Osteosarcoma ndeimwe yeanonyanya kuzivikanwa kenza yemapfupa. Chinonyanya kubata vana, vechidiki uye vechidiki. Kunyanya hutsinye, osteosarcoma inoda chemotherapy uye kuvhiyiwa.

Tsanangudzo yeosteosarcoma

Osteosarcoma igomarara remapfupa emapfupa. Iyo inozivikanwa kuve yakanyanya hutsinye, ine kunyanya njodzi yemametastases. Aya ndiwo magomarara echipiri: maseru ebundu rekutanga anotamira kune mamwe mativi emuviri. Kana osteosarcoma ichionekwa, metastases inoonekwa mu10-20% yezviitiko.

Osteosarcomas inogona kukura munzvimbo dzakasiyana dzeskeleton. Zvisinei, zvinowanzoonekwa kuvaona pamagumo emapfupa pedyo nemajoini. Osteosarcomas inowanzoonekwa mumabvi pamucheto wezasi wefemur kana kumusoro kwekupedzisira kwetibia. Ivo zvakare vakaonekwa muhudyu, mapendekete, pelvis, vertebrae, dehenya uye shaya.

Kusarudzwa kwe osteosarcomas

Cancers inogona kuverengerwa zvinoenderana neakawanda paramita, uye kunyanya zvichienderana nehukuru hwavo. Isu tinotaura nezve staging mumutauro wekurapa. Hukuru hwegomarara remapfupa hunoongororwa mumatanho mana. Iyo yakakwirira nhanho, iyo gonza rinowedzera kupararira nemuviri wese. Nhanho 1 kusvika ku3 inoenderana nemafomu emuno. Nhanho 4 inoratidzira metastatic mafomu: maseru egomarara akatamira kune mamwe matishu ari mumuviri.

Ongorora: ganda regomarara remapfupa harishandiswe kumamota mumusana uye pelvis.

Zvikonzero zve osteosarcoma

Kufanana nemamwe marudzi mazhinji egomarara, osteosarcomas ine mavambo ayo asati anyatsonzwisiswa.

Parizvino, zvakaonekwa kuti kukura kweosteosarcoma kunogona kuve kwakakonzerwa kana kufarirwa ne:

• bilateral retinoblastoma, rudzi rwekenza yeziso;
• Chirwere chePaget, chirwere chepfupa chisina kunaka;
• Li-Fraumeni syndrome, mamiriro asingawanzo kutungamira kune akasiyana marudzi emamota.

Kuongororwa kwe osteosarcoma

Rudzi urwu rwegomarara runogona kufungidzirwa mune izvo zvataurwa pamusoro apa, kana pamberi pezvimwe zviratidzo zvekiriniki. Kuongororwa kwe osteosarcoma kunogona kusimbiswa nekudzika ne:

• bvunzo dzekurapa dzekufungidzira dzakadai se-x-ray, CT scans, magnetic resonance imaging (MRI) uye bone scintigraphy;
• biopsy iyo inosanganisira kutora chimedu chematishu kuti chiongororwe, kunyanya kana gomarara richifungidzirwa.

Iyi bvunzo inogona kushandiswa kusimbisa kuongororwa kweosteosarcoma, kuyera huwandu hwayo uye kutarisa kuvepo kana kusavapo kwemasastases.

Vanhu vanobatwa ne osteosarcoma

Osteosarcoma ndeimwe yeanonyanya kuzivikanwa kenza yemapfupa. Inoramba iri chirwere chisingawanzoitiki chinokanganisa avhareji yezviitiko zvitatu pamamiriyoni gore negore.

MuFrance, 100 kusvika ku150 kesi dzinozivikanwa gore rega rega. Voruzhinji zvikuru pwere nepwere.

Osteosarcomas inowanzoonekwa pakati pemakore e10 ne25, uye kunyanya muvakomana. Rudzi urwu rwegomarara remapfupa rinogona kuitika kune mamwe mazera, kunyanya muvanhu vari pakati pemakore makumi matanhatu ne60.

Pfupa kurwadziwa

Kurwadza kwebhonzo kazhinji chiratidzo chekutanga chegomarara remapfupa. Marwadzo anogona kuva echigarire kana kwenguva pfupi, zvakanyanya kana kushoma zvakanyanya, akaiswa munzvimbo kana kupararira.

Kuzvimba kwenzvimbo

Kuvandudzwa kweosteosarcoma kunogona kutungamira mukuonekwa kwebundu kana kuti palpable mass munyama yakabatwa.

Pathological fracture

Pfupa rinopera simba kana pane osteosarcoma. Muzviitiko zvishomanana, pathological fractures inogona kuitika yega kana kutevera kushungurudzika kuduku.

Chekutanga chemotherapy

Mushonga uyu unoshandiswa kurapa marudzi mazhinji egomarara. Inobva pamakemikari anokwanisa kupikisa kukura kwekenza masero. Panyaya yeosteosarcoma, chemotherapy inogona kuderedza uye kudzikamisa bundu foci isati yavhiyiwa.

Kupindira kwekuvhiya

Mushure mekutanga chemotherapy, kuvhiyiwa kunowanzoitwa kubvisa bundu rose.

Postoperative chemotherapy

Uku kurapwa kwechipiri nechemotherapy kunoita kuti zvibvire kudzikamisa njodzi yekudzokazve.

immunotherapy

Iyi inzira itsva yekurapa cancer. Inogona kunge iri mubatsiri kana imwe nzira kune marapirwo ataurwa pamusoro apa. Kutsvakurudza kwakawanda kuri kuitwa. Chinangwa che immunotherapy ndechekusimudzira dziviriro yemuviri kurwisa kukura kwemasero egomarara.

Kwakabva osteosarcomas haisati yanyatsonzwisiswa. Kazhinji kutaura, kudzivirira cancer parizvino kwakavakirwa pakuchengetedza mararamiro ane hutano.

Inokurudzirwawo kutsvaga mazano ekurapa mune kusava nechokwadi kuduku. Kukurumidza kuongororwa kunokurudzira kurapwa kunobudirira uye kunoderedza njodzi yezvinetso.