Ukuthola i-sarcoma

I-Ewing sarcoma iyisigaxa samathambo esibi esakha ithambo noma izicubu ezithambile. Ithinta ikakhulukazi intsha kanye nabantu abadala.

I-Earc sarcoma ingenzeka noma kunini ngesikhathi sobuntwana nasebudaleni obudala. Kepha kuvame ukukhula ngesikhathi sokuthomba, lapho amathambo ekhula ngokushesha. Kuvame kakhulu ezinganeni zabelungu kunezingane ezimnyama noma zase-asia.

Isimila singaqala noma kuphi emzimbeni. Imvamisa, iqala emathanjeni amade ezingalo nemilenze, i-pelvis, noma isifuba. Ingakhula nasokhakhayini noma emathanjeni ayisicaba esiqwini.

I-tumor ivame ukusabalala (metastasizes) emaphashini nakwamanye amathambo. Ngesikhathi sokuxilongwa, ukusabalala kubonakala cishe kwengxenye eyodwa kwezintathu zezingane ezine-Ewing sarcoma.

Ezimweni ezingavamile, i-Ewing sarcoma ivela kubantu abadala.

Kunezimpawu ezimbalwa. Okuvame kakhulu ubuhlungu futhi kwesinye isikhathi ukuvuvukala endaweni yesimila.

Izingane nazo zingaphula ithambo endaweni yesimila ngemuva kokulimala okuncane.

Umkhuhlane nawo ungaba khona.

Uma kusolwa isimila, izivivinyo zokuthola isimila sokuqala nanoma yikuphi ukusabalala (i-metastasis) zivame ukufaka:

• Ukuskena kwamathambo
• I-x-ray yesifuba
• I-CT scan yesifuba
• I-MRI yesimila
• I-X-ray yesimila

Kuzokwenziwa i-biopsy ye-tumor. Ukuhlolwa okuhlukile kuyenziwa kulezi zicubu ukusiza ukuthola ukuthi umdlavuza unolaka kangakanani nokuthi iyiphi indlela yokwelashwa engaba ngcono.

Ukwelashwa kuvame ukufaka inhlanganisela ye:

• Ukwelashwa ngamakhemikhali
• Ukwelashwa ngemisebe
• Ukuhlinzwa ukukhipha isimila sokuqala

Ukwelashwa kuncike kulokhu okulandelayo:

• Isigaba somdlavuza
• Iminyaka nobulili bomuntu
• Imiphumela yezivivinyo kusampula ye-biopsy

Ingcindezi yokugula ingancishiswa ngokujoyina iqembu elisekela umdlavuza. Ukwabelana nabanye abanokuhlangenwe nakho okuvamile nezinkinga kungakusiza ungazizwa uwedwa.

Ngaphambi kokwelashwa, umbono uncike ku:

• Ukuthi isimila sesisabalalele yini nasezindaweni ezikude zomzimba
• Lapho emzimbeni kuqale isimila
• Sikhulu kangakanani isimila lapho sitholakala
• Ukuthi izinga le-LDH egazini liphakeme kunokujwayelekile
• Ukuthi isimila sinezinguquko ezithile zofuzo yini
• Ukuthi ingane ingaphansi kweminyaka eyi-15 yini
• Ubulili bengane
• Ukuthi ingane ithole ukwelashwa komdlavuza ohlukile ngaphambi kwe-Ewing sarcoma
• Ukuthi isimila sisanda kutholakala yini noma sesibuyele emuva

Ithuba elihle kakhulu lokwelashwa linenhlanganisela yokwelashwa okubandakanya i-chemotherapy kanye nemisebe noma ukuhlinzwa.

Imithi yokwelashwa edingekayo ukulwa nalesi sifo inezinkinga eziningi. Xoxa ngalokhu nomhlinzeki wakho wezokunakekelwa kwempilo.

Shayela umhlinzeki wakho uma ingane yakho inanoma yiziphi izimpawu ze-Ewing sarcoma. Ukuxilongwa kusenesikhathi kungakhuphula amathuba okuba nomphumela omuhle.

Umdlavuza wamathambo - i-Ewing sarcoma; Ewing umndeni izimila; Izimila zokuqala ze-neuroectodermal (PNET); I-neoplasm yamathambo - I-Ewing sarcoma

• I-X-ray
• Ukuthenga i-sarcoma - x-ray

Heck RK, PC yokudlala. Izimila ezimbi zethambo. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 27.

Iwebhusayithi yeNational Cancer Institute. Ukuthenga ukwelashwa kwe-sarcoma (PDQ) - inguqulo yezobuchwepheshe yezempilo. www.cancer.gov/types/bone/hp/ewing-treatment-pdq. Kubuyekezwe uFebhuwari 4, 2020. Kufinyelelwe ngoMashi 13, 2020.

Iwebhusayithi ye-National Comprehensive Cancer Network. Imikhombandlela ye-NCCN yokwenza imitholampilo ku-oncology (imihlahlandlela ye-NCCN): Umdlavuza wethambo. Inguqulo 1.2020. www.nccn.org/professionals/physician_gls/pdf/bone.pdf. Kubuyekezwe u-Agasti 12, 2019. Kufinyelelwe ngo-Ephreli 22, 2020.