He aha te Chondrosarcoma? Tohutohu, Take, me te Maimoatanga

Ko te chondrosarcoma tētahi momo mate pukupuku wheua e tipu ana i roto i ngā pūtau kirikiri. Ko te tuarua tenei o ngā mate pukupuku wheua matua, ahakoa he iti rawa te maha o ngā keehi. Ko te nuinga o te wā ka tipu haere te mate pukupuku nei, ā, ko te nuinga o ngā tāngata e pā ana i waenga i te 40 me te 70 tau te pakeke, ahakoa ka puta i tetahi tau.

Kāore i rite ki ētahi atu mate pukupuku, ko te nuinga o te wā ka noho tonu te chondrosarcoma i tētahi wāhi mo te wā roa i mua i te horapa. Ka hoatu tēnei ki ngā tākua me ngā turoro te wā nui ake hei whakarite i te maimoatanga, ā, ka āhei te whakatutuki i ngā hua pai ake ina kitea wawe.

He aha ngā tohu o te chondrosarcoma?

Ko te tohu wawe tino noa ko te mamae tonu i roto i te wheua, i te hononga rānei e pā ana. Ko te nuinga o te wā ka tīmata tēnei mamae hei mamae ngawari e haere mai ana, e haere atu ana rānei, katahi ka kaha haere, ka roa ake i ngā wiki, i ngā marama rānei.

Ka kite pea koe i ētahi tohu i te tipu o te mate pukupuku:

• Te mamae tonu o te wheua, o te hononga rānei e kino ake ana i te pō
• Te pupū, te kohinga rānei e kitea ana i te taha o te wāhi e pā ana
• Te ngoikore, te iti rānei o te nekehanga i roto i ngā hononga tata
• Ngā whati kore whakamaarama i roto i te wheua e pā ana
• Te ngenge, te wiri rānei mena ka pēhi te mate pukupuku i ngā io

Ka tipu haere mā te ngāwari ēnei tohu, koia te take ka taea te kore kitea o te chondrosarcoma mo ngā marama. Ko te nuinga o te wā kāore te mamae e whakautu pai ki ngā rongoā mamae kore-whakahaunga, ā, ko te nuinga o te wā ka akiaki tēnei i ngā tāngata ki te rapu awhina hauora.

He aha ngā momo chondrosarcoma?

Ka wehewehe ngā tākua i te chondrosarcoma ki ngā momo rerekē i runga i te wāhi e tipu ana, me te ahua o ngā pūtau i raro i te microscope. Ko ngā momo matua e āwhina ana ki te whakatau i te huarahi maimoatanga pai.

Ko te chondrosarcoma matua e tipu ana tika mai i ngā pūtau kirikiri noa. Ko te momo tino noa tēnei, e 90% te nui o ngā keehi. Ko te nuinga o te wā ka pā ki te riu, ngā riu, te pakihiwi, te wheua roa rānei o ngā ringa me ngā waewae.

Ko te chondrosarcoma tuarua e tipu ana mai i ngā mate pukupuku wheua pai e kiia nei ko te enchondromas, ko te osteochondromas rānei. Ahakoa he noa ēnei mate pukupuku pai, ā, he kore kino te nuinga o te wā, he iti rawa te huri ki te mate pukupuku i te wā.

He iti hoki ngā momo iti penei i te chondrosarcoma pūtau marama me te chondrosarcoma mesenchymal. He rerekē te whāinga o ēnei i te chondrosarcoma noa, ā, ka hiahia pea ki ngā huarahi maimoatanga motuhake.

He aha ngā take o te chondrosarcoma?

Kāore i te mohiotia te take tika o te nuinga o ngā chondrosarcoma. Heoi, kua kitea e ngā kairangahau ētahi take ka āhei te whakauru ki tōna whanaketanga.

E whakaatu ana ngā huringa ira i roto i ngā pūtau kirikiri he wāhi. Ka taea te puta o ēnei huringa i te wā, i te whakawhiwhia mai rānei i ngā mātua, ahakoa he iti rawa ngā keehi i whakawhiwhia mai.

Ka taea e te maimoatanga radiation o mua ki te wāhi e pā ana te whakaiti i te tūponotanga, ahakoa ka puta tēnei i muri i ngā tau, i ngā tekau tau rānei i muri i te maimoatanga. He nui ake te tūponotanga o ētahi tāngata e pangia ana e ētahi āhuatanga ira, penei i te maha o ngā exostoses whakatūpato, i te mate Ollier rānei, ki te whanake i te chondrosarcoma.

I roto i ngā keehi iti, ka tipu te chondrosarcoma mai i ngā mate pukupuku kirikiri pai kua roa te noho. Ka tipu haere mā te ngāwari tēnei huringa, ā, koia te take ka tirotirohia e ngā tākua ēnei mate pukupuku pai i te wā.

Nōhea te haere ki te tākua mō te chondrosarcoma?

Me whakapiri atu koe ki tō tākua mena ka pāngia koe e te mamae wheua, hononga rānei e roa atu ana i ngā wiki torutoru. He mea nui rawa tēnei mena ka kino ake te mamae i te pō, kāore rānei e pai ake me te okioki me ngā rongoā mamae kore-whakahaunga.

Rapua te awhina hauora wawe mena ka kite koe i te kohinga e tipu haere ana, i te pupū rānei i te taha o te wheua, o te hononga rānei. Ahakoa ko te nuinga o ngā kohinga kāore i te mate pukupuku, he mea nui kia arotakehia e te kaimahi hauora.

Kaua e tatari mena ka pāngia koe e ngā whati kore whakamaarama, i te mamae nui ohorere rānei i roto i te wheua. Ka taea e ēnei te tohu kei te ngoikore te hanganga wheua e te mate pukupuku, ā, me whakarongo wawe.

He aha ngā take tūponotanga mō te chondrosarcoma?

He maha ngā take ka taea te whakaiti i tō tūponotanga ki te whanake i te chondrosarcoma, ahakoa te whai i ēnei take kāore e tikanga ka whiwhi koe i te mate.

He wāhi nui te pakeke, me te nuinga o ngā keehi e puta ana i ngā tāngata neke atu i te 40. Ka kaha ake te tūponotanga me te pakeke, ka piki ake i ngā tau 60 me ngā 70.

Koinei ngā take tūponotanga matua kua kitea e ngā tākua:

• Te maimoatanga radiation o mua ki ngā wheua, ki ngā hononga rānei
• Ētahi āhuatanga ira penei i te mate Ollier, i te mate Maffucci rānei
• Te whai i ngā exostoses whakatūpato maha (ngā mate pukupuku wheua pai)
• Ngā mate pukupuku kirikiri pai o mua (enchondromas)
• Te mate Paget o te wheua

Ko te nuinga o ngā tāngata e pangia ana e te chondrosarcoma kāore he take tūponotanga. Ko te nuinga o te wā ka puta te mate pukupuku mā te koretake, kāore he take mārama, kāore hoki he hītori whānau.

He aha ngā raruraru pea o te chondrosarcoma?

Ahakoa ko te nuinga o te wā ka tipu haere mā te ngāwari te chondrosarcoma, ka taea e ia te whakauru i ngā raruraru maha mena kāore i te maimoatia, i te whakaroa rānei te maimoatanga.

Ka taea e te mate pukupuku te whakaiti i ngā wheua, ka āhei ai te whati ahakoa he iti te pakaru. Ka puta tēnei nā te whakangaro o te mate pukupuku i te kiko wheua noa, ā, ka whakakapihia ki ngā pūtau koretake.

Ko ngā raruraru pea ko:

• Ngā whati wheua i te wāhi o te mate pukupuku
• Te kino o ngā io mena ka pēhi te mate pukupuku i ngā io tata
• Te kore mahi o te hononga me te ngoikore tonu
• Te horapa ki ngā pūkahukahu, ki ētahi atu wheua rānei (ahakoa he iti tēnei)
• Te mate i muri i te pokanga, i te maimoatanga rānei

Ko te rongo pai ko te iti rawa te horapa o te chondrosarcoma ki ētahi atu wāhi o te tinana, ina koa ina kitea wawe. Ka taea te aukati, te whakahaere rānei i te nuinga o ngā raruraru mā te maimoatanga tika.

Me pēhea te whakatau i te chondrosarcoma?

Ko te whakatau i te chondrosarcoma e hiahia ana ki ngā mahi maha hei whakau i te mate pukupuku, hei whakatau hoki i tōna whānui. Ka tīmata tō tākua me te hītori hauora taipitopito me te whakamātautau tinana.

Ka hoatu e ngā whakamātautau whakaahua te whakaahua marama tuatahi o te mea e puta ana i roto i tō tinana. Ko te nuinga o te wā ka whakaatu ngā X-rays i ngā huringa āhuatanga i roto i te wheua, ā, ka hoatu e ngā CT scans me ngā MRIs ngā korero taipitopito ake mō te rahi me te wāhi o te mate pukupuku.

Ko te biopsy anake te huarahi hei whakatau tika i te chondrosarcoma. Ka tangohia e tō tākua tētahi tauira iti o te kiko mate pukupuku, ka tirotirohia i raro i te microscope. Ko te nuinga o te wā ka mahia tēnei mahi me te anesthetic ā-rohe, ā, ka iti te mamae.

Ka taea e ngā whakamātautau atu te whakauru i ngā whakamātautau wheua, i ngā whakamātautau PET rānei hei tirotiro mena kua horapa te mate pukupuku ki ētahi atu wāhi o tō tinana. Ka taea e ngā whakamātautau toto te awhina i te aromatawai i tō hauora katoa i mua i te tīmatanga o te maimoatanga.

He aha te maimoatanga mō te chondrosarcoma?

Ko te pokanga te maimoatanga matua mō te chondrosarcoma nā te mea kāore tēnei momo mate pukupuku e whakautu pai ki te chemotherapy, ki te maimoatanga radiation rānei. Ko te whāinga ko te tango i te mate pukupuku katoa me te tiaki i te nui o te mahi noa.

Ka whakawhirinaki ō kōwhiringa pokanga ki te wāhi, te rahi, me te tohu o te mate pukupuku. Ka tangohia e te pokanga whakaora waewae te mate pukupuku me te tiaki i te ringa, i te waewae rānei. I ētahi wā, ka whakakapia te wheua i tangohia e te whakakapi rino, i te hononga wheua rānei.

Ka taea e ngā huarahi maimoatanga te whakauru i:

• Te tango whānui o te rohe ki te tango i te mate pukupuku me te kiko hauora tata
• Te pokanga whakaora waewae me te hanga hou
• Te tapa i roto i ngā keehi iti kaore e taea te whakaora waewae
• Te maimoatanga radiation mō ngā mate pukupuku kaore e taea te tango katoa
• Te chemotherapy mō ētahi momo iti, kaha

Ko te nuinga o ngā tāngata e pangia ana e te chondrosarcoma iti te tohu he hua pai i muri i te pokanga. Ka mahi tahi tō rōpū hauora ki a koe hei whiriwhiri i te mahere maimoatanga pai rawa atu e whai hua ana ki tō āhuatanga motuhake.

Me pēhea te whakahaere i te ora i te wā o te maimoatanga chondrosarcoma?

Ko te ora mai i te maimoatanga chondrosarcoma he tukanga mā te ngāwari e hiahia ana ki te manawanui me te tautoko. Ka whakawhirinaki tō raupapa ora ki te momo pokanga i mahia e koe, ki tō hauora katoa hoki.

Ko te nuinga o te wā ka tīmata te rongoā tinana i muri i te pokanga hei awhina i te whakahoki i te kaha me te nekehanga. Ka arataki tō kaiwhakaora i a koe i ngā whakakorikori i hangaia hei whakapai ake i te mahi me te tiaki i te wāhi pokanga.

He wāhi nui te whakahaere mamae o te ora. Ka tuku tō tākua i ngā rongoā tika, ā, ka taea e ia te whakaaro ki ētahi atu tikanga penei i te hukapapa, te wera, i te nekehanga ngawari rānei hei awhina i te mamae.

Ko te tiaki whai muri e whakauru ana i ngā tirotiro auau me ngā whakamātautau whakaahua hei tirotiro i ngā tohu o te hokinga mai o te mate pukupuku. He mea nui ēnei huihuinga hei hopu i ngā raruraru wawe, hei whakarite hoki i tō ora tonu.

Me pēhea te whakarite mō tō huihuinga tākua?

Ko te whakarite mō tō huihuinga ka taea te awhina i te whakarite kia whiwhi koe i te hua pai rawa atu i tō wā me tō tākua. Tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou, me te āhua o te huringa i te wā.

Kawe mai tētahi rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā kore-whakahaunga me ngā taapiri. Huihuia hoki ētahi rēkōta hauora o mua, i ngā whakamātautau whakaahua rānei e pā ana ki ō tohu o nāianei.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, i tētahi mema whānau rānei hei awhina i a koe ki te mahara ki ngā korero nui, ki te whakarato hoki i te tautoko ngākau.

Kaua e whakaroa ki te ui mō te whakamārama mena kāore koe e mārama ki tetahi mea e whakamārama ana tō tākua. Ko tō hauora tēnei, ā, e tika ana kia whakautua ngā pātai katoa mā te marama.

He aha te mea nui mō te chondrosarcoma?

Ko te chondrosarcoma he momo mate pukupuku wheua nui engari ka taea te whakaora e tipu haere ana mā te ngāwari, ā, e whakautu pai ana ki te maimoatanga pokanga. Ko te kite wawe me te maimoatanga tika ka āhei te whakatutuki i ngā hua pai.

Ko te mea nui rawa hei mahara ko te kore e wareware ki te mamae wheua tonu. Ahakoa ko te nuinga o te mamae wheua kāore i te mate pukupuku, he mea tika tonu te arotake i ngā tohu koretake, i ngā tohu tonu rānei e te kaimahi hauora.

Me ngā whakapainga i roto i ngā tikanga pokanga me te tiaki tautoko, ko te nuinga o ngā tāngata e pangia ana e te chondrosarcoma ka tumanako ki te pupuri i te kounga ora pai i muri i te maimoatanga. Ka mahi tahi tō rōpū hauora ki a koe hei whakawhanake i te mahere maimoatanga e whakautu ana ki ō hiahia me ō awangawanga motuhake.

Ngā pātai e ui pinepinetia ana mō te chondrosarcoma

U: He mate mate tonu te chondrosarcoma?

Kāo, ehara te chondrosarcoma i te mate mate tonu. Ko te tikanga, he pai te tirohanga mō te nuinga o ngā tāngata e pangia ana e tēnei mate pukupuku, ina koa ina kitea wawe. He hua ora pai rawa atu ngā chondrosarcomas iti te tohu, me te neke atu i te 90% o ngā tāngata e ora ana i te rima tau neke atu rānei i muri i te whakatau.

U: Kia tere te tipu o te chondrosarcoma?

Ko te nuinga o te wā ka tipu haere mā te ngāwari te chondrosarcoma ki ētahi atu mate pukupuku. Ko te nuinga o ngā keehi he mate pukupuku iti te tohu ka taea te whanake i ngā marama, i ngā tau rānei i mua i te whakauru i ngā tohu e kitea ana. He pai tēnei āhua tipu mā te ngāwari nā te mea ka hoatu tēnei ki ngā tākua me ngā turoro te wā nui ake hei whakarite i te maimoatanga whai hua. Heoi, ka taea e ētahi momo iti te tipu tere ake, ā, me whakarongo wawe.

U: Ka taea te aukati i te chondrosarcoma?

Kāore he huarahi tino hei aukati i te chondrosarcoma nā te mea ko te nuinga o ngā keehi ka puta mā te koretake, kāore he take mārama. Heoi, me whai tirotiro auau ngā tāngata e mohiotia ana he take tūponotanga penei i ngā āhuatanga ira, i te radiation o mua rānei ki ō rātou tākua. Mena kei a koe ngā mate pukupuku kirikiri pai, ko te whai i ngā tūtohu a tō tākua mō te tirotiro ka taea te awhina i te hopu i ngā huringa wawe.

U: Ka taea e au te hoki ki ngā mahi noa i muri i te maimoatanga?

Ka taea e te nuinga o ngā tāngata te hoki ki te nuinga o ō rātou mahi noa i muri i te ora mai i te maimoatanga chondrosarcoma. Ko te whānui o tō ora ka whakawhirinaki ki ngā take penei i te wāhi o te mate pukupuku, te momo pokanga i mahia, me tō whakaute ki te whakaora. Ahakoa ka hiahia pea ki te whakarereke i ētahi mahi, he maha ngā tāngata e ora ana i te ora kaha, pai i muri i te maimoatanga. Ka mahi tahi tō rōpū hauora ki a koe hei whakarite i ngā tumanakohanga me ngā whāinga tika.

U: Kia hira te maha o ngā huihuinga whai muri e hiahia ana ahau i muri i te maimoatanga?

He mea nui te tiaki whai muri mō te tirotiro i tō ora, me te matakitaki hoki i ngā tohu o te hokinga mai o te mate pukupuku. Ko te nuinga o te wā, ka whai koe i ngā huihuinga i ia 3-6 marama mō ngā tau torutoru tuatahi, katahi ka iti ake te maha i te wā e haere ana. Ko ēnei haerenga e whakauru ana i ngā whakamātautau tinana me ngā whakamātautau whakaahua penei i ngā X-rays, i ngā CT scans rānei. Ka hanga e tō tākua tētahi kaupapa whai muri motuhake e whai hua ana ki tō āhuatanga motuhake me ngā take tūponotanga.