Icyegeranyo giheruka cy’Ishami ry’Umuryango w’Abibumbye ryita ku Buzima ku Bicurane byoroshye n’Ibibyimba by’Amagufwa, cyasohotse muri Mata 2020, kirashyira mu byicirosarcomamu byiciro bitatu: sibibyimba byinshi by'imibiri, ibibyimba by'amagufwa, n'ibibyimba by'imibiri y'amagufwa n'iyoroshye bifite uturemangingo duto tw'uruziga tudatandukanye(nk'iyitwa EWSR1-non-ETS fusion round cell sarcoma).
"Kanseri yibagiranye"
Sarcoma ni ubwoko budasanzwe bwakanseri mu bantu bakuru, kubara hafi1%kanseri zose z'abantu bakuru, zikunze kwitwa "Kanseri yibagiranye." Ariko, nibikunze kugaragara mu bana, kubara hafiKuva kuri 15% kugeza kuri 20%kanseri zose zo mu bwana. Ishobora kugaragara mu gice icyo ari cyo cyose cy'umubiri, cyane cyane muamaboko cyangwa amaguru(60%), hagakurikirahoigituza cyangwa inda(30%), kandi amaherezoumutwe cyangwa ijosi(10%).
Mu myaka ya vuba aha, indwara z’ibibyimba by’amagufwa n’imitsi yoroshye zakomeje kwiyongera buhoro buhoro. Ibibyimba by’ibanze by’amagufwa bibi bikunze kugaragara cyane mu ngimbi n’abantu bari mu kigero cyo hagati, birimo osteosarcoma, Ewing sarcoma, chondrosarcoma, malignant fibrous histiocytoma, na chordoma, n’ibindi. Ibibyimba by’ibanze by’imitsi yoroshye birimo synovial sarcoma, fibrosarcoma, liposarcoma, na rhabdomyosarcoma. Kugaragara kw’ibibyimba by’amagufwa bikunze kugaragara cyane mu bantu bari mu kigero cyo hagati n’abageze mu za bukuru, aho ibibyimba by’ibanze bisanzwe ari kanseri y’ibihaha, kanseri y’ibere, kanseri y’impyiko, kanseri ya prostate, na kanseri ya tiroyide, n’ibindi.
Gutahura kare, kuvurwa kare – Kumurikira “ibibyimba” byihishe
Bitewe n’uko kanseri ya sarcoma ishobora kugaruka kenshi muri rusange, ibibyimba byinshi ntibisobanura neza mbere yo kubagwa kandi ntibinakoreshwe mu isuzuma ryimbitse. Ibi akenshi bituma mu gihe cyo kubagwa haboneka ko ikibyimba kidasobanutse nk’uko byatekerejwe mbere yo kubagwa, bigatuma hadakurwa neza. Nyuma yo kubagwa hashobora kubaho kongera kugaragara cyangwa kwangirika kw’imitsi, bigatuma abarwayi babura uburyo bwiza bwo kuvura. Kubwibyo,Gusuzuma hakiri kare, gusuzuma neza no kuvurwa ku gihe bigira ingaruka zikomeye ku mibare y'abarwayi. Uyu munsi, twifuza kumenyekanisha impuguke irangwa n'icyubahiro ifite uburambe bw'imyaka hafi 20.mu gusuzuma indwara zisanzwe no kuvura indwara ya sarcoma yoroshye ku giti cye, kandi ishimwa cyane n'inganda ndetse n'abarwayi –UmugangaLiu Jiayongwo mu Ishami rishinzwe Amagufwa n'Imitsi yoroshye mu Bitaro bya Kanseri bya Kaminuza ya Peking.
Gutangariza Impuguke ifite ubumenyi bwimbitse ku bubabare bw'amagufwa n'inyama – Dr.Liu Jiayong
Umuganga w’Ubuvuzi, Umuganga Mukuru, Porofeseri wungirije. Yize mu Kigo cya Anderson Cancer muri Leta Zunze Ubumwe za Amerika.
Ubuhanga:Kuvura burundu indwara zoroshye zo mu mubiri (kubaga no kongera kubaka; ubuvuzi bushingiye ku mikorere ya chimiotherapie, ubuvuzi bugamije, no kuvura indwara ziterwa n'ubudahangarwa bw'umubiri); kubaga melanoma.
Afite uburambe bw'imyaka igera kuri 20 mu buvuzi, Dogiteri Liu Jiayong yakusanyije ubumenyi bwinshi mu buvuzi no mu kubaga mugusuzuma indwara mu buryo busanzwe no kuvura byihariyeKu ndwara zisanzwe zo mu bwoko bwa sarcoma zoroshye nka sarcoma idahinduka, liposarcoma, leiomyosarcoma, synovial sarcoma, adenocystic carcinoma-like sarcoma, epithelioid sarcoma, fibrosarcoma, angiosarcoma, na infiltrative fibromatosis. By’umwihariko, niInzobere mu gufata imitsi n'imitsi mu gihe cyo gucibwa amaguru n'amaboko, ndetse no gusana no kongera gusana utunyangingo tworoshye ku ruhu.Dogiteri Liu atega amatwi buri murwayi yitonze, akabaza amateka ye y’ubuvuzi, kandi agafata inyandiko z’ubuvuzi zirambuye. Yita cyane ku mpinduka mu miterere y’umurwayi mu bihe bitandukanye, nko mbere na nyuma yo kubagwa, mu gihe cyo kuvurwa, gukurikirana indwara, n’uko indwara igenda ikura, agafata ibyemezo nyabyo kandi agahindura gahunda zo kuvura ku gihe.
Dogiteri Liu Jiayong ubu ni umunyamuryango w’Itsinda ry’Abaganga b’Ingingo Ziciriritse n’Abarwaye Melanoma b’Ishyirahamwe ry’Abashinwa rirwanya Kanseri, ndetse n’umunyamuryango w’Itsinda ry’Abaganga b’Ingingo Zitukura bo mu Ishyirahamwe ry’Abaganga b’Ingingo Zitukura rya Beijing ry’Ishyirahamwe ry’Abaganga b’Abashinwa.Mu 2010, yabaye uwa mbere mu Bushinwa wahinduye akanasohora "NCCN Clinical Practice Guidelines in Soft Tissue Sarcoma," yateje imbere uburyo busanzwe bwo kuvura sarcoma zoroshye.Akomeje guharanira iterambere mu bushakashatsi mu by’ubuvuzi no mu bya siyansi, nubwo afite umutwaro munini w’abarwayi. Yitanze kandi ashinzwe buri murwayi avura, kandi muri iki gihe cy’icyorezo, yakemuye ibibazo abarwayi bashaka ubuvuzi bahura na byo yihutira gusubiza inama z’abarwayi, asuzuma ibisubizo byo gukurikirana, kandi atanga inama zikwiye zo kuvurwa binyuze ku mbuga nkoranyambaga zo kuri interineti nka Good Doctor’s Patient Group.
Urubanza ruherutse
Bwana Zhang, umurwayi w'imyaka 35, yahuye n'ikibazo cyo kutabona mu buryo butunguranye mu ntangiriro za 2019. Nyuma yaho, yabazwe mu jisho ry'ibumoso bitewe n'ubwiyongere bw'umuvuduko w'amaso bukomeje kwiyongera. Indwara ya nyuma yo kubagwa yagaragaje ko hari ikibyimba cyihariye. Mu mpeshyi y'uyu mwaka, habonetse utubyimba twinshi mu bihaha mu gihe cyo gusuzuma, ariko nta tunyangingo twa kanseri twabonetse binyuze mu gusuzuma urushinge. Isuzuma ryakurikiyeho ryagaragaje ko hari ibice byinshi by'amagufwa n'ibihaha byanduye. Inama zakorewe mu bitaro byo mu gace no mu bitaro byo hejuru zasanze afite ikibyimba cya myofibroblastic. Muri Kanama 2022, yakorewe imiti ivura indwara nyinshi, yagabanyije ububabare bwe ariko nta ngaruka zigaragara yagaragaje mu bibyimba nyuma yo kongera gusuzuma. Imiterere ye y'umubiri nayo yaragabanutse. Nubwo bimeze bityo, umuryango we ntiwigeze ucika intege. Nyuma yo gushaka ibitekerezo byinshi, byaje kwa muganga Liu Jiayong mu Gushyingo 2022. Nyuma yo gusuzuma neza amateka y'ubuzima bw'umurwayi, inyandiko zose z'ubuvuzi, ibizamini by'uburwayi, n'amakuru yerekeye amashusho,UmugangaLiu yatanze igitekerezo cy’uburyo bwo kuvura kanseri bugizwe na methotrexate nke na Changchun Ruibin.Iyi gahunda ya chimiotherapie ihendutse kandi ifite ingaruka nke. Nyuma y'iminsi 35 yo gufata imiti, isuzuma rya CT ryakozwe nyuma ryagaragaje ko ikibyimba cyo mu gihaha cy'iburyo cyashize, bigaragaza ko ikibyimba cyagabanutse neza.Isuzuma riherutse gukorwa mu bitaro bya Beijing South Region Oncology ryagaragaje ko ibihaha bihagaze neza, kandi Dogiteri Liu yasabye ko bazajya basura umurwayi buri gihe. Uyu murwayi n'umuryango we ubu bafite icyizere cyiyongereye ku buvuzi bukurikira, buzuye icyizere. Bumva ko babonye urumuri mu rugendo rwo kuvurwa kandi bagaragaza ko bashimira cyane bagaragaza ibendera ry'ishimwe.
Igihe cyo kohereza: Kanama-25-2023