I-chondrosarcoma uhlobo lwe-kansa oluqabukileyo oluqala ngokuvamile emathanjeni, kodwa ngezinye izikhathi lingase libe khona emathunjini abuthakathaka aseduze kwamathanje. I-Chondrosarcoma iqala kakhulu emathanjeni omphetho, ehlombe nasehlombe. Ngokungavamile, ingase ibe khona emathanjeni omgogodla.
Iningi le-chondrosarcomas likhula kancane futhi lingase lingabangeli izimpawu eziningi nezinhlungu ekuqaleni. Amanye uhlobo oluqabukileyo lukhula ngokushesha futhi lunethuba elikhulu lokubhebhetheka kwamanye amalunga omzimba, okwenza lezi zifo ze-kansa kube nzima ukuziphatha.
Ukuphathwa kwe-chondrosarcoma ngokuvamile kuhilela ukuhlinzwa. Ezinye izinketho zingafaka ukwelashwa ngomgogodla kanye ne-chemotherapy.
I-chondrosarcoma ikhula kancane, ngakho-ke ingase ingabangeli izimpawu nezinhlungu ekuqaleni. Uma zivele, izimpawu nezinhlungu ze-chondrosarcoma zingafaka: Ubuhlungu obukhula\nUkukhula komkhuhlu noma indawo yokukhula\Ubuthakathaka noma izinkinga zokulawula amathumbu nomchamo, uma umdlavuza ucindezela umgogodla
Akuqondakali ukuthi yini ebangela i-chondrosarcoma. Odokotela bayazi ukuthi umdlavuza uqala lapho i-cell ithuthukisa izinguquko (izinguquko) ku-DNA yayo. I-DNA yeselula iqukethe imiyalo eyiqondisa ukuthi yenze ntoni. Imiyalo iyalela iselula ukuba izale ngokushesha futhi iqhubeke iphila lapho amaseli aphilile ebekufa. Amaseli aqoqana abumba i-tumor engakhula ukuze ihlase futhi yonakalise inyama yomzimba evamile. Ngokuhamba kwesikhathi, amaseli angahlukana futhi asakazeke (asakazeke) kwamanye amaqembu omzimba.
Izici ezingandisa ingozi ye-chondrosarcoma zihlanganisa:
Izivivinyo nezinqubo ezisetshenziswa ukuthola i-chondrosarcoma zihlanganisa: Ukuhlolwa komzimba. Udokotela wakho angase akubuze ngezimpawu zakho kanye nezimpawu bese ehlola umzimba wakho ukuze aqoqe amaphuzu engeziwe mayelana nokuxilongwa kwakho. Izivivinyo zobumfanekiso. Izivivinyo zobumfanekiso zingafaka i-X-ray, ukuhlolwa kwethambo, i-MRI ne-CT scan. Ukususa isampula yethishu ukuze kuhlolwe (i-biopsy). I-biopsy inqubo yokuqoqa ithishu engathandeki. Ithishu ithunyelwa elabhoratri lapho odokotela beyihlola ukuze baqonde ukuthi ingumdlavuza yini. Indlela isampula ye-biopsy ebuye iqoqwe ngayo ixhomeke endaweni lapho ithishu engathandeki ikhona khona. Le nqubo idinga ukuhlelwa ngokucophelela ukuze i-biopsy yenziwe ngendlela engayikuphazamisi ukuhlinzwa kwesikhathi esizayo ukususa umdlavuza. Ngenxa yalesi sizathu, cela udokotela wakho ukuba akuphathise iqembu lochwepheshe abanolwazi ekwelapheni i-chondrosarcoma. Ukunakekelwa eMayo Clinic Iqembu lethu lochwepheshe abanothando eMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene ne-chondrosarcoma Qala Lapha
Isikhombiso sethambo (ngesobunxele) sibonisa ukuthi kukhona umdlavuza emathanjeni angakwesokudla, okuthiwa yi femur. Ithambo lonke lethambo, kanye nejoyinti yeqakala nejoyinti yeqolo, liye lathengiswa ngezinto ezakhiwe. Ukwelashwa kwe-Chondrosarcoma kuvame ukubandakanya ukuhlinzwa ukuze kususwe umdlavuza. Ezinye izindlela zokwelapha zingase zinconywe ezimweni ezithile. Izindlela ezihamba phambili kuwe ziyahluka kuye kokuthi umdlavuza wakho ukhona kuphi, ukuthi ukhula kangcono kangakanani, ukuthi ukhule yini ukuze ubandakanye ezinye izakhiwo, impilo yakho yonke kanye nezifiso zakho. Umgomo wokuhinzwa kwe-chondrosarcoma ukususa umdlavuza kanye nomda wethusi elimpilo oluzungezile. Uhlobo lokuhlinzwa oluzokwenza kuyahluka kuye kokuthi i-chondrosarcoma yakho ikhona kuphi. Izindlela zingafaka:
Ukususa umdlavuza emathanjeni. I-chondrosarcomas encane futhi ekhulayo ezingalweni nasemiileni ngezinye izikhathi iphelelwa yindlela yokususa amakhemikhali omdlavuza emathanjeni. Udokotela ophethe ukwelapha angase asebenzise igesi ebandayo noma ikhemikhali ukubulala noma yimaphi amakhemikhali omdlavuza asaleyo. Ithambo lingalungiswa ngokufakwa kwethambo noma isimentu sethambo, uma kudingeka.
Ukusika umdlavuza kanye nezinye izicubu ezempilo ezizungezile. Iningi le-chondrosarcomas lidinga inqubo yokusika ingxenye enkulu yethambo ukuze suswe wonke umdlavuza. Nge-chondrosarcoma engalweni noma emileni, kungadingeka ukususa ilungu lonke. Lapho kungenzeka, ochwepheshe bokuhlinzwa basusa umdlavuza ngendlela egcina ilungu. Isibonelo, udokotela ophethe ukwelapha angase asuse ithambo elithintekile futhi alithathe indawo noma alibuyekeze (ukuhlinzwa kokusindisa amalungu). Ukwelashwa ngomgogodla kusebenzisa imisebe yamandla aphezulu evela emithonjeni efana ne-X-rays namaprotoni ukubulala amakhemikhali omdlavuza. Phakathi nokwelashwa ngomgogodla, ulela etafuleni ngenkathi umshini uhamba-hamba ngawe, uqondisa ukukhanya okukhulu ezintweni ezithile emzimbeni wakho. Ukwelashwa ngomgogodla kungase kunconywe nge-chondrosarcomas etholakala ezindaweni ezenza ukuhlinzwa kube nzima noma uma umdlavuza ungasuswa ngokuphelele ngesikhathi sokuhlinzwa. Ukwelashwa ngomgogodla kungase futhi kusetshenziswe ukulawula umdlavuza osakazekele kwamanye amaqembu omzimba. I-Chemotherapy isebenzisa imithi ukubulala amakhemikhali omdlavuza. Ayisetshenziswa njalo nge-chondrosarcoma ngoba lo mnyombo womdlavuza ngokuvamile awuphenduli e-chemotherapy. Kodwa-ke, ezinye izinhlobo ze-chondrosarcoma ezikhula ngokushesha zingase ziphendule kuleli thina lokwelapha. Ukuxilongwa komdlavuza kungashintsha impilo yakho phakade. Umuntu ngamunye uthola indlela yakhe yokuqondana nezinguquko zomzwelo nezemizimba ezilethwa umdlavuza. Kodwa-ke, uma uqale nje ukuxilongwa ngomdlavuza, ngezinye izikhathi kunzima ukwazi ukuthi yini okufanele uyenzani ngokulandelayo. Nazi ezinye izindlela zokusiza ukuthi uqonde:
Funda ngokwanele ngomdlavuza ukuze wenze izinqumo mayelana nokuphathwa kwakho. Buza udokotela wakho ngomdlavuza wakho, kufaka phakathi izinketho zakho zokwelapha, futhi, uma uthanda, iphrognosis yakho. Njengoba ufunda okwengeziwe ngomdlavuza, ungase ube nokukhathazeka okwengeziwe ekwenzeni izinqumo zokwelapha.
Gcina abangane nomndeni eduze. Ukugcina ubuhlobo bakho obuseduze buqinile kuzokusiza ukuba ubhekane nomdlavuza wakho. Abangane nomndeni bangakunikeza ukwesekwa okuwusizo, njengokusiza ukunakekela ikhaya lakho uma usesibhedlela. Futhi bangakhonza njengokusekela ngokomzwelo uma uzizwa ukhuluphala ngumdlavuza.
Thola umuntu okhuluma naye. Thola umlaleli omuhle ofuna ukukuzwa ukhuluma ngethemba lakho nokwesaba kwakho. Lokhu kungaba umngane noma ilungu lomndeni. Ukukhathalela nokuqonda komxhumanisi, umsebenzi wokuxhumana kwezokwelapha, ilungu lekilasi noma iqembu lokusekela umdlavuza kungase futhi kusize.
Yaba isipiliyoni sakho kwi-Twitter iMayo Clinic Connect, i-Cancer Ukuxilongwa kwenhlalo kungashintsha impilo yakho phakade. Umuntu ngamunye uthola indlela yakhe yokuqondana nezinguquko zomzwelo nezemizimba ezilethwa yinkimbinkimbi. Kodwa uma uqale nje ukuxilongwa ngenhlalo, ngezinye izikhathi kunzima ukwazi ukuthi yini okufanele uyenzani ngokulandelayo. Nazi ezinye izingqondo zokusiza uqonde: Funda okwanele mayelana nenhlalo ukuze wenze izinqumo mayelana nokukhathalelwa kwakho. Buza udokotela wakho mayelana nenhlalo yakho, kufaka phakathi izinketho zakho zokwelashwa, futhi, uma uthanda, isiprognoses sakho. Njengoba ufunda okwengeziwe mayelana nenhlalo, ungaba nokukhathazeka okwengeziwe ekwenzeni izinqumo zokwelashwa. Gcina abangane nomndeni eduze. Ukugcina ubuhlobo bakho obuseduze buqinile kuzokusiza ubhekane nenhlalo yakho. Abangane nomndeni bangakunikeza ukwesekwa okuwusizo okudingayo, njengokusiza ukunakekela ikhaya lakho uma usesibhedlela. Futhi bangakhonza njengokusekela ngokomzwelo uma uzizwa ukhuluphala yinkimbinkimbi. Thola umuntu okhuluma naye. Thola umlaleli omuhle ozimisele ukukuzwa ukhuluma ngethemba lakho nokwesaba kwakho. Lokhu kungaba umngane noma ilungu lomndeni. Ukukhathalela nokuqonda komxhumanisi, umsebenzi wokuxhumana kwezokwelapha, ilungu lekilasi noma iqembu lokusekela i-cancer kungasiza futhi.
Qala ngokuya kudokotela wakho womndeni uma unezimpawu noma izimpawu ezikukhathazayo. Uma udokotela wakho eqinisekisa ukuthi unomdlavuza, cishe uzokhomba odokotela abakhethekile, njengodokotela abaphatha umdlavuza (i-oncologist) kanye nochwepheshe bokuhlinzwa. Okufanele ukwenze Yazi nganoma yiziphi izikhawu zangaphambi kokubonisana. Ngesikhathi wenze i-aphoyintimenti, qiniseka ukuthi ubuza ukuthi kukhona yini okufanele ukwenze kusengaphambili, njengokunciphisa ukudla kwakho. Bhala phansi noma yizippawu ozibhekana nazo, kufaka phakathi noma yiziphi ezingabonakala zingahlobene nesizathu osihlele ngaso i-aphoyintimenti. Bhala phansi ulwazi oluyisisekelo lomuntu siqu, kufaka phakathi noma yiziphi izinto ezikukhathazayo noma izinguquko zakamuva ekuphileni. Bhala umlando womndeni wakho womdlavuza. Uma amanye amalungu omndeni wakho ekwaziswe ngomdlavuza, qaphela izinhlobo zomdlavuza, ukuthi umuntu ngamunye uhlobene kanjani nawe nokuthi umuntu ngamunye wayeneminyaka emingaki lapho ekwaziswa. Yenza uhlu lwawo wonke amaphilisi, amavithamini noma izithasiselo ozithathayo. Cabanga ukuthatha ilungu lomndeni noma umngani. Ngezinye izikhathi kungaba nzima ukukhumbula lonke ulwazi oluhlinzekwe ngesikhathi sokubonisana. Umuntu ohambisana nawe angakhumbula okuthile ongakuqaphelanga noma ukukhohlwe. Bhala imibuzo okumele uyibuze udokotela wakho. Ukulungiselela uhlu lwemibuzo kusengaphambili kungakusiza ukwenze kakhulu isikhathi sakho nodokotela wakho. Bala imibuzo yakho ebaluleke kakhulu kuya kwengabalulekile uma isikhathi siphela. Ngokudlavuza, ezinye zemibuzo eyisisekelo okumele uyibuze udokotela wakho ihlanganisa: Yiluphi uhlobo lomdlavuza olukhona kimi? Ingabe ngizodinga ukuhlolwa okwengeziwe? Yiziphi izinketho zami zokwelashwa? Ingabe ukwelashwa kungaphilisa umdlavuza wami? Uma umdlavuza wami ungaphiliswa, yini engingayilindela ekwelapheni? Yiziphi izingozi ezingaba khona zokwelashwa ngakunye? Ingabe kukhona ukwelashwa okukodwa okuzwakala kungcono kimi? Ndingaqala nini ukwelashwa? Ukwelashwa kuzothinta kanjani impilo yami yansuku zonke? Ngingaqhubeka yini ngisebenza ngesikhathi sokwelashwa? Ingabe kukhona amaviki okuhlolwa noma ukwelashwa okuvivinywayo okukhona kimi? Nginezinye izimo zempilo. Ngingaziphatha kanjani ngesikhathi sokwelashwa komdlavuza wami? Ingabe kukhona izikhawu okufanele ngizilandele? Ingabe kufanele ngibone ochwepheshe? Lokho kuzoba yimalini kangakanani, futhi ingabe insimbi yami izokumboza? Ingabe kukhona okunye okungcono kunokwelashwa okuqokiwe? Ingabe kukhona amabhukwana noma ezinye izinto ezinyathelisiwe engingazithatha nami? Yimaphi amawebhusayithi oncomayo? Yini ezokunquma ukuthi ngidinga yini ukuhlela ukuvakasha kokulandelela? Ngaphezu kwemibuzo oyilungiselele ukuyibuza udokotela wakho, ungangabazi ukubuza eminye imibuzo ekuqondeni kwakho. Okulindelekile kudokotela wakho Udokotela wakho cishe uzokubuza imibuzo eminingi. Ukulungela ukuyiphendula kungavumela isikhathi kamuva sokuhlanganisa amanye amaphuzu ofuna ukuwabheka. Udokotela wakho angabuza: Uqale nini ukubhekana nezimpawu? Ingabe izimpawu zakho ziye zaqhubeka noma ngezikhathi ezithile? Izimpawu zakho zinzima kangakanani? Yini, uma kukhona, ebonakala ilungisa izimpawu zakho? Yini, uma kukhona, ebonakala ibeza izimpawu zakho? Ingabe kukhona umuntu emndenini wakho onomdlavuza? Wake waba nomdlavuza ngaphambili? Uma kunjalo, yiluphi uhlobo futhi lwaphulukiswa kanjani? YiMayo Clinic Staff
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.