Ngo-Okthoba 2, 1996, uLance Armstrong watholakala enomdlavuza. Okunye kungumlando. Waphathwa futhi waphindela emazingeni angaphezulu okuhamba ngebhayisikili, ewuthatha i-Tour of France izikhathi ezingu-7 ezilandelanayo. Indaba yakhe yaba yisikhuthazo kubantu abaningi ababhekene nomdlavuza. Amakhristani aphuzi afana nethemba. Ukulandela ukuvuma kwakhe ukuvotela, kungenzeka ukuthi wehlile emseni eya degrees ehlukene, kodwa uyaqhubeka eba yithemba labaningi abanomdlavuza.
Ake sikhulume ngomdlavuza kaLance Armstrong, kodwa uxoxe ngokuthi kungani lokho akuhlangenwe nakho kungase kuhluke komunye umuntu, ngisho nomuntu ofanayo nohlobo oluthile lomdlavuza esigabeni esifanayo sesifo.
ULance Armstrong neCartic Testicular
ULance Armstrong wayenomdlavuza we-testicular . Umdlavuza we-Testicular akuyona isifo esisodwa. Ihlelwe phansi ibe yizinhlobo ezimbili ezinkulu, seminoma kanye nonseminoma. I-Seminoma ivame kakhulu emadodeni aphakathi kweminyaka engu-30 no-55 futhi iphinde ihlelwe phansi ibe yi-subtypes amabili. I-Nonseminomas ivame kakhulu emadodeni phakathi kweminyaka yobudala kanye neminyaka engu-40 ubudala. Iphinde ihlelwe phansi ibe yi-subtypes ezine, embryonal carcinoma, i-yolk sac carcinoma, i-choriocarcinoma, ne-teratoma. ULance Armstrong wayene-carcinoma ye-embryonal. Lokhu kubalulekile ukuthi uqaphele ngokuthi izinhlobo ezahlukene zomdlavuza we-testicular ziziphatha futhi ziphendula ngezindlela zokwelashwa ngokuhlukile.
I-carcinoma ye-Embryonal ivela kumaseli amakhulu okuvela kuwo amaseli avamile omzimba.
Ngokwayo, kubalwa amaphesenti amabili kuphela wegciwane le-testicular. Kodwa-ke, itholakale kumaphesenti angaba ngu-85 we-nonseminoma e-mixed testicular cancers.
Izigaba
Izinhlobo ze-Cancer ziphinde zihlukaniswe ngesigaba. Umdlavuza we-testicular uhlukaniswe ngokuyinhloko zibe izigaba ezintathu: I, II no-III. Isigaba III siphezulu kakhulu futhi sisho ukuthi umdlavuza usakaze ngaphezu kweqembu lama-lymph nodes endaweni ebizwa ngokuthi i-retroperitoneum.
Ngenxa yokuthi umdlavuza wakhe usakazeke ebuchosheni bakhe, uLance ngokuzenzakalelayo wayenomdlavuza we-testicular wesigaba esiphezulu kunazo zonke, isigaba esabizwa njengesigaba IIIc.
Lena enye iphuzu elibalulekile uma ukhuluma ngamagciwane. Esikhathini esiningi lapho umdlavuza usakazeka ( metastasizes ) akusekho ukuphulukiswa. Lokhu kuyiqiniso kumdlavuza ovamile njengomdlavuza wamaphaphu, umdlavuza webele, kanye nezicubu eziningi eziqinile. Esinye sezimpikiswano ngumdlavuza we-testicular, lapho ukwelashwa kungenzeka khona ngisho nangesifo se-metastatic.
Ukwelapha kwakhe
Ingxenye yokuqala yokunakekelwa kukaLance Armstrong, okuyiyona ndlela evamile kubantu abaningi abanomdlavuza we-testicular, kwakususwa kwe-testis yomdlavuza ekuhlinzeni okubizwa ngokuthi i- orchiectomy ephawulekayo .
Lokhu kwalandelwa yi-chemotherapy, okudingekayo ukuphatha noma yimaphi amangqamuzana omdlavuza ahambe ngaphesheya kwama-testes. Esimweni sika-Armstrong, njengoba umdlavuza wakhe uye waya ebuchosheni bakhe, kucatshangwa ukuthi amangqamuzana omdlavuza angase ahambele kwezinye izindawo kodwa kodwa abe mncane kakhulu ukuze angatholakali. Wathola imijikelezo engu-4. Umjikelezo wokuqala wawuqukethe i-bleomycin, etoposide, ne-cisplatin. Imijikelezo eyalandela yasebenzisa i-vinblastine, etoposide, ifosfamide, ne-cisplatin. Lokhu kwenziwa ukuze kugweme ukusetshenziswa kwe-bleomycin eqhubekayo, ehambisana ne-lung acid, ikakhulukazi isimo esaziwa ngokuthi i- pulmonary fibrosis .
Lesi simo sihilela ukulimaza emaphashini angakwazi ukunciphisa amandla okuphefumula futhi aqede umsebenzi wanoma yimuphi umqhubi wamabhayisikili, njengoba amaphaphu abo kufanele abe sezingeni eliphezulu ukuncintisana emazingeni aphezulu.
Ngaphandle kokuhlinza, ukususa i-testis yomdlavuza, nokwelapha nge-chemotherapy, uLance wahlinzwa ngokuhlinzwa ebuchosheni ukuze asuse izilonda ezimbili zomdlavuza. Ukwelapha izidakamizwa ezingabodwa (noma ezimbalwa) ze-metastases ziba yinto evamile kakhulu, ngisho nezicubu zomzimba ezifana nomaphaphu noma umdlavuza webele ongapheli. Ukususwa "kwama-oligometastases" (kuphela amamitha ayisithupha) angathuthukisa ukusinda kwamanye amagciwane, ngisho nalapho kungenakwenzeka ukwelashwa.
Indlela Aphila Ngayo
Iningi lezinhlobo zomdlavuza we-tumor alinamandla okuphulukiswa uma zisakazekile (ezifakwe emzimbeni) zisuka kwisayithi yazo eyinhloko. Ngenhlanhla uLance, nanoma ubani omunye oye wahlangabezana nomdlavuza we-testicular, umdlavuza we-testicular ungenye yezinkinga zomdlavuza eziqinile kakhulu eziphilisa ngisho nalapho usakaze kahle ngaphezu kwesayithi lakhe langempela. Lokhu kungenxa yokuthi amagciwane amaningi e-testicular azwela kakhulu ekhemotherapy, kanti ezinye izinhlobo zomdlavuza zijwayele ukuthi zakhiwe ngamangqamuzana omdlavuza omelana namakhemikhali ngamakhemikhali ahlukahlukene.
Ingabe lokhu kusho ukuthi ukwelashwa kukaLance Armstrong kwanikezwa? Cha, kwakungekho. Uma i-nonseminoma ihilela amasayithi ngaphandle kwama-lymph nodes noma amaphaphu, ihlukaniswa njengengozi empofu futhi ineminyaka engama-5 okusinda engaphansi kwamaphesenti angu-50.
Ingabe Ingculazi Yakhe Ingabuya?
Ukuphindaphinda okuningi komdlavuza we-nonseminoma we-testicular kwenzeka eminyakeni emibili yokuqala. Ukuphindaphinda okungaphezu kweminyaka emihlanu akuvamile kakhulu. Sekuyiminyaka engaphezu kwengu-20 kusukela uLance etholakele futhi kwenzeka ukuthi lokhu kuphelile bekungeke kuzwakala. Lokho kusho ukuthi, nakuba kungavamile kakhulu ngomdlavuza we-testicular, kunezikhathi lapho ukwelashwa kungabuya ngisho neminyaka engamashumi eminyaka ngemuva kokuba isifo sokuqala siphathwe.
Kubalulekile futhi ukuqaphela ukuthi noma ngubani oye waba nomdlavuza we-testicular engozini enkulu yokwenza ucwaningo olusha ngokuphelele lomdlavuza we-testicular ku-testis esele. Ingozi yokuphila komdlavuza we-testicular ingamaphesenti angama-0.4, kepha ingozi yokuphila komdlavuza wesibili oyisiqalo ku-testicle esele ingamaphesenti amabili.
Okokugcina, i-chemotherapy ingabangela ukuthuthukiswa kwamagciwane wesibili emgwaqweni. Le mithi isebenza ngokulimaza i-DNA emangqamuzaneni omdlavuza, kodwa ingaphazamisa i-DNA kumaseli ajwayelekile, iqale inqubo yalezo zisele eziguqula amangqamuzana omdlavuza. Lokhu kuyiqiniso kubantu abaye babe ne-chemotherapy cishe noma yiluphi uhlobo lomdlavuza, nakuba kungavamile.
Wonke umdlavuza nomuntu ngamunye uhlukile
Abantu abaningi bakuthola kuyithakazelisayo ukufunda okwengeziwe ngomdlavuza udumo oye walwa, ikakhulukazi uma umdlavuza ubhekene nabo. Kodwa kubalulekile ukukhomba ukuthi wonke umuntu nomdlavuza uhlukile.
Awekho ama-khansa amabili aziphatha ngendlela efanayo noma aphendule ezithombeni ezifanayo. Amagciwane amabili angabonakala afanayo ngaphansi kwe-microscope kepha angase ahluke kakhulu ezingeni lemangqamuzana. Uma ubungathatha abantu abangu-200 benomdlavuza ofana nomzimba owodwa esifundeni esifanayo sesifo, uzoba ne-khansela engama-200 ehlukile. Uma sifunda okwengeziwe ngomdlavuza, lapho sifunda kabanzi mayelana nalezi zingxabano, okuye kwaholela enkampanini yonke yokuphathwa ukwelashwa komdlavuza.
Ngaphezu kokungafani kwesisu, akukho bantu ababili abafana, futhi wonke umuntu uphendula ngokuhlukile ukwelashwa. Umdlavuza we-Lance Armstrong we-testicular unesilinganiso seminyaka emihlanu yokusinda engaphansi kwamaphesenti angu-50, kodwa akusho ukuthi unempilo noma isimo esingcono kunomuntu ongase anqobe lesi sifo. Umuntu onempilo enhle angase enze kabi, kanti umuntu owenza kancane okuzinakekela angenza kahle. Ngokuvamile kunzima ukwazi ukuthi umuntu uzokwenza kanjani, futhi kubalulekile ukugcina lokhu engqondweni uma ukhuluma nabathandekayo bethu ngomdlavuza. Akuyona iphutha lomuntu uma behlakulela umdlavuza, futhi akuyona iphutha labo uma bengaphenduli kahle ekwelapheni. Imiphumela kaningi inokuningi okuhlangene nezici ezithile ze-molecular of the tumor kunomuntu onalesi sifo.
Ngaphansi kwe-Cancer Testicular Cancer kaLance Armstrong
U-Lance Armstrong, nakuba ewa emseni, ubonisa njengesikhuthazo kunoma ubani oye wathola unomdlavuza. Wasinda umdlavuza wakhe we-testicular nokuphathwa kabi, futhi akazange asinde kuphela kodwa wahamba ngegama lokuhamba ngebhayisikili. Umdlavuza we-Testicular uyingqayizivele phakathi kwamagciwane aqinile, njengoba kungenzeka ukuthi uyaphila ngisho nangemva kokuba usuqedile. Kodwa-ke, i-tumor, evame ukushaya amadoda eminyakeni ephakeme kakhulu, futhi ingaba yinkimbinkimbi ngale ndlela. Singamdumisa u-Armstrong ngokuqaphela ukuthi umdlavuza ungasinda futhi ukuthi kungaba khona ngemva komdlavuza kubantu abaningi.
> Imithombo:
> Hill, Christine M. Lance Armstrong: Ukuhamba ngebhayisikili, Ukusinda, Ukuphefumula Ithemba . Ngaphandle kwabashicileli, ngo-2008
> National Cancer Institute. I-Testicular Cancer Treatment (PDQ) -Health Professional Version. Kubuyekezwe 01/30/18. https://www.cancer.gov/types/testicular/hp/testicular-treatment-pdq