Umdlavuza Wesisu (Gastric Adenocarcinoma)

-Delile

• Yini ebangela umdlavuza wesisu?
• Izici ezinobungozi zomdlavuza wesisu
• Izimpawu zomdlavuza wesisu
• Kutholakala kanjani?
• Ukwelapha umdlavuza wesisu
• Ukuvimbela umdlavuza wesisu
• Umbono wesikhathi eside

Uyini umdlavuza wesisu?

Umdlavuza wesisu ubonakala ngokukhula kwamaseli anomdlavuza ngaphakathi kolwelwesi lwesisu.Ebizwa nangokuthi umdlavuza wesisu, lolu hlobo lomdlavuza kunzima ukuluxilonga ngoba iningi labantu ngokujwayelekile alizikhombisi izimpawu ezigabeni zokuqala.

INational Cancer Institute (NCI) ilinganisela ukuthi kuzoba namacala amasha angama-28,000 omdlavuza wesisu ngo-2017. I-NCI ibuye ilinganisele ukuthi umdlavuza wesisu ungamaphesenti angu-1.7 wamacala amasha omdlavuza e-United States.

Ngenkathi umdlavuza wesisu ungajwayelekile uma uqhathaniswa nezinye izinhlobo zomdlavuza, enye yezingozi ezinkulu zalesi sifo ubunzima bokusixilonga. Njengoba umdlavuza wesisu uvame ukungabangeli zimpawu zakuqala, uvame ukungatholakali kuze kube yilapho ususabalalele kwezinye izingxenye zomzimba. Lokhu kwenza kube nzima ukwelapha.

Yize umdlavuza wesisu kungaba nzima ukuwuthola nokwelapha, kubalulekile ukuthola ulwazi oludingayo ukushaya lesi sifo.

Yini ebangela umdlavuza wesisu?

Isisu sakho (kanye ne-esophagus) kuyingxenye eyodwa kuphela yengxenye ephezulu yomgudu wakho wokugaya ukudla. Isisu sakho sinesibopho sokugaya ukudla bese uhambisa izakhi zomzimba ziye kwezinye izitho zakho zokugaya ukudla, okungukuthi amathumbu amancane namakhulu.

Umdlavuza wesisu uvela lapho amaseli ajwayelekile enempilo ngaphakathi kohlelo lokugaya olungaphezulu eba ngumdlavuza futhi akhule angalawuleki, enze isimila. Le nqubo yenzeka kancane. Umdlavuza wesisu uvame ukukhula eminyakeni eminingi.

Izici ezinobungozi zomdlavuza wesisu

Umdlavuza wesisu uxhunyaniswe ngqo nezicubu esiswini. Kodwa-ke, kunezici ezithile ezingakhuphula ubungozi bokuthuthukisa la maseli anomdlavuza. Lezi zici zobungozi zibandakanya izifo nemibandela ethile, efana:

• i-lymphoma (iqembu lomdlavuza wegazi)
• H. pylori izifo zebhaktheriya (ukutheleleka kwesisu okuvamile okungahle kuholele izilonda)
• izimila kwezinye izingxenye zohlelo lokugaya ukudla
• isisu polyps (ukukhula okungavamile kwezicubu ezakha ulwelwesi lwesisu)

Umdlavuza wesisu uvame kakhulu phakathi:

• abantu abadala asebekhulile, imvamisa abantu abaneminyaka engama-50 nangaphezulu
• amadoda
• ababhemayo
• abantu abanomlando womndeni wesifo
• abantu abangabase-Asia (ikakhulukazi amaKorea noma amaJapane), abaseNingizimu Melika, noma abadabuka eBelarusian

Ngenkathi umlando wakho wezokwelapha ungathinta ingozi yokuba nomdlavuza wesisu, izinto ezithile zokuphila nazo zingadlala indima. Ungahle ube nomdlavuza wesisu uma:

• udle ukudla okunosawoti okuningi noma okugayiwe
• udle inyama eningi kakhulu
• unomlando wokusebenzisa kabi utshwala
• ungazivocavoci umzimba
• ungakubeki noma ukupheke ukudla kahle

Ungahle uthande ukucabangela ukuthola ukuhlolwa kokuhlolwa uma ukholwa ukuthi usengozini yokuthola umdlavuza wesisu. Ukuhlolwa kokuhlola kwenziwa lapho abantu besengozini yezifo ezithile kodwa bengazibonisi izimpawu okwamanje.

Izimpawu zomdlavuza wesisu

Ngokusho kwe-, ngokuvamile azikho izimpawu zokuqala noma izimpawu zomdlavuza wesisu. Ngeshwa, lokhu kusho ukuthi abantu kaningi abazi ukuthi kukhona okungahambi kahle kuze kube umdlavuza usufinyelele esigabeni esithuthukile.

Ezinye zezimpawu ezivame kakhulu zomdlavuza wesisu osezingeni eliphakeme yilezi:

• isicanucanu nokuhlanza
• isilungulela esivamile
• ukuncipha kokudla, kwesinye isikhathi kuhambisana nokwehla kwesisindo okungazelelwe
• ukuqunjelwa njalo
• ukusutha kokuqala (ukuzizwa ugcwele emva kokudla inani elincane kuphela)
• indle enegazi
• i-jaundice
• ukukhathala ngokweqile
• ubuhlungu besisu, obungaba bukhulu kakhulu ngemuva kokudla

Kutholakala kanjani?

Njengoba abantu abanomdlavuza wesisu bengavamile ukubonisa izimpawu ezigabeni zokuqala, lesi sifo asivamisile ukutholakala size sithuthuke kakhulu.

Ukuze wenze ukuxilongwa, udokotela wakho uzoqala enze ukuhlolwa komzimba ukuze ahlole noma ikuphi ukungajwayelekile. Bangabuye ba-oda ukuhlolwa kwegazi, kufaka phakathi ukuhlolwa kobukhona be- H. pylori amagciwane.

Ukuhlolwa okuningi kokuxilonga kuzodinga ukwenziwa uma udokotela wakho ekholelwa ukuthi ukhombisa izimpawu zomdlavuza wesisu. Izivivinyo zokuxilonga zibheka ngqo izicubu ezisolwayo nokunye okungahambi kahle esiswini nasesimpophweni. Lezi zivivinyo zingafaka:

• i-endoscopy ephezulu yamathumbu
• i-biopsy
• ukuhlolwa kwe-imaging, njengokuhlolwa kwe-CT nama-X-ray

Ukwelapha umdlavuza wesisu

Ngokwesiko, umdlavuza wesisu uphathwa ngokulandelayo noma ngaphezulu kokulandelayo:

• ukwelashwa ngamakhemikhali
• ukwelashwa ngemisebe
• ukuhlinzwa
• i-immunotherapy, njengemithi yokugoma nemithi yokwelapha

Uhlelo lwakho lokwelashwa ngqo luzoya ngomsuka nesigaba somdlavuza. Iminyaka yobudala nempilo yonke nayo ingadlala indima.

Ngaphandle kokwelapha amaseli omdlavuza esiswini, inhloso yokwelashwa ukuvimbela amaseli ukuthi angasakazeki. Umdlavuza wesisu, uma uyekwa ungelashwa, ungadlulela ku:

• amaphaphu
• ama-lymph node
• amathambo
• isibindi

Ukuvimbela umdlavuza wesisu

Umdlavuza wesisu uwodwa awunakuvinjelwa. Kodwa-ke, unganciphisa ingozi yokuthuthuka konke umdlavuza ngu:

• ukugcina isisindo esinempilo
• ukudla ukudla okunomsoco, okunamafutha aphansi
• ukuyeka ukubhema
• ukuzivocavoca umzimba njalo

Kwezinye izimo, odokotela bangaze banikeze nemithi engasiza ukunciphisa ingozi yomdlavuza wesisu. Lokhu kuvame ukwenziwa kubantu abanezinye izifo ezingaba nomdlavuza.

Ungase futhi uthande ukucabangela ukuthola ukuhlolwa kokuhlolwa kokuqala. Lokhu kuhlolwa kungasiza ekutholeni umdlavuza wesisu. Udokotela wakho angasebenzisa okunye kokuhlolwa okulandelayo ukuhlola izimpawu zomdlavuza wesisu:

• ukuhlolwa ngokomzimba
• ukuhlolwa kwelebhu, njengokuhlolwa kwegazi nomchamo
• izinqubo zokucabanga, ezinjenge-X-ray nama-CT scan
• ukuhlolwa kofuzo

Umbono wesikhathi eside

Amathuba akho okululama angcono uma ukuxilongwa kwenziwa kusanda kuqala. Ngokusho kwe-NCI, cishe amaphesenti angama-30 abo bonke abantu abanomdlavuza wesisu basinda okungenani eminyakeni emihlanu ngemuva kokutholakala.

Iningi lalaba abasindile banokuxilongwa okwenziwe endaweni. Lokhu kusho ukuthi isisu besingumthombo wokuqala womdlavuza. Lapho umsuka ungaziwa, kungaba nzima ukuxilonga nokubeka umdlavuza phambili. Lokhu kwenza umdlavuza ube nzima ukwelashwa.

Kunzima futhi ukwelapha umdlavuza wesisu uma usufinyelele ezigabeni zakamuva. Uma umdlavuza wakho usuthuthuke kakhulu, ungahle uthande ukubheka ukubamba iqhaza esivivinyweni somtholampilo.

Ukuhlolwa komtholampilo kusiza ekutholeni ukuthi inqubo entsha yokwelashwa, ithuluzi noma okunye ukwelashwa kuyasebenza yini ekwelapheni izifo nemibandela ethile. Ungabona ukuthi ngabe kukhona yini ukuhlolwa kokwelapha kokwelashwa komdlavuza wesisu ku.

Le webhusayithi kufanele futhi ikusize wena nabathandekayo bakho ukubhekana nokuxilongwa komdlavuza wesisu kanye nokwelashwa okulandelayo.