Zvirwere zveEmbryonal zvikurukuru kukura kusingadzoreki kwemaseli muuropi. Kukura uku kunosanganisira maseli anenge asara kubva pakukura kwemwana, anonzi ma embryonal cells.
Zvirwere zveEmbryonal rudzi rwekenza yeuropi, inonziwo malignant brain tumor. Izvi zvinoreva kuti maseli anoita tumor anogona kukura kuti apinde muuropi uye kukonzera kukuvara kune tishu dzeuropi dzakakwana. Anogonawo kupararira kuburikidza nemuviri unopoteredza uropi nemutadzi wemuzongoza, unonzi cerebrospinal fluid.
Zvirwere zveEmbryonal kazhinji zvinoitika muvana vaduku nevana vaduku. Asi zvinogona kuitika pazera ripi zvaro.
Kune marudzi akawanda ezvirwere zveEmbryonal. Inonyanya kuzivikanwa medulloblastoma. Rudzi urwu rwezvirwere zveEmbryonal runotanga muchikamu chekumashure kweuropi, chinonzi cerebellum.
Kana mwana wako akaonekwa aine chirwere cheEmbryonal, tsvaga kurapwa pakiriniki ine ruzivo rwekutarisira vana vane zvirwere zveuropi. Makiriniki ane hunyanzvi mune zvirwere zveuropi zvevana anopa mukana wekurapwa kwazvino uye tekinoroji kuitira kuti pave nekuongororwa kwakakodzera nekurapwa.
Timu yako yekutarisira utano inotarisa nhoroondo yemwana wako yezvehutano nezviratidzo. Kuongororwa uye maitiro anoshandiswa kuongorora zvirwere zveEmbryonal anosanganisira:
Kurapwa kwezvirwere zveEmbryonal kazhinji kunosanganisira kuvhiya. Kurapwa kwakasiyana kunogona kushandiswa mushure mekuvhiya kuderedza njodzi yekuti tumor ingadzokera. Kurapwa kupi kwakanakira mwana wako kunoenderana nezera remwana wako. Timu yekutarisira utano yemwana wako inofungawo rudzi rwechirwere cheEmbryonal nekwainowanikwa.
Sarudzo dzekurapa zvirwere zveEmbryonal dzinogona kusanganisira:
Bhokisi iyi ine mifananidzo yakaitwa neMRI inoratidza meningioma. Meningioma iyi yakakura zvokusundira mukati memusoro. Mifananidzo yekenza yemusoro Kana mushandi wehutano achifunga kuti ungave une kenza yemusoro, uchazoda bvunzo dzakawanda nemabatiro kuti uve nechokwadi. Izvi zvinogona kusanganisira: - Kuongororwa kwemasimba emuviri. Kuongororwa kwemasimba emuviri kunotarisa zvikamu zvakasiyana-siyana zvemusoro wako kuti uone kuti zviri kushanda sei. Kuongororwa uku kunogona kusanganisira kuongorora kuona kwako, kunzwa, kuenzana, kugadzikana, simba uye maitiro. Kana uine dambudziko munzvimbo imwe kana kupfuura, iyi ndiyo nzira yekuziva kuti mushandi wehutano wako ane dambudziko ripi. Kuongororwa kwemasimba emuviri hakubvumirwi kenza yemusoro. Asi kunobatsira mushandi wako wehutano kunzwisisa kuti chikamu chipi chemusoro chako chingave chine dambudziko. - CT scan yemusoro. Computed tomography scan, inonziwo CT scan, inoshandisa X-rays kuita mifananidzo. Inowanikwa zvakanyanya, uye mhinduro dzinodzoka nekukurumidza. Saka CT inogona kuva bvunzo yekutanga yemifananidzo inoitirwa kana uine kurwadziwa kwemusoro kana zvimwe zviratidzo zvine zvikonzero zvakawanda. CT scan inogona kuona matambudziko ari mukati nekunze kwemusoro wako. Mhinduro dzinokupa mushandi wako wehutano mazano ekusarudza bvunzo yekuita inotevera. Kana mushandi wako achifunga kuti CT scan yako inoratidza kenza yemusoro, ungada MRI yemusoro. - PET scan yemusoro. Positron emission tomography scan, inonziwo PET scan, inogona kuona mamwe marudzi ekenza yemusoro. PET scan inoshandisa tracer inobudiswa inopinzwa mumutsinga. Tracer inofamba ne ropa uye inonamatira kumasero ekenza yemusoro. Tracer inoita kuti masero ekenza aoneke pamifananidzo inotorwa nePET muchina. Masero ari kuparadzaniswa uye kuwanda nekukurumidza achabata tracer yakawanda. PET scan inogona kubatsira zvikuru pakutsvaga kenza yemusoro iri kukura nekukurumidza. Mienzaniso inosanganisira glioblastomas nemamwe oligodendrogliomas. Kenza yemusoro inokura zvishoma isingawanikwi paPET scan. Kenza yemusoro isiri kenza inowanzokura zvishoma, saka PET scans haina kubatsira pakenza yemusoro isina njodzi. Hapasi munhu wese ane kenza yemusoro anoda PET scan. Bvunza mushandi wako wehutano kana uchida PET scan. - Kuunganidza sampuli yetsinga. Brain biopsy ibatiro yekubvisa sampuli yetsinga yekenza yemusoro yekuyedzwa murabhoritari. Kazhinji chiremba anosvika sampuli panguva yekuvhiya kubvisa kenza yemusoro. Kana kuvhiya kusina kukwanisika, sampuli inogona kubviswa nechishandiso. Kubvisa sampuli yetsinga yekenza yemusoro nechishandiso kunoitirwa nebatiro inonzi stereotactic needle biopsy. Panguva yebatiro iyi, gomba diki rinopfurwa muhombodo. Chishandiso chakacheka chinopinzwa mugomba. Chishandiso chinoshandiswa kutora sampuli yetsinga. Bvunzo dzemifananidzo senge CT neMRI zvinoshandiswa kuronga nzira yechishandiso. Hauzonzwi chero chinhu panguva yebiopsy nekuti mishonga inoshandiswa kunyorovesa nzvimbo. Kazhinji unogamuchirawo mishonga inokupa iwe mamiriro ekurara kuti usaziva. Ungave une needle biopsy pane kuvhiya kana timu yako yehutano ichitya kuti kuita kwacho kungakuvadza chikamu chakakosha chemusoro wako. Chishandiso chingave chinoda kubvisa tsinga kubva pakenza yemusoro kana kenza iri munzvimbo yakaoma kusvika nekushanda. Brain biopsy ine njodzi yematambudziko. Njodzi dzinosanganisira kubuda ropa mumusoro nekuvadza tsinga yemusoro. - Kuongorora sampuli yetsinga murabhoritari. Sampuli yebiopsy inotumirwa ku laboratori yekuyedzwa. Bvunzo dzinogona kuona kana masero ari kenza kana kuti haasi kenza. Nzira yekutarisa masero pasi pemikroskopu inogona kuudza timu yako yehutano kuti masero ari kukura nekukurumidza sei. Izvi zvinonzi grade yekenza yemusoro. Bvunzo dzakawanda dzinogona kuwana kuti shanduko dzeDNA dziripo mumasero. Izvi zvinobatsira timu yako yehutano kugadzira chirongwa chako chekurapa. MRI yemusoro. Magnetic resonance imaging, inonziwo MRI, inoshandisa maginiti ane simba kugadzira mifananidzo yemukati memuviri. MRI inowanzoshandiswa kuona kenza yemusoro nekuti inoratidza musoro zvakajeka kupfuura bvunzo dzakawanda dzemifananidzo. Kazhinji dye inopinzwa mumutsinga weruoko usati waita MRI. Dye inoita mifananidzo yakajeka. Izvi zvinoita kuti zvive nyore kuona kenza diki. Inogona kubatsira timu yako yehutano kuona musiyano uri pakati pekensa yemusoro netsinga yemusoro ine hutano. Dzimwe nguva unoda rudzi rwakakosha rweMRI kugadzira mifananidzo yakawanda. Muenzaniso mumwe ndeye functional MRI. MRI iyi yakakosha inoratidza kuti zvikamu zvipi zvemusoro zvinodzora kutaura, kufamba nezvimwe zvinhu zvakakosha. Izvi zvinobatsira mushandi wako wehutano kuronga kuvhiya nezvimwe kurapa. Bvunzo imwe yakakosha yeMRI ndeye magnetic resonance spectroscopy. Bvunzo iyi inoshandisa MRI kuyera mazinga emakemikari akati mu masero ekenza. Kuve nemakemikari akawanda kana mashoma kunogona kuudza timu yako yehutano nezvekensa yemusoro yaunayo. Magnetic resonance perfusion imwe bvunzo yakakosha yeMRI. Bvunzo iyi inoshandisa MRI kuyera huwandu hweropa muzvikamu zvakasiyana-siyana zvekenza yemusoro. Zvikamu zvekenza zvine ropa rakawanda zvinogona kuva zvikamu zvinoshanda zvikuru zvekenza. Timu yako yehutano inoshandisa ruzivo urwu kuronga kurapwa kwako. PET scan yemusoro. Positron emission tomography scan, inonziwo PET scan, inogona kuona mamwe marudzi ekenza yemusoro. PET scan inoshandisa tracer inobudiswa inopinzwa mumutsinga. Tracer inofamba ne ropa uye inonamatira kumasero ekenza yemusoro. Tracer inoita kuti masero ekenza aoneke pamifananidzo inotorwa nePET muchina. Masero ari kuparadzaniswa uye kuwanda nekukurumidza achabata tracer yakawanda. PET scan inogona kubatsira zvikuru pakutsvaga kenza yemusoro iri kukura nekukurumidza. Mienzaniso inosanganisira glioblastomas nemamwe oligodendrogliomas. Kenza yemusoro inokura zvishoma isingawanikwi paPET scan. Kenza yemusoro isiri kenza inowanzokura zvishoma, saka PET scans haina kubatsira pakenza yemusoro isina njodzi. Hapasi munhu wese ane kenza yemusoro anoda PET scan. Bvunza mushandi wako wehutano kana uchida PET scan. Kuunganidza sampuli yetsinga. Brain biopsy ibatiro yekubvisa sampuli yetsinga yekenza yemusoro yekuyedzwa murabhoritari. Kazhinji chiremba anosvika sampuli panguva yekuvhiya kubvisa kenza yemusoro. Kana kuvhiya kusina kukwanisika, sampuli inogona kubviswa nechishandiso. Kubvisa sampuli yetsinga yekenza yemusoro nechishandiso kunoitirwa nebatiro inonzi stereotactic needle biopsy. Panguva yebatiro iyi, gomba diki rinopfurwa muhombodo. Chishandiso chakacheka chinopinzwa mugomba. Chishandiso chinoshandiswa kutora sampuli yetsinga. Bvunzo dzemifananidzo senge CT neMRI zvinoshandiswa kuronga nzira yechishandiso. Hauzonzwi chero chinhu panguva yebiopsy nekuti mishonga inoshandiswa kunyorovesa nzvimbo. Kazhinji unogamuchirawo mishonga inokupa iwe mamiriro ekurara kuti usaziva. Ungave une needle biopsy pane kuvhiya kana timu yako yehutano ichitya kuti kuita kwacho kungakuvadza chikamu chakakosha chemusoro wako. Chishandiso chingave chinoda kubvisa tsinga kubva pakenza yemusoro kana kenza iri munzvimbo yakaoma kusvika nekushanda. Brain biopsy ine njodzi yematambudziko. Njodzi dzinosanganisira kubuda ropa mumusoro nekuvadza tsinga yemusoro. Grade yekenza yemusoro inopiwa kana masero ekenza achiyedzwa murabhoritari. Grade inoudza timu yako yehutano kuti masero ari kukura nekukurumidza sei. Grade inobva pane maitiro ekuona masero pasi pemikroskopu. Grades dzinosvika kubva pa1 kusvika ku4. Kenza yemusoro ine grade 1 inokura zvishoma. Masero haasi akasiyana zvakanyanya nemasero ane hutano ari pedyo. Sezvo grade iri kukwira, masero anochinja kuitira kuti atange kuita zvakasiyana. Kenza yemusoro ine grade 4 inokura nekukurumidza. Masero haaoneki senge masero ane hutano ari pedyo. Hapana matanho ekenza yemusoro. Mamwe marudzi ekenza ane matanho. Kune mamwe marudzi ekenza aya, nhanho inotsanangura kuti kenza yakakura sei uye kana yakapararira. Kenza yemusoro nekenza dzemusoro hazviparariri, saka hazvina matanho. Timu yako yehutano inoshandisa ruzivo rwese kubva kubvunzo dzako dzekuongorora kunzwisisa prognosis yako. Prognosis ndeyekuti kenza yemusoro inogona kurapwa sei. Zvinhu zvinogona kukanganisa prognosis yevanhu vane kenza yemusoro zvinosanganisira: - Rudzi rwekensa yemusoro. - Kukurumidza kwekukura kwekensa yemusoro. - Kwenga kwekensa yemusoro iri mumusoro. - Shanduko dzeDNA dziripo mumasero ekensa yemusoro. - Kana kenza yemusoro inogona kubviswa zvachose nekushanda. - Hutano hwako hwese nekunaka kwako. Kana uchida kuziva zvakawanda nezve prognosis yako, kurukura nazvo timu yako yehutano.
Kurapa ganda remuuropi kunoenderana nekuti ganda iri ganda rekenza yemuuropi kana kuti harisi ganda rekenza, rinonziwo ganda remuuropi risina ngozi. Nzira dzekurapa dzinoenderanawo nerudzi, saizi, giredhi, nenzvimbo yeganda remuuropi. Sarudzo dzinogona kusanganisira kuvhiya, kurapa nekuvhenekera, radiosurgery, chemotherapy, nekurapa kwakatarwa. Paunofunga nezvesarudzo dzako dzekurapa, timu yako yekuchengetedza hutano inofungawo nezvehutano hwako hwese nezvaunoda. Kurapa kungasave kwakakosha pakarepo. Ungasave uchida kurapa pakarepo kana ganda remuuropi rako riri diki, risina ngozi, uye harisi kupa zviratidzo. Maganda maduku, asingakuvadzi emuuropi angave asingakuriri kana kuti anokura zvishoma nezvishoma zvekuti haazomboiti matambudziko. Ungave nekuongororwa kweMRI kwemuuropi kakawanda pagore kuti uone kukura kwe ganda remuuropi. Kana ganda remuuropi rikakura nekukurumidza kupfuura zvaitarisirwa kana kuti ukawana zviratidzo, ungada kurapa. Mukuvhiya kwe endoscopic transsphenoidal transnasal, chishandiso chekuvhiya chinowanikwa kuburikidza nehuro nekumativi kwe nasal septum kuti chiwane ganda repituitary. Chinangwa chekuvhiya ganda remuuropi ndechekubvisa masero ese eganda. Ganda harigoni kubviswa zvachose nguva dzose. Kana zvichibvira, chiremba anoita basa rekubvisa ganda remuuropi sezvinogona kuitwa zvakachengeteka. Kuvhiya kubvisa ganda remuuropi kunogona kushandiswa kurapa kenza yemuuropi nemaganda emuuropi asingakuvadzi. Mamwe maganda emuuropi madiki uye ari nyore kuaparadzanisa kubva kune tishu dzemuuropi dziri pedyo. Izvi zvinoita kuti zvikwanise kubviswa zvachose. Mamwe maganda emuuropi haagoni kuaparadzaniswa kubva kune tishu dziri pedyo. Dzimwe nguva ganda remuuropi riri pedyo nechikamu chakakosha chemuuropi. Kuvhiya kunogona kuva nengozi munzvimbo iyi. Chiremba anogona kubvisa ganda rakawanda sezvinenge zvakachengeteka. Kubvisa chikamu cheganda remuuropi dzimwe nguva kunonzi subtotal resection. Kubviswa kwechikamu cheganda remuuropi kunogona kubatsira kuderedza zviratidzo zvako. Kune nzira dzakawanda dzekuita kuvhiya kubvisa ganda remuuropi. Sarudzo ipi iri nani kwauri inoenderana nemamiriro ako. Mienzaniso yemhando dzekuvhiya ganda remuuropi inosanganisira:
Kana uine zviratidzo zvinokunetsa, bvunza chiremba wako wemazuva ose. Kana wakazivikanwa kuva nekenza yemuromo, ungatumirwa kune nyanzvi. Idzi dzinogona kusanganisira:
Zvakanaka kugadzirira musangano wako. Heano mamwe mashoko anokubatsira kugadzirira.
Nguva yako nemugove wehutano wako yakaganhurirwa. Gadzira runyorwa rwemibvunzo kuti ukubatsire kushandisa nguva yako pamwe chete zvakanaka. Tsanangura mibvunzo mitatu inokosha kwauri. Rondedzera mibvunzo yakasara kubva pakukosha kusvika pakusava nehanya kana nguva ikapedza. Kune kenza yehuropi, mimwe mibvunzo yekubvunza inosanganisira:
Pamusoro pemibvunzo yawagadzirira, usambofa wakashamisika kubvunza mimwe mibvunzo inouya kwauri.
Mugove wako anogona kukubvunza mibvunzo yakawanda. Kugadzirira kupindura kunogona kupa nguva gare gare yekuvhara mamwe mapoinzi aunoda kutarisa. Chiremba wako angabvunza:
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
Yakagadzirwa muIndia, kune nyika