Ewing sarcoma

Ewing sarcoma chirwere chakaipa chefupa chinoumba mupfupa kana munyama munyoro. Iyo inobata zvakanyanya vechidiki uye vechidiki vakuru.

Kutora sarcoma kunogona kuitika chero nguva panguva yehucheche uye kuyaruka. Asi inowanzo kukura panguva yekuyaruka, apo mapfupa ari kukura nekukurumidza. Izvo zvakajairika muvachena vana kupfuura muvatema kana maasia vana.

Bundu rinogona kutanga chero mumuviri. Kazhinji kazhinji, inotanga mumapfupa marefu emaoko nemakumbo, chiuno, kana chipfuva. Inogona zvakare kukura mu dehenya kana mapfupa akavhurika ehunde.

Bundu rinowanzopararira (metastasize) kumapapu nemamwe mapfupa. Panguva yekuongororwa, kupararira kunoonekwa mune chikamu chimwe muzvitatu chevana vane Ewing sarcoma.

Muzviitiko zvisingawanzoitika, Ewing sarcoma inowanikwa muvakuru.

Pane zvishoma zviratidzo. Kunyanya kuzivikanwa kurwadziwa uye dzimwe nguva kuzvimba panzvimbo yebundu.

Vana vanogona zvakare kutyora pfupa pane iyo nzvimbo yebundu mushure mekukuvara kudiki.

Fivha inogonawo kunge iripo.

Kana bundu rikafungidzirwa, bvunzo dzekuwana iro bundu rekutanga uye chero kupararira (metastasis) kazhinji kunosanganisira:

• Bone scan
• Chest x-ray
• CT scan yechifuva
• MRI yebundu
• X-ray yebundu

Bhiopsy yebundu ichaitwa. Kuedzwa kwakasiyana kunoitwa pachinhu ichi kuti ubatsire kuona kuti kenza ine hukasha zvakadii uye nemarapirwo angave akanakisa.

Kurapa kunowanzo sanganisira musanganiswa we:

• Chemotherapy
• Radiation kurapa
• Kuvhiya kubvisa bundu rekutanga

Kurapa kunoenderana nezvinotevera:

• Chikamu checancer
• Zera uye bonde remunhu
• Mhedzisiro yemiyedzo pamuenzaniso webiopsy

Kushungurudzika kwekurwara kunogona kurerutswa nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Usati warapwa, maonero anoenderana ne:

• Kunyangwe bundu rakapararira kumativi ari kure emuviri
• Iko mumuviri bundu rakatanga
• Iko kukura kwakakura sei kana kuchionekwa
• Kunyangwe chikamu cheLDH muropa chakakwirira kupfuura zvakajairwa
• Kunyangwe bundu racho riine rimwe jeni rinoshanduka
• Kunyangwe mwana ari mudiki pane makore gumi nemashanu
• Bonde remwana
• Kunyangwe mwana ave akarapwa gomarara rakasiyana pamberi peEwing sarcoma
• Kunyangwe bundu racho richangobva kuongororwa kana kuti rakadzoka

Mukana wakanakisa wekurapa ndeyekusanganiswa kwemishonga inosanganisira chemotherapy pamwe nemwaranzi kana kuvhiyiwa.

Kurapa kunodiwa kurwisa chirwere ichi kune zvakawanda zvinonetsa. Kurukura izvi nemupi wako wekuchengeta hutano.

Fonera waunopa kana mwana wako aine chero zviratidzo zveEwing sarcoma. Kuongororwa kwekutanga kunogona kuwedzera mukana wechiitiko chakanaka.

Gomarara repfupa - Ewing sarcoma; Kuchera mhuri yemamota; Primitive neuroectodermal tumors (PNET); Bone neoplasm - Ewing sarcoma

• X-ray
• Kuchera sarcoma - x-ray

Heck RK, Toy PC. Mamota akaipa emapfupa. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chitsiko 27.

National Cancer Institute webhusaiti. Ewing sarcoma kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/bone/hp/ewing-treatment-pdq. Yakagadziridzwa Kukadzi 4, 2020. Yakasvika munaKurume 13, 2020.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira maitiro mune oncology (NCCN nhungamiro): Bone cancer. Shanduro 1.2020. www.nccn.org/professionals/physician_gls/pdf/bone.pdf. Yakagadziridzwa Nyamavhuvhu 12, 2019. Yakasvika muna Kubvumbi 22, 2020.