Kodi Solitary Fibrous Tumor (SFT) ndi chiyani? Kodi ndi chinthu choopa? Tiyeni tikambirane!

Kodi munayamba mwaonapo chinthu chachilendo kapena chotupa pathupi panu? Ndizachibadwa kumva mantha pang'ono kapena kuda nkhawa zikachitika. Lero tikambirana za chotupa chosowa, koma chosakhala chofala kwambiri. M'mawu azachipatala, ichi chimatchedwa Solitary Fibrous Tumor (SFT) . Ngakhale dzinalo lingamveke lovuta, tiyeni likhale losavuta komanso lomveka bwino.

Mwachidule, kodi Solitary Fibrous Tumor (SFT) ndi chiyani?

Izi zikutanthauza chotupa chomwe chimayambira m'minofu yofewa ya thupi lathu. Taganizirani zinthu monga minofu, minofu yamafuta, ndi mitsempha m'thupi lathu. Izi zimatchedwa minofu yofewa. Chifukwa chake, zotupa za SFT izi zimatha kufalikira kulikonse m'thupi. Komabe, zimapezeka kwambiri m'maselo oteteza mapapo (pleura) .

Mtundu wa ziphuphu izi ukhoza kukhala wa mitundu iwiri:

• Ena amakula pang'onopang'ono ndipo safalikira ku ziwalo zina za thupi (osati khansa - osaopsa) .
• Zina zimakula mofulumira ndipo zimatha kufalikira kumadera ena (khansa) .

Ngakhale kuti nthawi zambiri izi si ziphuphu za khansa, madokotala nthawi zambiri amalimbikitsa kuchotsa chotupacho kwathunthu, kaya kudzera mu opaleshoni kapena chithandizo china, kuti chisabweretse mavuto mtsogolo.

Kodi pali mayina ena a ziphuphu izi?

Inde, kale, panali dzina lina la izi. Panthawiyo, madokotala ankaganiza kuti zotupa izi zimangopangika mkati mwa chifuwa, kutanthauza, mu nembanemba yomwe imazungulira mapapo. Timatcha nembanemba iyi kuti pleura . Ichi ndi chomwe chimathandiza mapapo kugwira ntchito bwino mkati mwa chifuwa tikamapuma. Chifukwa chake, panthawiyo, zotupa izi zimatchedwa "zotupa zopanda ulusi za pleura."

Komabe, kafukufuku wamtsogolo adapeza kuti zotupazi zimatha kupangika kulikonse m'thupi, osati m'mapapo okha, monga chiwindi, ubongo, khosi, ndi mutu. Choncho dzina lakale komanso lalitali siligwiritsidwanso ntchito.

Kodi pali kusiyana kotani pakati pa SFT ndi Pleural Mesothelioma?

Anthu ena angasokonezeke chifukwa zonse ziwiri zimatha kuchitika m'mapapo. Komabe, ziwirizi ndi zosiyana kwambiri. Tiyeni timvetse kusiyana kumeneku bwino pogwiritsa ntchito tebulo.

Ndani ali pachiwopsezo chachikulu chotenga ziphuphuzi?

Ngakhale kuti ziphuphuzi zimatha kuonekera pa msinkhu uliwonse, zimapezeka kwambiri mwa anthu azaka zapakati pa 50 ndi 60. Vutoli silimachitika kawirikawiri mwa ana aang'ono.

Izi n’zosowa kwambiri moti mtundu uwu wa SFT umapezeka m’zotupa zofewa zosakwana ziwiri mwa 100 zilizonse.

Zigawo za thupi kumene ziphuphu za SFT zingachitike

• Mu minofu yolumikizana yozungulira ubongo ndi msana
• Mu chiwindi
• Mapapu ndi pleura
• M'mabowo omwe ali mkati mwa mphuno (Paranasal sinuses)
• Mu minofu yofewa mkati mwa soketi ya mafupa (orbit) komwe maso ali
• Mu chithokomiro

N’chifukwa chiyani ziphuphu zimenezi zimapangika? Kodi chifukwa chake n’chiyani?

Ndipotu, madokotala sanapezebe chifukwa chenicheni cha izi. Komabe, kafukufuku waposachedwapa watipatsa zizindikiro zina. Ndi majini awiri m'thupi lathu, omwe ndi `NAB2` ndi `STAT6`Zotupa zimenezi zingayambike chifukwa cha kusakanikirana kwa majini awiri mwachisawawa (gene fusion). Kusintha kwa majini kumeneku kungayambitse maselo kuyamba kukula mosalamulirika.

Kodi zizindikiro za SFT ndi ziti?

Zotupa zimenezi nthawi zambiri zimakula pang'onopang'ono . Zotsatira zake, pafupifupi theka la anthu omwe ali ndi SFT sapeza zizindikiro zilizonse . Zizindikiro nthawi zambiri zimayamba pamene chotupacho chikukulirakulira mokwanira kukankhira ziwalo, mafupa, kapena minofu ina yapafupi. Chifukwa chake, zizindikirozo zimadalira komwe chotupacho chili.

Tiyeni tiwone zizindikiro zomwe ziphuphuzi zimasonyeza zikaonekera m'malo osiyanasiyana a thupi.

Kodi dokotala amazindikira bwanji matendawa?

Kutengera ndi zizindikiro zanu komanso komwe kukuwoneka kuti pali chotupa, dokotala wanu adzakutumizani kuti mukayesedwe mosiyanasiyana.

• Kuyezetsa kuchipatala: Choyamba muyenera kumvetsera mosamala zizindikiro zanu kenako n’kuchita kuyezetsa thupi.
• Kujambula Zithunzi: Izi zimathandiza kuona malo, kukula, ndi mtundu wa chotupacho. Izi zitha kuphatikizapo X-ray, CT scans, MRI scans, ultrasound scans , ndi PET scans .
• Kuwunika maso: Ngati chotupacho chili pafupi ndi diso, kuyezetsa maso kwapadera (Optical Coherence Tomography - OCT) kumachitika kuti adziwe chomwe chimayambitsa mavuto a maso.
• Kuyeza kwa magazi: Iyi ndi njira yofunika kwambiri yoyezera . Izi zimaphatikizapo kutenga chidutswa chaching'ono kwambiri cha minofu kuchokera pa chotupacho ndikuchiyang'ana pansi pa maikulosikopu. Izi zidzakuuzani motsimikiza 100% mtundu wa chotupacho komanso ngati ndi khansa kapena ayi.

Kugawa kuopsa kwa ma nodule a SFT

Bungwe la World Health Organization (WHO) lagawa zotupa za SFT m'magawo angapo kutengera kuopsa kwake komanso kukula kwake. Izi zimatchedwa grading.

• Giredi I (Giredi Yotsika): Imeneyi ndi mitundu yosalimba kwambiri. Maselo awo nthawi zambiri amakhala maselo abwinobwino. Amakula pang'onopang'ono kwambiri.
• Giredi II (Yapakati): Maselo amenewa amaoneka osakhala achilendo kwenikweni. Amatha kukula mofulumira kuposa Giredi I. Alinso ndi mwayi woti akhoza kukhala ndi khansa.
• Giredi III (Yapamwamba): Iyi ndi mitundu yamphamvu kwambiri. Maselo ndi osazolowereka kwambiri. Amakula mofulumira. Ali ndi chiopsezo chachikulu chobwereranso, kukhala khansa, ndikufalikira ku ziwalo zina za thupi.

Kodi mankhwala ake ndi otani?

Chithandizo chachikulu komanso chabwino kwambiri cha chotupa cha SFT ndikuchichotsa kwathunthu kudzera mu opaleshoni .

Nthawi zina, opaleshoni ingakhale yovuta kuchita kutengera malo a chotupacho. Kapena chotupacho chingakhale chachikulu kukula kwake. Pazochitika zotere,

• Chithandizo cha radiation:Chithandizo cha radiation chimaperekedwa kuti chiwononge kapena kuchepetsa chotupacho. Nthawi zina, chithandizochi chimaperekedwanso musanachite opaleshoni kuti chotupacho chikhale chochepa komanso chosavuta kuchotsa.

Kodi izi zingayambitse mavuto otani?

Choopsa chachikulu mukazindikira kuti muli ndi chotupa ndi chakuti chidzakhala khansa kapena chidzafalikira kumadera ena (khansa yofalikira). Mukachitidwa opaleshoni kuti muchotse, chiopsezo chimenecho chimachepa kwambiri.

Kupatula apo, mavuto ena angachitike kutengera komwe pali chotupacho.

• Kufa ziwalo: Ngati pali chotupa chozungulira msana.
• Kutuluka kwa madzi m'mapapo: kusungunuka kwa madzi m'kati mwa mapapu.
• Kufooka kwa maso: Kuwonongeka kwa mitsempha yomwe imanyamula mauthenga kuchokera m'diso kupita ku ubongo.

Kodi chiŵerengero cha kuchira chimakhala bwanji pambuyo pa chithandizo?

Anthu ambiri amachira bwino kwambiri atachotsedwa chotupacho ndi opaleshoni. Komabe, monga tanenera kale, si kawirikawiri kuti chotupacho chibwererenso, choncho dokotala wanu apitiliza kukuyang'anirani. Izi zikutanthauza kuchita zinthu monga kusanthula nthawi ndi nthawi kuti muwone ngati chotupacho chabwerera. Ichi ndi chinthu chofunikira kwambiri kuti muteteze thanzi lanu.