Ese uhangayikishijwe n'ibibyimba cyangwa uduheri ku mubiri wawe? Ibi bishobora kuba ari neurofibromas. Reka tubiganireho!

Ese wigeze ubona utubyimba duto cyangwa uduheri ku mubiri wawe, haba munsi cyangwa hejuru y'uruhu? Cyangwa se wigeze ubona umuntu uzi afite ubwo bubyimba? Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo ubibonye. Ariko si utubyimba twose dufite akaga. Uyu munsi tugiye kuvuga ku bwoko bumwe bw'utubyimba, ari bwo burwayi bwitwa neurofibroma. Ntugahangayike, tuzabivugaho mu buryo burambuye kandi bworoshye.

Neurofibroma ni iki?

Mu magambo make, neurofibroma ni ikibyimba kidapfa gukurwa mu turemangingo tw’imitsi yawe. Mu by’ukuri ni kimwe mu byiciro by’indwara zidasanzwe ziterwa na genetiki zitwa neurofibromatosis. Bamwe mu bantu bavukana neurofibromatosis bashobora kurwara ibi bibyimba ku ruhu, munsi y’uruhu, cyangwa imbere mu mubiri.

Ariko iki ni uko, inyinshi mu ndwara za neurofibroma nta kibazo gikomeye zitera ku buzima . Ariko, rimwe na rimwe, iyo zikuze gato, zishobora kugira ingaruka ku mitsi myinshi ndetse zikanatera ibibazo bikomeye ku buzima. Muri icyo gihe, abaganga bazikuraho bakoresheje kubaga.

Ni nde urebwa cyane n'iki kibazo?

Mu by’ukuri, abantu bavukana izi neurofibromas. Ariko igitangaje ni uko iyo izi kanseri zitangiye kugaragara, bishobora gufata imyaka myinshi. Akenshi, zigaragara neza mu gihe cy’ubwangavu.

Dukurikije imibare, hafi umwana umwe kuri 3.000 ashobora kuba afite indwara yitwa Neurofibromatosis Type 1 (NF1) . Akenshi ipimwa mbere y'imyaka 10. Abana bagera kuri 25% bafite NF1, cyangwa umwe kuri bane, bashobora kurwara ibibyimba bishobora kuba binini bihagije ku buryo byatera ibibazo bikomeye by'ubuzima.

Ni gute neurofibroma igira ingaruka ku mubiri wacu?

Uburyo neurofibromas igira ingaruka kuri buri muntu buratandukanye cyane. Biterwa n'ubwoko bwa kanseri, ubunini bwayo, n'aho iherereye ku mubiri wayo.

• Kuri bamwe, ibi bigaragara nk'uduheri duto cyangwa uduce tw'uruhu rwabyimbye.
• Ariko, kuri bamwe mu bantu bafite neurofibroma nini, zishobora kugira ingaruka ku ngingo zabo z'imbere ndetse no ku mugongo.

Tekereza kuri ibi, hari igihe biba bimeze nk'agapira gato kaba karimo kwirema imbere mu mubiri. Ingaruka bigira biterwa n'aho biri.

Ese ibi bibyimba bishobora kuba kanseri?

Iki ni ikibazo abantu benshi bahura nacyo. Inyinshi muri neurofibromas ntizihinduka mbi. Ni mbi.

Ariko,Hari ubwoko bwihariye bwitwa Plexiform neurofibromas. Hafi 10% by'ubu bwoko, cyangwa hafi kimwe mu icumi, gishobora gutera kanseri. Kubwibyo, ni ngombwa cyane ko muganga agusuzuma niba ufite ikibyimba nk'iki.

Ni ibihe bimenyetso bya Neurofibroma?

Ibimenyetso bya neurofibroma biratandukanye. Nkuko byavuzwe mbere, biterwa n'ubwoko, ingano, n'aho ikibyimba kiri. Igitangaje ni uko bamwe mu bantu barwaye neurofibroma bashobora kutagira ibimenyetso. Ariko, rimwe na rimwe bishobora gutera indwara nko gucika intege cyangwa no kutabona.

Reka turebere hamwe ubu bwoko bwa neurofibromas n'ibimenyetso bifitanye isano nabwo:

Udusimba tw’ubwonko (neurofibromas) two mu gace runaka

Ibi kandi byitwa neurofibromas zo mu gatuza.

• Ibi bishobora kugaragara nk'utubyimba duto ku mubiri wose .
• Ibi bikunze kubaho ku bantu bari hagati y'imyaka 20 na 40.
• Utu tubyimba dushobora gushya kandi dushobora no kubabara iyo dukandagiye .

Udukoko tw’ubwonko dukwirakwira mu bice bitandukanye by’umubiri

Iyi ni indi iri mu bwoko bumwe bwa neurofibroma y'uruhu.

• Ibi bikunze kugaragara ku mutwe no ku ijosi .
• Bigaragara nk'agace kabyimbye kandi kazamutse ku ruhu.
• Ushobora kumva urimo gucika intege cyangwa ukumva umeze nk'ibihumyo iyo ubikozeho.

Plexiform neurofibromas

Ubu bwoko bwa neurofibroma butera ku matsinda y'imitsi.

• Ibi bikunze kugaragara cyane ku bana bafite Neurofibromatosis Type 1.
• Izi mfuruka zishobora gukura uko igihe kigenda gihita ndetse rimwe na rimwe zikagaragara nk'ibibyimba binini cyane ku ruhu rw'abana cyangwa munsi yarwo.
• Ibi bishobora gushyira igitutu ku ruti rw'umugongo cyangwa imitsi yo mu mpande, bigatera ibimenyetso nko gucika intege , gucika intege no kugira ibinya .
• Ku bana bamwe na bamwe bafite Plexiform neurofibromas, igitutu cy'ibi bibyimba ku mugongo gishobora gutera indwara yitwa scoliosis . Ni ngombwa kubimenya, kuko nk'ababyeyi, tugomba kuba abafite ubumuga cyane iyo ikintu nk'iki kigize ingaruka ku mwana.

Ibi bibyimba bisa bite? (Isura)

Ibibyimba bya neurofibroma, biba ku ruhu cyangwa munsi yarwo, bisa cyane n'ibibyimba bya plexiform neurofibroma, biba mu mubiri.

• Udukoko tw’ubwonko/Udukoko tw’ubwonko tw’ijisho:Ibi ni uduheri dufite ibara ry'uruhu (utubyimba) . Akenshi tuboneka ku gituza, ku mutwe, mu ijosi, ku maboko no ku maguru. Dufite ingano nk'iy'amashaza . Biroroshye kubikoraho kandi bifite imiterere isa n'aho ishaje gato . Iyo ukandagiye ku gaheri nk'aka, kazagera mu ruhu, kandi iyo ukuyeho ikiganza cyawe, kizagaruka. Abaganga babyita "ikimenyetso cy'umwobo w'amabuno." Bisa n'umwobo mu ishati aho agaheri gashyirwa.
• Udukoko tw’ubwonko dukwirakwira mu bice bitandukanye by’umubiri: Ibi bishobora kugaragara nk'agace gatukura kandi kazamutse ku ruhu .
• Plexiform neurofibromas: Izi zishobora kumera nk'utubyimba tunini tw'inyama twakuwe mu mubiri. Abaganga bavuga ko ari "nk'umufuka w'inzoka munsi y'uruhu." Niba ubonye ikintu nk'iki, ni byiza guhita ugisha inama muganga.

Neurofibromatosis Type 1 (NF1) ni iki?

Neurofibromatosis Type 1 (NF1) ni indwara ifata umwana umwe mu bana 3.300 bavutse. Neurofibroma ni kimwe mu bimenyetso by'iyi ndwara (NF1). Hari n'ibindi bimenyetso:

• Uduce twa cafe-au-lait: Utu duce ni umukara woroshye, dufite ibara rya kawa, kandi tunini. Utu duce dushobora kwiyongera uko igihe kigenda gihita.
• Uduce tw’ijisho tutagira ingaruka mbi (iris) tutagira ingaruka mbi: Ibi kandi byitwa utudomo twa Lisch.
• Ibibyimba byo mu mitsi y'amaso: Ibi byitwa gliomas zo mu nzira y'amaso.

Niba ukeka ko umwana wawe afite kimwe cyangwa byinshi muri ibi bimenyetso, ni ngombwa kugisha inama muganga w’abana kugira ngo akugire inama.

Ni izihe mpamvu zitera neurofibroma?

Neurofibroma ni ikimenyetso cy'indwara ya neurofibromatosis type 1 (NF1). Iyi ndwara iterwa n'impinduka cyangwa impinduka muri gene yitwa NF1. Gene ya NF1 ifite amabwiriza yo gukora poroteyine yitwa neurofibromin.

Noneho reba, iyi poroteyine yitwa Neurofibromin ni ingenzi cyane. Ni poroteyine igabanya kanseri . Bivuze ko ari yo isanzwe ibuza uturemangingo gukura vuba cyane no kwigabanya mu buryo butunguranye. Ibikora ite? Hari indi poroteyine yitwa Ras protein, ifasha uturemangingo gukura no kwigabanya. Iyo poroteyine ya Ras icungwa na Neurofibromin.

Rero, iyo iyo gene ya `(NF1)` ihindutse, ihagarika guhagarika gukura kw'uturemangingo. Hanyuma uturemangingo turagwira mu buryo budasubirwaho kandi tugakora ibibyimba. Urabyumva?

Iyi ndwara `(NF1)` ishobora kwanduzwa abana iyo umwe mu babyeyi afite iyi ndwara. Abo babyeyi bashobora kuba barayirazwe n'ababyeyi babo. Ariko, igitangaje ni uko 50% by'abantu bafite iyi ndwara `(NF1)`, ni ukuvuga hafi kimwe cya kabiri, nta mateka y'umuryango bafite iyi ndwara. Ibi bivuze ko iyi ndwara ishobora kubaho nubwo haba hari indi ndwara nshya.

Abaganga bapima iki kibazo gute?

Ubusanzwe abaganga babanza gukora isuzuma ry’umubiri kugira ngo bamenye neurofibroma. Ibi bivuze ko bareba aho uri bakagenzura ko nta tubyimba dufite.

Byongeye kandi, ibizamini nk'ibi bishobora gukoreshwa mu gupima amashusho:

• CT scan (Isuzuma rya Tomography ryakozwe ku matwi) na MRI scan (Isuzuma rya Magnetic Resonance ryakozwe ku matwi): Ibi bizamini bikoreshwa mu kubona ibibyimba bito cyane. Binafasha kumenya aho ikibyimba kiri n'uko kubagwa bigira ingaruka ku ngingo cyangwa ku ngingo zikikije.
• Isuzuma rya PET (Positron Emission Tomography scan): Iki kizamini gifasha abaganga kumenya niba ikibyimba ari kibi cyangwa kibi.

Ni ubuhe buryo bwo kuvura neurofibroma?

Abaganga bafite uburyo butandukanye bwo kuvura neurofibroma:

• Gukurikirana: Niba neurofibroma yawe ari nziza kandi nta kibazo gikomeye itera, muganga wawe azakubwira kuza kwisuzumisha buri gihe kugira ngo arebe niba hari impinduka.
• Kubaga pulasitiki: Muganga wawe ashobora kukugira inama yo kubaga pulasitiki kugira ngo ukureho ibibyimba bitagize ingaruka mbi ku ruhu cyangwa munsi yarwo.
• Kubagwa: Niba ufite neurofibroma iri gukandagira amagufwa cyangwa ingingo zawe, muganga wawe ashobora kukugira inama yo kubagwa kugira ngo ukureho ikibyimba kinini gishoboka, cyangwa ikibyimba kinini gishoboka, hatabayeho kwangiza ingingo cyangwa ingingo zawe.

Ese hari ingaruka mbi ziterwa no kubagwa?

Ingaruka mbi zo kubagwa neurofibroma ziratandukanye bitewe no kubagwa. Urugero, ingaruka mbi zo kubagwa kugira ngo hakorwe ibibyimba by'uruhu zitandukanye n'izo kubagwa kugira ngo hakorwe ibibyimba by'umugongo. Niba uteganya kubagwa neurofibroma, ni ngombwa kubaza muganga wawe ingaruka mbi zo kubagwa.

Ese hari uburyo bwo gukumira ibi bintu?

Neurofibroma ni indwara iterwa n'uturemangingo, bityo biragoye gukumira gukura kw'ibi bibyimba .

Bigenda bite iyo ngize neurofibroma?

Muri rusange, abantu benshi bafite indwara ya neurofibroma ntibagira ingaruka kuri iyo ndwara . Ariko, abafite ibibyimba byinshi cyangwa binini bashobora guhangayikishwa n'uko basa kandi bakumva ko bigira ingaruka ku mibereho yabo. Niba ufite iyi ndwara, ganira na muganga wawe ku bijyanye no kubagwa kugira ngo ukureho ibibyimba bigaragara bigutera kumva utameze neza kandi wihebye. Neurofibroma ni gake cyane zigaruka nyuma yo kubagwa.

Nitwara nte iyo mfite neurofibroma?

Neurofibroma ni ibibyimba bidakomeye, kandi ntibikunze gutera ibibazo bikomeye by'ubuzima . Ariko, abantu bafite neurofibroma nyinshi, cyangwa abafite ibibyimba binini, bashobora rimwe na rimwe kumva bafite impungenge ku kuntu basa. Muri ibyo bihe, kubagwa bishobora kuba amahitamo meza.

Gupimwa ikibyimba kitari kibi bishobora kudatera ubwoba cyangwa ngo bigutere ubwoba nk'uko byaterwaga ikibyimba cya kanseri. Ariko, ndetse n'ikibyimba kitari kibi nka neurofibroma gishobora kugira ingaruka ku buzima bwawe.

Ibi bishobora kugira ingaruka ku isura yawe. Hari abantu barwara neurofibromas, zishobora gukura bihagije kugira ngo zigire ingaruka ku ngingo n'imitsi biri hafi yawe. Niba waranduye neurofibromas, baza muganga wawe ibijyanye no kubagwa kugira ngo neurofibromas yawe ikureho.

Nanone, ibuka ko neurofibroma ishobora kuba ikimenyetso cy'indwara idakunze kugaragara, umuntu avukana yitwa neurofibromatosis, ishobora gutera ibibazo bikomeye by'ubuzima. Kubwibyo, ni ngombwa cyane kubaza muganga wawe niba ikibyimba cyawe ari ikimenyetso cya neurofibromatosis.

Ubutumwa bwo kujyana mu rugo

Noneho rero, dore bimwe mu bintu by'ingenzi ugomba kwibuka mu byo twavuze:

• Neurofibroma ni ubwoko bw'ikibyimba gituruka mu turemangingo tw'imitsi kandi ubusanzwe ntacyo kitwaye .
• Ibi bishobora kuba ikimenyetso cy'indwara y'uturemangingo yitwa neurofibromatosis.
• Nubwo akenshi ibi bidatera ibibazo bikomeye by'ubuzima, ubwoko bumwe na bumwe bunini cyangwa bunini bushobora gutera ingorane .
• Ijanisha rito ry'ubwoko bwa Plexiform rishobora kuba kanseri .
• Ibimenyetso biratandukanye, kuva ku gushyuha k'uruhu, kutagira ibinya, kubabara, ndetse rimwe na rimwe no kwangirika gukomeye kw'imitsi.
• Gusuzuma indwara bikorwa binyuze mu isuzuma rya muganga, ndetse nibiba ngombwa, hakoreshejwe CT, MRI, na PET scan.
• Kuvura ni ukwitegereza, cyangwa kubagwa iyo bibaye ngombwa.
• IbiNtibishobora kwirindwa kuko ari indwara iterwa n’uturemangingo, ariko ibimenyetso byayo bishobora gukemurwa.
• Niba ufite amakenga ku kibyimba nk'iki, ni byiza kudatinya no gushaka inama kwa muganga .

Wibuke ko utari wenyine. Kumenya izi ndwara no kubona ubufasha bukenewe kwa muganga bishobora kugufasha kugira ubuzima bwiza.

` neurofibroma, neurofibromatosis, NF1, ibibyimba by'uruhu, ibibyimba by'imitsi, uduce twa café-au-lait, indwara z'uturemangingo