Pogwiritsa Ntchito Mbiri, Kufufuza Kwambiri, MRI, ndi Biopsy kuti Idziwe Zopweteka za Ubongo
Ziphuphu za ubongo zimasokoneza maganizo a anthu omwe sakhala ndi khansa. Mutu, kumangirira, chizungulire ndi zizindikiro zina zowonjezereka zingathe kuchotsa mantha kuti nthendayi yoopsa imayendayenda pansi pa façade ya tsiku ndi tsiku. Madokotala angatilimbikitse bwanji, kapena kuposa pamenepo, kukhala otsimikiza kuti chotupa cha ubongo chilipo?
Zizindikiro ndi Zizindikiro za Matenda Aubongo
Matenda a ubongo amatenga malo mugaza omwe ayenera kugwiritsidwa ntchito ndi magazi, ubongo, kapena cerebrospinal fluid (CSF).
Chifukwa chigaza ndi malo otsekemera, chotupa nthawi zambiri chimapangitsa kuti munthu asamapanikizidwe kwambiri , ndi zizindikiro zowonongeka kapena mutu zomwe zimakhala zoipitsitsa pamene wagona pansi. Izi zikunenedwa, izi siziri zovuta komanso zozizira, monga ziwalo zina zimafalikira pang'onopang'ono ndipo samatenga malo ambiri poyamba.
Kuwonongeka kwapadera kwapadera ndi malo ena amasonyeza kuti chinachake chimakhudza mbali imodzi yokha ya ubongo, osati chirichonse pamodzi. Mbali zosiyana za ubongo zili ndi ntchito zosiyanasiyana. Mwachitsanzo, mbali ya kumanzere ya ubongo imayang'anira mbali yolondola ya thupi. Ngati mbali zonse za thupi ndizofooka, vuto likhoza kukhala ndi minofu kapena mitsempha yapachiŵeni - koma chinachake chomwe chakhudza mbali zonse za ubongo sizingatheke. Ngati theka la thupi liri lofooka, akatswiri a sayansi ya ubongo amadandaula kwambiri za ubongo ndi msana. Mofananamo, chilankhulo, kusintha kwa umunthu, kapena zolakwika zina zamaganizo zingasonyeze vuto lalikulu la ubongo.
MRI yowona ubongo wa ubongo
Matenda osiyanasiyana amasiyana ndi Magnetic Resonance Imaging kapena MRI . Mwachitsanzo, metastases ya ubongo imakhala pafupi kwambiri ndi ubongo, popeza metastases imafalikira ndi magazi. Mphepete mwa ubongo nthawi zambiri zimakhala pamene mitsempha ya magazi ili yaying'ono, pomwe zidutswa za chifuwa zimakhala ndi nthawi yowoloka malire a ubongo.
Komabe, chotupa cha ubongo chotchedwa glioblastoma multiforme chimaoneka ngati chotupa chachikulu chomwe chikufalikira kudera losiyanasiyana la ubongo. Vuto lina la ubongo lotchedwa oligodendroglioma lingakhale ndi mawanga owoneka chifukwa cha kashiamu mkati mwa ubongo.
Zonsezi zikunenedwa, njira yotsimikizirika yodziwira mtundu wa ubongo wa ubongo ulipo ndikuchotsa chidutswa cha minofu yachilendo ndikuyang'ana pansi pa microscope.
Kutenga Lumbar Kuti Tipeze Ubongo Wopweteka
Kuphatikiza pa kugwiritsira ntchito njira zowonongeka, kugwiritsidwa ntchito kwa khungu kungayang'ane maselo osadziwika omwe akuyandama mu cerebrospinal fluid, yomwe ndi madzi omveka omwe amatsuka ndi kuzungulira ubongo. Izi zikhoza kukhala zonyenga, komabe, monga pangakhale maselo ochepa omwe amayendayenda, ndipo imodzi yokha yosakanikirana yamadzimadzi sungapeze maselo okwanira kuti adziwe.
Chidziwitso cha ubongo kuti azindikire chifuwa cha ubongo
Kufufuza opaleshoni kapena kuchotsa chifuwa cha ubongo mwachiwonekere ndi nkhani yovuta. Ochita opaleshoni adzadalira njira zowonongeka, monga electroencephalography ndi MRI yopanda ntchito, kuti awathandize kudziwa bwino kumene angadulire ndi kukhalabe ndi matenda abwino a ubongo.
Nthaŵi zambiri, madokotala opaleshoni amawongolera zonse zokhudzana ndi zotupa ndi resection, kutanthauza kuti amachotsa chotupacho monga momwe angathere.
Pachifukwa ichi, madokotala opaleshoni angatumize ubongo kuti uwonedwe pansi pa microscope ndi katswiri wa zachipatala pamene akadali m'chipinda chogwiritsira ntchito. Ngati odwala matendawa amakhulupirira kuti minofu ndi khansa, madokotala amatha kupitiriza kuchotsa chotupacho monga momwe zingathere pomwepo.
Mwinanso, nthawi zina madokotala amachita opaleshoni yaing'ono, kumene kulibenso ndondomeko yochotsera chotupa panthaŵi imodzimodziyo. Izi zikhoza kukhala choncho ngati chotupa chiri pamalo ovuta, mwachitsanzo, ndipo opaleshoni yaikulu idzakhala yoopsa kwambiri.
Zambiri Zambiri Kuposa Ubongo Wokha wa Ubongo
Odwala matenda a ubongo amene amayang'ana maselowa akhoza kuchita zambiri osati kungonena kuti ndi zotani.
Maonekedwe a chotupacho amatha kuwonetsanso ndemanga za momwe chifuwachi chilili chowawa. Matenda ena angagwiritsidwe ntchito kuti adziwe momwe chotupacho chingakhalire ndi mitundu yosiyanasiyana ya mankhwala. Malangizowa adzatsogolera malingaliro a dokotala pazinthu zabwino kwambiri, komanso angapereke chitsimikizo cha momwe wodwalayo adzachitira m'tsogolomu.
> Zotsatira:
> Miller, A. Neuro-mapulaneti. Kupitiriza: Kuphunzira Moyo Wonse mu Neurology. 2012, 18: 2, 263-501
> Ropper AH, Samuels MA. Adams ndi Victor's Principles of Neurology, 9th ed: The McGraw-Hill Companies, Inc., 2009.