He aha te Spindle Cell Sarcoma? Me kōrero māmā noa iho!

Kua āwangawanga koe mō tētahi mea rerekē, pērā i te mamae, te pupuhi rānei i roto i ō wheua, i ngā wāhi ngohengohe rānei pērā i ō uaua? I ētahi wā he mea noa ēnei. Engari, he onge, ka taea e ēnei tohu te tohu i tētahi mea kino. Nō reira, i tēnei rā ka kōrero tātou mō tētahi momo mate pukupuku he onge noa iho, engari he mea nui kia mōhiotia. Ko te ingoa o tēnā ko te Spindle Cell Sarcoma.

He aha rawa te Spindle Cell Sarcoma?

Ki te whakarapopoto, he momo matepukupuku onge te Spindle Cell Sarcoma e tupu ana i roto i ngā wheua me ngā kiko ngohengohe o tō tātou tinana. I mōhio koe ko te 'sarcoma' e pā ana ki ngā puranga pūtau rerekē, ngā pukupuku rānei, e tupu ana i roto i aua wheua me ngā kiko e hono ana ki a rātou?

Nā, ko te mea motuhake mō te Spindle Cell Sarcoma, ina tirohia aua pūtau rerekē i raro i te karuārai, ka rite rātou ki te 'spindel'. He rite te āhua o te spindle ki te rama, he angiangi ngā taha, he matotoru ake te waenganui. Koia te take i tapaina ai tōna ingoa.

Nā ngā whakamātautau taiwhanga matatau, kua taea e ngā tākuta te tautuhi i te neke atu i te 75 ngā momo sarcoma. Ko te sarcoma pūtau spindle tētahi o aua momo. Inaa, ko te kupu 'spindel cell sarcoma' e whakamahia ana hei whakaahua i ngā sarcoma kāore e taea te whakarōpū tika mā ētahi whakamātautau taiwhanga, pērā i ngā tae, i ngā āhuatanga ira rānei. Nō reira, he kupu whānui tēnei.

Kei hea te nuinga o te wā e puta ai ēnei pukupuku?

Ko te Spindle Cell Sarcoma te nuinga o te wā ka puta i roto i ngā wheua roa o te tinana. Hei tauira:

• Tō wheua huha (`femur`)
• Iwi waewae (tibia)
• Te wheua o te ringa o runga (humerus)

Heoi, ehara i te mea ko ēnei anake ngā wāhi. Ko ētahi tāngata he spindle cell sarcomas kei roto i te hope, te upoko me te kaki, me ētahi atu wāhanga o te tinana.

He aha ngā momo matua o te Spindle Cell Sarcoma?

Nā, tirohia, ka tīmata ngā sarcomas katoa i roto i ngā kiko ngohengohe. Arā, i roto i ngā mea pēnei i te ngako, te uaua, ngā oko toto, ngā io, me te kiko e karapoti ana i ngā wheua. Ka whakarōpūhia anō e ngā tākuta ngā sarcomas pūtau spindle i runga i te momo pūtau e tīmata ai te mate pukupuku.

Mā te mārama ki te momo pūtau me ōna āhuatanga i tēnei ara, ka taea e ngā tākuta te aromatawai i te tūponotanga o te horapa o te mate pukupuku. Mā tēnei hoki ka āwhina i a rātou ki te tautuhi i ngā maimoatanga pai rawa atu.

Ahakoa he kupu whānui te 'spindle cell sarcoma', he maha ngā momo matua:

• Te Sarcoma Pleomorphic Kāore i Whakarerekētia:E ai ki te ingoa, kāore ngā pūtau o tēnei momo matepukupuku i 'whakarerekētia'. Ko te tikanga o tēnei, kāore i te mārama te momo pūtau i tīmata mai ai te matepukupuku. He 'pleomorphic' ngā pūtau mate i roto i te pukupuku, arā, he maha ngā āhua me ngā rahi. Arā, he kohinga pūtau mai i ngā momo rerekē te pukupuku.
• Fibrosarcoma: Ka puta mai ēnei i ngā pūtau e kiia nei ko ngā fibroblast. Ko ngā fibroblast ngā poraka hanga matua o te kiko honohono i roto i ō tātou tinana.
• Leiomyosarcoma: Ka tīmata ēnei i roto i ngā pūtau uaua maeneene. He rerekē ēnei i ngā pūtau i roto i te kiko uaua angaiwi, e whakamahia ana e tātou hei neke i ō tātou tinana me te whiwhi pūngao. Kei roto i ō tātou whekau o roto, i ngā kōhao tinana, me ētahi wheua hei kiko ngohengohe ngā pūtau uaua maeneene.

He pēhea te noa o tēnei āhuatanga?

Pērā i ētahi atu momo sarcoma, he tino onge te spindle cell sarcoma. Inaa, he iti iho i te 10% o ngā mate pukupuku wheua me ngā kiko ngohengohe katoa e kitea ana i konei. Kia maumahara, he tino onge tēnei, ā, kāore pea tō tākuta e whakapae i tēnei momo mate pukupuku i te tuatahi. Me haere pea koe ki ētahi wā tirotiro tākuta, me kite i ētahi tohunga, me whai whakamātautau maha i mua i te whiwhinga o te tātaritanga.

Ka taea e te tangata te whakawhanake i te sarcoma pūtau spindle. Heoi, he mea tino noa i roto i te hunga neke atu i te 40 tau te pakeke . Ko te hunga e pāngia ana e te sarcoma pleomorphic undifferentiated kua whakahuatia ake nei kei waenganui i te 60 me te 70 tau te pakeke.

He aha ngā tohu o tēnei?

Ka rerekē pea ngā tohu o te spindle cell sarcoma. Ka whakawhirinaki ki te rahi o te pukupuku, te maha o ngā pukupuku, me ngā wheua (me ētahi atu wāhanga rānei o te tinana) kei roto ngā pūtau matepukupuku. Anei ētahi tohu me tino tirotiro koe :

• Mamae wheua: Ka roa pea tēnei mamae, ka haere mai, ka haere atu rānei. Ka rite ki te mea kei te werohia koe e tetahi i roto.
• He whati wheua i te wāhi i ngoikore ai i te mate pukupuku: Ka kiia tēnei he 'whati mate'. Ka whati pea te wheua ahakoa he hinganga iti noa iho.
• Te ngawari, te pupuhi rānei ina pēhia ki te wāhi kei reira te puku: Tērā pea he puku nui hei pupuri mā te ringa.
• Te kore e taea te neke tika i te hononga ki te puku: Mehemea he tata te turi, he uaua ki te piko, ki te totoro rānei i te turi.
• Ngenge: Ehara tēnei i te ngenge noa iho. He ngenge nui e kore e memeha ahakoa te nui o te moe, te okioki rānei.
• Mate pāwera: Te āhua o te kore hauora , kāore he take mārama, me te mea kāore he kaha, kāore hoki he hiahia ki tetahi mea.

He aha te take o te sarcoma pūtau spindle?

Pērā i ngā mate pukupuku katoa, ka tīmata te sarcoma pūtau spindle ina huri ngā pūtau hauora hei mate kino. Ka tipu haere ēnei pūtau kino, ka puta he pukupuku. Ka taea e ēnei pukupuku te kino i ngā kiko hauora e karapoti ana. Ko te mea tino morearea ko te pakaru o ēnei pūtau mate pukupuku i te pukupuku taketake ka horapa puta noa i te tinana, ka kino i ētahi atu kiko me ngā whekau. Koinei te mea e kiia nei e tātou he metastasis, he mate pukupuku metastatic rānei.

Engari, anei tētahi mea hei mōhio māu. I te nuinga o te wā, he mea pai ngā pūtau porotaka (ina tupu tika). Ka puta ngā pūtau porotaka i te wāhi kua pakaru te kiko. Nō reira, ko te whai pūtau porotaka he tohu kei te ora tō patunga. Ka ngaro ēnei pūtau ina ora te patunga.

Heoi, i roto i te sarcoma pūtau porotiti, ka tipu tonu, ka whakarea tonu ēnei pūtau porotiti. Kāore anō kia kitea e ngā kaipūtaiao tētahi take motuhake e tino kino ai ēnei pūtau.

Heoi, kua kitea e ngā kairangahau ka taea e ētahi whakarerekētanga ira te whakanui ake i te tūponotanga o te tangata ki te pāngia e tēnei mate pukupuku. Ko te 'whakarerekētanga' he hapa i roto i ō tātou ira, te pūnaha e tohutohu ana i ō tātou pūtau me pēhea te mahi. Mō te sarcoma pūtau spindle, he maha ngā wā ka tukuna iho ēnei whakarerekētanga, arā, ka taea te tuku iho i roto i ngā whānau.

He aha ngā āhuatanga mōrearea e whakapiki ake ai i te mōrearea o te whakawhanaketanga o tēnei mate pukupuku?

He maha ngā āhuatanga ka piki ake te mōrearea o te whakawhanaketanga o te spindle cell sarcoma. Me titiro tātou ki ēnei āhuatanga:

• Te Pukupuku Wheua: Koinei te wā e mate ai te kiko o te wheua nā te mea kāore e nui te toto e whiwhi ana. E mōhio ana koe, me toto te kiko o te wheua kia ora ai, koia te mahi a te hāora.
• Te Dysplasia muka: I tēnei āhua, ka whakakapia te kiko wheua hauora e te kiko wheua muka. Ka piki ake te mōrearea o ngā whati, ā, (he tino onge) ka arahi pea ki te whanaketanga o ngā fibrosarcomas.
• Osteomyelitis: He mate tēnei e pā ana ki te kiko hautai i roto i ētahi wheua, e kiia nei ko te hinu wheua. Ka tupu pea tēnei mēnā ka haere ngā huakita, ngā iroriki rānei mai i tō toto ki te wheua, ka pangia ngā pūtau o reira.
• Te mate a Paget o te wheua: He mate roa tēnei (pūmau). Ka ngoikore ngā wheua, ka ngawari hoki te whati. Ka piki ake pea te tūponotanga o te mate pukupuku wheua, tae atu ki te spindle cell sarcoma.
• Kua whiwhi kē koe i te rongoā irahiko mō te mate pukupuku:Ka whakamahia e te rongoā irahiko ngā hihi kaha-nui (he maha ngā hihi-X kaha-nui) hei whakangaro i ngā pūtau matepukupuku. He onge noa iho te puta o ngā sarcoma pūtau porowhita i ngā wāhi e rongoatia ana ki te irahiko. Ina tupu tēnei, ka puta te sarcoma i roto i ētahi tau i muri i te maimoatanga (whitu ki te rua tekau tau). Engari kia mahara, iti iho i te 1% o te hunga e whiwhi ana i te rongoā irahiko ka pāngia e tēnei momo matepukupuku e pā ana ki te irahiko.

He aha ngā raruraru o te spindle cell sarcoma?

Mā tēnei mate pukupuku ka nui ake te tūponotanga ka whati (pakaru) ō wheua i te wāhi o te puku. Ina whati te wheua, ka taea e ngā pūtau pukupuku o te puku te haere ki ngā wāhi tata.

Heoi anō, kei te tautohetia tonutia mēnā he rerekētanga tēnei momo whati wheua ki te matapae whānui (arā, ko te putanga pea) o te mate pukupuku, mēnā rānei he pānga noa iho te putanga ki te horapa tawhiti o te mate pukupuku (te horapa metastatic).

Me pēhea te tautuhi i te sarcoma pūtau spindle?

I mua i te taea e tō tākuta te tātaritanga me te whakatau i te taumata o tō mate pukupuku, tera pea he maha ngā whakamātautau me ngā tikanga ka mahia e koe. Mā te whakatau i te taumata o te mate pukupuku ka taea e ngā tākuta te whakarōpū i te kaha o te mate pukupuku i runga i te rahi o te puku, tōna wāhi, me te horapa rānei. I te whakatau i te taumata o te mate pukupuku wheua, ka tirohia hoki mēnā he 'teitei' te puku, he 'iti' rānei. He nui ake te āhua o ngā pūtau o ngā puku teitei. He nui ake te tūponotanga ka tere te tipu me te horapa.

He kounga teitei te nuinga o ngā sarcoma pūtau spindle.

Ngā whakamātautau whakaahua

Ahakoa kāore e taea e ngā whakamātautau whakaahua te whakaatu i te momo matepukupuku, ka taea e rātou te whakaatu i te rahi me te wāhi o te pukupuku. Ka taea hoki e rātou te whakaatu mēnā kua horapa te matepukupuku ki tua atu i te pukupuku tuatahi.

• Ngā hihi-X: Ka taea e ngā hihi-X te whakaatu i ngā pukupuku, i ētahi atu āhuatanga rerekē rānei o ō wheua. Ka taea e te hihi-X o te uma te kite mēnā kua horapa te mate pukupuku ki ngā pukahukahu. He maha ngā wā ka horapa tuatahi te sarcoma pūtau spindle metastatic ki ngā pukahukahu.
• Matawai MRI: Ka whakamahia e te MRI tētahi aukume nui, ngā ngaru reo irirangi, me te rorohiko hei tango pikitia o ngā mea i roto i te tinana. Kāore i rite ki ngā hihi-X, ka taea e te MRI te whakaatu taipitopito i ngā kiko ngohengohe. He tino whai hua tēnei mā ngā tākuta ki te tautuhi i ngā puku kiko ngohengohe e whakapaetia ana he sarcomas.
• Ngā Matawai CT: Ka whakamahia e ngā matawai CT ngā hihi-X me te rorohiko hei hanga pikitia toru-ahu (3D) o ngā wheua me ngā kiko ngohengohe. Mō te sarcoma pūtau spindle, ka taea e ngā matawai CT te whakaatu mēnā kua horapa te mate pukupuku ki ngā kiko ngohengohe. He pai hoki ēnei mō te kimi whatiwhatinga, ngā wāhi rānei e ngoikore ana ngā wheua.
• Ngā Matawai PET: Ka whakamahia e ngā matawai PET tētahi matū e kiia nei ko te tracer hei kimi i ngā pūtau matepukupuku puta noa i te tinana. Ka taea e rātou te āwhina ki te kimi i te sarcoma pūtau spindle kua horapa. Tērā pea ka whai matawai PET koe hei tirotiro i te mahi a tō maimoatanga. Heoi, kāore ngā matawai PET e whakamahia mō ngā momo sarcoma katoa. Mā tō tākuta e whakatau mēnā he tika te matawai PET māu.

Ngā whakamātautau toto

Kāore he whakamātautau toto motuhake hei kite i te sarcoma pūtau spindle. Heoi, he nui ngā kōrero e pā ana ki tō hauora e tukuna ana e ngā whakamātautau toto, ā, he mea nui kia mōhio tō tākuta ki aua kōrero. I te nuinga o te wā, ka taea e ngā whakamātautau toto te whakarato kōrero mō ngā mea pēnei i:

• Ō pūtau toto
• Te mahi a te okana
• Ngā taumata whākōkī (he matū ngā whākōkī e āwhina ana i ngā okana ki te whakahaere i ngā tukanga nui)

Te koiora

Ko te huarahi pai ki te mōhio mēnā he mate pukupuku te puku ko te tango i te koiora. Koinei anake te huarahi ki te mōhio ki te momo mate pukupuku me tōna taumata. I te wā o te koiora, ka tangohia e te tākuta he tauira kiko mai i te puku ka tukuna ki te taiwhanga hei tirotiro i ngā pūtau.

Ko te nuinga o te hunga whai mate pukupuku pūtau spindle ka whai i tētahi koiora ngira. Ka whakangāwarihia e ngā tākuta te kiko e karapoti ana i te puku, kātahi ka whakamahia he ngira iti, tuwhera hei tango tauira. Hei āwhina i te tākuta kia mōhio ki te wāhi tika o tō tinana hei whakauru i te ngira, me whai pea koe i tētahi matawai X-ray, CT rānei.

Me pēhea te rongoā i te sarcoma pūtau spindle?

Ko te maimoatanga ka whiwhi koe ka whakawhirinaki ki tō hauora, te wāhi, te rahi, te kounga, me ētahi atu āhuatanga. Ka whakawhirinaki anō hoki ki te mea kei te whiwhi maimoatanga koe mō te wā tuatahi, ki te mea rānei kua hoki mai te mate pukupuku i muri i te maimoatanga (he hokinga mai).

Pokanga

Ko te whāinga o te pokanga he tango i te pukupuku me te pupuri i te nuinga o tō wheua. Mena ka taea te tango i ngā tohu katoa o te mate pukupuku i roto i te pukupuku tuatahi me ngā pukupuku tuarua, ka taea te whakaora i te mate pukupuku. Heoi, ina horapa te mate pukupuku ki tua atu i te pukupuku taketake, he tino uaua ake te tango katoa.

Te rongoā matū

Ko te chemotherapy he maimoatanga e whakamahi ana i ngā rongoā hei patu i ngā pūtau matepukupuku puta noa i te tinana. Tērā pea ka tukuna he chemotherapy ki a koe i mua i te pokanga hei whakaiti i te pukupuku, hei whakangāwari ake hoki i te tango. Tērā pea ka tukuna he chemotherapy ki a koe hei patu i ngā pūtau matepukupuku e toe ana i muri i te pokanga. Ka whakamahia hoki te chemotherapy hei 'tiaki whakaora'. Ahakoa kāore e taea te whakaora i te matepukupuku, ka taea e te chemotherapy te patu i ngā pūtau matepukupuku hei whakaiti i ngā tohu pēnei i te mamae o te wheua.

He maha ngā tāngata e hoatu ana ki a rātou he huinga rongoā chemotherapy hei whakapai ake i te whai huatanga o te maimoatanga. I runga i te mea kei te whiwhi maimoatanga koe mō te wā tuatahi, kāore rānei koe i te pai te urupare ki ētahi o ngā rongoā chemo, mēnā rānei kua hoki mai te mate pukupuku i muri i te "whakaora", ka hoatu pea ki a koe ētahi atu rongoā chemo. Ko te tikanga o te "whakaora" kua pai ake te mate pukupuku, kua ngaro katoa rānei i muri i te maimoatanga.

Te Whakaora Irahiko

Ka whakamahia e te Whakaora Irahiko Hiko o Waho (EBRT) he mīhini hei tuku i ngā hihi-X ki te puku hei patu i ngā pūtau matepukupuku. Mēnā kāore e taea e koe te mahi pokanga, ka hoatu pea he rongoā irahiko hei whakangaro i te puku. I ētahi wā, kāore pea e taea e te taote pokanga te toro atu ki te puku mā te pokanga. Tērā pea he hohonu rawa i roto i te kiko, he tata rawa rānei ki ngā whekau nui, kāore e taea te tango haumaru. Mēnā he pērā, ka hoatu pea he rongoā irahiko hei utu.

Pērā i te chemotherapy, ka taea hoki e te radiation therapy te whakaiti i ngā tohu mena kāore e taea te whakaora i te mate pukupuku.

He aha ngā raruraru, ngā pānga taha rānei o te maimoatanga?

He mea noa te pāngia e ngā pānga taha o te chemotherapy me te radiation therapy i te wā e rongoatia ana te mate pukupuku. Tērā pea ka roa ēnei pānga i muri i te otinga o te maimoatanga. He mea nui kia pātai atu ki tō tākuta mō ngā pānga taha ka pā mai, i runga i te maimoatanga e whiwhi ana koe.

Āhea ahau me toro atu ki taku tākuta?

Mā tō tākuta koe e kī atu ki te auau o tō haerenga mai ki te rongoā, ki te whakamātautau rānei mēnā kei te "whakaora" tonu te mate pukupuku. He maha ngā tāngata e mate pukupuku ana, ā, kei te "whakaora" tonu, me haere pinepine atu ki te tākuta i ngā wāhanga tōmua. I a koe e noho roa ana i te kore mate pukupuku, ka heke te maha o ngā wā tirotiro hei tirotiro mēnā ka hoki mai anō te mate.

He aha te momo maimoatanga whai muri e hiahiatia ana e au?

I runga i te nui o te wheua i tangohia e te taote pokanga, me whai atu pea koe i ētahi atu tikanga. Ka āwhina ēnei tikanga ki te pupuri i te mahi a te wheua. Hei tauira, me whai wheua tāpiri koe. Ko te hononga wheua ko te whakakapi i te kiko kua tangohia ki te kiko mai i tētahi atu wāhanga o tō tinana, mai i tētahi kaituku rānei. Me whai peka hangai anō hoki koe. Me whai atu pea koe i ētahi atu maimoatanga hei āwhina i a koe ki te urutau ki ēnei huringa.

He aha ngā pātai me pātai atu ki taku tākuta mō te sarcoma pūtau spindle?

Anei ētahi pātai nui hei pātai atu ki tō tākuta:

• Kei hea te mate pukupuku?
• He aha te taumata/taumata o te mate pukupuku?
• He aha te pānga o taua wāhanga/taumata ki taku mahere maimoatanga?
• He aha ngā pānga taha o te maimoatanga e tika ana kia tumanakohia e au?
• Ka taea te whakaora i taku mate pukupuku?
• He aha ngā whāinga o te maimoatanga?
• Ka taea e koe te hono i ahau ki ngā ratonga tiaki mamae hei āwhina i ahau ki te aro atu ki te mate pukupuku kua tohua?

Ka taea te whakaora i te spindle cell sarcoma? He aha te kino o tēnei?

Mena ka taea te tango i ngā tohu katoa o te mate pukupuku, ka taea e ngā tākuta te rongoā i te spindle cell sarcoma. He māmā ake te rongoā i te spindle cell sarcoma kāore anō kia horapa ki tua atu i tōna wāhi taketake. Heoi, he tino uaua te rongoā i ngā sarcoma kua horapa. Kāore e taea te rongoā i ngā Metastatic Spindle Cell Sarcomas.

He 'tino teitei' te taumata o tēnei momo mate pukupuku. Ko te tikanga he tere te tipu me te horapa. I muri i te murunga, he nui ake te tūponotanga ka hoki mai anō, i ētahi wā i te wāhi kotahi i noho ai te pukupuku taketake, i ētahi wā i tētahi atu wāhi.

Engari kia maumahara, he rerekē ia tātaritanga mate pukupuku. Ka taea e tō tākuta te kōrero ki a koe i te putanga pea o te maimoatanga (matapae) i runga i te momo mate pukupuku motuhake kei a koe, tōna wāhanga, tō hauora whānui, tō urupare ki te maimoatanga, me te maha atu o ngā āhuatanga. Ko tō tākuta te tangata pai rawa atu hei tohutohu i a koe mō te pānga o tēnei tātaritanga ki a koe.

Ngā mea hei maumahara mā tātou mai i tēnei pūrākau (Karere hei tango ki te kāinga)

He wheako ahotea te tātaritanga o te mate Spindle Cell Sarcoma. Ka taea e te mate te whakangenge me te whakamā i a koe. He maha ngā wā ka kaha ngā maimoatanga, ā, ka raru pea koe pēnei i te taunga ki te hononga wheua, ki te peka horihori rānei.

Nō reira, he mea tino nui kia kōrero pono, tuwhera hoki ki tō tākuta mai i te tīmatanga. Mā tēnei, ka taea e koe te mārama ki tō mate, te whānuitanga o te rongoā mō tō mate pukupuku, ngā whāinga o tō maimoatanga, me ngā huringa āhua noho me mahi e koe i te wā e maimoatanga ana, e ora ana hoki.

He mate pukupuku kino, he tere te tipu o te sarcoma pūtau spindle. Heoi, kei reira ngā maimoatanga hei whakahaere i tōna tipu, ā, i ētahi wā, hei whakaora katoa. Kōrero ki tō tākuta mō ngā mea ka taea e koe te tumanako. Kaua e mutu te tumanako. He mea tino nui te whai i ngā tohutohu hauora tika me te noho pai i roto i tēnei pakanga.

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Te Sarcoma Pūtau Spindle , Te Sarcoma Pūtau Spindle, Matepukupuku, Matepukupuku Wheua, Matepukupuku Kiko Ngāwari, Puku, Ngā Tohu, Te Maimoatanga