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Ðe ƒunukpeƒetetedɔ aɖe le ŋutilãa mea? Ðe wòvea wò ƒuwoa? Ðe wòate ŋu anye sarcoma? Mina míakpɔe ɖa!

Ðe ƒunukpeƒetetedɔ aɖe le ŋutilãa mea? Ðe wòvea wò ƒuwoa? Ðe wòate ŋu anye sarcoma? Mina míakpɔe ɖa!

Ðe nède dzesi ƒunukpeƒe yeye aɖe le wò ŋutilã ƒe teƒe aɖe si mewɔa nuvevi ame o, gake wòdoa vɔvɔ̃ na ame viea? Alo ɖe nèle veve sem le wò abɔ alo afɔwo me le susu aɖeke manɔmee ɣeyiɣi didi aɖee nye sia? Ɣeaɖewoɣi la, míeléa ŋku ɖe nusiawo ŋu boo o, gake le go siwo mebɔ o me la, esiawo ate ŋu anye kansa ƒomevi aɖe si woyɔna be ‘Sarcoma’ ƒe dzesiwo . Ame geɖe tsia dzi vie ne wose ŋkɔ sia, elabena ƒã vie. Eyata, egbea míaƒo nu tso Sarcoma ŋu, nusi wòfia, alesi wòdzɔnae, nusiwo nye dzesiawo, kple nenye be atikewɔwɔ li, le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nuka tututue nye Sarcoma?

Kpuie ko la, Sarcoma nye dɔdzẽ vɔ̃ɖi aɖe, si fia kansa, si dona le míaƒe ŋutilã ƒe ƒuwo alo lãkusi falɛfalɛwo me. Fifia ɖewohĩ ànɔ ɖokuiwò biam be nuka tae lãkusi falɛfalɛ sia nye hã. Lãmetsi falɛfalɛwoe nye nusiwo doa alɔ míaƒe ŋutilã ƒe wɔwɔme bubuwo. Le kpɔɖeŋu me:

  • Lãmetsiwo (ŋutilã) .
  • Da ami
  • Tendons (lãmeka siwo doa ka kple lãmekawo kple ƒuwo) .
  • Cartilage (lãmeka falɛfalɛ siwo wokpɔna le teƒewo abe ƒunukpeƒewo ene) .
  • Ligaments (lãmeka siwo ƒoa ƒuwo nu ƒu ɖekae) .
  • Ʋukawo (ʋukawo) .
  • Lãmetsiŋusẽwo

Le nyateƒe me la, kansa sia ƒomevi si woyɔna be sarcoma mebɔ kura o. Ne míetsɔ kansa siwo katã dzɔna le ame tsitsiwo me la, sarcoma nye agbɔsɔsɔ sue aɖe, anɔ abe 1% ene. Ke hã, kansa siwo dzɔna ɖe ɖeviwo dzi la dometɔ siwo ade 15% ate ŋu anye sarcoma. Le dukɔ abe Amerika ene me la, wogblɔna be ame yeye siwo ade 16,000 ye xɔa sarcoma ƒe sia ƒe. Le esiawo dome la, wo dometɔ siwo ade 4,000 nye sarcomas siwo dona le ƒuwo me, eye abe 13,000 ene nye sarcomas siwo dona le ƒumeŋuɖui falɛfalɛawo me.

Afikae sarcoma dzɔna le wu?

Bu eŋu kpɔ ko, sarcoma sia ate ŋu adze míaƒe ŋutilã ƒe akpa sia akpa, tso míaƒe ta dzi va ɖo míaƒe afɔbidɛwo dzi. Gake teƒe ʋɛ aɖewo li siwo wokpɔnɛ le wu:

  • Wo dometɔ siwo ade 40 le alafa me (40%) dzɔna ɖe míaƒe afɔwo dzi (afɔwo, afɔkpodziwo, afɔwo).
  • Anɔ abe 15 le alafa me (15%) lɔ asiwo (abɔta, abɔwo, asibidɛwo, asibidɛwo) ɖe eme.
  • Anɔ abe 30 le alafa me (30%) le teƒewo abe míaƒe akɔta, akɔta, ƒodo, kple akɔta ene.
  • Anɔ abe wuiatɔ̃ le alafa me (15%) lɔ ta kple kɔ ɖe eme.

Sarcoma ƒomevi kawoe nye?

Menye ƒomevi ɖeka koe sarcoma nye o. Enye nya si keke ta na kansa ƒe hatsotso gã aɖe si dona le ƒuwo kple lãkusi falɛfalɛwo me. Le nyateƒe me la, wode dzesi sarcoma ƒomevi sue siwo wu 70 . Esesẽ ŋutɔ, alo? Na míalé ŋku ɖe ƒomevi vevi eveawo ŋu.

1. Ƒumeŋuɖui (Sarcomas).

Esia nye kansa si dzea egɔme tso ƒuwo me tẽ (`primary bone sarcoma`). Wokpɔa sarcoma sia ƒomevi ƒe akpa etɔ̃lia kple edzivɔ le amesiwo mexɔ ƒe 35 haɖe o ŋu.Woate ŋu akpɔe le ɖeviwo hã ŋu.

Ƒumeŋuɖui ƒomevi vevi aɖewoe nye:

  • Osteosarcoma ƒe dɔléle(Esiae nye ƒomevi si wokpɔna wu)
  • Chondrosarcoma ƒe dɔléle
  • Chordoma si woyɔna be chordoma
  • Ewing ƒe sarcoma ƒe dɔléle
  • Fibrosarcoma ƒe dɔléle

Vevietɔ: Menye kansa siwo katã dona le ƒuwo me ye nye ƒumeŋuɖui o. Ɣeaɖewoɣi la, kansa lãmenugbagbevi siwo dze egɔme tso ŋutilãa ƒe akpa bubuwo (abe lãkusi, no, alo lãkusi ene) te ŋu toa ʋukawo me eye wokakana yia ƒuwo me. Woyɔa esia be ƒumeŋuɖui si kaka ɖe teƒe bubuwo . Esia to vovo na ƒumekansa gbãtɔ.

2. Lãmetsi Falɛfalɛwo ƒe Sarcomas

Esiawo dzea egɔme tso míaƒe lãmekawo alo kadodoŋusẽ bubu siwo le ŋutilãa me. To vovo na ƒumeŋuɖui la, lãmeka falɛfalɛwo ƒe sarcoma bɔ ɖe ame tsitsiwo me wu. Gake ƒomevi aɖewo, abe rhabdomyosarcoma ene, bɔ ɖe ɖeviwo me wu.

Lãmetsi falɛfalɛwo ƒe sarcoma ƒomevi vovovowo li:

  • Angiosarcoma ƒe dɔléle
  • Desmoplastic lãmenugbagbevi goglo suewo ƒe dɔdzẽwo
  • Dɔgbo ƒe dɔgbo ƒe stromal tumor (GIST) .
  • Leiomyosarcoma ƒe dɔléle
  • Liposarcoma ƒe dɔléle
  • Lãmetsiŋusẽ si le gota gome ƒe dɔdzẽ vɔ̃ɖi
  • Schwannoma si gblẽa nu le ame ŋu
  • Myxofibrosarcoma ƒe dɔléle
  • Synovial sarcoma ƒe dɔléle
  • Pleomorphic sarcoma si womede vovototo wo dome o

Kpɔ alesi gbegbe ƒomeviwo li ɖa! Amesiawo dometɔ ɖesiaɖe ƒe nɔnɔme kple atikewɔwɔmɔnu ate ŋu ato vovo vie.

Amekawoe le afɔku gã me be woaxɔ sarcoma?

Sarcoma ate ŋu adze ɖeviwo kple ame tsitsiwo siaa dzi. Soft tissue sarcoma bɔ ɖe ame tsitsiwo me wu. Gake ƒumeŋuɖui ya bɔ ɖe ɖeviwo, sɔhɛ tsitsiwo, kple amesiwo xɔ wu ƒe 65. Numekuku aɖewo ɖee fia be ƒumeŋuɖui ya bɔ vie le ŋutsuwo kple ameyibɔwo alo Hispaniatɔwo dome .

Nukatae sarcoma sia va doa mo ɖa? Nuka gbɔe wòtso?

Le nyateƒe me la, esiae nye kuxi si le ame geɖe ŋu. Sarcoma dzɔna ne tɔtrɔ aɖewo va le ƒumelãmenugbagbevi siwo metsi o alo lãmenugbagbevi falɛfalɛ siwo le míaƒe ŋutilã me ƒe domenyiŋusẽfianu (DNA) me , eye lãmenugbagbevi mawo va zua kansa lãmenugbagbeviwo. Emegbe kansa lãmenugbagbevi siawo te mama kabakaba eye womate ŋu aɖu wo dzi o. Mlɔeba la, lãmenugbagbevi siawo va ƒoa ƒu wɔa dɔdzẽ. Dɔdzẽ sia tsina vivivi eye ate ŋu agblẽ nu le lãmeka siwo le lãmesẽ me siwo ƒo xlãe ŋu ahadze wo dzi.

Ne womewɔ atike na esia nyuie o la, kansa lãmenugbagbeviwo ate ŋu akaka to míaƒe ʋukawo alo ʋukawo me.Kansa ate ŋu azɔ mɔ ayi ŋutilã ƒe akpa siwo le didiƒe eye wòana dɔdzẽ yeyewo nado. Woyɔa esia be metastasis , alo kansa ƒe kaka. Kansa siwo kaka alea la dada sesẽ ŋutɔ.

Abe alesi wòle le kansa ƒomevi bubuwo gome ene la, numekulawo mekpɔ susu aɖeke si tae lãmenugbagbevi si le lãmesẽ me zua sarcoma lãmenugbagbevi zi ɖeka o.

Nukawoe nye afɔku siwo ate ŋu ana ame naxɔ sarcoma?

Togbɔ be naneke meli si gbɔ wòtso tẽ o hã la, wode dzesi afɔku aɖewo siwo ate ŋu ana sarcoma xɔxɔ ƒe afɔkua nadzi ɖe edzi. Woawoe nye:

  • Atike aɖewo zazã: Nuwo abe arsenic, atike aɖewo siwo wozãna tsɔ wɔa plastikwo (e.g. vinyl chloride monomer), gbewutikewo (e.g. phenoxyacetic acid), kple atiwo ƒe atikewo (e.g. chlorophenols) zazã ɣeyiɣi didi.
  • Kekeli: Kekeli gbogbo aɖewo zazã abe kansa bubu dada ene va yi.
  • Lymphedema: Abɔ alo afɔwo ƒe vuvu ɣeyiɣi didi.
  • Domenyiŋusẽfianu aɖewo: Domenyiŋusẽ ƒe nɔnɔme aɖewo kple domenyiŋusẽfianu ƒe tɔtrɔwo nye domenyinu. Kpɔɖeŋu aɖewoe nye Gardner ƒe dɔléle, Werner ƒe dɔléle, von Hippel-Lindau ƒe dɔléle, Gorlin ƒe dɔléle, tuberous sclerosis, Li-Fraumeni ƒe dɔléle, retinoblastoma, kple neurofibromatosis ƒomevi 1. Esiawo nye nɔnɔme siwo mebɔ kura o.

Afɔku siawo ƒe amesinɔnɔ mefia be àxɔ sarcoma godoo o. Ke hã, ele vevie be nànɔ ŋudzɔ ɖe wo ŋu.

Nukawoe nye Sarcoma ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Sarcoma ƒe dzesiwo toa vovo ŋutɔ le afisi kansa la le nu. Le kpɔɖeŋu me, ɖewohĩ sarcoma aɖewo maɖe dzesi aɖeke afia le gɔmedzedzea me o. Ame bubuwo ate ŋu ase le wo ɖokui me abe ƒunukpeƒetetedɔ si me vevesese aɖeke mele o le ŋutigbalẽ te ene. Gake ne ƒunukpeƒea tsi eye wòte ɖe lãmeka kple ŋutinu siwo te ɖe eŋu dzi ko hafi vevesesea dzea egɔme.

Le go bubu me la, sarcoma aɖewo ate ŋu ana alɔ alo afɔ ƒe ƒuwo nase veve ɣeyiɣi didi eye woavuvu . Vevesese sia ate ŋu asẽ ŋutɔ le zã me . Esia ate ŋu ana wòasesẽ be nàʋuʋu wò alɔ alo afɔ ahawɔ gbesiagbedɔwo.

Dzesi siwo bɔ siwo woate ŋu akpɔ dometɔ aɖewoe nye:

  • Kpe yeye alo vuvu (esia ate ŋu ase veve alo mase veve o).
  • Vevesese si womate ŋu aɖe o le alɔ, afɔ, dɔgbo, alo akɔta.
  • Abɔ alo afɔ ʋuʋu sesẽ (e.g., lãmetutudɔ, ʋuʋu si seɖoƒe li na).
  • Lolo dzi ɖeɖe kpɔtɔ susu aɖeke manɔmee.
  • Akɔtave (vevietɔ ne kansa la le akɔta).

Ðo ŋku edzi be woate ŋu akpɔ dzesi siawo le dɔléle bubu geɖewo hã me. Eyata, mègavɔ̃ be yeasusui be sarcoma ye le esi dzesi aɖe le ye ŋu abe esia ene ta ko o. Ke hã, nunya le eme be nàyi ɖɔkta gbɔ ahaɖo aɖaŋu na wò.

Aleke woawɔ anya sarcoma nyuie? (Dɔléle ƒe dzesi) .

Ne dzesi siawo tɔgbe le ŋuwò la, wò ɖɔkta abia wò dzesiwo gbã eye wòado wò ŋutilã kpɔ. Emegbe, ahiã be woawɔ dodokpɔ tɔxɛ aɖewo atsɔ akpɔe ɖa be sarcoma le ŋuwò eye wònye ƒomevi si wònye hã. Dodokpɔ vevitɔ kekeakee nye ŋutilã ƒe akpa aɖewo ɖeɖeɖa.

Biopsy bia be woaɖe lãkusi sue aɖe tso dɔdzẽa me atsɔe ayi dodokpɔxɔ me. Le afima la, eŋutinunyala bibi aɖe si woyɔna be dɔléleŋutinunyala tsɔa nusuekpɔmɔ̃ léa ŋku ɖe lãkusia ŋu be yeakpɔe ɖa be kansadɔlékuiwo le eme hã, eye ne ele nenema la, ke sarcoma ƒomevi ka ƒomevie wònye hã. Nyatakaka siawo akpe ɖe ŋuwò nànya atikewɔwɔ nyuitɔ kekeake na wò.

Dodokpɔ bubu aɖewoe nye:

  • X-ray: Esia ate ŋu aɖe ƒuwo kple lãkusi falɛfalɛwo ƒe foto.
  • CT scan (Computed Tomography scan): Esia xɔa X-ray siwo kplɔ wo nɔewo ɖo eye wònana wokpɔa ŋutilãa ƒe akpa si le eƒe akpa vovovowo.
  • MRI (Magnetic Resonance Imaging): Esia zãa magnet gã aɖe, radio ƒe ƒutsotsoewo, kple kɔmpiuta tsɔ ɖea ŋutilãa ƒe akpa si me kɔ eye wòdea to. Ne wokpɔ nane si mebɔ o le X-ray me la, woate ŋu abia tso asiwò be nàwɔ MRI.
  • Ƒuwo me toto: Le esia me la, wodoa keklẽŋusẽ sue aɖe ɖe ŋutilãa me be wòakpe ɖe ame ŋu wòade dzesi nusiwo mesɔ o le ƒuwo me (abe ƒumeŋuɖui ene).
  • PET scan (Positron Emission Tomography scan): Esia zãa sukli ƒomevi tɔxɛ aɖe. Esi wònye be lãmenugbagbevi siwo ma kabakaba, abe kansa lãmenugbagbeviwo ene, zãa sukli geɖe ta la, fotoɖeɖe sia ate ŋu aɖe ŋutilãa ƒe akpa siwo sukli sɔ gbɔ ɖo le mɔ si mesɔ o nu (afisi dɔdzẽ ate ŋu anɔ) afia.

Aleke wowɔna nyaa sarcoma ƒe afɔɖeɖewo?

Nyanya afisi kansa le le vevie ŋutɔ. Ekpena ɖe ame ŋu wòsea alesi kansa la nu sẽe kple atikewɔwɔ nyuitɔ kekeake gɔme. Woda sarcoma akpa gãtɔ ɖe hatsotsowo me le TNM ƒe hatsotsowo me toto ƒe ɖoɖoa nu :

  • T (Tumor): Esia fia alesi kansa ƒe dɔdzẽ gbãtɔa ƒe lolome kple afisi wòle .
  • N (Nodes): Esia fia nenye be kansa la kaka ɖe ʋuka siwo te ɖe eŋu me .
  • M (Metastasis): Esia fia nenye be kansa la kaka (metastasized) yi ŋutinu bubu siwo le didiƒe le ŋutilãa me.

Tsɔ kpe ɖe eŋu la, ɖɔktawo dea dzesi kansa la (Grade - G).Esia fia alesi kansa lãmenugbagbeviwo ɖi wo nɔewo alo to vovo tso lãmenugbagbevi siwo sɔ gbɔ. Le goawo katã me la, zi alesi kansadɔlékuiawo ɖi lãmenugbagbevi siwo sɔ la, zi nenemae nyagblɔɖia nyona ɖe edzii.

Ðɔktawo zãa nyatakaka siawo katã tsɔ nyaa afisi sarcoma (xexlẽme si tso 1 va ɖo 4) le. Zi alesi xexlẽmea sɔ gbɔe la, zi nenemae kansa la dzi ɖe edzi le nutoa me alo kaka ɖe ŋutilã bliboa me.

Dzesi siwo woatsɔ anya afɔɖeɖea ate ŋu ato vovo vie le sarcoma ƒomevi ɖesiaɖe gome. Eyata, gblɔ wò kansa ƒe afɔɖeɖe kple alesi wòakpɔ ŋusẽ ɖe wò atikewɔwɔ kple hayahaya le etsɔme dzi na wò ɖɔkta faa.

Nukawoe nye Sarcoma ƒe atikewo?

Ne wole sarcoma dam la, menye ɖɔkta ɖeka koe wònye o, ke boŋ eŋutinunyalawo ƒe ƒuƒoƒo aɖe si wɔa dɔ ɖekae. Amekolawo, keklẽŋusẽŋutinunyalawo, domenyiŋusẽfianuŋutinunyalawo, atikewɔwɔ me kansadɔdalawo, keklẽŋusẽŋutinunyalawo, dɔléleŋutinunyalawo, ɖeviwo ƒe dɔdalawo (na ɖeviwo ƒe kansa), susuŋutinunyalawo, kple hadomekpekpeɖeŋudɔwɔlawo ate ŋu anɔ ƒuƒoƒo sia me.

Atike si nàxɔ anɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye:

  • Sarcoma ƒomevi aɖe.
  • Dɔdzẽa ƒe lolome kple afisi wòle.
  • Wò lãmesẽ bliboa.
  • Eɖanye be wokpɔ sarcoma la yeyee alo edze va yi eye wògatrɔ gbɔ (egadzɔna enuenu).

Atikewɔwɔmɔnu vevi aɖewoe nye:

1. Amekoko

Le esia me la, ɖɔktawo dzea agbagba be yewoaɖe kansadɔlékuiawo katã ɖa esime wole lãmeka siwo le lãmesẽ me alesi woate ŋui la lém ɖe te. Woɖea dɔdzẽa ɖa kple lãkusi si le lãmesẽ me ƒe akpa manyomanyo si ƒo xlã dɔdzẽa (`wide local excision`). Esia dzea agbagba be yeaɖe kansa lãmenugbagbevi sue ŋutɔ siwo le sue ŋutɔ la ɖa evɔ megblẽ ɖeke ɖi o.

Ɣeaɖewoɣi la, ele be woagbugbɔ teƒe si wògblẽ nu le la atu. Le abɔ kple afɔ ɖeɖe ƒe amekoko me la, woɖea dɔdzẽa ɖa eye ne ehiã la, wogatsɔa ga ɖɔlia ƒunukpeƒea. Ɣeaɖewoɣi la, woate ŋu azã ƒu si tso ŋutilã ƒe akpa bubu alo ƒu bubu si wodo ɖe ƒu me atsɔ aɖɔli ƒu si woɖe ɖa. Gake le go aɖewo me la, mɔnu si le dedie wu eye wònyo wue nye be woaɖe abɔ kple afɔ si ŋu dɔlélea le la ɖa (lãɖeɖe). Esia nye nyametsotso sesẽ ŋutɔ.

2. Kekeli ƒe Dɔdamɔnu

Le esia me la, wozãa X-ray siwo ŋu ŋusẽ geɖe le tsɔ tsrɔ̃a kansa lãmenugbagbeviwo. Taɖodzinuae nye be woaɖe nusiwo gblẽ le lãmenugbagbevi siwo le lãmesẽ me ŋu dzi akpɔtɔ. Woate ŋu ana keklẽŋusẽdɔdamɔnu le ememe (wotsɔe de ŋutilãa me) alo le egodo (wotsɔe tso ŋutilãa godo to mɔ̃ dzi). Egbegbe mɔ̃ɖaŋununya deŋgɔ na be keklẽŋusẽa te ŋu ɖoa kansa la gbɔ pɛpɛpɛ, si wɔnɛ be lãmeka siwo le lãmesẽ me siwo ƒo xlãe la meganɔa anyi o.

Woate ŋu azã keklẽŋusẽdɔdamɔnu si wonana le ememe , si woyɔna hã be brachytherapy , na sarcoma siwo mekaka o. Woate ŋu anae le amekoko me (intra-operative radiotherapy) alo to plastic tubes (catheters) dzi le amekoko megbe (interstitial brachytherapy).

Wozãa keklẽŋusẽdɔdamɔnu hã le nɔnɔme siwo me kansa la kaka ɖo (dɔléle si kaka ɖe teƒe bubuwo).

3. Atikewo zazã

Esia zãa atike siwo wua kansadɔlékui siwo le mama kabakaba alo woƒe tsitsi blewu. Woate ŋu ana atike siawo to ʋuka me alo abe atikekui siwo woano to nu me ene. Wona wo be woatsɔ aɖe dɔdzẽa dzi akpɔtɔ hafi woawɔ dɔ nɛ alo woawu kansadɔlékui ɖesiaɖe si susɔ le amekokoa megbe. Ɣeaɖewoɣi la, wonaa atikewɔmɔnu kpe ɖe keklẽŋusẽdɔdamɔnu ŋu.

4. Atikewɔwɔ si Woɖo Ðe Ame Ŋu

Esia nye atikewɔwɔ si le tẽ ŋutɔ. Ezãa atike siwo tɔa ŋku gbɔdzɔgbɔdzɔ tɔxɛ siwo le kansa lãmenugbagbeviwo me evɔ womegblẽa nu le lãmenugbagbevi siwo le lãmesẽ me ŋu o. Gake kansa lãmenugbagbevi ƒomevi siwo ŋu gbɔdzɔgbɔdzɔ mawo siwo woɖo taɖodzinu na le koe atikewɔwɔ sia wɔa dɔ le. Wò ɖɔkta ate ŋu akafui be wòanye atike ɖeka alo atsɔe akpe ɖe atike bubuwo ŋu.

5. Dɔlélenutsiŋutete ƒe Dɔdamɔnu / Biologic Therapy

Esia bia be míado ŋusẽ míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete , akpe ɖe eŋu wòade dzesi kansa lãmenugbagbeviwo ahawɔ avu kpli wo. Kansa lãmenugbagbeviwo ate ŋu aɣla wo ɖokui ɖe míaƒe dɔlélenutsiŋutete, alo axe mɔ nɛ be wòagawɔ dɔ o. Esia tae kansa lãmenugbagbeviwo tsina le ŋutilãa me ɖo. Dɔlélenutsiŋutete ƒe dɔdamɔnu wɔa dɔ to kansa lãmenugbagbeviwo ƒe ametakpɔnu siawo nuwɔametɔ wɔwɔ me eye wòkpena ɖe míaƒe ŋutilã ŋu be wòawɔ avu kple kansa ŋutɔ.

6. Dzoxɔxɔ ƒe Ʋuʋudedi

Ɣeaɖewoɣi la, woate ŋu atsrɔ̃ sarcomas ne wodo dzo alo tsɔ wo de tsikpe me . Kekeliŋutinunyala si dea nu nyaa me ye wɔa esia, eye wòzãa fotoɖemɔ̃ (abe CT scan ene) tsɔ dia afisi dɔdzẽa le pɛpɛpɛ eye wòdea dɔwɔnu tɔxɛ aɖe (si nye nusi wotsɔna dzroa nu me) eme.

7. Dɔlélenutsitsidɔ

Esia menye atike si daa kansa o. Gake ele vevie ŋutɔ. Esia nye atikewɔwɔ tɔxɛ na amesiwo ŋu dɔléle sesẽwo abe kansa ene le. Ðɔktawo, dɔnɔdzikpɔlawo, hadomekpekpeɖeŋudɔwɔlawo, kple nuɖuɖuŋutinunyalawo le amesiwo kpɔa dɔlélenutsiŋutete gbɔ ƒe ƒuƒoƒoa me. Wowɔa dɔ be woaɖe dzesiawo dzi akpɔtɔ eye woakpɔ atikewɔwɔ ƒe nugbegblẽ le ame ŋu gbɔ.Ƒuƒoƒo sia kpena ɖe ŋuwò hã be nàkpɔ nuteɖeamedzi kple kuxi siwo dona tso kansadɔ si wokpɔna me gbɔ eye nàlé wò agbenɔnɔ ƒe nyonyome me ɖe asi.

8. Dɔdamɔnu Dodokpɔwo

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be nàkpɔ gome le dɔdamɔnu dodokpɔ aɖe me . Esiawo nye numekuku siwo doa kansadɔdamɔnu yeyewo ƒe dedienɔnɔ kple woƒe dɔwɔwɔ kpɔna. Sarcoma ƒe atike yeyewo nɔa numekuku ƒe akpaa me ɣesiaɣi. Le dɔléle si wokpɔ le ŋuwò nu la, dodokpɔ sia ƒomevi ate ŋu anye tiatia na wò.

Aleke agbe le le Sarcoma gome? (Agbetsitsi ƒe Agbɔsɔsɔme) .

Nya sia nye nya si ame geɖe biana. Le lãmeka falɛfalɛwo ƒe sarcoma me la, ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme anɔ abe 81% ene ne kansa la mekaka ɖe ŋutilã ƒe akpa bubuwo o (ekaka ɖe teƒe bubuwo). Gake le kansa si kaka ɖe teƒe bubuwo gome la, xexlẽme sia anɔ abe 15% ene. Le osteosarcoma, si nye ƒumeŋuɖui ƒomevi si bɔ wu me la, ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme anɔ abe 77% ene ne kansa la mekaka o, eye le kansa si kaka ɖe teƒe bubuwo gome la, anɔ abe 26% ene.

Gake mègatu wò nyagblɔɖi ɖe xexlẽme siawo ɖeɖeko dzi o. Wò emetsonu anɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye sarcoma ƒomevi si le ŋuwò, afisi wòle, wò lãmesẽ bliboa, kple alesi nèwɔa nu ɖe ​​atikewɔwɔ ŋui. Wò ɖɔktae nye ame nyuitɔ kekeake si anya wò nɔnɔmea ŋuti nyatakakawo pɛpɛpɛ.

Ɣeyiɣi kawoe nye nyuitɔ kekeake siwo nàte ŋu ayi ɖɔkta gbɔ?

Ne ƒu yeye aɖe le ŋuwò – eɖanye vevesese alo vevesese o – vevietɔ ne elolo abe golf-bɔl ene (anɔ abe sentimeta 5 ene) la, yi ɖɔkta gbɔ enumake. Azɔ hã, ne ƒuwo le veve sem na wò alo viwòa evɔ mexɔ abi aɖeke o , eye meganyo le eɖokui si o la, di atikewɔlawo ƒe aɖaŋuɖoɖo.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Menye kansa ƒomevi ɖeka koe sarcoma nye o. Enye dɔdzẽ ƒomevi vovovowo ƒe ƒuƒoƒo si ate ŋu ado ɖe míaƒe ƒuwo alo lãkusi falɛfalɛwo me. Dzesiawo toa vovo le afisi dɔdzẽa le nu. Ne wokpɔe be sarcoma le ŋuwò la, ɖo ŋku edzi be nu geɖe dzie wò atikewɔmɔnu siwo nàte ŋu azã kple alesi dɔlélea adze le etsɔme. Wò ɖɔkta ate ŋu aɖe nusiawo katã me na wò.

Mègatsi dzodzodzoe o, ke boŋ kpɔ nyuie. Ne ède dzesi nane si mebɔ o la, ƒo nu tso eŋu na ɖɔkta. Zi alesi wokpɔe kaba la, zi nenemae wòanɔ bɔbɔe be atikewɔwɔ nadze edzi.


` Sarcoma, kansa, ƒu me kansa, lãmeka falɛfalɛwo ƒe kansa, kansa ƒe dzesiwo, kansa dada, Sarcoma

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Taflatse bu akɔnta be: 5 + 2 =
Ðe ƒunukpeƒetetedɔ aɖe le ŋutilãa mea? Ðe wòvea wò ƒuwoa? Ðe wòate ŋu anye sarcoma? Mina míakpɔe ɖa!
Dɔlélewo Kple Nɔnɔmewosiamlɔm 5 lia 2026

Ðe ƒunukpeƒetetedɔ aɖe le ŋutilãa mea? Ðe wòvea wò ƒuwoa? Ðe wòate ŋu anye sarcoma? Mina míakpɔe ɖa!

Ðe nède dzesi ƒunukpeƒe yeye aɖe le wò ŋutilã ƒe teƒe aɖe si mewɔa nuvevi ame o, gake wòdoa vɔvɔ̃ na ame viea? Alo ɖe nèle veve sem le wò abɔ alo afɔwo me le susu aɖeke manɔmee ɣeyiɣi didi aɖee nye sia? Ɣeaɖewoɣi la, míeléa ŋku ɖe nusiawo ŋu boo o, gake le go siwo mebɔ o me la, esiawo ate ŋu anye kansa ƒomevi aɖe si woyɔna be ‘Sarcoma’ ƒe dzesiwo . Ame geɖe tsia dzi vie ne wose ŋkɔ sia, elabena ƒã vie. Eyata, egbea míaƒo nu tso Sarcoma ŋu, nusi wòfia, alesi wòdzɔnae, nusiwo nye dzesiawo, kple nenye be atikewɔwɔ li, le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nuka tututue nye Sarcoma?

Kpuie ko la, Sarcoma nye dɔdzẽ vɔ̃ɖi aɖe, si fia kansa, si dona le míaƒe ŋutilã ƒe ƒuwo alo lãkusi falɛfalɛwo me. Fifia ɖewohĩ ànɔ ɖokuiwò biam be nuka tae lãkusi falɛfalɛ sia nye hã. Lãmetsi falɛfalɛwoe nye nusiwo doa alɔ míaƒe ŋutilã ƒe wɔwɔme bubuwo. Le kpɔɖeŋu me:

  • Lãmetsiwo (ŋutilã) .
  • Da ami
  • Tendons (lãmeka siwo doa ka kple lãmekawo kple ƒuwo) .
  • Cartilage (lãmeka falɛfalɛ siwo wokpɔna le teƒewo abe ƒunukpeƒewo ene) .
  • Ligaments (lãmeka siwo ƒoa ƒuwo nu ƒu ɖekae) .
  • Ʋukawo (ʋukawo) .
  • Lãmetsiŋusẽwo

Le nyateƒe me la, kansa sia ƒomevi si woyɔna be sarcoma mebɔ kura o. Ne míetsɔ kansa siwo katã dzɔna le ame tsitsiwo me la, sarcoma nye agbɔsɔsɔ sue aɖe, anɔ abe 1% ene. Ke hã, kansa siwo dzɔna ɖe ɖeviwo dzi la dometɔ siwo ade 15% ate ŋu anye sarcoma. Le dukɔ abe Amerika ene me la, wogblɔna be ame yeye siwo ade 16,000 ye xɔa sarcoma ƒe sia ƒe. Le esiawo dome la, wo dometɔ siwo ade 4,000 nye sarcomas siwo dona le ƒuwo me, eye abe 13,000 ene nye sarcomas siwo dona le ƒumeŋuɖui falɛfalɛawo me.

Afikae sarcoma dzɔna le wu?

Bu eŋu kpɔ ko, sarcoma sia ate ŋu adze míaƒe ŋutilã ƒe akpa sia akpa, tso míaƒe ta dzi va ɖo míaƒe afɔbidɛwo dzi. Gake teƒe ʋɛ aɖewo li siwo wokpɔnɛ le wu:

  • Wo dometɔ siwo ade 40 le alafa me (40%) dzɔna ɖe míaƒe afɔwo dzi (afɔwo, afɔkpodziwo, afɔwo).
  • Anɔ abe 15 le alafa me (15%) lɔ asiwo (abɔta, abɔwo, asibidɛwo, asibidɛwo) ɖe eme.
  • Anɔ abe 30 le alafa me (30%) le teƒewo abe míaƒe akɔta, akɔta, ƒodo, kple akɔta ene.
  • Anɔ abe wuiatɔ̃ le alafa me (15%) lɔ ta kple kɔ ɖe eme.

Sarcoma ƒomevi kawoe nye?

Menye ƒomevi ɖeka koe sarcoma nye o. Enye nya si keke ta na kansa ƒe hatsotso gã aɖe si dona le ƒuwo kple lãkusi falɛfalɛwo me. Le nyateƒe me la, wode dzesi sarcoma ƒomevi sue siwo wu 70 . Esesẽ ŋutɔ, alo? Na míalé ŋku ɖe ƒomevi vevi eveawo ŋu.

1. Ƒumeŋuɖui (Sarcomas).

Esia nye kansa si dzea egɔme tso ƒuwo me tẽ (`primary bone sarcoma`). Wokpɔa sarcoma sia ƒomevi ƒe akpa etɔ̃lia kple edzivɔ le amesiwo mexɔ ƒe 35 haɖe o ŋu.Woate ŋu akpɔe le ɖeviwo hã ŋu.

Ƒumeŋuɖui ƒomevi vevi aɖewoe nye:

  • Osteosarcoma ƒe dɔléle(Esiae nye ƒomevi si wokpɔna wu)
  • Chondrosarcoma ƒe dɔléle
  • Chordoma si woyɔna be chordoma
  • Ewing ƒe sarcoma ƒe dɔléle
  • Fibrosarcoma ƒe dɔléle

Vevietɔ: Menye kansa siwo katã dona le ƒuwo me ye nye ƒumeŋuɖui o. Ɣeaɖewoɣi la, kansa lãmenugbagbevi siwo dze egɔme tso ŋutilãa ƒe akpa bubuwo (abe lãkusi, no, alo lãkusi ene) te ŋu toa ʋukawo me eye wokakana yia ƒuwo me. Woyɔa esia be ƒumeŋuɖui si kaka ɖe teƒe bubuwo . Esia to vovo na ƒumekansa gbãtɔ.

2. Lãmetsi Falɛfalɛwo ƒe Sarcomas

Esiawo dzea egɔme tso míaƒe lãmekawo alo kadodoŋusẽ bubu siwo le ŋutilãa me. To vovo na ƒumeŋuɖui la, lãmeka falɛfalɛwo ƒe sarcoma bɔ ɖe ame tsitsiwo me wu. Gake ƒomevi aɖewo, abe rhabdomyosarcoma ene, bɔ ɖe ɖeviwo me wu.

Lãmetsi falɛfalɛwo ƒe sarcoma ƒomevi vovovowo li:

  • Angiosarcoma ƒe dɔléle
  • Desmoplastic lãmenugbagbevi goglo suewo ƒe dɔdzẽwo
  • Dɔgbo ƒe dɔgbo ƒe stromal tumor (GIST) .
  • Leiomyosarcoma ƒe dɔléle
  • Liposarcoma ƒe dɔléle
  • Lãmetsiŋusẽ si le gota gome ƒe dɔdzẽ vɔ̃ɖi
  • Schwannoma si gblẽa nu le ame ŋu
  • Myxofibrosarcoma ƒe dɔléle
  • Synovial sarcoma ƒe dɔléle
  • Pleomorphic sarcoma si womede vovototo wo dome o

Kpɔ alesi gbegbe ƒomeviwo li ɖa! Amesiawo dometɔ ɖesiaɖe ƒe nɔnɔme kple atikewɔwɔmɔnu ate ŋu ato vovo vie.

Amekawoe le afɔku gã me be woaxɔ sarcoma?

Sarcoma ate ŋu adze ɖeviwo kple ame tsitsiwo siaa dzi. Soft tissue sarcoma bɔ ɖe ame tsitsiwo me wu. Gake ƒumeŋuɖui ya bɔ ɖe ɖeviwo, sɔhɛ tsitsiwo, kple amesiwo xɔ wu ƒe 65. Numekuku aɖewo ɖee fia be ƒumeŋuɖui ya bɔ vie le ŋutsuwo kple ameyibɔwo alo Hispaniatɔwo dome .

Nukatae sarcoma sia va doa mo ɖa? Nuka gbɔe wòtso?

Le nyateƒe me la, esiae nye kuxi si le ame geɖe ŋu. Sarcoma dzɔna ne tɔtrɔ aɖewo va le ƒumelãmenugbagbevi siwo metsi o alo lãmenugbagbevi falɛfalɛ siwo le míaƒe ŋutilã me ƒe domenyiŋusẽfianu (DNA) me , eye lãmenugbagbevi mawo va zua kansa lãmenugbagbeviwo. Emegbe kansa lãmenugbagbevi siawo te mama kabakaba eye womate ŋu aɖu wo dzi o. Mlɔeba la, lãmenugbagbevi siawo va ƒoa ƒu wɔa dɔdzẽ. Dɔdzẽ sia tsina vivivi eye ate ŋu agblẽ nu le lãmeka siwo le lãmesẽ me siwo ƒo xlãe ŋu ahadze wo dzi.

Ne womewɔ atike na esia nyuie o la, kansa lãmenugbagbeviwo ate ŋu akaka to míaƒe ʋukawo alo ʋukawo me.Kansa ate ŋu azɔ mɔ ayi ŋutilã ƒe akpa siwo le didiƒe eye wòana dɔdzẽ yeyewo nado. Woyɔa esia be metastasis , alo kansa ƒe kaka. Kansa siwo kaka alea la dada sesẽ ŋutɔ.

Abe alesi wòle le kansa ƒomevi bubuwo gome ene la, numekulawo mekpɔ susu aɖeke si tae lãmenugbagbevi si le lãmesẽ me zua sarcoma lãmenugbagbevi zi ɖeka o.

Nukawoe nye afɔku siwo ate ŋu ana ame naxɔ sarcoma?

Togbɔ be naneke meli si gbɔ wòtso tẽ o hã la, wode dzesi afɔku aɖewo siwo ate ŋu ana sarcoma xɔxɔ ƒe afɔkua nadzi ɖe edzi. Woawoe nye:

  • Atike aɖewo zazã: Nuwo abe arsenic, atike aɖewo siwo wozãna tsɔ wɔa plastikwo (e.g. vinyl chloride monomer), gbewutikewo (e.g. phenoxyacetic acid), kple atiwo ƒe atikewo (e.g. chlorophenols) zazã ɣeyiɣi didi.
  • Kekeli: Kekeli gbogbo aɖewo zazã abe kansa bubu dada ene va yi.
  • Lymphedema: Abɔ alo afɔwo ƒe vuvu ɣeyiɣi didi.
  • Domenyiŋusẽfianu aɖewo: Domenyiŋusẽ ƒe nɔnɔme aɖewo kple domenyiŋusẽfianu ƒe tɔtrɔwo nye domenyinu. Kpɔɖeŋu aɖewoe nye Gardner ƒe dɔléle, Werner ƒe dɔléle, von Hippel-Lindau ƒe dɔléle, Gorlin ƒe dɔléle, tuberous sclerosis, Li-Fraumeni ƒe dɔléle, retinoblastoma, kple neurofibromatosis ƒomevi 1. Esiawo nye nɔnɔme siwo mebɔ kura o.

Afɔku siawo ƒe amesinɔnɔ mefia be àxɔ sarcoma godoo o. Ke hã, ele vevie be nànɔ ŋudzɔ ɖe wo ŋu.

Nukawoe nye Sarcoma ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Sarcoma ƒe dzesiwo toa vovo ŋutɔ le afisi kansa la le nu. Le kpɔɖeŋu me, ɖewohĩ sarcoma aɖewo maɖe dzesi aɖeke afia le gɔmedzedzea me o. Ame bubuwo ate ŋu ase le wo ɖokui me abe ƒunukpeƒetetedɔ si me vevesese aɖeke mele o le ŋutigbalẽ te ene. Gake ne ƒunukpeƒea tsi eye wòte ɖe lãmeka kple ŋutinu siwo te ɖe eŋu dzi ko hafi vevesesea dzea egɔme.

Le go bubu me la, sarcoma aɖewo ate ŋu ana alɔ alo afɔ ƒe ƒuwo nase veve ɣeyiɣi didi eye woavuvu . Vevesese sia ate ŋu asẽ ŋutɔ le zã me . Esia ate ŋu ana wòasesẽ be nàʋuʋu wò alɔ alo afɔ ahawɔ gbesiagbedɔwo.

Dzesi siwo bɔ siwo woate ŋu akpɔ dometɔ aɖewoe nye:

  • Kpe yeye alo vuvu (esia ate ŋu ase veve alo mase veve o).
  • Vevesese si womate ŋu aɖe o le alɔ, afɔ, dɔgbo, alo akɔta.
  • Abɔ alo afɔ ʋuʋu sesẽ (e.g., lãmetutudɔ, ʋuʋu si seɖoƒe li na).
  • Lolo dzi ɖeɖe kpɔtɔ susu aɖeke manɔmee.
  • Akɔtave (vevietɔ ne kansa la le akɔta).

Ðo ŋku edzi be woate ŋu akpɔ dzesi siawo le dɔléle bubu geɖewo hã me. Eyata, mègavɔ̃ be yeasusui be sarcoma ye le esi dzesi aɖe le ye ŋu abe esia ene ta ko o. Ke hã, nunya le eme be nàyi ɖɔkta gbɔ ahaɖo aɖaŋu na wò.

Aleke woawɔ anya sarcoma nyuie? (Dɔléle ƒe dzesi) .

Ne dzesi siawo tɔgbe le ŋuwò la, wò ɖɔkta abia wò dzesiwo gbã eye wòado wò ŋutilã kpɔ. Emegbe, ahiã be woawɔ dodokpɔ tɔxɛ aɖewo atsɔ akpɔe ɖa be sarcoma le ŋuwò eye wònye ƒomevi si wònye hã. Dodokpɔ vevitɔ kekeakee nye ŋutilã ƒe akpa aɖewo ɖeɖeɖa.

Biopsy bia be woaɖe lãkusi sue aɖe tso dɔdzẽa me atsɔe ayi dodokpɔxɔ me. Le afima la, eŋutinunyala bibi aɖe si woyɔna be dɔléleŋutinunyala tsɔa nusuekpɔmɔ̃ léa ŋku ɖe lãkusia ŋu be yeakpɔe ɖa be kansadɔlékuiwo le eme hã, eye ne ele nenema la, ke sarcoma ƒomevi ka ƒomevie wònye hã. Nyatakaka siawo akpe ɖe ŋuwò nànya atikewɔwɔ nyuitɔ kekeake na wò.

Dodokpɔ bubu aɖewoe nye:

  • X-ray: Esia ate ŋu aɖe ƒuwo kple lãkusi falɛfalɛwo ƒe foto.
  • CT scan (Computed Tomography scan): Esia xɔa X-ray siwo kplɔ wo nɔewo ɖo eye wònana wokpɔa ŋutilãa ƒe akpa si le eƒe akpa vovovowo.
  • MRI (Magnetic Resonance Imaging): Esia zãa magnet gã aɖe, radio ƒe ƒutsotsoewo, kple kɔmpiuta tsɔ ɖea ŋutilãa ƒe akpa si me kɔ eye wòdea to. Ne wokpɔ nane si mebɔ o le X-ray me la, woate ŋu abia tso asiwò be nàwɔ MRI.
  • Ƒuwo me toto: Le esia me la, wodoa keklẽŋusẽ sue aɖe ɖe ŋutilãa me be wòakpe ɖe ame ŋu wòade dzesi nusiwo mesɔ o le ƒuwo me (abe ƒumeŋuɖui ene).
  • PET scan (Positron Emission Tomography scan): Esia zãa sukli ƒomevi tɔxɛ aɖe. Esi wònye be lãmenugbagbevi siwo ma kabakaba, abe kansa lãmenugbagbeviwo ene, zãa sukli geɖe ta la, fotoɖeɖe sia ate ŋu aɖe ŋutilãa ƒe akpa siwo sukli sɔ gbɔ ɖo le mɔ si mesɔ o nu (afisi dɔdzẽ ate ŋu anɔ) afia.

Aleke wowɔna nyaa sarcoma ƒe afɔɖeɖewo?

Nyanya afisi kansa le le vevie ŋutɔ. Ekpena ɖe ame ŋu wòsea alesi kansa la nu sẽe kple atikewɔwɔ nyuitɔ kekeake gɔme. Woda sarcoma akpa gãtɔ ɖe hatsotsowo me le TNM ƒe hatsotsowo me toto ƒe ɖoɖoa nu :

  • T (Tumor): Esia fia alesi kansa ƒe dɔdzẽ gbãtɔa ƒe lolome kple afisi wòle .
  • N (Nodes): Esia fia nenye be kansa la kaka ɖe ʋuka siwo te ɖe eŋu me .
  • M (Metastasis): Esia fia nenye be kansa la kaka (metastasized) yi ŋutinu bubu siwo le didiƒe le ŋutilãa me.

Tsɔ kpe ɖe eŋu la, ɖɔktawo dea dzesi kansa la (Grade - G).Esia fia alesi kansa lãmenugbagbeviwo ɖi wo nɔewo alo to vovo tso lãmenugbagbevi siwo sɔ gbɔ. Le goawo katã me la, zi alesi kansadɔlékuiawo ɖi lãmenugbagbevi siwo sɔ la, zi nenemae nyagblɔɖia nyona ɖe edzii.

Ðɔktawo zãa nyatakaka siawo katã tsɔ nyaa afisi sarcoma (xexlẽme si tso 1 va ɖo 4) le. Zi alesi xexlẽmea sɔ gbɔe la, zi nenemae kansa la dzi ɖe edzi le nutoa me alo kaka ɖe ŋutilã bliboa me.

Dzesi siwo woatsɔ anya afɔɖeɖea ate ŋu ato vovo vie le sarcoma ƒomevi ɖesiaɖe gome. Eyata, gblɔ wò kansa ƒe afɔɖeɖe kple alesi wòakpɔ ŋusẽ ɖe wò atikewɔwɔ kple hayahaya le etsɔme dzi na wò ɖɔkta faa.

Nukawoe nye Sarcoma ƒe atikewo?

Ne wole sarcoma dam la, menye ɖɔkta ɖeka koe wònye o, ke boŋ eŋutinunyalawo ƒe ƒuƒoƒo aɖe si wɔa dɔ ɖekae. Amekolawo, keklẽŋusẽŋutinunyalawo, domenyiŋusẽfianuŋutinunyalawo, atikewɔwɔ me kansadɔdalawo, keklẽŋusẽŋutinunyalawo, dɔléleŋutinunyalawo, ɖeviwo ƒe dɔdalawo (na ɖeviwo ƒe kansa), susuŋutinunyalawo, kple hadomekpekpeɖeŋudɔwɔlawo ate ŋu anɔ ƒuƒoƒo sia me.

Atike si nàxɔ anɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye:

  • Sarcoma ƒomevi aɖe.
  • Dɔdzẽa ƒe lolome kple afisi wòle.
  • Wò lãmesẽ bliboa.
  • Eɖanye be wokpɔ sarcoma la yeyee alo edze va yi eye wògatrɔ gbɔ (egadzɔna enuenu).

Atikewɔwɔmɔnu vevi aɖewoe nye:

1. Amekoko

Le esia me la, ɖɔktawo dzea agbagba be yewoaɖe kansadɔlékuiawo katã ɖa esime wole lãmeka siwo le lãmesẽ me alesi woate ŋui la lém ɖe te. Woɖea dɔdzẽa ɖa kple lãkusi si le lãmesẽ me ƒe akpa manyomanyo si ƒo xlã dɔdzẽa (`wide local excision`). Esia dzea agbagba be yeaɖe kansa lãmenugbagbevi sue ŋutɔ siwo le sue ŋutɔ la ɖa evɔ megblẽ ɖeke ɖi o.

Ɣeaɖewoɣi la, ele be woagbugbɔ teƒe si wògblẽ nu le la atu. Le abɔ kple afɔ ɖeɖe ƒe amekoko me la, woɖea dɔdzẽa ɖa eye ne ehiã la, wogatsɔa ga ɖɔlia ƒunukpeƒea. Ɣeaɖewoɣi la, woate ŋu azã ƒu si tso ŋutilã ƒe akpa bubu alo ƒu bubu si wodo ɖe ƒu me atsɔ aɖɔli ƒu si woɖe ɖa. Gake le go aɖewo me la, mɔnu si le dedie wu eye wònyo wue nye be woaɖe abɔ kple afɔ si ŋu dɔlélea le la ɖa (lãɖeɖe). Esia nye nyametsotso sesẽ ŋutɔ.

2. Kekeli ƒe Dɔdamɔnu

Le esia me la, wozãa X-ray siwo ŋu ŋusẽ geɖe le tsɔ tsrɔ̃a kansa lãmenugbagbeviwo. Taɖodzinuae nye be woaɖe nusiwo gblẽ le lãmenugbagbevi siwo le lãmesẽ me ŋu dzi akpɔtɔ. Woate ŋu ana keklẽŋusẽdɔdamɔnu le ememe (wotsɔe de ŋutilãa me) alo le egodo (wotsɔe tso ŋutilãa godo to mɔ̃ dzi). Egbegbe mɔ̃ɖaŋununya deŋgɔ na be keklẽŋusẽa te ŋu ɖoa kansa la gbɔ pɛpɛpɛ, si wɔnɛ be lãmeka siwo le lãmesẽ me siwo ƒo xlãe la meganɔa anyi o.

Woate ŋu azã keklẽŋusẽdɔdamɔnu si wonana le ememe , si woyɔna hã be brachytherapy , na sarcoma siwo mekaka o. Woate ŋu anae le amekoko me (intra-operative radiotherapy) alo to plastic tubes (catheters) dzi le amekoko megbe (interstitial brachytherapy).

Wozãa keklẽŋusẽdɔdamɔnu hã le nɔnɔme siwo me kansa la kaka ɖo (dɔléle si kaka ɖe teƒe bubuwo).

3. Atikewo zazã

Esia zãa atike siwo wua kansadɔlékui siwo le mama kabakaba alo woƒe tsitsi blewu. Woate ŋu ana atike siawo to ʋuka me alo abe atikekui siwo woano to nu me ene. Wona wo be woatsɔ aɖe dɔdzẽa dzi akpɔtɔ hafi woawɔ dɔ nɛ alo woawu kansadɔlékui ɖesiaɖe si susɔ le amekokoa megbe. Ɣeaɖewoɣi la, wonaa atikewɔmɔnu kpe ɖe keklẽŋusẽdɔdamɔnu ŋu.

4. Atikewɔwɔ si Woɖo Ðe Ame Ŋu

Esia nye atikewɔwɔ si le tẽ ŋutɔ. Ezãa atike siwo tɔa ŋku gbɔdzɔgbɔdzɔ tɔxɛ siwo le kansa lãmenugbagbeviwo me evɔ womegblẽa nu le lãmenugbagbevi siwo le lãmesẽ me ŋu o. Gake kansa lãmenugbagbevi ƒomevi siwo ŋu gbɔdzɔgbɔdzɔ mawo siwo woɖo taɖodzinu na le koe atikewɔwɔ sia wɔa dɔ le. Wò ɖɔkta ate ŋu akafui be wòanye atike ɖeka alo atsɔe akpe ɖe atike bubuwo ŋu.

5. Dɔlélenutsiŋutete ƒe Dɔdamɔnu / Biologic Therapy

Esia bia be míado ŋusẽ míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete , akpe ɖe eŋu wòade dzesi kansa lãmenugbagbeviwo ahawɔ avu kpli wo. Kansa lãmenugbagbeviwo ate ŋu aɣla wo ɖokui ɖe míaƒe dɔlélenutsiŋutete, alo axe mɔ nɛ be wòagawɔ dɔ o. Esia tae kansa lãmenugbagbeviwo tsina le ŋutilãa me ɖo. Dɔlélenutsiŋutete ƒe dɔdamɔnu wɔa dɔ to kansa lãmenugbagbeviwo ƒe ametakpɔnu siawo nuwɔametɔ wɔwɔ me eye wòkpena ɖe míaƒe ŋutilã ŋu be wòawɔ avu kple kansa ŋutɔ.

6. Dzoxɔxɔ ƒe Ʋuʋudedi

Ɣeaɖewoɣi la, woate ŋu atsrɔ̃ sarcomas ne wodo dzo alo tsɔ wo de tsikpe me . Kekeliŋutinunyala si dea nu nyaa me ye wɔa esia, eye wòzãa fotoɖemɔ̃ (abe CT scan ene) tsɔ dia afisi dɔdzẽa le pɛpɛpɛ eye wòdea dɔwɔnu tɔxɛ aɖe (si nye nusi wotsɔna dzroa nu me) eme.

7. Dɔlélenutsitsidɔ

Esia menye atike si daa kansa o. Gake ele vevie ŋutɔ. Esia nye atikewɔwɔ tɔxɛ na amesiwo ŋu dɔléle sesẽwo abe kansa ene le. Ðɔktawo, dɔnɔdzikpɔlawo, hadomekpekpeɖeŋudɔwɔlawo, kple nuɖuɖuŋutinunyalawo le amesiwo kpɔa dɔlélenutsiŋutete gbɔ ƒe ƒuƒoƒoa me. Wowɔa dɔ be woaɖe dzesiawo dzi akpɔtɔ eye woakpɔ atikewɔwɔ ƒe nugbegblẽ le ame ŋu gbɔ.Ƒuƒoƒo sia kpena ɖe ŋuwò hã be nàkpɔ nuteɖeamedzi kple kuxi siwo dona tso kansadɔ si wokpɔna me gbɔ eye nàlé wò agbenɔnɔ ƒe nyonyome me ɖe asi.

8. Dɔdamɔnu Dodokpɔwo

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be nàkpɔ gome le dɔdamɔnu dodokpɔ aɖe me . Esiawo nye numekuku siwo doa kansadɔdamɔnu yeyewo ƒe dedienɔnɔ kple woƒe dɔwɔwɔ kpɔna. Sarcoma ƒe atike yeyewo nɔa numekuku ƒe akpaa me ɣesiaɣi. Le dɔléle si wokpɔ le ŋuwò nu la, dodokpɔ sia ƒomevi ate ŋu anye tiatia na wò.

Aleke agbe le le Sarcoma gome? (Agbetsitsi ƒe Agbɔsɔsɔme) .

Nya sia nye nya si ame geɖe biana. Le lãmeka falɛfalɛwo ƒe sarcoma me la, ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme anɔ abe 81% ene ne kansa la mekaka ɖe ŋutilã ƒe akpa bubuwo o (ekaka ɖe teƒe bubuwo). Gake le kansa si kaka ɖe teƒe bubuwo gome la, xexlẽme sia anɔ abe 15% ene. Le osteosarcoma, si nye ƒumeŋuɖui ƒomevi si bɔ wu me la, ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme anɔ abe 77% ene ne kansa la mekaka o, eye le kansa si kaka ɖe teƒe bubuwo gome la, anɔ abe 26% ene.

Gake mègatu wò nyagblɔɖi ɖe xexlẽme siawo ɖeɖeko dzi o. Wò emetsonu anɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye sarcoma ƒomevi si le ŋuwò, afisi wòle, wò lãmesẽ bliboa, kple alesi nèwɔa nu ɖe ​​atikewɔwɔ ŋui. Wò ɖɔktae nye ame nyuitɔ kekeake si anya wò nɔnɔmea ŋuti nyatakakawo pɛpɛpɛ.

Ɣeyiɣi kawoe nye nyuitɔ kekeake siwo nàte ŋu ayi ɖɔkta gbɔ?

Ne ƒu yeye aɖe le ŋuwò – eɖanye vevesese alo vevesese o – vevietɔ ne elolo abe golf-bɔl ene (anɔ abe sentimeta 5 ene) la, yi ɖɔkta gbɔ enumake. Azɔ hã, ne ƒuwo le veve sem na wò alo viwòa evɔ mexɔ abi aɖeke o , eye meganyo le eɖokui si o la, di atikewɔlawo ƒe aɖaŋuɖoɖo.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Menye kansa ƒomevi ɖeka koe sarcoma nye o. Enye dɔdzẽ ƒomevi vovovowo ƒe ƒuƒoƒo si ate ŋu ado ɖe míaƒe ƒuwo alo lãkusi falɛfalɛwo me. Dzesiawo toa vovo le afisi dɔdzẽa le nu. Ne wokpɔe be sarcoma le ŋuwò la, ɖo ŋku edzi be nu geɖe dzie wò atikewɔmɔnu siwo nàte ŋu azã kple alesi dɔlélea adze le etsɔme. Wò ɖɔkta ate ŋu aɖe nusiawo katã me na wò.

Mègatsi dzodzodzoe o, ke boŋ kpɔ nyuie. Ne ède dzesi nane si mebɔ o la, ƒo nu tso eŋu na ɖɔkta. Zi alesi wokpɔe kaba la, zi nenemae wòanɔ bɔbɔe be atikewɔwɔ nadze edzi.


` Sarcoma, kansa, ƒu me kansa, lãmeka falɛfalɛwo ƒe kansa, kansa ƒe dzesiwo, kansa dada, Sarcoma

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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