Created at:1/16/2025
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I-Oligodendroglioma uhlobo lwe-tumor yengqondo evela ezicellulweni ebizwa ngokuthi yi-oligodendrocytes, ezivame ukusiza ekuvikeleni imicu yezinzwa ebuchosheni bakho. Nakuba ukuzwa ukuthi "i-tumor yengqondo" kungase kubangele ukukhathazeka, kubalulekile ukwazi ukuthi i-oligodendrogliomas ivame ukukhula kancane futhi iphendule kahle ekwelapheni. Lezi tumors zenza cishe u-2-5% yazo zonke i-tumors zengqondo, nokuqonda ukuthi yini oyiphatha kungakusiza uzizwe ulungile futhi uqiniseke ngokuthi uqhubeka phambili.
I-Oligodendroglioma yi-tumor yengqondo eyiqala ebuchosheni bakho obumhlophe, ikakhulukazi ezicellulweni ezivame ukugoqa imicu yezinzwa njengokugoqa intambo yombane. Lezi tumors zihlelwa njenge-gliomas ngoba zikhula ezicellulweni ze-glial, ezingamaseli okusekela ohlelweni lwakho lwezinzwa.
Iningi le-oligodendrogliomas yi-tumors ekhula kancane, okusho ukuthi ivame ukukhula ngezinyanga noma iminyaka kunaseviki. Le ndlela yokukhula kancane ivame ukunika ubuchopho bakho isikhathi sokuziqondanisa, kungakho izimpawu zingase zivele kancane kancane. I-tumor ivame ukubonakala ezingxenyeni zangaphambili zobuchopho bakho, ikakhulukazi ezindaweni ebizwa ngokuthi yi-frontal ne-temporal lobes.
Odokotela bahlukanisa lezi tumors zibe izigaba ezahlukene ngokusekelwe ekutheni amaseli abonakala kanjani ngaphansi komkhiqizo. I-Grade 2 oligodendrogliomas ikhula kancane, kuyilapho i-grade 3 (ebizwa nangokuthi yi-anaplastic oligodendrogliomas) ikhula ngokushesha futhi inamandla. Iqembu lakho lezokwelapha lizocacisa uhlobo oluthile olulokhu unalo ngokuhlola okucophelelayo.
Izimpawu ze-oligodendroglioma zivame ukukhula kancane ngoba lezi tumors zivame ukukhula kancane kancane. Uphawu lokuqala oluvamile yiziboshwa, ezenzeka cishe ku-70-80% yabantu abanesimo. Lezi ziboshwa zenzeka ngoba i-tumor ingakhungathekisa inyama yobuchopho ezungezile.
Nawa ama-symptom aphambili ongawavela:
Ngokungavamile, ungase ube nezimpawu ezithile ngokusekelwe ekutheni i-tumor ikude kuphi. Uma ikwi-frontal lobe yakho, ungase uqaphele ukushintsha ekukwazi kwakho ukuhlela noma ukwenza izinqumo. I-tumors e-temporal lobe ingase ithonye ikhono lakho lokuqonda ulimi noma ukwakha izinkumbulo ezintsha.
Abanye abantu abane-oligodendroglioma abaqapheli zimpawu iminyaka eminingi, ikakhulukazi uma i-tumor ikhula kancane kakhulu. Kungakho lesi simo ngezinye izikhathi sitholakala ngesikhathi sokuhlola ubuchopho oluenziwe ngezizathu ezingezona, njengangemva kokulimaza ikhanda noma ngenxa yezinye izinkinga zokubhlungu kwekhanda.
I-Oligodendrogliomas ihlukaniswe zibe izigaba ezimbili eziphambili ngokusekelwe ekutheni inamandla kangakanani ngaphansi komkhiqizo. Le sistim yezigaba ikusiza iqembu lakho lezokwelapha ukuqonda ukuthi i-tumor ingase iziphathe kanjani futhi uhlele indlela yokwelapha engcono kakhulu kuwe.
I-Grade 2 oligodendroglioma yinguqulo ye-grade ephansi ekhula kancane futhi ine-cell ezibukeka zifana namaseli obuchosho oluvamile. Lezi tumors zingase zihlale zinzima iminyaka eminingi, futhi abanye abantu baphila nazo amashumi eminyaka ngokuphila okuhle. Zivame ukuba nemikhawulo ecacile, okwenza kube lula ukuzisusa ngokusebenza.
I-Grade 3 oligodendroglioma, ebizwa nangokuthi yi-anaplastic oligodendroglioma, inamandla futhi ikhula ngokushesha. Amaseli abonakala engekho kahle ngaphansi komkhiqizo futhi ahlukaniswa ngokushesha. Nakuba lokhu kuzwakala kukhathaza, lezi tumors zivame ukuphendula kahle ekwelapheni, ikakhulukazi uma zinezici ezithile ze-genetic.
Ngaphezu kwe-grade, odokotela nabo bafuna ama-marker athile e-genetic e-tumor tissue. I-tumors enento ebizwa ngokuthi "i-1p/19q co-deletion" ivame ukuphendula kangcono e-chemotherapy nase-radiation. Lokhu ukuhlola kwe-genetic sekukubalulekile kakhulu ekutholakaleni kwesifo ngoba kusiza ukubikezela ukuthi ukwelapha kungase kusebenze kangcono kangakanani kuwe.
Imbangela eqondile ye-oligodendroglioma ayaziwa, futhi lokhu kungase kubangele ukukhungatheka uma ufuna izimpendulo. Okwaziyo ukuthi lezi tumors zikhula lapho amaseli e-oligodendrocyte avamile ebuchosheni bakho eqala ukukhula nokwahlukaniswa ngokungavamile, kodwa ososayensi basafuna ukuqonda ukuthi yini ebangela lesi shintsho.
Ngokungafani nezinye izinhlobo ze-cancer, i-oligodendrogliomas ayibonakali ibangelwa izinto zokuphila njengokudla, ukubhema, noma ukukhishwa komkhathi. Iningi lamacala libonakala liyenzeka ngokungahleliwe, ngaphandle kwesizathu esicacile noma imbangela engavimbeka. Lokhu kusho ukuthi awekho okuthile obungakwenza ngokuhlukile ukukuvikela.
Ucwaningo oluthile luye lwabheka izimbangela ezingase zibe khona, kodwa ubufakazi bufinyelele:
Kubalulekile ukuqonda ukuthi ukuba nomphumela wezingozi akusho ukuthi uzophula lesi simo, futhi ukungabi nezimbangela zezingozi akukuvimbeli kukho. Abantu abaningi abane-oligodendroglioma abanawo ama-risk factor achazwe nhlobo.
Kufanele ubone udokotela ngokushesha uma uhlangabezana nesiboshwa okokuqala, ngoba lolu yiluphawu oluvamile olukhombisa i-oligodendroglioma. Ngisho noma isiboshwa sifushane noma sibonakala silula, kubalulekile ukuhlolwa kwezokwelapha ngoba iziboshwa zingase zibonise izimo ezihlukahlukene ezidinga ukunakekelwa.
Funani ukunakekelwa kwezokwelapha uma uqaphela ubuhlungu bekhanda obuqhubekayo obuhlukile kunalokho obekukhonile ngaphambili, ikakhulukazi uma bube sibi ngokuhamba kwesikhathi noma buhambisana nokuphefumula nokugabha. Ubuhlungu bekhanda obuvusa ebusuku noma obube sibi ekuseni nabo kufanele banakekelwe.
Kufanele futhi ubone udokotela wakho uma wena noma abanye niqaphela ukushintsha komuntu siqu, inkumbulo, noma amakhono okucabanga ahlala isikhathi esingaphezu kwezinsuku ezimbalwa. Ngezinye izikhathi lezi zinguquko zibuthakathaka ekuqaleni, ngakho qaphela uma amalungu omndeni noma abangane bekhomba ukukhathazeka ngezinguquko abazibonile.
Xhumana nezinsizakalo eziphuthumayo ngokushesha uma uhlangabezana nesiboshwa eside (esiphela ngaphezu kwemizuzu emi-5), ubuhlungu bekhanda obukhulu obukhulu obuhlukile kunalokho obekukhonile ngaphambili, noma ubuthakathaka noma ukungabi namandla ohlangothini olulodwa lomzimba wakho. Lezi zimpawu zidinga ukuhlolwa okusheshayo.
Iningi le-oligodendrogliomas liyenzeka ngaphandle kwanoma yiziphi izimbangela zezingozi ezicacile, okusho ukuthi zikhula ngokungahleliwe kubantu abangenazo izimo ezibekela engcupheni. Ukuqonda lokhu kungase kube ukukhungatheka nokukhuthaza - ukukhungatheka ngoba awekho incazelo ecacile, kodwa kukhuthaza ngoba kusho ukuthi cishe awukwazanga ukuyivimba.
Izimbangela ezimbalwa zezingozi ezaziwayo zihlanganisa:
Izinto eziningi abantu abazikhathazayo azilona ama-risk factor we-oligodendroglioma. Ukusetshenziswa kwefoni, ukuhlala eduze kwemigqa yamandla, ukulimala ekhanda, kanye nokuningi kokukhishwa komkhathi akuzange kubonakale kukwandisa ingozi yakho. Ukudla, ukuzivocavoca, kanye nokuningi kwezinto zokuphila nako akuzange kubonakale kudlala indima.
Indlela yokungahleliwe yokukhula kwe-oligodendrogliomas iningi layo isho ukuthi ukuba nalezi tumors akuyona into ehamba ngamandla emindenini. Uma une-oligodendroglioma, amalungu omndeni wakho awongeziwe engcupheni ngokuphawulekayo uma kuqhathaniswa nabantu abavamile.
Nakuba i-oligodendrogliomas ivame ukuphathwa, ingabangela izinkinga kokubili kusuka e-tumor ngokwayo nakwelapheni. Ukuqonda lezi zinto ezingase zenzeke kungakusiza usebenze neqembu lakho lezokwelapha ukuqapha nokubhekana nanoma yiziphi izinkinga ezivela.
Izinkinga ezivame kakhulu zihlangene nendawo yokukhula kwe-tumor:
Izinkinga ezihlobene nokwelapha zingase zenzeke kodwa zivame ukuphathwa ngokunakekelwa kwezokwelapha okufanele. Ukuhlinzwa kungase kwenze izimpawu zezinzwa zibe zimbi okwesikhashana noma kubangele ezintsha, nakuba lokhu kuvame ukuthuthuka ngokuhamba kwesikhathi. I-radiation therapy ngezinye izikhathi ingabangela ukukhathala, ukushintsha kwesikhumba, noma imiphumela yangemva kwesikhathi emakhonweni okucabanga, ikakhulukazi kubantu abadala.
Imiphimiso ye-chemotherapy ivame ukuba yiyona kuphela futhi ingase ihlanganise ukukhathala, ukuphefumula, noma ukwanda kengozi yokutheleleka. Iqembu lakho lezokwelapha lizokunakekela eduze futhi ngezinye izikhathi lingavimba noma lilawule lezi zinkinga ngokuphumelelayo. Okubalulekile ukugcina ukuxhumana okuvulekile mayelana nanoma yiziphi izimpawu ezintsha noma ukukhathazeka okuhlangenwe nakho.
Ukuhlonishwa kwe-oligodendroglioma kuvame ukuqala ngomlando wezokwelapha onemininingwane kanye nokuhlolwa kwezinzwa. Udokotela wakho uzokubuza ngezimpawu zakho, lapho zaqala khona, nokuthi zishintshe kanjani ngokuhamba kwesikhathi. Ukuhlolwa kwezinzwa kuhlola ukubonakala kwakho, ukuxhumanisa, ukubona, kanye namakhono okucabanga.
Ithuluzi elibaluleke kakhulu lokuhlola yi-MRI scan yobuchopho bakho, edala izithombe ezinemininingwane ezingabonisa usayizi we-tumor, indawo, kanye nezici. Le scan ivame ukudalula ukubonakala okuvamile kwe-tumor futhi ikusiza ukuyihlukanisa kwezinye izinhlobo ze-lesions zengqondo. Ngezinye izikhathi i-dye contrast isebenziswa ukwenza izithombe zibe sobala nakakhulu.
Ukuqinisekisa ukuhlonishwa nokuthola uhlobo oluthile lwe-oligodendroglioma, cishe uzodinga i-biopsy noma ukususwa kokusebenza kokungenani ingxenye ye-tumor. Ngesikhathi sale nqubo, i-neurosurgeon ithola amasampula e-tissue apho i-pathologist ayahlola ngaphansi komkhiqizo. Lokhu kuhlalutya kubonisa uhlobo oluqondile lweselula kanye ne-grade ye-tumor.
Ukuhlolwa kwamanje futhi kuhlanganisa ukuhlolwa kwe-genetic kwe-tumor tissue, ikakhulukazi ukubuka i-1p/19q co-deletion. Ulwazi lwe-genetic lubalulekile ngoba kusiza ukubikezela ukuthi ukwelapha kuzosebenza kangcono kangakanani futhi kunikeza ulwazi olubalulekile mayelana ne-prognosis yakho.
Ukwelapha kwe-oligodendroglioma kuvame ukwenziwa ngokwezimo ngokusekelwe ezintweni ezifana nosayizi we-tumor, indawo, i-grade, kanye nezici ze-genetic, kanye nobudala bakho nempilo yonke. Izindaba ezinhle ukuthi i-oligodendrogliomas ivame ukuphendula kahle ekwelapheni, ikakhulukazi uma zinezici ezinhle ze-genetic.
Ukuhlinzwa kuvame ukuba ukwelapha kokuqala, ngenhloso yokususa okuningi kwe-tumor ngokuphepha ngangokunokwenzeka. I-Neurosurgeons isebenzisa amasu aqhubekile futhi ngezinye izikhathi yenza ukuhlinzwa ngenkathi uvukile (ngezinye i-tumors ezindaweni eziqakathekile zobuchopho) ukuvikela imisebenzi ebalulekile njengokukhuluma nokukhuthaza. Ngisho noma i-tumor yonke ingasuswa, ukunciphisa usayizi wayo kuvame ukusiza ngezimpawu.
Nge-tumors ezingaphezulu noma lapho ukuhlinzwa kudinga ukwanele, i-radiation therapy ne-chemotherapy zivame ukusetshenziswa ndawonye. I-radiation therapy isebenzisa imisebe egxile ukuqondisa noma yimaphi amaseli e-tumor asaleyo, kuyilapho imithi ye-chemotherapy ingase ifike ebuchosheni ukulobola amaseli e-tumor kulo lonke uhlelo lwezinzwa.
Nawa ama-approach aphambili okwelapha:
Izinhlelo zokwelapha zenziwa yiqembu elihlanganisa i-neurosurgeon, i-neuro-oncologist, i-radiation oncologist, kanye nezinye izazi. Basebenza ndawonye ukudala indlela engcono kakhulu yesimo sakho esithile, beqondanisa ukusebenza kahle nezincazelo zokuphila.
Ukuphatha ukuphila nge-oligodendroglioma kuhilela ukunakekela impilo yakho yomzimba nengqondo ngenkathi usebenza eduze neqembu lakho lezokwelapha. Abantu abaningi abane-oligodendroglioma baqhubeka bephila impilo egcwele, enenjongo ngezinguquko ezithile nokusekelwa.
Uma uhlangabezana neziboshwa, kubalulekile ukuthatha imithi yokulwa neziboshwa ngokuqondile njengoba kuyalelwe futhi ugweme izinto ezingase zibangele iziboshwa njengotshwala, ukushoda kokulala, noma ukucindezeleka okukhulu. Dala indawo ephephile ekhaya ngokususa izinkinobho ezibukhali eduze kwezindawo lapho uchitha khona isikhathi futhi ucabange ngezindlela zokuphepha njengezihlalo zeshawa uma kudingeka.
Ukuphatha ukukhathala kuvame ukuba yingxenye ebalulekile yempilo yansuku zonke. Hlela imisebenzi ebalulekile ngezikhathi lapho uvame ukuzizwa une-energy kakhulu, thatha ukuphumula okufushane usuku lonke, futhi ungangabazi ukucela usizo ngemisebenzi ezizwa ikhulu kakhulu. Ukuzivocavoca okuthambile, njengoba kuvunyelwe udokotela wakho, empeleni kungasiza ngezintaba zenegy.
Nawa amasu asebenzayo okuphatha usuku lonke:
Ungakubaluleki ukubaluleka kokusekelwa kwempilo yengqondo. Abantu abaningi bathola ukwelashwa okuwusizo ekucubunguleni izici zomzwelo zokuba ne-tumor yengqondo. Iqembu lakho lezokwelapha ngezinye izikhathi linganikeza izinkomba kubacebisi abaqeqeshwe ekusebenzeni nabantu ababhekene nezimo zempilo ezinzima.
Ukulungiselela i-appointments neqembu lakho lezokwelapha kungakusiza ukwenza okuningi ngesikhathi sakho ndawonye futhi kuqinisekise ukuthi zonke izinkinga zakho ziqondwa. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi lapho zaqala khona, ukuthi zivele kangaki, nokuthi yini ezenza zibe ngcono noma zimbi.
Dala uhlu lwemithi yonke oyithathayo, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kwelayisense, izongezo, namavithamini. Faka imithamo nokuthi uyayithatha kangaki. Letha futhi uhlu lanoma yiziphi izinto ozitholakala noma izimpendulo zangaphambili kwimithi.
Lungiselela imibuzo yakho kusengaphambili futhi uyibeke phambili, ubeke eziqakathekileyo kuqala. Ungakhathazeki ngokuba nemibuzo eminingi kakhulu - iqembu lakho lezokwelapha lifuna ukubhekana nezinkinga zakho. Cabanga ukuletha ilungu lomndeni noma umngane ongakusiza ukukhumbula ulwazi oluxoxwe ngesikhathi se-appointment.
Butha amarekhodi ezokwelapha abalulekile, kufaka phakathi noma yiziphi izithombe zengqondo zangaphambili, imiphumela yokuhlola, noma imibiko evela kwabanye odokotela. Uma ubona izazi ezintsha, ukuba nolwazi olutholakalayo kungabasiza ukuqonda isimo sakho ngokushesha nangokuphelele.
Cabanga ukuthi izimpawu zakho zithinta kanjani impilo yakho yansuku zonke futhi ulungele ukuchaza izibonelo ezithile. Ulwazi olukhulu lusiza iqembu lakho lezokwelapha ukuqonda umthelela wangempela wesimo sakho futhi lungase luqondise izinqumo zokwelapha.
I-Oligodendroglioma uhlobo lwe-tumor yengqondo oluvame ukuba ne-outlook engcono uma kuqhathaniswa nezinye i-tumors zengqondo. Lezi tumors zivame ukukhula kancane, zivame ukuphendula kahle ekwelapheni, futhi abantu abaningi abane-oligodendroglioma baphila iminyaka eminingi ngokuphila okuhle.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi isimo sabantu ngasinye sihlukile. Izici ezifana nezici ze-genetic ze-tumor, ikakhulukazi i-1p/19q co-deletion, zingathinta kakhulu ukuthi ukwelapha kuzosebenza kangcono kangakanani. Ukwelapha kwamanje kwenze intuthuko enkulu ekwelapheni lezi tumors, ikakhulukazi uma zinezici ezinhle ze-genetic.
Ukuba ne-oligodendroglioma akusho ukuthi udinga ukuyeka impilo yakho. Abantu abaningi baqhubeka besebenza, begcina ubuhlobo, futhi belandela imisebenzi enenjongo kulo lonke ukwelashwa kwabo nakwamanye.
Khumbula ukuthi awuwedwa kule ndlela. Iqembu lakho lezokwelapha, umndeni, abangane, namaqembu okusekela konke kungadlala indima ebalulekile ekusikweni ukuhamba nale nselelo. Hlala unethemba, buza imibuzo, futhi umelele wena ngenkathi uthembela ekuqeqeshweni kwabahlinzeki bakho bezempilo.
Yebo, i-oligodendroglioma uhlobo lwe-cancer yengqondo, kodwa ivame ukuba ingaphezulu kwamandla kunamanye ama-cancer. Lezi tumors zivame ukukhula kancane futhi zivame ukuphendula kahle ekwelapheni. Igama elithi "i-cancer" lingase libe yinto ebangela ukukhathazeka, kodwa i-oligodendrogliomas ivame ukuba ne-prognosis engcono kakhulu kunalokho abantu abavame ukuhlanganisa nalo ligama, ikakhulukazi uma zinezici ezinhle ze-genetic.
Abantu abaningi abane-oligodendroglioma baphila amashumi eminyaka ngemuva kokutholakala kwesifo, ikakhulukazi labo abane-tumors ezingaphansi kanye nezici ezinhle ze-genetic njenge-1p/19q co-deletion. Ukuphila kuyahluka kakhulu ngokusekelwe ezintweni ezifana ne-grade ye-tumor, izici ze-genetic, ubudala, nokuthi yingakanani i-tumor engasuswa ngokusebenza. Iqembu lakho lezokwelapha linganikeza ulwazi oluqondile ngokusekelwe esimweni sakho, kodwa i-outlook yonke ivame ukukhuthaza kakhulu.
Nakuba igama elithi "ukwelapha" lisetshenziswa ngokucophelela ezokwelapha, abantu abaningi abane-oligodendroglioma baphila impilo ende, egcwele ngaphandle kokubonakala kokukhula kwe-tumor noma ukubuyela kwesifo. Ukususwa kokusebenza okuphelele okuhlanganiswe nokwelapha okuphumelelayo ngezinye izikhathi kungasusa yonke i-tumor ebonakalayo. Ngisho noma ukususwa okuphelele kungenzeki, ukwelapha ngezinye izikhathi kungalawula i-tumor iminyaka eminingi, kuvumela abantu ukuba bahlale bephila impilo enhle.
Imikhawulo yokuqhuba ixhomeke ikakhulukazi ekutheni uhlangabezana neziboshwa. Uma uke waba neziboshwa, izifundazwe eziningi zidinga isikhathi eside sokungabi neziboshwa (ngokuvamile izinyanga eziyi-3-12) ngaphambi kokuba uqhubeke uphinde uqhube. Uma awukaze ube neziboshwa futhi izimpawu zakho azithinti ikhono lakho lokuqhuba ngokuphepha, ungase uqhubeke uqhuba. Udokotela wakho uzohlala esimweni sakho futhi akuqondise mayelana nokuphepha kokuqhuba ngokusekelwe ezimpawu zakho nokwelapha.
Akuyona yonke i-oligodendrogliomas ebuyela ngemuva kokwelapha. Izinto eziningi zithinta ingozi yokubuyela kwesifo, kufaka phakathi i-grade ye-tumor, izici ze-genetic, nokuthi yingakanani i-tumor esusiwe ngokusebenza. I-oligodendrogliomas ephansi ene-genetics enhle (i-1p/19q co-deletion) ivame ukuba nezinga eliphansi lokubuyela kwesifo. Ngisho noma kubuyele, ngokuvamile kwenzeka kancane futhi kuvame ukwelashwa futhi ngemiphumela emihle. Ukubuka okuvamile nge-MRI scans kusiza ukuthola noma yiziphi izinguquko ekuqaleni.