Chii chinonzi Teratoma?
Zvemukati
- Mhedziso
- Mhando dzetatomas
- Zviratidzo zvetatoma
- Sacrococcygeal (tailbone) teratoma
- Ovarian teratoma
- Testicular teratoma
- Teratoma inokonzera
- Iwo mapatya dzidziso
- Teratomas nekenza
- Sacrococcygeal (tailbone) teratoma
- Ovarian teratoma
- Testicular teratoma
- Kuongorora teratomas
- Sacrococcygeal teratoma (SCT)
- Ovarian teratoma
- Testicular teratoma
- Teratoma kurapwa
- Sacrococcygeal teratoma (SCT)
- Ovarian teratoma
- Testicular teratoma
- Maonero
Mhedziso
Teratoma mhando isingawanzo yemota iyo inogona kuve yakazara zvakakwana matishu uye nhengo, kusanganisira bvudzi, meno, mhasuru, uye pfupa. Teratomas inonyanya kuwanikwa mumuswe wemuswe, mazai, uye machende, asi inogona kuitika kumwe kunhu mumuviri.
Teratomas inogona kuoneka mune vacheche, vana, kana vakuru. Izvo zvinowanzoitika kune vakadzi. Teratomas inowanzo kuve isina hutano muvacheche, asi inogona kuramba ichida kubviswa.
Mhando dzetatomas
Teratomas inowanzo rondedzerwa seyakakura kana kusakura.
- Materoma akura anowanzo kuve akaipa (kwete cancer). Asi vanogona kukura shure mushure mekuvhiyiwa kubviswa.
- Matatomas asina kusimba anowanzo kukura kuva kenza yakaipa.
Matureti akura anoiswa zvakare se:
- cystic: yakavharirwa mune yayo yemvura ine sac
- yakasimba: yakagadzirwa nematissue, asi isina kuzvivharira
- yakavhenganiswa: ine ese akasimba uye cystic zvikamu
Mature cystic teratomas anonziwo dermoid cysts.
Zviratidzo zvetatoma
Teratomas inogona kunge isina zviratidzo pakutanga. Kana zviratidzo zvikavapo, zvinogona kuve zvakasiyana zvichienderana nekuti teratoma iri kupi. Nzvimbo dzinowanzozivikanwa dzeatatomas ndiwo muswe (coccyx), ovari, uye machende.
Zviratidzo nezviratidzo zvakajairika kumatatoma mazhinji anosanganisira:
- kurwadziwa
- kuzvimba nekubuda ropa
- zvinyoro zvinyoro zvakakwirisa zvealpha-feroprotein (AFP), mucherechedzo wemamota
- zvinyoro nyoro zviyero zvehormone beta-yemunhu chorionic gonadotropin (BhCG)
Heano zvimwe zviratidzo zvakanangana nerudzi rwe teratoma:
Sacrococcygeal (tailbone) teratoma
Sacrococcygeal teratoma (SCT) ndiyo inokura mu coccyx kana tailbone. Ndiro bundu rakajairika rinowanikwa muvacheche nevana, asi zvichiri zvisingawanzoitika zvachose. Inoitika mune ingangoita 1 mune yega yega 35,000 kusvika 40,000 vacheche.
Aya teratoma anogona kukura kunze kana mukati memuviri munzvimbo yemuswe. Kunze kwehukuru hunoonekwa, zviratidzo zvinosanganisira:
- kuvimbiswa
- marwadzo emudumbu
- kunorwadza weti
- kuzvimba munharaunda yepabic
- kushaya simba kwemakumbo
Ivo vanowanikwa kazhinji muvacheche vasikana kupfuura vakomana. Mune kumwe kuongorora kwe2015 kwevarwere vanorapwa maSCT pachipatara cheThailand kubva muna 1998 kusvika 2012, huwandu hwevakadzi kusvika kumurume hwaive.
Ovarian teratoma
Chiratidzo cheovarian teratoma kurwadziwa kwakanyanya mupfupa kana mudumbu. Izvi zvinouya kubva mukumanikidza kumanikidza paiyo ovary (ovarian torsion) inokonzerwa nehukuru huri kukura.
Dzimwe nguva ovarian teratoma inogona kuperekedzwa neyakajairika mamiriro inozivikanwa seNMDA encephalitis. Izvi zvinogona kuburitsa zvakanyanya kutemwa nemusoro uye zviratidzo zvepfungwa zvinosanganisira kuvhiringidzika uye psychosis.
Testicular teratoma
Chiratidzo chikuru che testicular teratoma ibundu kana kuzvimba mune testicle. Asi zvinogona kuratidza zvisina zviratidzo.
Testicular teratoma yakajairika pakati pemakore makumi maviri kusvika makumi matatu, kunyangwe ichigona kuitika chero pazera.
Teratoma inokonzera
Teratomas inoguma kubva mukuomarara mukukura kwemuviri, inosanganisira nzira iyo maseru ako anosiyanisa uye kugona.
Teratomas inomuka mumasero emumuviri wako, ayo anogadzirwa kutanga kwazvo mukukura kwe "fetus".
Mamwe emasero echinyakare aya anova masero ako anogadzira urume- nezai. Asi utachiona masero anokwanisa kuwanikwa kumwe kunhu mumuviri, kunyanya mudunhu remuswe wemuswe uye mediastinum (membrane inoparadzanisa mapapu).
Majeremusi maseru rudzi rwechitokisi chinozivikanwa sepluripotent. Izvi zvinoreva kuti ivo vanokwanisa kusiyanisa mune chero mhando yeseru yakasarudzika inogona kuwanikwa mumuviri wako.
Imwe dzidziso yetatomas inoratidza kuti mamiriro acho anotangira mumasero makuru aya. Iyi inodaidzwa kunzi parthenogenic dzidziso uye ikozvino ndiwo maonero aripo.
Inotsanangura kuti matatoma anowanikwa sei aine vhudzi, wakisi, mazino, uye anogona kutaridzika kunge mwana anenge akaumbwa. Iko iko kwetatomas kunopokana nekwavo kwakatangira mune echinyakare utachiona maseru.
Iwo mapatya dzidziso
Muvanhu, mhando isingawanzoonekwa yetatoma inogona kuoneka, inonzi fetus mu fetu (fetus mukati me "fetus").
Iyi teratoma inogona kuve neyakaonekwa seyakaomeswa fetus. Yakagadzirwa netissue mhenyu. Asi pasina rutsigiro rweplacenta uye amniotic sac, iyo fetus isina kukura haina mukana wekukura.
Imwe rondedzero inotsanangura fetus mu fetu teratoma semasara epatya anga asingakwanise kukura mudumbu, uye akapoteredzwa nemuviri wemwana mupenyu.
Dzidziso inopesana inotsanangura "fetus" mu fetu seyakasimudzwa cyst cyst. Asi iro rakakwirira danho rekuvandudza rinofarira iyo twin dzidziso.
Fetus mu fetu inongokura mumapatya avo vese vari vaviri:
- vane saga ravo reamniotic fluid (diamniotic)
- shandisa zvakafanana placenta (monochorionic)
Iyo fetus mu fetu teratoma inowanzoonekwa muhucheche. Izvo zvinogona kuitika muvana chero bonde. Muma teratomas aya anowanikwa mwana asati asvika mwedzi gumi nemisere ekuberekwa.
Mazhinji fetus mu fetu teratomas anoshaya chimiro chehuropi. Asi 91 muzana vane musana wechipfuva, uye 82.5 muzana vane mitezo yemakumbo.
Teratomas nekenza
Rangarira kuti teratomas inorondedzerwa seyakakura (inowanzo kuve yakaipa) kana kusakura (ingangoita cancer). Iko mukana wekenza kunoenderana nekuti mumuviri kupi teratoma inowanikwa.
Sacrococcygeal (tailbone) teratoma
SCTs haisati yakura nezve iyo nguva. Asi kunyangwe idzo dzakanaka dzinogona kuda kubviswa nekuda kwehukuru hwadzo, uye mukana wekuwedzera kukura. Kunyangwe zvisingaite, sacrococcygeal teratoma inowanzo kuwanikwa muvacheche.
Ovarian teratoma
Mazhinji ovarian teratomas akura. Iyo yakakura ovarian teratoma inozivikanwawo se dermoid cyst.
Nezve eakakura ovarian teratomas vane cancer. Ivo vanowanzo kuwanikwa mumadzimai mukati memakore avo ekubereka.
Kusachena (yakaipa) ovarian teratomas hazviwanzo. Ivo vanowanzo kuwanikwa muvasikana uye vakadzi vadiki kusvika zera ramakore makumi maviri.
Testicular teratoma
Kune maviri akapamhama marudzi e testicular teratoma: pre- uye post-kuyaruka. Pre-kuyaruka kana vana chiremba teratomas anowanzo kuve akakura uye asiri ecancerous.
Mushure mekuyaruka (munhu mukuru) testicular teratomas yakaipa. Vanenge zvikamu zviviri kubva muzvitatu zvevarume vanoonekwa kuti vane vanhu vakuru teratoma vanoratidza mamiriro epamusoro metastasis (akapararira) ekenza.
Kuongorora teratomas
Kuongororwa uye kuwanikwa kunoenderana nekuti teratoma iri kupi.
Sacrococcygeal teratoma (SCT)
Makuru masherococcygeal teratomas dzimwe nguva anoonekwa mune yeultrans scans yemucheche. Kazhinji ivo vanowanikwa pakuzvarwa.
Chiratidzo chakajairika iko kuzvimba pamuswe wemuswe, uyo anoonekwa nevanozvara muzvicheche.
Chiremba wako anogona kushandisa X-ray yepelvis, ultrasound, uye CT zviyero kuti ubatsire kuongorora teratoma. Kuongororwa kweropa kunogona zvakare kubatsira.
Ovarian teratoma
Mature ovarian teratomas (dermoid cysts) kazhinji haaratidze zviratidzo. Ivo vanowanzo kuwanikwa panguva yenguva dzose bvunzo dzevakadzi.
Dzimwe nguva makemikari makuru anodhonzwa anokanganisa ovary (ovarian torsion), izvo zvinogona kukonzera kurwadziwa kwepamuviri kana kwepamuviri.
Testicular teratoma
Testicular teratomas inowanzo kuwanikwa netsaona panguva yekuongororwa kwetende yemarwadzo kubva mukukuvara. Aya maatatomas anokura nekukurumidza uye anogona kunge asina zviratidzo pakutanga.
Zvese benign uye yakaipa testicular teratoma inowanzo kukonzera marwadzo echipupuriro.
Chiremba wako anoongorora ako testes kuti unzwe yeatrophy. Huru hwakasimba hunogona kuve chiratidzo chehuipi. Ropa bvunzo dzinoshandiswa kuyedza yakakwidziridzwa mazinga emahormone BhCG uye AFP. Ultrasound imaging inogona kubatsira kuona kufambira mberi kwetatoma.
Kuti utarise kana gomarara rapararira kune dzimwe nhengo dzemuviri, chiremba wako anokumbira X-ray yechifuva chako nedumbu. Kuongororwa kweropa kunoshandiswa zvakare kutarisa mamota mamaki.
Teratoma kurapwa
Sacrococcygeal teratoma (SCT)
Kana teratoma ikaonekwa muchikamu che "fetal", chiremba wako anonyatsoongorora nhumbu yako.
Kana iyo teratoma ikaramba iri diki, yakajairwa kusangana nekutsi kwemukadzi kununurwa kucharongwa. Asi kana bundu racho rakakura kana paine yakawandisa yeamniotic fluid, chiremba wako angangoronga kutangisa kwechareza kwekutanga.
Muzviitiko zvisingawanzoitika, kuvhiyiwa kwechibereko kunodiwa kubvisa iyo SCT isati yaunza matambudziko ekutyisidzira hupenyu.
SCTs dzinoonekwa pakuzvarwa kana mumashure dzinobviswa nekuvhiya. Ivo vanofanirwa kutariswa zvakanyatso, nekuti kune yekudzokazve mukati memakore matatu.
Kana iyo teratoma yakaipa, chemotherapy inoshandiswa pamwe chete nekuvhiya. Kupona kwemitengo pamwe neazvino chemotherapy.
Ovarian teratoma
Mature ovarian teratomas (dermoid cysts) anowanzo bviswa ne laparoscopic kuvhiyiwa, kana cyst iri diki. Izvi zvinosanganisira kucheka kudiki mudumbu kuisa chiyero uye chishandiso chidiki chekucheka.
Njodzi diki yekubviswa kweparoscopic ndeyekuti iyo cyst inogona kubayiwa uye kuburitsa waxy zvinhu. Izvi zvinogona kukonzera mhinduro yekuzvimba inozivikanwa sechemical peritonitis.
Mune zvimwe zviitiko zvakakosha kubvisa chikamu kana chese ovary. Ovulation uye kuenda kumwedzi kunoenderera kubva kune imwe ovary.
Mu25 muzana yematambudziko, dermoid cysts anowanikwa mune ese mavhai. Izvi zvinowedzera mukana wako wekurasikirwa nekubereka.
Maturoma eovarian matatomas anowanzo kuwanikwa muvasikana kusvika kumavambo makumi maviri. Kunyangwe kana aya maatatomas akaonekwa padanho repamberi, kazhinji kesi dzinorapwa nekubatanidzwa kwekuvhiya uye chemotherapy.
Testicular teratoma
Kuvhiya kubviswa kwechibereko kazhinji ndiko kurapwa kwekutanga kwetatoma iyi kana iri cancer.
Chemotherapy haina kunyanyo shanda kune testicular teratoma. Dzimwe nguva kune musanganiswa wetatoma uye zvimwe zvegomarara zvine kenza zvinoda chemotherapy.
Kubviswa kwetende kunokanganisa hutano hwako hwepabonde, huwandu hwembeu, uye kubereka. Pane kazhinji kurapwa kunopfuura kumwe chete, saka kurukura sarudzo nachiremba wako.
Maonero
Teratomas hazviwanzo uye kazhinji zvinokanganisa. Kurapwa kwetatoma yekenza kwakavandudzwa mumakumi emakore apfuura, saka kazhinji zviitiko zvinogona kurapwa. Kuzvizivisa pachezvako pane sarudzo uye nekuona nyanzvi ine ruzivo ndiyo yako yakanaka vimbiso yemhedzisiro inobudirira.