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Oligodendroglioma ni ubwoko bw'ubutumwa bw'ubwonko buturuka kuri selile zitwa oligodendrocytes, zisanzwe zifasha kurinda imiyoboro y'imbere mu bwonko bwawe. Nubwo kumva ngo “ubutumwa bw'ubwonko” bishobora gutera ubwoba, ni ingenzi kumenya ko oligodendrogliomas akenshi zikura buhoro buhoro kandi zikunda kwakira neza ubuvuzi. Izi tumo zigize hafi 2-5% by'ubutumwa bwose bw'ubwonko, kandi gusobanukirwa ibyo uhura na byo bishobora kugufasha kumva witeguye kandi ufite icyizere cyo gukomeza.
Oligodendroglioma ni ubumwa bw'ubwonko butangira mu gice cy'ubwonko cyitwa white matter, cyane cyane muri selile zisanzwe zizunguruka imiyoboro y'imbere nk'insinga z'amashanyarazi. Izi tumo zizwi nka gliomas kuko zikura mu biseli bya glial, ari zo selile zifasha mu mikorere y'ubwonko.
Oligodendrogliomas nyinshi ni tumo zikura buhoro buhoro, bisobanura ko zisanzwe zikura mu mezi cyangwa imyaka aho kuba mu byumweru. Uku kura buhoro buhoro kenshi biha ubwonko bwawe umwanya wo kwihanganira, ariyo mpamvu ibimenyetso bishobora kuza buhoro buhoro. Ubumwa busanzwe buboneka mu gice cy'imbere cy'ubwonko, cyane cyane mu duce twitwa frontal na temporal lobes.
Abaganga bagabanya izi tumo mu byiciro bitandukanye bitewe n'uko selile zisa ku mikorere ya microscope. Oligodendrogliomas yo mu cyiciro cya 2 ikura buhoro, mu gihe icyiciro cya 3 (na cyo cyitwa anaplastic oligodendrogliomas) gikura vuba kandi kigakabije. Ikipe yawe y'abaganga izamenya ubwoko bw'ubutumwa ufite binyuze mu bipimo byimbitse.
Ibimenyetso bya oligodendroglioma bikunda kuza buhoro buhoro kuko izi tumo zisanzwe zikura buhoro buhoro. Ikimenyetso cya mbere gikunze kugaragara ni indwara y'ubwonko (seizures), iba kuri hafi 70-80% by'abantu bafite iyi ndwara. Izi ndwara z'ubwonko zibaho kuko ubumwa bushobora guhungabanya imikorere y'imbere mu bwonko.
Dore ibimenyetso by'ingenzi ushobora kugira:
Gake, ushobora kugira ibimenyetso byihariye bitewe n'aho ubumwa buherereye. Niba buri mu gice cya frontal lobe, ushobora kubona guhinduka mu bushobozi bwawe bwo gutegura cyangwa gufata ibyemezo. Ubumwa buri mu gice cya temporal lobe bushobora kugira ingaruka ku bushobozi bwawe bwo gusobanukirwa ururimi cyangwa kwibuka ibintu bishya.
Bamwe mu bantu bafite oligodendroglioma ntibabona ibimenyetso igihe kinini, cyane cyane niba ubumwa bukura buhoro buhoro. Niyo mpamvu iyi ndwara rimwe na rimwe iboneka mu bipimo by'ubwonko bikorwa ku mpamvu zindi, nko nyuma yo gukomeretsa umutwe cyangwa kubera uburwayi bw'umutwe butari bwo.
Oligodendrogliomas zigabanywa mu byiciro bibiri by'ingenzi bitewe n'uko zikabije ku mikorere ya microscope. Iyi gahunda yo kubagabanya ifasha ikipe yawe y'abaganga gusobanukirwa uko ubumwa bushobora kwitwara no gutegura uburyo bwiza bwo kubuvura.
Oligodendroglioma yo mu cyiciro cya 2 ni iy'icyiciro kiri hasi ikura buhoro kandi ifite selile zisa nka selile zisanzwe z'ubwonko. Izi tumo zishobora kuguma zimeze neza imyaka myinshi, kandi bamwe mu bantu babana nazo igihe kirekire bafite ubuzima bwiza. Zikunda kugira imipaka isobanutse, bituma rimwe na rimwe biba byoroshye kuzikuraho.
Oligodendroglioma yo mu cyiciro cya 3, izwi kandi nka anaplastic oligodendroglioma, ikabije kandi ikura vuba. Selile zisa nabi ku mikorere ya microscope kandi zigabana vuba. Nubwo ibi bishobora gutera impungenge, izi tumo zikunda kwakira neza ubuvuzi, cyane cyane iyo zifite imico yihariye ya gene.
Uretse icyiciro, abaganga barareba kandi ibimenyetso byihariye bya gene mu mubiri w'ubutumwa. Ubumwa bufite ikintu cyitwa “1p/19q co-deletion” gikunda kwakira neza chemotherapy na radiation. Iyi gene ikorwa yabaye igice cy'ingenzi cyo kuvura kuko ifasha kumenya uko ubuvuzi bushobora kugukorera.
Intandaro nyayo ya oligodendroglioma ntizwi, kandi ibi bishobora gutera agahinda iyo ushaka ibisobanuro. Icyo tuzi ni uko izi tumo zikura iyo selile zisanzwe za oligodendrocyte mu bwonko bwawe zitangira gukura no kugabana nabi, ariko abahanga mu bya siyansi bagikora ubushakashatsi kugira ngo basobanukirwe icyateza iyo mpinduka.
Bitandukanye n'andi moko y'indwara ya kanseri, oligodendrogliomas ntibigaragara ko biterwa n'imikorere y'ubuzima nk'imirire, kunywa itabi, cyangwa ibintu byo mu kirere. Benshi mu bantu babona iyi ndwara bigaragara ko bibaho gusa, nta ntandaro isobanutse cyangwa ikintu cyabirinda. Ibi bivuze ko nta kintu wakora kugira ngo ubikureho.
Ubushakashatsi bumwe bwasesenguye ibyago bishoboka, ariko ibimenyetso ni bike:
Ni ingenzi gusobanukirwa ko kugira ibyago ntibisobanura ko uzabona iyi ndwara, kandi kutagira ibyago ntibikurinda. Benshi mu bantu bafite oligodendroglioma nta byago byagaragaye na gato.
Ukwiye kujya kwa muganga vuba niba ubonye indwara y'ubwonko bwa mbere, kuko aricyo kimenyetso gikunze kugaragara cya oligodendroglioma. Nubwo indwara y'ubwonko ari ngufi cyangwa isa n'ito, ni ingenzi kwisuzumisha kuko indwara y'ubwonko ishobora kugaragaza indwara zitandukanye zikenera kwitabwaho.
Shaka ubuvuzi niba ubona uburwayi bw'umutwe buhoraho butandukanye n'ubundi wari usanzwe ufite, cyane cyane niba buri kuba bubi uko bwiyegereza cyangwa buherekejwe n'isesemi no kuruka. Uburwayi bw'umutwe bukubuza gusinzira nijoro cyangwa bukabije mu gitondo nabwo bukwiye kwitabwaho.
Ukwiye kandi kuvugana na muganga wawe niba wowe cyangwa abandi babona guhinduka mu mico yawe, kwibuka, cyangwa ubushobozi bwawe bwo gutekereza bikomeza iminsi irenga mike. Rimwe na rimwe izi mpinduka ziba zoroheje, rero witondere niba abagize umuryango wawe cyangwa inshuti zagaragaje impungenge ku bintu bitandukanye babonye.
Hamagara serivisi z'ubutabazi ako kanya niba ubonye indwara y'ubwonko iramutse ibaye igihe kirekire (irenga iminota 5), uburwayi bukabije bw'umutwe butari bwo wari usanzwe ufite, cyangwa ubusembwa cyangwa kubabara mu ruhande rumwe rw'umubiri. Ibi bimenyetso bikenera kwisuzumwa vuba.
Oligodendrogliomas nyinshi zibaho nta byago byagaragaye, bisobanura ko zikura gusa mu bantu badafite indwara zibateza. Gusobanukirwa ibi bishobora gutera agahinda no guhumurizwa - agahinda kuko nta bisobanuro byumvikana, ariko guhumurizwa kuko bivuze ko nta kintu wakora kugira ngo ubikureho.
Ibyago bike bizwi birimo:
Ibintu byinshi abantu bahangayikishwaho si ibyago bya oligodendroglioma. Gukoresha telefoni, kuba hafi y'amashanyarazi, gukomeretsa umutwe, n'ibintu byinshi byo mu kirere ntibyagaragaye ko byongera ibyago byawe. Imirire, imyitozo ngororamubiri, n'imikorere y'ubuzima ntibigaragara ko bigira uruhare.
Uburyo oligodendrogliomas nyinshi zikuramo bisobanura ko kugira izi tumo atari ikintu gikwirakwira mu miryango. Niba ufite oligodendroglioma, abagize umuryango wawe ntabwo bafite ibyago byiyongereye cyane ugereranije n'abaturage muri rusange.
Nubwo oligodendrogliomas zikunda kwitwarwa, zishobora gutera ingaruka zikomoka ku bumwa ubwayo no ku buvuzi. Gusobanukirwa ibyo bishoboka bishobora kugufasha gukorana n'ikipe yawe y'abaganga kugira ngo ugenzure kandi ukemure ibibazo byose byabaho.
Ingaruka zikunze kugaragara zijyanye n'aho ubumwa buherereye n'uko bukura:
Ingaruka zikomoka ku buvuzi zishobora kubaho ariko zisanzwe zigenzurwa neza n'ubuvuzi bukwiye. Kugira ibyago byo kubaga bishobora gutera ubusembwa bw'imikorere y'ubwonko cyangwa gutera ubundi, nubwo ibi bikunda kumera neza uko igihe gihita.
Radiation therapy rimwe na rimwe ishobora gutera umunaniro, guhinduka kw'uruhu, cyangwa ingaruka zirambye ku bushobozi bwo gutekereza, cyane cyane mu bantu bakuze. Chemotherapy side effects akenshi iba igihe gito kandi ishobora kuba umunaniro, isesemi, cyangwa kongera ibyago by'indwara. Ikipe yawe y'abaganga izakukurikirana hafi kandi ishobora kenshi gukumira cyangwa gucunga izi ngaruka neza. Ikintu nyamukuru ni ugukomeza kuvugana neza ku bimenyetso bishya cyangwa impungenge ufite.
Kumenya oligodendroglioma bisanzwe bitangira hakoreshejwe amateka y'ubuzima n'isuzuma ry'imikorere y'ubwonko. Muganga wawe azakubaza ibyo wumva, igihe byatangiye, n'uko byahindutse uko igihe gihita. Isuzuma ry'imikorere y'ubwonko rigenzura imikorere yawe, guhuza, ubuhanga bw'amaso, n'ubushobozi bwawe bwo gutekereza.
Igikoresho cy'ingenzi cyo kuvura ni MRI scan y'ubwonko bwawe, ikora amashusho yimbitse ashobora kugaragaza ubunini bw'ubutumwa, aho buherereye, n'imiterere yabwo. Iyi scan ikunda kugaragaza uko ubumwa busa kandi ifasha kubutandukanya n'izindi ndwara z'ubwonko. Rimwe na rimwe hariho ibara ryongerwa kugira ngo amashusho abe meza.
Kugira ngo hamenyekane neza indwara no kumenya ubwoko bw'oligodendroglioma, ushobora gukenera biopsy cyangwa gukuraho ubumwa buri mu gice cyabwo. Muri ubu buryo, umuganga w'ubwonko afata ibice by'umubiri umuganga w'indwara akareba ku mikorere ya microscope. Iyi isuzuma igaragaza ubwoko nyabwo bwa selile n'icyiciro cy'ubutumwa.
Ubu buryo bwo kuvura burimo kandi isuzuma rya gene mu mubiri w'ubutumwa, cyane cyane kureba 1p/19q co-deletion. Aya makuru ya gene ni ingenzi kuko afasha kumenya uko ubumwa buzakira ubuvuzi butandukanye kandi atanga amakuru y'ingenzi ku bijyanye n'ubuzima bwawe.
Ubuvuzi bwa oligodendroglioma busanzwe bugenwa bitewe n'ibintu nk'ubunini bw'ubutumwa, aho buherereye, icyiciro, n'imiterere ya gene, kimwe n'imyaka yawe n'ubuzima bwawe muri rusange. Inkuru nziza ni uko oligodendrogliomas zikunda kwakira neza ubuvuzi, cyane cyane iyo zifite imico myiza ya gene.
Kubaga ni bwo buvuzi busanzwe buza mbere, hagamijwe gukuraho ubumwa bwinshi bishoboka mu buryo butagira ingaruka. Abaganga b'ubwonko bakoresha ubuhanga buhanitse kandi rimwe na rimwe bakora kubaga mu gihe uri maso (kubutumwa buri mu bice by'ingenzi by'ubwonko) kugira ngo bakomeze imikorere y'ingenzi nko kuvuga no kugenda. Nubwo ubumwa bwose budashobora gukurwaho, kugabanya ubunini bwa bwo bufasha kenshi mu bimenyetso.
Kubutumwa bw'icyiciro cyo hejuru cyangwa iyo kubaga gusa bidahagije, radiation therapy na chemotherapy zikunze gukoreshwa hamwe. Radiation therapy ikoresha imirasire igana ku tumo zisigaye, mu gihe imiti ya chemotherapy ishobora kwinjira mu bwonko kugira ngo irwanye selile z'ubutumwa mu mikorere y'ubwonko.
Dore uburyo nyamukuru bwo kuvura:
Gahunda y'ubuvuzi itegurwa n'ikipe ikunze kuba irimo umuganga w'ubwonko, umuganga w'indwara z'ubwonko, umuganga w'imirasire, n'abandi bahanga. Bakorana kugira ngo bategurire uburyo bwiza bujyanye n'imiterere yawe, bahuza ingaruka n'ibyishimo by'ubuzima.
Kwitwara neza ufite oligodendroglioma bisobanura kwita ku buzima bwawe bw'umubiri n'ubw'umutima mu gihe ukorana hafi n'ikipe yawe y'abaganga. Abantu benshi bafite oligodendroglioma bakomeza kubaho ubuzima buuzuye, bufite icyerekezo hamwe na bimwe mu bindi bikorwa n'ubufasha.
Niba ufite indwara y'ubwonko, ni ingenzi gufata imiti yo kurwanya indwara y'ubwonko nk'uko byategetswe kandi ukirinda ibintu bishobora gutera iyo ndwara nko kunywa inzoga, kudasinzira, cyangwa umunaniro mwinshi. Tegura ahantu heza murugo hakurura ibintu bikabije hafi y'aho umara igihe kandi utekereze ku ngamba zo kwirinda nko kwicara mu bwogero niba bikenewe.
Kwitwara neza umunaniro akenshi biba igice cy'ingenzi cy'ubuzima bwa buri munsi. Tegura ibikorwa by'ingenzi mu gihe usanzwe wumva ufite imbaraga nyinshi, kuruhuka gato umunsi wose, kandi ntutinye gusaba ubufasha mu bikorwa bikugora. Imikino yoroheje, nk'uko muganga wawe yabyemereye, ishobora kugufasha mu mbaraga.
Dore ingamba zifatika zo gucunga ubuzima bwa buri munsi:
Ntukirengagize akamaro ko gufashwa mu buzima bw'umutima. Abantu benshi basanga ubujyanama ari ingirakamaro mu gukemura ibibazo by'ubuzima byo kugira ubumwa bw'ubwonko. Ikipe yawe y'abaganga ishobora kenshi gutanga ubufasha kubaganga b'ubuzima bw'umutima babishoboye mu gufasha abantu bahanganye n'ibibazo bikomeye by'ubuzima.
Kwitunganya gusura ikipe yawe y'abaganga bishobora kugufasha gukoresha neza igihe cyanyu hamwe no kugenzura ko impungenge zawe zose zikemuwe. Tangira wandike ibimenyetso byawe byose, harimo igihe byatangiye, uko bikunze kubaho, n'ibintu bibikiza cyangwa bibibisha.
Tegura urutonde rw'imiti yose ufata, harimo imiti y'abaganga, imiti yo mu maduka, imiti y'inyongera, na vitamine. Andika umunaniro n'uko ukunze kuyifata. Zanana urutonde rw'ibintu ufite allergie cyangwa ibyo wari waramaze guhura na byo.
Tegura ibibazo byawe mbere y'igihe kandi ubishyire mu byiciro, ushyire iby'ingenzi mbere. Ntuhangayike kugira ibibazo byinshi - ikipe yawe y'abaganga ishaka gukemura impungenge zawe. Tekereza kuzana umuntu wo mu muryango wawe cyangwa inshuti ishobora kugufasha kwibuka amakuru yavuzwe mu gihe cy'isura.
Kora inyandiko z'ubuvuzi z'ingenzi, harimo amashusho y'ubwonko, ibisubizo by'ibipimo, cyangwa raporo zikomoka ku bandi baganga. Niba uri kubona umuganga mushya, kugira ayo makuru byoroshye bishobora kumufasha gusobanukirwa ibyo uhura na byo vuba kandi neza.
Tekereza uko ibimenyetso byawe bigira ingaruka ku buzima bwawe bwa buri munsi kandi utegure gusobanura ingero zihariye. Aya makuru afasha ikipe yawe y'abaganga gusobanukirwa ingaruka nyakuri z'iyi ndwara kandi ashobora kuyobora ibyemezo by'ubuvuzi.
Oligodendroglioma ni ubwoko bw'ubutumwa bw'ubwonko, nubwo ari bukomeye, ariko akenshi bufite icyerekezo cyiza ugereranije n'ubundi butumwa bw'ubwonko. Izi tumo zisanzwe zikura buhoro buhoro, zikunda kwakira neza ubuvuzi, kandi abantu benshi bafite oligodendroglioma babana na yo imyaka myinshi bafite ubuzima bwiza.
Ikintu cy'ingenzi cyo kwibuka ni uko imimerere ya buri muntu ari iyihariye. Ibintu nk'imiterere ya gene y'ubutumwa, cyane cyane 1p/19q co-deletion, bishobora kugira ingaruka ku buryo ubuvuzi bukorera. Ubuvuzi bw'ubu bumaze gutera imbere mu kuvura izi tumo, cyane cyane iyo zifite imico myiza ya gene.
Kugira oligodendroglioma ntibisobanura ko ugomba guhagarika ubuzima bwawe. Abantu benshi bakomeza gukora, kugumana umubano, no gukora ibikorwa bifite icyerekezo mu gihe cy'ubuvuzi no nyuma yaho. Ikintu nyamukuru ni ugukorana hafi n'ikipe yawe y'abaganga, kuguma uzi ibyawe, no gukoresha ubufasha buhari.
Wibuke ko nturi wenyine muri uru rugendo. Ikipe yawe y'abaganga, umuryango wawe, inshuti zawe, n'amatsiko y'ubufasha byose bishobora kugira uruhare mu kugufasha guhangana n'iki kibazo. Komeza ufite icyizere, ubaze ibibazo, kandi uharanire uburenganzira bwawe mu gihe wizeye ubuhanga bw'abaganga bawe.
Yego, oligodendroglioma ni ubwoko bwa kanseri y'ubwonko, ariko akenshi iba idakabije ugereranije n'izindi kanseri. Izi tumo zisanzwe zikura buhoro buhoro kandi zikunda kwakira neza ubuvuzi. Ijambo “kanseri” rishobora gutera ubwoba, ariko oligodendrogliomas zikunda kugira icyerekezo cyiza kurusha ibyo abantu basanzwe bahuza n'iryo jambo, cyane cyane iyo zifite imico myiza ya gene.
Abantu benshi bafite oligodendroglioma babana na yo imyaka myinshi nyuma yo kuvurwa, cyane cyane abafite tumo zo mu cyiciro kiri hasi n'imiterere myiza ya gene nka 1p/19q co-deletion. Igihe cyo kubaho gitandukanye cyane bitewe n'ibintu nk'icyiciro cy'ubutumwa, imiterere ya gene, imyaka, n'ubunini bw'ubutumwa bushobora gukurwaho. Ikipe yawe y'abaganga ishobora gutanga amakuru yimbitse ashingiye ku mimerere yawe, ariko icyerekezo muri rusange gikunze kuba cyiza.
Nubwo ijambo “gukira” rikoreshwa neza mu buvuzi, abantu benshi bafite oligodendroglioma babana na yo imyaka myinshi, yuzuye nta bimenyetso by'ubutumwa cyangwa gusubira kw'ubutumwa. Gukuraho ubumwa bwose hamwe n'ubuvuzi bukoreshwa neza rimwe na rimwe bishobora gukuraho ubumwa bwose bugaragara. Nubwo gukuraho bwose bitashoboka, ubuvuzi bushobora kenshi kugenzura ubumwa imyaka myinshi, bituma abantu bagumana ubuzima bwiza.
Amabwiriza yo gutwara imodoka ahanini aturuka ku kuba ufite indwara y'ubwonko. Niba ufite indwara y'ubwonko, ibihugu byinshi bisaba ko uba umaze igihe utarwara (akenshi amezi 3-12) mbere yo kongera gutwara imodoka. Niba utarwara kandi ibimenyetso byawe bidakubuza gutwara imodoka mu mutekano, ushobora gukomeza kuyitwara. Muganga wawe azasesengura imimerere yawe kandi akugire inama ku mutekano wo gutwara imodoka ashingiye ku bimenyetso byawe n'ubuvuzi.
Si oligodendrogliomas zose zisubira nyuma yo kuvurwa. Ibintu byinshi bigira ingaruka ku kugaruka kw'ubutumwa, harimo icyiciro cy'ubutumwa, imiterere ya gene, n'ubunini bw'ubutumwa bwakuweho. Oligodendrogliomas zo mu cyiciro kiri hasi zifite imiterere myiza ya gene (1p/19q co-deletion) zikunda kugira ibyago bike byo gusubira. Nubwo isubira ryabaho, rimwe na rimwe riba buhoro buhoro kandi rikunda kuvurwa neza. Gukurikirana buri gihe hakoreshejwe MRI scan bifasha kubona impinduka zose hakiri kare.