Sarcoma

Sarcoma rudzi rwekenza inogona kuitika munzvimbo dzakasiyana-siyana mumuviri mako.

Sarcoma izwi rakajairika rechikwata chikuru chekenza dzinoitika mumapfupa uye munyama dzakapfava (dzinodaidzwawo kuti connective) (soft tissue sarcoma). Soft tissue sarcoma inoumbwa munyama dzinotambanudza, kutsigira uye kukomberedza zvimwe zvikamu zvemuviri. Izvi zvinosanganisira tsandanyama, mafuta, ropa, mitsipa, tendons uye lining yezvibatanidza zvako.

Kune marudzi anopfuura makumi manomwe e sarcoma. Kurapwa kwe sarcoma kunoenderana nerudzi rwe sarcoma, nzvimbo nezvimwe zvinhu.

Zviratidzo nezvikonzero zve sarcoma zvinosanganisira:

• Bvudzi rinogona kunzwa kuburikidza neganda rinogona kurwadza kana kusaiti
• Kurwadziwa kwemwongo
• Ropa remwongo rinoitika zvisingatarisirwi, sekunge nekuvadzwa kuri duku kana kusakuvadzwa
• Kurwadziwa kwemudumbu
• Kurasikirwa nehuremu

Hazvina kujeka kuti chii chinokonzera sarcomas zhinji.

Kazhinji, kenza inoitika kana kuchinja (mutations) kuchitika muDNA iri mukati memasero. DNA iri mukati memasero inopackagwa muhuwandu hukuru hwemajini ega ega, imwe neimwe ine seti yemirayiridzo inoudza sero mabasa ekutevedza, pamwe chete nekuti rikure sei uye kugovaniswa.

Mutations inogona kuudza masero kukura uye kugovaniswa zvisina kudzorwa uye kuramba achirarama apo masero akajairika aifa. Kana izvi zvikaitika, masero asingawanzo kuunganidzwa anogona kuumba tumor. Masero anogona kuputsika uye kupararira (metastasize) kune dzimwe nzvimbo dzemuviri.

Zvinhu zvinogona kuwedzera njodzi ye sarcoma zvinosanganisira:

• Zvirwere zvinowanikwa kubva kuvabereki. Zvimwe zvirwere zvinoita kuti njodzi yekenza iwedzere zvinogona kupfuudzwa kubva kuvabereki kuvana. Mienzaniso yezvirwere zvinoita kuti njodzi ye sarcoma iwedzere inosanganisira familial retinoblastoma ne neurofibromatosis rudzi 1.
• Kurapwa kwekenza nerayisi. Kurapwa kwekenza nerayisi kunoita kuti njodzi yekuwana sarcoma gare gare iwedzere.
• Kutemwa kwenguva refu (lymphedema). Lymphedema kutemwa kunokonzerwa nekukwira kwemvura ye lymph kunoitika kana lymphatic system yakavharwa kana yakakuvadzwa. Zvinoita kuti njodzi yemhando yesarcoma inonzi angiosarcoma iwedzere.
• Kuonana nemakemikari. Zvimwe zvinhu zvemakemikari, zvakaita sezvimwe zvinhu zvemakemikari zveindasitiri ne herbicides, zvinogona kuwedzera njodzi yesarcoma inokanganisa chiropa.
• Kuonana nemavhairasi. Vhairasi inonzi human herpesvirus 8 inogona kuwedzera njodzi yemhando yesarcoma inonzi Kaposi's sarcoma muvanhu vane masisitimu ekuzvidzivirira asina simba.

Kuongororwa uye nzira dzinoshandiswa pakuzivisa sarcoma uye kuona kukura kwayo (danho) kunosanganisira: Kuongororwa kwemuviri. Chiremba wenyu angangodaro achiita kuongororwa kwemuviri kunzwisisa zviratidzo zvenyu zvakanaka uye kutsvaga mamwe mazano achabatsira pakuzivisa kwako. Kuongororwa kwemuenzaniso. Kuongororwa kwemuenzaniso kwakakodzera kwauri kuchaenderana nemamiriro ako. Mimwe miedzo, senge X-rays, iri nani pakutarisa matambudziko emuviri. Mimwe miedzo, senge MRI, iri nani pakutarisa matambudziko etsinga. Mimwe miedzo yemuenzaniso ingasanganisira ultrasound, CT, bone scans uye positron emission tomography (PET) scans. Kubvisa sampuli yetsinga yekuongorora (biopsy). Biopsy inzira yekubvisa chidimbu chetsinga inokonzera kunetseka yekuongorora murabhoritari. Kuongorora kwakaoma kwelabhoritari kunogona kuona kana masero acho ari kenza uye rudzi rwekenza rwavanomiririra. Kuongororwa kunogona zvakare kuratidza ruzivo runobatsira pakusarudza kurapwa kwakanakisa. Nzira yekuunganidza sampuli ye biopsy inoenderana nemamiriro ako chaiwo. Inogona kubviswa ne tsono inopfuura ne ganda kana kuchekerwa panguva yekuvhiya. Dzimwe nguva biopsy inoitirwa panguva imwe chete yekuvhiya kubvisa kenza. Kana chiremba wenyu akaona kuti une sarcoma, angakurudzira kuongororwa kuwedzerwa kutsvaga zviratidzo zvekuti kenza yakapararira. Kutarisirwa paMayo Clinic Timu yedu inokoshesa yevanachiremba veMayo Clinic inogona kukubatsira nezvinetso zvako zvehutano zvine chekuita ne sarcoma Tanga pano

Sarcoma kazowanzowanzo kurapwa nekuvhiya kuti ubvise kenza. Kurapwa kwakasiyana kunogona kushandiswa usati wavhiyiwa kana mushure mekuvhiya. Kurapwa kwakanakira iwe kunozvimirira rudzi rwe sarcoma, nzvimbo yayo, kuti masero acho anokurumidza sei uye kana kenza yakapararira kune dzimwe nzvimbo dzemuviri wako. Kurapwa kwe sarcoma kunogona kusanganisira:

• Kuviyiwa. Chinangwa chekuvhiya kwe sarcoma ndechekubvisa masero ese ekenza. Dzimwe nguva zvinodikanwa kucheka ruoko kana gumbo kuti ubvise kenza yese, asi vanachiremba vanoedza kuchengetedza basa regumbo kana zvichibvira. Dzimwe nguva kenza yese haigone kubviswa pasina kukuvadza zvinhu zvikuru, senge tsinga kana nhengo. Mumamiriro ezvinhu akadaro, vanachiremba vanoita basa rekubvisa sarcoma yakawanda sezvinobvira.
• Kurapwa kwemwaranzi. Kurapwa kwemwaranzi kunoshandisa mahwendefa ane simba rakakura, senge X-rays neproton, kuuraya masero ekenza. Mwaranzi inogona kubva muchina unofamba-famba mumuviri wako uchitungamira mahwendefa esimba (mwaranzi yekunze). Kana mwaranzi ingagona kuiswa mumuviri wako kwenguva pfupi (brachytherapy). Dzimwe nguva mwaranzi inoitirwa panguva yekuvhiya kubvisa kenza (intraoperative radiation).
• Chemotherapy. Chemotherapy kurapwa kwemishonga kunoshandisa makemikari kuuraya masero ekenza. Marudzi akati wandei e sarcoma ane mukana mukuru wekupindura kurapwa kwe chemotherapy kupfuura mamwe.
• Kurapwa kwakatarwa. Kurapwa kwakatarwa kurapwa kwemishonga kunoshandisa mishonga inorwisa kushaya simba kwakati kwemasero ekenza. Chiremba wako angave ane masero ako e sarcoma akayedzwa kuti aone kana zvichibvira kuti apindure kune mishonga yekurapwa yakatarwa.
• Immunotherapy. Immunotherapy kurapwa kwemishonga kunoshandisa sisitimu yako yekudzivirira muviri kurwisa kenza. Sisitimu yekudzivirira muviri wako inorwisa zvirwere ingave isingarwi nekenza yako nekuti masero ekenza anogadzira mapuroteni anobvisa masero esisitimu yekudzivirira muviri. Mishonga ye immunotherapy inoshanda nekupindira mune iwo maitiro.
• Kurapwa kwe ablation. Kurapwa kwe ablation kunoparadza masero ekenza nekushandisa magetsi kupisa masero, mvura inotonhora kwazvo kufungisa masero kana mahwendefa e ultrasound ane frequency yakakwira kukuvadza masero. Nyorera mahara uye gamuchira gwara rakajeka rekutambura nekenza, pamwe neruzivo runobatsira rwekuti ungawana sei pfungwa yechipiri. Unogona kubvisa kunyorera pa link yekubvisa kunyorera mu email. Gwara rako rakajeka rekutambura nekenza richave mu inbox yako munguva pfupi. Iwewo Nguva inofamba, uchawana zvinokubatsira kutarisana nekusava nechokwadi nekushushikana kunouya nekutonga kwenza. Kusvika ipapo, unogona kuwana kuti zvinobatsira kuti:
• Dzidza zvakakwana nezve sarcoma kuti uite sarudzo dzekurapa kwako. Bvunza chiremba wako nezve kenza yako, kusanganisira mhinduro dzako dze bvunzo, sarudzo dzekurapa uye, kana uchida, prognosis yako. Sezvaunodzidza zvakawanda nezve kenza, unogona kuva nechivimbo mukuita sarudzo dzekurapa.
• Chengeta shamwari nemhuri pedyo. Kuchengetedza hukama hwako hwepedyo hwakasimba kuchatsigira kutarisana nekenza yako. Shamwari nemhuri vanogona kupa rutsigiro rwakakosha rwunoda, sekubatsira kutarisira imba yako kana uri muchipatara. Uye vanogona kushanda serutsigiro rwemanzwiro kana uchizonzwa wakakanganiswa nekenza.
• Tsvaga munhu we kutaura naye. Tsvaga munhu anoteerera zvakanaka anoda kunzwa uchitaura nezve tariro dzako nekuitya kwako. Izvi zvinogona kuva shamwari kana nhengo yemhuri. Kunetseka nekunzwisisa kwemubvunzurugi, mushandi wemagariro evanhu, nhengo yechitendero kana boka rekutsigira kenza zvinogonawo kubatsira. Bvunza chiremba wako nezve mapoka ekutsigira munzvimbo yako. Mamwe masosi eruzivo anosanganisira National Cancer Institute neAmerican Cancer Society. Tsvaga munhu we kutaura naye. Tsvaga munhu anoteerera zvakanaka anoda kunzwa uchitaura nezve tariro dzako nekuitya kwako. Izvi zvinogona kuva shamwari kana nhengo yemhuri. Kunetseka nekunzwisisa kwemubvunzurugi, mushandi wemagariro evanhu, nhengo yechitendero kana boka rekutsigira kenza zvinogonawo kubatsira. Bvunza chiremba wako nezve mapoka ekutsigira munzvimbo yako. Mamwe masosi eruzivo anosanganisira National Cancer Institute neAmerican Cancer Society.

Nekufamba kwenguva, uchawana zvinokubatsira kubata nekusaona pachena uye kushushikana kunouya nechirwere chekenza. Kusvika ipapo, unogona kuwana kuti zvinobatsira kuti: Dzidza zvakakwana nezve sarcoma kuti uite sarudzo dzekurapa kwako. Bvunza chiremba wako nezvekenza yako, kusanganisira mhinduro dze bvunzo dzako, sarudzo dzekurapa uye, kana uchida, prognosis yako. Paunodzidza zvakawanda nezvekenza, unogona kuva nechivimbo mukuita sarudzo dzekurapa. Chengeta shamwari nemhuri pedyo. Kuchengeta hukama hwako hwepedyo hwakasimba kuchatsigira kubata nekenza yako. Shamwari nemhuri vanogona kupa rutsigiro rwakakosha rwunoda, sekubatsira kutarisira imba yako kana uri muchipatara. Uye vanogona kushanda serutsigiro rwepfungwa kana uchinzwa wakakanganiswa nekenza. Tsvaga munhu we kutaura naye. Tsvaga munhu akanaka anoteerera anoda kukuteerera uchitaura nezve tariro dzako nematambudziko ako. Izvi zvinogona kuva shamwari kana nhengo yemhuri. Kunetseka nekudana kwemurangariri, mushandi wemagariro evanhu, nhengo yechitendero kana boka rekutsigira kenza zvinogonawo kubatsira. Bvunza chiremba wako nezvemapoka ekutsigira munzvimbo yako. Mamwe masosi eruzivo anosanganisira National Cancer Institute neAmerican Cancer Society.