Wakaona bundu diki kana kuti dumbu pane imwe nzvimbo mumuviri wako munguva pfupi yapfuura here? Pamwe harikonzeri kurwadziwa, kana kuti pamwe wave uchirwadziwa nekurwadziwa kunogara kuripo paruoko rwako, gumbo, kana majoini. Kazhinji, tinowanzo kanganwa zvinhu izvi. Tinozviudza kuti, “Zvichida bundu rakakora chete,” kana kuti “Ndinofanira kunge ndakazvirova pane imwe nzvimbo.” Zvisinei, dzimwe nguva kunyange chiratidzo chidiki chakadai chinogona kuva chiratidzo chechirwere chinonzi 'Sarcoma' ( Sarcoma ), inova kenza isingawanzoitiki asi inokosha yaunofanira kuziva. Ndapota musavhunduka—ngatitaurei nezvazvo pamwe chete, kubva pakutanga, pano paNirogi Lanka.
Zvichitaurwa zviri nyore, chii chinonzi Sarcoma?
Sarcoma ibundu rakaipa rinokura mumapfupa emuviri wako kana munyama dzakapfava . Ungave uchishamisika kuti inyama dzakapfava dzipi. Idzi inyama dzinotsigira uye dzinobatanidza maumbirwo akasiyana-siyana mumuviri wako.
Semuyenzaniso:
- Tsandanyama
- Mafuta
- Misungo
- Kanyama kakawonda
- Mitsetse
- Mitsipa yeropa
- Tsinga
Idzi ndidzo dzatinodaidza kuti nyama dzakapfava dzemuviri wako, uye sarcoma inogona kukura mune chero nzvimbo idzi.
Sarcomas rudzi rwegomarara rusingawanzoonekwi . Dzinongosanganisira 1% chete yegomarara revanhu vakuru. Zvisinei, dzinoumba 15% yegomarara rinoonekwa muvana. Saka, kuziva nezvechirwere ichi kwakakosha zvikuru.
Ma sarcomas anowanzo wanikwa kupi?
Kunyangwe kenza iyi ichigona kuitika chero kupi zvako kubva mumusoro kusvika kutsoka, kune nzvimbo dzakajairika kwadzinowanikwa. Funga izvi: kubva pa100 sarcomas dzakaonekwa:
- 40% inowanikwa mudumbu repazasi, semakumbo, zvitsitsinho, netsoka .
- 15% inowanikwa mumakumbo ekumusoro, akadai semafudzi ako, maoko, maoko, neminwe .
- 30% inowanikwa muhudyu mako, pachipfuva, mudumbu, kana muchiuno .
- 15% yasara inowanikwa mumusoro nemumutsipa .
Ndedzipi mhando huru dzesarcomas?
Muchikamu chakakura chesarcoma, kune mhando dzakasiyana dzinopfuura makumi manomwe. Zvisinei, tinogona kudziisa muzvikamu zviviri zvikuru: bone sarcomas uye soft tissue sarcomas.
| Rudzi rweSarcoma | Tsananguro Iri Nyore |
|---|---|
| MaSarcoma eMapfupa | Izvi zvinobva zvakananga mumapfupa. Izvi zvinonzi 'primary bone sarcomas.' Zvinowanzoitika kuvana nevechidiki vari pasi pemakore makumi matatu nemashanu. Mimwe mienzaniso inosanganisira:
|
| Sarcomas dzenyama dzakapfava | Izvi zvinobva munyama dzakapfava dzakadai semhasuru kana mafuta. Izvi zvinonyanya kuwanikwa muvanhu vakuru kupfuura mapfupa emusana, kunyange hazvo mamwe marudzi (akadai serhabdomyosarcoma) achigonawo kuitika muvana. Mienzaniso mishoma inosanganisira:
|
Chinyorwa Chinokosha: Dzimwe nguva, kenza inotanga kune imwe nhengo yemuviri (semuenzaniso, mapapu, zamu, thyroid) inogona kupararira ichienda kumapfupa. Izvi zvinonzi 'kenza yemapfupa inopararira.' Iyi haisi mhando yesarcoma. Ingori imwe kenza yakapararira kumapfupa.
Sei ma sarcoma achiitika? Ndezvipi zvinhu zvinokonzera njodzi?
Kufanana nedzimwe mhando dzakawanda dzekenza, chikonzero chaicho chinoita kuti sero rine hutano rive nekenza kamwe kamwe hachisati chanzwisiswa zvizere. Zvichitaurwa zviri nyore, kuchinja kweDNA yemasero anovaka mapfupa ako kana nyama dzakapfava kunoita kuti akure nekupatsanurana zvisingadzoreki. Huremu hwemasero hunobuda ndihwo hwatinoona sebundu. Kana masero aya akasarapwa, anogona kufamba nemuropa kana lymphatic system opararira kune dzimwe nhengo mumuviri. Maitiro aya anozivikanwa se metastasis.
Zvisinei, zvinhu zvakawanda zvinokonzera njodzi zvinowedzera mukana wekuva nesarcoma zvakaonekwa.
| Chinhu Chinokonzera Njodzi | Tsananguro |
|---|---|
| Makemikoro | Kugara kwenguva refu uchishandisa arsenic, mamwe makemikari anoshandiswa mukugadzira mapurasitiki (vinyl chloride), mishonga yesora, uye mishonga yekuchengetedza matanda. |
| Mwaranzi | Kurapwa nemwaranzi kwakanyanya kwakamboshandiswa kurapa mamwe marudzi ekenza. |
| Lymphedema | Kuzvimba kwenguva refu mumaoko kana makumbo kunokonzerwa nekuunganidzwa kwemvura yelymph. |
| Mamiriro Emajini | Zvimwe zvirwere zvemajini zvakagarwa nhaka (semuenzaniso, Neurofibromatosis type 1, Li-Fraumeni syndrome) zvinogona kuwedzera njodzi yako. |
Ndezvipi zviratidzo zve sarcoma?
Apa ndipo panovhiringidzika vanhu vazhinji. Nekuti zviratidzo zve sarcoma zvinosiyana zvakanyanya zvichienderana nekuti bundu racho rakaita sei. Dzimwe nguva, panogona kunge pasina zviratidzo zvachose pakutanga.
Heano mamwe ezviratidzo zvakajairika zvaunogona kuona:
- Bundu idzva: Bundu iri rinogona kurwadza kana kusarwadza. Rinogona kunzwika sebundu riri pasi peganda rako.
- Marwadzo: Marwadzo asingaperi muruoko, gumbo, dumbu, kana nzvimbo yehudyu. Kune vamwe, kurwadziwa uku kunogona kuwedzera husiku.
- Kuoma kwekufamba: Kana bundu rikakura rodzvanya pajoini kana tsandanyama, ungaomerwa nekukotamisa kana kutwasanudza makumbo ako zvakanaka.
- Kudzikira uremu kusingatsananguriki.
- Kurwadziwa kwemusana.
Zviratidzo izvi zvinowanzoonekwa mune zvimwe zvirwere zvakawanda. Saka, usatya kuti i sarcoma nekuti une chimwe chezviratidzo izvi. Zvisinei, kana ukaona chimwe chinhu chakadai, zvakakosha kuti usachiregeredze uye kuti uone chiremba wako kuti akuongorore.
Chiremba anoongorora sei sarcoma?
Paunoshanyira chiremba wako, vanotanga vakubvunza nezvezviratidzo zvako voita bvunzo yemuviri. Kana paine bundu, vanozotarisa saizi yaro uye magadzirirwo aro. Mushure mezvo, unogona kutumirwa kunoongororwa kakawanda kuti usimbise chirwere chacho.
- X-ray: Kuongororwa kwekutanga kwekutarisa kana paine zvisina kumira zvakanaka mumapfupa nenyama dzakapfava.
- CT scan (Computed Tomography scan): Inoshandisa komputa kusanganisa mifananidzo yeX-ray kuti igadzire maonero emuviri wako, zvichipa mufananidzo wakajeka webundu.
- Kuongororwa kweMRI (Magnetic Resonance Imaging): Kunoshandisa magineti nemasaisai eredhiyo kugadzira mifananidzo yakajeka uye yakajeka yemukati memuviri wako, izvo zvinonyanya kukosha pakuongorora bundu renyama yakapfava.
- Kuongororwa kwemuviri: Iyi ndiyo bvunzo inonyanya kukosha uye ine chokwadi. Sampuro diki yenyama kubva mubundu inotorwa kuburikidza nekuvhiyiwa kudiki kana tsono yakakosha uye inoongororwa pasi pemaikorosikopu murabhoritari. Iyi ndiyo nzira iyo rudzi rwekenza—kana kunyanya rudzi rwesarcoma—runosimbiswa zvizere.
Mimwe miedzo, yakaita sePET scans kana bone scans, inogonawo kukurudzirwa.
Ndeipi mishonga yekurapa sarcoma?
Kurapa sarcoma ibasa rekubatsirana. Chikwata chenyanzvi, kusanganisira vanachiremba vekuvhiya, vanachiremba vekenza, uye vanachiremba vanorapa nemwaranzi, vachashanda pamwe chete kuti vaone hurongwa hwakanakisisa hwekurapa.
Nzira yekurapa inosarudzwa zvichienderana ne:
- Rudzi rwesarcoma.
- Kukura uye nzvimbo yebundu.
- Hutano hwako hwese.
- Kana kenza yapararira kune dzimwe nhengo dzemuviri wako.
Kune nzira dzakawanda dzekurapa.
Kuvhiya
Kune akawanda ma sarcomas, kuvhiyiwa ndiko kurapwa kukuru. Chinangwa ndechekubvisa bundu rese pamwe chete nechikamu chidiki chenyama ine hutano yakaripoteredza kuitira kuti pasave nemasero ekenza asingaonekwe. Mune zvimwe zviitiko, kuvhiyiwa kwekubvisa makumbo kunoitirwa kuchengetedza gumbo. Muzviitiko zvisingawanzoitiki apo gumbo risingakwanise kuponeswa, kuchekwa kwegumbo kunogona kudiwa.
Kurapa Nemwaranzi
Izvi zvinoshandisa X-rays ine simba guru kuparadza masero ekenza. Mwaranzi inogona kupiwa usati wavhiyiwa kuderedza bundu kana mushure mekuvhiyiwa kuuraya masero ekenza asara.
Kurapwa nemakemikari
Izvi zvinosanganisira kushandisa mishonga yakakosha kuuraya kana kumisa kukura kwemasero egomarara anokamuka nekukurumidza. Mishonga iyi inogona kupiwa nemutsinga kana semapiritsi emuromo.
Mamwe Marapirwo
Pamusoro pezvo, mishonga yemazuva ano yakaita seTargeted Therapy , iyo inorwisa kusasimba kwemasero ekenza, uye Immunotherapy , iyo inosimudzira masoja emuviri wako kurwisa kenza, yave kuwanikwa iye zvino.
Unofanira kuona chiremba rini?
Sarcoma chirwere chiri nyore kurapa kana chikaonekwa nekukurumidza. Saka, usanonoka—ona chiremba wako nekukasika kana ukaona zvinotevera.
Kana uine bundu idzva pamuviri wako, ringave richirwadza kana kuti kwete, kunyanya kana rakakura kupfuura bhora regorofu (rinenge 5 cm) kana kuti richiramba richikura, unofanira kuona chiremba.
Uyewo, usafuratira kurwadziwa kusingaperi, kusingatsananguriki muruoko, gumbo, kana pfupa, kunyanya kana kwakaitika pasina kukuvara.
Sarcoma haisi kenza imwe chete, asi boka rekenza. Saka, hurongwa hwekurapa uye fungidziro yekenza hunosiyana zvakanyanya zvichienderana nemunhu, rudzi, uye danho rekenza. Kana iwe kana mumwe munhu waunoziva ane mibvunzo nezvenyaya iyi, nzira yakanakisa yekuita ndeyekubvunza nyanzvi.
Mharidzo Yekuenda Nayo Kumba
- Sarcoma rudzi rwegomarara rusingawanzoitiki runowanikwa mumapfupa nenyama dzakapfava.
- Zvakakosha kuratidza chero bundu idzva, rinokura, kana kuti guru (rinopfuura 5cm) kuna chiremba. Usariregeredza, kunyangwe risingarwadzi.
- Kuongororwa kwakakosha kwekuongorora chirwere ichi i biopsy.
- Kurapa (kuvhiyiwa, radiation, chemotherapy) kwakagadzirirwa murwere wega wega uye rudzi rwegomarara rake.
- Kuonekwa nekukurumidza uye kurapwa nekukurumidza kwakakosha kuti pave nemigumisiro yakanaka.
Sarcoma, kenza, mapundu emuviri, kenza yemapfupa, kenza yenyama yakapfava, zviratidzo zvekenza, Nirogi Lanka
