Chimphona selo chotupa: chithandizo ndi madokotala ananena zawo

Chimphona selo chotupa - wamba oncological matenda, zomwe nthawi zambiri anakumana ndi anthu azaka zaka 15 mpaka 40. Matendawa ali ndi makhalidwe oipa mtima wabwino Inde, ndi chotupa cha aumbike mwa minofu fupa.

Komano, mchikakamizo cha zinthu zina zotheka zilonda kusintha, omwe ana amakumana ndi mavuto oopsa. Choncho chimene chimapanga matenda ndi zizindikiro muyenera kulabadira?

osteoblastoklastoma ndi chiyani? mbali structural

Chimphona selo chotupa ndi dongosolo achindunji kwambiri, zomwe aumbike mwa fupa. Amadziwika kuti osteoblastoklastoma imakhala mitundu iwiri ya maselo: mononuclear yaing'ono (maselo chonse kapena chowulungika ndi pakati yowala ndi pang'ono chromatin) ndi chimphona multinucleated (20-30 muli mtima ndi amafanana osteoclasts bwinobwino, iwo ali uniformly kufalitsidwa mu makulidwe ndi neoplasms ali okhaokha Chrixitu).

Mu nkhani izo Tingaone kuti mkati minofu chotupa zofewa ali bulauni mtundu ndi kuda ka kukha mwazi (magazi) ndipo necrosis.

gulu la zotupa

Mu mankhwala amakono, neoplasms amenewa ali m'magulu malinga ndi dongosolo, mawonekedwe ndi makhalidwe ena. Ngati ife kulankhula za maonekedwe a dongosolo la, chimphona chotupa selo likhoza kukhala:

• mauna (wapangidwa ndi maselo ang'onoang'ono, ankasiyana partitions chosakwanira fupa);
• enaake (chotupa ndi fupa M'mimbamo, ndi wodzazidwa ndi madzi, kotero akufanana chotupa);
• lytic (mtundu uwu aukali kukula chotupa limodzi ndi chiwonongeko mofulumira fupa fupa chitsanzo yeniyeni sangathe anatsimikiza).

Pa nthawi ya matenda, ndipo kulabadira neoplasms malo. Chotupa angakhale chapakati (opangidwa ku fupa thicker) kapena zotumphukira (zokhudza kapangidwe pamwamba ndi periosteum fupa).

Pafupifupi 50% a milandu chotupa lili zimakhala za imafooketsa bondo olowa. chotupa nthawi zambiri amapezeka mu utali wozungulira wapotalikira. Komabe osteoblastoklastoma zingakhudze iliyonse mafupa, kuphatikizapo vertebrae ndi, sacrum, tibia, femur ndi humerus, nsagwada m'munsi. Nthawi zina ndondomeko pathological chimafikira kwa tendons ndi minofu zofewa.

The chikuchititsa mavuto a matenda

Mwatsoka, chibwenzi, chifukwa zikamera ndi kukula chotupa ndi losadziwika. Amakhulupirira kuti pali cholowa chinthu, makamaka ngati maziko kapena kukula kwa mafupa zida mwana kuchokera pachiyambi anachita bwino.

Akatswiri ena amanena kuti Mwina wa chitukuko cha chimphona ukuwonjezeka selo chotupa ngati wodwalayo anali ndi yotupa matenda okhudza fupa ndi periosteum. Zifukwa mulinso fractures pafupipafupi ndi kuvulala zina za zida thandizo.

Kodi zizindikiro ayenera kulabadira?

Mu masiteji koyamba chitukuko chotupa chimphona selo kawirikawiri umatipanga lokha anamva. ululu akuvutika akhoza zimachitika ndi zizindikiro zoyambirira kuti chichokera nthawi. Zizindikiro More aakulu zimachitika chifukwa cha kukula lochita neoplasm a.

Bone minofu amayamba kutha. Pali fractures mowiriza pa malo a zotupa kutanthauzira. Pamene kukula kwa chotupa pansi pa khungu aonekera kutupa, nthawi zina zazikulu lakuthwa. Pa integument mu chotupa cha limachokera ziwiya thumba.

Ngati chotupa ali kufupi ndi olowa, pangakhale tsankho kapena wathunthu imfa ya kuyenda kwake. Soreness nawonso kukhala yapadera kwambiri - kusapeza kazivutitsa mtima pa zolimbitsa thupi ndi pa mpumulo.

Zilonda ndondomeko ndi zizindikiro zake

Chimphona chotupa khungu la fupa imatengedwa kuti ndi wotetezeka. Komabe, pali nthawi zonse chiopsezo zilonda kusintha kwa zotupa. Pakali pano, zimayambitsa enieni amene amayambitsa ndondomeko sakudziwika. Asayansi ena amakhulupirira kuti mlandu zonse - kusintha m'thupi ndi kuvulala pafupipafupi. Pali madokotala amene amanena kuti kubadwanso chifukwa cha radiotherapy m'mbuyomu.

Mulimonsemo m'pofunika kumvetsa kuti khansa ndi oopsa. Mwa njira, ndondomeko limodzi ndi zingapo mwa zizindikirozi zofunika powasamalira. Pakhala kukula mofulumira maphunziro. Nthawi zambiri pathological ndondomeko chimafikira kupitirira fupa - mu Zikatero aumbike chimphona selo chotupa minofu zofewa kapena tendon.

Pa mayeso, ndipo mukhoza kupeza patsogolo kusintha kapangidwe ka zotupa - izo amakhala lytic, fupa mlatho pakati pa maselo kutha, ndi contours a chotupa enaake kuchita khungu. Kuwonjezera awiri a chotupa cha - matenda limodzi ndi chiwonongeko tima minofu fupa.

njira yodziwira

Pamaso pa anthu kapena zizindikiro zina atikhudze pa dokotala Akaganiza khansa. Kumene, chimphona chotupa selo amafuna matenda mosamala. Pambuyo anamnesis mtima Kwalamulidwa:

• Amuzolengedwa kusanthula magazi, amene sakhoza yekha onani thupi lonse, komanso kudziwa ndi zolembera kusonyeza kuwonongedwa kwa minofu fupa.
• Ndi kuvomerezedwa x-ray. M'zithunzi dokotala aone chotupa, ganizilani kukula kwake, tione boma la mafupa. Zipangizo matenda amenewa amapezeka pafupifupi kuchipatala, ndipo mtengo wa mankhwala alipo.
• The njira kwambiri nkhani ndi kumveka maginito kulingalira (zotsatira mofanana zolondola akhoza zopezera ntchito yopangidwa tomography). dokotala ali ndi mwayi kudziwa kukula ndiponso dongosolo la chotupa cha, ganizilani mmene minofu fupa, kuwona metastases alipo. Mwatsoka, ndi kafukufuku mtengo ndithu.
• Pa kudziwika kwa chotupa biopsy bwino. Pa ndondomeko, dotolo amachita minofu zitsanzo zosankhidwazi ku neoplasms - zitsanzo ndiye anandituma kuti zasayansi. Analysis wa biopsy amathandiza kufufuza ngati maselo zilonda chotupa.

Yachokera pa kafukufuku izi dokotala angathe kudziwa ngati chotupa oopsa, kenako kusankha mankhwala ambiri.

Chimphona chotupa selo: chithandizo

Pomwepo ndi ofunika kuti chithandizocho zimadalira kukula kwa zotupa, ndi pamaso pa ndondomeko zilonda, malo metastases, ndi zina zotero. D.

Kuchotsa chotupa chimphona selo n'kofunika. Pa opaleshoni, resection imagwiridwa zotupa osati kokha, komanso malo fupa anakhudzidwa. Kuchotsa gawo la zida thandizo m'malo mwa prosthesis a. Pamene kutupa kapena kuyamba matenda a chotupa cha adokotala akhoza kugamula kuti amputation wa nthambi lonse. Ngati metastases (mwachitsanzo, m'mapapo kapena chiwindi) anali wapezeka m'thupi wodwala, ndiye tsankho kuchotsa ikuchitika zimakhala akhudzidwa.

Nthawi zambiri, mu dera la anazimitsa radiotherapy. chithandizo zimenezi n'kofunika mu chochitika chotupa sangathe kuchotsedwa (mwachitsanzo, izo aumbike mu femur, linkawonongeka kapena sacrum). Walitsa ikuchitika pamaso pa ndondomeko zilonda, ngakhale pa nthawi ya opaleshoni anatha kuchotsa formations onse pathological. Nthawi zina, odwala bwino amakana fupa resection.

Kusankha chithandizo m'pofunika kukhulupirira dokotala. Zochizira osteoblastoklastomy ntchito kutali Popanga madzi a gamma-mankhwala radiotherapy orthovoltage, braking kapena elekitironi cheza.

Chimphona chotupa selo: kuti madokotala ananena zawo odwala ndi mavuto zotheka

Nthawi zambiri, ndi osangalala odwala. Kumene, muyenera yochotsa chotupacho, nthawi zambiri limodzi ndi mbali ina ya fupa akhudzidwa. Koma musabise zinalembedwa infrequently.

Koma zilonda chimphona chotupa selo n'koipa chifukwa matenda limodzi ndi mapangidwe metastases, kumene anakonza pafupifupi aliyense limba. Dokotalayo Sizotheka kuti achite resection a zotupa zonse.