Wakaona chimwe chinhu chakaita sebundu diki pane imwe nzvimbo mumuviri wako here munguva pfupi yapfuura? Pamwe haritomborwadzi. Kana kuti kurwadziwa kunogara kuripo paruoko, gumbo, kana majoini? Kazhinji hatinyatso tarisiri zvinhu zvakaita seizvi, handiti? Tinofunga kuti, "Zvichida bundu rakakora chete" kana kuti "Rinofanira kunge rakarohwa pane imwe nzvimbo." Asi dzimwe nguva, kunyange chiratidzo chidiki chakadai chinogona kuva chiratidzo cherudzi rwekenza rusingawanzoitiki asi rwakakosha runonzi ' Sarcoma .' Usazvidya moyo, ngatitaurei nezvazvo kubva pakutanga, zviri nyore uye zvakajeka.
Zvichitaurwa zviri nyore, chii chinonzi sarcoma?
Sarcoma ibundu rakaipa rinokura mumapfupa kana munyama dzakapfava dzemuviri wedu. Iye zvino ungave uchishamisika kuti imhandoi yenyama dzakapfava. Kureva kuti, idzo nyama dzinotsigira uye dzinobatanidza zvimwe zvivako mumuviri wedu.
Semuyenzaniso:
- Tsandanyama
- Mafuta (Adipose tishu)
- Misungo
- Katsinga
- Mitsetse
- Mitsipa yeropa
- Tsinga
Idzi ndidzo nyama dzakapfava dzemuviri wedu. Saka sarcoma inogona kuitika chero kupi zvako munzvimbo idzi.
Sarcoma rudzi rwegomarara rusingawanzoitiki . Sarcoma inongobata 1% yegomarara rese muvanhu vakuru. Zvisinei, inobata 15% yegomarara rese muvana. Saka, zvakakosha kuziva izvi.
Ma sarcomas anowanzoonekwa kupi mumuviri?
Kunyangwe gomarara iri richigona kukura kubva mumusoro kusvika kutsoka, kune dzimwe nzvimbo kwarinonyanya kupararira. Funga nezvemasarcoma zana anoitika:
- 40% yezvirwere izvi zvinoitika muzvikamu zvepasi zvemuviri, zvakaita semakumbo, zvitsitsinho, netsoka .
- 15% inowanikwa mumakumbo ekumusoro, akadai semafudzi, maoko, maoko, neminwe .
- Anenge 30% awo anokura mudumbu, pachipfuva, mudumbu, kana muchiuno .
- Zvimwe 15% zvinowanikwa mumusoro nemumutsipa .
Ndedzipi mhando huru dzesarcomas?
Kune mhando dzakasiyana dzinopfuura makumi manomwe muboka guru rinonzi sarcomas. Asi ngatizvikamuranisei muzvikamu zviviri zvikuru: bone sarcomas uye soft tissue sarcomas.
| Rudzi rwesarcoma | Tsananguro iri nyore |
|---|---|
| Masarcoma emapfupa | Idzi igomarara rinotanga zvakananga mumapfupa. Idzi dzinonzi 'primary bone sarcoma'. Dzinonyanya kuwanikwa muvechidiki vari pasi pemakore makumi matatu nemashanu uye muvana. Mimwe mienzaniso ndeiyi:
|
| Sarcomas dzenyama dzakapfava | Idzi igomarara rinotanga munyama dzakapfava dzakadai setsandanyama nemafuta. Dzinowanzoonekwa muvanhu vakuru kupfuura mabhonzo emapfupa. Zvisinei, mamwe marudzi (semuenzaniso, rhabdomyosarcoma) anogonawo kukura muvana. Heano mimwe mienzaniso:
|
Zvakakosha: Dzimwe nguva, masero ekenza akatanga kune dzimwe nzvimbo (senge mapapu, zamu, kana thyroid) anogona kupararira kusvika kumapfupa. Iyi inonzi metastatic bone cancer. Iyi haisi mhando yesarcoma. Ingori imwe mhando yekenza yakapararira kusvika kumapfupa.
Sei sarcoma iyi ichikura? Ndezvipi zvinhu zvinokonzera njodzi?
Sezvakaita mamwe marudzi ekenza, chikonzero chaicho chinoita kuti sero rine hutano rive sero rekenza kamwe kamwe hachisati chazivikanwa. Zvichitaurwa zviri nyore, DNA yemasero anoumba mapfupa edu kana nyama dzakapfava inoshanduka (mutations), zvichiita kuti masero iwayo apatsanuke nekukurumidza uye zvisingadzoreki.Kuunganidzwa uku kwemasero ndiko kwatinoona sebundu. Kana masero aya akasarapwa, anogona kufamba nemuropa kana lymphatic system opararira kune dzimwe nhengo dzemuviri. Izvi zvinonzi `(Metastasis)`.
Zvisinei, zvinhu zvakati wandei zvakaonekwa zvinowedzera njodzi yekubatwa nesarcoma.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Makemikoro | Kugara kwenguva refu uchishandisa arsenic, mamwe makemikari anoshandiswa kugadzira mapurasitiki (vinyl chloride), mishonga yesora, uye mishonga yekuchengetedza matanda. |
| Mwaranzi | Ndakambogamuchira kurapwa nemwaranzi yakawanda sekurapa imwe kenza. |
| Lymphedema | Kuzvimba kwenguva refu kunokonzerwa nekuungana kwemvura yelymph mumaoko kana makumbo. |
| Zvirwere zvemajini | Zvimwe zvirwere zvemajini zvakagarwa nhaka (semuenzaniso, Neurofibromatosis type 1, Li-Fraumeni syndrome) zvinogona kuwedzera njodzi. |
Ndezvipi zviratidzo zve sarcoma?
Apa ndipo panovhiringidzika vanhu vazhinji. Nekuti zviratidzo zvesarcoma zvinosiyana zvakanyanya zvichienderana nekuti bundu iri riri kupi. Dzimwe nguva, panogona kunge pasina zviratidzo zvachose pakutanga.
Heano mamwe ezviratidzo zvakajairika:
- Kukura kutsva: Kukura uku kungava kunorwadza kana kusarwadza. Kunganzwa sebundu risingarwadzi pasi peganda.
- Marwadzo: Marwadzo anogara aripo paruoko, pagumbo, padumbu, kana munzvimbo yehudyu. Kune vamwe vanhu, kurwadziwa uku kunogona kutowedzera husiku.
- Kuoma kwekufamba: Bundu rinogona kunge rakakura uye richidzvanya pajoini kana tsandanyama, zvichiita kuti zviome kukotama kana kutwasanudza ruoko kana gumbo zvakanaka.
- Kudzikira kwehuremu pasina chikonzero.
- Kurwadziwa kwemusana.
Zviratidzo izvi zvinowanikwa mune zvimwe zvirwere zvakawanda, saka usatya kufunga kuti i sarcoma nekuti une chimwe chezviratidzo izvi. Zvisinei, kana ukaona chimwe chinhu chakadai, zvakakosha kuona chiremba wako woongororwa.
Chiremba anoona sei izvi sesarcoma?
Paunoenda kuna chiremba, anotanga akubvunza nezvezviratidzo zvako uye oita ongororo yemuviri. Kana paine bundu, achaongorora kukura kwaro uye rudzi rwaro. Mushure meizvozvo, anogona kukutumira kunoongororwa kakawanda kuti aone chirwere chacho nechivimbo.
- Kuongororwa kweX-ray: Kuongororwa kwekutanga kwekutarisa kana paine zvisina kumira zvakanaka mumapfupa nenyama dzakapfava.
- CT scan (Computed Tomography scan): Kombiyuta inosanganisa mifananidzo yeX-ray kuti igadzire mifananidzo yemuviri inotenderera. Izvi zvinogona kupa mufananidzo wakajeka webundu.
- Kuongororwa kweMRI (Magnetic Resonance Imaging): Izvi zvinoshandisa simba remagineti nemafungu eredhiyo kuti zvibudise mifananidzo yakajeka uye yakadzama yemukati memuviri. Izvi zvinonyanya kukosha pakutarisa bundu riri munyama dzakapfava.
- Kuongororwa kwemuviri: Iyi ndiyo bvunzo inonyanya kukosha uye ine humbowo hwekuti chirwere ichi chinobuda sei. Izvi zvinosanganisira kubvisa kanyama kadiki kebundu iri kuburikidza nekuvhiyiwa kana tsono yakakosha uye kuriongorora uchishandisa maikorosikopu murabhoritari. Iyi ndiyo nzira chete yekuziva zvizere kana iri kenza, sarcoma, uye kuti imhando ipi.
Mimwe miedzo yakaita sePET scan kana bone scan inogonawo kukurudzirwa.
Ndeipi mishonga yekurapa sarcoma?
Kurapa Sarcoma hakusi chinhu chinogona kuitwa nachiremba mumwe chete ari ega. Zvinoda kuti timu yenyanzvi dzakasiyana-siyana, dzakadai sevanachiremba vanovhiya, vanachiremba vekenza, uye vanachiremba vanorapa nemwaranzi, vaungane pamwe chete kuti vasarudze nzira yakanakisisa yekurapa.
Nzira yekurapa inosarudzwa zvichienderana nezvinhu zvakaita se:
- Rudzi rwesarcoma.
- Kukura uye nzvimbo yebundu.
- Hutano hwako hwese.
- Kana kenza yapararira kune dzimwe nhengo dzemuviri.
Kune nzira dzakawanda dzekurapa.
Kuvhiya
Kurapa kukuru kwesarcomas zhinji kuvhiyiwa. Chinangwa ndechekubvisa bundu zvachose. Bundu rinobviswawo pamwe chete nechikamu chidiki chenyama ine hutano yakakomberedza bundu. Izvi zvinoitirwa kudzivirira masero ekenza asingaonekwe kuti asarambe aripo. Dzimwe nguva, kana paine bundu guru paruoko kana gumbo, kuvhiyiwa kwakakosha kunoitwa kuchengetedza gumbo (kuponeswa kwegumbo). Zvisinei, kashoma, kana gumbo risingakwanise kuponeswa, kuchekwa kwegumbo kunogona kudiwa.
Kurapa Nemwaranzi
Izvi zvinosanganisira kushandisa X-rays ine simba guru kuparadza masero ekenza. Kurapwa nemwaranzi kunoitwa vasati vavhiyiwa kuderedza bundu kana kuparadza masero ekenza asara mushure mekuvhiyiwa.
Kurapwa nemakemikari
Izvi zvinosanganisira kupa mishonga yakakosha yekuuraya masero egomarara anokamura nekukurumidza kana kumisa kukura kwawo. Mishonga iyi inogona kupihwa kuburikidza netsinga kana semapiritsi.
Mamwe marapirwo
Pamusoro pezvo, mishonga yemazuva ano yakaita sekurapa kwakanangana, iyo inorwisa kusasimba kwemasero ekenza chete, uye immunotherapy, iyo inosimudzira masoja emuviri kurwisa kenza, ikozvino yava kushandiswa.
Ndeipi nguva yakanakisisa yekuona chiremba?
Sarcoma chirwere chinogona kurapwa zvinobudirira kana chikaonekwa nekukasira. Saka, usanonoka uye enda kuna chiremba nekukasika muzviitiko zvinotevera.
Kana uine bundu idzva pamuviri wako, ringave richirwadza kana kuti kwete, kunyanya kana rakakura kupfuura bhora regorofu (rinenge masendimita mashanu), kana kuti rikaramba richikura, unofanira kuona chiremba.
Uyewo, kana paine kurwadziwa kunoramba kuripo mupfupa reruoko kana gumbo pasina chikonzero chakajeka, usazviregeredza.
Sarcoma haisi kenza imwe chete, asi boka rekenza. Saka, kurapwa uye kufanotaura chirwere zvinosiyana zvikuru kubva pamunhu kusvika pamunhu, zvichienderana nerudzi uye nhanho yekenza. Kana iwe kana mumwe munhu waunoziva ane zvinomunetsa nezvazvo, zvakanaka kuona nyanzvi kuti akupe mazano.
Mharidzo Yekuenda Nayo Kumba
- Sarcoma igomarara risingawanzoitiki rinoitika mumapfupa nenyama dzakapfava.
- Zvakakosha kuona chiremba kana paine bundu idzva, rinokura, kana kuti rakakura pamuviri wako. Usariregeredza, kungave richirwadza kana kuti kwete.
- Muedzo unonyanya kukosha wekuongorora chirwere ichi ndeye biopsy.
- Nzira dzekurapa (kuvhiyiwa, mwaranzi, chemotherapy) dzinosarudzwa mumwe nemumwe zvichienderana nemurwere uye rudzi rwekenza.
- Kuongororwa kwechirwere nekukurumidza uye kutanga kurapwa kwakakosha kuti pave nemigumisiro yakanaka.
Sarcoma, kenza, bundu remuviri, kenza yemapfupa, kenza yenyama yakapfava, zviratidzo zvekenza
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