
Izimpawu Ezishibhile Zomdlavuza Wezinso: Ukutholwa Kusenesikhathi Nokufanele Ukubuke Kusenesikhathi Ukutholwa komdlavuza wezinso kusenesikhathi kuthuthukisa kakhulu imiphumela yokwelashwa namazinga okusinda. Lesi sihloko sihlola izinkomba ezivamile nezingavamile, ezingase zingabizi kakhulu zomdlavuza wezinso, igcizelela ukubaluleka kokufuna iseluleko sezokwelapha esichwepheshile uma uhlangabezana nanoma yiziphi izimpawu. Khumbula, ukuzihlola akukhuthazwa neze. Lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha.
Umdlavuza wezinso, owaziwa nangokuthi i-renal cell carcinoma, uvame ukuba nezimpawu ezicashile ezigabeni zawo zokuqala. Nakuba izigaba ezithuthukile zingase zibonise izimpawu eziphawuleka kakhulu, izimpawu eziningi zokuqala zinganakwa kalula noma kuthiwa zibangelwa ezinye izimo ezimbi kakhulu. Lokhu kungaholela ekuxilongweni ukubambezeleka, kube nomthelela ekusebenzeni kokwelashwa. Lesi sihloko sizohlola ezinye izinkomba ezivamile nezingajwayelekile, okungenzeka zingabizi ze izimpawu ezishibhile zomdlavuza wezinso, okugqamisa ukubaluleka kokutholwa kusenesikhathi kanye nokunakekelwa kwezokwelapha ngokushesha. Kubalulekile ukukhumbula ukuthi lolu lwazi ngelezinjongo zemfundo kuphela futhi akufanele luthathe indawo yeseluleko sezokwelapha esichwepheshile. Hlala uthintana nochwepheshe bezempilo nganoma yikuphi ukukhathazeka ngezempilo.
Esinye sezibonakaliso ezivame kakhulu nezingase zishibhile zomdlavuza wezinso yigazi emchameni (hematuria). Lokhu kungase kubonakale njengomchamo obomvu noma obomvana obonakalayo, noma kungase kubonakale kuphela ngokuhlolwa komchamo. Nakuba i-hematuria ingaba nezimbangela eziningi, iwuphawu oluyisixwayiso olubalulekile okungafanele lushaywe indiva. Uma ubona igazi emchameni wakho, ngisho nangezikhathi ezithile, funa usizo lwezokwelapha ngokushesha. Ukutholwa kusenesikhathi kwe-hematuria kungabaluleka ekuhlonzeni imbangela eyinhloko, kungakhathaliseki ukuthi ukutheleleka komgudu womchamo, amatshe ezinso, noma, okungenzeka, umdlavuza wezinso.
Isigaxa esibonakalayo noma ubuhlungu obuqhubekayo ohlangothini noma ohlangothini (indawo ephakathi kwezimbambo zakho nenqulu) kungaba inkomba yesimila sezinso. Nakuba lokhu kungelona uphawu lomdlavuza ngaso sonke isikhathi, ubuhlungu obungapheli bugunyaza ukuvakashela udokotela wakho ukuze ahlolwe kahle. Abantu abaningi baqale babone isigaxa ngokuzihlola noma ngesikhathi sokuzihlola ngokomzimba. Lokhu kuhlola kuvame ukuba yingxenye yokubonisana nodokotela okujwayelekile futhi akuyona inqubo ebizayo.
Ukuncipha kwesisindo okungachazeki futhi okuphawulekayo ngaphandle kokushintsha kokudla ngezinye izikhathi kungase kube uphawu lwezifo ezihlukahlukene ezimbi, kuhlanganise nomdlavuza wezinso. Lokhu kuvame ukuhambisana nokuphelelwa ukudla noma ukukhathala futhi kufanele kuphenywe uchwepheshe wezempilo. Lolu wuphawu olungacacile kangako, kodwa uma luhlanganiswa nezinye izimpawu, lungaba isici esibalulekile ekuhloleni konke.
Ukuzizwa ukhathele njalo futhi ubuthakathaka, ngisho nangemva kokuphumula ngokwanele, kungase kube inkomba yezinkinga zempilo ezicashile. Nakuba ukukhathala kuwuphawu oluvamile lwezifo eziningi, ukukhathala okungamahlalakhona kudinga ukubonisana nodokotela. Lolu olunye uphawu olungabizi kakhulu ukuhlonza kodwa olungakhomba ezindabeni ezibucayi kakhulu.
Umfutho wegazi ongapheli (i-hypertension) ngezinye izikhathi ungaxhunyaniswa nomdlavuza wezinso, nakuba uvame ukuhlotshaniswa nezinye izimo. Ukuhlolwa komfutho wegazi okuvamile kubalulekile empilweni yonke, futhi noma yikuphi ukuphakama okuphawulekayo noma okuqhubekayo kufanele kuqondiswe nodokotela wakho.
Ukushisa okungapheli noma okungachazeki kungaba uphawu lwezifo ezihlukahlukene noma izifo, kuhlanganise nomdlavuza wezinso osekhulile. Ngokuhambisana nezinye izimpawu, umkhuhlane ungathinta kakhulu.
Kubalulekile ukubonana nodokotela uma uhlangabezana nanoma yiziphi zalezi zimpawu, ngisho noma zibonakala zizincane noma zingavamile. Ukutholwa kusenesikhathi kuyisihluthulelo sokwelashwa ngempumelelo komdlavuza wezinso. I-Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) inikeza izinketho ezithuthukisiwe zokuxilonga nokwelashwa kwezinhlobo zomdlavuza, okuhlanganisa nomdlavuza wezinso. Bahlinzeka ngokunakekelwa okuphelele kanye nobuchwepheshe obusezingeni eliphezulu ukusiza ekutholakaleni kusenesikhathi kanye nemiphumela yokwelashwa efanele.
Ulwazi olunikezwe kulesi sihloko luhloselwe ulwazi olujwayelekile kanye nezinjongo zolwazi kuphela, futhi aluhlanganisi iseluleko sezokwelapha. Kubalulekile ukuthintana nochwepheshe bezempilo abaqeqeshiwe nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho. Ukuzelapha kungaba yingozi, futhi ukuxilonga kusenesikhathi kanye nokwelashwa kochwepheshe kubalulekile ukuze kube nemiphumela engcono.
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