Koj puas tau pom ib lub pob me me lossis pob khaus qhov twg ntawm koj lub cev? Tej zaum nws tsis ua rau mob, lossis tej zaum koj tau ntsib kev mob tsis tu ncua hauv koj txhais caj npab, ceg, lossis pob qij txha. Feem ntau, peb feem ntau tsis quav ntsej txog cov no. Peb yaum peb tus kheej, "Tej zaum nws tsuas yog ib lub pob rog xwb," lossis "Kuv yuav tsum tau ntaus kuv tus kheej qhov twg." Txawm li cas los xij, qee zaum txawm tias ib qho cim me me zoo li no tuaj yeem yog ib qho tsos mob ntawm tus mob hu ua 'Sarcoma' ( Sarcoma ), uas yog ib qho mob qog noj ntshav tsawg tab sis tseem ceeb uas koj yuav tsum paub txog. Thov tsis txhob ntshai - cia peb tham txog qhov no ua ke, yooj yim thiab los ntawm hauv av, ntawm no ntawm Nirogi Lanka.
Hauv lwm lo lus, sarcoma yog dab tsi?
Ib tug mob sarcoma yog ib qho mob qog nqaij hlav uas loj hlob hauv koj lub cev cov pob txha lossis cov nqaij mos . Tej zaum koj yuav xav paub tias cov nqaij mos yog dab tsi. Cov no yog cov nqaij uas txhawb nqa thiab txuas cov qauv sib txawv hauv koj lub cev.
Piv txwv li:
- Cov leeg nqaij
- Rog
- Cov leeg
- Pob txha mos
- Cov leeg
- Cov hlab ntsha
- Cov hlab ntsha
Cov no yog yam peb hu ua cov nqaij mos ntawm koj lub cev, thiab sarcoma tuaj yeem tshwm sim hauv ib qho ntawm cov cheeb tsam no.
Sarcomas yog ib hom mob qog noj ntshav uas tsis tshua muaj . Lawv tsuas yog suav txog li 1% ntawm tag nrho cov mob qog noj ntshav rau cov neeg laus. Txawm li cas los xij, lawv suav txog li 15% ntawm cov mob qog noj ntshav uas kuaj pom hauv menyuam yaus. Yog li ntawd, kev paub txog tus mob no yog qhov tseem ceeb heev.
Cov mob sarcoma feem ntau tshwm sim qhov twg?
Txawm hais tias tus mob qog noj ntshav no tuaj yeem tshwm sim txhua qhov chaw txij ntawm koj lub taub hau mus rau koj cov ntiv taw, muaj qee qhov chaw uas feem ntau pom lawv. Xav txog qhov no: ntawm txhua 100 tus mob sarcomas uas kuaj pom:
- 40% tshwm sim hauv lub cev qis, xws li koj ob txhais ceg, pob luj taws, thiab taw .
- 15% tshwm sim rau ntawm cov ceg sab saud, xws li koj lub xub pwg nyom, caj npab, dab teg, thiab ntiv tes .
- 30% tshwm sim hauv koj lub cev, hauv siab, plab, lossis lub duav .
- Qhov seem 15% tshwm sim hauv thaj tsam taub hau thiab caj dab .
Cov hom mob sarcoma tseem ceeb yog dab tsi?
Hauv pawg sarcoma dav dav, muaj ntau tshaj 70 hom sib txawv. Txawm li cas los xij, peb tuaj yeem muab lawv faib ua ob pawg tseem ceeb: pob txha sarcomas thiab cov nqaij mos sarcomas.
| Hom mob sarcoma | Kev Piav Qhia Yooj Yim |
|---|---|
| Cov pob txha Sarcomas | Cov no pib ncaj qha los ntawm cov nqaij pob txha. Cov no hu ua 'primary bone sarcomas.' Lawv feem ntau tshwm sim rau cov menyuam yaus thiab cov hluas hnub nyoog qis dua 35 xyoo. Ob peb yam piv txwv suav nrog:
|
| Cov qog nqaij mos Sarcomas | Cov no pib los ntawm cov nqaij mos xws li cov leeg nqaij lossis cov rog. Cov no feem ntau tshwm sim rau cov neeg laus dua li cov pob txha sarcomas, txawm hais tias qee hom (xws li rhabdomyosarcoma) kuj tuaj yeem tshwm sim rau cov menyuam yaus. Ob peb yam piv txwv suav nrog:
|
Ib qho tseem ceeb: Qee zaum, mob qog noj ntshav uas pib hauv lwm qhov ntawm lub cev (piv txwv li, ntsws, mis, thyroid) tuaj yeem kis mus rau cov pob txha. Qhov no hu ua 'mob qog noj ntshav pob txha kis mus rau lwm qhov.' Qhov no tsis yog ib hom mob sarcoma. Nws tsuas yog lwm yam mob qog noj ntshav uas tau kis mus rau cov pob txha.
Vim li cas cov qog nqaij hlav thiaj tshwm sim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Ib yam li ntau hom mob qog noj ntshav, qhov laj thawj tseeb uas ua rau lub cell noj qab nyob zoo hloov mus ua mob qog noj ntshav tseem tsis tau nkag siab tag nrho. Hais yooj yim xwb, kev hloov pauv hauv DNA ntawm cov cell uas tsim koj cov pob txha lossis cov nqaij mos ua rau lawv loj hlob thiab faib tsis tau tswj. Cov cell loj hlob yog qhov peb pom ua qog. Yog tias tsis kho, cov cell qog noj ntshav no tuaj yeem mus ncig los ntawm cov ntshav lossis cov lymphatic system thiab kis mus rau lwm yam kabmob hauv lub cev. Cov txheej txheem no hu ua metastasis.
Txawm li cas los xij, muaj ntau yam ua rau muaj mob sarcoma.
| Qhov Ua Rau Muaj Kev Pheej Hmoo | Kev piav qhia |
|---|---|
| Cov tshuaj lom neeg | Kev raug tshuaj arsenic ntev, qee cov tshuaj siv hauv kev tsim yas (vinyl chloride), tshuaj tua nroj, thiab cov tshuaj tiv thaiv ntoo. |
| Kev tawg hluav taws xob | Kev kho mob hluav taws xob ntau dhau los siv los kho lwm hom mob qog noj ntshav. |
| Lymphedema | Kev o ntawm caj npab lossis ceg mus sij hawm ntev uas yog los ntawm kev sib sau ua ke ntawm cov kua dej lymph. |
| Cov Mob Genetic | Qee yam mob caj ces uas tau txais los ntawm noob caj ces (piv txwv li, Neurofibromatosis hom 1, Li-Fraumeni syndrome) tuaj yeem ua rau koj muaj feem yuav mob qog noj ntshav ntau ntxiv. |
Cov tsos mob ntawm sarcoma yog dab tsi?
Qhov no yog qhov uas ntau tus neeg tsis meej pem. Vim tias cov tsos mob ntawm sarcoma sib txawv ntau nyob ntawm qhov chaw uas qog tau tsim. Qee zaum, tej zaum yuav tsis muaj tsos mob dab tsi li thaum ntxov.
Nov yog qee cov cim qhia feem ntau uas koj yuav pom:
- Ib lub pob tshiab: Lub pob no yuav mob los yog tsis mob. Nws yuav zoo li ib lub pob nyob hauv qab koj daim tawv nqaij.
- Mob: Mob tas li ntawm caj npab, ceg, plab, lossis thaj tsam ntawm lub duav. Rau qee tus, qhov mob no yuav hnyav zuj zus thaum hmo ntuj.
- Nyuaj txav mus los: Yog tias lub qog loj hlob thiab nias rau ntawm ib qho pob qij txha lossis cov leeg, koj yuav pom tias nws nyuaj rau khoov lossis ncaj koj ob txhais ceg kom raug.
- Poob phaus yam tsis paub.
- Mob nraub qaum.
Cov tsos mob no kuj tshwm sim rau ntau yam mob nkeeg thiab. Yog li ntawd, tsis txhob ntshai tias nws yog sarcoma tsuas yog vim koj muaj ib qho ntawm cov tsos mob no. Txawm li cas los xij, yog tias koj pom qee yam zoo li no, nws yog ib qho tseem ceeb uas yuav tsum tsis txhob tsis quav ntsej nws thiab mus ntsib koj tus kws kho mob kom kuaj xyuas.
Tus kws kho mob kuaj mob sarcoma li cas?
Thaum koj mus ntsib koj tus kws kho mob, lawv yuav xub nug txog koj cov tsos mob thiab kuaj koj lub cev. Yog tias muaj ib lub qog, lawv yuav kuaj nws qhov loj thiab cov qauv. Tom qab ntawd, koj yuav raug xa mus kuaj ntau zaus kom paub meej tias koj muaj mob.
- X-ray: Kev kuaj thawj zaug los xyuas seb puas muaj qhov tsis zoo hauv cov pob txha thiab cov nqaij mos.
- CT scan (Computed Tomography scan): Siv lub khoos phis tawj los muab cov duab X-ray sib txuas ua ke los tsim cov duab hla ntawm koj lub cev, muab cov duab meej dua ntawm lub qog.
- Kev Ntsuas MRI (Magnetic Resonance Imaging): Siv cov teb sib nqus thiab cov nthwv dej xov tooj cua los tsim cov duab ntxaws ntxaws thiab meej ntawm sab hauv koj lub cev, uas yog qhov tseem ceeb rau kev kuaj xyuas cov qog nqaij mos.
- Kev kuaj mob me me (biopsy): Qhov no yog qhov kev kuaj tseem ceeb thiab paub tseeb tshaj plaws. Ib qho qauv me me ntawm cov qog nqaij hlav raug sau los ntawm kev phais me me lossis ib rab koob tshwj xeeb thiab kuaj hauv qab lub tshuab microscope hauv chav kuaj mob. Qhov no yog li cas hom mob qog nqaij hlav - lossis tshwj xeeb tshaj yog hom sarcoma - tau lees paub 100%.
Tej zaum yuav pom zoo kom ua lwm yam kev kuaj mob, xws li PET scans lossis pob txha scans.
Cov kev kho mob rau sarcoma yog dab tsi?
Kev kho mob sarcoma yog ib qho kev sib koom tes. Ib pab neeg kws tshwj xeeb, suav nrog cov kws phais, cov kws kho mob oncologist, thiab cov kws kho mob hluav taws xob, yuav ua haujlwm ua ke los txiav txim siab txoj kev npaj kho mob zoo tshaj plaws rau koj.
Txoj kev kho mob yog txiav txim siab raws li:
- Hom mob sarcoma.
- Qhov loj thiab qhov chaw ntawm lub qog.
- Koj txoj kev noj qab haus huv tag nrho.
- Seb tus mob qog noj ntshav puas tau kis mus rau lwm qhov ntawm koj lub cev.
Muaj ntau txoj kev kho mob tseem ceeb.
Kev phais mob
Rau feem ntau cov mob sarcomas, kev phais yog qhov kev kho mob tseem ceeb. Lub hom phiaj yog tshem tawm tag nrho cov qog nqaij hlav nrog rau ib qho me me ntawm cov nqaij noj qab haus huv nyob ib puag ncig nws kom ntseeg tau tias tsis muaj cov hlwb qog nqaij hlav me me nyob. Qee zaum, kev phais mob ceg-salvage raug ua los cawm ib ceg. Hauv cov xwm txheej tsawg heev uas tsis tuaj yeem cawm tau ceg, kev txiav ceg yuav tsum tau ua.
Kev Kho Mob Hluav Taws Xob
Qhov no siv cov duab X-rays muaj zog heev los tua cov hlwb qog noj ntshav. Tej zaum yuav muab kev kho mob ua ntej phais kom lub qog me dua lossis tom qab phais kom tua cov hlwb qog noj ntshav uas tseem tshuav.
Kev kho mob qog noj ntshav
Qhov no suav nrog kev siv cov tshuaj tshwj xeeb los tua lossis tiv thaiv kev loj hlob ntawm cov hlwb qog nqaij hlav uas faib sai sai. Cov tshuaj no tuaj yeem muab rau hauv cov hlab ntsha lossis ua cov tshuaj noj.
Lwm Yam Kev Kho Mob
Tsis tas li ntawd xwb, cov kev kho mob niaj hnub xws li Targeted Therapy , uas tawm tsam cov qhov tsis muaj zog tshwj xeeb hauv cov hlwb qog noj ntshav, thiab Immunotherapy , uas txhawb koj lub cev lub cev tiv thaiv kab mob kom tawm tsam cov qog noj ntshav, tam sim no muaj.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Sarcoma yog ib yam mob uas yooj yim kho dua thaum ntxov dua li thaum pom tias muaj mob. Yog li ntawd, tsis txhob ncua sijhawm - mus ntsib koj tus kws kho mob tam sim ntawd yog tias koj pom cov hauv qab no.
Yog koj muaj ib lub pob tshiab ntawm koj lub cev, txawm tias nws mob los tsis mob, tshwj xeeb yog tias nws loj dua lub pob golf (kwv yees li 5 cm) lossis tseem loj hlob tuaj, koj yuav tsum mus ntsib kws kho mob.
Tsis tas li ntawd, tsis txhob tsis quav ntsej qhov mob uas tsis tu ncua ntawm caj npab, ceg, lossis pob txha, tshwj xeeb tshaj yog tias nws tau tshwm sim yam tsis raug mob.
Sarcoma tsis yog ib hom mob qog noj ntshav xwb, tab sis yog ib pawg mob qog noj ntshav. Yog li ntawd, cov phiaj xwm kho mob thiab kev kwv yees yuav txawv ntau nyob ntawm tus neeg mob, hom mob qog noj ntshav, thiab theem ntawm tus mob qog noj ntshav. Yog tias koj lossis ib tus neeg koj paub muaj lus nug txog qhov no, txoj hauv kev zoo tshaj plaws yog sab laj nrog kws kho mob tshwj xeeb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Sarcoma yog ib hom mob qog nqaij hlav tsis tshua muaj uas tshwm sim hauv cov pob txha thiab cov nqaij mos.
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau kws kho mob txog tej pob tshiab, pob uas tab tom loj hlob, lossis pob loj (ntau tshaj 5cm). Tsis txhob tsis quav ntsej txog nws, txawm tias nws tsis mob los xij.
- Qhov kev kuaj mob tseem ceeb tshaj plaws rau kev kuaj mob tseeb yog kev kuaj nqaij me me.
- Cov kev kho mob (phais mob, siv hluav taws xob, tshuaj kho mob qog nqaij hlav) yog tsim tshwj xeeb rau txhua tus neeg mob thiab qhov xwm txheej ntawm lawv tus mob qog nqaij hlav.
- Kev kuaj pom thaum ntxov thiab kev kho mob sai yog qhov tseem ceeb rau qhov tshwm sim zoo tshaj plaws.
Sarcoma, mob qog noj ntshav, pob txha, mob qog nqaij mos, cov tsos mob ntawm mob qog noj ntshav, Nirogi Lanka
