Thaum koj mob taub hau, tej zaum koj yuav ntshai thiab txhawj me ntsis, "Auj, kuv puas muaj qog hauv hlwb?" Qhov ntawd puas yog ib txwm muaj? Tab sis qhov tseem ceeb tshaj plaws uas peb yuav tsum paub yog tias tsis yog txhua qhov mob taub hau thiab qog yog qog txaus ntshai. Hnub no peb yuav tham txog ib hom qog uas feem ntau tshwm sim hauv lub hlwb, tab sis feem ntau tsis txaus ntshai. Peb hu qhov no ua meningioma.
Hais yooj yim xwb, meningioma yog dab tsi?
Xav txog tias peb lub hlwb thiab tus txha caj qaum raug tiv thaiv los ntawm ib daim ntaub nyias nyias uas ua los ntawm peb daim ntaub. Nws zoo li daim ntawv npog phau ntawv. Daim ntaub npog no yog qhov peb hu ua 'meninges'. Meningioma yog ib qho qog uas loj hlob ntawm cov ntaub npog ntawd.
Qhov tseem ceeb yog tias qhov no tsis yog qog uas loj hlob hauv lub hlwb , tab sis yog qog uas loj hlob hauv daim ntaub npog uas nyob ib puag ncig lub hlwb. Yog li ntawd, kwv yees li 80% ntawm cov qog no tsis txaus ntshai , uas yog, lawv tsis yog qog phem. Lawv feem ntau loj hlob qeeb heev. Qee zaum lawv tuaj yeem nyob tau ntau xyoo yam tsis muaj tsos mob. Tab sis qee zaum, txawm tias lawv tsis txaus ntshai, thaum cov qog no loj hlob, nws tuaj yeem ua rau muaj teeb meem vim nws nias rau ntawm qee qhov ntawm lub hlwb.
Koj faib cov txiv ntoo no ua pawg li cas?
Cov mob Meningiomas feem ntau muab faib ua peb qib raws li lawv tus yam ntxwv. Kev nkag siab qhov no yuav ua rau qhov no meej dua rau koj.
| Qib ntawm cov txiv hmab txiv ntoo | Kev piav qhia yooj yim |
|---|---|
| Qib 1 | Qhov no yog hom mob uas feem ntau pom. Kwv yees li 80% ntawm cov meningiomas yog hom no. Cov no yog cov qog nqaij hlav uas tsis yog mob qog nqaij hlav (benign) . Lawv loj hlob qeeb heev thiab muaj ciam teb meej. |
| Qib 2 (Qib 2 - Tsis zoo li qub) | Cov no tsis yog cov qog nqaij hlav mob qog noj ntshav lossis cov qog nqaij hlav tsis muaj mob kiag li. Lawv yog theem nruab nrab. Lawv muaj kev pheej hmoo siab ntawm kev rov tshwm sim thiab loj hlob sai. Kwv yees li 15% -20% ntawm cov meningiomas yog hom no. |
| Qib 3 (Qib 3 - Anaplastic) | Cov no yog cov qog nqaij hlav phem . Tab sis lawv tsis tshua muaj. Lawv tsuas yog suav txog 1% -4% ntawm cov meningiomas. Lawv tuaj yeem loj hlob sai thiab kis mus rau lwm qhov ntawm lub hlwb thiab lub cev (piv txwv li, lub ntsws). |
Leej twg muaj feem yuav mob no tshaj?
Txawm hais tias tseem tsis tau pom qhov ua rau muaj qhov no, kev tshawb fawb pom tias muaj qee yam uas yuav ua rau tus neeg muaj feem yuav mob meningioma ntau ntxiv.
- Txivneej/Pojniam: Qhov xav tsis thoob yog tias hom qog no feem ntau tshwm sim rau cov poj niam dua li cov txiv neej. Cov poj niam hnub nyoog nruab nrab muaj feem yuav mob qog no li ob npaug ntau dua li cov txiv neej.
- Cov Tshuaj Hormones: Cov tshuaj hormones poj niam estrogen thiab progesterone ntseeg tau tias muaj feem cuam tshuam rau kev loj hlob ntawm cov qog no. Cov qog no yuav loj hlob sai thaum cev xeeb tub thiab thaum noj tshuaj hormone hloov kho.
- Kev raug hluav taws xob: Kev raug hluav taws xob ntau dhau rau lub taub hau thiab caj dab, tshwj xeeb tshaj yog thaum yau, ua rau muaj kev pheej hmoo ntau ntxiv.
- Hnub nyoog: Tus mob no feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 65 xyoos.
- Cov mob caj ces: Cov neeg uas muaj tus kab mob caj ces Neurofibromatosis hom 2 (NF2) muaj li ntawm 50% txoj hmoo yuav mob meningioma.
- Kev Rog Phem: Txawm hais tias qhov sib txuas ncaj qha ntawm kev rog dhau thiab meningioma tsis meej, qee qhov kev tshawb fawb tau qhia tias cov qog no feem ntau tshwm sim ntawm cov neeg rog dhau.
Qhov tseem ceeb yog tias muaj cov yam ntxwv no tsis tau txhais hais tias koj yuav mob meningioma. Nws kuj ua tau rau ib tus neeg mob no txawm tias lawv tsis muaj ib qho ntawm cov yam ntxwv no.
Cov tsos mob ntawm qhov no yog dab tsi?
Vim tias feem ntau cov meningiomas loj hlob qeeb heev, tsis muaj tsos mob thaum ntxov. Yog tias muaj cov tsos mob, lawv nyob ntawm qhov twg ntawm lub qog nyob hauv lub hlwb thiab nws loj npaum li cas. Cov tsos mob feem ntau suav nrog:
- Mob taub hau uas tau muaj ntev lawm thiab maj mam zuj zus tuaj.
- Mob qaug dab peg tam sim ntawd.
- Pom kev tsis meej , pom ob sab, lossis pom kev tsis meej.
- Xav tias tsis muaj zog lossis tsis muaj zog ntawm caj npab lossis ceg.
- Kev tingling hauv qee qhov ntawm lub cev.
- Nyuaj hais lus .
- Nrov hauv pob ntseg los yog hnov tsis tau lus .
- Teeb meem nco qab .
Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, qhov zoo tshaj plaws ua yog tsis txhob ntshai thiab mus ntsib kws kho mob tam sim ntawd kom tau txais lus qhia.
Tus kws kho mob nrhiav tau qhov no li cas?
Tom qab mloog koj cov tsos mob, koj tus kws kho mob yuav kuaj koj thiab, yog tias xav tias muaj meningioma, xaj kom kuaj lub hlwb.
1. Kev Ntsuas MRI (Magnetic Resonance Imaging): Qhov no yog txoj hauv kev zoo tshaj plaws los kuaj mob meningioma. Nws tuaj yeem qhia meej qhov chaw, qhov loj me, thiab qhov dav ntawm lub qog thiab nws cov kev cuam tshuam rau cov nqaij nyob ib puag ncig.
2. Kev Ntsuas CT (Computed Tomography): Qee zaum, kev ntsuas CT kuj tseem siv ntxiv rau kev ntsuas MRI.
3. Kev kuaj mob: Qee zaum, ib daim me me ntawm lub qog yuav raug tshem tawm thaum lub sijhawm phais thiab xa mus rau chav kuaj mob kom paub tseeb tias nws puas yog mob qog noj ntshav (Qib 3) lossis tsis yog.
Yuav kho li cas?
Kev kho mob yog txiav txim siab los ntawm ntau yam, suav nrog qhov loj ntawm lub qog, nws loj hlob sai npaum li cas, koj lub hnub nyoog, thiab koj txoj kev noj qab haus huv tag nrho.
1. Tos thiab Saib
Yog tias qhov mob qog me heev, tsis muaj tsos mob, thiab tsis txaus ntshai (Qib 1), koj tus kws kho mob yuav hais kom koj tos ib pliag yam tsis tau kho mob. Thaum lub sijhawm no, yuav muaj kev thaij duab MRI tsis tu ncua los saib xyuas seb qhov mob qog puas loj hlob.
2. Kev phais tshem tawm (Kev phais)
Yog tias koj muaj cov tsos mob, yog tias qhov qog loj hlob sai, lossis yog tias nws nias rau ntawm ib feem tseem ceeb ntawm koj lub hlwb, koj tus kws kho mob yuav txiav txim siab ua phais kom tshem nws tawm. Kev phais no hu ua craniotomy . Qhov no suav nrog kev tshem tawm ib daim pob txha me me ntawm koj lub taub hau, tshem tawm ntau lossis tsawg ntawm qhov qog li sai tau, thiab tom qab ntawd rov txuas cov pob txha. Ib yam li kev phais mob, muaj kev pheej hmoo, yog li nws yog ib qho tseem ceeb uas yuav tsum tham txog qhov no nrog koj tus kws kho mob ua ntej txiav txim siab.
3. Kev Kho Mob Hluav Taws Xob
Kev siv tshuaj tua kab mob yog siv yog tias lub qog nyob rau qhov chaw uas tsis tuaj yeem phais tshem tawm tag, lossis rhuav tshem cov khoom me me uas tseem tshuav tom qab phais. Qhov no tuaj yeem ua rau lub qog me dua lossis tiv thaiv nws kom tsis txhob loj hlob. Kev kho mob no kuj tseem siv rau cov qog mob qog noj ntshav (Qib 3).
4. Kev kho mob qog noj ntshav
Kev kho mob chemotherapy tsis tshua muaj siv rau meningioma, thiab tsuas yog xav txog thaum phais thiab kev kho mob hluav taws xob tsis ua haujlwm.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob meningioma yog ib qho qog uas loj hlob hauv lub hlwb. Feem ntau (kwv yees li 80%) ntawm cov no tsis yog mob qog noj ntshav.
- Vim tias cov no loj hlob qeeb heev, tej zaum yuav tsis muaj tsos mob rau ntau xyoo.
- Yog tias koj muaj cov tsos mob xws li qaug dab peg tam sim ntawd, pom kev hloov pauv, teeb meem nco qab, lossis mob taub hau ntev, tsis txhob ntshai thiab nrhiav kev pab kho mob tam sim ntawd.
- Tsis yog txhua yam meningiomas yuav tsum tau kho tam sim ntawd. 'Tos thiab saib' yog ib txoj kev kho mob uas siv ntau.
- Tham nrog koj tus kws kho mob txog kev kho mob twg zoo tshaj plaws rau koj tus mob thiab txiav txim siab zoo tshaj plaws.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus