Uburibwa bw'imitsi y'amaguru butari kanseri: Ibimenyetso, Intandaro, n'Ubuvuzi

Uburibwa bw'imitsi y'amaguru butari kanseri ni udukoko tudakomeretsa, dukura ku mitsi cyangwa hafi yayo, hanze y'ubwonko n'umugongo. Aya madoro akura buhoro buhoro kandi ntakwirakwira mu bindi bice by'umubiri wawe, ariko ashobora gutera ububabare cyangwa kubangamira imikorere y'imitsi.

Nubwo ijambo "uburibwa" rishobora gutera ubwoba, uburibwa bw'imitsi y'amaguru butari kanseri busanzwe ari uburwayi bukorwaho. Abantu benshi bafite aya madoro bashobora kubaho ubuzima busanzwe bafite ubuvuzi bukwiye n'ubuvuzi igihe bikenewe.

Ese uburibwa bw'imitsi y'amaguru butari kanseri ni iki?

Uburibwa bw'imitsi y'amaguru butari kanseri ni ukura kw'imiterere y'umubiri idasanzwe, bikura ku mitsi y'amaguru. Imitsi y'amaguru ni nk'insinga z'amashanyarazi zitwara ubutumwa hagati y'ubwonko, umugongo, n'ibindi bice by'umubiri wawe.

Aya madoro akura iyo imwe mu turemangingo turi mu mitsi yawe cyangwa hafi yayo itangiye gukura kurusha uko bikwiye. Bitandukanye n'amaboro ya kanseri, ayatari kanseri aheruka ahantu hamwe kandi ntakwirakwira mu tundi turemangingo hafi.

Ubwoko busanzwe harimo schwannomas, bukura ku gikumwe cyo kurinda imitsi, na neurofibromas, bukura mu mitsi ubwayo. Ubu bwoko bubiri busanzwe bukura buhoro buhoro kandi bushobora kuba ahantu hose ku mitsi y'amaguru.

Ese ibimenyetso by'uburibwa bw'imitsi y'amaguru butari kanseri ni ibihe?

Uburibwa bw'imitsi y'amaguru butari kanseri bwinshi ntabwo butera ibimenyetso, cyane cyane iyo ari bito. Ushobora kutamenya ko ufite uburibwa kugeza ubwo bugaragaye mu isuzuma rya buri munsi cyangwa ibizamini by'amashusho kubindi mpamvu.

Iyo ibimenyetso bigaragara, bikunda kugaragara buhoro buhoro uko uburibwa bukura kandi bugatangira kugira ingaruka ku mitsi cyangwa imiterere iikikije. Dore ibyo ushobora guhura na byo:

• Igikoma cyoroshye, gikurura munsi y'uruhu ushobora kumva
• Kubabara cyangwa kunanirwa mu gice gikorerwa na neru yafashwe
• Ubusembwa mu mitsi iyobowe na iyo neru
• Ububabare cyangwa ububabare, cyane cyane iyo hari igitutu ku buribwa
• Kumva ubushyuhe cyangwa nk'umuriro w'amashanyarazi
• Kubura kumva mu myanya y'intoki, ibirenge, cyangwa ibindi bice
• Kugorana mu mikorere y'intoki nko gufunga imyenda cyangwa kwandika

Mu bihe bidasanzwe, uburibwa bunini bushobora gutera ibibazo bikomeye. Bamwe mu bantu bagira ibibazo byo kubura uko umubiri uhagaze neza niba uburibwa bugira ingaruka ku mitsi igenzura uko umubiri uhagaze, abandi bashobora kumva ububabare bukabije bukabangamira ibikorwa bya buri munsi.

Ese ubwoko bw'uburibwa bw'imitsi y'amaguru butari kanseri ni ubuhe?

Hari ubwoko butandukanye bw'uburibwa bw'imitsi y'amaguru butari kanseri, buri bwoko bufite imico yihariye. Gusobanukirwa ibi bitandukanye bishobora kugufasha kumenya icyo witeze ku burwayi bwawe.

Schwannomas ni ubwoko busanzwe kandi bukura mu turemangingo twa Schwann, tugira uruhare mu kurinda imitsi yawe. Aya madoro akunda kuba ari yo ari yonyine kandi akenshi ashobora gukurwaho hatabangamiye imitsi ubwayo.

Neurofibromas akura mu mitsi kandi bigoye kuyakuraho burundu. Bishobora kuba ari madoro ari yonyine cyangwa menshi, cyane cyane ku bantu bafite uburwayi bwa gene bwitiriwe neurofibromatosis.

Perineuriomas ni madoro adasanzwe akura mu turemangingo dukingira imitsi. Akunda gukura buhoro buhoro kandi ashobora gutera ubusembwa buhoro buhoro mu gice cyafashwe.

Nerve sheath myxomas ni madoro adasanzwe arimo ibintu bisa n'ijelly. Akenshi aba mu ntoki no mu birenge kandi ashobora gutera ububabare cyangwa ibibazo by'ubwiza.

Ese ni iki gitera uburibwa bw'imitsi y'amaguru butari kanseri?

Intandaro nyakuri y'uburibwa bw'imitsi y'amaguru butari kanseri bwinshi ntirazwi. Mu bihe byinshi, aya madoro asa n'aho akura uko abyifuje hatagira ikintu cyabiteye cyangwa uburwayi buri inyuma.

Ariko rero, tuzi ko uburwayi bwa gene bwiyongera cyane ibyago byawe. Neurofibromatosis yo mu bwoko bwa 1 na 2 ni uburwayi bwa gene bukomoka ku babyeyi butera madoro menshi ku mitsi mu mubiri wawe.

Bimwe mu bintu bishobora gutera ukura kw'uburibwa birimo:

• Impinduka za gene zigira ingaruka ku buryo uturemangingo tw'imitsi tukura kandi tugabanyuka
• Amateka y'umuryango afite uburibwa bw'imitsi cyangwa uburwayi bwa gene bufite aho buhuriye
• Imvune z'imitsi cyangwa imvune mbere
• Kuhura na chimique zimwe na zimwe cyangwa imirasire (nubwo ibi bidafite akamaro)
• Impinduka ziterwa n'imyaka mu mitsi

Ku bantu benshi, uburibwa bw'imitsi y'amaguru butari kanseri busa n'ibintu bibaho uko bishatse aho kuba ibyavuye ku kintu bakoze cyangwa batakoze. Ibi bivuze ko utakwiye kwibasira niba ufite kimwe muri ibi bibazo.

Ese ni ryari ukwiye kubona muganga kuburibwa bw'imitsi y'amaguru butari kanseri?

Ukwiye kubona muganga niba ubona ibikoma bishya cyangwa ibintu byuzuye ku maboko, amaguru, cyangwa ibindi bice by'umubiri wawe. Nubwo ibikoma byinshi bidakomeye, ni ingenzi kubigenzura kugira ngo umenye icyo ari cyo.

Shaka ubuvuzi niba ufite ubusembwa, kubabara, cyangwa ubusembwa budashira nyuma y'iminsi mike. Aya bimenyetso bishobora kwerekana ko uburibwa bugira ingaruka ku mikorere y'imitsi kandi bishobora kuba bikeneye ubuvuzi.

Hamagara muganga wawe vuba niba ufite:

• Ububabare bukabije cyangwa buri kwiyongera mu maboko, amaguru, cyangwa ibindi bice
• Ubusembwa butunguranye mu ntoki, ibirenge, cyangwa amaboko
• Kubura kumva bibangamira ibikorwa bya buri munsi
• Ibikoma byinshi bigaragara mu bice bitandukanye by'umubiri wawe
• Iki kome gikura cyane cyangwa gihinduka
• Kugorana mu kubungabunga umubiri cyangwa guhuza ibikorwa

Niba ufite amateka y'umuryango wa neurofibromatosis cyangwa ubundi burwayi bwa gene, ubwire muganga wawe. Bashobora kugusaba isuzuma rya mbere cyangwa rya kenshi kugira ngo bafate uburibwa mbere yuko butera ibibazo.

Ese ni ibihe bintu byongera ibyago byo kurwara uburibwa bw'imitsi y'amaguru butari kanseri?

Hari ibintu byinshi bishobora kongera amahirwe yawe yo kurwara uburibwa bw'imitsi y'amaguru butari kanseri. Gusobanukirwa ibi bintu bishobora kugufasha wowe na muganga wawe kuba maso ku bimenyetso bya mbere.

Uburwayi bwa gene ni byo bintu bikomeye byongera ibyago. Abantu bafite neurofibromatosis yo mu bwoko bwa 1 cyangwa 2 bafite amahirwe menshi yo kurwara madoro menshi ku mitsi mu buzima bwabo.

Ibintu bisanzwe byongera ibyago birimo:

• Amateka y'umuryango afite uburibwa bw'imitsi cyangwa neurofibromatosis
• Kuba uri hagati y'imyaka 20 na 50 (nubwo uburibwa bushobora kuba mu myaka yose)
• Kugira impinduka za gene zigira ingaruka ku mikurire y'uturemangingo tw'imitsi
• Kuhura n'imirasire mu mutwe cyangwa mu ijosi
• Amateka y'imvune z'imitsi cyangwa ibyabaga

Imyaka igira uruhare mu bwoko bumwe bw'uburibwa bw'imitsi. Schwannomas, kurugero, ni byinshi mu bantu bakuze, mu gihe neurofibromas ishobora kugaragara mu myaka yose, cyane cyane ku bantu bafite ubushobozi bwa gene.

Ni byiza kuzirikana ko abantu benshi bafite ibi bintu byongera ibyago batarwara uburibwa bw'imitsi. Kugira ikintu cyongera ibyago bivuze ko ufite amahirwe menshi kurusha ubundi, bitavuze ko uzabirwara.

Ese ni ibihe bibazo bishobora guterwa n'uburibwa bw'imitsi y'amaguru butari kanseri?

Nubwo uburibwa bw'imitsi y'amaguru butari kanseri budahitana, rimwe na rimwe bushobora gutera ibibazo bigira ingaruka ku mibereho yawe. Inkuru nziza ni uko ibibazo byinshi bikura buhoro buhoro kandi bishobora gukorwaho neza uko bikwiye.

Ikibazo gisanzwe ni ukwangirika kw'imitsi buhoro buhoro. Uko uburibwa bukura, bushobora gushyira igitutu ku mitsi, bigatera ubusembwa buhoraho, ubusembwa, cyangwa ububabare mu gice cyafashwe.

Ibibazo bishobora kubaho birimo:

• Kubura kumva buhoraho mu ntoki, ibirenge, cyangwa ibindi bice
• Ubusembwa bw'imitsi budakira nubwo buvuzi
• Ububabare buhoraho bukabangamira ibitotsi n'ibikorwa bya buri munsi
• Kugorana mu mikorere y'intoki nko kwandika cyangwa gukoresha ibikoresho
• Ibibazo byo kubura uko umubiri uhagaze neza niba uburibwa bugira ingaruka ku mitsi igenzura uko umubiri uhagaze
• Ibibazo by'ubwiza bituruka ku bikoma bigaragara, cyane cyane mu maso cyangwa mu ntoki

Mu bihe bidasanzwe, ibibazo bimwe bishobora kuba bikomeye. Uburibwa bunini buri hafi y'ibice by'ingenzi bishobora kubangamira guhumeka cyangwa kurya, nubwo ibi bidafite akamaro ku madoro atari kanseri.

Kumenya hakiri kare no kuvura bishobora gukumira ibibazo byinshi kuba bikomeye. Gukurikirana buri gihe bituma abaganga bahita bagira icyo bakora mbere yuko haboneka iyangirika rihoraho.

Ese uburibwa bw'imitsi y'amaguru butari kanseri bushobora gukumirwa gute?

Ikibabaje ni uko nta buryo bwo gukumira uburibwa bw'imitsi y'amaguru butari kanseri. Kubera ko ibyinshi bibaho uko bishatse hatagira icyabiteye, uburyo bwo kubikumira ni buke.

Ariko rero, niba ufite uburwayi bwa gene nka neurofibromatosis, gukurikiranwa n'abaganga buri gihe bishobora gufasha gufata uburibwa hakiri kare mbere yuko butera ibibazo bikomeye. Kumenya hakiri kare bituma ubuvuzi bugira ingaruka nziza kandi bushobora gukumira ibibazo.

Bimwe mu bintu rusange byo kwita ku buzima bishobora gufasha birimo:

• Kwirinda imirasire idakenewe
• Kwirinda imvune z'imitsi zisubiramo igihe bishoboka
• Kugira ubuzima bwiza muri rusange binyuze mu mirire myiza no gukora imyitozo ngororamubiri
• Kugira isuzuma rya buri gihe niba ufite ibyongera ibyago
• Kumenya amateka y'ubuzima bw'umuryango wawe

Niba ufite amateka y'umuryango afite uburibwa bw'imitsi, tekereza ku bijyanye n'ubuvuzi bwa gene. Umujyanama wa gene ashobora kugufasha gusobanukirwa ibyago byawe no kuganira ku bipimo bya gene bishobora kukugirira akamaro wowe cyangwa abagize umuryango wawe.

Ese uburibwa bw'imitsi y'amaguru butari kanseri bupimwa gute?

Gupima uburibwa bw'imitsi y'amaguru butari kanseri bisanzwe bitangira harebwa uko umubiri umeze no kuganira ku bimenyetso byawe. Muganga wawe azasakaza ibikoma kandi azapima uko imitsi yawe ikora mu bice byafashwe.

Uburyo bwo gupima busanzwe butangira muganga wawe akubajije ku bimenyetso byawe, amateka y'umuryango, n'impinduka wabonye. Azahita asuzumana ubwitonzi, asakaza ibikoma, apime uko imitsi yawe ikora, kandi apime imbaraga z'imitsi n'uko yumva.

Ibizamini bisanzwe byo gupima birimo:

• Ibizamini bya MRI kugira ngo ubone amashusho arambuye y'uburibwa n'imitsi iikikije
• Ibizamini bya CT kugira ngo usuzume ingano n'aho uburibwa bunini buherereye
• Isuzuma ry'imitsi kugira ngo upime uko imitsi yawe ikora
• Electromyography (EMG) kugira ngo upime ingufu z'amashanyarazi mu mitsi yawe
• Ultrasound kugira ngo usuzume uburibwa buri ku ruhu
• Biopsy kugira ngo yemeze ubwoko bw'uburibwa, nubwo ibi bidakenewe buri gihe

Muganga wawe ashobora kandi gutegeka ibizamini by'amaraso kugira ngo apime ibimenyetso bya gene bifitanye isano na neurofibromatosis niba ufite madoro menshi cyangwa amateka y'umuryango afite uburwayi.

Uburyo bwo gupima bushobora kumara ibyumweru byinshi uko ibizamini bitandukanye birangira kandi ibisubizo bigasesengurwa. Muganga wawe azasobanura buri ntambwe n'icyo ibisubizo bisobanura ku mimerere yawe.

Ese ubuvuzi bw'uburibwa bw'imitsi y'amaguru butari kanseri ni ubuhe?

Ubuvuzi bw'uburibwa bw'imitsi y'amaguru butari kanseri bushingiye ku bintu byinshi, birimo ingano y'uburibwa, aho buherereye, niba butera ibimenyetso. Madoro menshi mato adatera ibibazo ntabwo akeneye ubuvuzi bw'ihutirwa kandi ashobora gukurikiranwa gusa uko igihe gihita.

Muganga wawe azagutegurira uburyo bw'ubuvuzi bushingiye ku mimerere yawe. Ku madoro adatera ibibazo, gukurikirana neza hamwe no gusuzuma buri gihe n'ibizamini by'amashusho bishobora kuba ari byo byose bikenewe.

Uburyo bw'ubuvuzi burimo:

• Gukurikirana gusa hamwe no gukurikirana buri gihe ku madoro mato adatera ibibazo
• Gukuraho uburibwa kubera kubaga ku madoro atera ibibazo bikomeye cyangwa kwangirika kw'imitsi
• Imiti igabanya ububabare kugira ngo igabanye ububabare n'ububabare bw'imitsi
• Ubuvuzi bw'umubiri kugira ngo bungabunge imbaraga z'imitsi n'imikorere
• Injisi za Steroid kugira ngo zigabanye kubyimba hafi y'uburibwa
• Ibibabaza imitsi kububabare bukabije budakira ubundi buvuzi

Kubaga bisanzwe bifatwaho iyo uburibwa butera ububabare bukomeye, ubusembwa, cyangwa kubura imikorere. Intego ni ukukuraho uburibwa mu gihe ubungabunze imikorere y'imitsi uko bishoboka kose.

Ku bantu bafite madoro menshi kubera uburwayi bwa gene, ubuvuzi bushingiye ku gucunga madoro akomeye mu gihe ukurikira ayandi. Gukuraho burundu madoro yose ntabwo bisanzwe bikenewe cyangwa bishoboka.

Ese wakwitwara ute mu rugo ufite uburibwa bw'imitsi y'amaguru butari kanseri?

Nubwo ubuvuzi bw'abaganga ari ingenzi mu gucunga uburibwa bw'imitsi y'amaguru butari kanseri, hari ibintu byinshi ushobora gukora mu rugo kugira ngo ufashe gucunga ibimenyetso no kubungabunga imibereho yawe.

Guhangana n'ububabare akenshi biba ari ikibazo gikomeye. Imiti igabanya ububabare iboneka mu maduka nka acetaminophen cyangwa ibuprofen ishobora gufasha mu kubabara gake, ariko buri gihe ujye ubanza kubona muganga mbere yo gufata imiti buri gihe.

Uburyo bwo kwita ku buzima mu rugo burimo:

• Gushyiraho igikombe cy'amazi cyangwa ubushyuhe mu bice bibabaza (icyo wumva cyiza)
• Gukora imyitozo yo kwambara no kugerageza kugenda
• Gukoresha ibikoresho byoroshye kugira ngo ugabanye umuvuduko ku mitsi yafashwe
• Kugira imyanya myiza kugira ngo wirinda gushyira igitutu cyinshi ku madoro
• Kuryama bihagije no gucunga umunaniro
• Kwandika ibimenyetso kugira ngo ukureho impinduka uko igihe gihita

Kingira ibice byafashwe imvune mu kwirinda ibikorwa bishira igitutu cyinshi ku madoro azwi. Niba ufite madoro mu ntoki cyangwa mu maboko, gerageza gukoresha utuboko twuzuye mu bikorwa bishobora gutera imvune.

Komereza mu matsinda y'ubufasha cyangwa imiryango ya interineti aho ushobora gusangira uburambe n'abandi bafite uburwayi nk'ubwawe. Ubufasha bwo mu mutwe bushobora kuba ingenzi kimwe no kuvurwa.

Ese wakwitegura gute urugendo rwawe kwa muganga?

Kwitunganya urugendo rwawe kwa muganga bishobora kugufasha kumenya neza ko ubonye ibyiza byinshi mu ruzinduko rwawe no gutanga amakuru itsinda ryawe ryita ku buzima rikenewe kugira ngo rikufashe neza.

Mbere y'urugendo rwawe, andika ibimenyetso byawe byose, harimo igihe byatangiye n'uko byahindutse uko igihe gihita. Jya ugaragaza neza urwego rw'ububabare, ibice by'ubusembwa, n'ibibazo byose by'imikorere wabonye.

Zana amakuru akurikira:

• Urutonde rw'imiti yose n'ibindi byuzuza ufashe
• Amateka y'ubuzima bw'umuryango wawe, cyane cyane uburwayi bufite aho buhuriye n'imitsi
• Ibisubizo by'amashusho mbere cyangwa inyandiko z'ubuvuzi zifitanye isano n'uburwayi bwawe
• Urutonde rw'ibibazo ushaka kubabaza muganga wawe
• Amakuru yerekeye ibimenyetso byawe, harimo igihe bibaho n'icyo biba byiza cyangwa bibi
• Ibisobanuro by'uko uburwayi bugira ingaruka ku bikorwa byawe bya buri munsi

Teganya kuzana inshuti cyangwa umuryango wawe kugira ngo aguhe ubufasha mu kwibuka amakuru akomeye yavuzwe mu ruzinduko. Bashobora kandi gutanga ubufasha bwo mu mutwe mu gihe gishobora kuba kigoye.

Ntuzuyaze kubabaza ibyo utazi. Muganga wawe arashaka kugufasha kumva amakuru kandi ukumva utekanye n'uburyo bwawe bwo kuvurwa.

Ese ni iki cyingenzi ukwiye kumenya ku buribwa bw'imitsi y'amaguru butari kanseri?

Uburibwa bw'imitsi y'amaguru butari kanseri ni uburwayi bukorwaho, nubwo buteye impungenge, budahitana. Abantu benshi bafite aya madoro bashobora gukomeza kubaho ubuzima busanzwe, bukora, bafite ubugenzuzi bukwiye n'ubuvuzi igihe bikenewe.

Icyingenzi ni ukumenya hakiri kare no gukorana na itsinda ryawe ryita ku buzima kugira ngo mugire gahunda y'ubuvuzi ikubereye. Uko byagenda kose, haba gukurikirana gusa, kubaga, cyangwa gucunga ibimenyetso, hari uburyo bwiza buhari.

Wibuke ko "butari kanseri" bisobanura ko atari kanseri, kandi aya madoro ntakwirakwira mu bindi bice by'umubiri wawe. Nubwo bishobora gutera ububabare cyangwa ibibazo by'imikorere, ibibazo byinshi bishobora gukumirwa cyangwa gucungwa neza.

Niba ufite uburibwa bw'imitsi y'amaguru butari kanseri, shyira imbaraga mu kuganira neza na muganga wawe no gukurikiza inama ze zo gukurikirana no kuvura. Ufite uburyo bukwiye, ushobora gucunga neza ubu burwayi no kubungabunga imibereho yawe.

Ibibazo byakenshi bibazwa ku buribwa bw'imitsi y'amaguru butari kanseri

Ese uburibwa bw'imitsi y'amaguru butari kanseri bushobora kuba kanseri?

Uburibwa bw'imitsi y'amaguru butari kanseri ntabwo buhinduka kanseri. Ibyago byo guhinduka kanseri ni bike cyane, bibaho munsi ya 5% by'ibibazo, kandi biyongera gato ku bantu bafite neurofibromatosis yo mu bwoko bwa 1. Muganga wawe azakurikirana impinduka zose mu bunini, isura, cyangwa ibimenyetso bishobora kwerekana impinduka, ariko ibi ntabwo ari ikintu ugomba guhora uhangayikishijwe.

Ese nzakenera kubagwa kubera uburibwa bw'imitsi?

Kubagwa ntibihora bikenewe ku buribwa bw'imitsi y'amaguru butari kanseri. Madoro menshi ashobora gukurikiranwa neza hatavuwe, cyane cyane niba ari mato kandi adatera ibibazo. Kubagwa bisanzwe bisabwa gusa iyo madoro atera ububabare bukomeye, ubusembwa, kubura imikorere, cyangwa akomeza gukura nubwo akurikiranwa.

Ese igihe cyo gukira nyuma yo kubagwa uburibwa bw'imitsi ni igihe kingana gute?

Igihe cyo gukira gitandukanye bitewe n'ubunini bw'uburibwa, aho buherereye, n'uburyo kubaga ari bugoranye. Abantu benshi bashobora gusubira mu bikorwa byoroheje mu byumweru bike, ariko gukira burundu no gukira kw'imitsi bishobora kumara amezi menshi. Umuganga wawe azatanga amabwiriza yihariye ashingiye ku mimerere yawe n'uburyo bw'ibikorwa byakozwe.

Ese uburibwa bw'imitsi bushobora gusubira nyuma yo gukurwaho?

Gusubira kw'uburibwa bishoboka ariko si byo bisanzwe ku buribwa bw'imitsi y'amaguru butari kanseri. Schwannomas ntabwo isubira inyuma niba yakuweho burundu, mu gihe neurofibromas ifite amahirwe menshi yo gusubira, cyane cyane niba gukurwaho burundu byangiza imikorere y'imitsi ikomeye. Muganga wawe azakubwira ibyago byihariye by'ubwoko bw'uburibwa bwawe.

Ese hari ibikorwa nakwirinda mfite uburibwa bw'imitsi?

Abantu benshi bafite uburibwa bw'imitsi y'amaguru butari kanseri bashobora gukomeza ibikorwa byabo bisanzwe. Ariko rero, ushobora kwirinda ibikorwa bishira igitutu ku madoro azwi cyangwa bikatera imvune zisubira ku mitsi yafashwe. Muganga wawe ashobora gutanga inama zihariye zishingiye ku hantu uburibwa bwawe buherereye n'ibimenyetso byawe.