Kodi Ewing's Sarcoma Ndi Chiyani?

Zamkati

• Zizindikiro ndi zisonyezo za Ewing's sarcoma ndi ziti?
• Nchiyani chimayambitsa sarcoma ya Ewing?
• Ndani ali pachiwopsezo cha sarcoma ya Ewing?
• Kodi matenda a Ewing’s sarcoma amapezeka bwanji?
• Kuyesa mayeso
• Zamoyo
• Mitundu ya sarcoma ya Ewing
• Kodi sarcoma ya Ewing imachiritsidwa bwanji?
• Njira zochiritsira za swingoma ya Ewing
• Njira zochiritsira za swingoma ya Ewing's metastasized and recurrent
• Kodi malingaliro a anthu omwe ali ndi sarcoma ya Ewing ndi otani?

Kodi izi ndizofala?

Ewing's sarcoma ndi chotupa chochepa cha khansa ya fupa kapena minofu yofewa. Zimachitika makamaka kwa achinyamata.

Ponseponse, zimakhudza anthu aku America. Koma kwa achinyamata azaka zapakati pa 10 mpaka 19, izi zimadumphadumpha anthu aku America am'badwo uno.

Izi zikutanthauza kuti pafupifupi milandu 200 imapezeka ku United States chaka chilichonse.

Sarcoma imadziwika kuti ndi dokotala waku America a James Ewing, omwe adayamba kufotokoza za chotupacho mu 1921. Sizikudziwika chomwe chimayambitsa Ewing's, chifukwa chake palibe njira zodziwikiratu zopewera. Matendawa amachiritsidwa, ndipo, akagwidwa msanga, amatha kuchira.

Pitilizani kuwerenga kuti mudziwe zambiri.

Zizindikiro ndi zisonyezo za Ewing's sarcoma ndi ziti?

Chizindikiro chofala kwambiri cha Ewing's sarcoma ndikumva kupweteka kapena kutupa m'dera la chotupacho.

Anthu ena amatha kukhala ndi chotupa pakhungu lawo. Malo okhudzidwa amathanso kukhala ofunda mpaka kukhudza.

Zizindikiro zina ndizo:

• kusowa chilakolako
• malungo
• kuonda
• kutopa
• kumva kusakhala bwino (malaise)
• fupa lomwe limathyoka popanda chifukwa chodziwika
• kuchepa kwa magazi m'thupi

Zotupa zimapangidwa m'mikono, miyendo, m'chiuno, kapena pachifuwa. Pakhoza kukhala zizindikiritso zakomwe kuli chotupacho. Mwachitsanzo, mutha kupuma movutikira ngati chotupacho chili pachifuwa panu.

Nchiyani chimayambitsa sarcoma ya Ewing?

Chifukwa chenicheni cha Ewing's sarcoma sichikudziwika. Sichotengera, koma chitha kukhala chokhudzana ndi kusintha kosabadwa kwa majini ena komwe kumachitika nthawi yamoyo wa munthu. Ma chromosomes 11 ndi 12 akasinthanitsa majini, imathandizira kuchuluka kwa maselo. Izi zitha kubweretsa chitukuko cha Ewing's sarcoma.

kuti mudziwe mtundu wanji wa selo momwe Ewing's sarcoma imayambira ikupitilira.

Ndani ali pachiwopsezo cha sarcoma ya Ewing?

Ngakhale swingoma ya Ewing imatha kukula msinkhu uliwonse, kuposa anthu omwe ali ndi vutoli amapezeka ali achinyamata. Zaka zapakati pa omwe akhudzidwa ndi.

Ku United States, sarcoma ya Ewing imatha kupezeka ku Caucasus kuposa ku Africa-America. American Cancer Society inanena kuti khansayo sichimakhudza anthu amitundu ina.

Amuna amathanso kukhala ndi vuto. Pakafukufuku wa anthu 1,426 omwe anakhudzidwa ndi Ewing's, anali amuna ndipo anali akazi.

Kodi matenda a Ewing’s sarcoma amapezeka bwanji?

Ngati inu kapena mwana wanu mukudwala, onani dokotala wanu. Pafupifupi milandu, matendawa amakhala atafalikira kale, kapena metastasized, pofika nthawi yodziwitsa. Matendawa atangoyamba kumene, chithandizo chothandiza kwambiri chitha kukhala.

Dokotala wanu adzagwiritsa ntchito mayesero angapo otsatirawa.

Kuyesa mayeso

Izi zitha kuphatikizira chimodzi kapena zingapo zotsatirazi:

• X-ray kujambula mafupa anu ndikuzindikira kupezeka kwa chotupa
• Kujambula kwa MRI kujambula ziwalo zofewa, ziwalo, minofu, ndi ziwalo zina ndikuwonetsa zambiri za chotupa kapena zovuta zina
• Kujambula kwa CT kujambula magawo am'mafupa ndi minyewa
• Kujambula kwa EOS kuwonetsa kulumikizana kwa zimfundo ndi minofu mutayimirira
• kusanthula mafupa a thupi lanu lonse kuti muwonetse ngati chotupa chasokoneza
• Kujambula kwa PET kuti muwonetse ngati malo aliwonse achilendo omwe amapezeka pazowunikira zina ndi zotupa

Zamoyo

Chotupacho chitajambulidwa, dokotala wanu amatha kuyitanitsa biopsy kuti ayang'ane chidutswa cha chotupacho pansi pa microscope kuti chizindikiritse.

Ngati chotupacho ndi chaching'ono, dotolo wanu akhoza kuchotsa chinthu chonsecho ngati gawo la kafukufukuyo. Izi zimatchedwa biopsy yodabwitsa, ndipo imachitika pansi pa anesthesia wamba.

Ngati chotupacho ndi chokulirapo, dokotala wanu amatha kudula chidutswa chake. Izi zitha kuchitika podzicheka pakhungu lanu kuti muchotse chotupacho. Kapenanso dokotala wanu akhoza kulowetsa singano yayikulu pakhungu lanu kuti achotse chotupacho. Izi zimatchedwa incisional biopsies ndipo nthawi zambiri zimachitika pansi pa anesthesia wamba.

Dokotala wanu amathanso kulowetsa singano mufupa kuti atengeko madzi ndi ma cell kuti awone ngati khansayo yafalikira m'mafupa.

Chotupacho chikachotsedwa, pamakhala mayeso angapo omwe amathandizira kuzindikira sarcoma ya Ewing. Kuyezetsa magazi kungathandizenso kudziwa zothandiza kuchiza.

Mitundu ya sarcoma ya Ewing

Sarcoma ya Ewing imagawidwa ngati khansara yafalikira kuchokera ku fupa kapena minofu yofewa momwe idayambira. Pali mitundu itatu:

• Malo a Ewing's sarcoma: Khansara siinafalikire kumadera ena a thupi.
• Metastatic Ewing's sarcoma: Khansara yafalikira kumapapu kapena malo ena m'thupi.
• Sarcoma Yobwereza ya Ewing: Khansara sichiyankha kuchipatala kapena kubwereranso pambuyo pochita bwino. Nthawi zambiri zimabwereranso m'mapapu.

Kodi sarcoma ya Ewing imachiritsidwa bwanji?

Chithandizo cha sarcoma ya Ewing chimadalira komwe chotupacho chimayambira, kukula kwa chotupacho, komanso ngati khansara yafalikira.

Nthawi zambiri, chithandizo chimaphatikizapo njira imodzi kapena zingapo, kuphatikiza:

• chemotherapy
• mankhwala a radiation
• opaleshoni
• mankhwala opangira proton
• mankhwala a chemotherapy ophatikizana ndi kuphatikana kwa tsinde

Njira zochiritsira za swingoma ya Ewing

Njira yofala ya khansa yomwe siidafalikire ndikuphatikiza kwa:

• opaleshoni kuchotsa chotupacho
• cheza kupita ku chotupa kuti aphe maselo amtundu uliwonse a khansa
• chemotherapy kupha zotheka maselo a khansa omwe afalikira, kapena ma micrometastasies

Ofufuza mu kafukufuku wina wa 2004 adapeza kuti kuphatikiza mankhwala ngati awa kudachita bwino. Adapeza kuti chithandizochi chidapangitsa kuti pakhale zaka 5 zapakati pa 89% komanso zaka 8 zapulumuka pafupifupi 82%.

Kutengera ndi chotupacho, chithandizo china chitha kukhala chofunikira pambuyo pa opaleshoni kuti musinthe kapena kubwezeretsanso ziwalo.

Njira zochiritsira za swingoma ya Ewing's metastasized and recurrent

Chithandizo cha sarcoma ya Ewing yomwe yasintha kuchokera patsamba loyambirira ndi yofanana ndi matenda am'deralo, koma ndi otsika kwambiri. Ofufuza mu imodzi adanena kuti zaka 5 zapulumuka pambuyo pochiritsidwa ndi Ewing's sarcoma inali pafupifupi 70%.

Palibe mankhwala ochiritsira a Ewing's sarcoma obwereza. Njira zochiritsira zimasiyana kutengera komwe khansa idabwerera komanso momwe mankhwala am'mbuyomu adalili.

Mayesero ambiri azachipatala ndi kafukufuku akuchita akupitiliza kukonza chithandizo cha swingoma ya Ewing's metastasised and recurrent. Izi zikuphatikiza:

• zimasintha maselo
• chithandizo chamankhwala
• chithandizo cholimbana ndi ma monoclonal antibodies
• mankhwala atsopano

Kodi malingaliro a anthu omwe ali ndi sarcoma ya Ewing ndi otani?

Pamene chithandizo chatsopano chikukula, malingaliro a anthu omwe akhudzidwa ndi swingoma ya Ewing akupitilizabe kusintha. Dokotala wanu ndiye gwero lanu labwino kwambiri kuti mumve zambiri za malingaliro anu komanso chiyembekezo cha moyo wanu.

American Cancer Society inanena kuti zaka 5 zapulumuka kwa anthu omwe adapeza zotupa pafupifupi 70%.

Kwa iwo omwe ali ndi zotupa zamagetsi, zaka 5 zapulumuka ndi 15 mpaka 30 peresenti. Maganizo anu akhoza kukhala abwino kwambiri ngati khansara siinafalikire ku ziwalo zina kupatula mapapo.

Kuchuluka kwa zaka 5 za anthu omwe ali ndi swingoma ya Ewing's.

Pali zomwe zingakhudze momwe mumaonera, kuphatikizapo:

• zaka atapezeka
• kukula kwa chotupa
• malo otupa
• momwe chotupa chanu chimayankhira chemotherapy
• mafuta m'magazi
• chithandizo cham'mbuyomu cha khansa ina
• jenda

Mutha kuyembekezera kuyang'aniridwa mukamalandira chithandizo. Dokotala wanu amayesa mobwerezabwereza kuti adziwe ngati khansara yafalikira.

Anthu omwe ali ndi sarcoma ya Ewing atha kukhala pachiwopsezo chachikulu chotenga khansa yamtundu wina. American Cancer Society inanena kuti pamene achinyamata ambiri omwe ali ndi swingoma ya Ewing akupulumuka mpaka kukula, zotsatira za nthawi yayitali za chithandizo chawo cha khansa zitha kuwonekera. Kafukufuku m'dera lino akupitilizabe.