Kashi metastases.

Daya daga cikin manyan matsaloli da duk ciwon daji - makawa farko na karshe mataki - mataki na metastasis. Metastasis foci ne m neoplasms cewa a kwarara daga Lymph ko jini, an rubuta su a m gabobin da kyallen takarda, a cikinsa fara ci gaba neoplastic tsari.

Cancer da kusan dukkan gabobin da kyallen takarda iya metastasize zuwa kashi. Irin wannan raunuka za a iya samu a kusan duk wani kashi Tsarin. A mafi akai-akai - metastases a cikin kashin baya, a kalla a ƙashin ƙugu, hakarkarinsa, kuma wata gabar jiki.

Abin da marurai metastasize zuwa kashi?

Mafi sau da yawa, wannan tsari ya auku a lokacin da thyroid gland shine yake ciwon daji, prostate da mammary gland.

Akwai biyu na asali iri pathological tsari a cikin kashi - osteoblastic da osteolytic metatstazirovanie. Domin na farko form hatimi ne na hali na kashi nama, musamman ta ma'adinai bangaren. Na biyu form taimaka "wankin daga" na ma'adanai, wanda babu makawa entails thinning kuma samu karaya.

A pathogenesis da wannan cuta ne abin da stimulates da ƙari Kwayoyin. Idan metastasis ciwon daji ya shafi osteoblasts a cikin tsari - tasowa osteoblastic form. Lokacin na farko da ƙari a cikin hanyar gana da kashi resorbing sel (osteoclasts) - shi ne samuwar metastases osteolysis.

A mafi yawan lokuta, bayyanar metastases a cikin kashi Yanã zafi karshe. Pain ciwo ne ya sa ta lalacewar jijiya endings ƙari growths, da matsa lamba da karuwa a cikin kashi, da kuma saboda hangula endings na jijiya zaruruwa kasaftawa metastasis abubuwa. Bugu da kari, da zafi faruwa a lokacin kashi samu karaya lalacewa ta hanyar thinning na karshe (halayyar osteolytic siffofin). Don samar da osteoblastic halayyar bayyana hypercalcemia (high jini alli).

A hatsari na samu karaya ne high yiwuwar rikitarwa - huhu embolism, zurfin jannayẽnsa thromboembolism (kyakkyawan, wannan take kaiwa zuwa wani asarar aikin loading sashin jiki ko reshe kuma fahimcin muhimmancin).

Kashi metastases ake bincikar lafiya ta amfani da X-ray. A saboda wannan dalili, yi amfani da bayyana radiography a multiplicity na metastatic raunuka, kazalika da osteolytic form. A cikin hali na osteoblastic kwashe radionuclide scans. Daya daga cikin hanyoyin da ganewa, a cikin abin da za a iya gani ba kawai kashi metastases, amma kuma a cikin sauran gabobin da kyallen takarda - Pet 18P-deoxyglucose.

M magani daga kashi metastases aka nuna a karshe zai yiwu karaya. Orthopedic likita yi tiyata don ƙarfafa kashi ta sa fil da kuma cika wõfintattu da kashi ciminti ƙari.

Radiation far a kashi na game da goma sha biyar - ashirin da biyar Gy (ya yiwuwa ga hudu kasarun adadi), rabin na marasa lafiya ne da bacewar zafi. A kashi na talatin - arba'in da biyar Gy sa wani gagarumin ci gaba a cikin yanayin haƙuri, musamman irin inganta ci gaba a kan gaba daukan hotuna na biyu - makonni uku.

Na biyu cika bayan radiation far, amfani ne na rediyoaktif strontium. An yanzu yadu amfani bisphosphonate magani. Wannan musamman acid cewa hana na ayyuka na osteoclasts. Bugu da kari, wadannan kwayoyi raunana tsananin zafi a samu karaya da kasũsuwa, ashe, kazalika da ci gaba da siffofin maruran.

Saboda haka, da hangen nesa ga metastasis zuwa kashi iya zama daban-daban, dangane da sarrafawa da osteblastnoy ko osteolytic siffofin da kuma hanyoyin da magani.