Glioma: Yala an ka kan ka nin ko ninnu dɔn sani an ka siran kunsɛmɛ kansɛri ko la wa?

Daɲɛ min ye ko ‘sɔgɔsɔgɔninjɛ’ walima ‘sɔgɔsɔgɔninjɛ’ bɛ i yɛrɛyɛrɛ, tiɲɛ tɛ? O ye daɲɛ ye min bɛ siran mɔgɔ ɲɛ tiɲɛ na. Nka n’an y’o bɛɛ dɔn kosɛbɛ, an bɛ se ka dɔ bɔ o siran na fo ka se hakɛ dɔ ma. Bi an bɛ kuma kansɛri suguya dɔ kan min bɛ wele ko glioma, o bɛ se ka sɔrɔ kunsɛmɛ ni kɔkolo la. An k’a lajɛ a ye min ye tiɲɛ na, mun na a bɛ sɔrɔ, a taamasiɲɛw ye mun ye, ani fura minnu bɛ se ka kɛ.

Glioma ye mun ye tigitigi?

N’an y’a fɔ cogo nɔgɔman na, glioma ye tɔgɔba ye min bɛ fɔ kansɛri kulu dɔ ma minnu bɛ daminɛ ‘glial cellules’ la an ka hakili ni kɔkolo la. O glial cellules ye cellules suguya ye min nafa ka bon kosɛbɛ, min bɛ an ka nerve cellules dɛmɛ, k’u lakana ani k’u balo. O la, glioma bɛ sɔrɔ ni o farikolokisɛw y’a daminɛ ka bonya ka bɔ u yɛrɛ la.

Nin kansɛri suguya in taamasiɲɛw, a ɲɛfɔcogo ani a furakɛcogo bɛ se ka ɲɔgɔn ta mɔgɔ kelen-kelen bɛɛ la. O bɛ bɔ i si hakɛ la, kansɛri suguya la, jamu taamasiɲɛw (biomarkers) minnu bɛ a la, ani kuru bɛ ​​yɔrɔ min na kunsɛmɛ na. Gliome suguya dɔw bɛ bonya joona kosɛbɛ ka jɛnsɛn ka don kunsɛmɛnasumaya la. Ni o kɛra, a ka gɛlɛn kosɛbɛ ka a bɔ pewu ni opereli ye, wa tuma dɔw la, a bɛ se ka kɛ a tɛ se ka kɛ fewu.

Glioblastomas ye kansɛribana suguya ye min ka teli ka kɛ balikuw la. U ka teli ka sɔrɔ mɔgɔkɔrɔbaw la, wa u ka ca dɔɔni cɛw la.

Farati jumɛnw bɛ kɛ sababu ye ka ninnu yiriwa?

O ye gɛlɛya ye min bɛ mɔgɔ caman kan. Faratiba caman dɔnna minnu bɛ kɛ sababu ye ka gliome (glioma) sɔrɔ.

• Fiɲɛdimi furakɛli kɔrɔ: Fiɲɛdimi furakɛli kɔrɔ min kɛra ka ɲɛsin kunsɛmɛ ma, o ye farati ye min bɛ se ka kɛ sababu ye ka gliome suguya jugumanw sɔrɔ.
• Kungolo joginw : Kungolo joginni fana bɛ jate farati ye fo ka se hakɛ dɔ ma.
• Jɛnɛya banaw : Hali ni jamu dɔw bɛ dɔ fara nin kansɛri in sɔrɔli kan denmisɛnw na, a man ca mɔgɔkɔrɔbaw la kosɛbɛ.

Glioma suguya kunbabaw ni a hakɛw

Glioma ye kansɛri suguya ye min bɛ tila ka kɛɲɛ ni a bɔra glial selilɛri suguya min na ani a bɛ bonya teliya cogo min na. Kuma nɔgɔman na, a bɛ Se ka Tla suguba fla ye: "slow-growing" (dɔgɔya-dafalen) ani "fast-growing" (high-grade). An ka suguba dɔw lajɛ.

Kansɛri hakɛ ni jamu taamasiɲɛw

Diɲɛ kɛnɛyatɔn (OMS) ka danfara la, o kansɛriw bɛ jate ka kɛɲɛ ni kansɛribanakisɛw ɲɛda cogoya ye mikroskɔpu fɛ ani u jamu cogoya. Yɛlɛma dɔw sɔrɔli jamu kɔnɔ (misali la, `IDH mutation`, `1p/19q co-deletion`) o b’a jira ko kansɛri bɛ furakɛli dɔw jaabi ka ɲɛ. Ninnu ye ko gɛlɛnw ye, o la aw ka dɔgɔtɔrɔ bɛna o kow ɲɛfɔ aw ye.

Yala nin taamasiɲɛ ninnu fana bɛ aw la wa?

Gliome taamasiɲɛw bɛ danfara ka kɛɲɛ ni kunsɛmɛnasumaya bɛ yɔrɔ min na. Misali la, kungolodimi bɛ se ka kɛ aw la min ni kungolodimi basigilen tɛ kelen ye, wa a bɛ i n’a fɔ a bɛ juguya don o don. Walima a bɛ se ka kɛ ko kirinni bɛ i la yɔrɔnin kelen. Olu de ye a taamasiɲɛ kunbabaw ye.

Taamasiɲɛ minnu ka teli ka ye:

• Kungolodimi : Kansɛri bɛ mɔgɔ minnu na, olu tilancɛ ɲɔgɔn bɛ nin taamasiɲɛ in sɔrɔ.
• Kɔnɔboli: Kɔnɔboli bɛ daminɛ yɔrɔnin kelen kun ɲɛnama tɛ.
• Hakililabɔbaliya: Ka ɲinɛ kɔsa in na ko kɛlenw kɔ.
• Farikolo fanga dɔgɔyali : bolo walima sen kelen bɛ sɔgɔsɔgɔ, fasaw tɛ se ka a minɛ.
• Yeli gɛlɛyaw : yelikɛbaliya, yeli fila.
• Kuma gɛlɛyaw : daɲɛw sɔgɔsɔgɔli kuma kɔnɔ, sebaliya ka daɲɛ ɲuman hakili to a la.
• Yɛlɛma donna mɔgɔya la: Yɛlɛma donna kɛwalew la, i n’a fɔ dimi barikama walima jɔrɔnanko.

Ni kansɛri bɛ ka bonya, o taamasiɲɛw bɛ se ka juguya dɔɔni dɔɔni, ka da a kan a bɛ kunsɛmɛbanakisɛw tiɲɛ, ka kunsɛmɛ yɔrɔ dɔw degun, ka kunsɛmɛ funu.

Dɔgɔtɔrɔw bɛ o sɛgɛsɛgɛ cogo di? (Sɛgɛsɛgɛli) .

Ni siga bɛ a la ko kunsɛmɛnasumaya dɔ bɛ yen, dɔgɔtɔrɔ bɛna min kɛ fɔlɔ, o ye ka yamaruya di ka kunsɛmɛ sɛgɛsɛgɛli kɛ.

1. Scans: `CT` scan walima `MRI` scan bɛ kɛ o la. `MRI` sɛgɛsɛgɛli bɛ se ka ja jɛlenw sɔrɔ.

2. Biyopisi : Ni sɛgɛsɛgɛli y’a jira ko kuru dɔ bɛ yen, a yɔrɔ fitinin dɔ bɛ ta ka a sɛgɛsɛgɛ walasa ka a dɔn tigitigi kansɛri suguya min don. An b’o wele ko ‘biopsie’. Ni opereli bɛ kɛ, o yɔrɔ bɛ se ka ta waati kelen na. Ni kuru in ka dun kunsɛmɛ na, wa a tɛ se ka opere, fɛɛrɛ kɛrɛnkɛrɛnnen dɔ bɛ kɛ min bɛ wele ko `stereotactic needle biopsy` ka dingɛ fitini dɔ kɛ kungolo la ka pikirijikɛlan tɛmɛ a fɛ walasa ka farikolo yɔrɔw ta.

O furakɛcogo jumɛnw bɛ yen?

Furakɛli suguya caman bɛ gliome (glioma) la. Furakɛli sugandili bɛ bɔ kansɛri suguya, a hakɛ, a sigiyɔrɔ, a jamu taamasiɲɛw (biomarkers) ani banabagatɔ si hakɛ ni a ka kɛnɛya bɛɛ lajɛlen na.

• Operelikɛyɔrɔ:Laɲini fɔlɔ ye ka kuru bɔ a la cogo la min tɛ mɔgɔ tɔɔrɔ. Ni aw bɛ kuru caman bɔ ka a sɔrɔ aw ma kunsɛmɛ baara nafamaw tiɲɛ (kuma, lamaga), o bɛ se ka dɔ bɔ a taamasiɲɛw la ani ka bana jɛnsɛnni kunbɛn.
• Radiation Therapy: A bɛ baara kɛ ni X-ray ye min fanga ka bon walima ni fiɲɛ suguya wɛrɛw ye walasa ka kansɛribana tolenw bɛɛ tiɲɛ.
• Chimiothérapie : Fura minnu bɛ di (furakisɛw walima pikiriw fɛ) minnu bɛ kansɛribanakisɛw falenni bali.
• Furakɛli laɲinitaw: Olu ni chimiothérapie basigilenw tɛ kelen ye. Ninnu ye bi furaw ye minnu bɛ farikolojɔli dumuni kɛrɛnkɛrɛnnenw walima jamu taamasiɲɛw laɲini ani ka bin u kan minnu bɛ kansɛribanakisɛw dɛmɛ u ka bonya.
• Kuran furakɛli ɲɔgɔn falen-falen: Nin ye furakɛli fɛɛrɛ kura ye. Elektɔriw bɛ bila kungolo sanfɛ ani ka kuran fanga dɔgɔya, o bɛ kansɛribanakisɛw tiɲɛ k’a sɔrɔ a ma tiɲɛni kɛ farikolokisɛw la minnu ka kɛnɛ. Minɛn dɔ bɛ Kɛ o la min bɛ Weele ko ``Optune Gio``.
• Furakɛli dɛmɛni: Furakɛli min bɛ kɛ walasa ka bana taamasiɲɛw kunbɛn. Misali la, kɔritikositɛriw walasa ka kunsɛmɛ funu dɔgɔya ani kirinni furaw walasa ka kirinni kunbɛn.
• Kɛnɛyaso sɛgɛsɛgɛliw: Sɛgɛsɛgɛli minnu bɛ furakɛli kuraw nafa ni u lakanani sɛgɛsɛgɛ. Banabagatɔ dɔw bɛ se ka u sen don o kow la.

Furakɛli fana bɛ ɲɔgɔn ta ka kɛɲɛ ni kansɛri suguya ye. Misali la, opereli ye astrocytoma hakɛ dɔgɔman furakɛli kunba ye. Nka, glioblastoma min ka bon kosɛbɛ, o bɛ opereli, fiɲɛ furakɛli ani chimiothérapie faralen ɲɔgɔn kan.