Udusebe tw'amazi ku mutwe no mu mugongo? (Arachnoid Cysts) Reka twige neza ibyo ari byo!

Ushobora kuba warumvise ibintu nk'udusebe tw'amazi twibasira umutwe wawe cyangwa umugongo? Wenda wowe, umuntu uzi, cyangwa umwana wawe bwite wigeze kugira ikibazo nk'iki, kandi muganga akakubwira. Ni ibisanzwe rero kumva ufite ubwoba gato iyo wumvise ibi bintu. Ibibazo nka "Ese ibi ni bibi? Ese ni kanseri?" bishobora kuza mu mutwe. Niyo mpamvu, uyu munsi tugiye kuvuga kuri izi cysts zitwa arachnoid . Reka turebe ibyo ari byo, impamvu zibaho, ibimenyetso byazo, icyo ugomba gutinya, n'uburyo bwo kuvura.

Uzi izi cysts za arachnoid?

Mu magambo make, utunyangingo twa arachnoid ni udusaho duto twuzuye amazi tuba mu bwonko bwawe cyangwa mu ruti rw'umugongo. Icy'ingenzi kurushaho, si kanseri , kandi si ibibyimba byo mu bwonko. Akenshi, utu tunyangingo ntabwo dutera ibibazo, kandi abantu benshi ntibazi ko batwita.

Ariko, ni gake cyane, iyo iki kibyimba kibaye kinini cyane, cyangwa iyo gikandagiye igice cy'ingenzi cy'ubwonko cyangwa umugongo, hari ibibazo bishobora kubaho. Urugero, hashobora kubaho kwangirika k'ubwonko, kugorwa no kugenda, cyangwa ibindi bibazo by'imitsi .

Akenshi, izi (Arachnoid Cysts) ziba zivukanwa . Ni ukuvuga ko zitangira kumera umwana akiri mu nda. Hari igihe zishobora kumera nyuma yo gukomereka bikomeye mu mutwe cyangwa kubagwa ubwonko mu bwana. Abantu benshi bafite izi cysts nta bimenyetso bagira. Ariko, hari abantu bashobora kugira ibimenyetso nko kuribwa umutwe, kuzungera, isesemi , kuruka , ndetse rimwe na rimwe no gucika intege .

Kuvura ikibyimba cyangwa kutavura biterwa n'aho ikibyimba kiri, ingano yacyo, niba kirimo kwiyongera, ndetse niba hari ibimenyetso byacyo. Iyo muganga wawe afashe icyemezo cy'uko ari ngombwa kuvura ikibyimba, akenshi azakuraho ikibyimba cyangwa akabaga gato kugira ngo agihuze n'ahantu hakikije kugira ngo amazi asohoke.

Izi cysts za arachnoid zikunze kugaragara gute?

Ushobora gutungurwa no kumva ibi! Ibisebe bya Arachnoid mu by'ukuri ni ubwoko bukunze kugaragara bwa cyst yo mu bwonko. Nubwo bishobora kugaragara ku bantu b'imyaka iyo ari yo yose, akenshi bikunze kugaragara ku mpinja n'abana bato. Ikindi kandi, byagaragaye ko abahungu bafite amahirwe akubye inshuro enye yo kurwara cyst ya arachnoid kurusha abakobwa.

Ariko, biragoye cyane kuvuga neza umubare w’abantu ku isi bafite izi cysts. Impamvu ni uko, nkuko nabivuze mbere, akenshi izi cysts nta bimenyetso zitera. Rero, abaganga bazibona gusa ku bw’impanuka iyo bakoze MRI cyangwa CT scan mu mutwe kubera izindi mpamvu. Kubwibyo, biragoye gutanga imibare nyayo y’abantu babana n’izi cysts mu by’ukuri.

Izi cysts za arachnoid zibera he mu mubiri?

Izi (Arachnoid Cysts) zikunze kugaragara mu bwonko (intracranial arachnoid cysts ). Ni gake cyane, zishobora no kugaragara mu ruti rw'umugongo (spinal arachnoid cysts).

Ubwo bwoko bwombi bwa cysts bukora ku gatambaro gato cyane gatwikira kandi karinda ubwonko bwawe n'umugongo wawe. Abaganga bita aka gatambaro ko mu bwoko bwa arachnoide . Uzi impamvu kitwa gutyo? Kuko gasa n'urushundura rw'igitagangurirwa! Ijambo "arachnoide" rikomoka ku ijambo ry'Ikigiriki risobanura igitagangurirwa.

Mu bwonko, izi cysts zishobora kwirema ahantu hatandukanye.

• Akenshi, ibi bikura mu gace kitwa akarere ka fossa yo hagati, ku mpande zombi z'ubwonko, imbere y'amatwi yawe.
• Zishobora kandi kwirema mu gace ka suprasellar , inyuma y'amaso, mu nsi y'ubwonko.
• Ahandi hantu ni fossa y'inyuma , iherereye inyuma y'agahanga, hafi y'ishingiro.

Noneho reba, hari amazi yihariye yitwa Cerebrospinal Fluid (CSF) akikije ubwonko bwacu n'umugongo wacu. Aya ni amazi meza asa n'amazi. Aya (CSF) arinda ubwonko bwacu n'umugongo wacu ibyago bitandukanye, aduha intungamubiri zikenewe, kandi akanakuraho imyanda. Bityo, aya (Arachnoid Cysts) avuka iyo aya mazi (CSF) ateranye hagati y'ibice bibiri by'urukiramende rwa arachnoid, agakora agafuka gato nk'umupira w'amazi.

Ni ibihe bimenyetso bya Arachnoid Cysts?

Iki ni cyo kibazo gikomeye ku bantu benshi. Inkuru nziza ni uko akenshi, izi (Arachnoid Cysts) ntizigaragaza ibimenyetso. Ibi bivuze ko nubwo waba ufite cyst, ushobora kubaho ubuzima busanzwe utabizi.

Ariko, hari igihe ibimenyetso bishobora kugaragara. Niba ari uko bimeze, ibyo bimenyetsoIshobora kuva ku yoroshye kugeza ku ikomeye. Byose biterwa n'aho ikibyimba kiri, ingano yacyo, ndetse niba gikandagira imitsi y'ingenzi cyangwa izindi ngingo mu bwonko cyangwa mu ruti rw'umugongo. Ubusanzwe, iyo ibimenyetso bigaragaye, birashoboka cyane ko bigaragara mbere y'imyaka 20 .

Bimwe mu bimenyetso bikunze kugaragara abantu benshi ni ibi bikurikira:

• Kurwara umutwe kenshi.
• Hydrocephalus - Iki ni cyo gihe ubwonko bugira umuvuduko bitewe n'ubwinshi bw'amazi yo mu bwonko (CSF) mu bwonko.
• Isesemi no kuruka .
• Indwara zo mu mutwe .
• Vertigo n'izunguzungu .

Icy'ingenzi: Ibi bimenyetso bishobora no kuba ibimenyetso by'izindi ndwara nyinshi. Kubwibyo, niba ufite ikibazo nk'iki, ni byiza cyane kujya kwa muganga kugira ngo umenye neza ikibazo kirimo.

Byongeye kandi, ibimenyetso bishobora gutandukana bitewe n'aho cyst iherereye, haba mu bwonko cyangwa mu ruti rw'umugongo.

• Ikibyimba cyo hagati mu gice cy’umubiri: Iyo ikibyimba kibaye muri ako gace, gishobora gutera ibibazo byo kureba, kumva, kugenda no kuringaniza imikorere. Hari abantu bashobora kumva bananiwe igihe cyose, bakumva bafite intege nke, cyangwa se bakagira ubumuga ku ruhande rumwe rw’umubiri. Ku bana bato, ibimenyetso bijyanye n’imitsi bishobora kugaragara rimwe na rimwe. Urugero, gutinda mu mikurire no guhinduka mu buryo butunguranye mu myitwarire bishobora kubaho. Urugero, umwana wawe ashobora guhagarika gukora ibintu yakoraga mbere, cyangwa agatakaza ubushake bwo gukora akazi k’ishuri.

• Ibisebe byo mu bwoko bwa Suprasellar: Ibisebe byo muri aka gace, kari inyuma y'amaso, bishobora gutera ibibazo bitandukanye byo kureba. Aka gace kandi gafitanye isano n'imikorere y'umubiri wacu. By'umwihariko, ibi bisebe bishobora kugira ingaruka ku misemburo igenzura ubwangavu n'iterambere ry'imibonano mpuzabitsina ku mwana. Hari abantu bamwe, cyane cyane abana bafite ibisebe byo mu bwoko bwa arachnoid mu gace ka suprasellar cyangwa mu gice cy'inyuma cy'umutwe, bazunguza imitwe yabo mu buryo budasubirwaho, nk'igipupe cy'umutwe. Ni ukuvuga ko bimura imitwe yabo kuva ku ruhande rumwe ujya ku rundi cyangwa mu ruziga. Nubwo iki ari ikimenyetso kidasanzwe, rimwe na rimwe kigaragara.

• Uruti rw'umugongo: Iyo urugingo nk'uru ruvutse mu ruti rw'umugongo, rushobora gutera ibinya mu maboko no mu maguru, kuribwa, imitsi ikagira imitsi, kugenda bigoranye, ndetse rimwe na rimwe no gucika intege. Ububabare bw'umugongo na scoliosis, bituma uruti rw'umugongo rugenda ruhindagurika uko igihe kigenda.Iyi ndwara ishobora kandi kuba ifitanye isano n'iyi cyst yo mu mugongo. Hari abantu bashobora no kurwara indwara zo mu nzira y'inkari kenshi bitewe n'iki cyst yo mu mugongo.

Kuki izi cysts za arachnoid zigira ingaruka? Ni izihe mpamvu?

Iki kandi ni ikibazo abantu benshi bibaza.

Inyinshi mu ndwara za arachnoid ziba ari iz’umwimerere (cysts za arachnoid zo mu bwoko bwa mbere). Ibi bivuze ko izi cysts zitangira kubaho umwana akiri mu nda, mu byumweru bike bya mbere byo gutwita. Mu by'ukuri, abaganga ntibaramenya neza impamvu ibi bibaho. Ni amayobera.

Kubera ko hari igihe cysts za arachnoid zibera mu miryango, abaganga batekereza ko genetiki zishobora kugira uruhare. Ibi bivuze ko hari amahirwe make ko abana bazaragwa iyo ndwara n'ababyeyi babo. Nanone, abantu bafite indwara zimwe na zimwe, nka arachnoiditis (kubyimba kw'urukiramende rwa arachnoid) cyangwa Marfan syndrome (indwara ya genetiki ifata ingirabuzima fatizo), bafite amahirwe make yo kurwara cysts za arachnoid kurusha abandi.

Ni gake cyane, izi cysts zishobora kuvuka nyuma yo kuvuka. Ibi bivuze ko zishobora kuvuka nyuma yo gukomereka mu mutwe cyane, nko gukomereka mu bwonko, kubagwa mu bwonko, cyangwa kwandura indwara zigira ingaruka ku bwonko, mu bwana. Abaganga bita cysts zivuka mu myaka ya nyuma mu buzima cysts za arachnoid .

Ni gute abaganga basuzuma neza indwara ya arachnoid cysts?

Ibimenyetso bya Arachnoid Cysts, nkuko nabivuze mbere, bishobora gusa n'ibimenyetso by'izindi ndwara nyinshi. Rero, niba wowe cyangwa umwana wawe mufite kimwe cyangwa byinshi muri ibi byavuzwe haruguru, muganga azabanza kukubaza amateka y'ubuzima bwanyu. Hanyuma, akurikije ibimenyetso byanyu, azagusaba ibizamini bimwe na bimwe abona ko ari ngombwa.

Ariko, igitangaje ni uko inshuro nyinshi abaganga bavumbura ibi (Arachnoid Cysts) ku bw'impanuka mu gihe bagerageza kuvura ikindi kibazo cy'ubuzima. Urugero, iyo umuntu agize isereri kandi arimo gupimwa umutwe kugira ngo amenye icyabiteye, cyangwa iyo ashaka icyateye umutwe ukunze kugaragara, ashobora gusanga afite iyi cyst.

Abaganga bakoresha cyane cyane inyigo zihariye zo gufata amashusho, nka MRI scans (Magnetic Resonance Imaging - MRI scans) na CT scans (Computed Tomography - CT scans), kugira ngo babone amashusho asobanutse y’izi cysts, barebe neza ubunini bwazo, aho ziri, ndetse niba zirimo gusunika ibice by’ubwonko bikikije. Amashusho y’izi scans ashobora gufasha umuganga gusobanukirwa neza iby’izi cysts.

Abaganga bavura bate izi cysts za arachnoid?

Si buri wese ukeneye kuvurwa akimara kumenya ko afite ikibyimba.

• Kwitegereza: Niba ikibyimba kidatera ibimenyetso kandi ari gito, muganga wawe ashobora kukugira inama yo gutegereza witonze . Ariko, ibi ntibivuze gutegereza gusa. Muganga wawe ashobora kugusaba ko ukorerwa ibizamini buri gihe, nka MRI scan, kugira ngo urebe niba ikibyimba kigenda gikura uko igihe kigenda cyangwa niba ibimenyetso bishya bigaragaye . MRI na CT scans bishobora gufasha muganga wawe kureba niba ikibyimba kirimo gukanda ahantu hakomeye nko mu mitsi, mu bwonko, cyangwa mu ruti rw'umugongo. Mu by'ukuri, ikibyimba kinini ntigikeneye ubundi buvuzi.

• Iyo bikenewe kuvurwa: Ariko, niba ikibyimba ari kinini, gikomeje gukura, cyangwa kigatera ibimenyetso bikomeye (urugero, kuribwa umutwe ku buryo budasubirwaho, gupfukama, cyangwa kugira ibinya mu maguru), muganga wawe ashobora kukugira inama yo kuvura. Ubu buryo bwo kuvura bushobora gutandukana. Bumwe muri bwo burimo:

• Uburyo bwo gupima mu ruhu: Ubu buryo ni bushya kandi bugezweho. Bitewe n'aho ikibyimba giherereye n'ingano yacyo, muganga ashobora gukoresha uburyo bwo gupima mu ruhu kugira ngo akure amazi mu ruhu cyangwa akore "idirishya" rito (fenestration) mu rukuta rwa ikibyimba kugira ngo amazi asuke. Muri ubu buryo, muganga akoresha umuyoboro muremure kandi muto. Ku mpera imwe y'ikibyimba hari kamera nto n'igikoresho gito cyo kubaga. Ubu buryo ni uburyo budakoresha imbaraga nyinshi . Ibi bivuze ko ikibyimba gishyirwamo binyuze mu gukata gato mu mutwe hanyuma abaganga bakaba babikoze. Kubera iyo mpamvu, igihe cyo gukira kiba cyihuta kurusha kubagwa gusanzwe, kandi kumara mu bitaro biba bigufi.

• Guca icyuho mu bwonko: Iki gikorwa ni kinini gato. Muri iki gikorwa, muganga akuraho by'agateganyo igice gito cy'agahanga kawe, akajya aho agahanga kari, maze agafata uduce duto duto mu rukuta rw'agahanga. Ayo 'madirishya' yemerera amazi (CSF) ari muri aka gahanga gusohoka mu bwonko bukikije. Uko igihe kigenda gihita, umubiri wawe uzakuramo amazi y'inyongera. Igice cy'agahanga muganga yakuyemo gisubizwa mu mwanya wacyo hanyuma kigashyirwa ku ruhu.

• Gufata amenyo: Ubu ni ubundi buryo bwo kuvura. Muri ubu buryo, muganga ashyira amenyo ya cystoperitoneal shunt muri cyst.Ishitingi (nanone yitwa CP shunt mu magambo ahinnye) irashyirwamo. Ishitingi ni umuyoboro muto cyane wa pulasitiki (catheter). Impera imwe yayo ihujwe na cyst, naho indi mpera ihujwe n'inda yawe (peritoneum). Hari agace gato hagati muri uyu muyoboro gagenzura ingano y'amazi ava muri cyst n'uburyo yihuta. Bityo, amazi y'inyongera yirundanya muri cyst anyura muri iyi shunt ajya mu nda yawe. Aho ngaho, umubiri wawe wongera kwinjiza amazi. Iyi shunt akenshi iba ari ikintu gisigaye mu mubiri wawe.

• Gukuraho ikibyimba cyo mu mugongo: Ku bijyanye n'udukoko twa arachnoid mu mugongo, abaganga bazajya bagerageza gukuraho ikibyimba burundu binyuze mu kubaga. Muganga azaca hejuru y'uruhu aho ikibyimba kiri hanyuma agakuraho ikibyimba witonze. Ariko, rimwe na rimwe, bitewe n'aho ikibyimba giherereye n'ingano yacyo, bishobora kudashoboka kukikuraho burundu. Muri ibyo bihe, muganga ashobora gusaba ko amazi asohoka cyangwa agashyiramo shunt nk'uko byavuzwe mbere.

Ni iki kizere cy’abantu bafite indwara ya Arachnoid Cysts? (Outlook)

Iki kandi ni ikibazo cy'ingenzi ku bantu benshi.

Inyinshi mu ndwara za arachnoid cysts ntizigera zigaragaza ibimenyetso. Kubwibyo, abantu bafite bene izi ndwara nta kibazo bagira.

Ariko, mu bihe bidasanzwe aho ibimenyetso bibaho, kuvura Arachnoid Cysts akenshi birushaho kunoza ibimenyetso ndetse bikanashira.

Ariko, rimwe na rimwe, nyuma yo kuvurwa, hari amahirwe make ko ikibyimba gishobora kongera kugaruka cyangwa kikazura amazi. Ibi bibaye, ushobora kongera kuvugana na muganga wawe hanyuma ukongera kubagwa kugira ngo amazi asohoke cyangwa akureho ikibyimba.

Ubu, indwara za arachnoid zitivuwe kandi zifite ibimenyetso bishobora kugira ingaruka zikomeye. Urugero, kwangirika k'ubwonko burundu, ububabare bukomeye kandi budasubirwaho, ibibazo byo kugenda bishobora gutuma umuntu atabasha kugenda, n'ibindi bibazo bikomeye by'ubuzima bishobora kubaho. Ni gake cyane, indwara za cysts zitavuwe zishobora gutuma umutwe w'igihanga ukura mu buryo budasanzwe, cyane cyane ku bana bato, ku ruhande rumwe gusa.

Ingorane ebyiri z'ingenzi zishobora guterwa na cysts za arachnoid ni izi:

• Kuva amaraso mu kibuno: Imiyoboro y'amaraso mito cyane iri mu rukuta rw'ikibuno ishobora guturika, bigatuma amaraso atembera mu kibuno. Ibi bishobora gutuma ikibuno cyaguka mu buryo butunguranye kandi kikongera ibimenyetso. Hari igihe imiyoboro y'amaraso ishobora guturika, bigatuma amaraso ava mu kibuno akajya mu bwonko. Ibi bibaye, indwara iteje akaga yitwa hematoma ishobora kugaragara.
• Amazi ava mu kibyimba:Iyo ikibyimba cyangiritse bitewe n'impanuka cyangwa igikomere gikomeye mu mutwe, gishobora guturika maze amazi ari imbere (CSF) agashobora kwinjirira mu bwonko bukikije (CSF leak). Ibi bishobora no guteza ibibazo bikomeye by'ubuzima.

Ese dushobora gukumira ivuka ry'izi cysts za arachnoid?

Ikibabaje ni uko nta kintu na kimwe twakora ngo wirinde ko ibi (Arachnoid Cysts) bibaho. Kubera ko akenshi ibi biba ari ibintu bivukanwa, ntabwo dushobora kubigenzura.

Ariko, niba hari umuntu wo mu muryango wawe ufite indwara ya arachnoid cysts (ni ukuvuga ko hashobora kuba hari imiterere y’uturemangingo), cyangwa niba ufite indi ndwara, nka arachnoiditis, yongera ibyago byo kurwara izi cysts, ni byiza kubibwira muganga wawe. Hanyuma, muganga ashobora kuguha inama zikenewe.

Ni ryari wagombye kujya kwa muganga ku bijyanye n'indwara ya Arachnoid Cysts?

Iki nacyo ni ikintu cy'ingenzi cyane.

• Niba wowe cyangwa umwana wawe mufite ibimenyetso mutekereza ko bishobora kuba bifitanye isano na Arachnoid Cysts navuze mbere muri iyi nkuru, nyamuneka ntimubyirengagize. Shaka muganga ako kanya.
• Hari inshinge zimwe na zimwe, cyane cyane iyo zitera ibimenyetso, zikenera kuvurwa vuba kugira ngo hirindwe ibibazo by'ubuzima by'igihe kirekire.
• Ikindi kintu ni uko ibimenyetso byinshi bya Arachnoid Cysts bishobora gusa n'iby'izindi ndwara zikomeye zishobora gushyira ubuzima mu kaga, nka kanseri yo mu bwonko. Kubwibyo, ni ngombwa cyane kubona isuzuma nyaryo. Ibi bisaba ubufasha bwa muganga.

None se, ni ibihe bintu by'ingenzi tugomba kwibuka muri iyi nkuru? (Ubutumwa bwo kujyana mu rugo)

Sawa, muri iyi nkuru ndende twize byinshi kuri Arachnoid Cysts, si byo se? Mu gusoza, dore ingingo z'ingenzi zo kuzirikana:

• Wihangayika: Ibisebe bya Arachnoid si kanseri. Akenshi, ntabwo bigira ingaruka mbi cyangwa ngo bigire ibimenyetso.
• Menya ibimenyetso: Niba ugize ibimenyetso nko kuribwa umutwe, kuzungera, kuruka, gucika intege, guhindura icyerekezo, cyangwa guta ubwenge, menya neza.
• Shaka muganga: Niba ufite gushidikanya cyangwa ibimenyetso, jya kwa muganga kandi ushake inama. Ntukisuzumishe.
• Hari uburyo bwo kuvura: Hari uburyo bwiza bwo kuvura indwara z’ibisebe zigaragaza ibimenyetso. Zimwe muri zo zishobora kuvurwa vuba hakoreshejwe uburyo bwo kubaga butari busanzwe.
• Kumenya hakiri kare ni ingenzi: Gutahura cyst ya arachnoid hakiri kare, gukurikirana nibiba ngombwa, no kuvurwa ku gihe bishobora gutuma ubuzima bwawe burushaho kuba bwiza igihe kirekire.

Rero, ndizera ko iyi nkuru yasubije bimwe mu bibazo byawe ku bijyanye na Arachnoid Cysts. Komeza ugire ubuzima bwiza!

` Arachnoid cyst, brain cyst, spinal cyst, kuribwa umutwe, hydrocephalus, gucika intege, indwara zo mu bwonko, CSF, MRI, CT scan