza wesinye, kungenzeka kungavikeleka kuzo zonke izimo. Izici ezilandelayo nokuziphatha kunganciphisa ubungozi bokuthola umdlavuza wesinye:
- ukungabhemi
- ukugwema intuthu kagwayi kagwayi
- ukugwema amanye amakhemikhali e-carcinogenic
- ukuphuza amanzi amaningi
Q:
Uyini umthelela wokwelashwa komdlavuza wesinye kwezinye izinqubo zomzimba, njengokuhamba kwamathumbu?
A:
Umthelela wokwelashwa komdlavuza wesinye kwezinye izinqubo zomzimba uyehluka ngokwendlela yokwelashwa okutholakele. Umsebenzi wezocansi, ikakhulukazi ukukhiqizwa kwesidoda, ungathinteka yi-cystectomy enkulu. Ukulimala kwezinzwa endaweni ye-pelvic kwesinye isikhathi kungathinta ukuphazamiseka. Ukuhamba kwamathumbu akho, njengobukhona besifo sohudo, nakho kungathinteka ukwelashwa ngemisebe endaweni. - Ithimba Lezempilo Lezempilo
Izimpendulo zimelela imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.