Chii chinonzi osteosarcoma, zviratidzo uye maitiro ekurapa
Zvemukati
Osteosarcoma rudzi rwehutachiona hwemapfupa hunowanzoitika muvana, vachiri kuyaruka nevechidiki, vane mukana wakakura wezviratidzo zvakakomba pakati pemakore makumi maviri kusvika makumi matatu. Iwo mapfupa anonyanya kukanganiswa mapfupa marefu emakumbo nemaoko, asi osteosarcoma inogona kuoneka pane chero rimwe pfupa mumuviri uye nyore nyore kuita metastasis, ndokuti, bundu rinogona kupararira kune imwe nzvimbo.
Zvinoenderana nehukuru hwekukura kwechirwere, osteosarcoma inogona kuiswa mu:
- High giredhi: mune iyo bundu rine kukura kwakakurumidza uye inosanganisira zviitiko zve osteoblastic osteosarcoma kana chondroblastic osteosarcoma, inowanzoitika muvana nevechiri kuyaruka;
- Pakati pepakati: ine kukurumidza kukura uye inosanganisira periosteal osteosarcoma, semuenzaniso;
- Low giredhi: inokura zvishoma uye, nekudaro, yakaoma kuongorora uye inosanganisira parosteal uye intramedullary osteosarcoma.
Iyo inokurumidza kukura, inowedzera kukomba kwezviratidzo uye zvakanyanya mukana wekupararira kune dzimwe nhengo dzomuviri. Naizvozvo, zvakakosha kuti kuongororwa kwacho kunoitwa nekukurumidza sezvinobvira nachiremba wemazino kuburikidza nemiedzo yekufungidzira.
Osteosarcoma zviratidzo
Zviratidzo zveosteosarcoma zvinogona kusiyana kubva kune mumwe munhu kuenda kune mumwe, asi kazhinji zviratidzo zvikuru ndezvi:
- Marwadzo panzvimbo iyi, ayo anogona kuwedzera husiku;
- Kuzvimba / edema panzvimbo iyi;
- Kutsvuka uye kupisa;
- Bundu padhuze nejoini;
- Kuganhurirwa kwekufamba kweiyo yakabatanidzwa joini.
Kuongororwa kweosteosarcoma kunofanirwa kuitwa nachiremba wemazamu nekukurumidza sezvinobvira, kuburikidza neyekuwedzera marabhoritari uye bvunzo dzekufungidzira, senge radiography, tomography, magnetic resonance, bone scintigraphy kana PET. Bone biopsy inofanirwawo kugara ichiitwa kana paine fungidziro.
Izvo zvinoitika zve osteosarcoma zvinowanzoenderana nemajini, pane mukana mukuru wekuve nechirwere kune vanhu vane nhengo dzemhuri kana vane hutachiona hutachiona, seLi-Fraumeni syndrome, chirwere chePaget, nhaka retinoblastoma uye isina kukwana osteogenesis, semuenzaniso.
Kwakadii kurapwa
Kurapa kweosteosarcoma kunosanganisira timu yemarudzi akawanda ine oncology orthopedist, kliniki oncologist, radiotherapist, pathologist, chiremba wezvepfungwa, mukuru wezvechiremba, chiremba wevana uye wevanonyanya kutarisira chiremba.
Kune akatiwandei maitiro ekurapwa, kusanganisira chemotherapy, inoteverwa nekuvhiyiwa kwekubviswa kana kudimburwa uye nyowani chemotherapy kutenderera, semuenzaniso. Iko kushanda kwekemotherapy, radiotherapy kana kuvhiyiwa kunosiyana zvichienderana nenzvimbo yebundu, hasha, kubatanidzwa kwezvivakwa zvepedyo, metastases uye saizi.