Musana bundu

Bota remuzongoza ndiko kukura kwemasero (mashoma) mukati kana kutenderedza musana wesana.

Chero mhando yemota inogona kuitika mumuzongoza, kusanganisira mamota ekutanga uye echipiri.

Mamota ekutanga: mazhinji aya mamota ane hunyoro uye anononoka kukura.

• Astrocytoma: bundu remasero anotsigira mukati memutsipa wepelinha
• Meningioma: bundu retishu inovhara musana
• Schwannoma: bundu remasero akapoterera tsinga dzemitsipa
• Ependymoma: bundu remasero rinoturika matanda ehuropi
• Lipoma: bundu remafuta maseru

Sekondari mamota kana metastasis: aya mapundu masero ekenza anouya achibva kune dzimwe nzvimbo dzemuviri.

• Kenza yeprostate, yemapapu uye yemazamu
• Leukemia: kenza yeropa inotangira mumasero machena ari mumongo wemapfupa
• Lymphoma: kenza yeiyo lymph tishu
• Myeloma: kenza yeropa inotanga mumasero eplasma yemongo wemapfupa

Chikonzero chekutanga musana mapundu hachizivikanwe. Mamwe mapundu emumuzongoza anoitika pamwe nekumwe kushanduka kwemajini.

Spinal tumors inogona kuwanikwa:

• Mukati memuzongoza (intramedullary)
• Mune membranes (meninges) inovhara musana (extramedullary - intradural)
• Pakati pemanyowa nemapfupa emuzongoza (zvekunze)
• Mumabhonzo vertebrae

Sezvo ichikura, bundu rinogona kukanganisa iyo:

• Tsinga
• Mabhonzo emuzongoza
• Meninges
• Tsinga midzi
• Mutsara wesero masero

Bundu iri rinogona kutsimbirira pamuzongoza kana musinga midzi, zvichikonzera kukuvara. Nekufamba kwenguva, kukuvara kwacho kunogona kuve kwechigarire.

Zviratidzo zvinoenderana nenzvimbo, mhando yemota, uye hutano hwako hwese. Sekondari mamota akapararira kumusana kubva kune imwe saiti (metastatic tumors) inowanzo fambira mberi nekukurumidza. Mamota ekutanga anowanzo fambira mberi zvishoma nezvishoma pamusoro pevhiki kusvika kumakore.

Zviratidzo zvinogona kusanganisira:

• Kusanzwisisika kwekunzwa kana kurasikirwa kwekunzwa, kunyanya mumakumbo
• Kutambudzika kwekushure kunowedzera zvakanyanya nekufamba kwenguva, kazhinji kuri pakati kana kudzika kumashure, kazhinji kwakanyanya uye kusasunungurwa nemushonga wemarwadzo, kunowedzera pakuvata kana kumanikidza (senge panguva yekukosora kana kuhotsira), uye inogona kuwedzera muchiuno kana makumbo
• Kurasikirwa kwehutachiona, kudonha kwedundira
• Tsvina yemhasuru, twitches, kana spasms (fasciculations)
• Tsandanyama kushaya simba (kuderera kwemhasuru simba) mumakumbo anokonzeresa kudonha, anoita kuti kufamba kuve kwakaoma, uye kunogona kuwedzera (kufambira mberi) uye kunotungamira mukufa mitezo.

Tsinga yetsinga (yetsinga) kuongorora kunogona kubatsira kuona nzvimbo yebundu. Anopa hutano anogona kuwana zvinotevera panguva yebvunzo.

• Kusanzwisisika kusagadzikana
• Yakawedzera mhasuru toni
• Kurasikirwa kwekutambudzika uye kupisa kwekunzwa
• Tsvina kushaya simba
• Unyoro mumuzongoza

Iyi bvunzo inogona kusimbisa musana wemusana:

• Musana CT
• Mutsara MRI
• Mutsara x-ray
• Cerebrospinal fluid (CSF) kuongorora
• Myelogram

Chinangwa chekurapa ndechekuderedza kana kudzivirira kukuvara kwetsinga kunokonzerwa nekumanikidza (kumanikidza kwe) musana wesipinha uye kuona kuti unogona kufamba.

Kurapa kunofanira kupihwa nekukurumidza. Izvo zvinokurumidza zviratidzo kukura, kurumidza kurapwa kunodiwa kudzivirira kusagadzikana kukuvara. Chero hupi hutsva kana husinganzwisisike kurwadziwa musana mumurwere ane gomarara hunofanirwa kuongororwa zvakazara.

Mishonga inosanganisira:

• Corticosteroids (dexamethasone) inogona kupihwa kudzikisira kuzvimba uye kuzvimba kwakatenderedza musana.
• Kuvhiyiwa kwechimbichimbi kunogona kudikanwa kuti ubvise kudzvinyirira pamutsipa wepelinha. Mamwe mamota anogona kubviswa zvachose. Mune zvimwe zviitiko, chikamu chebundu chinogona kubviswa kubvisa kushushikana pamutsipa wesipinha.
• Radiation therapy inogona kushandiswa ne, kana panzvimbo ye, kuvhiyiwa.
• Chemotherapy haina kuratidzirwa ichishanda pamusoro peanonyanya epamusana emumota, asi inogona kukurudzirwa mune zvimwe zviitiko, zvichienderana nerudzi rwechironda.
• Kurapa kwemuviri kunogona kudiwa kuti uvandudze simba remhasuru uye kugona kushanda zvakazvimiririra.

Mhedzisiro yacho inosiyana zvichienderana nebundu. Kutanga kuongororwa uye kurapwa kunowanzo kutungamira kumhedzisiro iri nani.

Kukuvara kwemutsipa kunowanzoenderera, kunyangwe mushure mekuvhiyiwa. Kunyangwe imwe huwandu hwekuremara zvachose kungangoitika, kurapwa kwekutanga kunogona kunonoka kuremara kukuru uye kufa.

Fonera mupi wako kana iwe uine nhoroondo yekenza uye wobva warwadziwa zvakanyanya musana kurwadziwa kunoerekana kwawedzera kana kutowedzera.

Enda kuimba yekukurumidzira kana kufonera 911 kana yenhamba yemuno yekukurumidzira kana iwe ukava nezviratidzo zvitsva, kana zviratidzo zvako zvichitowedzera panguva yekurapwa kwepamuviri.

Bundu - musana

• Vertebrae
• Musana bundu

DeAngelis LM. Bundu repakati tsinga system. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 180.

Jakubovic R, Ruschin M, Tseng CL, Pejovic-Milic A, Sahgal A, Yang VXD. Kuvhiya resection pamwe nemwaranzi yekurapa kuronga kwepamuviri mamota. Neurosurgery. 2019; 84 (6): 1242-1250. PMID: 29796646 pubed.ncbi.nlm.nih.gov/29796646/.

Moron FE, Delumpa A, Szklaruk J. Mamota emusana. Mune: Haaga JR, Boll DT, eds. CT neMRI yeMuviri Wese. 6th ed. Philadelphia, PA: Elsevier; 2017: chits.

Niglas M, Tseng CL, Dea N, Chang E, Lo S, Sahgal A. Spinal tambo kudzvinyirira. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chap 54.