Giant cell ƙari: jiyya da kuma hangen nesa

Giant cell ƙari - na kowa oncological cutar, wanda aka fi samu da mutane masu shekaru 15 zuwa shekaru 40 da haihuwa. A cutar halin a benign Hakika, da kuma ƙari ne kafa a kashi nama.

A daya hannun, a karkashin tasirin wasu dalilai na yiwu m canji, wanda shi ne fraught tare da m sakamakon. Saboda haka abin da ya ƙunshi wata cuta da abin da ãyõyi ya kamata ka kula da?

Mene ne osteoblastoklastoma? tsarin fasali

Giant cell ƙari ne a quite takamaiman tsarin, wanda aka kafa a cikin kashi. An sani cewa osteoblastoklastoma kunshi iri biyu Kwayoyin: kananan mononuclear (Kwayoyin zagaye ko m tare da wani haske core da kuma kananan adadin chromatin) da kuma giant multinucleated (20-30 dauke da nuclei da kuma kama da al'ada osteoclasts, suna gaba ɗaya rarraba a cikin kauri da kuma neoplasms ne ya zama ruwan dare daga juna).

A cikin mahallin da shi za a iya gani cewa a cikin taushi nama ƙari yana da launin ruwan kasa launi da kananan burbushi na hemorrhage (na jini) da kuma necrosis.

rarrabuwa na marurai

A zamani magani, irin neoplasms suna classified dangane da tsarin, siffar da sauran halaye. Idan muka magana game da fasali na tsarin, da giant cell ƙari iya zama:

• raga (hada da kananan Kwayoyin, rabu da partitions bai cika kashi).
• cystic (ƙari ne a kashi rami, shi ne ya cika da ruwa, don haka yayi kama mafitsara).
• lytic (irin wannan m ƙari girma ne tare da wani m halakar da kashi; kashi takamaiman juna ba za a iya ƙaddara).

A lokacin ganewar asali, da kuma kula da wuri neoplasms. A ƙari iya zama tsakiyar (samar a kashi thicker) ko na gefe (shafi surface tsarin da kashi periosteum).

Aƙalla 50% na lokuta da ƙari aka located a cikin tsokoki na kashi a kusa da gwiwa hadin gwiwa. da ƙari sau da yawa samu a cikin distal radius. Duk da haka osteoblastoklastoma iya shafar kusan duk wani kasũsuwa, ashe, ciki har da vertebrae, sacrum, tibia, femur da humerus, da ƙananan muƙamuƙi. Wani lokaci pathological aiwatar kara zuwa tendons kuma taushi nama.

Babban Sanadin cutar

Abin baƙin ciki, to date, dalilan da fitowan da kuma ci gaban da ƙari ne ba a sani ba. An yi imani da cewa akwai wani hereditary factor, musamman idan kafuwar ko ci gaban da yaro ta kashi na'ura daga farkon tafi yadda ya kamata.

Wasu masana sun ce da yiwuwar samun ci gaban giant cell ƙari ƙaruwa idan haƙuri da wani mai kumburi cuta ta shafi kashi da periosteum. Hadarin dalilai kuma sun hada da m samu karaya da sauran raunin da taimakon na'ura.

Abin da cututtuka kamata kula?

A matakin farko na ci gaba giant cell ƙari da wuya ya sa kansa ya ji. wani nagging zafi za a iya dangana ga farkon alamun kashedi cewa tashi daga lokaci zuwa lokaci. More tsanani bayyanar cututtuka faruwa a sakamakon zafin ci gaban da wani neoplasm.

Kashi nama fara rushe. Akwai maras wata-wata samu karaya a shafin marurai sarrafawa. A matsayin ci gaban da ƙari karkashin fata ya bayyana kumbura, wani lokaci tare da m shaci. A cikin integument a cikin rauni ne kõma tasoshin raga.

Idan ƙari ne dake kusa da hadin gwiwa, a can zai iya zama m ko cikakken asarar ta motsi. Soreness ne ma mafi zama pronounced - unci damunsa na takaici haƙuri a lokacin motsa jiki da kuma a sauran.

M aiwatar da cututtuka

Giant cell ƙari daga kashi da aka dauke su cikin aminci. Duk da haka, akwai ko da yaushe wani hadarin m canji na siffofin maruran. Don kwanan wata, ainihin Sanadin cewa fararwa da tsari ne ba a sani ba. Wasu masana kimiyya yi imani da cewa laifi ga duk abin da - hormonal canje-canje da kuma m raunin. Akwai likitoci suka ce cewa abu akan sake haihuwa ne sakamakon gabata radiotherapy.

A cikin wani hali wajibi ne a fahimci cewa ciwon daji ne mai hadarin gaske. Af, da tsari ne tare da wani yawan cututtuka da suke da daraja biya da hankali ga. Akwai ya kasance m girma na ilimi. Sau da yawa pathological aiwatar kara a hayin kashi - a irin haka ne kafa giant cell ƙari na taushi nama ko jijiya.

A lokacin gwajin, za ka iya samun ci gaba na canji a cikin tsarin da marurai - shi ya zama mai lytic, kashi gada tsakanin sel bace, da contours na wani cystic ƙari zama mara kyau. Kara diamita na rauni - rashin lafiya tare da m halakar kashi nama.

bincike da hanyoyin

A gaban wadanda ko wasu cututtuka ta shãfe up a kan likita tunani na da ciwon cancer. Hakika, giant cell ƙari na bukatar mai da hankali ganewar asali. Bayan anamnesis haƙuri An wajabta:

• Biochemical bincike na jini, wanda zai iya ba kawai duba dukan jiki, amma kuma ya gane da alamomi nuna halakar da kashi nama.
• Shi ne m x-ray. A cikin hotunan likita iya ganin ƙari, tantance ta size, bincika jihar na ƙasũsuwa. Kayan aiki domin irin wannan ganewar asali ne samuwa a kusan kowane asibiti, da kuma kudin na samuwa jiyya.
• A mafi m Hanyar ne Magnetic rawa Dabarar (daidai daidai da sakamakon za a iya samu ta amfani da lissafta tomography). A likita yana da damar sanin da size da kuma tsarin da ƙari, tantance yanayin kashi nama, don ganin data kasance metastases. Abin takaici, shi ne quite tsada bincike.
• Bayan ganewa na ƙari biopsy bada shawarar. A lokacin hanya, likita ya yi aikin nama Samfur daga neoplasms - samfurori an sa'an nan ta aika wa dakin gwaje-gwaje. Analysis na biopsy taimaka wajen duba ko da m ƙari Kwayoyin.

Bisa ga wadannan bayanan da likita zai iya sanin ko idan wani hatsari ƙari, sa'an nan zabi mafi inganci magani.

Giant cell ƙari: magani

Nan da nan yana da daraja cewa da far ya dogara da girman da siffofin maruran, gaban m tsari, wuri na metastases, da sauransu. D.

Kau da giant cell ƙari zama dole. A lokacin tiyata, resection aka yi ba kawai marurai, amma kuma da shafin na shafa kashi. Ana cire wani yanki na goyon bayan inji aka maye gurbinsu da wani prosthesis. Lokacin da kumburi ko kamuwa da ciwon daji likita iya yanke zuwa yanki na dukan reshe. Idan metastases (msl, huhu, ko hanta) da aka gano a cikin haƙuri ta jiki, sai m kau da aka kwashe shafa kyallen takarda.

Popular sau da yawa, a cikin Circuit Switched radiotherapy. Irin wannan jiyya wajibi ne a yayin da wani ƙari ba za a iya cire (msl, shi ne kafa a cikin femur, vertebra ko sacrum). Sakawa a iska mai guba da aka za'ayi a gaban wani m tsari, ko da idan a lokacin aikin tiyata da aka iya rabu da duk pathological tsarin. A wasu lokuta, marasa lafiya sane ki kashi resection.

A zabi na lura shi ne dole ka yarda da likita. Domin lura da osteoblastoklastomy amfani m gamma-far, radiotherapy orthovoltage, braking ko electron radiation.

Giant cell ƙari: hangen nesa da marasa lafiya da kuma zai yiwu rikitarwa

A mafi yawan lokuta, da bege mai kyau ga marasa lafiya. Hakika, kana bukatar ka cire ƙari, sau da yawa tare da wani yanki daga abin ya shafa kashi. Amma dakwai, komowan cutar, an rubuta infrequently.

Amma m giant cell ƙari ne m, saboda cutar da ake tare da samuwar metastases, wanda za a iya shirya a kusan duk wani sashin jiki. Likita ne ba ko da yaushe zai yiwu a gudanar da wani resection dukkan siffofin maruran.