Zizindikiro, matenda ndi matenda a osteosarcoma
Osteosarcoma ndi mtundu wamba wa khansa ya mafupa imene imakhudza makamaka ana ndi achinyamata omwe ali ndi zaka zapakati pa 10 mpaka 19. Zimapezeka nthawi ya kukula msanga komanso ndi anyamata ambiri kuposa atsikana. Kabati ya osteosarcoma yomwe imapezeka mwa anthu akuluakulu, koma ndi yosavuta kwambiri.
Zizindikiro za Osteosarcoma
Nthiti, ntchafu ndi mkono wakumwamba ndizofala pakati pa ana ndi achinyamata omwe ali ndi osteosarcoma.
Ndi m'maderawa omwe ululu ndi kutupa zimachitika ndi matendawa. Osteosarcoma ikhoza kukhala m'mapfupa ena, koma ndi ochepa kwambiri.
Kupweteka kwa mafupa ndi chizindikiro chofala cha osteosarcoma chomwe chingakhale choipitsitsa pa masewera olimbitsa thupi kapena usiku. Kupweteka kwa mafupa nthawi zambiri kumakhudzana ndi chikhalidwe chaumphawi , monga kuvulala, kuposa khansa. Kumbukirani kuti sikuti zonsezi zimapweteketsa mafupa omwe ali ndi khansa pamene ena ali oopsa .
Zizindikiro zina za osteosarcoma ndizo:
- chikondi chachikondi kapena kutupa
- fractures chifukwa cha fupa lofooka
- zochepa zoyendayenda
Zizindikiro zosadziwika monga fever, kutaya kwadzidzidzi, kutopa, ndi kuchepa kwa magazi kungakhalenso zizindikiro za osteosarcoma. Koma zimakhalanso zizindikiro za zovuta zina.
Kuzindikira Osteosarcoma
Zizindikiro pamodzi ndi zofukufuku zina pakadutsa thupi zingasonyeze kukhalapo kwa osteosarcoma, koma mayesero ena amafunika kutsimikizira kuti ndikukayikira, monga:
- Mayesero ojambula, monga x-rays, MRIs, ndi CT scans amathandiza kuzindikira fupa lililonse losaoneka .
- Pulogalamu ya fupa, yomwe imapangitsa kuti madokotala azitha kuona mmene thupi limagwirira ntchito. Mafupa a mafupa amatchula mbali m'mphongo yomwe ili ndi kukula kwatsopano kapena yathyoka - zizindikiro zabwino za mkhalidwe.
- Phokoso la mafupa, limene lidzatulutsa kapena kutsimikizira kukhalapo kwa khansa . Nthenda yamapfupa imaphatikizapo kuchotsedwa kwa minofu yaing'ono kuti ifufuzidwe pansi pa microscope. Nthawi zambiri amatenga zosakwana ola limodzi ndipo amatha kuchita monga opaleshoni kapena opaleshoni .
Kuchita chiopsezo kwa munthu yemwe ali ndi kansa yapakhungu yapafupa kumakhala kovuta chifukwa pali ngozi yofalitsa khansayo panthawiyi. Njirayi iyenera kuchitidwa ndi dotolo yemwe ali ndi chizoloŵezi chochita mafupa a mafupa kwa iwo omwe akukayikira khansa yapafupa. Onani kuti biopsies ndiyo njira yowonjezera yowonjezera ma khansawa ndipo ingathe kufalikira m'magulu ena.
Ngati khansayo imawoneka, imaikidwa ndikugwiritsidwa ntchito ndi wodwalayo. Zolemba ndi zolemba zosiyana zimayenderana ndi mtundu wa khansa yapafupa. Momwemonso, katswiri wa matenda owona za matendawa adzadziwika kuti adzapeza kansa ya mfupa.
Kuchiza kwa Khansa ya M'thupi
Chinsinsi cha chithandizo choyenera ndi kukhala ndi gulu lachipatala lomwe limakhala ndi khansara ya fupa. Mitundu yambiri ya khansa ya mfupa imakhala yosawerengeka, ndipo kukhala ndi timu yodziwa bwino matenda a khansa ya minofu ndikofunikira. Mitundu ingapo ya madokotala amapanga magulu apadera ochizira ameneŵa ndipo amaphatikizapo zachipatala , akatswiri a zachipatala , a radiologists, opaleshoni ya opaleshoni ya opaleshoni , akatswiri a zachipatala , ndi akatswiri odziwa zachipatala .
- Pezani Dokotala Wodwala Khansa
Pali mitundu itatu yokha ya chithandizo cha osteosarcoma: opaleshoni, mankhwala opatsirana ndi mankhwala, ndi chemotherapy. Nthawi zambiri, pakufunika njira zothandizira , monga opaleshoni pamodzi ndi mankhwala opatsirana.
Chithandizo chikusiyana malinga ndi mtundu wa khansa yapafupa, ngati yayamba (kuchepetsedwa), ndi zina zambiri za thanzi.
Opaleshoni: Osteosarcoma nthawi zambiri amachiritsidwa ndi opaleshoni. Chithandizo cha opaleshoni cha khansa ya mafupa yomwe sichinafalikire chimachotsa minofu ya khansa ndi kachilombo kakang'ono kathanzi kamene kakuzungulira. Matenda ena angapangitse mankhwala othandizira mankhwala kapena mankhwala othandizira odwala poizoni .
Thandizo la ma Radiation: Mankhwala opatsirana pogwiritsa ntchito mankhwalawa amagwiritsira ntchito mitundu yambiri yamagetsi yowonjezereka kwa mazira kapena kupweteka maselo a khansa . Mankhwalawa amachititsa kuti DNA iwonongeke .
Ngakhale mankhwala opatsirana pogwiritsa ntchito ma radiation angasokoneze maselo a thanzi lapafupi, maselo a khansa ndi ofunika kwambiri poizoni komanso amafa akamapatsidwa mankhwala. Ma cell wathanzi omwe amawonongeka pa nthawi ya ma radiation ndi othandiza ndipo nthawi zambiri amatha kuchira.
Chemotherapy: Kaŵirikaŵiri Chemotherapy amalembedwa kuti azichiza osteosarcoma. Mankhwala a chemotherapy amagwira ntchito mwa kuthetsa mofulumira kuchulukitsa maselo a khansa. Komabe, maselo ena amathanzi m'thupi amachulukira mofulumira, monga maselo osungira tsitsi . Mwamwayi, mankhwala ambiri a mankhwala a chemotherapy sangathe kuzindikira maselo awiri, omwe amatha kukhala ndi thanzi labwino komanso omwe amawopsya ngati tsitsi .
Onani kuti magulu ambiri amapereka chithandizo cha neoadjuvant pa mitsempha ndipo pali adjuvant mankhwala , nawonso.
> Zotsatira:
> American Cancer Society. Buku Lopangidwira: Khansa Yamatupa Kodi Khansara ya Matenda Ndi Chiyani?
National Cancer Institute. Khansa ya mafupa.