Iindidi / mesothelioma / isigulana / unyango lomntwana-mesothelioma-unyango-pdq
Unyango lweMesothelioma yoBuntwana (®) -iPatient Version
Ulwazi ngokubanzi malunga neMesothelioma yobuntwana
IINGONGOMA EZIPHAMBILI
- I-Mesothelioma sisifo apho iiseli ezinobungozi (zomhlaza) zibumba kubume obuncinci bezicubu ezigubungela amalungu esifubeni okanye esiswini.
- Unyango ngonyango lwe-radiation lwonyusa umngcipheko we-mesothelioma yobuntwana.
- Iimpawu kunye neempawu ze-mesothelioma zibandakanya ingxaki yokuphefumla kunye nentlungu esifubeni okanye esiswini.
- Uvavanyo oluvavanya isifuba, isisu, kunye nentliziyo zisetyenziselwa ukunceda ukufumanisa isifo se-mesothelioma.
- Izinto ezithile zichaphazela isifo (ithuba lokuchacha kwakhona).
I-Mesothelioma sisifo apho iiseli ezinobungozi (zomhlaza) zibumba kubume obuncinci bezicubu ezigubungela amalungu esifubeni okanye esiswini.
I-mesothelioma enobungozi sisifo apho iiseli ezimbi (zomhlaza) zifunyenwe kwenye okanye ezingaphezulu kwezi zilandelayo:
- I-Pleura: Uluhlu olucekeceke lwethishu olugcina isifuba kwaye lugquma imiphunga.
- I-Peritoneum: Umaleko omncinci wethishu obeka isisu kwaye ugubungele uninzi lwamalungu esiswini.
- I-Pericardium: Umaleko omncinci wethishu ejikeleze intliziyo.
Amathumba ahlala esasazeka ngaphezulu kwamalungu ngaphandle kokusasazeka kwilungu. Zingasasazeka kwii-lymph node ezikufutshane okanye kwezinye iindawo zomzimba. I-mesothelioma enobungozi nayo inokwakheka kumasende, kodwa oku kunqabile.
Unyango ngonyango lwe-radiation lwonyusa umngcipheko we-mesothelioma yobuntwana.
Nantoni na eyandisa amathuba akho okufumana isifo ibizwa ngokuba yingozi. Ukuba nomngcipheko akuthethi ukuba uza kuba nomhlaza; ukungabinamngcipheko oko akuthethi ukuba awuzukufumana umhlaza. Thetha nogqirha wakho ukuba ucinga ukuba umntwana wakho usengozini.
Unyango lomhlaza wangaphambili, ngakumbi unyango lwe-radiation, lwonyusa umngcipheko we-mesothelioma ebantwaneni.
Kubantu abadala, i-mesothelioma inxibelelene kakhulu nokuvezwa kwi-asbestos, ebisetyenziswa kulwakhiwo nakwimizi-mveliso yamalaphu. Kubantwana, ulwazi oluncinci malunga nomngcipheko wokuphuhlisa i-mesothelioma emva kokuvezwa kwi-asbestos.
Iimpawu kunye neempawu ze-mesothelioma zibandakanya ingxaki yokuphefumla kunye nentlungu esifubeni okanye esiswini.
Kubantwana, ezi kunye nezinye iimpawu kunye neempawu zinokubangelwa yi-mesothelioma okanye ezinye iimeko.
Jonga kugqirha womntwana wakho ukuba umntwana wakho unayo nayiphi na kwezi zinto zilandelayo:
- Ingxaki yokuphefumla.
- Khohlela ngaphandle kwesizathu esaziwayo.
- Iintlungu phantsi kwembambo okanye iintlungu esifubeni nasesisu.
- Ukwehla kwesisindo ngaphandle kwesizathu esaziwayo.
- Ndiziva ndidiniwe.
Uvavanyo oluvavanya isifuba, isisu, kunye nentliziyo zisetyenziselwa ukunceda ukufumanisa isifo se-mesothelioma.
Ezi mvavanyo zilandelayo kunye neenkqubo zinokusetyenziswa:
- Uvavanyo lomzimba kunye nembali yezempilo: Uvavanyo lomzimba ukukhangela iimpawu zempilo ngokubanzi, kubandakanya nokujonga iimpawu zesifo, ezinje ngamaqhuma okanye nayiphi na into ebonakala ingaqhelekanga. Imbali yemikhwa yempilo yesigulana kunye nezifo zangaphambili kunye nonyango ziya kuthathwa.
- I-x-ray yesifuba: IX-reyi yamalungu namathambo ngaphakathi kwesifuba. IX-reyi luhlobo lwe-beam yamandla enokuhamba emzimbeni nakwifilimu, yenza umfanekiso weendawo ezingaphakathi komzimba.
- Ukuskena i-CT (ukuskena i-CAT): Inkqubo eyenza uthotho lwemifanekiso eneenkcukacha zeendawo ezingaphakathi emzimbeni, ezithathwe kwii-engile ezahlukeneyo. Imifanekiso yenziwe yikhompyuter edityaniswe kumatshini we-x-ray. Idayi inokufakwa ngaphakathi emthanjeni okanye iginywe ukunceda amalungu okanye izicwili zibonise ngokucacileyo. Le nkqubo ikwabizwa ngokuba yi-computed tomography, ikhompyuter ye-tomography, okanye ikhompyuter ye-axial tomography.
- Ukuskena i-PET (positron emission tomography scan) Inkqubo yokufumana iiseli zethumba ezinobungozi emzimbeni. Inani elincinci leswekile ene-radioactive (iswekile) itofelwe emthanjeni. Iskena se-PET sijikeleza ujikeleze umzimba kwaye senze umfanekiso wendawo esetyenziswa kuyo iswekile emzimbeni. Iiseli zethumba ezinobungozi zibonakala ziqaqambile emfanekisweni kuba ziyasebenza kwaye zithatha iswekile eninzi kuneseli eziqhelekileyo.
- I-MRI (imaging resonance imaging): Inkqubo esebenzisa umazibuthe, amaza erediyo kunye nekhompyuter ukwenza uthotho lwemifanekiso eneenkcukacha zeendawo ezingaphakathi komzimba. Le nkqubo ikwabizwa ngokuba yimifanekiso yenyukliya yokujonga umfanekiso (i-NMRI).
- Uvavanyo lomsebenzi wePulmonary (PFT): Uvavanyo lokujonga ukuba imiphunga isebenza njani. Ilinganisa ukuba ingakanani imiphunga onokuyibamba kwaye ukhawulezisa kangakanani ukungena nokuphuma kwemiphunga emiphungeni. Ikwalinganisa ukuba isetyenziswa kangakanani ioksijini kwaye ingakanani ikharbon diokside oyinikwayo xa uphefumla. Oku kukwabizwa ngokuba luvavanyo lomsebenzi wemiphunga.
- Fine-inaliti aspiration (FNA) biopsy: Ukususwa kwethishu okanye ulwelo kusetyenziswa inaliti encinci. Ugqirha wezifo ujonga izicwili okanye ulwelo phantsi kwemicroscope ukukhangela iiseli zomhlaza.
- I-Thoracoscopy: Inkqubo yotyando yokujonga amalungu ngaphakathi kwesifuba ukukhangela iindawo ezingaqhelekanga. Ukuqhekeka (ukusika) kwenziwa phakathi kweembambo ezimbini kunye ne-thoracoscope ifakwe esifubeni. I-thoracoscope sisixhobo esibhityileyo, esifana netyhubhu esinokukhanya kunye nelensi yokujonga. Isenokuba nesixhobo sokususa iisampulu zethishu okanye i-lymph node, ezijongwa phantsi kwemicroscope kwimpawu zomhlaza. Ngamanye amaxesha, le nkqubo isetyenziselwa ukususa inxenye yomqala okanye imiphunga.
- I-Bronchoscopy: Inkqubo yokujonga ngaphakathi kwetrachea kunye neendlela ezinkulu zomoya kwimiphunga yeendawo ezingaqhelekanga. I-bronchoscope ifakwe ngempumlo okanye emlonyeni kwi-trachea kunye nemiphunga. I-bronchoscope sisixhobo esibhityileyo, esifana netyhubhu esinokukhanya kunye nelensi yokujonga. Inokuba nesixhobo sokususa iisampulu zethishu, ezijongwa phantsi kwemicroscope kwimpawu zomhlaza.
- I-Laparoscopy: Inkqubo yotyando yokujonga amalungu ngaphakathi kwesisu ukukhangela iindawo ezingaqhelekanga. Ukusikwa okuncinci (ukusika) kwenziwa eludongeni lwesisu kunye ne-laparoscope (ityhubhu encinci, ekhanyisiweyo) ifakwe kwenye yeendlela. Ezinye izixhobo zinokufakwa ngendlela efanayo okanye ezinye iindlela zokwenza iinkqubo ezinje ngokususa amalungu okanye ukuthatha iisampulu zethishu eziza kujongwa ngemicroscope kwimpawu zomhlaza.
- Uvavanyo lweCytologic: Uvavanyo lweeseli eziphantsi kwemicroscope (ngugqirha wezifo) ukukhangela nantoni na engaqhelekanga. Kwi-mesothelioma, i-fluid ithathwa kwimiphunga okanye kwisisu. Ugqirha wezifo ujonga iiseli kulwelo.
Izinto ezithile zichaphazela isifo (ithuba lokuchacha kwakhona).
Ukuxela kwangaphambili kuxhomekeke ekubeni umhlaza:
- iye yasasazeka kuwo onke amanqwanqwa aluhlaza okanye kumalungu.
- usandula ukufumanisa ukuba sele ephindile okanye waphinda wabuya (ubuya).
I-Mesothelioma ihlala ikhula kancinci, kwaye ukuhlala ixesha elide kuqhelekile.
Amanqanaba eMesothelioma yobuntwana
Inkqubo esetyenziselwa ukufumanisa ukuba umhlaza usasazekile ukusuka apho uqale khona ubizwa ngokuba yistage. Ebuntwaneni mesothelioma, umhlaza unokusasazeka kwii-lymph node ezikufutshane okanye ezikude. Akukho nkqubo ikumgangatho wokubeka abantwana kwi-mesothelioma. Iziphumo zovavanyo kunye neenkqubo ezenziweyo zokuchonga i-mesothelioma zisetyenziselwa ukunceda ekwenzeni izigqibo ngonyango.
Ngamanye amaxesha i-mesothelioma yobuntwana iphinda ibuye (ibuye) emva kokuba inyangiwe.
Unyango ngoKhetho lonyango
IINGONGOMA EZIPHAMBILI
- Kukho iintlobo ezahlukeneyo zonyango lwabantwana abane-mesothelioma.
- Abantwana abane-mesothelioma kufuneka unyango lwabo lucwangciswe liqela loogqirha abaziingcali kunyango lomhlaza wabantwana.
- Iindlela ezintathu zonyango zisetyenzisiwe:
- Ugqirha
- Unyango ngamayeza
- Unyango ngemitha
- Iindidi ezintsha zonyango ziyavavanywa kuvavanyo lweklinikhi.
- Unyango ekujoliswe kulo
- Unyango lwe-mesothelioma yobuntwana inokubangela iziphumo ebezingalindelekanga.
- Izigulana zinokufuna ukucinga ngokuthatha inxaxheba kuvavanyo lweklinikhi.
- Izigulana zinokungena kuvavanyo lweklinikhi ngaphambi, ngexesha, okanye emva kokuqala unyango lomhlaza.
- Iimvavanyo zokulandelela zisenokufuneka.
Kukho iintlobo ezahlukeneyo zonyango lwabantwana abane-mesothelioma.
Olunye unyango lusemgangathweni (unyango olusetyenziswayo ngoku), kwaye olunye luvavanywa kuvavanyo lweklinikhi. Uvavanyo lweklinikhi yonyango luphononongo olwenzelwe ukunceda ukuphucula unyango lwangoku okanye ukufumana ulwazi kunyango olutsha kwizigulana ezinomhlaza. Xa uvavanyo lwezonyango lubonisa ukuba unyango olutsha lungcono kunonyango oluqhelekileyo, unyango olutsha kunokuba lunyango olusemgangathweni.
Kuba umhlaza ebantwaneni unqabile, ukuthatha inxaxheba kuvavanyo lweklinikhi kufuneka kuthathelwe ingqalelo. Olunye uvavanyo lwezonyango luvuleleke kuphela kwizigulana ezingaluqalanga unyango.
Abantwana abane-mesothelioma kufuneka unyango lwabo lucwangciswe liqela loogqirha abaziingcali kunyango lomhlaza wabantwana.
Unyango luya kujongwa yi-oncologist yabantwana, ugqirha ogxile ekunyangeni abantwana abanomhlaza. I-oncologist yabantwana isebenza nabanye abaqeqeshi bezempilo yabantwana abaziingcali ekunyangeni abantwana abanomhlaza kwaye abagxile kwiindawo ezithile zamayeza. Oku kunokubandakanya ezi ngcali zilandelayo kunye nabanye:
- Ugqirha wabantwana.
- Ugqirha wabantwana.
- Imitha ye-oncologist.
- Ugqirha wezifo.
- Ingcali yomongikazi wabantwana.
- Unontlalontle.
- Ingcali yokuvuselela.
- Ingcali yeengqondo.
- Ingcali kubomi bomntwana.
Iindlela ezintathu zonyango zisetyenzisiwe:
Ugqirha
Utyando lokususa ithumba lungasetyenziselwa ukunyanga i-mesothelioma yobuntwana.
Unyango ngamayeza
I-Chemotherapy yonyango lomhlaza olusebenzisa iziyobisi ukunqanda ukukhula kweeseli zomhlaza, nokuba zibulale iiseli okanye uziyekise ekwahlukaneni. Xa i-chemotherapy ithathwa ngomlomo okanye ifakwe kwi-vein okanye kwimisipha, amachiza angena kwigazi kwaye anokufikelela kwiiseli zomhlaza kuwo wonke umzimba (systemic chemotherapy).
Unyango ngemitha
Unyango ngemitha lunyango olusebenzisa amandla e-x-reyi okanye ezinye iintlobo zemitha yokubulala iiseli zomhlaza okanye ukuzigcina zikhula. Unyango lwangaphandle lwemitha lusebenzisa umatshini ongaphandle komzimba ukuthumela imitha kwindawo yomzimba enomhlaza.
Iindidi ezintsha zonyango ziyavavanywa kuvavanyo lweklinikhi. Eli candelo lesishwankathelo lichaza unyango olufundwayo kuvavanyo lweklinikhi. Isenokungakhankanyi lonke unyango olutsha olufundwayo. Ulwazi malunga novavanyo lweklinikhi luyafumaneka kwiwebhusayithi yeNCI.
Unyango ekujoliswe kulo
Unyango ekujoliswe kulo luhlobo lonyango olusebenzisa iziyobisi okanye ezinye izinto ukuhlasela iiseli zomhlaza. Unyango ekujoliswe kulo lubangela ukwenzakala okuncinci kwiiseli eziqhelekileyo kunonyango lwechemotherapy okanye unyango ngemitha.
Unyango ekujolise kulo luyafundwa kunyango lwe-mesothelioma yobuntwana ebuye yabuya (buyela).
Unyango lwe-mesothelioma yobuntwana inokubangela iziphumo ebezingalindelekanga.
Ngolwazi malunga neziphumo ebezingalindelekanga eziqala ngexesha lonyango lomhlaza, jonga iphepha lethu Iziphumo ezingalunganga.
Iziphumo ebezingalindelekanga ezivela kunyango lomhlaza eziqala emva konyango kwaye ziqhubeke iinyanga okanye iminyaka zibizwa ngokuba ziziphumo ezifike kade. Iziphumo zokunyanga komhlaza zingabandakanya:
- Iingxaki zomzimba.
- Utshintsho kwiimvakalelo, iimvakalelo, ukucinga, ukufunda, okanye inkumbulo.
- Umhlaza wesibini (iintlobo ezintsha zomhlaza) okanye ezinye iimeko.
Ezinye iziphumo ezinokufika emva kwexesha zinokunyangwa okanye zilawulwe. Kubalulekile ukuba uthethe noogqirha bomntwana wakho malunga neziphumo ezinokubakho emva kwexesha ezibangelwa lunyango oluthile.
Izigulana zinokufuna ukucinga ngokuthatha inxaxheba kuvavanyo lweklinikhi.
Kwezinye izigulana, ukuthatha inxaxheba kuvavanyo lweklinikhi kunokuba lolona khetho lonyango lufanelekileyo. Uvavanyo lwezonyango luyinxalenye yenkqubo yophando ngomhlaza. Uvavanyo lwezonyango luyenziwa ukufumanisa ukuba unyango lomhlaza olutsha lukhuselekile kwaye luyasebenza okanye lungcono kunonyango oluqhelekileyo.
Uninzi lonyango oluqhelekileyo lwanamhlanje lomhlaza lusekwe kuvavanyo lweklinikhi lwangaphambili. Izigulana ezithatha inxaxheba kuvavanyo lweklinikhi zingafumana unyango olusemgangathweni okanye zibe phakathi kwabokuqala ukufumana unyango olutsha.
Izigulana ezithatha inxaxheba kuvavanyo lweklinikhi zikwanceda ukuphucula indlela umhlaza oza kunyangwa ngayo kwixa elizayo. Nokuba uvavanyo lwezonyango alukhokeleli kunyango olusebenzayo, bahlala bephendula imibuzo ebalulekileyo kwaye bancedisa ukuqhubela phambili uphando.
Izigulana zinokungena kuvavanyo lweklinikhi ngaphambi, ngexesha, okanye emva kokuqala unyango lomhlaza.
Olunye uvavanyo lwezonyango lubandakanya kuphela izigulana ezingekafumani unyango. Olunye uvavanyo lokuvavanywa kunyango kwizigulana ezinomhlaza ongakhange ubengcono. Kukwakho nezilingo zeklinikhi ezivavanya iindlela ezintsha zokumisa umhlaza ekubuyeleni (ekubuyeni) okanye ukunciphisa iziphumo ebezingalindelekanga zonyango lomhlaza.
Uvavanyo lwezonyango lwenzeka kwiindawo ezininzi zelizwe. Ulwazi malunga novavanyo lweklinikhi oluxhaswe yi-NCI lunokufumaneka kwiphepha lewebhu le-NCI. Uvavanyo lwezonyango oluxhaswa yiminye imibutho lunokufumaneka kwiwebhusayithi yeClinicalTrials.gov.
Iimvavanyo zokulandelela zisenokufuneka.
Ezinye zeemvavanyo ezenziweyo ukufumanisa umhlaza okanye ukufumanisa inqanaba lomhlaza zinokuphindwa. Olunye uvavanyo luya kuphindwa ukuze kubonwe ukuba lusebenza njani unyango. Izigqibo malunga nokuqhubeka, ukutshintsha, okanye ukuyeka unyango zinokusekwa kwiziphumo zolu vavanyo.
Ezinye zeemvavanyo ziya kuqhubeka ukwenziwa amaxesha ngamaxesha emva kokuba unyango luphelile. Iziphumo zolu vavanyo zingabonisa ukuba imeko yomntwana wakho itshintshile okanye ukuba umhlaza ubuye wabuya (buyela). Olu vavanyo ngamanye amaxesha lubizwa ngokuba luvavanyo olulandelayo okanye ukuhlolwa.
Unyango lweMesothelioma yobuntwana
Ngolwazi malunga nonyango oludweliswe ngezantsi, jonga kwiCandelo loKhetho ngokujonga uKhetho.
Unyango lwe-mesothelioma esandula kufunyaniswa ebantwaneni inokubandakanya oku kulandelayo:
- Ugqirha lokususa indawo yesifuba esifubeni somhlaza kunye nezinye izicubu ezisempilweni ezingqonge yona.
- Unyango ngamayeza.
- Unyango ngemitha, njengonyango lokuthomalalisa, ukunciphisa iintlungu kunye nokuphucula umgangatho wobomi.
Sebenzisa uvavanyo lwethu lweklinikhi ukufumana ulingo lweklinikhi oluxhaswayo lwekliniki olwamkela izigulana. Unokukhangela izilingo ngokusekwe kuhlobo lomhlaza, ubudala besigulana, kwaye nokuba zenziwa phi izilingo. Ulwazi ngokubanzi malunga novavanyo lweklinikhi luyafumaneka.
Unyango lweMesothelioma yaBantwana aBafikayo
Ngolwazi malunga nonyango oludweliswe ngezantsi, jonga kwiCandelo loKhetho ngokujonga uKhetho.
Unyango lwe-mesothelioma ephindaphindayo ebantwaneni inokubandakanya oku kulandelayo:
- Uvavanyo lweklinikhi olujonga isampulu yethumba lesigulana kutshintsho oluthile kwimfuza. Uhlobo lonyango ekujoliswe kulo oluya kunikwa isigulana luxhomekeke kuhlobo lotshintsho lwemfuza.
Sebenzisa uvavanyo lwethu lweklinikhi ukufumana ulingo lweklinikhi oluxhaswayo lwekliniki olwamkela izigulana. Unokukhangela izilingo ngokusekwe kuhlobo lomhlaza, ubudala besigulana, kwaye nokuba zenziwa phi izilingo. Ulwazi ngokubanzi malunga novavanyo lweklinikhi luyafumaneka.
Ukufunda ngakumbi ngeMesothelioma yobuntwana
Ngolwazi oluthe kratya kwiZiko leSizwe loMhlaza malunga ne-mesothelioma yobuntwana, bona oku kulandelayo:
- Iphepha lasekhaya elibuhlungu laseMesothelioma
- Ikhompyuter yeTomography (CT) kunye noMhlaza
- Iithagethi zoMhlaza ezijolise kuko
Ngolwazi oluthe kratya lomhlaza wabantwana kunye nezinye izixhobo zomhlaza ngokubanzi, jonga oku kulandelayo:
- Malunga noMhlaza
- Umhlaza wabantwana
- Unyango lokuKhangela uMhlaza waBantwanaPhuma kwiNgcazelo yokuzihlangula
- Iziphumo zokugqibela zonyango lweCancer yoMntwana
- Abafikisayo kunye naBantu abaDala abaDala abanomhlaza
- Abantwana abanomhlaza: Isikhokelo sabazali
- Umhlaza kuBantwana nakwishumi elivisayo
- Ukuqokelela
- Ukujamelana noMhlaza
- Imibuzo yokubuza ugqirha wakho malunga neCancer
- Abasindileyo kunye nabaNonopheli
Nika amandla ukuphinda uzihlaziye izimvo