Kodi khansa yochokera kwina m'thupi lanu ingafalikire ku ubongo wanu? Tiyeni tikambirane za Brain Metastases''

Kodi munayamba mwadzifunsapo ngati khansa yomwe imayamba mbali imodzi ya thupi ingafalikire ku ubongo? Nthawi zina imafalikira. Lero tikambirana za vuto limodzi lotere, lomwe ndi khansa yomwe imafalikira ku ubongo, kapena monga momwe madokotala amalitchulira `` Brain Metastases```. Ngakhale kuti nkhaniyi ndi yofunika kwambiri, ndikofunikira kudziwa izi. Chifukwa ikapezeka msanga, imakhala ndi mwayi wochira.

Kodi `(Brain Metastases)` ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, kufalikira kwa khansa muubongo ndi pamene khansa yomwe inayamba kwina m'thupi lanu, monga m'mapapo mwanu, m'mawere, kapena pakhungu (makamaka melanoma) - timatcha kuti chotupa chachikulu - imafalikira ku ubongo. Maselo a khansa awa akamapita ku ubongo, amapanga chotupa chimodzi kapena zingapo zatsopano kumeneko. Taganizirani ngati mbewu yochokera ku chomera chomwe chikumera kwina.

Zotupa zimenezi zingakhudze momwe ziwalo zosiyanasiyana za ubongo zimagwirira ntchito. Zizindikiro zomwe mumakumana nazo zimadalira komwe zotupazi zimayambira muubongo.

Kodi vutoli ndi lofala bwanji?

Ndipotu, izi ndi mtundu wofala kwambiri wa khansa ya muubongo yomwe imapezeka mwa akuluakulu. Akatswiri amati pakati pa 10% ndi 30% ya anthu omwe ali ndi khansa kwina m'thupi lawo adzafalikira ku ubongo nthawi ina m'miyoyo yawo. Chiwopsezochi nthawi zambiri chimawonjezeka atatha zaka 45, ndipo matendawa nthawi zambiri amapezeka mwa anthu opitirira zaka 65.

Komabe, khansa yomwe imayambira muubongo (khansa yoyamba ya muubongo) si yofala kwambiri. Nthawi zambiri, zotupa zomwe zimayambira mkati kapena pamwamba pa ubongo sizikhala ndi khansa (zoipa).

Ndi zizindikiro ziti zomwe zingachitike khansa ikafalikira ku ubongo?

Zizindikiro zimasiyana malinga ndi komwe chotupa cha muubongo chili komanso momwe chimakhudzira magwiridwe antchito a ubongo. Komabe, pali zizindikiro zina zodziwika bwino:

• Mutu: Nthawi zina ukhoza kutsagana ndi nseru ndi kusanza. Mutu uwu suli ngati mutu wamba, ukhoza kukhala wovuta pang'ono komanso wopitirira.
• Kukomoka: Kutaya mwadzidzidzi chidziwitso ndi kukomoka kungachitike.
• Kufooka mbali imodzi ya thupi: Kumva dzanzi m'dzanja kapena mwendo, kapena kulephera kugwiritsa ntchito mbali imodzi moyenera (hemiparesis).
• Mavuto oganiza: zinthu monga kuiwala zinthu kwakanthawi kochepa, kusintha kwa maganizo.
• Kuvuta kulankhula kapena kumvetsetsa: Kulankhula mopanda nzeru, kuoneka ngati kuti sikumvetsa zomwe zikunenedwa.
• Mavuto a maso: Kusawona bwino kapena kusawona bwino, makamaka mbali imodzi.

Pamene vuto la "Brain Metastases" likupita patsogolo, mungazindikire zizindikiro zatsopano:

• Kuvutika kumva, kumeza, kapena kuona zinthu ziwiri.
• Kugona tulo tofa nato: Ichi ndi chizindikiro chofala kwambiri chomwe chimapezeka kumapeto kwa matendawa.

Chofunika: Nthawi zina, khansa ikafalikira ku ubongo, zizindikiro monga "sitiroko" zimatha kuchitika. Komabe, zizindikiro za "sitiroko" zimawonekera mwadzidzidzi, koma zizindikiro za zotupa za muubongo zomwe zimafalikira nthawi zambiri zimawonekera pang'onopang'ono ndipo zimakula pakapita nthawi.

Kodi n’chiyani chimayambitsa khansa kufalikira ku ubongo?

Matenda a khansa omwe amafalikira mu ubongo amayamba pamene maselo a khansa amachoka ku chotupa china m'thupi n'kupita ku ubongo. Maselo a khansa amenewa nthawi zambiri amayenda m'magazi. Ofufuza sakudziwa chifukwa chake mitundu ina ya khansa yoyamba imafalikira kwambiri ku ubongo kuposa ina.

Mitundu yodziwika bwino ya khansa yomwe imafalikira ku ubongo ndi iyi:

• Khansa ya m'mapapo: Pafupifupi theka la anthu omwe ali ndi khansa ya m'mapapo amatha kudwala khansa ya muubongo, makamaka khansa ya m'mapapo ya maselo ang'onoang'ono.
• Khansa ya m'mawere: Khansa ya m'mawere yomwe yafalikira ku ziwalo zina za thupi (khansa ya m'mawere yofalikira) imafalikira ku ubongo mwa anthu 10% mpaka 15%. Chiwopsezochi chimakhala chachikulu m'mitundu yotchedwa ``HER2+ breast cancer`` ndi ``triple-negative breast cancer``.
• Khansa ya pakhungu: Pafupifupi theka la anthu omwe ali ndi khansa ya pakhungu yamtunduwu adzafalikira ku ubongo.

Kuphatikiza apo, khansa monga khansa ya impso, khansa ya m'matumbo, ndi khansa ya chithokomiro imatha kufalikira ku ubongo, koma pang'ono.

Kodi mumadziwa bwanji ngati khansa yafalikira ku ubongo?

Ngati muli kale ndi khansa ndipo mukuwonetsa zizindikiro za chotupa cha muubongo, dokotala wanu adzachita mayeso ena. Nthawi zina, ngakhale mulibe zizindikiro zilizonse, ngati muli ndi khansa yamtundu womwe ungafalikire ku ubongo, dokotala wanu angayang'ane "metastases ya muubongo."

Mayeso a izi ndi awa:

• Kuyezetsa ubongo: Dokotala wanu adzayang'ana momwe thupi lanu lilili, kugwirizana kwa thupi, momwe ubongo wanu ulili, momwe thupi lanu lilili, kumva kwanu, kuona kwanu, ndi momwe thupi lanu limagwirira ntchito kuti adziwe mbali zina za ubongo wanu zomwe zakhudzidwa ndi kusinthaku.
• Kuyezetsa magazi: Kuyezetsa magazi kungachitike kuti muwone ngati pali zinthu zina (zolemba za chotupa) zomwe zimatulutsidwa m'magazi ndi mitundu ina ya khansa.
• Kujambula Magnetic Resonance (MRI) ndi contrast: Kujambula kwa MRI kumatha kujambula zithunzi za ubongo mwatsatanetsatane. Pamene chinthu chapadera chotchedwa contrast chalowetsedwa m'thupi ndipo mayesowa akuchitika, zotupa mu ubongo zimatha kuwoneka bwino pazithunzi.
• Mayeso a Biopsy (`Biopsy`):Ngati mayeso ena sapereka chidziwitso chokwanira kuti adziwe ngati pali khansa, pangafunike biopsy. Izi zimaphatikizapo kutenga minofu yaing'ono kuchokera ku chotupacho ndikuyang'ana maselo a khansa. Izi nthawi zambiri zimachitika pamene chotupa chonse kapena gawo lake lachotsedwa opaleshoni.

Kodi khansa zomwe zafalikira ku ubongo zimachiritsidwa bwanji?

Cholinga chachikulu cha chithandizo cha khansa ya muubongo yomwe yafalikira kwambiri ndikuletsa kapena kuchepetsa kukula kwa khansa ya muubongo ndikuchepetsa zizindikiro zanu. Pali njira zingapo zochizira:

• Mankhwala oletsa zizindikiro.
• Chithandizo cha radiation ndi opaleshoni.
• Mankhwala oletsa khansa.

Mankhwala oletsa zizindikiro

Choyamba, dokotala wanu angakupatseni mankhwala oletsa zizindikiro zomwe mukukumana nazo nthawi yomweyo. Mwachitsanzo, angakupatseni mankhwala otchedwa corticosteroids kuti achepetse kutupa (edema) muubongo wanu komwe kumayambitsa mutu. Angakupatseni mankhwala otchedwa anticonvulsants kuti athetse ndikuletsa khunyu.

Chithandizo cha radiation ndi opaleshoni

Mankhwala ofala kwambiri omwe amagwiritsidwa ntchito pochotsa chotupa chonse cha muubongo kapena gawo lake ndi awa:

• Kuchiza kwa radiosurgery ya stereotactic / Gamma Knife®: Iyi ndi njira yodziwika bwino yochizira matenda a ubongo m'maiko ngati United States. Pankhaniyi, kuchuluka kwa ma radiation kumakhudza chotupa cha ubongo, pomwe mutu wanu wonse ndi ubongo zimalandira ma radiation ochepa kwambiri. Chithandizochi nthawi zambiri chimachitika nthawi imodzi.
• Chithandizo cha radiation muubongo wonse: Ngati muli ndi zotupa zingapo muubongo wanu, kapena ngati khansa yafalikira ku nembanemba ya ubongo (yomwe imatchedwanso matenda a leptomeningeal), dokotala wanu angagwiritse ntchito chithandizochi. Izi zimaphatikizapo maphunziro pafupifupi 10 mpaka 15 mkati mwa milungu iwiri kapena itatu.
• Opaleshoni ya ubongo: Zotupa zimathanso kuchotsedwa kudzera mu opaleshoni yachikhalidwe.

Mankhwala oletsa khansa

Kutengera mtundu wa khansa yanu yoyambirira, dokotala wanu angakulangizeni mankhwala owonjezera opaleshoni kapena chithandizo cha radiation:

• Chemotherapy: Mankhwala ambiri a chemotherapy sagwira ntchito pa khansa yomwe yafalikira ku ubongo. Izi zili choncho chifukwa mankhwalawa sangadutse chotchinga cha magazi ndi ubongo, zomwe zimalepheretsa zinthu zina m'magazi (monga mankhwala a chemotherapy) kufika ku ubongo. Komabe, ngati khansa yafalikira ku madzi ozungulira ubongo, madokotala amatha kubaya mankhwala a chemotherapy mwachindunji m'madziwo.
• Chithandizo Cholunjika: Mankhwalawa amagwira ntchito posokoneza njira zomwe maselo a khansa amagwiritsa ntchito kuti achuluke. Kafukufuku wapeza kuti mankhwalawa amatha kugwira ntchito bwino ngati mitundu ina ya khansa ya m'mapapo ndi m'mawere yafalikira ku ubongo.
• Chithandizo cha Immunotherapy: Chithandizo cha Immunotherapy chimagwiritsa ntchito mankhwala kuti chithandize chitetezo cha mthupi lanu kupeza ndikuwononga maselo a khansa. Chithandizochi chingathandize khansa ya m'mapapo ndi melanoma yomwe yafalikira ku ubongo.

Kodi khansa ingalepheretsedwe kufalikira ku ubongo?

Khansa ya muubongo nthawi zambiri imafalikira kuchokera ku khansa ya m'mapapo, ya m'mawere, ndi ya melanoma yomwe ilipo. Chifukwa chake, kuchiza khansayo moyenera ndi gawo loyamba lochepetsa chiopsezo cha kufalikira kwa khansa ya muubongo. Ndikofunikiranso kumvetsetsa chiopsezo chanu chotenga matendawa.

Funsani dokotala wanu za chiopsezo chanu cha khansa ya muubongo.

Ngati khansa yafalikira muubongo wanga, ndiyenera kuyembekezera chiyani?

Matenda a ubongo nthawi zina amatha kuchiritsidwa . Komabe, ngakhale palibe mankhwala okwanira, chithandizo chingakuthandizeni kukhala ndi moyo wautali ndikukweza moyo wanu. Kale, anthu ankaganiza kuti munthu amene ali ndi matenda a ubongo angakhale ndi vuto lopitirira miyezi isanu ndi umodzi. Komabe, chifukwa cha mankhwala atsopano, anthu ambiri tsopano akukhala ndi moyo wautali ndi matendawa komanso akulamulira bwino zizindikiro zawo. Ndipotu, anthu ambiri omwe ali ndi khansa yomwe yafalikira ku ubongo samafa ndi khansa ya ubongo yokha.

Koma, funso lomwe anthu ambiri amakhala nalo ndi lakuti, "Kodi chotupa changa chidzakula mofulumira bwanji?" Izi nthawi zambiri zimasiyana malinga ndi munthu. Zomwe mukukumana nazo zidzadalira zinthu zingapo, kuphatikizapo mtundu wa khansa yomwe mudali nayo, kuchuluka kwa zotupa zomwe muli nazo, komanso momwe mumachitira mukalandira chithandizo.

Dokotala wanu ndiye munthu wabwino kwambiri woti afotokoze momwe zinthuzi zimakhudzira vuto lanu. Mufunseni zomwe mungayembekezere kutengera matenda anu.

Kodi ndimadzisamalira bwanji?

Mukakhala kale ndi chithandizo cha khansa, kufalikira kwa khansa ku ubongo kungakubweretsereni mavuto atsopano. Komabe, pali njira ndi zinthu zomwe zingakuthandizeni:

• Kugwira Ntchito ndi Kuyendetsa Galimoto: Kutengera ndi komwe khansa ya muubongo wanu ili, mungakhale pachiwopsezo chachikulu chotenga khunyu. Izi zitha kusokoneza luso lanu logwira ntchito kapena kuyendetsa galimoto. Dokotala wanu angakupatseni mankhwala ochepetsa chiopsezochi.
• Kuchira pambuyo pa chithandizo: Ngati mwachitidwa opaleshoni kapena chithandizo cha radiation kuti muchotse chotupa cha muubongo wanu, mudzafunika thandizo la okondedwa anu pamene mukuchira.
• Kuthana ndi zotsatirapo zoyipa: Mungafunike thandizo pothana ndi zotsatirapo zoyipa za chithandizo cha khansa. Ndibwino kupempha thandizo kuchokera ku gulu lothandizira odwala kuti likuthandizeni kuthana ndi zizindikiro zatsopano komanso mavuto a tsiku ndi tsiku omwe amakumana nawo chifukwa cha matenda a khansa.

Ndiyenera kupita liti kwa dokotala wanga?

Ngati mukupeza zizindikiro zatsopano, kapena ngati zizindikiro zanu zikuipiraipira, kaya zokhudzana ndi khansa yanu yoyambirira kapena khansa yomwe yafalikira ku ubongo wanu, uzani dokotala wanu nthawi yomweyo. Ndikofunikira kuti dokotala wanu adziwe za kusintha kumeneku kuti athe kuyang'anira thanzi lanu ndikupeza mankhwala omwe angathandize.

Kodi ndiyenera kupita ku chipinda chodzidzimutsa liti (ER)?

Zotupa za muubongo zili pachiwopsezo chachikulu chotenga mavuto amitsempha omwe amafunikira chithandizo chadzidzidzi, monga khunyu ndi kutayika kwa miyendo. Komanso, funani chithandizo chadzidzidzi zizindikiro zoyamba za `(stroke)` zikaonekera. Zizindikiro za `(stroke)` zimadza mwadzidzidzi ndipo zingaphatikizepo:

• Kutaya mphamvu m'thupi.
• Kusintha kwa masomphenya.
• Kulankhula mawu osavuta pamene mukulankhula.
• Kufooka mbali imodzi ya thupi.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukazindikira kuti khansa yanu yafalikira ku ubongo wanu, mwina mukudzifunsa kuti matendawa akutanthauza chiyani, makamaka popeza muli kale ndi mtundu wina wa khansa. Nazi mafunso ena okuthandizani kumvetsetsa vuto lanu:

• Kodi kufalikira kwa khansa ku ubongo kudzandikhudza bwanji?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi zotsatirapo zake ndi ziti?
• Kodi khansa ikafalikira ku ubongo ikutanthauza kuti khansayo idzafalikira ku ziwalo zina za thupi langa?
• Kodi ndi zinthu ziti zomwe mumalimbikitsa kuti muthandizidwe kwambiri?
• Kodi matenda anga adzayamba bwanji?

Kupeza kuti khansa yafalikira ku ubongo kungamveke ngati kulowa m'dziko losadziwika. Palibe mayankho osavuta a matendawa, koma pali thandizo. Musaope kufunsa mafunso ovuta, monga zotsatira zomwe mungayembekezere kuchokera ku chithandizo komanso zotsatirapo zomwe mungakumane nazo. Gulu lanu lachipatala lingakuthandizeni kupanga zisankho zabwino kwambiri.

## Zinthu Zofunika Kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, kuchokera pa zomwe takambiranazi, ndikukhulupirira kuti mwamvetsetsa bwino za `(Brain Metastases)`. Chofunika kwambiri kukumbukira ndi kuzindikira msanga ndi kulandira chithandizo mwachangu .

• Ngati munthu amene ali ndi khansa kwina m'thupi lake akukumana ndi zizindikiro monga mutu wopweteka, khunyu, kapena kutaya chidziwitso mbali imodzi ya thupi , funsani upangiri wa dokotala nthawi yomweyo .
• Matenda a ubongo nthawi zina sapha anthu. Mankhwala amakono amatha kutalikitsa moyo ndikuwonjezera moyo wabwino.
• Lankhulani momasuka ndi dokotala wanu. Muuzeni mafunso anu onse, nkhawa zanu, ndi zomwe mukuda nkhawa nazo.
• Ndikofunikira kukhala olimba mtima. Pezani thandizo kuchokera kwa abale anu, anzanu, ndi gulu lanu lachipatala.

Tikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

` Kufalikira kwa Matenda mu Ubongo, Khansa, Zotupa mu Ubongo, Zizindikiro za Khansa, Chithandizo cha Khansa, Kufalikira kwa Khansa