Nthawi zina mumapeza ziphuphu ndi matumbo ang'onoang'ono m'thupi lanu lonse, eti? Nthawi zambiri, sitimazisamala kwambiri. Timaganiza kuti, "Izi zitha kukhala chotupa" kapena "Zitha kukhala chotupa chamafuta." Koma nthawi zina ndibwino kuda nkhawa pang'ono ndi zinthu ngati izi. Lero, tikambirana za mtundu wosowa kwambiri, koma wofunikira kwambiri wa chotupa chomwe muyenera kudziwa. Timachitcha kuti Solitary Fibrous Tumors (SFTs) .
Kodi Solitary Fibrous Tumor (SFT) ndi chiyani kwenikweni?
Mwachidule, SFT ndi mtundu wa chotupa chomwe chimapanga minofu yofewa ya thupi lathu. Ngakhale kuti imatha kupangika kulikonse m'thupi, imapezeka kwambiri m'maselo oteteza mapapo athu.
Pali mitundu iwiri ya mtedza wa SFT uwu.
1. Ena amakula pang'onopang'ono ndipo safalikira kumadera ena (osati khansa - osaopsa) .
2. Mtundu wina ndi khansa/yoopsa, yomwe imakula mofulumira kwambiri ndipo imatha kufalikira ku ziwalo zina za thupi .
Chofunika kwambiri ndichakuti zotupa zambiri za SFT sizili za khansa . Komabe, madokotala amalimbikitsa kuti ndi bwino kuchotsa zotupazi, kaya kudzera mu opaleshoni kapena njira zina zochiritsira.
Kodi izi zinkatchedwa chiyani kale?
Kale, madokotala ankaganiza kuti zotupa zimenezi zimangoyambira m'chifuwa. Ndicho chifukwa chake zinkatchedwa "zotupa zosalimba za pleura." Pano, `(pleura)` amatanthauza nembanemba yopyapyala yomwe imazungulira mkati mwa khoma la chifuwa chathu ndikuteteza mapapu athu. Nembanemba iyi imapanganso mafuta omwe mapapu athu amafunikira kuti aziyenda mosavuta tikamapuma.
Koma tsopano tikudziwa kuti zotupazi zimatha kufalikira kulikonse m'thupi, osati pachifuwa chokha, monga chiwindi, ubongo, ndi khosi. Choncho dzina lakale siligwiritsidwanso ntchito.
Kodi SFT ndi Pleural Mesothelioma ndi zinthu ziwiri zosiyana?
Inde, izi ndi zochitika ziwiri zosiyana kwambiri.
- Pleural Mesothelioma: Iyi ndi khansa yomwe imayamba m'kati mwa mapapo (pleura). Chifukwa chachikulu cha izi ndi kupuma kwa asbestos .
- Chotupa Chokha Chokhala ndi Ululu (SFT): Ma SFT awa alibe chochita ndi asbestos. Alinso ndi mwayi wochepa wokhala ndi khansa. Komanso, mosiyana ndi mesothelioma, ma SFT amatha kufalikira kulikonse m'thupi. Chifukwa chenicheni cha ma SFT sichikudziwikabe .
Ndani ali pachiwopsezo chachikulu chotenga matenda otupa awa?
SFT imatha kufalikira pa msinkhu uliwonse, koma imapezeka kwambiri mwa anthu azaka zapakati pa 50 ndi 60.Pakati pa okalamba, vutoli ndi losowa kwambiri pakati pa ana aang'ono. Ndipotu, zotupa zofewa zomwe zanenedwa kuti ndi SFTs ndi zosakwana 2%.
Kodi chimayambitsa SFT ndi chiyani?
Chifukwa chenicheni cha izi sichinadziwikebe, koma ofufuza amakhulupirira kuti majini athu awiri , NAB2 ndi STAT6, amalumikizana. Malingaliro apano ndi akuti jini yosinthidwayi ikhoza kuwonjezera chiopsezo cha matenda a SFT.
Kodi zizindikiro za SFT zimachokera kuti?
Zotupa za SFT izi nthawi zambiri zimakula pang'onopang'ono kwambiri. Choncho pafupifupi theka la anthu omwe ali ndi SFT alibe zizindikiro zilizonse . Zizindikiro zimayamba kuonekera chotupacho chitakula mokwanira kukankhira ziwalo, mafupa, kapena minofu ina yapafupi.
Zizindikiro zimasiyana malinga ndi komwe chotupacho chili. Tiyeni tiwone momwe zimagwirira ntchito.
| Malo a chotupa ndi zizindikiro zomwe zingatheke | |
|---|---|
| M'chifuwa (mapapo, pleura) |
|
| M'dera la soketi ya diso |
|
| Ponena za mphuno ndi ma sinus cavities |
|
| Zokhudzana ndi ubongo |
|
| Zokhudzana ndi msana |
|
| Zokhudzana ndi chiwindi |
|
| Zokhudzana ndi chithokomiro |
|
Kodi dokotala amazindikira bwanji kuti iyi ndi SFT?
Mayeso amasiyana malinga ndi zizindikiro zanu komanso komwe mukukayikira kuti pali chotupa. Mayeso akuluakulu ndi awa:
- Kuyezetsa maso: Ngati muli ndi vuto la maso, mayeso apadera monga Optical Coherence Tomography (OCT) angathandize kudziwa chomwe chimayambitsa mavuto a maso anu.
- Kujambula Zithunzi: Kujambula X-ray, CT scan, MRI scan, Ultrasound scan , kapena PET scan kungachitike kuti muwone komwe chotupa chili komanso kukula kwake.
- Kufufuza za khansa: Iyi ndi njira yofunika kwambiri komanso yotsimikizika yoyezera khansa . Kachidutswa kakang'ono kwambiri ka minofu kamatengedwa kuchokera ku chotupacho ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Izi zitha kutsimikizira 100% ngati chotupacho ndi khansa kapena ayi.
Gulu la World Health Organization (WHO)
Bungwe la World Health Organization (WHO) laika matenda a SFT m'magulu kutengera kuopsa kwawo. Gawoli likutanthauza momwe chotupacho chimakulira mofulumira, kutengera momwe maselo amaonekera pansi pa maikulosikopu. Izi ndi zosiyana ndi magawo a khansa.
- Giredi I (Giredi Yotsika): Iyi ndi mitundu yosalimba kwambiri. Maselo ambiri amakhala ngati maselo abwinobwino. Amakula pang'onopang'ono kwambiri. Sangayambitse zizindikiro zilizonse.
- Giredi II (Garedi Yapakati): Maselo a giredi iyi amaoneka osazolowereka pang'ono kuposa omwe ali mu Giredi I. Chifukwa chake, kuchuluka kwa maselo kumakwera pang'ono. Mwayi wokhala ndi khansa nawonso ndi wokwera.
- Giredi III (Yapamwamba): Izi zili ndi maselo osazolowereka kwambiri. Zotupazi zimakhala zamphamvu, zimakula mwachangu, ndipo zimatha kubwerera pambuyo pa chithandizo, kukhala khansa, ndikufalikira ku ziwalo zina za thupi.
Kodi mankhwala a SFT ndi otani?
Chithandizo chachikulu komanso chabwino kwambiri cha chotupa cha SFT ndi opaleshoni . Dokotala adzayesa kuchotsa chotupa chonsecho mwa opaleshoni.
Nthawi zina, opaleshoni singatheke kutengera komwe chotupacho chili. Nthawi zina, chithandizo cha radiation chimaperekedwa kuti chichepetse chotupacho ndikuchiwononga. Nthawi zina, chithandizo cha radiation chimaperekedwanso opaleshoni isanachitike kuti iphwanye chotupacho ndikupangitsa kuti chichotsedwe mosavuta.
Kodi mavuto omwe angakhalepo chifukwa cha SFT ndi ati?
Mantha akulu kwa munthu amene ali ndi SFT ndi akuti kaya idzakhala khansa kapena ifalikira kumadera ena (khansa yofalikira). Chiwopsezochi chingachepe kwambiri pochita opaleshoni kuti chotupacho chichotsedwe.
Komabe, ngakhale atalandira chithandizo, nthawi zina chotupa cha SFT chimatha 'kubwereranso '. Mtundu uwu wa chotupa uli ndi mwayi waukulu wokhala khansa.
Mavuto ena angachitike kutengera komwe chotupacho chili.
- Kufooka kwa ziwalo za thupi
- Kutuluka kwa madzi m'mapapo (kuchulukana kwa madzi m'mapapo)
- Kuwonongeka kwa mitsempha yomwe imanyamula mauthenga ochokera m'maso kupita ku ubongo (Optic atrophy)
Chiyembekezo ndi nthawi yoti mukaonane ndi dokotala?
Anthu ambiri amachira kwathunthu atachitidwa opaleshoni kuti achotse chotupacho. Komabe, monga tanenera kale, si zachilendo kuti chotupa chibwererenso n’kukhala khansa. Chifukwa chake, dokotala wanu adzachita ma scan nthawi zonse kuti aone ngati chikubwereranso.
Ngati mukukumana ndi zizindikiro izi, onetsetsani kuti mwawonana ndi dokotala:
- Kupweteka pachifuwa
- Kuvuta kupuma
- Kutopa kwambiri popanda chifukwa
- Mavuto a masomphenya
Mukapita kwa dokotala, musaiwale kufunsa mafunso awa:
- Kodi chotupa chili kuti?
- Kodi izi zingachotsedwe ndi opaleshoni?
- Kodi zizindikiro zosonyeza kuti chotupa chingabwererenso ndi ziti?
- Kodi ndiyenera kuyesedwa kangati?
- Ndi mavuto ena ati omwe ndiyenera kuda nkhawa nawo?
Ndizachibadwa kuchita mantha ukazindikira kuti uli ndi chotupa. Koma kumbukirani, ngakhale kuti SFT ndi vuto losowa kwambiri, limatha kuchiritsidwa kwathunthu ndi chithandizo choyenera. Chofunika kwambiri ndikupempha upangiri wa dokotala mwachangu momwe mungathere, mosasamala kanthu za zizindikiro.
Uthenga Wopita Nawo Kunyumba
- Zotupa za Solitary Fibrous Tumors (SFTs) ndi mtundu wosowa wa chotupa chomwe chimapezeka m'maselo ofewa a thupi.
- Zambiri mwa izi si khansa (zoipa), koma zina zimatha kukhala khansa (zoopsa).
- Nthawi zambiri, palibe zizindikiro kumayambiriro kwa matendawa. Zizindikiro zomwe zimawonekera zimadalira komwe chotupacho chili.
- Chithandizo chachikulu ndi kuchotsa chotupa chonsecho kudzera mu opaleshoni.
- Popeza pali chiopsezo chochepa choti chotupacho chibwererenso ngakhale mutalandira chithandizo, ndikofunikira kwambiri kuti mupite kukayezetsa nthawi zonse monga momwe dokotala wanu walangizira.
- Ngati muli ndi chotupa chosazolowereka, ululu, kapena chizindikiro china m'thupi lanu, musachinyalanyaze ndipo pitani kwa dokotala nthawi yomweyo.
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