Patinonzwa izwi rekuti kenza, tese tinotya zvishoma, handiti? Asi kunewo mhando dzekenza dzatisati tambonzwa nezvadzo, uye dzisingawanzoitiki. Yolk Sac Tumor ndeimwe yadzo. Zita iri ringave idzva kwauri. Nhasi, tichataura nezvekenza iyi, inogona kukura kunyanya muvana vadiki nevakuru vechidiki, nenzira iri nyore yaunogona kunzwisisa. Zvakakosha kuziva izvi.
Chii chaizvo chinonzi Yolk Sac Tumor?
Zvichitaurwa zviri nyore, Yolk Sac Tumor rudzi rwegomarara. Rinonziwo Endodermal Sinus Tumor. Rinobva mumhando yakasarudzika yesero mumuviri wedu. Kureva kuti, kubva mumasero anova mbeu yemurume, uye kubva mumasero anova mazai mumukadzi. Mukurapa, tinoti masero aya masero embeu. Saka izvi ndezverudzi rweGerm Cell Tumor.
Mabundu aya anowanzo buda mumazai evakadzi kana mumachende evarume. Zvisinei, kashoma, anogona kubuda kunze kwenhengo idzi dzekubereka, semuenzaniso muchipfuva, mudumbu, kana muuropi.
Rudzi urwu rwegomarara haruwanzoitiki zvachose. Zvisinei, rudzi rwegomarara remasero emumajini runonyanya kutaurwa nezvarwo muvana vadiki irworwo runonzi Yolk Sac Tumor.
Chinhu chakakomba nezveizvi ndechekuti gomarara iri rinokura nekukurumidza uye rinogona kupararira nekukurumidza . Saka, kana rikasarapwa, rinogona kuisa hupenyu panjodzi. Asi mashoko akanaka ndeekuti kana chirwere ichi chikaonekwa nekukurumidza, chinogona kurapwa zvachose nekurapwa . Saka, zvakakosha kuziva zviratidzo nekukurumidza.
Ndedzipi mhando huru dzegomarara iri?
Sezvatakambokurukura, gomarara iri rinogona kupatsanurwa kuita mhando dzakasiyana-siyana zvichienderana nekuti rinokura kupi.
- Matumbu emudumbu remudumbu: Iri imhando yegomarara remudumbu. Rinonyanya kuonekwa muvakomana vari pasi pemakore matatu uye muvarume vechidiki vari mumakore avo ekuma20 ne30 . Kazhinji, izvi zvinogona kuonekwa nekukurumidza, zvisati zvapararira kune dzimwe nhengo dzemuviri. Izvi zvinoita kuti zvive nyore kuti zvirapwe.
- Matumbu emudumbu emuzamu: Iri imhando yegomarara remuzamu. Igomarara risingakurumidzi kupararira, zvichireva kuti rinogona kupararira nekukurumidza. Rinonyanya kuwanikwa muvasikana vadiki vane makore makumi maviri zvichidzika . Zvinonzi chikamu chimwe muzvitatu chevaya vanoonekwa vaine chirwere ichi vasikana vadiki vasati vatanga kuenda kumwedzi.
- Matumbu egomarara anokura kunze kwenhengo dzekubereka nadzo (Extragonadal germ cell tumors):Dzimwe nguva, kenza dzemasero aya dzinokura mune dzimwe nhengo dzemuviri, kunze kwemazai kana machende. Semuenzaniso, dzinogona kukura muuropi, pakati pechipfuva, kumashure kwedumbu, kana pfupa rekumashure .
Ndezvipi zviratidzo zveizvi?
Zviratidzo zveYolk Sac Bumor zvinoenderana nekuti bundu iri mumuviri riri kupi. Semuenzaniso, amai vanogona kuwana bundu diki mutsvo yemwana pavanenge vachigeza. Kana kuti musikana mudiki anogona kusangana nenguva dzisina kurongeka pamwe nekurwadziwa mudumbu. Zvakakosha kuziva zviratidzo izvi.
Ona tafura iri pazasi kuti uone zviratidzo zvinowanzoonekwa zvichienderana nenzvimbo yekenza.
| Nzvimbo yekenza | Zviratidzo zvinogona kuonekwa |
|---|---|
| Machende | Kuomarara kana kuti bundu riri mutsvo risingarwadzi . |
| Mumazai | Kuzvimba mudumbu kana kunzwa bundu mudumbu, kurwadziwa mudumbu kana musana, kuchinja kwemaitiro emudumbu (sekuvharirwa), kubuda ropa kusingawanzoitiki kana kubuda ropa rakawanda panguva yekuenda kumwedzi. |
| Uropi | Matambudziko emusoro kana kuona. |
| chipfuva | Kukosora uye kufema zvakaoma. |
| Kumucheto kwemusana wepasi (Tailbone) | Nzvimbo yacho inogona kunge yakazvimba, yakakuvara, kana kuti yakaita sebundu rine utachiona. |
Sei rudzi urwu rwekenza ruchikura?
Iri idambudziko rine vanhu vazhinji. Asi kutaura chokwadi, vaongorori vezvekurapa havasati vawana chikonzero chaicho cheYolk Sac Tumor. Kufanana nedzimwe kenza, iyi inokonzerwa nekuchinja (kuchinja) mumajini, kana kuti DNA, mumasero. Kuchinja uku kunoita kuti masero apatsanuke nekukurumidza uye zvisingadzoreki. Nekufamba kwenguva, masero aya anogona kukura pamwe chete kuita bundu. Kana akasarapwa, masero aya ekenza anogona kupararira kune dzimwe nhengo dzemuviri.
Zvisinei, tsvakiridzo ichiri kuenderera mberi yekuti sei shanduko idzi dzemajini dzichitanga pakutanga.
Nzira yekuziva sei chirwere ichi?
Kana iwe kana mwana wako muine chimwe chezviratidzo zvakanyorwa pamusoro apa, munofanira kuona chiremba nekukasika. Chiremba anotanga aongorora muviri wake uye otarisa mapundu asina kujairika kana kuzvimba mudumbu kana machende. Zvadaro, vachakubvunza nezvezviratidzo zvako.
Kuongororwa kwakawanda kunogona kuitwa kuti kusimbiswe chirwere ichi:
- Kuongororwa kweropa: Sampuro yeropa rako inotorwa uye puroteni yakakosha inoongororwa. Inonzi Alpha-fetoprotein (AFP) . Huwandu hweAFP muropa hwakakwira zvikuru kune wese munhu ane Yolk Sac Tumor. Ichi chiratidzo chakakosha chekuongorora kenza iyi.
- Miedzo yekufungidzira: CT scans (Computed Tomography scans) uye MRI scans (Magnetic Resonance Imaging) ndiyo miedzo inonyanya kushandiswa. Izvi zvinogona kuona bundu riri mumuviri.
- Kuvhiyiwa: Iyi ndiyo nzira chete yekuziva zvizere nezvechirwere ichi. Chiremba achaita oparesheni yekubvisa bundu rese (dzimwe nguva nhengo yese iri mubundu iri). Bundu racho rinozotumirwa kurabhoritari kuti riongororwe masero egomarara.
Matanho ekenza anoonekwa sei?
Kana chirwere ichi chaonekwa, vanachiremba vanoona kuti kenza yapararira kusvika papi, kana kuti 'danho' rekenza riri papi. Danho iri rinotsanangurwa nezvinhu zvakaita sehukuru hwebundu uye kuti kenza yapararira kusvika papi. Kana danho riri pasi (semuenzaniso Danho 1), zvinoreva kuti kenza iri mumatanho ekutanga. Kana danho riri pamusoro (semuenzaniso Danho 3, 4), zvinoreva kuti kenza yapararira zvishoma. Kuziva danho iri kwakakosha pakusarudza kurapwa kwakanakisa.
Kune Matumbu eTesticle
- Danho rekutanga: Gomarara riri mudumbu chete.
- Danho rechipiri: Kenza yapararira kubva mudumbu kuenda kuma lymph nodes.
- Danho rechitatu: Masero egomarara apararira kune dzimwe nhengo dzemuviri.
Kune Matumbu eOvarian
- Danho rekutanga: Kenza inogumira kune imwe kana maovari ese ari maviri.
- Danho rechipiri: Masero egomarara apararira kune dzimwe nzvimbo dziri muchiuno, asi haasati asvika mumachubhu efallopian.
- Danho rechitatu: Gomarara rapararira kusvika kuma lymph nodes ne membrane iri mukati medumbu (peritoneum).
- Danho rechina: Kenza yapararira kunze kwedumbu kuenda kune dzimwe nhengo dzemuviri.
Ndezvipi zvinorapwa izvi?
Chinangwa chikuru chekurapa ndechekubvisa bundu rekenza zvachose. Nzira mbiri huru dzekurapa dzinoshandiswa pakurapa uku.
1. Kuvhiyiwa: Izvi zvinosanganisira kubvisa testicle yese (inonzi orchiectomy ) kana ovary (inonzi oophorectomy ) yakakanganiswa negomarara. Kana gomarara rapararira kusvika kumaseminal vesicles, zvingadawo kubviswa.
2. Kurapa nemakemikari: Mushure mekuvhiyiwa, kurapwa uku kunopihwa kuuraya chero masero ekenza angasara mumuviri asingaonekwe nemaziso. Dzimwe nguva, kana bundu racho rakakura kwazvo, chemotherapy inogonawo kupihwa kuderedza bundu racho usati wavhiyiwa.
Nzira yekurapa neBEP
Kurapa kukuru kwekenza yeYolk Sac Tumor kunonzi BEP . Zvichienderana nedanho regomarara uye kuti muviri wako unopindura sei pakurapwa, ungangoda kutora maekisesaizi akawanda eBEP. BEP musanganiswa wemishonga mitatu:
- B leomycin
- E toposide
- Cisplatin ( P latinol®)
Kana mishonga iyi mitatu ikasanganiswa, inoshanda zvinobudirira kuparadza masero eYolk Sac Tumor.
Mamiriro ezvinhu akaita sei mushure mekurapwa? (Kufungidzira)
Izvi ndizvo zvinofanira kuzivikanwa nevanhu vazhinji. Ichokwadi kuti kana ikasarapwa, Yolk Sac Tumor inogona kuurayisa. Ndosaka takataura kubva pakutanga kuti zvakakosha kuongorora chirwere ichi uye kutanga kurapwa nekukurumidza . Sezvakaita chero kenza, kana kurapwa kukatanga nekukurumidza, mikana yekupora inowedzera.
Kufanotaura kwako kuti chirwere chichatanga sei kunoenderana nezvinhu zvakawanda. Unofanira kukurukura nachiremba wako zvinhu zvakaita sedanho rekenza, kuti muviri wako uri kupindura sei pakurapwa, uye mwero weAFP yako usati watanga chemotherapy (kana izvi zvakaderera, mhedzisiro yacho inowanzova nani).
Asi musazvidya mwoyo. Kurapa kwakadai sekuvhiyiwa neBEP kwakavandudza zvikuru mwero wekurarama kwevanhu vane Yolk Sac Tumor. Semuenzaniso, kenza yematesticular yeStage 1 inogona kupedzwa zvachose nemishonga iyi. Ongororo ichangobva kuitwa yakaratidza kuti 91.5% yevanhu vakarapwa kenza yemazamu ekutanga vaive vachiri vapenyu mushure memakore mashanu.
Mharidzo Yekuenda Nayo Kumba
- Gomarara remudumbu (Yolk Sac Tumor) igomarara risingawanzoitiki rinowanzoonekwa muvana nevechidiki.
- Tarisa zviratidzo zvakaita sebundu risingarwadzi mutsvo kana kuzvimba/kusagadzikana mudumbu. Kana ukaona chimwe chinhu chakadai, usanyara kana kutya, asi enda kuna chiremba nekukasika.
- Kunyangwe gomarara iri richipararira nekukurumidza, rinogona kurapwa zvachose kana rikaonekwa nekukurumidza.
- Kuvhiyiwa uye kurapwa nechemotherapy (kunyanya BEP) kunoshanda zvikuru.
- Kunyangwe mushure mekunge kurapwa kwapera, zvakakosha kuti uongororwezve panguva yakatarwa sezvakarairwa nachiremba.
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