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Kanema wa kanema yemwe amayembekezeredwa kwambiri Dil bechara , Sushant Singh Rajput ndi wosewera woyamba Sanjana Sanghi adatulutsidwa Lolemba (6 Julayi). Kanemayo akukhudzana ndiulendo wa otsogolera awiri, Kizie (Sanjana Sanghi), wodwala khansa ndi Manny (Sushant Singh Rajput), wopulumuka ku osteosarcoma, ndi momwe amamuphunzitsira kukhala ndi moyo mokwanira. Kanema wa kanema atangotuluka, adalandira matamando kuchokera kwa mafani ndi otchuka. Nazi zomwe muyenera kudziwa za osteosarcoma, matenda a Sushant Singh Rajput ali nawo mufilimuyi.
Kodi Osteosarcoma ndi Chiyani?
Osteosarcoma (OS) yotchedwa osteogenic sarcoma ndiye khansa yapafupa yomwe imakonda kwambiri yomwe imakhudza anthu 3.4 miliyoni miliyoni padziko lonse lapansi chaka chilichonse. Ndi khansa yachitatu yomwe imafala kwambiri kwa achinyamata. Ana osapitirira zaka 15 amapezeka kuti ali ndi osteosarcoma ndipo ndi osowa pakati pa ana omwe sanakwanitse zaka zisanu. Komabe, osteosarcoma imatha kukula msinkhu uliwonse [1] .
Osteosarcoma imayamba m'maselo omwe amapanga mafupa. Nthawi zambiri zimakhudza mafupa ataliatali ngati omwe amapezeka mmanja ndi miyendo. Osteosarcoma imapezeka makamaka kumapeto kwa mafupa ataliitali, monga femur (fupa la ntchafu) pafupi ndi bondo, proximal tibia (shin bone) pafupi ndi bondo ndi proximal humerus (chapamwamba mkono fupa) pafupi ndi phewa.
Komabe, osteosarcoma imathanso kupezeka m'malo ena amthupi monga m'chiuno (m'chiuno), nsagwada ndi mafupa amapewa zomwe zimakonda achikulire [ziwiri] , [3] .
Zomwe Zimayambitsa Osteosarcoma
Zomwe zimayambitsa osteosarcoma sizikudziwikabe, komabe, pali zifukwa zingapo zomwe zimayambitsa matenda a osteosarcoma:
• Chibadwa - Kuwonongeka mu p53 ndi Rb (retinoblastoma) majini [4] .
• Kukula msanga kwa mafupa - Kuopsa kwa mafupa a osteosarcoma ndikukula msanga kwa mafupa kumalumikizidwa. Achinyamata omwe akukula msanga amakhala ndi chiopsezo chachikulu chotenga izi [5] .
• Kuwonetsedwa kwa ma radiation - Ngati munthu adziwonetsedwa ndi radiation pochizira khansa yamtundu wina ali mwana [6] .
Mitundu ya Osteosarcoma
Malinga ndi American Cancer Society, osteosarcoma ikhoza kusankhidwa motere:
• Ma osteosarcomas apamwamba
• Osteosarcomas otsika
• Ma osteosarcomas apakatikati [7]
Zizindikiro za Osteosarcoma
• Kupweteka kwa mafupa kapena mafupa [8] .
• Kutupa ndi kufiira pafupi ndi fupa.
• chotupa chomwe chimamveka kudzera pakhungu
• Mukamakweza zinthu mumamva kupweteka kwambiri m'manja.
• Kutsimphina.
• Fupa lophwanyika.
Zowopsa Zaku Osteosarcoma
• Chithandizo cham'mbuyomu cha radiation [9] .
• Matenda a Paget [9] .
• Zinthu zina zobadwa nazo.
Nthawi Yoyenera Kuonana ndi Dotolo
Ngati mukumane ndi zina mwazimene zatchulidwa pamwambapa, pitani kuchipatala nthawi yomweyo.
Kuzindikira Kwa Osteosarcoma
Dokotala amamuyesa mokwanira ndikufunsa za zodandaula komanso mbiri yazachipatala. Pambuyo pake, adokotala amayesa mayeso ena kuti adziwe matenda a osteosarcoma. Mayesowa amawunikira X-ray, MRI, CT scan, PET scan, bone scan ndi biopsy [10] .
Chithandizo cha Osteosarcoma
• Opaleshoni - Maselo onse a khansa ndi ena mwa maselo athanzi omwe ali mozungulira amachotsedwa mufupa lomwe lakhudzidwa. Nthawi zina, opareshoni yopulumutsa ziwalo amachitika kuti achotse maselo onse a khansa ndi ena ozungulira maselo athanzi powasunga mwendowo. Kudulidwa ndi njira ina yochitira opaleshoni yomwe imachitika pochotsa zonse kapena gawo la mkono kapena mwendo momwe maselo a khansa afalikira. Kenako amapanga chiwalo chopangira chovala m'malo mwake.
• Chemotherapy -Ndi mankhwala omwe amagwiritsidwa ntchito kupha maselo a khansa mothandizidwa ndi mankhwala. Pakadali pano, neoadjuvant chemotherapy imaperekedwa isanachitike opaleshoni komanso itatha opaleshoni, adjuvant chemotherapy imaperekedwa.
• Thandizo la radiation - Mankhwalawa amagwiritsa ntchito cheza champhamvu kwambiri kuti awononge maselo a khansa. Kafukufuku wa 2013 adawonetsa kuti odwala ena omwe ali ndi osteosarcoma omwe adalandira ma extracorporeal irradiation (ECI) awonetsa kuchita bwino popewa matendawa kuti asadzachitikenso komanso amachepetsa chiopsezo chotenga matenda [khumi ndi chimodzi] .
• Katemera wa IFN - Ndi njira ina yothandizira osteosarcoma yomwe imagwira ntchito kupondereza zotupa [12] .
Ma FAQ Omwe Amakonda
Q. Ndani angathe kutenga osteosarcoma?
KU . Ana ndi achinyamata ali pachiwopsezo chachikulu. Komabe, achikulire amatha kuchilandira ngati ali ndi vuto lakale ngati matenda a Paget kapena adalandira chithandizo chama radiation.
Q. Kodi osteosarcoma ndiyotani?
KU . Kuchuluka kwa matenda a osteosarcoma kwawonjezeka kupitirira 65 peresenti. Koma, ngati osteosarcoma yafalikira m'mapapu kapena mafupa ena, kuchuluka kwake kumakhala kotsika.
Q. Kodi ululu wa osteosarcoma umamva bwanji?
KU. Wodwala osteosarcoma amatha kumva ululu wosapweteka m'mafupa kapena olumikizana mozungulira chotupacho.
