Ewing a sarcoma: zizindikiro, madokotala ananena zawo, chithandizo

sarcoma Young - ndi ankakwiya chotupa matenda nalo dzina lake kuchokera James Ewing amene poyamba analongosola. M'posavuta kukhala matenda anyamata ndi anyamata kuyambira zaka 5 mpaka 30. Mu m'badwo wina matenda pafupifupi konse kumachitika. Kawirikawiri sarcoma anapeza anyamata zaka 10 mpaka 15. Atsikana, nawonso amadwala ngati matenda, koma zambiri kamodzikamodzi. Matendawa imapezeka mu mtundu woyera.

Sarcoma ndi kuchuluka zotupa kakukula m'mimba fupa. sarcoma Ewing ndiye ayenera isanafalikire mu mafupa a chiuno, ndi zimfundo phewa, ndi tibia. Komabe, nthawi zambiri limodzi ndi zotupa angapo neuroectodermal mu zimakhala zofewa, neyroepiteliomami zotumphukira (retinal zotupa), ndipo Askin chotupa kuti nthawi zambiri isanafalikire mu chifuwa.

Ngati wachinyamata anaonekera kufooka, malungo, kutupa m'dera la mafupa a chiuno, lamba phewa kapena lalikulu tibia, katswiri kukhulupirira kuti ili ndi gawo loyamba la matenda wotchedwa sarcoma Ewing a. zizindikiro zake kukhala mofulumira kwambiri.

Malaise, kuwonjezeka kutentha, mwapang'onopang'ono ululu nthambi limene chotupa akufotokozera. Neoplasm amakhala otentha kukhudza, izo mofulumira kukula kukula. Pang'onopang'ono, mu malo a chotupa cha kwambiri kukuza Mitsempha ndi minofu yomangika mmwamba kwambiri. Pambuyo mwachilungamo nthawi yochepa ndithudi sindikutha bwino bwinobwino. matenda zolondola, madokotala zitha suspend chitukuko cha matenda.

Ntchito matenda a x-ray, ultrasound, fupa jambulani, Tengani minofu kwa biopsy a. matenda panthawi yake kumathandizanso kukhazikitsa mmene matenda.

Pamene isanafalikire chotupa mapangidwe sitepe imakonzedwa mu thupi limodzi. Pa siteji metastasized zotupa wakafika m'mapapo, fupa, mafupa.

Kodi n'zotheka kuchiza matenda oopsa mogwirizana sarcoma Ewing chiyani? Mapa chitukuko cha matenda zambiri zimadalira nthawi ya kutumiza kwa akatswiri.

Childs, chithandizo mwamsanga angathe kuchotsa matenda kudzera mwa njira ndi mankhwala popanda kuwaika amputation, kuchotsa zipsepse kapena ntchito zina.

Mwatsoka, ambiri odwala matenda ndi sarcoma Ewing tipite kwa dokotala yekha pamene iwo okhumudwa kwambiri ndi zotupa kale metastasized. Pankhaniyi, zambiri anachita kuchotsa opaleshoni ya zotupa, ndi zina gawo la fupa. Zikavuta, mungafunike amputation kapena kuchotsa nthiti.

Kaya opaleshoni idzachitike odwala onse kulandira mankhwala amphamvu, radiotherapy.

Mulimonsemo, sarcoma Ewing ndiye thandizo chimodzimodzi ndi zina zambiri kuposa chaka.

Komanso, mankhwala oyambirira mu 80% milandu kumayambitsa malizitsani kuchira. Ngati chithandizocho anayamba pamene panali metastases angapo, kuti madokotala ananena zawo ndi woipa kwambiri.

Komabe, lero pali latsopano kwakukulu njira ya chithandizo cha odwala ndi madokotala ananena zawo osauka. Integrated wailesi ndi mankhwala amphamvu, radiotherapy pamodzi ndi mafupa kupatsidwa zina kapena maselo, amene kwambiri bwino kuwerenga.

Kodi n'chiyani chimachititsa maonekedwe a matenda? Yankho lenileni la funso limeneli kulibe komabe, koma anapeza kuti 45% ya milandu sarcoma Ewing bwino chapansipansi zoipa. Komanso, zingakhudze chitukuko ena anomalies za mafupa ndi dongosolo urogenital.

Kupewa matenda kulibe, chifukwa moyo sikumangotikhudza maonekedwe a matenda. Komabe, zowopsya, amaganizira anthu okha, thanzi lawo, panthawi yake chithandizo kwa dokotala kwambiri zimatithandiza matenda, walola kuti tikwaniritse kuchiritsidwa.