Chithandizo chamankhwala

Chithandizo chimasiyanasiyana malinga ndi mtundu wa chotupa, kukula kwake ndi malo. The zotupa zoyipa nthawi zambiri amathandizidwa ndi mankhwala ophatikiza monga opaleshoni mankhwala amphamvu ndi mankhwalawa.

Poyerekeza ndi ana, kuchuluka kwa kupulumuka kumakhala kosiyana kwa akuluakulu ndipo kumadalira mtundu wa chotupa, kukula kwake, kulowetsedwa kwake muzinthu zozungulira komanso kugwira ntchito kwa munthu aliyense.².

Asanayambe mankhwala, chotupacho chikapezeka molondola (MRI, scanner, Pet Scan, cerebral angiography, etc.), dokotala nthawi zambiri amachita biopsy (kuchotsa mbali ya chotupacho ndi cholinga chochipenda) pamene kuzindikiridwa kwenikweni kwa mtundu wa chotupacho kumakhalabe kosatsimikizika ngakhale atayesedwanso. Izi zimagwiritsidwa ntchito kuti zidziwe momwe chotupacho chilili komanso ngati chili choopsa kapena choopsa (khansa kapena ayi). The biopsy imachitika pobowola kabowo kakang'ono mu fupa la chigaza, ndipo amachitidwa pansi pa anesthesia wamba kapena wamba.

opaleshoni

Ngati chotupacho chikupezeka, njira yoyamba ndikuchichotsa mu ubongo (excision). Izi ndiye njira zazikulu zothandizira pochiza zotupa muubongo.². Opaleshoni ya resection imapangitsanso kutsimikizira zotsatira za biopsy chifukwa zotupa zambiri ndizosiyana (kufalikira kwa maselo otupa mkati mwa chotupacho). Nthawi zina, maselo otupa amatha kuchoka mosavuta ku minofu yozungulira yaubongo ndipo chotupacho chimatha kuchotsedwa kwathunthu. Kwa ena, chotupacho chimakhala pafupi ndi malo ovuta kapena ovuta kwambiri, zomwe zimapangitsa kuti opaleshoni ikhale yoopsa kwambiri. Ngati chotupacho chili pafupi ndi mitsempha ya optic, mwachitsanzo, opaleshoni ikhoza kusokoneza masomphenya. Mulimonse mmene zingakhalire, dokotala wa opaleshoni nthaŵi zonse adzachita zonse zomwe angathe kuti achotse chotupacho monga momwe angathere popanda kufika mbali zofunika kwambiri za ubongo.

Mafilimu

Ngati chotupacho sichipezeka ku opaleshoni yachikale, gamma knife radiosurgery ingalingaliridwe. Zolondola komanso zamphamvu kuposa radiotherapy, njirayi imagwiritsa ntchito matabwa amphamvu, omwe amawongoleredwa mwakamodzi komanso molondola komanso mwachindunji pachotupacho, kwa mphindi zingapo kapena maola. Sichifuna kutsegula kwa chigaza kapena dzenje la trephine.

Radiotherapy

Ngati chezacho ndi champhamvu chocheperapo poyerekeza ndi chomwe chimagwiritsidwa ntchito popanga ma radiosurgery, komabe chimatheketsa kuphimba zigawo zazikulu zaubongo. Nthawi zina, chithandizo cha radiation chimangoperekedwa pa chotupacho. Mwa zina, ubongo wonse umatenthedwa, mwachitsanzo pambuyo pa opaleshoni, kuwononga maselo otsala a chotupa, kapena pamene zotupa zingapo zimayikidwa mu ubongo (metastasize) ndipo sizingachotsedwe ndi opaleshoni. Pomaliza, radiotherapy imagwiritsidwa ntchito ngati chotupa sichinatulutsidwe kwathunthu.

mankhwala amphamvu

Ngakhale kuti zotupa za muubongo sizimafalikira kunja kwa ubongo, chemotherapy imagwiritsidwa ntchito kuwongolera matendawa. Mitundu ina ya khansa ya muubongo imayankha ku chemotherapy. Chemotherapeutic agents atha kuperekedwa kudzera m'mitsempha kapena pakamwa. Nthawi zina, amatha kubayidwa mumsana kuti agwirizane ndi dongosolo lamanjenje lokha.

Njira zatsopano zimaphatikizira kulowetsa mwachindunji muubongo, pambuyo pa opaleshoni, kachidutswa kakang'ono kamene kamafalitsa chemotherapeutic agents muzinthu zaubongo kwa milungu ingapo.

Tsatani Kutsata

Nthawi zina zimakhala zovuta kuchotsa maselo onse a khansa mu ubongo. Ngati ochepa a iwo atsalira mu ubongo, chotupacho chikhoza kuwonekeranso. Kuyang'anira ndi kuyang'anira nthawi zonse ndikofunikira.

Kuphatikiza apo, chifukwa cha zotheka minyewa sequelae chifukwa chotupa kapena chithandizo chake chifukwa cha zotheka minyewa sequelae chifukwa cha chotupacho kapena mankhwala ake (kulamulira kayendedwe kapena kulankhula, etc.), nthawi ya kusintha nthawi zambiri ndizofunikira. Zimafunika kuthandizidwa ndi akatswiri apadera mothandizidwa ndi akatswiri apadera (physiotherapist, occupational therapist, speech therapist, etc.).

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