Ese ibibyimba bishobora kuvuka ku mitsi yawe? Reka tuvuge ku bibyimba byo mu bwonko mu magambo make!

Imitsi inyura mu mibiri yacu imeze nk'urusobe rw'insinga zitwara ubutumwa bw'amashanyarazi. Ni zo zitwara amakuru ava mu bwonko ajya mu mubiri wose, kandi ziva mu mubiri zijya mu bwonko. Tekereza ko izi ngirabuzimafatizo z'imitsi, amatsinda yazo, zose zipfunyitse mu ngirabuzimafatizo zihariye zirinda, nk'icyuma gikingira icyuma gikingira icyuma gikingira icyuma, kugira ngo zibirinde kandi zifashe ibimenyetso by'amashanyarazi kugenda vuba. Muri izi ngirabuzimafatizo zirinda icyuma, hari igihe izi tumori zitwa icyuma gikingira icyuma zitera.

Ibibyimba byo mu bwonko byo mu mitsi ni iki?

Mu magambo make, ibi bibyimba biba mu "mabati" akingira imitsi yacu. Iyi "mabati" cyangwa igipfundikizo kigizwe n'ibice byinshi:

• Uturemangingo twa Schwann: Utu ni uturemangingo tuzenguruka axon, igice kirekire cy'uturemangingo tw'imitsi, nk'aho dukingira insinga.
• Endoneuriyumu: Iyi ni ingingo ihuza ikikije buri muyoboro w'imitsi, kimwe n'agatambaro gakikije umugozi umwe w'umuringa mu mugozi.
• Perineurium: Ibi ni byo bikikije imitsi y'imitsi.

Uturemangingo tw’imitsi yacu dushobora kugabanywamo ibice bibiri:

• Uturemangingo tw'imitsi yo hagati: Ibi birimo ubwonko bwacu n'umugongo.
• Uturemangingo tw’imitsi yo mu mpande: Uru ni urusobe rw’imitsi iva mu bwonko no mu ruti rw’umugongo ikagera mu bice byose by’umubiri.

Akenshi, izi neurofibromas zibaho mu mitsi yo mu gice cy'imitsi .

Ni ubuhe bwoko bw'imbuto z'imiti zihari?

Hari ubwoko bwinshi bw'ingenzi bwa neuroma. Reka turebe ibyo ari byo.

Schwannomas

Izi kanseri zikurira mu tunyangingo twa Schwann twavuze mbere. Hafi 60% bya schwannomas zikurira mu mitsi yo mu matwi yacu y'imbere . Iyi mitsi ifasha umubiri wacu kugumana uburinganire. Izindi schwannomas rimwe na rimwe zishobora gukura munsi y'uruhu rwacu, cyangwa mu bice by'umubiri. Ahantu hakunze kugaragara izi kanseri ni:

• Mu maboko no mu maguru
• Mu mutwe
• Mu gituza (ni ukuvuga agace kari hagati y'amatugu n'ikibuno)

Schwannomas ni ubwoko bw'ikibyimba gikunze gutwikirwa n'urugingo ruto rw'umubiri, cyangwa "kigizwe n'ibisebe." Ibi bibyimba akenshi ntabwo ari kanseri (ntibyiza). Ariko, ni gake cyane, ikibyimba kimaze igihe kinini gishobora kuba kanseri (cyangiza).

Udukoko tw'ubwonko (Neurofibroma)

Ubu bwoko bwa kanseri bufata ubwoko butandukanye bw'ingingo zitwa uturemangingo twa Schwann, endoneurium, na perineurium bitwikiriye imitsi. Ibi bikunze kugaragara nk'utubyimba munsi y'uruhu, ariko rimwe na rimwe bishobora kumera ku mitsi iri imbere mu mubiri.

Bitandukanye na schwannomas, neurofibromas ntizifungirwa mu mitsi. Zikurira mu mitsi. Plexiform neurofibromas ni ubwoko bw'ikibyimba gikwirakwira nk'urushundura, kizenguruka imitsi myinshi kandi gishobora gukwirakwira mu ngingo zikikije.

Inyinshi muri neurofibromas si kanseri. Ariko, hafi 5% kugeza 10% by'izi kanseri zishobora kuba kanseri . Zitwa kanseri y'imitsi yo mu bwonko itera kanseri (MPNST) . Hafi kimwe cya kabiri cy'abantu bafite izi kanseri ziba zarakwirakwiriye mu bindi bice by'umubiri mu gihe cyo kuzisuzuma.

Iyi mbuto ikunze kugaragara gute?

Ibibyimba byo mu mitsi bitari kanseri ntibikunze kubaho cyane.

• Schwannomas zikunze kugaragara cyane ku bantu bari hagati y'imyaka 50 na 60.
• Udusimba tw’ubwonko dukunze kugaragara ku bantu bari hagati y’imyaka 20 na 40.
• Ubusanzwe, plexiform neurofibromas itangira mbere y'imyaka 5.

Utubyimba tw’imitsi yo mu bwonko buteye agahinda ni ubwoko bwa kanseri idasanzwe , ikaba yibasira umuntu umwe gusa kuri miliyoni 10 buri mwaka.

Kuki ibibyimba bimeze gutya? Ni izihe mpamvu?

Impinduka mu ngirabuzimafatizo zigira ingaruka zikomeye ku iterambere ry'izi neurofibromas.

• Iterambere rya Schwannomas rifitanye isano n'impinduka muri gene yitwa NF2.
• Neurofibroma zifitanye isano na gene yitwa (NF1).

Akenshi, izi mpinduka mu ngirabuzimafatizo zibaho rimwe na rimwe, nta mpamvu igaragara ihari . Ariko, umubare muto wa schwannomas na neurofibromas ziterwa n'indwara idakunze kugaragara mu ngirabuzimafatizo yitwa neurofibromatosis , ishobora kubaho mu miryango.

Ubwoko bwa Neurofibromatosis

Hari ubwoko butatu bw'ingenzi bw'iyi ndwara:

• Neurofibromatosis yo mu bwoko bwa 1 (NF1): Abantu bafite NF1 bakuramo umubare munini wa neurofibromas. Bafite kandi ibyago byinshi byo kurwara plexiform neuromas na malignant peripheral nerve sheath tumors (MPNST). Izindi ndwara zigaragara ku bantu bafite NF1 zirimo macrocephaly , scoliosis, n'ubumuga bwo kwiga .

• Ubwoko bwa Neurofibromatosis bwa 2 (NF2):Hafi ya buri wese urwaye NF2 agira vestibular schwannomas mu matwi yombi mbere y'uko ageza ku myaka 30. Byongeye kandi, ubundi bwoko bwa schwannomas na tumors nabyo bishobora kugaragara mu ruhu rwabo, mu maso no mu bwonko bwabo.

• Schwannomatosis: Muri iki kibazo, schwannoma nyinshi zikura mu mitsi ya vestibular (mu matwi yombi) aho kumera mu mitsi ya vestibular.

Ni ibihe bimenyetso by'ibi bibyimba?

Abantu benshi barwaye ibibyimba bya neuromastoid ntibagira ububabare cyangwa ibindi bimenyetso . Ariko, iyo ikibyimba kibaye kinini cyangwa kigakanda imitsi, ibimenyetso nka:

• Ikibyimba cyangwa ikibyimba kiri munsi y'uruhu (gishobora kubabaza iyo gikanzwe).
• Intege nke z'imitsi .
• Gucika intege .
• Kubabara, ububabare, cyangwa ububabare bukabije .
• Ukumva urimo gushyuha, nk'aho ukubiswe n'amashanyarazi .

Bitewe n'aho ikibyimba giherereye, hari n'ibindi bimenyetso byihariye bishobora kugaragara. Dore ingero nke:

• Ikibyimba cy'imitsi yo mu bwonko: Ububabare buva inyuma ugana ku kaguru (sciatica).
• Ikibyimba ku kuboko: Ibimenyetso bisa n'iby'indwara ya Carpal Tunnel Syndrome.
• Ikibyimba cy'imitsi yo mu matwi: Kubura amatwi, tinnitus, ibibazo byo kuringaniza imiterere.

Ubusanzwe, iyo umuntu afite neurofibromatosis, ni ikibyimba kimwe. Ariko, ku bantu bafite iyi ndwara yavuzwe haruguru, ibibyimba byinshi bishobora kugaragara (akenshi ku ruhu).

Wamenya ute niba ufite izi mbuto?

Muganga wawe azabanza kugusuzuma umubiri wawe no gusuzuma ubuzima bwawe muri rusange. Ibi bizaba birimo kubaza amateka y'ubuzima bwawe, amateka y'ubuzima bw'umuryango wawe, n'ibimenyetso byose ushobora kuba ufite.

Kugira ngo urusheho gusuzuma ikibyimba cyamaze kugaragara cyangwa ikibyimba gikekwaho, muganga wawe ashobora kukugira inama yo gupima ibi bikurikira:

• Ibizamini byo gupima indwara: Ibi birimo gupima MRI, gupima ultrasound, no gupima PET kugira ngo ikibyimba kibone neza.
• Isuzuma ry'umubiri: Agace gato k'umubiri gafatwa muri iki kibyimba kagasuzumwa hifashishijwe mikorosikopi kugira ngo hamenyekane ubwoko bw'uturemangingo turimo. Ibi nibyo bishobora kukwereka neza niba ikibyimba ari kanseri cyangwa atari yo.

Niba ufite ibibyimba byinshi, muganga wawe ashobora kandi kukugira inama yo gupima imiterere y’uturemangingo kugira ngo arebe niba ufite indwara zitwa (NF1), (NF2), na Schwannomatosis.

Ni ubuhe buryo bwo kuvura ibi?

Niba nta bimenyetso ufite by’indwara y’ubwonko, muganga wawe ashobora kukugira inama yo "kwitegereza no gutegereza".Ushobora gukoresha uburyo bwitwa "gukurikirana." Ibyo bivuze gusuzuma ikibyimba kenshi kugira ngo urebe niba kirimo gukura cyangwa gihinduka.

Ku ndwara y'ibibyimba ifite ibimenyetso, cyangwa niba ushaka gukuraho ikibyimba kubera impamvu zo kwisiga, kubagwa ni bwo buryo bwonyine bukoreshwa .

Udusimba tw’ubwonko, cyane cyane twitwa plexiform neurofibromas, biragoye kubikuraho burundu kuko bikurira mu mitsi no hagati y’ibice by’igitambaro. Niba ikibyimba kidashobora gukurwaho burundu nyuma yo kubagwa, muganga wawe azagukurikiranira hafi, kuko ikibyimba gishobora kongera gukura.

Uburyo bwo kuvura schwannomas mu mutwe

Schwannomas zigaragara mu mutwe, nka vestibular schwannomas, zishobora kugira ingaruka ku mitsi igenzura imikorere y'ingenzi mu mubiri wacu. Muri ibi bihe, abaganga bakoresha uburyo bwitwa stereotactic radiosurgery (urugero: Gamma Knife®) kugira ngo hirindwe kwangirika kw'imitsi.

Ubu si uburyo bwo kubaga busanzwe busaba gukata. Busaba kohereza imirasire mu ruhu kugira ngo isenye cyangwa igabanye ikibyimba.

Kuvura kanseri y'imitsi yo mu bwonko

Uretse kubagwa, uburyo bwo kuvura kanseri nko kuvura hakoreshejwe imirasire na chimiotherapie bushobora no gukoreshwa mu kuvura ibibyimba by’imitsi yo mu bwonko.

Ni izihe ngorane zishobora guterwa no kubagwa?

Kimwe no kubagwa kose, hari ingorane nyinshi zishobora kubaho muri ubu buryo bwo kubaga:

• Kuva amaraso
• Kwandura ibikomere
• Ububabare
• Inkovu

Byongeye kandi, kubagwa imitsi bifite ibyago byo kwangirika kw'imitsi no kugira ubumuga buhoraho . Itsinda ry'abaganga rizagufasha guhangana n'ubumuga ubwo aribwo bwose bushobora kuvuka nyuma yo kubagwa. Uburyo butandukanye bwo kuvura (ubuvuzi bw'umubiri, ubuvuzi bw'akazi, n'ubuvuzi bwo kuvuga) bushobora kugufasha gukira.

Ese ibi bibyimba bishobora kubuzwa kubaho?

Nta buryo buzwi bwo gukumira ibi bibyimba. Ariko, muganga wawe ashobora kukugira inama yo gupima imiterere y’uturemangingo niba:

• Niba hari umuntu wo mu muryango wawe ufite amateka yo kurwara neurofibromas.
• Niba ufite ibibyimba byinshi byo mu bwonko (ibi bishobora kuba ikimenyetso cy'indwara ya neurofibromatosis).

Ni iki twagombye gutekerezaho kuri ibi bintu bishya biri imbere? (Outlook)

Inyinshi muri neurofibromas ntabwo ari kanseri . Zirashobora gukira ubanje kubagwa kandi ntizigaruka kenshi. Ariko, niba ikibyimba cyawe kidashobora gukurwaho burundu ubanje kubagwa, uzakenera gukomeza gukurikiranwa na muganga.

Abantu bagera kuri 3 kuri 4 bavurwa indwara ya vestibular schwannoma bashobora kuguma bumva .

Ingaruka zo kugira ikibyimba cyo mu mitsi kibe kanseri ni nke cyane. Ingaruka nini ni ku bantu bafite iyi ndwara (NF1) barwara Plexiform neurofibroma. Iteganyagihe ryo kurwara ibibyimba byo mu mitsi yo mu mitsi (MPNST) ntabwo ari ryiza cyane, cyane cyane iyo ikibyimba kirenze santimetero 1. Abantu bafite iki kibazo barokoka imyaka itanu nyuma yo kugisuzuma.

Ni ryari ukwiye kujya kwa muganga?

Niba ubonye ikibyimba munsi y'uruhu rwawe, cyangwa ukagira ibimenyetso ubona ko bishobora kuba ari neurofibromatosis , hita ubonana na muganga . Nanone, bwira muganga wawe niba hari umuntu wo mu muryango wawe wigeze kugira ubwo bwoko bw'ibibyimba.

Ubutumwa bwa nyuma bwo kujyana mu rugo

Wibuke ko ibibyimba byinshi byo mu bwonko ari indwara zitagira ingaruka mbi, zitari kanseri kandi zikura buhoro buhoro . Niba nta bimenyetso ufite, muganga wawe ashobora gufata icyemezo cyo kugusuzuma gusa. Iyo ikibyimba gikeneye gukurwaho, kubagwa akenshi biragira ingaruka nziza cyane. Ni gake cyane habayeho ingorane (nk'ukudashobora gukuraho burundu ikibyimba, kwangirika kw'imitsi) cyangwa ikibyimba kikahinduka kanseri. Muganga wawe azagufasha gutegura gahunda yo kuvura no gutegura gahunda y'ibizamini bizagufasha guhangana n'ikibazo cyawe. Rero ntutinye kuvugana na muganga wawe ku kintu icyo ari cyo cyose.

` ibibyimba byo mu gituza cy'imitsi, schwannoma, neurofibroma, neurofibromatosis, ibibyimba byo mu gituza cy'imitsi, kanseri, indwara z'uturemangingo, ibibyimba byo mu gituza cy'imitsi