Osteosarcoma

Osteosarcoma ndi mtundu wosowa kwambiri wa khansa yotupa yomwe imayamba achinyamata. Nthawi zambiri zimachitika mwana akamakula msanga.

Osteosarcoma ndi khansa yapafupa yofala kwambiri mwa ana. Avereji ya msinkhu wopezeka ndi zaka 15. Anyamata ndi atsikana ali ndi mwayi wokhala ndi chotupacho mpaka azaka zopitilira 20, pomwe chimachitika kwambiri mwa anyamata. Osteosarcoma imakhalanso yofala kwa anthu azaka zopitilira 60.

Choyambitsa sichikudziwika. Nthawi zina, osteosarcoma imayenda m'mabanja. Gulu limodzi limalumikizidwa ndi chiopsezo chowonjezeka. Mtundu uwu umalumikizananso ndi retinoblastoma yabanja. Ichi ndi khansa ya diso yomwe imapezeka mwa ana.

Osteosarcoma imayamba kupezeka m'mafupa a:

• Shin (pafupi ndi bondo)
• Chifuwa (pafupi ndi bondo)
• Dzanja lakumtunda (pafupi ndi phewa)

Osteosarcoma imapezeka kwambiri m'mafupa akulu m'dera la mafupa omwe amakula msanga. Komabe, zimatha kupezeka mufupa lililonse.

Chizindikiro choyamba nthawi zambiri chimakhala kupweteka kwa mafupa pafupi ndi cholumikizira. Chizindikiro ichi chitha kunyalanyazidwa chifukwa cha zina zomwe zimayambitsa kupweteka kwamagulu.

Zizindikiro zina zitha kukhala izi:

• Kuphulika kwa mafupa (kumatha kuchitika pambuyo poyenda)
• Kulepheretsa kuyenda
• Kukhazikika (ngati chotupa chili mwendo)
• Ululu pokweza (ngati chotupacho chili m'manja)
• Chikondi, kutupa, kapena kufiira pamalo pomwe panali chotupacho

Wothandizira zaumoyo adzayesa thupi ndikufunsa za mbiri ya zamankhwala ndi zomwe adapeza.

Mayeso omwe angachitike ndi awa:

• Chiwopsezo (panthawi yochita opareshoni kuti mupeze matenda)
• Kuyesa magazi
• Fufuzani kuti muwone ngati khansara yafalikira m'mafupa ena
• Kuyeza kwa CT pachifuwa kuti muone ngati khansayo yafalikira m'mapapu
• Kujambula kwa MRI
• Kujambula PET
• X-ray

Chithandizo chimayamba pambuyo poti chotupa chachitika.

Asanachite opareshoni kuti achotse chotupacho, amapatsidwa chemotherapy. Izi zitha kuchepetsa chotupacho ndikupangitsa opaleshoni kukhala yosavuta. Ikhozanso kupha maselo aliwonse a khansa omwe afalikira mbali zina za thupi.

Opaleshoni imagwiritsidwa ntchito pambuyo pa chemotherapy kuchotsa chotupa chilichonse chomwe chatsala. Nthawi zambiri, opareshoni imatha kuchotsa chotupacho kwinaku ikupulumutsa gawo lomwe lakhudzidwa. Uku kumatchedwa opaleshoni yopulumutsa ziwalo. Nthawi zambiri, kuchitidwa opaleshoni (kudula mamembala) kumafunika.

Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira khansa.Kugawana ndi ena omwe akukumana nawo komanso omwe akukumana ndi mavuto angathandize inu ndi banja lanu kuti musamve nokha.

Ngati chotupacho sichinafalikire m'mapapu (metastasis ya m'mapapo mwanga), kuchuluka kwa moyo kwa nthawi yayitali kuli bwino. Ngati khansara yafalikira mbali zina za thupi, malingaliro ake ndi oyipa. Komabe, pali mwayi woti kuchiritsidwa ndi chithandizo chothandiza.

Zovuta zingaphatikizepo:

• Kuchotsa ziwalo
• Kufalikira kwa khansa m'mapapu
• Zotsatira zoyipa za chemotherapy

Itanani omwe akukuthandizani ngati inu kapena mwana wanu mukumva kupweteka kwamfupa, kufatsa, kapena kutupa.

Nyamakazi sarcoma; Chotupa cha mafupa - osteosarcoma

• X-ray
• Osteogenic sarcoma - x-ray
• Ewing sarcoma - x-ray
• Chotupa cha mafupa

Anderson ME, Randall RL, Springfield DS, Gebhardt MC. Sarcomas wamfupa. Mu: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. 5th ed. Philadelphia, PA: Elsevier Saunders; 2014: mutu 92.

Tsamba la National Cancer Institute. Osteosarcoma ndi malignant fibrous histiocytoma of bone treatment (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/bone/hp/osteosarcoma-kuchiza-pdq. Idasinthidwa pa Juni 11, 2018. Idapezeka Novembala 12, 2018.