Mafunso 9 Omwe Mungafunse Dotolo Wanu Zazizindikiro Zanu za Tenosynovial Giant Cell Tumor (TGCT)

Zamkati

• 1. Mukutsimikiza kuti matenda anga ndi TGCT?
• 2. Chifukwa chiyani cholumikizira changa chatupa chonchi?
• 3. Kodi chotupa changa chidzapitilira kukula?
• 4. Kodi matenda anga ayamba kuipiraipira?
• 5. Kodi ndili ndi TGCT yamtundu wanji?
• 6. Kodi chotupacho chitha kufalikira mbali zina za thupi langa?
• 7. Kodi zizindikiro zanga ziyenera kuthandizidwa nthawi yomweyo?
• 8. Mutandichitira zotani?
• 9. Kodi ndingathane bwanji ndi matenda angawa padakali pano?
• Tengera kwina

Munapita kwa dokotala wanu chifukwa cha vuto limodzi ndipo mudazindikira kuti muli ndi chotupa cha tenosynovial giant cell (TGCT). Mwina mawuwo sangakhale achilendo kwa inu, ndipo mukamva mawuwo mwina simunadandawulepo.

Mukapatsidwa matenda, muyenera kuphunzira zambiri za matendawa komanso momwe zingakhudzire moyo wanu. Mukamadzakumananso ndi dokotala, mudzafunika kufunsa mafunso okhudzana ndi matenda anu.

Nawa mafunso asanu ndi anayi okuthandizani kumvetsetsa zizindikilo zanu komanso tanthauzo la chithandizo chanu.

1. Mukutsimikiza kuti matenda anga ndi TGCT?

TGCT si matenda okhawo omwe amachititsa kutupa, kupweteka, ndi kuuma m'malo olumikizirana mafupa. Matenda a nyamakazi amatha kutulutsa izi. Ndipo TGCT yosachiritsidwa imatha kubweretsa nyamakazi pakapita nthawi.

Kuyerekeza mayeso kungathandize dokotala kuti adziwe kusiyana kwake. Mu nyamakazi, dokotala wanu adzawona kuchepa kwa malo ophatikizana pa X-ray. Mayeso omwewo awonetsa kuwonongeka kwa mafupa ndi mafupa polumikizana ndi TGCT.

Kujambula kwamaginito (MRI) ndi njira yolondola kwambiri yosiyanitsira zinthu ziwirizi. MRI iwonetsa kusintha kwamalumikizidwe apadera a TGCT.

Ngati mwapezeka kuti muli ndi TGCT, koma simukukhulupirira kuti ndizomwe muli, onani dokotala wina kuti amve kachiwiri.

2. Chifukwa chiyani cholumikizira changa chatupa chonchi?

Kutupa kumachokera ku maselo otupa omwe amaphatikizana palimodzi palimodzi palimodzi, kapena synovium. Maselowa akamachuluka, amatuluka misinkhu yotchedwa zotupa.

3. Kodi chotupa changa chidzapitilira kukula?

TGCT imakula, koma mitundu ina imakula msanga kuposa ena. Ma pigment villonodular synovitis (PVNS) amatha kupezeka kapena kupezeka. Fomu yakomweko imayankha bwino kuchipatala. Komabe, mawonekedwe omwe amathawa amatha kukula msanga komanso kukhala ovuta kuwachiza.

Chotupa chachikulu cha cell of the tendon sheath (GCTTS) ndi mtundu wamatendawo. Nthawi zambiri imakula pang'onopang'ono.

4. Kodi matenda anga ayamba kuipiraipira?

Iwo akanakhoza. Anthu ambiri amayamba ndikutupa. Chotupacho chikamakula, chimakanikizira nyumba zapafupi, zomwe zimatha kupatsanso ululu, kuuma, ndi zizindikilo zina.

5. Kodi ndili ndi TGCT yamtundu wanji?

TGCT si matenda amodzi, koma gulu lazofananira. Mtundu uliwonse uli ndi zizindikilo zake.

Ngati bondo kapena chiuno chanu chatupa, mutha kukhala ndi PVNS. Mtundu uwu ukhozanso kukhudza mafupa monga phewa, chigongono, kapena bondo.

Kukula m'magulu ang'onoang'ono ngati manja ndi mapazi anu kumatha kukhala kochokera ku GCTTS. Nthawi zambiri simumva kuwawa ndi kutupa.

6. Kodi chotupacho chitha kufalikira mbali zina za thupi langa?

Ayi sichidziwika. TGCT si khansa, motero zotupa nthawi zambiri sizimapitilira chophatikizira pomwe zidayamba. Ndi kawirikawiri kokha pamene matendawa amasanduka khansa.

7. Kodi zizindikiro zanga ziyenera kuthandizidwa nthawi yomweyo?

Mitundu ina ya TGCT imakula mwachangu kuposa ena. PVNS imatha kukula msanga ndikuwononga chichereŵechereŵe ndi mafupa pozungulira pake, zomwe zimabweretsa nyamakazi. Ikhoza kusiya olowa nawo olumala kwathunthu ngati simulandila chithandizo.

GCTTS imakula pang'onopang'ono, ndipo imatha kuwononga ziwalo zanu. Pambuyo pokambirana mosamala ndi dokotala wanu, mutha kudikirira kuti muwachiritse ngati zizindikilozo sizikukuvutitsani.

8. Mutandichitira zotani?

Chithandizo chachikulu cha TGCT ndi opaleshoni yochotsa chotupacho ndi gawo lowonongeka la synovium mu olowa. Opaleshoni imatha kuchitidwa kudzera pachitseko chimodzi chotseguka (opaleshoni yotseguka) kapena pang'ono tating'onoting'ono (arthroscopy). Ngati cholumikizira chawonongeka kwambiri, pangafunike kuchotsedwapo china chonse.

9. Kodi ndingathane bwanji ndi matenda angawa padakali pano?

Kusunga phukusi la ayezi palimodzi kumatha kuthandizira kupweteka komanso kutupa. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAID) monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve) amathanso kuthandizira kupweteka komanso kutupa.

Kuti muchotse cholumikizira chowawa, mupumuleni. Gwiritsani ndodo kapena thandizo lina mukamayenda.

Kuchita masewera olimbitsa thupi ndikofunikanso kuti cholumikizira chisalimbe kapena kufooka. Funsani dokotala ngati pulogalamu yothandizira thupi ingakhale yoyenera kwa inu.

Tengera kwina

Kupezeka ndi matenda osowa ngati TGCT kumatha kumva kukhala kovuta. Mungafunike nthawi kuti musamalire zonse zomwe dokotala wakuuzani.

Mudzakhala olimba mtima ngati mumvetsetsa TGCT. Werengani izi, ndipo funsani dokotala mafunso ambiri okhudza momwe mungayendetsere ulendo wanu wotsatira.