Bundu risina zvarinoreva mumuviri here? Ngatitaurei nezve (Undifferentiated Pleomorphic Sarcoma - UPS)!

Wakambonzwa chimwe chinhu chakaita sebundu riri kukura uye richikura pane imwe nzvimbo mumuviri wako here? Dzimwe nguva, pasina chikonzero chakajeka, unogona kuzvimba kana kusanzwa simba muruoko kana gumbo. Kunyangwe tisingawanzo teerera zvinhu izvi, panogona kunge paine chimwe chinhu chakakomba chakavanzika shure kwazvo. Nhasi, tichataura nezverudzi rwakakosha rwekenza iyo vanhu vazhinji vasingawanzo kunzwa nezvayo, asi zvakakosha kuti isu tese tizive nezvayo. Musatya, ngatinzwisisei izvi zviri nyore.

Chii chinonzi "Undifferentiated Pleomorphic Sarcoma - UPS"?

Muchidimbu, ``Undifferentiated Pleomorphic Sarcoma'' kana kuti ``UPS'' sezvatinoidaidza muchidimbu, imhando yegomarara rinonzi soft tissue sarcoma . Apa ndipo apo masero egomarara anoumbwa munyama dzakapfava dzemuviri wedu, dzakadai semhasuru, mafuta, uye tsinga dzeropa.

Kazhinji, `(UPS)` iyi inotanga munyama dzakapfava dzemaoko kana makumbo ako . Dzimwe nguva inogonawo kuitika muchikamu chakadzika chekumashure kwedumbu, chinonzi `retroperitoneum` . Kashoma, `(UPS)` iyi inokanganisa mapfupa. Chinhu chinosuwisa ndechekuti, iyi inowanzova mhando yekenza ine simba . Saka inogona kupararira kune dzimwe nhengo dzemuviri, kunyanya mapapu kana lymph nodes .

Kare, iyi `(UPS)` yainzi `malignant fibrous histiocytoma` . Chikonzero cheizvi ndechekuti vaongorori vaifunga kuti gomarara iri rinobva kumasero ekudzivirira muviri anonzi `histiocytes` . Zvisinei, ongororo yakatevera yakawana kuti ingangotanga mumasero anonzi `mesenchymal cells`, ayo anoumba connective tissue mumuviri wedu.

Zvino ngatitarisei zvinorehwa nemashoko maviri aya muzita iri.

"Kusasiyana" zvinoreva kuti masero egomarara aya anotaridzika zvisina kurongeka uye asina kurongeka . Sematoyi akapararira asina kurongeka. Ava akasiyana uye haana kukura zvekuti hazvigoneke kuziva kuti akatanga nemasero api ane hutano kana kuti basa raaida kuita.

Izwi rekuti "pleomorphic" rinoreva kuti masero aya akasiyana muchimiro, saizi, kana kuti nucleus, iyo nzvimbo yekudzora yesero . Funga nezvayo sefenicha isina kugadzirwa kubva muchimiro chimwe chete, imwe neimwe yakasiyana muchimiro nehukuru. Mamwe masero madiki, mamwe makuru. Mamwe akatenderera, mamwe akarebesa. Kunyangwe nucleus, ine machromosome ari mukati memasero, yakasiyana musero rega rega. Ndokusaka masero aya egomarara achikura zvisina kurongeka uye nekukurumidza pasina kudzora.

UPS imhando yegomarara isingawanzoonekwi . Semuenzaniso, muUnited States, chirwere ichi chinobata vanhu vasingasviki 5,000 pagore. Zvisinei, pakati pemhando dzemasarcoma enyama yakapfava,Pamwe chete ne liposarcoma (kenza inokura munyama ine mafuta) uye leiomyosarcoma (kenza inokura mutsandanyama dzakatsetseka), (UPS) ndiyo mhando yechitatu inonyanya kuzivikanwa yesarcoma yenyama yakapfava .

Ndezvipi zviratidzo zve `(UPS)`?

Zviratidzo zve `Undifferentiated Pleomorphic Sarcoma (UPS)` zvinogona kusiyana kubva pamunhu kuenda kune mumwe. Vamwe vanhu vanogona kusaona zviratidzo. Zvisinei, pane zvimwe zviratidzo zvakajairika:

• Bundu rinokura zvishoma nezvishoma kana kuti bundu: Ichi ndicho chiratidzo chikuru. Rinogona kunzwa sebundu chero kupi zvako pamuviri, kunyanya paruoko, pagumbo, kana mudumbu.
• Bundu risingarwadzi rinogona kana kusafamba kana rabatwa: Kazhinji, mapundu aya haakonzeri kurwadziwa pakutanga. Nokudaro, vamwe vanhu vangasanyatsoateerera.
• Kunzwa kusanzwa kana kutsva nekuda kwebundu riri kudzvanya tsinga: Dzimwe nguva, bundu iri parinokura, rinogona kudzvanya tsinga iri pedyo. Izvi zvinogona kukonzera kusanzwa kunzwa kusanzwa mumaoko kana tsoka, kunzwa kutsva, kana kunzwa kutsva.
• Kuzvimba paruoko kana pagumbo: Kana ruoko kana gumbo zvikazvimba pasina chikonzero chakajeka, izvozvo zvinofanirawo kufungwa nezvazvo.

Zvakakosha kuti UPS haiwanzoratidza zviratidzo zviri pachena. Kazhinji hazvirwadzi , uye hapana shanduko paganda pamusoro pebundu (sekunge ruvara rwachinja kana maronda). Uyewo, zviratidzo zvakajairika zvakaita sefivha, kudzikira kwehuremu, uye kusagadzikana hazviwanzoonekwa.

Ndezvipi zvinokonzera `(UPS)`?

Nyanzvi hadzisati dzaziva kuti chii chinokonzera UPS. Chadzinoziva ndechekuti inokonzerwa nekuchinja (kuchinja) muDNA (morekuru ine ruzivo rwemajini edu) emasero ane hutano. Zvisinei, chinokonzera shanduko idzodzo muDNA hachisati chajeka.

Zvinhu Zvinokonzera Njodzi Zvinowedzera Njodzi Yekuva neUPS

Chinhu chinowedzera mukana wekuwana chirwere. Kune zvinhu zvakawanda zvinokonzeresa njodzi zvakawanikwa kuti zvine chekuita ne `(UPS)`. Asi yeuka, havasi vese vane zvinhu izvi zvinokonzeresa njodzi vachawana `(UPS)`, uye hazvigone kutaurwa kuti vanhu vasina zvinhu izvi havazowana `(UPS)`.

Zvinhu zvine njodzi zvazivikanwa parizvino ndeizvi:

• Kuva murume: Varume ndivo vane mukana mukuru wekuwana chirwere ichi kupfuura vakadzi, uye njodzi yacho yakanyanya kukwira pakati pevarume vachena.
• Makore anopfuura makumi mashanu ekuberekwa: Kuwanda kwechirwere ichi kunowedzera nekukura.
• Zvimwe zvirwere: Semuenzaniso, vanhu vane zvirwere zvakaita se neurofibromatosis (chirwere chinokonzera bundu mutsinga) kana chirwere chePaget chemapfupa (chirwere chinokonzera kukura kwemapfupa kusina kujairika) vari panjodzi yakakura yekubatwa nechirwere ichi (UPS).
• Zvimwe zvirwere zvemajini:Vanhu vane zvirwere zvisingawanzoitiki zvemajini zvakaita seLi-Fraumeni syndrome vari panjodzi yakakura yekubatwa nekenza yemhando dzakasiyana-siyana, kusanganisira (UPS).
• Kusangana nemamwe makemikari: Kusangana nemamwe makemikari kwenguva refu, akadai searsenic kana vinyl chloride, kunogonawo kuva chinhu chinokonzera njodzi.
• Kurapwa nemwaranzi kwakamboitwa panzvimbo yakakanganiswa: Kana wakamborapwa nemwaranzi kune imwe nzvimbo yechirwere, pane mukana mudiki wekuva nesarcoma (UPS) munzvimbo iyoyo gare gare.
• Kubatwa nemwaranzi pabasa: Kana uchifanira kubatwa nemwaranzi mune mamwe mabasa, izvozvo zvinogonawo kuva njodzi.

Zvinoshamisa kuti vanhu vazhinji vanotanga UPS havana kana chimwe chezvinhu izvi zvinokonzera njodzi . Saka kana ukaona chimwe chinhu chinoita sebundu risingawanzoitika pamuviri wako, usazviregeredza uchifunga kuti, "Handina kana chimwe chezvinhu izvi zvinokonzera njodzi."

Vanachiremba vanoziva sei `(UPS)`?

Kana ukaona chiremba ane bundu rakadai, anotanga akubvunza nezvehutano hwako , kana paine munhu mumhuri mako akamborwara nezvirwere zvakaita sekenza (nhoroondo yemhuri), nezvimwewo. Wobva akubvunza nezvezviratidzo zvako. Bundu iri ravepo kwenguva yakareba sei? Riri kukura here? Rinorwadza here? Pamusoro pezvo, achaita bvunzo dzinotevera:

1. Kuongororwa kwemuviri: Chiremba achaongorora nzvimbo yebundu, saizi yaro, uye kuti rinonzwa sei kana rikabatwa (rakaoma kana rakapfava).

2. Kuongororwa kwemifananidzo: Kuongororwa uku kunobatsira kuona kuti bundu riri mukati rakaita sei uye kuti rapararira kusvika papi. Kazhinji, bvunzo imwe chete kana kupfuura, dzakadai seX -rays, ultrasound scans, uye/kana MRI scans, dzinogona kuitwa.

3. Biopsy: Iyi ndiyo bvunzo inonyanya kukosha yekuongorora chirwere ichi . Izvi zvinosanganisira kutora chidimbu chidiki chenyama kubva mubundu (zvichida uchishandisa chinhu chidiki chakaita setsono) uye kuongororwa pasi pemaikorosikopu nachiremba wezvirwere (chiremba ane hunyanzvi mukuongorora zvirwere). Ndipo chete patinogona kutaura chokwadi kana iri UPS kana chimwe chirwere.

Ndezvipi zvinorapwa zve `(UPS)`?

Kurapa kweUPS kunoenderana nezvinhu zvakaita sehukuru hwebundu uye kana kenza yapararira. Kurapa kukuru kweUPS iri padanho rekutanga kuvhiyiwa kubvisa bundu . Izvi zvinowanzoitwa pamwe chete nemwaranzi . Zvisinei, dzimwe nguva mamwe marapirwo ekenza angangodiwa.

Kuvhiya

Chinangwa chikuru chekuvhiyiwa kweUPS ndechekubvisa bundu rekenza zvachose.Vanachiremba vanoedza kubvisa kwete kenza chete, asiwo zvidimbu zvidiki zvine hutano zvakaipoteredza (izvi zvinonzi "muganhu") . Kungofanana nepatinobvisa sora mubindu, tinobvisa kwete chirimwa chete, asiwo ivhu diki rakaipoteredza. Zvadaro hapana kana chidimbu chidiki chemudzi wesora chinosara. Nenzira imwecheteyo, vanachiremba pavanobvisa kenza iyi, vanoibvisa pamwe chete nezvidimbu zvidiki zvine hutano zvakaipoteredza. Ndipo chete patinogona kuva nechokwadi chekuti masero ese ekenza anobviswa pasina mamwe asara. Kana paine masero ekenza pamucheto webundu rakabviswa, zvinoreva kuti panogona kunge paine mamwe masero ekenza asara mumuviri.

Kana bundu riri paruoko rwako kana pagumbo, chiremba wako achaedza kubvisa kenza uye kuchengetedza kushanda kwakawanda sezvinobvira paruoko kana pagumbo iroro. Zvisinei, mune dzimwe nguva dzakakomba, kuchekwa kweganda kunogona kudiwa . Saka, zvakakosha kutaura nachiremba wako wekenza kuti asarudze kuti ndeipi nzira yekurapa yakanakira mamiriro ako ezvinhu.

Mamwe Marapirwo Ekenza

Vanachiremba veOncologist vanogonawo kushandisa mamwe marapirwo vasati vavhiyiwa kana kuti mushure mekuvhiyiwa. Kunyangwe kurapwa uku kusingawanzoita kuti bundu riderere, kunogona kubatsira kuti rive rakachengeteka pakuvhiyiwa kubvisa bundu, kana kuuraya chero masero egomarara angasara mushure mekuvhiyiwa.

Mamwe marapirwo aya ndeanoti:

• Kurapa nemakemikari: Kupa mishonga inouraya masero ekenza.
• Kurapa Nezvirwere: Kukurudzira masoja emuviri kuti arwise masero egomarara.
• Kurapa nemwaranzi: Kuparadza masero egomarara uchishandisa mwaranzi ine simba rakawanda.

Chirongwa chenyu chekurapa chakasiyana nemi. Chingave chakasiyana nechemumwe munhu. Saka taurai nenyanzvi yenyu yekurapa kenza nezvesarudzo dzenyu. Kazhinji mucharapwa nechikwata chevanhu vane hunyanzvi hwakasiyana-siyana . Chikwata ichi chingasanganisira chiremba wekuvhiya, nyanzvi yekurapa kenza yemwaranzi, uye nyanzvi yekurapa kenza. Kunyangwe nyanzvi yega yega iine basa rakasiyana, vese vanoshanda pamwe chete kuti vakurapei. Vachakubatsirai kusarudza kuti chii chakanakira mamiriro enyu ezvinhu.

Ndinofanira kuona chiremba rini?

Kana ukaona bundu kana kukura kwemuviri wako kuri kukura zvishoma nezvishoma , kunyanya kana kuchiperekedzwa nezviratidzo zvakaita sekurwadziwa, kuzvimba, kana kutadza kufambisa gumbo rako zvakanaka , unofanira kuona chiremba nekukasika .

Kana watoona kuti une `(UPS)`, iweKana ukaona zviratidzo zvitsva, kana kuti zviratidzo zvako zvikawedzera, taurira chiremba wako wekenza nekukasika .

Zvinhu zvipi zvingatarisirwa nemunhu ane `(UPS)`?

Nguva yekurarama inosiyana kubva pamunhu kusvika pamunhu. Zvinoenderana nehukuru hwesarcoma uye danho rechirwere . Kazhinji, mwero wekurarama kwemakore mashanu kune vanhu vane chirwere chepamusoro (UPS) ungangoita 60% . Izvi zvinoreva kuti vanhu vanosvika 60% vanoonekwa vaine chirwere ichi vachiri vapenyu mushure memakore mashanu. Mwero wekurarama kwemakore gumi ungangoita 48% .

Asi yeuka, huwandu uhwu hwekupona hunongova fungidziro dzakajairika . Hahukuudze kuti uchararama kwenguva yakareba sei kana kuti kurapwa kupi kuchanyatsoshanda kwauri. Kuti udzidze zvakawanda nezvehuwandu hwekupona uye kuti hunokubata sei, zvakanaka kutaura nechikwata chako chevanorwara nekenza.

Ko `(UPS)` inogona kurapwa zvizere here?

(UPS) inorapika zvachose, kunyanya kana ikaonekwa nekukurumidza . Kunyangwe kana chirwere chacho chapararira, kune nzira dzekurapa dzinogona kubatsira kuvandudza hupenyu hwako uye kuwedzera hupenyu hwako. Sezvakaita chero rudzi rwegomarara, kuonekwa nekukurumidza uye kurapwa kwe (UPS) ndiyo nzira yakanakisisa yekuwana mhedzisiro inobudirira .

Zvinhu zvekufunga nezvazvo

Kana ukaonekwa uine kenza, inogona kukanganisa hupenyu hwako hwese. Kana iri kenza isingawanzoitiki senge Undifferentiated Pleomorphic Sarcoma (UPS), unganzwa uri wega uye sekunge hapana anokunzwisisa. Dzimwe nguva dzakadai, zvinogona kubatsira kubatana neboka rekutsigirana uko kune vamwe vari kusangana nematambudziko akafanana newe . Kutaura navo kunogona kukubatsira kunzwisisa manzwiro ako uye kuagadzirisa.

Uyewo, timu yako yezvekurapa iripo nguva dzose kuti ikubatsire . Vanogona kutaura newe nezvesarudzo dzako dzekurapa, kukutsigira, uye kukupa ruzivo nezvinhu zvaunoda kuti uite sarudzo dzehutano dzine ruzivo. Usatya kuvabvunza chero mibvunzo yaunayo . Gara uchiyeuka kuti hausi wega.

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