Kodi mukuda nkhawa ndi chotupa china chake m'thupi lanu? Mwina chili pa mwendo wanu, mkono, kapena m'mimba. Nthawi zambiri, zotupa zamafuta izi (Lipoma) sizowopsa, koma nthawi zina zimakhala khansa. Lero, tikambirana za mtundu wosowa wa khansa womwe umayamba m'maselo amafuta m'thupi lathu. Timatcha izi kuti Liposarcoma. Musadandaule, tiyeni tifotokoze zonse mwachidule.
Kodi Liposarcoma ndi chiyani kwenikweni?
Mwachidule, Liposarcoma ndi mtundu wa khansa womwe umayambira m'maselo amafuta m'thupi lathu. Ndi mtundu wosowa kwambiri wa khansa. Ngakhale kuti amatha kufalikira kulikonse m'thupi, amapezeka kwambiri m'mimba, m'manja, ndi m'miyendo. Ali m'gulu lalikulu la khansa lotchedwa soft tissue sarcomas.
Madokotala amagwiritsa ntchito opaleshoni kwambiri kuti achotse zotupa za khansazi. Komabe, mitundu ina ya liposarcoma imatha kubwereranso. Chifukwa chake, ndikofunikira kwambiri kukhala pansi pa utsogoleri wa dokotala kwa nthawi yayitali mutalandira chithandizo. Kenako, ngati chotupa chatsopano chayamba, chingathe kuzindikirika chisanafalikire.
Kodi izi zimakhudza bwanji thupi langa?
Zimatengera mtundu wa liposarcoma yomwe muli nayo. Kawirikawiri, zotupa izi nthawi zambiri zimayambira m'manja kapena m'miyendo, makamaka m'dera la ntchafu kapena kumbuyo kwa bondo. Zithanso kufalikira kumbuyo kwa mimba.
Chabwino kwambiri ndichakuti zotupa zambiri za liposarcoma zimakula pang'onopang'ono ndipo sizipweteka. Simungazindikire kusintha kulikonse mpaka mutakhala ndi chotupa chachikulu m'thupi lanu ndipo chikukulirakulira.
Koma kumbukirani, ngati chotupachi chikukulirakulira ndikukankhira mitsempha, chingayambitse kupweteka. Komanso, kutengera komwe chotupacho chili, chingakhudze ziwalo zozungulira. Tangoganizirani, ngati chotupa chonga ichi chikakula pafupi ndi mapapu anu, mungakhale ndi vuto lopuma.
Kodi matendawa ndi ofala? Ndani amadwala?
Ayi, iyi si matenda ofala konse. Monga tanenera kale, iyi ndi mtundu wosowa kwambiri wa khansa . Malinga ndi ziwerengero, vutoli limapezeka mwa munthu m'modzi pa anthu 100,000.
Matendawa nthawi zambiri amapezeka mwa amuna kuposa akazi. Amuna azaka zapakati pa 50 ndi 65 ali pachiwopsezo chachikulu. Komabe, pali mtundu umodzi wa Liposarcoma womwe ungachitikenso mwa anthu azaka zapakati pa 35 ndi 55.
Mitundu ya Liposarcoma ndi kapangidwe kake
Pali mitundu ikuluikulu ingapo ya liposarcoma. Ngakhale kuti zizindikiro zake ndi zofanana, mankhwala ndi momwe matendawa angachiritsidwire zimatha kusiyana. Tiyeni tiwone mitundu ikuluikulu.
| Mtundu wa Liposarcoma | Mfundo zofunika |
|---|---|
| Liposarcoma yodziwika bwino (WDLS) | Uwu ndiye mtundu wofala kwambiri (30%-50%). Izi ndi zotupa zomwe zimakula pang'onopang'ono, zopanda ululu. Zitha kuchitika m'manja, miyendo, kapena thunthu. Nthawi zina zimatchedwa zotupa za lipomatous zomwe sizili zachilendo . |
| Myxoid liposarcoma | Mtundu wachiwiri wofala kwambiri (pafupifupi 30%). Mosiyana ndi mitundu ina, izi zimathanso kuchitika mwa anthu azaka zapakati pa 35-55. Kawirikawiri zimapezeka m'miyendo, ndipo zimatha kufalikira ku minofu ndi khungu lozungulira. |
| Liposarcoma Yopanda Kusiyana (DDLS) | Matenda ena a WDLS amatha kukhala vuto limeneli pambuyo pake. Imeneyi ndi matenda omwe amakula mofulumira komanso oopsa. Amapezeka kuti abwereranso pambuyo pa opaleshoni. |
| Pleomorphic liposarcoma | Mtundu wosowa kwambiri komanso woopsa kwambiri (5%-10%). Umakula mofulumira kwambiri ndipo umatha kufalikira mwachangu ku ziwalo zakutali, monga mapapo. |
Kodi zizindikiro zake ndi ziti zomwe muyenera kuzisamala nazo?
Zizindikiro za liposarcoma zimasiyana malinga ndi kukula kwa chotupacho komanso komwe chili. Anthu ena sangakhale ndi zizindikiro konse. Ena akhoza kukhala ndi chimodzi kapena zingapo mwa zizindikiro izi:
- Chotupa chatsopano kapena chomwe chikukula pansi pa khungu: Khalani ndi nkhawa ngati muli ndi chotupa chonga ichi, makamaka kumbuyo kwa bondo kapena m'dera la ntchafu. Ndi kukula kwa mpira wa gofu (pafupifupi masentimita 5) kapena kuposerapo.Onetsetsani kuti mwalankhula ndi dokotala za chotupa chilichonse.
- Kupweteka kapena kutupa: Kutupa, makamaka m'mimba.
- Kumva kufooka m'dzanja kapena mwendo komwe kuli chotupa.
- Kumva kukhuta mukangoyamba kudya.
- Chakudyacho sichikoma.
- Kudzimbidwa.
- Magazi mu ndowe kapena ndowe zakuda/zosakhazikika.
- Kuwawa kwam'mimba.
- Kusanza magazi .
- Kuvuta kupuma.
Kodi chipatso ichi chikumva bwanji m'dzanja lanu?
Nthawi zambiri, chipatsochi chimamveka ngati mpira wofewa komanso wa rabara . Mungathenso kumva ngati mungathe kuchisuntha pang'ono mukachifinya ndi zala zanu.
N’chifukwa chiyani khansa yamtunduwu imayamba?
Malinga ndi sayansi, khansa iyi imayamba chifukwa cha kusintha kwa majini athu. Kusintha kumeneku kumapangitsa kuti maselo amafuta agawikane ndikuchulukana mosalamulirika, zomwe zimapangitsa kuti pakhale zotupa za khansa. Chifukwa chenicheni chomwe majini awa amasinthira sichikudziwikabe. Komabe, ofufuza apeza zinthu zingapo zomwe zimawonjezera chiopsezo:
- Kulandira chithandizo cha radiation cha khansa zina.
- Kukumana ndi mankhwala monga vinyl chloride kuntchito.
- Matenda ena a majini omwe amabadwa nawo .
Kodi dokotala amazindikira bwanji kuti ndi Liposarcoma molondola?
Ngati mukaonana ndi dokotala chifukwa cha chimodzi mwa zizindikiro zomwe zili pamwambapa, choyamba adzakuyesani ndikufunsani za zizindikiro zanu. Kenako, angakutumizireni kuti mukayesedwe kangapo kuti atsimikizire matendawa.
- Kujambula kwa CT (Computed Tomography - CT scan): Izi zitha kusonyeza komwe chotupa chili, kukula kwake, komanso momwe chilili pafupi ndi ziwalo zazikulu.
- Kujambula kwa MRI (Magnetic Resonance Imaging - MRI): Kujambula kumeneku kumathandiza kuwona ngati chotupacho chakhudza mitsempha yozungulira, mitsempha yamagazi, ndi minofu.
- Kuyeza kwa khansa: Iyi ndi njira yofunika kwambiri yoyezera khansa. Apa, kachidutswa kakang'ono kwambiri ka minofu kamatengedwa kuchokera ku chotupacho ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Izi zingathandize kudziwa ngati ndi khansa, ndipo ngati ndi choncho, mtundu wa khansa.
- Kuyesa kwa mamolekyulu ndi majini: Mayeso awa amatha kuzindikira mtundu weniweni wa liposarcoma.
Kodi mankhwala ochizira izi ndi otani?
Chithandizo cha liposarcoma chimadalira mtundu wa khansa, ngati yafalikira, ndipo ngati ndi choncho, komwe yafalikira. Mungafunike kuphatikiza mankhwala opitilira umodzi.
1. Opaleshoni:Uwu ndiye chithandizo chachikulu. Dokotala wa opaleshoni amachotsa chotupa cha khansa ndi minofu yathanzi yozungulira, kuonetsetsa kuti palibe maselo a khansa ooneka ngati tambala.
2. Chithandizo cha radiation: Nthawi zina chithandizochi chimaperekedwa opaleshoni isanachitike kuti ichepetse chotupacho. Izi zimachitika makamaka pa myxoid liposarcoma. Chithandizo cha radiation chimaperekedwanso pambuyo pa opaleshoni kuti achepetse chiopsezo chobwereranso kwa khansa.
3. Chemotherapy: Mankhwalawa amagwiritsidwa ntchito pa zotupa zomwe ndi zazikulu kwambiri kapena zofala kwambiri moti sizingachotsedwe mwa opaleshoni.
Kodi pali kusiyana kotani pakati pa Liposarcoma ndi chotupa chamafuta wamba (Lipoma)? (Izi ndizofunikira kwambiri!)
Anthu ambiri amakhala ndi funso lokhudza ngati ali ndi chotupa chamafuta kapena khansa. Pali kusiyana koonekeratu pakati pa ziwirizi. Mudzamvetsa bwino izi mukayang'ana tebulo ili.
| Mbali | Liposarcoma | Lipoma (chotupa chamafuta chofala) |
|---|---|---|
| Chilengedwe | Khansa. Ikhoza kufalikira. | Sili ndi khansa. Silifalikira. |
| Malo | Zingachitike mkati mwa thupi, pakati pa minofu. | Nthawi zambiri imakhala pansi pa khungu. |
| Kukula | Kawirikawiri imakula pakapita nthawi. | Imakula pang'onopang'ono kwambiri kapena siikula konse. |
| Chithandizo | Opaleshoni, chithandizo cha radiation, ndi chemotherapy ndizofunikira. | Nthawi zambiri sipafunika chithandizo. Amachotsedwa chifukwa cha kukongola kokha kapena ngati akupweteka. |
| Chiwopsezo cha moyo | Zingakhale zoopsa pa moyo. | Sizingakhale zoopsa kwa moyo. |
Chofunika kwambiri ndichakuti, musayese kudziwa mtundu wa chotupa chomwe muli nacho nokha. Onetsetsani kuti mwachiwonetsa kwa dokotala ndikutsatira malangizo ake.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala?
Ndizachilendo kukhala ndi mafunso ambiri mukadziwa za matenda osowa chonchi. Mukapita kukaonana ndi dokotala, musaiwale kufunsa mafunso awa.
- Kodi ndili ndi mtundu wanji wa Liposarcoma?
- Ndi chithandizo chiti chomwe chili chabwino kwa ine?
- Kodi pali mwayi wotani woti matenda anga achiritsidwe kwathunthu ndi mankhwala awa?
- Kodi zochita zanga za tsiku ndi tsiku zidzakhudzidwa bwanji panthawi ya chithandizo?
- Kodi n'zotheka kuti chotupachi chikulenso pambuyo pa chithandizo?
- Kodi ndiyenera kukhala pansi pa utsogoleri wa dokotala kwa nthawi yayitali bwanji?
Uthenga Wopita Nawo Kunyumba
- Ngati mwakhala ndi chotupa chatsopano m'thupi lanu kapena ngati chotupa chomwe chilipo chikukulirakulira, makamaka ngati chachikulu kuposa mpira wa gofu, funsani upangiri wa dokotala nthawi yomweyo.
- Liposarcoma ndi khansa yosowa kwambiri, choncho simuyenera kuopa mopanda chifukwa chotupa chilichonse chamafuta m'thupi lanu.
- Dokotala yekha ndi mayeso ofunikira ndi omwe angadziwe kusiyana pakati pa chotupa chamafuta wamba (Lipoma) ndi Liposarcoma. Musadziyese nokha.
- Mankhwala amatha kukhala opambana kwambiri, ndipo kuzindikira matendawa msanga kumawonjezera mwayi wochira.
- Ngakhale mutalandira chithandizo, ndikofunikira kuyesedwa malinga ndi nthawi yomwe dokotala wakupatsani.

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