ISebe le-Oncology leThambo nezicubu ezithambileyo lisebe lobungcali lokunyanga iithumba zenkqubo yokuhamba kwamathambo nemisipha, kuquka iithumba zamathambo ezingabalulekanga nezinobungozi zemilenze, i-pelvis kunye nomqolo, iithumba zamathambo ezithambileyo ezingabalulekanga nezinobungozi kunye neethumba ezahlukeneyo ezisasazekayo ezifuna ukungenelela kwamathambo.
Ubuchwephesha kwezonyango
Utyando
Unyango lokusindisa amalungu olusekelwe kunyango olupheleleyo lugxininiswa kwiithumba ezinobungozi zamathambo nezitho ezithambileyo. Emva kokususwa ngokubanzi kwezilonda zasekuhlaleni, kusetyenziswa ukutshintshwa kweprosthesis yokwenziwa, ukwakhiwa kwakhona kwemithambo yegazi, ukufakelwa kwamathambo e-allogeneic kunye nezinye iindlela. Unyango lokusindisa amalungu lwenziwa kwizigulana ezineethumba zamathambo ezitho ezinobungozi. Ukususwa okubanzi kwasetyenziswa kwi-sarcoma yezicubu ezithambileyo, ngakumbi kwi-sarcoma yezicubu ezithambileyo eziphinda-phindayo nezinganyangekiyo, kwaye kwasetyenziswa ii-flaps zesikhumba ezahlukeneyo ezikhululekileyo nezinama-pedicle ukulungisa iziphene zezicubu ezithambileyo emva kotyando. Ukufakwa kwemithambo yegazi kunye nokuvaleka kwebhaluni ye-aorta yesisu kwasetyenziswa ukunciphisa ukopha kwegazi ngexesha lotyando kunye nokususa ithumba ngokukhuselekileyo kwiithumba ze-sacral neze-pelvic. Kwiithumba zethambo ezisasazekayo, iithumba zokuqala zomqolo kunye neethumba ezisasazekayo, unyango nge-radiotherapy kunye ne-chemotherapy zadityaniswa notyando ngokweemeko zezigulana, kwaye iindlela ezahlukeneyo zokulungisa ngaphakathi zasetyenziswa ngokweendawo ezahlukeneyo.
Unyango ngamakhemikhali
I-chemotherapy yangaphambi kotyando isetyenziselwa izimila ezinobungozi eziqinisekiswe yi-pathology ukuze kupheliswe i-micrometastasis, kuhlolwe impembelelo yamayeza e-chemotherapy, kuncitshiswe inqanaba lezonyango lezimila zasekuhlaleni, kwaye kube lula ukususwa ngokupheleleyo kotyando. Isetyenziswa ngokwezonyango kwezinye izimila ezinobungozi zamathambo kunye nee-sarcomas zezicubu ezithambileyo.
Unyango ngemisebe
Kwii-tumor ezithile ezinobungozi ezingenakususwa kakhulu ngotyando lokusindisa amalungu okanye ngotyando lwesiqu, unyango oluncedisayo lwe-radiotherapy ngaphambi okanye emva kotyando lunokunciphisa ukuphinda kwe-tumor.
Ulungiso lwenyama
Kwingxaki yokungasebenzi kakuhle kwemisipha emva kotyando, indlela yesikhokelo sobuchwephesha emva kotyando sokuvuselela ukusebenza yamkelwe ukudala ukusebenza kakuhle kwamalungu ukuze kubuyiselwe ubomi obuqhelekileyo bentlalo ngokukhawuleza.