Ese ufite ibi bibyimba bidasanzwe mu bwonko bwawe? Reka twige kuri Gangliocytoma na Pineocytoma!

Yewe, hari igihe twumva ibintu nka 'kanseri yo mu bwonko', 'Mfite umutwe kandi nzabisuzuma'. Bituma umutima wanjye uhinda umushyitsi iyo numvise ikintu nk'icyo. Ariko se wari uzi ko atari kanseri zose zigira ingaruka mbi mu bwonko. Hari kanseri zimwe na zimwe zikura buhoro buhoro, zikaba zitarwaye, ni ukuvuga ko zitari kanseri. Uyu munsi tugiye kuvuga ku bwoko bubiri nk'ubwo, budasanzwe, ariko bukwiye kumenyekana, bw'ibibyimba byo mu bwonko. Ibi ni gangliocytoma na pineocytoma.

Gangliocytoma na Pineocytoma ni iki?

Muri make, ibi byombi ni ubwoko bw'ibibyimba byo mu bwonko bidakunze kugaragara, ntabwo ari impanuka (ni ukuvuga bitari kanseri - `ibibi`).

Gangliocytoma ni ubwoko bwa kanseri ifata ibice by'imitsi yo hagati (izwi kandi nka CNS).

Urundi bwoko, pineocytoma, ikura mu gasabo gato ka pineal, kari mu bwonko bwawe. Agasabo ka pineal ni ko gafasha mu kugenzura ibitotsi byacu. Tekereza, aka gasabo gato ni ingenzi cyane ku bintu nko gusinzira nijoro no kubyuka mu gitondo.

Ubwo bwoko bwombi bw'ibibyimba bukura buhoro buhoro . Niyo mpamvu rimwe na rimwe bifata igihe kugira ngo ibimenyetso bigaragare. Ubusanzwe abaganga babivura bakoresheje uburyo bwo kubaga ndetse rimwe na rimwe bakanavurwa hakoreshejwe imirasire.

Ni nde ufite amahirwe menshi yo kurwara ubwo bwoko bw'ibibyimba byo mu bwonko?

Mu by’ukuri, ubwoko bwa kanseri yitwa gangliocytoma bushobora kugaragara ku bantu b’imyaka iyo ari yo yose. Ibi bivuze ko n’umwana muto cyangwa umuntu ukuze ashobora kuba afite ibyago. Ariko, ikunze kugaragara cyane mu rubyiruko ruri hagati y’imyaka 10 na 30 .

Ibibyimba bya Pineocytoma akenshi bibasira abantu bakuru, bivuze abantu bari hagati y'imyaka 20 na 64. Impuzandengo y'imyaka yo kurwara ni nk'imyaka 38.

Ni mu bihe bice by'imitsi yacu yo hagati (CNS) aho ibibyimba bya gangliocytoma bikura?

Gangliocytomas zikunze kugaragara mu bice by'ubwonko bwawe byitwa temporal lobes . Izi ziba inyuma y'amatwi yawe. Izi temporal lobes zifasha kugenzura ibintu nko kwibuka, kumva, n'amarangamutima yawe. Tekereza, wibuka ikintu cya kera, ukumva indirimbo ukayishimira, kandi ukumva wishimye cyangwa ubabaye bitewe n'imikorere y'ibi bice.

Si ibyo gusa, iyi kanseri ishobora no kugaragara ahantu hakurikira ku mubiri wawe:

• Brainstem: Iki ni igice cy'ubwonko bwawe gisa n'ikiraro gihuza igice cyo hejuru cy'ubwonko bwawe (ubwonko), uruti rw'umugongo, na cerebellum. Yohereza ibimenyetso bigenzura imikorere y'ingenzi nko guhumeka kwawe n'umuvuduko w'umutima.
• Indwara y'ubwonko:Iki gice cy'ubwonko bwawe, kiri inyuma y'umutwe wawe, kigenzura kuringaniza kwawe, ingendo zawe, n'amaso yawe. Tekereza nawe, iki gice cy'ubwonko bwawe ni cyo kigukomeza uhagaze iyo ugenda, kikakurinda kugwa, kandi kikagufasha kurambura ukuboko kugira ngo ufate umupira.
• Igorofa rya gatatu ry'umutima: Iyi ni umwobo muto uri imbere y'ubwonko. Irinda ubwonko kwangirika kandi igafasha kwimura intungamubiri n'imyanda.
• Umugongo: Iyi ni yo nzira nyamukuru ijyana ibimenyetso by'imitsi biva mu bwonko bwawe bikajya mu mubiri wawe no mu mubiri wawe bikajya mu bwonko bwawe. Ibi bimenyetso by'imitsi ni byo bituma wumva ibintu (ubushyuhe, ubukonje, ububabare) kandi bigatuma umubiri wawe ugenda.

Ni irihe tandukaniro riri hagati ya pineal cyst na pineocytoma?

Iki kandi ni ikintu gishobora gutera urujijo abantu benshi. Tekereza kuri ibi, pineal cyst ni agafuka kuzuyemo amazi cyangwa umwuka . Ni nk'urusenda rw'amazi. Ibi bikunze kuboneka mu buryo bw'impanuka mu gihe cyo gupima. Ariko, pineocytoma ni ikibyimba giterwa n'urutonde runini rw'uturemangingo tudasanzwe .

Ibisebe bya pineal ubusanzwe ntibiba binini, bivuze ko bidakunze guhinduka mu bunini. Ariko, pineocytomas ikura buhoro buhoro. Ariko, byombi ni indwara zitari kanseri. Ibi bivuze ko atari kanseri.

Ni ibihe bimenyetso biterwa n'izi ndwara?

Akenshi, ushobora kutagira ibimenyetso nubwo waba ufite gangliocytoma. Hari igihe abaganga basanga ibi bibyimba mu buryo bw’impanuka iyo bakora ibizamini byo gufata amashusho (nk'ibizamini bya MRI cyangwa CT scan) kugira ngo babone ikindi kibazo.

Ariko, ubwoko bwombi bw'ibibyimba, gangliocytoma na pineocytoma, bishobora gutera indwara zimwe na zimwe zifite ibimenyetso bitandukanye.

Ibimenyetso bisanzwe bya Gangliocytoma

Iyi kanseri ishobora gutuma ugira ibimenyetso nk'ibi bikurikira:

• Impinduka mu mikorere: Nk'aho imitsi itabasha kuyigenzura. Urugero, guhinda umushyitsi, gucika intege, gucika intege. Tekereza, uhita ubona bigoye gufata igikombe, cyangwa amaguru yawe yumva asa n'aho arimo kugwa iyo ugenda.
• Impinduka mu buryo umuntu yumva: Kumva ufite ibinya mu bice bimwe na bimwe, nk'aho ukuguru gushyuha.
• Ingorane zo kuvuga: Imvugo idasobanutse neza, hafi nk'aho udashobora kuvuga. Ntushobora kuvuga icyo ushaka kuvuga neza.
• Ihinduka ry'amaso: Iyerekwa rishobora kuba ritagaragara neza, rikagaragara nk'aho uri kubona mu bice bibiri, kandi rimwe na rimwe rishobora kumva nk'aho uri gutakaza igice cy'iyerekwa ryawe.

Ese Gangliocytoma ishobora gutera indwara zikomeye?

Yego, iyi kanseri ishobora gutera indwara zikomeye. Urugero:

• Indwara z'imikorere y'imisemburo:Izi ni indwara zibaho iyo ingano y'imisemburo ikorwa n'uturemangingo tw'umubiri wawe yiyongera cyangwa ikagabanuka. Ibi bishobora kubangamira imikorere myinshi y'umubiri wawe.
• Gufatwa n'ibisebe: Ushobora kuba warumvise ibi, gutakaza ubwenge butunguranye no gucika intege. Ibi bibyimba bishobora gutera iyi ndwara binyuze mu gukangura ubwonko.
• Ubwiyongere bw'umuvuduko mu bwonko: Ibi bishobora gutera kuribwa umutwe, isesemi, kuruka, no kwitiranya ibintu. Bishobora kumvikana nk'aho umutwe wawe uri gukandwa imbere.
• Indwara ya Lhermitte-Duclos (LDD): Iyi ni ikibyimba kidakunze kugaragara kandi kitagize ingaruka mbi. Kiba mu bwonko bwawe. Rimwe na rimwe cyitwa dysplastic gangliocytoma yo mu bwonko. Umuntu urwaye LDD ashobora kugira umutwe, isesemi, amazi mu bwonko (hydrocephalus), kugorwa no kugenda no gutakaza uburinganire (ataxia), ndetse n'ibibazo byo kutabona neza. Abantu barwaye LDD bashobora kandi kugira indwara ya genetiki yitwa Cowden syndrome, itera ibibyimba by'uruhu ndetse n'ibyago byo kurwara kanseri byiyongera.

Ibimenyetso bisanzwe bya Pineocytoma

Pineocytoma ishobora gutuma amazi yiyongera mu bwonko bwawe, bigatuma umuvuduko w'amaraso wiyongera. Ibi byitwa hydrocephalus . Niba ufite hydrocephalus, ushobora kugira ibimenyetso nk'ibi:

• Ibibazo byo kuringaniza: Kubura kuringaniza mu gihe ugenda, kumva ugiye kugwa.
• Ibibazo byo kugenda kw'amaso (`Parinaud syndrome`): Kugorwa no kureba hejuru, cyane cyane iyo ureba imbere. Ushobora kudashobora kwimura amaso yombi icyarimwe.
• Kuribwa umutwe: Ushobora kugira umutwe ukomeye kandi uhoraho. Hari igihe ubu bubabare burushaho kwiyongera iyo ukangutse mu gitondo.
• Ibibazo byo kwibuka: Kwibagirwa ibintu, kugorwa no kwibuka ibintu bishya.
• Isesemi no kuruka: Ibi bishobora kuba bibi kurushaho, cyane cyane mu gitondo.
• Indwara zo gusinzira: Kutabasha gusinzira, cyangwa gusinzira cyane. Ibi biterwa nuko agahu k'umunyu gafite uruhare mu gusinzira.
• Kugorwa no kugenda: Ukumva udashobora kugenda, amaguru yawe aranyeganyega.

Ni iyihe mpamvu nyayo itera ibi bibyimba byo mu bwonko?

Kimwe n'izindi ndwara nyinshi za kanseri, gangliocytomas na pineocytomas zikura iyo habayeho impinduka mu mabwiriza y'uturemangingo tw'uturemangingo twacu. Tekereza muri ubu buryo: uturemangingo mu mubiri wacu tumeze nk'inganda nto. Duhabwa amabwiriza yo gukora. Iyo aya mabwiriza ahindutse, uturemangingo dutangira kwigabanyamo ibice mu buryo butunguranye. Ni bwo dukora ikibyimba.

Ariko, abashakashatsi ntibaramenya neza icyo "gitera" gitera izi mpinduka. Ni ukuvuga ko nta gisubizo gisobanutse neza cy'impamvu izi selile zitangira kwitwara muri ubu buryo.

Ariko, bavumbuye ko indwara ya Cowden syndrome, ifitanye isano n'indwara ya Lhermitte-Duclos, iterwa n'impinduka mu ngirabuzimafatizo yitwa PTEN. Iyi ngirabuzimafatizo ya PTEN ikora poroteyine ifasha kugenzura uburyo ingirabuzimafatizo zikura kandi zigatandukana. Bityo, iyo ngirabuzimafatizo ya PTEN ihindutse, ikorwa ry'iyo poroteyine rirahagarara, maze ingirabuzimafatizo zigatangira gukura mu buryo butunguranye.

Ni gute abaganga bapima ibi bibyimba? (Isuzuma)

Niba ufite ibi bimenyetso, muganga azabanza kukubaza ibimenyetso byawe kandi niba hari umuntu wo mu muryango wawe wigeze kugira ibi bibazo ('amateka y'ubuzima bw'umuryango'). Hanyuma, bazagusuzuma. Bazagukorera 'isuzuma ry'imitsi', cyane cyane isuzuma ry'imitsi yawe . Ibi bizareba ibi bikurikira:

• Uburyo amaso yawe n'umunwa wawe bigenda.
• Imbaraga z'imitsi.
• Reflexes (nk'uko ukuguru kuzasimbuka iyo ukubiswe ku ivi n'inyundo nto)

Byongeye kandi, muganga ashobora kandi gukora ibi bizamini:

• Isuzuma rya Magnetic Resonance (MRI): Iki ni ikizamini kidasaba ububabare. Gikoresha rukuruzi nini, imiraba ya radiyo, na mudasobwa kugira ngo gikore amashusho asobanutse neza y’ingingo n’imiterere y’umubiri wawe. Gikoreshwa mu kureba niba hari ibibyimba, ubunini bwabyo, n’aho biri.
• Isuzuma rya CT (computed tomography): Iri suzuma rikoresha urukurikirane rwa X-ray na mudasobwa kugira ngo hakorwe amashusho y’ibice bitatu by’uturemangingo tw’umubiri wawe tworoshye n’amagufwa. Kimwe na MRI, rikoreshwa mu gushakisha no gusuzuma ibibyimba.
• Gupima amaraso: Ibi bishobora gukorwa kugira ngo harebwe niba ufite urugero rudasanzwe rwa melatonin mu maraso yawe (cyane cyane mu gihe cya pineocytoma, kuko ifitanye isano n'agakoko ka pineal).
• Gupfumura umugongo (lumbar puncture): Ibi bikubiyemo gufata urugero rw'amazi yo mu bwonko (CSF) akikije ubwonko bwawe n'umugongo hanyuma ukareba niba hari uturemangingo twa kanseri.
• Gupima: Ibi bikubiyemo gufata ingero nto z'uturemangingo twavuye muri iki kibyimba no kugipima muri laboratwari kugira ngo bamenye neza ubwoko bwacyo. Abaganga bakunze gukoresha uburyo budakoresha uburyo bwinshi nka endoscopy cyangwa stereotactic neckle biopsy.

Gangliocytoma ivurwa ite?

Tekereza ufite gangliocytoma, ariko nta bimenyetso ufite. Icyo gihe, muganga wawe azakubwira ati "Reka turebe." Ni ukuvuga ko azakubwira kuza kwisuzumisha buri gihe kugira ngo arebe niba hari ibimenyetso bishya ufite, cyangwa niba ikibyimba cyarahindutse cyangwa cyariyongereye. Ashobora kandi gukora ibintu nko gupima no gupima amaraso.

Ariko,Iyo ukeneye kuvurwa, abaganga bakunze kubaga ubwonko kugira ngo bakureho ikibyimba. Ku bw'amahirwe, gangliocytomas ntizishobora kugaruka nyuma yo gukurwaho ubwo bwoko.

Pineocytoma ivurwa ite?

Mu bihe bimwe na bimwe bya pineocytoma, abaganga bashobora kubaga ubwonko kugira ngo bakureho ikibyimba cyose cyangwa igice cyacyo. Bashobora kandi gukoresha uburyo bwo kuvura bwitwa radiation therapy .

Mu gihe cyo kubagwa, niba ufite hydrocephalus (indwara aho ubwonko bwuzuyemo amazi kandi umuvuduko w'amaraso wiyongera), abaganga bashobora gushyiramo umuyoboro muto wa pulasitiki witwa shunt mu bwonko bwawe. Iyi shunt ikuraho amazi y'ubwonko mu bwonko yawe, ikagabanya umuvuduko mu mutwe wawe. Ibi bishobora kugabanya cyane ibimenyetso byawe.

Ese hari uburyo twakwirinda ko ibi bibyimba byo mu bwonko byiyongera?

Nta kintu na kimwe ushobora gukora kugira ngo wirinde ko ibi bibyimba bibaho . Nkuko byavuzwe mbere, bibaho iyo uturemangingo twihinduranya tugatangira kwigabanyamo ibice mu buryo butunguranye. Keretse niba bifitanye isano na Cowden syndrome, abashakashatsi ntibaramenya neza icyatera iyi mihindagurikire. Cowden syndrome iterwa n'impinduka mu ngirabuzimafatizo igenzura imikurire y'uturemangingo. Rero, iki si ikintu dushobora kugenzura.

Bigenda bite uramutse ufite ikibyimba nk'iki? Ni iki wakwitega?

Kenshi na kenshi, nyuma yo kubagwa kugira ngo iki kibyimba gikureho, amahirwe yo kugaruka aba make cyane . Ibyo birahumuriza cyane, si byo se? Ibyo bivuze ko ushobora kubaho ubuzima busanzwe nyuma yo kuvurwa. Ariko, nk'uko muganga abivuga, ni ngombwa kujya kwisuzumisha "gukurikirana".

Ni ryari ngomba kujya kwa muganga?

Bitewe n'uko indwara yawe imeze, muganga wawe ashobora guteganya gahunda yo gukurikirana indwara yawe buri gihe kugira ngo akurikirane ubuzima bwawe muri rusange. Niba warabazwe kugira ngo bakureho ikibyimba, bashobora no kukugira inama yo gupima indwara kugira ngo barebe niba ikibyimba cyagarutse cyangwa niba hari ikibyimba gishya cyavutse.

Igikuru ni ukubonana na muganga igihe icyo ari cyo cyose niba ubonye ibimenyetso by'ikibyimba cyabanje, cyangwa niba ubonye impinduka nshya ziteye amakenga mu mubiri wawe . Ntubitindeho, sibyo? Kuko uko umenya vuba iyo ndwara, niko byoroha kuyivura.

Ibintu by'ingenzi cyane byo kwibuka mu byo twaganiriyeho (Ubutumwa bwo kujyana mu rugo)

Gangliocytoma na pineocytoma ni ibibyimba bibiri byo mu bwonko bidakunze kugaragara, bikura buhoro buhoro kandi bidapfa kwibasira bikura mu bwonko bwawe (CNS) no mu ngirabuzimafatizo ya pineal.

Nubwo ibi atari kanseri, bishobora gutera indwara zitandukanye zishobora kugira ingaruka ku buzima bwawe. Bitewe n'ubwoko bw'ikibyimba ufite, abaganga bashobora kugivura babazwe cyangwa bavuwe hakoreshejwe imirasire. Ibi bibyimba ntabwo bishoboka cyane ko bigaruka nyuma yo gukurwaho bakorewe kubagwa.

Niba ufite ikibyimba kidakomeye nk'iki, ganira na muganga wawe ku buryo bwo kuvurwa, icyo wakwitega nyuma yo kuvurwa, n'icyo ugomba kumenya ku bijyanye no kubaho ufite ubu bwoko bwa ikibyimba. Ntugatinye ikintu cyose, tega amatwi byose . Bizaguha imbaraga. Ntugatinye, icy'ingenzi ni ukumenya ibi bintu no gukurikiza amabwiriza ya muganga wawe.

Ibibyimba byo mu bwonko, gangliocytoma, pineocytoma, CNS, pineal gland, ibimenyetso, uburyo bwo kuvura