Ese nawe ufite ububabare mu magufwa cyangwa ikibyimba? Reka tuvuge kuri Chondrosarcoma!

Ese ufite ububabare bumaze igihe kirekire cyangwa ikibyimba mu igufwa cyangwa ingingo mu mubiri wawe, cyane cyane mu kuboko kwawe, ku kuguru, mu kibuno, cyangwa mu gituza? Ese ubu bubabare rimwe na rimwe burushaho kwiyongera nijoro? Niba ari uko bimeze, iyi nkuru izaba ingenzi cyane kuri wewe. Uyu munsi tugiye kuvuga ku bwoko bwa kanseri y'amagufwa idasanzwe, ariko ikwiye kumenyekana. Iyo ni chondrosarcoma.

Chondrosarcoma ni iki?

Muri make, Chondrosarcoma ni ubwoko bwa kanseri itera mu mitsi yo mu mubiri wacu. Ese uzi icyo imitsi ari cyo? Imitsi ni urugingo rworoshye kandi rukomeye rukikije ingingo zacu kandi rukarinda amagufwa kwivanga. Ni nk'umukara. Iyi mitsi irinda ingingo zacu kandi igafasha amagufwa gukura.

Rero, iyi kanseri ya chondrosarcoma ishobora kugaragara ahantu hose mu mubiri wacu aho hari cartilage. Ariko ikunze kugaragara muri:

• Mu maboko no mu bitugu.
• Mu maguru.
• Mu kibuno.
• Mu mbavu z'igituza.
• Igufwa riri hagati mu gituza (sternum).

Hari igihe, ndetse n'ibibyimba by'amagufwa bitari kanseri (bitari byiza) bishobora guhinduka kanseri nyuma bigahinduka chondrosarcoma.

Mu by’ukuri iyi ni kanseri idakunze kugaragara . Dukurikije imibare yo muri Leta Zunze Ubumwe za Amerika, igaragara ku muntu umwe mu bantu 200.000. Nubwo ishobora kubaho ku kigero icyo ari cyo cyose, ikunze kugaragara ku bantu bari hagati y’imyaka 40 na 75. Impuzandengo y’imyaka yo kuyirwara ni hafi imyaka 51. Uburyo bw’ingenzi bwo kuyivura ni ukubagwa kugira ngo hakorwe kanseri n’amagufwa. Hari igihe abaganga bita iyi ndwara sarcoma.

Ese hari ubwoko bwa chondrosarcoma?

Yego, hari ubwoko butandukanye bwa chondrosarcoma. Izi kanseri zigira uruhare mu mitsi zishyirwa mu byiciro hashingiwe ku turemangingo tugize iki kibyimba. Reka turebe ubwoko bw'ingenzi.

Chondrosarcoma isanzwe

Ubu ni bwo bwoko bukunze kugaragara cyane . Bugira umubare urenga 85% by'indwara zose zo mu bwoko bwa chondrosarcoma. Bukunze kugaragara ku bantu bari hagati y'imyaka 50 na 70. Bukunze kugaragara mu gice cy'imbere cy'inyuma, mu kibuno no mu kibuno. Ubu bwoko bwa kanseri bukura buhoro cyane kandi ntabwo bushobora kwaguka.

Chondrosarcoma idahinduka

Ubwo bwoko bungana na 10% by'indwara zose za chondrosarcoma. Zikunze kugaragara cyane ku bantu barengeje imyaka 60. Zikura vuba kurusha izindi. Izi ndwara zikura vuba zikunze kugaragara mu igufwa ryo hejuru y'ukuboko (humerus), mu igufwa ryo mu itako (femur), cyangwa mu magufwa yo mu kibuno.

Bitwa 'dedifferentiated' kuko zimwe mu selile zitangira ari selile zisanzwe za chondrosarcoma, ariko nyuma ibice bimwe na bimwe bya kanseri bihinduka selile za sarcoma zo mu rwego rwo hejuru. Sarcoma zo mu rwego rwo hejuru ni kanseri ikura kandi igakwirakwira vuba. Urugero, harimo osteosarcoma, fibrosarcoma, na sarcoma idahinduka.

Kondrosarcoma ya Seli Ifunguye

Ibi bingana na 2% by'indwara zose za chondrosarcoma. Akenshi igaragara ku bantu bari hagati y'imyaka 30 na 50, ariko ishobora no kugaragara ku bantu bari hagati y'imyaka makumyabiri. Ikunze kugaragara mu biganza cyangwa ku birenge, hafi y'ingingo. Ikura buhoro buhoro kandi gake ikwirakwira mu bindi bice by'umubiri.

Kondrosarcoma ya Mesenchymal

Ubu bwoko bw'indwara bukunze kugaragara cyane mu rubyiruko ruri hagati y'imyaka 19 na 30. Bukunze kugaragara mu mugongo, mu mbavu, cyangwa mu rwasaya. Ubu bwoko bukura vuba kurusha ubundi bwoko kandi bushobora gukwirakwira no kugaruka nyuma yo kuvurwa.

Chondrosarcoma yo mu bwonko bw'inyuma ni ubwoko bwa kanseri ya mesenchymal. Ikura mu ngingo zoroshye, ntabwo ikura mu magufwa cyangwa mu kajagari, byo mu gice cyo hejuru cy'umubiri.

Ni ibihe bimenyetso bya Chondrosarcoma?

Kubera ko ibibyimba byinshi bya chondrosarcoma bikura buhoro buhoro, bishobora gufata amezi menshi kugira ngo ibimenyetso bigaragare. Ibimenyetso bikunze kugaragara ni ibi bikurikira:

• Kubabara amagufwa mu gice runaka cy'umubiri biza bikanagenda, cyane cyane nijoro.
• Ikibyimba cyangwa ikibyimba gisa n'ikibyimba mu igufwa, nk'ukuboko, ukuguru, cyangwa urubavu.
• Umunaniro .
• Kugabanya ibiro utabigambiriye.

Ariko ni ngombwa kwibuka ibi: Kanseri y'amagufwa ikunze kugaragara gake cyane. Ibimenyetso byinshi bya chondrosarcoma bisa n'iby'indwara zidakomeye cyane. Rero kuba ufite ikibyimba mu kuguru ntibivuze ko ari kanseri y'amagufwa.

Ariko, niba ufite ikibyimba kidashira mu gihe kirenze ibyumweru bibiri, cyangwa niba wumva unaniwe cyane buri gihe, ugomba kujya kwa muganga . Azagusuzuma muri rusange kandi amenye icyateye ibyo bimenyetso.

Ni izihe mpamvu zitera Chondrosarcoma?

Abashakashatsi ntibaramenya impamvu nyayo y'iyi ndwara, ariko basanze ifitanye isano n'indwara zimwe na zimwe ziterwa n'uturemangingo. Muri zo harimo:

• Indwara ya Li Fraumeni:Abantu bafite iyi ndwara bashobora kurwara kanseri cyane, harimo na chondrosarcoma.
• Indwara ya Maffucci na Ollier: Izi ndwara zitera ibibyimba bitari kanseri mu rukenyerero, mu magufwa no ku ruhu.
• Osteochondroma nyinshi zo mu maraso: Izi ni ibibyimba byinshi bitari kanseri biba mu magufwa. Bishobora kubangamira imikurire y'amagufwa.

Mu bihe bimwe na bimwe, abahanga mu by’indwara biga ku mihindagurikire y’uturemangingo muri chondrosarcoma batekereza ko impinduka za chromosome zitarazwe cyangwa impinduka zimwe na zimwe za genetike zishobora kuba zitera uturemangingo tw’uturemangingo guhinduka.

Ni izihe ngorane ziterwa n'iyi ndwara?

Ubwoko bw'indwara zikura vuba, nka Mesenchymal Chondrosarcoma cyangwa Dedifferentiated Chondrosarcoma, zishobora gushyira ubuzima mu kaga kuko zishobora gukwirakwira vuba kandi zikagira ingaruka ku bindi bice by'umubiri.

Ni gute indwara ya Chondrosarcoma ipimwa?

Muganga azakubaza ibibazo ku bijyanye n'ibimenyetso byawe. Urugero:

• Ni ryari wabonye ibi bimenyetso bwa mbere?
• Ese barushijeho kuba benshi?
• Ni gute bigira ingaruka ku buzima bwawe bwa buri munsi?

Hanyuma azakora isuzuma ry’umubiri ndetse ashobora no gutegeka ko hakorwa ibizamini byo gufata amashusho cyangwa biopsy.

Ibizamini byo gushushanya

Abaganga bakoresha ibizamini nk'ibi kugira ngo bapime indwara ya chondrosarcoma:

• Ibipimo bya X-ray.
• Isuzuma rya CT `(Isuzuma rya CT ryakoreshejwe mu gupima (CT)`.
• Isuzuma rya MRI `(Isuzuma rya Magnetic resonance (MRI))`.
• Isuzuma rya PET `(Isuzuma rya Positron emission tomography (PET))`.
• Gupima amagufwa.

Isuzuma ry'ibinyabuzima

Muganga wawe ashobora kukwohereza kwa muganga w’amagufwa, umuganga uvura indwara nka kanseri y’amagufwa, kugira ngo bagupime. Aho ngaho, umuganga w’indwara afata igice cy’urugingo rw’umubiri mu kibyimba gikekwaho akagisuzuma akoresheje mikorosikopi. Hari ubwoko butandukanye bwa biopsy:

• Gukoresha urushinge ruto: Ibi bikubiyemo gufata icyitegererezo cy'urushinge hakoreshejwe urushinge n'urushinge.
• Incisional biopsy: Ikibyimba kiracibwa hanyuma hagafatwa icyitegererezo cy'ingingo.
• Isuzuma rya Excision: Ikibyimba cyose cyangwa igice cy'ingingo kirakurwaho.

Umuganga w’indwara asuzuma iyi ngingo kugira ngo arebe niba hari uturemangingo twa kanseri. Niba uturemangingo dufite kanseri, azamenya ubwoko bw’ikibyimba n’urwego rwacyo.

Ni ibihe byiciro bya Chondrosarcoma?

Igipimo cy'ikibyimba ni igipimo cy'uburyo ikibyimba gishobora gukura no gukwirakwira vuba. Chondrosarcoma ihabwa amanota kuva kuri 1 (I) kugeza kuri 3 (III):

• Chondrosarcomas zo mu rwego rwo hasi (urwego rwa mbere): Izi nazo zitwa ibibyimba by’agatsi bidasanzwe. Izi ni zo zikura buhoro kandi zifite amahirwe make yo gukwirakwira.
• Chondrosarcomas zo mu rwego rwo hagati (icyiciro cya kabiri): Izi ndwara zishobora gukwirakwira gato.
• Chondrosarcomas zo mu rwego rwo hejuru (urwego rwa gatatu): Izi ni zo zishobora gukwirakwira cyane .

Ni ubuhe buryo bwo kuvura Chondrosarcoma?

Akenshi, uzakenera kubagwa kugira ngo ukureho chondrosarcoma. Ubwoko bw'ikibagwa uzaterwa n'uko urwaye. Ibi birimo ubwoko bwa chondrosarcoma ufite, aho ikibyimba giherereye, n'urugero rwacyo (uburyo cyakwirakwiriye vuba). Hari ubwoko butandukanye bw'ikibagwa cya chondrosarcoma:

• Curettage: Muri ubu buryo, muganga akuramo uturemangingo twa kanseri mu igufwa maze agashyiramo agace k’igufwa mu mwanya waryo.
• Kubaga amaguru n'amaboko mu buryo bwo kugabanya ubumuga: Aha ngaha, muganga akuraho ikibyimba n'igufwa n'imitsi bikikije. Hanyuma, hakorwa ubuvuzi bwo kongera kubaka kugira ngo hasimburwe igufwa n'ingingo byakuweho.

Ni gake cyane, umuganga wawe w’amagufwa ashobora kukugira inama yo kubagwa kugira ngo akureho igice cy’ukuboko cyangwa ukuguru kwawe (amputation). Muri iki gihe, ashobora no kukugira inama yo gukoresha urugingo rw’inyongera. Mu bihe byose, uzakenera ubuvuzi bw’umubiri kugira ngo wongere imbaraga zawe, kuringaniza no kugenda neza.

Niba ufite ubwoko budasanzwe bwa chondrosarcoma, nka dedifferentiated chondrosarcoma cyangwa mesenchymal, ushobora guhabwa chemotherapy cyangwa radiation therapy kugira ngo ugabanye ikibyimba mbere yo kubagwa no gusenya uturemangingo twa kanseri dusigaye nyuma yo kubagwa.

Ese Chondrosarcoma ishobora kwirindwa?

Mu by’ukuri, ibi ntibishobora kwirindwa. Impamvu imwe ni uko abashakashatsi bataramenya neza impamvu barwara. Ariko ubushakashatsi bwerekana ko abantu bafite indwara zimwe na zimwe zo mu muryango wabo bafite ibyago byinshi byo kurwara chondrosarcoma. Bityo rero, ganira na muganga wawe ku mateka y’ubuzima bw’umuryango wawe. Ashobora gusuzuma ibyago byawe no kukugira inama yo gukurikirana ubuzima bwawe.

Ni iki nakwitega muri iki kibazo?

Kubera ko hari ubwoko butandukanye bwa chondrosarcoma, ibisubizo byitezwe (ibiteganyijwe) biratandukanye bitewe n'ubwoko. Baza muganga wawe icyo ushobora kwitega bitewe n'uburwayi bwawe. Azakwishimira kugusobanurira.

Ese Chondrosarcoma ishobora gukira?

Hari ubwo ibibyimba bito cyane kandi bikura buhoro buhoro bya chondrosarcoma bishobora gukira burundu mu kubagwa. Bitewe n'ubwoko bwa chondrosarcoma, kongeramo imiti ya chimiotherapie nabyo bishobora gufasha mu kuvura iyi ndwara.

Igipimo cy'ubuvuzi bwa Chondrosarcoma ni ikihe?

Igipimo cy’ubuzima bw’abantu barwaye chondrosarcoma kiratandukanye bitewe n’ubwoko bw’ikibyimba ndetse n’uko ikibyimba cyakwirakwiriye mu bindi bice by’umubiri. Muri rusange, 79% by’abantu barwaye chondrosarcoma baba bakiriho nyuma y’imyaka itanu basanzwe barwaye.

Mu gihe utekereza kuri aya majanisha, zirikana ibintu bike:

• Igipimo cy'abakira ni ibigereranyo, si ibyahanuwe . Ni ibigereranyo bishingiye ku byo abandi bahuye na byo, kandi imimerere yawe ishobora kuba itandukanye cyane.
• Ibi bipimo bishingiye ku byabaye mu bihe byashize . Urugero, ibi bipimo bishingiye ku byabaye ku bantu barwaye chondrosarcoma hagati ya 2012 na 2018.
• Igipimo cy'ubuzima bwawe ntikikubwira igihe uzamara .

Niba ufite ibibazo cyangwa impungenge ku bijyanye n'icyo ingano y'ubuvuzi isobanura ku ndwara yawe, saba muganga wawe gusobanura uburyo iyo ngano ikoreshwa ku ndwara yawe.

Niba mfite Chondrosarcoma, nitwara nte?

Kubana na chondrosarcoma akenshi bitangirana no gukira nyuma yo kuvurwa. Chondrosarcoma ikunze kuvurwa no kubagwa. Hari igihe, urwego cyangwa igice cy'urugingo bishobora gukenerwa gukurwaho kugira ngo kanseri ikureho. Nyuma yo gukira nyuma yo kubagwa, niba ukoresha urwego rw'inyongera, uzakenera gutangira gahunda yo kuvura kugira ngo umenyere.

Ushobora kandi gukenera ubufasha mu kumenyera impinduka mu buzima bwawe bwa buri munsi cyangwa impinduka mu miterere yawe. Muganga wawe ashobora kukugira inama yo kuvura indwara z’umubiri, iz’akazi cyangwa iz’ubwonko zishobora kugufasha guhangana n’izi ngorane.

Ni ryari ngomba kubonana na muganga?

Baza muganga wawe ku mpinduka zishobora kugaragaza ko kanseri yongeye kugaruka, n'igihe cyo kuvugana na muganga wawe mu gihe zibaye.

Ni ibihe bibazo ngomba kubaza muganga ku bijyanye n'indwara yanjye?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe:

• Ni ubuhe bwoko bwa Chondrosarcoma mfite?
• Ni ubuhe buryo bwo kuvura usaba?
• Kuki usaba ubwo buryo bwo kuvura?
• Ingaruka mbi z'ubuvuzi ni izihe?
• Ni izihe ngaruka z'ubu buryo bwo kuvura?
• Ese ko nafata imiti nsabwa, uburwayi bwanjye bwa chondrosarcoma bushobora kugaruka?

Ni irihe tandukaniro riri hagati ya Chondrosarcoma na Osteosarcoma?

Osteosarcoma itangira mu magufwa kandi akenshi ikwirakwira mu bana. Chondrosarcoma itangira mu kajagari kandi akenshi ikwirakwira mu bantu bakuru. Abaganga bashobora kubaga chondrosarcoma gusa, ariko kuri osteosarcoma, bakoresha imiti n'ubuvuzi bwa chimiotherapie.

Hanyuma, ubutumwa bw'ingenzi

Gusuzuma iyi kanseri idasanzwe y'amagufwa, yitwa chondrosarcoma, bishobora kuba intambwe ya mbere mu rugendo rurerure rwo gukira. Uru rugendo akenshi rutangirana no kubagwa kugira ngo hakorwe kanseri, hanyuma hagakurikiraho kuvurwa kugira ngo umuntu akire nyuma yo kubagwa no kuvurwa ubundi buryo.

Nubwo iyi kanseri ishobora kuvurwa neza, izahindura ubuzima bwawe. Ushobora gukenera ubufasha kugira ngo uhangane n'ibibazo by'umubiri n'iby'amarangamutima. Vugana na muganga wawe ku bibazo uhura na byo. Muganga wawe n'ikipe ye basobanukiwe ibyo urimo kunyuramo. Uko utangira uru rugendo, bazaba bari kumwe nawe muri buri ntambwe. Ntugacike intege!

Chondrosarcoma , kanseri y'amagufwa, kanseri y'uruti rw'umugongo, ububabare bw'ingingo, ibibyimba by'amagufwa, kuvura kanseri, kubagwa