Ithumba

Ithumba lesithambo kukukhula okungaqhelekanga kweeseli ngaphakathi kwethambo. I-tumor yethambo ingaba nomhlaza (unobungozi) okanye ungenomdlavuza (ubungozi).

Unobangela wamathumba amathambo awaziwa. Zihlala zenzeka kwiindawo zethambo ezikhula ngokukhawuleza. Izizathu ezinokubakho zibandakanya:

• Iziphene zemfuza zidlula kwiintsapho
• Imitha
• Ukwenzakala

Kwiimeko ezininzi, akukho sizathu sithile esifunyenweyo.

I-Osteochondromas zezona ndawo zixhaphakileyo (ezingenabungozi) zamathumba. Zenzeka rhoqo kubantu abancinci abaphakathi kweminyaka eli-10 ukuya kwengama-20.

Umhlaza oqala emathanjeni kuthiwa ziithumba zokuqala zethambo. Umhlaza wamathambo oqala kwelinye icandelo lomzimba (njengesifuba, imiphunga, okanye ikholon) ubizwa ngokuba ngamathumba wesibini okanye e-metastatic bone tumors. Baziphatha ngokwahlukileyo kwizicubu zamathambo zokuqala.

Isifo somhlaza samathambo esisisiseko siquka:

• IChondrosarcoma
• Ukufumana isarcoma
• Fibrosarcoma
• Umabhebhana

Umhlaza oqhele ukusasazeka emathanjeni ngumhlaza:

• Isifuba
• Izintso
• Imiphunga
• Indlala
• Idlala lengqula

Ezi ntlobo zomhlaza zihlala zichaphazela abantu abadala.

Umhlaza wethambo uxhaphake kakhulu kubantu abanembali yosapho yomhlaza.

Iimpawu zethambo lesisu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukuqhekeka kwethambo, ngakumbi kukonzakala okuncinci (umothuko)
• Intlungu yethambo, inokuba mandundu ebusuku
• Ngamaxesha athile ubunzima kunye nokudumba kunokuvakala kwindawo yethumba

Ezinye izicubu ezinobungozi azinazo iimpawu.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Uvavanyo olunokwenziwa lunokubandakanya:

• Inqanaba legazi le-alkaline phosphatase
• I-Bone biopsy
• Ukuskena amathambo
• I-x-ray yesifuba
• Ukuxilongwa kwe-CT kwesifuba
• I-MRI yethambo kunye nezicubu ezijikelezileyo
• I-X-ray yethambo kunye nezicubu ezijikelezileyo
• Ukuskena iPET

Ezi mvavanyo zilandelayo zinokuyalelwa ukuba zibeke esweni isifo:

• Ialkaline phosphatase isoenzyme
• Inqanaba lecalcium yegazi
• Ihomoni yeParathyroid
• Inqanaba lephosphorus yegazi

Ezinye izicubu zethambo ezinobungozi ziyahamba zodwa kwaye azidingi nyango. Umboneleli wakho uya kukujonga esweni. Uya kudinga iimvavanyo zokucinga rhoqo, ezinje ngee-x-reyi, ukubona ukuba ithumba liyancipha okanye liyakhula.

Unyango lunokufuneka ukuze kususwe ithumba kwezinye iimeko.

Unyango lwethambo elinomhlaza elithe lasasazeka lisuka kwamanye amalungu omzimba lixhomekeke apho umhlaza uqale khona. Unyango lwe-radiation lunokunikwa ukuthintela ukwaphuka okanye ukunciphisa iintlungu. I-Chemotherapy inokusetyenziselwa ukuthintela ukwaphuka okanye isidingo sotyando okanye imitha.

Amathumba aqala emathanjeni anqabile. Emva kwe-biopsy, indibaniselwano ye-chemotherapy kunye noqhaqho zihlala ziyimfuneko. Unyango ngemitha lunokufuneka ngaphambi okanye emva kotyando.

Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lokuxhasa umhlaza. Ukwabelana nabanye abanamava afanayo kunye neengxaki kunokukunceda ungaziva ulilolo.

Wenza kakuhle kangakanani kuxhomekeke kuhlobo lwethumba.

Isiphumo sihlala silungile kubantu abane-noncancerous (benign) tumors. Kodwa ezinye izicubu zethambo ezinobungozi zingaguquka zibe ngumhlaza.

Abantu abanomhlaza wamathumba angasasazekanga banokunyangeka. Izinga lokunyanga lixhomekeke kuhlobo lomhlaza, indawo, ubungakanani, kunye nezinye izinto. Thetha nomboneleli wakho malunga nomhlaza wakho.

Iingxaki ezinokubangelwa sisisu okanye unyango zibandakanya:

• Intlungu
• Umsebenzi owehlisiweyo, kuxhomekeke kwithumba
• Iziphumo ebezingalindelekanga zekhemotherapy
• Ukusasazeka komhlaza kwezinye izicubu ezikufutshane (i-metastasis)

Biza umboneleli wakho ukuba uneempawu zethumba.

Ithumba - ithambo; Umhlaza wethambo; Ithumba lokuqala; Ithumba lesibini; Ithumba - ithambo

• X-reyi
• Amathambo
• Osteogenic sarcoma - X-reyi
• Ukufumana i-sarcoma-x-ray

Heck RK, PC yokudlala. Izilonda ezinobungozi / ezinobundlobongela zethambo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 26.

Heck RK, PC yokudlala. Amathumba amabi ethambo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 27.

Iwebhusayithi yeNethiwekhi yeCancer epheleleyo yoMhlaza. Izikhokelo ze-NCCN zokuziqhelanisa neklinikhi kwi-oncology (izikhokelo ze-NCCN): Umhlaza wethambo. Inguqulelo 1.2020. www.nccn.org/professionals/physician_gls/pdf/bone.pdf. Ukuhlaziywa kwe-12 ka-Agasti ka-2019. Ifikeleleke ngoJulayi 15, 2020.

UReith JD. Amathambo namalungu. Ku: Goldblum JR, Izibane LW, McKenney JK, Myers JL, eds. Rosai kunye neAckerman's Pathology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2018: isahluko 40.