Ese wagiye ubura amatwi ukumva gusa? Ese wumva urusaku mu matwi yawe gusa? Nubwo ubona ko ibi ari ibintu bisanzwe, rimwe na rimwe inyuma y'ibi bintu hashobora kuba hari indwara tutaramenya byinshi kuri yo, ariko twagombye kubimenya. Uyu munsi turimo kuvuga ku ndwara nk'iyo. Iyi ndwara ni Neurofibromatosis Type 2, cyangwa NF2 mu magambo ahinnye.
Mu magambo make, Neurofibromatosis Type 2 (NF2) ni iki?
NF2 ni indwara y’uturemangingo ifata imikorere y’imitsi yacu. Iterwa n’impinduka mu ngirabuzimafatizo igenzura ikura ry’uturemangingo mu mubiri wacu. Iyi mpinduka mu ngirabuzimafatizo ituma umubiri ukora uturemangingo twinshi cyane. Utwo turemangingo tw’ikirenga dushobora kwirundanya no gukora ibibyimba.
Ariko ntugahangayike, ibyinshi muri ibi bibyimba ni byiza , bivuze ko atari kanseri. Ibi bibyimba ahanini biba mu:
- Imitsi yo mu mpande ni imitsi igera mu bice by'umubiri wacu, nko mu ngingo.
- Uruhu ruri hagati y'agahanga kacu n'ubwonko (meninges).
- Umugongo.
- Imitsi ihuza ubwonko n'ugutwi imbere, ifasha mu kumva no kuringaniza umubiri.
NF2 ni indwara iri mu itsinda ry'indwara zitwa Neurofibromatosis. Iri tsinda ry'indwara rigira ingaruka cyane cyane ku ruhu rwacu no ku mitsi.
Ni mu rugero rungana iki iyi ndwara ya NF2 ikunze kugaragara muri sosiyete?
Iyi ni indwara idasanzwe. Dukurikije imibare, NF2 yibasira umwana umwe mu bana 33.000 bavutse ku isi yose. Hafi 3% by'abarwayi bose banduye neurofibromatosis ni abarwayi ba NF2.
Ni ibihe bimenyetso bya NF2?
Ibimenyetso bya NF2 bishobora gutandukana bitewe n'umuntu ku wundi. Biterwa n'aho ibibyimba biri mu mubiri wawe n'ingano yabyo. Abantu benshi babanza kubona ibimenyetso biterwa n'ibibyimba mu mitsi ihuza ugutwi n'ubwonko.
Reka turebe ibi bimenyetso kugira ngo tubisobanukirwe neza:
| Icyiciro cy'ibiranga | Ibimenyetso bikunze kugaragara |
|---|---|
| Ibimenyetso bya mbere bifitanye isano n'imitsi yo kumva | |
| Ibibazo byo kuringaniza | Kuzungera mu buryo butunguranye |
| Ibibazo byo kumva | Gutakaza ubushobozi bwo kutumva buhoro buhoro |
| Gucuranga mu matwi | Kumva urusaku rw'amajwi mu matwi (Tinnitus) |
| Ibindi bimenyetso by'imitsi | |
| Ibindi bintu |
|
Ibimenyetso bikunze kugaragara hagati y’imyaka 30 n’imyaka 30. Ariko iyi ndwara ishobora kugira ingaruka ku muntu uwo ari we wese mu kigero icyo ari cyo cyose. Ku bantu bakuru, imitsi ihuza ugutwi n’ubwonko ikunze kwibasirwa mbere na mbere. Niyo mpamvu ibibazo byo kutumva ari byo bibanza kugaragara. Ariko ku bana, ibibyimba bikunze kugaragara mu bwonko cyangwa mu ruti rw’umugongo. Iyo ibimenyetso bigaragara mu bwana cyangwa mu bwangavu, bishobora kugaragaza ko iyi ndwara ikomeye cyane.
Ni ubuhe bwoko bw'ibibyimba butera muri NF2?
Hari ubwoko bwinshi butandukanye bw'ibibyimba bushobora kugaragara muri NF2. Reka tubirebe muri make.
| Ubwoko bw'ikibyimba | Mu magambo make ... |
|---|---|
| Schwannomas | Ibi ni ibibyimba by’imitsi bikura bivuye mu turemangingo twitwa Schwann. Bikunze kugaragara mu mitsi ihuza ubwonko n’itwi ry’imbere (vestibular schwannomas). Bishobora no kugaragara mu mitsi igenzura imyenge y’amaso, imyenge y’ururimi, no kumira. |
| Meningiomas | Ubwoko bwa kanseri igaragara mu gice cy’uburinzi (meninges) kiri hagati y’ubwonko n’agahanga. |
| Glioma | Izi ni ubwoko bwa kanseri yo mu bwonko ituruka ku turemangingo twitwa glial cells. Akenshi zikora hirya no hino ku mitsi y'amaso. |
| Ependymomes | Iyi nayo ni ubwoko bwa glioma. Ikura mu bwonko no mu ruti rw'umugongo. Ikomoka ku turemangingo dukora amazi yo mu bwonko (CSF) mu bwonko no mu ruti rw'umugongo. |
Kuki NF2 ikura? Ni iyihe mpamvu?
Impamvu nyamukuru y'ibi ni impinduka muri gene yitwa Neurofibromin 2 (NF2) mu mubiri wacu. Iyi gene ifasha gukora poroteyine yitwa 'merlin'. Akamaro k'iyi poroteyine ni uguhagarika gukura kwa kanseri. Ibyo bivuze ko ari ikintu gihagarika kanseri .
Rero, iyo habayeho inenge muri iyi gene ya NF2, poroteyine ya 'Merlin' ntikorwa neza. Hanyuma uturemangingo tumwe na tumwe two mu mubiri wacu twigabanyamo ibice mu buryo butunguranye, tukiyongera, hanyuma tugaterana kugira ngo tugire ibibyimba.
Ubu buhinduzi bw’uturemangingo bushobora kuragwa n’ababyeyi bugahabwa abana. Ibi byitwa icyitegererezo cy’ubwiyongere bw’umubiri. Ariko ku bantu benshi, ntabwo ari umurage. Ibi bivuze ko ubu buhinduzi bw’uturemangingo bushobora no kubaho mu gihe cyo gusama, nta mateka y’umuryango.
Ni izihe ngorane zishobora guterwa n'iyi ndwara?
Iyo NF2 idagenzuwe, hari ingorane zimwe na zimwe zishobora kubaho. Izi zirimo:
- Gutakaza burundu ubushobozi bwo kutumva
- Gutakaza ubushobozi bwo kureba neza
- Kwangirika k'imitsi burundu
- Ubwinshi bw'amazi mu bwonko (hydrocephalus)
Nubwo ibi bibyimba atari kanseri, hari amahirwe make ko bimwe mu bibyimba bya NF2 bishobora kuba kanseri, ariko gake cyane. Kubwibyo, kwisuzumisha kwa muganga buri gihe ni ingenzi cyane.
Ni gute NF2 ipimwa?
Iyo ugiye kwa muganga, abanza kugusuzuma neza, akubaze ibimenyetso byawe ndetse niba hari umuntu wo mu muryango wawe wigeze kugira iyi ndwara. Hanyuma, ashobora gukora ibizamini byinshi kugira ngo yemeze ko ari indwara:
- Isuzuma rya MRI (Magnetic Resonance Imaging): Ibi bishobora kugaragaza neza ibibyimba mu mitsi no ku ruhu.
- Ikizamini cyo kumva: Suzuma urwego rw'amatwi yawe.
- Isuzuma ry'amaso: Suzuma niba nta ndwara y'amaso ifite isura cyangwa izindi ndwara.
- Gupima imiterere y'uturemangingo: Kugira ngo hemezwe niba hari inenge muri gene ya NF2.
Ni ubuhe buryo bwo kuvura NF2?
Nta muti uraboneka kugeza ubu. Ariko ntugahangayike, ubu hari uburyo bwinshi bugezweho bwo gusuzuma, kuvura no kwita kuri izi kanseri. Muganga wawe azaguhitiramo uburyo bwiza bwo kuvura. Uburyo bwo kuvura bushobora gutandukana bitewe n'umuntu ku wundi.
Dore bumwe mu buryo bw'ingenzi bwo kuvura:
- Kubaga: Kubaga gukuraho ibibyimba bifite ibimenyetso. Kubaga kandi bikoreshwa mu gukuraho indwara ya cataract.
- Ubuvuzi bwa Chimiotherapie cyangwa Imirasire: Ubu buryo bukoreshwa mu kugabanya ingano ya bimwe mu bibyimba. Ubuvuzi bwa radiyo ya stereotactic ni bumwe mu buryo bugezweho bwo kuvura radiyo.
- Imfasha kumva no kubona: Abantu bafite ikibazo cyo kutumva bashobora gukoresha ibikoresho nka 'Hearing aids', 'cochlear implants' cyangwa 'amatwi brainstem implants'. Ibintu nk'indorerwamo z'amaso bishobora gufasha mu bibazo byo kutabona.
- Izindi nkunga: Niba ufite ikibazo cyo kuringaniza no kugenda, ushobora gukoresha ibikoresho byo kugenda.
- Imiti: Muganga aguha imiti yo kugabanya ibimenyetso nk'ububabare.
Igikuru ni uko rimwe na rimwe, niba ibibyimba bitaguteye ikibazo gikomeye, muganga wawe ashobora gufata icyemezo cyo kutazabivura ahubwo akabikurikirana buri gihe. Kubwibyo, ni ngombwa ko ukorerwa isuzuma ry’umubiri, gupimwa na MRI, no gupimwa amatwi n’amaso byibuze rimwe mu mwaka.
Ni ryari ngomba kubonana na muganga?
Niba ufite kimwe cyangwa byinshi muri ibi bikurikira, menya neza ko wagiye kwa muganga.
- Impinduka mu bushobozi bwo kubona.
- Guhinduka k'amatwi cyangwa kumva amajwi.
- Ubunebwe bw'imitsi cyangwa kunama mu maso.
- Utubyimba cyangwa ibizinga bishya ku ruhu.
- Umutwe uhoraho.
- Kubabara amaguru n'amaboko nta mpamvu.
- Kugira indwara yo kurwara (gufatwa n'ibisebe).
Akenshi, impinduka mu kumva cyangwa kureba ni byo bimenyetso bya mbere by'iyi ndwara. Kubwibyo, niba ubonye kimwe muri ibi bimenyetso, shaka ubufasha kwa muganga vuba.
Ubutumwa bwo kujyana mu rugo
- Neurofibromatosis Type 2 (NF2) ni indwara iterwa n'uturemangingo ituma ibibyimba bitari kanseri biba mu mitsi.
- Kubura amatwi, isereri, no gucurama mu matwi (tinnitus) ni byo bimenyetso bikunze kugaragara mu ntangiriro.
- Nubwo nta muti uhari, hari uburyo bwinshi bugezweho bwo kurwanya ibimenyetso no kuvura ibibyimba.
- Nyuma yo kumenyekana kw'indwara, ni ngombwa cyane guhora ukurikiranwa na muganga, harimo no gupimwa mu matwi no mu maso, no gusuzumwa buri gihe byibuze rimwe mu mwaka.
- Niba wowe cyangwa umuntu wo mu muryango wawe afite ibi bimenyetso, hita ubonana na muganga wujuje ibisabwa kugira ngo akugire inama.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.