Chii chinonzi Ewing's Sarcoma?

Zvemukati

• Ndezvipi zviratidzo kana zviratidzo zveEwing's sarcoma?
• Chii chinokonzera Ewing's sarcoma?
• Ndiani ari panjodzi yeEwing's sarcoma?
• Inoonekwa sei sarcoma yaEwing?
• Kufungidzira bvunzo
• Biopsies
• Mhando dzeEwing's sarcoma
• Sarcoma yaEwing inorapwa sei?
• Kurapa sarudzo yeinowanikwa sarcoma yeEwing
• Kurapa sarudzo yemastasasized uye inowanzoitika Ewing's sarcoma
• Ndeapi maonero evanhu vane Ewing's sarcoma?

Izvi zvakajairika here?

Ewing's sarcoma ibundu risinganzwisisike rine gomarara repfupa kana zvinyoro. Zvinoitika kunyanya kune vechidiki.

Pakazara, inobata maAmerican. Asi kune vechidiki vane makore gumi kusvika pagumi nemapfumbamwe, izvi zvinomhanyira kune vekuAmerican mune iri zera reboka.

Izvi zvinoreva kuti dzinenge mazana maviri emakesi anoonekwa muUnited States gore rega rega.

Iyo sarcoma inonzi zita rekuAmerica chiremba James Ewing, uyo akatanga kutsanangura bundu iri muna 1921. Hazvisi pachena kuti chii chinokonzera Ewing's, saka hapana nzira dzinozivikanwa dzekudzivirira. Mamiriro acho anorapika, uye, kana akabatwa nekukurumidza, kupora zvizere kunogoneka.

Ramba uchiverenga kuti udzidze zvimwe.

Ndezvipi zviratidzo kana zviratidzo zveEwing's sarcoma?

Chiratidzo chakajairika cheEwing's sarcoma kurwadziwa kana kuzvimba munzvimbo yebundu.

Vamwe vanhu vanogona kugadzira bundu rinoonekwa pamusoro peganda ravo. Nzvimbo yakakanganiswa inogona zvakare kudziya kune iyo bata.

Zvimwe zviratidzo zvinosanganisira:

• kurasikirwa nenzara
• kupindwa nechando
• kuonda
• kuneta
• kunzwa kusanzwisisika (malaise)
• bhonzo rinotyoka pasina chikonzero chinozivikanwa
• kupererwa neropa

Mamota anowanzo gadzira mumaoko, makumbo, chiuno, kana chipfuva. Panogona kuve nezviratidzo zvakanangana nenzvimbo yebundu. Semuenzaniso, unogona kuona kufema kwekufema kana bundu riri muchipfuva chako.

Chii chinokonzera Ewing's sarcoma?

Chikonzero chaicho cheEwing's sarcoma hachina kujeka. Iyo haina kugarwa nhaka, asi inogona kuve inoenderana neshanduko-isina kugarwa mune chaiwo majini anoitika panguva yeupenyu hwemunhu. Kana ma chromosomes 11 ne12 achichinjana magene, inoita kuti masero awande. Izvi zvinogona kutungamira mukuvandudzwa kweEwing's sarcoma.

kuona iyo chaiyo mhando yesero umo Ewing's sarcoma inotangira iri kuenderera mberi.

Ndiani ari panjodzi yeEwing's sarcoma?

Kunyangwe saroma yaEwing inogona kukura pazera ripi zvaro, kupfuura vanhu vane chirwere ichi vanoonekwa mukuyaruka. Nguva yepakati yevaya vanobatwa ndeye.

MuUnited States, Ewing's sarcoma inowanzoitika muCaucasians kupfuura muAfrica -America. IAmerican Cancer Society inoshuma kuti kenza iyi haiwanzo kubata mamwe madzinza.

Vanhurume vanogona zvakare kuve nemikana yekuvandudza mamiriro acho. Mune chidzidzo chevanhu chiuru nemazana mana nemakumi mana nematanhatu vakavhiringidzwa naEwing’s, vaive varume uye vaive vanhukadzi.

Inoonekwa sei sarcoma yaEwing?

Kana iwe kana mwana wako achiona zviratidzo, ona chiremba wako. Mune angangoitika, chirwere ichi chatopararira, kana kuchinjika, nenguva yekuziva. Nokukurumidza kuongororwa kunoitwa, kurapwa kunoshanda zvakanyanya.

Chiremba wako anoshandisa musanganiswa weanotevera ekuongorora bvunzo.

Kufungidzira bvunzo

Izvi zvinogona kusanganisira chimwe kana zvimwe zvinotevera:

• X-rays yekufananidza mapfupa ako uye kuona huvepo hwebundu
• MRI inoongorora kumeso zvinyoro nyoro, nhengo, mhasuru, uye zvimwe zvivakwa uye inoratidza ruzivo rwebundu kana zvimwe zvisina kujairika
• CT scan yekufananidza muchinjiko-zvikamu zvemapfupa uye nyama
• Kufungidzira kweEOS kuratidza kusangana kwemajoini nemhasuru paunenge wakamira
• pfupa scan yemuviri wako wese kuratidza kana bundu raita metastasized
• PET scan kuratidza kana paine chero nzvimbo dzisina kujairika dzinoonekwa mune zvimwe zviyero mamota

Biopsies

Pane imwe nguva bundu rave rakafananidzirwa, chiremba wako anogona kuraira biopsy kuti atarise chidimbu chebundu pasi pe microscope kune yakatarwa kuzivikanwa.

Kana bundu racho riri diki, chiremba wako anogona kubvisa chinhu chose sechikamu chebhaopsy. Izvi zvinonzi biopsy inoshamisa, uye zvinoitwa pasi peanesthesia.

Kana bundu racho rakakura, chiremba wako anogona kutema chidimbu chacho. Izvi zvinogona kuitwa nekucheka kuburikidza neganda rako kuti ubvise chidimbu chebundu. Kana chiremba wako anovhiya anogona kuisa tsono hombe, ine mhango mukati meganda rako kuti ubvise chidimbu chebundu. Izvi zvinonzi incisional biopsies uye zvinowanzoitwa pasi peanesthesia.

Chiremba wako anogona zvakare kuisa tsono mupfupa kuti atore sampu yemvura nemaseru kuti aone kana gomarara rapararira mupfupa rako.

Kamwe bundu remota zvabviswa, pane bvunzo dzinoverengeka dzinobatsira kuziva sarcoma yeEwing. Kuongororwa kweropa kunogona kupawo ruzivo runobatsira pakurapa.

Mhando dzeEwing's sarcoma

Ewing's sarcoma yakarongedzwa nekuti kenza yapararira kubva pfupa kana zvinyoro zvinyowani payakatanga. Kune matatu marudzi:

• Yemunharaunda Ewing's sarcoma: Gomarara harina kupararira kune dzimwe nzvimbo dzemuviri.
• Metastatic Ewing's sarcoma: Gomarara rapararira kumapapu kana kune dzimwe nzvimbo mumuviri.
• Yazvino Ewing's sarcoma: Gomarara haripindure pakurapwa kana kudzoka mushure mekubudirira nzira yekurapa. Inowanzo dzoka mumapapu.

Sarcoma yaEwing inorapwa sei?

Kurapa kweEwing's sarcoma kunoenderana nekwakatangira bundu, saizi yebundu, uye kana gomarara rapararira.

Kazhinji, kurapwa kunosanganisira imwe kana nzira dzakawanda, kusanganisira:

• chemotherapy
• radiation kurapwa
• kuvhiya
• yakanangwa proton kurapwa
• high-dose chemotherapy inosanganiswa ne stem cell transplant

Kurapa sarudzo yeinowanikwa sarcoma yeEwing

Nzira yakajairika yekenza isina kupararira mubatanidzwa we:

• kuvhiya kubvisa bundu
• radiation kunzvimbo yebundu kuuraya chero masero egomarara asara
• chemotherapy kuuraya zvinogona kuitika maseru ekenza akapararira, kana micrometastasies

Vatsvagiri mune kumwe kuongorora kwakaitwa muna 2004 vakawana kuti kurapa kwekubatana senge izvi kwakabudirira. Vakaona kurapwa kwakakonzera makore mashanu ekupona kweanosvika 89 muzana uye makore masere ekupona kweanosvika makumi masere nemasere muzana.

Zvichienderana nenzvimbo yebundu, kumwezve kurapwa kunogona kudikanwa mushure mekuvhiyiwa kutsiva kana kudzoreredza nhengo yemitezo.

Kurapa sarudzo yemastasasized uye inowanzoitika Ewing's sarcoma

Kurapa kweEwing's sarcoma iyo ine metastasized kubva kune yekutanga saiti yakafanana neiyo yechirwere chemuno, asi iine yakaderera zvakanyanya budiriro. Vatsvagiri mune imwe vakashuma kuti makore mashanu ekupona mushure mekurapwa kwemasasoma eEwing's metastasized yaive 70 muzana.

Iko hakuna kwakajairika kurapwa kweinodzokororwa Ewing's sarcoma. Sarudzo dzekurapa dzinosiyana zvichienderana nekuti kenza yakadzoka kupi uye kuti kurapwa kwekutanga kwaive kupi.

Mazhinji emakiriniki ekuedzwa uye ekutsvagisa zvidzidzo zviri kuenderera mberi nekuvandudza kurapwa kwemasastasized uye inowanzoitika Ewing's sarcoma. Izvi zvinosanganisira:

• stem masero anochinja
• immunotherapy
• yakanangwa kurapwa ne monoclonal antibodies
• musanganiswa mutsva wemishonga

Ndeapi maonero evanhu vane Ewing's sarcoma?

Sezvo kurapa kutsva kuchikura, maonero evanhu vanobatwa neEwing's sarcoma inoramba ichivandudza. Chiremba wako ndiye sosi yako yepamusoro yeruzivo nezve maonero ako uye tarisiro yeupenyu.

IAmerican Cancer Society inoshuma kuti makore mashanu ekupona kwevanhu vane nzvimbo dzemamota anenge 70 muzana.

Kune avo vane mamastasized tumors, makore mashanu ekupona mwero ndeye 15 kusvika 30 muzana. Maonero ako anogona kunge ari akanaka kana kenza isina kupararira kune dzimwe nhengo kunze kwemapapu.

Iyo makore mashanu-ekupona mwero wevanhu vane inowanzoitika Ewing's sarcoma iri.

Iko kune izvo zvinogona kukanganisa ako ega maonero, kusanganisira:

• makore paanoonekwa
• saizi kukura
• bundu nzvimbo
• sei bundu rako rinopindura chemotherapy
• cholesterol muropa mazinga
• kurapwa kwakapfuura kwekenza yakati siyanei
• jenda

Iwe unogona kutarisira kuongororwa mukati uye mushure mekurapwa. Chiremba wako anogara achidzokorora kuti aone kana gomarara rapararira.

Vanhu vane Ewing's sarcoma vanogona kuve nenjodzi yakakwira yekuita mhando yechipiri yekenza. IAmerican Cancer Society inocherekedza kuti sezvo vechidiki vakawanda vane Ewing's sarcoma vari kurarama kusvika pakuva vanhu vakuru, mhedzisiro yenguva refu yekurapwa kwavo nekenza inogona kuoneka. Kutsvagisa munzvimbo ino kuri kuenderera mberi.