Kusuta sarcoma

Ewing sarcoma ndi chotupa chowopsa cha mafupa chomwe chimapangidwa m'mafupa kapena minofu yofewa. Zimakhudza makamaka achinyamata komanso achinyamata.

Ewing sarcoma imatha kuchitika nthawi iliyonse ali mwana komanso atakula. Koma nthawi zambiri zimakula munthu akamatha msinkhu, mafupa akukula mofulumira. Amapezeka kwambiri mwa ana azungu kuposa ana akuda kapena asia.

Chotupacho chitha kuyamba kulikonse m'thupi. Nthawi zambiri, imayamba m'mafupa aatali a mikono ndi miyendo, m'chiuno, kapena pachifuwa. Ikhozanso kukula mu chigaza kapena mafupa apafupi a thunthu.

Chotupacho chimafalikira (metastasizes) m'mapapu ndi mafupa ena. Pa nthawi yodziwitsa, kufalikira kumawoneka pafupifupi gawo limodzi mwa atatu mwa ana omwe ali ndi Ewing sarcoma.

Nthawi zina, Ewing sarcoma imachitika mwa akulu.

Pali zizindikiro zochepa. Chofala kwambiri ndi kupweteka ndipo nthawi zina kutupa pamalo a chotupacho.

Ana amathanso kuthyola fupa pamalo omwe panali chotupacho pambuyo povulala pang'ono.

Malungo amathanso kukhalapo.

Ngati mukukayikira chotupa, mayeso oti mupeze chotupa choyambirira ndi kufalikira kulikonse (metastasis) nthawi zambiri amaphatikizapo:

• Kujambula mafupa
• X-ray pachifuwa
• Kujambula kwa CT pachifuwa
• MRI ya chotupacho
• X-ray ya chotupacho

Chidziwitso cha chotupacho chidzachitika. Kuyesedwa kosiyanasiyana kumachitika pamtunduwu kuti zithandizire kudziwa momwe khansa ilili yoopsa komanso chithandizo chomwe chingakhale chabwino.

Chithandizo nthawi zambiri chimaphatikizapo kuphatikiza kwa:

• Chemotherapy
• Thandizo la radiation
• Opaleshoni yochotsa chotupa choyambirira

Chithandizo chimadalira izi:

• Gawo la khansa
• Zaka ndi kugonana kwa munthuyo
• Zotsatira za mayeso pazitsanzo za biopsy

Kupsinjika kwa matenda kumatha kuchepetsedwa polowa nawo gulu lothandizira khansa. Kugawana ndi ena omwe akumana ndi mavuto omwe akukumana nawo kungakuthandizeni kuti musamve nokha.

Musanalandire chithandizo, mawonekedwe amatengera:

• Kaya chotupacho chafalikira kumadera akutali a thupi
• Komwe mthupi mudayamba chotupacho
• Chotupacho chimakhala chachikulu bwanji akachipeza
• Kaya kuchuluka kwa LDH m'magazi ndikokwera kuposa kwachibadwa
• Kaya chotupacho chili ndi majini ena amasintha
• Kaya mwanayo ndi wochepera zaka 15
• Kugonana kwa mwana
• Kaya mwanayo adalandira chithandizo cha khansa ina asanagule sarcoma
• Kaya chotupacho chapezeka kumene kapena chabwerera

Mpata wabwino kwambiri wochiritsira ndi kuphatikiza mankhwala kuphatikiza chemotherapy kuphatikiza radiation kapena opaleshoni.

Mankhwala omwe amafunikira kuthana ndi matendawa ali ndi zovuta zambiri. Kambiranani izi ndi wothandizira zaumoyo wanu.

Itanani omwe akukuthandizani ngati mwana wanu ali ndi zizindikilo za Ewing sarcoma. Kuzindikira koyambirira kumatha kukulitsa mwayi wazotsatira zabwino.

Khansa ya mafupa - Ewing sarcoma; Ewing banja la zotupa; Zotupa zoyambirira za neuroectodermal (PNET); Mitsempha ya mafupa - Ewing sarcoma

• X-ray
• Ewing sarcoma - x-ray

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 Cancer Institute. Ewing sarcoma treatment (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/bone/hp/ewing-kuchiza-pdq. Idasinthidwa pa February 4, 2020. Idapezeka pa Marichi 13, 2020.

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 Epulo 22, 2020.