Puku pūtau Giant: maimoatanga me te waitohunga

puku pūtau Giant - he mate oncological noa, e te tino maha ngā iwi pakeke 15 ki te 40 tau. huru no te mate e te akoranga Koló, ka hanga e te puku kei roto i te kiko wheua.

I te tahi atu te ringa, i raro i te mana o te tahi mau āhuatanga o taea huringa mārere, e, he mahi wehe ki hopearaa mōrearea. Na te aha te tikanga i te mate, me te aha tohu kia utu koe whakarongo ki?

He aha te mea osteoblastoklastoma? hanganga āhuatanga

Giant puku pūtau ko te hanganga tino motuhake, i hanga nei e i roto i te wheua. Kei te mohiotia te reira e ngā osteoblastoklastoma o rua ngā momo o ngā pūtau: mononuclear iti (pūtau a tawhio porotītaha ranei ki te matua kanapa, me he nui iti o te pūpūira) me nui multinucleated (20-30 i roto i karihi, me te ahua i te osteoclasts noa, e te mangai mo wehea ratou i roto i te matotoru, a he taratahi neoplasms i ia atu).

I roto i te horopaki e taea te kite i te reira e roto te puku kiko ngohengohe he tae parauri ki tohu iti o te toto (toto) me te necrosis.

whakarōpū o te pukupuku

I roto i te rongoā hou, Whakaröpütia taua neoplasms rānei i runga i te hanganga, te āhua me te tahi atu āhuatanga. Ki te kōrero tatou e pā ana ki te āhuatanga o te hanganga, ka taea e te puku pūtau Rapa kia:

• mata (tito o ngā pūtau iti, wehea e pātaki wheua pahara);
• (Kei te he kōhao wheua, kua ki tonu puku reira ki te wai, na rite whēwhē) whēwhē;
• (Haere tahi tenei ahua o te tupu puku kaitaua e te whakangaromanga tere o te wheua: e kore e taea te whakaritea wheua tauira motuhake) lytic.

I te wa o te tātaritanga, me te whakarongo ki te neoplasms wāhi. pea te puku he pokapū (whakaputaina i roto i te wheua nui) piringa ranei (e pa ana i te hanganga mata me te kiriuhi wheua wheua).

Tata 50% o ngā take kei te puku i roto i te kopa o te wheua a tawhio noa te tahi turi. kitea maha te puku i roto i te pūtoro distal. Otiia e taea osteoblastoklastoma pā tata tetahi wheua, tae atu i te pekehoe, sacrum, tibia, pūkaka me peke, te kauae raro. I te tahi taime atu i te tukanga pathological ki te uaua, me te kiko ngohengohe.

Ko te take matua o te mate

Kia aroha mai, ki te rā, te take mo te putanga me te tupu o te puku he unknown. Kei te whakapono te reira e te vai nei he take tuku, rawa, ki te te turanga whanaketanga o te taputapu wheua o te tamaiti ranei i te timatanga haere tika.

Ētahi tohunga te mea e te tūponotanga o te whanaketanga o piki puku pūtau nui ki te i te manawanui he mate inflammatory pa ana te wheua, me te kiriuhi wheua. āhuatanga Risk hoki ngā piere auau, me te tahi atu whara o te taputapu tautoko.

He aha tohumate kia whakarongo ki?

I roto i te wāhanga tuatahi o te whanaketanga o te puku pūtau Rapa uaua hanga ite iho. Ka taea te pēnei te mamae nagging ki te tohu whakatūpato wawe e ara ake i wa wa ki. tohu atu kino puta rite ki te hua o te tupu kaha o te neoplasm.

tīmata wheua kikokiko ki te wahi i raro. He piere noa i te pae o te pukupuku localization. Ka rite ki te tupu o te puku i raro i te kiri pupuhi puta, i ētahi wā ki te fokotu'utu'u koi. I runga i te integument i roto i te lesion unu te oko mata.

Ki te kei te puku te tata ki te tahi, i reira kia kia mate wāhanga oti ranei o tona nekeneke. Kei te hoki hoko atu korerotia tetahi raru - hūhi porearea manawanui i roto i mahi me i okiokinga.

tukanga mārere me ona tohu

whakaaro puku pūtau Giant o wheua te ki kia haumaru āhua. Otiia, i reira he tonu he mōrea o te huringa mārere o te pukupuku. Ki te rā, te take tangohia e tīmata te tukanga e unknown. Tahi mau aivanaa whakapono e te whakahenga mo te katoa - huringa hormonal me whara auau. E taote e mea e fanauraa ko te hua o te iraruke o mua.

I roto i tetahi take he mea e tika ana ki te matau e ko mōrearea te mate pukupuku. E te ara, haere tahi te tukanga e te maha o ngā tohu e te hunga utu tokanga ki. Kua tipu tere o te mātauranga. E mea pinepine toro tukanga pathological tua atu i te wheua - i roto i ngā take pērā i hanga te puku pūtau nui o kiko ngohengohe iohere ranei.

I roto i te whakamātautau, e taea te tiki i mua o te huringa koutou i roto i te hanganga o te puku - riro te reira i te piriti lytic, wheua i waenganui i ngaro nga pūtau, nga takiwa o te puku whēwhē hei te peroo. Te whakanui ake i te diameter o te lesion - mate tahi e te whakangaromanga kaha o te wheua kiko.

ngā tukanga tātaritanga

Ko te aroaro o te hunga atu tohu ranei e pa ki ake i runga i te whakaaro tākuta o he mate pukupuku. O te akoranga, titau Rapa puku pūtau tātaritanga tupato. I muri i anamnesis manawanui whakaritea te:

• tātari matüora o toto, e kore e taea e te tirotiro anake te tinana katoa, engari ano hoki ki te kitea te tohu e whakaatu ana i te whakangaromanga o te kiko wheua.
• Ko reira whakahauanga x-ray. I roto i te pikitia e taea te kite i te tākuta te puku, aromatawai tona rahi, tirohia te āhua o te wheua. Taputapu hoki taua tātaritanga he wātea i roto i te tata i nga hōhipera, me te utu o nga maimoatanga e wātea ana.
• Ko te tikanga tino kōrero ko te atahanga te kōwarotanga autō (Ka taea te whiwhi hua tika rite te whakamahi i tomography computed). Ko te rata e te whai wāhi ki te whakatau i te rahi me te hanganga o te puku, te aromatawai i te huru o te kiko wheua, kia kite i metastases ngā. Kia aroha mai, Ko reira rangahau tino utu.
• Ki runga ki te rapunga o te unuhanga puku tūtohutia te. I roto i te tukanga, mahi te tākuta kiko tīpako i neoplasms - e ka tonoa tauira ki te taiwhanga pūtaiao. Tātaritanga o unuhanga āwhina ki te taki mēnā te pūtau puku mārere.

I runga i enei raraunga taea te tākuta whakatau ki te te puku kino, a ka whiriwhiri i te maimoatanga whai hua tino.

puku pūtau Giant: maimoatanga

Tonu ko reira utu mea e tei te therapy i runga i te rahi o te pukupuku, te aroaro o te tukanga mārere, wāhi o metastases, me pera i runga i. D.

He tika Tangohanga o puku pūtau Rapa. I roto i te pokanga, whakamana resection te pukupuku e kore anake, engari ano hoki i te pae o te wheua pāngia. Tango i te wahi o te taputapu tautoko whakakapi e te prosthesis. A, no te mumura mate o te puku ranei kia whakatau i te tākuta ki te tapuhia o te alangá katoa. Ki te kitea metastases (hei tauira, pūkahukahu ate ranei) i roto i te tinana o te manawanui, ka kawea tango wāhanga te kopa pāngia.

Tino maha, i roto i te ara iahiko kē iraruke. he tika taua maimoatanga i roto i te kaupapa e kore e taea te nekehia atu te puku (hei tauira, kua hanga e te reira i roto i te pūkaka, pūwaha te sacrum ranei). kawea irradiation i roto i roto i te aroaro o te tukanga mārere, ara, ki te i te wa o te pokanga i taea ki te pehea e ngā pathological katoa. I roto i ētahi wā, tūroro aau e pai ki te wheua resection.

He tika te whiriwhiri o te maimoatanga ki te whakawhirinaki i te tākuta. Hoki te maimoatanga o te osteoblastoklastomy tono mamao gamma-therapy, iraruke orthovoltage, braking irahiko radiation ranei.

puku pūtau Giant: te waitohunga o tūroro me pōauautanga taea

I roto i te nuinga o te wā, te outlook pai mō ngā tūroro. O te akoranga, e hiahia ana koe ki te tango i te puku, maha tahi ki te wahi o te wheua pāngia. Otiia kua tuhituhia relapses pinepine.

Ko he mōrearea mārere puku pūtau nui, no te mea tahi te mate e te hanganga o metastases, e ai kia whakaritea i roto i tata tetahi okana. e kore e taea tonu te taote ki te kawe i roto i te resection o te pukupuku katoa.