Fibrosarcoma: Reka tumenye byinshi kuri iyi kanseri idasanzwe

Utekereza iki iyo ubonye ikibyimba gishya cyangwa ikibyimba ku mubiri wawe, cyane cyane ku kuguru cyangwa ku kuboko kwawe? Akenshi, dutekereza ko ari ibisanzwe kandi tukabyirengagiza. Ariko rimwe na rimwe, ndetse n'ikintu gito nk'icyo gishobora kuba ikintu tugomba kwitondera. Uyu munsi, tugiye kuvuga ku kanseri idakunze kugaragara cyane ishobora kugaragara nk'ikibyimba. Iyi yitwa fibrosarcoma.

Mu magambo make, fibrosarcoma ni iki?

Fibrosarcoma ni ubwoko budasanzwe bwa kanseri buboneka mu ngingo zoroshye. Mu buvuzi, iyi kanseri tuyita sarcoma. Ubu ushobora kwibaza icyo ingingo zoroshye ari cyo. Biroroshye cyane. Ni ingingo ihuza kandi igafata ibice bitandukanye by'umubiri wacu. Mu by'ukuri, ibintu nk'imitsi n'imitsi bihuza ibintu nk'amagufwa n'imitsi mu mubiri wacu ni bimwe muri izi ngingo zihuza.

Kanseri ya Fibrosarcoma ikunze kugaragara mu ngingo zoroshye ziri mu mubiri. Ikunze kugaragara cyane mu maguru (akikije igufwa ry'ikibuno cyangwa iry'ikibero), mu maboko yo hejuru, mu mavi, cyangwa mu gituza. Ishobora kandi kugaragara gake mu mutwe cyangwa mu ijosi. Hari igihe iyi kanseri ishobora no kugaragara mu magufwa cyangwa mu ngingo zifatanye zitwikiriye amagufwa.

Niba wowe cyangwa umwana wawe mubonye iyi ndwara, ibikurikiraho biterwa n'ibintu byinshi. Imyaka yawe, ingano ya kanseri, n'aho iherereye byose bizagira uruhare. Muganga wawe azagusobanurira byose akurikije uko wabibonye.

Hari ubwoko bubiri bw'ingenzi bw'ibi.

Fibrosarcoma ishobora kugabanywamo ubwoko bubiri bw'ingenzi. Ubwo bwoko bubiri butandukanye cyane.

Ni ibihe bimenyetso by'iyi ndwara?

Ubusanzwe bifata igihe kugira ngo ibimenyetso bya fibrosarcoma bigaragare. Kubera ko ibi bibyimba bikura mu ngingo zoroshye imbere mu mubiri, ushobora kutabona ikintu icyo ari cyo cyose kugeza igihe ikibyimba cyabaye kinini bihagije ku buryo cyakandagira ku mitsi cyangwa imitsi y'amaraso iri hafi aho.

Ibi ni ibimenyetso bikunze kugaragara:

• Ikibyimba cyoroshye kidatera ububabare cyangwa kibabaza gato: Ibi bishobora kubaho ku maguru, ku maboko, cyangwa ku gituza.
• Kubabara cyane cyangwa ububabare bukabije kandi bukomeretsa: Hari igihe tuvuga "udushinge n'inshinge." Ibi bishobora guterwa n'igitutu ku mitsi iri hafi y'ikibyimba.
• Kubyimba kudasanzwe: Ubu bwoko bw'ibibyimba bushobora kubaho iyo ikibyimba gikanda imiyoboro y'amaraso.

Ibi bimenyetso bishobora gusa n’iby’izindi ndwara zidakabije cyane, bityo umuganga ni we wenyine ushobora kumenya neza niba izi mpinduka ziterwa na fibrosarcoma cyangwa indi ndwara isanzwe itari kanseri (itagira ingaruka mbi).

Ni izihe mpamvu n'ibintu bishobora gutera fibrosarcoma?

Abashakashatsi ntibaramenya neza impamvu nyayo itera fibrosarcoma. Ariko, bikekwa ko impinduka mu ngirabuzimafatizo mu turemangingo zigira uruhare. Muri make, impinduka ziba muri ADN mu turemangingo twacu. Izi mpinduka zituma uturemangingo twigabanyamo kabiri kandi mu buryo budasubirwaho, bigatuma habaho ibibyimba bya kanseri.

Impinduka mu miterere y’uturemangingo yagaragaye mu ndwara ya fibrosarcoma yo mu bwana, cyane cyane. Hafi 90% byazo bifitanye isano n’ibibazo biri mu muryango w’uturemangingo twa NTRK. Iyo utu turemangingo tudakora neza, ibibyimba bya kanseri bishobora kuvuka.

Ibintu byongera ibyago

Abashakashatsi basanze hari indwara zimwe na zimwe zikomoka ku murage zishobora kongera ibyago byo kurwara fibrosarcoma.

• Polyposis yo mu muryango iterwa n'adenomatous
• Indwara ya Li-Fraumeni
• Ubwoko bwa Neurofibromatosis `(ubwoko bwa Neurofibromatosis 1)`
• Indwara ya Nevoid basal cell carcinoma
• Retinoblastoma
• Sclerosis y'ibibyimba
• Indwara ya Werner (syndrome ya Werner)

Byongeye kandi, hari izindi ndwara zishobora kuba zifitanye isano n'ibi:

• Gupfa kw'uturemangingo tw'amagufwa bitewe no kugabanuka kw'amaraso ajya mu magufwa
• Indwara y'amagufwa idakira (chronic osteomyelitis)
• Indwara ya fibrous dysplasia
• Indwara ya Paget y'amagufwa

Hariho kandi ibintu bishobora gutera ibyago bijyanye n'ibidukikije n'amateka yawe y'ubuzima bwa kera:

• Kuba narigeze guhabwa ubuvuzi bw'imirasire mu gace karimo kanseri.
• Gushya cyane aho kanseri iherereye.
• Guhura n'ibintu bimwe na bimwe bya shimi, nka thorium dioxide, vinyl chloride, cyangwa arsenic.
• Guhura n'ibice by'icyuma (urugero: chromium, cobalt, nickel) byinjijwe mu mubiri binyuze mu kubagwa.

Ni gute umuganga asuzuma ibi? (Isuzuma)

Abaganga bakora ibizamini byinshi kugira ngo bamenye fibrosarcoma. Amakuru ava muri ibi bizamini agena icyiciro n'urwego rwa kanseri.

• Isuzuma rya MRI (Magnetic Resonance Imaging): Iki ni cyo gipimo gikunze gukoreshwa mu gusuzuma fibrosarcoma. Gishobora kwerekana neza ingano n'aho ikibyimba giherereye, ndetse niba kirimo kugira ingaruka ku mitsi cyangwa imitsi.
• Isuzuma rya CT (Isuzuma rya Tomography ryakozwe ku murongo): Iri suzuma rikoresha urukurikirane rwa X-ray na mudasobwa kugira ngo rikore amashusho y’ibice bitatu (3D) by’imitsi yawe yoroshye n’amagufwa.
• Isuzuma ry’umubiri: Ibi bikubiyemo gukuraho agace gato k’urugingo mu kibyimba (biopsy y’inshinge y’ibanze) cyangwa ikibyimba cyose (biopsy yo mu bwoko bwa excisional) kugira ngo gisuzumwe. Umuganga w’indwara asuzuma urugingo muri laboratwari kugira ngo arebe niba rurimo uturemangingo twa kanseri.
• Immunohistochemistry (IHC): Iki ni ikizamini cyihariye cya laboratwari gikoresha poroteyine zitwa antibodies kugira ngo hemezwe niba ikibyimba ari fibrosarcoma cyangwa ubundi bwoko bwa kanseri y’imitsi yoroshye.

Ibyiciro bya kanseri bigenwa gute?

Abaganga bashyira kanseri mu byiciro kugira ngo bamenye aho yakwirakwiriye n'uburemere bwayo. Ibi bireba ingano y'ikibyimba, aho giherereye, n'uko cyakwirakwiriye. Bareba kandi "urwego" rwa kanseri. Uku ni ko uturemangingo twa kanseri tuba tudasanzwe iyo turebye hifashishijwe mikorosikopi. Uturemangingo tugaragara nk'utudasanzwe dufatwa nka kanseri "zo mu rwego rwo hejuru", zishobora kuba zikomeye cyane.

Muganga wawe azagusobanurira uko bizagenda nyuma yo kuvurwa, bitewe n'urwego rwa kanseri yawe.

Ni ubuhe buryo bwo kuvura ibi?

Uburyo bwo kuvura fibrosarcoma buterwa n'ibintu byinshi, harimo ubuzima bwawe muri rusange, ibyo ukunda, n'ubwoko bwa kanseri.

Uburyo bwo kuvura fibrosarcoma y’abantu bakuru

• Kubaga: Muri ubu buryo, abaganga bakuraho ikibyimba cya kanseri n'uturemangingo duke dufite ubuzima buhagije tuyikikije kugira ngo barebe neza ko nta turemangingo twa kanseri dusigaye.
• Ubuvuzi bushingiye ku mirasire: Ubuvuzi bushingiye ku mirasire bushobora gutangwa mbere yo kubagwa kugira ngo bugabanye ikibyimba cyangwa busenye uturemangingo twa kanseri dusigaye nyuma yo kubagwa.
• Ubumenyi bw'imiti ikoresha imiti igabanya ubukana:Nubwo abaganga bamwe batanga ubu buryo bwo kuvura, ntabwo bwagize icyo bugeraho cyane ku ndwara ya fibrosarcoma iterwa n'abantu bakuru. Ubu bwoko bwa kanseri akenshi ntibukira neza imiti ikoreshwa mu kuvura kanseri.

Uburyo bwo kuvura fibrosarcoma y'abana bato

• Kubagwa: Ku bana, kubagwa kwa kanseri bishobora gukiza burundu indwara.
• Imirasire na/cyangwa imiti ivura indwara ya Chimiotherapie: Ubu buryo bwo kuvura bukoreshwa mu kugabanya ibibyimba mbere yo kubagwa cyangwa mu gusenya uturemangingo dusigaye nyuma yaho. Bitandukanye n'uko abantu bakuru babigenza, indwara nyinshi za fibrosarcoma mu bwana zikira neza imiti ivura indwara ya Chimiotherapie.
• Uburyo bwo kuvura hifashishijwe ikoranabuhanga: Ubu buryo bushobora guhagarika uturemangingo kwigabanyamo ibice vuba bitewe n'ibibazo bya gene ya `NTRK`. Ibi bishobora kugabanya ibibyimba no koroshya kubagwa.

Ingeso imeze ite nyuma yo kuvurwa? (Ibisobanuro)

Ingaruka za fibrosarcoma y'abana ni nziza cyane. Inyinshi muri zo zishobora gukira burundu hakoreshejwe uburyo bwo kubaga, gukoresha imirasire, imiti igabanya ubukana, cyangwa uburyo bwo kuvura bugamije. Igipimo cyo kubaho imyaka 10 ni hafi 90%. Niba kubagwa bishobora gukuraho ibimenyetso byose bya kanseri neza, iyo mibare igera kuri 100%.

Indwara ya fibrosarcoma itangira ku bantu bakuru iragoye cyane. Akenshi, ibi bibyimba bipimwa nyuma yuko bikuze bihagije ku buryo bigira ingaruka ku mitsi cyangwa amaraso atembera. Kimwe n'izindi kanseri, kuyimenya hakiri kare bitanga umusaruro mwiza. Iyo kanseri imaze gutera imbere, biragoye kuyivura. Kimwe cya kabiri cy'abarwayi bashobora kongera kurwara iyo ndwara nyuma yo kuvurwa.

Niba ufite iyi ndwara, wiyitaho ute?

Abantu benshi bumva badafite icyo bakora iyo bafashwe na kanseri. Bumwe mu buryo bwiza bwo guhangana n'ibi byiyumvo ni ukwiyitaho mu gihe cyo kuvurwa na nyuma yo kuvurwa. Dore bimwe mu bintu ushobora gukora:

• Sobanukirwa gahunda yawe yo gukurikirana: Baza muganga wawe icyo wakwitega mu gihe cyo gukira no mu gihe cyo gukurikirana.
• Gucunga imihangayiko: Kwisuzumisha buri gihe nyuma yo kuvurwa ni ingenzi kugira ngo hamenyekane hakiri kare ko kanseri ishobora kongera kugaruka. Ariko bishobora no gutera imihangayiko. Vugana n'umujyanama kuri ibyo.
• Saba ubufasha: Uzakenera ubufasha mu gihe cy'ubuvuzi bwawe. Abo ukunda bashobora kuba bategereje kugufasha. Babwire uko wabafasha.
• Ibande ku ngeso nziza ku buzima: Kurya ibiryo bifite intungamubiri, gukora imyitozo ngororamubiri ihagije, no gusinzira neza ni ingenzi cyane.
• Humura:Kuvura kanseri no kuvura kanseri bishobora gutuma wumva unaniwe cyane. Teganya kuruhuka bihagije mu gihe cyo kuvurwa.
• Kurwanya imihangayiko: Ibintu nko gutekereza cyane, imyitozo ngororamubiri yo kuruhuka, n'imyitozo yo guhumeka cyane bishobora kugabanya imihangayiko.

Ni ryari ugomba kujya kwa muganga?

Nyuma yo kuvurwa, ubusanzwe uzajya ubonana na muganga buri mezi atatu mu myaka ibiri ya mbere, hanyuma ukazahura na muganga wawe mu gihe kirekire kurushaho mu myaka ine kugeza kuri itanu. Iyo fibrosarcoma yongeye kugaruka, ibi bikaba biba mu myaka itanu ya mbere, iyi gahunda izagufasha kumenya ko yakongera kugaruka hakiri kare.

Ugomba kuvugana na muganga wawe igihe cyose utangiye kugira ibibyimba bishya cyangwa ububabare bushya.

Ni ryari ugomba kujya mu Kigo cyita ku Buvuzi bw’Ingoboka (ETU)?

Uburyo bwinshi bwo kuvura kanseri bugira ingaruka ku budahangarwa bw'umubiri wawe, ibyo byongera ibyago byo kwandura. Dore bimwe mu bimenyetso bishobora kugusaba kujya mu ishami rishinzwe ubutabazi bwihuse (ETU) mu gihe cyo kuvurwa:

• Umuriro wa dogere selisiyusi 38.3 (100.4 Fahrenheit) cyangwa urenga.
• Kumva ukonje kandi uhinda umushyitsi.
• Inkorora irimo amabyi.
• Kubabara mu gifu.
• Impiswi idashira.
• Isesemi no kuruka bidashira.