By’olina okumanya ku bizimba by’obwongo ebitali bya kookolo

Bwe tuwulira ebigambo "ekizimba ku bwongo," bangi ku ffe amangu ago tutya, si bwe kiri? Naye ekisinga obukulu ky’olina okumanya nti ebizimba byonna ebikula mu bwongo si biba bya kookolo. Waliwo n’ebika by’ebizimba ebitali bya kookolo, ekitegeeza nti tebisaasaana mu bitundu by’omubiri ebirala, wabula bisobola okukula mu bunene ne bireeta obubonero obumu. Abasawo bino babiyita ‘ebizimba ebitali bya bulabe’. Kale leero, ka twogere ku bizimba bino eby’obwongo ebitali bya kookolo.

Ekika kya meningioma ekisinga okumanyibwa ye meningioma.

Kino kye kika ky’ekizimba ky’obwongo ekisinga okubeerawo. Kikola nga kimu kya kusatu ku bizimba byonna eby’obwongo. Zikola mu bibikka ebikuuma okwetooloola obwongo bwaffe n’omugongo, ebiyitibwa meninges.

Abakyala batera okufuna ekizimba eky’ekika kino emirundi ebiri okusinga abasajja. Ensonga zino wammanga nazo ziyinza okwongera ku bulabe:

• Okukwatibwa emisinde egy’amaanyi ennyo.
• Bw’oba ​​olina embeera z’obuzaale nga `(Neurofibromatosis type 1 (NF1))` oba `(type 2 (NF2))`.

Ebiseera ebisinga, ebizimba bino tebiraga bubonero okutuusa nga biba binene. Ekizimba bwe kikula, obubonero nga:

• Okulumizibwa omutwe
• Okukonziba
• Okuziyira oba okusiiyibwa
• Enkyukakyuka mu buntu n’okutabulwa mu birowoozo
• Ebizibu by’okulaba
• Obuzibu okwogera
• Okubulwa amatu oba okukuba mu matu
• Obunafu bw’ebinywa

Schwannoma (ekizimba ky’obusimu) .

Ebizimba bino bituumiddwa amannya g’ekika ky’obutoffaali mwe biva: Obutoffaali bwa Schwann, obwetoolodde obutoffaali bw’obusimu.

Ekika ekisinga okumanyibwa eky’ekika kino kiyitibwa vestibular schwannoma. Omusawo wo ayinza n’okuyita kino obulwadde bw’obusimu obuyitibwa acoustic neuroma. Kino kikosa obusimu obuva mu kutu kwaffe okw’omunda okutuuka ku bwongo ne bufuga bbalansi y’omubiri.

Abantu abalina obulwadde obw’obuzaale `(NF2)` batera okufuna ebizimba bino. Wano ne wano abakyala bali mu bulabe bwa maanyi.

Obubonero obukulu:

• Okubulwa okuwulira
• Okuwulira eddoboozi eriwuuma oba ery’okuwuuma mu matu
• Okuziyira
• Okukaluubirirwa okumira emmere
• Ebizibu bya bbalansi

Pituitary adenoma (ekizimba ky’endwadde z’omu lubuto ekifuga obusimu) .

Ebizimba bino bikula mu nseke eziyitibwa pituitary gland, esangibwa wansi w’obwongo. Ensigo eno y’esinga okukola obusimu n’okufuga endwadde endala mu mubiri gwaffe.

Bino nabyo bika bya bizimba ebitera okubeerawo. Abantu abakulu nga omu ku buli bataano ayinza okuba n’ebizimba ebitono ennyo mu pituitary. Naye ebisinga ku bino tebikula wadde okuleeta obuzibu.

Abantu abalina obulwadde obw’obuzaale ``Multiple Endocrine Neoplasia type 1 (MEN1)`` bali mu bulabe obw’okufuna bino.

Ebizimba ebimu ebiyitibwa pituitary ebizimba bikola obusimu. Bino biyitibwa ‘ebizimba ebikola.’ Obubonero businziira ku oba ekizimba kikola obusimu, era bwe kiba bwe kityo, obusimu ki.

• Prolactin hormone: Abakyala bayinza okufuna ensonga ezitali za bulijjo oba nga tezigenda mu nsonga. Abasajja bayinza okufuna amabeere okugaziwa.
• ACTH hormone: Kino kireeta obubonero bw'embeera eyitibwa ``Cushing's disease''. Ng’ekyokulabirako, okweyongera okugejja, okunyiga amangu, n’okunafuwa.
• Obusimu bwa TSH: Bulaga obubonero bw’endwadde ya thyroid ekola ennyo (Hyperthyroidism), gamba ng’okugejja, okunyiiga, n’okutuuyana ennyo.

Obubonero obulala obutera okulabika:

• Okulumizibwa omutwe
• Okubulwa okulaba oba okulaba emirundi ebiri
• Obwagazi bw’okwegatta okukendeera
• Obutazaala
• Enkyukakyuka mu nneeyisa
• Okugejja awatali nsonga

Ebika ebirala eby’ebizimba ebitali bya kookolo

Waliwo ebika by’entangawuuzi ebirala ebiwerako.

Obulwadde bwa Hemangioblastoma

Bino bikula mu misuwa. Ziyinza okukula mu bwongo, mu mugongo oba mu retina y’eriiso. Zirabibwa mu bantu abalina obulwadde obw’obuzaale obuyitibwa ``Von Hippel-Lindau syndrome.`` Obubonero buyinza okuli okuziyira mu bitundu by’omubiri, okunafuwa, okulumwa omutwe, okuziyira, n’okukaluubirirwa okutambula.

Obulwadde bw’omutwe n’ennyindo

Bino bitandikira mu butoffaali obuli ku musingi gw’obwongo, okumpi n’endwadde ya pituitary gland. Ziyinza okuba ensawo enkalu oba ezijjudde amazzi (cysts). Zisinga kubeera mu baana abali wakati w’emyaka 5 ne 14 n’abantu abakulu abali waggulu w’emyaka 45. Ziyinza okuvaako obubonero ng’omugejjo, ennyonta esukkiridde, okulemererwa okukula mu baana, n’okukyuka mu kulaba.

Obulwadde bwa Glioma

Bino biva mu butoffaali bwa glial obuwagira obutoffaali bw’obusimu mu bwongo n’omugongo. Zigabanyizibwamu ebibinja ebiwerako. Ebibiina 1 ne 2 tebirina kookolo era bikula mpola. Ekibiina eky’okusatu n’eky’okuna bizimba ebikambwe, ebikula amangu.

Abasawo bazuula batya oba ebizimba bino biriwo?

Omusawo ajja kusooka kukubuuza ku bubonero bwo, gamba ng’okulumwa omutwe n’okukonziba. Olwo, bayinza okukola ekigezo kimu oba ebisingawo ku bino wammanga okusobola okuzuula ekituufu:

• CT Scan: Enkola ekozesa X-ray ez’amaanyi okufulumya ebifaananyi ebikwata ku bwongo mu bujjuvu.
• MRI Scan: Enkola ekozesa magineeti ez’amaanyi n’amayengo ga leediyo okufulumya ebifaananyi ebitegeerekeka obulungi ennyo eby’obwongo.
• Biopsy: Ekitundu ekitono ennyo kiggibwa mu kizimba ne kyekebejjebwa mu microscope okulaba oba waliwo obutoffaali bwa kookolo.
• Lumbar Puncture / Spinal Tap: Okukebera kuno kukolebwa okukebera obutoffaali obutali bwa bulijjo mu mazzi g’omugongo.
• Okukebera omusaayi n’omusulo: Bino biyamba okunoonya obusimu oba ebintu ebirala ebifulumizibwa mu mubiri ekizimba.

Bujjanjabi ki obukolebwa ku kino?

Enkola y’obujjanjabi esinziira ku kika, obunene n’ekifo ekizimba we kiri.

• Ebizimba ebitono: Tewali bujjanjabi buyinza kwetaagisa. Omusawo wo ajja kutera okukola CT oba MRI scan okulondoola oba ekizimba kyeyongera obunene.
• Ebizimba ebinene: Okulongoosa okubiggyamu y’obujjanjabi obusinga. Omusawo agenda kugezaako okuggyamu ekizimba ekinene nga bwe kisoboka.
• Obujjanjabi bw’amasannyalaze (radiation therapy):Eno nkola ekozesa ebifaananyi bya X-ray ebirina amaanyi amangi okukendeeza ku bizimba. Obujjanjabi buno bukozesebwa ku bizimba ebitasobola kuggyibwawo ddala nga bilongooseddwa oba ebizzeemu oluvannyuma lw’okulongoosebwa. Stereotactic Radiosurgery ngeri ya njawulo ey’obujjanjabi obw’amasannyalaze obugenderera ekizimba butereevu, okukendeeza ku kwonooneka kw’ebitundu ebiramu ebibyetoolodde.

Omusawo wo ajja kukuyamba okulonda enteekateeka y’obujjanjabi esinga obulungi gy’oli, ng’ateesa naawe ku ngeri zonna gy’oyinza okukozesa. Kale tosalawo kintu kyonna ku bubwo. Bulijjo biteese n’omusawo wo.