Mhando / moyo / murwere-mwana-wemwoyo-kurapwa-pdq
Yevacheche Cardiac (Moyo) Tumors Kurapa (®) -Patient Shanduro
Zveruzhinji Ruzivo Nezvediki Cardiac (Moyo) Mamota
PFUNGWA DZINOKOSHA
- Dumbu remwana mamota, ayo angave asina kunaka kana akaipa, fomu mumoyo.
- Zviratidzo nezviratidzo zvebundu remoyo zvinosanganisira shanduko mumoyo wenguva mutinhimira uye kunetseka kufema.
- Kuyedza kunoongorora moyo kunoshandiswa kuona (kutsvaga) uye kuongorora bundu remwoyo.
Dumbu remwana mamota, ayo angave asina kunaka kana akaipa, fomu mumoyo.
Mazhinji mamota anoumba mumoyo ari benign (kwete cancer). Benign moyo mamota anogona kuoneka muvana anosanganisira anotevera:
- Rhabdomyoma: Bundu rinoumbika mutsandanyama rinoumbwa nefibre refu.
- Myxoma: Bundu ringave riri chikamu cheiyo nhaka chirwere chinonzi Carney yakaoma. Ona pfupiso ye paUdiki Multiple Endocrine Neoplasia Syndromes kuti uwane rumwe ruzivo.
- Teratomas: Rudzi rwehutachiona sero bundu. Mumoyo, mamota aya anowanzoitika mu pericardium (saga inovhara moyo).
- Mamwe maatatomas ane malignant (cancer).
- Fibroma: Bundu rinoumbika mune fiber-senge nyama inobata mapfupa, mhasuru, uye dzimwe nhengo munzvimbo.
- Histiocytoid cardiomyopathy bundu: Bundu rinoumbwa mumasero emwoyo anodzora rwiyo rwemwoyo.
- Hemangiomas: Bundu rinoumbwa mumasero anoteedzera tsinga dzeropa.
- Neurofibroma: Bundu rinoumba mumasero uye zvinyama zvinovhara tsinga.
Asati aberekwa uye mumwana achangozvarwa, anonyanya kuora bundu remwoyo mamatatoma. Mamiriro ekugara nhaka anonzi tuberous sclerosis anogona kukonzera mamota emoyo kuumbika mune mwana asati aberekwa (fetus) kana achangozvarwa.
Mamota akaipa anotanga mumoyo akatonyanya kushomeka pane bundu remoyo muvana. Zvinokanganisa moyo mamota zvinosanganisira:
- Inotyisa teratoma.
- Lymphoma.
- Rhabdomyosarcoma: Kenza inogadzira tsandanyama ine tambo refu.
- Angiosarcoma: Kenza inogadzira mumasero anoteedzera tsinga dzeropa kana lymph lymph.
- Undifferentiated pleomorphic sarcoma: Kenza inowanzo kuumba mune yakapfava nyama, asi inogona zvakare kuumba mupfupa.
- Leiomyosarcoma: Kenza inogadzira maseru maseru akatsetseka.
- Chondrosarcoma: Kenza inowanzo kuumba mumapfupa, asi kazhinji kacho inogona kutanga mumoyo.
- Synovial sarcoma: Kenza inowanzo kuumbika yakatenderedza majoini, asi inogona kashoma kuumbika mumoyo kana bhegi rakakomberedza moyo.
- Infantile fibrosarcoma: Kenza inogadzira fiber-senge nyama inobata mapfupa, mhasuru, uye dzimwe nhengo munzvimbo.
Kana gomarara rikatanga mune chimwe chikamu chemuviri rikapararira kusvika pamoyo, iro rinodaidzwa kunzi metastatic cancer. Dzimwe mhando dzekenza, sarcoma, melanoma, uye leukemia, dzinotanga mune dzimwe nhengo dzemuviri dzikapararira kusvika pamoyo. Pfupiso iyi ndeye kenza inotanga kuumbika mumoyo, kwete metastatic cancer.
Zviratidzo nezviratidzo zvebundu remoyo zvinosanganisira shanduko mumoyo wenguva mutinhimira uye kunetseka kufema.
Izvi nezvimwe zviratidzo uye zviratidzo zvinogona kukonzerwa nemamota emoyo kana nemamwe mamiriro.
Tarisa nechiremba wemwana wako kana mwana wako ane chero chinotevera:
- Chinja mumoyo wakajairwa mutinhimira.
- Kunetseka kufema, kunyanya kana mwana akarara pasi.
- Marwadzo kana kuomarara pakati pechipfuva zvinonzwa zvirinani kana mwana agara.
- Kukosora.
- Kufenda.
- Kunzwa dzungu, kuneta, kana kushaya simba.
- Kukurumidza kurova kwemoyo.
- Kuzvimba mumakumbo, makumbo, kana dumbu.
- Kunzwa kushushikana.
- Zviratidzo zvekurohwa.
- Kungoerekana wapera simba kana kushaya simba kwechiso, ruoko, kana gumbo (kunyanya kune rumwe rutivi rwemuviri).
- Kamwe kamwe nyonganiso kana kunetseka kutaura kana kunzwisisa.
- Kamwe kamwe kunetseka kuona neziso rimwe kana maviri maziso.
- Kamwe kamwe kunetseka kufamba kana kunzwa dzungu.
- Kamwe kamwe kurasikirwa kwechiyero kana kubatana.
- Kamwe kamwe kwakakomba musoro musoro pasina chikonzero chinozivikanwa.
Dzimwe nguva mamota emoyo haakonzere chero zviratidzo kana zviratidzo.
Kuyedza kunoongorora moyo kunoshandiswa kuona (kutsvaga) uye kuongorora bundu remwoyo.
Iyi inotevera bvunzo uye maitiro anogona kushandiswa:
- Kuongorora kwemuviri uye nhoroondo yehutano: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.
- Chest x-ray: X-ray yenhengo nemapfupa mukati mechipfuva. X-ray imhando yesimba remagetsi rinogona kupfuura nemuviri uye kupinda mufirimu, richiita mufananidzo wenzvimbo dziri mukati memuviri.
- CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, inotorwa kubva kumakona akasiyana. Mifananidzo yacho inogadzirwa nekombuta yakabatana neiyo x-ray muchina. Dhayi inogona kuiswa jekiseni kana kumedzwa kubatsira nhengo kana zvinyama kuratidza zvakajeka. Iyi nzira inonziwo computed tomography, computerized tomography, kana komputa axial tomography.
- MRI (magnetic resonance imaging): Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira yakateedzana mifananidzo yakajeka yenzvimbo dziri mukati memuviri. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI).
- Echocardiogram: Maitiro umo mafungu ane simba-ruzha (ultrasound) anodonhedzwa kubva pamoyo uye nyama dziri pedyo kana nhengo uye anoita maungira. Mufananidzo unofamba unogadzirwa nemavheji emoyo uye emoyo sezvo ropa richiputirwa nemoyo.
- Electrocardiogram (EKG): Kurekodha kwechiitiko chemagetsi emoyo kutarisa huwandu hwayo uye mutinhimira. Akaverengeka mapadhi madiki (maelektrode) anoiswa pachipfuva chemurwere, maoko, uye makumbo, uye akabatana newaya kumuchina weEGG. Basa remwoyo rinobva rakanyorwa segirafu yemutsara pabepa. Basa remagetsi rinokurumidza kana kunonoka kupfuura zvakajairwa rinogona kunge riri chiratidzo chehosha yemoyo kana kukuvara.
- Catheterization yemoyo: Maitiro ekutarisa mukati memidzi yeropa nemoyo yenzvimbo dzisina kujairika kana gomarara. Yakareba, yakatetepa, catheter inoiswa mune tsinga kana mutsinga mukati meguruva, mutsipa, kana ruoko uye yakasungirirwa kuburikidza nemidziyo yeropa kusvika pamoyo. Muenzaniso wetissue unogona kubviswa uchishandisa chakakosha chishandiso. Nyanzvi yezvirwere anoona tishu pasi pe microscope kutsvaga maseru ekenza.
Matanho eMoyo Tumarara
Maitiro aishandiswa kutsvaga kana maronda emoyo (gomarara) akapararira kubva pamoyo kuenda kunzvimbo dziri padyo kana zvimwe zvikamu zvemuviri zvinodaidzwa kunzi staging. Iko hakuna yakajairwa sisitimu yekumisikidza yakaipa yehucheche moyo mamota. Mhedzisiro yemiedzo uye maitiro anoitwa kuti aongorore maronda emoyo mapundu anoshandiswa kubatsira kuita sarudzo nezvekurapa.
Kudzokorora kwakashata kwemamota emoyo kwakadzoka (kudzoka) mushure mekurapwa.
Kurapa Sarudzo Kuongorora
PFUNGWA DZINOKOSHA
- Kune mhando dzakasiyana dzekurapwa kwevana vane mamota emoyo.
- Vana vane mamota emoyo vanofanirwa kurapwa kwavo kuchirongwa nechikwata chevanachiremba vanove nyanzvi pakurapa gomarara rehucheche.
- Mhando shanu dzokurapa dzinoshandiswa:
- Kurinda kumirira
- Chemotherapy
- Kuvhiya
- Radiation kurapa
- Targeted kurapwa
- Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.
- Kurapa kwehuduku hwemwoyo mamota kunogona kukonzera mhedzisiro.
- Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.
- Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.
- Yekutevera-bvunzo inogona kudikanwa.
Kune mhando dzakasiyana dzekurapwa kwevana vane mamota emoyo.
Mamwe marapirwo akajairwa (iko kurapwa kwazvino kwashandiswa), uye kumwe kuedzwa mumakiriniki ekuedzwa A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa.
Nekuti kenza muvana isingawanzo, kutora chikamu mukutongwa kwekiriniki kunofanirwa kutariswa. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.
Vana vane mamota emoyo vanofanirwa kurapwa kwavo kuchirongwa nechikwata chevanachiremba vanove nyanzvi pakurapa gomarara rehucheche.
Kurapa kweanorwara nemamota emoyo kunozotarisirwa nachiremba wevana oncologist, chiremba uyo ane hunyanzvi hwekurapa vana vane gomarara. Vanachiremba oncologist vanoshanda nevamwe vana vezvehutano vana vanove nyanzvi dzekurapa vana vane gomarara uye vane hunyanzvi mune dzimwe nzvimbo dzemishonga. Izvi zvinogona kusanganisira vanachiremba vanotevera nevamwe:
- Chiremba wevana.
- Chiremba chiremba anovhiya.
- Chiremba wevana cardiologist.
- Radiation oncologist.
- Nyanzvi yezvirwere.
- Mukoti wechiremba nyanzvi.
- Wezvemagariro.
- Rehabilitation nyanzvi.
- Nyanzvi yezvepfungwa.
- Mwana-hupenyu nyanzvi.
Mhando shanu dzokurapa dzinoshandiswa:
Kurinda kumirira
Kurindira kumirira kuri kunyatsoongorora mamiriro emurwere pasina kupa chero kurapwa kusvikira zviratidzo kana zviratidzo zvaonekwa kana kuchinja. Iyi kurapwa inogona kushandiswa kune rhabdomyoma.
Chemotherapy
Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekuamisa iwo kubva pakupatsanuka. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy).
Kuvhiya
Kana zvichibvira, kenza inobviswa nekuvhiyiwa. Mhando dzekuvhiya dzinogona kuitwa dzinosanganisira zvinotevera:
- Kuvhiya kubvisa bundu uye mamwe materu ane hutano akarikomberedza.
- Kuisa moyo. Kana murwere akamirira moyo wakapihwa, kumwe kurapwa kunopihwa sekudikanwa.
Radiation kurapa
Radiation kurapa kurapwa kenza iyo inoshandisa yakakwira-simba x-rays kana mamwe marudzi e radiation kuuraya cancer maseru kana kuachengeta iwo kuti asakure. External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune kenza.
Targeted kurapwa
Targeted therapy mhando yekurapa inoshandisa zvinodhaka kana zvimwe zvinhu kurwisa cancer maseru. Marapirwo akanangwa anowanzo kukonzera kukuvara kushoma kune masero akajairwa kupfuura chemotherapy kana radiation radiation inoita.
- mTOR inhibitors anomisa maseru kubva pakupatsanurwa uye anogona kudzivirira kukura kwemidzi mitsva yeropa iyo mamota anoda kukura. Everolimus inoshandiswa kurapa vana vane rhabdomyoma uye tuberous sclerosis.
Targeted Therapis irikudzidziswawo kurapwa kweanosemesa hudiki moyo mamota ayo adzokazve (dzoka).
Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.
Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.
Kurapa kwehuduku hwemwoyo mamota kunogona kukonzera mhedzisiro.
Kuti uwane ruzivo nezve mhedzisiro inotanga panguva yekurapa kenza, ona yedu Side Mhedzisiro peji.
Zvimwe zvinokonzeresa kubva pakurapwa nekenza zvinotanga mushure mekurapwa uye kuenderera kwemwedzi kana makore zvinonzi kunonoka kuitika Kwapera nguva mhedzisiro yekurapwa nekenza inogona kusanganisira:
- Zvinetso zvepanyama.
- Shanduko mumanzwiro, manzwiro, kufunga, kudzidza, kana ndangariro.
- Yechipiri kanzura (mhando nyowani dzekenza) kana mamwe mamiriro.
Mimwe mhedzisiro mhedzisiro inogona kurapwa kana kudzorwa. Izvo zvakakosha kuti utaure navanachiremba vemwana wako nezve zvingangoitika zvinononoka mhedzisiro zvinokonzerwa nekumwe kurapwa. Ona pfupiso ye pamusoro peMagumo Ekurapa kweKenza Yevacheche kuti uwane rumwe ruzivo.
Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.
Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.
Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.
Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.
Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.
Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.
Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.
Yekutevera-bvunzo inogona kudikanwa.
Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.
Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro emwana wako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.
Kurapa kweUcheche Hwemwoyo Mapundu
Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.
Kurapa kwehudiki mwoyo mamota kunogona kusanganisira zvinotevera:
- Kutarisa kumirira, kune rhabdomyoma, iyo dzimwe nguva inodzikira yoenda yega.
- Targeted Therapy (everolimus) yevarwere vane rhabdomyoma uye tuberous sclerosis.
- Chemotherapy inoteverwa nekuvhiya (izvo zvinogona kusanganisira kubvisa zvimwe kana zvese bundu kana kuisirwa moyo), kwema sarcomas.
- Kuvhiya ndega, kune mamwe marudzi ebundu.
- Radiation kurapa kwemamota asingakwanise kubviswa nekuvhiya.
Kurapa Kwekudzokazve Kwevacheche Moyo Mapundu
Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.
Kurapa kweanowanzoitika maronda ehudiki anogona kusanganisira anotevera:
- Kuongororwa kwekiriniki kunoongorora muyenzaniso wemota yemurwere kune mamwe magene ekuchinja. Rudzi rwekurapa kwakanangwa kuchapihwa kumurwere kunoenderana nerudzi rwechinjo yemajini.
Kuti Udzidze Zvakawanda Pamusoro Pehucheche Hwemwoyo Mapundu
Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve hura hwemwoyo mamota, ona zvinotevera:
- Mwoyo Tumarara Kenza Kumba Peji
- Computed Tomography (CT) Scans uye Cancer
- Targeted Cancer Therapies
Kuti uwane rumwe ruzivo rwegomarara rehucheche uye zvimwe zvecancer zviwanikwa, ona zvinotevera:
- Nezve Kenza
- Cancers Yevacheche
- Kurapa Kutsvaga Kwevana Cancer Buda Disclaimer
- Mahedhi Ekupedzisira Ekurapwa kweKenza Yevacheche
- Vechidiki uye Vechidiki Vakuru vane Cancer
- Vana vane Cancer: Nhungamiro Yevabereki
- Kenza muVana neVachiri kuyaruka
- Stage
- Kurarama neCancer
- Mibvunzo Yekubvunza Wako Chiremba nezveCancer
- Kune Vakapona uye Vanotarisira
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