Sarcoma bone

Makungwa a sarcoma (Ewing's sarcoma) ndi chotupa chowopsa chomwe chimayamba mu mafupa a munthu. Zitha kukhala m'mapiko aliwonse a mafupa, koma kawirikawiri matendawa amachititsa mafupa aatali kwambiri, ndipo maseŵera achiwiri amapezeka kawirikawiri m'matumbo, nthiti ndi mafupa. Mafupa a Sarcoma amatha kupweteka komanso amayamba kupweteka, khansa ya prostate, mapapo kapena impso.

Zotsatira ndi zizindikiro za sarcoma mafupa

Zifukwa za kukula kwa mafupa a mafupa sizinaphunzire mokwanira. Zinthu zomwe zimapangidwira kuoneka kwa zotupazi ndi izi:

• chotsitsa;
• fractures;
• kuwonetsa ma radiation;
• Matenda a Paget;
• mitundu ina ya khansa.

Pa nthawi yoyamba ya chitukukochi, palibe zizindikiro. Pambuyo pa chotupacho chikuyamba kukula, kukula kwa zizindikiro za sarcoma ya fupa zimawonekera:

• chisokonezo cha fupa;
• Kulepheretsa kuyenda pamodzi, komwe kuli pafupi ndi chotupa;
• ululu wowawa kwambiri usiku;
• malungo.

Chithunzi cha kuchipatala chimadziwika ndi chithunzithunzi cha khungu. Ngati wodwala ali ndi sarcoma yachikazi, palinso zizindikiro za matenda, monga kuwonongeka kwa ziwalo zamkati komanso osadziletsa.

Kuchiza kwa mafupa osaka

Njira yowunikira kuti muzindikire masewera olimbitsa thupi a chikazi, chiwerewere ndi fupa lina lililonse ndi phunziro la x-ray. Chidziwitso chomaliza chimakhazikitsidwa molingana ndi zotsatira za maphunziro a morphological a chidutswa chochepa cha chotupa, chomwe chimapezeka ndi biopsy.

Pambuyo pozindikira kuti matendawa, yambani kuyamba mankhwala. Nthenda yabwino ya sarcoma ya fupa ikhoza kuperekedwa kokha pokhapokha opaleshoni komanso mankhwala enaake a chemotherapy. Izi ndi chifukwa chakuti matendawa ali ndi mphamvu yowonjezereka kwambiri ya metastasis.

Kusunga mankhwala opatsirana pogwiritsa ntchito opaleshoni ndizofunika kwambiri pa chithandizo cha fupa la mfupa ya mkono, mwendo, chiuno. Zotsutsana za ntchito zoterozo ndi izi:

• kuwonongeka kwakukulu kwa minofu ya minofu;
• kutenga nawo mbali mu kansa ya ndondomeko yamaganizo;
• Mitsempha yotupa yomwe imayambitsa matenda kapena matenda.

Ngati chotupacho chafika pamtunda waukulu kapena kuwonongeka kwake kumawonedwa ndi kuledzeretsa ndi kutaya mwazi, ntchito zowopsya zimagwiritsidwa ntchito: kuthamangitsidwa ndi kuwonjezera.

Mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo amachititsa kuti thupi likhale lopweteka, lachikazi komanso fupa lina limagwiritsidwa ntchito ngati simungathe kuchotsa chotupa kapena metastases. Chemotherapy iyenera kugwiritsidwa ntchito opaleshoni isanakwane. Izi zimakuthandizani kuti muchepetse msinkhu kukula kwa chotupa ndi kuchotsa micrometastases. Kuonjezerapo, njira zoterezi zimathandizira kudziwa ngati chotupacho chili ndi mankhwala osokoneza bongo komanso kusankha mankhwala oyenera pakatha opaleshoniyo.

Koperative mankhwala opatsirana pogwiritsa ntchito mankhwalawa ndi ofunikira kuti zisawonongeke komanso chiwonongeko chotheratu. Amagwiritsidwanso ntchito pochiza masitima akutali omwe atha kale. Kawirikawiri ndi kofunika kuti mukhale ndi maphunziro 4-10 pogwiritsa ntchito mankhwala monga:

• Doxorubicin;
• Ifosfamide;
• Vincristine;
• Dactinomycin;
• Chithunzi;
• Cyclophosphamide.

Kuwunika pambuyo pa chithandizo cha fupa la sarcoma

Pambuyo pomaliza mankhwala opambana Mafukufuku a sarcoma pa oncologist ayenera kuchitika kwa zaka 2 miyezi itatu iliyonse, m'chaka chachitatu miyezi inayi iliyonse ndi chaka cha 4 ndi cha 5 miyezi isanu ndi umodzi. Pambuyo pa kuchotsedwa kwa sarcoma yochepa, kutsatila kuyenera kuchitidwa miyezi 6 iliyonse kwa zaka ziwiri. Kufufuza koteroko kumaphatikizapo:

• radiography kapena CT ya ziwalo zonse za thorax;
• MRI / CT ya fupa, yomwe inakhudzidwa ndi chotupa;
• Ultrasound ya ziwalo zamimba .