Mwachidule
Chifuwa cha angiosarcoma ndi mtundu wamba wa khansa ya m'mawere yomwe imayambira m'maselo omwe amayendetsa mitsempha ya magazi mkati mwa chifuwa chanu. Zitha kuchitika chifukwa cha mankhwala omwe amachiza mawere ndi apamwamba, ndipo amatha kukula ndikufalikira mofulumira. Matenda a angiosarcoma amayamba kufanana ndi khungu, matenda, kapena kuvunda.
Sarcoma ndi mtundu wa khansara yomwe imakula mu zofewa kapena zowonongeka, ndipo angioscoma ikhoza kuchitika m'thupi lililonse.
Mankhwala osapitirira 10 peresenti amachokera m'mimba. Matenda a angioscoma amatha pafupifupi 0.04% kapena mmodzi mwa ma 2,500 onse a khansa ya m'mawere.
Matendawa amadziwika kuti angiosarcoma a m'mawere, mammary angiosarcoma, haemangiosarcoma ya m'mawere, lymphangiosarcoma (ngati amapezeka m'mimba yam'mimba)
Mitundu
Mankhwala oyambirira a angioscoma a m'mawere amapezeka kuti ali aang'ono, a zaka zapakati pa 20 mpaka 40. Matendawa amayamba kukhala ngati misala yosadziwika bwino. Nthawi zambiri amiosarcoma amapezeka kwa amayi oposa 40, zaka 5 mpaka 10 atatha kuchizidwa ndi khansa ya m'mawere. American Cancer Society imanena kuti angiosarcoma ndi vuto losavuta kwambiri la mazira a m'mawere. Azimayi omwe adapanga lymphedema chifukwa cha kuchotsa mitsempha ya mimba amatha kupezeka ndi angiosarcoma, makamaka ngati malo awo opatsirana pogwiritsa ntchito mankhwalawa amachotsedwa.
Zizindikiro
Mankhwala oyambirira a angioscocoma (omwe amapezeka mu wodwala amene sanayambe khansa ya m'mawere) angamve ngati malo otupa pachifuwa.
Nthawi zina, khungu lapafupi likhoza kutembenukira buluu kapena pabuka ndipo limaoneka kuti ili ndi kutupa kapena kuvulazidwa. Angiosarcoma yachiwiri (yomwe imapezeka mu wodwala amene wapatsidwa kale khansa ya m'mawere) ingamve ngati yovuta, yopweteka kwambiri m'kamwa, khungu lingakhale lofiira kapena lofiira pa misa, ndipo pangakhale phokoso ndi kutupa ku matenda ena.
Odwala ena amafotokoza kuti amamva kupweteka, kapenanso kupweteka kwa bere, malinga ndi kukula kwa chotupacho.
Kudziwa
- Mammogram - ma angioscocoma adzawoneka kuti ali ndi ndondomeko yoyipa ndipo sadzakhala ndi zojambula za spiky (spikes amawoneka pa carcinoma)
- Ultrasound - angiosarcoma idzaonekera bwino pa ultrasound, ndi malire omveka omwe angakhale ovuta
- Matenda a Miri - mtundu uwu wa chotupa udzawonetsedwa pa MRI, powulula mitsempha ya magazi yomwe imakhudzidwa ndi minofu yowzungulira
- Khungu lachikopa lachikopa - khungu la khungu lomwe likhudzidwa lidzatengedwa ndikuperekedwa mosamala mu labu, kusiyanitsa izi kuchokera kwa ena, khansa yofanana
- Tsegulani chiopsezo cha opaleshoni - kuti mutenge chinyezi chachikulu cha khungu ndi chotupa kwa kuyesa labu
Kuthamangitsani
Mtundu uwu wa khansa ya m'mawere ndi yowopsya, ndipo kudwala kwanu kudzadalira pa siteji yomwe ikugwidwa, momwe ikufalikira panthawi yomwe akudziwidwa, komanso momwe amachitira nkhanza. Matenda a angioscoma amatha kufalikira kudzera m'magazi anu, chiwindi, mafupa, khungu, ndi chifuwa chanu. Ubongo wanu, mazira ndi ma lymph nodes zingakhudzidwe ndi metastasis ya angiosarcoma. Mtundu uwu wa khansa ya m'mawere ili ndi kuchuluka kwa kubwereza. Kafukufuku wamatenda a angiosarcoma nthawi zambiri amakhala ndi vuto loipa, ndipo 10% mpaka 27 peresenti ya odwala adzapulumuka khansara iyi zaka zisanu.
Kuchiza
- Lumpectomy - opaleshoni kuchotsa chotupacho ndi chigawo chachikulu cha minofu yozungulira (kumathandiza kuchepetsa kubwereza)
- Matenda opatsirana - opaleshoni kuchotsa minofu yonse
- Chemotherapy - ambiri a angiosarcomas sangapindule ndi chemo, koma ena akhoza
Mawu Ochokera
Kafukufuku akuchitidwa pa njira zatsopano zothandizira angioscoma pachifuwa, kuti zikhale bwino bwino, kupereka odwala kukhala ndi moyo wabwino komanso umoyo wabwino. Kutsekemera kwapadera (kuchepa, kuchepa kwa ma radiation) kungathandize kuchepetsa kubwerera kwawo. Hyperthermia (kuchitira zotupa ndi kutentha), interleukin-2 (mankhwala omwe amathandiza chitetezo chanu cha mthupi), ndi anti-angiogenesis therapy (monga Avastin ), amawonedwa kuti ndi mankhwala othandiza ndipo amapezeka pokhapokha ngati akuyesedwa.
Zotsatira:
Radiology 2007; 242: 725-734. Mammary Angiosarcomas: Zomwe Zimapezeka mu Odwala 24. Wei Tse Yang, MD, ndi al.
American Cancer Society. Kodi khansa ya pachifuwa ndi chiyani? Angioscoma. Zosinthidwa: 09/13/2007.
Nyuzipepala ya Iranian Journal of Radiology, Winter 2006, 3 (2). Angioscoma ya Chifuwa; Lipoti la Mlandu ndi Kulemba Zolemba. D. Farrokh MD., J. Hashemi MD, ndi B. Zandi MD. Fayilo ya fayilo ya PDF.
Khansa. 2003 Apr 15; 97 (8): 1832-40. Angioscoma pambuyo pa kusamalitsa mankhwala. Monroe AT, Feigenberg SJ, Mendenhall NP.