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Yevacheche Ependymoma Kurapa (®) -Patient Shanduro

General Ruzivo nezveUdiki Ependymoma

PFUNGWA DZINOKOSHA

• Childhood ependymoma chirwere umo maronda (gomarara) maseru anoumba mumatumbu ehuropi uye musana.

• Kune mhando dzakasiyana dzeependymomas.

• Chikamu chehuropi chinokanganiswa chinoenderana nekuti ependymoma inoumbwa kupi.

• Chikonzero chemazhinji mamota ehuropi hachizivikanwe.

• Zviratidzo nezviratidzo zvehudiki ependymoma hazvina kufanana mumwana wese.

• Kuyedza kunoongorora huropi uye musana musana kunoshandiswa kuona (tsvaga) hudiki ependymoma.

• Childhood ependymoma inoonekwa uye inobviswa mukuvhiya.

• Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Childhood ependymoma chirwere umo maronda (gomarara) maseru anoumba mumatumbu ehuropi uye musana.

Uropi hunodzora mabasa akakosha senge ndangariro uye kudzidza, manzwiro, uye nekunzwa (kunzwa, kuona, kunhuwidza, kuravira, nekubata). Tambo yemuzongoza inoumbwa nemabundles etsinga fibers anosanganisa uropi netsinga munzvimbo zhinji dzemuviri.

Ependymomas inoumba kubva kumasero ependymal anoisa ma ventricles uye nzira dzinofamba muuropi uye musana. Ependymal masero anoita cerebrospinal fluid (CSF).

Iyi pfupiso iri pamusoro pekurapwa kwemamota ekutanga ehuropi (mamota anotanga muuropi). Kurapa kwemastastatic brain tumors, ayo ari mamota anotanga mune mamwe mativi emuviri uye achipararira kuuropi, haina kukurukurwa muchidimbu ichi.

Kune akawanda marudzi akasiyana ematumbo ehuropi. Mamota ehuropi anogona kuitika mune vese vana nevakuru. Nekudaro, kurapwa kwevana kwakasiyana pane kurapwa kwevakuru. Ona zvinotevera pfupiso dze kuti uwane rumwe ruzivo:

• Yehucheche Brain uye Spinal Cord Tumors Kurapa Kuongorora

• Adult Central Nervous System Tumors Kurapa

Kune mhando dzakasiyana dzeependymomas.

IWorld Health Organisation (WHO) mapoka ependymal tumors mumatanho mashanu makuru:

• Subependymoma (WHO giredhi I; isingawanzo muvana).

• Myxopapillary ependymoma (WHO giredhi I).

• Ependymoma (WHO giredhi II).

• RELA fusion-positive ependymoma (WHO giredhi II kana giredhi III ine shanduko muRELA geni).

• Anaplastic ependymoma (WHO giredhi III).

Chikamu chebundu chinotsanangura kusanzwisisika uko maseru ekenza anotaridzika pasi pe microscope uye nekukurumidza kuti bundu racho rinogona kukura nekupararira. Yakadzika-giredhi (giredhi I) maseru emukenza anotaridzika kunge maseru akajairwa pane epamusoro-giredhi maseru emukenza (giredhi II ne3). Giredhi I maseru emukenza anowanzo kukura nekupararira zvishoma nezvishoma kupfuura giredhi II uye III maseru emukenza.

Chikamu chehuropi chinokanganiswa chinoenderana nekuti ependymoma inoumbwa kupi.

Ependymomas inogona kuumba chero kupi mukati memvura inozadzwa nemvura uye nzira muuropi uye musana. Mazhinji ependymomas anoumba mune yechina ventricle uye anokanganisa cerebellum uye hutsi hwehunde. Ependymomas inoumba zvishoma kazhinji mucerebrum uye kashoma mumutsipa wepelinha.

Anatomy yemukati mehuropi inoratidza iyo lateral ventricle, yechitatu ventricle, yechina ventricle, uye nzira dzepakati pakati pemhepo (ine cerebrospinal fluid inoratidzwa mublue). Zvimwe zvikamu zvehuropi zvinoratidzwa zvinosanganisira cerebrum, cerebellum, musana, uye tsinga yehuropi (pons uye medulla).

Iko ependymoma mafomu anokanganisa mashandiro ehuropi uye musana wesipinha:

• Cerebellum: Iyo yepazasi, yekumashure chikamu chehuropi (padhuze nepakati nepashure kwemusoro). Iyo cerebellum inodzora kufamba, kuenzanisa, uye kumira.

• Brain stem: Chikamu chinobatanidza huropi netambo yemuzongoza, muchikamu chakadzikira chehuropi (pamusoro pekuseri kwemutsipa chete). Uropi hunodzora kufema, kurova kwemoyo, uye tsinga nemhasuru zvinoshandiswa mukuona, kunzwa, kufamba, kutaura, uye kudya.

• Cerebrum: Chikamu chikuru cheuropi, kumusoro kwemusoro. Iyo cerebrum inodzora kufunga, kudzidza, kugadzirisa matambudziko, kutaura, manzwiro, kuverenga, kunyora, uye kufamba kwekuzvidira.

• Spinal cord: Iyo mbiru yetsinga yemhashu inomhanya kubva muuropi inodzika pasi pakati peshure. Iyo yakafukidzwa nematatu matete matete enyama inonzi membranes Mutsara wepelinha uye membrane zvakakomberedzwa nema vertebrae (mapfupa ekumashure). Spinal tambo tsinga dzinotakura mameseji pakati pehuropi uye nemuviri wese, senge meseji kubva kuhuropi yekukonzera mhasuru kufamba kana meseji kubva paganda kuenda kuuropi kuti unzwe kubata.

Chikonzero chemazhinji mamota ehuropi hachizivikanwe.

Zviratidzo nezviratidzo zvehudiki ependymoma hazvina kufanana mumwana wese.

Zviratidzo nezviratidzo zvinoenderana nezvinotevera:

• Zera remwana.

• Iko kwaita bundu.

Zviratidzo nezviratidzo zvinogona kukonzerwa nehucheche ependymoma kana nemamwe mamiriro. Tarisa nechiremba wemwana wako kana mwana wako ane chero chinotevera:

• Kazhinji musoro.

• Kufenda.

• Kusvotwa uye kurutsa.

• Marwadzo mumutsipa kana musana.

• Kurasikirwa kwekuyera kana kunetseka kufamba.

• Kushaya simba mumakumbo.

• Kuona zvisingaoneki.

• Shanduko muhutachiona basa.

• Kunetseka kuita weti.

• Kuvhiringidzika kana kutsamwa.

Kuyedza kunoongorora huropi uye musana musana kunoshandiswa kuona (tsvaga) hudiki ependymoma.

Iyi inotevera bvunzo uye maitiro anogona kushandiswa:

• Kuongorora kwemuviri uye nhoroondo yehutano: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.

• Neurological bvunzo: akateedzana emibvunzo uye bvunzo kutarisa huropi, musana, uye tsinga basa. Bvunzo dzinoongorora chimiro chemunhu chepfungwa, kubatana, uye kugona kufamba zvakajairika, uye mashandiro, pfungwa, uye pfungwa zvinoshanda zvakadii. Izvi zvinogona zvakare kunzi bvunzo yeurouro kana bvunzo yetsinga.

• MRI (magnetic resonance imaging) ine gadolinium: Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira yakateedzana mifananidzo yakajeka yenzvimbo dziri mukati meuropi nemuzongoza. Chinhu chinonzi gadolinium chinopinzwa mutsinga uye chichifamba nemuropa. Iyo gadolinium inounganidza yakatenderedza maseru ekenza kuitira kuti varatidze kupenya mumufananidzo. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI).

• Lumbar puncture: Maitiro anoshandiswa kutora cerebrospinal fluid (CSF) kubva pamutsipa wepelinha. Izvi zvinoitwa nekuisa tsono pakati pemabhonzo maviri mumuzongoza nekupinda muCSF yakakomberedza musana uye kubvisa sampu yemvura. Muenzaniso we CSF unotariswa pasi pe microscope yezviratidzo zvemarara maseru. Muenzaniso unogona zvakare kutariswa kuwanda kweprotein uye glucose. Iyo yakakwira kupfuura yakajairwa huwandu hwepuroteni kana yakaderera pane yakajairwa huwandu hweshuga inogona kunge iri chiratidzo chebundu. Maitiro aya anonzi zvakare LP kana musana tap.

Lumbar kubaya. Murwere akarara panzvimbo yakamonana patafura. Mushure mekunge diki nzvimbo kumucheto kumashure yave chiveve, tsono yemusana (tsono refu, nhete) inoiswa muchikamu chezasi chepamuviri mbichana kubvisa cerebrospinal fluid (CSF, inoratidzwa mublue). Mvura yacho inogona kutumirwa kurabhoritari kunoongororwa.

Childhood ependymoma inoonekwa uye inobviswa mukuvhiya.

Kana bvunzo dzekuongorora dzikaratidza kuti panogona kunge paine bundu rehuropi, bhaopsy inoitwa nekubvisa chikamu chedehenya uye kushandisa tsono kubvisa sampuro yetishu dzehuropi. Nyanzvi yezvirwere anoona munyama pasi pe microscope kutsvaga maseru ekenza uye kuona chikamu chebundu. Kana masero emukenza akawanikwa, chiremba achabvisa bundu rakawanda sezvinobvira panguva yekuvhiya kumwe chete.

Craniotomy: Kuvhura kunoitwa mu dehenya uye chidimbu chedehenya chinobviswa kuratidza chikamu chehuropi.

Muedzo unotevera unogona kuitwa pachinhu chakabviswa:

• Immunohistochemistry: Kuongororwa kwerabhoritari inoshandisa masoja ekudzivirira mamwe maantigen (mamaki) mune imwe sampuro yetishu yemurwere. Masoja ekudzivirira chirwere anowanzo sunganidzwa ne enzyme kana dhayi ye fluorescent. Mushure mekunge maantibodies akasunga kune yakasarudzika antigen mune yeiyo sampuli, iyo enzyme kana dhayi inogoneswa, uye iyo antigen inogona kuzoonekwa pasi pe microscope. Rudzi urwu rweyedzo runoshandiswa kubatsira kuongorora gomarara uye kubatsira kutaurira imwe mhando yekenza kubva kune imwe mhando yegomarara.

Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Kufungidzira uye sarudzo dzekurapa dzinoenderana ne:

• Iko iko bundu rakaumbika mukati mepakati tsinga system (CNS).

• Kunyangwe paine zvimwe zvinoshanduka mumajini kana ma chromosomes.

• Kunyangwe paine chero gomarara maseru anosara mushure mekuvhiyiwa kubvisa bundu.

• Rudzi uye giredhi re ependymoma.

• Zera remwana pachionekwa bundu.

• Kunyangwe kenza yapararira kune dzimwe nzvimbo dzehuropi kana musana.

• Kunyangwe bundu racho richangobva kuongororwa kana kuti radzokazve (dzoka).

Kufungidzira zvakare kunoenderana nekuti kurapwa kwemwaranzi kwakapihwa, rudzi uye mushonga wekurapa, uye kana chemotherapy chete yakapihwa.

Matanho eUdiki Ependymoma

PFUNGWA DZINOKOSHA

• Iko hakuna yakajairwa sisitimu sisitimu yehudiki ependymoma.

• Kudzokorora kwehudiki ependymoma ibundu rakadzokazve (kudzoka) mushure mekurapwa.

Iko hakuna yakajairwa sisitimu sisitimu yehudiki ependymoma.

Staging ndiyo nzira inoshandiswa kuziva kana kenza yasara mushure mekuvhiyiwa uye kana gomarara rapararira.

Kurapa kwe ependymoma kunoenderana nezvinotevera:

• Ikoko kenza iri muuropi kana musana.

• Zera remwana.

• Rudzi uye giredhi re ependymoma.

Kudzokorora kwehudiki ependymoma ibundu rakadzokazve (kudzoka) mushure mekurapwa.

Udiki ependymoma inowanzo dzoka, kazhinji panzvimbo yepakutanga yekenza. Bundu rinogona kudzoka chero makore gumi nemashanu kana kupfuura mushure mekutanga kurapwa.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune mhando dzakasiyana dzekurapa kwevana vane ependymoma.

• Vana vane ependymoma vanofanirwa kurapwa kwavo kuchirongwa nechikwata chevanoona nezvehutano avo vari nyanzvi pakurapa huta hwehuropi hwehudiki.
• Mhando nhatu dzekurapa dzinoshandiswa:

• Kuvhiya

• Radiation kurapa

• Chemotherapy

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Targeted kurapwa

• Kurapa kwehudiki ependymoma kunogona kukonzera mhedzisiro.

• Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

• Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

• Yekutevera-bvunzo inogona kudikanwa.

Kune mhando dzakasiyana dzekurapa kwevana vane ependymoma.

Mhando dzakasiyana dzekurapa dzinowanikwa kune vana vane ependymoma. Mamwe marapirwo akajairwa (iko kurapwa kwazvino kwashandiswa), uye kumwe kuedzwa mumakiriniki ekuedzwa A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa.

Nekuti kenza muvana isingawanzo, kutora chikamu mukutongwa kwekiriniki kunofanirwa kutariswa. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Vana vane ependymoma vanofanirwa kurapwa kwavo kuchirongwa nechikwata chevanoona nezvehutano avo vari nyanzvi pakurapa huta hwehuropi hwehudiki. Kurapa kunozoonekwa nachiremba wevana oncologist, chiremba uyo ane hunyanzvi hwekurapa vana vane gomarara. Vanachiremba oncologist vanoshanda nevamwe vatapi vezvehutano vevana vanove nyanzvi dzekurapa vana vane mamota europi uye vanoziva mune dzimwe nzvimbo dzemishonga. Izvi zvinogona kusanganisira vanachiremba vanotevera:

• Chiremba neurosurgeon.

• Neurologist.

• Chiremba wevana.

• Radiation oncologist.

• Chiremba oncologist.

• Endocrinologist.

• Rehabilitation nyanzvi.

• Nyanzvi yezvepfungwa.

• Mwana-hupenyu nyanzvi.

Mhando nhatu dzekurapa dzinoshandiswa:

Kuvhiya

Kana mhedzisiro yeongororo yekuongorora ichiratidza kuti panogona kunge paine bundu rehuropi, bhaopsy inoitwa nekubvisa chikamu chedehenya uye kushandisa tsono kubvisa sampuro yetishu dzehuropi. Nyanzvi yezvirwere anoona tishu pasi pe microscope kuti aongorore masero ekenza. Kana masero emukenza akawanikwa, chiremba achabvisa bundu rakawanda sezvinobvira panguva yekuvhiya kumwe chete.

Craniotomy: Kuvhura kunoitwa mu dehenya uye chidimbu chedehenya chinobviswa kuratidza chikamu chehuropi.

MRI inowanzoitwa mushure mekunge bundu rabviswa kuti uone kana paine bundu rinosara. Kana bundu rikaramba riripo, kuvhiya kwechipiri kubvisa zvakanyanya bundu rasara sezvinobvira kunogona kuitwa.

Mushure mekunge chiremba abvisa kenza yese inoonekwa panguva yekuvhiyiwa, vamwe varwere vanogona kupihwa chemotherapy kana radiation radiation mushure mekuvhiyiwa kuuraya chero gomarara maseru akasara. Mushonga wakapihwa mushure mekuvhiyiwa, kudzikisa njodzi yekuti gomarara richadzoka, inonzi adjuvant therapy.

Radiation kurapa

Radiation kurapa kurapwa kenza iyo inoshandisa yakakwira-simba x-rays kana mamwe marudzi e radiation kuuraya cancer maseru kana kuachengeta iwo kuti asakure. External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune iyo nzvimbo yemuviri nekenza.

Dzimwe nzira dzekupa mishonga ye radiation dzinogona kubatsira kuchengetedza mwaranzi kubva mukukuvadza nyama iri pedyo ine hutano. Aya marudzi erapi radiation anosanganisira anotevera:

• Conformal radiation therapy: Conformal radiation kurapwa rudzi rwekunze radiation radiation iyo inoshandisa komputa kugadzira 3-dimensional (3-D) pikicha yebundu uye inoumba iwo mamirioni matanda kuti akwane bundu.

• Intensity-modulated radiation therapy (IMRT): IMRT rudzi rwe 3-dimensional (3-D) radiation radiation inoshandisa komputa kugadzira mifananidzo yehukuru uye chimiro chebundu. Matanda matete emwaranzi yemasimba akasiyana (simba) anovavarira bundu kubva pamakona mazhinji.

• Proton-beam radiation Therapy: Proton-beam kurapa rudzi rweakakwira-simba, ekunze radiation kurapwa. Mushini wekurapa nemwaranzi unovavarira nzizi dzemapurotoni (zvidiki, zvisingaonekwe, zvine mutsindo) mumasero ekenza kuvauraya.

• Stereotactic radiosurgery: Stereotactic radiosurgery rudzi rwekunze radiation radiation. Rakaomarara musoro furemu wakasungirirwa padehenya kuti musoro urambe wakadzikama panguva yekurapwa nemwaranzi. Mushini unonongedza imwe chete hombe yemwaranzi yakananga pabundu. Maitiro aya haabatanidzi kuvhiyiwa. Iyo inonziwo stereotaxic radiosurgery, radiosurgery, uye radiation radiation.

Vana vadiki vanogamuchira kurapwa nemwaranzi kuuropi vane njodzi yakakwira yezvinetso nekukura uye kukura kupfuura vana vakuru. 3-D conformal radiation kurapwa uye proton-beam kurapa kuri kuongororwa muvana vadiki kuti vaone kana mhedzisiro yemwaranzi pakukura nekusimudzira yakadzikira.

Chemotherapy

Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekuamisa iwo kubva pakupatsanuka. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy).

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ichi chidimbu chikamu chinotsanangura kurapwa kuri kuongororwa mumakiriniki ekuedzwa. Zvinogona kusataura nezveese marapirwo matsva ari kuongororwa. Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Targeted kurapwa

Targeted therapy mhando yekurapa inoshandisa zvinodhaka kana zvimwe zvinhu kurwisa cancer maseru. Marapirwo akanangwa anowanzo kukonzera kukuvara kushoma kune masero akajairwa kupfuura chemotherapy kana radiation radiation inoita.

Targeted Therapis iri kuongororwa kuitira kurapwa kwehucheche ependymoma yakadzokazve (kudzoka).

Kurapa kwehudiki ependymoma kunogona kukonzera mhedzisiro.

Kuti uwane ruzivo nezve mhedzisiro inotanga panguva yekurapa kenza, ona yedu Side Mhedzisiro peji.

Zvimwe zvinokonzeresa kubva pakurapwa nekenza zvinotanga mushure mekurapwa uye kuenderera kwemwedzi kana makore zvinonzi kunonoka kuitika Mhedzisiro mhedzisiro yekurapwa nekenza inogona kusanganisira zvinotevera:

• Zvinetso zvepanyama, kusanganisira matambudziko ne:

• Kuvandudza zino.

• Kunzwa basa.

• Bone uye mhasuru kukura uye kukura.

• Utachiona basa.

• Kurohwa.

• Shanduko mumanzwiro, manzwiro, kufunga, kudzidza, kana ndangariro.

• Gomarara repiri (mhando nyowani dzekenza), senge gomarara rekenza kana gomarara repfungwa.

Mimwe mhedzisiro mhedzisiro inogona kurapwa kana kudzorwa. Izvo zvakakosha kuti utaure navanachiremba vemwana wako nezve mhedzisiro yekurapwa nekenza kunogona kuve pamwana wako. (Ona pfupiso ye paMagumo Ekurapa kweKenza Yevacheche kuti uwane rumwe ruzivo.)

Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.

Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.

Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.

Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.

Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.

Yekutevera-bvunzo inogona kudikanwa.

Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.

Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro emwana wako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Yekutevera-bvunzo dzehudiki ependymoma inosanganisira iyo MRI (magnetic resonance imaging) yeuropi uye musana wesipinha pane anotevera zvikamu.

• Kutanga makore maviri kusvika matatu mushure mekurapwa: Mwese pamwedzi mitatu kusvika kumana.

• Makore mana kusvika mashanu mushure mekurapwa: Mwedzi mitanhatu yega yega.

• Anopfuura makore mashanu mushure mekurapwa: Kamwe pagore.

Kurapa kweUcheche Myxopapillary Ependymoma

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kweachangobva kuongororwa hudiki myxopapillary ependymoma (giredhi I) ndeiyi:

• Kuvhiya. Dzimwe nguva kurapwa nemwaranzi kunopihwa mushure mekuvhiyiwa.

Kurapa kweUdiki Ependymoma, Anaplastic Ependymoma, uye RELA Fusion-yakanaka Ependymoma

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kweachangobva kuongororwa hudiki ependymoma (giredhi II), anaplastic ependymoma (giredhi III), uye RELA fusion-yakanaka ependymoma (giredhi II kana giredhi III) ndeiyi:

• Kuvhiya.

Mushure mekuvhiyiwa, chirongwa chekuenderera mberi kwekurapa chinoenderana nezvinotevera:

• Kunyangwe paine chero cancer maseru anosara mushure mekuvhiyiwa.

• Kunyangwe kenza yapararira kune dzimwe nzvimbo dzehuropi kana musana.

• Zera remwana.

Kana bundu rikabviswa zvachose uye cancer maseru asina kupararira, kurapwa kunogona kusanganisira zvinotevera:

• Radiation kurapa.

Kana chikamu chebundu chikasara mushure mekuvhiyiwa, asi masero ekenza asina kupararira, kurapwa kunogona kusanganisira zvinotevera:

• Kuvhiya kwechipiri kubvisa zvakanyanya bundu rasara sezvinobvira.

• Radiation kurapa.

• Chemotherapy.

Kana masero ekenza apararira mukati mehuropi uye musana, kurapwa kunogona kusanganisira zvinotevera:

• Radiation kurapa kuuropi uye musana.

• Chemotherapy.

Kurapa kwevana vadiki pane gore rimwe chete kunogona kusanganisira zvinotevera:

• Chemotherapy.

• Radiation kurapa. Radiation Therapy haina kupihwa kuvana kusvika ivo vakura kupfuura gore rimwe zera.

• Kuongororwa kwekiriniki ye3-dimensional (3-D) conformal radiation kurapwa kana proton-beam radiation radiation.

Kurapa kweRecurrent Yevacheche Ependymoma

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kwekudzokorora kwehucheche ependymoma kunogona kusanganisira zvinotevera:

• Kuvhiya.

• Radiation therapy, iyo inogona kusanganisira stereotactic radiosurgery, yakasimba-modulated radiation kurapwa, kana proton-beam radiation radiation kurapwa.

• Chemotherapy.

• Kuongororwa kwekiriniki kunoongorora muyenzaniso wemota yemurwere kune mamwe magene ekuchinja. Rudzi rwekurapa kwakanangwa kuchapihwa kumurwere kunoenderana nerudzi rwechinjo yemajini.

Kuti Udzidze Zvakawanda Pamusoro Pehucheche Brain Tumors

Kuti uwane rumwe ruzivo nezve dumbu rehuropi tumota, ona zvinotevera:

• Chiremba Brain Tumor Consortium (PBTC) Buda Disclaimer

Kuti uwane rumwe ruzivo rwegomarara rehucheche uye zvimwe zvecancer zviwanikwa, ona zvinotevera:

• Nezve Kenza

• Cancers Yevacheche

• Kurapa Kutsvaga Kwevana Cancer Buda Disclaimer

• Mahedhi Ekupedzisira Ekurapwa kweKenza Yevacheche

• Vechidiki uye Vechidiki Vakuru vane Cancer

• Vana vane Cancer: Nhungamiro Yevabereki

• Kenza muVana neVachiri kuyaruka

• Stage

• Kurarama neCancer

• Mibvunzo Yekubvunza Wako Chiremba nezveCancer

• Kune Vakapona uye Vanotarisira