Giant Sero bundu: kurapwa uye fungidziro

Giant Sero bundu - nevakawanda oncological chirwere, iyo kakawanda zvakaitika kuvanhu vane makore 15 kusvika 40 okuberekwa. Maperembudzi dzinoratidzwa benign kosi, uye bundu achiumbwa mafupa tishu.

Ukuwo, pasi pokudzora zvimwe zvinhu pangava akaipa kusanduka, izvo hwakazara nemigumisiro ngozi. Saka chii chinoumba chirwere uye chii zviratidzo yaunofanira kuteerera?

Chii osteoblastoklastoma? STRUCTURAL zvinhu

Giant Sero bundu iri zvikuru chaizvo chimiro, iyo achiumbwa mafupa. Zvinozivikanwa kuti osteoblastoklastoma rine mhando mbiri masero: duku chete-Musimboti (masero kumativi kana denderedzwa rine inopenya neerekitironi shoma chromatin) uye hofori multi-Musimboti (ane 20-30 nuclei uye noWokumusorosoro zvakajairika osteoclasts, vari noruvara akaparadzirwa pakukora namamota uye vari kure kubva kune mumwe).

In akapoteredza zvinogona kuonekwa kuti mukati nyoro zvinyama bundu ane shava ruvara pamwe zvisaririra duku ropa (ropa) uye necrosis.

kupatsanura anomera

In mushonga ano, neoplasms vakadaro dzinoiswa zvichienderana nemamiriro, chimiro uye zvimwe zvinhu. Kana isu kutaura pamusoro zvinhu nemamiriro, hofori sero bundu kunogona kuva:

• MeSH (rinoumbwa masero duku, akaparadzaniswa nevanhu partitions kukwana pfupa);
• cystic (bundu iri pfupa mhango, rakazara mura, saka afanane chikofu);
• lytic (izvi hasha bundu kukura mhando achabatsirwa kuparadzwa nokukurumidza pamusoro pfupa; mapfupa chaiwo muenzaniso hazvigoni kutsunga).

Panguva nechirwere, uye kuteerera nzvimbo neoplasms. Bundu anogona kuva nechepakati (akabudiswa pfupa mukobvu) kana peripheral (kukanganisa pamusoro mamiriro uye pfupa periosteum).

Inenge 50% nyaya bundu iri munyama pakati pfupa rwakapoteredza ibvi rwakashodoka. bundu kazhinji rinowanikwa distal nharaunda. Kunyange zvakadaro osteoblastoklastoma anogona kukanganisa chero mapfupa, kusanganisira vertebrae, sacrum, tibia, femur uye humerus, rezasi shaya. Dzimwe nguva pathological muitiro kunosvika kune nemarunda uye akapfava tishu.

The kukonzera chirwere

Zvinosuruvarisa kuti zvevakomana, zvikonzero chidzoke uye kukura bundu harizivikanwi. Zvinofungidzirwa kuti pane nhaka chinokosha, kunyanya kana nheyo kana kukura kwemwana mapfupa midziyo kubva pakutanga wakakandwa zvakanaka.

Dzimwe nyanzvi dzinoti mashoko ndingangokuvara kukura vaRafa sero bundu kunowedzera kana murwere aiva anogumbura chirwere kukanganisa pfupa uye periosteum. Zvinhu Risk zvinosanganisirawo kakawanda mitswe uye mamwe makuvaro yokutsigira midziyo.

Ndezvipi zviratidzo vanofanira kuteerera?

In kwokutanga nzendo kukura hofori sero bundu kazhinji kunoita pachayo akanzwa. munhu nangananga marwadzo anogona kunzi kune Zvaipa dzinomuka nguva nenguva. More kwazvo zviratidzo kuitika somugumisiro kwakanyanya kukura ane neoplasm.

Bone rinenge anotanga kuputsa. Pane kwatangwa mitswe ari nzvimbo anomera localization. Sezvo kukura bundu pasi ganda sokuti uchazvimba, dzimwe nguva unopinza hurukuro. On the integument ari lesion wavhomorwa midziyo yepasi.

Kana bundu iri pedyo vadyi, pangava kukwana kana kwakakwana nokurasikirwa kwayo mufambo. Soreness zvakare kuva raidudzwa - kusagadzikana chichikusvota murwere panguva yechiitwa uye ndakazorora.

Akaipa muitiro wayo zviratidzo

Giant Sero bundu repfupa anoonekwa kuti njodzi. Kunyange zvakadaro, pane nguva dzose ane njodzi rakaipa kusanduka anomera. To musi, chaiwo zvinokonzera kuti pave nekukurukurirana muitiro vasingazivikanwi. Mamwe masayendisiti anodavira kuti mhosva zvose - kuchinja kwemakemikari omuviri uye kukuvara hwekazhinji. Kune vanachiremba vanoti kuti kuberekwazve mugumisiro yapfuura radiotherapy.

Chero zvazvingava zvinokosha kunzwisisa kuti kenza ngozi. Nenzira, muitiro achabatsirwa nezviratidzo zvinoverengeka kuti munokosha achiteerera. Pane zvave Kuwedzera dzidzo. Kazhinji pathological muitiro kunosvika mhiri pfupa - mune nyaya dzakadaro aumbwa hofori Sero bundu kuti nyoro zvinyama kana mudzira.

Munguva bvunzo, munogona kuwana mberi kuchinja urongwa anomera - chinova lytic, mapfupa zambuko pakati pamakamuri kunyangarika, ivo contours ane cystic bundu kuva Blurred. Kuwedzera dhayamita of lesion - chirwere pamwe ndichibvunza kuparadzwa mapfupa tishu.

chirwere dzokuvhiya

Kuvapo avo kana zvimwe zviratidzo avabate pamusoro chiremba nepfungwa kenza. Chokwadi, hofori sero bundu zvinoda kungwarira kuongorora chirwere. Pashure anamnesis murwere ushandiswe:

• Nemakemikari Kuongororwa kweropa, zvisingagone chete kutarisa muviri wose, asi kuona zvezvinangwa kuratidza pokuparadzwa mafupa tishu.
• Hazvina fanira X-ray. In mifananidzo chiremba anogona kuona bundu, kuongorora kukura kwayo, ongorora mamiriro mapfupa. Equipment nokuti chirwere yakadaro inowanikwa anenge ose kuchipatara, uye mari inowanikwa mishonga.
• Chinonyanya zvakwo nzira iri rinobva resonance kuri (zvawanikwa zvakafanana yakarurama kunogona kuwanikwa vachishandisa computed tomography). Chiremba ane mukana kuona kukura uye urongwa bundu, kuongorora mamiriro ezvinhu pfupa rinenge kuona huripo metastases. Sezvineiwo, zviri kutsvakurudza zvinodhura chaizvo.
• Pamusoro kuonekwa ane bundu biopsy inokurudzirwa. Munguva nzira, chiremba anoita zvinyama zvakabudiswa kubva neoplasms - ivhu vari ipapo akatumira murabhoritari. Analysis kuti biopsy kunobatsira kuongorora kana akaipa bundu masero.

Zvichienderana nemashoko aya chiremba anogona kuona kana bundu rimwe ngozi, uye ipapo kusarudza inonyatsobudirira kurapwa.

Giant Sero mota: kurapwa

Pakarepo kuchitaura kuti mishonga inoenderana ukuru namamota, kuvapo akaipa muitiro, nzvimbo metastases, uye zvichingodaro. D.

Kubviswa hofori sero bundu kunokosha. Pakuvhiya, resection rinoitwa kwete chete namamota, asiwo nzvimbo sei mafupa. Kubvisa chikamu rutsigiro midziyo iri chikatsiviwa prosthesis. Kana kuzvimba kana hweHIV bundu chiremba angasarudza kudimurwa yose richiripo. Kana metastases (semuenzaniso, zvemapapu kana chiropa) vakanga dzakaonekwa mumuviri murwere, kutsaura kubviswa anoiswa zvakakanganisa munyama.

Kazhinji, mudunhu kushandisa radiotherapy. kurapwa kwakadaro kunokosha zvaitika kuti bundu hachibvi (semuenzaniso, zviri yakaumbwa mukati femur, vertebra kana sacrum). Irradiation rinoitwa pamberi munhu akaipa kwacho, kunyange kana panguva kuvhiya akakwanisa kubvisa zvose pathological idzodzo. Mune zvimwe zviitiko, varwere nokungwaririra vanoramba pfupa resection.

The kusarudza kurapwa zvakafanira kuvimba chiremba. Nokuti kurapa osteoblastoklastomy akashandisa kure wegamma-kurapa, radiotherapy orthovoltage, braking kana Erekitironi nemwaranzi.

Giant Sero bundu: asi fungidziro wevarwere uye inobvira yematambudziko

Kazhinji, kuti netariro varwere. Chokwadi, unofanira kubvisa bundu, kazhinji pamwe chikamu njodzi mapfupa. Asi zvazvo akanyorwa Kazhinji.

Asi akaipa hofori sero bundu iri ngozi, nokuti chirwere achabatsirwa paumbwe metastases, izvo zvingazivikanwa akarongwa chero nhengo. The chiremba haisi nguva zvichiita kuti vaite imwe resection anomera zvose.