Ubwoko / umutima / umurwayi-umwana-umutima-wo-kuvura-pdq
Ibirimo
Umutima Wumutima (Umutima) Kuvura Ibibyimba (®) –Umurwayi
Amakuru Rusange Yerekeye Umutima Wumutima (Umutima) Ibibyimba
INGINGO Z'INGENZI
- Ibibyimba byumutima byabana, bishobora kuba byiza cyangwa bibi, bikora mumutima.
- Ibimenyetso nibimenyetso byikibyimba cyumutima harimo guhinduka mubitekerezo bisanzwe byumutima hamwe nikibazo cyo guhumeka.
- Ibizamini bisuzuma umutima bikoreshwa mugushakisha (gushakisha) no gusuzuma ikibyimba cy'umutima.
Ibibyimba byumutima byabana, bishobora kuba byiza cyangwa bibi, bikora mumutima.
Ibibyimba byinshi bigize umutima ni byiza (ntabwo ari kanseri). Ibibyimba byumutima bishobora kugaragara mubana harimo ibi bikurikira:
- Rhabdomyoma: Ikibyimba kiba mumitsi igizwe na fibre ndende.
- Myxoma: Ikibyimba gishobora kuba igice cya syndrome yarazwe yitwa Carney complex. Reba incamake ya kumyanya myinshi ya Endocrine Neoplasia Syndromes kubindi bisobanuro.
- Teratoma: Ubwoko bwa kanseri ya mikorobe. Mu mutima, ibyo bibyimba biboneka cyane muri pericardium (isakoshi itwikira umutima).
- Teratoma zimwe ni mbi (kanseri).
- Fibroma: Ikibyimba kibaho mumubiri umeze nka fibre ifata amagufwa, imitsi, nizindi ngingo.
- Ikibyimba cya Histiocytoid cardiomyopathie: Ikibyimba kiba mu ngirabuzimafatizo z'umutima kigenzura injyana y'umutima.
- Hemangioma: Ikibyimba kiba mu ngirabuzimafatizo zihuza imiyoboro y'amaraso.
- Neurofibroma: Ikibyimba kiba mu ngirabuzimafatizo no mu ngingo zifata imitsi.
Mbere yo kuvuka no kuvuka, ibibyimba byumutima bikunze kugaragara ni teratoma. Indwara yarazwe yitwa tuberous sclerose irashobora gutera ibibyimba byumutima kubyara umwana utaravuka (uruhinja) cyangwa uruhinja.
Ibibyimba bibi bitangirira kumutima ndetse ntibisanzwe kuruta ibibyimba byumutima byiza mubana. Ibibyimba byumutima mubi birimo:
- Teratoma mbi.
- Lymphoma.
- Rhabdomyosarcoma: Kanseri ikora mumitsi igizwe na fibre ndende.
- Angiosarcoma: Kanseri ikora mu ngirabuzimafatizo zihuza imiyoboro y'amaraso cyangwa imiyoboro ya lymph.
- Indwara ya pleomorphic sarcoma itandukanijwe: Kanseri ikunze kwibumbira mu ngingo zoroshye, ariko irashobora no gukora mu magufa.
- Leiomyosarcoma: Kanseri ikora mu ngirabuzimafatizo zoroheje.
- Chondrosarcoma: Kanseri ikunze kwibasira amagufwa, ariko gake cyane irashobora gutangira mumutima.
- Synovial sarcoma: Kanseri isanzwe ikikije ingingo, ariko irashobora kuba gake cyane mumutima cyangwa isakoshi ikikije umutima.
- Fibrosarcoma y'uruhinja: Kanseri ikora mubice bisa na fibre ifata amagufa, imitsi, nizindi ngingo.
Iyo kanseri itangiriye mu kindi gice cy'umubiri igakwira mu mutima, yitwa kanseri metastatike. Ubwoko bumwe na bumwe bwa kanseri, nka sarcoma, melanoma, na leukemia, butangirira mu bindi bice by'umubiri bigakwira mu mutima. Iyi ncamake ivuga kuri kanseri ibanza mu mutima, ntabwo ari kanseri metastatike.
Ibimenyetso nibimenyetso byikibyimba cyumutima harimo guhinduka mubitekerezo bisanzwe byumutima hamwe nikibazo cyo guhumeka.
Ibi nibindi bimenyetso nibimenyetso bishobora guterwa nibibyimba byumutima cyangwa nibindi bihe.
Menyesha umuganga wumwana wawe niba umwana wawe afite kimwe muri ibi bikurikira:
- Guhindura injyana isanzwe yumutima.
- Guhumeka neza, cyane cyane iyo umwana aryamye.
- Kubabara cyangwa gukomera hagati yigituza wumva umeze neza mugihe umwana yicaye.
- Inkorora.
- Kunanirwa.
- Kumva uzunguye, unaniwe, cyangwa intege nke.
- Umutima wihuta.
- Kubyimba amaguru, amaguru, cyangwa inda.
- Kumva uhangayitse.
- Ibimenyetso byubwonko.
- Gutungurwa gutunguranye cyangwa intege nke zo mumaso, ukuboko, cyangwa ukuguru (cyane cyane kuruhande rumwe rwumubiri).
- Urujijo rutunguranye cyangwa ikibazo cyo kuvuga cyangwa gusobanukirwa.
- Ikibazo gitunguranye kubona nijisho rimwe cyangwa byombi.
- Ikibazo gitunguranye kugenda cyangwa kumva uzunguye.
- Gutungurwa gutunguranye cyangwa guhuza.
- Mu buryo butunguranye kubabara umutwe nta mpamvu izwi.
Rimwe na rimwe, ibibyimba byo mu mutima ntibitera ibimenyetso cyangwa ibimenyetso.
Ibizamini bisuzuma umutima bikoreshwa mugushakisha (gushakisha) no gusuzuma ikibyimba cy'umutima.
Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:
- Ikizamini cyumubiri namateka yubuzima: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
- Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.
- CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.
- MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).
- Echocardiogram: Uburyo bukoreshwa mu majwi y’amajwi menshi (ultrasound) asohoka ku mutima no ku ngingo cyangwa hafi y’ingingo no gukora echo. Ishusho ikora ikozwe mumutima na valve yumutima nkuko amaraso ava mumutima.
- Electrocardiogram (EKG): Kwandika ibikorwa byamashanyarazi yumutima kugirango urebe igipimo cyayo nigitekerezo. Umubare muto muto (electrode) ushyirwa mugituza cyumurwayi, amaboko, namaguru, kandi bigahuzwa ninsinga kumashini ya EKG. Igikorwa cyumutima noneho cyandikwa nkigishushanyo cyumurongo kurupapuro. Ibikorwa by'amashanyarazi byihuta cyangwa bitinda kurenza ibisanzwe birashobora kuba ikimenyetso cyindwara z'umutima cyangwa kwangirika.
- Catheterisiyumu yumutima: Uburyo bwo kureba imbere mumitsi yamaraso numutima kubice bidasanzwe cyangwa kanseri. Umwanya muremure, unanutse, catheter winjizwa mu muyoboro cyangwa mu mitsi mu kibuno, mu ijosi, cyangwa mu kuboko hanyuma ugashyirwa mu mitsi y'amaraso kugera ku mutima. Urugero rwa tissue rushobora gukurwaho ukoresheje igikoresho kidasanzwe. Inzobere mu bijyanye n’indwara ireba ingirangingo ziri munsi ya microscope kugira ngo ishakishe kanseri.
Ibyiciro byumutima
Inzira ikoreshwa mu kumenya niba ibibyimba by'umutima bibi (kanseri) byakwirakwiriye bivuye ku mutima bikagera mu bice byegeranye cyangwa ibindi bice by'umubiri byitwa guterana. Nta sisitemu isanzwe yo gutera ibibyimba byumutima mubi. Ibisubizo by'ibizamini hamwe nuburyo bwakozwe mugupima ibibyimba byumutima bibi bikoreshwa mugufasha gufata ibyemezo bijyanye no kuvura.
Ibibyimba byumutima bibi byongeye kugaruka (garuka) nyuma yo kuvurwa.
Incamake yo kuvura
INGINGO Z'INGENZI
- Hariho uburyo butandukanye bwo kuvura abana bafite ibibyimba byumutima.
- Abana bafite ibibyimba byumutima bagomba gutegurwa nubuvuzi nitsinda ryabaganga ninzobere mu kuvura kanseri yo mu bwana.
- Ubwoko butanu bwo kuvura bukoreshwa:
- Gutegereza neza
- Chimoterapi
- Kubaga
- Imiti ivura imirasire
- Ubuvuzi bugamije
- Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
- Kuvura ibibyimba byumutima byabana bishobora gutera ingaruka.
- Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
- Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
- Ibizamini byo gukurikirana birashobora gukenerwa.
Hariho uburyo butandukanye bwo kuvura abana bafite ibibyimba byumutima.
Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe.
Kubera ko kanseri mu bana idasanzwe, kugira uruhare mu igeragezwa ry’amavuriro bigomba kwitabwaho. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.
Abana bafite ibibyimba byumutima bagomba gutegurwa nubuvuzi nitsinda ryabaganga ninzobere mu kuvura kanseri yo mu bwana.
Kuvura ibibyimba byumutima bibi bizakurikiranwa n’umuganga w’abana oncologue, umuganga winzobere mu kuvura abana barwaye kanseri. Inzobere mu kuvura indwara z'abana ikorana n'abandi bahanga mu by'ubuzima bw'abana b'inzobere mu kuvura abana barwaye kanseri kandi bazobereye mu bice bimwe na bimwe by'ubuvuzi. Ibi birashobora kubamo inzobere zikurikira nabandi:
- Umuganga w'abana.
- Umuganga ubaga umutima.
- Umuganga w'indwara z'umutima.
- Imirasire ya oncologue.
- Inzobere mu by'indwara.
- Inzobere mu baforomo b'abana.
- Ushinzwe imibereho myiza.
- Inzobere mu gusubiza mu buzima busanzwe.
- Umuhanga mu by'imitekerereze ya muntu.
- Inzobere mu buzima bw'umwana.
Ubwoko butanu bwo kuvura bukoreshwa:
Gutegereza neza
Gutegereza witonze ni ugukurikiranira hafi uko umurwayi ameze atabanje kwivuza kugeza ibimenyetso cyangwa ibimenyetso bigaragara cyangwa bihindutse. Ubu buvuzi bushobora gukoreshwa kuri rhabdomyoma.
Chimoterapi
Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu).
Kubaga
Iyo bishoboka, kanseri ikurwaho no kubagwa. Ubwoko bwo kubaga bushobora gukorwa harimo ibi bikurikira:
- Kubaga kugirango ukureho ikibyimba hamwe nuduce twiza tuzengurutse.
- Guhindura umutima. Niba umurwayi ategereje umutima watanzwe, ubundi buvuzi butangwa nkuko bikenewe.
Imiti ivura imirasire
Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire kuri kanseri.
Ubuvuzi bugamije
Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu byibasira kanseri. Ubuvuzi bugamije ubusanzwe butera kwangirika kwingirabuzimafatizo zisanzwe kuruta chimiotherapie cyangwa imiti ivura imirasire.
- MTOR ibuza guhagarika ingirabuzimafatizo kandi irashobora kubuza gukura kw'imiyoboro mishya y'amaraso ibibyimba bigomba gukura. Everolimus ikoreshwa mu kuvura abana bafite rhabdomyoma na tubler sclerose.
Ubuvuzi bugamije kandi burimo kwigwa no kuvura ibibyimba byumutima mubi byongeye kugaruka (garuka).
Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.
Kuvura ibibyimba byumutima byabana bishobora gutera ingaruka.
Kumakuru yingaruka zitangira mugihe cyo kuvura kanseri, reba urupapuro rwuruhande rwacu.
Ingaruka ziterwa no kuvura kanseri zitangira nyuma yo kuvurwa zikomeza amezi cyangwa imyaka byitwa ingaruka zitinze. Ingaruka zo kuvura kanseri zishobora kubamo:
- Ibibazo byumubiri.
- Impinduka mumyumvire, ibyiyumvo, gutekereza, kwiga, cyangwa kwibuka.
- Kanseri ya kabiri (ubwoko bushya bwa kanseri) cyangwa ibindi bihe.
Ingaruka zimwe zitinze zishobora kuvurwa cyangwa kugenzurwa. Ni ngombwa kuganira n'abaganga b'umwana wawe ku ngaruka zishobora gutinda ziterwa no kuvurwa. Reba incamake ya ku ngaruka Zitinze zo Kuvura Kanseri Yabana Kubindi bisobanuro.
Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.
Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.
Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.
Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.
Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.
Ibizamini byo gukurikirana birashobora gukenerwa.
Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.
Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba imiterere y'umwana wawe yarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.
Kuvura Ibibyimba byumutima
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Kuvura ibibyimba byumutima byubwana bishobora kuba bikubiyemo ibi bikurikira:
- Gutegereza witonze, kuri rhabdomyoma, rimwe na rimwe igabanuka ikagenda yonyine.
- Ubuvuzi bugamije (everolimus) kubarwayi bafite rhabdomyoma na tubler sclerose.
- Chimoterapi ikurikirwa no kubagwa (ishobora kuba ikubiyemo gukuramo bimwe cyangwa byose kubyimba cyangwa guhinduranya umutima), kuri sarcomas.
- Kubaga wenyine, kubundi bwoko bwibibyimba.
- Imiti ivura ibibyimba bidashobora gukurwaho no kubagwa.
Kuvura Ibibyimba byumutima byabana
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Kuvura ibibyimba bibi byongeye kugaruka mubana bishobora kuba bikubiyemo ibi bikurikira:
- Igeragezwa rya clinique risuzuma icyitegererezo cyibibyimba byumurwayi kugirango hahindurwe gene. Ubwoko bwo kuvura bugenewe umurwayi biterwa n'ubwoko bw'imihindagurikire ya gene.
Kumenya Byinshi Kubana Umutima Umutima
Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye ibibyimba byumutima byabana, reba ibikurikira:
- Umutima Ibibyimba Kanseri Urupapuro Urupapuro
- Kubara Tomografiya (CT) Gusikana na Kanseri
- Intego zo kuvura Kanseri
Kubindi bisobanuro bya kanseri yo mu bwana hamwe nubundi buryo rusange bwa kanseri, reba ibi bikurikira:
- Ibyerekeye Kanseri
- Kanseri yo mu bwana
- Umuti wo Gushakisha Kanseri Yabana Kureka
- Ingaruka Zitinze Kuvura Kanseri Yabana
- Ingimbi n'abangavu bafite kanseri
- Abana barwaye Kanseri: Imfashanyigisho ku babyeyi
- Kanseri mu bana n'ingimbi
- Gutegura
- Guhangana na Kanseri
- Ibibazo byo Kubaza Muganga wawe kuri Kanseri
- Abacitse ku icumu n'abarezi
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