Ukuqonda umehluko emkhatsini wegciwane lesandulela ngculazi nesisekelo
Umdlavuza we-Bone yisimo esibi esingathinta kokubili izingane kanye nabantu abadala. Igama elithi "umdlavuza wamathambo" lihlanganisa izinhlobo eziningana zesifo, okusho ukuthi izimpawu zomdlavuza wezasenda ziyahlukahluka. Ngokuphelele, umdlavuza wamathambo uhlukaniswe ngokusekelwe ukuthi umdlavuza usuka emthanjeni (umdlavuza we-bone oyinhloko) noma ngabe usakazeka kwenye indawo kuya ethambo (umdlavuza wesibili noma we-metastatic bone).
Umdlavuza wesifuba wesibili, noma umdlavuza oye wasakazeka ethangeni kusuka kwenye ingxenye yomzimba, uvame kakhulu kunomdlavuza we-bone oyinhloko.
I-Bone Cancer-Primary kanye ne-Metastatic
Umdlavuza wamathambo oyinhloko awuvamile, kodwa lezi zinhlobo ezintathu ezijwayelekile zihlanganisa:
- I-osteosarcoma
- I-sarcoma ye-Ewing
- I-Chondrosarcoma
Umdlavuza we-metastatic bone ( umdlavuza wesifuba wesibili) uvame kakhulu kunomdlavuza we-bone oyinhloko, njengoba kuphawuliwe ngenhla. Uma kunomdlavuza emathanjeni akho okusakazwa (imithanguzo) yomdlavuza evela kwezinye izifunda zomzimba, awubizwa ngokuthi umdlavuza wethambo. Isibonelo, uma unomdlavuza wesifuba osakazeka emathanjeni akho, ngeke ubizwa ngokuthi umdlavuza wamathambo, kodwa kunalokho, "umdlavuza webele wesifuba emathanjeni." Ama-cancer amaningi amaningi angasakazeka emathanjeni. Ngemuva kwamapayipi nesibindi, amathambo yindawo ejwayelekile kunazo zonke zegazi.
Izimbangela ezivamile ze-Metastatic Cancer Cancer
Amagciwane angasakazeka emathanjeni akho afaka:
- Umdlavuza we-Lung. Lolu hlobo oluvame kakhulu lomdlavuza olusakazeka emathanjeni . Umdlavuza we-Lung futhi uyimbangela ehamba phambili yokufa komdlavuza kokubili amadoda nabesifazane. Amaphesenti angu-30 kuya kwabangu-40 abantu abanomdlavuza wamaphaphu bazoba namathambo ayisithupha ngesikhathi sokuhamba kwabo.
- Umdlavuza wesibeletho
- Umdlavuza we-prostate
- Umdlavuza we-Thyroid
Izimpawu Nezibonakaliso Ze-Cancer Primary
Izimpawu zomdlavuza we-bone zingase zihluka ngokususelwa kuhlobo lomdlavuza wamathambo, kodwa ubuhlungu yilona uphawu oluvame ukutholakala. Umdlavuza wamathambo oyinhloko uvame ukuvela emathanjeni amade omzimba (izingalo nemilenze), ngakho-ke yizona zindawo ezivame kakhulu zokubuhlungu. Khumbula ukuthi akuzona zonke izicubu zethambo ezinomdlavuza; ezinye ziyingozi. Ubuhlungu be-bone buvame ukuhlobene nesimo esibucayi, njengokulimala, kunomdlavuza. Ezinye izimpawu zomdlavuza wethambo zihlanganisa:
- Uthando oluhlangene noma ukuvuvukala
- I-Fractures ngenxa yebuthakathaka yethambo. Imifucumfucu eyenzeka emthanjeni obuthakathaka ngumdlavuza ibizwa ngokuthi i-pathologic fractures .
Izimpawu ezingezona eziqondile ezifana nomkhuhlane, ukulahlekelwa kwesisindo okungenhloso , ukukhathala, nokuphelelwa yisifo semvelo kungase kube izimpawu zesifo somdlavuza wethambo kamuva, nakuba kunesibonakaliso sezinye izimo ezinzima kakhulu.
Izimpawu Nezibonakaliso Zomdlavuza We-Canast Metastatic (Sekondari)
Izimpawu zomdlavuza we-metastatic bone zifana nomdlavuza we-bone oyinhloko, okungukuthi ubuhlungu. Noma kunjalo ngenkathi ubuhlungu bomdlavuza buyisifo somzimba obuyisisekelo emathambo omzimba omzimba, umdlavuza we-metastatic amathambo ngokuvamile uhlanganisa umdlavuza osakaze emathanjeni amaningi. Amathambo athile ahilelekile ancike emdlalweni osakazekile.
Isibonelo, umdlavuza wamaphaphu uvame ukusabalalisa emgodleni kanye nezimbambo. Umdlavuza wesibeletho uvame ukusabalala emgodleni nompheme, izimbambo, i-skull, nengalo yangaphezulu nasemlenzeni. Umdlavuza we-prostate uvame ukusabalalisa umgogodla futhi ungabangela ukucindezeleka kwentambo yomgogodla.
Uma umdlavuza usakazeka emathanjeni akho, ngaphezu kobuhlungu, ungase ube nezinga eliphakeme le-calcium egazini lakho ngenxa yokwehla kwethambo. Lezi zimpawu, ezibhekwa njenge- hypercalcemia ye-malignancy , zingabandakanya ubuthakathaka besisindo, ukucabangela nokuhlanza, izinga lokushaya kwenhliziyo elingavamile, kanye nesicashu.
Okufanele Ukwenze Uma Unezifo Zomdlavuza Wegazi
Uma ubhekene nobuhlungu besifuba noma ucabanga ukuthi unomdlavuza wezithambo, kubalulekile ukubona udokotela wakho.
Ukuveza ukukhathazeka kwakho phezu komdlavuza wezinyanga ekuseni ngakho udokotela angakwazi ukubhekana nalezi zinkinga ngokushesha. Khumbula ukuthi umdlavuza we-bone awuvamile, ngakho-ke izimpawu zakho zingase zihlobene kakhulu nesimo esibi kakhulu. Udokotela wakho cishe uzofuna ukulawula ezinye izimo ngaphambi kokuzama ukuxilonga umdlavuza wethambo.
Uma unomdlavuza kakade futhi unezibonakaliso zethambo, vumela udokotela wakho wazi ngokushesha nje. Akukhona nje kuphela ukuthi kukhona ukwelashwa okutholakala ekunciphiseni ubuhlungu obuhambisana nama-metastases, kodwa ukuphatha lezi zingane kungasiza ekugwemeni izinkinga ezifana ne-pathologic fractures kanye nokucindezelwa komgogodla. Qaphela ukuthi ukucindezelwa kwentambo yomgogodla ne-metastases yamathambo kuyisimo esiphuthumayo sezokwelapha. Uma unezibonakaliso emhlane wakho ophansi owohloka kakhulu, ikakhulukazi uma ubona ubuthakathaka emilenzeni yakho noma izinkinga zokudlula umchamo noma ukuhamba kwemathumba, vumela udokotela wakho azi ngokushesha.
Izimpawu ezingashukumisela udokotela ukuphenya okuqhubekayo
Izimpawu ezingapheli ezifana nobuhlungu bezinthambo, ububele, ukuvuvukala, noma ukulahlekelwa kwezinyathelo ezingabuyeli kungenza udokotela wakho afune ukuhlolwa okungeziwe ukuze aphenye imbangela yezimpawu. Inqubo yokuxilonga umdlavuza wamathambo, ama-x-ray, i-MRI, ne- bone scans yizo zonke izivivinyo zokucabanga zengqondo okungenziwa udokotela. Ukuthola okuvela kulezi zivivinyo yilokho okuzokwenza umdlavuza wesifo samasongo osolwa.
Ngezinye izikhathi kuyadingeka i-biopsy ye-bone ukuze iphume noma iqinisekise ukuba khona komdlavuza. I-biopsy ye-bone ihilela ukususwa kwe-tissue encane yamathambo okumele ihlolwe ngaphansi kwe-microscope. Ngokuvamile kuthatha okungaphansi kwehora futhi kungenziwa njengendlela yokuphulukisa noma yokuhlinzwa.
Ukwenza i-biopsy kumuntu onomdlavuza wamathambo oyinhloko kungaba yinkimbinkimbi ngoba kukhona ingozi yokusakaza umdlavuza ngenkathi kwenziwa. I-biopsy kufanele yenziwe udokotela ohlinzayo owaziyo ukwenza ama-biopsies amathambo kulabo abanomdlavuza wethambo. Kubalulekile ukuqaphela ukuthi i-biopsies ingaba yindlela ejwayelekile yokudambisa le kansela futhi ingabafaka kwezinye izicubu uma kwenziwa umuntu ongenalwazi.
Cabanga Ngombono Owesibili
Uma ucabanga ukuthi ungaba nomdlavuza wethambo, cabanga ukuthola umbono wesibili. Abantu abaningi bacela umbono wesibili kwesinye sezikhungo ezinkulu zomdlavuza ezikhethiwe zomhlaba. Lezi zikhungo kaningi ziba nodokotela kwabasebenzi abasebenza ngokukhethekile emdlavuza ongavamile. Qinisekisa ukuba ngummeli wakho siqu ekunakekeleni umdlavuza wakho. Lokhu kutholakale ukuthi akukona nje ukuthuthukisa ikhwalithi yakho yokuphila kodwa kungathuthukisa imiphumela yakho kanye.
> Imithombo:
> Society of American of Clinical Oncology. I-Bone Cancer: Izimpawu Nezimpawu. Kubuyekezwe uMeyi 2017.
> National Cancer Institute. I-Bone Cancer ne-Histiocytoma Engenamafutha Emzimbeni we-Bone Treatment-Health Professional Version (PDQ). Kubuyekezwe ngo-Novemba 13, 2017.