Matenda achikulire ofewa sarcoma

Matenda ofewa a sarcoma (STS) ndi khansa yomwe imapangidwa munyama zofewa za thupi. Minofu yofewa imalumikiza, kuthandizira, kapena kuzungulira ziwalo zina za thupi. Kwa akuluakulu, matenda opatsirana pogonana ndi osowa.

Pali mitundu yambiri ya khansa yofewa. Mtundu wa sarcoma umadalira minofu yomwe imapangika:

• Minofu
• Zowonjezera
• Mafuta
• Mitsempha yamagazi
• Zombo zamatenda
• Mitsempha
• Minyewa yolumikizira ndi kuzungulira

Khansara imatha kupanga pafupifupi kulikonse, koma imafala kwambiri:

• Mutu
• Khosi
• Zida
• Miyendo
• Thunthu
• Mimba

Sizikudziwika chomwe chimayambitsa sarcomas ambiri. Koma pali zifukwa zina zowopsa:

• Matenda ena obadwa nawo, monga matenda a Li-Fraumeni
• Thandizo la radiation kwa khansa zina
• Kuwonetsedwa ndi mankhwala ena, monga vinyl chloride kapena herbicides ena
• Kukhala ndi kutupa m'manja kapena miyendo kwa nthawi yayitali (lymphedema)

Kumayambiriro, nthawi zambiri palibe zizindikiro. Khansara ikamakula, imatha kuyambitsa chotupa kapena kutupa komwe kumakulabe pakapita nthawi. Mabala ambiri SALI khansa.

Zizindikiro zina ndizo:

• Kupweteka, ngati ikanikiza mitsempha, chiwalo, chotengera magazi, kapena minofu
• Kutseka kapena kutuluka magazi m'mimba kapena m'matumbo
• Mavuto opumira

Wothandizira zaumoyo wanu adzakufunsani za mbiri yanu yazachipatala ndikuwunika. Mayesero ena atha kuphatikizira:

• X-ray
• Kujambula kwa CT
• MRI
• Kujambula PET

Ngati wothandizira wanu akukayikira khansa, mungakhale ndi biopsy kuti muwone ngati muli ndi khansa. Mu biopsy, omwe amakupatsani amatola zitsanzo kuti apende labu.

Biopsy iwonetsa ngati khansa ilipo ndikuthandizira kuwonetsa momwe ikukula msanga. Wothandizira anu angafunse mayesero ena kuti athetse khansa. Kupanga masitepe kumatha kudziwa kuchuluka kwa khansa yomwe ilipo komanso ngati yafalikira.

Opaleshoni ndi mankhwala omwe amapezeka kwambiri ku STS.

• Kumayambiriro, chotupacho ndi minofu yabwinobwino imachotsedwa.
• Nthawi zina, minofu yaying'ono imafunika kuchotsedwa. Nthawi zina, gawo lonse la minofu liyenera kuchotsedwa.
• Ndi khansa yotsogola yomwe imapanga mkono kapena mwendo, opaleshoni imatha kutsatiridwa ndi radiation kapena chemotherapy. Nthawi zambiri, chiwalocho chimafunika kudulidwa.

Muthanso kukhala ndi radiation kapena chemotherapy:

• Anagwiritsidwa ntchito asanachite opareshoni kuti athandize kufufuta chotupacho kuti zikhale zosavuta kuchotsa khansa
• Amagwiritsidwa ntchito atachitidwa opaleshoni kuti aphe maselo ena aliwonse a khansa

Chemotherapy itha kugwiritsidwa ntchito kuthandiza kupha khansa yomwe yasintha. Izi zikutanthauza kuti yafalikira m'malo osiyanasiyana mthupi.

Khansa imakhudza momwe mumadzionera nokha komanso moyo wanu. Mutha kuchepetsa nkhawa zamankhwala ndikulowa nawo gulu lothandizira khansa. Kugawana ndi ena omwe adakumana ndi zovuta zomwezo komanso mavuto omwe akukumana nawo kungakuthandizeni kuti musamve nokha.

Funsani omwe akukuthandizani kuti akuthandizeni kupeza gulu lothandizira anthu omwe apezeka ndi STS.

Maganizo a anthu omwe khansa imachiritsidwa msanga ndiabwino kwambiri. Anthu ambiri omwe apulumuka zaka 5 amatha kuyembekezera kukhala opanda khansa pazaka 10.

Zovuta zimaphatikizaponso zotsatira zoyipa zochitidwa opaleshoni, chemotherapy, kapena radiation.

Onani omwe akukuthandizani za chotupa chilichonse chomwe chimakula kapena chopweteka.

Zomwe zimayambitsa ma STS ambiri sizikudziwika ndipo palibe njira yodzitetezera. Kudziwa zomwe mungachite pachiwopsezo ndikuwuza omwe akukuthandizani mukazindikira zizindikilo kumatha kukulitsa mwayi wopulumuka khansa yamtunduwu.

STS; Leiomyosarcoma; Hemangiosarcoma; Sarcoma ya Kaposi; Lymphangiosarcoma; Synovial sarcoma; Neurofibrosarcoma; Liposarcoma; Fibrosarcoma; Matenda owopsa a histiocytoma; Dermatofibrosarcoma; Angiosarcoma

Contreras CM, Heslin MJ. Matenda ofewa a sarcoma. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 31.

Tsamba la National Cancer Institute. Mankhwala achikulire ofewa a sarcoma (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/soft-tissue-sarcoma/hp/adult-soft-tissue-treatment-pdq#section/all. Idasinthidwa pa Januware 15, 2021. Idapezeka pa February19, 2021.

Van Tine BA. Sarcomas ya minofu yofewa. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 90.