Nthawi zina mukaona chotupa chaching'ono kapena chotupa m'thupi lanu, mumaopa pang'ono, eti? "Ichi n'chiyani? Kodi n'choopsa?" Mukuganiza zinthu zambirimbiri. Zoona, si zotupa zonse zomwe ndi zoopsa. Koma zina mwa izo zimafuna kuti tizisamala pang'ono. Histiocytoma ndi imodzi mwa izo. Dzinalo lingamveke lachilendo pang'ono, koma tiyeni tikambirane mwachidule.
Kodi kwenikweni Histiocytoma ndi chiyani?
Mwachidule, histiocytoma ndi mtundu wa chotupa chomwe chimapangika m'thupi lanu. Zotupa izi zimapangidwa ndi mtundu wapadera wa selo lotchedwa histiocytes . Tsopano mwina mukudabwa kuti, "Kodi ma histiocytes awa ndi chiyani?"
Ma histiocyte amenewa ndi maselo abwinobwino m'thupi lathu. Ndiko kuti, ndi mtundu wa selo lomwe limatiteteza ku matenda ndi matenda. Amapezeka m'malo ambiri m'thupi lathu. Mwachitsanzo, maselowa amapezeka m'mafupa, m'magazi, pakhungu, m'mapapo, m'chiwindi, m'ndulu, ndi m'malo olumikizirana mafupa.
Koma nthawi zina maselo a histiocyte amenewa amatha kupita ku minofu komwe samakhala nthawi zambiri n’kusonkhana kumeneko n’kupanga zotupa , kapena monga momwe timazitchulira, histiocytomas. Kodi mukumvetsa?
Kodi histiocytoma iyi ndi khansa?
Funso lalikulu lomwe anthu ambiri amafunsa ndi ili. Kaya histiocytoma ndi khansa kapena ayi zimatengera mtundu wa histiocytoma yomwe muli nayo .
- Zina ndi zabwino , zomwe zikutanthauza kuti si khansa ndipo sizimavulaza thupi kwambiri.
- Komabe, mitundu ina imatha kukhala yoopsa , zomwe zikutanthauza kuti imapangidwa ndi maselo a khansa ndipo imatha kukula ndikufalikira ku ziwalo zina za thupi.
Choncho, simuyenera kuchita mantha mukaona histiocytoma, koma ndikofunikira kwambiri kufunafuna upangiri wa dokotala.
Kodi pali mitundu yosiyanasiyana ya histiocytomas?
Inde, pali mitundu yosiyanasiyana ya ma histiocytomas. Tiyeni tikambirane za mitundu ina ikuluikulu.
1. Sarcoma ya Pleomorphic Yosasinthika (UPS)
Kale linkadziwika kuti malignant fibrous histiocytoma, ndipo ndi mtundu wa khansa . Nthawi zambiri imayamba m'minofu yofewa, monga minofu ndi minofu yamafuta. Komabe, nthawi zambiri siimayamba m'mafupa.
- Ndani amachipeza kawirikawiri?: Chimachitika kwambiri mwa okalamba, makamaka amuna.
- Kodi zimapezeka kuti?: Zimapezeka kulikonse m'thupi, koma zimapezeka kwambiri m'manja, miyendo, ndi m'mimba. Nthawi zina zimathanso kuchitika m'madera omwe chithandizo cha radiation chachitika.
- Makhalidwe:Zotupa zimenezi zimakula mofulumira kwambiri ndipo zimatha kufalikira (metastasize) ku ziwalo zina za thupi. Chifukwa chake, muyenera kusamala kwambiri pa izi.
2. Benign Fibrous Histiocytoma (BFH)
Uwu ndi mtundu wofala kwambiri wa chotupa cha minofu yofewa . Monga momwe dzinalo likusonyezera, ndi chopanda poizoni , zomwe zikutanthauza kuti si khansa. Chimawoneka ngati chotupa cha ulusi.
- Kodi chimachitika kuti?: Chingachitike kulikonse pa thupi.
- Chofunika: Ngakhale kuti izi si khansa, nthawi zambiri zimafunika chithandizo chifukwa zimatha kukula ndikupangitsa ululu ndi kusasangalala.
3. Angiomatoid Fibrous Histiocytoma (AMFH)
Uwu ndi mtundu wosowa kwambiri wa zipatso.
- Ndani amene ali ndi mwayi waukulu woti adwale matendawa?: Nthawi zambiri amakhudza ana ndi achinyamata.
- Kodi chimachitika kuti?: Nthawi zambiri chimawoneka ngati chotupa chomwe chikukula pang'onopang'ono m'manja kapena m'miyendo.
- Zizindikiro: Anthu ambiri samva ululu wambiri chifukwa cha izi. Nthawi zina zimatha kusokonezedwa ndi hematoma, chotupa chomwe chimapangidwa ndi magazi omwe amasonkhana pamwamba pa khungu.
- Chithandizo: Mtundu uwu nthawi zambiri umachiritsidwa ndi chithandizo . Komabe, nthawi zambiri (pafupifupi 1%) umatha kufalikira kumadera akutali a thupi.
4. Cutaneous Histiocytoma
Izi zimatchedwanso Dermatofibroma kapena Superficial Benign Fibrous Histiocytoma .
- Kodi chimachitika kuti?: Kawirikawiri chimapezeka pakhungu , makamaka m'miyendo yapansi.
- Ndani amadwala matendawa nthawi zambiri?: Amapezeka kwambiri mwa akazi kuposa amuna.
- Chithandizo: Simukuyenera kuchotsa izi pokhapokha ngati muli ndi vuto lalikulu kapena zizindikiro.
Tangoganizirani kuti muli ndi kadontho kakang'ono kakuda pa mwendo wanu komwe kakuwoneka ngati kakukwera mmwamba pang'ono. Kungakhale khungu lotupa. Koma ndi bwino kuonana ndi dokotala kuti mutsimikizire.
Kodi kusiyana pakati pa histiocytoma ndi chotupa cha mast cell ndi kotani?
Ngakhale kuti zonsezi ndi mitundu ya zotupa zomwe zimapangidwa m'thupi, mtundu wa maselo omwe amapangidwa ndi iwo ndi wosiyana. Histiocytoma imapangidwa ndi maselo a histiocyte. Chotupa cha mast cell chimapangidwa ndi maselo a mast. Maselo a mast awa amapangidwanso m'mafupa athu ndipo amapezeka m'maselo olumikizana.
Ndani ali pachiopsezo cha histiocytoma?
Zimenezo zimasiyananso malinga ndi mtundu wa histiocytoma.
- Mwachitsanzo, UPS (Undifferentiated Pleomorphic Sarcoma) yomwe tidakambirana kale.Ndi yofala kwambiri mwa amuna kuposa akazi, ndipo chiopsezo chotenga matendawa chimawonjezeka ndi ukalamba.
- Komabe, AMFH (Angiomatoid Fibrous Histiocytoma) nthawi zambiri imapezeka mwa ana, achinyamata, ndi achinyamata.
- Cutaneous Histiocytoma imapezeka kwambiri mwa akazi, ndipo nthawi zambiri imapezeka mwa achinyamata kapena azaka zapakati.
Kodi histiocytoma ndi yofala bwanji?
Izi zimasiyananso malinga ndi mtundu wake.
- Benign fibrous histiocytoma (BFH) ndi cutaneous histiocytoma ndi mitundu iwiri yomwe si yofala kwambiri .
- Ngakhale kuti UPS si khansa yofala kwambiri, imayambitsa pakati pa 20% ndi 30% ya ma sarcoma ofewa a minofu.
- AMFH imaonedwa kuti ndi yosowa kwambiri .
Kodi zizindikiro za histiocytoma ndi ziti?
Zizindikiro zimathanso kusiyana malinga ndi mtundu wa histiocytoma yomwe muli nayo.
Makhalidwe a sarcoma ya pleomorphic yosasinthika (UPS):
- Chotupa kapena kutupa komwe kumakula pang'onopang'ono .
- Ululu .
- Nthawi zina pamakhala dzanzi m'dera limenelo.
- Kumva kunjenjemera .
- Kutupa m'dzanja kapena mwendo.
- Malungo .
- Chakudya chilibe kukoma .
- Kudzimbidwa .
- Kuchepetsa thupi .
Makhalidwe a Benign Fibrous Histiocytoma (BFH):
- Chilonda kapena kutupa komwe kukukula .
- Umenewo ndi ululu .
- Dziwani: Mtundu uwu wa BFH sumapezeka kawirikawiri mkamwa. Komabe, ngati uchitika, ukhoza kuyambitsa vuto lomeza (dysphasia) , vuto lopuma (dyspnea) , kapena vuto lolankhula.
Makhalidwe a angiomatoid fibrous histiocytoma (AMFH):
- Malungo .
- Kuchepetsa thupi .
- Kuchepa kwa magazi kumatanthauza kusowa kwa magazi.
- Ululu .
- Kukoma mtima kukakhudzidwa.
Zizindikiro za Cutaneous Histiocytoma:
- Malo amdima pakhungu (nthawi zambiri pa miyendo yapansi).
- Imawoneka ngati chipolopolo chokwezedwa .
Kodi n’chiyani chimayambitsa histiocytoma?
Ziphuphu zimenezi nthawi zina zimatha kugwirizanitsidwa ndi zinthu monga mankhwala a chemotherapy ndi radiation . Zimakhudzananso ndi matenda ena, monga matenda a Paget a m'mawere. Nthawi zina zimatha kuonekera pambuyo pa kuvulala kapena kuvulala .
Koma zoona zake n'zakuti, akatswiri sakudziwabe chomwe chimayambitsa histiocytoma.
Kodi histiocytoma imapezeka bwanji? (Kuzindikira)
Mukapita kukaonana ndi dokotala, choyamba adzakufunsani za zizindikiro zanu ndikufufuza chotupacho m'maso. Kenako, angachite mayeso ena kuti atsimikizire matendawa. Zina mwa izi ndi izi:
- Dermoscopy: Pa izi, dokotala amagwiritsa ntchito chida chapadera chogwiritsidwa ntchito m'manja kuti ayang'ane bwino ziphuphu ndi mawanga pakhungu lanu.
- X-ray: Zithunzi izi zitha kuwonetsa momwe mafupa ndi minofu yofewa zilili. Zingathenso kudziwa ngati chotupacho chakhudza mafupa.
- Ultrasound: Izi zingathandize kuona bwino minofu yofewa mkati mwa thupi. Zingathandize kudziwa mtundu ndi kukula kwa chotupacho.
- Kujambula Magnetic Resonance (MRI): MRI ikhoza kuchitidwa ngati mukufuna kupeza chithunzi chatsatanetsatane cha cartilage ndi mafupa.
- Kuyeza kwa magazi: Iyi ndi njira yofunika kwambiri yotsimikizira matendawa . Pachifukwa ichi, chidutswa chaching'ono cha minofu chimatengedwa kuchokera pa chotupacho ndikutumizidwa ku labu kuti akachiyese. Izi zidzatsimikizira ngati ndi histiocytoma, mtundu wake, komanso ngati ndi khansa kapena ayi.
Mayeso amenewa amalola dokotala kusiyanitsa molondola ndikuzindikira ngati ndi histiocytoma kapena vuto lina lomwe limawoneka ngati chotupa.
Kodi histiocytoma iyenera kuchotsedwa?
Zimenezonso zimatsimikiziridwa ndi mtundu ndi mkhalidwe .
- Ngati chotupacho chingakhale choipa kapena chikupangitsa kusasangalala kwakukulu, dokotala angakulimbikitseni kuti muchotsedwe opaleshoni .
- Mitundu ina ya histiocytomas, monga dermatofibromas yomwe takambirana kale, siifunika kuchotsedwa pokhapokha ngati imayambitsa zizindikiro zazikulu.
Kodi histiocytoma imachiritsidwa bwanji?
Chithandizo chomwe mungalandire chidzadalira zinthu zingapo, kuphatikizapo mtundu wa histiocytoma, kukula kwake, ndi komwe ili.
- Matenda a histiocytoma nthawi zambiri amachotsedwa opaleshoni . Pambuyo pake, mankhwala a chemotherapy kapena radiation amagwiritsidwa ntchito kuwononga maselo otsala a khansa.
- Nthawi zina, dokotala angapereke chithandizo cha radiation kapena chemotherapy kaye kuti achepetse chotupacho asanachite opaleshoni.
Kodi histiocytoma ingachiritsidwe?
Inde. Nthawi zambiri, ngakhale matenda a khansa otchedwa histiocytomas amatha kuchiritsidwa. Komabe,Kuzindikira msanga ndi kulandira chithandizo msanga ndi mwayi wabwino kwambiri wochira bwino. Chifukwa chake, ngati muwona zotupa zachilendo kapena kusintha kulikonse m'thupi lanu, pitani kwa dokotala nthawi yomweyo.
Kodi pali zotsatirapo zilizonse za mankhwalawa?
Monga momwe zimakhalira ndi chithandizo chilichonse, pali zotsatirapo zina zomwe zingachitike. Izi zimasiyana malinga ndi mtundu wa chithandizo chomwe mumalandira.
Zotsatirapo zomwe zingachitike chifukwa cha opaleshoni:
- Ululu
- Matenda
- Kusanza ndi kusanza
- Magazi amaundana
- Kupweteka mozungulira bala
- Kutuluka magazi
- Kuyankha kwa ziwengo ku mankhwala oletsa ululu
Zotsatirapo zomwe zingakhalepo chifukwa cha chemotherapy:
- Kutopa
- Kutaya tsitsi
- Matenda
- Kutupa mosavuta
- Kuchepa kwa magazi m'thupi
- Kutsegula m'mimba
- Kudzimbidwa
- Kusintha kwa kulemera
- Mavuto a kusabereka
- Kusintha kwa maganizo
Zotsatirapo zomwe zingakhalepo chifukwa cha chithandizo cha radiation:
- Kutopa
- Kusintha kwa khungu ( monga kufiira, kuuma, kuyabwa)
Zotsatirapo izi sizichitika kwa aliyense. Anthu ena sangakhale nazo. Lankhulani ndi dokotala wanu za izi.
Kodi mungachepetse bwanji chiopsezo cha histiocytoma?
Monga tanenera kale, popeza zifukwa zenizeni za histiocytoma sizikudziwikabe , n'zovuta kunena momwe tingapewere kwathunthu.
Komabe, akuti kutsatira moyo wathanzi , monga kudya zakudya zoyenera, kuchita masewera olimbitsa thupi nthawi zonse , komanso kupewa fodya, kungachepetse kwambiri chiopsezo cha matenda a sarcomas (mtundu wa chotupa cha khansa).
Kodi Angiomatoid Fibrous Histiocytoma (AMFH) ndi yoopsa?
AMFH ikhoza kupha ngati ifalikira ku ziwalo zina za thupi. Komabe, ngati yapezeka msanga, imatha kuchiritsidwa bwino ndikuchiritsidwa. Nthawi zambiri, mtundu uwu wa chotupa umakula pang'onopang'ono. Chifukwa chake, nthawi zambiri zimakhala zotheka kuchotsa chotupacho chisanafalikire ku ziwalo zina za thupi.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati muwona chotupa chachilendo, chotupa, kapena kusintha kwa khungu pathupi lanu nthawi iliyonse, kapena ngati mukukayikira chilichonse, onetsetsani kuti mwawonana ndi dokotala.Kenako akhoza kuchita mayeso kuti adziwe chomwe chikuyambitsa vutoli. Ikhoza kukhala histiocytoma kapena vuto lina la thanzi. Komabe, dokotala wanu angakuthandizeni kukonzekera dongosolo la chithandizo lomwe lili loyenera kwa inu ndikukuthandizani kuchepetsa zizindikiro zanu. Musachedwe, ndi bwino kunena nkhawa zilizonse, ngakhale zitakhala zazing'ono.
Uthenga Wopita Nawo Kunyumba
N’zoona kuti sitikudziwa bwino chomwe chimayambitsa histiocytoma, kotero zingakhale zoopsa. Komabe, ngati matenda atapezeka msanga komanso kulandira chithandizo choyenera, mwayi wochira mokwanira ndi wokwera kwambiri.
- Ngati muwona chotupa chatsopano, kutupa, kapena kusintha kwa khungu pathupi lanu, musachitenge mopepuka.
- Funani upangiri wa dokotala nthawi yomweyo.
- Chitani mayeso omwe dokotala wanu wakuuzani kuti muchite.
- Ngati chithandizo chikufunika, chitanipo kanthu popanda mantha, chifukwa nthawi zambiri, matendawa amatha kuchiritsidwa.
Simuli nokha, pali anthu ambiri omwe akukumana ndi mavuto ofanana. Lankhulani ndi dokotala wanu ndi banja lanu za izi. Ndi thandizo lawo, mutha kuthana ndi vutoli.
histiocytoma , chotupa, khansa, matenda a pakhungu, histiocyte, chosaopsa, choopsa











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