I-bark sarcoma (i-Ewing's sarcoma) isifo esibi esiya kwisifuba somntu womntu. Inokuthi ikwazi ukuhlala kuyo nasiphi na amathambo emasipha, kodwa ngokuqhelekileyo esi sifo sichaphazela amathambo ama-tubular, kwaye i-metastases eziqhelekileyo zivela rhoqo kwii-vertebrae, iimbambo kunye namathambo e-pelvic. I-Sarcoma amathambo adibanisa kunye nebele, i-prostate, imiphunga okanye umhlaza weengso.
Izizathu kunye neempawu ze-sarcoma yamathambo
Izizathu zokuphuhlisa i-sarcoma yamathambo azifundanga ngokwaneleyo. Izinto ezibangela ukubonakala kwezi ntloba ziquka:
- i-cartilaginous exostoses;
- i fractures;
- i radiation ionizing;
- Isifo sePaget;
- ezinye iintlobo zomhlaza.
Kwinqanaba lokuqala lophuhliso lwesifo, akukho zibonakaliso. Emva kokuba isiqhumane siqala ukwandisa ngobukhulu, iimpawu ezinjalo ze-sarcoma zethambo ziyavela:
- ukuguquka kwethambo;
- umda wokuhamba ngokubambisene, okukufutshane ne-tumor;
- intlungu ebuhlungu kakhulu ebusuku;
- umkhuhlane.
Umfanekiso weklinikhi ubonakaliswe ngophulophu lwengingqi. Ukuba isiguli sine-sarcoma yamakhosikazi, kukho izibonakaliso zesifo, ezifana nokungasebenzi kwamalungu epilvic kunye nokuqhwala.
Unyango lwe-bone sarcoma
Indlela ehamba phambili yokufumanisa i-sarcoma ye-osteogenic ye-femal, i-hummer kunye nayiphi na ithambo lifundo lwe-x-ray. Ukuxilongwa kokugqibela kusekwe ngokusekelwe kwiziphumo zesifundo somzimba wesincinci esincinci, esifunyenwe yi-biopsy.
Emva kokuvavanya kwesi sifo, khawuleza uqale unyango. I-prognosis evumelekileyo ye-sarcoma ithambo inganikwa kuphela emva kokusebenza kunye nezifundo eziliqela ze-chemotherapy. Oku kubangelwa ukuba esi sifo sinokuphakanyiswa okuphezulu kwe-metastasis.
Ukugcinwa kwamanyathelo okugonywa ngumzimba kuyona nto iphambili yonyango lwe-sarcoma yesalathisi yesandla, umlenze, umlenze. Ukungqinelana kwemisebenzi enjalo kukuba:
- umonakalo omkhulu kwiisisipha zomzimba;
- ukubandakanyeka kwinkqubo yomhlaza yesithintelo somzimba;
- iifractic pathological diskination or infection of tissues.
Ukuba i-tumor ifinyelele kwizinga elikhulu okanye ukuchithwa kwalo kuphawulwe ngokuxiliswa nokuphuma kwegazi, ukusetyenziswa ngokugqithiseleyo kusetshenziswe: ukuchithwa kunye nokugqithisa.
Ulwaphulo lwe-radiar ye-sarcoma ye-humeral, isetyhini kunye nelinye ithambo lisetyenziswe xa akunakwenzeka ukususa i-tumor okanye i-metastases. I-Chemotherapy kufuneka isetyenziswe ngaphambi kokuhlinzwa. Oku kukuvumela ukuba unganciphise ngokukhawuleza ubukhulu bokubunjwa kwesisu kunye nokususa i-micrometastases. Ukongezelela, ezinjalo iinkqubo zinceda ukugqiba ukuba i-tumor iyabakhathalela iziyobisi ezahlukahlukeneyo kwaye ukhetha irejimen yonyango emva kokugqitywa komsebenzi.
I-chemotherapy engaphantsi kokusebenza iyimfuneko ukukhusela ukukhula nokutshabalalisa ngokupheleleyo i-metastases. Kwakhona kusetyenziselwa ukunyanga iimitha ezidlulileyo eziye zaphuhliswa. Ngokuqhelekileyo kuyimfuneko ukuchitha iikholeji ezine-10 ngokudibanisa kwezi zonyango njenge:
- Doxorubicin;
- Ifosfamide;
- Vincristine;
- Dactinomycin;
- Etoposide;
- Cyclophosphamide.
Ukuqwalaselwa emva kokunyangwa kwethambo le-sarcoma
Emva kokugqiba unyango ophezulu
- i-radiography okanye i-CT yazo zonke izitho ze-thorax;
- I-MRI / CT yesithambo, esasichaphazeleka yi-tumor;
- I-Ultrasound yesigxina esiswini .