I-Bone and Soft Tissue Cancer

Umdlavuza wethambo nezicubu ezithambile uwuhlobo lomdlavuza oluqala ngokuyinhloko ezicutshini ezisekela noma ezizungeze izakhi zomzimba ezahlukene. Kuhlanganisa amathambo, amafutha, imizwa, imisipha, imithambo yegazi, izicubu ezine-fibrous, noma izicubu zesikhumba ezijulile.

Uma amangqamuzana omzimba eqala ukukhula ngokungalawuleki, aba nomdlavuza ngokuhamba kwesikhathi. Ukwakheka komzimba kuyinkimbinkimbi; noma yiliphi iseli kunoma iyiphi ingxenye yomzimba lingaba nomdlavuza futhi lithinte amangqamuzana nezicubu ezinempilo eziseduze. Ngenxa yalokhu, kubalulekile ukubonana nodokotela ngokushesha nje lapho ubona noma yiziphi izimpawu. Enye yezinhlobo zomdlavuza ezivame kakhulu namuhla umdlavuza wamathambo nezicubu ezithambile.

I-Bone and Soft Tissue Cancer - Uhlolojikelele

Umdlavuza wamathambo nezicubu ezithambile ungakhula kubantu abadala nasezinganeni. Ubhekisela ekukhuleni kwamangqamuzana omdlavuza emathanjeni noma ezicutshini zomzimba ezithambile. Esikhundleni sokusabalala kusuka esithweni kuya emathanjeni, uqala emathanjeni noma ezicutshini ezithambile. Nakuba umzimba womuntu uqukethe amathambo angu-206 asiza emisebenzini eminingi, izicubu eziningi ezithambile zisekela kakhulu. Lezi zicubu ezixhumeneyo zifaka imithambo ye-lymph, imithambo yegazi, imisipha, imizwa, imisipha, namaseli amafutha.

Ayini ama-Sarcoma?

I-Sarcoma iyisimila esingavamile, esinomdlavuza esikhula emzimbeni womuntu noma ezicutshini ezithambile. Izicubu ezixhumene nazo zihlanganisa amaseli amafutha, imithambo yegazi, izicubu, kanye nemizwa ezungeze amathambo namalunga omuntu. Ihluke kakhulu ku-carcinomas evamile. I -sarcoma yamathambo nezicubu ezithambile ivame kakhulu ezicutshini zezingalo nemilenze kodwa ingakhula nakwezinye izingxenye zomzimba wakho.

I-sarcoma iyingozi, okusho ukuthi ingasakazekela ezithweni nasezicutshini eziseduze ezinempilo. Ingaholela ekubhujisweni kwamathambo noma kwezicubu. Uma iqala ukukhula emithanjeni yegazi futhi ingena egazini, ingasakazeka ngokushesha. Amathumba ezicubu ezithambile angatholakala nasezindaweni zentamo, ekhanda, nasesiqwini.

Yiziphi I-Bone Sarcomas?

Umdlavuza we-Sarcoma emathanjeni ngokuyinhloko uyizimila eziqala ukukhula emathanjeni. Nakuba eziningi zalezi zimila zingenabungozi, okusho ukuthi azisabalali, kusenezimo zalezi zimila ezisakazeka futhi zithinte izicubu nezitho eziseduze. Lezi zimila zivamile ezinganeni futhi zingase zenzeke engxenyeni engenhla yengalo, ithanga, noma imilenze.

Kungani i-APCC Oncologist's for Bone and Soft Tissue Tumors?

Ngokuphathelene nezimila zamathambo nezithambile, i-histology ibaluleke kakhulu. Iyasiza ekunqumeni indlela yokwelapha i-sarcoma yomdlavuza wamathambo. Ngaphezu kwalokho, ukwelashwa kufanele kwenziwe ngemva kokubonisana nebhodi lezimila elihlanganisa imikhakha eminingi, njengoba kungathinta kakhulu ukwelashwa kanye nokululama.

Ukwelashwa komdlavuza wethambo nezicubu ezithambile kungabandakanya izindlela ezimbalwa, njenge-chemotherapy, ukwelashwa okuhlosiwe, kanye nokwelashwa kwe-proton. Kwezinye izimo, ukwelashwa kwe-multimodal, kuhlanganise nokuhlinzwa nezinye izindlela zokwelapha, kungase kudingeke. Ukuze uthole ukwelashwa okufanele, kubalulekile ukuxhumana nama-oncologists abanolwazi olwanele nobuchwepheshe obuphambili. I-APCC inethimba lochwepheshe elinamakhono ahlukahlukene ahlukahlukene abambisana ukuze banikeze ukwelashwa okungcono kakhulu kweziguli. Ukwengeza, i-APCC inikeza izinketho zakamuva zokwelapha futhi inokuhlangenwe nakho okubanzi ekwelapheni izimila eziyinkimbinkimbi, okuzuzisa kakhulu iziguli.

Izinhlobo Zamathambo Nezicubu Ezithambile

Kunezinhlobo ezahlukene zomdlavuza wamathambo nezicubu ezithambile, futhi ukuhlonza ofanele kusiza odokotela ukuhlela ukwelashwa kangcono nangendlela ephumelelayo.

I-osteosarcoma

I-Osteosarcoma uhlobo lwesimila esiqala ukukhula kumaseli ethambo. Iyenzeka ngokuyinhloko ekupheleni kwamathambo amade. Kujwayelekile ezingalweni nasemilenzeni futhi kungathuthuka esifundeni se-pelvis, intamo, noma ikhanda ezimweni ezingavamile. Isimila sivamile entsheni kodwa singakhula nakubantu abadala. Ungomunye wemidlavuza yamathambo ejwayeleke kakhulu futhi kwesinye isikhathi ungakhula esicutshini esingaphandle kwethambo.

I-Ewing Tumor (i-Ewing sarcoma)

I-Ewing sarcoma ingaqala ukukhula kunoma yiliphi ithambo lomzimba womuntu. Ngaphezu kwalokho, ingaqala futhi ezicutshini ezithambile njengemisipha noma ezinye izicubu ezixhumeneyo. Nakuba kwandile ezinganeni, abantu abadala nabo bathambekele ekubeni nezimila ezinjalo. Izindawo ezivame kakhulu ezithinta isimila se-Ewing umlenze ongezansi, isifuba, izingalo ezingaphezulu, amathanga, noma i-pelvis. Izimpawu nezimpawu ze-Ewing sarcoma zincike endaweni yesimila. Isibonelo, isiguli sizoba nenkinga yokuphefumula uma iqala ukukhula odongeni lwesifuba.

I-Chondrosarcoma

Iwuhlobo lomdlavuza oluyivelakancane oluqala ukukhula kuqwanga. I-cartilage iyizicubu ezixhumene ezikhona kubantu abadala phakathi kwamathambo. I-Chondrosarcoma ivame kakhulu endaweni ye-pelvis, umlenze, nehlombe. Abantu abahlakulela lesi simila bangaba nezinhlungu nokuvuvukala endaweni ethintekile. Ngaphezu kwalokho, kunezimo ezingavamile lapho kungase kuqale ukukhula emathanjeni omgogodla.

I-Chordoma

I-Chordoma ingumdlavuza wamathambo ongavamile oqala ogebhezini noma emgogodleni. Kungase futhi kuqale endaweni engezansi yomgogodla, eyaziwa ngokuthi i-sacrum. Iwuhlobo lwesimila esingajwayelekile futhi singaba nezimpawu kuye ngokuthi sikuphi. Isibonelo, noma ubani one-chordoma emgogodleni wakhe angaba neqolo noma ukuba ndikindiki emilenzeni noma ezingalweni.

Izimpawu Nezimpawu ze-Bone and Soft Tissue Sarcoma

Izimpawu nezimpawu ze-sarcoma yethambo nezicubu ezithambile zingahluka kuye ngendawo. Lezi zimila zingase zingabonakali kusenesikhathi futhi zingaqala njengesigaxa esingenabuhlungu ngaphansi kwesikhumba. Ezinye zezimpawu ezijwayelekile yilezi:

• Isigaxa esingaphansi kwesikhumba esingase singalimazi
• Ubuhlungu ezingalweni, imilenze, i-pelvis, noma isisu
• Inkinga ekuhambeni kwengalo nomlenze okuvamile
• Ukuhlungu obusemhlane
• Ukulahlekelwa isisindo kanye nesifiso sokudla
• Igazi ngenkathi uhlanza noma uphuma indle
• Ukuqina ezindaweni ezihlangene

Uhlu olungenhla aluphelele; kuye ngesigaba sesimila nendawo, isiguli singaba nezinye izimpawu.

Ungawuhlonza Kanjani Umdlavuza Wamathambo Nezicubu Ezithambile?

Ukuxilonga umdlavuza wamathambo nezicubu ezithambile kuhilela izindlela ezahlukene zokuhlola nokuhlola. Okokuqala, udokotela angabheka izimpawu bese ezihlanganisa nobudala besiguli kanye nesimo sempilo yaso. Kanye nokuhlolwa ngokomzimba, ukuhlolwa kwegazi, ama-X-ray, ukuskena kwamathambo, ukuskena kwe-CT, i-MRI, noma ukuskena kwe-PET-CT nakho kungaba usizo.

Izingozi ze-Bone ne-Soft Tissue Sarcoma

Nakuba ingekho indlela yokwazi ukuthi ubani ozoba ne-sarcoma, umuntu kufanele agweme izici ezimbalwa zobungozi.

• Gwema ukuchayeka ngokweqile emisebeni
• Ukulimala kwama-lymph nodes noma ukususwa ngokuhlinzwa kwama-node nakho kungaba yinto engenzeka
• Ukuchayeka okuphezulu kumakhemikhali
• Umlando we-sarcoma emndenini
• Umlando we-Neurofibromatosis emndenini
• I-Li-Fraumeni syndrome iphinde inyuse amathuba okuthola ama-sarcoma
• Iziguli ze-retinoblastoma nazo zingenwa kalula ama-sarcomas

Ukuvimbela Ithambo Nezicubu Ezithambile Sarcoma

Okuwukuphela kwendlela yokugwema umdlavuza wethambo nowezicubu ezithambile ukugwema izinto eziyingozi ngangokunokwenzeka. Ngenkathi kunezimo lapho iziguli zithola ama-sarcomas naphezu kokungachayeka ezicini eziyingozi, umuntu angenza izinto ezilinganiselwe kuphela zokuvimbela. Kukhona amathuba lapho ingekho indlela yokuvimbela ama-sarcoma. Umuntu angagwema kuphela izici eziyingozi zokunciphisa amathuba okuthuthukisa izimila.

I-Proton Therapy kanye Nezinzuzo zayo Zokwelashwa Komdlavuza Wamathambo Nezicubu Ezithambile

I-Proton therapy iyindlela yokwelapha ngemisebe ehlosiwe esebenzisa imishayo ye-proton enamandla kakhulu ukuhlasela amaseli anomdlavuza. Isebenzisa imishayo enamandla amakhulu ukubhubhisa amangqamuzana anomdlavuza, ukuze angahlukanisi futhi aguquke ngokuqhubekayo.

Ezinye zezinzuzo ezibaluleke kakhulu zokwelapha i-proton yokwelashwa kwamathambo nezicubu ezithambile yilezi:

• Ingozi ephansi yokulimala kwemisebe: Ukwelashwa kwe-Proton kuwukwelapha okuqondiwe okuqinisekisa ukuthi imisebe ephezulu ihanjiswa kumaseli anomdlavuza nezicubu ezinomthelela omncane ezicutshini ezinempilo eziseduze. Kuyasiza ekwehliseni ubungozi bokulimala kwemisebe ezicutshini ezizungezile ezinempilo.
• Umthamo wemisebe olawulwayo, onembile, futhi ophakeme: Ukwelashwa kwe-Proton kunikeza ukulawula okungcono kwenani lemisebe nokunemba. Kuyasiza ekubhubhiseni amaseli anomdlavuza ngendlela engcono.
• Imiphumela engemihle ephansi: Njengoba umthelela ezicutshini eziseduze ezinempilo mincane, ukwelashwa kwe-proton kunemiphumela emibi emincane ngokuqhathaniswa kunezinye izindlela zendabuko.
• Indlela yomuntu siqu yokwelashwa: Ithimba lokunakekela umdlavuza kwa-APCC lihlaziya zonke izimo ngazinye futhi lihlele ukwelashwa okufanele kwesiguli. Ithimba lethu licubungula izici eziningi ngaphambi kokunquma uhlelo lokwelapha olungcono kakhulu lwesiguli.

Iziguli Zomdlavuza Wamathambo Nezicubu Ezithambile Zingazilungiselela Kanjani Ukwelashwa Kwe-Proton?

Ukwelashwa kwe-Proton kudinga ukuhlela okufanele ngaphambi kokuthi ukwelashwa kwangempela kuqale. Isiguli singalandela izinyathelo ezimbalwa zokuqinisekisa ukuthi sikulungele ukwelashwa.

• Qinisekisa ukuthi usebenzisana nethimba lakho lokunakekela ukuhlela iseshini yokulingisa ezokunikeza umbono mayelana neseshini yangempela. Zizwe ukhululekile ukuxoxa ngeseshini kuyilapho unikeza ithimba lokunakekela ngempendulo mayelana nendlela ozizwa ngayo ngesikhathi sokulingisa.
• Xoxa nethimba lakho labaphethe umdlavuza ngokuhlolwa okudingekayo njenge-MRI noma i-CT okuzodingeka phakathi noma ngemva kweseshini.
• Thola ulwazi mayelana nohlelo lokwelapha eqenjini lokunakekela. Hlola ngayo yonke inqubo yokwelapha, inani lezikhathi ezidingekayo, kanye nokulindelwe kuseshini ngayinye.
• Qonda imiphumela emibi ehlukile ongaba nayo ngemuva kokwelashwa kwe-proton yezicubu zethambo nesikhumba nokuthi ungabhekana kanjani nayo.
• Kubalulekile ukuthola imininingwane ephelele, okuhlanganisa imithi, izivivinyo, kanye nokuqokwa okufanele kuhlelwe ngaphambi, ngesikhathi, nangemva kokwelashwa.
• Gxila empilweni yakho ngenkathi udla ukudla okufanele okuzohlinzeka ngemisoco edingekayo.
• I-APCC inezinsiza ezinhle kakhulu ezingasiza isiguli nemindeni yaso kuyo yonke indawo. Ungangabazi ukucela usizo noma usizo, okuhlanganisa ukunakekelwa kwezingane, izinto zokuhamba, nokunye.

Yiziphi Iziguli Zomdlavuza Wamathambo Nezicubu Ezithambile Ezizuza Kakhulu Ekwelashweni Kwe-Proton?

Ubunjalo beziguli ezinomdlavuza wethambo nezicubu ezithambile bubenza bafaneleke kakhulu ukwelashwa kwe-proton. Umdlavuza we-Sarcoma uvame ukuba khona ezindaweni ezibucayi futhi udinga ukunemba kanye nemithamo ephezulu. Ngakho, ukubaphatha ngendlela yokwelapha enembe kakhulu kubalulekile.

I-Proton therapy iyindlela enhle yokwelapha yeziguli ze-sarcomas ezinesifo esithuthuke endaweni. Uma umdlavuza ususabalele ezindaweni ezikude emzimbeni, khona-ke ukwelashwa kwe-proton kungase kungasebenzi kahle. Ngaphezu kwalokho, ama-oncologists avame ukuncoma ukwelashwa kwe-proton nezinye izindlela zokwelapha ezifana ne-chemotherapy, ukuhlinzwa, nezinye.

Kutuswa ukuthi uthintane nongoti bomdlavuza wamathambo nezicubu ezithambile ngaphambi kokwenza noma yisiphi isinqumo. Indlela yokwelapha incike ezimeni zomuntu ngamunye, futhi ithimba lokunakekela lidinga ukuhlola isiguli ngokucophelela ngaphambi kokwenza noma yisiphi isinqumo. Kudingeka babheke indawo yomdlavuza, isiteji, kanye nempilo yonke yesiguli, kanye nezingozi nezinzuzo zezinketho ezahlukene zokwelapha.

Ungathola isithombe esiphelele sokwelashwa kwe-proton yomdlavuza wamathambo nezicubu ezithambile ngokubonisana nethimba lakho lokwelapha umdlavuza. Ngaphezu kwalokho, ungafunda ngezingozi ezingaba khona kanye nezinzuzo zezinketho zokwelashwa ezihlukene ezizofaneleka.

Ubude besikhathi sokwelashwa kwe-Proton ku-Bone and Soft Tissue Cancer?

Isikhathi esiqondile sokwelashwa kwe-proton yomdlavuza wethambo nezicubu ezithambile kuzoncika ezintweni ezimbalwa. Ithimba lokunakekela lizohlola isigaba samanje somdlavuza, impilo iyonke, izinhloso zokwelashwa, nendawo.

Ngokufanelekile, ukwelashwa kungaqhubeka phakathi kwamaviki ama-4-6. Njalo ngesonto kuzoba neseshini ecishe ibe mithathu kuya kwemihlanu. Futhi iseshini ngayinye izohlala phakathi kwemizuzu eyi-15-30. Sonke isikhathi sokwelashwa singahluka kuye ngesimo esiqondile sesiguli.

Kubalulekile ukuqaphela ukuthi ama-oncologists angaphinde aphakamise ezinye izindlela zokwelapha ngokuhlanganiswa nokwelashwa kwe-proton. Ngakho, uhlelo lokwelapha oluqondile lwesiguli ngasinye luzoncika ekuhlanganiseni kwemithi yokwelapha enqunyiwe.