Yini i-osteosarcoma, izimpawu nokuthi kufanele welashwe kanjani

-Delile

• Izimpawu ze-Osteosarcoma
• Injani impatho

I-Osteosarcoma wuhlobo lwesimila samathambo esibi esivame kakhulu ezinganeni, ebusheni nasebekhulile, esinethuba elikhulu lokuthola izimpawu ezinzima phakathi kweminyaka engama-20 nengama-30. Amathambo athinteka kakhulu amathambo amade emilenze nezingalo, kepha i-osteosarcoma ingavela kunoma yiliphi elinye ithambo emzimbeni futhi ibhekane kalula ne-metastasis, okungukuthi, isimila singasakazeka siye kwenye indawo.

Ngokwesilinganiso sokukhula kwalesi sifo, i-osteosarcoma ingahlukaniswa ibe:

• Ibanga eliphakeme: lapho isimila sikhula ngokushesha okukhulu futhi sifaka nezimo ze-osteoblastic osteosarcoma noma i-chondroblastic osteosarcoma, ejwayelekile ezinganeni nasebusheni;
• Ibanga eliphakathi: inentuthuko esheshayo futhi ifaka i-periosteal osteosarcoma, isibonelo;
• Ibanga eliphansi: ikhula kancane futhi, ngakho-ke, kunzima ukuyixilonga futhi ifaka i-osteosarcoma ye-parosteal ne-intramedullary.

Ukukhula ngokushesha, kukhula okukhulu kwezimpawu futhi kungenzeka nokusabalala kwezinye izingxenye zomzimba. Ngakho-ke, kubalulekile ukuthi ukuxilongwa kwenziwe ngokushesha ngudokotela wamathambo ngokuhlolwa kwe-imaging.

Izimpawu ze-Osteosarcoma

Izimpawu ze-osteosarcoma zingahluka kusuka komunye umuntu ziye komunye, kepha ngokuvamile izimpawu eziyinhloko yilezi:

• Ubuhlungu esizeni, obungaba buhlungu ebusuku;
• Ukuvuvukala / i-edema esizeni;
• Ububomvu nokushisa;
• Isigaxa esiseduze nejoyinti;
• Umkhawulo wokuhamba kwejoyinti elonakalisiwe.

Ukuxilongwa kwe-osteosarcoma kufanele kwenziwe ngudokotela wamathambo ngokushesha ngangokunokwenzeka, ngokusebenzisa izivivinyo ezihambisanayo zelebhu nezithombe, ezifana ne-radiography, i-tomography, i-resonance kazibuthe, i-bone scintigraphy noma i-PET. I-biopsy yamathambo kufanele futhi yenziwe njalo lapho kukhona ukusola.

Ukutholakala kwe-osteosarcoma kuvame ukuhlobene nezici zofuzo, kuba nengozi enkulu yokuba nalesi sifo kubantu abanamalungu omndeni noma abanezifo zofuzo, njenge-Li-Fraumeni syndrome, isifo sikaPaget, i-retinoblastoma yefa kanye ne-osteogenesis engaphelele, ngokwesibonelo.

Injani impatho

Ukwelashwa kwe-osteosarcoma kufaka iqembu elixubene nezifundo eziningi nge-oncology orthopedist, i-oncologist yomtholampilo, i-radiotherapist, i-pathologist, isazi sokusebenza kwengqondo, udokotela ojwayelekile, udokotela wezingane nodokotela wokunakekelwa okunzulu.

Kunezinqubo eziningana zokwelashwa, kufaka phakathi i-chemotherapy, elandelwa ukuhlinzekelwa ukususwa noma ukunqunywa kanye nomjikelezo omusha we-chemotherapy, ngokwesibonelo. Ukusebenza kwe-chemotherapy, i-radiotherapy noma ukuhlinzwa kuyahlukahluka ngokuya ngendawo yesimila, ulaka, ukubandakanyeka kwezakhiwo eziseduze, ama-metastases nosayizi.