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Kodi izi ndi zinazake zomwe zili m'mutu mwanu? Tiyeni tiphunzire za Meningioma mwachidule!

Kodi izi ndi zinazake zomwe zili m'mutu mwanu? Tiyeni tiphunzire za Meningioma mwachidule!

Kodi munayamba mwaganizapo kuti mwina muli ndi chotupa chomwe chikukula m'mutu mwanu? Kodi sizikumveka zoopsa? Koma si zotupa zonse zomwe ndi khansa yoopsa . Lero tikambirana za mtundu wa chotupa chomwe chimayamba m'maselo ozungulira ubongo wathu, chomwe nthawi zambiri chimakhala chopanda vuto, koma nthawi zina chimafuna chisamaliro pang'ono. Izi ndi zomwe madokotala amatcha meningioma. Tiyeni tiwone chomwe chili, chifukwa chake chimayamba, zizindikiro zake ndi ziti, komanso momwe chimachiritsidwira.

Kodi Meningioma ndi chiyani? Mwachidule...

Taganizirani ubongo wathu ndi chingwe cha msana (chingwe cha mitsempha mkati mwa msana) ngati zinthu zamtengo wapatali. Choncho kuti titeteze zinthu zamtengo wapatalizi, chilengedwe chatipatsa zigawo zitatu za chophimba. Zophimba izi zimatchedwa meninges . Zili ngati zophimba za m'buku.

Choncho, chotupa chamtunduwu chotchedwa meningioma chimayamba kuchokera ku maselo a arachnoid (mtundu wa selo mu nembanemba woonda ngati ukonde wa kangaude) mu meninges.

Kawirikawiri, meningiomas amenewa amapezeka pamwamba pa ubongo ndi kuzungulira kupindika kwakunja. Nthawi zina amathanso kupangika pansi pa chigaza. Komabe, meningiomas omwe amapangika kuzungulira msana ndi osowa kwambiri.

Zotupa zimenezi nthawi zambiri zimakula pang'onopang'ono mkati . Choncho nthawi zina zimapezeka pokhapokha zitakula kufika pa kukula kwakukulu. Ngakhale zitakhala zabwino, ngati zitakula kwambiri, zimatha kukanikiza mbali zofunika kwambiri za ubongo ndipo zimatha kupha anthu.

Kodi pali mitundu ya meningioma?

Inde, mtedza uwu ukhoza kugawidwa m'magulu atatu akuluakulu kutengera mtundu wawo:

  • Giredi I kapena Yachizolowezi: Awa ndi meningiomas abwino . Amakula pang'onopang'ono kwambiri. Amawerengera pafupifupi 80% ya milandu yonse.
  • Giredi II (yosazolowereka): Izi si khansa, koma zimakula mofulumira pang'ono ndipo sizimalandira chithandizo. Pafupifupi 17% ya milandu imagwera m'gululi.
  • Giredi III (Anaplastic): Awa ndi meningiomas oopsa . Amakula mofulumira ndipo amatha kufalikira ku ziwalo zina za thupi. Komabe, mtundu uwu ndi wosowa kwambiri, umapezeka pa 1.7% yokha ya milandu.

Kodi pali mitundu ya meningiomas kutengera komwe imapangidwira?

Inde, zotupa zimenezi zimatchedwa ndi mayina osiyanasiyana kutengera komwe zili muubongo. Nazi zitsanzo zingapo:

  • Ma meningioma ozungulira: Amakula ngati pamwamba pa ubongo. Akamakula, amatha kukakamiza ubongo.
  • Meningiomas ya m'mimba:Izi zimapangidwa m'mabowo omwe ali mkati mwa ubongo otchedwa ma ventricles. Ndi m'mabowo amenewa momwe madzi a m'mitsempha ya ubongo (CSF) amayendera.
  • Ma meningiomas a m'mitsempha ya olfactory: Izi zimapangidwa pansi pa chigaza, pakati pa ubongo ndi mphuno. Zingakhudze mitsempha yathu ya olfactory, yomwe imayandikira.
  • Mapiko a Sphenoid meningiomas: Izi zimapangidwa m'mphepete mwa mafupa kumbuyo kwa maso athu.

Kuphatikiza apo, pali mitundu pafupifupi 15 ya meningiomas, kutengera mtundu wa maselo omwe amawonedwa ndi maikulosikopu.

Kodi meningioma ndi khansa?

Ili ndi vuto lomwe anthu ambiri ali nalo. Nthawi zambiri (pafupifupi 80-85%) meningiomas ndi zotupa zosavulaza. Izi zikutanthauza kuti, si khansa. Komabe, monga tanenera kale, nthawi zina (Giredi II ndi Giredi III), zimatha kukhala ndi khansa.

Chofunika kwambiri ndichakuti ngakhale kuti meningioma ndi yabwino, ngati ikukula, imatha kupitirira ndikuwononga mitsempha ndi ziwalo zofunika muubongo. Izi zitha kukhala zoopsa pamoyo. Chifukwa chake, si chinthu choyenera kuonedwa mopepuka.

Ndani ali ndi mwayi waukulu wokhala ndi meningioma?

Matenda a Meningioma amapezeka kwambiri mwa akuluakulu . Ndi osowa kwambiri mwa ana. Nthawi zambiri amapezeka ali ndi zaka pafupifupi 66. Kafukufuku ku United States akusonyeza kuti vutoli ndi lofala kwambiri pakati pa anthu akuda kuposa mafuko ena.

Chinanso n'chakuti akazi amakhala ndi mwayi waukulu wopeza meningiomas . Izi zikuganiziridwa kuti zimachitika chifukwa cha mphamvu ya mahomoni achikazi. Komabe, meningiomas yoopsa imapezeka kwambiri mwa amuna.

Kodi vutoli ndi lofala bwanji?

Matenda a Meningioma ndi ofala kwambiri . Akuti amapezeka mwa anthu pafupifupi 97 mwa anthu 100,000. Izi zikutanthauza kuti ku United States kokha, anthu opitilira 170,000 amapezeka ndi matendawa chaka chilichonse. Ndipotu, meningioma ndi mtundu wofala kwambiri wa chotupa cha muubongo.

Kodi zizindikiro za meningioma ndi ziti?

Popeza meningiomas nthawi zambiri imakula pang'onopang'ono, sizingayambitse zizindikiro zilizonse mpaka zitakula mokwanira kulowa m'maselo ofunikira apafupi. Zizindikiro zimadalira komwe chotupa chili muubongo.

Mwachitsanzo:

  • Munthu amene ali ndi fungo loipa la meningiomas akhoza kutaya pang'ono kapena kwathunthu mphamvu ya kumva fungo. Izi zimatchedwa anosmia .
  • Matenda a meningioma omwe amapezeka pakati pa ubongo kumbuyo kwa ubongo angayambitse ziwalo za miyendo ndi thupi la pansi. Imeneyi ndi matenda otchedwa paraplegia .
  • Ma meningioma a mapiko a sphenoid amatha kupangitsa kuti diso limodzi kapena onse awiri atuluke. Izi zimatchedwa proptosis . Zingayambitsenso vuto lotchedwa cavernous sinus syndrome .

Izi ndi zina mwa zizindikiro zomwe nthawi zambiri zimayambitsidwa ndi meningiomas mu ubongo:

  • Mutu (nthawi zambiri umakula kwambiri m'mawa)
  • Chizungulire
  • Kusanza ndi kusanza
  • Kusintha kwa masomphenya (kuona kawiri, kuwona molakwika, kuwona mochepa)
  • Kulephera kumva
  • Kugwidwa ndi khunyu
  • Kusintha kwa khalidwe kapena umunthu (monga kukwiya mwadzidzidzi kapena kukwiya)
  • Mavuto okumbukira
  • Hyperreflexia (kuwonjezeka kwakukulu kwa reflexes)
  • Kufooka kwa minofu m'mbali zina za thupi
  • Kusanza m'mbali zina za thupi

Ngati muli ndi meningioma pamsana, zizindikiro zofala kwambiri ndi izi:

  • Ululu komwe chotupa chili
  • Radiculopathy ( ululu, dzanzi chifukwa cha kupsinjika kwa mizu ya mitsempha)
  • Matenda a mitsempha (kufooka, kuchepa kwa minofu - Hypotonia , kuchepa kapena kusakhalapo kwa reflexes - Hyporeflexia)

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndikofunikira kwambiri kupita kwa dokotala mwamsanga.

Kodi zimayambitsa matenda a meningioma ndi ziti?

Asayansi sakudziwabe chomwe chimayambitsa meningiomas. Komabe, kafukufuku wapeza kuti pakati pa 40% ndi 80% ya meningiomas ali ndi vuto mu chromosome 22. Chromosome iyi imathandiza kuwongolera kukula kwa zotupa. Vutoli nthawi zambiri limachitika mwadzidzidzi. Nthawi zambiri, lingagwirizane ndi matenda obadwa nawo.

Asayansi tsopano apeza zinthu zingapo zomwe zimayambitsa matenda a meningioma m'malo osiyanasiyana, mahomoni, komanso majini.

Kodi meningioma iyi imapezeka bwanji?

Matenda a Meningioma nthawi zina amakhala ovuta kuwazindikira. Chifukwa amakula pang'onopang'ono, sangayambitse zizindikiro mpaka atakula mokwanira kuti akhudze madera oyandikana nawo. Komanso, chifukwa chakuti matenda ambiri a meningioma amakula pang'onopang'ono ndipo amapezeka kwambiri mwa akuluakulu, zizindikiro zina zingasokonezedwe ndi ukalamba wabwinobwino.

Ngati dokotala wanu akukayikira kuti mwina muli ndi meningioma, adzakutumizani kwa katswiri wa mitsempha .

Kuti adziwe matenda a meningioma, dokotala wanu adzakuyezani thupi ndi ubongo. Angakulimbikitseninso kuti muyesedwe zithunzi monga:

  • Kujambula ubongo pogwiritsa ntchito MRI (Magnetic Resonance Imaging): Iyi ndi njira yabwino kwambiri yodziwira matenda a meningioma. Imachitika poika mankhwala osiyanitsa m'mitsempha . Kujambula kwa MRI ndi njira yopanda ululu. Imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zomveka bwino za ziwalo zomwe zili mkati mwa thupi. Zinthu zosiyanitsa (zomwe zili ndi chitsulo chosowa chotchedwa gadolinium) zimapangitsa kuti zithunzizo zikhale bwino.
  • Kujambula kwa CT (Computed Tomography): Ngati simungathe kuchita MRI, dokotala wanu nthawi zambiri amalamula kuti mujambula CT pogwiritsa ntchito contrast scan . Kujambula kwa CT kumagwiritsa ntchito X-ray ndi makompyuta kuti apange zithunzi zatsatanetsatane za kapangidwe ka mkati mwa thupi. Zinthu zosiyanitsa (nthawi zina zimatchedwa utoto) zimathandiza kuti madera ena awonekere bwino pazithunzi. Izi zitha kuperekedwa ngati chakumwa kapena kubayidwa mumtsempha.

Nthawi zina, ngati pali kukayikira kulikonse pa matenda, pangafunike biopsy . Izi ndi kutsimikizira ngati ndi meningioma kapena china chake. Dokotala wanu wa mitsempha adzachita biopsy iyi ndikutenga chitsanzo cha minofu yaying'ono. Chitsanzocho chidzawunikidwa kuti adziwe matenda enieni, ngati chotupacho ndi chosaopsa kapena choipa, komanso kuti ndi cha mtundu wanji.

Kodi mankhwala a meningioma ndi otani?

Chithandizo cha meningioma chimasiyana malinga ndi munthu . Zimatengera zinthu zambiri. Ndondomeko ya chithandizo nthawi zambiri imakhala yophatikiza chimodzi kapena zingapo mwa izi:

  • Kuyang'anitsitsa (njira ya "Dikirani ndikuwona")
  • Opaleshoni
  • Chithandizo cha radiation
  • Chisamaliro cha kupweteka kwa mtima
  • Chemotherapy (nthawi zambiri izi sizigwiritsidwa ntchito kawirikawiri)

Pamodzi, inu ndi gulu lanu lachipatala mudzasankha njira yochiritsira yomwe ili yoyenera kwa inu.

Kuyang'anitsitsa ("njira yowonera ndikuwona")

Pali zifukwa zingapo zomwe madokotala amagwiritsa ntchito njira iyi ya "kudikira mosamala":

  • Ngati mulibe zizindikiro ndipo chotupacho ndi chaching'ono kwambiri .
  • Ngati muli ndi zizindikiro zochepa ndipo palibe kutupa kapena kutupa pang'ono kuzungulira ubongo.
  • Ngati muli ndi zizindikiro zochepa ndipo mwakhala ndi chotupa kwa nthawi yayitali ndipo sizikukhudza moyo wanu.
  • Ngati ndinu wamkulu ndipo zizindikiro zanu zikupitirira pang'onopang'ono .
  • Ngati chithandizo chili pachiwopsezo chachikulu pa thanzi lanu ndi moyo wanu.

Zikatero, dokotala wanu adzakufunsani kuti mubwereze MRI scan ndi kupitanso kukaonana ndi dokotala . Yang'anirani kukula kwa chotupacho ndi zizindikiro zake. Zotupa zina sizingakule kwambiri.

Opaleshoni

Chithandizo chachikulu cha meningiomas yowonetsa zizindikiro, kapena zotupa zazikulu zomwe zingayambitse zizindikiro posachedwa, ndi opaleshoni yochotsa mabala .

Kuchotsa chotupa chonse (GTR) ndi njira yochiritsira anthu ambiri omwe ali ndi meningiomas (70% mpaka 80%) . Cholinga cha opaleshoni ndikuchotsa chotupa kwathunthu momwe zingathere, koma izi zitha kuchepetsedwa ndi zinthu monga:

  • Kumene kuli chotupa. (Malo ena ndi ovuta kufikako)
  • Kaya chotupacho chalumikizidwa ndi minofu ya ubongo kapena mitsempha yamagazi yozungulira.
  • Zinthu zina zomwe nthawi zambiri zimakhudza chitetezo cha opaleshoni.

Kukula kwa chotupacho kumakhudza kwambiri mwayi wobwereranso kwa meningioma m'magulu onse omwe amachiritsidwa ndi opaleshoni.

Chithandizo cha radiation

Chithandizo cha radiation ndi chithandizo chomwe chimagwiritsa ntchito kuwala kwamphamvu kwambiri (radiation) kupha maselo a khansa kapena kuwaletsa kukula. Ndiwothandizanso pa zotupa zina zosaopsa, monga benign meningiomas.

Chithandizo cha radiation chimagwiritsidwa ntchito ngati chithandizo choyamba cha meningiomas chomwe sichingathe kuchotsedwa kwathunthu, kapena pamene zoopsa za opaleshoni zimaposa ubwino wake. Zitsanzo zikuphatikizapo meningiomas yomwe ili mkati mwa ubongo kapena yomwe imazungulira mitsempha ya mitsempha.

Pali mitundu ingapo ya chithandizo cha radiation chomwe chimagwiritsidwa ntchito pochiza meningiomas:

  • Opaleshoni ya Radiosurgery (SRS): Iyi ndi njira yochizira matenda a radiation osagwiritsa ntchito opaleshoni, komanso amphamvu kwambiri. Imagwiritsidwa ntchito pochiza zotupa za muubongo. Imapereka radiation yambiri m'magawo ochepa, olunjika kwambiri komanso kuwonongeka kochepa kwa minofu yathanzi. Ingagwiritsidwe ntchito pa meningiomas pansi pa chigaza, meningiomas yomwe yachotsedwa pang'ono, kapena meningiomas yomwe ikubweranso.
  • Chithandizo cha Kutulutsa Ma radiation cha Kunja (EBRT): Iyi ndiyo njira yodziwika kwambiri yogwiritsira ntchito ma radiation therapy. Ma radiation amphamvu kwambiri amalunjika mwachindunji ku chotupacho.
  • Brachytherapy: Uwu ndi mtundu wa chithandizo cha radiation chomwe chimagwiritsidwa ntchito pochiza khansa zosiyanasiyana. Mu izi, mbewu kapena ma pellets a radioactive amaikidwa opaleshoni mkati kapena pafupi ndi chotupacho.

Chithandizo cha radiotherapy cha meningiomas achilendo komanso khansaImatha kulamulira kukula kwa chotupa ndikuwonjezera nthawi yomwe matendawa angachiritsidwe komanso kupulumuka kwathunthu. Chithandizo chothandizira ndi chithandizo chomwe chimayang'ana maselo a khansa omwe sanaphedwe ndi chithandizo chachikulu. Chithandizo chothandizira ndi radiation, chomwe chimaperekedwa pambuyo poti meningioma yolakwika yachotsedwa kwathunthu ndi opaleshoni, chingachepetse chiopsezo chobwereranso kwa chotupacho.

Chisamaliro cha kupweteka kwa mtima

Meningioma ndi chithandizo chake zingayambitse zizindikiro zakuthupi ndi zotsatirapo zake, komanso mavuto amisala ndi chikhalidwe cha anthu. Chisamaliro cha kupweteka kwa minofu ndi njira yothanirana ndi mavuto onsewa . Ichi ndi gawo lofunika kwambiri pa dongosolo lanu la chithandizo. Chimachitika limodzi ndi mankhwala omwe amaperekedwa kuti achepetse, asiye, kapena athetse kukula kwa chotupacho.

Chisamaliro cha palliative chimayang'ana kwambiri pa kuthana ndi zizindikiro, kukuthandizani inu ndi banja lanu, komanso kukonza momwe mumamvera mukamalandira chithandizo . Chisamaliro cha palliative chimabwera m'njira zosiyanasiyana. Zingaphatikizepo:

  • Mankhwala
  • Kusintha kwa zakudya
  • Njira zopumulira
  • Thandizo la maganizo ndi lauzimu
  • Njira zomwe zimathandizira kuti ubongo ugwire bwino ntchito komanso kuti moyo ukhale wabwino
  • Mankhwala ena

Mankhwala a Chemotherapy

Chemotherapy ndi mtundu wa chithandizo chomwe chimagwiritsa ntchito mankhwala polimbana ndi mitundu yosiyanasiyana ya khansa. Ngakhale kuti chemotherapy sigwiritsidwa ntchito kawirikawiri pochiza meningiomas, madokotala nthawi zambiri amalangiza anthu omwe ali ndi meningiomas omwe sakuyankhanso opaleshoni kapena chithandizo cha radiation, kapena omwe abwereranso kapena kukula.

Mankhwala a chemotherapy a Bevacizumab awonetsedwa kuti ndi othandiza pochepetsa zotupa pambuyo pa opaleshoni komanso chithandizo cha radiation kwa anthu omwe ali ndi anaplastic meningioma.

Kodi pali zotsatirapo zilizonse ndi zovuta zilizonse za chithandizochi?

Mankhwala a meningioma akhoza kukhala ndi zoopsa zina, zotsatirapo zake, komanso mavuto ena. Ndikofunikira kulankhula ndi gulu lanu lachipatala za zoopsa zomwe zingachitike chifukwa cha dongosolo lanu la chithandizo.

Mavuto omwe angakhalepo chifukwa cha opaleshoni ya meningioma

Opaleshoni yochotsa gawo kapena lonse la meningioma ndi njira yovuta. Sikuti ilibe zoopsa zake komanso zovuta zake. Monga opaleshoni ina iliyonse, pali chiopsezo cha matenda ndi kutuluka magazi . Mavuto ena omwe angakhalepo ndi awa:

  • Kutupa kwa ubongo pambuyo pa opaleshoni, komwe kungayambitse kuwonongeka kwa ubongo.
  • Kuwonongeka kwa mitsempha ya m'khosi. Kutengera ndi komwe meningioma ili, izi zingakhudze ntchito zosiyanasiyana, monga kuwona kwanu, kusuntha nkhope yanu, komanso kumeza.
  • Kuchulukana kwa madzi m'thupi mozungulira ubongo (cerebral edema) pambuyo pa opaleshoni kungayambitsenso kuwonongeka kwa ubongo.
  • Kuwonongeka mwangozi kwa minofu ya ubongo wathanzi. Izi zingayambitse mavuto pa kuganiza kwanu, kuona, ndi luso lanu lolankhula.

Zotsatirapo za chithandizo cha radiation cha meningioma

Ngakhale kuti chithandizo cha radiation sichipweteka, pali zotsatirapo zina zomwe zingachitike minofu yathanzi ikakhudzidwa ndi radiation. Zotsatirapo zofala kwambiri za chithandizo cha radiation cha meningioma ndi izi:

  • Khungu limakhala lofooka komanso tsitsi limatayika pang'ono.
  • Kutopa.
  • Kusintha kwa luso la kuganiza (monga kuvutika kuganiza bwino, kuiwala pang'ono).
  • Chakudyacho sichikoma.
  • Mutu.

Kupatulapo zizindikiro zokhudzana ndi luso loganiza (zomwe zingakhale zokhalitsa), zotsatirapo zambirizi zimakhala zakanthawi kochepa ndipo nthawi zambiri zimatha mkati mwa milungu ingapo kuchokera pamene munthu walandira chithandizo.

Zotsatirapo za chemotherapy pa meningioma

Zotsatirapo za mankhwala a chemotherapy zimasiyana malinga ndi munthu, kutengera mtundu wa mankhwala omwe aperekedwa, komanso mlingo wake. Zingaphatikizepo:

  • Ntchito yovuta.
  • Chiwopsezo chachikulu cha matenda.
  • Kusanza ndi kusanza.
  • Kutaya tsitsi.
  • Chakudyacho sichikoma.
  • Kutsegula m'mimba.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a meningioma?

Pali zinthu zingapo zomwe zingayambitse matenda a meningioma:

  • Zaka zanu: Meningioma imapezeka kwambiri mwa anthu azaka 65 kapena kuposerapo. Chiwopsezochi chimawonjezeka ndi ukalamba.
  • Jenda lanu: Akazi ali ndi mwayi wowirikiza kawiri matenda a meningiomas kuposa amuna. Asayansi akuganiza kuti izi zimachitika chifukwa chogwiritsa ntchito mahomoni achikazi. Chithandizo chobwezeretsa mahomoni ndi/kapena mapiritsi oletsa kubereka, komanso kukhala ndi khansa ya m'mawere, chingapangitsenso kuti chiopsezocho chiwonjezeke.
  • Kukhudzidwa ndi kuwala kwa dzuwa: Chiwopsezo cha matenda a meningioma chingawonjezeke ngati mudalandirapo chithandizo cha kuwala kwa dzuwa kumutu.
  • Fuko/Fuko: Ku United States, anthu akuda ali ndi chiwerengero chachikulu cha matenda a meningioma kuposa mafuko ena.

Kuphatikiza apo, pali zinthu zina zomwe zimayambitsa meningioma m'majini . Ngati muli ndi vuto lililonse mwa izi, kapena ngati wina m'banja mwanu (m'bale kapena kholo) wakhala ndi meningioma, muli pachiwopsezo chachikulu chotenga meningioma:

  • Mtundu wa Neurofibromatosis: Anthu omwe ali ndi vutoli ali ndi mwayi waukulu wopeza meningiomas ya khansa kapena meningiomas zingapo.
  • Matenda a Von Hippel-Lindau .
  • Matenda ambiri a endocrine neoplasia mtundu 1 .
  • Matenda a Li-Fraumeni .
  • Matenda a Cowden .

Ngati mukuda nkhawa ndi chiopsezo chanu chokhala ndi meningioma,Kambiranani ndi dokotala wanu.

Kodi ndingayembekezere chiyani ngati ndili ndi meningioma?

Izi ndizofunikira kwambiri. Palibe anthu awiri omwe ali ndi meningioma omwe amakhudzidwa mofanana. N'zovuta kunena momwe mudzakhudzidwire. Njira yabwino yodziwira ndikulankhula ndi akatswiri omwe amafufuza ndikuchiza meningioma. Angakupatseni kufotokozera kolondola kwa zomwe mungayembekezere kutengera momwe mulili.

Kodi matenda a meningioma ndi otani?

Chiyembekezo cha meningioma, ndiko kuti, mwayi wochira komanso momwe matendawa adzapitirire, zimadalira zinthu zingapo:

  • Kukula kwa chotupacho.
  • Kumene chotupa chili.
  • Kaya chotupacho ndi chosaopsa kapena choipa .
  • Kaya chotupacho chinachotsedwa pang'ono kapena kwathunthu ndi opaleshoni .
  • Zaka zanu ndi thanzi lanu lonse.

Ngati ndinu wamkulu, zaka zomwe mumapeza matendawa ndiye chizindikiro chachikulu cha zotsatira zake. Kawirikawiri, mukakhala wamng'ono, malingaliro anu amakhala abwino. Zotsatira zabwino kwambiri ndi pamene chotupacho chingachotsedwe kwathunthu mwa opaleshoni. Komabe, kutengera komwe chotupacho chili, izi sizingatheke nthawi zonse.

Matenda a Meningioma amatha kubwereranso pambuyo pa chithandizo. Kuchuluka kwa matendawa kumadalira kuchuluka kwa chotupa chomwe chachotsedwa opaleshoni. Kuchuluka kwa matendawa kumakhala kochepa ngati atachotsedwa kwathunthu.

Matenda a meningioma ndi chithandizo chake zingayambitse mavuto a nthawi yayitali , mwachitsanzo:

  • Kuvuta kuyika maganizo pa chinthu.
  • Kutaya kukumbukira.
  • Kusintha kwa umunthu.
  • Kugwidwa ndi khunyu.
  • Kufooka.
  • Mavuto a chilankhulo (kuvutika kulankhula ndi kumvetsetsa).

Kodi kuchuluka kwa moyo wa meningioma ndi kotani?

Chiwerengero cha kupulumuka kwa meningioma kwa zaka zisanu ndi izi:

  • Chotupa cha Giredi I: 95.7%
  • Chotupa cha Giredi II: 81.8%
  • Chotupa cha Giredi III: 46.7%

Kuchuluka kwa moyo wa meningioma kwa zaka khumi:

  • Chotupa cha Giredi I: 90%
  • Chotupa cha Giredi II: 69%

Chiŵerengero cha kupulumuka kwa zaka khumi kwa meningioma yoopsa chikuwonjezeka pang'onopang'ono chifukwa cha mankhwala atsopano .

Ndikofunikira kukumbukira kuti ziwerengerozi ndi zongoyerekeza chabe . Dokotala wanu yekha ndi amene angakupatseni malingaliro odziwa bwino zinthu kutengera momwe zinthu zilili.

Kodi muyenera kupita kwa dokotala liti pankhani ya meningioma?

Ngati mwapezeka ndi meningioma, ndipo mukuwona zizindikiro zatsopano kapena kusintha kwa zizindikiro zomwe zilipo , muyenera kuuza dokotala wanu mwamsanga.

Ngati mwalandira chithandizo cha meningioma, chisamaliro chanu sichimatha chithandizo chikatha. Gulu lanu lachipatala lidzapitiriza kufufuza ngati chikubwereranso , kuthana ndi zotsatirapo zake kwa nthawi yayitali, komanso kuyang'anira thanzi lanu lonse.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati mwapezeka ndi meningioma, zingakhale zothandiza kufunsa dokotala mafunso awa:

  • Ndi mtundu wanji wa meningioma womwe ndili nawo?
  • Kodi chipatsocho chili ndi mtundu wanji? Kodi chimatanthauza chiyani?
  • Kodi mumawachiza anthu angati omwe ali ndi zotupa izi pachaka?
  • Kodi banja langa lili pachiwopsezo chachikulu chotenga meningioma?
  • Kodi muli ndi mabuku owerengera omwe angandithandize kumvetsetsa matendawa?
  • Kodi njira zanga zochiritsira ndi ziti?
  • Ndi mayeso ati azachipatala omwe ndingatenge nawo mbali?
  • Kodi ndi dongosolo liti la chithandizo lomwe mukundipangira? Chifukwa chiyani?
  • Ndi mautumiki ati othandizira omwe alipo kwa ine ndi banja langa?
  • Kodi mukudziwa gulu lothandizira anthu omwe ali ndi meningioma?
  • Ngati ndili ndi mafunso kapena nkhawa, ndiyenera kulankhula ndi ndani?

Kudziwa kuti muli ndi chotupa cha muubongo, kaya ndi chosaopsa kapena cha khansa, kungakhale kodabwitsa. Koma nkhani yabwino ndi yakuti meningioma ndi matenda ochiritsika omwe nthawi zambiri amakhala ndi chiyembekezo chabwino. Gulu lanu lazachipatala lili pano kuti likupatseni chithandizo champhamvu komanso chogwirizana ndi zosowa zanu. Ngati muli ndi mafunso kapena nkhawa, musaope kufunsa gulu lanu lazachipatala. Ali pano kuti akuthandizeni.

Uthenga Womaliza Wopita Nawo Kunyumba

Kotero, takambirana zambiri za meningioma, sichoncho? Mwachidule, ndi chotupa chomwe chimakula m'maselo omwe amaphimba ubongo wathu ndi msana (meninges). Nthawi zambiri, izi zimakhala zabwino (osati khansa) , ndipo zimakula pang'onopang'ono. Ndicho chifukwa chake nthawi zina zimatenga nthawi kuti zizindikiro ziwonekere.

Komabe, ngati muli ndi zizindikiro monga mutu, kusintha kwa masomphenya, kapena khunyu, muyenera kufunsa upangiri wa dokotala. Izi zitha kuzindikirika ndi zinthu monga MRI ndi CT scans. Chithandizo chimadalira mtundu, kukula, ndi komwe chotupa chili, ndipo nthawi zina chimangoyang'aniridwa, kapena opaleshoni kapena chithandizo cha radiation.

Chofunika kwambiri ndi kusachita mantha, kusachita mantha, komanso kutsatira malangizo oyenera a dokotala.Si matenda onse a meningioma omwe ali ofanana, kotero dokotala wanu ndiye amene adzakukonzerani chithandizo chabwino kwambiri. Ngati muli ndi mafunso, musazengereze kufunsa.


Meningioma , zotupa za muubongo, meninges, khansa, dongosolo lamanjenje, mutu, opaleshoni

Frequently Asked Questions (FAQ)

Kodi pali mitundu ya meningioma?

Inde, mtedza uwu ukhoza kugawidwa m'magulu atatu akuluakulu kutengera mtundu wawo:

Kodi pali mitundu ya meningiomas kutengera komwe imapangidwira?

Inde, zotupa zimenezi zimatchedwa ndi mayina osiyanasiyana kutengera komwe zili muubongo. Nazi zitsanzo zingapo:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Kodi izi ndi zinazake zomwe zili m'mutu mwanu? Tiyeni tiphunzire za Meningioma mwachidule!

Kodi izi ndi zinazake zomwe zili m'mutu mwanu? Tiyeni tiphunzire za Meningioma mwachidule!

Kodi munayamba mwaganizapo kuti mwina muli ndi chotupa chomwe chikukula m'mutu mwanu? Kodi sizikumveka zoopsa? Koma si zotupa zonse zomwe ndi khansa yoopsa . Lero tikambirana za mtundu wa chotupa chomwe chimayamba m'maselo ozungulira ubongo wathu, chomwe nthawi zambiri chimakhala chopanda vuto, koma nthawi zina chimafuna chisamaliro pang'ono. Izi ndi zomwe madokotala amatcha meningioma. Tiyeni tiwone chomwe chili, chifukwa chake chimayamba, zizindikiro zake ndi ziti, komanso momwe chimachiritsidwira.

Kodi Meningioma ndi chiyani? Mwachidule...

Taganizirani ubongo wathu ndi chingwe cha msana (chingwe cha mitsempha mkati mwa msana) ngati zinthu zamtengo wapatali. Choncho kuti titeteze zinthu zamtengo wapatalizi, chilengedwe chatipatsa zigawo zitatu za chophimba. Zophimba izi zimatchedwa meninges . Zili ngati zophimba za m'buku.

Choncho, chotupa chamtunduwu chotchedwa meningioma chimayamba kuchokera ku maselo a arachnoid (mtundu wa selo mu nembanemba woonda ngati ukonde wa kangaude) mu meninges.

Kawirikawiri, meningiomas amenewa amapezeka pamwamba pa ubongo ndi kuzungulira kupindika kwakunja. Nthawi zina amathanso kupangika pansi pa chigaza. Komabe, meningiomas omwe amapangika kuzungulira msana ndi osowa kwambiri.

Zotupa zimenezi nthawi zambiri zimakula pang'onopang'ono mkati . Choncho nthawi zina zimapezeka pokhapokha zitakula kufika pa kukula kwakukulu. Ngakhale zitakhala zabwino, ngati zitakula kwambiri, zimatha kukanikiza mbali zofunika kwambiri za ubongo ndipo zimatha kupha anthu.

Kodi pali mitundu ya meningioma?

Inde, mtedza uwu ukhoza kugawidwa m'magulu atatu akuluakulu kutengera mtundu wawo:

  • Giredi I kapena Yachizolowezi: Awa ndi meningiomas abwino . Amakula pang'onopang'ono kwambiri. Amawerengera pafupifupi 80% ya milandu yonse.
  • Giredi II (yosazolowereka): Izi si khansa, koma zimakula mofulumira pang'ono ndipo sizimalandira chithandizo. Pafupifupi 17% ya milandu imagwera m'gululi.
  • Giredi III (Anaplastic): Awa ndi meningiomas oopsa . Amakula mofulumira ndipo amatha kufalikira ku ziwalo zina za thupi. Komabe, mtundu uwu ndi wosowa kwambiri, umapezeka pa 1.7% yokha ya milandu.

Kodi pali mitundu ya meningiomas kutengera komwe imapangidwira?

Inde, zotupa zimenezi zimatchedwa ndi mayina osiyanasiyana kutengera komwe zili muubongo. Nazi zitsanzo zingapo:

  • Ma meningioma ozungulira: Amakula ngati pamwamba pa ubongo. Akamakula, amatha kukakamiza ubongo.
  • Meningiomas ya m'mimba:Izi zimapangidwa m'mabowo omwe ali mkati mwa ubongo otchedwa ma ventricles. Ndi m'mabowo amenewa momwe madzi a m'mitsempha ya ubongo (CSF) amayendera.
  • Ma meningiomas a m'mitsempha ya olfactory: Izi zimapangidwa pansi pa chigaza, pakati pa ubongo ndi mphuno. Zingakhudze mitsempha yathu ya olfactory, yomwe imayandikira.
  • Mapiko a Sphenoid meningiomas: Izi zimapangidwa m'mphepete mwa mafupa kumbuyo kwa maso athu.

Kuphatikiza apo, pali mitundu pafupifupi 15 ya meningiomas, kutengera mtundu wa maselo omwe amawonedwa ndi maikulosikopu.

Kodi meningioma ndi khansa?

Ili ndi vuto lomwe anthu ambiri ali nalo. Nthawi zambiri (pafupifupi 80-85%) meningiomas ndi zotupa zosavulaza. Izi zikutanthauza kuti, si khansa. Komabe, monga tanenera kale, nthawi zina (Giredi II ndi Giredi III), zimatha kukhala ndi khansa.

Chofunika kwambiri ndichakuti ngakhale kuti meningioma ndi yabwino, ngati ikukula, imatha kupitirira ndikuwononga mitsempha ndi ziwalo zofunika muubongo. Izi zitha kukhala zoopsa pamoyo. Chifukwa chake, si chinthu choyenera kuonedwa mopepuka.

Ndani ali ndi mwayi waukulu wokhala ndi meningioma?

Matenda a Meningioma amapezeka kwambiri mwa akuluakulu . Ndi osowa kwambiri mwa ana. Nthawi zambiri amapezeka ali ndi zaka pafupifupi 66. Kafukufuku ku United States akusonyeza kuti vutoli ndi lofala kwambiri pakati pa anthu akuda kuposa mafuko ena.

Chinanso n'chakuti akazi amakhala ndi mwayi waukulu wopeza meningiomas . Izi zikuganiziridwa kuti zimachitika chifukwa cha mphamvu ya mahomoni achikazi. Komabe, meningiomas yoopsa imapezeka kwambiri mwa amuna.

Kodi vutoli ndi lofala bwanji?

Matenda a Meningioma ndi ofala kwambiri . Akuti amapezeka mwa anthu pafupifupi 97 mwa anthu 100,000. Izi zikutanthauza kuti ku United States kokha, anthu opitilira 170,000 amapezeka ndi matendawa chaka chilichonse. Ndipotu, meningioma ndi mtundu wofala kwambiri wa chotupa cha muubongo.

Kodi zizindikiro za meningioma ndi ziti?

Popeza meningiomas nthawi zambiri imakula pang'onopang'ono, sizingayambitse zizindikiro zilizonse mpaka zitakula mokwanira kulowa m'maselo ofunikira apafupi. Zizindikiro zimadalira komwe chotupa chili muubongo.

Mwachitsanzo:

  • Munthu amene ali ndi fungo loipa la meningiomas akhoza kutaya pang'ono kapena kwathunthu mphamvu ya kumva fungo. Izi zimatchedwa anosmia .
  • Matenda a meningioma omwe amapezeka pakati pa ubongo kumbuyo kwa ubongo angayambitse ziwalo za miyendo ndi thupi la pansi. Imeneyi ndi matenda otchedwa paraplegia .
  • Ma meningioma a mapiko a sphenoid amatha kupangitsa kuti diso limodzi kapena onse awiri atuluke. Izi zimatchedwa proptosis . Zingayambitsenso vuto lotchedwa cavernous sinus syndrome .

Izi ndi zina mwa zizindikiro zomwe nthawi zambiri zimayambitsidwa ndi meningiomas mu ubongo:

  • Mutu (nthawi zambiri umakula kwambiri m'mawa)
  • Chizungulire
  • Kusanza ndi kusanza
  • Kusintha kwa masomphenya (kuona kawiri, kuwona molakwika, kuwona mochepa)
  • Kulephera kumva
  • Kugwidwa ndi khunyu
  • Kusintha kwa khalidwe kapena umunthu (monga kukwiya mwadzidzidzi kapena kukwiya)
  • Mavuto okumbukira
  • Hyperreflexia (kuwonjezeka kwakukulu kwa reflexes)
  • Kufooka kwa minofu m'mbali zina za thupi
  • Kusanza m'mbali zina za thupi

Ngati muli ndi meningioma pamsana, zizindikiro zofala kwambiri ndi izi:

  • Ululu komwe chotupa chili
  • Radiculopathy ( ululu, dzanzi chifukwa cha kupsinjika kwa mizu ya mitsempha)
  • Matenda a mitsempha (kufooka, kuchepa kwa minofu - Hypotonia , kuchepa kapena kusakhalapo kwa reflexes - Hyporeflexia)

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, ndikofunikira kwambiri kupita kwa dokotala mwamsanga.

Kodi zimayambitsa matenda a meningioma ndi ziti?

Asayansi sakudziwabe chomwe chimayambitsa meningiomas. Komabe, kafukufuku wapeza kuti pakati pa 40% ndi 80% ya meningiomas ali ndi vuto mu chromosome 22. Chromosome iyi imathandiza kuwongolera kukula kwa zotupa. Vutoli nthawi zambiri limachitika mwadzidzidzi. Nthawi zambiri, lingagwirizane ndi matenda obadwa nawo.

Asayansi tsopano apeza zinthu zingapo zomwe zimayambitsa matenda a meningioma m'malo osiyanasiyana, mahomoni, komanso majini.

Kodi meningioma iyi imapezeka bwanji?

Matenda a Meningioma nthawi zina amakhala ovuta kuwazindikira. Chifukwa amakula pang'onopang'ono, sangayambitse zizindikiro mpaka atakula mokwanira kuti akhudze madera oyandikana nawo. Komanso, chifukwa chakuti matenda ambiri a meningioma amakula pang'onopang'ono ndipo amapezeka kwambiri mwa akuluakulu, zizindikiro zina zingasokonezedwe ndi ukalamba wabwinobwino.

Ngati dokotala wanu akukayikira kuti mwina muli ndi meningioma, adzakutumizani kwa katswiri wa mitsempha .

Kuti adziwe matenda a meningioma, dokotala wanu adzakuyezani thupi ndi ubongo. Angakulimbikitseninso kuti muyesedwe zithunzi monga:

  • Kujambula ubongo pogwiritsa ntchito MRI (Magnetic Resonance Imaging): Iyi ndi njira yabwino kwambiri yodziwira matenda a meningioma. Imachitika poika mankhwala osiyanitsa m'mitsempha . Kujambula kwa MRI ndi njira yopanda ululu. Imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zomveka bwino za ziwalo zomwe zili mkati mwa thupi. Zinthu zosiyanitsa (zomwe zili ndi chitsulo chosowa chotchedwa gadolinium) zimapangitsa kuti zithunzizo zikhale bwino.
  • Kujambula kwa CT (Computed Tomography): Ngati simungathe kuchita MRI, dokotala wanu nthawi zambiri amalamula kuti mujambula CT pogwiritsa ntchito contrast scan . Kujambula kwa CT kumagwiritsa ntchito X-ray ndi makompyuta kuti apange zithunzi zatsatanetsatane za kapangidwe ka mkati mwa thupi. Zinthu zosiyanitsa (nthawi zina zimatchedwa utoto) zimathandiza kuti madera ena awonekere bwino pazithunzi. Izi zitha kuperekedwa ngati chakumwa kapena kubayidwa mumtsempha.

Nthawi zina, ngati pali kukayikira kulikonse pa matenda, pangafunike biopsy . Izi ndi kutsimikizira ngati ndi meningioma kapena china chake. Dokotala wanu wa mitsempha adzachita biopsy iyi ndikutenga chitsanzo cha minofu yaying'ono. Chitsanzocho chidzawunikidwa kuti adziwe matenda enieni, ngati chotupacho ndi chosaopsa kapena choipa, komanso kuti ndi cha mtundu wanji.

Kodi mankhwala a meningioma ndi otani?

Chithandizo cha meningioma chimasiyana malinga ndi munthu . Zimatengera zinthu zambiri. Ndondomeko ya chithandizo nthawi zambiri imakhala yophatikiza chimodzi kapena zingapo mwa izi:

  • Kuyang'anitsitsa (njira ya "Dikirani ndikuwona")
  • Opaleshoni
  • Chithandizo cha radiation
  • Chisamaliro cha kupweteka kwa mtima
  • Chemotherapy (nthawi zambiri izi sizigwiritsidwa ntchito kawirikawiri)

Pamodzi, inu ndi gulu lanu lachipatala mudzasankha njira yochiritsira yomwe ili yoyenera kwa inu.

Kuyang'anitsitsa ("njira yowonera ndikuwona")

Pali zifukwa zingapo zomwe madokotala amagwiritsa ntchito njira iyi ya "kudikira mosamala":

  • Ngati mulibe zizindikiro ndipo chotupacho ndi chaching'ono kwambiri .
  • Ngati muli ndi zizindikiro zochepa ndipo palibe kutupa kapena kutupa pang'ono kuzungulira ubongo.
  • Ngati muli ndi zizindikiro zochepa ndipo mwakhala ndi chotupa kwa nthawi yayitali ndipo sizikukhudza moyo wanu.
  • Ngati ndinu wamkulu ndipo zizindikiro zanu zikupitirira pang'onopang'ono .
  • Ngati chithandizo chili pachiwopsezo chachikulu pa thanzi lanu ndi moyo wanu.

Zikatero, dokotala wanu adzakufunsani kuti mubwereze MRI scan ndi kupitanso kukaonana ndi dokotala . Yang'anirani kukula kwa chotupacho ndi zizindikiro zake. Zotupa zina sizingakule kwambiri.

Opaleshoni

Chithandizo chachikulu cha meningiomas yowonetsa zizindikiro, kapena zotupa zazikulu zomwe zingayambitse zizindikiro posachedwa, ndi opaleshoni yochotsa mabala .

Kuchotsa chotupa chonse (GTR) ndi njira yochiritsira anthu ambiri omwe ali ndi meningiomas (70% mpaka 80%) . Cholinga cha opaleshoni ndikuchotsa chotupa kwathunthu momwe zingathere, koma izi zitha kuchepetsedwa ndi zinthu monga:

  • Kumene kuli chotupa. (Malo ena ndi ovuta kufikako)
  • Kaya chotupacho chalumikizidwa ndi minofu ya ubongo kapena mitsempha yamagazi yozungulira.
  • Zinthu zina zomwe nthawi zambiri zimakhudza chitetezo cha opaleshoni.

Kukula kwa chotupacho kumakhudza kwambiri mwayi wobwereranso kwa meningioma m'magulu onse omwe amachiritsidwa ndi opaleshoni.

Chithandizo cha radiation

Chithandizo cha radiation ndi chithandizo chomwe chimagwiritsa ntchito kuwala kwamphamvu kwambiri (radiation) kupha maselo a khansa kapena kuwaletsa kukula. Ndiwothandizanso pa zotupa zina zosaopsa, monga benign meningiomas.

Chithandizo cha radiation chimagwiritsidwa ntchito ngati chithandizo choyamba cha meningiomas chomwe sichingathe kuchotsedwa kwathunthu, kapena pamene zoopsa za opaleshoni zimaposa ubwino wake. Zitsanzo zikuphatikizapo meningiomas yomwe ili mkati mwa ubongo kapena yomwe imazungulira mitsempha ya mitsempha.

Pali mitundu ingapo ya chithandizo cha radiation chomwe chimagwiritsidwa ntchito pochiza meningiomas:

  • Opaleshoni ya Radiosurgery (SRS): Iyi ndi njira yochizira matenda a radiation osagwiritsa ntchito opaleshoni, komanso amphamvu kwambiri. Imagwiritsidwa ntchito pochiza zotupa za muubongo. Imapereka radiation yambiri m'magawo ochepa, olunjika kwambiri komanso kuwonongeka kochepa kwa minofu yathanzi. Ingagwiritsidwe ntchito pa meningiomas pansi pa chigaza, meningiomas yomwe yachotsedwa pang'ono, kapena meningiomas yomwe ikubweranso.
  • Chithandizo cha Kutulutsa Ma radiation cha Kunja (EBRT): Iyi ndiyo njira yodziwika kwambiri yogwiritsira ntchito ma radiation therapy. Ma radiation amphamvu kwambiri amalunjika mwachindunji ku chotupacho.
  • Brachytherapy: Uwu ndi mtundu wa chithandizo cha radiation chomwe chimagwiritsidwa ntchito pochiza khansa zosiyanasiyana. Mu izi, mbewu kapena ma pellets a radioactive amaikidwa opaleshoni mkati kapena pafupi ndi chotupacho.

Chithandizo cha radiotherapy cha meningiomas achilendo komanso khansaImatha kulamulira kukula kwa chotupa ndikuwonjezera nthawi yomwe matendawa angachiritsidwe komanso kupulumuka kwathunthu. Chithandizo chothandizira ndi chithandizo chomwe chimayang'ana maselo a khansa omwe sanaphedwe ndi chithandizo chachikulu. Chithandizo chothandizira ndi radiation, chomwe chimaperekedwa pambuyo poti meningioma yolakwika yachotsedwa kwathunthu ndi opaleshoni, chingachepetse chiopsezo chobwereranso kwa chotupacho.

Chisamaliro cha kupweteka kwa mtima

Meningioma ndi chithandizo chake zingayambitse zizindikiro zakuthupi ndi zotsatirapo zake, komanso mavuto amisala ndi chikhalidwe cha anthu. Chisamaliro cha kupweteka kwa minofu ndi njira yothanirana ndi mavuto onsewa . Ichi ndi gawo lofunika kwambiri pa dongosolo lanu la chithandizo. Chimachitika limodzi ndi mankhwala omwe amaperekedwa kuti achepetse, asiye, kapena athetse kukula kwa chotupacho.

Chisamaliro cha palliative chimayang'ana kwambiri pa kuthana ndi zizindikiro, kukuthandizani inu ndi banja lanu, komanso kukonza momwe mumamvera mukamalandira chithandizo . Chisamaliro cha palliative chimabwera m'njira zosiyanasiyana. Zingaphatikizepo:

  • Mankhwala
  • Kusintha kwa zakudya
  • Njira zopumulira
  • Thandizo la maganizo ndi lauzimu
  • Njira zomwe zimathandizira kuti ubongo ugwire bwino ntchito komanso kuti moyo ukhale wabwino
  • Mankhwala ena

Mankhwala a Chemotherapy

Chemotherapy ndi mtundu wa chithandizo chomwe chimagwiritsa ntchito mankhwala polimbana ndi mitundu yosiyanasiyana ya khansa. Ngakhale kuti chemotherapy sigwiritsidwa ntchito kawirikawiri pochiza meningiomas, madokotala nthawi zambiri amalangiza anthu omwe ali ndi meningiomas omwe sakuyankhanso opaleshoni kapena chithandizo cha radiation, kapena omwe abwereranso kapena kukula.

Mankhwala a chemotherapy a Bevacizumab awonetsedwa kuti ndi othandiza pochepetsa zotupa pambuyo pa opaleshoni komanso chithandizo cha radiation kwa anthu omwe ali ndi anaplastic meningioma.

Kodi pali zotsatirapo zilizonse ndi zovuta zilizonse za chithandizochi?

Mankhwala a meningioma akhoza kukhala ndi zoopsa zina, zotsatirapo zake, komanso mavuto ena. Ndikofunikira kulankhula ndi gulu lanu lachipatala za zoopsa zomwe zingachitike chifukwa cha dongosolo lanu la chithandizo.

Mavuto omwe angakhalepo chifukwa cha opaleshoni ya meningioma

Opaleshoni yochotsa gawo kapena lonse la meningioma ndi njira yovuta. Sikuti ilibe zoopsa zake komanso zovuta zake. Monga opaleshoni ina iliyonse, pali chiopsezo cha matenda ndi kutuluka magazi . Mavuto ena omwe angakhalepo ndi awa:

  • Kutupa kwa ubongo pambuyo pa opaleshoni, komwe kungayambitse kuwonongeka kwa ubongo.
  • Kuwonongeka kwa mitsempha ya m'khosi. Kutengera ndi komwe meningioma ili, izi zingakhudze ntchito zosiyanasiyana, monga kuwona kwanu, kusuntha nkhope yanu, komanso kumeza.
  • Kuchulukana kwa madzi m'thupi mozungulira ubongo (cerebral edema) pambuyo pa opaleshoni kungayambitsenso kuwonongeka kwa ubongo.
  • Kuwonongeka mwangozi kwa minofu ya ubongo wathanzi. Izi zingayambitse mavuto pa kuganiza kwanu, kuona, ndi luso lanu lolankhula.

Zotsatirapo za chithandizo cha radiation cha meningioma

Ngakhale kuti chithandizo cha radiation sichipweteka, pali zotsatirapo zina zomwe zingachitike minofu yathanzi ikakhudzidwa ndi radiation. Zotsatirapo zofala kwambiri za chithandizo cha radiation cha meningioma ndi izi:

  • Khungu limakhala lofooka komanso tsitsi limatayika pang'ono.
  • Kutopa.
  • Kusintha kwa luso la kuganiza (monga kuvutika kuganiza bwino, kuiwala pang'ono).
  • Chakudyacho sichikoma.
  • Mutu.

Kupatulapo zizindikiro zokhudzana ndi luso loganiza (zomwe zingakhale zokhalitsa), zotsatirapo zambirizi zimakhala zakanthawi kochepa ndipo nthawi zambiri zimatha mkati mwa milungu ingapo kuchokera pamene munthu walandira chithandizo.

Zotsatirapo za chemotherapy pa meningioma

Zotsatirapo za mankhwala a chemotherapy zimasiyana malinga ndi munthu, kutengera mtundu wa mankhwala omwe aperekedwa, komanso mlingo wake. Zingaphatikizepo:

  • Ntchito yovuta.
  • Chiwopsezo chachikulu cha matenda.
  • Kusanza ndi kusanza.
  • Kutaya tsitsi.
  • Chakudyacho sichikoma.
  • Kutsegula m'mimba.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a meningioma?

Pali zinthu zingapo zomwe zingayambitse matenda a meningioma:

  • Zaka zanu: Meningioma imapezeka kwambiri mwa anthu azaka 65 kapena kuposerapo. Chiwopsezochi chimawonjezeka ndi ukalamba.
  • Jenda lanu: Akazi ali ndi mwayi wowirikiza kawiri matenda a meningiomas kuposa amuna. Asayansi akuganiza kuti izi zimachitika chifukwa chogwiritsa ntchito mahomoni achikazi. Chithandizo chobwezeretsa mahomoni ndi/kapena mapiritsi oletsa kubereka, komanso kukhala ndi khansa ya m'mawere, chingapangitsenso kuti chiopsezocho chiwonjezeke.
  • Kukhudzidwa ndi kuwala kwa dzuwa: Chiwopsezo cha matenda a meningioma chingawonjezeke ngati mudalandirapo chithandizo cha kuwala kwa dzuwa kumutu.
  • Fuko/Fuko: Ku United States, anthu akuda ali ndi chiwerengero chachikulu cha matenda a meningioma kuposa mafuko ena.

Kuphatikiza apo, pali zinthu zina zomwe zimayambitsa meningioma m'majini . Ngati muli ndi vuto lililonse mwa izi, kapena ngati wina m'banja mwanu (m'bale kapena kholo) wakhala ndi meningioma, muli pachiwopsezo chachikulu chotenga meningioma:

  • Mtundu wa Neurofibromatosis: Anthu omwe ali ndi vutoli ali ndi mwayi waukulu wopeza meningiomas ya khansa kapena meningiomas zingapo.
  • Matenda a Von Hippel-Lindau .
  • Matenda ambiri a endocrine neoplasia mtundu 1 .
  • Matenda a Li-Fraumeni .
  • Matenda a Cowden .

Ngati mukuda nkhawa ndi chiopsezo chanu chokhala ndi meningioma,Kambiranani ndi dokotala wanu.

Kodi ndingayembekezere chiyani ngati ndili ndi meningioma?

Izi ndizofunikira kwambiri. Palibe anthu awiri omwe ali ndi meningioma omwe amakhudzidwa mofanana. N'zovuta kunena momwe mudzakhudzidwire. Njira yabwino yodziwira ndikulankhula ndi akatswiri omwe amafufuza ndikuchiza meningioma. Angakupatseni kufotokozera kolondola kwa zomwe mungayembekezere kutengera momwe mulili.

Kodi matenda a meningioma ndi otani?

Chiyembekezo cha meningioma, ndiko kuti, mwayi wochira komanso momwe matendawa adzapitirire, zimadalira zinthu zingapo:

  • Kukula kwa chotupacho.
  • Kumene chotupa chili.
  • Kaya chotupacho ndi chosaopsa kapena choipa .
  • Kaya chotupacho chinachotsedwa pang'ono kapena kwathunthu ndi opaleshoni .
  • Zaka zanu ndi thanzi lanu lonse.

Ngati ndinu wamkulu, zaka zomwe mumapeza matendawa ndiye chizindikiro chachikulu cha zotsatira zake. Kawirikawiri, mukakhala wamng'ono, malingaliro anu amakhala abwino. Zotsatira zabwino kwambiri ndi pamene chotupacho chingachotsedwe kwathunthu mwa opaleshoni. Komabe, kutengera komwe chotupacho chili, izi sizingatheke nthawi zonse.

Matenda a Meningioma amatha kubwereranso pambuyo pa chithandizo. Kuchuluka kwa matendawa kumadalira kuchuluka kwa chotupa chomwe chachotsedwa opaleshoni. Kuchuluka kwa matendawa kumakhala kochepa ngati atachotsedwa kwathunthu.

Matenda a meningioma ndi chithandizo chake zingayambitse mavuto a nthawi yayitali , mwachitsanzo:

  • Kuvuta kuyika maganizo pa chinthu.
  • Kutaya kukumbukira.
  • Kusintha kwa umunthu.
  • Kugwidwa ndi khunyu.
  • Kufooka.
  • Mavuto a chilankhulo (kuvutika kulankhula ndi kumvetsetsa).

Kodi kuchuluka kwa moyo wa meningioma ndi kotani?

Chiwerengero cha kupulumuka kwa meningioma kwa zaka zisanu ndi izi:

  • Chotupa cha Giredi I: 95.7%
  • Chotupa cha Giredi II: 81.8%
  • Chotupa cha Giredi III: 46.7%

Kuchuluka kwa moyo wa meningioma kwa zaka khumi:

  • Chotupa cha Giredi I: 90%
  • Chotupa cha Giredi II: 69%

Chiŵerengero cha kupulumuka kwa zaka khumi kwa meningioma yoopsa chikuwonjezeka pang'onopang'ono chifukwa cha mankhwala atsopano .

Ndikofunikira kukumbukira kuti ziwerengerozi ndi zongoyerekeza chabe . Dokotala wanu yekha ndi amene angakupatseni malingaliro odziwa bwino zinthu kutengera momwe zinthu zilili.

Kodi muyenera kupita kwa dokotala liti pankhani ya meningioma?

Ngati mwapezeka ndi meningioma, ndipo mukuwona zizindikiro zatsopano kapena kusintha kwa zizindikiro zomwe zilipo , muyenera kuuza dokotala wanu mwamsanga.

Ngati mwalandira chithandizo cha meningioma, chisamaliro chanu sichimatha chithandizo chikatha. Gulu lanu lachipatala lidzapitiriza kufufuza ngati chikubwereranso , kuthana ndi zotsatirapo zake kwa nthawi yayitali, komanso kuyang'anira thanzi lanu lonse.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati mwapezeka ndi meningioma, zingakhale zothandiza kufunsa dokotala mafunso awa:

  • Ndi mtundu wanji wa meningioma womwe ndili nawo?
  • Kodi chipatsocho chili ndi mtundu wanji? Kodi chimatanthauza chiyani?
  • Kodi mumawachiza anthu angati omwe ali ndi zotupa izi pachaka?
  • Kodi banja langa lili pachiwopsezo chachikulu chotenga meningioma?
  • Kodi muli ndi mabuku owerengera omwe angandithandize kumvetsetsa matendawa?
  • Kodi njira zanga zochiritsira ndi ziti?
  • Ndi mayeso ati azachipatala omwe ndingatenge nawo mbali?
  • Kodi ndi dongosolo liti la chithandizo lomwe mukundipangira? Chifukwa chiyani?
  • Ndi mautumiki ati othandizira omwe alipo kwa ine ndi banja langa?
  • Kodi mukudziwa gulu lothandizira anthu omwe ali ndi meningioma?
  • Ngati ndili ndi mafunso kapena nkhawa, ndiyenera kulankhula ndi ndani?

Kudziwa kuti muli ndi chotupa cha muubongo, kaya ndi chosaopsa kapena cha khansa, kungakhale kodabwitsa. Koma nkhani yabwino ndi yakuti meningioma ndi matenda ochiritsika omwe nthawi zambiri amakhala ndi chiyembekezo chabwino. Gulu lanu lazachipatala lili pano kuti likupatseni chithandizo champhamvu komanso chogwirizana ndi zosowa zanu. Ngati muli ndi mafunso kapena nkhawa, musaope kufunsa gulu lanu lazachipatala. Ali pano kuti akuthandizeni.

Uthenga Womaliza Wopita Nawo Kunyumba

Kotero, takambirana zambiri za meningioma, sichoncho? Mwachidule, ndi chotupa chomwe chimakula m'maselo omwe amaphimba ubongo wathu ndi msana (meninges). Nthawi zambiri, izi zimakhala zabwino (osati khansa) , ndipo zimakula pang'onopang'ono. Ndicho chifukwa chake nthawi zina zimatenga nthawi kuti zizindikiro ziwonekere.

Komabe, ngati muli ndi zizindikiro monga mutu, kusintha kwa masomphenya, kapena khunyu, muyenera kufunsa upangiri wa dokotala. Izi zitha kuzindikirika ndi zinthu monga MRI ndi CT scans. Chithandizo chimadalira mtundu, kukula, ndi komwe chotupa chili, ndipo nthawi zina chimangoyang'aniridwa, kapena opaleshoni kapena chithandizo cha radiation.

Chofunika kwambiri ndi kusachita mantha, kusachita mantha, komanso kutsatira malangizo oyenera a dokotala.Si matenda onse a meningioma omwe ali ofanana, kotero dokotala wanu ndiye amene adzakukonzerani chithandizo chabwino kwambiri. Ngati muli ndi mafunso, musazengereze kufunsa.


Meningioma , zotupa za muubongo, meninges, khansa, dongosolo lamanjenje, mutu, opaleshoni

Frequently Asked Questions (FAQ)

Kodi pali mitundu ya meningioma?

Inde, mtedza uwu ukhoza kugawidwa m'magulu atatu akuluakulu kutengera mtundu wawo:

Kodi pali mitundu ya meningiomas kutengera komwe imapangidwira?

Inde, zotupa zimenezi zimatchedwa ndi mayina osiyanasiyana kutengera komwe zili muubongo. Nazi zitsanzo zingapo:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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