Ese ufite ikibyimba kidasanzwe mu mitsi yawe? (Malignant Peripheral Neurve Sheath Tumor - MPNST) Reka tubyigeho.

Ese wigeze wumva ikibyimba ahantu runaka ku mubiri wawe, wenda ku kuboko cyangwa ku kuguru, kigenda kirushaho kwiyongera buhoro buhoro? Utu tubyimba, rimwe na rimwe dushobora gutangira duto nk'amashaza tugakura nk'icunga, ni two tugiye kuvugaho uyu munsi. Iyi ni indwara ikomeye, ariko ikunze kugaragara cyane. Yitwa kanseri y'imitsi yo mu gice cy'imbere cy'umuyoboro w'amaraso, cyangwa MPNST mu magambo ahinnye.

Ikibyimba cy'imitsi yo mu bwonko giteye nabi (MPNST) ni iki?

Mu magambo make, MPNST (Malignant Peripheral Neverve Sheath Tumor) ni ikibyimba cya kanseri kidasanzwe kigaragara mu bipfundikizo birinda imitsi (imitsi) bikikije imitsi yo mu mubiri wawe. Ibi biri mu bwoko bwa sarcoma yoroshye . Bivuka mu mitsi yo mu mpande z'umubiri wawe. Tekereza nawe, ushobora kurwara ibi bibyimba ku maboko no ku maguru yawe. Si ibyo gusa, rimwe na rimwe bishobora no kumera mu kibuno, mu nda, mu mutwe no mu ijosi. Ibi bibyimba bishobora gukira ubikuyeho mu buryo bwo kubagwa. Ariko, tugomba kwibuka ko rimwe na rimwe ibi bibyimba bishobora kongera kugaruka .

MPNST ni gake cyane?

Iyi ni indwara idasanzwe cyane. Umuntu umwe gusa mu bantu 100.000 ni we ufatwa n'iyi kanseri y'imitsi yo mu bwonko (MPNST) buri mwaka. Akenshi yibasira abantu bari hagati y'imyaka 30 na 50 .

Byongeye kandi, abantu bafite indwara ya gene yitwa Neurofibromatosis type 1 (NF1) bafite amahirwe menshi yo kurwara MPNST. Byagaragaye ko hagati ya 25% na 50% by'abantu bafite MPNST nabo bafite NF1 .

Muri rusange, MPNST ishobora kurwara hakiri kare ku bantu bafite NF1 kurusha ku bantu badafite NF1. Nanone, abagabo bafite NF1 bafite amahirwe make yo kurwara MPNST kurusha abadafite NF1.

Ni ibihe bimenyetso bya MPNST?

MPNST zishobora kugaragara ahantu hose mu mitsi yawe yo mu gice cy'imbere, ariko akenshi zigira ingaruka ku bice nko mu maboko no ku maguru. Hari igihe zishobora no kugaragara mu bice nko mu kibuno, mu gituza, mu nda, cyangwa mu mutwe no mu ijosi. Ibimenyetso bya MPNST birimo:

• Ikibyimba gikura buhoro buhoro munsi y'uruhu. Ibi bibyimba bishobora kuba bito nk'amashaza (hafi santimetero 2) cyangwa binini nk'icunga (hafi santimetero 10).
• Kumva ububabare (cyane cyane niba ufite NF1).
• Kubura ibinure (Paresthesia).
• Kumva ufite intege nke mu maboko no mu maguru.

Ni izihe mpamvu za MPNST?

Ubushakashatsi bwagaragaje ko 50% by'ibibyimba by'imitsi yo mu bwonko bibi biterwa na neurofibromatosis type 1 (NF1).Iyo ngingo yitwa. Izindi mpamvu zishobora kuba:

• Ubuvuzi bushingiye ku mirasire: Abantu bagera kuri 10% bafite MPNST bahawe ubuvuzi bushingiye ku mirasire ku zindi ndwara.
• Impinduka mu miterere y’uturemangingo: Abashakashatsi bavumbuye ko hari impinduka zitandukanye mu miterere y’uturemangingo zituma uturemangingo tw’imitsi duhinduka uturemangingo tudasanzwe, tukiyongera, kandi tukarema ibibyimba.
• Amwe mu moko ya neurofibromas: Abantu bafite plexiform neurofibroma bari mu kaga ko kurwara MPNST.

Ni gute MPNST ipimwa?

Iyo ugiye kwa muganga, abanza gukora isuzuma ry’umubiri akakubaza ubuzima bwawe muri rusange. Ibi bizaba birimo kubaza amateka y’ubuzima bwawe, amateka y’ubuzima bw’umuryango wawe, n’ibimenyetso byose ushobora kuba ufite. Byongeye kandi, bashobora gukora ibi bikurikira:

• Ibizamini byo gupima: Abaganga bashobora gukora ibizamini nka MRI (Magnetic Resonance Imaging) na PET (Positron Emission Tomography) .
• Isuzuma ry'umubiri: Muganga ashobora gukora isuzuma ry'umubiri, agafata icyitegererezo cy'umubiri hanyuma akagisuzumwa na mikorosikopi n'inzobere mu ndwara .
• Ibizamini bya Genetike: Niba ufite ikibyimba kibi cyo mu mitsi yo mu ruhande rw'umubiri, muganga wawe ashobora kukugira inama yo gupima Genetike kugira ngo arebe niba wowe cyangwa umuntu wo mu muryango wawe wa hafi afite neurofibromatosis type 1 (NF1) cyangwa ubundi bwoko bwa neurofibromatosis sheath tumor , neurofibromatosis type 2 (Schwannomatosis) .

Ni ubuhe buryo bwo kuvura MPNST?

Ubusanzwe abaganga babaga kugira ngo bakureho ikibyimba cy’imitsi yo mu bwonko kibi. Ariko hari aho kubaga bidashoboka. Urugero:

• Imbuto nini (imbuto zifite uburebure bwa cm 5 cyangwa nini).
• Ibibyimba bya metastasis.
• Ibibyimba biri hafi cyane y’imitsi igoye bishobora kwangirika mu gihe cyo kubagwa.

Muri ibi bihe, abaganga bashobora kuvura MPNST bakoresheje uburyo bwo kubaga, imiti ivura indwara ya chimiotherapie , cyangwa imirasire . Imirasire ishobora gutangwa mbere cyangwa nyuma yo kubagwa.

Abashakashatsi ubu barimo barashakisha niba ubuvuzi bw’ubudahangarwa bw’umubiri cyangwa uburyo bwo kuvura bugamije kwitabwaho bushobora gukoreshwa nk’ubuvuzi bushya. Niba ufite ikibyimba cy’imitsi yo mu bwonko giteye nabi, ushobora kwemererwa gukora igerageza rya muganga ripima uburyo bushya bwo kuvura.Bishobora kuba byiza kuganira na muganga wawe ku bijyanye no kwitabira.

Ni izihe ngorane cyangwa ingaruka mbi zishobora guterwa no kuvurwa?

Ingorane zishobora kubaho mu gihe cyo kubagwa zirimo:

• Ibisubizo ku ndwara yo gusinziriza muri rusange.
• Kuva amaraso menshi (kuva amaraso menshi).
• Ububabare.
• Inkovu zo kubagwa.
• Kwandura igikomere cyabaye mu gihe cyo kubagwa.

Uburyo bwo kuvura nka chemotherapy cyangwa radiation therapy bushobora gutera ingaruka mbi nka:

• Impiswi.
• Umunaniro.
• Isesemi no kuruka.

Ni iki giteganyijwe ku muntu urwaye MPNST?

Guhanura ni uko itsinda ry'abaganga ritekereza ko uzaba umeze nyuma yo kurangiza kuvurwa. Ku bijyanye na MPNST, iki gipimo giterwa n'ibintu byinshi:

• Imiterere ya NF1: Iyo ibi bibyimba bigaragaye ku bantu bafite NF1, ubwiyongere bw'uko bazakira bushobora kuba buri hasi gato ugereranije n'abantu badafite NF1.
• Igipimo cy'ibibyimba: Abahanga mu by'indwara bareba uturemangingo dukoresheje mikorosikopi maze bagashyira ibibyimba mu byiciro by'ibibyimba mu rwego rwo hejuru cyangwa urwo hasi . Ibibyimba byo mu rwego rwo hejuru bifite amahirwe menshi yo kugira uturemangingo twa kanseri twigabanyamo kabiri kandi tugakwirakwira vuba.
• Ingano y'ikibyimba: Ibibyimba bya MPNST bishobora kugera kuri santimetero 10. Ibibyimba binini akenshi biragoye kubikuraho mu buryo bwo kubaga.
• Metastasis: Iyo ikibyimba cyakwirakwiriye mu tundi duce aho cyatangiriye, gishobora kugorana kuvura.

Nkuko mubibona, hari ibintu byinshi bishobora kugira ingaruka ku bushobozi bwawe bwo gukira, kandi ibi bintu byose ntabwo bishobora kukureba. Kubwibyo, ni byiza kubaza muganga wawe amakuru arambuye ku kibazo cyawe. Kubera ko azi uko umerewe, ashobora kuguha amakuru ukeneye.

Ni iki gipimo cy'ubuzima bwa MPNST?

Igipimo cy'abarokotse gishingiye ku byagaragaye ku bandi barwaye ibibyimba by'imitsi yo mu bwonko. Kubera ko ibi bibyimba ari bike cyane, biragoye ku bahanga gutanga igipimo nyacyo. Nk'uko Ikigo cy'Igihugu gishinzwe kurwanya kanseri (Amerika) kibitangaza, hagati ya 23% na 69% by'abantu barwaye MPNST baba bakiriho nyuma y'imyaka itanu barwaye. Ubwo ni ubwoko bunini, si byo se? Rero ni byiza kubaza muganga wawe uko umerewe.

Nitwara nte?

Niba ufite ikibyimba cy’imitsi yo mu bwonko giteye nabi, uhura na kanseri idakunze kugaragara ishobora kugaruka nyuma yo kuvurwa. Hari gahunda nyinshi zishobora kugufasha muri iki kibazo:

• Ubuvuzi bw'indwara zibabaza umubiri:Mu buvuzi bw’indwara zigabanya ububabare, uzakorana n’itsinda ry’abaganga bahuguwe byihariye bashobora kugufasha guhangana n’ibimenyetso bya MPNST n’ingaruka mbi zo kuvurwa. Ikindi kandi, bazaguha ubufasha bwo mu mutwe.
• Gahunda zo kurokoka kanseri: Kanseri ni nk'urugendo. Gahunda zo kurokoka kanseri zigufasha kuva umunsi wasuzumwe, binyuze mu buvuzi bwawe, n'icyo wakora iyo kanseri igarutse.

Urebye bwa mbere, ikibyimba cy’imitsi yo mu ruhande rw’imbere (MPNST) mu kuboko cyangwa ku kuguru kwawe gishobora kumera nk’ikibyimba gishobora gukomereka cyangwa gukomereka byoroshye. Kumenya ko ikibyimba ari ubwoko bwa kanseri idasanzwe kandi ko isaba kubagwa bishobora kugutera ubwoba. Bishobora kugorana kubyihanganira. Niba ufite ibibazo ku bijyanye n’uburwayi bwawe cyangwa icyo witeze, itsinda ry’abaganga rirabyumva. Bazishimira gufata umwanya wo gusubiza ibibazo byawe no gukemura impungenge zose ushobora kuba ufite.

Ubutumwa bwo kujyana mu rugo muri iyi nkuru

Sawa, ndizera ko ufite ubumenyi kuri iyi ndwara ya kanseri idakunze kugaragara yitwa MPNST twavuzeho uyu munsi. Wibuke ko iyi ari indwara idakunze kugaragara cyane. Niba ufite ibibyimba bidasanzwe, ububabare, ibinya, nibindi ku mubiri wawe bikomeza, jya kwa muganga kandi umugire inama. Uko igaragaye hakiri kare, niko byoroha kuyivura.

Igikuru ni uko utari wenyine. Itsinda ry'abaganga bawe, umuryango wawe n'inshuti zawe bose bari aho kugufasha. Igikuru ni ugukomeza gukomera no gukurikiza inama za muganga wawe.

` Ikibyimba kibi cyo mu bwonko bw'imitsi, MPNST, kanseri y'imitsi, ikibyimba, kanseri, neurofibromatosis, NF1, kubaga, ubuvuzi bushingiye ku mirasire, imiti ivura indwara ya chimiotherapie