Khansa fupa.

Panopa zochitika khansa zikuchulukirachulukira. khansa fupa si kudwala ambiri, mlingo wa chitukuko peresenti pasanathe imodzi malignancies onse.

Chotupa minofu fupa kungakhale chachikulu (palokha matenda) ndi sekondale, amene akufotokozera chifukwa chotupa metastasis za chikhalidwe chosiyana ndi kutanthauzira.

The etiology a zotupa khansa si wokhazikitsidwa mpaka kumapeto. Amaganiza kuti odwala khansa polyetiology. khansa Bone, mwa mawu AIDS, limapezeka sporadically yekha, kuti pafupifupi wogawana chaka chonse ndipo pafupifupi nambalayi wa nthawi zaka. Komabe, ayi khansa fupa achilendo Koma ngati pamene osauka khansara fupa chachikulu.

Nthawi zambiri izi mitundu ya zotupa zilonda zimachitika mu m'badwo achinyamata gulu la makumi awiri - zaka makumi atatu. Chitsanzo kutanthauzira kwa ndondomeko pathological - miyendo, kawirikawiri khansa mafupa Chigaza, khansa msana ndi mitundu ina.

Ululu si mmene kwa khansa zotere khansa fupa. Zizindikiro zomwe zimachitika kudwala ichi, nthawi zambiri si anasonyeza. Ngati chotupa akufotokozera pafupi olowa contracture (ie stiffness). Pa yokhudza ululu nakweza mu kudwala olowa. ululu Izi cropped ntchito mankhwala muyezo analgesic. Kenako, pali metastasis chotupa ziwalo zina ndi zimakhala. Malinga ndondomeko imene matupi kudutsa metastases, akulowa zizindikiro chipatala ndi zotupa za thupi zogwirizana.

Mogwirizana ndi zizindikiro anawononga khansa fupa magawo oyambirira, oyambirira matenda kovuta. Chifukwa cha matenda, ndi mwai izi: anayendera, palpation ndi X-ray bwino. Mu kulingalira maginito kumveka angagwiritsidwe ntchito ngati njira zina. Pamene khansa ndi achifwamba pathological unachitikira gawo biopsy kudziwa chotupa kafukufuku wakapangidwe kazachilengedwe.

Ntchito radioisotope mankhwala osamveka khansa fupa. Chifukwa khansa fupa metastasizes mu magawo oyambirira, ntchito kothandiza kwambiri kumene anasonyeza preoperative Morning kuchepetsa kukula kwake chotupa cholinga komanso kupondereza ntchito chotupa mu foci metastatic. Zotsatirazi opaleshoni kuti achotse khansa anakhudzidwa zimakhala waperekedwanso njira ya mankhwala amphamvu kwambiri kuchepetsa chiwerengero cha musabise. Volume ntchito zikudalira pa zimene siteji khansara ndi wapezeka, ndi buku la minofu zomwe zimafunika mu ndondomeko pathological.

Kulosera tsogolo la matenda a matenda zimadalira m'mene oyambirira matenda kudwala. Imfa khansa ya minofu fupa ndi otsika. Komabe, odwala ambiri kutaya chimodzi kapena nthambi yina kuti amasokoneza luso ntchito, ndipo nthawi zambiri luso kudzimvera utumiki. odwala Tiyenera kuchita yaitali konzanso: thupi, maganizo ndi chikhalidwe.

Kuchuluka apamwamba imfa khansa mafupa (za makumi asanu - peresenti sikisite) nkwa metastasis, ndi imfa kumachitika chifukwa kuphwanya ntchito ziwalo zosiyanasiyana.

Polongosola mwachidule onse pamwamba, ndi Dziwani kuti ngakhale zochitika otsika a khansa fupa, vuto ndi wamsanga kwambiri. Ichi ndi chifukwa zizindikiro nonspecific ndi asanawonetseredwebe, zikhale zovuta matenda kale, ndipo ndi chizolowezi oyambirira khansa fupa metastasis.