Osteosarcoma ndechimwe chezvirwere zvekenza yemapfupa. Icho chiremara chakaipa, masero ayo anoumbwa kubva kumapfupa emapfupa. Nguva inotyisa zvikuru yekugadzirwa kwayo inzvimbo inoshingaira yekukura kwemasaga. Zviitiko zvizhinji zve sarcoma zvinowanikwa mune vechidiki. Vakomana ndivo vanowanzorwara kupfuura vasikana.
Osteogenic sarcoma - zviratidzo
Osteogenic bone sarcoma inoonekwa seimwe yezvirwere zvakanyanya zvechisimba zvehupenyu. Munguva pfupi, nguva yechipfupa chepfupa inoparadzira zvirwere zvayo mumuviri wose. Kazhinji kenza yemhuka iyi inowanikwa mumapfupa akawanda kwenguva refu, asi mapfupa edehenya, mhundo uye musana anogona kuva chinangwa chayo. Izvozvo zviratidzo zvekutanga zvei oncology zvakajeka zvikuru kupesana nezvirwere zvisingaiti.
Osteogenic sarcoma yetsanga - zviratidzo
Zviratidzo zvakananga mumutambo wokutanga hazvinyatsoratidzirwa. Nokuda kwechikonzero ichi, zvakaoma zvikuru kuziva chirwere ichi kubvira pakatanga. Kusiyanisa zviratidzo zvinotevera zvechirwere ichi:
- Ikunzwa kunorwadza, iyo ndiyo chiratidzo chikuru chechirwere, kuonekwa manheru manheru uye kufanana neino dzino.
- Kuwedzera mumarara kunokonzera kusunungura kwemeno, kuoma mukutsvaira zvokudya.
- Sezvo kuvhiringidza kunopararira, murwere anowedzera kurira pamusoro, pane kurasikirwa kwekunzwa.
- Nguva yekuparadzaniswa kweeoplasm inofambidzana nekuwedzera kukuru kwekushisa kwemuviri.
- Mune imwe nguva gare gare, sarcoma ye osteogenic yejaya ichinhu chinobva mukubuda mumhino uye kuputsa kwekufema kwemuviri.
- Chikamu chechirwere chinowedzera zvakanyanya nekuwedzera kwehutachiona nekuda kwekudzivirira utachiona.
Osteogenic sarcoma yemukadzi
Urwu hutano hwehutano hunoonekwa nekuda kweuchenjeri uye pachigamba chekutanga hauzviratidzi zvachose. Manzwiro okusagadzikana anobatanidza nekunyanyisa kwepanyama kana kutanga kweeuralgia. Asi kusiyana kwechirwere kubva kune vamwe kunokwanisika - osteogenic sarcoma yehudyu haigoni kupindura painkillers. Nokufamba kwenguva, tumarara inokura muhukuru uye inoratidzirwa nezviratidzo zvinotevera:
- Huri kurwadziwa, pakutanga kokunyunyuta uye kunononoka, kunowedzera uye kunogara, kunyanya usiku.
- Ifupa rakawedzerwa uye kune kuvhara uye kuzvimba kwemavara pamusoro penharaunda yakakanganiswa.
- Kusvibiswa kwehuviri hwemuviri wechipfuva, iyo ndiyo iyo inokonzera kusuruvara kwakanyanya.
- Iyo mishonga yevascular inoratidzwa zvakajeka.
- Zvirwere zvinokonzera chirwere chiratidzo chakasiyana chechirwere munguva inotevera.
Muzvikamu zvekare, zviratidzo zvekudhakwa zvakanyanya zvinowedzera:
- kurasikirwa nokurema;
- anemia ;
- kurasikirwa kwekwanisi kushanda;
- nguva dzose iri pasi-gwara fever;
- kudururira swefu usiku.
Osteogenic skull sarcoma
Chaizvoizvo mapfupa mapapiro edehenya anokanganisa: nguva, parietal, occipital, kazhinji kazhinji. Muzviitiko zvakawanda, kurara kwakanyanya kwechirwere kunoonekwa, izvo zvinoita kuti utano husati hwave hwakaoma. Sarcoma yedhehenya inozivikanwa nehutachiona hunotevera:
- Dumbu racho, rakaumbwa pamapfupa epamberi, rinosvika pakukura kukuru. Pashure penguva inomera.
- Chisimbiso chakavharidzirwa chinoumbwa. Pakutanga kwaive kwakaoma, uye gare gare neine zvishoma zvishoma.
- Pane hurombo hunogara huri mumusoro mangu.
- Apo kurira kwekuvaka-up, kukwira kunonzwa.
- Ganda iri pamusoro penzvimbo inoputika rinova rakapfava uye rakasvibiswa, pamusoro paro rinonyatsooneka muscular mesh.
Kana sarcoma ichikura zvakadzika muhenya, haigone kuonekwa. Kuonekwa kwezviratidzo zvehutano nehupupuri hunoratidza kukuvara kwepfungwa:
- chirwere chepfungwa;
- zvakaderera kuyeuka;
- chirwere chemuviri unoona;
- kuwedzera kusagadzikana kwechisimba;
- yakakwirira kwazvo mamakumbo emusoro.
Osteogenic sarcoma ye ilium
Mafupa ayaac is imwe yezvikamu zvakakura zvemasaga. Sarcoid ileal bone isinganzwisisiki uye inoratidzwa nechirwere chechipatara, unhu hwemamwe marudzi eoncology:
- kurwadziwa kwemarwadzo;
- kunyanya kuora kwehupenyu hwakanaka;
- kusingaperi uye kurara kwepakati.
Osteogenic sarcoma yemabvi akabatanidzwa
Urwu rudzi rwechirwere runofungidzirwa kuti rwakanyanya kunyanya, asi rwunooma kuongorora. Zviratidzo zvake zvokutanga hazviratidzi pachena uye hazviiti kukonzera. Muzvikamu zvakapfuura, sarcoma ye osteogenic yerutsoka inoratidzwa nekuonekwa kwezviratidzo zvakajeka zvakare:
- kusanzwisiswa munzvimbo yakabatana;
- manzwiro ekushaya simba muhudyu;
- kuderera muhutano hwehupenyu hwechikamu chepasi uye nekugadzirwa kwakatevera kwe lameness;
- kune kukanganiswa kwefupa rakaputika, izvo zvinokonzera kuputika kwezvirwere;
- zviratidzo zvevanhu vakawanda marise zvinowedzera.
Osteogenic sarcoma yemutsana
Kuipa kunokonzerwa nemupfu kunoitwa kashoma, kunowanikwa mune zvikamu zvekare uye kunokurumidza kufambira mberi, kuparadzira metastases, kunyanya mumapapu. Iyo nzira yekuora mutezo inogona kuitika zvose mune rimwe vertebra uye nezvimwe. Zviratidzo zvepine sarcoma zvinotevera:
- Kutanga kwechirwere ichi kunoratidzirwa kusuruvara kwakanyanyisa kumashure kwenzvimbo isingazivikanwi.
- Kuwedzerwa neoplasm kunokonzera marwadzo akawedzerwa paunenge uchinge uchikanganiswa uye uchichera. Zvinonyanya kuoma kuva munzvimbo yakanyanyisa.
- Pamusoro penzvimbo yekuumbwa kwe osteogenic sarcoma, kuwirirana kunorwadza kunonzwisisika.
- Iyo musana inenge isina simba, iyo inonyanya kurega kufamba kwemu murwere uye inotungamirira kuwiwa kazhinji.
- Kuvhiringidzika kwesimbi yakasakara kunowedzera.
- Mamiriro ezvinhu akazara omurwere akaoma zvikuru.
Urwere hutambudziko hwakaoma zvikuru:
- kuparara;
- paresis;
- akaremara excretory system basa.
Osteogenic sarcoma - X-ray zviratidzo
Kubva pane tsanangudzo yemashoko emuongorori anonyatsotsanangurwa uye kuongororwa kwema laboratori, chiremba anorayira kuongorora kwebasa. X-ray ye sstecotic osteogenic inobatsira kuziva kuti kune hutachiona hwezvinhu zvinotevera:
- chikwata chekutanga chechirwere chinoratidzwa nekuderera kwemafupa emapfupa;
- Zvimwe kukanganiswa kwemapfupa emapfupa zvinonyatsooneka;
- exfoliation ye periosteum ne-build-up;
- kuumbwa kwepine bony netare dzingano;
- sclerotic kuchinja mumapfupa;
- zvirwere zvinoputika, kana zvikaitika;
- kuumbwa kwemidziyo mutsva yeropa mukati meharaunda yakaoma (vascularrization);
- X-ray yemapapu inogadza kuvapo kwemasimasi.
Osteogenic sarcoma - prognosis
Pakutanga kufungidzira kwevecology yerudzi urwu kwakanga kusina kunaka, sezvo osteosarcoma inoratidzwa nekukurumidza kukura uye maitiro ekutanga kwemasastasis. Mukuona kwekubuda kwemitemo mitsva yekuongorora uye kutanga kurapwa kwakanyanya, kupona kwevarwere kwawedzera zvakanyanya uye kunowanikwa pakati pe 65%. Munzira dzakawanda kubudirira kwemishonga kunoenderana nezvimwe zvinhu zvisati zvaitika uye pashure pekurapa kwechiremba:
- ukuru uye nzvimbo yehutano yakagadzirirwa kana kuti nzvimbo ye osteogenic sarcoma;
- nheyo ye neoplasm development;
- chimiro chemuviri wemurwere;
- kubudirira kwebasa racho kubvisa tumarara;
- vane simba rakanaka mushure mokushandiswa kwechemotherapy.
Osteogenic sarcoma - kurapa
Mukati yapfuura yapfuura, nzira chete yekurapa pfupa yezvecology yakagadziriswa kwechikamu kana kuti yakawanda yechirwere chakakanganiswa. Nhasi nzira yekushandisa chemotherapy mushure mekunge ovhiyiwa inobvumira mune zvimwe zviitiko kudzivisa nzira iyi. Osteosarcoma therapy ine mitatu nzira huru:
1. Kupindira kwokuvhiya. Kuvhiya ndiko kubvisa tumarara. Nemigumisiro yekutsvakurudza, iyi nzira inosanganisira kusagadzikana kwe sarcoma nekuchengetedzwa kwechimbwa, kana kunyorerwa. Chimwe chikamu chebvisa bundu rinoshandiswa rinoshandiswa nemapurasitiki kana kushandiswa kwesimbi. Sarcoma ye osteogenic yepamusoro, mapfupa emapapu uye skull inoonekwa seisingagoneki. Kugadziriswa kubviswa kwemasastase mumapapu.
2. Chemotherapy. Iyi nzira yekurapa inoitwa mushure mokunge yapera. Muchiitiko chekutanga, mishonga inoshandiswa kudzvinyirira uye kuderedza kukura kwemuviri wacho pachako. Postoperative chemotherapy inoitwa maererano nezviratidzo zvepfuura. Kuongororwa kwemaitiro ekusaoplasm kune chiito chechirwere kunoitwawo. Kemikari inonyanyisa uye yakataura migumisiro yemigumisiro:
- nausea;
- kurutsa;
- kurasikirwa kwebvudzi;
- kushungurudzwa kwebasa remitemo yemuviri.
3. Mishonga inopisa mazai. Kugadzira mapfupa kunosanganisira zvakasiyana-siyana zvemasero izvo zvinoratidzika kune mamwe marudzi e oncology. Nokudaro, chirwere ichi chinosarudzwa se polymorphous cell osteogenic sarcoma. Kushandiswa kwemishonga inonzi radiation munyaya iyi hakuiti uye inoshandiswa mushure mekushanda kana kusunungura marwadzo ekurwadziwa kana akadzoka zvakare muchirwere.