Kodi mukuda nkhawanso ndi zizindikiro zosalekeza za mphuno yanu? Tiyeni tikambirane za Esthesioneuroblastoma.

Kodi mumakhala ndi mphuno yotsekeka nthawi zonse? Kapena mumangotuluka magazi m'mphuno? Kodi nthawi zina mumamva ngati kuti fungo lanu lachepa? Izi zitha kuchitika ndi chimfine kapena vuto la sinus. Koma ngati zizindikirozi zikupitirira, mwina ndi chinthu chodetsa nkhawa pang'ono. Pankhaniyi, ndikofunikira kwambiri kudziwa za vuto ili lotchedwa Esthesioneuroblastoma, lomwe tikambirana.

Kodi Esthesioneuroblastoma ndi chiyani?

Mwachidule, esthesioneuroblastoma ndi mtundu wa khansa wosowa kwambiri . Ndi mtundu wa khansa womwe umapezeka m'mutu ndi m'khosi. Madokotala nthawi zina amautcha kuti ``olfactory neuroblastoma.'' Mu mtundu uwu wa khansa, zotupa za khansa zimakula m'mphuno, malo omwe ali mkati mwa mphuno yanu. Zotupazi zimawononga mitsempha ndi minofu yomwe imakuthandizani kununkhiza.

Ngakhale kuti vutoli limakhudza kwambiri akuluakulu, nthawi zina limatha kukhudza ana ndi achinyamata (achinyamata). Chithandizochi nthawi zambiri chimaphatikizapo opaleshoni yochotsa chotupacho, kenako ndi chithandizo cha radiation. Komabe, chifukwa chakuti esthesioneuroblastoma nthawi zina imatha kubwereranso, madokotala amalimbikitsa kuti azipimidwa nthawi zonse kuti atsimikizire kuti sichinabwererenso.

Kodi vutoli ndi lofala bwanji?

Uwu ndi matenda osowa kwambiri . Padziko lonse lapansi, umakhudza pafupifupi munthu m'modzi pa anthu 2.5 miliyoni chaka chilichonse. Anthu ambiri amapezeka ndi matendawa azaka zapakati pa 50 ndi 70. Komabe, monga ndanenera kale, amathanso kupezeka mwa ana ndi achinyamata. Ndipotu, khansa ya m'mphuno yofala kwambiri mwa ana ndi achinyamata ndi Esthesioneuroblastoma.

Kodi zizindikiro za Esthesioneuroblastoma ndi ziti?

Mukakhala ndi vutoli, zingamveke ngati muli ndi matenda a sinus kapena mavuto ena a sinus. Zizindikiro zazikulu ndi izi:

• Kutaya fungo (anosmia): Mungataye mwadzidzidzi fungo lanu, kapena fungo lanu lingachepe kwambiri.
• Kutsekeka kwa mphuno: Kumva kutsekeka kosalekeza m'mphuno, zomwe zimapangitsa kuti zikhale zovuta kupuma.
• Kutuluka magazi m'mphuno mobwerezabwereza (`kutuluka magazi m'mphuno mobwerezabwereza`): Kutuluka magazi m'mphuno, kaya mwangozi kapena pazifukwa zazing'ono. Kutuluka magazi kumeneku kungakhale kovuta kuletsa.

Ngati mwakhala ndi chimodzi mwa zizindikiro izi kwa nthawi yayitali, ndi bwino kukaonana ndi dokotala.

Kodi n’chiyani chimayambitsa esthesioneuroblastoma?

Kunena zoona, matenda awa ndiChifukwa chenicheni sichinapezekebe. Akatswiri akufufuzabe izi. Akukhulupirira kuti kusintha kwa majini (`kusintha kwa ma chromosome`) kapena kusintha kwa majini (`kusintha kwa majini`) kungakhalepo. Koma palibe chitsimikizo chotsimikizika chomwe chapezeka.

Kodi mavuto a matendawa ndi otani?

Esthesioneuroblastoma ndi khansa yovuta kwambiri.

• Kubwerezabwereza: N'zofala kwambiri kuti khansa iyi ibwererenso ngakhale mutalandira chithandizo. Nthawi zina imatha kubwerera patapita zaka zambiri mutalandira chithandizo. Ikabweranso, imatha kubwerera pamalo omwewo monga kale, kapena imatha kufalikira ku minofu yapafupi. Nthawi zambiri, imatha kufalikira kumadera akutali a thupi.
• Kufalikira kumadera ena (metastasize): Ngati sichichiritsidwa, khansa iyi imatha kufalikira ku ubongo kapena ziwalo zina za thupi. Kafukufuku wasonyeza kuti khansa iyi nthawi zambiri imafalikira ku sinus. Komabe, imatha kufalikiranso ku ma lymph nodes m'khosi, m'mapapo, ndi m'mafupa.

Ichi ndichifukwa chake ndikofunikira kwambiri kuzindikira matendawa msanga, kulandira chithandizo choyenera, kenako kukaonana ndi dokotala nthawi zonse.

Kodi Esthesioneuroblastoma imapezedwa bwanji?

Madokotala amagwiritsa ntchito mayeso osiyanasiyana kuti adziwe matendawa. Izi zingaphatikizepo:

• Kujambula kwa CT: Izi zitha kujambula zithunzi zamkati mwa thupi, monga momwe zimachitikira ndi X-ray yapadera.
• Kujambula kwa MRI: Izi zingathandizenso kupanga zithunzi zomveka bwino za minofu ndi ziwalo mkati mwa thupi.
• Endoscopy ya mphuno: Izi zimaphatikizapo kulowetsa chubu chopyapyala chokhala ndi kamera kakang'ono m'mphuno kuti chiwone mkati mwa mphuno ndi m'mphuno.
• Kujambula kwa PET: Izi zingathandize kuona ngati maselo a khansa alipo kulikonse m'thupi.

Pambuyo pa mayeso amenewa, ngati dokotala ali ndi kukayikira kulikonse, adzatenga chidutswa cha minofu ndikuchiyang'ana kuti adziwe ngati ndi khansa. Izi zimatchedwa biopsy .

Kodi magawo a Esthesioneuroblastoma ndi ati?

Kuyeza kuchuluka kwa khansa ndi njira yodziwira momwe khansa yafalikira komanso mtundu wake. Gawoli limagwiritsidwa ntchito kukonzekera chithandizo ndikuneneratu za tsogolo la matendawa (prognosis). Pali magawo anayi akuluakulu a esthesioneuroblastoma:

• Gawo A: Maselo a khansa akukula kukhala chotupa mkati mwa mphuno.
• Gawo B: Khansa yafalikira mwachindunji kuchokera m'mphuno kupita ku sinuses ya mphuno.
• Gawo C:Khansa yafalikira kuchokera m'mphuno ndi m'mphuno kupita m'maso kapena muubongo.
• Gawo D: Mayeso akusonyeza kuti khansa yafalikira ku ziwalo zina za thupi, mwachitsanzo, m'maselo a lymph m'khosi, m'mafupa, kapena m'mapapo.

Kodi mankhwala a Esthesioneuroblastoma ndi ati?

Madokotala nthawi zambiri amachita opaleshoni kuti achotse zotupa za khansa. Pali njira zosiyanasiyana zochitira opaleshoni:

• Opaleshoni ya Endoscopic: Izi zimaphatikizapo kulowetsa kamera yaying'ono ndi zida kudzera m'mphuno kuti achotse chotupa popanda kudula chakunja.
• Opaleshoni ya nkhope: Iyi ndi opaleshoni yovuta pang'ono. Imakhudza ziwalo za nkhope ndi chigaza.
• Kuchotsa chigaza cha ubongo (craniotomy): Izi zimaphatikizapo kuchotsa gawo la chigaza ndi kuchotsa zotupa zozungulira ubongo.

Kuwonjezera pa opaleshoni imeneyi, palinso njira zina zothandizira:

• Chithandizo cha radiation: Chithandizochi chimagwiritsidwa ntchito kuwononga maselo aliwonse a khansa omwe angakhalebe pambuyo pa opaleshoni.
• Chemotherapy: Mankhwalawa amagwiritsidwa ntchito pamene zotupa sizingachotsedwe bwino ndi opaleshoni.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?

Zimadalira mtundu wa opaleshoni yomwe mwachita. Koma nthawi zambiri mumayenera kukhala m'chipatala kwa masiku awiri kapena asanu. Mukatero, mudzapita kunyumba ndikupitiliza kuchira. Zingatenge mwezi umodzi kapena iwiri kuti chithandizo cha radiation chiyambe.

Kodi zotsatirapo zake ndi ziti?

Opaleshoni, chithandizo cha radiation, ndi chemotherapy zonse zimatha kukhala ndi zotsatirapo zosiyanasiyana.

• Zotsatirapo zoyipa za opaleshoni: Ululu, kutsekeka kwa mphuno, komanso zotsatirapo za mankhwala oletsa ululu zimatha kuchitika.
• Zotsatira zoyipa zomwe zimachitika chifukwa cha mankhwala a chemotherapy ndi radiation ndi monga kutopa, kutsegula m'mimba, nseru, ndi kusanza.

Zotsatirapozi sizimachitikira aliyense mofanana. Anthu ena angakumane nazo moipa kwambiri, pomwe ena angakumane nazo zochepa.

Kodi mavuto a chithandizo ndi otani?

Nthawi zina, chithandizo chingayambitse mavuto, makamaka ndi opaleshoni, monga:

• Matenda.
• Kutuluka magazi kwambiri.
• Kutaya kwamuyaya kwa fungo. Mukudziwa, pali mgwirizano waukulu pakati pa fungo lathu ndi kukoma kwathu. Choncho ngati mutataya fungo lanu, mungatayenso kukoma kwanu.
• Kutuluka kwa madzi a m'mphuno (CSF). Apa ndi pamene madzi oteteza omwe amazungulira ubongo ndi msana amatuluka m'mphuno.
• Kutuluka kwa mphuno kumamveka kouma komanso kolimba.

Ngati chinthu chonga ichi chichitika, muyenera kuuza dokotala nthawi yomweyo.

Kodi Esthesioneuroblastoma imachitika bwanji kwa akuluakulu?

Kuyezetsa matenda ndi momwe dokotala amanenera momwe matendawa angakukhudzireni mutalandira chithandizo. Izi sizili zofanana kwa aliyense. Zimatengera zinthu zingapo. Mwachitsanzo:

• Kodi khansa ili kuti m'thupi?
• Kaya khansa yafalikira mbali zina za thupi.
• Kuchuluka kwa chotupacho kunachotsedwa panthawi ya opaleshoni.
• Makhalidwe a maselo a khansa omwe akuwoneka mu malipoti a labotale.

Ngati muli ndi mafunso okhudza momwe matenda anu akuonekera, lankhulani ndi dokotala wanu wa opaleshoni komanso gulu lanu lonse lachipatala. Amakudziwani bwino inu ndi matenda anu.

Kodi chiwopsezo cha Esthesioneuroblastoma mwa ana ndi chiyani?

Mofanana ndi akuluakulu, momwe ana amaonekera zimadalira momwe alili, kuphatikizapo komwe chotupacho chili, mawonekedwe a maselo a khansa, ngati khansayo yafalikira, komanso kuchuluka kwa zomwe zachotsedwa panthawi ya opaleshoni.

Kodi chiŵerengero cha kupulumuka kwa esthesioneuroblastoma ndi chotani?

Madokotala amawerengera kuchuluka kwa matendawa kutengera zomwe anthu omwe ali ndi matendawa adakumana nazo. Pankhani ya matendawa, akuti pakati pa 50% ndi 90% ya odwala amakhala ndi moyo zaka zisanu kuchokera pamene adapezeka ndi matendawa.

Koma musachite mantha kapena kusokonezeka ndi ziwerengero za 'chiwerengero cha anthu opulumuka' izi. Izi ndi ziwerengero chabe. Izi zikutanthauza kuti, zimachokera ku zomwe ena adakumana nazo. Zomwe zinali zoona kwa iwo sizingakhale zoona kwa inu. Ngati muli ndi mafunso okhudza izi, musaope kulankhula ndi dokotala wanu. Iye adzakufotokozerani ziwerengerozi ndi momwe zimagwirira ntchito pa vuto lanu.

Kodi Esthesioneuroblastoma ikhoza kupha?

Inde, ikhoza kupha . Esthesioneuroblastoma imatha kufalikira mpaka m'mapapo kapena ziwalo zina za thupi. Ikhozanso kubwereranso pambuyo pa chithandizo ndikukulira m'malo ena. Esthesioneuroblastoma yomwe yafalikira (yomwe yafalikira) kapena yabwerera (yobwerezabwereza) ikhoza kukhala pachiwopsezo chachikulu ngati siidadziwike msanga. Ndicho chifukwa chake ndikofunikira kwambiri kupita kukayezetsa nthawi zonse. Izi zimathandiza dokotala wanu kuti achite mayeso ndikupeza khansa msanga.

Ndiyenera kupita liti kwa dokotala wanga?

Popeza esthesioneuroblastoma ikhoza kubwereranso, muyenera kukonzekera kupita ku gulu lanu lachipatala kamodzi pachaka kwa moyo wanu wonse. Adzayang'ana thanzi lanu lonse. Angathenso kuchita mayeso ojambulira kuti aone ngati khansa yabwerera.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Popeza esthesioneuroblastoma ndi matenda osowa, mwina simungadziwe zambiri za matendawa. Nazi mafunso ena omwe mungafunse dokotala wanu:

• Kodi chotupa chomwe chili m'mphuno mwanga ndi chachikulu bwanji?
• Kodi ndikufunika opaleshoni?
• Ndi opaleshoni yamtundu wanji yomwe ndidzayenera kuchitidwa?
• Ngati ndichitidwa opaleshoni, kodi ndidzayambanso kumva fungo langa?
• Kodi njira zina zochiritsira m'malo mwa opaleshoni ndi ziti?
• Kodi ndiyenera kupita kuchipatala nthawi yayitali bwanji nditalandira chithandizo?

Esthesioneuroblastoma ndi khansa yosowa yomwe imayamba mkati mwa mphuno. Imakula pakapita nthawi. Nthawi zina anthu amaganiza kuti zizindikiro monga kutsekeka kwa mphuno, kutuluka magazi m'mphuno, komanso kutaya fungo sizovuta mokwanira kuti alankhule ndi dokotala.

Inde, nthawi zina kutuluka magazi m'mphuno kungakhale kutuluka magazi m'mphuno. Koma ngati mphuno yanu ikupitirira kutuluka magazi, mphuno yanu yotsekeka sikuwoneka kuti ikuchira, kapena mukumva ngati mwataya fungo lanu, muyenera kulankhula ndi dokotala. Iye akhoza kufufuza vuto lanu ndikulangiza njira zotsatirazi.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa zomwe takhala tikukambirana, Esthesioneuroblastoma. Chinthu chofunika kwambiri kukumbukira ndi izi:

• Iyi ndi khansa yosowa kwambiri: choncho musachite mantha mukamva dzinali.
• Dziwani zizindikiro: Musanyalanyaze zinthu monga kutsekeka kwa mphuno kosalekeza, kutuluka magazi pafupipafupi, komanso kuchepa kwa fungo ngati zachilendo, makamaka ngati zikupitirira.
• Kuzindikira msanga n'kofunika: Monga momwe zimakhalira ndi matenda ena aliwonse, kuzindikira msanga kumawonjezera mwayi wopeza chithandizo chabwino.
• Kupimidwa nthawi zonse ndi dokotala: Ngakhale mutalandira chithandizo, ndikofunikira kuti mupimidwe nthawi zonse monga momwe dokotala wanu akulangizirani, chifukwa khansa iyi ikhoza kubwereranso.
• Khulupirirani dokotala wanu: Lankhulani ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo. Iwo ndi omwe angakupatseni upangiri wabwino kwambiri.

Kumbukirani, inu ndi amene muyenera kudera nkhawa kwambiri za thanzi lanu. Ngati mukumva china chake chachilendo, ngakhale pang'ono, sikuchedwa kufunafuna upangiri wa dokotala.

` Esthesioneuroblastoma, Esthesioneuroblastoma, Khansa ya m'mphuno, Kutaya fungo, Kutuluka magazi m'mphuno, Khansa ya mutu ndi khosi, Chithandizo cha khansa