Hlahala ea masapo

Hlahala ea masapo ke kholo e sa tloaelehang ea lisele tse kahara lesapo. Sehlahala sa masapo se ka ba le mofets'e (se kotsi) kapa se se nang mofets'e (benign).

Ha ho tsejoe sesosa sa lihlahala tsa masapo. Hangata li hlaha libakeng tsa masapo tse holang kapele. Lisosa tse ka bang teng li kenyelletsa:

• Liphoso tsa lefutso li fetela malapeng
• Mahlaseli a kotsi
• Kotsi

Maemong a mangata, ha ho na lebaka le ikhethang le fumanoang.

Li-osteochondromas ke lihlahala tsa masapo tse sa tloaelehang tsa kankere. Li etsahala hangata ho bacha ba pakeng tsa lilemo tse 10 le 20.

Kankere e qalang masapong e bitsoa lihlahala tse ka sehloohong tsa masapo. Kankere ea masapo e qalang karolong e ngoe ea 'mele (joalo ka sefuba, matšoafo kapa kolone) e bitsoa lihlahala tsa masapo a bobeli kapa a metastatic. Ba itšoara ka tsela e fapaneng haholo le lihlahala tse ka sehloohong tsa masapo.

Likokoana-hloko tse ka sehloohong tsa kankere li kenyeletsa

• Chondrosarcoma
• Ho hlahisa sarcoma
• Fibrosarcoma
• Osteosarcomas

Kankere e atisang ho namela masapong ke mofetše oa:

• Letswele
• Liphio
• Lung
• Tšoelesa ea senya
• Thyroid

Mefuta ena ea mofetše hangata e ama batho ba baholo.

Kankere ea masapo e atile haholo ho batho ba nang le nalane ea malapa ea mofets'e.

Matšoao a hlahala ea masapo a ka kenyelletsa tse latelang:

• Ho robeha ha masapo, haholoholo ho tsoa kotsi e nyane (trauma)
• Bohloko ba masapo, bo ka mpefala bosiu
• Nako le nako boima le ho ruruha ho ka utluoa sebakeng sa hlahala

Lihlahala tse ling tse kotsi ha li na matšoao.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Liteko tse ka etsoang li kenyelletsa:

• Alkaline phosphatase boemo ba mali
• Lesapo la masapo
• Ho hlahloba lesapo
• X-ray sefubeng
• Tlhatlhobo ea sefuba ea CT
• MRI ea lesapo le lisele tse haufi
• X-ray ea masapo le lisele tse haufi
• Scan ea PET

Liteko tse latelang li kanna tsa laeloa ho lekola lefu lena:

• Alkaline phosphatase isoenzyme
• Tekanyo ea calcium ea mali
• Hormone ea Parathyroid
• Boemo ba phosphorus ea mali

Likokoana-hloko tse ling tse kotsi li tloha ka botsona 'me ha li hloke kalafo. Mofani oa hau o tla u beha leihlo haufi-ufi. U kanna ua hloka liteko tse tloaelehileng tsa ho nka litšoantšo, tse kang x-ray, ho bona hore na hlahala ea fokotseha kapa ea hola.

Ho ka 'na ha hlokahala hore ho buuoe ho tlosa hlahala maemong a mang.

Kalafo ea lihlahala tsa masapo tse nang le mofetše tse hasaneng ho tsoa likarolong tse ling tsa 'mele ho latela hore na mofetše o qalile kae. Phekolo ea radiation e ka fanoa ho thibela ho robeha kapa ho kokobetsa bohloko. Chemotherapy e ka sebelisoa ho thibela ho robeha kapa tlhoko ea ho buuoa kapa radiation.

Lihlahala tse qalang masapong ha li fumanehe hangata. Kamora biopsy, ho kopaneha chemotherapy le opereishene hangata hoa hlokahala. Phekolo ea radiation e ka hlokahala pele kapa kamora ho buuoa.

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e. Ho arolelana le ba bang ba nang le liphihlelo tse tšoanang le mathata ho ka u thusa hore u se ke ua ikutloa u le mong.

Hore na o sebetsa hantle hakae ho latela mofuta oa hlahala ea masapo.

Sephetho hangata se setle ho batho ba nang le lihlahala tse se nang mofetše. Empa lihlahala tse ling tse nang le bothata li ka fetoha mofetše.

Batho ba nang le lihlahala tsa masapo tse nang le mofetše tse sa nameng ba ka phekoloa. Tekanyo ea pheko e ipapisitse le mofuta oa mofets'e, sebaka, boholo le lintlha tse ling. Bua le mofani oa hau ka mofets'e oa hau.

Mathata a ka bakoang ke hlahala kapa kalafo a kenyelletsa:

• Bohloko
• Fokotsa mosebetsi, ho latela hlahala
• Litla-morao tsa chemotherapy
• Ho hasana ha mofets'e ho lisele tse ling tse haufi (metastasis)

Bitsa mofani oa hau haeba u e-na le matšoao a hlahala ea masapo.

Hlahala - lesapo; Kankere ea masapo; Hlahala e ka sehloohong ea masapo; Hlahala ea masapo a bobeli; Bone tumor - e kotsi

• X-ray
• Masapo
• Osteogenic sarcoma - x-ray
• Ho hlahisa sarcoma - x-ray

Heck RK, PC ea ho bapala. Likokoana-hloko tsa benign / tse mabifi tsa masapo. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 26.

Heck RK, PC ea ho bapala. Lihlahala tse kotsi tsa masapo. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 27.

Webosaete ea National Comprehensive Cancer Network. Litaelo tsa NCCN tsa litloaelo tsa kliniki ho oncology (litataiso tsa NCCN): Kankere ea masapo. Mofuta oa 1.2020. www.nccn.org/professionals/physician_gls/pdf/bone.pdf. E ntlafalitsoe ka Phato 12, 2019. E fihlile ka Phupu 15, 2020.

Reith JD. Lesapo le manonyeletso. Ka: Goldblum JR, Lamp LW, McKenney JK, Myers JL, bahlophisi. Rosai le Ackerman's Pathology ea ho Buoa. 11th ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 40.