Undifferentiated pleomorphic sarcoma (UPS) imhando isingawanzo yegomarara inotanga zvakanyanya mumatumbu emuviri. Matumbu anobatanidza, kutsigira uye kukomberedza zvimwe zvimiro zvemuviri. UPS inowanzoitika mumaoko kana makumbo. Zvishoma inogona kuitika munzvimbo iri kuseri kwenhengo dzemudumbu (retroperitoneum). Zita rekuti undifferentiated pleomorphic sarcoma rinobva pamaitiro anoita maseru egomarara pasi pemaikorosikopu. Undifferentiated zvinoreva kuti maseru haataridzike sematishu emuviri mavanokura. Gomarara rinonzi pleomorphic (plee-o-MOR-fik) nekuti maseru anokura mune akawanda maumbirwo uye saizi. Kurapwa kweUPS kunoenderana nenzvimbo yegomarara, asi kazhinji kunosanganisira kuvhiyiwa, radiation uye kurapwa kwemishonga. UPS yaimbonzi malignant fibrous histiocytoma.
Zviratidzo zve sarcoma isingasiyanisi zvinoenderana nekwavanoitika. Kazhinji kazhinji inoitika mumaoko nemakumbo, asi inogona kuitika chero kupi muviri. Zviratidzo nezviratidzo zvinogona kusanganisira: Kuwedzera kwechisimba kana nzvimbo yekuzvimba. Kana ikakura kwazvo, kunogona kuva nekurwadziwa, kupisa uye kusanzwa. Kana ikaitika muruoko kana gumbo, kunogona kuva nekuzvimba muruoko kana tsoka yemutsipa une chirwere. Kana ikaitika mudumbu, kunogona kuva nekurwadziwa, kurasikirwa nechido uye kuvimbiswa. Fivha. Kurasikirwa uremu. Rongai nguva nechikamu kana iwe ukawana chero zviratidzo zvinoenderera mberi zvinokunetsa.
Enda kuonana nachiremba kana ukawana zviratidzo kana zviratidzo zvinogara zvichikunetsei. Nyorera mahara uye gamuchira bhuku rakajeka rekuita zvekutambudzika nekenza, pamwe chete neruzivo runobatsira rwekuti ungawana sei pfungwa yechipiri. Unogona kubvisa kunyorera chero nguva. Bhuku rako rakajeka rekutambudzika nekenza richava mubhokisi rako munguva pfupi. Iwe uchazofanirawo
Hazvina kujeka kuti chii chinokonzera undifferentiated pleomorphic sarcoma.
Vanachiremba vanoziva kuti kenza iyi inotanga kana cell ikava nechinja muDNA yayo. DNA ye cell ine mirairo inoudza cell kuti iite sei. Kuchinja kunoudza cell kuti iwedzere nekukurumidza, ichigadzira mvere yema cell asingawanzo (tumor). Ma cell anogona kupinda uye kuparadza tishu dzakapoteredza dzakakodzera. Nekufamba kwenguva, ma cell ekenza anogona kuputsika uye kupararira (metastasize) kune dzimwe nzvimbo dzemuviri, senge mapapu nemapfupa.
Zvinhu zvinogona kuwedzera njodzi yeundifferentiated pleomorphic sarcoma zvinosanganisira:
Vanhu vakawanda vanorwara neundifferentiated pleomorphic sarcoma havazivi zvinhu zvinokonzera njodzi, uye vanhu vakawanda vane zvinhu zvinokonzera njodzi havazomboiti kenza iyi.
'Kurapa kweri sarcoma isinganzwisisiki kazhinji kunotanga nekutarisa zviratidzo zvako uye bvunzo yemuviri. Kenza iyi kazhinji inoonekwa mushure mekunge mamwe marudzi ekenza abviswa. Kuongororwa nekuita mabasa kunogona kusanganisira: Bvunzo yemuviri. Chiremba wako achakuudza mibvunzo nezvekuti zviratidzo zvako zvakaguma rinhi uye kana zvakachinja nekufamba kwenguva. Achaongorora nzvimbo yacho kuti anzwisise saizi nehukuru hwekukura, kana yakabatana nemasero ari pedyo, uye kana paine zviratidzo zvekuzvimba kana kukuvara kwetwo nerve. Kuongororwa kwemifananidzo. Chiremba wako anogona kukurudzira kuongororwa kwemifananidzo kuti uite mifananidzo yenzvimbo yakabatwa uye unzwisise zvakawanda nezvemamiriro ako. Kuongororwa kwemifananidzo kunogona kusanganisira X-rays, CT, MRI uye positron emission tomography (PET) scans. Kubvisa sampuli yetsinga kuti iongororwe (biopsy). Kuti uite kurapa kwakakwana, chiremba wako anounganidza sampuli yetsinga yekenza woitumira ku laboratori kuti iongororwe. Zvichienderana nemamiriro ako chaiwo, sampuli yetsinga inogona kuunganidzwa ne tsono inopinda muganda rako kana panguva yekuvhiya. Mu laboratori, vanachiremba vakadzidziswa kuongorora tishu dzemuviri (pathologists) vanoongorora sampuli kuti vaone marudzi e masero anobatanidzwa uye kana masero acho angave akasimba. Ruziro urwu runobatsira kubvisa mamwe marudzi ekenza uye runotungamira kurapwa kwako. Kuona rudzi rwe biopsy inodiwa uye zvakakosha zvekuti inofanira kuitwa kunoda kuronga zvakanaka kubva muchikwata chekurapa. Vanachiremba vanofanira kuita biopsy nenzira isingakanganisi kuvhiya kwenguva yemberi kubvisa kenza. Nechikonzero ichi, bvunza chiremba wako kuti akutumire kuchikwata che nyanzvi dzine ruzivo rwakawanda mukurapa soft tissue sarcomas usati waita biopsy. Kutarisirwa paMayo Clinic Chikwata chedu chine hanya che Mayo Clinic nyanzvi chinogona kukubatsira nezvematambudziko ako ehutano ane chekuita ne undifferentiated pleomorphic sarcoma Tanga pano'
Panguva yekurapa kwechirongwa chekuvhiya (IORT), mwaranzi inotungamirwa kuburikidza nekucheka kwekuvhiya panzvimbo chaiyo; munyaya iyi, gumbo. Dhozi yeIORT inogona kunge yakakwirira kupfuura kurapwa kwemwaranzi kwakajairika kunopiwa kunze kwegumbo. Kurapa kwe sarcoma isina kusiyaniswa kunowanzo sanganisira kuvhiya kubvisa masero ekenza. Zvimwe zvingasarudzwa zvinosanganisira kurapwa kwemwaranzi nekurapa mishonga (kurapa kwemuviri), sekurapa kwekemotherapy, kurapa kwakatarwa uye immunotherapy. Kurapa kwakanakira iwe kuchaenderana nehukuru nekugara kwekenza yako. Kana zvichibvira, vanachiremba vanoedza kubvisa sarcoma zvizere nekuvhiya. Chinangwa ndechekubvisa kenza nechikamu chetishu yakasimba yakamupoteredza nemigumisiro shoma sezvinobvira. Kana kenza ichikanganisa maoko nemakumbo, vanachirurgi vanosarudza kushandisa mabasa ekuponesa nhengo. Zvisinei, mune zvimwe zviitiko zvingave zvakakosha kucheka ruoko kana gumbo rakakuvadzwa. Kurapa kwakasiyana, sekurapa kwemwaranzi ne chemotherapy, kunogona kukurudzirwa usati waopera kuti uderedze kenza kuitira kuti zvive nyore kubvisa pasina kucheka nhengo yakakuvadzwa. Kurapa kwemwaranzi kunoshandisa mahwendefa ane simba guru, akadai se-X-rays kana mapurotoni, kuuraya masero ekenza. Kurapa kwemwaranzi kunogona kupiwa se: - Kurapa kwemwaranzi kunze. Rudzi urwu rwemwaranzi runobva muchina unofamba-famba uchikurara patafura. Muchina unotungamira mwaranzi kunzvimbo dzakakosha pamuviri wako. Mwaranzi inogona kushandiswa usati waopera kuderedza sarcoma uye kuita kuti zvive nyore kubvisa. Inogona kushandiswawo mushure mekuvhiya kuuraya chero masero ekenza anoramba aripo. - Kurapa kwemwaranzi panguva yekuvhiya (IORT). IORT inoshandiswa panguva yekuvhiya mushure mekunge kenza yabviswa. Mwaranzi inotungamirwa kunzvimbo yakapoteredza kwaive kenza. IORT inogona kukurudzirwa kana kenza iri munzvimbo inoita kuti zviome kubvisa kenza zvizere panguva yekuvhiya. Kurapa kwemwaranzi kunze. Rudzi urwu rwemwaranzi runobva muchina unofamba-famba uchikurara patafura. Muchina unotungamira mwaranzi kunzvimbo dzakakosha pamuviri wako. Mwaranzi inogona kushandiswa usati waopera kuderedza sarcoma uye kuita kuti zvive nyore kubvisa. Inogona kushandiswawo mushure mekuvhiya kuuraya chero masero ekenza anoramba aripo. Chemotherapy kurapa kwemishonga kunoshandisa makemikari kuuraya masero ekenza. Inogona kupiwa nepiritsi kana kuburikidza ne tsinga (intravenously), kana ese ari maviri. Chemotherapy inowanzo shandiswa kurapa sarcoma isina kusiyaniswa inodzoka mushure mekurapa kwekutanga kana kupararira kune dzimwe nzvimbo dzemuviri. Dzimwe nguva chemotherapy inoshandiswa usati waopera kuderedza kenza kuitira kuti zvive nyore kubvisa panguva yekuvhiya. Chemotherapy inogonawo kusanganiswa nemwaranzi. Kurapa kwemishonga kwakatarwa kunotarisa pane zvikanganiso zvakakosha zviripo mukati memasero ekenza. Nekuvhara zvikanganiso izvi, kurapa kwemishonga kwakatarwa kunogona kuita kuti masero ekenza afe. Kune sarcoma isina kusiyaniswa, mishonga yekurapa yakatarwa inogona kusanganiswa ne chemotherapy. Zvimwe zvekurapa zvakatarwa zvinoshanda chete kune vanhu vane masero ekenza ane mamwe ma mutations emajini. Masero ako ekenza anogona kuyedzwa murabhoritari kuti aone kana mishonga iyi ingakubatsira. Immunotherapy inoshandisa sisitimu yako yekudzivirira muviri kurwisa kenza. Sisitimu yekudzivirira muviri yemuviri wako inogona kusarwisa kenza yako nekuti masero ekenza anogadzira mapuroteni anovabatsira kuvanza. Immunotherapy inoshanda nekukanganisa maitiro acho. Kurapa kwe immunotherapy kunowanzochengeterwa vanhu vane kenza yakakomba. Nyorera mahara uye gamuchira gwara rakajeka rekutambura nekenza, pamwe neruzivo runobatsira maitiro ekutora pfungwa yechipiri. Unogona kubvisa kunyorera pa unobatanidza kubvisa mu email. Gwara rako rakajeka rekutambura nekenza richave mu inbox yako nekukurumidza. Iwe uchazowanawo Hapana kurapa kwakasiyana kwakawanikwa kunobatsira pakurapa sarcoma isina kusiyaniswa. Asi mamwe kurapa ekugadzirisa uye ekushandisa anogona kuderedza zviratidzo zvaunonzwa nekuda kwekenza kana kurapwa kwekenza. Kurapa kwakasiyana kunogona kubatsira kuderedza zviratidzo zvinosanganisira: - Acupuncture. - Kuita zvemitambo. - Massage. - Kufungisisa. - Kurapa kwemimhanzi. - Kuita zvekuzorora. Kuongororwa kwekenza senge sarcoma isina kusiyaniswa kunogona kukanganisa. Nenguva uchawana nzira dzekutambura nekushushikana nekusaona kwakajeka kwekenza. Kusvika ipapo, unogona kuwana kuti zvinobatsira ku: - Dzidza zvakakwana nezve sarcoma kuita sarudzo nezve kurapwa kwako. Bvunza chiremba wako nezve sarcoma yako, kusanganisira sarudzo dzako dzekurapa uye, kana uchida, prognosis yako. Sezvaunodzidza zvakawanda nezve sarcoma isina kusiyaniswa, unogona kuva nechivimbo mukuita sarudzo dzekurapa. - Chengeta shamwari nemhuri pedyo. Kuchengeta hukama hwako hwepedyo hwakasimba kuchakubatsira kubata nekuongororwa kwako uye zvinoreva kurapwa. Shamwari nemhuri vanogona kupa rutsigiro rwakakosha rwunoda, sekubatsira kutarisira imba yako kana uri muchipatara. Uye vanogona kushanda serutsigiro rwemanzwiro kana uchinzwa wakaneta nekuda kwekenza. Wana munhu we kutaura naye. Wana munhu akanaka anoda kukuteerera uchitaura nezve tariro dzako nekuitya kwako. Izvi zvinogona kuva shamwari kana nhengo yemhuri. Kunetseka nekunzwisisa kwemubvunzurugi, mushandi wemagariro evanachiremba, nhengo yechechi kana boka rekutsigira kenza zvinogonawo kubatsira.
Kuziva kuti une kenza yakaita seundifferentiated pleomorphic sarcoma kunogona kukushamisa. Nguva inofamba uchawana nzira dzekukurira kunetseka kusaziva nezvekenza. Kusvika ipapo, unogona kuwana zvinobatsira kuti: Dzidza zvakakwana nezve sarcoma kuti uite sarudzo pamusoro pekurapwa kwako. Bvunza chiremba wako nezve sarcoma yako, kusanganisira nzira dzako dzekurapa, uye kana uchida, prognosis yako. Paunodzidza zvakawanda nezve undifferentiated pleomorphic sarcoma, unogona kuva nechivimbo mukuita sarudzo dzekurapa. Chengeta shamwari nemhuri pedyo. Kuchengeta hukama hwako hwepedyo hwakasimba kuchakubatsira kukurira chirwere chako uye zvinorehwa nekurapa. Shamwari nemhuri vanogona kupa rutsigiro rwakakosha rwunoda, sekubatsira kutarisira imba yako kana uri muchipatara. Uye vanogona kushanda serutsigiro rwepfungwa kana uchinetseka nekukura kwenzara. Tsvaga munhu wokutaura naye. Tsvaga munhu anoteerera zvakanaka anoda kukuteerera uchitaura nezve tariro dzako nekuitya kwako. Izvi zvinogona kuva shamwari kana nhengo yemhuri. Kunetseka nekunzwisisa kwemukurukuri, mushandi wemagariro evanhu, nhengo yechechi kana boka rekutsigira kenza zvinogona kubatsirawo. Bvunza chiremba wako nezvemapoka ekutsigira munzvimbo yako. Kana tarisa bhuku rako refoni, raibhurari kana sangano rekenza, sekunge National Cancer Institute kana American Cancer Society.
Kana chiremba wemhuri yako achifungidzira kuti une undifferentiated pleomorphic sarcoma, ungatumirwa kuna chiremba wekenza (oncologist) ane hunyanzvi mu sarcomas. Undifferentiated pleomorphic sarcoma haawanzoitika uye kazhinji inoda kutarisirwa kwakaoma. Inorapwa zvakanaka nemunhu ane ruzivo rwakawanda nazvo, izvo kazhinji zvinoreva yunivhesiti kana nzvimbo yakawanda yekurapa kenza. Nekuti nguva yekuonana ingave pfupi, uye kazhinji kune ruzivo rwakawanda rwekukurukura, zvakakosha kusvika wakagadzirira. Heano mamwe mashoko anokubatsira kugadzirira. Zvaunogona kuita Nyora zviratidzo zvese zvaunonzwa, kusanganisira chero zvingaita sekusina hukama nechinangwa chawakaronga kuonana nachiremba. Gadzira rondedzero yezvinodhaka zvese, mavhitaminzi kana zvinowedzerwa zvaunotora. Kumbira nhengo yemhuri kana shamwari kuti iende newe. Dzimwe nguva zvinogona kuoma kuyeuka ruzivo rwakapihwa kwauri panguva yekuonana. Munhu anokufambidzana naye angayeuka chimwe chinhu chawakapotsa kana kukanganwa. Nyora mibvunzo yekubvunza chiremba wako. Nguva yako nechikura wako yakaganhurwa, saka kugadzirira runyorwa rwemibvunzo kunogona kukubatsira kushandisa zvakanaka nguva yenyu pamwechete. Rondedzera mibvunzo yako kubva pakakosha kusvika kusingakoshi kana nguva ikapedza. Kune undifferentiated pleomorphic sarcoma, mimwe mibvunzo yekubvunza chiremba wako inosanganisira: Ndine kenza here? Kune zvimwe zvinokonzera zviratidzo zvangu here? Ndeapi marudzi ekuongorora andinoda kusimbisa chirwere? Aya miedzo inoda kugadzirira kwakasarudzika here? Iyi sarcoma iri padanho ripi? Ndeapi kurapwa kuripo kune undifferentiated pleomorphic sarcoma, uye ndechipi raunokurudzira? Sarcoma inogona kubviswa here? Ndeapi marudzi ematambudziko andingatarisira kubva pakurapa? Kune mamwe maitiro ekutanga kwauri kuri kuratidza here? Ndine mamwe mamiriro ezvehutano. Ndingadzikwanisa sei kudzitungamira pamwe chete? Kune chero zvirambidzo zvechikafu kana zvekuita zvandoda kutevera? Ndeipi prognosis yangu? Kune mabhurocha kana mamwe mapepa andingatora neni here? Ndeapi mawebhusaiti aunokurudzira? Ndinofanira kuwana kurapwa kwakawedzerwa sekurapa kwemwaranzi usati kana wapedza kuvhiya here? Chiremba wekuvhiya waunokurudzira ane ruzivo mune iyi mhando yekuvhiya kenza here? Zvokutarisira kubva kuchiremba wako Chiremba wako angakubvunza mibvunzo yakawanda. Kugadzirira kupindura kunogona kupa nguva yekuvhara mamwe mapoinzi aunoda kukurukura. Chiremba wako angabvunza: Wakazviona rini kekutanga zviratidzo zvako? Uri kunzwa kurwadziwa here? Pane chimwe chinhu chinoita sekunatsa zviratidzo zvako here? Chii, kana chiripo, chinoita sekunyanya kuipa zviratidzo zvako? Kuwedzera kune mibvunzo yawakagadzirira kubvunza chiremba wako, usambofa wakashamisika kubvunza mimwe mibvunzo. Na Mayo Clinic Staff
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