Une kurwadziwa nemapfupa here kana kuti bundu? Ngatitaurei nezveChondrosarcoma!

Une kurwadziwa kwenguva refu here kana kuti bundu riri mupfupa kana majoini mumuviri wako, kunyanya muruoko rwako, gumbo, chiuno, kana chipfuva? Kurwadziwa uku dzimwe nguva kunoita sekunowedzera here husiku? Kana zvakadaro, chinyorwa chino chichava chakakosha kwauri. Nhasi tichataura nezverudzi rwekenza yemapfupa isingawanzoitiki, asi yakakodzera kuziva. Ndiyo chondrosarcoma.

Chii chinonzi Chondrosarcoma?

Zvichitaurwa zviri nyore, Chondrosarcoma rudzi rwegomarara rinokura mugwara remuviri wedu. Unoziva here kuti gwara remuviri chii? Gara remuviri igwara rinochinjika, rakasimba rinotenderedza majoini edu uye rinodzivirira mapfupa kuti asakwizane. Rakafanana nerabha. Gara remuviri iri rinodzivirira majoini edu uye rinobatsira kukura kwemapfupa.

Saka, kenza iyi yechondrosarcoma inogona kuitika chero kupi zvako mumuviri wedu kune shwashwa. Asi inonyanya kuonekwa mu:

• Mumaoko nemafudzi.
• Mumakumbo.
• Muchiuno.
• Mumbabvu dzechipfuva.
• Pfupa riri pakati pechipfuva (sternum).

Dzimwe nguva, kunyange bundu remapfupa raimbova risiri rekenza (risina kuipa) rinogona kuzopedzisira rava kenza rozoshanduka kuita chondrosarcoma.

Iyi igomarara risingawanzoitiki . Zvichienderana nehuwandu hweUnited States, rinowanikwa mumunhu mumwe chete pavanhu 200,000. Kunyangwe richigona kuitika chero pazera ripi zvaro, rinonyanya kuitika muvanhu vari pakati pemakore 40 ne75. Avhareji yezera rekuongororwa chirwere ichi imakore angangoita 51. Kurapa kukuru kweizvi kuvhiyiwa kubvisa ganda regomarara nemapfupa. Dzimwe nguva vanachiremba vanoti chirwere ichi chinonzi sarcoma.

Kune mhando dzeChondrosarcoma here?

Ehe, kune mhando dzakasiyana dzechondrosarcoma. Magomarara aya anoumbwa mucartilage anopatsanurwa zvichienderana nemasero anoumba bundu. Ngatitarisei mhando huru.

Chondrosarcoma yakajairika

Iyi ndiyo mhando inonyanya kuwanikwa . Inopfuura 85% ye chondrosarcomas dzese. Inowanzoonekwa muvanhu vane makore ari pakati pe50 ne70. Inowanzoonekwa mu femur, humerus, uye pelvis. Rudzi urwu rwegomarara runokura zvishoma nezvishoma uye haruwanzo pararira.

Chondrosarcoma isina kusiyana

Rudzi urwu runoumba chikamu chinosvika gumi muzana chezvirwere zve chondrosarcoma. Runonyanya kuwanikwa muvanhu vane makore anopfuura makumi matanhatu. Runokura nekukurumidza kupfuura mamwe marudzi. Matumbu aya anokura nekukurumidza anowanzo buda mumapfupa epamusoro eruoko (humerus), pfupa rehudyu (femur), kana mapfupa echiuno.

Inonzi 'dedifferentiated' nekuti mamwe masero anotanga ari masero echondrosarcoma akajairwa, asi gare gare mamwe mativi egomarara anoshanduka kuita masero e sarcoma epamusoro. Masarcoma epamusoro magomarara anokura uye anopararira nekukurumidza. Mienzaniso inosanganisira osteosarcoma, fibrosarcoma, uye undifferentiated pleomorphic sarcoma.

Chondrosarcoma Yemasero Akachena

Izvi zvinosvika 2% yezvirwere zve chondrosarcoma. Zvinowanzoitika kuvanhu vane makore ari pakati pe30 ne50, asi zvinogonawo kuitika kuvanhu vane makore ari pakati pemakumi maviri. Zvinowanzoitika mumaoko kana tsoka, pedyo nejoini. Zvinokura zvishoma nezvishoma uye hazviwanzopararira kune dzimwe nhengo dzemuviri.

Mesenchymal Chondrosarcoma

Rudzi urwu runonyanya kuwanikwa muvechidiki vane makore ari pakati pe19 ne30. Runowanzo buda mumusana, mbabvu, kana shaya. Rudzi urwu runokura nekukurumidza kupfuura mamwe marudzi uye runowanzo pararira uye runogona kudzoka mushure mekurapwa.

Extraskeletal myxoid chondrosarcoma rudzi rwekenza yemesenchymal. Inowanikwa munyama yakapfava, kwete mumapfupa kana cartilage, yemaoko nemakumbo ekumusoro.

Ndezvipi zviratidzo zveChondrosarcoma?

Nekuti bundu rechondrosarcoma rinokura zvishoma nezvishoma, zvinogona kutora mwedzi kuti zviratidzo zvioneke. Zviratidzo zvakajairika ndeizvi:

• Kurwadziwa kwemapfupa muchikamu chemuviri chinouya uye chinopera, kunyanya husiku.
• Bundu kana kuti bundu rinoita sebundu riri mubhonzo, senge ruoko, gumbo, kana mbabvu.
• Kuneta .
• Kuderedza uremu usingadiwi.

Asi zvakakosha kuyeuka izvi: Gomarara remapfupa hariwanzoitiki. Zviratidzo zvakawanda zvechondrosarcoma zvakafanana nezvezvirwere zvisina kunyanya kuoma. Saka kungoti une bundu mugumbo rako hazvirevi kuti igomarara remapfupa.

Zvisinei, kana uine bundu risingapere kwemavhiki anopfuura maviri, kana kuti uchinzwa wakaneta nguva dzose, unofanira kuona chiremba . Iye achaongorora hutano hwako hwese uye achaona chikonzero chezviratidzo izvi.

Ndezvipi zvikonzero zveChondrosarcoma?

Vaongorori havasati vaziva chikonzero chaicho chechirwere ichi, asi vakaona kuti chakabatana nemamwe matambudziko emumajini. Izvi zvinosanganisira:

• Chirwere cheLi Fraumeni:Vanhu vane chirwere ichi vane mukana mukuru wekuita bundu regomarara, kusanganisira chondrosarcoma.
• Maffucci syndrome nechirwere chaOllier: Zvirwere izvi zvinokonzera kuti bundu risiri rekenza riumbwe mumapfupa, mumapfupa, uye paganda.
• Maosteochondromas emudumbu: Aya mabundu akawanda, asiri ekenza anoumbwa mumapfupa. Anogona kukanganisa kukura kwemapfupa.

Mune zvimwe zviitiko, vanachiremba vezvirwere vanodzidza nezvekuchinja kwemajini mu chondrosarcoma vanofunga kuti shanduko dzisina kugarwa nhaka mumakromosomu kana mamwe majini anogona kunge ari kukonzera kuti masero ekartilage achinje.

Ndezvipi zvinetso zvechirwere ichi?

Mhando dzezvirwere zvinokura nekukurumidza, dzakadai seMesenchymal Chondrosarcoma kana Dedifferentiated Chondrosarcoma, dzinogona kuisa hupenyu panjodzi nekuti dzinogona kupararira nekukurumidza uye kukanganisa dzimwe nhengo dzemuviri.

Ko Chondrosarcoma inoonekwa sei?

Chiremba achakubvunza mibvunzo nezvezviratidzo zvako. Semuenzaniso:

• Wakatanga rini kuona zviratidzo izvi?
• Vakazowedzera kuwanda here?
• Zvinokanganisa sei hupenyu hwako hwezuva nezuva?

Zvadaro achaita bvunzo yemuviri uye anogonawo kuraira bvunzo dzemifananidzo kana biopsy.

Miedzo yemifananidzo

Vanachiremba vanoshandisa bvunzo dzemifananidzo dzakadai sedzinoongorora chondrosarcoma:

• Kuongororwa kweX-ray.
• Kuongororwa kweCT `(Kuongororwa kweCT (computed tomography)`.
• Kuongororwa kweMRI `(Kuongororwa kweMagnetic resonance imaging (MRI))`.
• Kuongororwa kwePET `(Positron emission tomography (PET) scan)`.
• Kuongororwa kwemapfupa.

Kuongororwa kwemuviri

Chiremba wako anogona kukutumira kuna chiremba wemapfupa, chiremba anoongorora nekurapa zvirwere zvakaita sekenza yemapfupa, kuti aongorore mapfupa. Ikoko, chiremba wezvirwere anotora chidimbu chenyama kubva pabundu rinofungirwa ochiongorora pasi pemaikorosikopu. Kune mhando dzakasiyana dzebiopsy:

• Kusveta netsono diki: Izvi zvinosanganisira kutora sampuli yenyama uchishandisa tsono nesirinjisi.
• Kuongororwa kweganda: Bundu rinochekwa uye sampuli yenyama inotorwa.
• Kuongororwa kweganda: Bundu rese kana chikamu chenyama chinobviswa.

Chiremba wezvirwere anoongorora tissue iyi kuti aone kana paine masero ekenza. Kana masero acho aine kenza, ndiye achaonawo rudzi rwebundu uye giredhi rebundu racho.

Ndezvipi zviratidzo zveChondrosarcoma?

Kuyera kwebundu ndicho chiratidzo chekuti bundu rinogona kukura nekupararira nekukurumidza sei. Chondrosarcoma inoongororwa kubva pa1 (I) kusvika pa3 (III):

• Matumbu erudzi rwechikero (grade I): Aya anonziwo matumbu erudzi rwecartilaginous atypical. Aya ndiwo anokura zvishoma nezvishoma uye ane mukana mudiki wekupararira.
• Machondrosarcoma egiredhi repakati (giredhi rechipiri): Aya ane mukana wekuti apararira zvishoma.
• Machondrosarcoma emhando yepamusoro (giredhi rechitatu): Aya ndiwo anonyanya kupararira .

Ndezvipi zvirongwa zvekurapa Chondrosarcoma?

Kazhinji, uchada kuvhiyiwa kuti ubvise chondrosarcoma. Rudzi rwekuvhiyiwa kwauchaita runoenderana nemamiriro ako ezvinhu. Izvi zvinosanganisira rudzi rwechondrosarcoma yaunayo, uko bundu riri, uye kukura kwaro (kuti rapararira nekukurumidza sei). Kune mhando dzakasiyana dzekuvhiyiwa kwechondrosarcoma:

• Curettage: Mukuita uku, chiremba anokwenya nyama ine kenza kubva papfupa oisa pfupa rakaiswa panzvimbo yacho.
• Kuvhiyiwa kwekubvisa makumbo nemakumbo: Pano, chiremba anobvisa bundu nemapfupa netsandanyama zvakakomberedza. Zvadaro, kuvhiyiwa kwekuvakazve kunoitwa kutsiva mapfupa nenyama zvakabviswa.

Kashoma, chiremba wako wemapfupa anogona kukurudzira kuvhiyiwa kubvisa chikamu cheruoko rwako kana gumbo (kugurwa). Panyaya iyi, vanogonawo kukurudzira kushandisa gumbo rekugadzira. Muzviitiko zvese, uchada kurapwa kwemuviri kuti uvandudze simba rako, kuenzana, uye kufamba-famba.

Kana uine mhando isingawanzoitiki ye chondrosarcoma, yakadai se dedifferentiated kana mesenchymal chondrosarcoma, unogona kupihwa chemotherapy kana radiation therapy kuti uderedze bundu usati wavhiyiwa uye kuti uparadze chero masero ekenza asara mushure mekuvhiyiwa.

Ko Chondrosarcoma inogona kudzivirirwa here?

Kwete chaizvo, izvi hazvidzivirike. Chimwe chikonzero ndechekuti vaongorori havasati vaziva kuti nei vachikura. Asi tsvakiridzo inoratidza kuti vanhu vane zvimwe zvirwere zvenhaka vari panjodzi huru yekubatwa nechirwere chechondrosarcoma. Saka taura nachiremba wako nezvenhoroondo yehutano hwemhuri yako. Iye anogona kuongorora njodzi yako uye kukupa mazano ekutarisa hutano hwako.

Chii chandingatarisira nemamiriro ezvinhu aya?

Nekuti kune mhando dzakasiyana dze chondrosarcoma, mhedzisiro inotarisirwa (fungidziro) inosiyana zvichienderana nerudzi rwechirwere. Bvunza chiremba wako zvaunotarisira zvichienderana nemamiriro ako chaiwo echirwere. Iye achafara kukutsanangurira izvi.

Ko Chondrosarcoma inogona kurapwa here?

Mune zvimwe zviitiko, mabundu madiki, anokura zvishoma nezvishoma e chondrosarcoma anogona kurapwa zvachose nekuabvisa nekuvhiyiwa. Zvichienderana nerudzi rwe chondrosarcoma, kuwedzera chemotherapy kunogonawo kubatsira kurapa chirwere ichi.

Chiyero chekurapa kweChondrosarcoma chakakwira sei?

Mwero wekurarama kwechirwere chechondrosarcoma unosiyana zvichienderana nerudzi rwebundu uye kana rakapararira kune dzimwe nhengo dzemuviri. Kazhinji, 79% yevanhu vane chirwere chechondrosarcoma vanorarama makore mashanu mushure mekuonekwa kuti vane chirwere ichi.

Paunofunga nezvezvikamu izvi, chengeta zvinhu zvishoma mupfungwa:

• Mwero wekupora ifungidziro, kwete fungidziro . Ifungidziro zvichibva pane zvakaitika kune vamwe, uye mamiriro ako ezvinhu anogona kunge akasiyana zvikuru.
• Fungidziro idzi dzinobva pane zvakaitika kare . Semuenzaniso, huwandu uhu hunobva pane zvakaitika kuvanhu vakabatwa nechirwere chechondrosarcoma pakati pa2012 na2018.
• Huwandu hwevanhu vanorarama hautauri kuti uchararama kwenguva yakareba sei .

Kana muine mibvunzo kana zvinokunetsai nezvekuti huwandu hwemushonga hunorevei pachirwere chenyu, bvunzai chiremba wenyu kuti akutsanangurirei kuti fungidziro iyoyo inoshanda sei pachirwere chenyu.

Kana ndine Chondrosarcoma, ndinozvitarisira sei?

Kurarama nechondrosarcoma kunowanzotanga nekupora kubva pakurapwa. Chondrosarcoma inowanzorapwa nekuvhiyiwa. Dzimwe nguva, gumbo kana chikamu chegumbo chingada kubviswa kuti kenza ibviswe. Mushure mekupora kubva pakuvhiyiwa, kana uri kushandisa gumbo rekugadzira, uchafanirwa kutanga chirongwa chekurapwa kuti ujairire.

Ungangodawo rubatsiro rwekugadzirisa shanduko muhupenyu hwako hwezuva nezuva kana shanduko muchitarisiko chako. Chiremba wako anogona kukupa mazano ekurapa kwemuviri, kwebasa kana kwepfungwa anogona kukubatsira kugadzirisa matambudziko aya.

Ndinofanira kuona chiremba rini?

Bvunza chiremba wako nezvekuchinja kwemuviri kunogona kuratidza kudzoka kwekenza, uye nguva yekutaura nachiremba wako kana zvikaitika.

Mibvunzo ipi yandinofanira kubvunza chiremba nezvechirwere changu?

Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Ndine rudzii rweChondrosarcoma?
• Ndeapi marapirwo amunokurudzira?
• Sei uchikurudzira kurapwa ikoko?
• Ndezvipi migumisiro yekurapwa?
• Ndeipi mhedzisiro yekurapwa uku?
• Kana ndikatora mushonga unokurudzirwa, chondrosarcoma yangu inogona kudzoka here?

Chii chakasiyana pakati peChondrosarcoma neOsteosarcoma?

Osteosarcoma inotanga mumapfupa uye inowanzoonekwa kuvana. Chondrosarcoma inotanga mucartilage uye inowanzoonekwa kuvanhu vakuru. Vanachiremba vanogona kuvhiya chondrosarcoma chete, asi paosteosarcoma, vanoshandisa chemotherapy nekuvhiya.

Pakupedzisira, shoko rinokosha

Kuongororwa kwegomarara remapfupa iri risingawanzoitiki, rinonzi chondrosarcoma, kunogona kuva danho rekutanga parwendo rurefu rwekupora. Rwendo irworwo runowanzotanga nekuvhiyiwa kubvisa gomarara, zvichiteverwa nekugadziriswa kuti munhu apore kubva pakuvhiyiwa nedzimwe nzira dzekurapa.

Kunyangwe gomarara iri richigona kurapwa zvinobudirira, richachinja hupenyu hwako. Ungangoda rubatsiro kuti ukwanise kutsungirira matambudziko emuviri neepfungwa. Taura nachiremba wako nezvematambudziko auri kutarisana nawo. Chiremba wako nechikwata chake vanonzwisisa zvauri kusangana nazvo. Sezvaunotanga rwendo urwu, vachave newe nhanho imwe neimwe yerwendo. Usamborega tariro!

Chondrosarcoma , kenza yemapfupa, kenza yekatsi, kurwadziwa kwemajoini, bundu remapfupa, kurapwa kwekenza, kuvhiyiwa