Izimpawu, ukuxilongwa nokuphathwa kwe-osteosarcoma
I-osteosarcoma uhlobo olujwayelekile lomdlavuza wesifuba oluthinta kakhulu izingane kanye nentsha ephakathi kweminyaka engu-10 kuya ku-19. Iyenzeka ngesikhathi sokukhula kwethambo ngokushesha futhi kubafana abavamile kunamantombazane. Ikhefu le-osteosarcoma elitholakale kubantu abadala, kodwa lingavamile kakhulu.
Izimpawu ze-Osteosarcoma
I-shin, ithanga kanye nengalo engenhla yizindawo ezivamile zesifo sofuba ezinganeni nasebancane abane-osteosarcoma.
Kulezi zindawo ubuhlungu nokuvuvukala kwenzeka ngesifo. I-osteosarcoma ingahlakulela kwamanye amathambo, kodwa ajwayelekile kakhulu.
Ubuhlungu be-Bone buyimpawu evamile ye-osteosarcoma engase ibe yimbi nakakhulu ngesikhathi sokuvivinya umzimba noma ebusuku. Ubuhlungu be-bone buvame ukuhlobene nesimo esibucayi , njengokulimala, kunomdlavuza. Khumbula ukuthi akuzona zonke izicubu zethambo ezinomdlavuza njengoba ezinye zihlambalaza .
Ezinye izimpawu ze-osteosarcoma zihlanganisa:
- ithenda elihlangene noma ukuvuvukala
- amafracture ngenxa yobuthakathaka bethambo
- uhla olunqunyelwe lokunyakaza
Izimpawu ezingezona eziqondile ezifana nomkhuhlane, ukulahlekelwa kwesisindo okungenasisekelo, ukukhathala, nokuphelelwa yisifo semithi kungase kube izimpawu ze-osteosarcoma. Kodwa nazo zikhomba ezinye izimo ezinzima kakhulu.
Ukuthola i-Osteosarcoma
Izimpawu ezihlangene nezinye iziphumo ngesikhathi sokuhlolwa ngokomzimba zingase ziphakamise ukuba khona kwe-osteosarcoma, kodwa ukuhlolwa okwengeziwe kuyadingeka ukuqinisekisa noma yikuphi ukusola okufana nalokhu:
- Ukuhlola ukuhlolwa, njengama-x-ray, i-MRIs, ne- CT scans kusiza ukukhomba noma yikuphi ukungafani kwamathambo .
- Ukuskena kwethambo, ukuhlola okukhethekile kwe-nyukliya okuvumela ukuthi odokotela babone umsebenzi wokubuthemba wethambo. I-Bone scans ikhomba izindawo ezitheni ezikhula kancane noma eziye zaphulwa - izikhombisi ezinhle kakhulu zezimo.
- I-bone biopsy, ezokhipha noma iqinisekise ukuba khona komdlavuza . I- biopsy ye-bone ihilela ukususwa kwe-tissue encane yamathambo okumele ihlolwe ngaphansi kwe-microscope. Ngokuvamile kuthatha okungaphansi kwehora futhi kungenziwa njengendlela yokuphulukisa noma yokuhlinzwa .
Ukwenza i-biopsy kumuntu onomdlavuza wamathambo oyinhloko kungaba yinkimbinkimbi ngoba kukhona ingozi yokusakaza umdlavuza ngenkathi kwenziwa. Le nqubo kufanele yenziwe udokotela ohlinzayo owaziyo ukwenza ama-biopsies amathambo kulabo abanomdlavuza wethambo. Qaphela ukuthi i-biopsies indlela ejwayelekile yokudambisa le kansela futhi ingase isakaze kwezinye izicubu.
Uma umdlavuza utholakele, bese ubalwa futhi ugxilwe ngumhlengikazi. Ukuhlukanisa kanye nokuhlukaniswa kwesiteji kuyahlukahluka ngokusho kohlobo lomdlavuza wethambo. Okufanelekile, isifo sezokwelapha esihlola isampula sizokwazi ukuthola ukuhlolwa komdlavuza wegazi.
Ukwelapha I-Cancer Cancer
Isihluthulelo sokwelashwa okuphumelelayo sineqembu lezokwelapha elibhekene nomdlavuza wezithambo. Izinhlobo eziningi zomdlavuza wamathambo ziyinto engavamile kakhulu, futhi ukuba neqembu elikwazi kakhulu ukulawula umdlavuza wamathambo kuyadingeka. Izinhlobo eziningana zodokotela zakha lezi ziqhema ezingelahlukile zokwelashwa futhi zihlanganisa ama- oncologists wezokwelapha , ama-oncologists , ama-radiologists, abahlinzayo oncologists , ama- oncologists , nama- pathologists akhethekile .
- Thola Udokotela Wegazi Lomdlavuza
Kunezinhlobo ezintathu ezijwayelekile zokwelashwa ze-osteosarcoma: ukuhlinza, ukwelashwa kwemisebe, kanye ne-chemotherapy. Izikhathi eziningi, kuyadingeka izindlela ezingaphezu kweyodwa yokwelashwa , njengokuhlinzwa kanye nokwelashwa kwemisebe.
Ukwelapha kuyahlukahluka ngokususelwa kuhlobo lomdlavuza wethambo, uma lusakazekile (okuhlanganisiwe), nezinye izici zezempilo jikelele.
Ukuhlinzwa: I- Osteosarcoma ivame ukuphathwa ngokuhlinzwa. Ukwelapha okuhlinzekwa umdlavuza wesifuba ongazange usakaze kuhilela ukususa izicubu zomdlavuza nomkhawulo omncane wezicubu zamathambo ezinempilo ezizungezile. Ezinye izicubu zingadinga ukwelashwa kwe-chemotherapy noma ukwelashwa kwemisebe ngaphezu kokuphathwa kokwelapha.
Ukwelashwa kwezidakamizwa: Ukwelashwa kwezidakamizwa kusebenzisa izinhlobo ezithile eziphezulu zamandla emisebe ye-radiation ukuze zihlambe izicubu noma ziqede amaseli omdlavuza . I-radiation therapy isebenza ngokulimaza i-DNA yesifo somdlavuza, okwenza ingakwazi ukuphindaphindeka.
Nakuba ukwelapha imishanguzo kungaphazamisa amangqamuzana aphilile aseduze, amangqamuzana omdlavuza azwela kakhulu emisebeni futhi efa lapho ephathwa. Amangqamuzana anempilo awonakele ngesikhathi sokushisa imisebe aqinile futhi ngokuvamile akwazi ukululama ngokugcwele.
I-Chemotherapy: I- Chemotherapy ivame ukushiwo ukuze iphathe i-osteosarcoma. Imithi yokwelapha i-chemotherapy isebenza ngokuqeda ngokushesha ukwanda kwamangqamuzana omdlavuza. Noma kunjalo, amanye amangqamuzana enempilo emzimbeni wanda ngokushesha, njengama- follicle cell cells . Ngeshwa, izidakamizwa eziningi ze- chemotherapy kungenzeka zingakwazi ukuqonda amangqamuzana amabili, ahlasele aphilile kanye nemiphumela emibi efana nokulahlekelwa izinwele .
Qaphela ukuthi amaqembu amaningi anikeza ukwelashwa kwe-neoadjuvant ama-sarcomas futhi kukhona nokwelashwa okune-adjuvant , futhi.
> Imithombo:
> I- American Cancer Society. Umhlahlandlela oningiliziwe: I-Cancer Cancer Yini I-Cancer Cancer?
I-National Cancer Institute. I-Bone Cancer.