Buga na baya-bayan nan na Rabe-raben Nama mai laushi da Ciwon Kashi na Hukumar Lafiya ta Duniya, wanda aka buga a Afrilu 2020, ya rarraba.sarcomaszuwa kashi uku: ssau da yawa ciwace-ciwacen nama, ciwan kashi, da ciwace-ciwacen kashi biyu da nama mai laushi tare da ƙananan ƙwayoyin da ba a bambanta ba.(kamar EWSR1-wanda ba ETS fusion round cell sarcoma).
"Cancer da aka manta"
Sarcoma wani nau'i ne da ba kasafai baciwon daji a cikin manya, lissafin kudi game da1%na dukan manya, wanda ake kira "Cancer da aka manta."Duk da haka, yana da ingancina kowa a cikin yara, lissafin kudi a kusa15% zuwa 20%na duk ciwon daji na yara.Yana iya faruwa a kowane bangare na jiki, yawanci a cikinhannu ko kafafu(60%), wanda ya biyo bayagangar jikin ko ciki(30%), kuma a karshe dakai ko wuya(10%).
A cikin 'yan shekarun nan, abubuwan da ke haifar da ciwace-ciwacen kashi da taushi na jiki suna karuwa a hankali.Ciwon daji na ƙashi na farko sun fi kowa a cikin matasa da masu matsakaicin shekaru kuma sun haɗa da osteosarcoma, Ewing sarcoma, chondrosarcoma, m fibrous histiocytoma, da chordoma, da sauransu.Ciwace-ciwacen ƙwayar nama na yau da kullun sun haɗa da sarcoma synovial, fibrosarcoma, liposarcoma, da rhabdomyosarcoma.Metastases na kasusuwa sun fi kowa a cikin masu matsakaici da tsofaffi, tare da ciwace-ciwacen farko na farko sune ciwon huhu, ciwon nono, ciwon koda, prostate cancer, da ciwon thyroid, da sauransu.
Ganewar Farko, Farkon Jiyya - Haskaka "Cututtuka" Boye
Saboda yawan maimaitawar sarcomas gabaɗaya, ciwace-ciwacen ciwace-ciwace da yawa suna da ƙayyadaddun ƙayyadaddun cututtukan da ba a tabbatar da su ba kuma ba su da cikakken gwajin hoto.Wannan sau da yawa yana haifar da gano lokacin tiyata cewa ƙwayar cuta ba ta da sauƙi kamar yadda aka yi kiyasin tun kafin a yi aiki, yana haifar da rashin cikawa.Maimaita aikin bayan tiyata ko metastasis na iya faruwa, yana sa marasa lafiya su rasa mafi kyawun damar jiyya.Don haka,gano wuri da wuri, ingantaccen ganewar asali, da kuma jiyya na lokaci yana da tasiri mai mahimmanci akan hasashen marasa lafiya. A yau, muna so mu gabatar da ƙwararren ƙwararren wanda ke da kusan shekaru 20 gwanintaa daidaitaccen ganewar asali da keɓaɓɓen magani na sarcoma mai laushi, kuma yana da yabo sosai da masana'antu da marasa lafiya -LikitaLiu Jiayongdaga Sashen Kashi da Soft Tissue a Asibitin Ciwon daji na Jami'ar Peking.
Bayyana Kware Da Zurfin Ilimin Ciwon Kashi Da Na Nama – Dr..Liu Jiayong
Likitan Magunguna, Babban Likita, Mataimakin Farfesa.Ya yi karatu a Cibiyar Cancer ta Anderson da ke Amurka.
Kware:Cikakken jiyya na sarcomas nama mai laushi (ƙwaƙwalwar tiyata da sake ginawa, chemotherapy, maganin da aka yi niyya, da immunotherapy);aikin tiyata na melanoma.
Tare da kusan shekaru 20 na ƙwarewar likitanci, Liu Jiayong ya tattara ƙwararrun ƙwararrun asibiti da aikin tiyata.daidaitaccen ganewar asali da tsare-tsaren jiyya na keɓaɓɓenga sarcoma mai laushi na kowa kamar sarcoma pleomorphic marasa daidaituwa, liposarcoma, leiomyosarcoma, sarcoma synovial, adenocystic carcinoma-kamar sarcoma, epithelioid sarcoma, fibrosarcoma, angiosarcoma, da fibromatosis infiltrative.Ya musammanƙwararre wajen sarrafa hanyoyin jini da jijiyoyi a lokacin ɓangarorin sarcoma na hannu, da kuma gyara da sake gina lahani mai laushi akan fata.Likita Liu ya yi haƙuri yana sauraron kowane majiyyaci, yana yin bincike a hankali game da tarihin likitancinsu, kuma yana ɗaukar bayanan likita.Yana ba da kulawa ta musamman ga sauye-sauyen yanayin marasa lafiya a lokuta daban-daban, kamar kafin da kuma bayan tiyata, yayin jiyya, bi da bi, da ci gaban cututtuka, yin hukunci daidai da daidaitawar tsare-tsaren jiyya.
A halin yanzu Dakta Liu Jiayong yana aiki a matsayin mamba na kungiyar Sarcoma mai taushi da nama da Melanoma na kungiyar yaki da cutar kansa ta kasar Sin, da mamba na kungiyar Tumor Bone na kungiyar likitocin kasusuwa ta Beijing na kungiyar likitocin kasar Sin.A cikin 2010, shi ne na farko a kasar Sin don fassarawa da buga "Ka'idodin Ayyukan Clinical na NCN a cikin Sarcoma mai laushi," yana inganta daidaitattun jiyya na sarcomas mai laushi.Ya ci gaba da ƙoƙari don ci gaba a cikin bincike na asibiti da na kimiyya, duk da cewa yana da babban nauyin haƙuri.Yana da sadaukarwa da alhakin duk majinyacin da yake jinya, kuma a lokacin bala'in, ya magance matsalolin da majinyata ke fuskanta ta hanyar ba da amsa ga shawarwarin majiyyata cikin gaggawa, duba sakamakon bin diddigin, da bayar da shawarwarin jinya ta hanyar dandamali na tuntuɓar kan layi kamar su. Kungiyar Marasa lafiya ta Likita.
Al'amarin Kwanan nan
Mr. Zhang, majinyaci mai shekaru 35, ba zato ba tsammani ya fuskanci hasarar gani a farkon shekarar 2019. Bayan haka, an yi masa tiyatar kashe ido ta hagu sakamakon ci gaba da samun karuwar matsi a cikin ido.Kwayoyin cututtuka na baya-bayan nan sun bayyana pseudotumor mai kumburi.A lokacin rani na wannan shekarar, an sami nodules na huhu da yawa a yayin binciken da ake bi, amma ba a gano ƙwayoyin tumor ta hanyar binciken allura ba.Ƙarin binciken da aka biyo baya ya nuna ƙasusuwan kashi da yawa na huhu.Shawarwari a asibitoci na gida da na manya sun gano shi yana da kumburin ƙwayar cuta na myofibroblastic.A cikin watan Agustan 2022, an yi masa babban maganin chemotherapy, wanda ya sauƙaƙa masa zafi sosai amma bai nuna wani ci gaba a cikin raunukan da aka yi masa ba.Yanayin jikinsa shima ya yi rauni.Duk da haka, iyalinsa ba su yanke bege ba.Bayan neman ra'ayoyi da yawa, sun zo ga likitan Liu Jiayong a cikin Nuwamba 2022. Bayan nazarin tarihin likitancin mara lafiya a hankali, duk bayanan likita, gwaje-gwajen cututtuka, da bayanan hoto,LikitaLiu ya ba da shawarar tsarin chemotherapy wanda ya ƙunshi ƙananan ƙwayar methotrexate da Changchun Ruibin.Wannan tsari na chemotherapy yana da tsada kuma yana da ƙarancin illa.Bayan kwanaki 35 na magani, CT scan na bin diddigin ya nuna cewa yawan adadin da ke cikin huhu na dama ya bace, wanda ke nuna kyakkyawar kulawa da ƙwayar cuta.Binciken da aka yi a baya-bayan nan da aka yi a asibitin Oncology na yankin kudu na Beijing ya nuna kwanciyar hankali da yanayin huhu, kuma Dakta Liu ya ba da shawarar a rika kai ziyara a kai a kai.Mai haƙuri da iyalinsa yanzu suna da gaba gaɗi ga jiyya na gaba, cike da bege.Suna jin cewa sun ga haske a cikin tafiya ta magani kuma suna nuna godiyarsu ta hanyar gabatar da tuta ta siliki na godiya.
Lokacin aikawa: Agusta-25-2023