Ese Sarcoma ya Epithelioid ni iki? Ibimenyetso, Impamvu, n'Ubuvuzi

Ese Sarcoma ya Epithelioid ni ubwoko bwa kanseri y'umubiri buke cyane bushobora kugaragara ahantu hose mu mubiri wawe, nubwo busanzwe bugaragara mu ntoki, mu maboko, cyangwa mu birenge. Iyi kanseri yiswe kuri ubwo buryo kuko iyo irebwe muri microscope, uturemangingo tw'iyi kanseri tumera nk'uturemangingo twa epitheliali, ari two uturemangingo dukora uruhu rw'imbere rw'imigongo n'imbere y'umubiri.

Nubwo ijambo "sarcoma" rishobora gutera ubwoba, kumva icyo ufite bishobora kugufasha kumva witeguye kandi ufite icyizere ku bijyanye no kuvurwa kwawe. Ubu bwoko bwa kanseri busanzwe bukura buhoro buhoro, bivuze ko kubimenya hakiri kare no kubuvura bishobora kugira uruhare rukomeye mu mikurire yawe.

Ibimenyetso bya Sarcoma ya Epithelioid ni ibihe?

Ikimenyetso cya mbere gikunze kugaragara ni igisebe gito, gikomeye cyangwa igice kinini kiri munsi y'uruhu rwawe gishobora kumera nk'igisebe cyangwa ikintu kidakomeye. Abantu benshi batangira kwanga ibi bice kuko akenshi ntibibabaza kandi bishobora kumera nk'ibintu bisanzwe.

Dore ibimenyetso by'ingenzi ugomba kwitondera, wibuke ko ibi bishobora kuza buhoro buhoro mu mezi cyangwa imyaka:

• Igisebe kidababaje, gikomeye kiri munsi y'uruhu gikura buhoro buhoro.
• Igisebe kimeranye n'imigongo y'imbere aho kugenda uko ushaka.
• Impinduka z'uruhu ku gisebe, nko guhinduka umukara cyangwa kwangirika.
• Ibishebe byinshi bito bigaragara ku kuboko kumwe cyangwa ukuguru kumwe.
• Igisebe gisubira nyuma yo gukuraho.
• Kubabara cyangwa gucika intege niba igisebe gitsindagira imiyoboro y'imbere.

Mu bihe bidafite akarusho, ushobora kubona igisebe kibabaza cyangwa kibabaza, cyane cyane niba gikura kigera aho gitsindagira ibice biri hafi. Ikintu cy'ingenzi cyo kwibuka ni uko Sarcoma ya Epithelioid ikunze kumera nk'ikintu kidakomeye, bityo igisebe icyo ari cyo cyose gikomeza kubaho gikwiye kuvugwa na muganga.

Amashyirahamwe ya Sarcoma ya Epithelioid ni ayahe?

Abaganga bazi amashyirahamwe abiri y'ingenzi ya Sarcoma ya Epithelioid, kandi kumva ubwoko ufite bifasha mu gutegura gahunda yawe yo kuvurwa. Ubu bwoko bwombi bugira imikorere itandukanye, nubwo bugira ibintu byinshi bisangiye.

Ubwoko busanzwe busanzwe bugera ku rubyiruko n'abangavu, akenshi bugaragarira mu ntoki, mu maboko, mu birenge, cyangwa mu maguru yo hasi. Ubu bwoko busanzwe bukura buhoro buhoro kandi bushobora kugira icyizere gito iyo bimenyekanye hakiri kare.

Ubwoko bwa hafi busanzwe bugera ku bantu bakuze kandi busanzwe bugera mu bice byimbere by'umubiri wawe, nko mu kibuno, mu gifu, cyangwa mu bice byo hejuru by'amaboko n'amaguru. Ubu bwoko bushobora kuba bukomeye kandi bugorana kuvura, nubwo iterambere mu buvuzi rikomeza kunoza ibyavuye.

Muganga wawe azamenya ubwoko ufite binyuze mu isuzuma ry'ibice by'umubiri byafashwe muri microscope, hamwe n'ibizamini byihariye bishaka proteine ​​zihariye muri uturemangingo twa kanseri.

Ese Sarcoma ya Epithelioid iterwa n'iki?

Impamvu nyamukuru ya Sarcoma ya Epithelioid ntirazwi, ibyo bishobora gutera agahinda iyo ushaka ibisobanuro. Icyo tuzi ni uko iyi kanseri itera iyo uturemangingo tumwe two mu mubiri wawe tugira impinduka za gene zituma bikura kandi bigabanyamo uko bishaka.

Urugero rwinshi rugaragara ku bushake, nta mpamvu isobanutse cyangwa impamvu wakwirinda. Bitandukanye n'izindi kanseri, Sarcoma ya Epithelioid ntisanzwe ifitanye isano n'imibereho nko kunywa itabi, indyo, cyangwa izuba.

Ubushakashatsi bumwe buvuga ko imvune cyangwa ibikomere byabayeho bishobora kugira uruhare mu bihe bidafite akarusho, ariko iyi mibanire ntiyemewe kandi ntikagomba gutuma wibwira ko wabitewe n'imvune wari ufite mu gihe cyashize. Abahanga bakomeza kwiga impinduka za gene ziri muri iyi kanseri kugira ngo bamenye neza uko itera.

Mu bihe bidafite akarusho, Sarcoma ya Epithelioid ishobora kuba ifitanye isano n'ibibazo bimwe bya gene, ariko igice kinini cy'ibibazo bibaho mu bantu badafite amateka y'umuryango wa kanseri cyangwa ibibazo bya gene.

Ni ryari ukwiye kujya kwa muganga kubera Sarcoma ya Epithelioid?

Ugomba guhamagara muganga wawe niba ubona igisebe cyangwa igice kinini gikomeza ibyumweru bike, cyane cyane niba gikomeza gukura. Nubwo ibice byinshi bigaragara ko bidakomeye, kubigenzura biguha amahoro kandi bituma hamenyekana hakiri kare niba hari ikintu gikomeye kirimo kuba.

Witondere cyane ibice byumva bikomeye kandi bigaragara ko bifitanye isano n'imigongo y'imbere aho kugenda uko ushaka munsi y'uruhu rwawe. Niba ubona igisebe gisubira nyuma yo gukuraho, cyangwa niba ibishebe byinshi bito bigaragara ku gice kimwe cy'umubiri, ibyo bikwiye gusuzuma vuba na muganga.

Ntugatege amatwi niba ufite impinduka z'uruhu ku gisebe, nko guhinduka umukara, kwangirika, cyangwa guhora ubabara. Kimwe n'ibyo, niba igisebe kitababazaga kiba kibabaza cyangwa gitangira gutera uburibwe no gucika intege, igihe kirageze cyo gushaka ubuvuzi.

Wibuke ko gufata ikibazo icyo ari cyo cyose hakiri kare bisanzwe bigira ingaruka nziza kandi bigatanga amahitamo yo kuvura menshi, bityo nta nyungu yo gutegereza no guhangayika iyo ushobora kubona ibisobanuro byavuye mu mwuga w'ubuzima.

Ibyago bya Sarcoma ya Epithelioid ni ibihe?

Bitandukanye n'izindi kanseri nyinshi, Sarcoma ya Epithelioid ntabwo ifite ibyago byinshi bisobanutse, bivuze ko abantu benshi bayirwaye badafite ibintu by'ingenzi bibatera. Ibyo bishobora gutera urujijo, ariko ni ingenzi kumva ko kuba udafite ibyago byinshi bisobanutse ntibivuze ko wakoze ikintu kibishishikaza.

Imyaka igira uruhare runaka, ubwoko busanzwe bugera ku bantu bari hagati y'imyaka 10 na 35, mu gihe ubwoko bwa hafi busanzwe bugera ku bantu bakuze barengeje imyaka 40. Abasore bagaragara ko bagira ibyago byinshi kurusha abakobwa bato, nubwo itandukaniro ritari rikomeye.

Ibimenyetso bimwe bya gene bishobora kongera ibyago gato, ariko ibyo bigize igice gito cyane cy'ibibazo. Imvune cyangwa ibikomere byabayeho byavuzwe nk'ikintu gishobora kuba ikibazo mu bushakashatsi bumwe, ariko iyi mibanire iracyari itaramenyekana kandi ikaba itaravugwaho rumwe n'abahanga.

Ukuri ni uko abantu benshi barwaye Sarcoma ya Epithelioid badafite ibyago byinshi bisobanutse, ibyo bigaragaza ko ibi bisanzwe bibaho ku bushake aho kuba ikintu cyirindwa.

Ingaruka zishoboka za Sarcoma ya Epithelioid ni izihe?

Kumva ingaruka zishoboka bishobora kugufasha gukorana n'itsinda ryawe ry'abaganga kugira ngo ugenzure ibibazo kandi ubiganireho vuba niba bibaye. Inkuru nziza ni uko ingaruka nyinshi zishobora guhangana neza iyo zimenyekanye hakiri kare.

Ikibazo gikomeye ni uko Sarcoma ya Epithelioid ifite ubushobozi bwo gukwirakwira mu mitsi ya lymph na, mu bihe bikomeye, mu bice bya kure by'umubiri wawe nko mu mwijima. Niyo mpamvu muganga wawe ashobora kugusaba gukora ibizamini byo kureba niba byakwiriye igihe cyo kubimenya.

Dore ingaruka z'ingenzi abaganga bareba:

• Gusubira kw'ahantu hamwe, aho kanseri isubira mu gice kimwe nyuma yo kuvurwa.
• Gukwirakwira mu mitsi ya lymph, cyane cyane mu gituza, mu kibuno, cyangwa mu ijosi.
• Gukwirakwira kure (metastasis) mu mwijima, ariho hantu hakunze kugaragara.
• Gutakaza imikorere y'umugongo ukoresha niba hari ubuvuzi bukomeye bukenewe.
• Ibibazo by'imiterere y'imbere bitera uburibwe, intege nke, cyangwa ububabare.
• Ikibazo cyangwa ubushyuhe buke bw'ibikomere nyuma yo kubagwa.

Nubwo izi ngaruka zikomeye, wibuke ko uburyo bwo kuvura bugezweho bugamije kugabanya ibyo bibazo mu gihe uvuza kanseri yawe. Itsinda ryawe ry'abaganga rizakorana nawe kugira ngo bungurane ubuvuzi n'ukubungabunga imikorere isanzwe.

Ese Sarcoma ya Epithelioid ishobora kwirindwa gute?

Ikibabaje ni uko nta buryo bwo kwirinda Sarcoma ya Epithelioid tuzi kuko tutabona neza icyo iterwa na cyo. Ibyo ntabwo ari amakosa yawe, kandi nta kintu wakora kugira ngo wirinde iyi ndwara.

Uburyo bwiza ni ukumenya hakiri kare binyuze mu kumenya ibimenyetso no kujya kwa muganga vuba kubera igisebe icyo ari cyo cyose cyangwa igice kinini gikubabaza. Kwigenzura kenshi uruhu rwawe n'imigongo y'imbere bishobora kugufasha kubona impinduka hakiri kare.

Kubera ko iyi kanseri ishobora rimwe na rimwe kwitiranywa n'ibintu bidakomeye, ni ingenzi gukurikirana na muganga wawe niba hari igisebe gikomeza, gikura, cyangwa gihinduka. Izera icyo wumva niba hari ikintu kidakubereye ku gisebe, nubwo abandi baguhumuriza ko kimeze neza.

Kubungabunga ubuzima bwiza binyuze mu myitozo ngororamubiri, indyo yuzuye, no kuvurwa kenshi bituma umubiri wawe ubasha guhangana n'ibibazo byose by'ubuzima bishobora kuza, nubwo ibyo bintu bitabuza Sarcoma ya Epithelioid.

Ese Sarcoma ya Epithelioid imenyekanwa gute?

Kumenya Sarcoma ya Epithelioid bisaba intambwe nyinshi, kandi muganga wawe azakuyobora buri kimwe witonze. Uburyo butangira isuzuma ry'umubiri aho muganga wawe yumva igisebe kandi akabaza amateka yacyo, harimo igihe wabimenye bwa mbere n'uko byahindutse.

Ibizamini byo kureba nka ultrasound, CT scans, cyangwa MRI bifasha muganga wawe kubona ingano n'aho igisebe kiri kandi akamenya niba cyakwiriye mu bice biri hafi. Ibyo bizamini ntabwo bibabaza kandi bitanga amashusho arambuye afasha gutegura ubuvuzi bwawe.

Isuzuma rya nyuma rikomoka ku gukuramo igice gito cy'umubiri kandi kirebwa muri microscope. Muganga wawe ashobora gukora igikorwa cyo gukuramo igice gito cy'umubiri ku bisebe bito cyangwa igikorwa cyo kubaga ku bisebe binini.

Ibizamini byihariye bya laboratoire byitwa immunohistochemistry bishaka proteine ​​zihariye muri uturemangingo twa kanseri byemeza isuzuma. Rimwe na rimwe, ibizamini bya gene byongera gukorwa kugira ngo hamenyekane impinduka zimwe na zimwe muri uturemangingo twa kanseri zishobora kuyobora imyanzuro yo kuvura.

Iyo isuzuma ryemejwe, ibizamini byo kureba ingano y'iyi kanseri. Ibyo bishobora kuba harimo CT scans yo kureba mu mwijima no gusuzuma imiyoboro ya lymph hafi kugira ngo harebwe niba kanseri yakwiriye.

Ubuvuzi bwa Sarcoma ya Epithelioid ni buhe?

Ubuvuzi bwa Sarcoma ya Epithelioid busanzwe bukorwa n'itsinda ry'abaganga, abahanga batandukanye bakorana kugira ngo bakore gahunda nziza ku mimerere yawe. Kubaga bikomeza kuba inkingi y'ubuvuzi, bigamije gukuraho igisebe cyose hamwe n'igice cy'umubiri muzima kiri hafi.

Umuganga wawe azakora kugira ngo akureho kanseri yose mu gihe abungabunga imikorere isanzwe. Rimwe na rimwe ibyo bivuze gukuraho imiyoboro ya lymph hafi niba hari impungenge zo gukwirakwira, kandi mu bihe bidafite akarusho, gukuraho igice cy'umubiri gishobora gufatwa niba ari bwo buryo bwonyine bwo gukuraho byose.

Ubuvuzi bwo kurasa imirasire ikomeye busanzwe burakorwa nyuma yo kubagwa kugira ngo hagarurwe ibyago byo gusubira kw'iyi kanseri mu gice kimwe. Ubu buvuzi bukoresha imirasire ikomeye kugira ngo ibone uturemangingo twa kanseri dushigaje kandi busanzwe butangwa mu byumweru bike.

Ubuvuzi bwo gukoresha imiti ishobora kugerwaho, cyane cyane ku bisebe binini cyangwa niba hari ibimenyetso byo gukwirakwira. Nubwo Sarcoma ya Epithelioid ishobora kurwanya imiti imwe yo kuvura kanseri, ubuvuzi bushya bugezweho bugira icyizere ku barwayi bamwe.

Ku barwaye bakomeye, igeragezwa rya muganga rishobora gutanga uburyo bwo kuvura bugezweho butaraboneka. Muganga wawe ashobora kugufasha kumva niba hari ubuvuzi bw'igeragezwa bushobora kuba bukubereye.

Uburyo bwo guhangana n'ibimenyetso mu gihe cyo kuvurwa kwa Sarcoma ya Epithelioid?

Guhangana n'ibimenyetso n'ingaruka mbi mu gihe cyo kuvurwa bigufasha kubungabunga ubuzima bwawe no gukomeza mu rugendo rwawe rwo kurwanya kanseri. Itsinda ryawe ry'abaganga rishaka ko wumva wishimye kandi rizakorana nawe kugira ngo uganire ku bibazo byose bibaho.

Guhangana n'ububabare busanzwe ari ingenzi, cyane cyane nyuma yo kubagwa cyangwa mu gihe cyo kuvurwa imirasire. Muganga wawe ashobora kwandika imiti yo kugabanya ububabare kandi ashobora kugusaba ubundi buryo nko kuvurwa umubiri cyangwa uburyo bwo kuruhuka.

Niba ufashe imiti yo kuvura kanseri, imiti yo kurwanya iseseme ishobora kugufasha guhangana n'uburwayi bw'igifu, mu gihe umunaniro ushobora guhangana binyuze mu kuruhuka no gukora imyitozo myoroheje. Kurya ibiryo bike, kenshi bituma ubungabunga imirire yawe n'ingufu.

Kwita ku kibomere nyuma yo kubagwa ni ingenzi kugira ngo gikire neza. Kora uko muganga wawe yabigutegetse ku bijyanye no kubika ahantu hakeye kandi humye, kandi ntutinye kuvugana n'itsinda ryawe ry'abaganga niba ubona ibimenyetso by'ikibazo nko gutukura, ubushyuhe, cyangwa amazi.

Inkunga yo mu mutwe ni ingenzi cyane, kandi abantu benshi babona ko ari ingenzi guhura n'abajyanama, amatsinda y'inkunga, cyangwa abandi barwayi basobanukiwe ibyo uhanganye na byo. Itsinda ryawe ry'abaganga rishobora kugufasha kubona ibikoresho bikwiye mu karere kawe.

Ugomba gutegura gute inama yawe na muganga?

Gutegura inama yawe bigufasha kugira ngo ubone ibyiza byinshi mu gihe cyawe n'itsinda ryawe ry'abaganga kandi bigafasha gutanga ubuvuzi bwiza. Tangira wandike igihe wabonye igisebe bwa mbere n'uko cyahindutse.

Zana urutonde rw'imiti yose ufashe ubu, harimo imiti yo kuvura no kurwanya indwara. Kandi usome dosiye yawe y'ubuvuzi yerekeye igisebe, harimo raporo z'abandi baganga cyangwa ibizamini byo kureba wari ufite.

Andika ibibazo byawe mbere y'igihe kugira ngo utabyibagirwa mu nama. Tekereza kubabaza intambwe zikurikira mu isuzuma, ibizamini bishobora kuba bikenewe, n'amahitamo yo kuvura ariho.

Akenshi biba byiza kuzana umuntu wo mu muryango cyangwa inshuti mu nama zawe, cyane cyane mu gihe uganira ku isuzuma n'amahitamo yo kuvura. Bashobora kugufasha kwibuka amakuru y'ingenzi no gutanga inkunga yo mu mutwe.

Ntugatinye kubwira muganga wawe gusobanura ikintu udasobanukiwe. Ni uburenganzira bwawe kugira amakuru asobanutse ku ndwara yawe n'amahitamo yo kuvura, kandi abaganga beza bishimira abarwayi babaza ibibazo byiza.

Icyo ugomba kwibuka cy'ingenzi kuri Sarcoma ya Epithelioid ni iki?

Ikintu cy'ingenzi cyo kwibuka ni uko Sarcoma ya Epithelioid, nubwo ari ikintu gikomeye, ari indwara ishobora kuvurwa neza, cyane cyane iyo imenyekanye hakiri kare. Uburyo bwo kuvura bugezweho bukomeza kunoza ibyavuye ku bantu barwaye iyi kanseri nke.

Kumenya hakiri kare bigira uruhare rukomeye, bityo ntukirengagize ibisebe cyangwa ibice binini bikomeza, nubwo bigaragara ko bidakomeye. Izera icyo wumva kandi ushake isuzuma rya muganga ku gisebe icyo ari cyo cyose gikubabaza cyangwa gikomeza guhinduka.

Ubuvuzi busanzwe bukorwa n'itsinda ry'abahanga bakorana kugira ngo bakore gahunda ibereye uko uhagaze. Nubwo urugendo rushobora kumera nk'uruhurirane mu bihe bimwe na bimwe, nturi wenyine, kandi hari ibikoresho byinshi biriho kugufasha mu gihe cyo kuvurwa no gukira.

Wibuke ko kuba ufite Sarcoma ya Epithelioid ntikugutandukanya n'abandi, kandi ukoresheje ubuvuzi bukwiye n'inkunga, abantu benshi bakomeza kubaho ubuzima buzuye kandi buhamye. Komeza guhuza n'itsinda ryawe ry'abaganga, babaze ibibazo iyo ukeneye ibisobanuro, kandi ntutinye gushaka inkunga yo mu mutwe iyo ukeneye.

Ibibazo bikunze kubaho kuri Sarcoma ya Epithelioid

Q1: Ese Sarcoma ya Epithelioid ni nke gute?

Sarcoma ya Epithelioid ni nke cyane, igize munsi ya 1% y'ibisebe byose by'umubiri. Igira ingaruka ku bantu bake munsi ya 1 kuri miliyoni buri mwaka. Nubwo kuba nke bishobora gutuma wumva uri wenyine, ibigo byihariye byo kuvura ibisebe bifite ubunararibonye bwinshi mu kuvura iyi ndwara kandi bishobora gutanga ubuvuzi bw'inzobere.

Q2: Igipimo cyo gukira Sarcoma ya Epithelioid ni iki?

Ibyavuye mu gukira bitandukanye cyane bitewe n'ibintu nko bunini n'aho igisebe kiri, niba cyakwiriye, n'uko gishobora gukuraho neza. Iyo bimenyekanye hakiri kare kandi bikakurwaho neza, abantu benshi bakira neza igihe kirekire. Muganga wawe ashobora kukubwira uko uhagaze n'icyo witezeho bitewe n'uko uhagaze.

Q3: Ese Sarcoma ya Epithelioid ishobora gukwirakwira mu bindi bice by'umubiri?

Yego, Sarcoma ya Epithelioid ishobora gukwirakwira mu mitsi ya lymph na, mu bihe bikomeye, mu ngingo za kure nko mu mwijima. Niyo mpamvu muganga wawe azakora ibizamini byo kureba niba byakwiriye igihe cyo kubimenya. Kumenya hakiri kare no kuvura bigabanya cyane ibyago byo gukwirakwira.

Q4: Ese Sarcoma ya Epithelioid irasanzwe mu muryango?

Igice kinini cya Sarcoma ya Epithelioid bibaho ku bushake kandi ntiragaragara mu muryango. Nubwo ibimenyetso bimwe bya gene bishobora kongera ibyago gato, abantu benshi barwaye iyi kanseri nta mateka y'umuryango w'iyi ndwara bafite. Ntugomba guhangayika ko wabibwira abana bawe.

Q5: Ese kuvura Sarcoma ya Epithelioid byamara igihe kingana gute?

Igihe cyo kuvura gitandukanye bitewe n'uko uhagaze, ariko busanzwe burimo kubagwa bikurikirwa n'ibyumweru bike byo kuvurwa imirasire niba bikenewe. Niba imiti yo kuvura kanseri ikenewe, ishobora gukomeza amezi menshi. Itsinda ryawe ry'abaganga rizatanga gahunda isobanutse iyo basuzumye uko uhagaze kandi bakaba barateguye gahunda yawe yo kuvura.