Metastatic brain tumarara

Bundu remuropi remastastatic igomarara rakatanga mune chimwe chikamu chemuviri rikapararira kuuropi

Mazhinji mamota kana kenza mhando dzinogona kupararira kuenda kuuropi. Akanyanya kuwanda ndeaya:

• Kenza yemapapu
• Gomarara repazamu
• Melanoma
• Kenza yeitsvo
• Gomarara rekoloni
• Leukemia

Dzimwe mhando dzekenza hadziwanzo kupararira kuuropi, senge kenza yeprostate. Mune zvimwe zviitiko, bundu rinogona kupararira kuuropi kubva kunzvimbo isingazivikanwe. Ichi chinonzi gomarara risingazivikanwe primary (CUP).

Kukura kwemamota ehuropi kunogona kuisa kumanikidza kumatunhu ari padyo europi. Kuzvimba kwehuropi nekuda kwemamota aya kunokonzeresa kumanikidza mukati merisehenya.

Mamota ehuropi anopararira anorongedzwa zvichienderana nenzvimbo yebundu muuropi, mhando yeturu yakabatanidzwa, uye nzvimbo yekutanga yebundu.

Metastatic brain tumors inoitika mune imwechete yechina (25%) yekenza dzese dzinopararira nemuviri. Iwo akajairika zvakanyanya kupfuura ekutanga matumbo ehuropi (mamota anotanga muuropi).

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kuderera kwekubatana, kusagadzikana, kudonha
• Kazhinji kurwara kunzwa kana kuneta
• Kutemwa nemusoro, kutsva kana kuomarara kupfuura zvakajairwa
• Kurangarira ndangariro, kusarudza kwakashata, kunetseka kugadzirisa matambudziko
• Unhu, kurira, kurwadziwa, uye zvimwe shanduko mukunzwa
• Unhu hunochinja
• Kukurumidza kushanduka kwemanzwiro kana maitiro asina kujairika
• Kufenda kuri kutsva
• Matambudziko nekutaura
• Chiono chinoshanduka, kuona kaviri, kuderera kwemaonero
• Kusvipa, uine kana pasina svoto
• Kushaya simba kwenzvimbo yemuviri

Zviratidzo chaizvo zvinosiyana. Zviratidzo zvakajairika zvemhando zhinji dze metastatic brain tumors zvinokonzerwa nekuwedzera kumanikidza muuropi.

Bvunzo inogona kuratidza huropi uye huta hurongwa hunoshanduka zvichibva nekuti bundu racho riri kupi muuropi. Zviratidzo zvekuwedzera kumanikidza mu dehenya zvakajairika. Mamwe mamota anogona kusaratidza zviratidzo kudzamara akura kwazvo. Ipapo, ivo vanogona kukonzeresa kukurumidza kuderera muhunhu system inoshanda.

Iyo yekutanga (yekutanga) bundu inogona kuwanikwa nekuongorora mamota matema kubva muuropi.

Miedzo inogona kusanganisira:

• Mammogram, CT inoongorora yechipfuva, dumbu, uye chiuno kuti uwane iyo yekutanga turu saiti
• CT scan kana MRI yehuropi kuti isimbise kuongororwa uye kuona nzvimbo yemota (MRI inowanzo kuve yakaoma kutsvaga mabundu muuropi)
• Kuongororwa kwetissue yakabviswa kubva bundu panguva yekuvhiyiwa kana CT scan- kana MRI-inotungamirwa biopsy kuratidza mhando yemarara
• Lumbar puncture (musana tap)

Kurapa kunoenderana ne:

• Kukura uye mhando yebundu
• Nzvimbo mumuviri kubva kwayakapararira
• Hutano hwemunhu hwese

Zvinangwa zvekurapa zvinogona kunge zviri kubvisa zviratidzo, kunatsiridza mashandiro, kana kupa nyaradzo.

Yese huropi radiation radiation (WBRT) inowanzo shandiswa kurapa mamota akapararira kuuropi, kunyanya kana paine akawanda mamota, uye kuvhiya haisiyo sarudzo yakanaka.

Kuvhiya kunogona kushandiswa kana paine bundu rimwe uye gomarara risati rapararira kune dzimwe nhengo dzemuviri. Mamwe mamota anogona kubviswa zvachose. Mamota ayo akadzika kana anowedzera mukati mehuropi matishu anogona kudzikiswa muhukuru (debulked).

Kuvhiya kunogona kudzikisa kumanikidza uye kubvisa zviratidzo muzviitiko apo bundu risingakwanise kubviswa.

Chemotherapy yemasastatic brain tumors kazhinji haina kubatsira sekuvhiya kana radiation. Mimwe mhando yemamota, zvakadaro, inopindura chemotherapy.

Stereotactic radiosurgery (SRS) inogona zvakare kushandiswa. Iyi fomu ye radiation radiation inotarisa yakakwira-simba x-rays pane diki nzvimbo yeuropi. Inoshandiswa kana paine mashoma chete mamastatic matumbo.

Mishonga yehuropi bundu zviratidzo zvinosanganisira:

• Anticonvulsants senge phenytoin kana levetiracetam yekudzora kana kudzivirira kubatwa
• Corticosteroids senge dexamethasone yekudzora huropi kuzvimba
• Osmotic diuretics senge hypertonic saline kana mannitol yekudzora huronyo kuzvimba
• Mishonga yemarwadzo

Kana kenza yapararira, kurapwa kunogona kutarisa kudzikamisa marwadzo uye zvimwe zviratidzo. Izvi zvinodaidzwa kutaridzika kana kuchengetedza.

Matanho enyaradzo, matanho ekuchengetedza, kurapa kwemuviri, kurapwa pabasa, uye kumwe kurapa kunogona kuvandudza hupenyu hwevarwere. Vamwe vanhu vangangoda kutsvaga rairo yemutemo kuvabatsira kuti vagadzire rairo yekumberi uye simba regweta rezvehutano.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Kune vanhu vazhinji vane metastatic brain tumors, gomarara harirapike. Ichazopararira ichienda kune dzimwe nzvimbo dzomuviri. Kufungidzira kunoenderana nerudzi rwebundu uye nemabatiro ainoita kurapwa.

Matambudziko ehutano anogona kuzoguma anosanganisira:

• Ubongo herniation (inouraya)
• Kurasikirwa kwekugona kuita kana kuzvitarisira
• Kurasikirwa kwekugona kudyidzana
• Permanent, kurasikirwa kwakanyanya kweiyo system system basa iro rinowedzera kuwedzera nekufamba kwenguva

Fonera wako mupi wezvehutano kana iwe ukave nekuramba uchirwadziwa nemusoro mutsva kana wakasiyana kwauri.

Fonera mupiki wako kana enda kuimba yekukurumidzira kana iwe kana mumwe munhu waunoziva ukangoerekana wave nehusimbe kana kuona shanduko, kana kushomeka kwekutaura, kana kugumburwa kutsva kana kwakasiyana.

Brain bundu - metastatic (sekondari); Kenza - huta hwehuropi (metastatic)

• Radhi radiation - kubuda
• Kuvhiya kwehuropi - kubuda
• Radiation Therapy - mibvunzo yekubvunza chiremba wako

• Ubongo
• MRI yeuropi

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Dorsey JF, Salinas RD, Dang M, et al. Gomarara repakati tsinga. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 63.

Mukuru JB, Nahed BV, Linskey ME, Olson JJ. Congress yeNeurological Surgeons yakarongeka kuongorora uye humbowo-hwakavakirwa nhungamiro pamusoro pebasa rekubuda uye kwekurapa kwekurapa kwevakuru vane metastatic brain tumors. Neurosurgery. 2019; 84 (3): E201-E203. PMID 30629215 pubmed.ncbi.nlm.nih.gov/30629215/.

National Cancer Institute webhusaiti. Adult central nervous system mamota kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/brain/hp/adult-brain-treatment-pdq. Yakagadziridzwa Ndira 22, 2020. Yakasvika munaFebruary 12, 2020.

Olson JJ, Kalkanis SN, Ryken TC. Congress yeNeurological Surgeons Yakarongeka Ongororo uye Uchapupu-Hwakavakirwa Mirayiridzo yekurapa kwevakuru vane metastatic brain tumors: Executive chidimbu. Neurosurgery. 2019; 84 (3): 550-552. PMID 30629218 pubmed.ncbi.nlm.nih.gov/30629218/.

Patel AJ, Lang FF, Suki D, Wildrick DM, Sawaya R. Metastatic matumbo ehuropi. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 146.