Munyori: Frank Hunt
Zuva Rekusika: 15 Kurume 2021
Gadziridza Zuva: 18 Mbudzi 2024
Anonim
Mhando dzehuropi bundu, kurapwa uye zvinogoneka sequelae - Utano
Mhando dzehuropi bundu, kurapwa uye zvinogoneka sequelae - Utano

Zvemukati

Bundu rebongo rinoonekwa nekuvapo uye kukura kwemasero asina kujairika muuropi kana meninges, ayo ari mamandara anotenderera uropi uye musana. Rudzi urwu rwebundu rinogona kuve rakaipa kana rakaipa uye zvikonzero zvacho hazvina kunyatsotsanangurwa, asi zvinogona kuitika nekuda kwekuchinja kwemajini kana nekuda kwecancer metastasis kubva kune mamwe mativi emuviri, semuenzaniso.

Zviratidzo zvebundu reuropi zvinoenderana nenzvimbo, kukura uye mhando yebundu, asi zvinowanzo kukonzera kutemwa nemusoro kwakanyanya, kusaona zvakanaka, kushomeka uye kunyangwe kubatwa. Ziva zvimwe zviratidzo zvebundu rouropi.

Bundu remuuropi kashoma kukonzeresa metastasis, ndiko kuti, rinopararira kune mamwe mativi emuviri, nekuti kazhinji masero akaipa echironda ichi anokura uye kuwanda muuropi chaimo. Mazhinji mamota europi ane hunyoro uye ane miganho yakatsanangurwa-zvakanaka, ndiko kuti, inorapwa uye inogona kurapwa nekuvhiyiwa. Nekudaro, mune zviitiko zvebundu rakaipa, kurapwa kunogona kuve kwakavakirwa pane chemotherapy, radiation radiation kana yakanangwa kurapwa.


Mhando huru

Bundu reuropi rinogona kuverengerwa sekutanga, apo masero asina kujairika anobva kuhurongwa hwetsinga pachahwo, kana sekondari, izvo zvinoitika kana maseru emarara asina kujairika muuropi achimuka kubva kune imwe nhengo ine gomarara, senge mapapu, itsvo, ura kana zamu. Nekudaro, iwo akakosha marudzi eepfungwa yekutanga bundu ndeaya:

  • Meningioma: inoratidzirwa nekuvapo kwebundu mune meninges, ayo ari membranes akakomberedza uye anodzivirira epakati tsinga system;
  • Glioblastoma: iyo mhando yehuropi bundu iyo inobata glial maseru, ayo ane basa rekubatsira mabasa emauroni;
  • Astrocytoma: rudzi urwu rwekutanga bundu rinokanganisa maseru anotsigira mauroni uye kuomarara kunosiyana zvichienderana nehukuru hwayo uye hunhu, uye inogona kunge iri yakaipa kana yakaipa;
  • Medulloblastoma: ndiyo yakajairika mhando yehuropi bundu muvana, iyo inokanganisa cerebellum uye kazhinji inowanzo kuve nemhinduro yakanaka pakurapwa;
  • Pituitary adenoma: inoratidzirwa nekubatanidzwa kwegland iri pasi peuropi, adenohypophysis, inokonzera migumisiro pane muviri wose.

Kune zvekare ependymomas, inova mhando yemota yebongo inoitika kubva kune ependymal maseru, ayo anokonzeresa kubatisisa kweiyo neural chubhu, ndiko kuti, nyama inovhara tsinga.


Kurapwa kunoitwa sei

Mushonga wehuropi bundu unosiyana zvichienderana nesaizi, mhando, degree rebundu uye zvakare zvinoenderana nekuti bundu rapararira kune mamwe matunhu epakati etsinga system, uye mhando dzakasiyana dzekurapa dzinogona kuratidzwa neana oncologist, senge zvinotevera sarudzo:

1. Chemotherapy

Chemotherapy ndiyo mhando yekurapa iyo inosanganisira kuisa zvinodhaka zvakananga mutsinga, kuburikidza nekateti, nechinangwa chekuparadza mamota maseru ari kukonzera bundu repfungwa. Mishonga yakanyanya kushandiswa pazviitiko izvi ndeye carmustine uye temozolomide, iyo inogona kushandiswa nenzira yemapiritsi.

Rudzi urwu rwekurapa, zvisinei, runogona zvakare kuparadza maseru ane hutano, zvichikonzera mhedzisiro senge kusvotwa, kurutsa, kurasikirwa nevhudzi, kuneta kana manyoka, semuenzaniso. Ona zvimwe zvinokanganisa chemotherapy.

Idosi yemakemikari emakemikari uye huwandu hwesangano hwakaratidzirwa hunoratidzwa neana oncologist uye, kazhinji, kunyorera kunoitwa mukati menguva yekuti maseru ane hutano apore.


2. Target kurapa

Iyo tarisiro yekurapa ine mishonga inoshanda yakanangana nemajini uye mapuroteni mumaseru tumarara maseru, kudzivirira kukura uye kubatsira kuparadza rudzi urwu rwebundu. Nenzira iyi, pamwe nekuita kwemishonga iyi, immune system inosimbiswa uye maseru ekudzivirira emuviri anorwisawo bundu repfungwa.

Kuti rudzi urwu rwekurapa rwushandiswe, bvunzo dzakananga uye bvunzo dzinodiwa kuti uone aya majini uye mapuroteni kubva kumaseru maseru, uye kwete ese marudzi emamota ane mishonga yerudzi urwu yekurapa. Mushonga bevacizumab muenzaniso wekurapa kurapwa kunoshandiswa mune mamwe marudzi ehuropi tumota, iyo muyero uyo unoenderana nehukuru uye kuomarara kwetumota.

3. Radiotherapy

Radiotherapy inoshandiswa kurapa bundu rehuropi kuburikidza nekuisa yakananga matanda emwaranzi anoburitswa nemuchina wakasarudzika, unonzi linear accelerator, iyo yakafanana nemuchina unoita tomography uye magnetic resonance imaging. Aya matanda e radiation anoita akananga panzvimbo yebundu, achiuraya cancer maseru, achibatsira kudzikisa uye kubvisa bundu repfungwa.

Mune zvimwe zviitiko, brachytherapy inogona kuratidzwa, iri mhando yeradiotherapy inoitwa kuburikidza neiyo radioactive implant, yakaunzwa muuropi uye iyo inoburitsa zvishoma nezvishoma radiation. Nguva yekurapwa yakasiyana nemhando yega yega yebundu uye radiotherapist ndiye anoratidza zvikamu uye muyero we radiation. Ziva mhando uye apo radiotherapy inoratidzwa.

4. Kuvhiya

Kuvhiya kunogona kuratidzwa zvichienderana nenzvimbo yebundu remuropi, sezvo kazhinji iri nzira isina kusimba, inoda kutariswa kwakawanda kubva kune vanovhiya, sezvo huropi inhengo inoenderana nezviitwa zvemuviri, sekutaura, kuona uye mafambiro.

Maitiro ekuvhiya anokwanisa zvakare kuratidzwa sechikamu chekuongororwa, kuburikidza nehuropi biopsy, iyo inosanganisira kutora sampuro yehuropi matishu kuti iongororwe murabhoritari uye izvi zvakakosha nekuti zvinogona kubatsira oncologist kutungamira uye nekukurudzira kwakakodzera kurapwa. . Kune zvakare radiosurgery, mune iyo radiotherapy inoiswa panguva yehuropi bundu kubvisa kuvhiya.

5. Kurapa kunotsigira

Rutsigiro rwekutsigira rwakavakirwa pakushandiswa kwemishonga kubvisa zviratidzo zvinokonzerwa nehuropi bundu, senge, semuenzaniso, corticosteroid zvinodhaka zvinobatsira kudzikisira kuzvimba kwehuropi, kudzora musoro uye kudzikisira mikana yemunhu ane chero mhedzisiro yeizvi, sekuwedzera kwekusagadzikana kwekumanikidza.

Mishonga yekudzivirira chirwere inogona kukurudzirwa kudzivirira munhu ane bundu repfungwa kuti asabatwe. Uye zvakare, mishonga yeanalgesic yekudzora marwadzo uye mishonga yekushushikana uye kushushikana kunogona kuratidzwa, sezvo mhando iyi yebundu inounza shanduko yemanzwiro.

Zvinogoneka sequelae

Bundu reuropi rinogona kukanganisa zviumbwa zvakakosha zvehurongwa hwemitsipa, izvo zvinogona kukonzera shanduko mukufungisisa, ndangariro, kutaura, kuona uye kunyangwe mukufamba kwemuviri .. divi remuviri rinosara risina kufamba, semuenzaniso. Ziva kuti ndeapi marudzi ehemiplegia.

Uye zvakare, kurapwa kwechironda cheuropi, kunyanya kuvhiyiwa, kunogona kukonzera mhedzisiro, sekudzikamisa kufamba kwemuviri. Nekudaro, kana munhu achinge aonekwa aine rudzi urwu rwebundu, timu yehunyanzvi inotsanangurwa, inonzi timu yemarudzi mazhinji, ichatarisira mamiriro akasiyana, senge physiotherapy, inova nebasa rekuchengetedza mafambiro, uye Therapist Therapist achazviita.

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