Chotupa cha mafupa

Chotupa cha mafupa ndikukula kwakanthawi kwamaselo mkati mwa fupa. Chotupa cha mafupa chimatha kukhala chansa (chotupa) kapena chosapatsa khansa (chosaopsa).

Zomwe zimayambitsa mafupa sizidziwika. Nthawi zambiri zimachitika m'malo amfupa omwe amakula mwachangu. Zomwe zingayambitse ndi izi:

• Zofooka zathupi zimadutsa m'mabanja
• Mafunde
• Kuvulala

Nthawi zambiri, palibe chifukwa chenicheni chomwe chimapezeka.

Osteochondromas ndi mafupa ofala kwambiri omwe alibe khansa. Amachitika nthawi zambiri mwa achinyamata azaka zapakati pa 10 ndi 20.

Khansa yomwe imayambira m'mafupa amatchedwa zotupa zoyambirira zam'mafupa. Khansa ya mafupa yomwe imayamba mgulu lina la thupi (monga mawere, mapapo, kapena colon) amatchedwa zotupa zam'mafupa zachiwiri kapena zamatenda. Amakhala mosiyana kwambiri ndi zotupa zoyambira m'mafupa.

Zotupa zam'mafupa zoyambirira zimakhala ndi:

• Chondrosarcoma
• Kusuta sarcoma
• Fibrosarcoma
• Kosachita

Khansa yomwe imakonda kufalikira kumafupa ndi khansa ya:

• Chifuwa
• Impso
• Mapapo
• Prostate
• Chithokomiro

Mitundu iyi ya khansa nthawi zambiri imakhudza achikulire.

Khansara ya mafupa imafala kwambiri kwa anthu omwe ali ndi mbiri ya mabanja ya khansa.

Zizindikiro za chotupa cha mafupa zingaphatikizepo izi:

• Kuphulika kwa mafupa, makamaka kuvulala pang'ono (zoopsa)
• Kupweteka kwa mafupa, kumatha kukula usiku
• Nthawi zina misa ndi kutupa kumamveka pamalopo

Zotupa zina zoyipa zilibe zisonyezo.

Wothandizira zaumoyo adzayesa. Mayeso omwe angachitike ndi awa:

• Alkaline phosphatase mulingo wamagazi
• Kutulutsa mafupa
• Kujambula mafupa
• X-ray pachifuwa
• Kujambula kwa CT pachifuwa
• MRI ya mafupa ndi minofu yoyandikana nayo
• X-ray ya mafupa ndi minofu yoyandikana nayo
• Kujambula PET

Mayesero otsatirawa atha kulamulidwanso kuti aziyang'anira matendawa:

• Zamchere phosphatase isoenzyme
• Mulingo wama calcium
• Mahomoni a Parathyroid
• Mlingo wa phosphorous magazi

Zotupa zina zosaopsa zimatha zokha ndipo sizikusowa chithandizo. Wopereka wanu adzakuyang'anirani mosamala. Muyenera kuti mudzayesedwa kawirikawiri, monga ma x-ray, kuti muwone ngati chotupacho chikuchepa kapena kukula.

Kuchita opaleshoni kungafunike kuti muchotse chotupacho nthawi zina.

Chithandizo cha zotupa za khansa zomwe zafalikira kuchokera mbali zina za thupi zimadalira komwe khansara idayambira. Thandizo la radiation lingaperekedwe kuti muchepetse kusweka kapena kuti muchepetse ululu. Chemotherapy itha kugwiritsidwa ntchito popewa kusweka kapena kufunika kochitidwa opaleshoni kapena radiation.

Zotupa zomwe zimayambira m'mafupa ndizochepa. Pambuyo pa biopsy, kuphatikiza kwa chemotherapy ndi opaleshoni nthawi zambiri kumakhala kofunikira. Thandizo la radiation lingafunike musanachite opaleshoni kapena pambuyo pake.

Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira khansa. Kugawana ndi ena omwe akumana ndi mavuto omwe akukumana nawo kungakuthandizeni kuti musamve nokha.

Momwe mumakhalira bwino zimatengera mtundu wa chotupa cha mafupa.

Zotsatira zake nthawi zambiri zimakhala zabwino kwa anthu omwe ali ndi zotupa zopanda khansa (zotupa). Koma zotupa zabwino za mafupa zimatha kusintha kukhala khansa.

Anthu omwe ali ndi zotupa za khansa zomwe sizinafalikire amatha kuchiritsidwa. Mankhwala ake amatengera mtundu wa khansa, malo, kukula, ndi zina. Lankhulani ndi omwe amakupatsani za khansa yanu.

Mavuto omwe angabwere chifukwa cha chotupacho kapena chithandizo chake ndi awa:

• Ululu
• Kuchepetsa ntchito, kutengera chotupa
• Zotsatira zoyipa za chemotherapy
• Kufalikira kwa khansa kumatenda ena oyandikira (metastasis)

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za chotupa cha mafupa.

Chotupa - fupa; Khansa ya mafupa; Chotupa chachikulu cha mafupa; Chotupa chachiwiri cha mafupa; Bone chotupa - chosaopsa

• X-ray
• Mafupa
• Osteogenic sarcoma - x-ray
• Ewing sarcoma - x-ray

Heck RK, PC Yoseweretsa. Zotupa zowopsa / zamfupa za fupa. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 26.

Heck RK, PC Yoseweretsa. Zotupa zoyipa za mafupa. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 27.

Tsamba la National Comprehensive Cancer Network. Malangizo azachipatala a NCCN mu oncology (malangizo a NCCN): Khansa ya mafupa. Mtundu 1.2020. www.nccn.org/professionals/physician_gls/pdf/bone.pdf. Idasinthidwa pa Ogasiti 12, 2019. Idapezeka pa Julayi 15, 2020.

Reith JD. Mafupa ndi mafupa. Mu: Goldblum JR, Nyali LW, McKenney JK, Myers JL, olemba. Rosai ndi Ackerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: mutu 40.