Ependymoma

Ependymoma

Ependymoma chirwere chinokura chema cell anoita muuropi kana muchikamu chemuviri chinonzi spinal cord. Aya ma cell anoita chidzitiro chinonzi tumor. Ependymoma anotanga muma ependymal cells. Aya ma cell anovhara nzira dzinofambisa cerebrospinal fluid. Iyi fluid inopoteredza uye inodzivirira uropi ne spinal cord.

Ependymoma inogona kuitika pazera ripi zvaro, asi kazhinji inoitika kuvana vaduku. Vana vane ependymoma vanogona kusangana nematambudziko emuviri akadai sekurwadziwa kwemusoro nekuita seizures. Ependymoma inoitika kune vakuru inowanzo kuita muchikamu chemuviri chinonzi spinal cord. Inogona kukonzera kushaya simba muchikamu chemuviri chinotungamirwa nemitsipa inokanganiswa ne tumor.

Kurapa nekuvhiya ndiko kurapa kukuru kwe ependymoma. Kune matumor anokura nekukurumidza kana matumor asingakwanisi kubviswa zvachose nekuvhiya, kurapa kuwedzerwa kunogona kukurudzirwa. Izvi zvinogona kusanganisira radiation therapy, radiosurgery, chemotherapy kana targeted therapy.

Kuongororwa nekuita zvinhu zvinoshandiswa kuona ependymoma zvinosanganisira:

• Neurological exam. Panguva ye neurological exam, nyanzvi yekurapa inotarisa kuona, kunzwa, kuenzana, kugadzikana, simba uye reflexes. Matambudziko mumwe kana kupfuura aya ma nzvimbo anogona kupa mazano pamusoro pechikamu cheuropi kana spinal cord chinogona kukanganiswa ne tumor.
• Imaging tests. Imaging tests inoita mifananidzo yemuviri. Inogona kuratidza nzvimbo nehukuru hwe ependymoma. MRI kazhinji inoshandiswa kuona matumor europi. Inogona kushandiswa pamwe chete ne MRI imaging yakasarudzika, senge magnetic resonance angiography. Nekuti ependymoma inogona kuitika muuropi ne spinal cord, imaging tests inogona kushandiswa kuita mifananidzo yezvikamu zviviri.
• Cerebrospinal fluid testing. Inonzi lumbar puncture kana spinal tap, iyi nzira inosanganisira kuisa tsono pakati pemarara maviri ari muchikamu chepasi che spinal cord. Tsono inobudisa fluid iri kutenderedza spinal cord. Iyi fluid inongororwa kutsvaga ma tumor cells.

Pasi pekuongororwa kwemigumisiro, nyanzvi yako yekurapa inogona kufungidzira ependymoma uye kukurudzira kuvhiya kubvisa tumor. Kana yabviswa, ma tumor cells anongororwa murabhoritari kuti aone chirwere chacho. Kuongororwa kwakasarudzika kunogona kutaurira timu yekurapa nezve marudzi ema cell ari mu tumor. Timu yako yekurapa inogona kushandisa ruzivo urwu kutungamira sarudzo dzekurapa.

Sarudzo dzekurapa ependymoma dzinosanganisira:

Vanachirurgi veuropi, vanonzi neurosurgeons, vanoshanda kubvisa zvakawanda zve ependymoma sezvinobvira. Chinangwa ndechekubvisa tumor yose. Dzimwe nguva ependymoma iri pedyo netsitisi yeuropi kana spinal tissue inozviita kuti zvive njodzi kwazvo.

Kana tumor yose yabviswa pakuvhiya, kurapa kuwedzerwa kungasave kwakakosha. Kana paine tumor yakasara, neurosurgeon anogona kukurudzira imwe kuvhiya kuyedza kubvisa zvakasara zve tumor. Kurapa kuwedzerwa, sekurapa kwe radiation, kunogona kukurudzirwa kumatumor ane kenza kana kana tumor yose isingakwanisi kubviswa.

Radiation therapy inoshandisa simba rakasimba kuti ubate ma tumor cells. Simba rinogona kubva ku X-rays, protons kana mamwe masosi. Panguva ye radiation therapy, muchina unotungamira ma beam esimba kunzvimbo dzakatarwa kuuraya ma tumor cells aripo.

Radiation therapy inogona kukurudzirwa mushure mekuvhiya kubatsira kudzivirira matumor ane kenza kuti asauye zvakare. Inogona kukurudzirwawo kana neurosurgeons vasingakwanisi kubvisa tumor zvachose.

Mamwe marudzi akasarudzika e radiation therapy anobatsira kuisa radiation treatment pama tumor cells. Aya marudzi akasarudzika e radiation anogona kuderedza njodzi yekukuvara kuma cell ane hutano ari pedyo. Mienzaniso inosanganisira conformal radiation therapy, intensity-modulated radiation therapy uye proton therapy.

Stereotactic radiosurgery imhando ine simba re radiation treatment. Inotungamira ma beam e radiation kubva kumativi mazhinji kuenda ku tumor. Beam imwe neimwe haina simba rakawanda. Asi poindi umo ma beam anosangana anowana dose yakakura kwazvo ye radiation inouraya ma tumor cells.

Chemotherapy inoshandisa mishonga kuuraya ma tumor cells. Chemotherapy haishandiswi kazhinji kurapa ependymoma. Inogona kuva sarudzo mumamiriro ezvinhu akati, senge kana tumor ikakura zvakare pasinei nekuvhiya ne radiation.

Targeted therapy inoshandisa mishonga inorwisa zvinhu zvakatarwa muma tumor cells. Nekuvhara aya makemikari, kurapa kwakatarwa kunogona kuita kuti ma tumor cells afe. Targeted therapy inogona kuva sarudzo yekurapa ependymoma inodzoka mushure mekurapa.

Clinical trials ndidzidzo dzekurapa kwatsva. Aya madzidzo anopa mukana wekushandisa sarudzo dzekurapa dzichangobva kuwanikwa, asi njodzi yemigumisiro inogona kusazivikanwa. Taura ne timu yako yekurapa kana uchifarira clinical trial.

Bhokisi iyi ine mifananidzo yakaitwa neMRI ine chinhu chinowedzera kuoneka inoratidza meningioma. Meningioma iyi yakakura zvakakwana zvekuti inomanikidza tishu dzeuropi. Mifananidzo yehuropi

Kana mushandi wehutano wako achifunga kuti ungave nehuropi hwakakanganisika, uchada bvunzo dzakawanda nemaitiro kuti uve nechokwadi. Izvi zvinogona kusanganisira:

• Kuongororwa kwehuropi. Kuongororwa kwehuropi kunotarisa zvikamu zvakasiyana zvehuropi rako kuti uone kuti zviri kushanda sei. Kuongororwa uku kunogona kusanganisira kuongorora kuona kwako, kunzwa, kuenzana, kugadzikana, simba uye reflexes. Kana uine dambudziko munzvimbo imwe kana kupfuura, iyi ndiyo nzira yekutsvaga mushandi wehutano wako. Kuongororwa kwehuropi hakubvumiri huropi hwakakanganisika. Asi kunobatsira mupi wako wehutano kunzwisisa kuti chii chikamu chehuropi chako chingave chine dambudziko.
• CT scan ye musoro. 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 zvirwere zvemukati kana zvimwe zviratidzo zvine zvikonzero zvakawanda. CT scan inogona kuona matambudziko ari mukati nekumativi ehuropi hwako. Mhinduro dzinokupa mupi wako wehutano mazano ekusarudza bvunzo yekuita inotevera. Kana mupi wako achifunga kuti CT scan yako inoratidza huropi hwakakanganisika, ungada MRI yehuropi.
• PET scan yehuropi. Positron emission tomography scan, inonziwo PET scan, inogona kuona mamwe matambudziko ehuropi. PET scan inoshandisa tracer ine radioactivity inoiswa mumutsinga. Tracer inofamba ne ropa uye inonamatira kumasero ehuropi hwakakanganisika. Tracer inoita kuti masero ehuropi hwakakanganisika aoneke pamifananidzo yakatorwa nePET muchina. Masero ari kuparadzana uye kuwanda nekukurumidza achabata tracer yakawanda.

PET scan inogona kubatsira zvikuru pakutsvaga matambudziko ehuropi ari kukura nekukurumidza. Mienzaniso inosanganisira glioblastomas nemamwe oligodendrogliomas. Matambudziko ehuropi anokura zvishoma anogona kusawanikwa paPET scan. Matambudziko ehuropi asiri kenza anowanzo kukura zvishoma, saka PET scans haina kubatsira kumatambudziko ehuropi asina kenza. Hapasi munhu wese ane huropi hwakakanganisika anoda PET scan. Bvunza mupi wako wehutano kana uchida PET scan.

• Kuunganidza sampuli yetishu. Brain biopsy iri nzira yekubvisa sampuli yetishu yehuropi hwakakanganisika kuti iongororwe murabhoritari. Kazhinji chiremba anowana sampuli panguva yekuvhiya kubvisa huropi hwakakanganisika.

Kana kuvhiya kusina kukwanisika, sampuli inogona kubviswa ne tsono. Kubvisa sampuli yetishu yehuropi hwakakanganisika ne tsono kunoitirwa ne nzira inonzi stereotactic needle biopsy.

Panguva ino nzira, gomba duku rinopfurwa muchigunwe. Tsono yakatetepa inoiswa mugomba. Tsono inoshandiswa kutora sampuli yetishu. Bvunzo dzemifananidzo senge CT neMRI zvinoshandiswa kuronga nzira yetsono. Hauzonzwe chero chinhu panguva yebiopsy nekuti mishonga inoshandiswa kunyorovesa nzvimbo. Kazhinji unogamuchirawo mishonga inokupa iwe mamiriro ekurara kwakaita kuti urege kuziva.

Ungave ne tsono biopsy pane kuvhiya kana timu yako yehutano ichitya kuti kuvhiya kunogona kukuvadza chikamu chakakosha chehuropi hwako. Tsono inogona kudikanwa kubvisa tishu kubva kune huropi hwakakanganisika kana tumor iri munzvimbo yakaoma kusvika ne kuvhiya.

Brain biopsy ine njodzi yematambudziko. Njodzi dzinosanganisira kubuda ropa muhuropi nekuvadza tishu dzehuropi.

• Kuongorora sampuli yetishu murabhoritari. Sampuli yebiopsy inotumirwa ku laboritari kuti iongororwe. Bvunzo dzinogona kuona kana masero ari kenza kana kuti asiri kenza. Nzira yekutarisa masero pasi pe microscope inogona kutaurira timu yako yehutano kuti masero ari kukura nekukurumidza sei. Izvi zvinonzi grade yehuropi hwakakanganisika. Bvunzo dzimwe dzinogona kuwana kuti shanduko dzeDNA dziripo mumasero. Izvi zvinobatsira timu yako yehutano kugadzira chirongwa chako chekurapa.

MRI yehuropi. Magnetic resonance imaging, inonziwo MRI, inoshandisa maginiti ane simba kugadzira mifananidzo yemukati memuviri. MRI inowanzo shandiswa kuona matambudziko ehuropi nekuti inoratidza huropi zvakajeka kupfuura bvunzo dzimwe dzemifananidzo.

Kazhinji dye inoiswa mumutsinga weruoko usati waita MRI. Dye inoita mifananidzo yakajeka. Izvi zvinoita kuti zvive nyore kuona matambudziko madiki. Inogona kubatsira timu yako yehutano kuona musiyano uri pakati pehuropi hwakakanganisika ne tishu dzehuropi dzakajairika.

Dzimwe nguva unoda rudzi rwakakosha rweMRI kugadzira mifananidzo yakawanda. Muenzaniso mumwe ndeye functional MRI. Iyi MRI yakakosha inoratidza kuti ndedzipi zvikamu zvehuropi zvinodzora kutaura, kufamba nezvimwe zvinhu zvakakosha. Izvi zvinobatsira mupi wako wehutano kuronga kuvhiya nezvimwe kurapa.

Imwe bvunzo yakakosha yeMRI ndeye magnetic resonance spectroscopy. Bvunzo iyi inoshandisa MRI kuyera mazinga emakemikari akati mu masero ehuropi hwakakanganisika. Kuve nemakemikari akawanda kana mashoma kunogona kutaurira timu yako yehutano nezve rudzi rwehuropi hwakakanganisika rwaunaro.

Magnetic resonance perfusion imwe bvunzo yakakosha yeMRI. Bvunzo iyi inoshandisa MRI kuyera huwandu hweropa muzvikamu zvakasiyana zvehuropi hwakakanganisika. Zvikamu zvehuropi hwakakanganisika zvine ropa rakawanda zvinogona kuva zvikamu zvinoshanda zvikuru zvehuropi hwakakanganisika. Timu yako yehutano inoshandisa ruzivo urwu kuronga kurapa kwako.

PET scan yehuropi. Positron emission tomography scan, inonziwo PET scan, inogona kuona mamwe matambudziko ehuropi. PET scan inoshandisa tracer ine radioactivity inoiswa mumutsinga. Tracer inofamba ne ropa uye inonamatira kumasero ehuropi hwakakanganisika. Tracer inoita kuti masero ehuropi hwakakanganisika aoneke pamifananidzo yakatorwa nePET muchina. Masero ari kuparadzana uye kuwanda nekukurumidza achabata tracer yakawanda.

PET scan inogona kubatsira zvikuru pakutsvaga matambudziko ehuropi ari kukura nekukurumidza. Mienzaniso inosanganisira glioblastomas nemamwe oligodendrogliomas. Matambudziko ehuropi anokura zvishoma anogona kusawanikwa paPET scan. Matambudziko ehuropi asiri kenza anowanzo kukura zvishoma, saka PET scans haina kubatsira kumatambudziko ehuropi asina kenza. Hapasi munhu wese ane huropi hwakakanganisika anoda PET scan. Bvunza mupi wako wehutano kana uchida PET scan.

Kuunganidza sampuli yetishu. Brain biopsy iri nzira yekubvisa sampuli yetishu yehuropi hwakakanganisika kuti iongororwe murabhoritari. Kazhinji chiremba anowana sampuli panguva yekuvhiya kubvisa huropi hwakakanganisika.

Kana kuvhiya kusina kukwanisika, sampuli inogona kubviswa ne tsono. Kubvisa sampuli yetishu yehuropi hwakakanganisika ne tsono kunoitirwa ne nzira inonzi stereotactic needle biopsy.

Panguva ino nzira, gomba duku rinopfurwa muchigunwe. Tsono yakatetepa inoiswa mugomba. Tsono inoshandiswa kutora sampuli yetishu. Bvunzo dzemifananidzo senge CT neMRI zvinoshandiswa kuronga nzira yetsono. Hauzonzwe chero chinhu panguva yebiopsy nekuti mishonga inoshandiswa kunyorovesa nzvimbo. Kazhinji unogamuchirawo mishonga inokupa iwe mamiriro ekurara kwakaita kuti urege kuziva.

Ungave ne tsono biopsy pane kuvhiya kana timu yako yehutano ichitya kuti kuvhiya kunogona kukuvadza chikamu chakakosha chehuropi hwako. Tsono inogona kudikanwa kubvisa tishu kubva kune huropi hwakakanganisika kana tumor iri munzvimbo yakaoma kusvika ne kuvhiya.

Brain biopsy ine njodzi yematambudziko. Njodzi dzinosanganisira kubuda ropa muhuropi nekuvadza tishu dzehuropi.

Grade yehuropi hwakakanganisika inopiwa kana masero ehuropi hwakakanganisika aongororwa murabhoritari. Grade inotaurira timu yako yehutano kuti masero ari kukura nekukurumidza sei. Grade inobva pane maitiro ekuona masero pasi pe microscope. Grades dzinosvika kubva pa 1 kusvika ku 4.

Grade 1 yehuropi hwakakanganisika inokura zvishoma. Masero haasi akasiyana zvakanyanya nemasero ane hutano ari pedyo. Sezvo grade iri kukwira, masero anopfuura shanduko kuitira kuti atange kutarisa zvakasiyana. Grade 4 yehuropi hwakakanganisika inokura nekukurumidza. Masero haatarisi chero chinhu chakaita se masero ane hutano ari pedyo.

Hapana matanho ematambudziko ehuropi. Mamwe marudzi ekenza ane matanho. Kune mamwe marudzi ekenza, danho rinotsanangura kuti kenza yakakura sei uye kana yakapararira. Matambudziko ehuropi nekenza dzehuropi hazvina kukurumidza kupararira, saka hazvina matanho.

Timu yako yehutano inoshandisa ruzivo rwose kubva kubvunzo dzako dzekuongorora kunzwisisa prognosis yako. Prognosis ndeyekuti zvinogona sei kuti huropi hwakakanganisika hwagadziriswa. Zvinhu zvinogona kukanganisa prognosis kune vanhu vane matambudziko ehuropi zvinosanganisira:

• Rudzi rwehuropi hwakakanganisika.
• Kukurumidza kwehuropi hwakakanganisika kukura.
• Kwakaita huropi hwakakanganisika muhuropi.
• Shanduko dzeDNA dziripo mumasero ehuropi hwakakanganisika.
• Kana huropi hwakakanganisika huchigona kubviswa zvachose ne kuvhiya.
• 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 kunangwa. Paunofunga nezvesarudzo dzako dzekurapa, timu yako yekuchengetedza utano inofungawo nezveutano hwako hwese nezvaunoda. Kurapa kungasave kwakakosha pakarepo. Ungasave uchida kurapa pakarepo kana ganda remuuropi rako riri diki, risina ngozi, uye harisi kupinza zviratidzo. Maganda madiki, asingakuvadzi emuuropi angasakurira kana kuti angakurira zvishoma zvokuti haazombokonzeri matambudziko. Ungave nekuongororwa kweMRI yemuuropi kanokwana katatu 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 uye pamwe chete ne nasal septum kuti uwane 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 dzakapoteredza. Izvi zvinoita kuti zvikwanise kubviswa zvachose. Mamwe maganda emuuropi haagoni kuaparadzaniswa kubva kune tishu dzakapoteredza. Dzimwe nguva ganda remuuropi riri pedyo nechikamu chakakosha chemuuropi. Kuvhiya kunogona kuva ngozi 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:

• Kubvisa chikamu chebwe remuromo kuti usvike paganda remuuropi. Kuvhiya kwemuuropi kunosanganisira kubvisa chikamu chebwe remuromo kunonzi craniotomy. Ndiyo nzira yakawanda yekuvhiya kubvisa ganda remuuropi inoitirwa. Craniotomy inoshandiswa kurapa kenza yemuuropi nemaganda emuuropi asingakuvadzi. Chiremba anoita kacheka pahuma yako. Ganda nemisungo zvinobviswa. Zvadaro chiremba anoshandisa drill kuti acheke chikamu chebhonzo remuromo. Bhonzo rinobviswa kuti rive nechokwadi chekuwana muuropi. Kana ganda riri mukati meuropi, chishandiso chingashandiswa kuti chibate zvinyoro nyoro tishu dzemuuropi dzakachengeteka. Ganda remuuropi rinochekwa nemidziyo yakakosha. Dzimwe nguva lasers inoshandiswa kuparadza ganda. Panguva yekuvhiya, unowana mushonga wekunyorovesa nzvimbo yacho kuitira kuti urege kunzwa chero chinhu. Unopiwawo mushonga unokupa iwe mamiriro ekurara panguva yekuvhiya. Dzimwe nguva unomutswa panguva yekuvhiya kwemuuropi. Izvi zvinonzi kuvhiya kwemuuropi kwakamutswa. Paunomutswa, chiremba anogona kukubvunza mibvunzo uye kutarisa basa remuuropi rako sezvaunopindura. Izvi zvinobatsira kuderedza njodzi yekukuvadza zvikamu zvakakosha zvemuuropi. Kana kuvhiya kubvisa ganda kwapera, chikamu chebhonzo remuromo chinodzoserwa panzvimbo.
• Kushandisa chubhu refu, chakasimba kuti usvike paganda remuuropi. Kuvhiya kwemuuropi kweEndoscopic kunosanganisira kuisa chubhu refu, chakasimba mumuropi. Chubhu chinonzi endoscope. Chubhu chine akatevedzana ema lenses kana kamera diki inotumira mifananidzo kuchiremba. Midziyo yakakosha inoiswa kuburikidza nechubhu kuti ibvise ganda. Kuvihiya kwemuuropi kweEndoscopic kazhinji kunoshandiswa kurapa maganda epituitary. Maganda aya anokura kumashure kwe nasal cavity. Chubhu refu, chakasimba chinoiswa kuburikidza nehuro ne sinuses uye mumuropi. Dzimwe nguva kuvhiya kwemuropi kweEndoscopic kunoshandiswa kubvisa maganda emuuropi mune dzimwe nzvimbo dzemuuropi. Chiremba anogona kushandisa drill kuti aite gomba mubhonzo remuromo. Chubhu refu, chakasimba chinoiswa zvinyoro nyoro mutishu dzemuuropi. Chubhu chinoenderera mberi kusvika chasvika paganda remuuropi. Kubvisa chikamu chebwe remuromo kuti usvike paganda remuuropi. Kuvhiya kwemuuropi kunosanganisira kubvisa chikamu chebwe remuromo kunonzi craniotomy. Ndiyo nzira yakawanda yekuvhiya kubvisa ganda remuuropi inoitirwa. Craniotomy inoshandiswa kurapa kenza yemuuropi nemaganda emuuropi asingakuvadzi. Chiremba anoita kacheka pahuma yako. Ganda nemisungo zvinobviswa. Zvadaro chiremba anoshandisa drill kuti acheke chikamu chebhonzo remuromo. Bhonzo rinobviswa kuti rive nechokwadi chekuwana muuropi. Kana ganda riri mukati meuropi, chishandiso chingashandiswa kuti chibate zvinyoro nyoro tishu dzemuuropi dzakachengeteka. Ganda remuuropi rinochekwa nemidziyo yakakosha. Dzimwe nguva lasers inoshandiswa kuparadza ganda. Panguva yekuvhiya, unowana mushonga wekunyorovesa nzvimbo yacho kuitira kuti urege kunzwa chero chinhu. Unopiwawo mushonga unokupa iwe mamiriro ekurara panguva yekuvhiya. Dzimwe nguva unomutswa panguva yekuvhiya kwemuuropi. Izvi zvinonzi kuvhiya kwemuuropi kwakamutswa. Paunomutswa, chiremba anogona kukubvunza mibvunzo uye kutarisa basa remuuropi rako sezvaunopindura. Izvi zvinobatsira kuderedza njodzi yekukuvadza zvikamu zvakakosha zvemuuropi. Kana kuvhiya kubvisa ganda kwapera, chikamu chebhonzo remuromo chinodzoserwa panzvimbo. Kushandisa chubhu refu, chakasimba kuti usvike paganda remuuropi. Kuvhiya kwemuropi kweEndoscopic kunosanganisira kuisa chubhu refu, chakasimba mumuropi. Chubhu chinonzi endoscope. Chubhu chine akatevedzana ema lenses kana kamera diki inotumira mifananidzo kuchiremba. Midziyo yakakosha inoiswa kuburikidza nechubhu kuti ibvise ganda. Kuvihiya kwemuropi kweEndoscopic kazhinji kunoshandiswa kurapa maganda epituitary. Maganda aya anokura kumashure kwe nasal cavity. Chubhu refu, chakasimba chinoiswa kuburikidza nehuro ne sinuses uye mumuropi. Dzimwe nguva kuvhiya kwemuropi kweEndoscopic kunoshandiswa kubvisa maganda emuuropi mune dzimwe nzvimbo dzemuropi. Chiremba anogona kushandisa drill kuti aite gomba mubhonzo remuromo. Chubhu refu, chakasimba chinoiswa zvinyoro nyoro mutishu dzemuropi. Chubhu chinoenderera mberi kusvika chasvika paganda remuuropi. Kuvihiya kubvisa ganda remuuropi kune njodzi yemhedzisiro nekuoma. Izvi zvinogona kusanganisira hutachiona, kubuda ropa, ropa rinogwamba, nekuvadza tishu dzemuuropi. Njodzi dzimwe dzinogona kuenderana nechikamu chemuuropi kwaari ganda riri. Semuenzaniso, kuvhiya paganda riri pedyo nemitsipa inobatanidza maziso kunogona kuva nenjodzi yekurasikirwa nekuona. Kuvhiya kubvisa ganda pane tsinga inodzora kunzwa kunogona kukonzera kurasikirwa nekunzwa. Kurapa nekuvhenekera kwemaganda emuuropi kunoshandisa mabhuru akasimba ekuvhenekera kuuraya masero eganda. Simba rinogona kubva ku-X-rays, protons, nezvimwewo. Kurapa nekuvhenekera kwemaganda emuuropi kazhinji kunobva muchina uri kunze kwemuviri. Izvi zvinonzi external beam radiation. Zvisingawanzoitika, kuvhenekera kunogona kuiswa mukati memuviri. Izvi zvinonzi brachytherapy. Kurapa nekuvhenekera kunogona kushandiswa kurapa kenza yemuuropi nemaganda emuuropi asingakuvadzi. External beam radiation therapy kazhinji inoitirwa kurapwa kwenguva pfupi kwezuva nezuva. Chirongwa chekurapa chinowanzoita kuti uve nekurapwa kwekuvhenekera mazuva mashanu pavhiki kwemavhiki maviri kusvika matanhatu. External beam radiation inogona kunangwa chete munzvimbo yemuuropi kwaari ganda riri, kana kuti inogona kushandiswa kumuropi hwako hwese. Vanhu vakawanda vane ganda remuuropi vachava nekuvhenekera kunangwa munzvimbo iri pedyo neganda. Kana paine maganda mazhinji, muuropi wese ungada kurapwa kwekuvhenekera. Kana muuropi wese uchirapwa, zvinonzi whole-brain radiation. Whole-brain radiation kazhinji inoshandiswa kurapa kenza inopararira mumuropi kubva kune imwe chikamu chemuviri uye inoumba maganda mazhinji mumuropi. Traditionally, radiation therapy inoshandisa X-rays, asi fomu itsva yekurapa uku inoshandisa simba kubva ku protons. Mabhuru eproton anogona kunangwa zvakanyanya kuti akanganise masero eganda chete. Angave asingakwanisi kukuvadza tishu dzakapoteredza dzakachengeteka. Proton therapy inogona kubatsira kurapa maganda emuuropi muvana. Inogonawo kubatsira kurapa maganda ari pedyo nezvikamu zvakakosha zvemuuropi. Proton therapy haisi iripo munzvimbo dzakawanda se traditional X-ray radiation therapy. Mhedzisiro yekurapa nekuvhenekera kwemaganda emuuropi inoenderana nerudzi nedose yekuvhenekera yaunowana. Mhedzisiro inowanzoitika inoitika panguva yekurapa kana kuti pashure pake ndeyekuneta, kurwadziwa kwemusoro, kurasikirwa nekuyeuka, kukwakuka kwepurazi, nekurasikirwa nevhudzi. Dzimwe nguva mhedzisiro yekurapa nekuvhenekera inooneka makore mazhinji gare gare. Mhedzisiro iyi inogona kusanganisira matambudziko ekuyeuka nekufunga. Tekinoroji yeStereotactic radiosurgery inoshandisa gamma rays diki kuti ipe dose yakarurama yekuvhenekera kunangwa. Stereotactic radiosurgery yemaganda emuuropi imhando yakasimba yekurapa nekuvhenekera. Inonangira mabhuru ekuvhenekera kubva kunzvimbo dzakawanda paganda remuuropi. Bhuru rimwe nerimwe harisi nesimba rakawanda. Asi poindi kwaanosangana mabhuru anowana dose yakakura yekuvhenekera inouraya masero eganda. Radiosurgery inogona kushandiswa kurapa kenza yemuuropi nemaganda emuuropi asingakuvadzi. Kune marudzi akasiyana etekinoroji anoshandiswa mu radiosurgery kupa kuvhenekera kurapa maganda emuuropi. Mimwe mienzaniso inosanganisira:
• Linear accelerator radiosurgery. Michina yeLinear accelerator inonziwo michina yeLINAC. Michina yeLINAC inozivikanwa nezita rayo rebhirandhi, senge CyberKnife, TrueBeam nezvimwe. Muchina weLINAC unonangira mabhuru akagadzirwa zvakanaka ekuvhenekera rimwe nerimwe kubva kunzvimbo dzakasiyana. Mabhuru anoitwa ne-X-rays.
• Gamma Knife radiosurgery. Muchina weGamma Knife unonangira mabhuru mazhinji maduku ekuvhenekera panguva imwe chete. Mabhuru anoitwa ne gamma rays.
• Proton radiosurgery. Proton radiosurgery inoshandisa mabhuru anoitwa ne protons. Iyi ndiyo mhando itsva ye radiosurgery. Iri kuita kuti ive yakajairika asi haisipo muma hospital ese. Radiosurgery kazhinji inoitirwa kurapwa kumwe kana kurapwa kushoma. Unogona kudzokera kumba mushure mekurapwa uye haufanire kugara muchipatara. Mhedzisiro ye radiosurgery inosanganisira kunzwa kuneta kwazvo uye kuchinja kwe ganda pahuma yako. Ganda remusoro rako rinogona kunzwa rakaoma, richikwakuka, uye rinonzwa. Ungave nemaronda paganda kana kurasikirwa nevhudzi. Dzimwe nguva kurasikirwa nevhudzi kunogara kwenguva refu. Chemotherapy yemaganda emuuropi inoshandisa mishonga yakasimba kuuraya masero eganda. Mishonga yeChemotherapy inogona kunyurwa semapiritsi kana kuiswa muchitubu. Dzimwe nguva mushonga we chemotherapy unoiswa mutishu dzemuuropi panguva yekuvhiya. Chemotherapy inogona kushandiswa kurapa kenza yemuuropi nemaganda emuuropi asingakuvadzi. Dzimwe nguva inoitirwa panguva imwe chete ne radiation therapy. Mhedzisiro yeChemotherapy inoenderana nerudzi nedose yemishonga yaunowana. Chemotherapy inogona kukonzera kusvotwa, kurutsa, nekurasikirwa nevhudzi. Kurapa kunangwa kwemaganda emuuropi kunoshandisa mishonga inorwisa kemikari chaiyo iri mukati memasero eganda. Nekuvhara kemikari idzi, kurapwa kunangwa kunogona kukonzera masero eganda kuti afe. Mishonga yekurapa kunangwa iripo kune mamwe marudzi ekensa yemuuropi nemaganda emuuropi asingakuvadzi. Masero eganda remuuropi ako anogona kuongororwa kuti aone kana kurapa kunangwa kuchizokubatsira. Mushure mekurapa, ungada rubatsiro kuti udzose basa rechikamu chemuuropi chaive neganda. Ungada rubatsiro nekuenda, kutaura, kuona, nekufunga. Zvichienderana nezvaunoda, mudzidzisi wako wekuchengetedza utano anogona kukurudzira:
• Physical therapy kukubatsira kudzorera hunyanzvi hwakarasika hwekufamba kana simba retsinga.
• Occupational therapy kukubatsira kudzokera kumabasa ako ezuva nezuva, kusanganisira basa.
• Speech therapy kukubatsira kana kutaura kuri kuoma.
• Tutoring for school-age children kukubatsira kubata nema shanduko mukuyeuka kwavo nekufunga kwavo. Nyorera mahara uye uwane zvinyorwa zvitsva pamusoro pekurapa ganda remuuropi, kuongororwa, nekuvhiya. link iri mu email. Kutsvagisa kushoma kwakaitwa pamusoro pekurapa kwemaganda emuuropi kunosanganisira zvimwe zvinhu. Hapana kurapa kwakaratidzwa kunorapisa maganda emuuropi. Zvisinei, kurapa kunosanganisira zvimwe zvinhu kunogona kukubatsira kubata nekushushikana kwekuongororwa kwe ganda remuuropi. Mimwe kurapa kunosanganisira zvimwe zvinhu izvo zvinogona kukubatsira kusanganisira:
• Art therapy.
• Kuita zvemitambo.
• Kufungisisa.
• Music therapy.
• Relaxation exercises. Taura nechikwata chako chekuchengetedza utano nezvesarudzo dzako. Vanhu vamwe vanoti kuongororwa kwe ganda remuuropi kunonzwa kwakanyanya uye kunotyisa. Zvinogona kukupa manzwiro okuti hauna simba pauoyo hwako. Zvinogona kubatsira kutora matanho kunzwisisa mamiriro ako uye kutaura nezvemanzwiro ako. Funga kuedza:
• Kudzidza zvakakwana nezvemaganda emuuropi kuti uite sarudzo nezvekuchengetedza kwako. Bvunza mudzidzisi wako wekuchengetedza utano nezverudzi rwako rweganda remuuropi. Bvunza nezvesarudzo dzako dzekurapa uye, kana uchida, prognosis yako. Sezvaunodzidza zvakawanda nezvemaganda emuuropi, unganzwa uri nani pakuita sarudzo dzekurapa. Tsvaga ruzivo kubva kune masosi akavimbika, akadai seAmerican Cancer Society neNational Cancer Institute.
• Ramba uchifambidzana neshamwari nemhuri. Kuita kuti hukama hwako hwepedyo huve hwakasimba kuchizokubatsira kubata neganda remuuropi rako. Shamwari nemhuri vanogona kupa rutsigiro rwakakosha rwauchada, sekubatsira kutarisira imba yako kana uri muchipatara. Uye vanogona kushanda serutsigiro rwemanzwiro kana uchinzwa wakanyanya nekukuvadzwa nekensa.
• Tsvaga munhu wekutaura naye. Tsvaga munhu akanaka anoda kukuteerera uchitaura nezvetariro dzako nekuitya kwako. Izvi zvinogona kuva shamwari, nhengo yemhuri kana nhengo yechechi. Bvunza timu yako yekuchengetedza utano kuti ikurudzire mushandi wekurapa kana mushandi wemagariro aunogona kutaura naye. Bvunza timu yako yekuchengetedza utano nezvemapoka ekutsigira ganda remuuropi munzvimbo yako. Zvinogona kubatsira kudzidza kuti vamwe vari munzvimbo yako vari kubata sei nematambudziko akaoma ezvokurapa. Tsvaga munhu wekutaura naye. Tsvaga munhu akanaka anoda kukuteerera uchitaura nezvetariro dzako nekuitya kwako. Izvi zvinogona kuva shamwari, nhengo yemhuri kana nhengo yechechi. Bvunza timu yako yekuchengetedza utano kuti ikurudzire mushandi wekurapa kana mushandi wemagariro aunogona kutaura naye. Bvunza timu yako yekuchengetedza utano nezvemapoka ekutsigira ganda remuuropi munzvimbo yako. Zvinogona kubatsira kudzidza kuti vamwe vari munzvimbo yako vari kubata sei nematambudziko akaoma ezvokurapa.