Uri kunetseka here nezvekurwadziwa kunogara kuripo kana kuzvimba kwepfupa pane imwe nzvimbo mumuviri wako, pamwe paruoko, gumbo, kana kune imwe nzvimbo? Ungatya. Tose tinotya zvishoma patinonzwa zita rekuti "kenza yemapfupa." Asi tisati tatya, ngatitaurei nezvechirwere ichi nenzira iri nyore. Kuziva zvese zvakanaka kuchatibatsira kubvisa kutya kusingakoshi.
Chii chaizvo chinonzi kenza yemapfupa?
Zvichitaurwa zviri nyore, kenza yemapfupa inguva apo masero ari mumapfupa ako anotanga kukura nekukurumidza uye asingadzoreki. Aya ndiwo maitiro anoita kenza chero kupi zvako mumuviri wedu.
Asi tinofanira kunzwisisa chimwe chinhu chakakosha pano: Kune mhando mbiri huru dzekenza yemapfupa.
1. Kenza Yekutanga Yemapfupa: Izvi zvinoreva kuti kenza inotanga mumasero emapfupa . Ichi chirwere chisingawanzoitiki. Chinoumba chikamu chimwe chete muzana chekenza dzese dzakataurwa pasi rose.
2. Kenza yeBone yechipiri kana kuti Metastatic: Iyi ndiyo mhando inonyanya kuwanikwa . Apa ndipo apo kenza inotanga kune dzimwe nzvimbo mumuviri (senge zamu, mapapu, kana prostate) inozopararira ichienda kumapfupa.
Saka unoona, kana uchiti kenza yemapfupa, hazvifanirwe kunge zvichitangira mumapfupa. Kazhinji, inogona kubva kune imwe nzvimbo.
Mhando huru dzegomarara dzinotangira mumapfupa
Kune mhando dzakasiyana dzegomarara remapfupa. Idzi dzakasiyana uye dzinobata mapoka ezera akasiyana. Ngatitarisei mhando huru.
| Rudzi rwegomarara | Ndiani anonyanya kukanganiswa? | Pfungwa dzakakosha |
|---|---|---|
| Osteosarcoma | Inonyanya kuitika kuvana nevechidiki vari pakati pemakore gumi kusvika gumi nemapfumbamwe. | Inogona kukura nekupararira nekukurumidza. Inowanzoonekwa mumapfupa marefu ebvi kana pfudzi. |
| Chondrosarcoma | Zvinowanzoitika kuvanhu vakuru vane makore anopfuura makumi mana. | Zvinotanga mumasero egwara. Zvinokura zvishoma nezvishoma. Njodzi yekupararira kwayo yakaderera. |
| Sarcoma yaEwing | Zvinowanzoitika kuvana nevechidiki vari pasi pemakore 19. | Izvi zvinogonawo kukura nekukurumidza. Zvinonyanya kuitika muchiuno, makumbo, kana mbabvu. |
| Chordoma | Zvinowanzoitika kuvanhu vane makore anopfuura makumi mashanu. | Rudzi urwu haruwanzoitiki. Runowanikwa mumusana kana pasi pedehenya. Zvinonetsa kurapa nekuti runogona kupararira nyore nyore kuuropi nemumusana. |
Ngatidzidzeiwo nezve Benign Bone Tumors
Kungoti une "bundu" mupfupa hazvirevi kuti igomarara. Kunewo mabundu asiri egomarara, asingakuvadzi. Aya anonzi Benign Bone Tumors . Aya anowanzoonekwa muvanhu vari pasi pemakore makumi matatu, kunyanya vana nevechidiki vane mapfupa achiri kukura. Kunyangwe mabundu aya dzimwe nguva achigona kurwadza, haapararire kune dzimwe nhengo dzemuviri. Saka, haaonekwe segomarara.
Ndezvipi zviratidzo zvegomarara remapfupa?
Dzimwe nguva kenza yemapfupa inogona kuvapo pasina zviratidzo. Dzimwe nguva inowanikwa netsaona kana X-ray ikatorwa nekuda kwechimwe chikonzero. Zvisinei, kana zviratidzo zvikaitika, izvi ndizvo zvinonyanya kuonekwa.
- Kurwadziwa kwemapfupa kunoramba kuripo: Ichi ndicho chiratidzo chinowanzoitika. Pakutanga, kurwadziwa kunogona kuuya kwozopera, asi nekufamba kwenguva, kunogona kuramba kuripo uye kwakanyanya. Mune mamwe marudzi ekenza (akadai seEwing sarcoma), kurwadziwa kwacho kunowedzera husiku.
- Kuzvimba kana bundu: Nzvimbo yekurwadziwa inogona kutanga kuzvimba, kana kuti inogona kunzwa sebundu rinogona kubatwa muruoko.
- Kukamhina: Kana uine kenza mupfupa riri mugumbo rako, ungafanira kufamba wakakamhina.
- Kutyoka kwepfupa kusingatarisirwi: Kana pfupa rikatyoka pasina tsaona huru, senge kudonha kudiki, zvinogona kunge zvichikonzerwa nemapfupa asina simba nekuda kwegomarara.
- Kusimba kwemajoini:Kana kenza iri pedyo nejoini, zvinogona kuoma kukotamisa kana kutwasanudza joini iroro.
- Fivha isina kutsanangurwa: Fivha isingaperi.
- Zvimwe zviratidzo: Kuneta uye kudzikira kwehuremu zvinogona kuonekwawo kana kenza yapararira.
Mabundu emusana akadai sechordoma anogona kukanganisa tsinga. Semuenzaniso, zviratidzo zvakaita sekuona kaviri, kusanzwa kumeso, kana kuoma kudzora weti/kuita tsvina zvinogona kuitika.
Chiremba anoongorora sei chirwere ichi?
Kana ukaenda kunoona chiremba ane zviratidzo zvataurwa pamusoro apa, achatevera matanho akati wandei kuti aone kana chirwere chacho chiripo.
1. Kuongororwa nachiremba: Kutanga, muchabvunzwa nezvezviratidzo zvenyu uye muviri wenyu uchaongororwa.
2. X-ray: Iyi ndiyo bvunzo yekutanga inotorwa. X-ray inogona kutarisa kana paine zvisizvo kana bundu riri mupfupa.
3. Mamwe ma scan: Kana paine chimwe chinhu chinofungirwa pa X-ray, mhando idzi dze scan dzinoshandiswa kuwana rumwe ruzivo.
- CT Scan: X-ray inoshandiswa kutora mifananidzo yemuviri wemunhu.
- MRI Scan: Inoshandisa simba remagineti kugadzira mifananidzo yakajeka uye yakadzama.
- Kuongororwa Kwemapfupa: Chinhu chidiki chine mwaranzi chinopinzwa mumuviri kuti chionekwe kana paine zvinhu zvisina kumira zvakanaka mumapfupa.
- Kuongororwa kwePET: Izvi zvinobatsira kuona kana masero egomarara aripo chero kupi mumuviri.
4. Biopsy: Iyi ndiyo bvunzo inoitirwa kusimbisa chirwere 100% . Chinoitwa pano kutora kanyama kadiki kubva mubundu wokaongorora uchishandisa maikorosikopu. Izvi zvinogona kukuudza chaizvo kana bundu iri riri rekenza kana kuti kwete, kana riri rekenza, rudzii rwaro, uye kuti riri kukura nekukurumidza sei. Zvakakosha kuti bvunzo iyi iitwe nachiremba wemapfupa anoongorora kenza yemapfupa.
5. Kuongororwa kweropa: Huwandu hwemamwe ma enzymes (ALP, LDH) hunogona kunge hwakakwira mukenza yemapfupa. Izvi zvinoshandiswa senzira yekuratidza chirwere chacho.
Ndezvipi zviri kurapwa?
Kurapa kenza yemapfupa kunoenderana nezvinhu zvakati wandei, zvinosanganisira rudzi rwekenza, nzvimbo yayo, kupararira kwayo (danho), zera remurwere, uye hutano hwese. Kazhinji, musanganiswa weimwe kana kupfuura yekurapa inoshandiswa.
Kuvhiya
Kurapa kukuru kwegomarara remapfupa mazhinji kuvhiyiwa . Chinangwa ndechekubvisa bundu regomarara zvachose. Chiremba anovhiya anobvisa bundu pamwe nenyama ine hutano yakaripoteredza.
- Kuvhiyiwa Kwekuchengetedza Makumbo: Pose pazvinogoneka, vanachiremba vanoedza kuchengetedza gumbo/gumbo nekubvisa chikamu chepfupa chine kenza chete vochitsiva nesimbi yakagadzirwa kana chidimbu chepfupa chakatorwa kubva kune imwe nzvimbo.
- Kuchekwa kwenhengo: Kana kenza yakakura zvikuru, kana kuti yapararira kumidziyo yeropa inokosha uye tsinga, nhengo yacho ingasakwanisa kuponeswa. Muzviitiko zvakadaro, chikamu chenhengo chingafanira kubviswa.
Kurapwa nemakemikari
Izvi zvinosanganisira kupa muviri mishonga inouraya masero ekenza. Kurapa nemakemikari kwakakosha zvikuru kune kenza dzakadai seosteosarcoma neEwing's Sarcoma. Dzimwe nguva kurapwa uku kunoitwa usati wavhiyiwa kuderedza bundu uye kuuraya chero masero angasara mushure mekuvhiyiwa.
Kurapa Nemwaranzi
Izvi zvinosanganisira kushandisa mwaranzi ine simba guru kuparadza masero ekenza. Kurapa uku kunoshandiswa kune mamwe marudzi ekenza, kunyanya Ewing's Sarcoma. Kunoshandiswawo kune kenza dzisingarapike.
Kurapa Kwakanangwa
Iyi ndiyo mhando itsva yemishonga. Mishonga iyi inotarisa majini chaiwo kana mapuroteni anokanganisa kukura kwemasero ekenza, pasina kukuvadza masero ane hutano hwakanaka. Inoshandiswa kune kenza dzisingapindure zvakanaka kuchemotherapy, senge chordoma.
Upenyu uye kugadziriswa mushure mekurapwa
Kurapwa kwakakosha zvikuru kuti ujairire hupenyu hwemazuva ese mushure mekurapwa. Kunyanya kana wakambovhiyiwa ruoko kana gumbo, unofanirwa kurovedza muviri uchibatsirwa nenyanzvi yekurovedza muviri uye wowanazve mashandiro enhengo iyoyo. Kunyangwe izvi zvichinetsa uye zvichitora nguva, zvakakosha kuzviita usingazvidembi.
Zvakare, zvakakosha kuti uone chiremba wako nguva nenguva mushure mekunge kurapwa kwapera (kuongororwa kwekutevera) . Uchafanirwa kuongororwa kanenge mwedzi mitatu kusvika mitanhatu yega yega kwemakore mashoma ekutanga. Izvi zvichakubatsira kuona nekukurumidza kana chirwere chacho chiri kudzoka.
Mharidzo Yekuenda Nayo Kumba
- Kenza yemapfupa ekutanga chirwere chisingawanzoitiki.
- Kana uine kurwadziwa kusingaperi, kusingatsananguriki kana kuzvimba mupfupa, usazviregeredza uye tsvaga chiremba .
- Haasi mabundu ese anoumbwa mupfupa ane kenza. Kunewo mabundu asina njodzi.
- Kune mhando dzakasiyana dzegomarara remapfupa, uye nzira dzekurapa dzinoenderana nerudzi uye nhanho yechirwere.
- Kenza zhinji dzemapfupa dzinogona kurapwa zvachose kana dzikaonekwa nekukasika uye dzikarapwa nemazvo. Saka, zvakanaka kuti usavhunduke zvisina kufanira wotsvaga rubatsiro rwechiremba kana uine zviratidzo.
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