Ọkpụkpụ metastases.

Otu n'ime ndị isi nsogbu niile cancer - na-apụghị izere ezere mmalite nke ikpeazụ ogbo - ogbo nke metastasis. Metastasis foci bụ ajọ neoplasms na a eruba nke Lymph ma ọ bụ ọbara na-e dere na anya akụkụ na anụ ahụ, nke na-amalite ịzụlite neoplastic usoro.

Cancer nke fọrọ nke nta niile na akụkụ na anụ ahụ nwere ike metastasize ka ọkpụkpụ. Dị otú ahụ ọnya nwere ike ịchọta fọrọ nke nta ọ bụla ọkpụkpụ owuwu. The ọtụtụ ugboro ugboro - metastases na spain, ọ dịkarịa ala na ndị pelvis, ọgịrịga na aka na ụkwụ.

Gịnị etuto metastasize ọkpụkpụ?

Ọtụtụ mgbe, nke a na-adị mgbe ndị thyroid gland cancer, prostate na mammary glands.

E nwere ihe abụọ bụ isi ụdị nke enweghị nchịkwa usoro na ọkpụkpụ - osteoblastic na osteolytic metatstazirovanie. N'ihi na nke mbụ n'ụdị akara na-ahụkarị nke ọkpụkpụ anụ ahụ, akpan akpan ya ịnweta akụrụngwa. The abụọ na ụdị na-enyere "saa" nke minerals, nke-apụghị izere ezere gụnyere thinning na fractures.

The pathogenesis nke ọrịa a bụ na nke na-akpali akpụ mkpụrụ ndụ. Ọ bụrụ na ndị metastasis nke cancer na-agụnye osteoblasts na usoro - emepe emepe osteoblastic ụdị. Mgbe mbụ akpụ ha ụzọ osobo a ọkpụkpụ resorbing sel (osteoclasts) - bụ guzobere metastases osteolysis.

N'ọnọdụ ka ukwuu, ọdịdị nke metastases na ọkpụkpụ na-akpata ihe mgbu ikpeazụ. Pain syndrome e mere site mmebi akwara endings akpụ growths, nrụgide na-abawanye n'ime ọkpụkpụ, na n'ihi iyatesịt endings nke akwara ozi ekenyela metastasis bekee. Ke adianade do, ihe mgbu na-adị mgbe ọkpụkpụ fractures mere site thinning nke ikpeazụ (njirimara osteolytic forms). Na-etolite osteoblastic e ji mara owụt hypercalcemia (elu ọbara calcium).

The ize ndụ nke fractures bụ elu puru nke nsogbu - akpa ume embolism, miri akwara thromboembolism (n'ikpeazụ, a na-eduga ná a na ọnwụ nke ọtọ loading ngwa ma ọ bụ N'ịdị na viability).

Ọkpụkpụ metastases na-chọpụtara iji X-ray. N'ihi nke a, iji doo radiography na a multiplicity nke metastatic ọnya, nakwa dị ka osteolytic ụdị. N'ihe banyere osteoblastic rụrụ radionuclide enyocha kwa. Otu n'ime ụzọ ndị njirimara, na nke a pụrụ hụrụ bụghị naanị ọkpụkpụ metastases, kamakwa ndị ọzọ na akụkụ na nsụkọrọ - PITA 18P-deoxyglucose.

Ịwa ahụ ọgwụgwọ nke ọkpụkpụ metastases gosiri na ikpeazụ o nwere ike mgbaji ọkpụkpụ. Orthopedic dọkịta na-awa rụrụ ịwa ahụ na-ewusi ọkpụkpụ site inserting mkpọ ma jupụta chakoo na ọkpụkpụ cement akpụ.

Radieshon ọgwụ na a dose of banyere iri na ise - iri-na-ise Gy (weere na anọ fractions), ọkara nke ndị ọrịa bụ ofufe nke mgbu. The dose of iri atọ - iri anọ na ise Gy akpata a ịrịba mma na ọnọdụ onye ọrịa, akpan akpan dị otú ahụ ndozi mepụtara n'elu ọzọ ikpughe abụọ - izu atọ.

The abụọ arụmọrụ mgbe radieshon ọgwụ, bụ ojiji nke redioaktivu strontium. Ọ bụ ugbu a n'ọtụtụ ebe na bisphosphonate ọgwụgwọ. Nke a pụrụ iche asịd na inhibit ọrụ nke osteoclasts. Ke adianade do, ndị a ọgwụ ọjọọ ghara ịdị ogo nke mgbu na fractures nke ọkpụkpụ, nakwa dị ka site na mmepe nke etuto ahụ.

N'ihi ya, prognosis maka metastasis ka ọkpụkpụ nwere ike dị iche iche, dabere na orunótu nke osteblastnoy ma ọ bụ osteolytic forms na ụzọ nke ọgwụgwọ.