Imibuzo eyi-9 Yokubuza Udokotela Wakho Ngezimpawu Zakho Ze-Tenosynovial Giant Cell Tumor (TGCT)

-Delile

• 1. Uqinisekile ukuthi izimpawu zami yi-TGCT?
• 2. Kungani ilunga lami livuvuke kangaka?
• 3. Ngabe isimila sami sizoqhubeka sikhula?
• 4. Ngabe izimpawu zami zizoba zimbi kakhulu?
• 5. Ngiluphi uhlobo lwe-TGCT enginalo?
• 6. Ngabe isimila singasakazekela kwezinye izingxenye zomzimba wami?
• 7. Ngabe izimpawu zami zidinga ukwelashwa ngokushesha?
• 8. Uzongiphatha kanjani?
• 9. Ngingazilawula kanjani izimpawu zami okwamanje?
• Ukudla okudlela endlini

Uye kudokotela wakho ngenxa yenkinga ehlangene futhi uthole ukuthi une-tenosynovial giant cell tumor (TGCT). Leli gama lingase libe elisha kuwe, futhi ukulizwa kungenzeka kukushiye ungalindele.

Lapho uthola ukuxilongwa, ufuna ukufunda okuningi ngangokunokwenzeka ngalesi sifo nokuthi singakuthinta kanjani impilo yakho. Ngesikhathi sokuvakasha udokotela wakho olandelayo, uzofuna ukubuza imibuzo ethile mayelana nezimpawu zakho.

Nayi imibuzo eyisishiyagalolunye ukukusiza uqonde izimpawu zakho nokuthi zisho ukuthini ekwelashweni kwakho.

1. Uqinisekile ukuthi izimpawu zami yi-TGCT?

I-TGCT ayisona kuphela isifo esibangela ukuvuvukala, ubuhlungu, nokuqina kwamalunga. I-arthritis nayo ingaveza lezi zimpawu. Futhi i-TGCT engalashwa ingaholela ekuguleni kwamathambo ngokuhamba kwesikhathi.

Ukuhlola ukuhlolwa kungasiza udokotela wakho ukuthi atshele umehluko. Ku-arthritis, udokotela wakho uzobona kuncipha esikhaleni esihlangene ku-X-ray. Ukuhlolwa okufanayo kuzokhombisa ukulimala kwethambo noqwanga ngokuhlanganyela ne-TGCT.

I-Magnetic resonance imaging (MRI) iyindlela eqonde kakhulu yokuhlukanisa phakathi kwalezi zimo zombili. I-MRI izokhombisa ushintsho kokujoyina okuyingqayizivele ku-TGCT.

Uma utholwe une-TGCT, kodwa awuqiniseki ukuthi yilokho onakho, bheka omunye udokotela ukuze uthole umbono wesibili.

2. Kungani ilunga lami livuvuke kangaka?

Ukuvuvukala kuvela kumaseli wokuvuvukala ahlangana ndawonye kulwelwesi lwejoyinti lakho, noma i-synovium. Njengoba amangqamuzana anda, akha iziqu ezibizwa ngokuthi izicubu.

3. Ngabe isimila sami sizoqhubeka sikhula?

I-TGCT ngokujwayelekile izokhula, kepha ezinye izinhlobo zikhula ngokushesha kunezinye. I-pigment villonodular synovitis (PVNS) ingenziwa ibe yendawo noma isabalalise. Ifomu elenziwe lasendaweni liphendula kahle ekwelashweni. Noma kunjalo, ifomu lokusakazeka lingakhula ngokushesha futhi kube nzima ukulwelapha.

Isigaxa esikhulu seseli le-tendon sheath (GCTTS) luhlobo lwasendaweni lwalesi sifo. Imvamisa ikhula kancane kakhulu.

4. Ngabe izimpawu zami zizoba zimbi kakhulu?

Babengakwazi. Iningi labantu liqala ngokuvuvukala. Njengoba isimila sikhula, sicindezela ezakhiweni eziseduze, ezingakhipha nobuhlungu, ukuqina, nezinye izimpawu.

5. Ngiluphi uhlobo lwe-TGCT enginalo?

I-TGCT akusona isifo esisodwa, kodwa iqembu lezimo ezihlobene. Uhlobo ngalunye lunezimpawu zalo.

Uma idolo noma inqulu yakho ivuvukile, ungaba ne-PVNS. Lolu hlobo lungathinta namalunga njengehlombe, indololwane, noma iqakala.

Ukukhula kwamalunga amancane njengezandla nezinyawo zakho kungenzeka kakhulu ukuthi kusuka ku-GCTTS. Imvamisa ngeke ube nobuhlungu ngokuvuvukala.

6. Ngabe isimila singasakazekela kwezinye izingxenye zomzimba wami?

Akunakwenzeka. I-TGCT ayiwona umdlavuza, ngakho-ke izicubu ngokuvamile azikhuli ngaphezu kwejoyinti lapho ziqale khona. Kuyaqabukela nje ukuthi lesi simo siphenduke umdlavuza.

7. Ngabe izimpawu zami zidinga ukwelashwa ngokushesha?

Ezinye izinhlobo ze-TGCT zikhula ngokushesha kunezinye. I-PVNS ingakhula ngokushesha futhi ilimaze uqwanga namathambo asizungezile, okuholele ekuguleni kwamathambo. Ingashiya ijoyinti lakho likhubazeke unomphela uma ungatholi ukwelashwa.

I-GCTTS ikhula kancane, futhi mancane amathuba okuthi ilimaze amalunga akho. Ngemuva kwengxoxo ngokucophelela nodokotela wakho, ungakwazi ukulinda ukuyelapha uma izimpawu zingakukhathazi.

8. Uzongiphatha kanjani?

Ukwelashwa okuyinhloko kwe-TGCT ukuhlinzwa ukususa isimila nengxenye eyonakele ye-synovium ejoyinini. Ukuhlinzwa kungenziwa ngokusika okuvulekile okukodwa (ukuhlinzwa okuvulekile) noma ukusikeka okuncane (i-arthroscopy). Uma ilunga lonakele kabi, kungadingeka ukuthi lithathelwe indawo ngokuphelele.

9. Ngingazilawula kanjani izimpawu zami okwamanje?

Ukubamba iqhwa ejoyintini kungasiza ngobuhlungu nokuvuvukala. Isidakamizwa esiphikisana nokuvuvukala okungaphezu kwe-counter-the-counter (OTC) (NSAID) njenge-ibuprofen (Advil, Motrin) noma naproxen (Aleve) singasiza futhi ngobuhlungu nokuvuvukala.

Ukususa ingcindezi ejoyinini elibuhlungu, liphumule. Sebenzisa izinduku noma olunye usizo lapho kufanele uhambe ngezinyawo.

Ukuzivocavoca nakho kubalulekile ukuvimbela ilunga ekuqineni noma ekunciphiseni. Buza udokotela wakho ukuthi ngabe uhlelo lokwelashwa ngokomzimba lungakulungela yini.

Ukudla okudlela endlini

Ukutholakala unesifo esingajwayelekile njenge-TGCT kungazizwa kukhungathekisa. Ungadinga isikhathi esithile ukucubungula konke udokotela akutshele khona.

Uzozethemba kakhulu uma uqonda i-TGCT. Funda lesi simo, bese ubuza udokotela wakho imibuzo eminingi mayelana nokuthi ungayiphatha kanjani ekuvakasheni kwakho okulandelayo.