Sarcoma lwamalunga (synovioma abulalayo): izimbangela, izimpawu, zokwelapha

Sarcoma lwamalunga - isimila esibulalayo kwezicubu ezithambile. Kutfutfukisa kusukela izicubu umsipha, fascia, imisipha kanye ulwelwesi lwamalunga amalunga ezinkulu. Inqubo sokugembula okuholela anaplasia amaseli, ukuphazamiseka kwamangqamuzana yabo. Thuthukisa isimila okungukuthi kunzima ukuyelapha.

incazelo Jikelele lesi sifo

Sarcoma lwamalunga ungachazwa ukuthi alinaso capsule. Uma usika isimila, ingaphakathi ke, ungabona eningi imifantu futhi izinhlumba. Ngokuhamba kwesikhathi, isimila isakazekela amathambo, ekubhubhiseni.

Okuvame kakhulu Oncology enjalo, okuyinto izimpawu kuyashesha ngokwanele sokuba iziguli ezineminyaka engu-15 kuya ku-20. Futhi phansi kulokhu akusho zinendima ethile. Ithumba uyakwazi metastases esikhiqiza, okuyinto atholakala emaphashini, izindlala zamanzi, ithambo eminyakeni 5-8 lapho kuqala ukugula.

Uma sisheshe satholakala Oncology enjalo, okuyinto izimpawu zokuqala bebuthaka, 3 kuphela iziguli aphume kwesigidi, ngakho zokugula kubhekwe ngempela ezingavamile. Isimila yenziwe yaba yasendaweni ogxile emalungeni kwedolo. Ngaphansi ngokuvamile kwakheka it is in the indololwane noma entanyeni.

Sarcoma uyakwazi ziyabuya emva kokwelashwa. Futhi ingozi siphakeme ngokwanele. Ngokuphindaphindiwe uvela eminyakeni 1-3. Isifo siqhubeka ngokushesha okukhulu. Ngaphezu kwalokho, kunzima ukuyelapha. Ngisho esimweni ukwelashwa okufika ngesikhathi futhi ngempumelelo umphumela omuhle Kubikezelwa ivelakancane. Lesi sifo esikhohlisayo nabanolaka.

Kungani isimila okhula ngayo?

Sarcoma lwamalunga kungenziwa senziwa izinto ezifana:

• Kushisa bhé kule ndawo noma ionizing emisebeni.
• amakhemikhali umdlavuza.
• yofuzo.
• ukwelashwa Immunosuppressive ezinye izifo ebulalayo.
• Ukulimala.

Ukuze lesi sifo athuthukile, kubalulekile ukuqeda izimbangela.

isifo ngezigaba

Sarcoma lwamalunga kungaba ezahlukene. Ukwahlukanisa sifo theka isakhiwo izimila:

• Biphasic. Kukhona akhiwa EPITHELIAL futhi izingxenye sarcomatous precancerous.
• Monophasic Sarcoma lwamalunga. It has ukubunjwa yayo yiluphi uhlobo omunye amaseli angavamile: EPITHELIAL noma sarcomatous.

Hlukanisa isimila ku zinhlobo can futhi morphology yayo:

1. Fibre. Neoplasm sakhiwa imicu.
2. Cellularity. Ngo oyiyo likhona izicubu yezindlala kusukela ngokuvamile kwenzeke papilloma futhi izinhlumba.

Futhi, ukungaguquguquki ungakwazi ukuhlukanisa bese kuba khona ukuvuvukala kanzima noma soft. Kukhona Ukwahlukaniswa isakhiwo ezincane izimila: gistioidnoe, giant, lunemicu adenomatous, alveolar noma oxubile.

symptomatology zablevaniya

Uma isiguli eba Oncology ezinjalo, izimpawu zaso:

• ubuhlungu okungazelelwe joint ethintekile.
• Ukwephula ukuhamba kanye umsebenzi ngokuhlanganyela.
• Ukwanda lesifunda zamanzi. Kuyinto ngenxa ukusabalala Ukudlulela.
• Ukukhathala.
• A nokwanda okuphawulekayo lokushisa.
• Fever.
• Joint abathintekayo esiyitholayo kumiswa kanzima noma soft.
• Isisindo ukunciphisa.

Sarcoma lwamalunga iyisifo omshoshaphansi kakhulu, ngakho izimpawu zokuqala kakhulu - Yisikhathi ukubona udokotela.

zokugula ukuhlola

Isikhathi esining impela ngisho odokotela abanolwazi ukwenza amaphutha ukuxilongwa, okungaholela ziwohloke masinyane isimo lesiguli. Inhlolo-vo ephelele kuhlanganisa izinqubo ezifana:

• X-ray of emalungeni ethintekile.
• Angiography imithambo yegazi.
• ukuhlola Radionuclide ngenxa ukuthola izikhungo ezincane kunazo zonke amaqoqo lamaseli ebulalayo.
• Biopsy izicubu neoplasms.
• US.
• CT noma i-MRI.
• Laparoscopy.
• luhlolo Cytological of isampula yesimila.
• X-reyi yesifuba, okuvumela ukuba sithole khona metastases.
• ukuhlaziywa Immunological yesimila.
• ukuhlolwa kwezakhi zofuzo ukuxilonga izinguquko kuma-chromosome.

Lwamalunga Sarcoma amadolo Ilunga kulapho owande kakhulu zokugula phakathi izimila yalolu hlobo.

Izici yokwelashwa

Ukwelashwa nokuvikelwa yimuphi umdlavuza Kufanele ibe mide futhi olunzulu. Linikeza ezigabeni ezilandelayo ukwelashwa:

1. Surgery. Lapha-node abulalayo isuswe ngaphakathi inyama ephilile. Lokho emhlabeni isimila ukuba excised kwenye 2-4 cm amangqamuzana avamile. Kwezinye izimo, kungase kudingeke ukuba asuse zamanzi noma kukhishwa khona lonke ilunga. Ukubuyisela ukusebenza joint, isiguli wenziwa ukuhlinzwa ku yokufakelwa ngokuhlanganyela esikhundleni sokwenziwa.
2. ukwelashwa ngemisebe. It isetshenziswa ngokuyinhloko endabeni uma isimila uye metastasized kakade. Sebenzisa yokwelapha enjalo ngaphambi ukusebenza futhi ngemva kwaso. Esimweni sokuqala, ukuchayeka kusiza ukuyeka ukukhula izimila kanye sinciphise ubukhulu bayo. Ngemva kokuhlinzwa, ukwelashwa wenziwa esimweni ukuthola metastases. Isiguli libonisa izifundo eziningana ngemisebe, phakathi lapho zikhona izikhala. Le nqubo yokwelapha ithatha izinyanga ezingaba ngu-4-6.
3. ukwelashwa Chemical. Ngale ndlela iphathwa Sarcoma lwamalunga 3 izigaba. Ngoba impatho wasebenzisa izidakamizwa ezifana "Adriamycin", "carminomycin". Ukwelashwa okuphumelelayo kungaba ezinjalo kuphela uma isimila ozwelayo izidakamizwa, cytostatics.

Ukwelashwa lesi sifo abakwazi ukunikeza 100% isiqinisekiso sokuthi isimila akusho ivele. Kodwa-ke akuyona into engenakwenzeka ukukhiqiza therapy.

Ukubikezela kanye nokuvinjelwa

synovioma Ebulalayo ezimweni eziningi has a Izibikezelo abampofu. amathuba aphezulu sokusinda kuphela kulezo ziguli kabani zokugula kubonakele ku esigabeni sokuqala nentuthuko. Amaphesenti kulokhu 80%.

I esibi kunazo kulindeleke at Sinovioma monophasic. Iqiniso liwukuthi lapho kwakhiwa metastases emaphashini ngokushesha. isimila Biphasic amenable eyinhloko yokwelashwa okuphumelelayo ngesigamu isikhathi.

Lesi sifo ephelezelwa ukwakheka okusheshayo metastases Kodwa ukubukeka izimpawu zokuqala okumele ugijime kudokotela. Sinovioma kubhekwe esinye sezifo eziyingozi kakhulu lesichubekako, okuyinto minyaka yonke uxilongwe kaningi. Ukwelashwa akusilo njalo bakwazi ukuqeda ngokuphelele isiguli lesi sifo, kodwa kuzovumela eziningana izinsuku zakhe.

Isikimu prophylactic, okwaziyo ukugcina ukuthuthukiswa lokuvikela, akukho isifo. Kodwa labo bantu babe yofuzo, kubalulekile ukuba okwaxoxwa njalo ngonyaka. Kodwa ngisho nasezimweni ezinzima kakhulu akufanele sililahle ithemba, ngoba imithi akemi namanje. Hlala uphilile!