Tiyeni tikambirane za khansa yotchedwa Yolk Sac Tumor (chotupa cha endodermal sinus).

Tikamva mawu akuti khansa, tonse timachita mantha pang'ono, sichoncho? Koma palinso mitundu ya khansa yomwe sitinamvepo, ndipo ndi yosowa kwambiri. Yolk Sac Tumor ndi imodzi mwa izo. Dzinali likhoza kukhala latsopano kwa inu. Lero, tikambirana za khansa iyi, yomwe ingakule makamaka mwa ana aang'ono ndi achinyamata, m'njira yosavuta yomwe mungamvetse. Ndikofunikira kwambiri kudziwa izi.

Kodi chotupa cha Yolk Sac ndi chiyani kwenikweni?

Mwachidule, Yolk Sac Tumor ndi mtundu wa khansa. Imatchedwanso Endodermal Sinus Tumor. Imachokera ku mtundu wapadera wa selo m'thupi lathu. Ndiko kuti, kuchokera ku maselo omwe amasanduka umuna mwa mwamuna, komanso kuchokera ku maselo omwe amasanduka mazira mwa mkazi. Mu zamankhwala, timatcha maselo awa maselo a germ. Chifukwa chake iyi ndi ya gulu la Germ Cell Tumor.

Zotupa zimenezi nthawi zambiri zimayamba m'mazira mwa akazi kapena m'machende mwa amuna. Komabe, nthawi zambiri zimatha kufalikira kunja kwa ziwalo zoberekera izi, mwachitsanzo pachifuwa, m'mimba, kapena muubongo.

Chofunika kwambiri ndi chakuti khansa iyi imakula mofulumira ndipo imatha kufalikira mofulumira . Chifukwa chake, ngati singachiritsidwe, ikhoza kukhala pachiwopsezo cha moyo. Koma nkhani yabwino ndi yakuti ngati matendawa apezeka msanga, amatha kuchiritsidwa kwathunthu ndi chithandizo . Chifukwa chake, ndikofunikira kwambiri kuzindikira zizindikiro msanga.

Kodi mitundu ikuluikulu ya khansa iyi ndi iti?

Monga tafotokozera kale, khansa iyi ikhoza kugawidwa m'magulu akuluakulu angapo kutengera komwe imayambira.

• Matenda a khansa ya m'matumbo: Uwu ndi mtundu wa khansa ya m'matumbo. Imapezeka kwambiri mwa anyamata osakwana zaka zitatu komanso mwa anyamata azaka za m'ma 20 ndi 30. Nthawi zambiri, matendawa amatha kupezeka msanga, asanafalikire mbali zina za thupi. Izi zimapangitsa kuti achire mosavuta.
• Matenda a m'chiberekero: Uwu ndi mtundu wa khansa ya m'chiberekero. Ndi mtundu wosaopsa kwambiri, zomwe zikutanthauza kuti imatha kufalikira mofulumira. Imapezeka kwambiri mwa atsikana azaka 20 kapena kuchepera . Akuti gawo limodzi mwa magawo atatu a omwe amapezeka ndi matendawa ndi atsikana achichepere omwe sanayambe kusamba.
• Khansa zomwe zimakula kunja kwa ziwalo zoberekera (Extragonadal germ cell tumors):Nthawi zina, khansa ya maselo a tizilombo imayamba m'mbali zina za thupi, kunja kwa mazira kapena machende. Mwachitsanzo, imatha kufalikira mu ubongo, pakati pa chifuwa, kumbuyo kwa mimba, kapena fupa la mchira .

Kodi zizindikiro za izi zingakhale zotani?

Zizindikiro za Yolk Sac Tumor zimadalira komwe chotupa chili m'thupi. Mwachitsanzo, mayi angapeze chotupa chaching'ono m'chidendene cha mwana akamasamba. Kapena mtsikana wamng'ono angakumane ndi msambo wosakhazikika komanso kupweteka m'mimba. Ndikofunikira kudziwa zizindikiro izi.

Onani tebulo ili m'munsimu kuti mudziwe zizindikiro zodziwika bwino kutengera komwe khansa ili.

N’chifukwa chiyani khansa yamtunduwu imayamba?

Ili ndi vuto lomwe anthu ambiri ali nalo. Koma kunena zoona, ofufuza zachipatala sanapezebe chomwe chimayambitsa Yolk Sac Tumor. Monga khansa zina, iyi imayamba chifukwa cha kusintha kwa majini, kapena DNA, m'maselo . Kusintha kumeneku kumapangitsa maselo kugawikana mwachangu komanso mosalamulirika. Pakapita nthawi, maselowa amatha kukula pamodzi kupanga gulu limodzi. Ngati sanalandire chithandizo, maselo a khansa awa amatha kufalikira ku ziwalo zina za thupi.

Komabe, kafukufuku akupitirirabe kuti adziwe chifukwa chake kusintha kwa majini kumeneku kumayambira poyamba.

Kodi mungazindikire bwanji matendawa?

Ngati inu kapena mwana wanu muli ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa, muyenera kuonana ndi dokotala nthawi yomweyo. Dokotalayo ayamba kaye wachita kafukufuku wa thupi ndikuyang'ana zotupa kapena kutupa kwachilendo m'mimba kapena m'machende. Kenako, adzakufunsani za zizindikiro zanu.

Mayeso angapo angachitike kuti atsimikizire matendawa:

• Kuyezetsa magazi: Chitsanzo cha magazi anu chimatengedwa ndipo puloteni yapadera imayesedwa. Imatchedwa Alpha-fetoprotein (AFP) . Mulingo wa AFP uwu m'magazi ndi wokwera kwambiri kwa aliyense amene ali ndi Yolk Sac Tumor. Ichi ndi chizindikiro chofunikira kwambiri chodziwira khansa iyi.
• Mayeso ojambulira: Ma CT scan (Computed Tomography scans) ndi MRI scans (Magnetic Resonance Imaging) ndi omwe amagwiritsidwa ntchito kwambiri. Izi zimatha kuona bwino zotupa mkati mwa thupi.
• Kuchotsa khansa ya m'mawere: Iyi ndiyo njira yokhayo yodziwira 100% za matendawa. Dokotala adzachita opaleshoni kuti achotse chotupa chonse (nthawi zina chiwalo chonse chokhala ndi chotupacho). Chotupacho chidzatumizidwa ku labu kuti akayesedwe ngati ali ndi maselo a khansa.

Kodi magawo a khansa amadziwikira bwanji?

Matendawa akapezeka, madokotala amazindikira kutalika kwa khansa, kapena 'gawo' la khansa. Gawoli limatsimikiziridwa ndi zinthu monga kukula kwa chotupa ndi kutalika kwa khansa. Ngati gawoli lili lochepa (monga Gawo 1), zikutanthauza kuti khansa ili kumayambiriro kwake. Ngati gawoli lili lalikulu (monga Gawo 3, 4), zikutanthauza kuti khansa yafalikira pang'ono. Kudziwa gawoli ndikofunikira posankha chithandizo chabwino kwambiri.

Za Zotupa za Matumbo

• Gawo 1: Khansa ili m'chibelekero chokha.
• Gawo lachiwiri: Khansa yafalikira kuchokera ku testis kupita ku lymph nodes.
• Gawo lachitatu: Maselo a khansa afalikira ku ziwalo zina.

Za Zotupa za M'chiberekero

• Gawo 1: Khansa imapezeka kokha m'chiberekero chimodzi kapena zonse ziwiri.
• Gawo lachiwiri: Maselo a khansa afalikira kumadera ena mkati mwa chiuno, koma sanafike m'machubu a fallopian.
• Gawo 3: Khansa yafalikira ku ma lymph nodes ndi nembanemba yomwe ili mkati mwa mimba (peritoneum).
• Gawo 4: Khansa yafalikira kunja kwa m'mimba kupita ku minofu ndi ziwalo zina.

Kodi mankhwala ochizira izi ndi otani?

Cholinga chachikulu cha chithandizo ndi kuchotsa kotheratu chotupa cha khansa. Njira ziwiri zazikulu zothandizira zimagwiritsidwa ntchito pa izi.

1. Opaleshoni: Izi zimaphatikizapo kuchotsa testicle yonse (yotchedwa orchiectomy ) kapena ovary (yotchedwa oophorectomy ) yomwe yakhudzidwa ndi khansa. Ngati khansa yafalikira ku seminal vesicles, ingafunikenso kuchotsedwa.

2. Chemotherapy: Pambuyo pa opaleshoni, chithandizochi chimaperekedwa kuti chiphe maselo aliwonse a khansa omwe angatsale m'thupi omwe sangawonekere ndi maso. Nthawi zina, ngati chotupacho ndi chachikulu kwambiri, chemotherapy ingaperekedwenso kuti ichepetse chotupacho musanachite opaleshoni.

Njira yochizira BEP

Chithandizo chachikulu cha mankhwala a chemotherapy a Yolk Sac Tumor chimatchedwa BEP . Kutengera ndi gawo la khansa komanso momwe thupi lanu limayankhira ku chithandizocho, mungafunike kumwa mankhwala a BEP kangapo. BEP ndi kuphatikiza kwa mankhwala atatu:

• B leomycin
• E toposide
• Cisplatin ( P latinol®)

Mankhwala atatuwa akaphatikizidwa, amagwira ntchito bwino kwambiri powononga maselo a Yolk Sac Tumor.

Kodi vuto limakhala bwanji mutalandira chithandizo? (Zomwe zimachitika)

Ichi ndi chinthu chomwe anthu ambiri ayenera kudziwa. N'zoona kuti ngati sichichiritsidwa, Yolk Sac Tumor ndi yoopsa kwambiri. Ichi ndichifukwa chake tanena kuyambira pachiyambi kuti ndikofunikira kwambiri kuzindikira matendawa ndikuyamba chithandizo msanga . Monga momwe zilili ndi khansa iliyonse, chithandizo chikayamba msanga, mwayi wochira umawonjezeka.

Kuyezetsa matenda anu kumadalira zinthu zingapo. Muyenera kukambirana ndi dokotala wanu zinthu monga gawo la khansa, momwe thupi lanu limayankhira chithandizo, komanso kuchuluka kwa AFP yanu musanayambe mankhwala a chemotherapy (zikakhala zochepa, nthawi zambiri zotsatira zake zimakhala zabwino).