Kodi muli ndi chotupa chomwe chikukula pang'onopang'ono pafupi ndi limodzi mwa mafupa anu? Tiyeni tiphunzire za Tenosynovial Giant Cell Tumor!

Kodi munayamba mwamvapo ngati muli ndi chotupa chaching'ono chomwe chikumera pathupi lanu, makamaka pafupi ndi malo olumikizirana mafupa? Chingapweteke pang'ono mukachikanikiza. Ndizachibadwa kumva mantha pang'ono mukaona chinthu chonga ichi. Koma si zotupa zonse zomwe ndi khansa. Lero tikambirana za chotupa chimodzi chotere, chomwe si khansa, koma chimafuna nkhawa. Umenewo ndi vuto lotchedwa `(Tenosynovial Giant Cell Tumor)`.

Kodi chotupa ichi ndi cha mtundu wanji? `(Tenosynovial Giant Cell Tumor)` mwachidule

Mwachidule, Tenosynovial Giant Cell Tumor ndi chotupa chomwe sichili khansa chomwe chimakula m'minofu yofewa yozungulira mafupa anu. Izi nthawi zambiri zimatchedwa zotupa zopanda vuto. Izi zikutanthauza kuti si khansa ndipo sizimayambitsa khansa.

Izi ndi za mtundu wosowa wa chotupa chotchedwa ``Giant Cell Tumor``. Zotupa izi nthawi zambiri sizimafalikira kuchokera pamalo amodzi kupita kwina m'thupi. Komabe, zimatha kukula ndikukula mwachangu pamalo omwe zimapangidwira.

Kutengera ndi komwe chotupacho chili, zimatha kupangitsa kuti zikhale zovuta kusuntha cholumikiziracho m'derali ndikupangitsa kupweteka. Nthawi zina zotupazi zimatha kukula ndikukankhira mafupa, zomwe zimapangitsa kuti mafupa asweke.

Kawirikawiri, opaleshoni imafunika kuti muchotse "Tenosynovial Giant Cell Tumor." Anthu ena angafunikenso chithandizo cha radiation.

Kodi izi zimakhudza bwanji thupi?

Pali mitundu itatu ya ``Tenosynovial Giant Cell Tumor'', kutengera momwe imapangikira m'maselo osiyanasiyana a thupi:

1. Ziphuphu zomwe zimapangidwa mu membrane wa mafupa anu: Izi zimapangidwa mu nembanemba yopyapyala yomwe ili mkati mwa mafupa anu (synovium). Monga mafinya amkati monga mawondo ndi zigongono zanu.

2. Ma cysts a Tendon Sheath: Ma tendons ndi mapangidwe ofanana ndi gulu omwe amalumikiza minofu yathu ndi mafupa athu. Ma cysts awa amatha kupangidwa mu chigoba choteteza kuzungulira ma tendons awa, otchedwa Tendon Sheath.

3. Ma bursal cysts: Bursae ndi matumba ang'onoang'ono, odzaza madzi omwe ali pafupi ndi mafupa, komwe minofu, minyewa, ndi mafupa zimakumana. Amapereka chitetezo komanso chitetezo ku mafupa. Bursae imathanso kukula.

Ngakhale kuti "Tenosynovial Giant Cell Tumors" izi zimatha kufalikira kulikonse m'thupi, zimapezeka kwambiri mu:

• Zala kapena zala zazikulu
• Akakolo kapena Mapazi
• Mawondo
• Manja
• Zigongono

Amanenanso kuti ngakhale chotupa chonga ichi chitachira, anthu ena ali ndi mwayi wopeza matenda a nyamakazi kapena osteoarthritis m'malo olumikizirana mafupa pambuyo pake.

Ndani amakumana ndi izi nthawi zambiri? Kodi ndizofala bwanji?

Aliyense akhoza kukhala ndi "Tenosynovial Giant Cell Tumor" iyi. Komabe, imapezeka kwambiri m'magulu ena:

• Kawirikawiri pakati pa akazi kuposa amuna.
• Zaka 30 mpaka 50Ndi chofala pakati pa akuluakulu.

Koma musadandaule, `(Tenosynovial Giant Cell Tumors)` iyi ndi vuto losowa kwambiri. Padziko lonse lapansi, anthu osakwana 50 pa miliyoni amadwala matendawa chaka chilichonse. Chifukwa chake iyi si matenda omwe amakhudza aliyense.

Kodi zizindikiro zake ndi ziti?

Zizindikiro zodziwika bwino za chotupa ichi ndi izi:

• Chotupa kapena chotupa chomwe chimatuluka pa malo olumikizirana mafupa.
• Ululu umawonjezeka mukasuntha gawo limenelo.
• Kutupa.

Kuphatikiza apo, cholumikizira pafupi ndi chotupacho chikhoza kukhala ndi zizindikiro zotsatirazi:

• Kumva kulimba, kutsekeka, kapena phokoso la "kudina" mukasuntha cholumikizira.
• Kumva kutentha pakhungu lozungulira malo olumikizirana mafupa.
• Kuuma kwa cholumikizira.
• Cholumikiziracho chimaoneka chofooka komanso chopanda moyo .

Zizindikiro zomwe mumapeza komanso momwe zimakhalira zoopsa zimadalira zinthu zingapo:

• Chotupacho chimapangidwa ndi minofu yamtundu wanji.
• Kodi chili kuti m'thupi?
• Kukula kwa chotupacho.

Anthu ambiri amangozindikira kuti ali ndi Tenosynovial Giant Cell Tumor atatha zaka zambiri akudwala matendawa. Choncho ndi bwino kuuza dokotala ngati muwona kusintha kulikonse kapena zotupa m'thupi lanu.

N’chifukwa chiyani zotupa zimakhala ngati izi?

Akatswiri sanapezebe chifukwa chenicheni chomwe chimayambitsa ``Tenosynovial Giant Cell Tumors``. Komabe, kafukufuku wina wapeza kuti pali kusintha kwina mu ma chromosome a anthu omwe amapanga zotupazi.

Ma chromosome ndi ziwalo za maselo athu zomwe zili ndi chidziwitso cha majini athu (DNA). Ngati ma chromosome awa awonongeka, angayambitse kusintha kosiyanasiyana m'thupi. Makamaka, pakadali pano akuganiza kuti zotupa izi zimayamba chifukwa cha njira yotchedwa ``Translocation``, momwe zigawo za ma chromosome zimasweka ndikubwereranso m'njira zatsopano.

Kodi mumazindikira bwanji izi?

Dokotala adzazindikira "Tenosynovial Giant Cell Tumor" iyi mwa kukufufuzani, kuchita "Kuyesa Thupi", ndikuchita "Mayeso Ojambula".

Kutengera ndi komwe chotupacho chili, mutha kuchimva pansi pa khungu lanu. Dokotala adzayang'ana mosamala chotupacho ndi malo ozungulira. Kuphatikiza apo, adzachita chimodzi kapena zingapo mwa izi kuti ajambule zithunzi za chotupacho:

• X-ray
• Kujambula kwa MRI (Maginito Resonance Imaging)
• Kujambula kwa Ultrasound

Dokotala angatengenso chitsanzo cha chotupacho kapena minofu yozungulira ndikuchitumiza ku labu kuti akachiyese. Izi zimatchedwa "biopsy." Izi zingathandize kudziwa mtundu weniweni wa chotupacho.

Kodi chimachiritsidwa bwanji?

Matenda a Tenosynovial Giant Cell nthawi zambiri amachotsedwa opaleshoni. Dokotala wanu amachotsa chotupacho kudzera mu opaleshoni yotseguka kapena kudzera mu njira yotchedwa arthroscopy. Nthawi zina chotupacho chingachotsedwe pamodzi ndi minofu yozungulira.

Arthroscopy ndi njira yomwe chubu chachitali, chopyapyala chokhala ndi kamera ndi kuwala (kotchedwa arthroscope) chimayikidwa kudzera m'mabala ang'onoang'ono angapo pakhungu pafupi ndi malo olumikizirana mafupa. Poyang'ana mkati mwa malo olumikizirana mafupa, zida zazing'ono zimagwiritsidwa ntchito kuchotsa chotupa ndi minofu ina yowonongeka. Njirayi sikutanthauza kudula kwakukulu, kotero kuchira kumatha kuchitika mwachangu.

Dokotala wanu adzakufotokozerani mtundu wa opaleshoni yomwe mudzachite komanso zomwe mungayembekezere pambuyo pake. Nthawi yochira idzadalira:

• Zinadalira komwe chotupacho chinali pa thupi.
• Zimadalira kukula kwake.
• Kutengera ndi kuchuluka kwa minofu yomwe inayenera kuchotsedwa panthawi ya opaleshoni.

Matenda ena a Tenosynovial Giant Cell Tumors amatha kuchiritsidwa ndi mitundu ina ya chemotherapy, yomwe ndi mankhwala a khansa. Ngakhale kuti chemotherapy nthawi zambiri imagwiritsidwa ntchito kupha maselo a khansa, mitundu ina ya chemotherapy imathanso kupha ndi kupha zotupa zosavulaza izi.

Chimodzi mwa zinthu zazikulu zokhudza `(Tenosynovial Giant Cell Tumors)` izi ndichakuti zimakhala ndi `(Recurrence Rate)` yokwera. Izi zikutanthauza kuti ngakhale zitachotsedwa bwino ndi opaleshoni kapena kuwonongedwa ndi `(Chemotherapy),` pali mwayi waukulu kuti chotupa chotere chidzayambiranso.

Kawirikawiri, ngati chotupacho chawononga kwambiri malo olumikizirana mafupa, kungakhale kofunikira kuchotsa gawo la malo olumikizirana mafupa, monga mkono kapena mwendo, lomwe lili ndi malo olumikizirana mafupa. Komabe, izi zimachitika kawirikawiri.

Kodi izi zingalepheretsedwe kuchitika?

Mwatsoka, palibe njira yoletsera kukula kwa `(Tenosynovial Giant Cell Tumor)` m'thupi lanu. Chifukwa chakuti chifukwa chenicheni cha mapangidwe awa sichikudziwika, n'zosatheka kuneneratu nthawi, ndani, kapena chifukwa chake adzayamba.

Kodi chimachitika ndi chiyani ngati muli ndi chotupa chonga ichi?

Pambuyo poti chotupa chachikulu cha Tenosynovial chachotsedwa, mutha kuyembekezera kuchira kwathunthu. Pambuyo poti chotupacho chachotsedwa, muyenera kulumikizana ndi dokotala wanu ndikupita kukakumana naye nthawi zonse. Dokotala wanu adzayang'anira kuchira kwanu ndikuyang'ana zotupa zatsopano. Ngati chotupa chatsopano chayamba, chingathe kuzindikirika ndikuchiritsidwa mwachangu momwe mungathere.

Ngakhale izi si khansa ndipo sizimayambitsa khansa, pali mwayi waukulu kuti mudzakhala ndi zotupa zambiri za Tenosynovial Giant Cell Tumors. Anthu opitilira theka omwe adakhalapo ndi vutoli adzayambanso kudwala zotupazi. Mwina pamalo omwewo pomwe zidayamba kuonekera, kapena m'maselo ena m'thupi. Dokotala angatchulenso izi kuti ndi kubwereranso.

Kodi sindingathe kupita kuntchito/kusukulu mpaka nditachira?

Mukachotsa Tenosynovial Giant Cell Tumor, simungathe kupita kuntchito kapena kusukulu mpaka itachira. Mwachitsanzo, ngati muyenera kuyimirira kuntchito, ngati chotupacho chinali m'kakolo mwanu, kapena ngati mumakhala nthawi yayitali mukulemba pa kompyuta, ngati mwachitidwa opaleshoni ya chala, mungafunike kutenga nthawi yopuma kuntchito kapena m'makalasi kuti thupi lanu lipeze nthawi yochira. Nthawi yomwe idzakutengereni idzadalira komwe opaleshoniyo idachitikira komanso kukula kwa chotupacho. Dokotala wanu adzakuuzani izi.

Musaiwale kufunsa dokotala wanu kapena dokotala musanapitirize kuchita zinthu zachizolowezi kapena kuchita masewera olimbitsa thupi mukatha opaleshoni.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona chotupa chatsopano kapena chotupa chilichonse m'thupi lanu, makamaka pafupi ndi malo olumikizirana mafupa, makamaka ngati chikupweteka, onetsetsani kuti mwawonana ndi dokotala. Ngakhale ngati si "Tenosynovial Giant Cell Tumor", mukawonana ndi dokotala mwachangu za chotupa chilichonse, mutha kuchizindikira ndikuchichiza mwachangu.

Ngati mwadzidzidzi simungathe kusuntha cholumikizira, ndi vuto ladzidzidzi. Ngati zimenezo zitachitika, pitani kuchipatala nthawi yomweyo.

Mafunso ofunikira oti mufunse dokotala wanu

Mukadziwa kuti muli ndi vutoli, pali mafunso ofunikira omwe muyenera kufunsa dokotala wanu:

• Kodi ndili ndi mtundu wanji wa Tenosynovial Giant Cell Tumor?
• Ndi mayeso otani omwe ndiyenera kuchita?
• Kodi ndikufunikadi opaleshoni?
• Kodi mwayi woti chotupachi chibwererenso ndi wotani?

Kodi zotupa izi zimasiyana ndi `(Ganglion Cysts)`?

"Tenosynovial Giant Cell Tumors" ndi "Ganglion Cysts" ndi mitundu ya zotupa zomwe zimapangidwa m'malo olumikizirana mafupa.

Kusiyana kwakukulu pakati pa ziwirizi ndi komwe zimayambira. Tenosynovial Giant Cell Tumors imapanga mkati kapena mozungulira malo olumikizirana mafupa. Ganglion Cysts ndi ma cysts odzaza ndi madzi omwe amapangika pansi pa khungu lanu.

Mitundu yonse iwiri ya zotupa sizimakhala zoopsa, zomwe zikutanthauza kuti si khansa.

Ngati muwona ziphuphu zatsopano pakhungu lanu, makamaka ngati zikupweteka kapena zikupangitsa kuti zikhale zovuta kusuntha cholumikizira, pitani kwa dokotala.

Pomaliza, zinthu zoti muzikumbukira

N’zoona kuti mukamva mawu akuti “chotupa” mumaopa. Koma “tenosynovial giant cell tumors” si khansa, ndipo sizimayambitsa khansa. Nthawi zambiri, opaleshoni imafunika kuti muchotse chotupachi. Ngati “tenosynovial giant cell tumors” imodzi yayamba, pali mwayi woti zina zidzayamba mtsogolo.

Choncho, lankhulani ndi dokotala wanu za zomwe muyenera kusamala nazo. Ngati mwaona chotupa chatsopano kapena chotupa, pitani kwa dokotala nthawi yomweyo. Chofunika kwambiri ndikukhala otetezeka, kupeza chidziwitso choyenera, ndikupeza chithandizo choyenera.

Mavuto a maselo akuluakulu a tenosynovial , zotupa za mafupa, zotupa za minofu yofewa, kupweteka kwa mafupa, opaleshoni, zotupa zopanda khansa