Ua ib leej niam los yog ib leej txiv, peb txhua tus mob siab txog peb tus menyuam txoj kev noj qab haus huv. Qee zaum, txawm tias yog ib qho kub taub hau lossis mob thiab mob nqaij ntawm ib tug menyuam tuaj yeem ua rau peb lub siab hnyav heev. Niaj hnub no, peb tab tom tham txog ib qho mob qog noj ntshav uas ua rau cov niam txiv ntshai, tab sis hmoov zoo nws tsis tshua muaj, tshwj xeeb tshaj yog rau cov menyuam yaus. Qhov ntawd yog neuroblastoma. Txawm hais tias lub npe yuav zoo li txaus ntshai, nws yog ib qho tseem ceeb uas yuav tsum paub txog nws.
Neuroblastoma yog dab tsi tiag?
Hais yooj yim xwb, Neuroblastoma yog ib hom mob qog noj ntshav uas loj hlob hauv ib feem ntawm peb lub paj hlwb. Peb muaj ib lub network ntawm cov hlab ntsha uas nqa cov ntaub ntawv thoob plaws peb lub cev. Xav txog nws zoo li peb lub cev "cov lus." Peb hu qhov no ua 'sympathetic nervous system.' Mob qog noj ntshav Neuroblastoma pib hauv cov hlwb ntawm lub paj hlwb no.
Qhov tshwj xeeb ntawm qhov no yog tias ntau dua 90% ntawm cov neeg mob yog cov menyuam yaus hnub nyoog qis dua 5 xyoos. Nws tsis tshua muaj neeg pom ib tug menyuam yaus hnub nyoog tshaj 10 xyoo muaj tus kab mob no.
Feem ntau, tus mob qog no pib hauv ob lub qog me me uas tsim cov tshuaj hormones nyob saum lub raum. Cov no hu ua cov qog adrenal. Txawm li cas los xij, tus mob qog no tuaj yeem pib txhua qhov chaw hauv lub cev uas pom cov hlwb ntawm lub paj hlwb.
Qhov zoo tshaj plaws yog tias tam sim no muaj cov kev kho mob zoo heev rau tus mob no, yog li cov menyuam yaus muaj lub sijhawm zoo los rov zoo thiab ua neej noj qab haus huv.
Vim li cas ho muaj qhov teeb meem no?
Feem ntau, txhua yam mob qog noj ntshav yog tshwm sim los ntawm qee qhov kev hloov pauv, lossis kev hloov pauv, hauv qee cov hlwb hauv peb lub cev. Yog li ntawd, cov hlwb ntawd pib loj hlob tsis tuaj yeem tswj tau thiab tsim cov qog.
Hauv neuroblastoma, qhov no tshwm sim rau ib hom hlwb ntawm cov hlab ntsha thaum tus menyuam tseem nyob hauv plab. Cov hlwb no hu ua neuroblasts. Thaum tus menyuam noj qab nyob zoo loj hlob hauv plab, cov neuroblasts no maj mam loj hlob mus ua cov hlwb loj hlob, thiab lwm cov tuag.
Tiam sis hauv lub cev ntawm ib tug me nyuam uas muaj Neuroblastoma, vim yog kev hloov pauv caj ces, cov hlwb neuroblast uas tsis tau loj hlob no tsis tuag, tab sis hloov chaw sib sau ua ke thiab loj hlob mus ua ib qho qog nqaij hlav.
Nov yog ib yam uas nej ua niam txiv yuav tsum nco ntsoov: Qhov no tsis yog los ntawm nej txoj kev noj haus, kev tawm dag zog, tej yam uas ib puag ncig cuam tshuam, lossis lwm yam uas nej tau ua tsis raug. Qhov no yog ib qho kev hloov pauv uas tshwm sim ntawm theem cellular ntawm nej tus menyuam lub cev.
Peb yuav tsum tau ceev faj txog cov tsos mob twg?
Cov tsos mob ntawm tus kab mob no muaj peev xwm sib txawv heev. Lawv nyob ntawm qhov chaw ntawm lub qog nqaij hlav, nws qhov loj me, thiab nws tau kis mus deb npaum li cas. Qee cov tsos mob kuj tuaj yeem pom hauv cov kab mob uas feem ntau, xws li mob khaub thuas lossis mob plab, ua rau kev kuaj mob nyuaj me ntsis.
"Qee zaum cov tsos mob thawj zaug yog cov yam uas ib txwm muaj xws li ib tug me nyuam tsis noj mov zoo, xav tias qaug zog, thiab mob lub cev ntau zaus. Cov no tuaj yeem pom txawm tias muaj tus kab mob khaub thuas yooj yim los xij," tus kws kho mob menyuam yaus hais. Yog li nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob no.
| Qhov chaw ntawm tus mob cancer | Cov tsos mob uas yuav tshwm sim |
|---|---|
| Mob plab (plab) cuam tshuam nrog |
|
| Nyob ib ncig ntawm lub hauv siab los yog caj dab | |
| Thaum mob qog nqaij hlav kis mus rau lwm qhov chaw (Metastatic) |
Ob qho tshwj xeeb ntxiv
- Cov tawv nqaij tawv:Hauv ib hom tshwj xeeb uas tsuas yog tshwm sim rau cov menyuam mos xwb, cov pob me me zoo li txiv pos nphuab tuaj yeem tshwm sim ntawm daim tawv nqaij. Qhov no yog ib qho cim qhia tias tus mob qog noj ntshav tau kis mus rau daim tawv nqaij. Txawm li cas los xij, qhov mob no kho tau thiab feem ntau yuav ntsws lossis kho nws tus kheej.
- Cov teebmeem ntawm cov tshuaj hormones: Qee cov qog nqaij hlav neuroblastoma tso cov tshuaj hormones, uas tuaj yeem ua rau muaj cov tsos mob xws li raws plab tas li, kub taub hau, ntshav siab, hws ntau dhau, thiab tawv nqaij liab.
Tus kws kho mob kuaj mob li cas tiag?
Zoo li peb tau tham ua ntej lawm, ntau yam tsos mob no zoo ib yam li cov kab mob uas ib txwm muaj, yog li kev kuaj mob tuaj yeem nyuaj heev. Yog li koj tus kws kho mob yuav ua ntau qhov kev kuaj mob kom paub tseeb tias koj tus menyuam puas muaj mob qog noj ntshav tsawg no.
- Kev kuaj ntshav thiab zis: Cov kev kuaj no nrhiav qee cov tshuaj hormones uas tsim los ntawm cov qog neuroblastoma hauv cov ntshav lossis zis.
- Kev kuaj duab: Cov no tuaj yeem pab txiav txim siab qhov chaw, qhov loj, thiab kev kis tus kab mob qog noj ntshav. Cov kev ntsuas xws li ultrasound, X-ray, CT, PET, lossis MRI yuav siv tau rau qhov no.
- Kev kuaj mob: Siv tshuaj loog, ib daim ntaub me me raug coj los ntawm lub pob txha lossis pob txha pob txha thiab kuaj xyuas hauv qab lub tshuab microscope kom paub seb puas muaj cov hlwb qog noj ntshav.
- Kev ntsuas MIBG: Qhov no yog ib hom kev ntsuas tshuaj nuclear tshwj xeeb. Qhov kev kuaj no, hu ua "kev ntsuas MIBG", tuaj yeem txheeb xyuas qhov chaw ntawm cov hlwb Neuroblastoma kom meej meej.
Nrog rau cov kev kuaj no, tej yam xws li tus menyuam cov qe ntshav, lub siab, thiab lub raum ua haujlwm kuj raug kuaj xyuas.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob uas ib tug me nyuam tau txais nyob ntawm ntau yam. Cov me nyuam raug muab faib ua peb pawg neeg muaj kev pheej hmoo : kev pheej hmoo tsawg, kev pheej hmoo nruab nrab, thiab kev pheej hmoo siab, nyob ntawm tus me nyuam lub hnub nyoog, theem ntawm tus mob qog noj ntshav, nws kis mus deb npaum li cas, thiab hom qog noj ntshav. Kev kho mob yog npaj raws li pawg neeg muaj kev pheej hmoo no.
Muaj ntau txoj kev kho mob tseem ceeb:
- Kev Soj Ntsuam: Tsis txhob xav tsis thoob, qee cov qog me me uas tsis muaj kev pheej hmoo yuav ntsws lossis ploj mus ntawm lawv tus kheej yam tsis tau kev kho mob. Hauv cov xwm txheej zoo li no, cov kws kho mob yuav saib xyuas tus menyuam ze heev.
- Kev Phais Mob: Tshem tawm tag nrho lub qog los ntawm kev phais mob.
- Kev Kho Mob Qog Noj Ntshav: Muab cov tshuaj muaj zog los ntawm cov leeg ntshav lossis ua cov tshuaj ntsiav kom tua cov hlwb qog noj ntshav lossis tiv thaiv lawv kom tsis txhob faib.
- Kev kho mob siv hluav taws xob: Kev siv cov hluav taws xob muaj zog heev (xws li X-rays) los tua cov hlwb qog noj ntshav.
- Kev hloov hlwb ntawm cov noob:Ib txoj kev kho mob siv rau cov menyuam yaus uas muaj kev pheej hmoo siab. Hauv qhov no, cov hlwb ntawm tus menyuam noj qab haus huv raug sau, siv tshuaj kho mob qog noj ntshav ntau heev los rhuav tshem cov hlwb qog noj ntshav, thiab tom qab ntawd cov hlwb noj qab haus huv raug xa rov qab mus rau lub cev.
- Kev Kho Mob Niaj Hnub Nim No: Muaj ntau yam kev kho mob tshiab thiab ua tau zoo heev niaj hnub no.
- Kev kho mob uas tsom mus rau ib yam dab tsi: Muab cov tshuaj uas tsom mus rau thiab thaiv cov protein lossis cov enzymes tshwj xeeb uas pab cov hlwb qog noj ntshav loj hlob.
- Kev Kho Mob Tiv Thaiv Kab Mob: Txhawb kom tus menyuam lub cev tiv thaiv kab mob kom paub thiab tawm tsam cov hlwb qog noj ntshav.
Cov feem pua ntawm kev rov zoo los ntawm tus kab mob no yog dab tsi?
Qhov no yog lo lus nug tseem ceeb tshaj plaws rau cov niam txiv. Tus nqi ciaj sia rau neuroblastoma nyob ntawm tus menyuam lub hnub nyoog thiab pawg kev pheej hmoo.
Cov menyuam yaus uas muaj feem yuav mob tsawg thiab nruab nrab, tshwj xeeb tshaj yog cov menyuam yaus me, muaj feem yuav rov zoo li qub txog li 90% - 95% . Rau cov menyuam yaus uas muaj feem yuav mob ntau, tus lej no yog li ntawm 60% . Nrog rau kev nce qib ntawm thev naus laus zis, cov feem pua no nce ntxiv txhua hnub.
Yog li ntawd, yog tias koj pom muaj cov tsos mob txawv txawv, qhov zoo tshaj plaws ua yog mus ntsib koj tus kws kho mob tam sim ntawd thiab nrhiav kev qhia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Neuroblastoma yog ib hom mob qog noj ntshav tsawg tsawg uas feem ntau cuam tshuam rau cov menyuam yaus hnub nyoog qis dua 5 xyoos.
- Qhov no yog tshwm sim los ntawm kev hloov pauv caj ces uas tshwm sim hauv cov hlwb paj hlwb (neuroblasts) uas tseem tsis tau loj hlob thaum tus menyuam tseem nyob hauv plab. Qhov no tsis yog vim muaj qhov txhaum ntawm niam txiv.
- Saib xyuas cov tsos mob xws li muaj pob hauv plab, poob phaus yam tsis paub meej, mob nqaij nyob ib ncig ntawm lub qhov muag, thiab mob pob txha.
- Qhov no tuaj yeem kuaj pom tseeb los ntawm kev luam theej duab thiab kev kuaj biopsy.
- Muaj ntau txoj kev kho mob niaj hnub no uas ua tau zoo heev rau qhov no, suav nrog kev phais, kev siv tshuaj kho mob qog noj ntshav, thiab kev kho hluav taws xob.
- Tus nqi kho mob zoo yog siab heev, tshwj xeeb tshaj yog rau cov menyuam yaus uas muaj feem yuav mob tsawg thiab nruab nrab. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob kom zoo yam tsis ntshai.











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus