Thaum peb hnov lo lus mob qog noj ntshav, peb txhua tus ntshai me ntsis, puas yog? Tab sis kuj muaj hom mob qog noj ntshav uas peb tsis tau hnov dua, thiab uas tsis tshua muaj. Yolk Sac Tumor yog ib qho ntawm lawv. Lub npe no tej zaum yuav tshiab rau koj. Hnub no, peb yuav tham txog mob qog noj ntshav no, uas tuaj yeem tshwm sim tshwj xeeb tshaj yog rau cov menyuam yaus thiab cov tub ntxhais hluas, hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Qhov mob qog nqaij hlav ntawm lub hnab qe yog dab tsi tiag?
Hais yooj yim xwb, Yolk Sac Tumor yog ib hom mob qog noj ntshav. Nws tseem hu ua Endodermal Sinus Tumor. Nws tshwm sim los ntawm ib hom cell tshwj xeeb hauv peb lub cev. Uas yog, los ntawm cov cell uas dhau los ua phev hauv tus txiv neej, thiab los ntawm cov cell uas dhau los ua qe hauv tus poj niam. Hauv kev kho mob, peb hu cov cell no ua germ cell. Yog li qhov no yog ib feem ntawm pawg Germ Cell Tumor.
Cov qog no feem ntau tshwm sim hauv cov zes qe menyuam ntawm cov poj niam lossis cov noob qes ntawm cov txiv neej. Txawm li cas los xij, tsis tshua muaj, lawv tuaj yeem tshwm sim sab nraum cov kab mob no, piv txwv li hauv lub hauv siab, plab, lossis lub hlwb.
Hom mob qog noj ntshav no tsis tshua muaj ntau. Txawm li cas los xij, hom mob qog noj ntshav ntawm cov noob caj noob ces uas feem ntau tshaj tawm hauv cov menyuam yaus yog hom no hu ua Yolk Sac Tumor.
Qhov teeb meem loj txog qhov no yog tias tus mob qog no loj hlob sai thiab tuaj yeem kis tau sai . Yog li ntawd, yog tias tsis kho, nws tuaj yeem ua rau tuag taus. Tab sis qhov xov xwm zoo yog tias yog tias tus kab mob raug kuaj pom thaum ntxov, nws tuaj yeem kho tau tag nrho nrog kev kho mob . Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob thaum ntxov.
Cov hom mob qog noj ntshav no yog hom twg?
Raws li peb tau tham ua ntej lawm, tus mob qog noj ntshav no muaj peev xwm muab faib ua ntau hom loj nyob ntawm seb nws loj hlob qhov twg.
- Cov qog nqaij hlav ntawm lub noob qes: Qhov no yog ib hom mob qog nqaij hlav. Nws feem ntau tshwm sim rau cov tub hluas hnub nyoog qis dua 3 xyoos thiab rau cov txiv neej hluas hnub nyoog 20 thiab 30 xyoo . Feem ntau, cov no tuaj yeem kuaj pom thaum ntxov, ua ntej lawv kis mus rau lwm qhov ntawm lub cev. Qhov no ua rau lawv muaj feem yuav kho tau zoo dua.
- Cov qog nqaij hlav ntawm lub qe qe: Qhov no yog ib hom mob qog nqaij hlav ntawm lub qe. Nws yog ib hom mob uas tsis tshua muaj zog, txhais tau tias nws tuaj yeem kis tau sai. Nws feem ntau tshwm sim rau cov ntxhais hluas hnub nyoog 20 xyoo lossis qis dua . Tshaj tawm tias, ib feem peb ntawm cov neeg uas kuaj pom tias muaj tus kab mob no yog cov ntxhais hluas uas tseem tsis tau pib muaj hli.
- Cov qog nqaij hlav uas tshwm sim sab nraum cov noob qes (Extragonadal germ cell tumors):Qee zaum, cov mob qog nqaij hlav ntawm cov noob qes no tshwm sim rau lwm qhov ntawm lub cev, sab nraum cov zes qe menyuam lossis noob qes. Piv txwv li, lawv tuaj yeem tshwm sim rau hauv lub hlwb, nruab nrab ntawm lub hauv siab, nraub qaum ntawm lub plab, lossis pob txha tw .
Cov tsos mob ntawm qhov no yuav yog dab tsi?
Cov tsos mob ntawm Yolk Sac Tumor nyob ntawm seb qhov twg ntawm lub cev uas muaj qog nyob. Piv txwv li, leej niam yuav pom ib lub pob me me hauv tus menyuam lub noob qes thaum da dej. Los yog ib tug ntxhais hluas yuav muaj lub hlis tsis tu ncua nrog rau mob plab. Nws yog ib qho tseem ceeb kom paub txog cov tsos mob no.
Saib lub rooj hauv qab no rau cov tsos mob uas feem ntau tshwm sim nyob ntawm qhov chaw ntawm tus mob qog noj ntshav.
| Qhov chaw ntawm tus mob cancer | Cov tsos mob uas pom tau |
|---|---|
| Cov noob qes | Ib lub pob los yog ib qho tawv uas tsis mob hauv lub noob qes. |
| Hauv cov zes qe menyuam | Mob plab o los yog xav tias muaj ib lub pob hauv plab, mob plab los yog mob nraub qaum, hloov pauv kev quav (xws li cem quav), ntshav tsis tu ncua los yog ntshav ntau hauv lub hlis. |
| Lub hlwb | Mob taub hau lossis teeb meem pom kev. |
| Lub hauv siab | Hnoos thiab ua pa nyuaj. |
| Qis dua ntawm tus txha nqaj qaum (Tailbone) | Thaj chaw ntawd yuav o, zoo li raug mob, lossis zoo li pob khaus uas muaj kab mob. |
Vim li cas hom mob qog noj ntshav no thiaj tshwm sim?
Qhov no yog ib qho teeb meem uas ntau tus neeg muaj. Tab sis qhov tseeb, cov kws tshawb fawb kho mob tseem tsis tau pom qhov ua rau muaj Yolk Sac Tumor. Ib yam li lwm yam mob qog noj ntshav, qhov no yog tshwm sim los ntawm kev hloov pauv (kev hloov pauv) hauv cov noob caj noob ces, lossis DNA, hauv cov hlwb. Cov kev hloov pauv no ua rau cov hlwb faib sai thiab tsis tuaj yeem tswj tau. Raws li lub sijhawm dhau mus, cov hlwb no tuaj yeem loj hlob ua ke los ua ib pawg. Yog tias tsis kho, cov hlwb qog noj ntshav no tuaj yeem kis mus rau lwm qhov ntawm lub cev.
Txawm li cas los xij, kev tshawb fawb tseem tab tom ua mus rau qhov laj thawj vim li cas cov kev hloov pauv caj ces no pib thaum xub thawj.
Yuav kuaj mob li cas?
Yog tias koj lossis koj tus menyuam muaj ib qho ntawm cov tsos mob teev saum toj no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Tus kws kho mob yuav ua qhov kev kuaj mob lub cev ua ntej thiab nrhiav seb puas muaj cov qog lossis o ntawm lub plab lossis noob qes. Tom qab ntawd, lawv yuav nug koj txog koj cov tsos mob.
Muaj ntau yam kev kuaj mob uas ua tau los xyuas kom meej tias muaj tus kab mob no:
- Kev kuaj ntshav: Yuav muab ib qho qauv ntawm koj cov ntshav coj mus kuaj thiab kuaj ib qho protein tshwj xeeb. Nws hu ua Alpha-fetoprotein (AFP) . Qib AFP no hauv cov ntshav siab heev rau txhua tus neeg uas muaj Yolk Sac Tumor. Qhov no yog ib qho cim qhia tseem ceeb heev rau kev kuaj mob qog noj ntshav no.
- Kev kuaj duab: CT scans (Computed Tomography scans) thiab MRI scans (Magnetic Resonance Imaging) yog cov kev kuaj uas siv ntau tshaj plaws. Cov no tuaj yeem pom tseeb cov qog nqaij hlav hauv lub cev.
- Kev phais mob: Qhov no yog tib txoj kev kom paub tseeb 100% txog tus kab mob. Tus kws kho mob yuav phais kom tshem tawm tag nrho cov qog nqaij hlav (qee zaum tag nrho cov qog nqaij hlav uas nyob hauv). Tom qab ntawd cov qog nqaij hlav yuav raug xa mus rau chav kuaj mob kom kuaj xyuas cov qe ntshav dawb.
Cov theem ntawm mob qog noj ntshav raug txiav txim siab li cas?
Thaum kuaj pom tus kab mob lawm, cov kws kho mob yuav txiav txim siab seb tus mob qog noj ntshav tau kis mus deb npaum li cas, lossis 'theem' ntawm tus mob qog noj ntshav yog dab tsi. Theem no yog txiav txim siab los ntawm cov yam xws li qhov loj ntawm lub qog thiab tus mob qog noj ntshav tau kis mus deb npaum li cas. Yog tias theem qis (piv txwv li Theem 1), nws txhais tau tias tus mob qog noj ntshav nyob rau theem thaum ntxov. Yog tias theem siab (piv txwv li Theem 3, 4), nws txhais tau tias tus mob qog noj ntshav tau kis mus me ntsis. Kev paub txog theem no yog qhov tseem ceeb rau kev xaiv txoj kev kho mob zoo tshaj plaws.
Rau cov qog nqaij hlav
- Theem 1: Tus mob qog nqaij hlav tsuas yog nyob hauv lub noob qes xwb.
- Theem 2: Tus mob qog nqaij hlav tau kis mus rau cov qog ntshav hauv lub cev.
- Theem 3: Cov qog nqaij hlav tau kis mus rau lwm qhov hauv lub cev.
Rau cov qog nqaij hlav zes qe menyuam
- Theem 1: Tus mob qog nqaij hlav tsuas yog nyob rau ib lossis ob lub zes qe menyuam xwb.
- Theem 2: Cov qog nqaij hlav tau kis mus rau lwm qhov chaw hauv lub duav, tab sis tsis tau mus txog cov hlab ntaws qe menyuam.
- Theem 3: Tus mob qog nqaij hlav tau kis mus rau cov qog ntshav thiab daim nyias nyias uas kab sab hauv ntawm lub plab (peritoneum).
- Theem 4: Tus mob qog nqaij hlav tau kis mus rau sab nraud ntawm daim tawv nqaij ntawm lub plab mus rau lwm cov nqaij thiab cov kabmob.
Cov kev kho mob rau qhov no yog dab tsi?
Lub hom phiaj tseem ceeb ntawm kev kho mob yog tshem tawm cov qog nqaij hlav tag nrho. Muaj ob txoj kev kho mob tseem ceeb rau qhov no.
1. Kev Phais: Qhov no suav nrog kev tshem tawm tag nrho cov noob qes (hu ua orchiectomy ) lossis zes qe menyuam (hu ua oophorectomy ) uas raug mob qog noj ntshav. Yog tias qog noj ntshav tau kis mus rau cov noob qes seminal, lawv kuj tseem yuav tsum tau tshem tawm.
2. Kev Kho Mob Qog: Tom qab phais mob, kev kho mob no yog muab los tua cov qe ntshav qog uas yuav tseem nyob hauv lub cev uas tsis pom los ntawm lub qhov muag liab qab. Qee zaum, yog tias qhov qog loj heev, kev kho mob qog kuj tseem yuav muab los ua kom qhov qog me me ua ntej phais mob.
Txoj kev kho mob BEP
Kev kho mob chemotherapy tseem ceeb rau Yolk Sac Tumor hu ua BEP . Nyob ntawm theem ntawm tus mob qog noj ntshav thiab koj lub cev teb li cas rau kev kho mob, koj yuav tsum tau noj ob peb zaug ntawm BEP. BEP yog kev sib xyaw ua ke ntawm peb yam tshuaj:
- B leomycin
- E toposide
- Cisplatin ( P latinol®)
Thaum peb yam tshuaj no sib xyaw ua ke, lawv ua haujlwm zoo heev los rhuav tshem cov hlwb Yolk Sac Tumor.
Tom qab kho mob tas, tus mob zoo li cas lawm? (Kev kwv yees)
Qhov no yog ib yam uas ntau tus neeg yuav tsum paub. Muaj tseeb tiag, yog tsis kho, mob qog nqaij hlav ntawm lub zais zis yuav ua rau tuag taus. Yog vim li ntawd peb thiaj hais txij thaum pib tias nws yog ib qho tseem ceeb heev uas yuav tsum kuaj mob thiab pib kho thaum ntxov . Ib yam li lwm yam mob qog nqaij hlav, kev kho mob sai dua, qhov muaj feem yuav rov zoo dua.
Koj qhov kev kwv yees nyob ntawm ntau yam. Koj yuav tsum tham nrog koj tus kws kho mob txog tej yam xws li theem ntawm tus mob qog noj ntshav, koj lub cev teb li cas rau kev kho mob, thiab koj qib AFP ua ntej pib siv tshuaj kho mob qog noj ntshav (qhov qis dua, feem ntau qhov tshwm sim zoo dua).
Tiam sis tsis txhob txhawj. Kev kho mob xws li kev phais thiab BEP tau ua rau cov neeg uas muaj Yolk Sac Tumor muaj sia nyob zoo dua qub. Piv txwv li, mob qog nqaij hlav theem 1 yuav luag kho tau tag nrho nrog cov kev kho mob no. Kev tshawb fawb tsis ntev los no qhia tau tias 91.5% ntawm cov neeg uas tau kho mob qog nqaij hlav theem thaum ntxov tseem muaj sia nyob tom qab tsib xyoos.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qog Nqaij Ntshav Qab Zib yog ib hom mob qog noj ntshav tsawg tsawg uas feem ntau tshwm sim rau cov menyuam yaus thiab cov tub ntxhais hluas.
- Saib xyuas cov tsos mob xws li muaj ib lub qog tsis mob hauv lub noob qes lossis o/tsis xis nyob hauv plab. Yog tias koj pom ib yam dab tsi zoo li no, tsis txhob txaj muag lossis ntshai, tab sis mus ntsib kws kho mob tam sim ntawd.
- Txawm hais tias tus mob qog noj ntshav no kis tau sai los, nws tuaj yeem kho tau tag nrho yog tias kuaj pom thaum ntxov.
- Kev phais thiab kev kho mob chemotherapy (tshwj xeeb tshaj yog BEP) muaj txiaj ntsig zoo heev.
- Txawm tias tom qab kev kho mob tiav lawm los xij, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj mob raws sijhawm raws li tus kws kho mob tau hais.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus