Ingaba isiseko okanye imetastatic, umhlaza emathanjeni ungabonisa ngeempawu ezinjengeentlungu ezandayo, ukuvuvukala kunye / okanye intlungu ephazamiseka ngokukhawuleza evela kwintlupheko ye- pathologic -a-break break that occurs in bone that has been weakened by the presence of a tumor.
Izibonakaliso zomhlaza wesifuba unokuba lunzima ukuphosa okokuqala ngenxa yokuba ezi ntlobo zeempawu zininzi zibangelwa yimimiselo engabonakaliyo njengengozi yezemidlalo okanye iingxaki ezahlukahlukeneyo ngamalungu, kuquka iifom ze-arthritis.
Ukongezelela, iimpawu zomhlaza wesifuba ziyahluka ukusuka kumntu ukuya kumntu kwaye zinokuxhomekeka kwindawo kunye nohlobo lwesifo.
Iimpawu Zamaxesha amaninzi
Ubuhlungu
Ngokubanzi, intlungu ibona uphawu oluqhelekileyo lomhlaza wesifuba oqhelekileyo, i-osteosarcoma. Ngokuqhelekileyo kuvela emathanjeni amade omzimba, njengalezo iingalo nemilenze.
Ekuqaleni, intlungu ayinakuqhubeka. Ngokuqhelekileyo kubangelwa ukulimala ngokomzimba okanye ukuzivocavoca ngamandla, ezo zombini eziqhelekileyo kuluntu oluncinci oluvame ukuchaphazeleka yi-osteosarcoma. Iimpawu zihlala zikhona kwiinyanga eziliqela ngaphambi kokuba i-diagnostic yenziwe-malunga neenyanga ezintathu, ngokuqhelekileyo.
Ubuhlungu obuvela kumhlaza wesifo buya kuba bubi kakhulu ebusuku okanye xa ithambo lisetyenziswa. Iingoma ze-osteosarcoma ngokuqhelekileyo zibangelwa intlungu, njengoko iqala ukuphazamiseka kwinqanaba lomsebenzi oqhelekileyo kunye nomgangatho wokuphila:
- Ukukhawulela
- Ingxaki yokuhamba, ukuphakamisa, okanye ukuhamba
- Ubuhlungu, ububele, kunye nokuvuvukala okanye ukukhulisa okukufutshane kwendibano
- Ukufudumala nokubomvu kwindawo echaphazelekayo
- I-bone ephukile kwisayithi se-tumor; ithambo lingaphula ngokuqhelekileyo, ukunyakaza okuqhelekileyo
- Omnye unokuvakalelwa ngokukhawuleza, enentlungu ethintekayo kwiiveki okanye kwiinyanga
Phantse isiqingatha sawo onke ama-osteosarcomas aqala kwingingqi ejikeleze idolo . Isiqalo sokuqala esiqhelekileyo sisondele ekupheleni kwethambo, okanye i-femur, elandelwa ngumthambo wesigxina, okanye i-tibia.
Ithambo lesangqa elisecaleni kwinqanaba leyesithathu. Ukubandakanyeka kwamanye amaqela omzimba, ngokuqhelekileyo iinqununu, zenzeka ngaphantsi kweepesenti ezili-10 zamatyala kwi-osteosarcoma yabantwana.
Ukuvuvukala
Indawo ebuhlungu yethambo ingaba nokukhukhumaza kuyo, nangona oku kungenakwenzeka ngaphambi kweeveki emva kokuqala kweentlungu zethambo. Abanye abantu abanomdlavuza wethambo banako ukuva utywala okanye ubunzima ukuba i-tumor isifo kwindawo efumanekayo ngokuthintela.
Ngentlungu kunye nokuvuvukala, ezi ziyimpawu ezingenayo iprothethi eyahlukileyo ngokuxhomekeke kwimeko yomhlaza wesifuba. Ngokomzekelo, kwimeko ye-osteosarcoma, i-shin, ithanga, kunye nengalo engaphezulu zixhaphakileyo kwiindawo ezixhamla kubantwana nakwishumi elivisayo. Kule ndawo zibuhlungu kunye nokuvuvukala kwenzeka ngesifo. Abanye abantu banokuhlakulela i-limp if the tumor is in the leg or hipbone.
Izahlulelo zePathological
Ezi ziqhekeza aziyi kuvela kumathambo aphilileyo. Xa umhlaza ukhula ngaphakathi kwethambo ithambo lingafezeka. Xa umntu evula i-fracture ecaleni okanye nge-tumor bone, ngokuqhelekileyo uchaza intlungu ephawulezayo kwithambo elalibuhlungu kwiiveki okanye kwiinyanga.
Ngamanye amaxesha i-Osteosarcoma ifunyanwe xa ithambo eluncitshiswe yimiphunga yomhlaza ngenxa yokuwa komntwana okanye ingozi.
Iimpawu zeMpawu
Ezi zimpawu azixhomekeke ngqo kwiithambo. Nangona umhlaza ungagcinwa kwisithambo, kukho iimpawu eziqhelekileyo kumzimba wonke, ezibizwa ngokuba yimpawu zenkqubo.
Abantu abanomdlavuza weethambo banokulahlekelwa ngumzimba kunye nokukhathala , umzekelo. Ukuba umhlaza usasazeka kwizitho zangaphakathi ezifana nemiphunga, kunokubangela iimpawu kwezo zinto, ngokukodwa-umzekelo, ukuphefumula ukuphefumula.
Iimpawu Eziqhelekileyo Eziqhelekileyo
Njengoko umhlaza wesifuba uphumelela, kungaphakama impawu ezininzi zeenkqubo-oko kukuthi, ezinye izibonakaliso ezinokuvela ngenxa yomhlaza kunye nemiphumo yazo kwiinkqubo zomzimba wonke, ukongeza kwimiphumo yengingqi kufuphi nefu.
Ezi ziquka:
- Ukukhathala nokulala
- Fever
- Ukulahlekelwa kwesisindo esingenziyo
- Inani elibomvu lamaseli egazi (i-anemia)
Ezi zimpawu zenkqubo zenzeke kangangoko ngokungabikho kwezifo eziphambili kakhulu.
Iimpawu eziqhelekileyo
KwiNtloko neNeck Osteosarcomas
I-Osteosarcomas ye-gazi kunye namathambo ebuso awanqabile kwaye amele ngaphantsi kwama-10 ekhulwini kuwo onke ama-osteosarcomas. Umlinganiselo wesilisa nowesifazane usekufutshane. Amathambo amaninzi achaphazelekayo entloko nasentanyeni ngumhlathi, olandelwa ngumlomo ophezulu wenxalenye yengqayi (maxilla). I-Osteosarcomas yamanye amathambo enkayi ayinqabile kakhulu.
Iintsholongwane ezithuthuka emathanjeni entanyeni zingabangela iimpawu ezikhethekileyo kunye nokuvuvukala. Kukho ubunzima obwandisa emqaleni komqala, okungabangela ubunzima bokugwinya okanye ukuphefumla. I-Cancer emathanjeni omgudu unokwandisa ukunyanzela kwiisiphako, kubangela ukuphazamiseka kunye nokugubungela okanye ukubuthaka kwamathambo.
KwiParosteal Osteosarcomas
I-subset ethile ye-osteosarcoma, i-parosteal osteosarcoma, ineempawu ezahluke kwiimeko eziqhelekileyo: intlungu encinci kunye nentsilelo kwisayithi yomdlavuza kwaye, ukuba isendaweni yayo, ukuxhomekeka komlinganiselo wokukwazi ukuguqula kwaye ekugqibeleni ukwandisa idolo.
Isisu sinokuthi sibe khona ixesha elide ngaphambi kokuba sifumaneke, siba sikhulu ngaphambi kokuba ubuhlungu bube budlulayo kwiindawo ezikufutshane.
Multifocal Sclerosing Osteosarcomas
Olunye umthamo lubizwa ngokuba yi-multifocal sclerosing osteosarcoma, apho izicubu ezininzi zihlakulela ngexesha elifanayo kwaye zikhoyo ziyaxilongwa. I-tumor nganye ibonakala ngathi yindawo yesiqhelo yesifo kwi-scans, icetyisa ukuba izifuba zethambo zazimela ngokuzimela, ngexesha elifanayo, kwiindawo ezininzi.
Iimpawu zifana nezinye i-osteosarcomas eziqhelekileyo ngaphandle kokuba zenzeke kubantwana abancinci kwaye zisasazeka. Ayaziwa ngokuqinisekileyo ukuba ingaba nomhlaza wesifo seethambo kuvela kwiindawo ezininzi okanye ukuba esinye sezidumbu siqala ukuqala kwesi sifo kwaye siye saqhagamshelana ngokukhawuleza nakwezinye iindawo ze-squelette ngaphandle kokuqhathaniswa kwemitha kumaphaphu. Kwakhona, oku kungumzekelo ongaqhelekanga.
I-post-Irradiation Osteosarcoma
I-post-irradiation osteosarcoma ivela kubantu abaphiliswa ngumhlaza ngonyango. Ikhula ngaphantsi kwamahlanu ekhulwini lamatyala.
Ubungqina bubonisa ukuba i-osteosarcomas iqhubela rhoqo kwiigulane ezithatha iqondo eliphezulu leyeza. Iimpawu ziquka ukuvuvukala okubuhlungu kwindawo yomzimba owamkela unyango lwe-radiation.
Iingxaki
Iintlobo ezininzi zeengxaki zinokwenzeka nge-osteosarcoma kunye / okanye unyango lwayo, kuquka oku kulandelayo. Uluhlu lunokuziva lukhulu. Khumbula ukuba zonke ezi ngxaki zikhona nje, kwaye enye eyenzekayo ayithethi ukuba bonke baya. Enyanisweni, akukho nanye inokwenzeka, kwaye xa bevavanya ukubeka esweni kunye neengcebiso ezivela kwizonyango zakho zonyango kufuneka kukuncede ukuzilawula nokuzinqoba.
- Sulelo
- Ukuhlanjululwa kwindlela yokuhlinzwa
- Iingxaki emva kokuhlinzwa ngonyango
- Iingxaki ngenxa ye-chemotherapy:
- Ukulahleka kweenwele, izilonda zomlomo, isisongela, ukuhlanza, isifo sohudo, ukwanda kwezifo, ukululaza nokukhupha, kunye nokuziva ukhathele kwi-chemotherapy
- Iingxaki ngenxa yonyango lomlambo:
- Ukutshisa, ukulahleka kweenwele, isisongela, isifo sohudo, ukukhula kwethambo, ukulimala komzimba kunye neentsholongwane ezinomdlavuza
- Iingxaki zomzwelo kunye nomzimba ukusuka kwinqununu
- Iingxaki zeentliziyo kunye nemiphunga
- Iingxaki ngokukhula nophuhliso
- Iingxaki zokufunda
- Utshintsho kuphuhliso lwezesondo
- Iingxaki ngokuzala
- Ukubuyela komhlaza
- Ukukhula kwamanye amagciwane
Isayithi esona siqhelekileyo ukusasazeka kwithambo ngumphunga. Ngaphantsi kangangoko, ukusasazeka komhlaza kubonakala kwamanye amathambo kunye nezicubu ezinotsho.
Xa i-osteosarcoma sele isasazeke kakhulu, oku kudla ngokuphindaphindiweyo umphumo wokuphindaphinda kunokuba imeko yezinto ekutholeni ukuxilongwa. I-osteosarcoma ephakamileyo inokuthi iqulethe inkqubo ye-nervous or tractinal tract.
Ukufa kwi-osteosarcoma kubangelwa rhoqo ukubangelwa ukwanda kweemiphunga, ngokuphefumula ukuphefumula ngenxa yezifo ezixhaphakileyo. Oku kunokubandakanya ukuphuma kwegazi emiphakeni, ukuchasana komnye okanye zombini imiphunga, kunye nokunyanzelwa kweempahla ezinkulu ezikufutshane nemiphophu. Ukuvavanya ukuvavanywa ngumqeqeshi wakho wezezempilo kuyimfuneko.
Ngexesha lokujonga uDokotela wakho
Uninzi lweempawu zomhlaza wesifuba, ezifana nentlungu kunye nokuvuvukala, kubangelwa ngokuqhelekileyo ngeemeko ezingathí sina ezifana nokulimala koluhlungu. Ukongezelela, intlungu yomlenze nengalo iyaqhelekileyo ekukhuliseni amakhwenkwe namantombazana, kwaye akukho nto ibangela ukuba kukho inkxalabo. Nangona kunjalo, ukuba intlungu iqhubeka, iqinisa, okanye ukuba kukho ezinye iimpawu, kufuneka ufune unyango.
Ukuba wena okanye umntu obathandayo unomdlavuza-obangelwa ngumhlaza njengengqondo ye-retinoblastoma okanye i-Li-Fraumeni syndrome, unokufuna ukuba uqaphele ngakumbi iimpawu neempawu zokugula.
Ukuba sele sele ufumene umhlaza wesifo, kufuneka uthethe ugqirha wakho ukuba iimpawu zakho ziba nzima kakhulu, unempawu ezintsha okanye unemiphumo emibi yonyango.
> Imithombo:
> I-American Cancer Society. Uvavanyo lwe-Osteosarcoma. https://www.cancer.org/cancer/osteosarcoma/detection-diagnosis-staging/how-diagnosed.html.
> INational Caner Institute. I-Osteosarcoma ne-Malignant Fibrous Histiocytoma ye-Bone Treatment (PDQ®) -I-Professional Professional Version. https://www.cancer.gov/types/bone/hp/osteosarcoma-treatment-pdq.