Glioblastoma ubuchopho: kanjani ukuba aphinde afe? Glioblastoma: ngokwezinga umhlahlo

Izinhlobo eziningi zezinkolelo umdlavuza namuhla ezingelapheki, ezifana ingqondo glioblastoma. Kanjani ukuze sizofela ukuxilongwa okubuhlungu kangaka kungcono hhayi ukwazi ubani, kodwa yingakho abaningi banesithakazelo echaza ukuthi lesi sifo kungenziwa alwa futhi yini okufanele uyenze kwasekuqaleni.

Kuyini glioblastoma?

I ezinodlame kakhulu nesibulalayo izimila, okungase ukuthuthukisa ngaphakathi Nogebhezi lwawo kuyinto ubuchopho glioblastoma. Photo engezansi ibonisa ukuthi lesi sifo futhi ukwelashwa esetshenziswa ukushintsha ukubukeka komuntu cishe angaphezu ukuqashelwa.

Ngokwezibalo, lesi sifo ngokuvamile kakhulu kuthinta Abesilisa abaneminyaka 35-55, kodwa abesifazane, yebo, kungukuthi oVikelwe, isibonelo notorious iyona isifo eyaziwa umculi Russian Zhanna Friske.

Glioblastoma kwenzeka ngenxa yokuzala obuhlukahlukene stellate glial-cell astrotsidov. Phakathi amaseli ethintekile futhi unempilo ungenalo umngcele ecacile, okwenza lolu hlobo lwesimila yingozi kakhulu futhi trudnooperabelnoy.

Ithumba likhula ngokushesha kule izicubu ubuchopho, cishe ziyasibona kanye nesineke asymptomatic eba ingqondo glioblastoma. Indlela ukufa amaseli enempilo, ngokushesha zihileleka kuzo inqubo izinguquko zofuzo futhi babe normal, udokotela wakho angase acabangele i-MRI umshini izithombe.

Izimbangela glioblastoma

Imbangela ukuguqulwa abulalayo lamaseli engqondweni kungase kubuye setha akuyona njalo, Nokho, izinto ezimbalwa ivelele anomthelela le nqubo:

1. yofuzo. Uma umuntu wayegula nomdlavuza kwezihlobo eziseduze, ingozi yokuba ukwanda isifo.
2. Ukuchayeka nolaka emisebeni Environment-, amakhemikhali, ionizing kanye emisebeni kagesi.
3. izinguquko Ufuzo, usezuze futhi azalwa nako.
4. Iduna izingane engozini abantu.

Izimpawu glioblastoma

Ukuqhubekela phambili kwesifo uya cishe ngaphandle izimpawu, ngokuvamile isimila kunqunywa ithuba ngenkathi bedlula iphrofayela inhlolovo ezahlukene kakhulu.

Kuze kube manje, isayensi akamazi izimbangela netindlela yesifo ezifana ingqondo glioblastoma. Indlela agule abese efa ngenxa yesizathu esithile, impendulo yalo mbuzo ingucha. Nokho, zikhona izimpawu ezimbalwa ukubonakaliswa okufanele uxhumane nodokotela wakho:

• ukozela noma isiyezi ;
• ikhanda eziphikelelayo ;
• ukwephulwa ka emihle motor amakhono;
• angaboni kahle, ukusangana;
• ndikindiki emikhawulweni;
• okuqhubekayo disorder inkulumo;
• nobunzima sokugxila;
• enokhahlo futhi njalo kwemizwa;
• ukungakuthandi ukudla, futhi ngenxa yalokho, ezinzima kwesisindo.

Ukwahlukaniswa glioblastoma

I-World Health Organization likhombe ezintathu izinhlobo zesifo. Umehluko e-degree of umdlavuza, usayizi isimila, ngisho eziningi zindlela.

1. Giant iseli glioblastoma-neoplasm itholwa in a inqwaba lwamangqamuzana anama-nuclei eziningana.
2. Gliosarcoma-libhekene namaseli okuxubile glial we ezicutshini nokuba khona izingxenye sarcomatous.
3. Glioma multiforme, labo enwetshiwe kakhulu, futhi oyingozi kakhulu zomdlavuza. Libhekene nokuthuthukiswa okuvele okusheshayo, ongafinyelela osayizi omkhulu phambi izimpawu zokuqala manifest.

Izinga yentuthuko isifo

Njenganoma iyiphi isifo somdlavuza, zihlukaniswe elibanga lelitsite, nawo glioblastoma. Degree labelwe WHO, yilezi ezilandelayo:

1. Okokuqala-degree ifomu elula isifo engabi nazo izimpawu umdlavuza. Ithumba eba kancane, amaseli okunempilo ethintekile hhayi ngokushesha. Prgnozy odokotela amathuba okuba engcono zokululama ziphezulu.
2. Okwesibili degree-amaseli unezimpawu atypical, kodwa isimila eba kancane, ukwakheka okungenani ebulalayo. Ngezinye okungazelele uhlaliseke isimila isifo siba esiteji kakhulu, lena ingozi enkulu. Nokho, kungakhathaliseki ukuthi yini ubungozi wayengekho glioblastoma ubuchopho, onalesi sifo odokotela esigabeni sesibili iyona abanethemba.
3. Okwesithathu-degree sihamba ngaphandle izinqubo necrotic, kodwa okubulalayo nokuhlala likhula ngokushesha, ehlasela izicubu ubuchopho enempilo. ukusebenza Ababulawa akuqinisekisi impumelelo oyifunayo.
4. Eyesine-degree has okusezingeni eliphezulu ukukhula rate futhi ifomu nzima kakhulu zomdlavuza. Imingcele yesimila ukuhlonza nzima, ngakho ukususwa kuhlinzwa cishe kungenakwenzeka. odokotela bavame senqabe ukuhlinzwa, ukwesaba kubangele umonakalo enkulu nakakhulu i-nesineke.

ukuhlola

MRI nakuma-CT scan izindlela kakhulu ulwazi ukuxilonga izifo ezifana ingqondo glioblastoma. Izithombe ezamukelwe emva inqubo, zikuvumela ukuba usethe usayizi yesimila nendawo kwasendaweni yayo.

Ngezinye izikhathi isiguli iqondiswa indlela lokhu okuhluke ngayo umphenyi okhethekile, okuvumela ukuba ubone izithombe lonke uhlelo semithambo nezinga ukunqotshwa yayo.

Ukuze sibe nombono ophelele iningi isifo luhlolo biopsy-histological imvuthuluka ingqondo. Biopsy - ukuhlinzwa kunalokho kuyinkimbinkimbi ubuchopho, wenziwa ngaphansi izinzwa jikelele. Uma isimila itholakala ekujuleni izicubu ubuchopho, biopsy akunakwenzeka.

Gliblastoma kutholakala ezithiwa ukuphila lesiguli kakhulu bandisa.

ukwelashwa

Ngemva eqoqa konke ukuhlaziywa kanye ukusazi ngokunembile isifo esikuphethe, udokotela ekunika ekwelapheni isiguli ngayinye. Qiniseka ukuba acabangele izinto ezifana nobudala lesiguli, impilo jikelele, komqondo nezinga lokukhula kwengane, indawo kanye nosayizi yesimila.

Evamile, ukuphathwa zingahlukaniswa izigaba ezilandelayo:

1. Ukuhlinzwa, indlela ephumelela kakhulu futhi ezinkulu ukwelashwa. Amangqamuzana ama- ziyasuswa ngokuphelele, ngezinye izikhathi ethunjwa izindawo enempilo, ukuvimbela ukuthuthukiswa izimila. Ukuze kangcono imingcele vualizatsii isimila Ngokuphambene ejenti iqondiswa isiguli phambi ukusebenza, okuyinto izibani ezithile enamathiselwe wabuka neoplastic sobala.
2. Ukwelashwa ngamakhemikhali nokushiswa kuyinto ukwelashwa izidakamizwa futhi wenziwa emva kokuhlinzwa. Usebenzela ukuvimbela Ukuphinda.
3. ukwelashwa ngemisebe, isetshenziswa ngesikhathi esifanayo ne ngamakhemikhali. Ionizing emisebeni izenzo bangakini ukuze amaseli umdlavuza abese ebhubhisa kubo.
4. yokwelapha Photodynamic, ukwelashwa entsha futhi eliphumelelayo glioblastoma, esekelwe laser ngemisebe.
5. Radiosurgery-ugongolo emisebeni ugxile ngqo lesion, ne umonakalo okuncane inyama ephilile.

Ndawonye, zonke lezi ukwelashwa kungakusiza ufinyelele kulahlwa egcwele leso sifo eziyinkimbinkimbi, okuyinto glioblastoma, isikhathi empilweni ukufa futhi ngokuphawulekayo enwetshiwe. Le nqubo yokwelapha ithatha isikhathi eside futhi kudinga ukuhambisana eqondile nazo zonke izincomo zempilo, ezihlanganisa ukudla okuqinile.

ukuba nombono ongafani ngeke

Ngeshwa, nge wabangwa nezibi, kungamuphi umqondo glioblastoma ubuchopho, isibikezelo ukuphila kungaba ngezinye izikhathi kube esidumazayo. Ubude bempilo emva ukususwa izimila eminyakeni emibili noma emithathu. Lapho glioblastoma multiforme ukufa kwenzeka emasontweni 30-40.

Ububanzi ukukhubazeka eziyinkimbinkimbi zezinzwa kubangele degree okunzima lesion, esinikela ubuchopho glioblastoma. Njengoba iziguli afe? Ngokuyinhloko it is a ukufa kanzima, ephelezelwa ubuhlungu bekhanda obedlulele nomsebenzi kahle ngokwengqondo, futhi walahlekelwa ikhono self-service. Kulokhu, umuthi iyakwazi ukunikeza ukunakekelwa okuthuthukisa kuphela.

Cishe ama-80% we-post-ukwelashwa kokushelela.

Nokho, i-extension abalulekile umhlahlo nezikhathi liyadingeka, ngaphezu kwakho konke, isifiso nesineke. Imiphumela yaloku kuhlola okungenhla Timely, kuhambisana amandla abantu intando, amandla kanye nesifiso ukulwa ukwandisa amathuba ukuphumelela ukwelashwa kanye sibanika ithemba ngoba ukuphila okuvamile futhi egcwele.