Mwina simunamvepo dzinali kale. Epithelioid Hemangioendothelioma (EHE) ndi khansa yosowa kwambiri, yomwe imapezeka mwa anthu pafupifupi 1 pa 1 miliyoni. Dzinali ndi lovuta pang'ono, kotero likhoza kukhala loopsa. Koma musadandaule. Ndikofunikira kumvetsetsa vutoli losowa mosavuta komanso momveka bwino. Chifukwa chake lero, tiyeni tikambirane za EHE yeniyeni.
Mwachidule, EHE ndi khansa yamtundu wanji?
Tangoganizani kuti mitsempha yamagazi ( mitsempha , mitsempha, ndi mitsempha yamagazi) m'thupi lathu lonse ili ngati netiweki ya misewu yomwe imadutsa dziko lonse. Mkati mwa misewu iyi muli maselo ochepa kwambiri. Maselo amenewa amatchedwa maselo a endothelial mu sayansi ya zamankhwala.
Khansa ya m'mimba imayamba m'maselo omwe ali m'mitsempha yamagazi. Popeza mitsempha yamagazi ili paliponse m'thupi lathu, khansa ya EHE imatha kufalikira kulikonse m'thupi. Komabe, zotupa izi nthawi zambiri zimayambira m'chiwindi, m'mapapo, kapena m'mafupa . Komabe, zimatha kufalikiranso m'malo ena, monga mutu, khosi, chithokomiro, m'mimba, mazira, prostate, ubongo, ndi msana.
Nthawi zina EHE imatha kuoneka ngati chotupa chimodzi. Nthawi zina, imatha kuoneka ngati chotupa chambiri m'chiwalo chimodzi kapena m'ziwalo zingapo. Nthawi zambiri, EHE ikapezeka, khansa imakhala itafalikira kale ku ziwalo zingapo.
Kodi EHE ndi mtundu wa sarcoma?
Inde, ndi zoona. Sarcoma ndi mtundu wa khansa yomwe imayamba m'maselo ofewa a thupi lathu, monga mitsempha yamagazi. Chifukwa khansa ya EHE imayamba m'maselo a endothelial a mitsempha yamagazi, imagawidwa ngati mtundu wa sarcoma.
Kodi khansa iyi ndi yoopsa?
Inde, EHE ndi yoopsa , kutanthauza kuti ndi matenda oopsa kapena khansa. Mosiyana ndi zotupa zosaopsa, maselo a khansa awa amatha kukula mosalamulirika, kufalikira (kufalikira) ku ziwalo zina za thupi, ndikuwononga minofu yathanzi.
Koma apa pali chinthu choyenera kukumbukira. Khansa ya EHE ndi yovuta kwambiri. Ziphuphu zina za EHE zimafalikira mofulumira, ngati khansa yoopsa kwambiri. Koma zina zimakula pang'onopang'ono, kwa zaka zambiri. Chodabwitsa n'chakuti, pakhala malipoti akuti ziphuphuzi zimachepa popanda chithandizo chilichonse. Chifukwa cha kusintha kwa khalidweli, n'zovuta kuneneratu kuopsa kwa khansa iyi komanso momwe idzayankhire ikalandira chithandizo.
Kodi zizindikiro za EHE ndi ziti?
Odwala ambiri omwe ali ndi EHE sapeza zizindikiro zilizonse poyamba. Ichi ndichifukwa chake nthawi zambiri amapezeka mwangozi panthawi yoyezetsa matenda ena. Komabe, ngati zizindikirozo zichitika, zimadalira komwe chotupa cha khansa chili.
Zizindikiro zina zodziwika bwino zomwe zingawonekere ndi izi:
- Chotupa chomwe chingamveke pansi pa khungu (chingakhale chopweteka kapena ayi)
- Kuchepetsa thupi popanda chifukwa
- Malungo ndi kutopa kwambiri
Tiyeni tiwone momwe zizindikiro zimasiyanirana malinga ndi komwe khansa ili.
| Malo a khansa | Zizindikiro zomwe zingatheke |
|---|---|
| Chiwindi | Kupweteka m'mimba, kutupa. |
| Mapapu | Kuvuta kupuma, kutsokomola, kutsokomola magazi, kuluma zibonga. |
| Mafupa | Kupweteka kwa mafupa, kusweka kwa mafupa pafupipafupi. |
| Msana | Kuvuta kuyenda kapena kusuntha, kupweteka kwa msana. |
Kodi n’chiyani chimayambitsa khansa ya EHE?
Khansa monga EHE imayamba pamene selo lathanzi limasintha kukhala selo la khansa ndikuyamba kugawikana mosalamulirika.
Pofuna kupeza chomwe chimayambitsa izi, ofufuza apeza kuti izi zimachitika chifukwa cha kusintha kwa majini . Mwachidule, ma chromosome awiri m'maselo athu amalumikizidwa molakwika, zomwe zimapangitsa majini awiri kusokonekera. Majini awa amatchedwa (WWTR1) (omwe amatchedwanso (TAZ) ) ndi (CAMTA1) . Majini awiriwa akamasakanikirana pamodzi, amachititsa maselo a khansa ya EHE kuyamba kupanga.
Choncho, dokotala wanu angayesenso kuyanjana kwachilendo kwa ma chromosome pamene akupeza matenda.
Kodi matenda amachitika bwanji?
Monga tafotokozera kale, EHE nthawi zambiri imapezeka mwangozi. Madokotala amangoona chotupacho panthawi yojambula zithunzi, monga CT scan kapena MRI scan, pazifukwa zina. Kenako amafufuza malo, kukula, komanso ngati chafalikira kumadera ena.
Izi ndi mayeso omwe amagwiritsidwa ntchito kwambiri pozindikira EHE.
| Mayeso | Mwachidule, chimachitika n’chiyani? |
|---|---|
| Kujambula kwa CT | Ma X-ray amagwiritsidwa ntchito kujambula zithunzi zingapo za mkati mwa thupi lanu. Izi zingathandize kuzindikira zotupa za EHE pachifuwa, m'mimba, ndi m'chiuno. Izi zimathandiza kuona bwino zomwe zili mkati mwa ziwalo, mafupa, ndi minofu. |
| Kujambula kwa MRI (MRI) | Maginito amphamvu ndi mafunde a wailesi amagwiritsidwa ntchito popanga zithunzi zomveka bwino za mkati mwa thupi. Izi ndizothandiza kwambiri pofufuza zotupa za EHE m'chiwindi ndi mafupa. Nthawi zina MRI ya thupi lonse, yomwe imaphimba thupi lonse kuyambira kumutu mpaka kumapazi, ingathandize kupeza zotupa zomwe zafalikira mpaka kumafupa. |
| Kufufuza kwa Singano Yaikulu | Iyi ndi njira yofunika kwambiri yodziwira ngati chotupa chili ndi EHE pambuyo pochijambula. Kachidutswa kakang'ono ka minofu kamachotsedwa pa chotupacho pogwiritsa ntchito singano yapadera yopanda kanthu. Dokotala wodziwa bwino matenda a khansa amafufuza chotupachi pogwiritsa ntchito maikulosikopu kuti adziwe ngati pali maselo a khansa komanso mtundu wake. |
Kuphatikiza apo, kuzindikira zotupa ndikuwona ngati zafalikira (ultrasound) kapenaDokotala wanu angakulangizeninso mayeso ena, monga PET scan .
Kodi mankhwala a EHE ndi ati?
Popeza EHE ndi vuto losowa kwambiri, palibe malangizo okhazikika a chithandizo chake pakadali pano. Chifukwa chake, mudzalandira chithandizo ndi gulu la madokotala osiyanasiyana omwe ali ndi luso lochiza matenda a sarcoma. Gululi likhoza kuphatikizapo dokotala wa khansa , katswiri wa radiology , komanso, kutengera chiwalo chomwe khansa ili (monga fupa), dokotala wa mafupa , kapena katswiri woika chiwindi.
Chithandizo chomwe mumalandira chimadalira zinthu zingapo, kuphatikizapo kukula kwa chotupacho, komwe chili, kuchuluka kwa zotupa zomwe zilipo, komanso ngati khansayo yafalikira.
Nazi njira zina zochiritsira:
Kudikira Mosamala
Ngati mulibe zizindikiro ndipo simuli oyenera kuchitidwa opaleshoni, dokotala wanu angasankhe kuti asakupatseni chithandizo poyamba ndikungoyang'anira matenda anu mosamala. Izi zili choncho chifukwa nthawi zina zotsatirapo za chithandizo zimatha kuposa zabwino zake. Monga tanenera kale, zotupa zina za EHE zimachepa popanda chithandizo kapena zimakula pang'onopang'ono. Komabe, ngati vutoli likuipiraipira, dokotala wanu angakupatseni njira ina yothandizira.
Opaleshoni
Chithandizo chofala kwambiri cha chotupa chimodzi ndi opaleshoni. Mu njira imeneyi, dokotalayo amachotsa chotupa cha khansa ndi minofu yathanzi yozungulira kuti atsimikizire kuti palibe maselo a khansa omwe atsala.
Kutulutsa Mitsempha ya Mtima
Izi zimaphatikizapo kutseka mitsempha yamagazi yomwe imapereka magazi pachilondacho. Monga momwe chomera chimafera mukasiya kuchithirira, magazi akachotsedwa, chotupacho sichingakule kapena kuchepa. Izi zitha kuchitika kuti chichepetse chotupacho musanachite opaleshoni kapena ngati chithandizo chachikulu. Transarterial chemoembolization (TACE) ndi radioembolization ndi njira ziwiri zochizira.
Chithandizo Cholunjika
Uwu ndiye mankhwala ofala kwambiri a EHE yapamwamba. Mankhwalawa amagwiritsa ntchito mankhwala omwe amaletsa michere ndi mpweya womwe maselo a khansa amafunikira kuti akule.
Chithandizo cha X-ray
Mankhwalawa angagwiritsidwe ntchito kuwononga maselo aliwonse a khansa omwe angakhalebe atachitidwa opaleshoni. Chithandizo cha radiation chingaperekedwenso ngati chithandizo chachikulu kwa munthu amene sangathe kuchitidwa opaleshoni. Mu chithandizochi, kuwala kwamphamvu kwambiri kwa radiation kumagwiritsidwa ntchito kuwononga maselo a khansa.
Mankhwala a Chemotherapy
Kwa EHE (Chemotherapy)Sichigwiritsidwa ntchito kawirikawiri, koma ngati khansa yafika pachimake, ikhoza kulangizidwa pamodzi ndi mankhwala ena.
Kusamutsa Chiwalo
Ngati zotupa zingapo zakhudza chiwalo chachikulu (nthawi zambiri chiwindi), dokotala angakulangizeni kuti muike chiwalo china.
Kafukufuku wa EHE akupitirirabe, ndipo mankhwala atsopano akuyesedwa m'mayesero azachipatala . Kutengera ndi kuopsa kwa vuto lanu, dokotala wanu angakulimbikitseni kuti mutenge nawo mbali mu imodzi mwa njira zochizira izi zozikidwa pa kafukufuku.
Kodi mungakhale ndi moyo wautali bwanji ndi EHE?
Mukamva izi, mwina mumadzifunsa kuti, 'Ndingakhale ndi moyo nthawi yayitali bwanji ndiye?' Kunena zoona, n'kovuta kupereka yankho lolunjika ku funso limenelo. Popeza EHE ndi vuto losowa kwambiri, chidziwitso chokhudza vutoli chikusonkhanitsidwabe.
Komanso, monga tafotokozera kale, khansa iyi siichita chimodzimodzi mwa aliyense. Kwa ena, khansa imatha kufalikira mofulumira ngakhale atalandira chithandizo. Kwa ena, khansa imatha kukhala zaka zambiri popanda zizindikiro zazikulu kapena kufalikira kwa chotupacho. Zotupa zina zimachepa popanda chithandizo.
Choncho, chidziwitso chabwino kwambiri chokhudza matenda anu ndi tsogolo lanu chingapezeke kwa dokotala wanu yekha. Iye adzayang'ana malipoti onse a mayeso anu ndi matenda anu ndikukupatsani chidziwitso cholondola kwambiri.
Mafunso oti mufunse dokotala wanu
Ndizachilendo kukhala ndi mafunso ambiri mukadziwa za vuto losowa chonchi. Mukapita kukaonana ndi dokotala wanu, musaiwale kufunsa mafunso awa.
| Funso lofunsa | N’chifukwa chiyani izi n’zofunika kuzidziwa? |
|---|---|
| Kodi chotupa changa cha khansa chili kuti? | Zizindikiro ndi mankhwala zimasiyana malinga ndi malo. |
| Kodi ndi zizindikiro ziti zomwe zingandithandize kudziwa ngati chotupacho chikukulirakulira? | Izi zikuthandizani kudziwitsidwa mwachangu ngati pali kusintha kulikonse. |
| Ndi zinthu ziti zomwe zimakhudza nthawi yomwe matenda anga adzathe? | Izi ndizofunikira kuti mumvetse bwino momwe zinthu zilili. |
| Kodi ndi mankhwala ati omwe mumalimbikitsa kwa ine? Kodi zotsatira zake ndi zotani? | Mukhoza kupanga chisankho chomveka bwino chokhudza chithandizo ndikukonzekera zotsatirapo zake. |
| Kodi akatswiri omwe ali m'gulu langa la chithandizo ndi ndani? | Dziwani gulu lomwe likusamalirani. |
| Kodi ndiyenera kubwera kangati kuti ndikaone ngati ndakumana ndi vuto langa? | Phunzirani momwe mungatsatire thanzi lanu. |
Nthawi zonse ndikofunikira kufunafuna chithandizo kuchokera kwa madokotala omwe mumawadalira. Ndikofunikira kwambiri pankhani ya matenda osowa monga EHE. Popeza pali zambiri zomwe sitikudziwa zokhudza izi, kufunafuna chithandizo kuchokera kwa madokotala omwe ali ndi luso lochiza matenda a sarcoma ndi khansa zovuta kungapangitse kusiyana kwakukulu paulendo wanu wochira.
Uthenga Wopita Nawo Kunyumba
- Epithelioid Hemangioendothelioma (EHE) ndi khansa yosowa kwambiri yomwe imayamba m'maselo omwe ali m'mitsempha yamagazi.
- Khalidwe la khansa iyi lingasiyane kwambiri malinga ndi munthu ndi munthu. Ena amakula mofulumira, pomwe ena amakula pang'onopang'ono kapena amachepa popanda chithandizo.
- Nthawi zambiri zimakhala zopanda zizindikiro ndipo zimatha kuzindikirika mwangozi panthawi yojambula pazifukwa zina.
- Kuyeza magazi m'thupi (biopsy) n'kofunika kwambiri kuti munthu adziwe ngati ali ndi matendawa.
- Njira zochiritsira zimakonzedwa kuti zigwirizane ndi wodwala aliyense ndipo zingaphatikizepo kuyang'aniridwa, opaleshoni, ndi njira zochiritsira zomwe cholinga chake ndi kuchiza.
- Popeza vutoli ndi losowa kwambiri, ndikofunikira kupeza chithandizo kuchokera kwa akatswiri odziwa bwino za sarcoma. Funsani dokotala wanu mafunso ndipo mumvetse bwino za vuto lanu.
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