Neurilemmoma

Schwannoma

Umuhume mwiza ushobora kuba mu mitsi, ibicurane n'amagufwa. Iyi shusho igaragaza schwannoma y'umutsi wa tibial mu kaguru.

Abaganga bakuraho neza schwannomas bitonze, bagashyiraho uburyo bwo kubungabunga imiyoboro y'imitsi idakozweho n'ibibyimba. Imikondo y'imitsi ni imirongo y'imikondo y'imitsi.

Schwannoma ni ubwoko bw'ibyimba by'imitsi by'agakombe k'umutsi. Ni bwo bwoko bugaragara cyane bw'ibyimba byiza by'imitsi yo ku mpera mu bakuru. Bishobora kuba aho ari ho hose mubiri bwawe, mu myaka yose.

Schwannoma isanzwe ikomoka ku mugozi umwe (fascicle) uri mu mutsi mukuru kandi ikimura ibindi bice by'umutsi. Iyo schwannoma ikura, imikondo myinshi irabaho, bigatuma kuyikuraho bigorana. Muri rusange, schwannoma ikura buhoro buhoro.

Niba ufite schwannoma mu kuboko cyangwa mu kirenge, ushobora kubona igisebe kidatera ububabare. Schwannomas ntabwo zikunze kuba kanseri, ariko zishobora gutera ibibazo by'imitsi no kubura ubushobozi bwo kugenzura imitsi. Reba muganga wawe niba ufite ibisebe bidasanzwe cyangwa uburibwe.

Kugira ngo hamenyekane schwannoma, muganga wawe ashobora kukubaza ibimenyetso n'ibibazo, akaganira nawe ku mateka yawe y'ubuzima, kandi agakora isuzuma rusange ry'umubiri n'isuzuma ry'imitsi. Niba ibimenyetso bigaragaza ko ushobora kuba ufite schwannoma cyangwa ibindi byimba by'imitsi, muganga wawe ashobora kugutegurira ibizamini bimwe cyangwa byinshi byo gusuzuma:

• Magnetic resonance imaging (MRI). Iyi scan ikoresha imashini y'amabuye y'uburemere n'amayugi ya radiyo kugira ngo ikore ishusho ihamye, ya 3-D y'imitsi yawe n'imiterere ibayikikije.
• Computerized tomography (CT). CT scanner izunguruka umubiri wawe kugira ngo yandike uburyo bw'amashusho. Mudasobwa ikoresha amashusho kugira ngo ikore ishusho ihamye y'ubukurire bwawe kugira ngo muganga wawe asuzume uko bishobora kukugiraho ingaruka.
• Electromyogram (EMG). Muri iki kizami, muganga wawe ashyira ibinya byoroheje mu mitsi yawe kugira ngo igikoresho cya electromyography gishobora kwandika ibikorwa by'amashanyarazi mu mitsi yawe ugerageza kuyimura.
• Nerve conduction study. Ukeneye gukora iki kizami hamwe na EMG yawe. Kipima uburyo imitsi yawe itwara vuba ibimenyetso by'amashanyarazi ku mitsi yawe.
• Tumor biopsy. Niba ibizamini by'amashusho bigaragaza ibyimba by'imitsi, muganga wawe ashobora gukuramo no gusuzuma urugero ruto rw'uturemangingo (biopsy) mu kibyimba cyawe. Bitewe no ku kuremera no ku mwanya w'ibyimba, ushobora gukenera anesthésie y'aho cyangwa rusange mu gihe cyo gukora biopsy.
• Nerve biopsy. Niba ufite uburwayi nko gutakaza imitsi buhoro buhoro cyangwa imitsi ikomeye igereranya ibyimba by'imitsi, muganga wawe ashobora gukora nerve biopsy.

Ubuvuzi bwa Schwannoma biterwa n'aho ubwo bukomeye buherereye niba butera ububabare cyangwa bukura vuba. Amahitamo yo kuvura harimo:

• Kugenzura. Muganga wawe ashobora kugusaba gukurikirana ubuzima bwawe igihe runaka. Gukurikirana bishobora kuba harimo gusuzuma buri mezi make n'iskaneri ya CT cyangwa MRI buri mezi make kugira ngo urebe niba ibyimba byawe bikura.
• Ubuganga. Umuganga w'inzobere mu kuvura imitsi yo ku mpera ashobora gukuraho ibyimba niba bitera ububabare cyangwa bikura vuba. Ubuganga bwa Schwannoma bukorwa munsi y'anesthésie rusange. Bitewe n'aho ibyimba biherereye, bamwe mu barwayi bashobora gutaha umunsi w'ubuganga. Abandi bashobora gukenera kurara mu bitaro iminsi umwe cyangwa ibiri. Nubwo ibyimba byakuruwe neza mu gihe cy'ubuganga, ibyimba bishobora kongera kugaragara.
• Radiotherapie. Radiotherapie ikoreshwa mu gufasha kugenzura ubukomeye bw'ibyimba no kunoza ibimenyetso byawe. Ishobora gukoreshwa hamwe n'ubuganga.
• Stereotactic radiosurgery. Niba ibyimba biri hafi y'imitsi cyangwa imiyoboro y'amaraso, uburyo bwitwa stereotactic body radiation therapy bushobora gukoreshwa kugira ngo hagabanywe ibibazo ku miterere ikozwe neza. Muri ubu buryo, abaganga batanga imirasire neza ku kibyimba batagomba gukora incision.

Kugira ngo hamenyekane ibyago by'uburwayi bwa tumo mu mitsi yo ku ruhu, umuganga wawe azakubaza ibibazo ku bimenyetso byawe n'amateka y'ubuzima bwawe. Ushobora gukorerwa isuzuma rusange ry'umubiri n'isuzuma ry'imitsi. Ibizamini bitandukanye bishobora gufasha kumenya icyateye ibibimenyetso byawe.

• Amashusho akoresheje uburyo bwa magnétique (IRM). Iri shusho rikoresha imashini ikora amaganite n'amiradiyo kugira ngo ikore ishusho ya 3D y'imitsi n'imiterere yayo.
• Amashusho akoresheje mudasobwa (CT). Mashini ya CT izenguruka umubiri kugira ngo ifate amafoto menshi. Mudasobwa ikoresha ifoto kugira ngo ikore ishusho igaragaza neza ibyago by'uburwayi bwa tumo mu mitsi yo ku ruhu. Ibizamini bikozwe kuri CT bishobora gufasha umuganga wawe kumenya uko ubwo burwayi bugukuriraho.
• Isuzuma ry'umuriro w'imitsi (EMG). Muri iki kizami, ibyuma bito byinjizwa mu mitsi. Igikoresho cyandika ibikorwa by'amashanyarazi mu mitsu uko igenda igenda.
• Isuzuma ry'uburyo imitsi itwara umuriro. Iri suzuma rikunda gukorwa hamwe na EMG. Ripima uburyo imitsi itwara umuriro mu mitsi.
• Gusuzumwa kwa tumo. Niba ufite ibyago by'uburwayi bwa tumo mu mitsi, ushobora gukenera gusuzumwa. Igice gito cy'uturemangingo dukomoka kuri tumo gikurwaho kandi kikagenzurwa. Bitewe n'ingano ya tumo n'aho iherereye, ushobora gukenera imiti ibitumba igice cy'umubiri, bita anesthésie locale, cyangwa imiti ikuryama, bita anesthésie générale, mu gihe cyo gusuzumwa. Rimwe na rimwe, gusuzumwa ni bwo buryo bwonyine bwo kumenya niba tumo ari kanseri.
• Gusuzumwa kw'imitsi. Gusuzumwa kw'imitsi bishobora gukenerwa ku bantu bafite ibibazo bimwe na bimwe, nko kugira indwara y'imitsi yo ku ruhu ikomeza gukura kandi imitsi ikaba yariyongereye isa nkaho ari tumo.

Ibyago by'uburwayi bwa tumo mu mitsi yo ku ruhu ntibibaho kenshi. Ni ngombwa kubona umuganga ufite ubunararibonye mu kubimenya no kubuvura. Niba bibaye ngombwa, shaka undi muganga kugira ngo aguhe ibitekerezo bya kabiri.

Ubuvuzi bw'ibibyimba by'imitsi yo ku ruhu rubahoze bugendera ku bwoko bw'ibibyimba, imitsi n'utundi dutoki two mu mubiri byangiritse, ndetse n'ibimenyetso. Uburyo bwo kuvura bushobora kuba:

Kureba no gutegereza kugira ngo turebe niba igibyimba gikura bishobora kuba amahitamo niba kiri ahantu gukuraho bigoye. Cyangwa bishobora kuba amahitamo niba igibyimba ari gito, gikura buhoro, kandi kigatera ibimenyetso bike cyangwa nta bimenyetso na bimwe. Uzajya ukorerwa isuzuma buri gihe kandi ushobora gukorerwa isuzumwa rya MRI, CT scan cyangwa ultrasound buri mezi 6 kugeza kuri 12 kugira ngo turebe niba igibyimba gikura. Niba isuzuma ryakozwe kenshi ryerekana ko igibyimba kimeze neza, gishobora kugenzurwa buri myaka myinshi.

Ababagisha bakuraho neza schwannomas bitonze, bagashyiraho uburyo bwo kubungabunga imiyoboro y'imitsi itangiritse n'ibibyimba. Imiyoboro y'imitsi ni imigozi y'imigozi y'imitsi.

Bimwe mu bibyimba by'imitsi yo ku ruhu rubahoze bikurwaho hakoreshejwe ubuvuzi. Intego y'ubuvuzi ni ukukuraho igibyimba cyose hatabangamiwe imyanya y'umubiri imeze neza n'imitsi. Iyo bitashoboka, ababagisha bakuraho igice kinini cy'igibyimba gishoboka.

Uburyo bushya n'ibikoresho bituma ababagisha bashobora kugera ku bibyimba bigoye kugeraho. Microscopes zikomeye zikoreshwa muri microsurgery biroroshya kumenya itandukaniro hagati y'igibyimba n'imiterere y'umubiri imeze neza. Kandi imikorere y'imitsi ishobora kugenzurwa mu gihe cy'ubuvuzi, ibyo bigafasha kubungabunga imiterere y'umubiri imeze neza.

Ibyago by'ubuvuzi birimo gukomeretsa imitsi n'ubumuga. Ibi byago bikunze gushingira ku bunini bw'igibyimba, aho kiri n'uburyo bwakoreshejwe mu kuvura. Bimwe mu bibyimba bisubiraho.

Ikikoresho cya stereotactic radiosurgery gikoresha imirasire myinshi ya gamma kugira ngo kihe umwanya uhamye w'imirasire ku ntego.

Stereotactic radiosurgery ikoreshwa mu kuvura bimwe mu bibyimba by'imitsi yo ku ruhu rubahoze biri mu bwonko cyangwa hafi yabwo. Imirasire itangwa neza ku kibyimba hatakozwe igice. Umuhanga umwe muri ubwo buvuzi witwa Gamma Knife radiosurgery.

Ibyago bya radiosurgery birimo intege nke cyangwa uburibwe mu gice kivuwe. Cyangwa igibyimba gishobora gukomeza gukura. Gake cyane, imirasire ishobora gutera kanseri mu gice kivuwe mu gihe kizaza.

Ibibyimba bya kanseri bivurwa hakoreshejwe uburyo busanzwe bwo kuvura kanseri. Ibi birimo ubuvuzi, chemotherapy na radiation therapy. Kugirwaho isuzumwa hakiri kare no kuvurwa ni byo bintu by'ingenzi byo kugira umusaruro mwiza. Ibibyimba bishobora gusubira nyuma yo kuvurwa.

Nyuma y'ubuvuzi, ushobora gukenera kuvugururwa umubiri. Umuganga wawe ashobora gukoresha agafuni cyangwa igikoresho kugira ngo afashe ukuboko kwawe cyangwa ukuguru kwawe mu mwanya ugufasha gukira. Abavura indwara z'umubiri n'abavura indwara z'intoki bashobora kugufasha gusubirana imbaraga n'ubushobozi bwo kugenda byangiritse kubera gukomeretsa imitsi cyangwa gutakaza ukuguru.

Bishobora gutera ubwoba guhangana n'ibibazo by'ibibyimba by'imitsi yo ku ruhu rubahoze. Guhitamo uburyo bwiza bwo kuvura na bwo bishobora kuba ikibazo gikomeye. Ibi bitekerezo bishobora kugufasha:

• Menya byinshi bishoboka ku bibyimba by'imitsi yo ku ruhu rubahoze. Uko umenya byinshi, ni ko uzaba witeguye gufata ibyemezo byiza bijyanye no kuvura. Uretse kuvugana n'abaganga bawe, ushobora kwifuza kuvugana n'umujyanama cyangwa umukozi w'imibereho. Cyangwa ushobora kubona ko ari ingirakamaro kuvugana n'abandi bantu bafite uburwayi nk'ubwawe. Babaze ibyabayeho mu gihe cyo kuvurwa no nyuma yacyo.
• Mugire ubufasha bukomeye. Umuryango n'inshuti bashobora kuba umusemburo w'ubufasha. Ushobora kubona ko impungenge n'ubwumvikane bw'abandi bantu bafite uburwayi nk'ubwawe ari byiza cyane. Umuganga wawe cyangwa umukozi w'imibereho ashobora kugushyira mu itsinda ry'ubufasha.