Kubva kuzviratidzo zvekurapwa, hezvino ndizvo zvaunoda kuziva
Uturu hwebhondi ndeye chikonzero chekukura kusina kudzora kwemasero asina kukodzera muuropi. Zvinogona kukanganisa vana nevakuru, uye kunyange zvazvo zvisiri zvisirizvo, kenza yeuropi ndiyo yechipiri inowanzosiyana nekenza muvana mushure mekushaya lymphocytic leukemia .
Uturu hwebhondi hunogona kurondedzerwa sehuipi (kanzira) kana bhendi (isina kenza). Zvirwere zvinosvibisa zvinowanzova zvechisimba kudarika zvinyengeri, asi zvose zviri zviviri zvakanyanya uye zvinogona kuuraya.
Kune marudzi anopfuura 140 akasiyana-siyana emakumbo emakumbo anogona kuumba muuropi. Uturu hwebhondi hunogona kuiswa sehukuru kana hutsika, zvichienderana nekuti inomuka mumuviri.
Uturu hwepfungwa hukuru hunotangira muuropi uye hahuwanzopararira kunze kwaro. Matenda emetastatic anotanga mune imwe chikamu chemuviri uye anopararira kuuropi kuburikidza neropa kana lymphatic tissue. Mamwe mhando dzekenza dzinowanzowedzera kupararira kuuropi. Izvi zvinosanganisira mutsa wemapapu , kenza yemazamu , maranoma , uye chirwere chepfungwa . Kenza yemaperembudzi ndiyo inowanzoita mutezo wechirwere chekuita masimba . Vanenge makumi mana kubva muzana yevanhu vane kenza yemapapu vacharamba vachikura chirwere chepfungwa. Zvirwere zveMetastatic hazvitauri semuchechi wekenza, asi zvinonzi zvinonzi metastatic tumor to brain. Semuenzaniso, mutanho wemapapu wakapararira kuuropi hauna kunzi kenza yemuropi, asi kenza yemapapu yemapapu kune uropi.
Zvinokonzera
Hatizivi chaicho chinokonzera matumire europi, asi zvidzidzo zvinoratidza kuti zvimwe zvinhu zvinogona kuita basa mukukura kwavo. Zvimwe zvinokonzera njodzi dzepfungwa zvinosanganisira:
- Kuchengetedzwa kwemazuva ano kusanganisira mazai emishonga
- Mhuri yehupenyu hwehumwe hutachiona hwehutano hwakafanana neurofibromatosis, tuberous sclerosis , Von Hippel-Lindau chirwere, uye Li-Fraumeni syndrome
- Kuva nemaitiro ekudzivirira zvirwere zvemuviri (zvikurukuru neCCS lymphomas neAIDS )
Zviratidzo
Utano hwemakumbo ehutano hunosiyana kubva pane nzvimbo yechipfuva mukati meuropi uye ukuru. Kuoma kwezviratidzo hakuratidzi kuti sei tumarara yakakura semakumbo maduku anogona kukonzera zviratidzo zvakakomba.
Musoro wepachika chiratidzo chinowanzoonekwa chemakumbo europi asi kazhinji chinowirirana neimwe chiratidzo. Musoro wepfungwa unobatanidzwa nemakumbo emakumbo kazhinji ane maitiro anoita kuti vasiyane nemusoro wemusoro unobatana nemamiriro mashoma. Zvimwe uropi zvirwere zvinodhaka zvinogona kusanganisira:
- Nausea uye / kana kurutsa
- Kugumburwa
- Kutarisa uye kutinzwa kunonzwa (hallucinations)
- Zvinetso nemusoro
- Zvishoma nezvishoma kufunga
- Kushaya simba kune rumwe rutivi rwemuviri, kana gadziriro isina kukwana
- Kuneta kana kuwedzera kurara
- Unhu hunochinja
Kuongororwa neCarin Cancer
Kana chiremba wako achifungidzira iwe une uropi hwehupfungwa, iye achakutumira iwe kuwana magnetic resonance imaging (MRI). Iyi miedzo yekufungidzira inopa vanachiremba maonero anoshamisa europi yako uye inogona kuva ndiyo yero yeruzivo inodiwa kuti ione kuvepo kwehupo hwehupombwe. Mune dzimwe nguva zvishoma, CT scan ingashandiswa. PET inoongorora, iyo inobatsira vanachiremba kuona basa reropi, inogona kubatsira kuongorora kenza yepamusoro yehuropi asi inogona kunge isingabatsiri kana ichiuya kune chirwere chemasastatic.
Zvadaro, uropi hupi huchave hwakarayirwa kuti husimbise huipi hupi uye rudzi rwehutano hwehupi huripo. Kana zviremara zviripo, sezvinoratidzwa paMRI, uye kenza iwe une rudzi rwekenza inozivikanwa kuti inopedzisira yaitika, ipapo biopsy ingasave yakakosha. Zvisinei, nemhando dzekenza dzisina kupararira kune uropi, biopsy ndiyo inokosha yekuongorora chigadzirwa.
Brain biopsies inowanzoitwa sechikamu chekuvhiya kubvisa tsvina. Muenzaniso wenyama inogona kuongororwa muimba yekugadzirira, zvichibvumira chiremba chiremba kuita sarudzo pamusoro pekunge aenderere mberi nemushonga unogadzirwa kana kwete. Kunyanya kuongororwa kwemuongorori wechirume kuchazoitwawo nechirwere chechirwere chinogona kutora kusvika kwemazuva mashomanana kuti chiwane migumisiro.
Mune zvimwe zviitiko, bhaopsy yakavharwa, iyo inonziwo stereotactic biopsy, inoitwa apo ronda iri riri munzvimbo yeuropi iyo yakaoma kusvika. Iyo ndiyo inonyanya kushandiswa yakasiyana-siyana yebiopsy asi inotakura matambudziko. Chirwere chinokonzera mutsara (mumutsotsi wemutsara) dzimwe nguva chinowanikwawo.
Kutsvakurudza uye Kurapa Kurapa Zvimwe
Kereke yako yekurapa ingangove yakagadzirwa neurosurgeon, chiremba oncologist, radiation oncologist, uye pathologist. Nhengo dzakawanda dzinotsigira nhengo dzekambani dzakadai sevanamukoti veiyo oncology uye basa revanhu vanobatanidzwawo zvakare.
Chirwere chemuviri, nzvimbo, uye gwaro richasarudza chirongwa chekurapa. Kurapa kunogona kuitika kune mamwe maronda, asi kuderedza kukura kana kungobvisa zviratidzo zvakanyanya kungava chinangwa chekurapa kune vamwe. Zvinosuruvarisa, pangave pasina hutano hwakarongedzerwa hwehutano hwehumwe hutumbu hwemakumbo.
Kutsvakurudza kunosvika muuropi matumbo kurapa kunosanganisira tumor resection (kukwana zvakakwana) kana debulking (kubvisa zvese zvichibvira). Mune zvimwe zviitiko, kuvhiyiwa kunogona kuva ndiyo chete nzira yekurapa iyo inoda, asi vamwe vangada dzimwe nzira dzokurapa dzakadai sedhirareji inonzi radiation. Kuvhiyiwa kunoteverwa nehutachiona hwemazuva ano hunojairika nemakumbo akawanda.
Radiation therapy inogona kushandiswa yoga kana kutevedza chirwere chemakumbo emakumbo. Migumisiro inogona kusanganisira zvinetso nekurangarira kurasika uye kuongororwa. Kuzvimba kunogona kuva nemigumisiro yemagetsi zvakare, iyo inowanzobatwa ne corticosteroids.
Chemotherapy inogona kushandiswa mune dzimwe mvere- seCSS lymphoma , gliomas, kana medullablastomas-iyo inozivikanwa kuti inopindura zvakanaka chemotherapy agents. Kurapa nekemotherapy kunowanzowanikwa nekuda kwekusakwanisa kwemakemikrasi akawanda ekupfuura ropa- gomba rinodzivirira kusvika kuuropi. Targeted therapy mishonga ndeyo itsva yehutano inoshandura zvakananga kuchinja mumasero ekenza. Avastin (bevacizumab) ndeimwe yemishonga iyi inoshanda kuburikidza nekugura ropa rinopa chiremera, pakupedzisira "kushaya nzara" chiremara.