Era olina obulumi bw’amagumba oba ekizimba? Ka twogere ku Chondrosarcoma!

Olina obulumi obumaze ebbanga oba ekizimba mu ggumba oba ekiwanga mu mubiri gwo naddala mu mukono, ekigere, ekisambi oba mu kifuba? Obulumi buno oluusi bulabika nga bweyongera ekiro? Bwe kiba bwe kityo, ekitundu kino kijja kuba kikulu nnyo gy’oli. Leero tugenda kwogera ku kika kya kookolo w’amagumba atatera kulabika nnyo, naye nga kisaana okumanya. Oyo ye chondrosarcoma.

Chondrosarcoma kye ki?

Mu ngeri ennyangu, Chondrosarcoma kika kya kookolo akula mu bitundu by’omubiri ebiyitibwa cartilage mu mibiri gyaffe. Omanyi cartilage kye ki? Ensigo y’omubiri (Cartilage) kitundu kya maanyi era ekinywevu ekyetoolodde ennyondo zaffe era ne kiremesa amagumba okusikagana. Kiringa kapiira. Eggumba lino likuuma ennyondo zaffe era liyamba amagumba okukula.

Kale, kookolo ono owa chondrosarcoma asobola okukula wonna mu mubiri gwaffe awali eggumba. Naye kisinga kulabibwa mu:

• Mu mikono n’ebibegabega.
• Mu magulu.
• Mu kisambi.
• Mu mbavu z’ekifuba.
• Eggumba eriri wakati mu kifuba (sternum).

Oluusi, n’ebizimba by’amagumba ebyali tebirina kookolo (benign) oluvannyuma bisobola okufuuka kookolo ne bifuuka chondrosarcoma.

Mu butuufu ono kookolo atatera kulabika nnyo . Okusinziira ku bibalo ebiri mu Amerika, bubeera mu bantu nga omu ku buli bantu 200,000. Wadde nga kiyinza okubaawo ku myaka gyonna, kisinga kubeera mu bantu abali wakati w’emyaka 40 ne 75. Emyaka gya wakati egy’okuzuula obulwadde buno giri nga 51. Obujjanjabi obusinga ku kino kwe kulongoosa okuggyawo eggumba n’amagumba ebirimu kookolo. Abasawo oluusi embeera eno bagiyita sarcoma.

Waliwo ebika bya Chondrosarcoma?

Yee, waliwo ebika bya chondrosarcoma eby’enjawulo. Kookolo ono akola mu bitundu by’omubiri ebiyitibwa cartilage asengekebwa okusinziira ku butoffaali obukola ekizimba. Ka tulabe ebika ebikulu.

Chondrosarcoma eya bulijjo

Kino kye kika ekisinga okumanyibwa . Kikola ebitundu ebisoba mu 85% ku chondrosarcomas zonna. Butera kubeera mu bantu abali wakati w’emyaka 50 ne 70. Businga kubeera mu bitundu by’ekisambi, mu bitundu by’omugongo, n’ekisambi. Ekizimba eky’ekika kino kikula mpola nnyo era tekitera kugenda mu bitundu ebirala.

Chondrosarcoma etali ya njawulo

Ekika kino kikola ebitundu nga 10% ku chondrosarcomas zonna. Businga kubeera mu bantu abasukka emyaka 60. Bukula mangu okusinga ebika ebirala. Ebizimba bino ebikula amangu bitera okukula mu ggumba ly’omukono ogwa waggulu (humerus), eggumba ly’ekisambi (femur), oba mu magumba g’omu kifuba.

Kiyitibwa ‘dedifferentiated’ kubanga obutoffaali obumu butandika ng’obutoffaali bwa chondrosarcoma obwa bulijjo, naye oluvannyuma ebitundu ebimu eby’ekizimba bikyuka ne bifuuka obutoffaali bwa sarcoma obw’omutindo ogwa waggulu. Sarcomas ez’omutindo ogwa waggulu ye kookolo akula n’okusaasaana amangu. Eby’okulabirako mulimu osteosarcoma, fibrosarcoma, ne undifferentiated pleomorphic sarcoma.

Obulwadde bwa Chondrosarcoma obw’obutoffaali obutangaavu

Kino kikola ebitundu nga 2% ku chondrosarcomas zonna. Butera okubeera mu bantu abali wakati w’emyaka 30 ne 50, naye era busobola okubeera mu bantu abali mu myaka amakumi abiri. Businga kubeera mu ngalo oba mu bigere, okumpi n’ekiwanga. Bukula mpola era tebutera kusaasaana mu bitundu by’omubiri ebirala.

Obulwadde bwa Mesenchymal Chondrosarcoma

Ekika kino kisinga kubeera mu bavubuka abali wakati w’emyaka 19 ne 30. Kisinga kubeera mu mugongo, embiriizi oba mu bbwa. Ekika kino kikula mangu okusinga ebika ebirala era kitera okusaasaana n’okuddamu oluvannyuma lw’okujjanjabwa.

Extraskeletal myxoid chondrosarcoma kika kya kookolo w’omubiri (mesenchymal cancer). Bukula mu bitundu ebigonvu, so si mu ggumba oba eggumba, ery’emikono n’amagulu ebya waggulu.

Bubonero ki obulaga obulwadde bwa Chondrosarcoma?

Olw’okuba ebizimba ebisinga ebya chondrosarcoma bikula mpola, kiyinza okutwala emyezi obubonero okulabika. Obubonero obusinga okulabika bwe buno:

• Obulumi bw’amagumba mu kitundu ky’omubiri ekigere ekijja ne kigenda naddala ekiro.
• Ekizimba oba ekizimba ekiwulira ng’ekizimba mu ggumba, gamba ng’omukono, ekigere oba embiriizi.
• Obukoowu .
• Okugejja mu butali bugenderevu .

Naye kikulu okujjukira kino: Kookolo w’amagumba tatera nnyo. Obubonero bungi obw’obulwadde bwa chondrosarcoma bufaananako n’obw’embeera ezitali za maanyi nnyo. Kale olw’okuba olina ekizimba mu kigere tekitegeeza nti kookolo w’amagumba.

Kyokka bw’oba ​​olina ekizimba ekitaggwaawo okumala wiiki ezisukka mu bbiri, oba ng’owulira ng’okooye nnyo buli kiseera, olina okulaba omusawo ddala . Ajja kwekenneenya obulamu bwo okutwalira awamu era azuule ekivaako obubonero buno.

Biki ebivaako obulwadde bwa Chondrosarcoma?

Abanoonyereza n’okutuusa kati tebamanyi kituufu ekivaako embeera eno, naye bakizudde nti ekwatagana n’obuzibu obumu obw’obuzaale. Mu bino mulimu:

• Obulwadde bwa Li Fraumeni:Abantu abalina embeera eno batera okufuna ebizimba bya kookolo omuli n’obulwadde bwa chondrosarcoma.
• Obulwadde bwa Maffucci syndrome n’obulwadde bwa Ollier: Endwadde zino zireetera ebizimba ebitali bya kookolo okutondebwa mu bitundu by’omubiri ebiyitibwa cartilage, amagumba n’olususu.
• Hereditary multiple osteochondromas: Bino bizimba bingi, ebitali bya kookolo ebikolebwa mu magumba. Ziyinza okutaataaganya okukula kw’amagumba.

Mu mbeera ezimu, abakugu mu by’endwadde abanoonyereza ku nkyukakyuka mu buzaale mu chondrosarcoma balowooza nti enkyukakyuka mu nsengekera y’obutonde ezitali za nsikirano oba enkyukakyuka ezimu mu buzaale ziyinza okuba nga ze zireetera obutoffaali bw’amagumba okukyuka.

Bizibu ki ebiva mu mbeera eno?

Ebika ebikula amangu, nga Mesenchymal Chondrosarcoma oba Dedifferentiated Chondrosarcoma, bisobola okutta obulamu kubanga bisobola okusaasaana amangu ne bikosa ebitundu by’omubiri ebirala.

Chondrosarcoma ezuulibwa etya?

Omusawo ajja kukubuuza ebibuuzo ebikwata ku bubonero bwo. Okugeza nga:

• Obubonero buno wasooka kulaba ddi?
• Ddala beeyongera obungi?
• Zikwata zitya ku bulamu bwo obwa bulijjo?

Oluvannyuma ajja kumukebera omubiri era ayinza n’okulagira okukeberebwa ebifaananyi oba okukebera omubiri.

Ebigezo by’okukuba ebifaananyi

Abasawo bakozesa ebikebera ebifaananyi nga bino okuzuula obulwadde bwa chondrosarcoma:

• Ebigezo bya X-ray.
• CT scan `(Ekifaananyi kya kompyuta (CT) scan)`.
• MRI scan `(Ekifaananyi ekikwata ku magineeti (MRI) scan)`.
• PET scan `(Ekifaananyi ekifulumya omukka gwa positron (PET) scan)`.
• Sikaani y’amagumba.

Okukebera ebitundu by’omubiri (biopsy).

Omusawo wo ayinza okukusindika ew’omusawo w’amagumba, omusawo alongoosa n’okujjanjaba endwadde nga kookolo w’amagumba, akukebere. Eyo, omukugu mu by’endwadde aggya ekitundu ky’omubiri okuva mu kizimba ekiteeberezebwa n’akikebera ng’akozesa ekyuma ekirabika obulungi. Waliwo ebika by’okukebera omubiri (biopsy) ebiwerako:

• Fine-needle aspiration : Kino kizingiramu okutwala sampuli y’ebitundu by’omubiri ng’okozesa empiso n’empiso.
• Incisional biopsy: Ekizimba kitemebwa ne baggyibwako ebitundu by’omubiri.
• Excisional biopsy: Ekizimba kyonna oba ekitundu ky’ebitundu by’omubiri kiggyibwamu.

Omusawo w’endwadde akebera sampuli eno ey’ebitundu by’omubiri okulaba oba waliwo obutoffaali bwa kookolo. Singa obutoffaali buba bwa kookolo, naye ajja kusalawo ekika ky’ekizimba n’ekikula ky’ekizimba.

Ebika bya Chondrosarcoma bye biruwa?

Ekigero ky’ekizimba kye kipimo ekiraga amangu ekizimba kye kiyinza okukula n’okusaasaana. Chondrosarcoma ebalirirwa okuva ku 1 (I) okutuuka ku 3 (III):

• Chondrosarcomas ez’omutindo ogwa wansi (grade I): Zino era ziyitibwa ebizimba by’amagumba ebitali bya bulijjo. Zino ze zisinga okukula mpola era nga zirina emikisa emitono egy’okusaasaana.
• Chondrosarcomas za ddaala lya wakati (grade II): Zino zitera okusaasaana katono.
• Chondrosarcomas ez’omutindo ogwa waggulu (grade III): Zino ze zisinga okusaasaana .

Bujjanjabi ki obw’obulwadde bwa Chondrosarcoma?

Ebiseera ebisinga, ojja kwetaaga okulongoosebwa okuggyawo obulwadde bwa chondrosarcoma. Ekika ky’okulongoosebwa kw’ogenda okulongoosebwa kijja kusinziira ku mbeera gy’olimu. Kuno kw’ogatta ekika kya chondrosarcoma ky’olina, ekizimba we kiri, n’eddaala lyakyo (engeri gye kyasaasaana amangu). Waliwo ebika by’okulongoosa ebiwerako ku bulwadde bwa chondrosarcoma:

• Curettage: Mu nkola eno, omusawo asikambula ebitundu bya kookolo okuva mu ggumba n’ayingiza ekintu ekisimba amagumba mu kifo ekyo.
• Okulongoosa nga tebalina bitundu by’omubiri: Wano, omusawo aggyawo ekizimba n’amagumba n’ebinywa ebibyetoolodde. Oluvannyuma, balongoosa okuddamu okuzimba okudda mu kifo ky’eggumba n’ebitundu ebiggiddwamu.

Tekitera nnyo, omusawo w’amagumba ayinza okukuwa amagezi okulongoosebwa okuggyamu ekitundu ky’omukono oba okugulu (okusalako). Mu mbeera eno, bayinza n’okuteesa okukozesa ekitundu ky’omubiri eky’ekinnansi. Mu mbeera zonna, ojja kwetaaga okujjanjabibwa omubiri okusobola okulongoosa amaanyi go, okutebenkeza, n’okutambula.

Bw’oba ​​olina ekika kya chondrosarcoma ekitali kya bulijjo, gamba nga dedifferentiated oba mesenchymal chondrosarcoma, oyinza okuweebwa eddagala lya chemotherapy oba radiation therapy okukendeeza ku kizimba nga tonnalongoosebwa n’okusaanyaawo obutoffaali bwa kookolo bwonna obusigaddewo oluvannyuma lw’okulongoosebwa.

Chondrosarcoma esobola okuziyizibwa?

Si ddala, bino tebiziyizibwa. Ensonga emu eri nti abanoonyereza n’okutuusa kati tebamanyi bulungi nsonga lwaki bakula. Wabula okunoonyereza kulaga nti abantu abalina embeera ezimu ez’obuzaale bali mu bulabe bwa maanyi okukwatibwa obulwadde bwa chondrosarcoma. N’olwekyo yogerako n’omusawo wo ku byafaayo by’obujjanjabi bw’amaka go. Asobola okwekenneenya akabi k’olina n’okukuwa amagezi ku mitendera gy’okulondoola obulamu bwo.

Kiki kye nsuubira mu mbeera eno?

Olw’okuba waliwo ebika bya chondrosarcoma ebiwerako, ebisuubirwa okuvaamu (prognoses) byawukana okusinziira ku kika. Buuza omusawo wo ky’oyinza okusuubira okusinziira ku mbeera yo entongole. Kino ajja kusanyuka okukunnyonnyola.

Chondrosarcoma esobola okuwona?

Mu mbeera ezimu, ebizimba ebitono ennyo ebikula mpola ebya bulijjo ebya chondrosarcoma bisobola okuwonyezebwa ddala nga obilongooseddwa. Okusinziira ku kika kya chondrosarcoma, okugattako eddagala lya chemotherapy nakyo kiyinza okuyamba okuwonya obulwadde buno.

Omuwendo gw’okuwona obulwadde bwa Chondrosarcoma guli gutya?

Emiwendo gy’okuwona obulwadde bwa chondrosarcoma gyawukana okusinziira ku kika ky’ekizimba n’okumanya oba ekizimba kisaasaanidde mu bitundu by’omubiri ebirala. Okutwalira awamu, abantu 79% abalina obulwadde bwa chondrosarcoma baba balamu oluvannyuma lw’emyaka etaano bukya bazuuliddwa.

Bw’oba ​​olowooza ku bitundu bino ku buli kikumi, kuuma ebintu ebitonotono mu birowoozo:

• Emiwendo gy’okuwona giba kuteebereza, so si kuteebereza . Zibalirirwa okusinziira ku ebyo abalala bye bayitamu, era embeera yo eyinza okuba ey’enjawulo ennyo.
• Okubalirira kuno kwesigamiziddwa ku byaliwo emabega . Okugeza, ebitundu bino byesigamiziddwa ku byatuuka ku bantu abaafuna obulwadde bwa chondrosarcoma wakati wa 2012 ne 2018.
• Emiwendo gy'abawonawo tegikubuulira bbanga ly'onoowangaala .

Bw’oba ​​olina ekibuuzo oba ekikweraliikiriza ku kiki ekitegeeza omuwendo gw’okuwona embeera yo, saba omusawo wo annyonnyole engeri okubalirira okwo gye kukwata ku mbeera yo.

Bwemba nnina obulwadde bwa Chondrosarcoma, nneerabirira ntya?

Okubeera n’obulwadde bwa chondrosarcoma ebiseera ebisinga kutandika n’okuwona okuva mu bujjanjabi. Chondrosarcoma etera okujjanjabibwa nga balongoosebwa. Oluusi, ekitundu ky’omubiri oba ekitundu ky’ekitundu ky’omubiri kiyinza okwetaagisa okuggyibwawo okusobola okuggyawo kookolo. Oluvannyuma lw’okuwona oluvannyuma lw’okulongoosebwa, bw’oba ​​okozesa ekitundu ky’omubiri eky’ekinnansi, ojja kwetaaga okutandika enteekateeka y’okuddaabiriza okusobola okukimanyiira.

Era oyinza okwetaaga okuyambibwa okumanyiira enkyukakyuka mu bulamu bwo obwa bulijjo oba enkyukakyuka mu ndabika yo. Omusawo ayinza okukuwa amagezi ku bujjanjabi bw‟omubiri, obw‟emirimu oba obw‟omutwe obuyinza okukuyamba okuddukanya okusoomoozebwa kuno.

Ddi lwe nnina okulaba omusawo?

Buuza omusawo wo ku nkyukakyuka mu mubiri eziyinza okulaga nti kookolo azzeemu, ne ddi lw’olina okutuukirira omusawo wo singa zibaawo.

Bibuuzo ki bye nnina okubuuza omusawo ku ngeri gye nnazuddemu?

Bino bye bimu ku bibuuzo by’oyinza okubuuza omusawo wo:

• Nnina kika ki ekya Chondrosarcoma?
• Bujjanjabi ki bw’oteesa?
• Lwaki oteesa ku bujjanjabi obwo?
• Biki ebiva mu bujjanjabi buno?
• Biki ebiva mu bujjanjabi buno?
• Singa nmira obujjanjabi oburagiddwa, obulwadde bwange obwa chondrosarcoma busobola okuddamu?

Njawulo ki eriwo wakati wa Chondrosarcoma ne Osteosarcoma?

Osteosarcoma etandikira mu magumba era etera okubeera mu baana. Chondrosarcoma etandikira mu bitundu by’omubiri ebiyitibwa cartilage era etera okubeera mu bantu abakulu. Abasawo basobola okulongoosa obulwadde bwa chondrosarcoma bwokka, naye ku osteosarcoma, bakozesa eddagala lyombi n’okulongoosa.

N’ekisembayo, obubaka obukulu

Okuzuula kookolo ono ow’amagumba atatera kulabika, ayitibwa chondrosarcoma, kiyinza okuba eddaala erisooka mu lugendo oluwanvu olw’okuwona. Olugendo olwo lutera okutandika n’okulongoosebwa okuggyawo kookolo, n’oluvannyuma okuddaabiriza okuwona oluvannyuma lw’okulongoosebwa n’obujjanjabi obulala.

Wadde kookolo ono asobola okujjanjabibwa obulungi, ajja kukyusa obulamu bwo. Oyinza okwetaaga obuyambi okusobola okwaŋŋanga ebizibu ebiri mu mubiri ne mu nneewulira. Yogerako n’omusawo wo ku kusoomoozebwa kw’oyolekedde. Omusawo wo ne ttiimu ye bategeera by’oyitamu. Nga bw’otandika olugendo luno, bajja kuba naawe buli ddaala ly’ogenda. Toggwaamu ssuubi!

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