Okuqukethwe
Ngokuvumelana nomsebenzi walo, Ibhodi Lokuhlela le-MedTvoiLokony lenza yonke imizamo yokuhlinzeka ngokuqukethwe kwezokwelapha okuthembekile okusekelwa ulwazi lwakamuva lwesayensi. Ifulegi elengeziwe elithi "Okuqukethwe Okuhloliwe" libonisa ukuthi i-athikili ibuyekezwe noma yabhalwa udokotela ngokuqondile. Lokhu kuqinisekisa okuyizinyathelo ezimbili: intatheli yezokwelapha kanye nodokotela basivumela ukuthi sinikeze okuqukethwe kwekhwalithi ephezulu ngokuhambisana nolwazi lwamanje lwezokwelapha.
Ukuzibophezela kwethu kule ndawo kuye kwathakaselwa, phakathi kokunye, yiNhlangano Yezintatheli Zezempilo, eyaklomelisa Ibhodi Lokuhlela le-MedTvoiLokony ngesihloko sokuhlonipha esithi Umfundisi Omkhulu.
Umdlavuza wolimi wenza amaphesenti angu-35. kuwo wonke umdlavuza othinta umlomo, futhi amadoda maningi amathuba okuba abe nalesi sifo. Ukuxilongwa kusenesikhathi komdlavuza wolimi kwandisa kakhulu amathuba esiguli okululama. Indlela yokubona izimpawu zokuqala zomdlavuza wolimi? Uyini umdlavuza wolimi futhi utholakala kanjani? Welashwa kanjani umdlavuza wolimi?
Umdlavuza wolimi - izici
Umdlavuza wolimi uwuhlobo lomdlavuza wekhanda nentamo. Lesi sifo siqala emangqamuzaneni olimi futhi ngokuvamile sibangela izilonda nezigaxa olimini. Umdlavuza wolimi ungaya ngaphambi kolimi futhi ubizwa ngokuthi umdlavuza womlomo. Umdlavuza eduze kwesisekelo solimi ubizwa ngokuthi umdlavuza we-oropharyngeal.
Umdlavuza wolimi ngokuvamile uwumdlavuza oyinhloko walesi sitho, akuvamile ukuba ube ngowesibili. Uma kwenzeka i-metastasis, imvamisa ukusabalala komdlavuza wendlala yegilo noma umdlavuza wezinso. Umdlavuza wolimi ngokwawo, nokho, ungametastase, ngokuvamile uye kuma-lymph nodes omlomo wesibeletho kanye ne-submandibular. Ama-metastases okwenzekayo omdlavuza wolimi abaluleke kakhulu ekubikezelweni kwesifo.
Umdlavuza wolimi - izimbangela zesifo
Ochwepheshe abakwazi ukukhomba imbangela ecacile yomdlavuza wolimi. Nokho, eminye imikhuba noma ukuziphatha komuntu kungase kwandise ingozi yokuba nalesi sifo. Okuvame kakhulu phakathi kwalezi zici yizi:
- ukubhema kakhulu noma ukuhlafuna ugwayi,
- ukusetshenziswa kotshwala ngokweqile,
- ukutheleleka nge-human papillomavirus, noma i-HPV
- ukudla okungafanele, ikakhulukazi ukutholakala kwezithelo nemifino okwanele,
- ukuntula inhlanzeko yomlomo efanele,
- amazinyo okufakelwa angalungile,
- izifo zomdlavuza emndenini osondelene,
- ukuba khona kwamanye ama-squamous cell neoplasms esigulini.
Yiziphi izimpawu zokuqala zomdlavuza wolimi?
Inkinga eyinkinga ekuxilongeni umdlavuza wolimi ukuthi azikho izimpawu ezigabeni zokuqala zesifo. Uphawu lokuqala oluvame ukuhlupha iziguli indawo ecacile noma induna olimini engapholi. Akuvamile ukubona ukopha ebala. Kwesinye isikhathi kuba nobuhlungu emlonyeni nasolimini. Ezinye izimpawu eziningi zomdlavuza wolimi zivela lapho isifo sesithuthuke kakhulu. Khona-ke izimpawu zihlanganisa:
- ukuqhiya amathe,
- iphunga elibi eliphuma emlonyeni,
- isimila entanyeni, esibangelwa i-metastasis kuma-lymph nodes,
- ukuminya njalo amathe,
- i-trismus,
- ukuvinjelwa okukhulu kokuhamba, futhi ngezinye izikhathi ukungasebenzi ngokuphelele kolimi,
- kunzima ukukhuluma
- ukuba ndikindiki emlonyeni
- ukuhosha,
- ukuntula isifiso sokudla,
- ukwehla kwesisindo okuqhubekayo, okubangelwa ubuhlungu nobunzima bokudla.
Ukuxilongwa komdlavuza wolimi
Esigabeni sokuqala sokuxilongwa komdlavuza wolimi, udokotela onguchwepheshe, isb i-oncologist, ubamba ingxoxo enemininingwane nesiguli, ajwayelane nomlando wezimpawu ezivelayo. Umlando womndeni womdlavuza uyaphawuleka. Udokotela ube esehlola ama-lymph nodes ukuze abone ukuthi anaso yini isifo esingaphansi. Ngemva kokuthola izinguquko ngaphakathi kwabo, isampula yesimila sithathwa ukuze kuhlolwe i-histopathological, ngemva kwalokho lesi sifo sitholakala ekugcineni. Ekugcineni, udokotela utusa i-computed tomography, ngenxa yokuthi ubukhulu be-tumor bunganqunywa futhi kuhlelwe ukwelashwa.
Umdlavuza wolimi - ukwelashwa
Izigaba zokuqala zomdlavuza zilashwa ngokuhlinzwa. Iningi lemidlavuza yakuqala yolimi iyelapheka. Endabeni yokuthuthuka okuphawulekayo kwalesi sifo, ukuhlinzwa okuningana kwenziwa kaningi, lapho kudingekile ukususa ingxenye noma lonke ulimi. Le nqubo ibizwa ngokuthi i-glossectomy. Ngaphezu kokuhlinzwa, iziguli zingase zithunyelwe ukwelashwa ngemisebe noma i-chemotherapy. Abanye abantu banikezwa ukwelashwa kwezidakamizwa okuhlosiwe.
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