Koj tus menyuam puas mob pob txha? Cia peb kawm txog tus mob qog nqaij hlav pob txha txaus ntshai no (Osteosarcoma)!

Koj tus menyuam puas tau yws txog mob ceg lossis mob caj npab tsis ntev los no? Tej zaum koj yuav xav tias lawv ntog thaum ua si, lossis lawv tsuas yog nkees dhau lawm. Tab sis qee zaum, tej zaum yuav muaj qee yam loj dua tom qab qhov mob pob txha no. Yog li ntawd, tsis txhob tsis quav ntsej nws. Hnub no, peb yuav tham txog ib qho mob hnyav xws li, osteosarcoma, ib hom mob qog nqaij hlav pob txha uas feem ntau cuam tshuam rau cov menyuam yaus thiab cov tub ntxhais hluas.

Hais yooj yim xwb, osteosarcoma yog dab tsi?

Osteosarcoma yog ib hom mob qog noj ntshav uas tshwm sim hauv cov pob txha . Nws pib ua cov hlwb pob txha ib txwm muaj. Tab sis dhau sijhawm, cov hlwb no dhau los ua cov hlwb phem (mob qog noj ntshav), sib sau ua ke, thiab tsim cov qog nqaij hlav sab hauv lossis ntawm qhov chaw ntawm cov pob txha. Cov qog nqaij hlav no ua rau cov pob txha noj qab haus huv tsis muaj zog thiab ua rau cov pob txha noj qab haus huv tsis zoo.

Qee zaum cov kws kho mob kuj hu qhov no ua osteogenic sarcoma. Hauv no, 'sarcoma' yog lub npe dav dav rau cov mob qog nqaij hlav uas tshwm sim hauv cov nqaij sib txuas ntawm peb lub cev, xws li pob txha, pob txha mos, thiab cov leeg. Lo lus 'osteo' txhais tau tias 'pob txha'. 'Osteogenic' txhais tau tias nws tsim cov hlwb pob txha.

Hom mob qog noj ntshav no feem ntau tshwm sim rau cov menyuam yaus thiab cov tub ntxhais hluas . Qhov kev pheej hmoo ntawm kev mob qog noj ntshav no yog siab heev thaum lub sijhawm loj hlob sai thiab loj hlob sai.

Cov pob txha twg yuav muaj feem mob qog noj ntshav no tshaj?

Mob qog nqaij hlav Osteosarcoma feem ntau tshwm sim hauv cov pob txha ntev ntawm peb lub cev. Ntawd yog, hauv cov pob txha ntev ntawm caj npab thiab ceg. Nws yog qhov tshwj xeeb tshaj yog nyob rau ntawm qhov kawg ntawm cov pob txha no, uas yog, ze ntawm cov pob qij txha. Xav txog cov chaw xws li lub hauv caug, lub duav, thiab xub pwg nyom.

Cia peb piav qhia ntxiv txog qhov no nrog lub rooj hauv qab no.

Qhov 'qib' ntawm mob qog noj ntshav txhais li cas?

Cov kws kho mob faib cov mob qog nqaij hlav osteosarcoma los ntawm qhov lawv hu ua 'qib'. Qhov no hais txog qhov ceev npaum li cas ntawm cov qog nqaij hlav tuaj yeem kis tau. Ntawd yog, nws lub peev xwm kis tau (metastasize) mus rau lwm qhov ntawm lub cev. Muaj peb qib tseem ceeb.

• Qib qis: Hom mob qog noj ntshav no loj hlob qeeb heev . Feem ntau, nws nyob qhov chaw pib thiab tsis kis tau yooj yim.
• Qib Siab: Qhov no yog hom mob txaus ntshai tshaj plaws. Cov mob qog no loj hlob sai heev thiab yuav kis mus rau lwm qhov ntawm lub cev (xws li lub ntsws).
• Qib Nruab Nrab: Qhov no yog qhov xwm txheej ntawm ob hom uas tau hais los saum toj no.

Cov tsos mob ntawm osteosarcoma yog dab tsi?

Cov tsos mob ntawm tus kab mob no tsis tshwm sim sai sai. Lawv maj mam tshwm sim. Qee zaum cov tsos mob no zoo li raug mob lossis mob pob qij txha ib txwm muaj, yog li ntau tus neeg tsis quav ntsej txog lawv thaum xub thawj. Tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob no.

Vim li cas hom mob qog noj ntshav no thiaj tshwm sim?

Cov kws tshaj lij tseem tsis tau hais meej tias yog dab tsi ua rau muaj qhov no. Txawm li cas los xij, lawv tau txheeb xyuas ntau yam uas ua rau muaj mob qog noj ntshav no.

Kev loj hlob sai ntawm pob txha

Thaum lub sijhawm loj hlob sai, thaum ib tug me nyuam loj hlob sai thiab loj hlob ntau, lawv cov pob txha kuj loj hlob sai heev. Lub sijhawm no, cov cell faib sai heev. Nws ntseeg tias muaj qee yam tsis raug thaum lub sijhawm faib cell sai no, ua rau muaj feem ntau ntawm cov cell mob qog noj ntshav. Qhov no yog ib qho laj thawj tseem ceeb uas ua rau tus kab mob no tshwm sim ntau rau cov tub ntxhais hluas.

Kev raug hluav taws xob

Yog tias koj tau txais kev kho mob hluav taws xob rau lwm yam mob qog noj ntshav ua ntej, muaj kev pheej hmoo me me ntawm kev mob osteosarcoma hauv cov pob txha hauv thaj chaw uas tau txais kev kho mob hluav taws xob.

Cov yam ntxwv ntawm noob caj noob ces

Qhov no nyuaj me ntsis. Hais yooj yim xwb, muaj cov noob caj noob ces tshwj xeeb hauv peb lub cev uas tiv thaiv kab mob qog noj ntshav kom tsis txhob loj hlob. Zoo li peb lub cev tus kheej tiv thaiv. Cov no hu ua 'cov noob caj noob ces tiv thaiv qog noj ntshav'. 'p53' yog ib qho noob caj noob ces zoo li no. Yog tias muaj kev hloov pauv hauv cov noob caj noob ces no, uas yog, 'kev hloov pauv', qhov kev pheej hmoo ntawm kev mob qog noj ntshav yuav nce ntxiv. Tsis tas li ntawd, ib qho noob caj noob ces hu ua 'retinoblastoma (Rb)', uas cuam tshuam nrog mob qog noj ntshav qhov muag hauv cov menyuam yaus, tau pom tias muaj feem cuam tshuam nrog qhov no.

Tsis tas li ntawd xwb, cov neeg uas muaj cov mob caj ces tsis tshua muaj hauv qab no kuj muaj feem yuav mob osteosarcoma ntau dua:

• Li-Fraumeni syndrome
• Kab mob Paget ntawm pob txha (osteitis deformans)
• Cov kab mob retinoblastoma uas muaj keeb kwm los ntawm noob caj noob ces
• Kab mob Bloom
• Kab mob Diamond-Blackfan anemia
• Rothmund-Thomson syndrome
• Werner syndrome

Kev mob pob txha tawg

Yog tias cov ntshav uas mus rau ib feem ntawm pob txha raug txiav tawm vim qee yam, cov cell hauv qhov ntawd yuav tuag. Qhov no kuj yog qhov laj thawj uas qee zaum cov cell mob qog noj ntshav tuaj yeem tsim tau.

Tus kws kho mob kuaj mob li cas?

Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob uas koj tau hais los saum toj no, nws yuav ua raws li ob peb kauj ruam los txiav txim seb tus kab mob ntawd yog dab tsi.

1. Nug txog cov tsos mob: Ua ntej, koj tus kws kho mob yuav nug koj thiab koj tus menyuam txog cov tsos mob (thaum twg mob pib, nws zoo li cas, puas muaj o, thiab lwm yam) thiab seb puas muaj leej twg hauv koj tsev neeg tau mob qog noj ntshav.

2. Kev kuaj lub cev: Tom qab ntawd, yuav kuaj xyuas kom meej seb puas muaj pob lossis o.

3. Kev xa mus kuaj mob: Tom qab ntawd, koj yuav raug xa mus kuaj ntau zaus kom paub meej tias koj muaj tus kab mob.

• Kev kuaj mob X-ray: Qhov no tuaj yeem muab lub tswv yim pib ntawm seb puas muaj kev hloov pauv qog nqaij hlav hauv pob txha.
• MRI lossis CT scan: Cov no tuaj yeem muab daim duab meej heev ntawm qhov loj ntawm lub qog nqaij hlav thiab nws tau kis mus rau cov nqaij ib puag ncig deb npaum li cas.
• Kev kuaj mob: Qhov no yog qhov kev kuaj mob tseem ceeb tshaj plaws los lees paub qhov kev kuaj mob 100% . Hauv qhov no, ib daim ntaub me me raug coj los ntawm thaj chaw uas muaj mob qog noj ntshav thiab kuaj xyuas hauv qab lub tshuab kuaj mob. Qhov no yuav pab txiav txim siab seb nws puas yog osteosarcoma lossis lwm hom mob qog noj ntshav, thiab qib ntawm mob qog noj ntshav yog dab tsi.
• Kev kuaj ntshav: Cov no pab txiav txim siab txog kev noj qab haus huv dav dav thiab qee cov cim qhia txog mob qog noj ntshav.

Thaum tus kab mob no tau paub tseeb tias yog osteosarcoma, kauj ruam tom ntej yog saib seb tus mob qog noj ntshav puas tau kis mus rau lwm qhov ntawm lub cev. Qhov no hu ua 'staging' . Qhov no yuav suav nrog 'bone scan' lossis 'PET scan', uas tshuaj xyuas cov pob txha ntawm tag nrho lub cev.

Cov kev kho mob yog dab tsi?

Kev kho mob osteosarcoma feem ntau yog ua los ntawm ib pab neeg. Qhov no txhais tau tias muaj ntau tus neeg, suav nrog cov kws kho mob oncologist, cov kws phais, thiab cov kws kho lub cev, tuaj ua ke. Muaj ob txoj kev kho mob tseem ceeb.

1. Kev Kho Mob Qog: Qhov no suav nrog kev muab cov tshuaj muaj zog rau lub cev uas tua cov hlwb qog. Vim tias cov tshuaj no mus thoob plaws lub cev los ntawm cov ntshav, lawv tuaj yeem tua cov hlwb hauv lub qog tseem ceeb nrog rau cov hlwb qog me me uas tau kis mus rau lwm qhov ntawm lub cev (uas peb tsis tuaj yeem pom ntawm cov duab scans). Kev kho mob qog ua ntej phais tuaj yeem ua rau lub qog me dua thiab ua rau kev phais yooj yim dua. Kev kho mob qog tom qab phais tuaj yeem tua cov hlwb qog uas tseem tshuav thiab tiv thaiv tus kab mob kom tsis txhob rov qab los.

2. Kev Phais Mob: Lub hom phiaj tseem ceeb ntawm no yog tshem tawm lub qog nqaij hlav tag nrho. Tus kws phais mob tshem tawm lub qog nqaij hlav nrog rau qee cov nqaij noj qab nyob ib puag ncig nws. Qhov no yog ua kom ntseeg tau tias tsis muaj ib lub qog nqaij hlav twg tshuav nyob tom qab. Muaj ntau hom kev phais mob.

Muaj tej lub sij hawm, kev kho mob hluav taws xob yuav muab tau yog tias tus mob qog nqaij hlav tau kis mus rau thaj chaw uas phais tsis tau.

Puas muaj tej yam tshwm sim tom qab kho mob?

Yog lawm, cov kev kho mob no, tshwj xeeb tshaj yog chemotherapy, muaj zog heev thiab tuaj yeem ua rau muaj kev phiv luv luv thiab ntev. Tej yam xws li xeev siab, ntuav, plaub hau poob, thiab qaug zog tuaj yeem tshwm sim thaum lub sijhawm kho mob. Tsis tas li ntawd, rau lub sijhawm ntev,

• Kev pheej hmoo ntawm kev mob qog noj ntshav lwm hom
• Kev cuam tshuam rau lub peev xwm muaj menyuam ('Kev tsis muaj menyuam')
• Cov teebmeem rau kev ua haujlwm ntawm cov kabmob xws li lub plawv, lub ntsws, lub raum, thiab pob ntseg
• Cov teebmeem rau kev xav thiab kev nco

Tej yam zoo li no yuav tshwm sim tau. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum txuas ntxiv mus ntsib koj tus kws kho mob txawm tias tom qab kho tas lawm los xij.