Created at:1/16/2025
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I-Osteosarcoma uhlobo lomdlavuza wamathambo oluvamise ukubathinta abantwana nabasakhulayo, nakuba lungase lube khona kunoma iyiphi iminyaka. Lo mdlavuza uqala ezintweni zokwakha amathambo ebizwa ngokuthi yi-osteoblasts, ezibhekene nokwakha ithishu elisha lethambo njengoba ukhuphuka.
Nakuba ukuzwa ukuthi "umdlavuza wamathambo" kungase kubonakale kukhulu, kubalulekile ukwazi ukuthi i-osteosarcoma iyaphatheka, ikakhulukazi uma itholakala ngokushesha. Izindlela zokwelapha zanamuhla ziye zathuthukisa kakhulu imiphumela, futhi abantu abaningi baqhubeka bephila impilo egcwele, esebenzayo ngemva kokwelashwa.
I-Osteosarcoma uhlobo oluvamile lomdlavuza wamathambo oyinhloko, okusho ukuthi uqala emathanjeni ngokwawo kunokuba usakazeke kwenye ingxenye yomzimba. Ngokuvamile uthuthuka emathanjeni amade ezandleni nasezinzwaneni, ikakhulukazi eduze kwendawo yeqolo.
Lo mdlavuza uba khona lapho izinto zokwakha amathambo ziqala ukukhula ngokungaphatheki. Cabanga ngakho njengendlela yomzimba wakho yokwakha amathambo eya ehluleka. Esikhundleni sokwenza ithishu lethambo elihle, elihlelekile, lezi zinto zizala ngokushesha futhi zakhe isibopho.
Le simo ibathinta ikakhulukazi abantu abasebasha phakathi nezinkathi zokukhula okusheshayo kwamathambo, ngokuvamile phakathi kweminyaka engu-10 no-25. Noma kunjalo, lingase libe khona nakwabantu abadala, ngokuvamile emathanjeni asebuthakathaka ngezimo ezinye.
Izimpawu zokuqala ze-osteosarcoma zingase zibe buthakathaka futhi zivame ukuphikiswa njengobunzima bokuhluma noma ukulimala kwezemidlalo. Ukuqaphela lezi zimpawu ngokushesha kungenza umehluko omkhulu emiphumeleni yokwelashwa.
Nawa ama-symptom avamile ongaqaphela:
Izimpawu ezingavamile zingafaka ukukhathala, ukwehla kwesisindo okungachazeki, noma ukufiphaza. Lezi zimpawu zingase zivele uma umdlavuza useqhubekile noma useyandulele ezinye izingxenye zomzimba.
Khumbula, lezi zimpawu zingaba nezizathu eziningi, eziningi zazo azilona umdlavuza. Noma kunjalo, uma uhlushwa ubuhlungu obungapheli lwamathambo obungaphuli ngokuphumula noma obukhula ngokuhamba kwesikhathi, kubalulekile ukuxoxa nodokotela wakho.
I-Osteosarcoma iza ngezindlela eziningi ezahlukene, ngayinye inezici zayo kanye nendlela yokwelashwa. Ukuqonda le mikhakha kusiza odokotela ukuba bakhe uhlelo lokwelapha oluphumelelayo kumuntu ngamunye.
Imikhakha eyinhloko ifaka:
Iqembu lakho lezokwelapha lizocacisa uhlobo oluthile ngokuhlolwa okuningiliziwe, okusiza ukukhetha indlela yokwelapha efanele isimo sakho. Wonke amaqembu anamakha ahlukene, kodwa zonke izinhlobo ze-osteosarcoma zingaqondwa ngenhlalakahle efanele.
Imbangela eqondile ye-osteosarcoma ayiqondakali ngokugcwele, kodwa abacwaningi baye baqaphela izici eziningi ezingase zikhulise ukuthuthukiswa kwayo. Ezimweni eziningi, ayikho imbangela eyodwa ebonakalayo.
Nazi izici eziyinhloko ezingase zikhulise amathuba okuthuthukisa i-osteosarcoma:
Kubalulekile ukuqonda ukuthi abantu abaningi abanalezi zinto ezingozi abazitholi i-osteosarcoma. Ukuba nesici esingozini akusho ukuthi uzothola umdlavuza. Ngokufanayo, abantu abaningi abathuthukisa i-osteosarcoma abanazo izici ezingozi ezibonakalayo nhlobo.
Umdlavuza awubangelwa ukulimala, ukudla, noma izinqumo zokuphila. Awunakutheleleka futhi awunakudluliselwa komunye umuntu nganoma iyiphi indlela yokuxhumana.
Kufanele uxhumane nodokotela wakho uma uhlushwa ubuhlungu obungapheli emathanjeni obungaphuli ngokuphumula noma ngemithi yokwelapha ubuhlungu ethengekayo ngaphandle kwesikripthi. Lokhu kubaluleke kakhulu uma ubuhlungu bukhula ngokuhamba kwesikhathi noma buphazamisa ubuthongo bakho.
Funani usizo lokuthiwa ngokushesha uma uqaphela:
Ungalindi uma lezi zimpawu ziqhubeka noma zibe zimbi. Nakuba kungenzeka kakhulu ukuthi zibangelwa izimo ezivamile njengokuhlupheka kokukhula noma ukulimala kwezemidlalo, ukuhlolwa kwasekuqaleni kuhlale kuyindlela ephephile kunazo zonke.
Udokotela wakho angenza izivivinyo ezifanele ukuze aqonde imbangela futhi anikeze ukuzola kwengqondo noma aqale ukwelashwa uma kudingeka.
Izici eziningi zingandisa amathuba akho okuthuthukisa i-osteosarcoma, nakuba ukuba nalezi zici ezingozi akusho ukuthi uzothuthukisa lesi simo. Ukuqonda lezi zici kungakusiza uhlale uqaphele izimpawu ezingaba khona.
Izici ezingozi ezibaluleke kakhulu zihlanganisa:
Ezinye izici ezingavamile zezingozi zihlanganisa ukufakelwa kwamathambo noma izinto zensimbi ngaphambili, yize ingozi isalula kancane. Abantu abaningi abane-osteosarcoma abanazo izici zezingozi ezaziwayo ngaphandle kobudala babo.
Ukuba nenye noma ngaphezulu kwezici zezingozi akusho ukuthi uzophula i-osteosarcoma. Abantu abaningi abanezici zezingozi abawutholi umkhuhlane, kanti abanye abangenazo izici zezingozi ezaziwayo bayawuthola.
Ukuqonda izingozi ezingase zenzeke kukusiza ukwazi ukuthi yini okufanele uyilinde futhi kugcizelela ukubaluleka kokwelashwa okusheshayo. Izingozi eziningi zingavikeleka noma ziphathwe kahle ngokunakekelwa komtholampilo okufanele.
Izingozi eziyinhloko ezingase zenzeke zihlanganisa:
Izinkinga ezingavamile zingafaka ukutheleleka ezindaweni zokuhlinzwa, izinkinga ngama-bone grafts noma amaprosthetics, noma imiphumela yesikhathi eside evela ekwelashweni. Umdlavuza wesibili, nakuba ungavamile, ngezinye izikhathi ungathuthuka eminyakeni eminingi ngemuva kokwelashwa.
Iqembu lakho lezokwelapha lisebenza kanzima ukuvimbela izinkinga futhi lizokuqapha eduze kulo lonke ukwelashwa. Ukutholakala kwangaphambi kwesikhathi nokwelashwa kunciphisa kakhulu ingozi yezinkinga ezinzima.
Okwamanje, asikho isindlela esiyaziyo sokuvimbela i-osteosarcoma ngoba izincazelo eziningi zenzeka ngaphandle kwezizathu eziqondakalayo. Ngokungafani nezinye izinhlobo zomdlavuza, i-osteosarcoma ayihlobene nezici zokuphila ongaziqondisa.
Njengoba umdlavuza uvamise ukuthuthuka phakathi nezinkathi zemvelo yokukhula kwamathanga kubantu abasebasha abaphilile, amasu okuvimbela asebenza kwezinye izifo awasebenzi lapha. Noma kunjalo, ungathatha izinyathelo zokusekela impilo yakho yonke yamathambo.
Nakuba lokhu kungayikuvikela i-osteosarcoma ngokukhethekile, ukugcina impilo enhle yamathambo kuhlanganisa ukuthola i-calcium ne-vitamin D eyanele, ukuhlanganyela ekuzivocavoca okujwayelekile okusebenza ngesisindo, nokugwema ukubhema nokusebenzisa utshwala ngokweqile.
Into ebaluleke kunazo zonke ongayenza iwukuba uqaphele umzimba wakho bese ufuna ukunakekelwa kwezokwelapha ngenxa yobuhlungu obuqhubekayo bemfu noma ezinye izimpawu ezinkulu. Ukutholakala kwangaphambi kwesikhathi, nakuba kungelona ukuvimbela, kuholela emiphumeleni emihle yokwelashwa.
Ukuxilongwa kwe-osteosarcoma kuhilela izinyathelo eziningi ukuqinisekisa ukuba kukhona umdlavuza nokuthola ukuthi ufinyelelephi. Udokotela wakho uzosebenzisa ukuxilongwa komzimba, izivivinyo zezithombe, nokuhlaziywa kwezicubu ukuze enze ukuxilongwa okuchaneka.
Inkqubo yokuxilongwa ngokuvamile ihlanganisa:
Izivivinyo zegazi zingase zenziwe futhi ukuhlola impilo yakho yonke nokuthola amamaki athile. I-biopsy yivivinyo elibaluleke kakhulu ngoba yiyona kuphela indlela yokuqinisekisa ngokuqinile i-osteosarcoma nokuthola uhlobo lwayo oluthile.
Le nqubo ingase izizwe iphezulu, kodwa yonke ivivivinyo inikeza ulwazi olukhulu olusiza iqembu lakho lezokwelapha ukwakha uhlelo lokwelapha oluphumelelayo esimweni sakho esithile.
Ukuphathwa kwe-osteosarcoma ngokuvamile kuhilela ukuxuba kokucutshungulwa nokwelashwa nge-chemotherapy, okuqondiswe ekususeni umdlavuza ngenkathi kulondolozwa umsebenzi ngangokunokwenzeka. Uhlelo lwakho lokwelashwa luzokwenziwa ngokwezimo zakho ezithile, kufaka phakathi indawo yomdlavuza, usayizi, nokuthi usakazeke yini.
Izindlela zokwelapha eziyinhloko zihlanganisa:
I-Chemotherapy engaphambi kokuthunga, ebizwa ngokuthi yi-neoadjuvant therapy, ivame ukunikezwa kuqala ukuze inciphise i-tumor futhi yenze ukuhlinzwa kube nomphumela omuhle. Ngemva kokuthunga, i-chemotherapy eyengeziwe iyasisiza ukususa noma yimaphi amaseli e-cancer asale khona.
Izindlela zokuthunga zanamuhla zivame ukunika odokotela ithuba lokulondoloza amalunga ngenkathi besusa ngokuphelele i-cancer. Uma ukuswa kwelungo kudingeka, izinto zokusekela eziphambili zingasiza ekuvuseleleni kakhulu ukuhamba kwakho nomsebenzi.
Iqembu lakho lokuwelapha lizobandakanya ochwepheshe be-oncology, ochwepheshe bokuhlinzwa be-orthopedic, nabanye ochwepheshe abasebenza ndawonye ukuhlinzeka ngokunakekelwa okuphelele kulo lonke uhambo lwakho lokwelashwa.
Ukuphatha ukunakekelwa kwakho ekhaya kuyiyingxenye ebalulekile yeqophelo lakho lokwelashwa. Ngesikhathi iqembu lakho lezokwelapha liphatha ukwelashwa okuyinhloko, kunezinto eziningi ongazenza ukuze usekele ukuphulukisa kwakho futhi uzizwe ukhulu ngesikhathi sokwelashwa.
Nazi izindawo ezibalulekile okufanele zigxile kuzo:
Hlala uthambile, uthole ukuphumula okwanele, futhi ungangabazi ukuthintana neqembu lakho lezokwelapha ngemibuzo noma ukukhathazeka. Gcina idayari yezimpawu ukuze uqaphele ukuthi uzizwa kanjani nanoma yiziphi izingozi ezivela ekwelapheni.
Khumbula ukuthi ukuphulukiswa kuyinqubo, futhi kuyinto evamile ukuba nezinsuku ezinhle nezinsuku ezinzima. Gxila emisebenzini emincane, efinyeleleka, futhi gubha intuthuko endleleni.
Ukulungiselela i-aphoyintimenti yakho yodokotela kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi uthole izimpendulo zemibuzo yakho yonke. Ukulungiselela okuhle kusiza nodokotela wakho ukuba anikeze ukunakekelwa okungcono kakhulu.
Ngaphambi kwe-aphoyintimenti yakho, buthana lolu lwazi olubalulekile:
Letha noma yiziphi izithombe ze-X-ray, izikena, noma amarekhodi ezempilo evela kwabanye odokotela. Uma uqokwe omunye udokotela, qiniseka ukuthi uqonda ukuthi kungani futhi yini abakhathazekile ngayo.
Ungakhathazeki ngokubuza imibuzo eminingi kakhulu. Iqembu lakho lezokwelapha lifuna ukuthi uqonde isimo sakho futhi uzizwe ukhululekile ngecebo lakho lokunakekelwa. Bhala izimpendulo noma ubuze uma ungarekhoda ingxoxo ukuze uyibhekisele kamuva.
I-Osteosarcoma uhlobo olukhulu kodwa oluphulukiswayo lomdlavuza wamathambo oluthinta ikakhulukazi abantu abasebancane phakathi nezinkathi zokukhula okusheshayo kwamathambo. Nakuba ukuxilongwa kungase kuzwakale kukhulu, ukwelashwa kwamanje kuye kwathuthukisa kakhulu imiphumela kubantu abaningi.
Izinto ezibaluleke kakhulu okumele uzikhumbule ukuthi ukutholakala kwasekuqaleni kwenza umehluko omkhulu ekuphumeleleni kokwelashwa, kanti ukwelashwa okubanzi okuhlanganisa ukuhlinzwa kanye ne-chemotherapy kunikeza ithuba elihle kakhulu lokuphulukisa. Abantu abaningi abane-osteosarcoma baqhubeka bephila impilo egcwele, esebenzayo ngemva kokwelashwa.
Iqembu lakho lezokwelapha yilona mngane wakho oqinile kule ndlela. Banolwazi olukhulu lokwelapha i-osteosarcoma futhi bazokuqondisa kuzo zonke izinyathelo zenqubo. Unganqikazi ukubuza imibuzo, ubonise ukukhathazeka, noma ucele usizo olwengeziwe uma usikudinga.
Khumbula ukuthi ukuba no-osteosarcoma akuhlukumi noma akulingani amandla akho esikhathini esizayo. Ngokwelashwa okulungile nokwesekwa, ungenqoba le nselele bese uqhubeka uphishekela imigomo nemiphuphi yakho.
Cha, i-osteosarcoma ayihlali ibulawa. Ngokwelashwa lamanje, cishe amaphesenti angu-70-80 abantu abane-osteosarcoma ehlala endaweni ethile bayaphilisa. Ngisho noma umdlavuza usuvele usakazeke, abantu abaningi basaphiliswa ngempumelelo. Ukutholakala kwasekuqaleni nokuphathwa okubanzi kukhuphula kakhulu amathuba okuphulukisa ngokuphelele.
I-osteosarcoma ephakeme ingakhula futhi isakazeke ngokushesha, kungakho ukuxilongwa nokuphathwa okusheshayo kubalulekile. Noma kunjalo, isivinini sihlukahluka kumuntu ngamunye. I-osteosarcomas ephansi ikhula kancane kakhulu. Iqembu lakho lezokwelapha lizohlola isimo sakho esithile futhi liqondise isikhathi sokwelashwa ngokufanele.
Abantu abaningi babuyela emidlalweni nasemisebenzini yomzimba ngemuva kokwelashwa kwe-osteosarcoma, yize kuncike ekwelapheni nasekuphileni kwakho okuthile. Ngokusebenza okuhlala khona kwelungu, abantu abaningi bayabuya umsebenzi omuhle. Ngisho nangemuva kokusikwa, izinto zokusebenza eziphambili zivumela abantu abaningi ukuthi bahlanganyele emidlalweni. Iqembu lakho lezokwelapha nabaphathi bomzimba bazokusiza ukuthola ukuthi yimiphi imisebenzi ephephile kuwe.
Ukuwa kwezinwele yisici esivamile esibi semithi ye-chemotherapy esetshenziswa ekwelapheni i-osteosarcoma, kodwa kuyasheshisa. Iinwele zakho zizovame ukuqala ukukhula kabusha ezinyangeni ezimbalwa ngemuva kokuphela kokwelashwa. Abantu abaningi bathola ukuthi ukugqoka iwig, izikhafu, noma izigebengu kubasiza bazizwe bekhululekile ngesikhathi sokwelashwa.
Ukuphela kokwelashwa kwe-osteosarcoma kuvame ukuthatha izinyanga eziyi-6-12, kuhlanganise ne-chemotherapy ngaphambi kokuthi kwenziwe ubuyekezo, ukuhlinzwa, isikhathi sokuphulukana, ne-chemotherapy ngemva kokuthi kwenziwe ubuyekezo. Isikhathi esiqondile sihluka kuye ngohlelo lwakho oluthile lokwelashwa, indlela obuyiswa ngayo ekwelapheni, nanoma yiziphi izinkinga ezingase zivele. Iqembu lakho lezokwelapha lizokuqapha ngesikhathi sakho esilindelekile kulo lonke leli khasi.