Chii Chinonzi Synovial Sarcoma? Zviratidzo, Zvinokonzera, & Kurapa

Synovial sarcoma rudzi rwakasiyana-siyana rerudzi rwekenza runokura munyama dzakapfava, kazhinji pedyo nemapfundo senge mazamu, makwati, magaro, nemabvi. Pasinei nezita rayo, kenza iyi haitangi chaizvoizvo munyama inoita kuti mapfundo ako ashande zvakanaka. Panzvimbo iyoyo, inogona kukura chero kupi munyama dzakapfava dzemuviri wako, kusanganisira misumbu, mitsipa, nemafuta.

Iyi chirwere chinotapura vanhu vanosvika 1,000 kusvika 1,500 muUnited States gore rega rega, zvichiita kuti ive isingawanzoitika. Kunyange kuziva kuti une chirwere ichi kungaita kuti unzwe uchitya, kunzwisisa zvaunotarisana nazvo kunogona kukubatsira kunzwa wakagadzirira uye une simba sezvaunofamba nekurapwa kwako.

Ndeapi zviratidzo zve synovial sarcoma?

Chiratidzo chekutanga chinowanzoitika chidumbu chisina kurwadza kana kuzvimba kwaunonzwa pasi peganda rako. Vanhu vazhinji vanotanga kuona kukura uku pedyo nepfundo, kunyange zvazvo kungaratidzika chero kupi muviri wako.

Heano zviratidzo zvaunogona kuona sezvo chirwere ichi chikukura:

• Chidumbu chakaoma, chinokura chinogona kana kusagona kukonzera kurwadziwa
• Kuzvimba munzvimbo yakabatwa
• Kufamba kwakaderera mumapfundo ari pedyo
• Kurwadziwa kunowedzera nekufamba kwenguva, kunyanya usiku
• Kusanzwa kana kunzwa kunovava kana chidumbu chacho chichirova mitsipa
• Kushaya simba muruoko rwakatapwa

Chinhu chinonyengera nezve synovial sarcoma ndechekuti kazhinji inokura zvishoma nezvishoma uye inogona kusakonzera kurwadziwa pakutanga. Izvi zvinoreva kuti vamwe vanhu vangaramba vachifunga kuti chidumbu chacho chirwere chidiki kana kuoma kwemisumbu. Kana ukaona chero kuzvimba kwenguva refu kana zvidumbu, kunyanya izvo zvinoramba zvichikurira, zvinokosha kuti uzvibvunze nachiremba wako.

Ndeapi marudzi e synovial sarcoma?

Vanachiremba vanokamura synovial sarcoma kuva marudzi matatu makuru zvichienderana nekuti masero anotaridzika sei pasi pemikroskopu. Kunzwisisa rudzi rwako chaiwo kunobatsira timu yako yekurapa kuronga nzira yakanakisa yekurapa kwauri.

Rudzi rwe biphasic rine marudzi maviri akasiyana emasero anotaridzika akasiyana-siyana. Rudzi rwe monophasic rine masero anotaridzika akafanana ese. Rudzi rwakaipa rwakaipa rine masero anotaridzika asinganzwisisiki uye haafaniri masero enyama yakajairwa.

Pathologist wako achazivisa rudzi rwawakaita mushure mekuongorora sampuli yenyaya. Ruzivo urwu, pamwe nemamwe maitiro senge saizi yechidumbu nekwainowanikwa, kunobatsira kutungamira kuronga kwako kurapwa.

Chii chinokonzera synovial sarcoma?

Chikonzero chaicho che synovial sarcoma hachizivisike zvizere, asi vatsvakurudzi vakawana mamwe mazano akakosha. Kazhinji kazhinji zvinosanganisira shanduko chaiyo yemajini inonzi chromosomal translocation, uko zvidimbu zvemakromozomu maviri zvinoshandura nzvimbo.

Iyi shanduko yemajini haisi chinhu chaunowana kubva kuvabereki vako. Panzvimbo iyoyo, inoitika mukati mehupenyu hwako, zvichida netsaona. Translocation inogadzira puroteni isina kujairika inoudza masero kuti akure uye arambe achigoverana kana zvisingafanirwe.

Kusiyana nemamwe marudzi ekenza, synovial sarcoma haioneke yakabatana nemaitiro ehupenyu senge kusvuta, kudya, kana kusimbiswa nezuva. Zvinhu zvakatipoteredza senge kusimbiswa ne radiation zvinogona kuita basa mumamiriro ezvinhu asingawanzoitika, asi kune vanhu vazhinji, hapana chikonzero chakajeka chawaigona kudzivisa.

Rini unofanira kuona chiremba nekuda kwe synovial sarcoma?

Unofanira kuronga kusangana nachiremba wako kana ukaona chero chidumbu kana kuzvimba kunoramba kwenguva yakareba kupfuura mavhiki mashoma. Kunyange zvazvo kazhinji zvidumbu zvinenge zvisina njodzi, zviri nani nguva dzose kuzvibvunza pakutanga.

Tsvaga rubatsiro rwekurapa nekukurumidza kana ukaona kukura kukuru kwechidumbu, kurwadziwa kwakanyanya kunokanganisa mabasa ezuva nezuva, kana kusanzwa nekushaya simba mumaoko ako. Aya maratidzo anogona kuratidza kuti chidumbu chiri kurova zvinhu zvakakosha senge mitsipa kana ropa.

Usazvidya mwoyo nezvekuita senge uri kungwarira zvakanyanya. Chiremba wako angada zvakanyanya kuongorora chidumbu chisina njodzi pane kusapotsa mukana wekutanga wekuziva uye kurapa chimwe chinhu chakakomba. Kuziva pakutanga kazhinji kunotungamira kumigumisiro yakanaka yekurapa.

Ndeapi njodzi dze synovial sarcoma?

Synovial sarcoma inogona kutapura chero munhu, asi zvinhu zvimwe zvinogona kuwedzera mukana wako wekuwana chirwere ichi. Kunzwisisa aya njodzi kunogona kukubatsira kuramba uchiri kungwarira, kunyange zvazvo zvakakosha kuyeuka kuti kuva nenjodzi hazvirevi kuti uchave uine kenza.

Zera rinoita basa, nemazhinji acho achionekwa muvanhu vane makore 15 kusvika 40. Zvisinei, synovial sarcoma inogona kukura pazera ripi zvaro, kusanganisira vana nevakuru vakwegura. Rudzi rwevanhu runonyanya kukoshawo, sezvo kenza iyi ichitapira varume zvakanyanya kupfuura vakadzi.

Kurapwa kwekare kwe radiation nekuda kwekenza imwe kunogona kuwedzera njodzi yako, kunyange zvazvo izvi zvinoreva chikamu chidiki chemamiriro ezvinhu. Vanhu vazhinji vane synovial sarcoma havazivi njodzi dzakakosha, izvo zvinosimbisa kuti kenza iyi kazhinji inokura netsaona pane nekuda kwekuonekwa kana maitiro chaiwo.

Ndeapi matambudziko anogona kuitika e synovial sarcoma?

Chinhu chikuru chinotyisa nezve synovial sarcoma ndechekuti inogona kupararira kune dzimwe nzvimbo dzemuviri wako kana isina kurapwa nekukurumidza. Mapapu ndiwo nzvimbo inowanzoitika iyo kenza iyi inopararira, kunyange zvazvo inogonawo kutapura lymph nodes nemapfupa.

Matambudziko emukuroni anogona kukura kana chidumbu chacho chikakura zvakakwana kuti chirove zvinhu zviri pedyo. Ungave uine kukuvara kwemitsipa kunotungamira mukusanzwa kana kushaya simba, kuvhara kwe ropa kunokonzera kuzvimba, kana matambudziko emapfundo kana chidumbu chacho chikanganisa kufamba kwako.

Kurapa pachawo dzimwe nguva kunogona kukonzera matambudziko, kunyange timu yako yekurapa inoshanda nesimba kuderedza aya njodzi. Kuongororwa kunogona kutungamira mukushaya simba kwenguva pfupi kana kuoma, nepo chemotherapy ne radiation zvinogona kukonzera kuneta nemamwe matambudziko ayo vanachiremba vako vachakubatsira kudzora.

Mashoko akanaka ndeawo kuti mazhinji emamatambudziko aya anogona kudzivirirwa kana kudzorwa zvakanaka nekurapwa kwakakodzera. Timu yako yekurapa ichakutarisa pedyo uye ichigadzirisa chero matambudziko anouya munzira.

Synovial sarcoma inoongororwa sei?

Kuongorora synovial sarcoma kazhinji kunotanga nachiremba wako achiongorora chidumbu uye achibvunza nezvezviratidzo zvako. Vachada kuziva kuti wakamboona sei chidumbu chacho, kana chakakura, uye kana uri kuona chero kurwadziwa kana mamwe maratidzo.

Kuongororwa kwemifananidzo kunobatsira chiremba wako kuona chidumbu zvakajeka uye kuona saizi yacho nekwainowanikwa. MRI scan inopa mifananidzo yakadzama yenyama dzakapfava uye inoratidza kuti chidumbu chine hukama sei nemisumbu iri pedyo, mitsipa, neropa.

Kuongororwa kwakakwana kunobva kubiopsy, uko chidimbu chidiki chechidumbu chinobviswa uye chinoongororwa pasi pemikroskopu. Chiremba wako angaita needle biopsy achishandisa tsono yakasimba, kana surgical biopsy kwaanoita kucheka kuduku kubvisa tishu.

Kuongororwa kwakakosha kwemajini pamusampuli ye biopsy kunogona kusimbisa kuongororwa nekutsvaga shanduko dzemakromozomu dzinowanikwa mu synovial sarcoma. Aya kuongororwa kunobatsira kusiyanisa kenza iyi kubva kune mamwe marudzi etumors dzenyama dzakapfava.

Kurapa kwe synovial sarcoma ndekupi?

Kurapa kwe synovial sarcoma kazhinji kunosanganisira nzira dzakasiyana-siyana dzakagadzirirwa mamiriro ako chaiwo. Kuongororwa kazhinji ndiko kurapa kukuru, chinangwa chekubvisa chidumbu chose pamwe nemamwe matishu ane hutano kuti uve nechokwadi chekuti hachina kenza.

Timu yako yekuongorora ichaita basa rakaoma kuchengetedza basa rakajairika sezvinobvira nepo ichibvisa kenza zvizere. Muzviitiko zvakawanda, kuongororwa kwemutsipa kunogona kubvisa chidumbu pasina kudiwa kwekucheka. Zvisinei, nzira chaiyo yekuongorora inotsamira pazera rechidumbu, kwainowanikwa, uye hukama hwayo nezvinhu zvakakosha.

Chemotherapy kazhinji inoita basa rakakosha, kana usati waongororwa kudzikisa chidumbu kana mushure mekuongororwa kubvisa chero masero ekensa aripo. Mishonga inowanzo shandiswa inosanganisira doxorubicin ne ifosfamide, izvo zvakaratidza mhinduro dzakanaka pamusoro pe synovial sarcoma.

Radiation therapy inogona kukurudzirwa kuderedza njodzi yekenza kudzoka munzvimbo imwe chete. Kurapa uku kunoshandisa mabhuru akasimba ekukunda chero masero ekensa madiki anogona kunge aripo mushure mekuongororwa. Radiation oncologist wako achakuronga kurapa zvakanyatsonaka kuderedza migumisiro pamatishu ane hutano.

Nzira yekudzora sei zviratidzo pamba panguva yekurapa?

Kudzorera zviratidzo zvako pamba kunogona kukubatsira kunzwa wakasununguka uye kuchengetedza simba rako panguva yekurapa. Kudzora kurwadziwa kazhinji chinhu chakakosha, uye chiremba wako anogona kupa mishonga yakakodzera nepo achikurudzirawo nzira dzisingashandisi mishonga senge kupisa, kutonhora, kana kufamba zvishoma nezvishoma.

Kuramba uchiita zvinhu zvakakodzera mukati memiganho yako kunobatsira kuchengetedza simba remisumbu uye kufamba kwemapfundo. Physical therapist wako anogona kukudzidzisa maekisesaizi chaiwo ari akachengeteka uye anobatsira mamiriro ako. Kunyange mabasa ari nyore senge kufamba kana kutambanudza zvishoma nezvishoma kunogona kuita musiyano mukuru mukunzwa kwako.

Kudya kwakakodzera kunotsigira kuporesa kwemuviri wako uye kunokubatsira kutsungirira kurapwa zvakanaka. Tarisa pakudya zvokudya zvakajairwa, zvakakwana kunyange kana chido chako chingave chakakanganiswa nekurapa. Zvokudya zviduku, zvinowanzo shanda zvakanaka kupfuura kuedza kudya zvikamu zvikuru.

Usazengurire kukumbira rubatsiro nemabasa ezuva nezuva kana uchida. Kuva nerubatsiro kubva kumhuri neshamwari kunogona kuderedza kushushikana kwako uye kukubvumira kufunga simba rako pakurapa.

Ungagadzirira sei kusangana kwako nachiremba?

Kuagadzirira kusangana kwako kunogona kukubatsira kushandisa nguva yako zvakanaka netimu yako yekurapa. Nyora pasi zviratidzo zvako zvose, kusanganisira paunotanga kuzviona uye kuti zvakachinja sei nekufamba kwenguva. Ruzivo urwu runobatsira chiremba wako kunzwisisa mamiriro ako zvakanaka.

Uya nechero mishonga yaunotora, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Uyewo, unganidza chero rekodhi yekurapa yapfuura kana migumisiro yekuongorora ine chekuita nezviratidzo zvako zvino, sezvo izvi zvinogona kupa ruzivo rwakakosha pakurapa kwako.

Gadzira rondedzero yemibvunzo yaunoda kubvunza chiremba wako. Ungada kuziva nezvenzira dzekurapa, matambudziko, prognosis, kana kuti chirwere ichi chingakanganisa sei hupenyu hwako hwezuva nezuva. Kunyora izvi pasi kunovimbisa kuti hauzokanganwa mibvunzo yakakosha panguva yekusangana kwako.

Funga nezvekutora nhengo yemhuri yakavimbika kana shamwari kukusangana kwako. Vanogona kupa rutsigiro rwepfungwa uye kukubatsira kuyeuka ruzivo rwakakosha rwakataurwa panguva yekushanya kwako.

Chii chinonyanya kukosha nezve synovial sarcoma?

Synovial sarcoma rudzi rwakasiyana-siyana asi runorapika rerudzi rwekenza runowanzoonekwa sechibumbu chinokura pedyo nemapfundo kana munyama dzakapfava. Kunyange kuwana kuongororwa uku kungaita kuti unzwe uchitya, vanhu vazhinji vane synovial sarcoma vanoramba vachirarama hupenyu hwazvo hwazvo mushure mekurapwa.

Kuziva pakutanga nekurapa zvinopa migumisiro yakanaka, ndosaka zvakakosha kuti uve nechero chidumbu chinoramba chiripo kana kuzvimba chinoongororwa nachiremba wako. Nzira dzekurapa dzakakwana, kusanganisira nzira dzekurapa dzakakwana uye nzira dze chemotherapy dzinoshanda, dzakavandudza zvakanyanya migumisiro yevanhu vane chirwere ichi.

Yeuka kuti hausi wega munzira iyi. Timu yako yekurapa iripo kukutungamira pane chimwe nechimwe chekurapa kwako nekudzoreredzwa. Usazengurire kubvunza mibvunzo, kuratidza zvinokunetsa, kana kutsvaga rubatsiro kana uchida.

Mibvunzo inowanzo bvunzwa nezve synovial sarcoma

Synovial sarcoma inogara ichikonzera rufu here?

Kwete, synovial sarcoma haigari ichikonzera rufu. Vanhu vazhinji vane chirwere ichi vanorapwa zvakanaka uye vanoramba vachirarama hupenyu hwavo hwakajairwa. Tarisiro inotsamira pazvinhu senge saizi yechidumbu, kwainowanikwa, uye kana yakapararira panguva yekuongororwa. Kuziva pakutanga nekurapa zvinowedzera zvakanyanya migumisiro.

Synovial sarcoma inogona kudzoka mushure mekurapa here?

Hongu, synovial sarcoma inogona kudzoka, ndosaka kuchengetedzwa kwenguva refu kwakakosha. Mazhinji ekudzoka anoitika mukati memakore mashoma mushure mekurapa. Timu yako yekurapa icharonga kuongororwa kwenguva dzose uye kuongororwa kwemifananidzo kuti itarise chero zviratidzo zvekudzoka. Kana ikadzoka, kune mamwe maitiro ekurapa aripo.

Synovial sarcoma inofamba mumhuri here?

Kwete, synovial sarcoma haisi chirwere chinogona kuwanikwa kubva kumhuri. Shanduko dzemajini dzinoita kuti kenza iyi iitike inoitika mukati mehupenyu hwemunhu pane kupfuudzwa kubva kuvabereki. Kuva nemumhuri ane synovial sarcoma hakuwedzeri njodzi yako yekuiwana.

Synovial sarcoma inokura nekukurumidza sei?

Synovial sarcoma kazhinji inokura zvishoma nezvishoma, ndosaka vanhu vangasaziva zviratidzo pakarepo. Zvisinei, kukura kunogona kusiyana pakati pevanhu. Mamwe ma tumors anoramba akasimba kwemavhiki kana makore, nepo mamwe angakurira nekukurumidza. Ndosaka chero chidumbu chinoramba chiripo chinofanira kuongororwa nekukurumidza.

Synovial sarcoma inogona kudzivirirwa here?

Parizvino, hapana nzira inozivikanwa yekudzivirira synovial sarcoma sezvo inokura nekuda kwekuchinja kwemajini pane zvinhu zvehupenyu. Nzira yakanakisa ndeyekuramba uchiri kungwarira nezvekuchinja kwemuviri wako uye kutsvaga rubatsiro rwekurapa nekuda kwechero chidumbu chitsva chinoramba chiripo kana zviratidzo. Kuziva pakutanga kunoramba kuri chinhu chakakosha pakuwana migumisiro yakanaka.