Kodi mukufunanso kudziwa za khansa yoopsa yotchedwa Angiosarcoma?

Kodi mudamvapo za dzina lakuti Angiosarcoma? Mwina ayi. Chifukwa uwu ndi mtundu wa khansa wosowa, kutanthauza kuti, mtundu wa khansa womwe suwoneka kawirikawiri. Koma ndikofunikira kwambiri kuti tidziwe zinthu ngati izi. Chifukwa, uwu ndi khansa yomwe ingakhale yoopsa kwambiri ndikufalikira mwachangu. Tiyeni tikambirane za izi mwatsatanetsatane komanso lero.

Kodi Angiosarcoma ndi chiyani?

Mwachidule, angiosarcoma ndi chotupa cha khansa chomwe chimayambira mkati mwa mitsempha yanu yamagazi kapena mitsempha ya lymphatic. Taganizirani ngati netiweki ya mitsempha iyi m'thupi lathu lonse. Chifukwa chake khansa iyi imatha kufalikira kulikonse m'thupi komwe mitsempha iyi ili.

Komabe, nthawi zambiri imapezeka pakhungu la mutu, khosi, kapena mabere. Timaitcha kuti cutaneous angiosarcoma. Kuphatikiza apo, imathanso kufalikira m'ziwalo zamkati monga mtima (cardiac angiosarcoma), chiwindi, ndi ndulu, koma si yofala kwambiri.

Ndizachibadwa kumva mantha komanso kudabwa mukamadziwa kuti muli ndi angiosarcoma. Iyi ikhoza kukhala khansa yoopsa komanso yovuta kuchiza. Koma sizikutanthauza kuti mulibe njira zina. Dokotala wanu adzakupatsani malangizo a njira zabwino kwambiri zochizira matenda anu.

Kodi vutoli ndi lofala bwanji?

Ma angiosarcoma ndi mtundu wosowa kwambiri wa ma soft tissue sarcoma. Ma soft tissue sarcoma ndi mtundu wosowa kwambiri wa chotupa. Tangoganizani, ngakhale m'dziko ngati America, ma angiosarcoma amapezeka mwa munthu mmodzi pa anthu miliyoni chaka chilichonse. Kawirikawiri amakula pakhungu lanu, makamaka pakhungu lanu.

Kodi zizindikiro zake ndi ziti?

Zizindikiro za angiosarcoma zimasiyana malinga ndi komwe zakhudzidwa m'thupi. Mwachitsanzo, angiosarcoma yomwe imapezeka pakhungu (kuphatikizapo khungu la mutu, nkhope, khosi, ndi mabere) ikhoza kukhala ndi zizindikiro monga:

• Zimayamba ngati matuza ang'onoang'ono ofiira kapena abuluu , kenako zimafalikira pang'onopang'ono, zimakula, ndipo zimayamba kutuluka magazi mosavuta.
• Khungu lofiirira, lofanana ndi ziphuphu kapena mabala. Likhozanso kukhala ndi mamba pamwamba.
• Chilonda chomwe sichichira, kapena chilonda chomwe chimakula pang'onopang'ono.

Ngati muli ndi angiosarcoma m'chiwalo chamkati, monga chiwindi chanu, simungazindikire zizindikiro zilizonse mpaka chotupacho chitakula mokwanira kuti chikhudze ntchito ya chiwalocho. Kapena, chotupacho chingakankhire ziwalo zapafupi. Zizindikiro za angiosarcoma m'chiwalo chamkati zingaphatikizepo:

• Kutopa kwambiri.
• Ululu m'dera lomwe lakhudzidwa.
• Kusasangalala, kumva kusasangalala.
• Kuchepetsa thupi popanda chifukwa.
• Kuvuta kupuma(Ichi ndi chizindikiro chofala kwambiri cha angiosarcoma ya mtima.)
• Kupweteka kwa jaundice komanso kupweteka kosalekeza m'mimba yakumtunda kumanzere (izi zitha kukhala zizindikiro za angiosarcoma ya chiwindi).

Kodi angiosarcoma imapweteka?

Angiosarcoma ingayambitse ululu kapena ayi. Mwachitsanzo, angiosarcoma yomwe imayamba m'chiwindi kapena ndulu ingayambitse ululu m'mimba. Koma nthawi zambiri izi zimachitika pokhapokha chotupacho chitakula ndipo matendawa atakula. Angiosarcoma yomwe imayamba pakhungu singakhale yopweteka konse. M'malo mwake, ingawoneke ngati bala losachira, lofalikira.

Chifukwa chiyani angiosarcoma imayamba?

Angiosarcoma imayamba chifukwa cha maselo omwe ali mkati mwa mitsempha yanu yamagazi kusintha kuchoka ku maselo abwinobwino kupita ku maselo osazolowereka. Mosiyana ndi maselo abwinobwino, maselo a khansa awa safa. M'malo mwake, amapitiliza kupanga maselo ambiri, kenako amapanga zotupa. Maselo a khansa awa amapitiliza kukula kuchokera ku mitsempha yamagazi yomwe yakhudzidwa. Nthawi zambiri, amafalikira ku ziwalo zina za thupi.

Kodi zinthu zoopsa ndi ziti?

Ofufuza apeza zinthu zingapo zomwe zimawonjezera chiopsezo cha angiosarcoma. Izi ndi izi:

• Zaka ndi jenda: Ngakhale angiosarcoma imatha kufalikira pa msinkhu uliwonse, imapezeka kwambiri mwa anthu azaka zopitilira 60. Amuna ali ndi mwayi waukulu wokhala ndi angiosarcoma yoyamba kuposa akazi.
• Chithandizo cha khansa ya radiation: Nthawi zina angiosarcoma ndi khansa yachiwiri. Izi zikutanthauza kuti imayamba zaka zingapo (nthawi zambiri pafupifupi zaka 8-10) pambuyo pa chithandizo cha khansa ya radiation ya mtundu wina wa khansa (nthawi zambiri khansa ya m'mawere).
• Kukhudzana ndi mankhwala: Kukhudzana ndi angiosarcoma ya chiwindi kumagwirizanitsidwa ndi kukhudzana ndi mankhwala monga polyvinyl chloride, arsenic, ndi thorium dioxide. Nthawi zina, angiosarcoma siimawonekera mpaka zaka 10-40 kuchokera pamene yakhudzidwa ndi mankhwalawa.
• Matenda a lymphedema osatha: Pafupifupi 5% ya matenda onse a angiosarcoma amagwirizanitsidwa ndi mtundu wa matenda a lymphedema osatha (okhalitsa) otchedwa Stewart-Treves syndrome. Izi nthawi zambiri zimakhudza akazi omwe adachitidwa opaleshoni ya mastectomy ndi lymph node kuti alandire chithandizo cha khansa ya m'mawere.
• Matenda a majini: Pafupifupi 3% ya angiosarcomas onse amapezeka mwa anthu omwe ali ndi matenda omwe amayamba chifukwa cha matenda a majini. Matenda enaake ndi monga retinoblastoma ya m'magawo awiri, matenda a Maffucci, neurofibromatosis, ndi matenda a Klippel-Trenaunay.

Kodi mumazindikira bwanji izi?

Dokotala adzayamba wakuyang'anani mwakuthupi ndikukuuzani za zizindikiro zanu. Adzakufunsaninso za mbiri yanu yachipatala. Mwachitsanzo, ngati mudalandirapo chithandizo cha radiation kapena muli ndi ntchito yomwe imafuna kuti mukhale ndi mankhwala enaake, dokotalayo angaganize kuti angiosarcoma.

Kenako, mayeso ojambulira zithunzi angachitike kuti aone kukula ndi malo a chotupacho. CT scan, MRI, ndi PET scan ndi mayeso ofala kwambiri omwe amagwiritsidwa ntchito pozindikira angiosarcoma. Ngati dokotala wanu akukayikira angiosarcoma ya m'mawere, mungafunike kuchitidwa mammogram kapena ultrasound. Ngati dokotala wanu akukayikira angiosarcoma ya mtima, mungafunike kuchitidwa transesophageal echocardiogram.

Pomaliza, muyenera kuchitidwa biopsy . Izi zimaphatikizapo dokotala kutenga zitsanzo zazing'ono za minofu yanu, madzi, ndi maselo. Zitsanzozi zimatumizidwa ku labu, komwe katswiri wa matenda amawafufuza kuti awone ngati ali ndi maselo a khansa. Kuyesa kwa labu kotchedwa immunohistochemistry kungatsimikizire ngati muli ndi angiosarcoma.

Magawo a Angiosarcoma

Kuyeza kuchuluka kwa khansa kumathandiza madokotala kudziwa kuchuluka kwa khansa komanso momwe yafalikira. Ma angiosarcoma amagawidwa pa sikelo kuyambira gawo loyamba (loyamba) mpaka lachinayi (lachinayi). Gawo loyamba limatanthauza kuti chotupacho sichinafalikire kupitirira pomwe chinayambira. Gawo lachinayi limatanthauza kuti chafalikira kumadera akutali a thupi. Popeza ma angiosarcoma ndi khansa yamphamvu komanso yokulira mofulumira, nthawi zambiri imakhala itafalikira kale (ndiko kuti, ili pamlingo wapamwamba) pofika nthawi yomwe imapezeka. Nthawi zambiri imafalikira mpaka m'mapapo.

Kudziwa momwe khansa yanu ilili kumathandiza dokotala wanu kusankha chithandizo chomwe chingakuthandizeni kukhala ndi moyo wautali.

Kodi chimachiritsidwa bwanji?

Opaleshoni yochotsa chotupa ndiyo njira yodziwika kwambiri yothandizira angiosarcoma. Madokotala angalimbikitse chithandizo cha radiation kapena chemotherapy musanachite opaleshoni kapena mutachita opaleshoni kuti muchepetse chotupacho kapena kupha maselo ena otsala a khansa.

Mankhwala atsopano a khansa, monga mankhwala ochiritsira matenda ndi chitetezo chamthupi, akupangidwa panopa kuti athane ndi angiosarcoma. Kutengera ndi matenda anu, dokotala wanu angakulangizeni chimodzi mwa mankhwalawa kapena mayeso azachipatala omwe amayesa mankhwala atsopano a khansa.

Kodi izi zingapewedwe?

Simungathe kupewa zinthu zonse zomwe zimayambitsa angiosarcoma. Mwachitsanzo, simungathe kudziletsa kuti musatenge matenda enaake monga matenda a chibadwa kapena kupatsidwa chithandizo cha khansa pogwiritsa ntchito radiation. Komabe, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi angiosarcoma, monga kuchepetsa kukhudzana ndi mankhwala enaake oopsa.

Kodi chimachitika ndi chiyani ngati ndili ndi angiosarcoma?

Popeza angiosarcomas imayamba m'mitsempha yamagazi, imatha kufalikira mwachangu kwambiri. Akafalikira, angiosarcomas zimakhala zovuta kwambiri kuchiza. Ngakhale zitatha pambuyo pa chithandizo, zimakhala zosavuta kubwereranso.

Madokotala akupeza njira zothandiza kwambiri zochizira angiosarcoma. Komabe, kuchuluka kwa anthu omwe akupulumuka matendawa kukadali kochepa. Pafupifupi 35% yokha ya anthu omwe apezeka ndi angiosarcoma ndi omwe ali ndi moyo zaka zisanu atapezeka ndi matendawa.

Ndi zachilendo kuchita mantha mukamva nkhani ngati izi. Koma chofunika kwambiri ndikumvetsa vutoli ndikutsatira malangizo a dokotala.

Kodi ndimadzisamalira bwanji?

Angiosarcoma ndi khansa yomwe ikukula mofulumira. Mutha kudzisamalira, kupumula, komanso kupumula. Dzipatseni nthawi yoti mumvetse zomwe zikuchitika m'thupi lanu. Lankhulani ndi dokotala wanu za zinthu zomwe mungachite kuti muthandizire chithandizo chanu. Nazi malingaliro ena omwe angakuthandizeni:

• Yesetsani kuchepetsa nkhawa yanu. Ngati mukumva kupsinjika maganizo mutapezeka ndi matenda, simuli nokha. Khansa ndi yovutitsa maganizo. Zinthu monga kusinkhasinkha, kuchita masewera olimbitsa thupi, komanso kupuma mozama zingathandize.
• Lolani kuti mupumule. Mutha kumva kutopa kwambiri, "kutopa," mutalandira chithandizo cha khansa. Yesetsani kupuma mokwanira momwe mungathere.
• Yesetsani kudya zakudya zopatsa thanzi nthawi zonse. Chithandizo chanu chingakhudze chilakolako chanu cha chakudya. Yesetsani kudya zakudya zopatsa thanzi (musamadumphe chakudya). Ngati mukuvutika kudya, lankhulani ndi katswiri wa zakudya.
• Lumikizanani ndi ena. Kulimbana ndi khansa kungamve ngati kusungulumwa, makamaka ndi khansa yosowa kwambiri monga angiosarcoma. Pemphani dokotala wanu kuti akulumikizani ndi magulu othandizira komwe mungagawane malingaliro anu ndi anthu omwe akumvetsa.

Kodi ndiyenera kupita kwa dokotala liti?

Kaonaneni ndi dokotala ngati mwawona kusintha kulikonse pakhungu lanu (makamaka ziphuphu kapena zilonda zomwe sizikuchira pakhungu lanu, pankhope, kapena pakhosi). Uzaninso dokotala wanu ngati mwawona mabala atsopano, monga komwe mudalandira chithandizo cha radiation kale.

Ngati mukulandira kale chithandizo cha angiosarcoma, imbani dokotala wanu ngati mukuona kuti zizindikiro zanu zikukulirakulira. Muuzeninso ngati muli ndi zotsatirapo zosayembekezereka kapena zoopsa kwambiri pa chithandizo chanu.

Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?

Mankhwala ena a khansa angakhudze chitetezo cha mthupi lanu, zomwe zingakulitse chiopsezo chanu chotenga matenda. Ngati mwachitidwa opaleshoni, mungakhale ndi mavuto pamalo ochitira opaleshoni. Muyenera kupita kuchipatala chadzidzidzi ngati:

• Ngati muli ndi malungo opitirira madigiri 38.3 Celsius, malungo angakhale chizindikiro chakuti muli ndi matenda.
• Ngati muli ndi ululu womwe sungathetsedwe ndi mankhwala anu ochepetsa ululu.
• Ngati mukusanza kwambiri kapena mukutsegula m'mimba kosalekeza.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Angiosarcoma ndi khansa yosowa kwambiri. Mwina mukudabwa chifukwa chake mwatenga khansa iyi komanso zomwe dokotala wanu angachite kuti akuthandizeni. Nazi mafunso ena okuthandizani kukambirana izi:

• Kodi angiosarcoma yanga ndi siteji iti?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi zotsatira zake zoyipa ndi ziti?
• Kodi mwayi woti khansa ibwererenso ndi wotani mutalandira chithandizo?
• Kodi ndiyenera kutenga nawo mbali mu mayeso azachipatala?
• Kodi matenda anga adzayamba bwanji?

Zinthu zoti mukumbukire mwachidule

Angiosarcoma ndi khansa yosowa kwambiri, yomwe ikukula mofulumira. Izi zikutanthauza kuti ngati muli ndi angiosarcoma, mwina mukukumana ndi khansa yoopsa. Mungamve nkhawa kwambiri ndi zomwe zidzachitike pambuyo pake. Ndizachibadwa kukhala ndi nkhawa ndi tsogolo. Koma simuyenera kuthana ndi matendawa nokha. Gawani nkhawa zanu ndi dokotala wanu. Iye akhoza kukufotokozerani njira zanu zamankhwala komanso tsogolo la matendawa. Komanso, mupempheni kuti akulumikizeni ndi mapulogalamu ndi mautumiki omwe angakuthandizeni. Musataye mtima.

Angiosarcoma , khansa, khansa ya mtsempha wamagazi, khansa ya lymphatic, khansa ya pakhungu, khansa yosowa, zizindikiro za khansa