Qee zaum koj yuav hnov ib yam dab tsi zoo li lub pob me me nyob rau hauv koj lub cev. Los yog koj yuav hnov mob tingling, mob, lossis tsuas yog ib qho kev xav txawv txawv. Ib qho laj thawj rau cov no yog ib qho mob hu ua 'Schwannoma'. Lub npe suab me ntsis nyuaj thiab txaus ntshai, puas yog? Tab sis tsis txhob txhawj. Hauv tsab xov xwm no, peb yuav tham txog qhov no tiag tiag yog dab tsi, vim li cas nws tshwm sim, nws puas txaus ntshai, thiab kev kho mob yog dab tsi.
Schwannoma yog dab tsi?
Hais yooj yim xwb, schwannoma yog ib qho mob qog. Tab sis nws tshwm sim los ntawm ib hom cell tshwj xeeb hauv peb lub cev. Peb hu nws ua 'Schwann cells'.
Tam sim no tej zaum koj yuav xav paub tias cov 'Schwann cells' no yog dab tsi. Xav txog cov hlab ntsha thoob plaws peb lub cev zoo li cov xov hluav taws xob. Cov hlab ntsha no nqa cov lus los ntawm lub hlwb mus rau txhua qhov ntawm lub cev. Muaj ib lub hnab yas nyob ib puag ncig cov xov hluav taws xob ntawd rau kev tiv thaiv, puas yog? Ib yam li ntawd, peb cov hlab ntsha kuj muaj ib lub hnab nyob ib puag ncig lawv los tiv thaiv lawv thiab pab lawv nqa cov lus sai dua. Lub hnab ntawd yog ua los ntawm 'Schwann cells'. Yog li, rau qee qhov laj thawj, thaum cov Schwann cells no pib loj hlob tawm ntawm kev tswj hwm, ib qho qog tsim nyob ntawd. Ntawd yog qhov peb hu ua Schwannoma.
Qhov xov xwm zoo yog tias feem ntau ntawm cov qog no tsis yog mob qog noj ntshav (benign) . Qhov no txhais tau tias lawv tsis kis mus rau lwm qhov ntawm lub cev. Thiab lawv feem ntau loj hlob qeeb heev, qee zaum dhau ntau xyoo.
Tiam sis, tsis tshua muaj, uas yog, tsis tshua muaj, cov no kuj tuaj yeem ua mob qog noj ntshav (malignant). Tom qab ntawd peb kuj hu lawv tias 'mob qog nqaij mos'. Tiam sis qhov ntawd tsis tshua muaj. Hauv 90% ntawm cov neeg mob, cov no muaj nyob ua ib lub qog.
Cov Schwannomas feem ntau tshwm sim qhov twg?
Cov qog no tuaj yeem tsim nyob txhua qhov chaw hauv 'peripheral nervous system', lub paj hlwb uas nqa cov lus los ntawm peb lub hlwb thiab tus txha caj qaum mus rau lwm qhov ntawm lub cev.
Tiamsis muaj ib hom tshwj xeeb uas pom ntau zaus dua. Nws hu ua 'vestibular schwannoma' . Ib txhia neeg kuj hu nws ua 'acoustic neuroma'. Qhov no tshwm sim hauv cov hlab ntsha uas mus ntawm peb lub hlwb mus rau peb pob ntseg, uas pab peb hnov lus thiab sib npaug. Qhov no feem ntau tsis yog mob qog noj ntshav, thiab nws yog ib hom mob uas loj hlob qeeb.
Tsis tas li ntawd xwb, lawv kuj tseem tuaj yeem tsim kho hauv cov hlab ntsha sciatic hauv ceg, lub brachial plexus hauv caj npab, thiab cov hlab ntsha hauv qab nraub qaum.
Qhov no puas yog qog hauv hlwb?
Qhov no yog ib lo lus nug uas ntau tus neeg muaj. Cov lus teb yog, tej zaum yuav yog lossis tsis yog. Nws nyob ntawm seb qhov mob qog nyob qhov twg.
Cov hom uas peb tau hais ua ntej, xws li 'vestibular schwannoma', tshwm sim hauv cov hlab ntsha hauv lub hlwb. Yog vim li ntawd nws thiaj suav tias yog qog nqaij hlav hauv lub hlwb. Tab sis vim tias schwannoma tuaj yeem tshwm sim txhua qhov chaw hauv lub cev, piv txwv li, hauv cov hlab ntsha hauv caj npab lossis ceg, tsis yog txhua tus ntawm lawv yog qog nqaij hlav hauv lub hlwb.
Cov tsos mob ntawm Schwannoma yog dab tsi?
Vim tias cov qog no loj hlob qeeb heev, qee zaum lawv tuaj yeem nyob tau ntau xyoo yam tsis muaj tsos mob. Yog tias cov tsos mob tshwm sim, lawv yog dab tsi yuav nyob ntawm qhov twg ntawm cov qog thiab nws loj npaum li cas.
Lub rooj hauv qab no teev qee cov tsos mob uas tshwm sim ntau tshaj plaws.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Ib lub pob caus pom tseeb | Qee zaum, koj tuaj yeem hnov ib lub pob me me hauv qab koj daim tawv nqaij, uas tuaj yeem mob thaum koj zawm nws. |
| Tingling los yog xav tias cov ntsaum tab tom khiav ib ncig | Thaum lub qog nias rau ntawm ib txoj hlab ntsha, koj yuav hnov qhov mob tingling hauv thaj chaw uas cov hlab ntsha nqa cov lus. Hauv cov lus kho mob, qhov no hu ua 'paresthesia'. |
| Cov leeg tsis muaj zog | Vim tias cov leeg nqaij uas cov hlab ntsha tswj tsis ua haujlwm zoo, koj yuav hnov qhov tsis muaj zog nyob rau thaj chaw ntawd. Piv txwv li, nws yuav nyuaj rau tuav ib yam dab tsi hauv koj txhais tes. |
| Mob | Kev nias ntawm cov hlab ntsha tuaj yeem ua rau mob tob, mob kub hnyiab, lossis mob hnyav. |
Cov tsos mob tshwj xeeb uas sib txawv nyob ntawm qhov chaw ntawm lub qog
- Vestibular Schwannoma: Qhov no nyob hauv cov hlab ntsha pob ntseg, ua rau hnov lus tsis zoo hauv ib lub pob ntseg.Tej zaum yuav muaj suab nrov hauv koj pob ntseg (tinnitus), kiv taub hau, thiab tsis muaj zog.
- Cov hlab ntsha ntawm lub ntsej muag: Yog tias muaj qog tshwm sim hauv thaj chaw no, nws tuaj yeem ua rau nyuaj rau nqos, nyuaj rau txav lub qhov muag, hloov pauv saj, lossis lub ntsej muag tuag tes tuag taw.
- Kab Mob Sciatic: Yog tias muaj qog nqaij hlav loj hlob ntawm cov hlab ntsha tseem ceeb uas mus rau ceg, nws tuaj yeem ua rau mob uas mus los ntawm nraub qaum mus rau ceg, zoo ib yam li mob nraub qaum lossis 'teeb meem disc' .
Vim li cas Schwannoma no thiaj tsim?
Qhov tseeb, 90% ntawm cov no tshwm sim tsis tu ncua, tsis muaj laj thawj tshwj xeeb . Tsis tau pom muaj laj thawj tshwj xeeb.
Txawm li cas los xij, ib feem me me xwb tej zaum yuav muaj cov teeb meem caj ces. Piv txwv li, cov neeg uas muaj cov mob caj ces xws li Neurofibromatosis 2 (NF2), Schwannomatosis, lossis Carney complex yuav muaj feem ntau dua los tsim ntau dua ib qho ntawm cov qog no. Cov neeg uas muaj cov mob caj ces no muaj qhov tsis zoo hauv cov noob caj ces uas tswj kev tsim qog hauv lawv lub cev.
Tus kws kho mob nrhiav tau qhov no li cas?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob, nws yuav kuaj koj thiab, yog tias lawv xav tias muaj tus mob no, xa koj mus kuaj ntau zaus. Qee zaum, cov qog no yuav pom tsis tau thaum lub sijhawm luam theej duab vim lwm yam laj thawj.
Cov kev ntsuam xyuas tseem ceeb uas siv rau qhov no yog:
- Kev kuaj MRI (Magnetic Resonance Imaging): Qhov no yog qhov kev kuaj zoo tshaj plaws thiab meej tshaj plaws los nrhiav pom schwannoma. Nws siv lub zog sib nqus thiab cov nthwv dej xov tooj cua los thaij duab sab hauv lub cev kom meej heev. Kev kuaj MRI tuaj yeem pab txiav txim siab qhov chaw tseeb, qhov loj me, thiab cov nyhuv rau cov hlab ntsha nyob ze.
- CT (Computed Tomography): Qhov no siv ntau lub teeb X-ray los thaij cov duab hla ntawm lub cev. Txawm hais tias tsis meej npaum li MRI, nws kuj tseem tuaj yeem pab kuaj mob.
- Kev kuaj mob ultrasound: Qhov no yog siv los nrhiav tej yam xws li cov qog me me, tshwj xeeb tshaj yog nyob rau hauv qab daim tawv nqaij.
- Kev kuaj mob qog nqaij hlav: Qee zaum, tus kws kho mob yuav txiav txim siab siv koob txhaj ib daim me me ntawm lub qog nqaij hlav thiab kuaj nws. Qhov no hu ua 'kev kuaj mob qog nqaij hlav'. Qhov no yuav paub tseeb 100% seb nws puas yog schwannoma lossis nws puas muaj cov hlwb qog nqaij hlav.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm ntau yam. Koj tus kws kho mob yuav xav txog tej yam xws li qhov chaw ntawm lub qog, nws qhov loj me, nws loj hlob sai npaum li cas, thiab koj cov tsos mob.
Muaj peb txoj kev kho mob tseem ceeb.
1. Kev Soj Ntsuam (Kev Soj Ntsuam / "Saib thiab Tos")
Yog tias lub qog tsis yog mob qog noj ntshav, loj hlob qeeb heev, thiab koj tsis muaj cov tsos mob uas ua rau koj mob siab, koj tus kws kho mob yuav hais tias, "Cia peb tos saib xwb." Qhov ntawd txhais tau tias nws yuav ua tej yam xws li MRI scans tsis tu ncua kom pom tias lub qog puas hloov loj. Yog tias lub qog pib loj hlob lossis yog tias koj muaj cov tsos mob, ces lawv yuav pib kho nws.
2. Kev phais tshem tawm (Kev phais)
Yog tias qhov mob qog no loj hlob sai lossis yog tias cov tsos mob ua rau koj ntxhov siab, koj tus kws kho mob yuav pom zoo kom phais kom tshem nws tawm. Vim tias cov qog no loj hlob hauv lub plhaub ncig cov hlab ntsha, feem ntau cov qog no tuaj yeem raug tshem tawm tag nrho yam tsis ua rau cov hlab ntsha puas tsuaj . Txawm li cas los xij, hauv cov xwm txheej zoo li 'vestibular schwannoma', muaj kev pheej hmoo ntawm qee qhov kev hnov lus tsis zoo tom qab phais.
3. Kev Kho Mob Hluav Taws Xob
Qhov no hu ua stereotactic radiosurgery (SRS) . Qhov no suav nrog kev siv ntau lub teeb hluav taws xob uas raug tsom mus rau qhov chaw raug heev los rhuav tshem lub qog. Nws zoo li kev phais, tab sis tsis tas siv riam. Koj tus kws kho mob yuav pom zoo kom kho qhov no yog tias lub qog nyob rau hauv thaj chaw nyuaj lossis muaj kev pheej hmoo rau kev phais (piv txwv li, nyob ze cov hlab ntsha tseem ceeb lossis cov hlab ntsha).
Qhov tseem ceeb tshaj plaws yog koj tus kws kho mob thiab nws pab neeg kho mob yuav xaiv txoj kev kho mob uas zoo tshaj plaws rau koj. Yog li ntawd, nrog lawv tham txog tej lus nug lossis kev txhawj xeeb uas koj muaj.
Tom qab kho mob tas, qhov xwm txheej zoo li cas lawm?
Feem ntau, qhov kev kwv yees tom qab kho mob zoo heev. Tshwj xeeb tshaj yog tias qhov qog raug tshem tawm tag, qhov muaj feem yuav rov qab los yog tsawg heev.
Txawm li cas los xij, qhov ntau thiab tsawg ntawm cov teeb meem uas yuav tshwm sim tom qab phais mob nyob ntawm cov hauv qab no:
- Yog tias lub qog loj
- Yog tias lub qog nyob tob hauv lub cev
- Yog tias qhov mob qog nyob rau ntawm cov hlab ntsha ulnar, cov hlab ntsha loj hauv tes
Txawm li cas los xij, feem ntau, qhov kev kwv yees rau schwannoma zoo heev.
Qhov no puas tiv thaiv tsis tau kom tsis txhob tshwm sim?
Hmoov tsis zoo, tsis muaj txoj hauv kev los tiv thaiv schwannomas los ntawm kev tsim, vim tias raws li peb tau hais ua ntej, lawv feem ntau tsim random thiab tsis muaj laj thawj.
Txawm li cas los xij, yog tias koj paub tias ib tug neeg hauv koj tsev neeg muaj tus mob caj ces zoo li neurofibromatosis 2 (NF2), nws yog ib lub tswv yim zoo los tham nrog koj tus kws kho mob txog qhov ntawd. Nws yuav xa koj mus rau kev sab laj txog caj ces.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tus mob schwannoma yog ib qho mob qog uas tsim los ntawm cov hlwb Schwann uas npog cov hlab ntsha. Feem ntau ntawm cov no tsis yog mob qog noj ntshav (benign) .
- Cov tsos mob nyob ntawm seb qhov mob qog nyob qhov twg. Tej zaum yuav muaj ib lub qog, tingling, mob, lossis cov leeg tsis muaj zog. Hom mob uas feem ntau tshwm sim nyob ib ncig ntawm pob ntseg tuaj yeem cuam tshuam rau kev hnov lus thiab kev sib npaug.
- Kev kho mob tsis tas yuav tsum tau kho tas li. Muaj ntau txoj kev xaiv xws li saib xyuas qhov mob qog, phais tshem tawm, lossis siv hluav taws xob kho.
- Zuag qhia tag nrho, qhov kev kwv yees tom qab kev kho mob zoo heev.
- Yog koj pom ib lub pob tshiab ntawm koj lub cev, lossis yog koj mob lossis tsis xis nyob rau ib qho chaw twg, tsis txhob tsis quav ntsej thiab mus ntsib koj tus kws kho mob tam sim ntawd . Tsis txhob ntshai, tej zaum nws tsis yog dab tsi loj heev, tab sis nws yog ib qho tseem ceeb uas yuav tsum tau mus kuaj mob.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus