A meningioma uku kukura kusina kukwana kwemasumbu akapoteredza uropi, anonzi meninges. Kazhinji, meningiomas inongoda nguva nenguva kuongorora nekuongororwa kwechiremba nekuongororwa kwemhepo, sezvo maronda anowanzove achikura zvishoma. Dzimwe nguva, kunyange zvakadaro, mutezo unogona kupikisa uropi kana musana wemutsara. Munyaya iyi, kurapwa kunodanwa.
Meningiomas inogona kurapwa nekuvhiyiwa kana kupiswa kwemhepo. Nzira yakanakisisa yekuita inobva mukukura kwemuviri, nzvimbo, chiyero chekukura, uye kuonekwa pasi pe microscope. Kurapa kwakakodzera kunofanirwa nemunhu wehutano hwehutano hwakakwana.
Active Monitoring
Kutarisa kwekushingaira, iyo inozivikanwawo se "kurindira kumirira," inowanzotanga kusvika kune meningiomas. Izvi zvinonyanya kuitika kana meningioma inowanikwa muchiitiko panguva yekubata kwechinetso chisina kuwirirana. Semuenzaniso, meningioma inogona kuonekwa kana mumwe munhu akawana musoro CT pashure pechiitiko chebhazikoro, kunyange vasina kumbocherechedza chero chiratidzo chechirwere chisati chaitika. Iyi nzira inowanzoonekwawo kuvanhu vakawanda vanogona kutambura nemigumisiro kubva pamishonga.
Kazhinji, CT kana MRI scan inodzokororwa 3 kusvika 6 mwedzi mushure mekutanga. Dzinogona kutanga dzichiitwa kamwechete pagore kwemakore mashomanana ekutanga, dzichifunga kuti hapana zviratidzo zvitsva uye meningioma haina kuchinja zvikuru.
Panguva ino, kurapa kunogona kukurudzirwa.
Kugadziriswa Kugadziriswa
Kugadziriswa kubviswa kwe meningioma ndiyo inoshandiswa kurapwa muzviitiko zvakawanda zvevanhu. Kunyange zvazvo chinangwa chacho kubvisa tsvina yose, izvi zvingasakwanisika zvichienderana nenzvimbo yemarara uye nzvimbo. Semuenzaniso, kana chirwere ichi chiri pedyo zvikuru nedzimwe nzvimbo dzehuropi kana mitsipa yeropa, nengozi yekubviswa ingapfuura chero ipi zvayo inofanirwa kubatsirwa.
Semuenzaniso, kukwana resection inowanzoedza kana chiremera chacho chiri kumusoro kwepamusoro pehuropi kana cheroove . Kusarudzwa kwemasarura kungave kwakakosha kungave kwakadikanwa kuti zvakaoma kusvika kune dzimwe nzvimbo dzakadai sedhivhisi.
Neurosurgery ine ngozi. Semuenzaniso, kuzvimba kunogona kuitika nekuunganidza kwemasvikiro mumatomu europi anonzi cerebral edema. Kunyunyisa kwakadai kunogona kukonzera matambudziko ehupfungwa sezvinonzi kupera, kushaya simba kana kuoma nekutaura kana kufamba. Cerebral edema inogona kuderedzwa nemishonga yakafanana neye corticosteroids uye inotanga kuenda kune imwe mukati mavhiki mashoma. Kukanganwa kunogona kuitika dzimwe nguva mushure mekuvhiyiwa pamwe chete; zvisinei, apo anticonvulsants inowanzopiwa kuti dzisazoguma, kushandiswa kwakadaro hakuratidzi kuratidzwa uye ihurukuro yeimwe gakava.
Nemhaka yokuti mutumbi unoda kudzivirira kubuda ropa zvakanyanya mushure mekuvhiyiwa, zvipfeko zvinogona kuumba nyore nyore, kusanganisira munzvimbo umo ropa rinofanirwa kutenderera zvakasununguka. Nokuda kwechikonzero ichi, kurapwa kwekudzivirira ropa maziso kunowanzoshandiswa. Ngozi dzekuvhiya dzinotaridzikawo kubva mumarara uye nzvimbo. Kana bundu iri riri padanda rekona, somuenzaniso, kunetseka kwemishuwa munharaunda kunogona kuva pangozi panguva yekuvhiyiwa.
Radiation Therapy
Radiation therapy inowanzobatanidza kuongororwa kwemasimba makuru x-rays kusvika kumarara.
Chinangwa chacho ndechokudzikisa miviri yakareba kune dzose dzeuropi. Mishonga inowanzokurudzirwa kumakumbo asingasviki uye ane utsinye, uye kana pasina maitiro anongogadziriswa emutambo, miviri inowanzokurudzirwa mushure mekuvhiyiwa mumatumbu ane utsinye.
Radiation therapy inogona kuiswa nenzira dzinoverengeka. Imwe nzira, rutivi rwemapiritsi ehutachiona, runopa zvirwere zvishoma zvishoma kwenguva yakareba. Iyi nzira inonyanya kubatsira mune optic nerve sheath meningiomas, uye zvichida nediki meningiomas panheyo yedhehenya. Kusiyana neizvi, stereotactic radiosurgery inopa imwe mizinga yakakura yemirairo kune nzvimbo inowanikwa yeuropi.
Iyi nzira inoshandiswa zvakanakisisa mumakumbo maduku muzvitsuwa zvakasarudzwa apo kushandiswa kwekuvhima kwakaoma.
Zvimwe zvinokonzerwa nemishonga inonzi radiation hazviwanzoiti. Kusuruvara kwebvudzi kazhinji kunowanikwa muhutachiona hwemaawa. Kunyange zvazvo kurasikirwa kunogona kuva kusingaperi, vhudzi rinowanzotanga kukura mumwedzi mitatu mushure mekurapa. Kunyoroka kuneta, kuora musoro kana kushungurudzwa kunogonawo kuitika.
Nhengo dzechikamu chechipiri II ne3 dzinowanzobatwa nekubatanidzwa kwekuvhiyiwa uye kupiswa kwemazuva, uye iyo yekupedzisira inopiwa mizinga yepamusoro yehuwandu kupfuura yeW WHO grade I meningiomas. Pasinei nokuedza kwose, meningiomas dzimwe nguva vanodzoka, kazhinji pedyo nemunda wemasaisai. Meningioma inogonawo kupararira mumusana wepasipera kusvika kumutsipa wepelinha (" metastases drop"). Zvisarudzo mukurapwa zvinonyanya kuitwa pamwe chete neurourogeurgeon, nechisarudzo mukuraira uye nzira dzekuendesa mazaisai anotungamirirwa nemayeroti oncologist.
Sources:
Arvold ND, Lessell S, Bussiere M, uye al. Kutaridzika mugumisiro uye chiremera chekudzivirira mushure mekuenzanisa radiotherapy kune varwere vane optic nerve sheath meningioma. Int J Radiat Oncol Biol Phys 2009; 75: 1166.
Marosi C, Hassler M, Roessler K, et al. Meningioma. Crit Rev Oncol Hematol 2008; 67: 153.
Minniti G, Amichetti M, Enrici RM. Radiotherapy uye radiosurgery yebenign skull base meningiomas. Radiat Oncol 2009; 4:42.
Pamir N, Black P, Fahlbusch R. Meningiomas: A Comprehensive Text, Elsevier, 2009.
Yano S, Kuratsu J, Kumamoto Brain Tumor Research Group. Zviratidzo zvekuvhiyiwa nevarwere vane asymptomatic meningiomas inobva pane zvakaitika zvakakura. J Neurosurg 2006; 105: 538.