Wetin na Schwannoma? Na sɔntin we wi fɔ fred? Lɛ wi fɛn ɔndastand di rayt tin

Sɔntɛnde yu kin fil sɔntin lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Ɔ yu kin fil tingling, pen, ɔ jɔs wan strenj filin. Wan rizin fɔ dɛn tin ya na wan kɔndishɔn we dɛn kɔl ‘Schwannoma’. Di nem tan lɛk se i kɔmplikt smɔl ɛn i de mek pɔsin fred, nɔto so? Bɔt nɔ wɔri. Insay dis atikul, wi go tɔk bɔt wetin dis rili bi, wetin mek i kin apin, if i denja, ɛn wetin na di tritmɛnt.

Wetin na Schwannoma?

Fɔ tɔk am simpul wan, schwannoma na tumor. Bɔt i kin kɔmɔt frɔm wan spɛshal kayn sɛl we de na wi bɔdi. Wi kin kɔl am ‘Schwann sɛl dɛn’.

Naw yu kin de wɔnda wetin na dɛn ‘Schwann sɛl’ ya. Tink bɔt di nɛf dɛn we de ɔlsay na wi bɔdi lɛk ilɛktrik waya. Dɛn nɛv ya kin kɛr mɛsej frɔm di bren to ɔl di pat dɛn na di bɔdi. Na plastic sheath de rawnd da ilɛktrik waya de fɔ protɛkshɔn, nɔto so? Semweso, wi nerv dɛn bak gɛt wan shea rawnd dɛn fɔ protɛkt dɛn ɛn ɛp dɛn fɔ kɛr mɛsej dɛn kwik kwik wan. Dat sheath na ‘Schwann cells’ dɛn mek am. So, fɔ sɔm rizin, we dɛn Schwann sɛl ya bigin fɔ gro we dɛn nɔ ebul fɔ kɔntrol, wan tumbu kin fɔm de. Na dat wi de kɔl Schwannoma.

Di gud nyus na dat bɔku pan dɛn tumbu ya nɔto kansa (benign) . Dis min se dɛn nɔ de skata to ɔda pat dɛn na di bɔdi. Ɛn bɔku tɛm dɛn kin gro sloslo, sɔntɛnde dɛn kin gro fɔ lɔng tɛm.

Bɔt, rili smɔl, dat na, rili smɔl, dɛn tin ya kin bi kansa bak (malignant). Dɔn wi kin kɔl dɛn bak ‘sɔft tisu sarkoma’. Bɔt dat nɔ kin apin so ɔltɛm. insay 90% pan di kes dεm, dεn wan ya de de lεk wan tכmכro.

Usay Schwannomas kin apin mɔ?

dis tכmכro dεm kin divεlכp enisay na di ‘pεriferal nεv sεstem’, di nεv sεstem we de kכri mεsej frכm wi bren εn spεnal kכd to di rεst כf di bכdi.

Bɔt wan spɛshal kayn de we dɛn kin si bɔku tɛm. Dɛn kɔl am ‘vestibular schwannoma’ . Sɔm pipul dɛn kin kɔl am bak ‘akostik nyuroma’. Dis kin divεlכp na di nεv we de kכmכt na wi bren to wi yes, we de εp wi fכ yεri εn bεlε. Bɔku tɛm, dis bak nɔ kin gɛt kansa, ɛn na wan kayn we we kin gro sloslo.

pan tap dat, dεn kin divεlכp bak na di sciatic nεv na di lεg, di brachial plexus na di an, εn di nεv dεm na di lכw bכk.

Dis na bren tumor?

Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Di ansa na, i kin bi ɔ i nɔ kin bi. I dipen pan usay di tumbu de.

di kayn dεm we wi bin dכn tכk bכt, lεk di ‘vestibular schwannoma’, de kכmכt na di nεv dεm we de insay di bren. Na dat mek dɛn kin tek am se na bren tumor. Bɔt bikɔs schwannoma kin kam ɛnisay na di bɔdi, fɔ ɛgzampul, na wan nerve na wan an ɔ leg, nɔto ɔl dɛn na bren tumor.

Wetin na di sayn dɛm fɔ Schwannoma?

Bikɔs dɛn tumbu ya kin gro sloslo, sɔntɛnde dɛn kin go fɔ lɔng lɔng tɛm ɛn nɔ kin sho ɛni sayn. If di sayn dɛm de sho, wetin dɛn bi go dipen pan usay di tumbu de ɛn aw i big.

De tebul wae de dɔŋ ya de sho sɔm pan de sik wae kin kam pan pɔrsin.

Speshal simptom dεm we de difrεn dipכnt pan di say we di tכmכro de

• Vestibular Schwannoma: Dis de na di ia nerve, we de mek wan yes nɔ de yɛri fayn.I pɔsibul. Yu kin gɛt bak sawnd we de ring na yu yes (tinnitus), yu ed kin tɔn, ɛn yu nɔ kin balans.
• Facial Nerve: If tumor de na dis eria, i kin mek i nɔ izi fɔ swɛla, i kin mek i nɔ izi fɔ muv di yay, i kin chenj di teist, ɔ i kin mek di fes paralayz.
• Sciatic Nerve: if tumor de divεlכp pan di men nerve we de go na di leg, i kin mek yu fil pen we de travul frכm di bak dכn di leg, we lεk bak pen כ ‘disk prכblεm’ .

Wetin mek dis Schwannoma kin fɔm?

Infakt, 90% pan dɛn tin ya kin apin wan wan tɛm, ɛn dɛn nɔ kin gɛt ɛni patikyula rizin . Dɛn nɔ dɔn fɛn ɛni patikyula rizin yet.

Bɔt, na smɔl pipul dɛn nɔmɔ kin gɛt tin dɛn we kin mek dɛn gɛt jɛnɛtiks. fכ egzampl, pipul dεm we gεt jεnεtik kכndyushכn lεk Nyurofibromatosis 2 (NF2), Schwannomatosis, כ Carney complex kin gεt mכr dan wan pan dεn tכmכro dεm ya. Pipul dεm we gεt dεn jεnεtik kכndyushכn ya gεt difεkt na di jin dεm we de kכntro di tכmכro fכmeshכn na dεn bכdi.

Aw dɔktɔ kin fɛn dis?

We yu go to dɔktɔ wit di sayn dɛm, dɛn go chɛk yu ɛn if dɛn tink se yu gɛt dis sik, dɛn go rifer yu fɔ sɔm imej tɛst dɛm. Sɔntɛnde, dɛn kin si dis tumbu bay we dɛn de du skan fɔ ɔda rizin.

Di men tɛst dɛn we dɛn kin yuz fɔ dis na:

• MRI (Magnetic Resonance Imaging) scan: Dis na di bɛst ɛn klia tɛst fɔ no if pɔsin gɛt schwannoma. I de yuz magnɛtik fil ɛn redio wev fɔ tek pikchɔ dɛn we rili klia bɔt di insay pat na di bɔdi. MRI kin ɛp fɔ no di rayt say, di sayz, ɛn di ifɛkt pan di nerv dɛn we de nia yu.
• CT (Computed Tomography) scan: Dis kin yuz bɔku ɛkstrem rayt bim dɛn fɔ tek krɔs-sekshɔn pikchɔ dɛn fɔ di bɔdi. Pan ɔl we i nɔ klia lɛk MRI, i kin ɛp bak fɔ no di sik.
• Ultrasound scan: Dɛn kin yuz dis fɔ luk fɔ tin dɛn lɛk smɔl smɔl tɔŋ, mɔ ɔnda di skin.
• Bayopsi: Sɔntɛnde, di dɔktɔ kin disayd fɔ tek smɔl pat pan di lump wit nidul ɛn chɛk am. Dɛn kɔl dis ‘bayɔpsi’. dis go kכnfכm 100% if na tru tru schwannoma כ if i gεt kεnsar sεl dεm.

Wetin na di tritmɛnt dɛm fɔ dis?

Di tritmɛnt dipen pan sɔm tin dɛn. Yu dɔktɔ go tink bɔt tin dɛn lɛk usay di tumbu de, in saiz, aw i de gro fast, ɛn di sayn dɛn we yu gɛt.

Tri men tritmɛnt dɛn de we yu kin du.

1. Obshɔbishɔn (Obzhɔveshɔn / "Watch ɛn Wait") .

If di tumbu nɔ gɛt kansa, i de gro sloslo, ɛn yu nɔ gɛt ɛni sik we de mɔna yu, yu dɔktɔ kin se, "Lɛ wi jɔs wet ɛn si." Dat min se i go du tin dɛn lɛk MRI skan ɔltɛm fɔ si if di tumbu de chenj in saiz. If di tumbu bigin fɔ gro ɔ if yu gɛt sɔm kayn sik, den dɛn go bigin fɔ trit am.

2. Ɔpreshɔn fɔ pul (Ɔpreshɔn) .

If di tumbu de gro kwik kwik wan ɔ if di sayn dɛn de mɔna yu, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn fɔ pul am. Bikɔs dɛn tumbu ya kin gro na di sheath we de rawnd di nerve, bɔku tɛm dɛn kin pul di tumor kpatakpata we nɔ go pwɛl di nerve . Bɔt pan kes dɛm lɛk ‘vestibular schwannoma’, risk de fɔ sɔm kayn we fɔ yɛri afta dɛn dɔn ɔpreshɔn.

3. Rɛdieshɔn Tɛrapi

Dɛn kɔl dis stiriɔtaktik redio ɔpreshɔn (SRS) . dis involv fכ yuz bכku nכmba כf rεdyushכn bim dεm we dεn tכk rili prεsis fכ pwεl di tכmכro. I tan lɛk ɔpreshɔn, bɔt dɛn nɔ yuz nɛf. Yu dɔktɔ kin tɛl yu dis tritmɛnt if di tumbu de na say we at ɔ we gɛt prɔblɛm fɔ ɔpreshɔn (fɔ ɛgzampul, nia impɔtant blɔd vesel ɔ nerv dɛn).

Aw di tin kin bi afta dɛn dɔn trit am?

Bɔrku tɛm, di prɔgnosis kin rili fayn afta tritmɛnt. Ɛspɛshali if dɛn pul di tumbu kpatakpata, di chans fɔ mek i kam bak kin rili smɔl.

Bɔt di kayn prɔblɛm dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn kin dipen pan dɛn tin ya:

• If di tumbu big
• If di tכmכro de dip insay di bכdi
• If di tכmכro de na di ulnar nεv, we na wan big nεv na di an

Bɔt ɔltogɛda, di prɔgnosis fɔ schwannoma rili gud.

Yu nɔ tink se dis nɔ go apin?

I sɔri fɔ no se no we nɔ de fɔ mek schwannomas nɔ fɔm, bikɔs lɛk aw wi bin dɔn tɔk, bɔku tɛm dɛn kin fɔm randomly ɛn witout ɛni rizin.

Bɔt if yu no se sɔmbɔdi na yu famili gɛt wan sik we dɛn kɔl nyurofibromatosis 2 (NF2), i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt am. I kin ebul fɔ rifer yu fɔ gɛt kɔyl fɔ yu jɛnɛtiks.