Nyob hauv ntiaj teb no, tsis muaj leej twg xav tias cov kab mob oncological yog qhov mob hnyav tshaj plaws thiab cuam tshuam tsis tau. Ntawm lawv, mob qog noj ntshav hauv hlwb tau suav tias yuav luag "txoj lus tuag" rau tus neeg mob. Yog li tus kab mob no yog dab tsi?
mob qog nqaij hlav hlwb yog ib qho mob neoplasm nyob rau hauv tib neeg pob txha taub hau uas tshwm sim hauv cov txheej txheem ntawm kev faib tawm ntawm lub hlwb. Yuav luag txhua pab pawg ntawm cov hlwb (neurons; astrocytes; glial hlwb, lymphatic hlab ntsha, hlab ntsha, qog thiab meninges) tuaj yeem raug rau qhov kev faib tawm. Feem ntau, mob qog nqaij hlav hlwb tshwm sim los ntawm metastasis los ntawm lwm yam kabmob (hematogenous lossis lymphogenous txoj kev). Hom qog yog txiav txim siab los ntawm qhov tseem ceeb ntawm qee cov cell hauv nws. Cov tsos mob ntawm tus kab mob tshwm sim nyob ntawm qhov chaw ntawm malignant neoplasm thiab cov ntaub so ntswg cuam tshuam.
mob qog nqaij hlav hlwb tsis tsim nyob rau hauv lub tshuab nqus tsev. Rau qhov tshwm sim ntawm tus kab mob no, qee yam yuav tsum tau ua ua ntej (kev raug tshuaj lom neeg, hluav taws xob, tshuaj lom neeg, qhov tshwm sim ntawm kev raug mob; kev kis kab mob, kev haus luam yeeb), txawm hais tias tib neeg heredity kuj plays lub luag haujlwm tseem ceeb hauv qhov no. Txawm tias tej yam laj thawjmob qog noj ntshav tseem tsis tau txheeb pom, feem ntau nws tshwm sim vim kev loj hlob ntawm cov hlwb glial.
Nyob ntawm qhov chaw ntawm neoplasm thiab nws cov muaj pes tsawg leeg, cov qog hlwb tau muab faib ua ob pawg. Raws li qhov chaw ntawm cov qog, lawv muab faib rau cov uas nyob hauv lub hlwb nws tus kheej thiab cov uas nyob sab nraud. Cov tom kawg kuj tuaj yeem ua metastases. Raws li cov ntsiab lus ntawm tes, neoplasms tau muab faib ua: plhaub (lawv integumentary cov ntaub so ntswg ntawm meninges tshwm sim); pituitary (tso nyob rau hauv lub caj pas pituitary); neuromas (tshwj xeeb nyob rau hauv cov hlab ntsha cranial); disembryogenetic; neuroepithelial (tsim los ntawm lub hlwb). Nws yog cov qog neuroepithelial uas suav txog 60% ntawm cov neeg mob ntawm tus kabmob no.
Thawj cov tsos mob ntawm mob qog noj ntshav hlwb tshwm sim thaum cov qog nqaij hlav loj hlob tuaj. Nyob rau hauv tus txheej txheem ntawm nws txoj kev loj hlob, lub hlwb cov ntaub so ntswg yog compressed thiab puas. Cov tsos mob zoo li no hu ua focal lossis thawj. Qhov neoplasm loj hlob sai dua thiab cov kab mob loj tuaj, qhov muaj zog ntawm cov tsos mob tshwm sim, uas suav nrog cov kab mob ntawm cov hlab ntshav thiab nce siab hauv intracranial.
mob qog nqaij hlav hlwb, cov laj thawj uas tuaj yeem txiav txim siab tau tom qab kev kuaj xyuas nruj thiab kawm txog keeb kwm kho mob, muaj qee yam tsos mob. Feem ntau ntawm lawv yog: rhiab heev (mob, tactile thiab thermal hnov); teeb meem nrog lub vestibular apparatus; epileptic tshwm sim; kev txav chaw; hnov lus thiab tsis pom kev; kev hais lus tsis ua haujlwm;hormonal ntshawv siab; vegetative ntshawv siab (dhia hauv mem tes, siab, kiv taub hau); dementia; ua txhaum ntawm kev sib koom tes; kev hnov lus; psychomotor ntshawv siab (tsis nco qab, cuam tshuam, chim siab).
Nrog rau qhov nce hauv intracranial siab thiab nyem ntawm lub hlwb cov ntaub so ntswg, cov tsos mob tshwm sim: mob taub hau tas li thiab mob hnyav; ntuav thiab ntuav tsis tu ncua; kiv taub hau.
mob qog nqaij hlav hlwb raug kuaj pom hauv 3 theem. Nyob rau theem 1, ib qho neoplasm raug kuaj pom los ntawm cov tsos mob focal thiab cerebral. Hauv theem 2, kev kuaj mob sib txawv thiab kev kuaj mob ua ntej tau ua. Lub sijhawm no, suav lossis magnetic resonance imaging (MRI) tau ua. Tom qab kuaj pom cov qog, muaj 3 theem, uas qhov kev kuaj mob tau lees paub. Lub sijhawm no, tus neeg mob tau mus pw hauv tsev kho mob, ua qog nqaij hlav qog nqaij hlav, thiab kho cov txheej txheem kho mob (irradiation, phais, chemotherapy). Nyob rau theem pib, kev kho mob qog noj ntshav hauv hlwb yog ua raws li cov hauv paus ntsiab lus sib xws rau kev kho cov kab mob zoo li no. Kev cuam tshuam ntawm kev phais yog raws li kev txiav tawm ntawm cov qog, tab sis feem ntau nws yuav luag ua tsis tau.
mob qog nqaij hlav qaum, cov tsos mob uas qee zaum zoo li cov qog hlwb (tsis hnov tsw, tsis ua haujlwm ntawm kev sib koom tes, tuag tes tuag taw, kev txav tsis zoo) yog nrog mob nraub qaum.
