Kodi Spindle Cell Sarcoma ndi chiyani? Tiyeni tikambirane mwachidule!

Kodi mudayamba mwada nkhawa ndi chinthu chachilendo, monga kupweteka kapena kutupa m'mafupa anu kapena malo ofewa monga minofu yanu? Nthawi zina izi zimakhala zachilendo. Koma, nthawi zambiri, zizindikirozi zimatha kukhala chizindikiro cha chinthu chachikulu. Chifukwa chake, lero tikambirana za mtundu wa khansa womwe ndi wosowa pang'ono, koma wofunikira kudziwa. Umenewo umatchedwa Spindle Cell Sarcoma.

Kodi Spindle Cell Sarcoma ndi chiyani kwenikweni?

Mwachidule, Spindle Cell Sarcoma ndi khansa yosowa kwambiri yomwe imayamba m'mafupa ndi minofu yofewa ya thupi lathu. Kodi mukudziwa kuti 'sarcoma' imatanthauza maselo osazolowereka, kapena zotupa, zomwe zimachitika m'mafupa ndi minofu yomwe imalumikizana nawo?

Tsopano, chinthu chapadera chokhudza Spindle Cell Sarcoma ndichakuti mukayang'ana maselo osazolowerekawo pogwiritsa ntchito maikulosikopu, amawoneka ngati 'spindle'. Spindle ndi mawonekedwe ngati kandulo, ndipo mbali zake ndi zoonda ndipo pakati pake ndi zokhuthala pang'ono. Ndicho chifukwa chake idatchedwa.

Chifukwa cha mayeso apamwamba a labu, madokotala atha kuzindikira mitundu yoposa 75 ya sarcoma. Spindle cell sarcoma ndi mtundu umodzi wa matendawa. Ndipotu, mawu oti 'spindle cell sarcoma' amagwiritsidwa ntchito pofotokoza za sarcoma zomwe sizingagawidwe molondola ndi mayeso ena a labu, monga mabala kapena majini. Chifukwa chake, ndi mawu ofala pang'ono.

Kodi zotupa zimenezi zimapezeka kuti nthawi zambiri?

Spindle Cell Sarcoma nthawi zambiri imapezeka m'mafupa aatali a thupi lathu. Mwachitsanzo:

• Fupa lanu la ntchafu (`femur`)
• Fupa la shin (tibia)
• Fupa la mkono wapamwamba (humerus)

Komabe, si malo okhawa okha. Anthu ena ali ndi matenda a spindle cell sarcomas m'chiuno, mutu ndi khosi, komanso ziwalo zina za thupi.

Kodi mitundu ikuluikulu ya Spindle Cell Sarcoma ndi iti?

Tsopano, onani, ma sarcoma onse amayamba m'minofu yofewa. Ndiko kuti, m'zinthu monga mafuta, minofu, mitsempha yamagazi, mitsempha, ndi minofu yozungulira mafupa. Madokotala amaikanso ma sarcoma a spindle cell kutengera mtundu wa selo lomwe khansa imayambira.

Mwa kumvetsetsa mtundu wa selo ndi makhalidwe ake mwanjira imeneyi, madokotala amatha kuwona momwe khansa ingafalikire. Izi zimawathandizanso kupeza mankhwala abwino kwambiri.

Ngakhale kuti 'spindle cell sarcoma' ndi mawu ambiri, pali mitundu ingapo ikuluikulu:

• Sarcoma ya Pleomorphic Yosasinthika:Monga momwe dzinalo likusonyezera, maselo omwe ali mu khansa yamtunduwu 'sasiyana'. Izi zikutanthauza kuti sizikudziwika bwino kuti khansayo inayambira pa mtundu wa selo liti. Maselo odwala omwe ali mu chotupacho ndi 'pleomorphic', zomwe zikutanthauza kuti amabwera m'mawonekedwe ndi kukula kosiyanasiyana. Mwa kuyankhula kwina, chotupa ndi gulu la maselo ochokera ku mitundu yosiyanasiyana.
• Fibrosarcoma: Izi zimachokera ku maselo otchedwa fibroblasts. Fibroblasts ndi zinthu zazikulu zomwe zimamanga minofu yolumikizana m'thupi lathu.
• Leiomyosarcoma: Izi zimayambira m'maselo osalala a minofu. Izi ndi zosiyana ndi maselo omwe ali m'minofu ya mafupa, omwe timagwiritsa ntchito kusuntha matupi athu ndikupeza mphamvu. Maselo osalala a minofu amapezeka m'ziwalo zathu zamkati, m'mabowo a thupi, ndi m'mafupa ena ngati minofu yofewa.

Kodi vutoli ndi lofala bwanji?

Monga mitundu ina ya sarcoma, spindle cell sarcoma ndi yosowa kwambiri . Ndipotu, imayambitsa khansa yosakwana 10% ya khansa yonse ya mafupa ndi minofu yofewa. Kumbukirani kuti, ndi yosowa kwambiri moti dokotala wanu sangaganize kuti khansa yamtunduwu ndi yofala poyamba. Mungafunike kupita kwa dokotala kangapo, kuonana ndi akatswiri angapo, ndikuyesedwa kangapo musanapeze matenda.

Matenda a spindle cell sarcoma amatha kufalikira mwa aliyense. Komabe, amapezeka kwambiri mwa anthu azaka zopitirira 40. Anthu omwe ali ndi matenda a pleomorphic sarcoma omwe atchulidwa kale nthawi zambiri amakhala ndi zaka zapakati pa 60 ndi 70.

Kodi zizindikiro za izi ndi ziti?

Zizindikiro za spindle cell sarcoma zimatha kusiyana. Zimatengera kukula kwa chotupacho, kuchuluka kwa zotupa, ndi mafupa (kapena ziwalo zina za thupi) omwe maselo a khansa ali. Nazi zizindikiro zina zomwe muyenera kuziyang'anira makamaka :

• Kupweteka kwa mafupa: Kupweteka kumeneku kumatha kukhala kosalekeza kapena kubwera ndi kupita. Kungamveke ngati wina akukubayani kuchokera mkati.
• Kusweka kwa fupa pamene lafooka ndi khansa: Izi zimatchedwa 'kusweka kwa pathological'. Fupa limatha kusweka ngakhale litagwa pang'ono.
• Kutupa kapena kufinya mukakanikizidwa pamalo pomwe pali chotupa: Pakhoza kukhala chotupa chomwe ndi chachikulu mokwanira kuti chigwire m'dzanja.
• Kulephera kusuntha bwino cholumikizira cha mafupa pafupi ndi chotupa: Tangoganizirani ngati bondo lili pafupi, zingakhale zovuta kupindika kapena kutambasula bondo.
• Kutopa: Uku si kutopa kwachibadwa kokha. Ndi kutopa kwakukulu komwe sikutha ngakhale mutagona kapena kupuma mochuluka bwanji.
• Kusasangalala: Kumva kudwala , popanda chifukwa chomveka, ngati kuti munthu alibe mphamvu kapena chidwi ndi chilichonse.

Kodi n’chiyani chimayambitsa matenda a spindle cell sarcoma?

Monga khansa zina zonse, spindle cell sarcoma imayamba pamene maselo athanzi amakhala oopsa. Maselo oipawa amakula mosalamulirika, ndikupanga zotupa. Zotupazi zimatha kuwononga minofu yathanzi yozungulira. Choopsa kwambiri ndichakuti maselo a khansa awa amatha kuchoka pa chotupa choyambirira ndikufalikira mthupi lonse, kuwononga minofu ndi ziwalo zina. Ichi ndi chomwe timachitcha kuti metastasis, kapena khansa yofalikira.

Koma, apa pali china chake choti mudziwe. Kawirikawiri, maselo a spindle (akakula bwino) ndi chinthu chabwino. Maselo a spindle amapangika pomwe minofu yawonongeka. Chifukwa chake, kukhala ndi maselo a spindle ndi chizindikiro chakuti bala lanu likuchira. Maselo amenewa amatha bala likachira.

Komabe, mu spindle cell sarcoma, maselo a spindle awa amapitiriza kukula ndi kuchulukana. Asayansi sanapezebe chifukwa chimodzi chomwe maselowa amakhalira oopsa chonchi.

Komabe, ofufuza apeza kuti kusintha kwa majini ena kumatha kuwonjezera chiopsezo cha munthu chotenga khansa iyi. 'Kusintha kwa majini' ndi cholakwika m'majini athu, njira yomwe imauza maselo athu momwe angagwirire ntchito. Pankhani ya spindle cell sarcoma, kusintha kumeneku nthawi zambiri kumakhala kobadwa nako, zomwe zikutanthauza kuti kumatha kuchitika m'mabanja.

Kodi ndi zinthu ziti zomwe zimayambitsa chiopsezo chotenga khansa iyi?

Pali zinthu zingapo zomwe zingawonjezere chiopsezo chotenga matenda a spindle cell sarcoma. Tiyeni tiwone zomwe zili:

• Kutupa kwa Mafupa: Apa ndi pamene minofu ya mafupa imafa chifukwa siilandira magazi okwanira. Monga mukudziwa, minofu ya mafupa imafunika magazi kuti ipulumuke, zomwe ndi zomwe mpweya umachita.
• Fibrous Dysplasia: Pa vutoli, minofu ya mafupa yathanzi imalowedwa m'malo ndi minofu yofanana ndi mafupa. Izi zimawonjezera chiopsezo cha kusweka kwa mafupa ndipo (kawirikawiri) zingayambitse kukula kwa fibrosarcomas.
• Osteomyelitis: Ichi ndi matenda omwe amakhudza minofu ya siponji mkati mwa mafupa ena, otchedwa bone morrow. Izi zitha kuchitika ngati mabakiteriya kapena tizilombo tina tikuyenda kuchokera m'magazi anu kupita ku mafupa ndikuyambitsa matenda m'maselo omwe ali pamenepo.
• Matenda a Paget a mafupa: Imeneyi ndi matenda a nthawi yayitali (osatha). Amachititsa kuti mafupa azifooka komanso kusweka mosavuta. Izi zitha kuwonjezera chiopsezo chotenga khansa ya mafupa, kuphatikizapo spindle cell sarcoma.
• Popeza adalandira kale chithandizo cha khansa pogwiritsa ntchito radiation:Chithandizo cha radiation chimagwiritsa ntchito ma radiation amphamvu kwambiri (nthawi zambiri ma X-ray amphamvu kwambiri) kuti awononge maselo a khansa. Kawirikawiri, ma spindle cell sarcomas amakula m'malo omwe amathandizidwa ndi radiation. Izi zikachitika, sarcoma nthawi zambiri imayamba zaka zingapo pambuyo pa chithandizo (zaka zisanu ndi ziwiri mpaka makumi awiri). Koma kumbukirani, anthu osakwana 1% omwe amalandira chithandizo cha radiation amakhala ndi khansa yamtunduwu yokhudzana ndi radiation.

Kodi mavuto a spindle cell sarcoma ndi otani?

Khansa iyi imapangitsa mafupa anu kusweka mosavuta pamalo pomwe pali chotupacho. Fupa likasweka, maselo a khansa ochokera ku chotupacho amatha kupita kumadera apafupi.

Komabe, pali mkangano wokhudza ngati mtundu uwu wa kusweka kwa fupa umapangitsa kusiyana kwa zomwe khansa ikunena (ndiko kuti, zotsatira zake) kapena ngati zotsatira zake zikugwirizana ndi kufalikira kwa khansa kutali (kufalikira kwa metastatic).

Kodi sarcoma ya spindle cell imachiritsidwa bwanji?

Dokotala wanu asanakupezeni ndi kugawa khansa yanu, mwina mudzakhala ndi mayeso ndi njira zingapo. Kugawa khansa kumathandiza madokotala kugawa kuopsa kwa khansa kutengera kukula kwa chotupacho, komwe chili, komanso ngati chafalikira. Akagawa khansa ya m'mafupa, amawonanso ngati chotupacho ndi 'chapamwamba' kapena 'chapamwamba'. Zotupa zapamwamba zimakhala ndi maselo owoneka ngati osazolowereka . Zimakhala ndi mwayi wokulirapo ndikufalikira mwachangu.

Ma sarcoma ambiri a spindle cell ndi apamwamba kwambiri.

Mayeso ojambula zithunzi

Ngakhale kuti mayeso ojambulira zithunzi sangadziwe mtundu wa khansa, amatha kusonyeza kukula ndi malo a chotupacho. Angathenso kusonyeza ngati khansayo yafalikira kupitirira chotupa choyamba.

• X-ray: X-ray imatha kuwonetsa zotupa kapena zolakwika zina m'mafupa anu. X-ray ya pachifuwa imatha kuwona ngati khansa yafalikira m'mapapo. Metastatic spindle cell sarcoma nthawi zambiri imafalikira m'mapapo kaye.
• Kujambula kwa MRI: MRI imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kujambula zithunzi za zinthu zomwe zili mkati mwa thupi. Mosiyana ndi X-ray, MRI imatha kuwonetsa minofu yofewa mwatsatanetsatane. Izi ndizothandiza makamaka kwa madokotala kuzindikira zotupa za minofu yofewa zomwe akukayikira kuti zingakhale sarcomas.
• Kujambula kwa CT: Kujambula kwa CT kumagwiritsa ntchito X-ray ndi kompyuta kupanga zithunzi za mafupa ndi minofu yofewa ya magawo atatu (3D). Pankhani ya spindle cell sarcoma, kujambula kwa CT kungawonetse ngati khansa yafalikira ku minofu yofewa. Ndikwabwinonso kupeza malo osweka kapena malo omwe mafupa ndi ofooka.
• Kujambula kwa PET: Kujambula kwa PET kumagwiritsa ntchito chinthu chotchedwa tracer kuti chipeze maselo a khansa m'thupi lonse. Kungathandize kupeza metastasized spindle cell sarcoma. Muthanso kuchitidwa PET scan kuti muwone momwe chithandizo chanu chikugwirira ntchito. Komabe, PET scan sigwiritsidwa ntchito pa mitundu yonse ya sarcoma. Dokotala wanu adzasankha ngati PET scan ndi yoyenera kwa inu.

Kuyezetsa magazi

Palibe mayeso enieni a magazi omwe angazindikire matenda a spindle cell sarcoma. Komabe, mayeso a magazi amapereka chidziwitso chofunikira chokhudza thanzi lanu, ndipo ndikofunikira kuti dokotala wanu adziwe chidziwitsocho. Kawirikawiri, mayeso a magazi angapereke chidziwitso chokhudza zinthu monga:

• Maselo anu a magazi
• Ntchito ya chiwalo
• Kuchuluka kwa ma enzyme (ma enzyme ndi mankhwala omwe amathandiza ziwalo kuchita ntchito zofunika)

Kufufuza za thupi

Njira yabwino yodziwira ngati chotupa chili ndi khansa ndikuchita biopsy. Ndi njira yokhayo yodziwira mtundu wa khansa ndi kuchuluka kwake. Pa nthawi ya biopsy, dokotala amatenga chitsanzo cha minofu kuchokera pa chotupacho ndikuchitumiza ku labu kuti akaone maselo.

Anthu ambiri omwe ali ndi vuto la spindle cell sarcoma amachitidwa opaleshoni ya singano. Madokotala amathira minofu yozungulira chotupacho kenako amagwiritsa ntchito singano yaying'ono yopanda kanthu kuti atenge chitsanzo. Kuti dokotalayo adziwe bwino komwe angaike singano m'thupi lanu, mungafunikenso X-ray kapena CT scan.

Kodi sarcoma ya spindle cell imachiritsidwa bwanji?

Chithandizo chomwe mudzalandire chidzadalira thanzi lanu, komwe muli, kukula, giredi, ndi zina. Zimatengeranso ngati mukulandira chithandizo koyamba kapena ngati khansa yabwerera mutalandira chithandizo (chobwerezabwereza).

Opaleshoni

Cholinga cha opaleshoni ndikuchotsa chotupacho pamene mukusunga fupa lanu lonse momwe mungathere. Ngati zizindikiro zonse za khansa mu chotupa choyamba ndi chotupa chachiwiri zitha kuchotsedwa, khansayo imatha kuchiritsidwa. Komabe, khansayo ikafalikira kupitirira chotupa choyambirira, zimakhala zovuta kwambiri kuichotsa kwathunthu.

Mankhwala a Chemotherapy

Chemotherapy ndi mankhwala omwe amagwiritsa ntchito mankhwala ophera maselo a khansa m'thupi lonse. Mungapatsidwe chemotherapy musanachite opaleshoni kuti muchepetse chotupacho ndikuchichotsa mosavuta. Kapena, mungapatsidwe chemotherapy kuti muphe maselo ena onse a khansa mutachita opaleshoni. Chemotherapy imagwiritsidwanso ntchito ngati 'chisamaliro chochepetsa ululu'. Ngakhale kuti singachiritse khansa, chemotherapy imatha kupha maselo a khansa kuti ichepetse zizindikiro monga kupweteka kwa mafupa.

Anthu ambiri amapatsidwa mankhwala ophatikizana a chemotherapy kuti chithandizocho chikhale chogwira mtima kwambiri. Kutengera ngati mukulandira chithandizo koyamba, simukuyankha bwino mankhwala ena a chemotherapy, kapena ngati khansa yabwerera mutalandira "release," mungapatsidwe mankhwala osiyanasiyana a chemotherapy. "Release" amatanthauza kuti khansa yayamba bwino kapena yatha kwathunthu mutalandira chithandizo.

Chithandizo cha X-ray

Chithandizo cha Kutulutsa Ma Radiation cha External Beam (EBRT) chimagwiritsa ntchito makina kutsogolera X-ray pa chotupacho kuti chiphe maselo a khansa. Ngati simungathe kuchitidwa opaleshoni, chithandizo cha radiation chingaperekedwe kuti chiwononge chotupacho. Nthawi zina, dokotala wa opaleshoni sangathe kufika pa chotupacho mwa opaleshoni. Chingakhale chakuya kwambiri m'minofu kapena pafupi kwambiri ndi ziwalo zofunika kwambiri kuti chichotsedwe bwino. Zikatero, mungapatsidwe chithandizo cha radiation m'malo mwake.

Monga chemotherapy, chithandizo cha radiation chingachepetsenso zizindikiro ngati khansa singachiritsidwe.

Kodi mavuto kapena zotsatirapo zake ndi ziti?

Nthawi zambiri munthu amakumana ndi zotsatirapo zoyipa chifukwa cha mankhwala a chemotherapy ndi radiation therapy panthawi ya chithandizo cha khansa. Izi zitha kupitirira kwa nthawi chithandizo chitatha. Ndikofunikira kufunsa dokotala wanu za zotsatirapo zoyipa zomwe zingachitike, kutengera chithandizo chomwe mukulandira.

Ndiyenera kupita kwa dokotala liti?

Dokotala wanu adzakuuzani kangati muyenera kubwera kudzalandira chithandizo, kapena kuti akayesedwe kuti aone ngati khansayo ikadali "yochepa." Anthu ambiri omwe ali ndi khansa omwe ali bwino adzafunika kupita kwa dokotala pafupipafupi pachiyambi. Mukapitirizabe kukhala opanda khansa kwa nthawi yayitali, chiwerengero cha maulendo obwerezabwereza kuti akawone ngati khansayo ibwereranso chidzachepa.

Ndi mtundu wanji wa chithandizo chotsata chomwe ndikufunika?

Kutengera ndi kuchuluka kwa fupa lomwe dokotalayo anayenera kuchotsa, mungafunike njira zina zowonjezera. Njirazi zimathandiza kuti fupa lizigwira ntchito bwino. Mwachitsanzo, mungafunike kuyika fupa. Kuyika fupa kumaphatikizapo kusintha minofu yochotsedwayo ndi minofu kuchokera ku mbali ina ya thupi lanu kapena kuchokera kwa wopereka. Mungafunikenso chiwalo chochita kupanga. Mungafunike chithandizo china kuti chikuthandizeni kusintha izi.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga okhudza sarcoma ya spindle cell?

Nazi mafunso ofunikira omwe mungafunse dokotala wanu:

• Kodi khansa ili kuti?
• Kodi khansa ili pamlingo wotani?
• Kodi gawo/giredi imeneyo imakhudza bwanji dongosolo langa la chithandizo?
• Ndi zotsatirapo ziti za mankhwala zomwe ndiyenera kuyembekezera?
• Kodi khansa yanga ingachiritsidwe?
• Kodi zolinga za chithandizo ndi ziti?
• Kodi mungandilumikize ku chithandizo chamankhwala ochepetsa ululu kuti andithandize kuthana ndi matenda anga a khansa?

Kodi matenda a spindle cell sarcoma angachiritsidwe? Kodi ndi oopsa bwanji?

Ngati zizindikiro zonse za khansa zitha kuchotsedwa, madokotala amatha kuchiritsa spindle cell sarcoma. Spindle cell sarcoma yomwe sinafalikire kupitirira malo ake oyambirira ndi yosavuta kuchiza. Komabe, kuchiza sarcoma yomwe yafalikira ndizovuta kwambiri . Metastatic Spindle Cell Sarcomas nthawi zambiri sichitha kuchiritsidwa.

Mtundu uwu wa khansa nthawi zambiri umakhala 'wapamwamba'. Izi zikutanthauza kuti umakula mofulumira ndipo umafalikira mofulumira. Pambuyo pochira, nthawi zambiri umabwereranso, nthawi zina pamalo omwewo pomwe chotupa choyambirira chinali, nthawi zina pamalo ena.

Koma kumbukirani kuti matenda aliwonse a khansa ndi osiyana. Dokotala wanu angakuuzeni zotsatira za chithandizo (kulosera za matenda) kutengera mtundu wa khansa yomwe muli nayo, gawo lake, thanzi lanu lonse, momwe mumayankhira chithandizo, ndi zinthu zina zosiyanasiyana. Dokotala wanu ndiye munthu wabwino kwambiri wokulangizani momwe matendawa angakukhudzireni.

Zinthu zomwe tiyenera kukumbukira kuchokera munkhaniyi (Uthenga Wopita Nawo Kunyumba)

Kupezeka ndi Spindle Cell Sarcoma kungakhale kovuta kwambiri. Vutoli lingakupangitseni kumva kutopa komanso kusasangalala. Nthawi zambiri chithandizo chimakhala chovuta kwambiri, ndipo mungakumane ndi mavuto monga kuzolowera fupa lopachikidwa kapena chiwalo chopangira.

Choncho, ndikofunikira kwambiri kukambirana moona mtima komanso momasuka ndi dokotala wanu kuyambira pachiyambi. Mwanjira imeneyi, mutha kumvetsetsa matenda anu, momwe khansa yanu ingachiritsidwire, zolinga za chithandizo chanu, komanso kusintha kwa moyo wanu komwe muyenera kusintha panthawi ya chithandizo ndi kuchira.

Spindle cell sarcoma ndi khansa yoopsa komanso yofulumira kukula. Komabe, pali mankhwala omwe angachepetse kukula kwake ndipo, nthawi zina, kuichiza kwathunthu. Lankhulani ndi dokotala wanu za zomwe mungayembekezere. Musataye mtima. Kutsatira malangizo oyenera azachipatala ndikukhala ndi chiyembekezo ndikofunikira kwambiri pankhondoyi.

Spindle Cell Sarcoma, Spindle Cell Sarcoma, Khansa, Khansa ya Mafupa, Khansa ya Minofu Yofewa, Chotupa, Zizindikiro, Chithandizo