Kodi mafupa anu amapweteka? Kodi ndi Chondroblastoma? Tiyeni tikambirane za izi!

Kodi nthawi zambiri mumalankhula za ululu wa mafupa a mwana wanu? Kapena ngati muli wamng'ono, kodi mulinso ndi vuto lotere m'mafupa anu, mwina kutupa pang'ono? Nthawi zina kumbuyo kwa zizindikirozi pakhoza kukhala vuto losowa kwambiri, koma ndikofunikira kwambiri kuti tonse tidziwe. Ichi ndichifukwa chake lero tikambirana za mtundu wa chotupa cha mafupa chotchedwa `Chondroblastoma`, chomwe si khansa . Musadandaule, tiyeni tikambirane za izi mosavuta.

Kodi 'Chondroblastoma' iyi ndi chiyani? Mwachidule...

Chabwino, Chondroblastoma ndi chotupa cha mafupa chosowa kwambiri, chosakhala khansa . Chimapangidwa ndi minofu ya cartilage. Cartilage ndi gawo lofanana ndi rabara la mafupa athu lomwe limawathandiza kuyenda bwino. Chotupachi chimachitika pamene maselo m'thupi lathu amakula mofulumira kuposa momwe ayenera kukhalira, kapena pamene maselo omwe ayenera kufa safa. Mu zamankhwala, timatchanso chotupachi kuti neoplasm.

Chondroblastoma chotupa nthawi zambiri chimapezeka m'mafupa athu aatali, kutanthauza, m'mafupa aatali a miyendo ndi manja athu, pafupi ndi malo olumikizirana mafupa, komwe mafupa amakulira ('growth plate'). Kodi mukukumbukira tili ana, pamene tinakula, mafupa athu amakula chifukwa cha 'growth plates' amenewo? Zotupa zimenezi nthawi zambiri zimapezeka m'fupa la ntchafu ('femur'), ​​fupa la mkono wapamwamba ('humerus'), ndi fupa la shin ('tibia').

Ndani amatenga 'Chondroblastoma' iyi? Kodi ndi yofala bwanji?

Izi zingamveke zoopsa pang'ono, koma Chondroblastoma ndi vuto losowa kwambiri . Limayimira zotupa za mafupa zosakwana 1% mwa zonse.

Matendawa amakhudza kwambiri ana ndi achinyamata. 25% ya omwe apezeka ndi matendawa ndi ana osakwana zaka 10. Komabe, ambiri, pafupifupi 75%, ndi achinyamata ndi achinyamata azaka zapakati pa 11 ndi 25. Akutinso amuna ali ndi mwayi wochuluka wopeza matendawa kuposa akazi.

Kodi Chondroblastoma ndi khansa?

Ili ndiye vuto lalikulu lomwe anthu ambiri ali nalo. Ayi! Chondroblastoma si khansa. Izi zikutanthauza kuti ndi chotupa chosaopsa. "Chosaopsa" zikutanthauza kuti si khansa yoopsa yomwe ingafalikire ku ziwalo zina za thupi ndikuyambitsa mavuto oopsa. Kuchotsa chotupachi kudzera mu opaleshoni kungathetse ululu ndi kuwonongeka komwe kungachitike ku fupa. Choncho palibe chifukwa choopa mopanda chifukwa.

Kodi kusiyana pakati pa `Chondroblastoma` ndi `Enchondroma` ndi kotani?

Zonsezi ndi zotupa za mafupa zomwe sizili za khansa. Komabe, kusiyana kwakukulu pakati pa Chondroblastoma ndi Enchondroma ndi komwe zili.

• Chondroblastoma, monga tafotokozera kale, imapezeka pafupi ndi malo olumikizirana mafupa aatali.
• Enchondroma ndi mtundu wa chotupa chomwe chimayamba mu fupa la cartilage. Chotupachi chimapezeka kwambiri m'zala ndi zala zakumapazi. Enchondroma nthawi zambiri siimayambitsa ululu. Nthawi zambiri imapezeka mwangozi ikachitidwa X-ray pazifukwa zina.

Kodi zizindikiro za Chondroblastoma ndi ziti?

Zizindikiro za `Chondroblastoma` sizimawonekera mwadzidzidzi. Zimawonekera pang'onopang'ono , ndipo zimatha kuwonjezeka pakapita nthawi. Zizindikiro zazikulu zomwe zingawonekere ndi izi:

• Kupweteka kwa mafupa: Ichi ndiye chizindikiro chachikulu. Kwa ena, kungakhale kupweteka pang'ono, pomwe kwa ena, kungakhale kupweteka kwakukulu komwe kumayenderana ndi kutentha kosatha.
• Kufewa mukakhudza fupa lalitali: Mungamve kupweteka mukayika dzanja lanu pa fupa pomwe pali chotupa.
• Kutupa chifukwa cha madzi ozungulira malo olumikizirana mafupa (kutuluka kwa madzi m'malo olumikizirana mafupa): Malo olumikizirana mafupa amatha kuoneka ngati otupa komanso ngati madzi.
• Kufooka kwa minofu: Mwachitsanzo, ngati muli ndi chotupa ngati ichi pa mwendo wanu, mungaone kupunduka kumbali imeneyo. Uku ndi kuchepa pang'onopang'ono kwa minofu. Mwachitsanzo, mwana wanu sangakhale akuthamanga ndi kusewera monga kale, mwina akudandaula kuti mwendo wake ndi wopweteka, kapena akhoza kukhala ndi kutupa kwa malo olumikizirana mafupa... Ngati izi zipitirira, ndi bwino kufunafuna upangiri kwa dokotala.

Kodi chimayambitsa chondroblastoma ndi chiyani?

Ndipotu, chomwe chimayambitsa Chondroblastoma sichinapezekebe . Komabe, malinga ndi kafukufuku wa zamankhwala, akukhulupirira kuti zotupazi zitha kuchokera ku maselo a cartilage omwe ali m'magawo okulira omwe tidakambirana kale, omwe ali kumapeto kwa mafupa. Izi zili ngati mafakitale komwe mafupa athu "amakula". Akuganiza kuti vutoli limachitika chifukwa cha kusagwirizana kwina kwa kugawikana kwa maselo kumeneko.

Kodi Chondroblastoma ingafalikire mbali zina za thupi?

Iyi ndi nkhani yofunika kwambiri. Chondroblastoma nthawi zambiri siifalikira. Komabe, nthawi zambiri , zotupa zina zamphamvu za Chondroblastoma zimatha kufalikira (kufalikira) mpaka m'mapapo. Koma chofunika kukumbukira apa ndichakuti ngakhale zitafalikira mpaka m'mapapo, Chondroblastoma siionedwa kuti ndi khansa . Izi zikutanthauza kuti, ikadali vuto labwino. Izi ndi zovuta pang'ono, koma madokotala amatha kuthana ndi vutoli bwino.

Kodi Chondroblastoma imapezedwa bwanji?

Pali njira zingapo zofunika zodziwira matenda a Chondroblastoma.

1. Kuyezetsa ndi kufunsa mafunso azachipatala: Choyamba, mukapita kwa dokotala, adzakuyezani ndikukufunsani mafunso okhudza ululu wanu. Mwachitsanzo:

• Kodi ululu uwu wakhalapo kwa nthawi yayitali bwanji?
• Kodi ululu uli kuti kwenikweni?
• Kodi ululu umachepa mukapuma?
• Kodi ululu unakula pakapita nthawi?

Mafunso ngati awa angathandize dokotala kudziwa bwino vuto lanu.

2. Mayeso Ojambula: Kenako, dokotala nthawi zambiri amalamula chimodzi kapena zingapo mwa izi:

• X-ray: Izi zingapereke chithunzithunzi cha kusintha kwa mafupa, malo, ndi kukula kwa chotupacho.
• Kujambula kwa MRI: Izi zingapereke chithunzi chomveka bwino cha minofu yofewa, khungu losweka, ndi mtundu wa chotupa chozungulira chotupacho.
• Kujambula kwa CT: Izi zingaperekenso chidziwitso chatsatanetsatane chokhudza mafupa ndi chotupa.

3. Kufufuza za khansa: Kuti atsimikizire 100% kuti mwapezeka ndi matendawa, dokotala adzakulamulani kuti mufufuze za khansa. Izi zikutanthauza kuti mukupatsidwa mankhwala oletsa ululu ndipo dokotala wa opaleshoni akutenga minofu yochepa kwambiri kuchokera ku chotupacho ndikuitumiza ku labu. Pokhapokha poyang'ana minofuyo pansi pa maikulosikopu ndi pomwe tingadziwe ngati ndi Chondroblastoma kapena china chake.

Kodi Chondroblastoma imachiritsidwa bwanji?

Dokotala akatsimikizira kuti matendawa apezeka, adzakonza opaleshoni yochotsa chotupacho. Opaleshoni ndiyo njira yaikulu komanso yogwiritsidwa ntchito kwambiri pochiza chondroblastoma. Izi ndizofunikira chifukwa ululu ungachepetsedwe pokhapokha pochotsa chotupacho ndipo kuwonongeka kwina kwa fupa kungathetsedwe.

Nthawi zina, chotupacho chingakhale chawononga fupa. Ngati zili choncho, dokotalayo angachite "kulumikiza fupa" atachotsa chotupacho. Mwachidule, izi zimaphatikizapo kutenga chidutswa cha fupa lathanzi kuchokera mbali ina ya thupi lanu (monga fupa lanu la m'chiuno) ndikuchimamatira pamalo owonongeka. Kapena, nthawi zina, zinthu zina zokonzedwa bwino m'malo mwa fupa zingagwiritsidwe ntchito.

Kawirikawiri, kutengera malo ndi kukula kwa chotupacho, opaleshoni singathe kuchotsa chotupacho bwinobwino. Pazochitika zotere, dokotala wanu angakulangizeni njira zina zosagwiritsa ntchito opaleshoni. Mwachitsanzo:

• Kuchotsa ma radiofrequency: Izi zimagwiritsa ntchito mafunde amphamvu kwambiri kutentha ndi kuwononga chotupacho.
• Cryotherapy: Izi zimaphatikizapo kugwiritsa ntchito chinthu chozizira kwambiri, monga nayitrogeni yamadzimadzi, kuti chizimitse chotupacho ndikuchiwononga.

Ndi mankhwala ati omwe angagwiritsidwe ntchito pa ululu?

Chizindikiro chachikulu cha `Chondroblastoma` ndi kupweteka kwa mafupa. Poyamba, mutha kuchepetsa ululu ndi mankhwala ochepetsa ululu monga `Paracetamol`, omwe mungagule ku pharmacy. Komabe, pamene chotupacho chikukulirakulira, mankhwala ochepetsa ululu amenewa satha kuthetsa ululu. Kuchotsa chotupacho opaleshoni ndiyo njira yabwino kwambiri yothetsera ululu wonse.

Kodi ndikufunikadi opaleshoni?

Inde, opaleshoni nthawi zambiri imafunika.Kuchita opaleshoni ndiyo njira yabwino kwambiri yochotsera chotupacho ndikuchepetsa ululu. Ngati chotupacho sichinachiritsidwe, chingapitirire kukula. Izi zitha kuwononga fupa, kuyambitsa ululu waukulu, komanso kupangitsa kuti zikhale zosatheka kusuntha malo olumikizirana mafupa omwe chotupacho chili.

Kodi nthawi yochira imakhala bwanji pambuyo pa opaleshoni?

Nthawi yochira komanso njira yochira pambuyo pa opaleshoni zimatha kusiyana malinga ndi kukula ndi malo a chotupacho, komanso kuwonongeka kwa fupa.

Kawirikawiri, mumakhala m'chipatala kwa pafupifupi tsiku limodzi mutachita opaleshoni, motsogozedwa ndi madokotala. Mungamve ululu ndi kusasangalala kwa milungu iwiri kapena itatu yoyamba mutachita opaleshoni mpaka bala litachira. Komabe, palibe zizindikiro za `Chondroblastoma`. Pa ululu wochepa mpaka wocheperako mutachita opaleshoni, dokotala angakulimbikitseni `NSAIDs` (mankhwala oletsa kutupa omwe si a steroidal), monga `Ibuprofen`. Izi zimachepetsa ululu ndi kutupa.

Chofunika: Ngati mukumva ululu womwewo mutachita opaleshoni, kungakhale chizindikiro chakuti chotupacho chabwerera. Chifukwa chake, ndikofunikira kuti muyezedwe nthawi zonse monga momwe dokotala wanu wanenera kuti muwonetsetse kuti opaleshoni yanu ikuchira bwino.

Ndi masewera olimbitsa thupi ati omwe angachitike mutachita opaleshoni?

Gawo lalikulu la kuchira pambuyo pa opaleshoni ndi kumanganso pang'onopang'ono ntchito ya mafupa ndi kulimbitsa minofu. Pokhapokha mutatha kubwerera ku zinthu ndi zochita zomwe mumakonda. Umu ndi momwe masewera olimbitsa thupi nthawi zambiri amayamba:

• Sabata imodzi mutachita opaleshoni: Mutha kuyamba kuchita masewera olimbitsa thupi opepuka (monga kupindika ndi kutambasula cholumikizira) popanda kugwiritsa ntchito kulemera kulikonse, monga momwe mungachitire mutachita opaleshoni.
• Masabata asanu ndi limodzi mutachita opaleshoni: Mutha kuchita masewera olimbitsa thupi opepuka komanso olemera.
• Miyezi itatu mutachita opaleshoni: Mukhoza kuchita masewera olimbitsa thupi olemera, koma muyenera kupewa kuchita zinthu zolemetsa.
• Miyezi isanu ndi umodzi mutachita opaleshoni: Mwina mudzachira mokwanira ndipo mudzatha kubwerera ku moyo wabwinobwino.

Muyenera kukambirana zonsezi ndi dokotala wanu komanso katswiri wa zamaganizo ndikutsatira malangizo awo.

Kodi chotupa changa cha Chondroblastoma chingabwererenso nditachitidwa opaleshoni?

Pali mwayi wochepa woti chotupacho chibwererenso mkati mwa miyezi ingapo kapena zaka zoyambirira pambuyo pa opaleshoni, pafupifupi 10% . Ichi ndichifukwa chake pambuyo pa opaleshoni, dokotala nthawi zonse amawunika malo omwe akhudzidwa ndi X-ray ndikuwunika pafupipafupi. Ngati chotupacho chabwerera, opaleshoni ina ingafunike.

Kodi mungachepetse bwanji chiopsezo chotenga `Chondroblastoma`?

Popeza chifukwa chenicheni cha chondroblastoma sichikudziwika, palibe njira yeniyeni yochepetsera chiopsezo chotenga chondroblastoma. Koma nkhani yabwino ndi yakuti chotupacho chikachiritsidwa ndikuchotsedwa, zizindikiro zake nthawi zambiri zimatha.

Ngati ndili ndi Chondroblastoma, ndiyenera kuyembekezera chiyani?

Mukapeza chithandizo, malingaliro anu amadalira komwe chotupacho chili komanso kukula kwake. Nthawi zambiri, opaleshoni imachepetsa ululu wanu komanso kusasangalala kwanu . Pali mwayi wa 10% woti chotupacho chibwererenso. Ngati chondroblastoma yawononga khosi la mafupa anu, pali mwayi wochepa woti nyamakazi, vuto lomwe limayambitsa kutupa kwa mafupa, lizikula pakapita nthawi.

Kodi pali chiwerengero cha imfa chifukwa cha Chondroblastoma?

Ayi. Chondroblastoma ndi chotupa chosakhala khansa chomwe chingachiritsidwe ndi opaleshoni, kotero palibe chiopsezo chachindunji cha imfa chifukwa cha chotupachi . Nkhaniyi ndi yotonthoza kwambiri kwa anthu ambiri.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo:

• Ngati muli ndi ululu waukulu kapena ululu wosatha m'mafupa anu.
• Ngati ululu wa m'mafupa ukubwereranso pambuyo poti chotupa chachotsedwa.
• Ngati pali ululu, kufiira, kutupa ndi/kapena mafinya akutuluka kuchokera pamalo ochitira opaleshoni (izi zitha kukhala zizindikiro za matenda).

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kukaonana ndi dokotala, kufunsa mafunso ngati awa kungakuthandizeni kumvetsetsa bwino vutoli:

• Kodi chotupa changa cha Chondroblastoma ndi chachikulu bwanji?
• Kodi chotupa changa chingachotsedwe bwino mwa opaleshoni?
• Kodi ndingapewe bwanji matenda pamalo ochitira opaleshoni?
• Kodi zitenga nthawi yayitali bwanji kuti ndichire? Kodi ndi liti pamene ndingayambirenso kuchita zinthu zachizolowezi?

Uthenga Wopita Nawo Kunyumba

Chondroblastoma ndi chotupa chosakhala khansa chomwe chimayambitsa kupweteka, kutupa, ndi kufooka m'malo olumikizirana mafupa. Palibe amene amafuna kupweteka, makamaka pamene chikusokoneza moyo wanu watsiku ndi tsiku. Mwamwayi, Chondroblastoma ndi vuto lochiritsika . Opaleshoni ingachepetse kusasangalala kwanu ndikukuthandizani kubwerera ku zochita zomwe zimakukhudzani. Chifukwa chake, ngati muli ndi zizindikiro, musazengereze kufunafuna upangiri wa dokotala. Ikapezeka msanga, imakhala yosavuta kuchiza ndipo mudzachira mwachangu.

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