Ðe dɔdzẽ aɖe si le tsitsim blewu le wò ƒunukpeƒe ɖeka ŋua? Mina míasrɔ̃ nu tso Tenosynovial Giant Cell Tumor ŋu!

Ðe nèse le ɖokuiwò me kpɔ be ƒu sue aɖe le tsitsim le yeƒe ŋutilã ŋu, vevietɔ le ƒunukpeƒe aɖe gbɔa? Ate ŋu avee vie gɔ̃ hã ne èzi edzi. Esɔ be nàvɔ̃ vie ne èkpɔ nane si le abe esia ene. Gake menye ƒunukpeƒewo katãe nye kansa o. Egbea míele nu ƒom tso ƒunukpeƒetetedɔ mawo dometɔ ɖeka ŋu, si menye kansa o, gake ebia be woatsi dzi vie. Ema nye nɔnɔme si woyɔna be `(Tenosynovial Giant Cell Tumor)`.

Dɔdzẽ ka ƒomevie nye esia? `(Tenosynovial Gã Lãmenugbagbeviwo ƒe Dɔdzẽ)` ko

Kpuie ko la, Tenosynovial Giant Cell Tumor nye dɔdzẽ si menye kansa o si dona le lãkusi falɛfalɛ siwo ƒo xlã wò ƒunukpeƒewo me. Woyɔa esiawo zi geɖe be dɔdzẽ siwo me dɔlékui aɖeke mele o. Esia fia be womenye kansa o eye womehea kansa vɛ o.

Esiawo nye dɔdzẽ ƒomevi aɖe si mebɔ o si woyɔna be ``Giant Cell Tumor.`` Zi geɖe la, dɔdzẽ siawo mekakana tso teƒe ɖeka yia bubu le ŋutilãa me o. Gake woate ŋu atsi ahatsi kabakaba ŋutɔ le nuto si me wodzɔna le.

Le afisi dɔdzẽa le nu la, ate ŋu ana wòasesẽ be woaʋuʋu ƒunukpeƒe si le teƒe ma eye wòana ame nase veve. Ɣeaɖewoɣi la, dɔdzẽ siawo te ŋu tsina hetena ɖe ƒuawo dzi, eye wònana ƒuwo nagbã gɔ̃ hã.

Zi geɖe la, amekoko hiãna be woaɖe ``Tenosynovial Giant Cell Tumor.`` sia ɖa.`` Ame aɖewo hã ateŋu ahiã keklẽŋusẽdɔdamɔnu.

Aleke esia kpɔa ŋusẽ ɖe ŋutilãa dzii?

``Tenosynovial Giant Cell Tumor'' ƒomevi etɔ̃e li, le alesi wowɔna le ŋutilã ƒe lãkusi vovovowo me nu:

1. Ƒunukpeƒetetedɔ siwo dzɔna le wò ƒunukpeƒewo ƒe lãkusi me: Esiawo dzɔna le lãkusi tsɛ si le wò ƒunukpeƒewo ƒe eme (synovium) me. Abe ƒunukpeƒe siwo le eme abe wò klowo kple abɔta ene.

2. Tendon Sheath Cysts: Tendons nye nusiwo le abe ka ene siwo doa ka kple míaƒe lãmekawo kple míaƒe ƒuwo. Ʋuʋudedi siawo ate ŋu adzɔ le ametakpɔnu si ƒo xlã lãkusi siawo, si woyɔna be Lãmetsi ƒe Akɔta.

3. Bursal cysts: Bursae nye kotoku sue siwo me tsi yɔ fũu siwo le ƒunukpeƒewo gbɔ, afisi lãmekawo, lãkusiwo, kple ƒuwo doa go le. Wonana ƒunukpeƒewo nɔa akɔta eye wokpɔa wo ta. Bursae hã ate ŋu atsi.

Togbɔ be ``Tenosynovial Giant Cell Tumors`` siawo ateŋu adzɔ le ŋutilã ƒe akpa ɖesiaɖe hã la, wokpɔa wo wu le:

• Asibidɛwo alo asibidɛwo
• Afɔkpodzi alo Afɔwo
• Klowo
• Asibidɛwo
• Abɔtawo

Wogblɔ hã be ne ƒunukpeƒetetedɔ si le abe esia ene da dɔ hã la, ame aɖewo ate ŋu axɔ ƒunukpeƒetetedɔ alo ƒunukpeƒetetedɔ le ƒunukpeƒe ma emegbe vie.

Amekae xɔa nusiawo zi geɖe wu? Aleke gbegbe wòbɔe?

Ame sia ame ateŋu axɔ ``Tenosynovial Giant Cell Tumor'' sia. Gake ebɔ ɖe ƒuƒoƒo aɖewo me wu:

• Nyɔnuwo dome bɔ wu ŋutsuwo .
• Ƒe 30 va ɖo ƒe 50 xɔxɔEbɔ ɖe ame tsitsiwo dome.

Gake megatsi dzi o, `(Tenosynovial Giant Cell Tumors)` sia nye nɔnɔme si mebɔ kura o. Le xexea me godoo la, ame siwo mede 50 o le miliɔn ɖeka me xɔa nɔnɔme siawo ƒe sia ƒe. Eyata esia menye dɔléle si dzea amesiame dzi o.

Nukawoe nye dzesiawo?

Dzesi siwo bɔ wu le dɔdzẽ sia ŋue nye:

• Kpe alo ƒunukpeƒetetedɔ si dona tso ƒunukpeƒe.
• Vevesesea dzina ɖe edzi ne èʋuʋu akpa ma.
• Ʋuʋudedi aɖe.

Tsɔ kpe ɖe eŋu la, dzesi siwo gbɔna ate ŋu anɔ ƒunukpeƒe si te ɖe dɔdzẽa ŋu:

• Seselelãme si nye be wole ƒunukpeƒea te sesĩe, wole ʋuʋum, alo gbeɖiɖi si nye "clicking" ne wole ƒunukpeƒea ʋuʋum.
• Dzoxɔxɔ le ŋutigbalẽ si ƒo xlã ƒunukpeƒea ŋu.
• Ƒunukpeƒea ƒe sesẽ .
• Ƒunukpeƒea sena le eɖokui me be yegbɔdzɔ eye agbe mele eme o .

Dzesi siwo nèkpɔna kple alesi wosẽnae nɔ te ɖe nu geɖe dzi:

• Lãmetsi ka ƒomevie wotsɔ wɔ dɔdzẽae.
• Afikae wòle le ŋutilãa me?
• Aleke gbegbe dɔdzẽa loloe nye si.

Ame geɖe va kpɔnɛ be Tenosynovial Giant Cell Tumor le yewo ŋu le ƒe geɖe ƒe dzesiwo kpɔkpɔ vɔ megbe. Eyata anyo wu be nàgblɔe na ɖɔkta ne ède dzesi tɔtrɔ yeye alo ƒunukpeƒetetedɔ aɖewo le wò ŋutilã me.

Nukatae dɔdzẽ siwo le abe esia ene dzɔna?

Eŋutinunyalawo mekpɔ nusi koŋ gbɔ ``Tenosynovial Giant Cell Tumors'' siawo tso haɖe o. Ke hã, numekuku aɖewo ɖee fia be tɔtrɔ aɖewo le ame siwo xɔa dɔdzẽ siawo ƒe domenyiŋusẽfianu me.

Chromosomes nye míaƒe lãmenugbagbeviwo ƒe akpa siwo me míaƒe domenyiŋusẽfianu ŋuti nyatakakawo (DNA) le. Ne domenyiŋusẽfianu siawo gblẽ la, woate ŋu ahe tɔtrɔ vovovowo vɛ le ŋutilãa me. Vevietɔ la, wosusui fifia be dɔdzẽ siawo dzɔna le ɖoɖo aɖe si woyɔna be ``Translocation``, si me domenyiŋusẽfianu ƒe akpa aɖewo gbãna eye wogawɔa ɖeka le mɔ yeyewo nu.

Aleke nèwɔ de dzesi esia?

Ðɔkta aɖe akpɔ ``Tenosynovial Giant Cell Tumor'' sia to wò dodokpɔ, ``Ŋutilãme Dodokpɔ'' wɔwɔ, kple ``Nɔnɔmetata Dodokpɔ'' aɖewo wɔwɔ me.

Le afisi dɔdzẽa le nu la, àte ŋu ase egɔme le wò ŋutigbalẽ te. Ðɔktaa alé ŋku ɖe dɔdzẽa kple nuto siwo ƒo xlãe ŋu nyuie. Tsɔ kpe ɖe eŋu la, woawɔ dodokpɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema atsɔ aɖe dɔdzẽa ƒe foto:

• X-ray-wo wɔwɔ
• MRI (Magnetic Resonance Imaging) ƒe fotoɖeɖefia
• Ultrasound ƒe fotoɖeɖe

Ðɔktaa ate ŋu axɔ dɔdzẽa alo lãkusi si ƒo xlãe ƒe kpɔɖeŋu sue aɖe hã atsɔe ayi dodokpɔxɔ me be woadoe kpɔ. Woyɔa esia be ``biopsy.'' Esia ateŋu akpeɖeŋu be woanya dɔdzẽ ƒomevi si tututu wònye.

Aleke wowɔa atike nɛ?

Zi geɖe la, woɖea Tenosynovial Giant Cell Tumors ɖa to amekoko me. Wò amekola aɖe dɔdzẽa ɖa to amekoko si woawɔ le gaglãgbe alo to mɔnu aɖe si woyɔna be ƒunukpeƒetetedɔ me. Ɣeaɖewoɣi la, woate ŋu aɖe dɔdzẽa ɖa kpe ɖe lãkusi si ŋu dɔlélea le si ƒo xlãe ŋu.

Ƒunukpeƒetetedɔ nye mɔnu si me wotsɔa mɔ̃ didi aɖe si le sue si me fotoɖemɔ̃ kple kekeli le (si woyɔna be ƒunukpeƒekpɔmɔ̃) toa lãgbalẽ sue geɖe siwo woɖe le ŋutigbalẽ si te ɖe ƒunukpeƒea ŋu me. Ne wole ŋku lém ɖe ƒunukpeƒea me ŋu la, wozãa dɔwɔnu suewo tsɔ ɖea dɔdzẽa kple lãkusi bubu siwo gblẽ la ɖa. Dɔwɔwɔ sia mebia be woatso nu gã aɖe o, eyata eƒe dɔyɔyɔ ate ŋu adzɔ kabakaba.

Wò amekola aɖe amekoko si ƒomevi woawɔ na wò kple nusi nàkpɔ mɔ na le ema megbe la me na wò. Ɣeyiɣi si woatsɔ ahaya la anɔ te ɖe:

• Enɔ te ɖe afisi dɔdzẽa le le ŋutilãa dzi dzi.
• Enɔ te ɖe alesi gbegbe wòloloe dzi.
• Le alesi gbegbe wòle be woaɖe lãkusi geɖe le amekokoa me nu.

Woate ŋu atsɔ atikewɔmɔnu aɖewo, si nye kansa dada, ada Tenosynovial Giant Cell Tumors aɖewo. Togbɔ be zi geɖe la, wozãa atikewɔmɔnu tsɔ wua kansadɔlékuiwo hã la, atikewɔmɔnu ƒomevi aɖewo hã ate ŋu atɔ ŋku dɔdzẽ siawo siwo mewɔa nuvevi ame o eye woawu wo.

Nu vevi ɖeka si le `(Tenosynovial Giant Cell Tumors)` siawo ŋu enye be woƒe `(Recurrence Rate)` sɔ gbɔ. Esia fia be ne woɖe wo ɖa dzidzedzetɔe to amekoko me alo wotsɔ `(Chemotherapy)` tsrɔ̃ wo gɔ̃ hã la, mɔnukpɔkpɔ gã aɖe li be dɔdzẽ ma tɔgbe agadze ake.

Ƒã ŋutɔ hafi ne dɔdzẽa gblẽ nu le ƒunukpeƒea ŋu vevie la, ate ŋu ahiã gɔ̃ hã be woaɖe ƒunukpeƒea ƒe akpa si me ƒunukpeƒea le, abe alɔ alo afɔ ene, ɖa. Gake ƒã hafi esia dzɔna.

Ðe woate ŋu axe mɔ ɖe esia nu be wòagadzɔ oa?

Nublanuitɔe la, mɔ aɖeke meli si dzi nàto axe mɔ na `(Tenosynovial Giant Cell Tumor)` sia ƒe dzɔdzɔ le wò ŋutilã me o. Esi womenya nusi tututu gbɔ wɔwɔme siawo tso o ta la, manya wɔ be woagblɔ ɣeyiɣi si me woava dzɔ, le amesi me, alo nusita woadzɔ ɖo o.

Nukae dzɔna ne dɔdzẽ si le abe esia ene le ŋuwò?

Ne woɖe Tenosynovial Giant Cell Tumor ɖa vɔ la, àte ŋu akpɔ mɔ be yehaya bliboe. Ne woɖe dɔdzẽa ɖa vɔ la, ahiã be nànɔ kadodo me kple wò ɖɔkta eye nàyi ɖakpɔ egbɔ edziedzi. Wò ɖɔkta alé ŋku ɖe wò hayahaya ŋu eye wòalé ŋku ɖe eŋu be dɔdzẽ yeyewo le ŋuwò hã. Ne dɔdzẽ yeye aɖe do la, woate ŋu ade dzesii ahadae kaba ale si woate ŋui.

Togbɔ be esiawo menye kansa o eye womehea kansa vɛ o hã la, mɔnukpɔkpɔ nyui aɖe li be àxɔ Tenosynovial Giant Cell Tumors geɖe wu. Ame siwo ŋu dɔléle sia nɔ la dometɔ siwo wu afã agaxɔ dɔdzẽ siawo ake. Ðewohĩ le teƒe ma ke si wodze le zi gbãtɔ, alo le lãmeka bubuwo me le ŋutilãa me. Ðɔkta ate ŋu ayɔ esia hã be gbugbɔgadzɔ.

Ðe nyemate ŋu ayi dɔme/sukudede o vaseɖe esime mahaya?

Ne woɖe Tenosynovial Giant Cell Tumor ɖa vɔ la, ɖewohĩ màte ŋu ayi dɔme alo suku o vaseɖe esime wòahaya. Le kpɔɖeŋu me, ne ele be nàtsi tre ɖe dɔme, ne dɔdzẽa nɔ wò afɔkpodzi, alo ne èzãa ɣeyiɣi geɖe tsɔ ŋlɔa nu ɖe ​​kɔmpiuta dzi, ne wowɔ dɔ na wò le asibidɛ ŋu la, ɖewohĩ ahiã be nàxɔ mɔkeke aɖe tso dɔme alo klasswo me be wòana ɣeyiɣi wò ŋutilã be wòahaya. Ɣeyiɣi didi si wòaxɔ na wò anɔ te ɖe afisi wowɔ dɔa le kple dɔdzẽa ƒe lolome dzi. Wò amekola agblɔ nya sia na wò.

Mègaŋlɔ be be yeabia yeƒe ɖɔkta alo amekola hafi agadze dɔwɔna siwo sɔ alo kamedede gɔme le amekokoa megbe o.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ède dzesi ƒuƒu alo tsitsi yeye aɖe le wò ŋutilã ƒe akpa ɖesiaɖe, vevietɔ le ƒunukpeƒe aɖe gbɔ, eye vevietɔ ne ele veve sem la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ne menye ``Tenosynovial Giant Cell Tumor'' o hã la, zi alesi nèkpɔ ɖɔkta kaba tso ƒunukpeƒetetedɔ ɖesiaɖe ŋu la, zi nenemae woate ŋu ade dzesii kaba ahadae.

Ne kasia mète ŋu ʋã ƒunukpeƒe aɖe o la, ke enye nudzɔdzɔ kpata. Ne edzɔ alea la, yi kɔdzi enumake.

Nya vevi siwo wòle be nàbia wò ɖɔkta

Ne ènya nya be dɔléle sia le ye ŋu ko la, nya vevi aɖewo li siwo wòle be nàbia wò ɖɔkta:

• Tenosynovial Giant Cell Tumor ƒomevi kae le ŋunye?
• Dodokpɔ kawoe wòle be mawɔ?
• Ðe wòhiã be woawɔ dɔ nam ŋutɔŋutɔa?
• Mɔnukpɔkpɔ kawoe li be dɔdzẽ sia nagatsi ake?

Ðe dɔdzẽ siawo to vovo tso `(Ganglion Cysts)` gbɔa?

``Tenosynovial Giant Cell Tumors'' kple ``Ganglion Cysts'' siaa nye dɔdzẽ ƒomevi siwo dzɔna le ƒunukpeƒewo.

Vovototo gãtɔ kekeake si le wo ame evea domee nye afisi wowɔa wo le. Tenosynovial Giant Cell Tumors dzɔna le ƒunukpeƒea alo ƒo xlãe. Ganglion Cysts nye ʋuʋudedi siwo me tsi yɔ fũu siwo dzɔna le wò ŋutigbalẽ te.

Dɔdzẽ ƒomevi siawo evea siaa mezua dɔlékui vɔ̃ɖi gbeɖe o, si fia be womenye kansa o.

Ne ède dzesi ƒuƒu alo ƒuƒu yeyewo le wò ŋutigbalẽ ŋu, vevietɔ ne wole veve sem alo na wòsesẽ be nàʋuʋu ƒunukpeƒe aɖe la, yi ɖɔkta gbɔ.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Nyateƒee, ne èse nya "tumor" la, èvɔ̃na. Gake "tenosynovial giant cell tumors" menye kansa gbeɖe o, eye womehea kansa vɛ o. Zi geɖe la, ehiãna be woawɔ dɔ na ame be woaɖe dɔdzẽ siawo ɖa. Ne "tenosynovial giant cell tumor" ɖeka do la, mɔnukpɔkpɔ li be geɖe wu ava do le etsɔme.

Eyata, ƒo nu kple wò ɖɔkta tso nusiwo ŋu nànɔ ŋudzɔ ɖo ŋu. Ne ède dzesii be ƒu yeye aɖe alo tsi yeye aɖe le tsitsim la, yi ɖɔkta gbɔ enumake. Nu vevitɔ kekeakee nye be nànɔ dedie, axɔ nyatakaka siwo sɔ, eye nàxɔ atike nyuitɔ.

` Tenosynovial giant cell crises, ƒunukpeƒetetedɔ, ƒumeŋuɖui, lãmeka falɛfalɛwo, ƒunukpeƒeveame, amekoko, ƒunukpeƒetetedɔ siwo menye kansa o