Ushobora kuba warumvise iby’utubyimba twuzuye amazi (cysts) twibasira ubwonko cyangwa uruti rw’umugongo. Ahari umuganga yavuze ko wowe, uwo ukunda, cyangwa ndetse n’umwana wawe ufite. Ni ibisanzwe kumva uhangayitse iyo ubyumvise. Ibibazo nk'ibi, "Ese ibi ni bibi? Ese ni kanseri?" bikunze kuza mu mutwe. Niyo mpamvu, muri Nirogi Lanka, twifuza kuganira nawe kuri Arachnoid Cysts . Reka turebe ibyo ari byo, impamvu zitera, ibimenyetso byazo, igihe ugomba guhangayikishwa, n'uburyo bwo kuvura buhari.
Mu by'ukuri, Arachnoid Cyst ni iki?
Mu magambo make, cyst arachnoid ni agafuka kuzuye amazi gakorera mu bwonko cyangwa ku ruti rw'umugongo. Ikintu cy'ingenzi ugomba kumenya ni uko ibi atari kanseri , cyangwa ngo bibe ibibyimba byo mu bwonko. Akenshi, ibi bibyimba nta ngaruka bigira, kandi abantu benshi babaho ubuzima bwabo bwose batazi ko bafite.
Ariko, mu bihe bidasanzwe, iyo ikibyimba kibaye kinini cyangwa kigakandagira ku bice bikomeye by'ubwonko cyangwa uruti rw'umugongo, bishobora guteza ibibazo. Urugero, bishobora gutera kubabara umubiri, kugorwa no guhuza imikorere y'umubiri, cyangwa ibindi bibazo by'imitsi .
Utunyangingo twinshi twa arachnoid tuba tuvukana , bivuze ko tubaho kuva umwana avutse uko umwana akura. Hari igihe dushobora kuvuka nyuma y’ubuzima bitewe n’igikomere gikomeye cyo mu mutwe cyangwa nyuma yo kubagwa mu bwonko. Nubwo abantu benshi bakomeza kugira ibimenyetso, bamwe bashobora kugira umutwe, isereri, isesemi , kuruka , cyangwa se gukubita .
Kuba ubuvuzi bukenewe biterwa n'aho ikibyimba giherereye, ingano yacyo, n'ibimenyetso byacyo. Iyo muganga asanze ari ngombwa kuvura, akenshi akora igikorwa cyo gusohora amazi cyangwa kubaga gato kugira ngo ikibyimba gihuzwe n'ahantu hagikikije, bityo amazi agakomeza gutembera neza.
Ni mu rugero rungana iki indwara za Arachnoid Cysts?
Ushobora gutungurwa no kumenya ko izi ari zo ndwara zikunze kugaragara cyane mu bwonko. Nubwo zishobora kwibasira umuntu uwo ari we wese mu myaka iyo ari yo yose, zikunze kugaragara cyane mu mpinja n'abana bato. Igishimishije ni uko ubushakashatsi bwerekana ko zikunze kugaragara mu bagabo inshuro enye kurusha mu bagore.
Biragoye gutanga imibare nyayo ku isi yose kuko, nk'uko byavuzwe, ingirabuzimafatizo nyinshi ziba zitagaragara. Akenshi ziboneka mu buryo bw'impanuka mu gihe cyo gupima MRI cyangwa (CT) bitewe n'impamvu zitajyanye nayo. Kubwibyo, nta mubare nyawo w'abantu babana n'izi ngirabuzimafatizo.
Ni hehe Arachnoid Cysts zibera mu mubiri?
Izi cysts zigaragara cyane cyane mu bwonko ( cysts za arachnoid zo mu mutwe). Akenshi, zishobora kwirema ku ruhande rw'umugongo (cysts za arachnoid zo mu mugongo).
Ubwo bwoko bwombi bukura ku gatambaro koroshye gatwikira kandi kagakingira ubwonko bwawe n'umugongo wawe, kazwi nka arachnoid membrane . Kitiriwe ijambo ry'Ikigiriki "igitagangurirwa" kuko agatambaro kameze nk'urushundura rw'igitagangurirwa.
Mu bwonko, izi cysts zishobora kubaho mu bice bitandukanye:
- Agace ko hagati ka fossa : Akenshi kaboneka ku mpande z'ubwonko, hafi y'insengero zawe.
- Agace ka suprasellar : Gaherereye mu nsi y'ubwonko, inyuma y'amaso.
- Igice cy'inyuma : Giherereye hasi ku gahanga, ahagana inyuma.
Ubwonko bwawe n'umugongo wawe byuzuyemo amazi yo mu bwonko (CSF), amazi asobanutse neza akingira ubwonko, agatanga intungamubiri, kandi agakuraho imyanda. Urushinge rw'amaraso rubaho iyo aya mazi afatiwe hagati y'ibice bibiri by'urushinge rw'amaraso, bigatuma habaho agafuka kameze nk'agapira gato k'amazi.
Ni ibihe bimenyetso bya Arachnoid Cysts?
Iki ni cyo kibazo gikunze kugaragara. Inkuru nziza ni uko indwara nyinshi za arachnoid cysts nta kimenyetso na kimwe zitera. Ushobora kurwara imwe ariko ntubimenye.
Ariko ibimenyetso bishobora kubaho, kuva ku byoroheje kugeza ku bikomeye , bitewe n'aho ikibyimba giherereye ndetse niba gishyira igitutu ku mitsi ikomeye cyangwa imiterere y'ubwonko. Iyo ibimenyetso bigaragaye, akenshi bimenyekana mbere y'imyaka 20.
Ibimenyetso bisanzwe bishobora kuba birimo:
- Kubabara umutwe bidashira.
- Hydrocephalus : Kwiyongera kwa CSF bigatera umuvuduko ku bwonko.
- Isesemi no kuruka .
- Indwara zo mu mutwe .
- Vertigo n'izunguzungu .
Icy'ingenzi: Ibi bimenyetso bishobora kandi kugaragaza izindi ndwara. Niba wowe cyangwa umwana wawe mubonye ibi bimenyetso, nyamuneka musure muganga vuba kugira ngo agufashe gusuzuma neza. Niba muhuye n'ikibazo cyihutirwa, nyamuneka hamagara 911 cyangwa serivisi zihutirwa zo mu gace mutuyemo.
Ibimenyetso bishobora gutandukana bitewe n'aho cyst iri:
- Ibisebe byo mu gace k’amagufwa yo hagati: Ibi bishobora kugira ingaruka ku kureba, kumva, kugenda no kuringaniza imikorere. Hari abantu bagira umunaniro uhoraho, intege nke z’imitsi, cyangwa ndetse no gucika intege igice. Ku bana, ushobora kubona gutinda mu mikurire cyangwa impinduka zitunguranye mu myitwarire, nko gutakaza ubushake bwo kwiga cyangwa imirimo ya buri munsi.
- Ibisebe byo mu gace ka Suprasellar: Ibisebe biherereye muri aka gace, biri inyuma y'amaso yawe, bishobora gutera ibibazo bitandukanye bijyanye no kureba. Byongeye kandi, aka gace gafitanye isano rya hafi n'imikorere y'imisemburo yawe. Ibi bisebe bishobora kugira ingaruka cyane cyane ku misemburo ikora ku bana mu gihe cy'ubugimbi n'ubwangavu. Hari igihe abana bafite ibisebe mu gace ka suprasellar cyangwa inyuma ya fossa bagaragaza ikimenyetso kidasanzwe kizwi nka "bobble-head motion", aho batemba imitwe yabo mu buryo budasubirwaho mu buryo bwo gutinda cyangwa mu buryo bwo kuzenguruka. Nubwo iki ari ikimenyetso kidasanzwe, ni ikimenyetso cy'ubuvuzi tubona rimwe na rimwe.
- Ibisebe byo mu mugongo: Iyo ikibyimba kivutse mu mugongo wawe, gishobora gutera ububabare cyangwa kumva urimo gucika intege mu maboko no mu maguru, imitsi ikagira imitsi, kugenda bigoranye, cyangwa, mu bihe bikomeye, gucika intege. Ububabare bw'umugongo n'iterambere ry'umugongo ( scoliosis ) nabyo bikunze kujyana n'ibisebe byo mu mugongo. Byongeye kandi, hari abantu bashobora kurwara indwara zo mu mugongo zigaruka bitewe n'izi kibyimba.
Kuki Arachnoid Cysts ikura? Ni izihe mpamvu?
Iki ni ikibazo twumva kenshi.
Inyinshi mu ndwara za Arachnoid Cysts ziba zihari kuva zivutse (cysts za arachnoid cysts). Ibi bivuze ko zitangira kuremwa mu byumweru bya mbere byo gutwita umwana akiri mu nda ya nyababyeyi. Mu by'ukuri, siyansi y'ubuvuzi ntabwo iragaragaza impamvu nyayo ibi bibaho; biracyari amayobera mu buvuzi.
Kubera ko izi cysts rimwe na rimwe zishobora kugaragara mu bagize umuryango benshi, abaganga bakeka ko imiterere y’uturemangingo ishobora kugira uruhare, bivuze ko hari amahirwe make ko iyi ndwara ishobora kuba umurage. Byongeye kandi, abantu bafite indwara zihariye nka arachnoiditis (kubyimba kw'ururabo rwa arachnoid) cyangwa Marfan syndrome (indwara y’uturemangingo igira ingaruka ku ngingo zihuza umubiri) bashobora kugira amahirwe menshi yo kurwara izi cysts ugereranyije n’izindi.
Mu bihe bidasanzwe, izi cysts zishobora kuvuka nyuma yo kuvuka. Ibi bishobora kubaho nyuma yo gukomereka cyane mu mutwe, nko gukomereka mu bwonko, nyuma yo kubagwa mu bwonko, cyangwa bitewe n'ubwandu bufata ubwonko. Abaganga bita izi cysts zikura nyuma ko ari cysts za arachnoid za kabiri .
Ni gute abaganga basuzuma neza indwara ya Arachnoid Cysts?
Nkuko nabivuze mbere, ibimenyetso bya cysts za arachnoid akenshi bishobora kwigana iby’izindi ndwara nyinshi. Niba wowe cyangwa umwana wawe mufite kimwe mu bimenyetso byavuzwe, muganga wawe azabanza gukora isuzuma ryimbitse ry’amateka y’ubuzima bwawe. Hashingiwe ku bimenyetso byawe, azagusaba ibizamini byihariye byo gusuzuma indwara.
Igishimishije ni uko akenshi abaganga bavumbura izi cysts mu buryo bw’impanuka mu gihe basuzuma ikibazo cy’ubuzima kidafite aho gihuriye. Urugero, cyst ishobora kugaragara mu gihe cyo gupima ubwonko kugira ngo barebe icyateye isereri cyangwa umutwe udashira.
Kugira ngo abaganga babone amashusho asobanutse neza y’izi cysts—harimo ingano yazo, aho ziherereye neza, ndetse niba zishyira igitutu ku ngingo z’ubwonko zikikije—bakoresha cyane cyane inyigo zigezweho zo gufata amashusho nka MRI (Magnetic Resonance Imaging) na CT (Computed Tomography) . Aya mashusho aha muganga wawe ubumenyi busobanutse neza bw’izi cysts.
Ni gute abaganga bavura indwara za Arachnoid Cysts?
Ni ngombwa kumenya ko atari buri cyst igaragaye ikeneye kuvurwa vuba.
- Kwitegereza: Niba ikibyimba kidatanga ibimenyetso kandi ari gito, muganga wawe ashobora kukugira inama yo gutegereza witonze . Ibi ntibivuze kubyirengagiza gusa; bivuze ko muganga wawe azakugira inama yo gukorerwa isuzuma rya MRI buri gihe kugira ngo arebe niba ikibyimba gikura cyangwa ibimenyetso bishya bitangiye. Ibi bipimo bifasha muganga wawe kumenya niba ikibyimba kirimo gushyira igitutu ku bice bikomeye nko mu mitsi, mu bwonko, cyangwa mu ruti rw'umugongo. Kenshi na kenshi, nta kindi gikorwa gikenewe.
- Iyo bibaye ngombwa kuvura: Niba ikibyimba ari kinini, gikura cyane, cyangwa kigatera ibimenyetso bikomeye (nk'umutwe udakira, ibicurane, cyangwa intege nke mu maguru), muganga wawe azakugira inama yo kugufasha. Uburyo bwo kuvura buratandukanye kandi burimo:
- Uburyo bwo Gupima Indwara ya Endoscopic: Ubu ni uburyo bugezweho kandi bugezweho. Bitewe n'aho ikibyimba giherereye n'ingano yacyo, muganga ashobora gukoresha endoscope kugira ngo asuke amazi cyangwa akore fenestration , bigatuma habaho "idirishya" rito mu rukuta rwa ikibyimba kugira ngo amazi asuke mu buryo busanzwe. Ubu buryo ni uburyo budakunze kugaragara bukorwa binyuze mu gukata gato aho kuba umwobo munini mu gahanga. Ibi akenshi bituma umuntu akira vuba kandi akamara igihe gito mu bitaro.
- Gufungura Craniotomy Fenestration: Ubu buryo ni bwinshi kurushaho. Mu gihe cyo gukorerwa craniotomy, igice gito cy'agahanga kawe gikurwaho by'agateganyo kugira ngo umuganga ubaga abashe kugera kuri cyst no gukata urukuta. Ayo "madirishya" yemerera amazi ya (CSF) gusohoka mu bwonko, aho umubiri wawe uzongera kuyafata buhoro buhoro. Nyuma yaho, igufwa rirasimburwa hanyuma uruhu rugashyirwaho uruziga.
- Gufunga: Ubundi buryo bwo kuvura burimo gushyiramo shunt ya cystoperitoneal (CP) . Shunt ni sisitemu ya catheter ya pulasitiki nziza kandi yoroshye. Impera imwe ishyirwa muri cyst, indi ikunze gushyirwa mu mwobo w'inda yawe (peritoneum). Umunyururu uri hagati ugenzura uburyo amazi atembera n'umuvuduko wayo. Amazi arenze urugero ava muri cyst asohoka mu nda, aho umubiri ukongera kuyashyiramo. Iyi shunt ikunze gusigara mu mwanya wayo burundu.
- Gukuraho indwara yo kubagwa:Ku ndwara zo mu mugongo ziterwa na arachnoid cysts, abaganga bihatira gukuraho cysts burundu igihe cyose bishoboka. Umuganga ubaga atemagura ahantu hakorewe cysts kandi agakuraho cysts neza. Ariko, bitewe n'aho ziherereye cyangwa ingano yazo, kuvanaho burundu bishobora kudashoboka buri gihe. Muri ibyo bihe, muganga ashobora kukugira inama yo gusohora amazi cyangwa gushyiramo shunt.
Ni iki kizere cy’abantu bafite indwara ya Arachnoid Cysts?
Iki ni ikindi kibazo cy'ingenzi cyane abantu benshi bafite.
Ibisebe byinshi bya arachnoid ntibigira ibimenyetso na gato. Kubwibyo, ku bantu benshi babana n'ibi bisebe, nta kibazo bibatera ku buzima.
Ariko, iyo ibimenyetso bidakunze kugaragara, ubusanzwe ubuvuzi bwa cysts za arachnoid bugira akamaro kanini, akenshi bugabanya cyangwa bugakuraho burundu ibyo bimenyetso.
Ni ngombwa kumenya ko mu bihe bimwe na bimwe, hari amahirwe make ko ikibyimba gishobora kongera kugaruka cyangwa kongeramo amazi nyuma yo kuvurwa. Ibi bibaye, ushobora kongera kugisha inama muganga wawe, kuko bishobora kuba ngombwa kongera gukora igikorwa cyo gukuramo cyangwa gukuramo ikibyimba.
Ku rundi ruhande, indwara za arachnoid cysts zitavuwe kandi zifite ibimenyetso bishobora gutera ingaruka zikomeye. Izi ndwara zishobora kuba zangiza ubwonko burundu, ububabare budakira, indwara zikomeye zo kugenda, cyangwa izindi ngorane zikomeye ku buzima. Mu bihe bike cyane, indwara za cysts zitavuwe—cyane cyane ku bana bato—zishobora gutera gukura kudasanzwe kw'agahanga, bigatuma umuntu adahuza neza.
Ingorane ebyiri z'ingenzi zifitanye isano na cysts za arachnoid ni:
- Kuva amaraso mu kibuno: Imitsi mito y'amaraso yoroshye iri mu rukuta rwa kibuno ishobora gucika, bigatera kuva amaraso. Ibi bishobora gutuma ingano ya kibuno yiyongera mu buryo butunguranye ndetse n'ibimenyetso bikarushaho kwiyongera. Hari ubwo amaraso ashobora kuva mu kibuno akagera mu bwonko bukikije, bikaba byatera indwara ikomeye izwi nka hematoma .
- Amazi ava mu kibuno: Iyo kibuno cyangiritse bitewe n'igikomere cyo mu mutwe cyangwa impanuka, gishobora gucika, bigatuma amazi yo mu bwonko (CSF) imbere yinjira mu bwonko bukikije (CSF leak). Iyi ni indwara ikomeye isaba ubuvuzi bwihuse.
Ese dushobora kwirinda indwara za arachnoid cysts?
Ikibabaje ni uko nta buryo buzwi bwo gukumira ivuka rya cysts za arachnoid. Kubera ko akenshi ziba zivuka (zibaho kuva zivutse), ahanini ntabwo dushobora kuzigenzura.
Ariko, niba ufite amateka yo kurwara arachnoid cysts mu muryango wawe (bishobora kuba bigaragaza ko ufite imiterere y’uturemangingo) cyangwa ufite indwara nka arachnoiditis zishobora kongera ibyago byawe, ni ngombwa kuganira kuri izi mpungenge na muganga wawe. Umuganga wawe ashobora kuguha ubuyobozi bwihariye kandi agakurikirana ubuzima bwawe uko bikwiye.
Ni ryari wagombye kujya kwa muganga kugira ngo umenye indwara ya arachnoid cyst?
Iki ni ikintu cy'ingenzi cyo kwibuka:
- Niba wowe cyangwa umwana wawe mufite ibimenyetso mukeka ko bishobora kuba bifitanye isano na cyst ya arachnoid, ntimukabirengagize. Shaka inama kwa muganga vuba.
- Bimwe mu bisebe, cyane cyane ibitera ibimenyetso, bisaba ubufasha bwihuse kugira ngo hirindwe ibibazo by'ubuzima by'igihe kirekire.
- Byongeye kandi, ibimenyetso byinshi bifitanye isano na cysts za arachnoid bishobora kwigana izindi ndwara zishobora gushyira ubuzima mu kaga, nka kanseri yo mu bwonko. Kubwibyo, gusuzuma neza ni ingenzi, kandi ibi bishobora kugerwaho gusa binyuze mu isuzuma ry’abaganga b’inzobere.
Ni ubuhe butumwa bwo kujyana mu rugo?
Uyu munsi twaganiriye ku makuru menshi yerekeye imisemburo ya arachnoid. Dore ingingo z'ingenzi ugomba kuzirikana:
- Ntugatinye: Ibisebe bya Arachnoid si kanseri. Akenshi, nta kibazo biba bifite kandi ntibigira ibimenyetso.
- Genzura ibimenyetso byawe: Witondere ibimenyetso nko kubabara umutwe, kuzungera, isesemi, gucika intege, impinduka mu kureba, cyangwa intege nke.
- Reba muganga:Niba ufite gushidikanya cyangwa ibimenyetso, nyamuneka gana muganga. Irinde kwisuzuma.
- Uburyo bwo kuvura burahari: Hari uburyo bwiza bwo kuvura indwara zifata ibimenyetso bya cysts, harimo no kubagwa bidakunze kwangiza umubiri, akenshi bigatuma umuntu akira vuba.
- Kumenya ko ufite ikibyimba cya arachnoid ni ingenzi: Kumenya ko ufite ikibyimba cya arachnoid bituma ukurikiranwa neza cyangwa ukavurwa ku gihe, ibyo bikaba byazamura ubuzima bwawe mu buryo burambye.
Ndizera ko aya makuru yasubije ibibazo byawe bijyanye na cysts za arachnoid. Komeza ugire ubuzima bwiza hamwe na Nirogi Lanka!
Amagambo ahinnye: Arachnoid cyst, brain cyst, spinal cyst, umutwe, hydrocephalus, gucika intege, indwara z'imitsi, CSF, MRI, CT scan
