Kushandisa History, Physical Exam, MRI, uye Biopsy kuti iongorore Maitiro Emhando
Utunha hwehupombwe hunovhiringidza pfungwa dzeavo vasingazombovi nekenza. Kushungurudza misoro, kugunun'una, chirungu uye zvimwe zviratidzo zvinowanzoitika zvinogona kubvisa kutya kwekuti mhirizhonga inouraya inowira pasi pasi pefashoni yezuva nezuva. Vanachiremba vanogona sei kutivimbisa, kana kuwedzere, kuva nechivimbo chokuti uturu hweuropi huripo ikozvino?
Zviratidzo uye Zviratidzo zveBurin Tumors
Uturu hwebongo hunotora nzvimbo mudhehenya iyo inofanira kushandiswa neropa, uropi, kana cerebrospinal fluid (CSF).
Nemhaka yokuti dhehenya iri nzvimbo yakavharidzirwa, tsvina inowedzera kuwedzera kusinganzwisisiki , uye zviratidzo zvinoreva zvakashata kana misoro inowedzera kana yakarara pasi. Izvo zvinotaurwa, izvi hazvisi zvakaoma uye zviratidzo zvinokurumidzira, sezvo mamwe maronda anopararira zvishoma nezvishoma uye haatore nzvimbo yakawanda pakutanga.
Chimwe chezvinhu zvinokonzerwa nehutano hwehutano hwepfungwa ndeimwe chiratidzo chokuti chimwe chinhu chinokonzera chikamu chimwechete cheuropi, panzvimbo pezvinhu zvose panguva imwe chete. Zvikamu zvakasiyana zvehuropi zvinokonzera mabasa akasiyana. Semuenzaniso, rutivi rworuboshwe rweuropi runodzora rutivi rworudyi rwemuviri. Kana nhengo mbiri dzomuviri dzisina simba, dambudziko rinogona kuva nemisungo kana mishonga dzomukati - asi chimwe chinhu chakakonzera mativi ose europi hachina. Kana imwe hafu yemuviri isisina simba, nyanzvi dzezvehutano dzinoshungurudza zvakanyanya nezveuropi uye musipinha. Saizvozvowo, mutauro, unhu hunoshanduka, kana zvimwe zvinokanganisa zvinganzwisisika zvinogona kuratidza chinetso chikuru chepfungwa.
MRI kuti ione kubata kwebongo
Mhando dzakasiyana dzemakumbo dzine maonero akasiyana paMagnetic Resonance Imaging kana MRI . Semuenzaniso, maitiro europi anowanzove ari pedyo nechepakati peuropi, sezvo zviratidzo zvinopararira neropa. Mhedzisiro yeuropi inowanzova iyo mishonga yeropa iduku, apo zvidimbu zvechirwere zvinowanzova nenguva yekuyambuka dambudziko reropa-reropi.
Kune rumwe rutivi, rudzi rwehupombwe hweuropi runonzi glioblastoma multiform rinowanzova chirwere chikuru chinopararira kune dzimwe nzvimbo dzakasiyana dzeuropi. Chimwe chirwere cheuropi chinonzi oligodendroglioma chinogona kuva nemaruva akajeka pamusana pekudzivirira kwe calcium mukati meuropi.
Izvo zvose zvinotaurwa, nzira yakananga yekuziva kuti rudzi rwehupi uhwu huripo ndeyekubvisa chikamu chezvisikwa zvisingawanzore uye kutarisa pasi pe microscope.
Lumbar Nguva Yokuona Chirwere Chepfungwa
Mukuwedzera kune neuroimaging, kuvhara kwemazimbe kunogona kutarisa masero asina kukwana ayo ari kutenderera mu cerebrospinal fluid, iyo inonzwisisa mvura inoshambadza uye inopoteredza uropi. Izvi zvinogona kuva zvinonyangadza, zvisinei, sezvo pangangodaro kune mashoma mashoma-akatenderera masero, uye imwe cerebrospinal fluid collection haigoni kuwana masero akakwana okuzivikanwa.
Nyaya yeBongo kuti ione kubata kwebongo
Kutsvakurudza resection kana kubviswa kwehupombwe hwehurose zvakajeka nyaya inokosha. Vanachiremba vachavimba neuroimaging, sezvakaita electroencephalography uye MRI inonzi intraoperative, kuti avabatsire kuziva chaipo chekucheka uye kuti vasiye kure nehutano hwehupi.
Kazhinji yenguva, vanachiremba vanoita urongwa hwechirwere chinoshuva uye resection, zvinoreva kuti vanogona kubvisa zvakanyanya sechirwere sezvavanogona.
Muchiitiko ichi, vanachiremba vanogona kutumira chidimbu cheuropi kuti chionekwe pasi pe microscope nechirwere chechirwere pavanenge vachiri muimba yekushandisa. Kana chiremba anoratidza kuti mhuka yacho inouraya, vanachiremba vanokwanisa kuenderera mberi uye kubvisa sechiremera chikuru sezvinobvira panguva iyoyo.
Zvimwewo, pangave pane nguva apo vanachiremba vanoita chirwere chiduku, uko pasina chirongwa chokubvisa tumarara panguva imwe chete. Izvi zvingave zvakadaro kana chirwere ichi chiri munzvimbo inokosha, somuenzaniso, uye chirwere chakakura chingangova nengozi.
Zvimwe Zvinyorwa Kusiri Chetsika Yehupombwe Hwakanaka
Neuropathologist iyo inotarisa masero aya inogona kuita zvinopfuura kungotaura kuti rudzi rwemarara ruripi.
Kuonekwa kwechirwere kunogonawo kubvumira kutaura pamusoro pekurwadziwa kwechirwere chacho. Dzimwe tsvina dzinogona kushandiswa kugadzirisa kuti chinokanganisa sei chiremera chingangodaro kune marudzi akasiyana-siyana emishonga. Iyi ruzivo inotungamirira mazano echiremba pamutsetse wakanakisisa wekutarisira, uye inogona kupawo pfungwa yekuti murwere achaita sei mune ramangwana rinotevera.
> Sources:
> Miller, A. Neuro-oncology. Continuum: Kudzidza Kwoupenyu Hwose muNeurology. 2012, 18: 2, 263-501
> Ropper AH, Samuels MA. Adams naVictor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.