Sarcoma yog ib hom mob qog noj ntshav uas cuam tshuam rau cov nqaij mos ntawm lub cev. Sarcomas tuaj yeem nyuaj rau kuaj mob, vim tias cov qog nqaij hlav tsis pib mob thiab tuaj yeem loj hlob ntau ua ntej yuav pom lossis kuaj pom. Tus mob no yuav tsum tau kuaj mob los ntawm kws kho mob, siv thev naus laus zis (xws li xoo hluav taws xob) thiab kuaj nqaij (tshem tawm thiab tshuaj xyuas cov nqaij). Kev cia siab ntawm sarcoma tuaj yeem ua rau txaus ntshai heev, tab sis hmoov zoo qhov mob no tsis tshua muaj, kho tau, thiab qee zaum kho tau.
Cov kauj ruam
Ntu 1 ntawm 4: Paub txog Cov tsos mob ntawm Sarcoma
Kauj Ruam 1. Txheeb xyuas seb puas muaj cov qog tshiab lossis tsis tau piav qhia ntawm koj lub cev
Ib lub pob tuaj yeem yog cyst (benign) lossis qog (cancer). Txawm hais tias lub pob me me thiab tsis hnov mob thaum nias, nws tuaj yeem ua rau mob qog noj ntshav. Mus ntsib koj tus kws kho mob thiab nws tau saib. Mus ntsib koj tus kws kho mob tam sim yog tias muaj pob nyob:
- Hauv cov leeg.
- Hauv koj lub plab.
- Hauv koj lub qhov ncauj, qhov ntswg, lossis caj pas.
- Hauv koj qhov quav.
Kauj Ruam 2. Nco tseg ntawm ib lub pob uas tau loj dua
Yog tias cov pob uas twb muaj lawm tau loj zuj zus tuaj, lossis tau pib ua rau koj mob, teem sijhawm mus ntsib koj tus kws kho mob. Cov pob tseem tuaj yeem ua tau zoo, tab sis nws yog ib qho tseem ceeb kom nws kuaj xyuas. Tshaj 50% ntawm sarcomas tshwm sim hauv txhais caj npab thiab txhais ceg, yog li koj feem ntau yuav pom cov qog loj tuaj hauv cov chaw no.
Yog tias koj tau muaj cov pob tawm hauv yav dhau los, thiab nws tau rov qab los, hu rau koj tus kws kho mob tam sim ntawd
Kauj Ruam 3. Ua tib zoo saib mob plab ntau zaus
Raws li cov nqaij mos ua rau cov nqaij mos txuas ntxiv zuj zus thiab nias mus rau cov ntaub so ntswg ib puag ncig hauv koj lub plab, lawv tuaj yeem ua rau mob hnyav rau ntawm cov kabmob ib puag ncig. Yog tias koj hnov mob plab lossis lwm yam teeb meem zom zaub mov uas tsis ua kom yooj yim dua lossis ua rau lub sijhawm tsis zoo, hu rau koj tus kws kho mob. Lwm cov tsos mob hauv plab suav nrog:
- Hnov puv.
- Xeev siab, ntuav, lossis raws plab.
- Kub siab.
- Ntshav hauv koj cov quav lossis ntuav, lossis quav dub.
- Kev thaiv plab.
Kauj Ruam 4. Qhia txog qhov txhab txawv txav thiab cov tawv nqaij tshwm sim
Ntshav, liab, lossis xim av rau ntawm lub cev, lossis lwm yam tawv nqaij txawv txawv tuaj yeem yog qhov cim ntawm hom sarcoma hu ua Kaposi sarcoma. Nco tseg ntawm qhov ua pob khaus lossis pob, thiab qhia cov no rau koj tus kws kho mob. Lwm cov cim ntawm Kaposi sarcoma suav nrog:
- Txhim kho cov kua dej hauv koj txhais ceg.
- Cov qog hauv koj lub qhov ntswg, caj pas, lossis qhov ncauj.
- Nyuaj nyuaj ua pa.
Ntu 2 ntawm 4: Tham nrog Koj Tus Kws Kho Mob
Kauj Ruam 1. Qhia rau koj tus kws kho mob txog koj cov noob caj noob ces thiab raug cov tshuaj/hluav taws xob
Ob qho ntawm cov xwm txheej no tuaj yeem ua rau sarcoma. Yog tias koj niam koj txiv muaj keeb kwm ntawm qee cov tsos mob caj ces, koj tuaj yeem muaj kev pheej hmoo nce ntxiv rau sarcoma. Lwm qhov kev pheej hmoo ntxiv rau sarcoma suav nrog kev siv tshuaj lom neeg (xws li tshuaj tua kab, tshuaj arsenic, thiab dioxin) thiab ua ntej raug hluav taws xob.
Cov noob caj noob ces nrog cov peev xwm txuas rau sarcoma suav nrog: kev muaj keeb retinoblastoma, Li-Fraumeni syndrome, tsev neeg adenomatous polyposis, neurofibromatosis, tuberous sclerosis thiab Werner syndrome
Kauj Ruam 2. Mus ntsib kws kho mob tshwj xeeb uas koj tus kws kho mob hais txog koj
Sarcomas nyuaj rau kuaj mob, thiab koj tus kws kho mob yuav tsis muaj kev paub ntau nrog lawv. Koj tus kws kho mob yuav xa koj mus rau kws kho mob tshwj xeeb (kws kho mob qog noj ntshav). Tus kws kho mob no, tig mus, tuaj yeem xa koj mus rau kws kho mob tshwj xeeb tshwj xeeb, suav nrog:
- Ib qho hluav taws xob oncologist.
- Tus kws kho mob oncologist.
- Tus kws phais oncological.
Kauj Ruam 3. Nug koj tus kws kho mob ua xoo hluav taws xob ua ntej kuaj lwm yam
Thawj kauj ruam hauv kev kuaj mob sarcoma feem ntau yog xoo hluav taws xob. Qhov no yog nrawm thiab tsis mob. Nws cuam tshuam nrog kev dag tseem nyob rau lub sijhawm luv luv hauv tshuab xoo hluav taws xob. X-ray yuav tso cai rau cov kws kho mob kom muaj duab ntawm sab hauv ntawm koj lub cev, ntsuas seb puas yog thiab mob qog noj ntshav kis mus rau qhov twg.
- Kev xoo hluav taws xob tuaj yeem ua hauv tus kws kho mob lub chaw haujlwm. Nws tsis zoo li koj yuav tsum tau mus rau tom tsev kho mob rau tus txheej txheem.
- Kev xoo hluav taws xob hauv siab ntxiv tuaj yeem ua tiav tom qab txhawm rau txheeb xyuas yog tias sarcoma tau kis mus rau lub ntsws.
Ntu 3 ntawm 4: Soj Ntsuam Diagnostic Tests
Kauj Ruam 1. Ua CT scan
Kev suav tomography scan (lossis CT scan) yuav tso cai rau cov kws kho mob kom saib zoo dua ntawm koj lub plab thiab lub ntsws. CT scan ua haujlwm zoo ib yam li x-ray, tsuas yog siv 1 daim duab ib zaug, CT scan siv ntau yam. Cov txheej txheem no siv sijhawm li ob peb feeb, thaum koj pw hauv lub tshuab tsis zoo li lub ncuav. Tej zaum koj yuav raug hais kom haus cov kua hu ua "qhov sib txawv ntawm qhov ncauj" ua ntej kuaj kom tus kws kho mob pom koj cov hnyuv kom meej dua.
- CT scan tsis mob tag nrho, txawm hais tias qee tus neeg yuav ua rau muaj kev ntxhov siab hauv lub tshuab.
- Koj tuaj yeem tau txais IV nrog cov xim sib txawv kom qhia tau zoo dua koj li kab mob plawv.
Kauj Ruam 2. Ua MRI ua kom paub cov ntsiab lus hais txog qog nqaij hlav
Ib qho MRI tuaj yeem siv los txheeb xyuas qhov chaw, qhov loj me, thiab cov duab ntawm cov qog, nrog rau hom ntaub so ntswg uas cuam tshuam. MRI zoo ib yam li CT scan, tab sis nws tuaj yeem siv qhov twg los ntawm 15-90 feeb.
- MRI tsis mob, tab sis dag tseem nyob hauv lub tshuab rau lub sijhawm ntev tuaj yeem ua rau muaj kev ntxhov siab rau qee tus neeg.
- Koj tus kws kho mob yuav tso cai rau koj siv lub mloog pob ntseg, hauv ncoo thiab daim pam, lossis lwm yam khoom zoo thaum lub sijhawm tshuaj xyuas.
Kauj Ruam 3. Muaj ib qho ultrasound kom paub qhov txawv ntawm cov hlwv thiab qog
Ib qho ultrasound yog txheej txheem sai thiab tsis mob uas tsis cuam tshuam nrog hluav taws xob. Koj cov tawv nqaij yuav tau lubricated nrog gel thiab tom qab ntawd lub tshuab hloov pauv me me yuav raug txav hla saum koj lub cev.
- Ib qho ultrasound tuaj yeem qhia rau koj tus kws kho mob yog lub pob tau ntim nrog cov kua dej (lub qog zoo) lossis yog tias nws khov (qog).
- Feem ntau ua ultrasound ua ntej ua qhov kev kuaj ntshav.
Kauj Ruam 4. Pauv positron emission tomography
Rau cov txheej txheem no, koj yuav raug txhaj tshuaj nrog cov piam thaj hauv ntshav. Cov tshuaj no yuav qhia kws kho mob pom tias cov qog nqaij hlav cancer nyob hauv koj lub cev. Tsis tas li, yog tias mob qog noj ntshav tau kis mus, cov txiaj ntsig ntawm positron emission tomography yuav qhia rau cov kws kho mob pom tias sarcoma tau txav mus rau qhov twg.
- Lwm yam tshaj li rab koob me me, qhov txheej txheem no tsis mob.
- Qhov no feem ntau ua tiav nrog CT scan.
Kauj Ruam 5. Tau txais ib rab koob rab koob biopsy yog tias xav tau me me xwb
Ib rab koob rab koob me me cuam tshuam nrog kev txhaj ib rab koob uas yuav rub tawm me ntsis ntawm cov nqaij uas cuam tshuam. Cov txheej txheem no tau txiav txim siab "cuam tshuam me ntsis," thiab nws yuav ua rau mob me ntsis. Koj tus kws kho mob yuav muab tshuaj loog hauv zos rau koj los pab qhov no.
- Yuav tsum tau kuaj lub cev rau koj tus kws kho mob txhawm rau txheeb xyuas qhov tseeb ntawm sarcoma.
- Cov txheej txheem no tuaj yeem ua tiav ntawm koj tus kws kho mob lub chaw haujlwm lossis tsev kho mob hauv nroog.
Kauj Ruam 6. Nthuav tawm ib qho kev kuaj ntshav tawm
Hauv kev kuaj mob phais, kws kho mob yuav tshem tawm ib qho piv txwv ntawm cov ntaub so ntswg tsis zoo lossis sim rho tawm cov qog tag nrho. Koj yuav raug tso rau hauv tshuaj loog dav rau tus txheej txheem, thiab tej zaum koj yuav tsum tau pw hmo ntuj hauv tsev kho mob. Thaj chaw uas kuaj lub cev nqaij tawv tuaj yeem mob tom qab koj sawv.
- Tham nrog cov ncauj lus kom ntxaws ntawm tus txheej txheem nrog koj tus kws kho mob ua ntej koj kuaj ntshav.
- Ua raws li cov lus qhia ua ntej uas muab los ntawm koj tus kws kho mob, xws li zam kev noj zaub mov lossis qee yam tshuaj.
Kauj Ruam 7. Kom koj tus qauv kuaj ntshav kuaj los ntawm tus kws paub txog kab mob
Tus kws paub txog kab mob, kws kho mob tau kawm paub tshuaj xyuas cov ntaub so ntswg hauv lub cev, yuav ua tib zoo tshuaj xyuas koj cov ntaub so ntswg kom pom tias muaj mob qog noj ntshav. Tus kws paub txog kab mob kuj tseem tuaj yeem txiav txim siab seb hom mob qog noj ntshav yog dab tsi, thiab seb nws puas yog lossis tsis yog.
Cov nqaij mos sarcoma tuaj yeem nyuaj rau kuaj mob. Nug kom kuaj koj cov ntaub so ntswg kuaj los ntawm tus kws kho mob tshwj xeeb nrog kev paub txog sarcoma
Ntu 4 ntawm 4: Kho Sarcoma
Kauj Ruam 1. Ua haujlwm nrog koj tus kws kho mob txhawm rau nthuav qhia txoj kev npaj kho mob
Muaj ntau hom sib txawv ntawm sarcoma, thiab ntau yam los xav txog, thaum txiav txim siab txoj kev npaj kho mob. Koj tus kws kho mob yuav pab koj txiav txim siab qhov ua tau zoo tshaj plaws. Qee yam uas cuam tshuam rau hom kev kho mob koj yuav tau txais suav nrog:
- Hom ntaub so ntswg sarcoma.
- Qhov loj me, qib, thiab theem ntawm cov qog nqaij hlav.
- Qhov nrawm uas cov qog nqaij hlav cancer loj tuaj.
- Qhov chaw ntawm cov qog nyob hauv lub cev.
- Txawm hais tias tag nrho cov qog tuaj yeem raug tshem tawm los ntawm kev phais.
- Koj hnub nyoog.
- Koj txoj kev noj qab haus huv.
- Txawm hais tias qhov no yog mob qog noj ntshav tas li.
Kauj Ruam 2. Kom tshem cov qog kom sai li sai tau
Yog tias cov qog nyob hauv qhov chaw uas nws tuaj yeem tshem tawm, thiab yog tias mob qog noj ntshav tsis nyob rau theem lig, kev phais yog qhov kev kho mob zoo. Tus kws phais yuav tshem tus mob qog noj ntshav, nrog rau qee cov nqaij zoo nyob ib puag ncig nws. Qhov tseeb ntawm qhov kev phais mob tshem tawm qog noj ntshav tuaj yeem sib txawv nyob ntawm qhov chaw, qhov loj me, thiab hom qog twg raug tshem tawm.
- Kev phais mob qog noj ntshav tshem tawm yuav zoo li tso tshuaj loog (mus pw), lub ntsiab lus koj yuav tsis hnov dab tsi.
- Koj yuav nyob tau 1 hmo hauv tsev kho mob.
Kauj Ruam 3. Tau txais kev kho hluav taws xob nrog rau kev phais
Kev kho hluav taws xob siv cov kab hluav taws xob muaj zog siab los tiv thaiv mob qog noj ntshav. Qhov no feem ntau ua tiav raws li kev ntsuas ntxiv nrog rau kev phais mob qog noj ntshav. Kev kho hluav taws xob tsis mob heev, tab sis nws muaj qee qhov kev phiv. Cov no suav nrog: xeev siab, ntuav, lossis raws plab; mob thaum nqos; thiab cov tshuaj tiv thaiv ntawm daim tawv nqaij Radiation yuav ua tau:
- Ua ntej phais kom txo qhov loj ntawm cov qog.
- Thaum phais, uas tso cai kom muaj hluav taws xob ntau dua kom mus txog thaj chaw mob qog noj ntshav.
- Kev phais tom qab kom tawg cov kab mob qog noj ntshav uas muaj sia nyob.
Kauj Ruam 4. Tau txais tshuaj kho mob yog tias koj qhov mob sarcoma tau kis mus
Kev siv tshuaj tua kab mob yog hom kev kho mob qog noj ntshav uas rhuav tshem cov qog nqaij hlav cancer los ntawm kev siv tshuaj lom neeg. Qee cov tshuaj Chemo qee zaum tau hais lus (ntawm cov ntsiav tshuaj) thiab qee zaum txhaj tshuaj. Kev siv tshuaj khomob tuaj yeem siv tau ntau lub lis piam lossis hli.
- Qee qhov sarcomas tau teb rau tshuaj kho dua li lwm yam sarcomas. Piv txwv li, tshuaj kho mob ua haujlwm tau zoo hauv kev kho mob rhabdomyosarcoma.
- Kev kho tshuaj khomob tsis mob, txawm li cas los xij nws muaj cov kev mob tshwm sim, xws li xeev siab, ntuav, plaub hau poob, tsis qab los, thiab qaug zog.
Kauj Ruam 5. Kuaj nrog phiaj xwm tshuaj kho koj tus mob sarcoma
Qee qhov nqaij mos sarcomas tuaj yeem kho tau zoo nrog tshuaj. Lub hom phiaj kho tshuaj "tua" mob qog noj ntshav zoo ib yam li kev siv tshuaj kho mob, tab sis lawv tsis muaj tshuaj lom.
- Piv txwv li, cov tshuaj muaj txiaj ntsig tau pab kho cov qog nqaij hlav hauv plab (GISTs).
- Muaj ntau ntau hom tshuaj kho mob sib txawv, thiab lawv txhua tus muaj kev phiv sib txawv. Qee qhov kev mob tshwm sim suav nrog: xeev siab thiab ntuav, tsis muaj zog ntawm txhais tes thiab taw, mob taub hau, plaub hau poob, teeb meem kho, mob leeg, tawv nqaij ua pob, thiab teeb meem rau daim siab.
