Kodi mulinso ndi ululu wa mafupa kapena chotupa? Tiyeni tikambirane za Chondrosarcoma!

Kodi muli ndi ululu wa nthawi yayitali kapena chotupa m'fupa kapena cholumikizira m'thupi lanu, makamaka m'dzanja lanu, mwendo, m'chiuno, kapena pachifuwa? Kodi ululuwu nthawi zina umaoneka ngati ukukulirakulira usiku? Ngati ndi choncho, nkhaniyi idzakhala yofunika kwambiri kwa inu. Lero tikambirana za mtundu wa khansa ya mafupa yomwe siidziwika bwino, koma yofunika kuidziwa. Umenewo ndi chondrosarcoma.

Kodi Chondrosarcoma ndi chiyani?

Mwachidule, Chondrosarcoma ndi mtundu wa khansa yomwe imayamba m'chifuwa cha mafupa m'thupi lathu. Kodi mukudziwa kuti chifuwa cha mafupa ndi chiyani? Chifuwa cha mafupa ndi minofu yolimba komanso yosinthasintha yomwe imazungulira mafupa athu ndipo imaletsa mafupa kuti asakhudzene. Ili ngati rabara. Chifuwa cha mafupachi chimateteza mafupa athu ndipo chimathandiza kuti mafupa akule.

Choncho, khansa iyi ya chondrosarcoma imatha kufalikira kulikonse m'thupi lathu komwe kuli cartilage. Koma nthawi zambiri imapezeka mu:

• Mu manja ndi mapewa.
• M'miyendo.
• Mu chiuno.
• M'mbali mwa chifuwa.
• Fupa pakati pa chifuwa (sternum).

Nthawi zina, ngakhale zotupa za m'mafupa zomwe sizinali khansa (zoipa) zimatha kukhala khansa kenako n’kusanduka chondrosarcoma.

Iyi ndi khansa yosowa kwambiri . Malinga ndi ziwerengero ku United States, imapezeka mwa munthu m'modzi mwa anthu 200,000. Ngakhale kuti imatha kuchitika pa msinkhu uliwonse, imapezeka kwambiri mwa anthu azaka zapakati pa 40 ndi 75. Avereji ya zaka zodziwika ndi matendawa ndi pafupifupi 51. Chithandizo chachikulu cha izi ndi opaleshoni yochotsa cartilage ndi mafupa a khansa. Nthawi zina madokotala amatcha vutoli kuti sarcoma.

Kodi pali mitundu ya Chondrosarcoma?

Inde, pali mitundu yosiyanasiyana ya chondrosarcoma. Khansa zimenezi zomwe zimapangidwa mu cartilage zimagawidwa m'magulu kutengera maselo omwe amapanga chotupacho. Tiyeni tiwone mitundu ikuluikulu.

Chondrosarcoma Yachizolowezi

Mtundu uwu ndi wofala kwambiri . Umakhala ndi ma chondrosarcoma oposa 85%. Nthawi zambiri umapezeka mwa anthu azaka zapakati pa 50 ndi 70. Nthawi zambiri umapezeka m'chiuno, m'chiuno, ndi m'chiuno. Mtundu uwu wa chotupa umakula pang'onopang'ono ndipo nthawi zambiri sufalikira.

Chondrosarcoma Yopanda Kusiyana

Mtundu uwu umakhala pafupifupi 10% ya ma chondrosarcoma onse. Umapezeka kwambiri mwa anthu azaka zopitirira 60. Umakula mofulumira kuposa mitundu ina. Zotupa zomwe zimakula mofulumirazi nthawi zambiri zimayamba m'fupa lapamwamba la mkono (humerus), fupa la ntchafu (femur), kapena mafupa a m'chiuno.

Imatchedwa 'dedifferentiated' chifukwa maselo ena amayamba ngati maselo abwinobwino a chondrosarcoma, koma pambuyo pake magawo ena a chotupacho amasanduka maselo apamwamba a sarcoma. Ma sarcoma apamwamba ndi khansa yomwe imakula ndikufalikira mwachangu. Zitsanzo zake ndi osteosarcoma, fibrosarcoma, ndi undifferentiated pleomorphic sarcoma.

Chondrosarcoma ya Cell Yoyera

Izi zimayimira pafupifupi 2% ya matenda onse a chondrosarcoma. Nthawi zambiri amapezeka mwa anthu azaka zapakati pa 30 ndi 50, koma amathanso kupezeka mwa anthu azaka zapakati pa makumi awiri. Amapezeka kwambiri m'manja kapena m'mapazi, pafupi ndi malo olumikizirana mafupa. Amakula pang'onopang'ono ndipo nthawi zambiri amafalikira ku ziwalo zina za thupi.

Mesenchymal Chondrosarcoma

Mtundu uwu umapezeka kwambiri mwa achinyamata azaka zapakati pa 19 ndi 30. Nthawi zambiri umakula msana, nthiti, kapena nsagwada. Mtundu uwu umakula mofulumira kuposa mitundu ina ndipo umafalikira mosavuta ndi kubwereranso pambuyo pa chithandizo.

Chondrosarcoma ya extraskeletal myxoid ndi mtundu wa khansa ya mesenchymal. Imapezeka m'minofu yofewa, osati m'mafupa kapena m'matumbo, a miyendo yakumtunda.

Kodi zizindikiro za chondrosarcoma ndi ziti?

Popeza zotupa zambiri za chondrosarcoma zimakula pang'onopang'ono, zingatenge miyezi kuti zizindikiro ziwonekere. Zizindikiro zodziwika bwino ndi izi:

• Kupweteka kwa mafupa m'thupi lomwe limabwera ndi kutha, makamaka usiku.
• Chotupa kapena chotupa chomwe chimamveka ngati chotupa mu fupa, monga mkono, mwendo, kapena nthiti.
• Kutopa .
• Kuchepetsa thupi mosadziwa.

Koma ndikofunikira kukumbukira izi: Khansa ya mafupa ndi yosowa kwambiri. Zizindikiro zambiri za chondrosarcoma zimafanana ndi za matenda osaopsa kwambiri. Chifukwa chake kungoti muli ndi chotupa mwendo wanu sizitanthauza kuti ndi khansa ya mafupa.

Komabe, ngati muli ndi chotupa chomwe sichimatha kwa milungu yoposa iwiri, kapena ngati mukumva kutopa kwambiri nthawi zonse, muyenera kuwonana ndi dokotala . Iye adzafufuza thanzi lanu lonse ndikupeza chomwe chimayambitsa zizindikirozi.

Kodi ndi zifukwa ziti za chondrosarcoma?

Ofufuza sakudziwabe chomwe chimayambitsa vutoli, koma apeza kuti likugwirizana ndi matenda enaake a majini. Izi zikuphatikizapo:

• Matenda a Li Fraumeni:Anthu omwe ali ndi vutoli ali ndi mwayi waukulu wopeza matenda a khansa, kuphatikizapo chondrosarcoma.
• Matenda a Maffucci ndi matenda a Ollier: Matendawa amachititsa kuti zotupa zomwe si khansa zipangidwe m'mafupa, m'mafupa, ndi pakhungu.
• Matenda a osteochondromas ambiri obadwa nawo: Izi ndi zotupa zambiri zomwe sizili khansa zomwe zimapangidwa m'mafupa. Zingathe kusokoneza kukula kwa mafupa.

Nthawi zina, akatswiri a matenda omwe amaphunzira kusintha kwa majini mu chondrosarcoma amaganiza kuti kusintha kwa ma chromosome komwe sikunachokere m'thupi kapena kusintha kwina kwa majini kungakhale kumayambitsa maselo a cartilage kusintha.

Kodi mavuto a vutoli ndi otani?

Mitundu yomwe imakula mofulumira, monga Mesenchymal Chondrosarcoma kapena Dedifferentiated Chondrosarcoma, ikhoza kukhala pachiwopsezo chifukwa imatha kufalikira mwachangu ndikukhudza ziwalo zina za thupi.

Kodi matenda a Chondrosarcoma amachiritsidwa bwanji?

Dokotala adzakufunsani mafunso okhudza zizindikiro zanu. Mwachitsanzo:

• Kodi munayamba liti kuzindikira zizindikiro izi?
• Kodi anachuluka kwambiri?
• Kodi zimakhudza bwanji moyo wanu watsiku ndi tsiku?

Kenako adzayesa thupi lake ndipo angafunenso kuyitanitsa mayeso ojambulira kapena biopsy.

Mayeso ojambula zithunzi

Madokotala amagwiritsa ntchito mayeso ojambulira zithunzi ngati awa kuti adziwe chondrosarcoma:

• Mayeso a X-ray.
• Kujambula kwa CT `(Kujambula kwa Computed tomography (CT))`.
• Kujambula kwa MRI `(Kujambula kwa Magnetic Resonance (MRI) scan)`.
• Kujambula kwa PET `(Positron emission tomography (PET) scan)`.
• Kujambula mafupa.

Kufufuza za thupi

Dokotala wanu angakutumizireni kwa dokotala wa mafupa, dokotala wa opaleshoni yemwe amazindikira ndi kuchiza matenda monga khansa ya mafupa, kuti akafufuzidwe. Kumeneko, katswiri wa matenda amatenga chidutswa cha minofu kuchokera pa chotupa chokayikitsa ndikuchiyang'ana pansi pa maikulosikopu. Pali mitundu ingapo ya biopsy:

• Kutulutsa singano pang'ono: Izi zimaphatikizapo kutenga chitsanzo cha minofu pogwiritsa ntchito singano ndi sirinji.
• Kujambula kwa chotupa: Chotupacho chimadulidwa ndipo minofu imatengedwa.
• Kuchotsa chotupa: Chotupa chonse kapena gawo la minofu limachotsedwa.

Katswiri wa matenda amafufuza minofu iyi kuti aone ngati pali maselo a khansa. Ngati maselowo ali ndi khansa, iyenso adzazindikira mtundu wa chotupa ndi kuchuluka kwa chotupacho.

Kodi matenda a Chondrosarcoma ndi otani?

Kuchuluka kwa chotupa ndi muyeso wa momwe chotupacho chingakulire ndikufalikira mwachangu. Chondrosarcoma imayikidwa kuyambira 1 (I) mpaka 3 (III):

• Ma chondrosarcoma otsika (a giredi I): ​​Izi zimatchedwanso kuti zotupa za cartilaginous zomwe sizimakula bwino. Izi ndi zomwe zimakula pang'onopang'ono ndipo zimakhala ndi mwayi wochepa wofalikira.
• Ma chondrosarcoma a giredi yapakati (giredi yachiwiri): Izi zimakhala ndi mwayi wofalikira pang'ono.
• Ma chondrosarcoma apamwamba (a giredi III): Awa ndi omwe amatha kufalikira kwambiri .

Kodi mankhwala a Chondrosarcoma ndi ati?

Nthawi zambiri, mungafunike opaleshoni kuti muchotse chondrosarcoma. Mtundu wa opaleshoni yomwe mudzachita umadalira vuto lanu. Izi zikuphatikizapo mtundu wa chondrosarcoma yomwe muli nayo, komwe chotupacho chili, ndi kuchuluka kwake (momwe chafalikira mofulumira). Pali mitundu ingapo ya opaleshoni ya chondrosarcoma:

• Curettage: Mu njira iyi, dokotala amachotsa minofu ya khansa m'fupa ndikuyikamo chinthu cholumikizidwa ndi fupa m'malo mwake.
• Opaleshoni yopulumutsa ziwalo: Apa, dokotala amachotsa chotupacho ndi fupa ndi minofu yozungulira. Kenako, opaleshoni yokonzanso mafupa ndi minofu imachitidwa kuti ilowe m'malo mwa fupa ndi minofu yochotsedwayo.

Kawirikawiri, dokotala wanu wa mafupa angakulangizeni opaleshoni yochotsa mkono kapena mwendo wanu (kudula ziwalo). Pankhaniyi, angakulangizeninso kugwiritsa ntchito chiwalo chopangira. Nthawi zonse, mudzafunika chithandizo cha thupi kuti mukhale ndi mphamvu, kulinganiza bwino, komanso kuyenda bwino.

Ngati muli ndi mtundu wosowa wa chondrosarcoma, monga chondrosarcoma yochotsedwa m'thupi kapena mesenchymal, mungapatsidwe mankhwala a chemotherapy kapena radiation kuti muchepetse chotupa musanachite opaleshoni ndikuwononga maselo ena onse a khansa mutachita opaleshoni.

Kodi Chondrosarcoma ingapewedwe?

Ayi ndithu, izi sizingapeweke. Chifukwa chimodzi ndichakuti ofufuza sakudziwabe chifukwa chake matendawa amakula. Koma kafukufuku akusonyeza kuti anthu omwe ali ndi matenda enaake obadwa nawo ali pachiwopsezo chachikulu chotenga chondrosarcoma. Choncho lankhulani ndi dokotala wanu za mbiri ya matenda a banja lanu. Iye akhoza kuwunika chiopsezo chanu ndikukupatsani malangizo oti muyang'anire thanzi lanu.

Kodi ndingayembekezere chiyani ndi vutoli?

Popeza pali mitundu ingapo ya chondrosarcoma, zotsatira zomwe zimayembekezeredwa (ma prognoses) zimasiyana malinga ndi mtundu wake. Funsani dokotala zomwe mungayembekezere kutengera vuto lanu. Iye adzakondwera kukufotokozerani izi.

Kodi Chondrosarcoma ingachiritsidwe?

Nthawi zina, zotupa zazing'ono kwambiri zomwe zimakula pang'onopang'ono za chondrosarcoma zimatha kuchiritsidwa kwathunthu pozichotsa opaleshoni. Kutengera mtundu wa chondrosarcoma, kuwonjezera mankhwala a chemotherapy kungathandizenso kuchiza matendawa.

Kodi mankhwala a Chondrosarcoma ndi otani?

Chiwerengero cha anthu omwe ali ndi chondrosarcoma omwe amapulumuka chimasiyana malinga ndi mtundu wa chotupacho komanso ngati chotupacho chafalikira mbali zina za thupi. Ponseponse, 79% ya anthu omwe ali ndi chondrosarcoma amakhala ndi moyo zaka zisanu atapezeka ndi matendawa.

Mukamaganizira za maperesenti awa, kumbukirani zinthu zingapo:

• Kuchuluka kwa anthu omwe akuchira ndi kuyerekezera, osati kulosera . Ndi kuyerekezera kutengera zomwe ena akumana nazo, ndipo mkhalidwe wanu ukhoza kukhala wosiyana kwambiri.
• Ziwerengero izi zimachokera ku zomwe zinachitika kale . Mwachitsanzo, maperesenti awa amachokera ku zomwe zinachitikira anthu omwe adadwala chondrosarcoma pakati pa 2012 ndi 2018.
• Kuchuluka kwa moyo sikukuuzani nthawi yomwe mudzakhala ndi moyo .

Ngati muli ndi mafunso kapena nkhawa zokhudza tanthauzo la kuchira kwa matenda anu, funsani dokotala wanu kuti akufotokozereni momwe kuyerekezerako kumagwirizanirana ndi matenda anu.

Ngati ndili ndi Chondrosarcoma, ndimadzisamalira bwanji?

Kukhala ndi chondrosarcoma nthawi zambiri kumayamba ndi kuchira pambuyo pa chithandizo. Chondrosarcoma nthawi zambiri imachiritsidwa ndi opaleshoni. Nthawi zina, chiwalo kapena gawo la chiwalo lingafunike kuchotsedwa kuti khansa ichotsedwe. Mukachira pambuyo pa opaleshoni, ngati mukugwiritsa ntchito chiwalo chopangira, muyenera kuyamba pulogalamu yobwezeretsa kuti muzolowere.

Mungafunikenso thandizo kuti muzolowere kusintha kwa moyo wanu watsiku ndi tsiku kapena kusintha kwa maonekedwe anu. Dokotala wanu angakupatseni chithandizo chakuthupi, chantchito kapena chamaganizo chomwe chingakuthandizeni kuthana ndi mavutowa.

Ndiyenera kupita kwa dokotala liti?

Funsani dokotala wanu za kusintha kwa thupi komwe kungasonyeze kubwerera kwa khansa, komanso nthawi yoti mulankhule ndi dokotala wanu ngati zitachitika.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala okhudza matenda anga?

Nazi mafunso ena omwe mungafunse dokotala wanu:

• Kodi ndi mtundu wanji wa Chondrosarcoma womwe ndili nawo?
• Kodi mumalimbikitsa chithandizo chanji?
• N’chifukwa chiyani mukulimbikitsa chithandizo chimenecho?
• Kodi zotsatirapo zake ndi ziti?
• Kodi zotsatira za mankhwala amenewa ndi zotani?
• Ngati nditalandira chithandizo chomwe ndikulangizidwa, kodi chondrosarcoma yanga ingabwererenso?

Kodi pali kusiyana kotani pakati pa Chondrosarcoma ndi Osteosarcoma?

Matenda a Osteosarcoma amayamba m'mafupa ndipo nthawi zambiri amapezeka mwa ana. Chondrosarcoma imayamba m'chimake cha mafupa ndipo nthawi zambiri imapezeka mwa akuluakulu. Madokotala amatha kuchita opaleshoni ya chondrosarcoma yokha, koma pa osteosarcoma, amagwiritsa ntchito chemotherapy ndi opaleshoni.

Pomaliza, uthenga wofunika

Kuzindikira khansa ya mafupa yosowa kwambiri iyi, yotchedwa chondrosarcoma, kungakhale sitepe yoyamba paulendo wautali wochira. Ulendo umenewo nthawi zambiri umayamba ndi opaleshoni yochotsa khansayo, kenako n’kuchira pambuyo pa opaleshoni ndi mankhwala ena.

Ngakhale khansa iyi ikhoza kuchiritsidwa bwino, idzasintha moyo wanu. Mungafunike thandizo kuti muthane ndi mavuto akuthupi ndi amaganizo. Lankhulani ndi dokotala wanu za mavuto omwe mukukumana nawo. Dokotala wanu ndi gulu lake akumvetsa zomwe mukukumana nazo. Pamene mukuyamba ulendowu, adzakhala nanu pa sitepe iliyonse. Musataye mtima!

Chondrosarcoma , khansa ya m'mafupa, khansa ya cartilage, kupweteka kwa mafupa, zotupa za m'mafupa, chithandizo cha khansa, opaleshoni