
Mafupa a mafupa ndi kukula kwachilendo kwa maselo mu fupa. Zitha kukhala zowopsa (zopanda khansa) kapena zowopsa (khansa). Bukuli likuwunikira mbali zosiyanasiyana za fupa chotupa chithandizo, kuchokera ku matenda kupita ku njira zochizira komanso chithandizo chamankhwala pambuyo pake. Kumvetsetsa za vuto lanu ndikofunikira, ndikufunsana ndi akatswiri azachipatala ngati omwe ali ku Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) ndi sitepe yoyamba yotsogolera kuyendetsa bwino.
Zotupa zabwino za mafupa sizimafalikira mbali zina za thupi. Zitsanzo zimaphatikizapo osteochondromas, zotupa zazikulu za cell, ndi enchondromas. Chithandizo nthawi zambiri chimaphatikizapo kuyang'anira kukula kwa chotupa kapena kuchotsa opaleshoni ngati chimayambitsa kupweteka kapena zizindikiro zina. Chigamulo chochotsa opaleshoni chotupa choopsa chidzapangidwa ndi katswiri wanu.
Zotupa zowopsa za mafupa, monga osteosarcoma ndi Ewing sarcoma, ndi khansa ndipo zimatha kufalikira kumadera ena a thupi (metastasis). Izi zimafuna mwamakani chithandizo fupa chotupa chithandizo njira. Kuzindikira msanga ndikofunika kwambiri pakuwongolera matenda. Zachindunji chithandizo fupa chotupa chithandizo Kukonzekera kudzadalira zinthu zingapo, kuphatikizapo mtundu wa chotupa, kukula kwake, malo, ndi thanzi la wodwalayo.
Kuzindikira chotupa cha fupa kumaphatikizapo kuyesa koyerekeza ndi ma biopsies. X-rays, CT scans, ndi MRIs zimathandiza kuona chotupacho ndikuwunika kukula kwake ndi malo ake. Biopsy imafunika kuti mudziwe ngati chotupacho ndi choopsa kapena choopsa komanso kuti mudziwe mtundu weniweni wa chotupacho.
Chithandizo fupa chotupa mankhwala zosankha zimasiyana kwambiri malinga ndi mtundu ndi gawo la chotupacho, komanso thanzi la wodwalayo. Njira zodziwika bwino ndi izi:
Opaleshoni ndi yofala chithandizo fupa chotupa chithandizo kwa zotupa za mafupa owopsa komanso oyipa. Opaleshoniyo ingachokere ku curettage (kuchotsa chotupacho) kupita ku opareshoni yopulumutsa miyendo (kuchotsa chotupacho ndi kulowetsa fupa lokhudzidwalo) kapena kudula (kuchotsa chotupacho) pakachitika zoopsa kwambiri. Cholinga chake ndikuchotsa chotupacho kwathunthu ndikuchepetsa kuwonongeka kwa minofu yozungulira.
Chemotherapy amagwiritsa ntchito mankhwala kuti aphe maselo a khansa. Nthawi zambiri amagwiritsidwa ntchito limodzi ndi opaleshoni ya zotupa zowopsa za mafupa kuti achepetse kukula kwa chotupacho asanachite opaleshoni, kupha maselo a khansa otsala pambuyo pa opaleshoni, kapena kuchiza matenda a metastatic. Mankhwala enieni a chemotherapy amadalira mtundu wa khansa ya m'mafupa.
Chithandizo cha radiation chimagwiritsa ntchito cheza champhamvu kwambiri kupha maselo a khansa. Angagwiritsidwe ntchito asanachite opaleshoni kuti achepetse chotupa, pambuyo pa opaleshoni kuti aphe maselo a khansa otsala, kapena kuchiza matenda a metastatic omwe sangathe kuchotsedwa. Monga chemotherapy, zomwe zimapangidwira zimapangidwira wodwala komanso mtundu wa chotupa.
Thandizo loyang'aniridwa limagwiritsa ntchito mankhwala omwe amayang'ana mamolekyu ena omwe amakhudzidwa ndi kukula kwa maselo a khansa. Mankhwalawa amawonetsa lonjezo ndipo amagwiritsidwa ntchito pazochitika zinazake. Kupititsa patsogolo kwamankhwala omwe akuyembekezeredwa kukupitilira, kumapereka chiyembekezo chamankhwala othandiza komanso opanda poizoni.
Kutsatira chithandizo fupa chotupa chithandizo, kuwunika kosalekeza ndi chisamaliro chotsatira ndizofunikira. Kuwunika pafupipafupi, kujambula zithunzi, ndi kuyezetsa magazi kumathandiza kuzindikira kubwereza kapena zovuta zilizonse. Thandizo lakuthupi ndi kukonzanso kungakhale kofunikira kuti athandize kubwezeretsa ntchito ndi kuyenda.
Ndikofunika kukumbukira kuti mkhalidwe wa munthu aliyense ndi wapadera. Zomwe zaperekedwa pano ndi zachidziwitso wamba ndipo siziyenera kutengedwa ngati upangiri wamankhwala. Nthawi zonse funsani ndi oncologist wodziwa zambiri kuti mudziwe zolondola komanso zaumwini chithandizo fupa chotupa chithandizo kukonzekera. Bungwe la Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) amapereka chisamaliro chokwanira cha mitundu yosiyanasiyana ya khansa, kuphatikizapo zotupa za m'mafupa.
| Mtundu wa Chithandizo | Ubwino | Zomwe Zingatheke |
|---|---|---|
| Opaleshoni | Kuchotsa kwathunthu chotupa, kuchiritsa kothekera | Ululu, matenda, zipsera, zolephera ntchito |
| Chemotherapy | Amapha maselo a khansa, amachepetsa zotupa | Mseru, kusanza, tsitsi, kutopa, immunosuppression |
| Chithandizo cha radiation | Amapha maselo a khansa, amachepetsa zotupa | Khungu kukwiya, kutopa, nseru, zomwe zingatheke kwa nthawi yayitali |
Chodzikanira: Izi ndi zongophunzitsa zokha ndipo siziyenera kutengedwa ngati upangiri wachipatala. Nthawi zonse funsani ndi dokotala wodziwa bwino zachipatala kuti mudziwe ndi kuchiza matenda aliwonse.
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