Olina ebizimba bino ebitatera kulabika mu bwongo bwo? Ka tuyige ku Gangliocytoma ne Pineocytoma!

Oh, oluusi tuwulira ebintu nga, ‘brain tumor’, ‘Nnina omutwe era nja kugukebera’. Ddala kifuula omutima gwange okuwuubaala bwe mpulira ekintu ng’ekyo. Naye obadde okimanyi nti ebizimba byonna ebitondebwa mu bwongo si bya kika kya kookolo kye kimu eky’obulabe. Waliwo ebizimba ebimu ebikula mpola, nga tebirina bulabe, kwe kugamba, ebitali bya kookolo. Leero tugenda kwogera ku bika by’ebizimba by’obwongo bibiri ng’ebyo, ebitali bimu, naye nga bisaanidde okumanya. Zino ze zino: obulwadde bwa gangliocytoma ne pineocytoma.

Gangliocytoma ne Pineocytoma kye ki?

Mu ngeri ennyangu, bino byombi bika bya bizimba by’obwongo ebitali bya bulabe nnyo, ebitali bya bulabe (i.e. ebitali bya kookolo - `benign`).

Gangliocytoma kika kya kizimba ekikwata ebitundu by’obusimu bwo obw’omu makkati (era ekimanyiddwa nga CNS).

Ekika ekirala, pineocytoma, kikula mu pineal gland, akatundu akatono akasangibwa munda mu bwongo bwo. Ensigo ya pineal ye nseke eyamba okufuga otulo twaffe. Teebereza, akatundu kano akatono kakulu nnyo mu bintu ng’okwebaka ekiro n’okuzuukuka ku makya.

Ebika by'ebizimba byombi bikula mpola . Y’ensonga lwaki oluusi kitwala akaseera obubonero okulabika. Abasawo batera okubajjanjaba nga babalongoosa n’oluusi nga bakozesa eddagala eriyitibwa radiation therapy.

Ani asinga okulwala ebizimba eby’ekika kino ku bwongo?

Mu butuufu, ekika ky’ekizimba ekiyitibwa gangliocytoma kiyinza okukula mu bantu ab’emyaka gyonna. Kino kitegeeza nti n’omwana omuto oba omukadde ayinza okubeera mu kabi. Kyokka, kisinga kulabibwa mu bavubuka abali wakati w’emyaka 10 ne 30 .

Ebizimba bya Pineocytoma bitera okukwata abantu abakulu, ekitegeeza nti abantu abali wakati w’emyaka 20 ne 64. Emyaka gya wakati egy’okuzuulibwa giri nga 38.

Mu bitundu ki eby’obusimu bwaffe obw’omu makkati (CNS) ebizimba bya gangliocytoma mwe bikula?

Gangliocytomas zisinga kukula mu bitundu by'obwongo bwo ebiyitibwa temporal lobes . Bino bibeera emabega w’amatu go. Ebitundu bino ebiyitibwa temporal lobes biyamba okufuga ebintu ng’okujjukira kwo, okuwulira kwo, n’enneewulira. Teebereza, ojjukira omukolo ogw’edda, n’owuliriza oluyimba n’olunyumirwa, n’owulira essanyu oba ennaku olw’emirimu gy’ebitundu bino.

Tekikoma awo, ekizimba kino era kisobola okukula mu bifo bino wammanga ku mubiri gwo:

• Ekikolo ky’obwongo: Kino kye kitundu ky’obwongo bwo ekiringa omutala ekigatta ekitundu eky’okungulu eky’obwongo bwo (obwongo), omugongo n’obwongo. Kiweereza obubonero obufuga emirimu emikulu ng’okussa kwo n’okukuba kw’omutima.
• Ensigo y’obwongo:Ekitundu kino eky’obwongo bwo, ekiri emabega w’omutwe gwo, kifuga bbalansi yo, entambula yo, n’okulaba kwo. Lowooza ku kino, ekitundu kino eky’obwongo bwo kye kikukuuma nga weegolodde ng’otambula, kikukuuma obutagwa, era kikuyamba okugolola omukono okukwata omupiira.
• Wansi w’ekisenge eky’okusatu: Kino kifo kifunda mu maaso g’obwongo. Akuuma obwongo obutafuna buvune era ayamba okutambuza ebiriisa n’ebisasiro.
• Omugongo: Lino lye kkubo eddene eritambuza obubonero bw’obusimu okuva ku bwongo bwo okutuuka ku mubiri gwo n’okuva mu mubiri gwo okutuuka ku bwongo bwo. Obubonero buno obw’obusimu bwe bukuleetera okuwulira ebintu (ebbugumu, ennyonta, obulumi) n’okutambuza omubiri gwo.

Njawulo ki eriwo wakati w’ekizimba kya pineal cyst ne pineocytoma?

Kino nakyo kintu ekiyinza okutabula abantu bangi. Lowooza ku kino, ekizimba kya pineal cyst nsawo ejjudde amazzi oba empewo . Kiba ng’ekizimba ky’amazzi. Bino bitera okusangibwa mu butanwa nga bakola sikaani. Kyokka, pineocytoma kizimba ekikolebwa okukuŋŋaanyizibwa kw’obutoffaali obutali bwa bulijjo .

Ebizimba bya pineal ebiseera ebisinga tebikula, ekitegeeza nti tebitera kukyuka mu sayizi. Kyokka, obuwuka obuyitibwa Pineocytomas bukula mpola. Wabula zombi mbeera za bulungi (ezitali za kookolo). Kino kitegeeza nti tebalina kookolo.

Bubonero ki obuva ku mbeera zino?

Ebiseera ebisinga oyinza obutaba na bubonero bwonna ne bw’oba ​​olina obulwadde bwa gangliocytoma. Oluusi, abasawo ebizimba bino babisanga mu butanwa nga bakola okukebera ebifaananyi (nga MRI oba CT scan) okuzuula ekizibu ekirala.

Wabula ebika by’ebizimba byombi, gangliocytoma ne pineocytoma, bisobola okuleeta embeera ezimu ezirina obubonero obw’enjawulo.

Obubonero obutera okulabika obw’obulwadde bwa Gangliocytoma

Ekizimba kino kiyinza okukuleetera okufuna obubonero nga:

• Enkyukakyuka mu ntambula: Ng’okufiirwa okufuga ebinywa. Okugeza, okukankana, okusannyalala, obunafu. Teebereza, osanga nga kizibu okukwata ekikopo, oba amagulu go okuwulira ng’agasibye ng’otambula.
• Enkyukakyuka mu kuwulira: Okuwulira ng’ozirika mu bitundu ebimu, ng’okuwulira okuwunya mu kigere.
• Obuzibu mu kwogera: Okwogera okutali kwa maanyi, kumpi ng’olinga tosobola kwogera. Tosobola kwogera bulungi ky’oyagala okwogera.
• Okulaba kukyuka: Okulaba kuyinza okufuuka okuzibu, okulabika ng’olaba mu bitundu bibiri, ate oluusi kiyinza okuwulira ng’ofiiriddwa ekitundu ku kulaba kwo.

Gangliocytoma esobola okuleeta embeera z’obujjanjabi ez’amaanyi?

Yee, ekizimba kino kiyinza okuleeta embeera ezimu ez’amaanyi ez’obujjanjabi. Okugeza nga:

• Obuzibu mu nkola y’endwadde z’omu lubuto:Zino mbeera ezibeerawo ng’obusimu obukolebwa endwadde mu mubiri gwo bweyongedde oba okukendeera. Kino kiyinza okutaataaganya emirimu mingi egy’omubiri gwo.
• Okukonziba: Kino oyinza okuba nga wali owuliddeko, okuzirika mu bwangu n’okukonziba. Ebizimba bino bisobola okuleeta embeera eno nga bisitula obwongo.
• Puleesa okweyongera munda mu bwongo: Kino kiyinza okuvaako okulumwa omutwe, okuziyira, okusesema n’okutabulwa. Kiyinza okuwulira ng’omutwe gwo gukusika okuva munda.
• Obulwadde bwa Lhermitte-Duclos (LDD): Buno kizimba kya bbula nnyo, nga tekirina bulabe. Kikula mu bwongo bwo. Oluusi kiyitibwa dysplastic gangliocytoma of the cerebellum. Omuntu alina LDD ayinza okulumwa omutwe, okuziyira, amazzi mu bwongo (hydrocephalus), okukaluubirirwa okutambula n’okubulwa bbalansi (ataxia), n’obuzibu mu kulaba. Abantu abalina LDD nabo bayinza okuba n’embeera y’obuzaale eyitibwa Cowden syndrome, ereeta ebizimba ku lususu n’obulabe obw’okukwatibwa kookolo obweyongera.

Obubonero obumanyiddwa ennyo obwa Pineocytoma

Obulwadde bwa Pineocytoma busobola okuleetera amazzi okuzimba munda mu bwongo bwo, ekivaako puleesa okweyongera. Kino kiyitibwa obulwadde bwa hydrocephalus . Bw’oba ​​olina obulwadde bwa hydrocephalus, oyinza okufuna obubonero nga:

• Ebizibu mu bbalansi: Okufiirwa bbalansi ng’otambula, okuwulira ng’ogenda kugwa.
• Obuzibu bw’okutambula kw’amaaso (`Parinaud syndrome`): Obuzibu okutunula waggulu naddala ng’otunudde butereevu mu maaso. Oyinza obutasobola kutambuza maaso gombi mu kiseera kye kimu.
• Omutwe: Oyinza okulumwa omutwe ogw’amaanyi era ogutaggwaawo. Oluusi obulumi buno bweyongera bw’ozuukuka ku makya.
• Obuzibu mu kujjukira: Okwerabira ebintu, okukaluubirirwa okujjukira ebintu ebipya.
• Okuziyira n’okusiiyibwa: Kino kiyinza okuba ekibi naddala ku makya.
• Obuzibu mu tulo: Obutasobola kwebaka, oba okwebaka ennyo. Kino kiri bwe kityo kubanga enseke ya pineal yeenyigira mu tulo.
• Okukaluubirirwa okutambula: Kiwulira nga tosobola kutambula, amagulu go gawuubaala.

Kiki ekituufu ekivaako ebizimba bino ku bwongo?

Okufaananako n’ebizimba ebirala ebisinga obungi, gangliocytomas ne pineocytomas zikula nga waliwo enkyukakyuka mu biragiro by’obuzaale bw’obutoffaali bwaffe. Lowooza ku kino: obutoffaali obuli mu mubiri gwaffe bulinga amakolero amatonotono. Bafuna ebiragiro okukola. Ebiragiro bino bwe bikyuka, obutoffaali butandika okwawukana mu ngeri etafugibwa. Awo we zikola ekizimba.

Wabula abanoonyereza n'okutuusa kati tebamanyi bulungi kiki ekituufu ekivaako enkyukakyuka zino. Kwe kugamba, tewali kya kuddamu kitegeerekeka lwaki obutoffaali buno butandika okweyisa bwe butyo mu bwangu.

Wabula bakizudde nti obulwadde bwa Cowden syndrome obukwatagana n’obulwadde bwa Lhermitte-Duclos buva ku nkyukakyuka mu buzaale obuyitibwa PTEN. Ensengekera eno eya PTEN ekola puloteyina eyamba okufuga engeri obutoffaali gye bukula n’okugabanyizibwamu. Kale, obuzaale bwa PTEN bwe bukyusibwa, okukola puloteyina eyo kuyimirira, era obutoffaali butandika okukula mu ngeri etafugibwa.

Abasawo bazuula batya ebizimba bino? (Okuzuula obulwadde)

Bw’oba ​​olina obubonero buno, omusawo ajja kusooka kukubuuza ku bubonero bwo n’okumanya oba waliwo omuntu yenna mu maka go abadde n’embeera zino (`ebyafaayo by’obulamu bw’amaka`). Olwo, bajja kukukebera. Bajja kukola `neurologic exam`, naddala okukebera enkola yo ey'obusimu . Kino kijja kunoonya bino wammanga:

• Engeri amaaso go n’akamwa go gye bitambulamu.
• Amaanyi g’ebinywa.
• Reflexes (nga oba ekigere kinaabuuka nga kikubiddwa ku kugulu n’ennyondo entono) .

Okugatta ku ekyo, omusawo ayinza n’okukola ebigezo bino:

• Magnetic Resonance Imaging (MRI): Kino kigezo ekitaliimu bulumi. Ekozesa magineeti ennene, amayengo ga leediyo, ne kompyuta okukola ebifaananyi ebitegeerekeka obulungi ennyo eby’ebitundu by’omubiri n’ebizimbe ebiri munda mu mubiri gwo. Kikozesebwa okulaba oba waliwo ebizimba, obunene bwe biri ne we biri.
• CT (computed tomography) scan: Kino kikozesa ebifaananyi ebiwerako ebya X-ray ne kompyuta okukola ebifaananyi eby’ebitundu bisatu eby’ebitundu byo ebigonvu n’amagumba. Okufaananako ne MRI, ekozesebwa okuzuula n’okukebera ebizimba.
• Okukebera omusaayi: Kino osobola okukikola okulaba oba olina ekirungo kya melatonin ekitali kya bulijjo mu musaayi gwo (naddala mu mbeera ya pineocytoma, kuba yeekuusa ku pineal gland).
• Spinal tap (lumbar puncture): Kino kizingiramu okutwala sampuli y’amazzi g’omu bwongo (CSF) ageetoolodde obwongo bwo n’omugongo n’ogakebera oba temuli butoffaali bwa kizimba.
• Biopsy: Kino kizingiramu okuggya akatundu akatono ku butoffaali okuva mu kizimba n’obukebera mu laabu okuzuula ekika ky’ekizimba ekituufu. Abasawo batera okukozesa obukodyo obutayingira mu mubiri nga endoscopy oba stereotactic needle biopsy.

Obulwadde bwa Gangliocytoma bujjanjabwa atya?

Teebereza nti olina obulwadde bwa gangliocytoma, naye nga tolina bubonero bwonna. Mu kiseera ekyo, omusawo wo ajja kukugamba nti, "Ka tukitunuulire." Kwe kugamba, ajja kukugamba oyingire okwekebejjebwa buli kiseera olabe oba olina obubonero obupya, oba ekizimba kikyuse oba kinene. Ayinza n’okukola ebintu ng’okukebera ebifaananyi n’okukebera omusaayi.

Naye,Bw’oba ​​weetaaga obujjanjabi, abasawo batera okukulongoosa obwongo okuggyamu ekizimba. Ekirungi, gangliocytomas tezitera nnyo kudda oluvannyuma lw’okuggyibwako ekika kino.

Obulwadde bwa Pineocytoma bujjanjabwa atya?

Mu mbeera ezimu ez’obulwadde bwa pineocytoma, abasawo bayinza okulongoosa obwongo okuggyawo ekizimba kyonna oba ekitundu. Bayinza n'okukozesa obujjanjabi obuyitibwa radiation therapy .

Mu kiseera ky’okulongoosebwa, bw’oba ​​olina obulwadde bwa hydrocephalus (embeera ng’obwongo bujjudde amazzi era nga puleesa yeeyongedde), abasawo bayinza okuyingiza akaveera akatono akayitibwa shunt mu bwongo bwo. Shunt eno eggyawo amazzi ag’omu bwongo agasukkiridde ku bwongo bwo, ne kikendeeza ku puleesa eri munda mu mutwe gwo. Kino kiyinza okukendeeza ennyo ku bubonero bwo.

Waliwo engeri gye tuyinza okuziyiza ebizimba bino ku bwongo okutondebwawo?

Well, there’s really nothing you can do okuziyiza ebizimba bino okutondebwa . Nga bwe kyayogeddwako emabegako, zitondebwawo ng’obutoffaali bukyuse ne butandika okwawukana mu ngeri etafugibwa. Okuggyako nga kikwatagana n’obulwadde bwa Cowden syndrome, abanoonyereza n’okutuusa kati tebamanyi ddala kiki ekivaako enkyukakyuka eno. Obulwadde bwa Cowden syndrome buva ku nkyukakyuka mu buzaale obufuga okukula kw’obutoffaali. Kale, kino si kintu kye tusobola okufuga.

Kiki ekibaawo singa oba olina ekizimba nga kino? Kiki ky’oyinza okusuubira?

Emirundi egisinga, oluvannyuma lw’okulongoosebwa okuggyawo ekizimba kino, emikisa gy’okuddamu okugiddamu giba mitono nnyo . Ekyo ddala kibudaabuda, si bwe kiri? Ekyo kitegeeza nti osobola bulungi okubeera n’obulamu obwa bulijjo oluvannyuma lw’okujjanjabwa. Wabula nga omusawo bw'agamba, kikulu okugenda okukeberebwa `okugoberera`.

Ddi lwe nnina okulaba omusawo?

Okusinziira ku mbeera yo, omusawo ayinza okuteekawo essaawa z’okugoberera buli kiseera okulondoola obulamu bwo okutwalira awamu. Bw’oba ​​walongoosebwa okuggyamu ekizimba, bayinza n’okukuwa amagezi okukebera ebifaananyi okukebera oba ekizimba kikomyewo oba ekizimba ekipya kikoleddwa.

Ekisinga obukulu kwe kulaba omusawo essaawa yonna singa ofuna obubonero bw’ekizimba ekyaliwo emabega, oba bw’olaba enkyukakyuka yonna empya, eteeberezebwa mu mubiri gwo . Tokiteeka ku bbali, okay? Kubanga gy’okoma okutegeera amangu embeera eno, gy’okoma okukwanguyira okujjanjaba.

Ebintu ebikulu bye tulina okujjukira okuva mu bye twogeddeko (Take-Home Message)

Gangliocytoma ne pineocytoma bizimba bibiri ebitatera kulabika nnyo, ebikula mpola, ebitali bya bulabe ebikula mu busimu bwo obw’omu makkati (CNS) ne pineal gland.

Wadde bino si bya kookolo, bisobola okukuleetera embeera ez’enjawulo ez’obujjanjabi eziyinza okukosa obulamu bwo. Okusinziira ku kika ky’ekizimba ky’olina, abasawo bayinza okukijjanjaba nga balongoosebwa oba nga bakozesa eddagala eriyitibwa radiation therapy. Ebizimba bino tebitera nnyo kudda oluvannyuma lw’okuggyibwamu nga bilongooseddwa.

Bw’oba ​​olina ekizimba ekitali kya bulabe nga kino, yogerako n’omusawo wo ku ngeri gy’oyinza okujjanjaba, by’osuubira ng’omaze okujjanjabwa, ne by’olina okumanya ku kubeera n’ekizimba eky’ekika kino. Tokwata kintu kyonna, wuliriza buli kimu . Kijja kukuwa amaanyi. Totya, ekisinga obukulu kwe kumanya ebintu bino n'okugoberera ebiragiro by'omusawo.

` Ebizimba ku bwongo, gangliocytoma, pineocytoma, CNS, pineal gland, obubonero, obujjanjabi