Xav paub ntxiv txog mob qog nqaij hlav pob txha? Tsis txhob ntshai, cia peb tham!

Koj puas tau xav tias peb cov pob txha, uas yog, cov pob txha, kuj tuaj yeem mob qog noj ntshav? Tej zaum koj lossis ib tus neeg koj paub tau mob pob txha lossis muaj ib lub pob me me thiab xav paub txog nws. Mob qog noj ntshav pob txha yog dab tsi, nws tshwm sim li cas, cov tsos mob yog dab tsi, thiab puas muaj kev kho? Peb yuav tham txog txhua yam no hnub no, yooj yim heev.

Mob Cancer Pob Txha yog dab tsi?

Hais yooj yim xwb, "Mob Pob Txha" yog ib lo lus dav dav rau ntau hom mob qog noj ntshav uas tshwm sim hauv peb cov pob txha. Thaum cov hlwb qog noj ntshav no pib loj hlob hauv pob txha, zoo li cov nroj tsuag phem, lawv ua rau peb cov pob txha zoo puas tsuaj. Qhov ntawd txhais tau tias lawv ua rau cov pob txha noj qab haus huv puas tsuaj. Txawm hais tias cov mob qog noj ntshav no tuaj yeem tshwm sim hauv txhua pob txha, feem ntau lawv pom hauv pob txha ncej puab, pob txha ceg, lossis pob txha caj npab sab saud.

Tam sim no, muaj ob hom mob qog nqaij hlav pob txha tseem ceeb. Ib hom yog thaum mob qog nqaij hlav pib hauv cov pob txha . Peb hu lawv tias 'mob qog nqaij hlav pob txha thawj zaug' lossis 'mob qog nqaij hlav pob txha'. Lwm hom yog thaum mob qog nqaij hlav pib qhov chaw lwm qhov hauv lub cev, xws li lub mis, lub ntsws, lossis prostate, thiab nws kis mus rau cov pob txha . Peb hu qhov no tias 'bony metastases'. Nws zoo li thaum mob qog nqaij hlav pib qhov chaw lwm qhov thiab tom qab ntawd kis mus rau cov pob txha. Mob qog nqaij hlav mis, mob qog nqaij hlav prostate, thiab mob qog nqaij hlav ntsws yog cov hom uas yuav kis mus rau cov pob txha feem ntau.

Mob qog nqaij hlav pob txha yog ib qho mob hnyav heev, yog li nws tseem ceeb heev uas yuav tsum kho nws sai sai . Tab sis muaj xov xwm zoo! Peb cov kws kho mob muaj ntau txoj hauv kev los kho cov mob qog nqaij hlav pob txha no, thiab qee zaum lawv tuaj yeem kho tau tag nrho.

Muaj hom mob qog nqaij hlav pob txha twg?

Muaj peb hom mob qog nqaij hlav pob txha tseem ceeb, uas yog mob qog nqaij hlav uas pib hauv pob txha nws tus kheej. Cov no raug faib ua pawg raws li hom cell thiab cov nqaij uas mob qog nqaij hlav pib:

1. Osteosarcoma : Qhov no yog hom mob qog nqaij hlav pob txha uas feem ntau pom. Nws pib hauv cov hlwb uas tsim cov pob txha tshiab. Nws feem ntau pom rau cov menyuam yaus (tshwj xeeb tshaj yog hnub nyoog ntawm 10 thiab 20) , tab sis kuj tuaj yeem tshwm sim rau cov menyuam yaus thiab cov hluas.

2. Ewing sarcoma : Hom mob qog noj ntshav no tuaj yeem tshwm sim hauv cov pob txha thiab cov nqaij mos ib puag ncig. Nws kuj tseem pom ntau dua rau cov menyuam yaus thiab cov hluas .

3. Chondrosarcoma : Tus mob qog no pib hauv cov pob txha mos mos, cov nqaij mos uas pab peb cov pob qij txha thiab cov pob txha txav mus los. Nws feem ntau tshwm sim rau cov neeg laus .

Ntxiv rau peb hom mob qog nqaij hlav tseem ceeb no, muaj lwm hom mob qog nqaij hlav pob txha uas tsis tshua muaj:

• Chordoma : Tus mob qog no tshwm sim hauv cov hlab ntsha caj qaum lossis ntawm lub hauv paus ntawm lub pob txha taub hau.
• Fibrosarcoma (Fibrosarcoma)Cov no pib hauv cov ntaub so ntswg fibrous connective ntawm qhov kawg ntawm cov pob txha.
• Cov qog nqaij hlav loj heev : Cov no yog cov qog nqaij hlav uas tsis yog mob qog noj ntshav (benign), tab sis lawv tsis tshua muaj peev xwm ua mob qog noj ntshav.
• Undifferentiated pleomorphic sarcoma : Cov no yog ib hom mob qog nqaij hlav uas tsis tshua muaj zog uas pib hauv cov nqaij mos thiab pob txha.

Mob qog nqaij hlav pob txha feem ntau tshwm sim li cas?

Tiam sis ntawm no yog qhov teeb meem, mob qog nqaij pob txha tsis tshua muaj . Qhov tseeb, piv rau lwm hom mob qog nqaij, nws tsis tshua muaj. Piv txwv li, hauv lub tebchaws zoo li Asmeskas, mob qog nqaij pob txha muaj tsawg dua 1% ntawm tag nrho cov mob qog nqaij. Txawm hais tias nws tuaj yeem tshwm sim rau txhua tus neeg txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov menyuam yaus thiab cov tub ntxhais hluas dua li cov neeg laus.

Qhov tseem ceeb yog tias tsuas yog vim koj muaj ib lub pob hauv koj pob txha xwb, nws tsis tas txhais tau tias nws yog mob qog noj ntshav. Feem ntau cov qog hauv pob txha tsis yog mob qog noj ntshav (benign). Cov qog no tsis kis thoob plaws lub cev zoo li mob qog noj ntshav.

Cov tsos mob ntawm mob qog nqaij hlav pob txha yog dab tsi?

Tej tus neeg uas muaj mob qog nqaij hlav pob txha yuav tsis muaj tsos mob dab tsi li, tsuas yog ib lub pob uas tsis mob xwb. Tiam sis lwm tus yuav muaj ntau yam tsos mob. Xav txog koj tus menyuam lossis ib tus neeg uas koj paub pheej yws txog qhov mob ntawm ib ceg lossis ib sab caj npab, mob hnyav dua thaum hmo ntuj, lossis qee zaum mob ntse heev . Tej zaum koj yuav xav tias, "Auj, qhov no yuav tsum yog los ntawm kev poob thaum ua si," lossis "Nws tsuas yog mob loj hlob xwb." Qee zaum cov tsos mob no tuaj yeem yuam kev rau lwm yam mob, xws li mob pob qij txha. Qhov no tuaj yeem ncua kev kuaj mob.

Nov yog cov tsos mob feem ntau ntawm mob qog nqaij hlav pob txha:

• Mob pob txha uas maj mam zuj zus thiab mob tas li (feem ntau mob dua thaum hmo ntuj. Tej zaum yuav mob heev, mob, lossis mob pob txha tom).
• Ib lub pob los yog o ntawm thaj chaw uas raug mob (uas tej zaum yuav tawv los yog mos thaum kov).
• Qhov o ntawm cov pob txha uas raug mob tsis paub meej .
• Nyuaj txav mus los (tshwj xeeb tshaj yog tias qhov o nyob ze ntawm pob qij txha).
• Qaug zog .
• Ua npaws .

Dab tsi yog cov ua rau mob qog nqaij hlav?

Cov kws tshaj lij tseem tsis tau paub meej tias yog dab tsi ua rau mob qog nqaij hlav pob txha. Tab sis zoo li lwm yam mob qog nqaij hlav, cov qog nqaij hlav pob txha tshwm sim thaum cov hlwb pib loj hlob tawm ntawm kev tswj hwm vim yog qhov yuam kev hauv lawv cov DNA. Raws li lub sijhawm dhau mus, cov hlwb no tuaj yeem loj hlob ua ke los ua ib pawg, ua rau cov nqaij noj qab haus huv nyob ib puag ncig puas tsuaj. Yog tias tsis kho, mob qog nqaij hlav pob txha tuaj yeem kis mus rau lwm qhov ntawm lub cev.

Cov yam ua rau muaj kev pheej hmoo

Cov kws tshawb nrhiav tau pom muaj kev sib txuas ntawm mob qog nqaij hlav pob txha thiab qee yam kev pheej hmoo. Cov no yog:

• Tau txais kev kho mob qog noj ntshav yav dhau los : Yog tias koj tau txais kev kho mob hluav taws xob lossis qee yam tshuaj chemotherapy ua kev kho mob rau lwm yam qog noj ntshav, koj qhov kev pheej hmoo ntawm kev mob qog noj ntshav pob txha yav tom ntej yuav nce me ntsis.
• Tej yam uas cuam tshuam txog noob caj noob ces : Qee yam mob uas tsis tshua muaj, xws li Li-Fraumeni syndrome, yuav ua rau muaj kev pheej hmoo ntawm mob qog nqaij hlav pob txha. Tsis tas li ntawd, kev tau txais kev hloov pauv noob caj noob ces uas ua rau muaj mob hu ua retinoblastoma kuj ua rau muaj kev pheej hmoo ntxiv.
• Cov kab mob pob txha uas tsis yog mob qog noj ntshav : Tsis tshua muaj, cov kab mob pob txha uas tsis yog mob qog noj ntshav tuaj yeem hloov mus ua mob qog noj ntshav. Piv txwv li, yog tias koj muaj cov kab mob hu ua 'Paget kab mob ntawm pob txha' lossis 'multiple enchondromas', qhov kev pheej hmoo yuav nce me ntsis.

Txawm li cas los xij, ntau tus neeg uas muaj mob qog nqaij hlav pob txha tsis muaj cov yam ntxwv no . Feem ntau, nws tshwm sim yam tsis muaj laj thawj pom tseeb.

Cov teeb meem ntawm tus mob no yog dab tsi?

Mob qog nqaij hlav pob txha ua rau cov pob txha uas nws loj hlob mus rau hauv tsis muaj zog. Qee zaum, mob qog nqaij hlav no tuaj yeem ua rau pob txha tawg. Peb hu cov no ua 'pathologic fractures'. Qee zaum cov kws kho mob pom mob qog nqaij hlav pob txha thaum lawv kuaj xyuas qhov pob txha tawg zoo li no.

Yuav kuaj mob qog nqaij hlav li cas? (Kev kuaj mob)

Yuav kom kuaj tau mob qog nqaij hlav pob txha, koj tus kws kho mob yuav xub thaij duab X-rays los saib koj cov pob txha. Tom qab ntawd, lawv feem ntau yuav ua Magnetic Resonance Imaging (MRI) thiab Computed Tomography (CT) scans kom tau cov duab meej dua ntawm cov cheeb tsam nyob ib puag ncig cov pob txha. Cov no yog qhov tseem ceeb ua ntej pib kho mob.

Yuav kom paub tseeb tias koj tau kuaj mob, koj tus kws kho mob yuav ua qhov kev kuaj mob biopsy . Qhov no txhais tau tias yuav tsum tau muab ib daim nqaij me me ntawm koj pob txha thiab coj nws mus kuaj hauv lub tshuab microscope los ntawm tus kws kho mob tshwj xeeb (pathologist). Qhov kev kuaj mob biopsy muab cov ntaub ntawv tshwj xeeb txog hom mob qog noj ntshav. Nrog cov ntaub ntawv no, koj tus kws kho mob tuaj yeem txiav txim siab seb kev kho mob twg zoo tshaj plaws rau koj.

Kev Ntsuas Mob Cancer Pob Txha

Los ntawm kev txiav txim siab theem ntawm tus mob qog noj ntshav ('Cancer staging'), cov kws kho mob tuaj yeem txiav txim siab seb tus mob qog noj ntshav puas nyob hauv ib qho chaw lossis tau kis mus thoob plaws lub cev (metastasized). Lawv kuj tseem saib seb nws yuav kis tau li cas, yog tias nws tseem tsis tau kis mus. Cov hlwb qog noj ntshav zoo li cas tsis zoo ('qib qog') qhia txog qhov yuav kis tau li cas ntawm tus mob qog noj ntshav. Muaj ob txoj hauv kev uas cov kws kho mob siv los txiav txim siab theem ntawm tus mob qog noj ntshav pob txha:

1.Lub Koom Haum Mob Pob Txha Musculoskeletal (`Lub Koom Haum Mob Pob Txha Musculoskeletal` lossis `Enneking system`):

• Theem 1 : Tus mob qog nqaij hlav tsis loj hlob thiab tsis tau kis mus rau lwm qhov.
• Theem 2 : Tus mob qog nqaij hlav yog qib siab, tab sis tsis tau kis mus rau lwm qhov.
• Theem 3 : Tus mob qog noj ntshav tau kis mus rau lwm qhov.

2. Pawg Neeg Saib Xyuas Kab Mob Cancer ntawm Asmeskas (`Pawg Neeg Saib Xyuas Kab Mob Cancer ntawm Asmeskas - AJCC`) lub kaw lus:

• Theem 1 : Tus mob qog tsis loj hlob thiab tus mob qog tsis tau kis mus rau lwm qhov.
• Theem 2 : Tus mob qog tsis tau kis mus, tab sis tus mob qog yog qib siab.
• Theem 3 : Tus mob qog nqaij hlav yog qib siab, thiab tus mob qog nqaij hlav tau kis mus rau lwm qhov chaw hauv tib pob txha.
• Theem 4 : Tus mob qog nqaij hlav tau kis mus rau lwm qhov ntawm lub cev, piv txwv li, lub ntsws lossis lub siab.

Yuav kho tus mob qog nqaij hlav li cas?

Txoj kev kho mob tseem ceeb rau mob qog nqaij hlav pob txha yog phais kom tshem tawm cov qog nqaij hlav . Hom kev phais mob feem ntau yog "kev phais tsis txhob siv ceg." Hauv kev phais mob no, tus kws phais tsuas yog tshem tawm cov qog nqaij hlav thiab me ntsis cov nqaij noj qab haus huv nyob ib puag ncig nws, tab sis cia koj txhais tes lossis ceg zoo. Cov pob txha uas puas lawm tuaj yeem rov tsim dua nrog "cov pob txha tiag tiag" lossis "cov pob txha cuav."

Qee zaum, tus kws phais yuav tsum tau tshem tag nrho ib sab caj npab lossis ceg ('amputation') los kho mob qog noj ntshav. Yog tias qhov ntawd tshwm sim, koj yuav tau txais ib sab caj npab lossis ceg cuav tom qab phais. Cov khoom siv no tam sim no tau hloov kho tshiab heev, thiab lawv tuaj yeem pab koj ua koj cov dej num txhua hnub ib yam li lawv tau ua ua ntej phais.

Lwm cov kev kho mob yog:

• Kev Kho Mob Hluav Taws Xob : Qhov no yog siv los ua kom cov qog nqaij hlav me me ua ntej phais lossis rhuav tshem cov hlwb qog nqaij hlav uas tseem tshuav tom qab phais. Kev kho mob hluav taws xob kuj tseem siv tau hloov chaw phais rau qee cov qog nqaij hlav pob txha.
• Kev Kho Mob Qog : Qhov no yog muab los kho cov qog nqaij hlav thawj zaug, cov qog nqaij hlav uas tau kis mus rau lwm qhov (metastases), thiab cov qog nqaij hlav uas nyob hauv lub cev. Kev kho mob qog feem ntau yog muab ua ntej phais kom tswj tau qhov kev kis ntawm cov qog nqaij hlav thiab tej zaum yuav ua rau cov qog nqaij hlav me dua. Kev kho mob qog (chemo) muab tom qab phais pab "ntxuav" cov qog nqaij hlav uas tseem tshuav hauv lub cev thiab tiv thaiv cov qog nqaij hlav pob txha kom tsis txhob rov qab los.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Qhov mob los ntawm mob qog nqaij hlav pob txha feem ntau yuav pib ploj mus sai li sai tau thaum pib kho mob. Txawm li cas los xij, kev kho mob kuj tuaj yeem ua rau muaj qee qhov kev phiv, thiab kev rov zoo yuav siv sijhawm.

Nws yuav siv sijhawm txog rau lub hlis los kho thiab kho lub cev kom koj thiaj li siv tau rau lub prosthesis. Yog tias koj tau phais tshem ceg, nws yuav siv sijhawm txog ib xyoos kom koj thiaj li xis nyob nrog cov kev hloov pauv ntawm koj cov pob txha.

Thaum kawg, koj lub sijhawm rov zoo nyob ntawm seb koj mob qog noj ntshav hom twg, nws theem, thiab kev kho mob ua ke uas koj xav tau. Koj tus kws kho mob yuav qhia koj seb yuav xav li cas, yog li koj tuaj yeem txiav txim siab seb kev kho mob twg zoo tshaj plaws rau koj.

Puas tiv thaiv tau mob qog nqaij hlav?

Vim tias cov kws tshaj lij tseem tsis tau paub meej tias yog dab tsi ua rau mob qog nqaij hlav pob txha, tam sim no tsis muaj txoj hauv kev los tiv thaiv nws . Ntawm qhov tod tes, kev kho mob hluav taws xob, uas yog lwm qhov ua rau mob qog nqaij hlav pob txha, yog qhov tseem ceeb rau kev kho qee yam mob qog nqaij hlav, yog li nws tsis tuaj yeem zam tau tag nrho.

Txawm li cas los xij, koj yuav tsum mus ntsib kws kho mob yog tias koj pom muaj kev hloov pauv txawv txawv hauv koj cov pob txha, xws li muaj pob lossis mob pob txha zuj zus. Cov tsos mob no tsis tas txhais tau tias yog mob qog noj ntshav. Txawm li cas los xij, tsuas yog kws kho mob thiaj li kuaj tau qhov ua rau muaj teeb meem.

Yog tias kuv muaj mob qog nqaij hlav pob txha, kuv yuav tsum tau tos txais dab tsi?

Kev kho mob qog nqaij hlav pob txha feem ntau ua tiav . Feem ntau, qog nqaij hlav tsis rov qab los. Tej zaum yuav siv ntau tshaj ib zaug phais kom ua tiav qhov txiaj ntsig no.

Cov neeg uas muaj hom mob qog nqaij hlav pob txha uas mob hnyav dua yuav tsum tau txuas ntxiv kev kho mob, xws li kev kho mob hluav taws xob thiab kev kho mob chemotherapy, kom tiv thaiv qhov mob qog nqaij hlav kom tsis txhob kis mus rau lwm tus. Cov kev kho mob no yuav raug muab rau lub sijhawm ntev kom tswj tau qhov mob qog nqaij hlav.

Thaum kawg, txhua tus neeg qhov teeb meem txawv, yog li tsis yog txhua tus neeg uas muaj mob qog nqaij hlav pob txha yuav muaj tib qho txiaj ntsig. Koj tus kws kho mob yuav piav qhia koj qhov kev kwv yees raws li hom, theem, qhov chaw ntawm koj tus mob qog nqaij hlav, thiab koj txoj kev teb rau kev kho mob.

Tus nqi kho mob qog nqaij hlav pob txha yog dab tsi?

Txawm hais tias mob qog nqaij hlav pob txha tuaj yeem ua rau tuag taus, ntau tus neeg rov zoo tag nrho . Tus nqi tsib xyoos ntawm kev ciaj sia rau mob qog nqaij hlav pob txha yog 68.2%. Qhov no txhais tau tias 68.2% ntawm cov neeg uas muaj mob qog nqaij hlav pob txha tseem muaj sia nyob tsib xyoos tom qab kuaj pom. Cov neeg uas muaj mob qog nqaij hlav pob txha theem pib muaj feem ntau dua los rov zoo tag nrho. Cov neeg uas muaj mob qog nqaij hlav pob txha theem siab, uas txhais tau tias mob qog nqaij hlav twb kis mus rau lwm qhov lawm, muaj feem ntau dua uas mob qog nqaij hlav yuav rov qab los.

Tiam sis nco ntsoov, cov feem pua ​​ntawm cov neeg uas muaj sia nyob no tsuas yog kwv yees xwb raws li cov neeg uas tau muaj mob qog nqaij hlav pob txha yav dhau los. Lawv tsis qhia koj tias koj yuav muaj sia nyob ntev npaum li cas lossis yuav tsum xav li cas hauv koj qhov xwm txheej tshwj xeeb. Tham nrog koj tus kws kho mob kom paub ntau ntxiv txog cov feem pua ​​ntawm cov neeg uas muaj sia nyob ntawm mob qog nqaij hlav pob txha.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj mob pob txha lossis o uas tsis paub meejTeem caij mus ntsib kws kho mob tam sim ntawd. Yog tias koj tus menyuam muaj pob lossis o uas tsis ploj mus, mus ntsib koj tus menyuam tus kws kho mob. Yog tias koj twb tau txais kev kho mob qog nqaij hlav pob txha lawm, qhia rau koj tus kws kho mob paub yog tias koj muaj cov tsos mob tshiab.

Tom qab kho mob tas, nco ntsoov mus ntsib kws kho mob txhua lub sijhawm . Thaum ob xyoos thawj zaug, koj yuav tsum mus ntsib koj tus kws kho mob txhua peb mus rau rau lub hlis, thiab tom qab ntawd kev kuaj mob yuav tsawg dua. Los ntawm kev kuaj mob tsis tu ncua li no, koj tuaj yeem ntes tau tus mob qog noj ntshav thaum ntxov yog tias nws rov qab los, thiab koj txoj kev kho mob yuav ua tau zoo dua.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Kev nkag siab txog koj tus mob kom meej yuav pab koj txiav txim siab zoo tshaj plaws txog koj txoj kev noj qab haus huv. Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob:

• Kuv muaj hom mob qog nqaij hlav pob txha twg?
• Puas tau kis mus thoob plaws?
• Kuv yuav tsum tau ua cov kev ntsuam xyuas twg?
• Kuv cov kev xaiv kho mob yog dab tsi?
• Kuv qhov kev kwv yees yog li cas?

Thaum koj pom tias koj muaj mob qog nqaij hlav pob txha, koj yuav ntshai, ntxhov siab, thiab tsis paub tseeb. Tau kawg, muaj ntau yam tsis paub txog kev kuaj mob qog nqaij hlav. Koj qhov kev paub yuav nyob ntawm ntau yam, suav nrog hom mob qog nqaij hlav pob txha uas koj muaj thiab thaum twg koj raug kuaj mob. Tab sis mob qog nqaij hlav pob txha tsis yog ib txwm ua rau tuag taus lossis kho tsis tau. Muaj ntau tus neeg uas raug kuaj mob tias muaj tus kab mob no tau txais kev kho mob uas tshem tawm mob qog nqaij hlav .

Tham nrog koj tus kws kho mob txog koj cov kev xaiv kho mob. Tsis tas li ntawd, xav txog kev koom nrog ib pawg neeg txhawb nqa. Kev tham nrog cov neeg uas tab tom dhau los ntawm tib yam teeb meem li koj tuaj yeem zoo rau koj lub hlwb, kev xav, thiab kev noj qab haus huv ntawm sab ntsuj plig.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Kab mob qog nqaij hlav yog ib yam uas yuav tsum ntshai heev, tab sis qhov tseem ceeb tshaj plaws yog kom paub zoo txog nws thiab nrhiav kev pab kho mob thaum lub sijhawm zoo .

Nco ntsoov tias, tsis yog txhua qhov mob pob txha lossis pob qij txha yog mob qog noj ntshav. Txawm li cas los xij, yog tias koj muaj kev txhawj xeeb dab tsi, nws yog qhov zoo uas yuav tau tham nrog kws kho mob txog qhov ntawd.

Nrog kev nce qib ntawm cov tshuaj niaj hnub no, muaj ntau txoj kev kho mob zoo rau mob qog noj ntshav pob txha. Qee zaum, nws tuaj yeem kho tau tag nrho. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum ua kom muaj zog thiab ua raws li cov lus qhia ntawm koj cov kws kho mob. Koj tsis nyob ib leeg, thiab koj muaj tsev neeg, phooj ywg, thiab cov kws kho mob los pab koj ntawm txoj kev no.

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