I-Fibrosarcoma emakati: ungayelapha kanjani?

I-Fibrosarcoma emakati: ungayelapha kanjani?

I-fibrosarcoma iyisigaxa esibuhlungu ezicutshini ezingaphansi. Emakati, kunezinhlobo eziningi ze-fibrosarcomas. Kunokuba babe uquqaba olulula, bangumdlavuza ngempela futhi abaphathi babo ngakho-ke akumele banganakwa. Noma ikuphi ukubonakala kwesixuku esisodwa noma eziningi ekati lakho kugunyaza ukubonisana nodokotela wezilwane wakho. Ngempela, uma kwenzeka unomdlavuza, ukuvela kwemvelo kungaba yizinkinga ezisheshayo futhi ezinzima ezingaba khona.

Yini i-fibrosarcoma?

Ukuze uqonde ukuthi iyini i-fibrosarcoma, kubalulekile ukuqonda ukuthi siyini isimila. Ngokwencazelo, isimila yinqwaba yamangqamuzana adlule ekuguqulweni kofuzo: abizwa ngamaseli wesimila. Lokhu kuguqulwa kwezakhi zofuzo kungabangelwa amakhemikhali e-carcinogens kodwa kungase kube okuzenzakalelayo. 

Hlukanisa izicubu ezinobungozi ezivela kumathumba amabi

Kwenziwa umehluko phakathi kwezimila ezinobungozi ezitholakala endaweni eyodwa yomzimba futhi isifo sazo esivumayo ikakhulu, kusuka kwizimila ezimbi ezingadala ama-metastases (amangqamuzana omdlavuza azokwakha ezinye izindawo zomzimba) futhi ukubikezela kwawo okungathandeki . Izicubu ezinobungozi zivame ukubizwa ngomdlavuza.

I-fibrosarcoma ichazwa njengesimila esiyingozi sezicubu ezixhumene (i-sarcoma). Ngakho-ke lesi simila siwumdlavuza owenziwe ama-fibroblasts (yingakho isiqalo esithi “fibro”), amaseli atholakala ngaphakathi kwezicubu ezixhumeneyo, asebeshintshile. Emakati, sikhuluma “nge-feline fibrosarcoma complex” ehlanganisa ndawonye izinhlobo ezi-3 ze-fibrosarcoma: 

  • ifomu yedwa;
  • ifomu le-multicentric elenziwe yigciwane (i-FSV ye-Feline Sarcoma Virus);
  • kanye nefomu elixhunywe kusayithi lokujova (i-FISS ye-Feline Injection-Site Sarcoma). 

I-FISS ivame ukubizwa ngokuthi i-fibrosarcoma futhi iyona esizoba nentshisekelo kuyo lapha.

Imvelaphi ye-FISS emakati ayikaqondakali ngokuphelele, kepha kubonakala sengathi ukuguquka komzimba kubangelwa ukusabela kokuvuvukala kwasendaweni. Ngempela, umjovo kuba ukuhlukumezeka esikhunjeni, kuzoba imbangela yokuphendula kokuvuvukala ezingeni lomjovo. I-hypothesis engenzeka kakhulu yembula ukuthi imijovo ephindaphindwayo endaweni efanayo, ikakhulukazi uma kwenzeka kugonywa noma kwelashwa isifo ngemijovo ephindaphindwayo yomuthi ngokwesibonelo, kungaba yimbangela yalomdlavuza. Kodwa-ke, kwamanye amakati abucayi, umjovo owodwa ungadala i-fibrosarcoma.

Izimpawu ze-fibrosarcoma emakati

Ukubonakala kwesisindo esingaphansi kwe-subcutaneous esiqinile futhi esingenabuhlungu kuyaphawulwa. Njengoba i-FISS ixhumene nemijovo ephindaphindiwe, ikakhulukazi imigomo, ngakho-ke izotholakala kaningi endaweni ephakathi kwamahlombe ehlombe. Le ndawo manje isigwenyiwe ukugoma amakati. Kungaba isixuku esisodwa noma ngaphezulu esikhona kule ndawo kodwa nakwezinye izindawo zomzimba.

I-Fibrosarcoma iyisimila esihlasela kakhulu, okusho ukuthi ngokwandisa izongena ngaphakathi kwezicubu ezingaphansi ezizowela lapho isendleleni (izicubu zemisipha noma ngisho nethambo). Ngakho-ke ayakhi inqwaba echazwe kahle. Kwesinye isikhathi lapho esendleleni, angahlangabezana nemithambo yegazi noma ye-lymphatic. Kungenxa yalokhu ukuthi amangqamuzana omdlavuza angaqhamuka athole indlela yawo egazini nasekujikelezeni kwe-lymphatic ukungena kwezinye izitho. Lokhu kubizwa ngokuthi ama-metastases, i-foci entsha yesibili yamaseli womdlavuza. Ngokuphathelene ne-fibrosarcoma, ama-metastases ahlala engavamile kepha kungenzeka (aphakathi kuka-10 kuya ku-28% wamacala), ikakhulukazi emaphashini, kuma-lymph node wesifunda kanye nezinye izitho ezingavamile kakhulu.

Ukuphathwa kwe-fibrosarcoma emakati

Uma ubona isisindo sikhona ekati lakho, isazela sokuqala kufanele kube ukwenza isikhathi sokubonana nodokotela wezilwane. Ngempela, noma ngabe isigaxa asibuhlungu noma sihlupha, singaba nomdlavuza futhi sibe nemiphumela emibi kakhulu esilwaneni sakho. Akunakwenzeka ukunquma ukuthi ngabe isimila sinobungozi noma sibi ngeso lenyama, kuyadingeka ukuthatha amasampula ukuze ubone ngeso lengqondo amaseli / izicubu eziqukethe ubuningi ngaphansi kwesibonakhulu. Lokhu kuzosiza ukunquma uhlobo lwesimila.

Ukwelashwa kwe-fibrosarcoma kuqukethe ukukhishwa kokuhlinzwa, okungukuthi, ukususwa kwesisindo. Ngaphambi kwalokho, ukuhlolwa kwesandiso kungenziwa. Lokhu kuhilela ukuthatha uchungechunge lwe-x-ray yekati ukuze kunqunywe noma cha ukutholakala kwe-metastases, okungasibangela ukubikezela. Njengoba i-fibrosarcoma ihlasela kakhulu izicubu ezingaphansi, kunconywa ukuthengiswa okukhulu. Lokhu kuhilela ukususa isimila esikhulu ngokwanele ukukhulisa amathuba okususa wonke amangqamuzana omdlavuza afake izicubu ezingomakhelwane. Udokotela wezilwane ngakho-ke ngeke asuse kuphela isisindo kepha nezicubu ezingomakhelwane okungenani ama-2 kuye ku-3 cm azungeze isimila noma ngisho nangaphezulu. Kunzima ukususa wonke amangqamuzana omdlavuza, yingakho enye inqubo ivame ukuhlotshaniswa nalokhu kuhlinzwa. I-Radiotherapy ingenziwa ngokungeziwe. Lokhu kubandakanya ukubhubhisa amangqamuzana omdlavuza asele ngemisebe ye-ionizing. I-Chemotherapy noma i-immunotherapy ngamasu angacatshangelwa nawo.

Ngeshwa, ukuphindaphinda kwe-fibrosarcoma kuvamile. Lokhu kungenxa yokuthi amangqamuzana omdlavuza asele angaphindaphindeka futhi akhe izixuku ezintsha. Kungakho ukunakekelwa kwekati elinesisindo esisodwa noma ngaphezulu kufanele kusheshe. Lapho ukuhlinzwa kwenziwa ngokushesha, amangqamuzana ama-tumor amancane azokwazi ukwenza ezinye izicubu zibe yikholoni.

Ngaphezu kwalokho, ukugoma kubalulekile empilweni yekati lakho kodwa nakulabo abazalwa yiyo, akufanele kunganakwa. Ngakho-ke abanikazi bamakati bayelulekwa ukuthi baqaphe ngokucophelela indawo okujova kuyo ngemuva kokugonywa futhi bazise udokotela wabo wezilwane uma kwenzeka bengabaza.

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