Umdlavuza wamasende: izimpawu eziyisi-5, izimbangela kanye nokwelashwa

-Delile

• Izimpawu ezingenzeka zomdlavuza wamasende osezingeni eliphakeme
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingenzeka zomdlavuza wamasende
• Yelashwa kanjani
• Ingabe ukwelashwa kubangela ukungazali?
• Izigaba zomdlavuza wamasende

Umdlavuza wamasende wuhlobo olungavamile lwesimila olubonakala ikakhulu kubantu abasha abaphakathi kweminyaka eyi-15 nengama-35 ubudala. Ngaphezu kwalokho, umdlavuza wamasende uvame kakhulu emadodeni asevele ehlukumezeka esifundeni, njengakwisimo sabasubathi, isibonelo.

Umdlavuza uvame ukukhula ngaphandle kwezimpawu, ngakho-ke, kungaba nzima ukuwubona. Noma kunjalo, okuvame kakhulu kufaka:

1. Ukuba khona kwamaqhuqhuva anzima futhi ayinabuhlungu ngosayizi wepea;
2. Usayizi owandisiwe futhi, ngenxa yalokho, isisindo samasende;
3. Ukwengezwa kwamabele noma ukuzwela esifundeni;
4. Isende elinzima ukwedlula enye;
5. Ubuhlungu besende lapho uzizwa noma ubuhlungu esendeni ngemuva kokuxhumana okusondelene.

Indlela engcono kakhulu yokuthola izimpawu zomdlavuza ukuthi uzihlole njalo amasende lapho ugeza, isibonelo, njengoba kusiza ukukhomba izinguquko ezithile zakuqala ezingaphenduka umdlavuza.

Bheka igxathu negxathu ukwenza ukuzihlola kwamasende ngendlela efanele noma ubuke ividiyo:

Uma kwenzeka ushintsho ekuzihloleni ngokwakho, kunconywa ukuthi uthintane nodokotela we-urologist ukuze uthole izivivinyo zokuxilonga, njenge-ultrasound, ukuhlolwa kwegazi okuqondile noma i-tomography, ukuqinisekisa ukuxilongwa nokuqala ukwelashwa okufanele, uma kunesidingo.

Kunezinye futhi izinkinga zamasende ezingadala izimpawu ezifana kakhulu nomdlavuza, ikakhulukazi ukuba khona kwesigaxa, kepha okuyizimpawu zezimo ezingezinhle kangako, njenge-epididymitis, ama-cysts noma i-varicocele, kepha ezidinga ukwelashwa kahle. Bheka ezinye izimbangela eziyisikhombisa zesigaxa esendeni.

Izimpawu ezingenzeka zomdlavuza wamasende osezingeni eliphakeme

Lapho umdlavuza usuvele usesigabeni esithuthuke kakhulu, ungagcina usabalalele kwezinye izitho zomzimba bese wenza ezinye izimpawu ezinjengalezi:

• Ubuhlungu obuqhubekayo ezansi ngemuva;
• Ukuzwa ukuphefumula okuncane noma ukukhwehlela njalo;
• Ubuhlungu obuqhubekayo esiswini;
• Ukuphathwa ikhanda njalo noma ukudideka.

Lezi zimpawu zivame kakhulu futhi zivamise ukukhombisa ukuthi umdlavuza ususabalalele kwezinye izingosi ezinjenge-lymph node, amaphaphu, isibindi noma ubuchopho, ngokwesibonelo.

Kulesi sigaba, umdlavuza kunzima kakhulu ukulwa nawo, noma kunjalo, ukwelashwa kuyenziwa ukuzama ukunciphisa usayizi wesilonda nokuqeda izimpawu.

Ungakuqinisekisa kanjani ukuxilongwa

Indlela engcono yokuqinisekisa ukuthi umdlavuza wamasende ukhona ngempela ukubona i-urologist. Udokotela, ngaphezu kokwenza ukuhlolwa komzimba, ukukhomba izimpawu nokuqinisekisa umlando womndeni, futhi anga-oda i-ultrasound noma ukuhlolwa kwegazi ukuqinisekisa ubukhona bomdlavuza. Ngaphezu kwalokho, ungenza futhi i-biopsy yezicubu kwelinye lamasende, uma kubonakala sengathi kunezinguquko ezisikisela umdlavuza.

Izimbangela ezingenzeka zomdlavuza wamasende

Imbangela yomdlavuza wamasende ayikaqondakali ngokugcwele, kodwa-ke, kunezinto ezithile ezibonakala zandisa ubungozi bendoda bokuthola lolu hlobo lomdlavuza. Okuyinhloko yilezi:

• Ukuba nesende elingehlanga phansi;
• Ukuba nomlando womndeni womdlavuza wamasende;
• Ukuba nomdlavuza esendeni;
• Yiba phakathi kweminyaka engama-20 nengama-34 ubudala.

Ngaphezu kwalokho, ukuba yiCaucasia nakho kubonakala kukhulisa ubungozi bokuba nalolu hlobo lomdlavuza kuze kube izikhathi ezi-5, uma kuqhathaniswa nomjaho omnyama, isibonelo.

Yelashwa kanjani

Ukwelashwa komdlavuza wamasende kuncike enkambweni yalesi sifo, ngoba kungahluka phakathi kwe-radiotherapy, i-chemotherapy noma ukuhlinzwa. Kodwa-ke, umdlavuza wamasende uyelapheka ezimweni eziningi, noma ngabe kwakhiwe imastastase.

Ngakho-ke, ukwelashwa kuvame ukuqala ngokuhlinzwa ukuze kususwe isende elithintekile nawo wonke amangqamuzana omdlavuza, okwanele ezimeni zomdlavuza ezingakathuthuki kangako. Ezimweni ezisezingeni eliphakeme kakhulu, noma kunjalo, kungadingeka ukuthola i-radiotherapy noma i-chemotherapy ngemuva kokuhlinzwa, ukuqeda amangqamuzana e-tumor asele okungenzeka asele.

Ngemuva kokwelashwa, udokotela we-urologist uqoka abantu abaningana ukuthi bahlolwe igazi kanye ne-CT scan, ukuze kuhlolwe ukuthi umdlavuza usususwe ngokuphelele yini.

Ingabe ukwelashwa kubangela ukungazali?

Ngokuvamile, owesilisa uyinyumba kuphela uma kunesidingo sokukhipha womabili amasende, okwenzeka ezimweni ezimbalwa. Kodwa-ke, kulezi zimo kungenzeka ukuthi kugcinwe isidoda esithile kumalabhorethri akhethekile ngaphambi kokuhlinzwa, okungasetshenziswa ukwenza ukukhulelwa kokufakelwa, ngokwesibonelo, ukuvumela izingane zizalwe.

Izigaba zomdlavuza wamasende

Kunezigaba ezine eziyinhloko ekwakheni umdlavuza wamasende:

• Inkundla 0: umdlavuza utholakala kuphela kumashubhu we-seminiferous ngaphakathi kwe-testis futhi awusabalalanga kwezinye izingxenye, noma kuma-lymph node.
• Inkundla I: amangqamuzana omdlavuza akhule aphuma kuma-tubules aseminiferous futhi, ngakho-ke, angahle athinte izakhiwo eziseduze ne-testis, noma kunjalo, umdlavuza awukafiki kuma-lymph node;
• Inkundla II: umdlavuza kungenzeka ukhule esendeni noma usayizi awukwazi ukuhlolwa kahle. Ngaphezu kwalokho, kungenzeka ukuthi isabalalele ku-lymph node eyodwa noma ngaphezulu;
• Inkundla III: umdlavuza kungenzeka ukhule esendeni, kepha ubukhulu abuhlolwa kahle. Umdlavuza kungenzeka futhi ukuthi ufinyelele kuma-lymph node nakwezinye izakhiwo eziseduze.

Imvamisa, lapho isigaba somdlavuza sithuthuka kakhulu, ukwelashwa kungaba nzima kakhulu, futhi kungadingeka ukukhipha amasende ukuthola ikhambi.