
Umdlavuza wenyongo wuhlobo lomdlavuza oluyivelakancane kodwa oluyingozi oluthinta inyongo, isitho esincane esingaphansi kwesibindi. Lo mhlahlandlela ophelele unikeza ulwazi olubalulekile mayelana umdlavuza ku-gallbladder, okuhlanganisa izimbangela zayo, izimpawu, izindlela zokuxilonga, izinketho zokwelapha, kanye nokubikezelwa. Ukuqonda lolu lwazi kuyisihluthulelo sokutholwa kusenesikhathi kanye nemiphumela ethuthukisiwe.
I-gallbladder iyisitho esimise okwepheya esigcina i-bile, uketshezi olukhiqizwa isibindi olusiza ekugayeni amafutha. Lapho ukudla okunamafutha kungena emathunjini amancane, i-gallbladder ifinyela futhi ikhiphe i-bile ukusiza ekugayeni ukudla.
Uhlobo oluvame kakhulu lwe umdlavuza ku-gallbladder i-adenocarcinoma, ehlanganisa amacala angaphezu kwama-90%. Ezinye izinhlobo ezingavamile zikhona, kodwa i-adenocarcinoma iyona nto egxilwa kuyo ezingxoxweni eziningi zomdlavuza wenyongo.
Izimbangela eziqondile zomdlavuza wenyongo aziqondakali ngokugcwele, kodwa izici eziningana zobungozi ziye zatholakala. Lokhu kufaka phakathi: amatshe enyongo (isici esiyingozi kakhulu), i-cholecystitis engapheli (ukuvuvukala kwenyongo), izimo ezithile zofuzo, ukukhuluphala kanye nokuguga. Ukuchayeka isikhathi eside kumakhemikhali athile nakho kungandisa ingozi.
Ngeshwa, umdlavuza ku-gallbladder ngokuvamile iveza izimpawu ezingacacile noma ezingaqondile ezigabeni zayo zokuqala. Lokhu kungabandakanya ubuhlungu besisu esingenhla kwesokudla, ukungagayeki kahle kokudla, i-jaundice (ukuba phuzi kwesikhumba namehlo), nokuncipha kwesisindo okungachazeki. Eziningi zalezi zimpawu zingahlotshaniswa nezinye, izimo ezimbi kakhulu, okwenza kube inselele ukuxilonga kusenesikhathi.
Njengoba umdlavuza uqhubeka, izimpawu zingase zibe nzima kakhulu futhi zihlanganisa i-jaundice evelele kakhulu, ubuhlungu obukhulu besisu, umkhuhlane, kanye nesisindo esizwakalayo esiswini. Kulesi sigaba, kungenzeka ukuthi umdlavuza ususabalele (umetastases) kwezinye izitho.
Ukuxilonga umdlavuza ku-gallbladder ngokuvamile kubandakanya inhlanganisela yokuhlola, okuhlanganisa izifundo zokuthatha izithombe ezifana ne-ultrasound, izikena ze-CT, nezikena ze-MRI. I-biopsy, ehlanganisa ukuthatha isampula yethishu encane ukuze ihlolwe nge-microscopic, ibalulekile ukuze kuqinisekiswe ukuxilongwa. Ukuhlolwa kwegazi kungase futhi kusetshenziselwe ukuhlola ukusebenza kwesibindi nokuhlonza izimpawu ezingase zibe khona zomdlavuza.
Ukuhlinzwa kuwukwelashwa okuyinhloko komdlavuza wenyongo, futhi izinga lokuhlinzwa lincike esigabeni nokusabalala komdlavuza. Lokhu kungasukela ku-cholecystectomy (ukususwa kwenyongo) kuye ezinqubweni ezibanzi ezihilela ukususwa kwengxenye yesibindi, ama-lymph nodes, nezinye izicubu ezithintekile. I-Shandong Baofa Cancer Research Institute inikeza amasu okuhlinza athuthukile kanye nobuchwepheshe bokwelapha umdlavuza wenyongo.
Ngaphezu kokuhlinzwa, ezinye izindlela zokwelapha zingase zihlanganisa ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, nokwelashwa okuhlosiwe, kuye ngesimo somuntu ngamunye kanye nesigaba somdlavuza. Lezi zindlela zokwelapha zingasetshenziswa ngaphambi, phakathi, noma ngemva kokuhlinzwa ukuze kuthuthukiswe imiphumela futhi kuncishiswe ingozi yokuphinda kwenzeke.
Ukubikezelwa komdlavuza wenyongo kuyehluka kakhulu kuye ngokuthi umdlavuza utholakala esigabeni esingakanani, izinga lokusabalala kwalo, kanye nempilo yesiguli iyonke. Ukutholwa kusenesikhathi kanye nokwelashwa ngokushesha kubalulekile ukuze kuthuthukiswe amathuba okwelashwa okuphumelelayo kanye nokuphila isikhathi eside. Ukuhlolwa okuvamile nokuqwashisa ngezici eziyingozi kungase kudlale indima ebalulekile.
Ukuze uthole ukwaziswa okwengeziwe kanye nokwesekwa mayelana umdlavuza ku-gallbladder, thintana nochwepheshe bezempilo. Izinhlangano eziningi ezinedumela elihle zinikeza izinsiza nokweseka abantu abathintwe umdlavuza. Ukutholwa kusenesikhathi kanye nokwelashwa okusebenzayo kuyisihluthulelo sokulawula lesi simo.
| Isiteji | Isilinganiso Sokusinda Esihlobene Seminyaka engu-5 (Cishe) |
|---|---|
| Okwasendaweni | 60-80% |
| Isifunda | 30-50% |
| Kude | 5-15% |
Qaphela: Amazinga okusinda ayalinganiselwa futhi angahluka ngokusekelwe ezintweni ezihlukahlukene. Xhumana nochwepheshe bezokwelapha ukuze uthole ulwazi lomuntu siqu. Umthombo wedatha: [Faka umthombo onedumela elihle, isb., Isikhungo Somdlavuza Kazwelonke]
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