He mamae wheua anō hoki tōu, he puku rānei? Me kōrero tātou mō te Chondrosarcoma!

He mamae roa tōu, he puku rānei kei roto i te wheua, i te hononga rānei o tō tinana, inā koa kei roto i tō ringa, waewae, hope, uma rānei? Ka kino haere pea tēnei mamae i ētahi wā i te pō? Mēnā koinā, he mea nui tēnei tuhinga māu. I tēnei rā ka kōrero tātou mō tētahi momo matepukupuku wheua tino onge, engari he mea tika kia mōhiotia. Ko te chondrosarcoma tēnā.

He aha te Chondrosarcoma?

He kupu ngāwari noa iho, ko te Chondrosarcoma he momo mate pukupuku e tupu ana i roto i te kiriuhi o roto i ō tātou tinana. E mōhio ana koe he aha te kiriuhi? Ko te kiriuhi he kiko ngāwari, kaha e karapoti ana i ō tātou hononga, e ārai ana i ngā wheua kei mirimiri tetahi ki tetahi. He rite ki te rapa. Ka tiaki tēnei kiriuhi i ō tātou hononga, ā, ka āwhina i ngā wheua kia tupu.

Nō reira, ka taea e tēnei mate pukupuku chondrosarcoma te whanake i ngā wāhi katoa o te tinana kei reira te kiriuhi. Engari ka kitea nuitia i roto i:

• I roto i ngā ringaringa me ngā pokohiwi.
• I roto i ngā waewae.
• I roto i te hope.
• I roto i ngā rara o te uma.
• Te wheua i waenganui o te kōhao o te uma (sternum).

I ētahi wā, ahakoa ngā pukupuku wheua kāore i te matepukupuku (pai) i mua, ka huri hei matepukupuku ā muri ake nei ka huri hei chondrosarcoma.

He mate pukupuku tino onge tēnei. E ai ki ngā tatauranga i te Hononga o Amerika, ka pā ki te kotahi i roto i te 200,000 tāngata. Ahakoa ka taea te pā ki ngā tau katoa, he mea noa iho i waenga i te 40 me te 75 tau te pakeke. Ko te tau toharite mō te tātaritanga he 51 tau te pakeke. Ko te maimoatanga matua mō tēnei ko te pokanga hei tango i te kiriuhi me te wheua mate pukupuku. I ētahi wā ka kiia tēnei mate e ngā tākuta he sarcoma.

He momo Chondrosarcoma anō kei reira?

Ae, he rerekē ngā momo chondrosarcoma. Ko ēnei mate pukupuku e puta mai ana i roto i te kiriuhi ka whakarōpūtia i runga i ngā pūtau e hanga ana i te pukupuku. Me titiro tātou ki ngā momo matua.

Chondrosarcoma Tuku Iho

Koinei te momo tino noa . Neke atu i te 85% o ngā chondrosarcomas katoa e pā ana ki tēnei. I te nuinga o te wā ka puta i roto i te hunga i waenga i te 50 me te 70 tau te pakeke. Ko te nuinga o te wā ka puta i roto i te femur, te humerus, me te pelvis. He tino puhoi te tipu o tēnei momo pukupuku, ā, he iti ake te tūponotanga ka horapa.

Chondrosarcoma kua wehea te rerekētanga

E 10% pea o ngā chondrosarcomas katoa e pā ana ki tēnei momo. He mea tino kitea tēnei i roto i te hunga neke atu i te 60 tau te pakeke . He tere ake tōna tipu i ētahi atu momo. Ko ēnei pukupuku tere tipu ka puta i te wheua o runga o te ringa (humerus), te wheua huha (femur), ngā wheua hope rānei.

Ka kiia ko 'dedifferentiated' nā te mea ka tīmata ētahi o ngā pūtau hei pūtau chondrosarcoma noa, engari i muri mai ka huri ētahi wāhanga o te pukupuku hei pūtau sarcoma kounga teitei. Ko ngā sarcoma kounga teitei he mate pukupuku e tipu tere ana, e horapa ana hoki. Hei tauira, ko te osteosarcoma, te fibrosarcoma, me te undifferentiated pleomorphic sarcoma.

Chondrosarcoma Pūtau Mārama

E 2% pea o ngā chondrosarcomas katoa tēnei. I te nuinga o te wā ka pā ki te hunga i waenga i te 30 me te 50 tau te pakeke, engari ka pā anō hoki ki te hunga kei roto i ō rātou tau rua tekau. He mea tino kitea ki ngā ringaringa, ki ngā waewae rānei, e tata ana ki tētahi hononga. Ka āta tipu , ā, he onge te horapa ki ētahi atu wāhanga o te tinana.

Ko te Chondrosarcoma Mesenchymal

Ko tēnei momo te mea tino kitea i roto i ngā taiohi i waenga i te 19 me te 30 tau te pakeke. Ko te nuinga o te wā ka puta ki te tuaiwi, ki ngā rara, ki te kauae rānei. He tere ake te tipu o tēnei momo i ētahi atu momo, ā, he nui ake te tūponotanga ka horapa, ka hoki anō i muri i te maimoatanga.

Ko te extraskeletal myxoid chondrosarcoma he momo matepukupuku mesenchymal. Ka puta i roto i te kiko ngohengohe, ehara i te wheua, i te kiriuhi rānei, o ngā ringa me ngā waewae o runga.

He aha ngā tohu o te Chondrosarcoma?

Nā te mea he puhoi te tipu o te nuinga o ngā pukupuku chondrosarcoma, ka roa pea ngā marama ka puta mai ngā tohu. Ko ngā tohu tino kitea ko:

• Te mamae o te wheua i tētahi wāhanga motuhake o te tinana e haere mai ana, e haere atu ana, inā koa i te pō.
• He puku, he puku rānei e rite ana ki te puku i roto i te wheua, pērā i te ringa, te waewae, te rara rānei.
• Te ngenge .
• Te whakahekenga taumaha koretake.

Engari he mea nui kia maumahara ki tēnei: ​​He tino onge te mate pukupuku wheua. He rite tonu te nuinga o ngā tohu o te chondrosarcoma ki ērā o ngā mate kāore i te tino kino. Nō reira, ahakoa he puku kei roto i tō waewae, ehara i te mea he mate pukupuku wheua.

Heoi, ki te mea he puku tōu e kore e memeha mō ngā wiki e rua neke atu, ki te mea rānei kei te tino ngenge tonu koe, me toro atu koe ki te tākuta . Māna e tirotiro tō hauora whānui, ā, māna e whakatau te pūtake o ēnei tohu.

He aha ngā take o te Chondrosarcoma?

Kāore anō kia mōhiotia e ngā kairangahau te tino take o tēnei mate, engari kua kitea e rātou he hononga ki ētahi mate ira. Ko ētahi o ēnei ko:

• Te mate a Li Fraumeni:Ko te hunga whai mate pēnei ka nui ake te tūponotanga ka pāngia e ngā pukupuku matepukupuku, tae atu ki te chondrosarcoma.
• Te mate Maffucci me te mate Ollier: Ka puta ngā pukupuku kore-matepukupuku i roto i te kiriuhi, te wheua, me te kiri i ēnei mate.
• Ngā osteochondromas maha tuku iho: He maha ngā pukupuku kāore i te matepukupuku e puta ana i roto i ngā wheua. Ka taea e rātou te whakararuraru i te tipu o te wheua.

I ētahi wā, e whakaaro ana ngā tākuta mate e ako ana i ngā huringa ira i roto i te chondrosarcoma, ko ngā huringa ira kore-tuku iho, ko ētahi whakarerekētanga ira rānei te take o te huringa o ngā pūtau kiriuhi.

He aha ngā raruraru o tēnei āhuatanga?

Ko ngā momo tipu tere, pērā i te Mesenchymal Chondrosarcoma, te Dedifferentiated Chondrosarcoma rānei, ka mōrearea te ora nā te mea ka tere te horapa me te pā ki ētahi atu wāhanga o te tinana.

Me pēhea te tautuhi i te chondrosarcoma?

Ka pātai atu te tākuta ki a koe mō ō tohumate. Hei tauira:

• Nōnahea koe i kite tuatahi ai i ēnei tohu?
• I nui haere tonu rānei rātou?
• He aha te pānga o ēnei ki tō oranga o ia rā?

Kātahi ka whakahaerehia e ia he whakamātautau tinana, ā, ka tono pea hoki i ngā whakamātautau whakaahua, i te koiora rānei.

Ngā whakamātautau whakaahua

Ka whakamahia e ngā tākuta ngā whakamātautau whakaahua pēnei hei tātaritanga i te chondrosarcoma:

• Ngā whakamātautau hihi-X.
• Matawai CT `(Matawai tomografi rorohiko (CT))`.
• Matawai MRI `(Matawai whakaahua aukume (MRI))`.
• Matawai PET `(Matawai Positron emission tomography (PET))`.
• Matawai wheua.

Te koiora

Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga wheua, he taote pokanga e tātaritanga ana, e rongoā ana hoki i ngā mate pēnei i te mate pukupuku wheua, mō tētahi koiora. I reira, ka tangohia e te tohunga mate tētahi wahi kiko mai i te puku whakapae ka tirohia i raro i te karuārai. He maha ngā momo koiora:

• Te mimiti i te ngira pai: Ko te tango i tētahi tauira kiko mā te whakamahi i te ngira me te pūwero.
• Kohikohi tapahi: Ka tapahia te puku ka tangohia he tauira kiko.
• Ko te koiora tapahi: Ka tangohia te pukupuku katoa, tetahi wāhanga rānei o te kiko.

Ka tirohia e te tākuta mate tēnei tauira kiko kia kitea ai mēnā he pūtau matepukupuku kei roto. Mēnā he pūtau matepukupuku ngā pūtau, ka whakatauhia anō hoki e ia te momo pukupuku me te taumata o te pukupuku.

He aha ngā momo o te Chondrosarcoma?

Ko te taumata o te pukupuku he ine i te tere o te tipu me te horapa o te pukupuku. Ko te Chondrosarcoma e whakarōpūtia ana mai i te 1 (I) ki te 3 (III):

• Ngā chondrosarcoma taumata iti (taumata I): Ka kiia hoki ēnei he pukupuku cartilaginous atypical. Koinei ngā mea tino puhoi te tipu , ā, he iti rawa te tūponotanga o te horapa.
• Ngā chondrosarcoma taumata-waenga (taumata II): He nui ake te tūponotanga ka horapa atu ēnei.
• Ngā chondrosarcomas taumata teitei (taumata III): Koinei ngā mea ka horapa nui .

He aha ngā maimoatanga mō te chondrosarcoma?

I te nuinga o te wā, me pokanga koe hei tango i te chondrosarcoma. Ko te momo pokanga ka mahia e koe ka whakawhirinaki ki tō āhua. Kei roto i tēnei ko te momo chondrosarcoma kei a koe, te wāhi kei reira te pukupuku, me tōna taumata (te tere o tōna horapa). He maha ngā momo pokanga mō te chondrosarcoma:

• Te Whakatōnga wheua: I roto i tēnei tikanga, ka waruhia e te tākuta te kiko matepukupuku mai i te wheua, ka whakaurua he rauemi honohono wheua ki roto i te wāhi.
• Pokanga whakaora peka: I konei, ka tangohia e te tākuta te pukupuku me te wheua me te uaua e karapoti ana. Kātahi ka mahia te pokanga hanga anō hei whakakapi i te wheua me te kiko kua tangohia.

He tino onge te wā ka tūtohu tō tākuta wheua kia pokangahia te tango i tētahi wāhanga o tō ringa, o tō waewae rānei (amputation). I tēnei wā, ka tūtohu pea rātou kia whakamahia he peka hangai. I ngā wā katoa, me whai rongoā tinana koe hei whakapai ake i tō kaha, tō taurite, me tō nekehanga.

Mena he momo chondrosarcoma onge tōu, pērā i te chondrosarcoma dedifferentiated, mesenchymal rānei, ka tukuna pea he chemotherapy, he radiation therapy rānei ki a koe hei whakaiti i te pukupuku i mua i te pokanga, hei whakangaro hoki i ngā pūtau matepukupuku e toe ana i muri i te pokanga.

Ka taea te ārai i te chondrosarcoma?

Kāore rawa, kāore ēnei e taea te ārai. Ko tētahi take, kāore anō kia mōhiotia e ngā kairangahau te take o te whanaketanga. Engari e whakaatu ana ngā rangahau he nui ake te mōrearea o te hunga whai mate tuku iho ki te pāngia e te chondrosarcoma. Nō reira, kōrero ki tō tākuta mō te hītori hauora o tō whānau. Ka taea e ia te aromatawai i tō mōrearea me te tūtohu i ngā mahi hei aroturuki i tō hauora.

He aha taku e tumanako atu ai mō tēnei āhuatanga?

Nā te mea he maha ngā momo chondrosarcoma, he rerekē ngā putanga e tumanakohia ana (ngā tohumate) i runga i te momo. Pātai atu ki tō tākuta he aha tāu e tumanako ai i runga i tō āhua motuhake. Ka koa ia ki te whakamārama i tēnei ki a koe.

Ka taea te rongoā i te chondrosarcoma?

I ētahi wā, ka taea te whakaora katoa i ngā pukupuku chondrosarcoma tuku iho tino iti, puhoi te tipu mā te tango pokanga. I runga anō i te momo chondrosarcoma, mā te tāpiri i te chemotherapy ka āwhina pea i te whakaora i te mate.

He aha te auau whakaora mō te Chondrosarcoma?

Ka rerekē ngā reiti oranga mō te chondrosarcoma i runga i te momo pukupuku me te horapa o te pukupuku ki ētahi atu wāhanga o te tinana. I te katoa, e 79% o te hunga whai chondrosarcoma e ora ana i roto i ngā tau e rima i muri i te tautuhi.

I te whakaaro ki ēnei ōrau, kia maumahara ki ētahi mea:

• He whakatau tata noa iho ngā reiti whakaora, ehara i te matapae . He whakatau tata noa iho ēnei i ahu mai i ngā wheako o ētahi atu, ā, tera pea he rerekē rawa tō āhuatanga.
• I ahu mai ēnei whakatau tata i ngā mea i tupu i mua . Hei tauira, i ahu mai ēnei ōrau i ngā mea i pa ki te hunga i pangia e te chondrosarcoma i waenga i te tau 2012 me te tau 2018.
• Kāore ngā reiti oranga e whakaatu ki a koe kia pēhea te roa o tō oranga .

Mena he pātai, he āwangawanga rānei āu mō te tikanga o te auau whakaora mō tō āhua, pātai atu ki tō tākuta kia whakamārama mai me pēhea te pānga o taua whakatau tata ki tō āhua.

Mena kei a au te Chondrosarcoma, me pēhea taku tiaki i a au anō?

Ko te noho me te chondrosarcoma ka tīmata i te whakaoranga mai i te maimoatanga. He maha ngā wā ka rongoatia te chondrosarcoma mā te pokanga. I ētahi wā, me tango pea he peka, he wāhanga rānei o te peka hei tango i te mate pukupuku. I muri i te whakaoranga mai i te pokanga, ki te mea kei te whakamahi koe i te peka hangai, me tīmata koe i tētahi kaupapa whakaora kia taunga ai koe ki tēnā.

Tērā pea ka hiahia āwhina koe ki te urutau ki ngā huringa o tō oranga o ia rā, ki ngā huringa rānei o tō āhua. Tērā pea ka tūtohu tō tākuta i ngā maimoatanga hauora tinana, hauora mahi, hauora hinengaro rānei hei āwhina i a koe ki te whakahaere i ēnei wero.

Āhea ahau me kite i te tākuta?

Pātai atu ki tō tākuta mō ngā huringa ā-tinana e tohu ana pea i te hokinga mai o te mate pukupuku, me te wā me whakapā atu ki tō tākuta mēnā ka puta.

He aha ngā pātai me pātai atu ahau ki te tākuta mō taku tātaritanga?

Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• He aha te momo Chondrosarcoma kei a au?
• He aha ngā maimoatanga e taunaki ana koe?
• He aha koe i tūtohu ai i taua maimoatanga?
• He aha ngā pānga taha o te maimoatanga?
• He aha ngā hua o ēnei maimoatanga?
• Ki te tango ahau i te maimoatanga kua tohua, ka taea e taku chondrosarcoma te hoki mai?

He aha te rerekētanga i waenga i te chondrosarcoma me te osteosarcoma?

Ka tīmata te Osteosarcoma i roto i ngā wheua, ā, ka puta i ngā tamariki. Ka tīmata te Chondrosarcoma i roto i te kiriuhi, ā, ka puta i ngā pakeke. Ka taea anake e ngā tākuta te mahi pokanga mō te chondrosarcoma, engari mō te osteosarcoma, ka whakamahia e rātou te chemotherapy me te pokanga.

Hei whakamutunga, he karere nui

Ko te tautuhi i tēnei mate pukupuku wheua onge, e kiia nei ko te chondrosarcoma, te taahiraa tuatahi pea i roto i te haerenga roa o te whakaoranga. He maha ngā wā ka tīmata taua haerenga mā te pokanga hei tango i te mate pukupuku, ā, muri iho ka whai i te whakaora hei whakaora i te pokanga me ētahi atu maimoatanga.

Ahakoa ka taea te rongoā angitu i tēnei mate pukupuku, ka rerekē tō oranga. Tērā pea ka hiahia āwhina koe ki te aro atu ki ngā wero ā-tinana me ngā wero ā-hinengaro. Kōrero ki tō tākuta mō ngā wero e pā ana ki a koe. E mārama ana tō tākuta me tana tīma ki ō wheako. I a koe e tīmata ana i tēnei haerenga, ka noho tahi rātou me koe i ia taahiraa o te ara. Kaua e mutu te tumanako!

` Chondrosarcoma, mate pukupuku wheua, mate pukupuku kiriuhi, mamae hononga, pukupuku wheua, maimoatanga mate pukupuku, pokanga