Mawallafi: Lewis Jackson
Ranar Halitta: 14 Yiwu 2021
Sabuntawa: 20 Nuwamba 2024
Anonim
Menene Ewing's Sarcoma? - Kiwon Lafiya
Menene Ewing's Sarcoma? - Kiwon Lafiya

Wadatacce

Shin wannan na kowa ne?

Ewing’s sarcoma cuta ce mai saurin ciwan kansa ko ƙashi mai laushi. Yana faruwa galibi a cikin samari.

Gabaɗaya, ya shafi Amurkawa. Amma ga matasa masu shekaru 10 zuwa 19, wannan yana tsalle ne game da Amurkawa a cikin wannan rukunin.

Wannan yana nufin cewa kusan ƙwayoyin cuta 200 ana bincikar su a cikin Amurka kowace shekara.

An kira sarcoma ne don likitan Amurka James Ewing, wanda ya fara bayanin cutar a 1921. Ba a bayyana abin da ke haifar da Ewing ba, don haka babu wasu hanyoyin da aka sani na rigakafin. Yanayin ana iya warkewa, kuma, idan an kama shi da wuri, mai yuwuwa zai yiwu.

Ci gaba da karatu don ƙarin koyo.

Menene alamun ko alamun sarcoma na Ewing?

Mafi yawan alamun da ke faruwa na sarcoma na Ewing shine ciwo ko kumburi a yankin ƙari.

Wasu mutane na iya haifar da dunƙulen gani a saman fatar su. Hakanan yankin da abin ya shafa na iya dumi don taɓawa.

Sauran alamun sun hada da:

  • rasa ci
  • zazzaɓi
  • asarar nauyi
  • gajiya
  • rashin lafiyar gaba ɗaya (rashin lafiyar jiki)
  • kashin da ke karyewa ba tare da wani dalili sananne ba
  • karancin jini

Umumurkurai sukan zama a cikin hannu, ƙafafu, ƙashin ƙugu, ko kirji. Zai iya zama alamun alamun takamaiman wurin da kumburin yake. Misali, zaka iya fuskantar karancin numfashi idan ciwon ya kasance a kirjin ka.


Menene ke haifar da sarcoma na Ewing?

Ainihin dalilin Ec's sarcoma bai bayyana ba. Ba a gadonsa, amma ana iya danganta shi da canjin canjin da ba a gada ba a cikin takamaiman kwayoyin halittar da ke faruwa yayin rayuwar mutum. Lokacin da chromosomes 11 da 12 suka canza kayan kwayar halitta, takan kunna yalwar sel. Wannan na iya haifar da ci gaban sarcoma na Ewing.

don ƙayyade takamaiman nau'in tantanin halitta wanda asalin Ecc sarcoma ya gudana yana gudana.

Wanene ke cikin haɗari ga sarcoma na Ewing?

Kodayake sarcoma na Ewing na iya bunkasa a kowane zamani, fiye da mutanen da ke da yanayin ana bincikar su a lokacin samartaka. Matsakaicin shekarun waɗanda abin ya shafa shine.

A Amurka, Ec’s sarcoma yana da yiwuwar ci gaba a cikin Caucasians fiye da Afirka-Amurkawa. Canungiyar Ciwon Sankara ta Amurka ta ba da rahoton cewa da wuya cutar kansa ta shafi wasu rukunin launin fata.

Maza na iya zama mafi kusantar su ci gaba da yanayin. A cikin binciken mutane 1,426 da cutar Ewing ta shafa, maza ne kuma mata ne.

Ta yaya ake bincikar sarcoma ta Ewing?

Idan ku ko yaronku sun sami alamun bayyanar, ku ga likitan ku. Game da al'amuran, cutar ta riga ta bazu, ko ta dace, ta lokacin ganewar asali. Da zaran an gano cutar, magani mafi inganci na iya zama.


Likitanku zai yi amfani da haɗin waɗannan gwaje-gwajen bincike na gaba.

Gwajin hoto

Wannan na iya haɗawa da ɗaya ko fiye na masu zuwa:

  • X-ray don ɗaukar hoton ƙasusuwanka da gano kasancewar ƙari
  • Binciken MRI don ɗaukar hoto mai laushi, gabobi, tsokoki, da sauran sifofi kuma ya nuna cikakkun bayanai game da ƙari ko wasu abubuwan rashin lafiya
  • CT scan don ɗaukar hoton ɓangaren ƙasusuwa da kyallen takarda
  • EOS hotunan don nuna haɗin haɗin gwiwa da tsokoki yayin da kake tsaye
  • Binciken jikinka duka don nunawa idan ƙari ya daidaita
  • PET scan don nuna ko duk wani yanki mara kyau da aka gani a wasu sikanin ƙari ne

Kwayoyin cuta

Da zarar an zana hoton kumburi, likitanku na iya yin odar biopsy don duba wani ɓangare na ƙwayar a ƙarƙashin madubin likita don takamaiman ganewa.

Idan ƙari yayi karami, likitanka zai iya cire duka abu a matsayin ɓangaren biopsy. Wannan shi ake kira da excisional biopsy, kuma ana yin sa a karkashin maganin rigakafi.

Idan ƙari ya fi girma, likitanka zai iya yanke wani yanki daga ciki. Ana iya yin hakan ta hanyar yankewa ta fatarka don cire wani abu na kumburin. Ko kuma likitanka na iya shigar da babban allura mara kyau a cikin fata don cire wani yanki na ciwon. Wadannan ana kiransu biopsy na incisional kuma galibi ana yin su ne a cikin maganin rigakafi na gaba ɗaya.


Likitan likitan ka na iya kuma saka allura a cikin kashi domin fitar da samfurin ruwa da kwayoyin halitta don ganin ko cutar daji ta bazu cikin bargon kashin ka.

Da zarar an cire ƙwayar ƙwayar cuta, akwai gwaje-gwaje da yawa waɗanda ke taimakawa wajen gano sarcoma na Ewing. Gwajin jini na iya ba da gudummawar bayani don magani.

Nau'in sarcoma Ewing

An rarraba sargon Ewing ta ko ciwon daji ya bazu daga ƙashi ko nama mai taushi da ya fara. Akwai nau'i uku:

  • Gida Ec sarcoma: Ciwon daji bai yada zuwa wasu sassan jiki ba.
  • Sarcoma na East na Metastatic: Ciwon kansa ya bazu zuwa huhu ko wasu wurare a jiki.
  • Maimaita Ec's sarcoma: Ciwon daji ba ya amsawa ga magani ko dawowa bayan nasarar ci gaban magani. Mafi yawan lokuta yakan sake komawa cikin huhu.

Ta yaya ake kula da sarcoma na Ewing?

Jiyya don sarcoma ta Ewing ya dogara da inda ƙwayar ta samo asali, girman ƙwayar, da kuma ko ciwon daji ya bazu.

Yawanci, magani ya ƙunshi ɗaya ko fiye da hanyoyin, gami da:

  • jiyyar cutar sankara
  • radiation radiation
  • tiyata
  • niyya proton far
  • high-kashi chemotherapy haɗe tare da kara cell dashi

Zaɓuɓɓukan magani don sarcoma Ewing na gida

Hanyar gama gari don cutar kansa wanda ba ta yadu ba haɗuwa da:

  • tiyata don cire kumburin
  • radiation zuwa yankin ƙari don kashe duk sauran ƙwayoyin kansa
  • chemotherapy don kashe ƙwayoyin kansar da suka yadu, ko micrometastasies

Masu bincike a cikin wani binciken na 2004 sun gano cewa haɗakar maganin kamar wannan ya yi nasara. Sun gano cewa maganin ya haifar da kimanin shekaru 5 na kimanin kashi 89 da kuma shekaru 8 na kimanin kashi 82.

Dogaro da shafin ƙari, ƙarin magani na iya zama dole bayan aikin tiyata don maye gurbin ko dawo da aikin ƙafafu.

Zaɓuɓɓukan jiyya don ƙaddara da kuma maimaita Ec’s sarcoma

Jiyya don sarcoma na Ewing wanda aka ƙaddara daga asalin shafin yana kama da na cutar cikin gida, amma tare da ƙananan nasarar nasara. Masu bincike a cikin ɗayan sun ba da rahoton cewa yawan rayuwar shekaru 5 bayan jiyya na sarcoma na Ewing metastasized

Babu daidaitaccen magani don sakewa na sarcoma Ewing. Zaɓuɓɓukan magani sun bambanta dangane da inda ciwon daji ya dawo da abin da maganin baya ya kasance.

Yawancin gwaje-gwajen asibiti da nazarin bincike suna gudana don inganta magani don ƙaddara da kuma maimaita Ec's sarcoma. Wadannan sun hada da:

  • kara kwayar halitta
  • rigakafin rigakafi
  • niyya far tare da monoclonal antibodies
  • sababbin magungunan ƙwayoyi

Menene hangen nesa ga mutanen da ke da sarcoma na Ewing?

Yayin da sababbin jiyya ke bunkasa, hangen nesa ga mutanen da cutar Ewing ta sarcoma ta ci gaba yana inganta. Likitanka shine mafi kyawun abinku don bayani game da hangen nesanku da ranku.

Canungiyar Ciwon Sankara ta Amurka ta ba da rahoton cewa ƙimar shekara 5 na mutanen da ke da kumburi a cikin gida ya kai kusan kashi 70 cikin ɗari.

Ga waɗanda ke da ƙwayar ƙwayar ƙwayar ƙwayar cuta, ƙimar rayuwa ta shekaru 5 ta kasance 15 zuwa 30 bisa dari. Hangenku na iya zama mafi dacewa idan ciwon daji bai bazu zuwa gabobin da ba huhu ba.

Adadin rayuwa na shekaru 5 na mutanen da ke da sarcoma na Ewing mai maimaitawa shine.

Akwai waɗanda zasu iya shafar ra'ayinku na mutum, gami da:

  • shekaru lokacin bincike
  • girman ƙari
  • wuri ƙari
  • yadda maganin ku yake amsawa ga chemotherapy
  • matakan cholesterol na jini
  • maganin baya don cutar kansa daban
  • jinsi

Kuna iya sa ran za a sa ido a lokacin da bayan jiyya. Likitanku zai yi gwajin lokaci-lokaci don sanin ko cutar kansa ta bazu.

Mutanen da ke da sarcoma na Ewing na iya samun haɗarin kamuwa da cutar kansa ta biyu. Canungiyar Ciwon Cancer ta Amurka ta lura cewa yayin da yawancin matasa masu cutar sarcoma ta Ewing ke rayuwa har zuwa girma, illolin dogon lokaci na maganin cutar kansa na iya bayyana. Bincike a cikin wannan yanki yana gudana.

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