Chotupa cha muubongo? Si zotupa zonse zomwe ndi khansa! Tiyeni tikambirane za meningioma

Tikamva mawu oti "chotupa cha muubongo," timachita mantha kwambiri. Zimenezo n'zachibadwa. Koma chofunika kwambiri chomwe tiyenera kudziwa ndichakuti si zotupa zonse za muubongo zomwe ndi khansa. Lero, tikambirana za mtundu umodzi wofala kwambiri wa zotupa za muubongo. Umatchedwa meningioma. Tiyeni tichotse manthawo ndipo tikambirane za iwo mwatsatanetsatane komanso mosavuta.

Mwachidule, kodi meningioma ndi chiyani?

Taganizirani ubongo wathu ngati mwala wamtengo wapatali. Pofuna kuteteza mwala uwu, chilengedwe chapanga zigawo zitatu zopyapyala za nembanemba kuzungulira. Mu zamankhwala, nembanemba izi timazitcha kuti meninges . Ubongo wathu ndi msana wathu zonse zimaphimbidwa ndi kutetezedwa ndi nembanemba izi.

Meningioma ndi chotupa chomwe chimayambira mu nembanemba zoteteza. Izi zikutanthauza kuti si chotupa chomwe chimachokera ku maselo a ubongo okha, koma m'malo mwake kuchokera ku chophimba chomwe chimazungulira ubongo.

Zotupa zimenezi nthawi zambiri zimamera pamwamba ndi kunja kwa ubongo. Nthawi zina zimathanso kukula pansi pa chigaza chanu. Sizimamera kawirikawiri kuzungulira msana.

Chabwino kwambiri pa zotupa izi ndichakuti nthawi zambiri zimakula pang'onopang'ono . Chifukwa chake simungadziwe kuti muli nazo kwa zaka zambiri. Zizindikiro zimayamba kuonekera chotupacho chikakula ndikuyamba kukakamiza mbali zina za ubongo. Ndi pokhapokha ngati ntchito ya gawo la ubongo lomwe likukakamizidwa yasintha, timayamba kumva zizindikiro zake.

Kodi pali mitundu ndi mitundu ya mtedza uwu?

Inde, zipatso izi zimagawidwa m'mitundu ingapo kutengera malo omwe zili komanso momwe zimakulira. Tiyeni timvetse mosavuta.

Mitundu malinga ndi malo a chotupacho

• Ma meningioma ozungulira: Awa ndi mtundu wofala kwambiri. Amapangika pamwamba pa ubongo.
• Meningiomas ya m'mimba: Ili ndi dzina lopatsidwa ku zotupa zomwe zimakula mkati mwa ventricles, zipinda muubongo wathu zomwe zimanyamula madzi a m'mitsempha ya ubongo (CSF).
• Ma meningiomas a m'mitsempha ya olfactory: Izi zimamera pansi pa chigaza, pakati pa ubongo ndi mphuno. Zimamera pafupi ndi mitsempha ya olfactory, zomwe zimatithandiza kumva fungo.
• Mapiko a Sphenoid meningiomas: Mtundu uwu umayamba m'mphepete mwa mafupa kumbuyo kwa maso athu.

Magiredi malinga ndi kuopsa kwa chotupacho

Madokotala amatenga chidutswa cha chotupacho n’kuchiyang’ana (biopsy) kuti aone momwe chikugwirira ntchito. Motero, amachigawa m’magulu atatu. Izi zimatsimikizira kuopsa kwa chotupacho.

Kodi zizindikiro za meningioma ndi ziti?

Monga tanenera kale, zotupa zimenezi zimakula pang'onopang'ono, kotero zimatha kusaonekera mpaka zitakula. Zizindikiro zimadalira komwe chotupacho chikukankhira muubongo. Mwachitsanzo, ngati chotupacho chikukankhira mbali ya ubongo wanu yomwe imalamulira masomphenya, mungasinthe masomphenya anu.

Izi ndi zina mwa zizindikiro zomwe zimaonekera kwambiri:

• Mutu: Mutu wosiyana ndi mutu wamba, womwe umawonjezeka pang'onopang'ono, ndipo umakula kwambiri m'mawa.
• Kulephera kumva: Kumva ngati wataya kumva.
• Anosmia: Kutaya mwadzidzidzi kwa mphamvu ya kumva fungo .
• Mavuto okumbukira: Kuiwala zinthu kumawonjezeka.
• Kufooka kwa minofu: Kumva dzanzi kapena kufooka m'dzanja kapena mwendo.
• Kugwidwa ndi khunyu : Matenda omwe amadziwika ndi kutaya mwadzidzidzi chidziwitso ndi kugwedezeka.
• Kusintha kwa masomphenya: Kumva ngati maso anu akutuluka, kuona kawiri, kapena kuona zinthu mopanda kuona bwino.

N’chifukwa chiyani zimenezi zimachitika? Kodi zinthu zoopsa ndi ziti?

Nthawi zambiri zimakhala zovuta kupeza chifukwa chenicheni cha zotupa izi. Komabe, madokotala amakhulupirira kuti zitha kuchitika chifukwa cha kusintha kwa majini mu ma chromosome (kuchotsedwa kwa chromosome) . Kusintha kwa majini kumeneku kumatha kuchitika mwachisawawa, kapena kumatha kuperekedwa kudzera m'mibadwo yokhala ndi matenda enaake a majini. Mwachitsanzo, matenda monga `(Neurofibromatosis type 2)`.

Ngakhale kuti aliyense akhoza kudwala meningioma, anthu ena ali pachiwopsezo chachikulu.

• Kukhala ndi zaka zoposa 65 .
• Kukhala mkazi (zotupa zomwe si khansa zimapezeka kwambiri mwa akazi. Zotupa za khansa zimapezeka kwambiri mwa amuna).
• Kugwiritsa ntchito mankhwala obwezeretsa mahomoni kapena mapiritsi oletsa kubereka kwa nthawi yayitali.
• Kukhala ndi khansa ya m'mawere kapena panopa muli nayo.
• Atalandira chithandizo cha radiation kumutu.
• Kukhala ndi wachibale wapafupi yemwe ali ndi meningioma.

Kodi dokotala amapeza bwanji izi?

Ngati muli ndi zizindikiro zomwe zili pamwambapa, mukapita kukaonana ndi dokotala, choyamba adzakufunsani funso latsatanetsatane lokhudza zizindikiro zanu. Kenako adzakuyesani thupi lanu ndi kuyeza mitsempha . Izi zidzayesa zinthu monga kulimba kwanu, kuwona, kumva, ndi mphamvu zanu zogwira ntchito.

Kenako, kuti atsimikizire vutoli, adzayitanitsa mayeso angapo okhudza ubongo.

• Kujambula kwa CT: Izi zimatha kujambula zithunzi za ubongo m'magawo osiyanasiyana.
• Kujambula kwa MRI: Iyi ndi njira yolondola kwambiri yojambulira zithunzi. Imathandiza kupeza chithunzi chomveka bwino cha kukula kwa chotupacho, komwe chili, komanso ubale wake ndi ziwalo zina za ubongo.

Kodi mankhwala ake ndi otani?

Ndondomeko ya chithandizo imadalira zinthu zambiri, kuphatikizapo zaka zanu, thanzi lanu lonse, kukula, malo, ndi mulingo wa chotupacho. Izi zikutanthauza kuti chithandizo chingasiyane malinga ndi munthu aliyense.

1. Kuyang'anitsitsa

Ngati chotupacho ndi chaching'ono kwambiri, chilibe zizindikiro, ndipo chikukula pang'onopang'ono, dokotala wanu angagwiritse ntchito njira ya "kudikira ndikuwona". Izi zikutanthauza kuti musachite chilichonse ndikuyang'anira kukula ndi zizindikiro za chotupacho pogwiritsa ntchito scans pafupipafupi.

2. Opaleshoni

Nthawi zambiri, chithandizo chachikulu ndi opaleshoni yochotsa chotupa . Ngati dokotala wa opaleshoni angathe kuchotsa chotupa chonsecho popanda kuwononga ziwalo zina za ubongo (gross total resection) , izi zitha kuchiritsa matendawa kwathunthu. Komabe, ngati chotupacho chili m'dera lovuta la ubongo, kuchotsa kwathunthu kungakhale koopsa.

3. Chithandizo cha Radiation

Mankhwalawa amagwiritsidwa ntchito kuwononga ziwalo zilizonse zotsala za chotupa pambuyo pa opaleshoni, kapena kuletsa kukula kwa chotupacho pamene opaleshoniyo singatheke. Amagwiritsa ntchito mphamvu zamphamvu kuwononga maselo a chotupa kapena kuwaletsa kugawikana.

4. Opaleshoni ya Radio (Opaleshoni ya Radio - Mpeni wa Gamma)

Iyi si njira yochitira opaleshoni yomwe mumagwiritsa ntchito mpeni. Ndi kuwala kwamphamvu kwambiri komwe kumawunikira chotupa nthawi imodzi kuti chisakule. Nthawi zambiri chimagwiritsidwa ntchito pa zotupa zazing'ono zomwe sizili khansa.

5. Mankhwala a Chemotherapy

Izi sizigwiritsidwa ntchito kawirikawiri pa meningiomas. Nthawi zina zingalimbikitsidwe pa zotupa zomwe zimabwereranso, zomwe sizingayankhe opaleshoni kapena chithandizo cha radiation.

6. Chisamaliro Chochepetsa Kupweteka kwa Thupi

Izi sizikutanthauza kusiya chithandizo. Zimatanthauza kuthana ndi zizindikiro zanu (monga mutu ndi nseru) pamene mukulandira chithandizo, kulimbitsa inu ndi banja lanu m'maganizo ndi mwakuthupi, ndikuwathandiza kukhala ndi moyo wabwino.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Ngakhale mutalandira chithandizo, dokotala wanu apitilizabe kukuyang'anirani. Adzakujambulani kuti aone ngati chotupacho chabwereranso. Ngati chotupa chonsecho chachotsedwa opaleshoni, chiopsezo chobwereranso chimakhala chochepa.

Ngati tikulankhula za nthawi yanu ya moyo, zimadalira zinthu zambiri.

• Zaka zanu ndi thanzi lanu lonse
• Kukula ndi malo a chotupacho
• Kaya chotupacho ndi khansa kapena ayi
• Kodi ndi ndalama zingati zomwe zinachotsedwa panthawi ya opaleshoni?

Choncho, munthu wabwino kwambiri wodziwa zambiri zokhudza izi ndi dokotala amene akukuchizani.

Chiŵerengero cha zaka zisanu cha khansa ya gawo lachiwiri ndi lachitatu ndi pafupifupi 63.5%. Koma kumbukirani, izi ndi ziwerengero chabe. Mkhalidwe wanu ukhoza kukhala wabwino kwambiri.

Kupezeka ndi chotupa cha muubongo kungakhale kovuta, kaya ndi khansa kapena ayi. Nkhani yabwino ndi yakuti meningioma ndi matenda ochiritsika. Gulu lanu lachipatala lili pano kuti likupatseni chisamaliro chabwino kwambiri komanso chithandizo chomwe mukufuna. Musazengereze kulankhula nawo za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.