
Izimila zethambo ukukhula okungavamile kwamaseli ethanjeni. Zingaba yingozi (ezingezona umdlavuza) noma zibe yingozi (umdlavuza). Lo mhlahlandlela ophelele uhlola izici ezihlukahlukene ze ukwelashwa kwe-bone tumor, kusukela ekuxilongweni kuya ekukhetheni ukwelashwa kanye nokunakekelwa kwangemva kokwelashwa. Ukuqonda okucacile kwesimo sakho kubalulekile, futhi ukubonisana nochwepheshe bezokwelapha njengalabo baseShandong Baofa Cancer Research Institute (https://www.baofahospital.com/) isinyathelo sokuqala sokuphatha ngempumelelo.
Amathumba amathambo angavamile awavamile ukusabalala kwezinye izingxenye zomzimba. Izibonelo zifaka i-osteochondromas, ama-giant cell tumors, nama-enchondromas. Ukwelashwa ngokuvamile kuhilela ukuqapha ukukhula kwesimila noma ukususwa ngokuhlinzwa uma kubangela ubuhlungu noma ezinye izimpawu. Isinqumo sokuthi uyasikhipha yini isimila esiyingozi ngokuhlinzwa sizothathwa uchwepheshe wakho.
Izimila ezimbi zamathambo, njenge-osteosarcoma ne-Ewing sarcoma, zinomdlavuza futhi zingasakazekela kwezinye izingxenye zomzimba (i-metastasis). Lezi zidinga ulaka ukwelashwa kwe-bone tumor amasu. Ukutholwa kusenesikhathi kuyisihluthulelo sokuthuthukisa ukubikezela. Okuqondile ukwelashwa kwe-bone tumor uhlelo luzoncika ezintweni eziningana, okuhlanganisa uhlobo lwesimila, ubukhulu, indawo, kanye nempilo yesiguli iyonke.
Ukuhlonza isimila sethambo ngokuvamile kuhilela inhlanganisela yokuhlolwa kwezithombe nama-biopsies. Ama-X-ray, ama-CT scan, nama-MRIs asiza ukubona isimila ngeso lengqondo futhi ahlole ubukhulu baso nendawo. I-biopsy iyadingeka ukuze kutholwe ukuthi isimila siyingozi noma siyingozi futhi kuhlonzwe uhlobo oluthile lwesimila.
Ukwelashwa Ukwelashwa kwesimila samathambo izinketho ziyahlukahluka kakhulu kuye ngohlobo kanye nesiteji sesimila, kanye nempilo yonke yesiguli. Izindlela ezijwayelekile zifaka:
Ukuhlinzwa kuyinto evamile ukwelashwa kwe-bone tumor kuzo zombili izimila zamathambo ezimbi neziyingozi. Uhlobo lokuhlinza lungasukela ku-curettage (ukususwa kwesimila) kuye ekuhlinzweni kokulondoloza isitho (ukukhipha isimila nokufaka ithambo elithintekile) noma ukunqunywa (ukususwa kwesitho) ezimeni ezinzima. Umgomo uwukukhipha ngokuphelele isimila kuyilapho kunciphisa umonakalo ezicutshini ezizungezile.
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Kuvame ukusetshenziswa kanye nokuhlinzwa izimila ezimbi zamathambo ukunciphisa usayizi wesimila ngaphambi kokuhlinzwa, ukubulala noma yimaphi amangqamuzana omdlavuza asele ngemva kokuhlinzwa, noma ukwelapha isifo sokusanhlamvu. Imithi ethile ye-chemotherapy incike ohlotsheni lomdlavuza wamathambo.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingase isetshenziswe ngaphambi kokuhlinzwa ukuze kuncishiswe isimila, ngemva kokuhlinzwa ukuze kubulawe noma yimaphi amangqamuzana omdlavuza asele, noma ukwelapha isifo se-metastatic esingakwazi ukususwa ngokuhlinzwa. Njenge-chemotherapy, imininingwane yenzelwe isiguli kanye nohlobo lwesimila.
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ama-molecule athile abandakanyeka ekukhuleni kwamangqamuzana omdlavuza. Lezi zindlela zokwelapha zibonisa isithembiso futhi zisetshenziswa ezimweni ezithile. Ukuthuthukiswa kwezindlela zokwelapha ezihlosiwe kuyaqhubeka, okunikeza ithemba lokwelapha okusebenzayo futhi okunobuthi obuncane.
Ukulandela ukwelashwa kwe-bone tumor, ukuqapha okuqhubekayo nokunakekelwa kokulandelela kubalulekile. Ukuhlola okuvamile, izifundo zokuthwebula izithombe, nokuhlolwa kwegazi kusiza ukuthola noma yikuphi ukuphindeka noma izinkinga. Ukwelashwa ngokomzimba nokuvuselelwa kungase kudingeke ukusiza ukubuyisela ukusebenza nokuhamba.
Kubalulekile ukukhumbula ukuthi isimo somuntu ngamunye sihlukile. Ulwazi olunikezwe lapha ololwazi jikelele futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana ne-oncologist enolwazi ukuze uthole ukuxilongwa okunembile nokwenza kube ngokwakho ukwelashwa kwe-bone tumor ukuhlela. I-Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) inikeza ukunakekelwa okuphelele kwezinhlobo ezihlukahlukene zomdlavuza, kuhlanganise nezimila zamathambo.
| Uhlobo Lokwelapha | Izinzuzo | Engase Engase Side Effects |
|---|---|---|
| Ukuhlinzwa | Ukususwa okuphelele kwesimila, ukwelashwa okungenzeka | Ubuhlungu, ukutheleleka, izibazi, imikhawulo yokusebenza okungenzeka |
| I-Chemotherapy | Ibulala amangqamuzana omdlavuza, ishwabane izimila | Isicanucanu, ukuhlanza, ukuqothuka kwezinwele, ukukhathala, ukuzivikela komzimba |
| Ukwelapha Ngemisebe | Ibulala amangqamuzana omdlavuza, ishwabane izimila | Ukucasuka kwesikhumba, ukukhathala, isicanucanu, imiphumela engaba khona yesikhathi eside |
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
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