Dhipatimendi reOncology reMapfupa neNyama Yakapfava idhipatimendi rehunyanzvi rekurapa mabundu emapfupa netsandanyama, kusanganisira mabundu emapfupa asina njodzi uye akaipa emativi emuviri, chiuno nemusana, mabundu emapfupa asina njodzi uye akaipa uye mabundu akasiyana-siyana anopararira anoda kupindira kwemapfupa.
Nyanzvi Yekurapa
Kuvhiya
Kurapa kwekuchengetedza mapfupa nemapfupa akapfava kunonyanya kusimbiswa pamabundu ane mapfupa nemapfupa akapfava. Mushure mekubviswa kwezvironda zvemunharaunda zvakanyanya, kutsiva nhengo dzemuviri, kuvakazve tsinga dzeropa, kuisirwa mapfupa e allogeneic nedzimwe nzira dzinoshandiswa. Kurapa kwekuchengetedza mapfupa kwakaitwa kune varwere vane bundu remapfupa ane mapfupa emakumbo. Kubviswa kwakawanda kwakashandiswa pakubvisa mapfupa akapfava, kunyanya pakubvisa mapfupa akapfava uye asingadzoreki, uye ganda rakasiyana-siyana rakasunungurwa uye rakachekwa rakashandiswa kugadzirisa zvikanganiso zvematumbu akapfava mushure mekuvhiyiwa. Kuvhara tsinga dzeropa nekuvharika kwebharuni remudumbu kwenguva pfupi zvakashandiswa kuderedza kubuda ropa mukati mekuvhiyiwa uye kubvisa bundu zvakachengeteka pamabundu emudumbu nepachiuno. Pamabundu emapfupa akapararira, mabundu ekutanga emusana nemabundu akapararira, radiotherapy uye chemotherapy zvakasanganiswa nekuvhiyiwa zvichienderana nemamiriro evarwere, uye nzira dzakasiyana-siyana dzekugadzirisa mukati dzakashandiswa zvichienderana nenzvimbo dzakasiyana.
Kurapwa nemakemikari
Chemotherapy yepamberi pekuvhiyiwa inoshandiswa pakurapa bundu rine kenza rinoonekwa nechirwere ichi kuti ribvise micrometastasis, kuongorora kushanda kwemishonga yekurapa, kuderedza danho rekurapa bundu remunharaunda, uye kubatsira pakuvhiyiwa kwakakura. Inoshandiswa pakurapa mamwe bundu rine kenza remapfupa uye soft tissue sarcomas.
Kurapa neRadiotherapy
Kune mamwe mabundu ane njodzi asingabviswi zvakanyanya nekuvhiyiwa kwe limb salvage kana kuvhiyiwa kwe trunk, adjuvant radiotherapy vasati vavhiyiwa kana mushure mekuvhiyiwa inogona kuderedza kudzoka kwebundu.
Kurapa Kwemuviri
Panyaya yekushanda zvisina kunaka kwemuviri mushure mekuvhiyiwa, nzira yekutungamira kwehunyanzvi mushure mekuvhiyiwa yekugadzirisa mashandiro emuviri yakashandiswa kugadzira mashandiro akanaka emakumbo ekugadzirisa hupenyu hwemagariro evanhu nekukurumidza sezvinobvira.