Sarcoma idasanzwe (UPS) ni ubwoko bwa kanseri bwo mu bice byoroheje by'umubiri, akenshi butangirira mu mitsi yoroheje y'umubiri. Imitsi yoroheje ihuza, ikungaha, kandi ikikiza izindi nzego z'umubiri.
UPS isanzwe iba mu maboko cyangwa mu maguru. Gake cyane ishobora kuba mu gice kiri inyuma y'ingingo z'inda (retroperitoneum).
Izina rya sarcoma idasanzwe rikomoka ku buryo utwicyaro twa kanseri tuba tugenda tuboneka hakoreshejwe microscope. Idasanzwe bisobanura ko utwicyaro tudasa n'utwicyaro tw'umubiri aho tuba twakuriye. Kanseri yitwa pleomorphic (plee-o-MOR-fik) kuko utwicyaro tuba twakura mu buryo butandukanye kandi bufite ubunini butandukanye.
Umuti wa UPS uterwa n'aho kanseri iherereye, ariko akenshi uba ugizwe n'ubuganga, imirasire, n'imiti.
UPS yahoze yitwa malignant fibrous histiocytoma.
"Ibimenyetso bya sarcome pleomorphic itandukanye biterwa aho kanseri iboneka. Akenshi iba mu biganza n'amaguru, ariko ishobora kuba ahari hose mu mubiri. Ibimenyetso n'ibimenyetso bishobora kuba birimo: Ububyimba bukomeje gukura cg agace kabuumbagana.\nIyo bukuruye cyane, hashobora kubaho ububabare, kudatuza n'ukuntu ugira ubugufi.\nIyo iba mu kuboko cg mu kirenge, hashobora kubaho kubyimba mu kiganza cg mu kirenge cy'umugingo ubangamiwe.\nIyo iba mu nda, hashobora kubaho ububabare, kudashaka kurya no gucibwamo.\nUmuhumeko.\nIguma ry'uburemere. Fata umwanya wo kubonana na muganga niba ugize ikimenyetso cyangwa ikimenyetso gikomeza kukubabaza."
Jya kwa muganga mugihe ufite ibimenyetso cyangwa ibimenyetso bikomeza kukubabaza. Kanda hano wiyandikishe kubuntu, maze ubone igitabo gikubiyemo uburyo bwo guhangana na kanseri, ndetse n'amakuru afatika y'uko wakwemererwa kujya kubona undi muganga. Ushobora kwivana kuri iyi lisiti igihe icyo aricyo cyose. Igikoresho cyawe cyo guhangana na kanseri kizaba kiri muri inbox yawe mu kanya gato. Uzabona kandi
Ntabwo birasobanutse icyateza kanseri idasobanuka ya pleomorphic.
Abaganga bazi ko iyi kanseri itangira iyo akagira kagize impinduka muri ADN yayo. ADN y'akagira ikubiyemo amabwiriza abwira akagira icyo gukora. Izi mpinduka zibwira akagira kwikuba vuba, bigatuma habaho ikintu kinini cy'utugira tudasanzwe (ububabare). Utubyari twashobora kwangiza no kurimbura imyanya ikuze ikuze. Mu gihe, utubyari twa kanseri dushobora gutandukana no gukwirakwira (guhindura) mu bice by'umubiri, nko mu mpyiko no mu magufwa.
Ibintu bishobora kongera ibyago bya kanseri y'uturemangingo tudasobanuwe neza (undifferentiated pleomorphic sarcoma) birimo:
Abantu benshi barwara kanseri y'uturemangingo tudasobanuwe neza nta bintu by'ibyago bizwi bafite, kandi abantu benshi bafite ibyago ntabwo barwara iyo kanseri.
Ubwo buryo bwo kuvura kanseri idasobanuka ya pleomorphic sarcoma busanzwe butangira harebwe ibimenyetso byawe n'isuzuma ngororamubiri. Iyi kanseri ikunze kuvurwa nyuma yo gupima izindi kanseri. Ibipimo n'ibikorwa bishobora kuba birimo: Isuzuma ngororamubiri. Muganga wawe azakubaza ibibazo ku gihe ibimenyetso byawe byatangiye niba byarahindutse uko igihe gihita. Azasuzumira aho ikibazo kiri kugira ngo yumve neza ubunini n'ubujyakuzimu bw'ikibazo, niba gihujwe n'imiterere iri hafi, niba hari ibimenyetso by'ububabare cyangwa kwangirika kw'imitsi. Ibipimo byo kubona ishusho. Muganga wawe ashobora kugusaba gukora ibizamini byo kubona ishusho kugira ngo abone ishusho y'aho ikibazo kiri kandi yumve neza uko uhagaze. Ibipimo byo kubona ishusho bishobora kuba birimo X-rays, CT, MRI na positron emission tomography (PET) scans. Gukuramo igice cy'umubiri kugira ngo gupimwe (biopsy). Kugira ngo hamenyekane neza uburwayi, muganga wawe azakuramo igice cy'umubiri w'igituntu akohereza mu igenzura. Bitewe n'uko uhagaze, igice cy'umubiri gishobora gukurwamo hakoreshejwe umugozi winjira mu ruhu cyangwa mu gihe cy'igihe cyo kubaga. Muri laboratoire, abaganga bahuguwe mu gusuzuma imyanya y'umubiri (pathologists) basuzuma icyo kintu kugira ngo bamenye ubwoko bw'uturemangingo duhari niba utwo turemangingo dushobora kuba ari bibi. Aya makuru afasha mu gupima izindi kanseri no kuyobora uburyo bwo kuvura. Kumenya ubwoko bwa biopsy bukenewe n'ibyihariye by'uko bikwiye gukorwa bisaba gutegura neza itsinda ry'abaganga. Abaganga bagomba gukora biopsy mu buryo budazabangamira kubaga bizakurikiraho kugira ngo bakureho kanseri. Kubw'ibyo, saba muganga wawe kugushaka itsinda ry'inzobere zifite ubunararibonye mu kuvura kanseri y'umubiri mworoshye mbere y'uko biopsy ikorwa. Kwitabwaho muri Mayo Clinic Itsinda ryacu ry'inzobere za Mayo Clinic rizakwitaho mu bibazo byawe by'ubuzima bifitanye isano na kanseri idasobanuka ya pleomorphic sarcoma. Tangira hano
Mu gihe cyo kuvura kanseri hakoreshejwe imirasire mu gihe cy'abaganga (IORT), imirasire itunganywa mu gashyirako k'abaganga igana ahantu runaka; muri uru rubanza ni umugongo. Igipimo cya IORT gishobora kuba kiri hejuru cyane kurusha ubundi buryo bwo kuvura kanseri hakoreshejwe imirasire buturuka hanze y'umubiri. Uburyo bwo kuvura kanseri ya pleomorphic sarcoma itaramenyekana neza busanzwe burimo kubaga kugira ngo bakureho utunyangingo tw'indwara ya kanseri. Ubundi buryo burimo kuvura hakoreshejwe imirasire n'imiti (uburyo bwo kuvura umubiri wose), nko kuvura hakoreshejwe imiti igabanya ubukana bw'indwara ya kanseri, kuvura hakoreshejwe imiti igenda ku ntego, no kuvura hakoreshejwe ubudahangarwa bw'umubiri. Uburyo buzakubereye bwiza bizaterwa n'ubunini n'aho kanseri yawe iherereye. Iyo bishoboka, abaganga bagerageza gukuraho kanseri ya sarcoma burundu hakoreshejwe ubuvuzi. Intego ni ukukuraho kanseri n'agace k'umubiri muzima kari hafi yayo, bitagize ingaruka nyinshi. Iyo kanseri igize ingaruka ku maboko n'amaguru, abaganga bakunda gukoresha uburyo bwo kubaga budakata imitsi. Ariko kandi, hari igihe bishobora kuba ngombwa gukata ukuboko cyangwa ikirenge byarwaye. Ubundi buryo bwo kuvura, nko kuvura hakoreshejwe imirasire na chemotherapy, bishobora kugirwa inama mbere y'ubuvuzi kugira ngo bagabanye kanseri kugira ngo birorohe kuyikuraho batakase imitsi. Kuvura hakoreshejwe imirasire bikoresha imirasire ikomeye y'ingufu, nka X-rays cyangwa protons, kugira ngo bicishe utunyangingo tw'indwara ya kanseri. Kuvura hakoreshejwe imirasire bishobora gukorwa mu buryo bukurikira:
Ubwoko bwa kanseri nka sarcoma idasobanuka neza ishobora gutera ubwoba. Mu gihe, uzabona uburyo bwo guhangana n'akababaro n'uburakari bwa kanseri. Kugeza icyo gihe, ushobora kubona ko ari ingirakamaro: Kwiga ibihagije kuri sarcoma kugira ngo ufate ibyemezo bijyanye no kwitaho. Baza muganga wawe kuri sarcoma yawe, harimo n'uburyo bwo kuvura, kandi, niba ubyifuza, ibyerekeye uko bizakugenda. Uko uzajya umenya byinshi kuri sarcoma idasobanuka neza, uzajya wigirira icyizere cyo gufata ibyemezo bijyanye no kuvura. Komereza hafi incuti n'umuryango. Kugumana umubano wa hafi bizagufasha guhangana n'uburwayi bwawe n'ingaruka z'ubuvuzi. Incuti n'umuryango bashobora kuguha ubufasha ukeneye, nko kugufasha kwita ku rugo rwawe niba uri mu bitaro. Kandi bashobora kuba umusaruro w'ihumure iyo wumva uremerewe na kanseri. Shaka umuntu wo kuvugana na we. Shaka umuntu wumva akakwumva, ukaba ushaka kukwumva uvuga ibyiringiro byawe n'ubwoba bwawe. Uyu ashobora kuba inshuti cyangwa umuntu wo mu muryango. Impuhwe no kumva by'umujyanama, umukozi w'imibereho mu buvuzi, umukozi w'idini cyangwa itsinda ry'abafite kanseri na byo bishobora kugufasha. Baza muganga wawe ku matsinda y'ubufasha mu karere kawe. Cyangwa reba muri terefoni yawe, muri Bibliotheque cyangwa mu muryango ufasha abarwayi ba kanseri, nka National Cancer Institute cyangwa American Cancer Society.
Niba muganga wawe w’umuryango akekako ufite kanseri y’umwijima itamenyekana (undifferentiated pleomorphic sarcoma), birashoboka ko azakwerekeza kwa muganga w’inzobere mu kanseri (oncologe) uzi neza kanseri z’umwijima. Kanseri y’umwijima itamenyekana ni indwara idakunze kugaragara kandi ikenera ubuvuzi bugoranye. Ni byiza kuvurwa n’umuntu ufite ubunararibonye bwinshi muri icyo kibazo, akenshi bikaba bivuze ikigo cy’ubuvuzi cya kaminuza cyangwa ikigo kivura kanseri zitandukanye. Kubera ko gahunda y’ibitaro ishobora kuba migufi, kandi hari amakuru menshi yo kuganiraho, ni byiza kuhagera witeguye. Dore amakuru azagufasha kwitegura. Ibyo ushobora gukora Andika ibimenyetso byose urimo guhura na byo, birimo ibyo bishobora kugaragara nk’ibidafite aho bihuriye n’impamvu watumijeho. Bandika urutonde rw’imiti yose, amavitamini cyangwa ibindi bintu byongera ubuzima urimo gufata. Saba umuntu wo mu muryango wawe cyangwa inshuti kuza kumwe nawe. Rimwe na rimwe bishobora kugorana kwibuka amakuru yose wakubwiwe mu gihe cy’ibitaro. Umuntu uza kumwe nawe ashobora kwibuka ikintu wabuze cyangwa wibagiwe. Andika ibibazo ugomba kubabaza muganga. Igihe cyawe hamwe na muganga ni gito, bityo gutegura urutonde rw’ibibazo bizagufasha gukoresha neza igihe cyanyu hamwe. Bandika ibibazo byawe uhereye ku by’ingenzi kurusha ibindi kugeza ku byoroheje mu gihe igihe cyashize. Kuri kanseri y’umwijima itamenyekana, ibibazo bimwe by’ibanze ugomba kubabaza muganga birimo: Ese mfite kanseri? Hari izindi mpamvu zishoboka z’ibimenyetso mfite? Ni izihe isuzuma nkenera kugira ngo hemezwe uburwayi? Ese ibyo isuzuma bisaba imyiteguro yihariye? Kanseri y’umwijima iri ku rwego ki? Ni ubuhe buvuzi buhari kuri kanseri y’umwijima itamenyekana, kandi ni ubuhe ugereranya? Ese kanseri y’umwijima ishobora gukurwaho? Ni iyihe mimerere mbi nshobora kwitega kubera ubuvuzi? Hari ubundi buryo bwo kuvura uretse uburyo nyamukuru ugereranya? Mfite izindi ndwara. Ni gute nakwitwara neza muri izi ndwara hamwe? Hari imihango yo kurya cyangwa imyitozo ngomba gukurikiza? Ni iki kizaba? Hari amabroshuri cyangwa ibindi bikoresho byacapwe nshobora kujyana nanjye? Ni ibihe byubuyobozi bya interineti ugereranya? Ndagomba kwivuza izindi ndwara nka radiotherapy mbere cyangwa nyuma y’igihe cyo kubagwa? Ese umuganga ugereranya afite ubunararibonye muri ubu bwoko bwihariye bw’ubuganga bwo kuvura kanseri? Ibyo witeze ku muganga wawe Muganga wawe arashobora kukubaza ibibazo byinshi. Kwitoza kubisubiza bishobora gutuma habaho igihe cyo kuvugana ku bindi bintu ushaka kuganiraho. Muganga wawe ashobora kukubaza: Ni ryari wabonye ibimenyetso byawe bwa mbere? Urimo kubabara? Hari ikintu kigaragara ko kigabanya ibimenyetso byawe? Ni iki, niba hariho, kigaragara ko kibabaza ibimenyetso byawe? Uretse ibibazo witeguye kubabaza muganga, ntutinye kubabaza ibindi bibazo. Byanditswe na Mayo Clinic Staff
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.