Ukwelashwa komdlavuza we-testicular kungashintsha kakhulu kuye ngokuthi uhlobo nesigaba somdlavuza. Ukwelashwa kuhlanganisa ukuhlinzeka ukususa i-testis yomdlavuza, engase ilandelwe yi- chemotherapy , ukwelapha imisebe noma ukuhlinzwa okuqhubekayo ukuze kususwe i-lymph nodes.
Kwenzekani Ngemuva kokulashwa kwe-Cancer Tescerular Cancer
Ngemuva kokuba ukwelashwa kuqediwe, ukulandelwa ngokuvamile kuqukethe ukuvakashelwa kwehhovisi kanye nokuhlolwa kwegazi nokucabanga.
Inhloso eyinhloko yokulandelela ukuveza noma yikuphi ukubuyela emuva komdlavuza. Ngisho noma umdlavuza we-testicular usaphila ngisho nasezigabeni eziphambili, umphumela cishe uzoba ngcono uma umdlavuza unomkhawulo.
Inhloso yesibili yokulandelwa ukubhekana nanoma yiziphi izinkinga noma izinkinga ezingase zivele ngenxa yokwelashwa. Lokhu kungabandakanya izinkinga ezivela kumakhemikhali, njengezinkinga zamaphaphu, ukulimala kwamantombazane ezandleni nezinyawo noma izinkinga zezinso. Kungenzeka kube nezinkinga zokungabi nabantwana ngenxa yokwelapha okudinga ukululekwa, ukuhanjelwa noma ezinye izindlela.
Ukubukezwa Kwezingcingo Nokuhlolwa Kwemvelo
Ngesikhathi sokuvakasha kwehhovisi, imibuzo ethile ibuzwa ilandelwa ukuhlolwa ngokomzimba. Zombili ziqondiswa ekuboneni noma yiziphi izimpawu noma izimpawu ezingase zibonise ukuphindaphinda komdlavuza.
- Ukubuyekezwa kwezinhlelo: Ukubuyekezwa kwezinhlelo kuyinkqubo yokubuza imibuzo ethize ukuhlola izinhlelo ezithile zomzimba kanye nezimpawu okungenzeka zihlobene nomdlavuza noma ukwelashwa kwayo. Le mibuzo ihlelwe ukuze kuqinisekiswe ukuthi kukhona yini uphawu olusha noma oluqhubekayo olungaba ubufakazi bomdlavuza ophindaphindiwe. Isibonelo, ubuhlungu obuphansi emuva bungaba uphawu lokuthi umdlavuza usakaze eqenjini lama-node okuthiwa yi-retroperitoneal lymph nodes, ngakho-ke ungase ubuzwe uma unezinhlungu ezingemuva. Umdlavuza we-testicular ungasakazeka emaphashini okuholela ekukhwehleleni nokuphefumula, ngakho-ke ungabazwa ngalezi zimpawu. Iminye imibuzo eminingi ingase ibuzwe futhi, kepha cishe bonke baqondiswa ekufuneni ubufakazi bomdlavuza noma izinkinga ezivela ekwelapheni.
- Ukuhlola okwenyama: Ukuhlolwa kwangokwenyama kuhlose futhi ukufuna ubufakazi bomdlavuza. Izinhlelo eziningi nezindawo zivame ukuhlolwa. Isisu sihlolwe nge-palpation (ukucindezela nokuzwa ngeminwe). Uma i-lymph node ye-retroperitoneal ikhulisiwe ngokwanele, ingase ibonakale njengesisindo somzimba. Amaphaphu ahlolwa ngokulalela nge-stethoscope ukunaka noma yikuphi ukungajwayelekile okungabonisa ukubandakanywa kwamaphaphu ngomdlavuza. I-testis esele iyalwe. Lokhu kwenziwa ngokuyinhloko ngenxa yokuthi isiqephu sesibili somdlavuza we-testicular sivame kakhulu kumuntu osenomdlavuza we-testicular. Ezinye izingxenye zokuhlolwa kwangokwenyama zingabandakanya ukuhlola izinto ezifana nokuhlola amanye amaqembu e-lymph node nokulalela inhliziyo.
Ukuhlolwa kwe-Laboratory
Ngaphandle kokubuyekezwa kwezinhlelo nokuhlolwa komzimba, ukuhlolwa ehhovisi kufaka phakathi uchungechunge lwegazi lokuhlolwa. Ukuhlolwa kwegazi kwenziwa ngokuyinhloko ukubhekisisa abanikazi bezinsalela ezingahle ziphakanyiswe uma umdlavuza usakhona kwenye indawo njengamanye ama-lymph nodes noma amaphaphu. Ukuhlolwa kwegazi kungenziwa futhi ukuhlola izinkinga ezivela ekwelapheni njengekhemotherapy. Lezi zingase zibe ukuhlolwa kwegazi ukuhlola umsebenzi wezinso noma umnkantsha, ongase uthinteke yi-chemotherapy ngezigaba ezihlukene kanye nezinkathi.
Ukucatshangelwa Ukuhlola
Mhlawumbe isici esicacile kunazo zonke zokunakekelwa kokulandelela ukusebenza kwezifundo ezithile ze-imaging. Uhlobo lokutadisha nokuvama kuncike esigabeni kanye nokwelashwa komdlavuza. Omunye wezifundo ezivame ukucabanga nge-imaging yi-x-ray yesifuba. Lokhu kwenziwa ukuze ubone ukuthi kunomdlavuza emaphashini. Uma umdlavuza wawusemaphashini ngaphambilini futhi uphathwa nge-chemotherapy noma uma kunezimpawu eziphazamisayo ze-pulmonary, kuvamise ukuthi isifo se-CT scan sizokwenziwa esikhundleni se-x-ray. Izikrini ze-CT zinezixazululo ezinkulu futhi zizwela kakhulu, kodwa zibiza ngaphezulu futhi zibandakanya imisebe enkulu kakhulu kune-x ray. Izikrini ze-CT zivame ukwenziwa ngesisu nangesikhumba ukuze kubhekane ngqo nokubandakanyeka komdlavuza we-retroperitoneal lymph nodes.
Ukuphindaphindwa Nesikhathi Sokuhlolwa Okulandelwayo
Ukuhlolwa okulandelwa isikhathi eside kangakanani nokuthatha isikhathi eside kuyisinqumo esithatha phakathi kwesiguli kanye nabaqeqeshi bakhe bomdlavuza. Izinkombandlela ezivela emiphakathini ehlukene zincoma ukuthi zivakashe njalo ezinyangeni ezingu-3-12 okungenani iminyaka emihlanu. Ngaki kaningi kangakanani nokuthi izibalo ze-CT kanye nama-x-ray zenziwa kanjani ziyahlukahluka ngokuya ngesiteji, uhlobo, nokwelashwa komdlavuza we-testicular. Inani lezinkomba ze-CT ngokuvamile lihlukanisa u-2-10 eminyakeni emihlanu yokuqala kulandela ukwelashwa.