Ingabe nawe unesifo sobuhlungu emathanjeni noma iqhubu? Ake sixoxe nge-Chondrosarcoma!

Ingabe unezinhlungu ezihlala isikhathi eside noma iqhubu ethanjeni noma emalungeni emzimbeni wakho, ikakhulukazi engalweni yakho, emlenzeni, esinqeni, noma esifubeni? Ingabe lobu buhlungu ngezinye izikhathi bubonakala buba bubi kakhulu ebusuku? Uma kunjalo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sizokhuluma ngohlobo lomdlavuza wamathambo olungavamile kakhulu, kodwa olufanele ukwazi. Lokho yi-chondrosarcoma.

Kuyini i-Chondrosarcoma?

Kalula nje, i-Chondrosarcoma uhlobo lomdlavuza oluvela ku-cartilage emizimbeni yethu. Uyazi ukuthi iyini i-cartilage? I-cartilage iyisicubu esiguquguqukayo nesiqinile esizungeza amalunga ethu futhi sivimbele amathambo ukuthi angagudlani. Kufana nerabha. Le-cartilage ivikela amalunga ethu futhi isiza amathambo ukuba akhule.

Ngakho-ke, lo mdlavuza we-chondrosarcoma ungavela noma kuphi emzimbeni wethu lapho kukhona khona i-cartilage. Kodwa uvame ukubonakala ku:

• Ezingalweni nasemahlombe.
• Emilenzeni.
• Ekhalweni.
• Ezimbanjeni zesifuba.
• Ithambo eliphakathi nendawo yesifuba (sternum).

Ngezinye izikhathi, ngisho nezimila zamathambo ezazingewona umdlavuza (ezingembi) zingaba umdlavuza kamuva bese ziphenduka i-chondrosarcoma.

Empeleni lokhu kungumdlavuza ongavamile kakhulu . Ngokwezibalo e-United States, kwenzeka cishe koyedwa kubantu abangu-200,000. Nakuba kungenzeka kunoma yimuphi ubudala, kuvame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-75. Isilinganiso seminyaka yokuxilongwa singu-51. Ukwelashwa okuyinhloko kwalokhu ukuhlinzwa ukuze kususwe uqwanga kanye nethambo lomdlavuza. Odokotela ngezinye izikhathi babiza lesi simo ngokuthi i-sarcoma.

Ingabe zikhona izinhlobo ze-Chondrosarcoma?

Yebo, kunezinhlobo ezahlukene ze-chondrosarcoma. Lezi zinhlanzana ezakha i-cartilage zihlukaniswa ngokusekelwe kumaseli akha isimila. Ake sibheke izinhlobo eziyinhloko.

I-Chondrosarcoma Evamile

Lolu uhlobo oluvame kakhulu . Lubangela ngaphezu kwama-85% azo zonke izinhlobo ze-chondrosarcomas. Ngokuvamile luvela kubantu abaneminyaka ephakathi kwama-50 nama-70. Luvame ukwenzeka e-femur, humerus, kanye nase-pelvis. Lolu hlobo lwesimila lukhula kancane kakhulu futhi cishe alukwazi ukusabalala.

I-Chondrosarcoma Engahlukanisiwe

Lolu hlobo luhlanganisa cishe u-10% wazo zonke izinhlobo ze-chondrosarcomas. Luvame kakhulu kubantu abaneminyaka engaphezu kuka-60. Lukhula ngokushesha kunezinye izinhlobo. Lezi zimila ezikhula ngokushesha zivame ukukhula ethanjeni eliphezulu lengalo (i-humerus), ethangeni (i-femur), noma emathanjeni e-pelvic.

Kubizwa ngokuthi 'ukuhlukaniswa' ngoba amanye amangqamuzana aqala njengamaseli ajwayelekile e-chondrosarcoma, kodwa kamuva ezinye izingxenye zesimila zishintsha zibe amaseli e-sarcoma ebanga eliphezulu. Ama-sarcoma ebanga eliphezulu angomdlavuza okhula futhi usakazeke ngokushesha. Izibonelo zifaka phakathi i-osteosarcoma, i-fibrosarcoma, kanye ne-pleomorphic sarcoma engahlukaniswanga.

I-Chondrosarcoma Yeseli Ecacile

Lokhu kubala cishe u-2% wazo zonke izinhlobo ze-chondrosarcoma. Ngokuvamile kwenzeka kubantu abaneminyaka ephakathi kuka-30 no-50, kodwa kungenzeka nakubantu abaseminyakeni engamashumi amabili. Kuvame kakhulu ezandleni noma ezinyaweni, eduze kwelungu. Kukhula kancane futhi akuvamile ukusabalala kwezinye izingxenye zomzimba.

I-Mesenchymal Chondrosarcoma

Lolu hlobo luvame kakhulu entsheni eneminyaka ephakathi kuka-19 no-30. Luvame ukuvela emgogodleni, ezimbanjeni, noma emhlathini. Lolu hlobo lukhula ngokushesha kunezinye izinhlobo futhi luvame ukusabalala futhi luphinde luvele ngemva kokwelashwa.

I-extraskeletal myxoid chondrosarcoma uhlobo lomdlavuza we-mesenchymal. Ikhula ezicutshini ezithambile, hhayi emathanjeni noma e-cartilage, yezingxenye ezingenhla.

Ziyini izimpawu ze-Chondrosarcoma?

Ngenxa yokuthi izimila eziningi ze-chondrosarcoma zikhula kancane, kungathatha izinyanga ukuthi izimpawu zivele. Izimpawu ezivame kakhulu yilezi:

• Ubuhlungu bethambo engxenyeni ethile yomzimba efika futhi iphele, ikakhulukazi ebusuku.
• Iqhubu noma iqhubu elizwakala njengeqhubu ethanjeni, njengengalo, umlenze, noma ubambo.
• Ukukhathala .
• Ukwehlisa isisindo ngokungahlosile.

Kodwa kubalulekile ukukhumbula lokhu: Umdlavuza wamathambo awuvamile. Izimpawu eziningi ze-chondrosarcoma zifana nezezimo ezingatheni kangako. Ngakho-ke ukuthi uneqhubu emlenzeni wakho akusho ukuthi umdlavuza wamathambo.

Kodwa-ke, uma uneqhubu elingapheli isikhathi esingaphezu kwamasonto amabili, noma uma uzizwa ukhathele kakhulu ngaso sonke isikhathi, kufanele nakanjani ubone udokotela . Uzohlola impilo yakho iyonke futhi athole imbangela yalezi zimpawu.

Yiziphi izimbangela ze-Chondrosarcoma?

Abacwaningi abakayazi imbangela eqondile yalesi simo, kodwa bathole ukuthi sihlobene nezifo ezithile zofuzo. Lokhu kufaka phakathi:

• I-Li Fraumeni syndrome:Abantu abanalesi simo banamathuba amaningi okuthola izimila ezinomdlavuza, okuhlanganisa ne-chondrosarcoma.
• I-Maffucci syndrome kanye nesifo sika-Ollier: Lezi zifo zibangela ukwakheka kwezimila ezingezona umdlavuza e-cartilage, emathanjeni nasesikhumbeni.
• Ama-osteochondroma amaningi adluliselwa ngefa: Lawa amathumba amaningi, angewona umdlavuza akhiwa emathanjeni. Angaphazamisa ukukhula kwamathambo.

Kwezinye izimo, ososayensi bezifo abafunda izinguquko zezakhi zofuzo ku-chondrosarcoma bacabanga ukuthi izinguquko ze-chromosome ezingezona ezizuzwe njengefa noma izinguquko ezithile zezakhi zofuzo kungenzeka ukuthi zibangela ukuba amangqamuzana e-cartilage ashintshe.

Yiziphi izinkinga zalesi simo?

Izinhlobo ezikhula ngokushesha, njenge-Mesenchymal Chondrosarcoma noma i-Dedifferentiated Chondrosarcoma, zingaba yingozi empilweni ngoba zingasakazeka ngokushesha futhi zithinte ezinye izingxenye zomzimba.

I-Chondrosarcoma itholakala kanjani?

Udokotela uzokubuza imibuzo mayelana nezimpawu zakho. Isibonelo:

• Uqale nini ukuqaphela lezi zimpawu?
• Ingabe baba baningi kakhulu?
• Zikuthinta kanjani impilo yakho yansuku zonke?

Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba futhi angayala nokuhlolwa kwezithombe noma i-biopsy.

Ukuhlolwa kwezithombe

Odokotela basebenzisa izivivinyo zezithombe ezifana nalezi ukuze baxilonge i-chondrosarcoma:

• Ukuhlolwa kwe-X-ray.
• I-CT scan `(I-computer tomography (CT) scan)`.
• Ukuskena kwe-MRI `(Ukuskena kwe-Magnetic resonance imaging (MRI))`.
• Ukuskena kwe-PET `(Ukuskena kwe-Positron emission tomography (PET))`.
• Ukuskena kwamathambo.

Ukuhlolwa kwebhayoloji

Udokotela wakho angakudlulisela kudokotela wamathambo, udokotela ohlinzayo oxilonga futhi elapha izifo ezifana nomdlavuza wamathambo, ukuze ahlolwe izicubu. Lapho, udokotela wezifo uthatha ucezu lwezicubu esigaxeni esisolisayo bese eluhlola ngaphansi kwe-microscope. Kunezinhlobo eziningana ze-biopsy:

• Ukufuthwa kwenaliti encane: Lokhu kuhilela ukuthatha isampula yezicubu usebenzisa inalithi nesipetu.
• I-biopsy yokusika: Isimila siyasikwa bese kuthathwa isampula yezicubu.
• I-Excisional biopsy: Isimila sonke noma ingxenye yezicubu iyasuswa.

Udokotela wezifo uhlola lesi sampula sezicubu ukuze abone ukuthi kukhona yini amangqamuzana omdlavuza. Uma amangqamuzana enomdlavuza, uzophinde anqume uhlobo lwesimila kanye nezinga lesimila.

Ziyini izimpawu ze-Chondrosarcoma?

Izinga lesimila liyisilinganiso sokuthi isimila singakhula futhi sisabalale ngokushesha kangakanani. I-Chondrosarcoma ihlukaniswa kusukela ku-1 (I) kuya ku-3 (III):

• Ama-chondrosarcomas asezingeni eliphansi (ibanga I): Lawa abizwa nangokuthi ama-cartilaginous tumors angavamile. Lawa akhula kancane futhi anethuba elincane lokusabalala.
• Ama-chondrosarcoma ebanga eliphakathi (ibanga lesi-II): Lawa maningi amathuba okusabalala.
• Ama-chondrosarcoma ebanga eliphezulu (ibanga lesi-3): Lawa yiwona avame ukusabalala .

Yiziphi izindlela zokwelapha i-Chondrosarcoma?

Esikhathini esiningi, uzodinga ukuhlinzwa ukuze kususwe i-chondrosarcoma. Uhlobo lokuhlinzwa ozolwenza luzoncika esimweni sakho. Lokhu kufaka phakathi uhlobo lwe-chondrosarcoma onayo, lapho isimila sitholakala khona, kanye nezinga laso (ukuthi sisakazeke ngokushesha kangakanani). Kunezinhlobo eziningana zokuhlinzwa kwe-chondrosarcoma:

• I-Curettage: Kule nqubo, udokotela ususa izicubu ezinomdlavuza ethanjeni bese efaka into efakwe ethanjeni esikhaleni.
• Ukuhlinzwa kokusindisa izitho: Lapha, udokotela ususa isimila kanye nethambo nemisipha ezungezile. Ngemuva kwalokho, kwenziwa ukuhlinzwa kokuvuselela ukuze kuthathelwe indawo ithambo nezicubu ezisusiwe.

Akuvamile kakhulu, udokotela wakho wamathambo angancoma ukuhlinzwa ukuze kususwe ingxenye yengalo noma umlenze wakho (ukunqunywa). Kulesi simo, angancoma nokusetshenziswa kwesitho sokufakelwa. Kuzo zonke izimo, uzodinga ukwelashwa ngokomzimba ukuze uthuthukise amandla akho, ibhalansi, kanye nokuhamba.

Uma une-chondrosarcoma engavamile, njenge-dedifferentiated noma i-mesenchymal chondrosarcoma, ungase unikezwe i-chemotherapy noma ukwelashwa ngemisebe ukuze unciphise isimila ngaphambi kokuhlinzwa futhi ubhubhise noma yimaphi amangqamuzana omdlavuza asele ngemva kokuhlinzwa.

Ingabe i-Chondrosarcoma ingavinjelwa?

Akunjalo ngempela, lokhu akukwazi ukuvinjelwa. Esinye isizathu ukuthi abacwaningi abasazi kahle ukuthi kungani kuthuthuka. Kodwa ucwaningo lubonisa ukuthi abantu abanezimo ezithile zofuzo basengozini enkulu yokuthola i-chondrosarcoma. Ngakho-ke khuluma nodokotela wakho ngomlando wezokwelapha womndeni wakho. Angahlola ubungozi bakho futhi ancome izinyathelo zokuqapha impilo yakho.

Yini engingayilindela ngalesi simo?

Ngenxa yokuthi kunezinhlobo eziningana ze-chondrosarcoma, imiphumela elindelekile (izibikezelo) iyahlukahluka kuye ngohlobo. Buza udokotela wakho ukuthi yini ongayilindela ngokusekelwe esimweni sakho esithile. Uzokujabulela ukukuchazela lokhu.

Ingabe i-Chondrosarcoma ingelapheka?

Kwezinye izimo, izimila ezincane kakhulu, ezikhula kancane ze-chondrosarcoma ezivamile zingelapheka ngokuphelele ngokuzisusa ngokuhlinzwa. Kuye ngohlobo lwe-chondrosarcoma, ukwengeza i-chemotherapy nakho kungasiza ekwelapheni lesi sifo.

Lingakanani izinga lokwelashwa kwe-Chondrosarcoma?

Amazinga okusinda kwe-chondrosarcoma ayahlukahluka kuye ngohlobo lwesimila nokuthi isimila sesisabalale yini kwezinye izingxenye zomzimba. Sekukonke, abantu abangu-79% abane-chondrosarcoma baphila iminyaka emihlanu ngemva kokuxilongwa.

Uma ucabanga ngala maphesenti, khumbula izinto ezimbalwa:

• Amazinga okululama ayizilinganiso, hhayi izibikezelo . Ayizilinganiso ezisekelwe kokuhlangenwe nakho kwabanye, futhi isimo sakho singase sihluke kakhulu.
• Lezi zilinganiso zisekelwe kulokho okwenzekile esikhathini esidlule . Isibonelo, la maphesenti asekelwe kulokho okwenzekile kubantu abanesifo se-chondrosarcoma phakathi kuka-2012 no-2018.
• Amanani okusinda awakutsheli ukuthi uzophila isikhathi esingakanani .

Uma unemibuzo noma ukukhathazeka ngokuthi kusho ukuthini ukuphulukiswa kwesifo sakho, cela udokotela wakho akuchazele ukuthi lokho kulinganisela kusebenza kanjani esimweni sakho.

Uma ngine-Chondrosarcoma, ngizinakekela kanjani?

Ukuphila ne-chondrosarcoma kuvame ukuqala ngokululama ngemva kokwelashwa. I-Chondrosarcoma ivame ukwelashwa ngokuhlinzwa. Ngezinye izikhathi, kungadingeka ukuthi kususwe umlenze noma ingxenye yomlenze ukuze kususwe umdlavuza. Ngemva kokululama ngemva kokuhlinzwa, uma usebenzisa umlenze wokufakelwa, kuzodingeka uqale uhlelo lokuvuselela ukuze ujwayele.

Ungase udinge nosizo lokuzivumelanisa nezinguquko empilweni yakho yansuku zonke noma izinguquko ekubukekeni kwakho. Udokotela wakho angase asikisele izindlela zokwelapha ngokomzimba, emsebenzini noma ngokwengqondo ezingakusiza ubhekane nalezi zinselele.

Kufanele ngimbone nini udokotela?

Buza udokotela wakho ngezinguquko zomzimba ezingase zibonise ukubuya komdlavuza, nokuthi kufanele uxhumane nini nodokotela wakho uma zenzeka.

Yimiphi imibuzo okufanele ngiyibuze udokotela mayelana nokuxilongwa kwami?

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Uhlobo luni lwe-Chondrosarcoma enginalo?
• Yikuphi ukwelashwa okuncomayo?
• Kungani uncoma lokho kwelashwa?
• Iyini imiphumela emibi yokwelashwa?
• Iyini imiphumela yalezi zindlela zokwelapha?
• Uma ngithatha ukwelashwa okunconywayo, ingabe i-chondrosarcoma yami ingabuya?

Uyini umehluko phakathi kwe-Chondrosarcoma ne-Osteosarcoma?

I-Osteosarcoma iqala emathanjeni futhi ivame ukwenzeka ezinganeni. I-Chondrosarcoma iqala e-cartilage futhi ivame ukwenzeka nakubantu abadala. Odokotela bangenza ukuhlinzwa kwe-chondrosarcoma kuphela, kodwa nge-osteosarcoma, basebenzisa kokubili i-chemotherapy kanye nokuhlinzwa.

Ekugcineni, umyalezo obalulekile

Ukuxilongwa kwalo mdlavuza wamathambo ongavamile, obizwa ngokuthi i-chondrosarcoma, kungaba yisinyathelo sokuqala ohambweni olude lokululama. Lolo hambo luvame ukuqala ngokuhlinzwa ukuze kususwe umdlavuza, kulandelwe ukuvuselelwa ukuze kutholakale ukululama ngemva kokuhlinzwa nakwezinye izindlela zokwelapha.

Nakuba lo mdlavuza ungelashwa ngempumelelo, uzoshintsha impilo yakho. Ungase udinge usizo lokubhekana nezinselele zomzimba nezemizwa. Khuluma nodokotela wakho ngezinselele obhekene nazo. Udokotela wakho nethimba lakhe bayaqonda ukuthi ubhekene nani. Njengoba uqala lolu hambo, bazoba nawe kuzo zonke izinyathelo zendlela. Ungalokothi ulahle ithemba!

I- Chondrosarcoma, umdlavuza wamathambo, umdlavuza we-cartilage, ubuhlungu bamalunga, izimila zamathambo, ukwelashwa komdlavuza, ukuhlinzwa