Kanseri Ya Choroid Plexus

Kanseri ya Choroid plexus

Kanseri ya Choroid plexus ni ubwoko bwa kanseri y'ubwonko buke cyane, kandi bugera cyane cyane ku bana.

Kanseri ya Choroid plexus itangira nk'ubwiyongere bw'uturemangingo mu gice cy'ubwonko kitwa Choroid plexus. Uturemangingo two muri Choroid plexus dukora umusemburo uzengurutse kandi ukarengera ubwonko n'umugongo. Uyu musemburo witwa cerebrospinal fluid, uzwi kandi nka CSF. Uko kanseri ikura, ishobora gutera umusemburo wa CSF mwinshi mu bwonko. Ibi bishobora gutera ibimenyetso nk'uburakari, isereri cyangwa kuruka, no kubabara umutwe.

Ubuvuzi n'amahirwe yo gukira biterwa n'ibintu byinshi. Ibi birimo ubunini bw'igituntu, aho giherereye, niba cyarakwirakwiye, n'imyaka y'umwana wawe n'ubuzima bwe rusange.

Kanseri ya Choroid plexus iba cyane cyane mu bana bari munsi y'imyaka 2. Ibipimo n'ibikorwa bikoresha mu kuvura kanseri ya Choroid plexus birimo:

• Isuzuma rya neurologique. Muri iki isuzuma, ubwenge bw'umwana wawe, kumva, kubona, guhuza no kwigunga bigeragezwa. Ibi bishobora gufasha kugaragaza igice cy'ubwonko gishobora kwibasirwa n'igituntu.
• Ibizamini byo gufata amashusho y'ubwonko. Ibipimo byo gufata amashusho y'ubwonko bw'umwana wawe bishobora kuba MRI na CT. MRI ifasha kandi itsinda ry'abaganga bita ku buzima bw'umwana wawe gutegura kubaga.
• Ibizamini bya genetique. Zimwe muri kanseri za Choroid plexus zifitanye isano n'impinduka zimwe na zimwe za gene zirakomoka mu miryango. Ibipimo byo kumenya gene zimwe na zimwe bihari. Baza umuganga wita ku buzima bw'umwana wawe ibyerekeye ibizamini bya genetique n'inama.

Ubuvuzi mu bana busanzwe butandukanye n'ubuvuzi mu bakuru. Niba umwana wawe abonye kanseri ya Choroid plexus, saba umuganga wawe kukwerekeza ku muhanga witabira abana bafite utuntu mu bwonko. Uku kuvura iyi kanseri biragoye. Shaka ikigo cy'ubuvuzi gifite ubunararibonye muri iyi kanseri kandi gishobora gutanga amahitamo yo kuvura aheruka ku mwana wawe.

Ubuvuzi bwa kanseri ya Choroid plexus akenshi ni kubaga bikurikirwa na chemotherapy, radiotherapy cyangwa byombi.

• Kubaga. Intego yo kubaga ni ukukuraho kanseri yose, igihe bishoboka. Ariko kubera ko imiterere yoroheje kandi ikomeye ishobora kuba hafi, ababagisha rimwe na rimwe ntibashobora kubona uturemangingo twose twa kanseri. Ubundi buvuzi busanzwe bukenerwa nyuma yo kubaga.

Kubaga bishobora gufasha kugabanya ibimenyetso byo kugira umusemburo mwinshi mu bwonko, uzwi kandi nka hydrocephalus. Rimwe na rimwe, umuyoboro w'agateganyo ushyirwa mu gihe cyo kubaga kugira ngo umusemburo ukureho.

• Chemotherapy. Chemotherapy ikoresha imiti yo kwica uturemangingo twa kanseri. Ishobora gukoreshwa uhereye kubaga na radiotherapy kugira ngo ifashe kugenzura kanseri. Rimwe na rimwe chemotherapy ikorwa icyarimwe na radiotherapy.
• Radiotherapy. Radiotherapy ikoresha imbaraga zikomeye zo kwica uturemangingo tw'igituntu. Ingufu zishobora kuva kuri X-rays, protons n'izindi nkomoko. Ikoranabuhanga rigezweho rifasha kuvura kanseri neza mu gihe kibitse imyanya myiza. Radiation ishobora gukoreshwa nyuma yo kubaga, nubwo igituntu cyose cyakuweho neza. Radiation ishobora kandi gukoreshwa nyuma niba igituntu gikura.
• Igeragezwa rya kliniki. Igeragezwa rya kliniki ni inyigo z'ubuvuzi bushya. Izi nyigo zitanga amahirwe yo kugerageza ubuvuzi bushya. Ibyago byo kugira ingaruka mbi bishobora kuba bitazwi. Buri geragezwa rifite ibisabwa bikomeye buri muntu agomba kuzuza kugira ngo abe muri icyo geragezwa. Baza umuganga wawe niba ushobora kuba muri geragezwa rya kliniki.

Kubaga. Intego yo kubaga ni ukukuraho kanseri yose, igihe bishoboka. Ariko kubera ko imiterere yoroheje kandi ikomeye ishobora kuba hafi, ababagisha rimwe na rimwe ntibashobora kubona uturemangingo twose twa kanseri. Ubundi buvuzi busanzwe bukenerwa nyuma yo kubaga.

Kubaga bishobora gufasha kugabanya ibimenyetso byo kugira umusemburo mwinshi mu bwonko, uzwi kandi nka hydrocephalus. Rimwe na rimwe, umuyoboro w'agateganyo ushyirwa mu gihe cyo kubaga kugira ngo umusemburo ukureho.

Ibimenyetso n'ibibazo by'ubwonko biterwa n'ubunini n'aho bubonetse. Ibibazo bishobora kandi guterwa n'uburyo ubwonko bwaguka, ibyo bita kandi urwego rw'ubwonko. Ibimenyetso rusange n'ibibazo biterwa n'ubwonko birimo: Kubabara umutwe cyangwa guhura n'umuvuduko mu mutwe bikabije mu gitondo. Kubabara umutwe kenshi kandi bigaragara ko bikomeye. Kubabara umutwe rimwe na rimwe bivugwa ko ari nk'ububabare bw'umutwe cyangwa migraine. Kutibwa cyangwa kuruka. Ibibazo by'amaso, nko kubura ubushobozi bwo kubona neza, kubona ibintu bibiri cyangwa kubura ubushobozi bwo kubona ku mpande z'ubuzima bwawe. Kubura ubushobozi bwo kumva cyangwa kugenda neza mu kuboko cyangwa ukuguru. Kugira ikibazo cyo kubona umubano. Kugira ikibazo cyo kuvuga. Kumva unaniwe cyane. Kwitiranya ibintu bya buri munsi. Ibibazo byo kwibuka. Kugira ikibazo cyo gukurikiza amabwiriza yoroshye. Guhinduka kw'imico cyangwa imyitwarire. Kugira ikibazo cy'indwara z'ubwonko, cyane cyane niba nta mateka y'indwara z'ubwonko. Kugira ikibazo cyo kumva. Kuzenguruka cyangwa kumva ko isi izenguruka, ibyo bita vertigo. Kumva ufite inzara cyane no kwiyongera ibiro. Ubwinshi bw'ubwonko butatera kanseri butera ibimenyetso bikura gahoro gahoro. Ubwinshi bw'ubwonko butatera kanseri bwitwa kandi ubwinshi bw'ubwonko buterwa na kanseri. Bishobora gutera ibimenyetso bito utabona mu ntangiriro. Ibimenyetso bishobora kuba bibi mu mezi cyangwa imyaka. Ubwinshi bw'ubwonko butera kanseri butera ibimenyetso bikura vuba. Ubwinshi bw'ubwonko butera kanseri bwitwa kandi kanseri y'ubwonko cyangwa ubwinshi bw'ubwonko bubi. Biterwa n'ibimenyetso bitunguranye. Bikura nabi mu minsi cyangwa mu byumweru. Kubabara umutwe ni ikimenyetso cy'ubwonko gikunze kugaragara. Kubabara umutwe bibaho hafi muri kimwe cya kabiri cy'abantu bafite ubwinshi bw'ubwonko. Kubabara umutwe bishobora kubaho niba ubwinshi bw'ubwonko bukura bugakanda ku turemangingo dufite ubuzima bwiza. Cyangwa ubwinshi bw'ubwonko bushobora gutera kubyimba mu bwonko byongera umuvuduko mu mutwe bikaba byatera kubabara umutwe. Ububabare bw'umutwe biterwa n'ubwonko bukunze kuba bubi iyo uba wibutse mu gitondo. Ariko bishobora kubaho igihe icyo ari cyo cyose. Bamwe mu bantu bagira ububabare bw'umutwe bubakura mu buriri. Ububabare bw'umutwe bwo mu bwonko butera ububabare bukabije iyo ukohose cyangwa ukomeje. Abantu bafite ubwinshi bw'ubwonko bakunze kuvuga ko ububabare bw'umutwe bumva nk'ububabare bw'umutwe. Bamwe mu bantu bavuga ko ububabare bw'umutwe bumva nk'igicuri. Ubwinshi bw'ubwonko buri inyuma y'umutwe bushobora gutera ububabare bw'umutwe hamwe n'ububabare bw'ijosi. Niba ubwinshi bw'ubwonko buri imbere y'umutwe, ububabare bw'umutwe bushobora kumva nk'ububabare bw'amaso cyangwa ububabare bw'amazuru. Igice gikuru cy'ubwonko kitwa cerebrum. Ubwinshi bw'ubwonko buri mu bice bitandukanye bya cerebrum bushobora gutera ibimenyetso bitandukanye. Ubwinshi bw'ubwonko buri imbere y'ubwonko. Ibiro by'imbere biri imbere y'ubwonko. Bigengura ibitekerezo n'imyitwarire. Ubwinshi bw'ubwonko buri mu biro by'imbere bushobora gutera ibibazo byo kubona umubano n'ikibazo cyo kugenda. Hashobora kubaho guhinduka kw'imico, nko kwibagirwa no kubura inyota yo gukora ibintu bisanzwe. Rimwe na rimwe abagize umuryango babona ko umuntu ufite ubwinshi bw'ubwonko asa n'undi. Ubwinshi bw'ubwonko buri hagati y'ubwonko. Ibiro bya parietal biri hejuru hagati y'ubwonko. Bifasha gutunganya amakuru yerekeye gukora, kununura, kunuka, kubona no kumva. Ubwinshi bw'ubwonko buri mu biro bya parietal bushobora gutera ibibazo bijyanye n'imyumvire. Urugero harimo ibibazo byo kubona n'ibibazo byo kumva. Ubwinshi bw'ubwonko buri inyuma y'ubwonko. Ibiro bya occipital biri inyuma y'ubwonko. Bigengura ubushobozi bwo kubona. Ubwinshi bw'ubwonko buri mu biro bya occipital bushobora gutera kubura ubushobozi bwo kubona. Ubwinshi bw'ubwonko buri hepfo y'ubwonko. Ibiro bya temporal biri ku mpande z'ubwonko. Bitunganya kwibuka n'imyumvire. Ubwinshi bw'ubwonko buri mu biro bya temporal bushobora gutera ibibazo byo kwibuka. Bishobora gutera umuntu kubona, kununura cyangwa kunuka ikintu kitariho. Rimwe na rimwe kununura cyangwa kunuka biba bibi cyangwa bidasanzwe. Fata gahunda yo kubonana n'abaganga bawe niba ufite ibimenyetso n'ibibazo bikomeye bikuhangayikishije.

Niba ufite ibimenyetso n'ibibonwa bikomeza kukurushya, hamagara muganga wawe.

Uburibwe bw'ubwonko butangira nk'ubwiyongere bw'uturemangingo mu bwonko bwitwa uburibwe bw'ubwonko bw'ibanze. Bushobora gutangira mu bwonko cyangwa mu mubiri hafi yaho. Imikaya iri hafi yaho ishobora kuba irimo ibicu byo hanze y'ubwonko, bizwi nka meninges. Uburibwe bw'ubwonko kandi bushobora kuba mu mitsi, mu gice cy'ubwonko gishinzwe gukora imisemburo (pituitary gland) no mu gice cy'ubwonko gishinzwe gukora imisemburo (pineal gland). Uburibwe bw'ubwonko buva mu guhinduka kw'uturemangingo mu bwonko cyangwa hafi yaho. DNA y'uturemangingo ifite amabwiriza abwira uturemangingo icyo gukora. Izi mpinduka zibwira uturemangingo gukura vuba no gukomeza kubaho mu gihe uturemangingo dufite ubuzima bwiza twapfa nk'igice cy'ubuzima bwabo busanzwe. Ibi bituma habaho uturemangingo twinshi cyane mu bwonko. Uturemangingo dushobora gukora uburibwe. Ntabwo birasobanutse icyateye impinduka za DNA zitera uburibwe bw'ubwonko. Kuri benshi bafite uburibwe bw'ubwonko, impamvu ntibazwi. Rimwe na rimwe ababyeyi batanga impinduka za DNA ku bana babo. Izi mpinduka zishobora kongera ibyago byo kugira uburibwe bw'ubwonko. Ubu buribwe bw'ubwonko bukomoka ku miryango ni bworoshye. Niba ufite amateka y'umuryango w'uburibwe bw'ubwonko, ubiganirizeho n'abaganga bawe. Ushobora gutekereza guhura n'abaganga bahuguwe mu by'imfubyi kugira ngo umenye niba amateka y'umuryango wawe yongera ibyago byo kugira uburibwe bw'ubwonko. Iyo uburibwe bw'ubwonko buza ku bana, bishoboka ko ari uburibwe bw'ubwonko bw'ibanze. Mu bakuru, uburibwe bw'ubwonko bushobora kuba kanseri yatangiye ahandi ikwirakwira mu bwonko. Uburibwe bw'ubwonko bwa kabiri buva iyo kanseri itangira ahandi ikwirakwira mu bwonko. Iyo kanseri ikwirakwira, bita kanseri y'imikira. Kanseri iyo ari yo yose ishobora gukwirakwira mu bwonko, ariko ubwoko busanzwe burimo: Kanseri y'amabere. Kanseri y'amara. Kanseri y'impyiko. Kanseri y'ibihaha. Kanseri y'uruhu (Melanoma). Ntabwo birasobanutse impamvu zimwe muri kanseri zikwirakwira mu bwonko n'izindi zikunda gukwirakwira ahandi. Uburibwe bw'ubwonko bwa kabiri busanzwe buva ku bantu bafite amateka ya kanseri. Gake, uburibwe bw'ubwonko bushobora kuba ikimenyetso cya mbere cya kanseri yatangiye ahandi mu mubiri. Mu bakuru, uburibwe bw'ubwonko bwa kabiri busanzwe bwinshi kurusha uburibwe bw'ubwonko bw'ibanze.

Mu bantu benshi bafite uburibwe bw'ubwonko bwa mbere, impamvu ntiirasobanuka. Ariko abaganga bamenye ibintu bimwe bishobora kongera ibyago. Ibintu byongera ibyago birimo: Imyaka. Uburibwe bw'ubwonko bushobora kubaho mu myaka yose, ariko kenshi bibaho mu bantu bakuze. Uburibwe bumwe bw'ubwonko bugira ingaruka cyane ku bakuru. Uburibwe bumwe bw'ubwonko bukunze kubaho cyane mu bana. Uko umuntu asa. Umuntu wese arashobora kurwara uburibwe bw'ubwonko. Ariko zimwe mu bwoko bw'uburibwe bw'ubwonko busanzwe cyane mu bantu b'amoko amwe. Urugero, gliomas ni cyane cyane mu bantu bazungu. Meningiomas ni cyane cyane mu bantu b'irabura. Kwibasirwa n'imirasire. Abantu babasirwa n'ubwoko bukomeye bw'imirasire bafite ibyago byiyongereye byo kurwara uburibwe bw'ubwonko. Iyi mirasire ikomeye yitwa ionizing radiation. Iyi mirasire ikomeye bihagije gutera impinduka za ADN muri selile z'umubiri. Impinduka za ADN zishobora gutera uburibwe n'indwara za kanseri. Ingero za ionizing radiation harimo imirasire ikoreshwa mu kuvura kanseri n'imirasire iterwa n'ibombe za atomiki. Imirasire y'igipimo gito iva ku bintu bya buri munsi ntiifitanye isano n'uburibwe bw'ubwonko. Imipimo mike y'imirasire irimo ingufu zituruka kuri telefoni na radiyo. Nta gihamya gihamye cyerekana ko gukoresha telefoni bigatera uburibwe bw'ubwonko. Ariko haracyakorwa ubushakashatsi bwinshi kugira ngo byemezwe. Ibyanditswe byarazwe byongera ibyago byo kurwara uburibwe bw'ubwonko. Zimwe mu mpinduka za ADN zongera ibyago byo kurwara uburibwe bw'ubwonko zirakomoka mu miryango. Ingero harimo impinduka za ADN ziterwa na neurofibromatosis 1 na 2, tuberous sclerosis, Lynch syndrome, Li-Fraumeni syndrome, Von Hippel-Lindau disease, familial adenomatous polyposis, Cowden syndrome, na Gorlin syndrome.

Nta buryo bwo gukumira uburibwe bw'ubwonko buhari. Niba ufite uburibwe bw'ubwonko, nta kintu wakoze cyabuteye. Abantu bafite ibyago byinshi byo kurwara uburibwe bw'ubwonko bashobora gutekereza ku bipimo byo kubushakisha. Gushakisha si ukurinda uburibwe bw'ubwonko. Ariko gushakisha bishobora gufasha kubona uburibwe bw'ubwonko iyo bugitoya kandi kuvura bikaba bishoboka cyane. Niba ufite amateka y'umuryango w'uburibwe bw'ubwonko cyangwa indwara zirakomoka zongera ibyago byo kurwara uburibwe bw'ubwonko, biganiro kuri byo n'abaganga bawe. Ushobora gutekereza guhura n'umujyanama w'indwara z'umurage cyangwa undi muganga wamenyereye indwara z'umurage. Uyu muntu ashobora kugufasha kumva ibyago byawe n'uburyo bwo kubigenzura. Urugero, ushobora gutekereza ku bipimo byo kubushakisha. Ibizamini bishobora kuba harimo ikizamini cyo kubona ishusho cyangwa ikizamini cy'ubwonko kugira ngo ugenzure uko ubona, uko wumva, uko uringaniye, uko uhuza ibintu n'uko ugira imisubizo.

Iyi MRI yerekana ubwonko bw’umuntu ifashwe nyuma yo guterwa ibintu byongera uburyo bwo kubona ibintu, igaragaza uburibwe bwa meningioma. Ubu buribwe bwa meningioma bwakuze ku buryo bwatangiye kwinjira mu mubiri w’ubwonko.

Amashusho yerekana uburibwe bw’ubwonko

Niba umuganga wawe atekereza ko ushobora kuba ufite uburibwe bw’ubwonko, uzakenera gupimwa n’ibindi bikorwa byinshi kugira ngo bibe byizewe. Ibyo bishobora kuba birimo:

• Isuzuma ry’imikorere y’ubwonko. Isuzuma ry’imikorere y’ubwonko ripima ibice bitandukanye by’ubwonko bwawe kugira ngo harebwe uko bikora. Iri suzuma rishobora kuba ririmo gusuzuma uko ubona, uko wumva, uko uringaniye, uko uhuza ibintu, imbaraga zawe n’uko ukoresha imitsi yawe. Niba ufite ikibazo muri kimwe cyangwa mu bice byinshi, ibi ni ikimenyetso cy’umuganga wawe. Isuzuma ry’imikorere y’ubwonko ntiryerekana uburibwe bw’ubwonko. Ariko rifasha umuganga wawe gusobanukirwa igice cy’ubwonko cyawe gishobora kuba gifite ikibazo.
• Amashusho y’ubwonko akoresheje CT scan. Amashusho akoresheje CT scan, azwi kandi nka CT scan, akoresha X-rays kugira ngo akore amashusho. Aboneka cyane, kandi ibisubizo bihita byigaragara. Bityo CT ishobora kuba ari yo isuzuma rya mbere ry’amashusho rikorwa niba ufite umutwe ubora cyangwa ibindi bimenyetso bifite impamvu nyinshi zishoboka. CT scan ishobora kubona ibibazo biri mu bwonko no hafi yabwo. Ibisubizo biha umuganga wawe ibimenyetso byo gufata icyemezo cy’isuzuma ryakurikiraho. Niba umuganga wawe atekereza ko CT scan yawe igaragaza uburibwe bw’ubwonko, ushobora kuba ukeneye MRI y’ubwonko.
• PET scan y’ubwonko. PET scan, izwi kandi nka PET scan, ishobora kubona uburibwe bumwe bw’ubwonko. PET scan ikoresha ibintu byanduye byinjizwa mu mutsi. Ibyo bintu byanduye byinjira mu maraso bikajya ku mitsi y’uburibwe bw’ubwonko. Ibyo bintu byanduye bituma imisemburo y’uburibwe bw’ubwonko igaragara ku mashusho yafashwe na PET machine. Imisemburo ikura kandi ikabyara vuba izakoresha byinshi muri ibyo bintu byanduye.

PET scan ishobora kuba ifasha cyane mu kubona uburibwe bw’ubwonko bukura vuba. Ingero zirimo glioblastomas na bimwe mu oligodendrogliomas. Uburibwe bw’ubwonko bukura buhoro bushobora kutagaragara kuri PET scan. Uburibwe bw’ubwonko butari kanseri busanzwe bukura buhoro, bityo PET scan ntabwo ifasha cyane kuri uburibwe bw’ubwonko butari kanseri. Si buri wese ufite uburibwe bw’ubwonko ukeneye PET scan. Baza umuganga wawe niba ukeneye PET scan.

• Gukusanya urugero rw’imisemburo. Biopsy y’ubwonko ni uburyo bwo gukuramo urugero rw’imisemburo y’uburibwe bw’ubwonko kugira ngo ipimaze muri laboratwari. Akenshi umuganga akuramo urugero mu gihe akora ibyo kubaga kugira ngo akureho uburibwe bw’ubwonko.

Niba kubaga bitashoboka, urugero rushobora gukurwaho hakoreshejwe umugozi. Gukuramo urugero rw’imisemburo y’uburibwe bw’ubwonko hakoreshejwe umugozi bikorwa hakoreshejwe uburyo bwitwa stereotactic needle biopsy.

Muri ubu buryo, umwobo muto ucukura mu gipfunsi. Umugozi muto winjizwa muri uwo mwobo. Umugozi ukoreshwa mu gukuramo urugero rw’imisemburo. Ibizamini by’amashusho nka CT na MRI bikoreshwa mu gutegura inzira y’umugozi. Ntuzagira icyo wumva mu gihe cyo gukuramo urugero kuko imiti ikoreshwa mu kubabara agace. Akenshi na none uhabwa imiti ikuraraza kugira ngo utamenya.

Ushobora gukuramo urugero hakoreshejwe umugozi aho kubaga niba itsinda ry’abaganga bawe rihangayikishijwe no kuba kubaga bishobora kwangiza igice cy’ubwonko cyawe gikomeye. Umugozi ushobora kuba ukenewe mu gukuramo imisemburo y’uburibwe bw’ubwonko niba uburibwe buri ahantu bigoye kugeraho hakoreshejwe kubaga.

Biopsy y’ubwonko ifite ibyago by’ingaruka. Ibyago birimo kuva amaraso mu bwonko no kwangiza imisemburo y’ubwonko.

• Gupima urugero rw’imisemburo muri laboratwari. Urugero rwakuweho rwoherezwa muri laboratwari kugira ngo rupimwe. Ibizamini bishobora kureba niba imisemburo ari kanseri cyangwa atari kanseri. Uko imisemburo igaragara kuri mikoroskopi bishobora kubwira itsinda ry’abaganga bawe uko imisemburo ikura vuba. Ibi bita urwego rw’uburibwe bw’ubwonko. Ibindi bizamini bishobora kumenya impinduka za ADN ziri mu misemburo. Ibi bifasha itsinda ry’abaganga bawe gutegura gahunda yawe yo kuvurwa.

MRI y’ubwonko. Magnetic resonance imaging, izwi kandi nka MRI, ikoresha amabuye y’ubumara akomeye kugira ngo akore amashusho y’imbere y’umubiri. MRI ikunze gukoreshwa mu kubona uburibwe bw’ubwonko kuko igaragaza ubwonko neza kurusha ibindi bizamini by’amashusho.

Akenshi hari ibara ryinjizwa mu mutsi wo mu kuboko mbere ya MRI. Ibara rikorera amashusho meza. Ibi bituma byoroshye kubona uburibwe buto. Bishobora gufasha itsinda ry’abaganga bawe kubona itandukaniro hagati y’uburibwe bw’ubwonko n’imisemburo y’ubwonko izima.

Rimwe na rimwe ukeneye ubwoko bwihariye bwa MRI kugira ngo ukore amashusho arambuye. Urugero ni functional MRI. Iyi MRI igaragaza ibice by’ubwonko bigenzura kuvuga, kugenda n’ibindi bikorwa by’ingenzi. Ibi bifasha umuganga wawe gutegura kubaga n’ibindi bivurwa.

Ikindi kizami cya MRI ni magnetic resonance spectroscopy. Iri suzuma rikoresha MRI mu kupima urwego rw’ibintu bimwe na bimwe biri mu misemburo y’uburibwe. Kugira byinshi cyangwa bike by’ibintu bishobora kubwira itsinda ry’abaganga bawe ubwoko bw’uburibwe bw’ubwonko ufite.

Magnetic resonance perfusion ni ikindi kintu cya MRI. Iri suzuma rikoresha MRI mu kupima umubare w’amaraso mu bice bitandukanye by’uburibwe bw’ubwonko. Ibice by’uburibwe bufite amaraso menshi bishobora kuba ari ibice bikora cyane by’uburibwe. Itsinda ry’abaganga bawe rikoresha ayo makuru mu gutegura uburyo bwawe bwo kuvurwa.

PET scan y’ubwonko. PET scan, izwi kandi nka PET scan, ishobora kubona uburibwe bumwe bw’ubwonko. PET scan ikoresha ibintu byanduye byinjizwa mu mutsi. Ibyo bintu byanduye byinjira mu maraso bikajya ku mitsi y’uburibwe bw’ubwonko. Ibyo bintu byanduye bituma imisemburo y’uburibwe bw’ubwonko igaragara ku mashusho yafashwe na PET machine. Imisemburo ikura kandi ikabyara vuba izakoresha byinshi muri ibyo bintu byanduye.

PET scan ishobora kuba ifasha cyane mu kubona uburibwe bw’ubwonko bukura vuba. Ingero zirimo glioblastomas na bimwe mu oligodendrogliomas. Uburibwe bw’ubwonko bukura buhoro bushobora kutagaragara kuri PET scan. Uburibwe bw’ubwonko butari kanseri busanzwe bukura buhoro, bityo PET scan ntabwo ifasha cyane kuri uburibwe bw’ubwonko butari kanseri. Si buri wese ufite uburibwe bw’ubwonko ukeneye PET scan. Baza umuganga wawe niba ukeneye PET scan.

Gukusanya urugero rw’imisemburo. Biopsy y’ubwonko ni uburyo bwo gukuramo urugero rw’imisemburo y’uburibwe bw’ubwonko kugira ngo ipimaze muri laboratwari. Akenshi umuganga akuramo urugero mu gihe akora ibyo kubaga kugira ngo akureho uburibwe bw’ubwonko.

Niba kubaga bitashoboka, urugero rushobora gukurwaho hakoreshejwe umugozi. Gukuramo urugero rw’imisemburo y’uburibwe bw’ubwonko hakoreshejwe umugozi bikorwa hakoreshejwe uburyo bwitwa stereotactic needle biopsy.

Muri ubu buryo, umwobo muto ucukura mu gipfunsi. Umugozi muto winjizwa muri uwo mwobo. Umugozi ukoreshwa mu gukuramo urugero rw’imisemburo. Ibizamini by’amashusho nka CT na MRI bikoreshwa mu gutegura inzira y’umugozi. Ntuzagira icyo wumva mu gihe cyo gukuramo urugero kuko imiti ikoreshwa mu kubabara agace. Akenshi na none uhabwa imiti ikuraraza kugira ngo utamenya.

Ushobora gukuramo urugero hakoreshejwe umugozi aho kubaga niba itsinda ry’abaganga bawe rihangayikishijwe no kuba kubaga bishobora kwangiza igice cy’ubwonko cyawe gikomeye. Umugozi ushobora kuba ukenewe mu gukuramo imisemburo y’uburibwe bw’ubwonko niba uburibwe buri ahantu bigoye kugeraho hakoreshejwe kubaga.

Biopsy y’ubwonko ifite ibyago by’ingaruka. Ibyago birimo kuva amaraso mu bwonko no kwangiza imisemburo y’ubwonko.

Urwego rw’uburibwe bw’ubwonko rutangwa iyo imisemburo y’uburibwe ipimajwe muri laboratwari. Urwego rwereka itsinda ry’abaganga bawe uko imisemburo ikura kandi ikabyara vuba. Urwego rushingiye ku buryo imisemburo igaragara kuri mikoroskopi. Ibipimo biri hagati ya 1 na 4.

Uburibwe bw’ubwonko bwa 1 bukura buhoro. Imisemburo itandukanye cyane n’imisemburo izima iri hafi. Uko urwego rugenda rurushaho kuba hejuru, imisemburo ihinduka ku buryo itangira kugaragara itandukanye cyane. Uburibwe bw’ubwonko bwa 4 bukura vuba cyane. Imisemburo ntigaragara kimwe n’imisemburo izima iri hafi.

Nta bipimo by’uburibwe bw’ubwonko. Ibindi bwoko bya kanseri bifite ibipimo. Kuri ibindi bwoko bya kanseri, igipimo kivuga uko kanseri yateye imbere niba yarakwirakwiye. Uburibwe bw’ubwonko na kanseri y’ubwonko ntibishobora gukwirakwira, bityo nta bipimo bifite.

Itsinda ry’abaganga bawe rikoresha amakuru yose ava mu bipimo byawe byo gusuzuma kugira ngo risobanukirwe uko bizakugenda. Uko bizakugenda ni uko bishoboka ko uburibwe bw’ubwonko bushobora gukira. Ibintu bishobora kugira ingaruka ku buryo bizakugenda ku bantu bafite uburibwe bw’ubwonko birimo:

• Ubwoko bw’uburibwe bw’ubwonko.
• Uko uburibwe bw’ubwonko bukura vuba.
• Aho uburibwe bw’ubwonko buri mu bwonko.
• Impinduka za ADN ziri mu misemburo y’uburibwe bw’ubwonko.
• Niba uburibwe bw’ubwonko bushobora gukurwaho burundu hakoreshejwe kubaga.
• Ubuzima bwawe rusange n’imibereho yawe.

Niba wifuza kumenya byinshi ku buryo bizakugenda, biganireho n’itsinda ry’abaganga bawe.