Kodi osteosarcoma, zizindikiro ndi momwe mungachiritsire
Zamkati
Osteosarcoma ndi mtundu wamatenda oopsa omwe amapezeka pafupipafupi kwa ana, achinyamata komanso achikulire, omwe ali ndi mwayi wazizindikiro pakati pa zaka 20 ndi 30. Mafupa omwe amakhudzidwa kwambiri ndimafupa aatali a miyendo ndi mikono, koma osteosarcoma imatha kuwonekera pafupa lina lililonse mthupi ndipo imatha kudwala metastasis, ndiye kuti, chotupacho chitha kufalikira kumalo ena.
Malinga ndi kukula kwa chotupacho, osteosarcoma itha kugawidwa mu:
- Mkulu kalasi: momwe chotupacho chimakula mofulumira kwambiri ndipo chimaphatikizapo matenda a osteoblastic osteosarcoma kapena chondroblastic osteosarcoma, omwe amapezeka kwambiri kwa ana ndi achinyamata;
- Kalasi yapakatikati: ili ndi chitukuko chofulumira ndipo imaphatikizapo periosteal osteosarcoma, mwachitsanzo;
- Low kalasi: imakula pang'onopang'ono ndipo chifukwa chake, imakhala yovuta kuzindikira ndipo imaphatikizanso parosteal ndi intramedullary osteosarcoma.
Kukula msanga, kukulirakulira kwa zizindikilozo ndikotheka kufalikira mbali zina za thupi. Chifukwa chake, ndikofunikira kuti matendawa apangidwe mwachangu ndi a orthopedist kudzera mumayeso ojambula.
Zizindikiro za osteosarcoma
Zizindikiro za osteosarcoma zimatha kusiyanasiyana pakati pa munthu wina ndi mnzake, koma ambiri zizindikiro zazikulu ndi izi:
- Zowawa pamalopo, zomwe zimatha kukulirakulira usiku;
- Kutupa / edema pamalowo;
- Kufiira ndi kutentha;
- Chotupa pafupi ndi cholumikizira;
- Kulepheretsa kuyenda kwa cholumikizira chosokonekera.
Kuzindikira kwa osteosarcoma kuyenera kupangidwa ndi orthopedist mwachangu, kudzera pamavuto owonjezera a labotale ndi zojambula, monga radiography, tomography, magnetic resonance, bone scintigraphy kapena PET. Kufufuza mafupa kuyeneranso kuchitidwa nthawi zonse kukayikirana.
Kupezeka kwa osteosarcoma nthawi zambiri kumakhudzana ndi majini, pamakhala chiopsezo chachikulu chokhala ndi matendawa kwa anthu omwe ali ndi achibale awo kapena omwe ali ndi matenda amtundu, monga matenda a Li-Fraumeni, matenda a Paget, retinoblastoma yoloŵa komanso osteogenesis wopanda ungwiro, mwachitsanzo.
Kodi chithandizo
Chithandizo cha osteosarcoma chimaphatikizapo gulu la akatswiri osiyanasiyana omwe ali ndi oncology orthopedist, oncologist wazachipatala, radiotherapist, pathologist, psychologist, dokotala wamkulu, dokotala wazachipatala komanso dokotala wothandizira kwambiri.
Pali njira zingapo zochizira, kuphatikiza chemotherapy, yotsatira opaleshoni ya resection kapena amputation ndi chemotherapy cycle, mwachitsanzo. Ntchito ya chemotherapy, radiotherapy kapena opaleshoni imasiyanasiyana kutengera komwe kuli chotupacho, kukwiya, kutenga nawo mbali pazoyandikira, metastases ndi kukula kwake.