Yu tink se tumbu dɛn lɛk dis kin kam na yu nerv dɛn? Mek wi lan bɔt ‘Schwannoma’!

Yu don eva yehri di wohd 'Schwannoma'? Dis kin bi nyu wɔd fɔ yu. Na tru tru wan kayn tumbu we de fɔm na wi nervɔs sistɛm. Nɔ wɔri, i nɔ kin denja ɔltɛm. Lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin na ‘Schwannoma’?

Fɔ tɔk am simpul wan, dis ‘Schwannoma’ na tכmכro we de divεlכp frכm ‘Schwann sεl dεm’ na wi bכdi. Naw yu go mɔs de wɔnda wetin na dɛn ‘Schwann sɛl’ ya, nɔto so? dis na di sεl dεm na wi ‘pεriferal nεv sεstem’ , dat na di kayn sεl dεm we de fכm wan sεl rawnd di nεv fayb dεm we de kכmכt frכm di bren εn spεnal kכd. I tan lɛk di plastic we de kɔba rawnd ilɛktrik waya. Dɛn sɛl ya de protɛkt wi nerv dɛn ɛn ɛp fɔ mek di mɛsej dɛn we de na di nerv travul kwik kwik wan. so na dεn ‘Schwann sεl dεm’ ya de divεlכp dεn tכmכro dεm ya we dεn kכl ‘Schwannomas’.

Bɔrku tɛm, lɛk 90% pan di tɛm, dɛn ‘Schwannomas’ ya na benign . Dat min se dɛn nɔ de skata ɔlsay na di bɔdi, dɛn de de na wan ples. Bɔt, na smɔl tɛm nɔmɔ, dɛn kin bi bad bad sik . If dat apin, yu nid fɔ tek tɛm smɔl. Dɛn tumbu ya kin gro sloslo .

Dɛn tumbu ya kin divɛlɔp ɛnisay na di bɔdi, ɛnisay we di nerv dɛn de. Fɔ ɛgzampul, dɛn kin de mɔ na di nerv dɛn we de kɔmɔt na wi bren to wi yes. Dɛn kin kɔl dis bak ‘vestibular schwannoma’ ɔ ‘acoustic neuroma’ . di malignant schwannomas kin afekt di ‘sciatic nerve’ na di leg, di ‘brachial plexus’ na di an, εn di ‘sacral plexus’ na di lכw bak.

Sɔntɛnde dɛn kin kɔl schwannomas nyurilemmomas ɔ nyuromas. If dɛn gɛt kansa, dɛn kin kɔl dɛn sɔft tisu sarkoma .

di bεst tin na, 90% pan di tεm, dis ‘Schwannoma’ de כnli de lεk wan tכmכro .

Wetin na ‘Vestibular Schwannoma’?

Wi don tok likl boht vestibular schwannoma bifo. Dis na wan kayn schwannoma we de stat na di nεv dεm we de insay di yes we de rispansabl fכ wi yεri εn bεlε. Dis bak nɔ kin gɛt kansa, ɛn i kin gro smɔl smɔl.

Bɔt as dis tɔŋ de gro, i kin bigin fɔ prɛs di nɛv dɛn we gɛt fɔ du wit di we aw pɔsin de yɛri ɛn balans. Na da tɛm de:

• Di yɛri we de na di yes we gɛt di sik kin bigin fɔ stɔp smɔl smɔl .
• Tinnitus na wan ring (ringing...lɛk sawnd) na di yes.
• SɔntɛmI kin tan lɛk se yu de tɔn diziz.

Yu tink se ‘schwannoma’ na bren tumor?

Naw yu kin de wɔnda if dis ‘schwannoma’ na bren tumor ɔltɛm. Fɔ tru, nɔto so i bi. I kin divɛlɔp insay di bren ɔ na di ed, bɔt i kin divɛlɔp bak na wan nerv ɛni ɔda say na di bɔdi. biכs, lεk aw wi bin se, dεn sεl dεm ya de fכm frכm ‘Schwann sεl dεm’, εn dεn sεl dεm de na wi ‘pεrifεral nεv sεstem’, dat na insay di nεv dεm we de rכn frכm di bren to di rεst כf di bכdi.

Bɔt di kayn we we wi bin tɔk bɔt pas ɔl, we dɛn kɔl ‘Vestibular Schwannoma’, dɛn kin tek am se na bren tumor .

Udat kin gɛt Schwannoma?

Dɛn ‘Schwannomas’ ya kin kam pan pipul dɛm we ol bitwin 50 ɛn 60. Dɛn kin rili shɔt pan yɔŋ pikin dɛm.

Bɔrku tɛm, Schwannomas kin kam randomly pan pipul dɛm wae gɛt wɛl bɔdi. כltu, insay sכm kes dεm, schwannomas kin divεlכp bak biכs fכ di jεnεtik kכndishכn dεm lεk nyurofibromatosis tayp 2 (NF2) , schwannomatosis , כ Carney complex . Pipul wae gɛt dɛn kayn jenɛtik kɔndishɔn ya kin gɛt pas wan schwannoma.

Aw kɔmɔn sik na Schwannoma?

Schwannoma na wan tumbu we nɔ kin bɔku . Jɔs imajin, ivin na kɔntri lɛk Amɛrika, nɔto tu ɔndrɛd tawzin pipul dɛn kin gɛt dis sik ɛvri ia. Na 60% nɔmɔ pan di Schwannomas we nɔ gɛt kansa (benign) na di ‘vestibular Schwannoma’ we wi bin dɔn tɔk bɔt.

Wetin na di sayn dɛm fɔ wan Schwannoma?

Bikɔs dɛn Schwannomas ya kin gro sloslo , dɛn nɔ kin sho ɛni sayn fɔ lɔng tɛm. Dɔn bak, bikɔs dɛn tumbu ya kin kam na difrɛn pat dɛn na di bɔdi, di sayn dɛn kin difrɛn frɔm wan pɔsin to ɔda pɔsin . Sɔm pipul dɛn kin gɛt sɔm sayn dɛm, ɛn dɛn kin rili saful, ɛn ɔda wan dɛn kin tranga.

Na sɔm kɔmɔn sayn dɛn ya:

• Wan lump ɔ tumor we pɔsin kin si . Dis kin fil pen smɔl we yu tɔch am ɔ prɛs am.
• Fɔ fil se yu nɔ ebul fɔ du natin .
• Di mɔsul dɛn we wik .
• I kin fil lɛk se ant de kray ɔ pin ɛn nidul (dɔktɔ dɛn kin kɔl dis bak ‘paresthesia’).
• Shap pen we kin fil lɛk pen we yu de bɔn, sting, ɔ chuk yu .

Impɔtant: Dɛn sik ya kin kam bak bikɔs ɔf ɔda tin dɛn, so if yu gɛt sɔntin lɛk dis, i go fayn fɔ mek yu go to dɔktɔ fɔ advays.

Aw di simptom dεm kin difrεn dipכnt pan di say we di tכmכro de

• Vestibular Schwannoma we de na di bɔdiAs wi bin dɔn tɔk, di wan dɛn we gɛt am kin gɛt prɔblɛm wit dɛn yɛri ɛn balans , ɛn dɛn kin ivin gɛt ringin na dɛn yes (tinnitus).
• If dɛn tumbu ya fɔm pan yu fes nerve , i kin afɛkt di we aw yu ebul fɔ swɛla, muv yu yay, ɛn teist . Yu kin ivin lɔs di ebul fɔ yuz wan say na yu fes (facial paralysis) .
• If schwannoma de divεlכp pan di sciatic nerve na di leg, i kin mek bak pen εn pen we de rayt dכn di leg, we lεk di hεnia disk .

Wetin kin mek pɔsin gɛt Schwannoma?

Infakt, bɔku tɛm, wi nɔ kin no di rayt tin we mek pɔsin gɛt Schwannoma . Na 90% pan di kes dɛm nɔmɔ kin apin wan wan tɛm.

כltu, lεk aw wi bin dכn tכk, Schwannomas kin divεlכp bak biכs fכ di jεnεtik k כndishכn dεm lεk Carney komplεks, Nyurofibromatosis tayp 2 (NF2), εn Schwannomatosis. jεnεtik stכdi dεn sho se di NF2 jin na wi kromozom 22 na di men tin we de rispansabl fכ divεlכpmεnt fכ Schwannomas.

Aw dɛn kin no se pɔsin gɛt Schwannoma?

Bikɔs dɛn tumbu ya kin gro sloslo, dɛn kin de fɔ lɔng lɔng tɛm bifo yu gɛt ɛni sayn. So i kin tek sɔm tɛm fɔ gɛt diagnosis . If yu gɛt sɔm sayn dɛn, yu dɔktɔ go ɔda fɔ mek dɛn du sɔm tɛst dɛn. Sɔntɛnde, dɛn kin si wan tumbu bay we dɛn de du skan fɔ ɔda rizin.

Imej tɛst dɛm wae kin ɛp fɔ no schwannoma na:

• MRI (Magnetic Resonance Imaging) scan : Dis na tɛst we nɔ de mek pɔsin fil pen. I de yuz big magnet, redio wev, ɛn kɔmpyuta fɔ mek pikchɔ dɛn we rili klia bɔt di ɔgan dɛn ɛn di tin dɛn we de insay di bɔdi. Dis na di bɛst tɛst fɔ fɛn ɛn no bɔt Schwannoma.
• CT (Computed Tomography) scan : Dis kin yuz X-ray ɛn kɔmpyuta fɔ tek pikchɔ fɔ di tin dɛn we de insay di bɔdi.
• Ultrasound scan : Dis de yuz ay frikshɔn sawnd wev fɔ tek layf pikchɔ ɔ vidio fɔ ɔgan ɔ sɔft tisu dɛn we de insay di bɔdi. Dɔktɔ dɛn kin yuz dis fɔ fɛn schwannomas ɔnda di skin.

Yu dɔktɔ kin du bayɔpsi bak fɔ mek shɔ se i rili bi schwannoma ɔ kansa. Dis involv fɔ tek smɔl sampul pan di lump yuz nidul. Wan dɔktɔ we de stɔdi bɔt sik dɛn, dat na, spɛshal dɔktɔ we de chɛk di tisu sɛmpul dɛn lɛk dis, de luk di sɛl dɛn we de na dis sampul ɔnda maykroskɔp, dɔn i de du ɔda tɛst fɔ no uskayn tumbu dis na.

Aw dɛn kin trit Schwannomas?

Di tritmɛnt fɔ schwannoma dipen pan tin dɛm lɛk usay di tumbu de, aw i de gro kwik kwik wan, ɛn di sayn dɛm wae yu de gɛt .

Bɔku tritmɛnt dɛn de we yu kin pik:

• Wach/wach ɛn wet : If di tumbu nɔ gɛt kansa (benign), de gro sloslo, ɛn yu nɔ gɛt ɛni sayn ɔ smɔl, yu dɔktɔ kin se yu fɔ wach am gud gud wan instead fɔ trit yu. Dis min se dɛn go skan yu ɔltɛm fɔ si if di tumbu de big ɔ if nyu sayn dɛn de sho. Bɔt if i big ɔ if yu gɛt sɔm sayn dɛn leta, dɛn kin tɛl yu fɔ gi yu tritmɛnt.
• Ɔpreshɔn : If di tumbu de gro tumɔs, if i de mɔna yu wit sɔm sayn dɛn, ɔ if i de mek ɔda prɔblɛm dɛn, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul am. Bɔku tɛm, dɛn kin pul di wan ol tumbu, bɔt sɔntɛnde, i kin dipen pan usay di tumbu de, di dɔktɔ we de du di ɔpreshɔn kin ebul fɔ pul wan pat pan di tumbu nɔmɔ. Schwannomas kin fɔm na di sheath we de rawnd di nerve, so bɔku tɛm dɛn kin du ɔpreshɔn we nɔ go pwɛl di nerve . Bɔt, di risk de fɔ mek yu nɔ yɛri fayn afta dɛn dɔn du ɔpreshɔn fɔ di vestibular schwannomas.
• rεdyushכn tεrapi : Dis de yuz spεshal tεknik dεm, lεk stεriכtaktik rεdyכsכjεri (SRS) , fכ pwεl di tכmכro bay we dεn de sεnd rεdyushכn bim dεm we de fכkus bכku bכku wan. If di tumbu de nia impɔtant blɔd vesel ɔ nerv dɛn , yu dɔktɔ kin tɛl yu fɔ tek dis kayn raytin tɛrapi fɔ mek yu nɔ gɛt prɔblɛm dɛn we kin apin we yu du ɔpreshɔn.

Apat frɔm dis , dɛn kin yuz imyunotɛrapi ɛn kemotɛrapi drɔgs bak fɔ malignant schwannoma.

Yu tink se dɛn kin ebul fɔ avɔyd Schwannoma?

כnכfכs, naw nכ we nכ de fכ mek dεn ‘schwannomas’ ya nכ de. Bɔrku tɛm, dɛn kin divεlכp randomly, wae dεn nɔr no bɔt di rizin. Na lɛk 10% pan di kes dɛm gɛt fɔ du wit sɔm jɛnɛtik kɔndishɔn dɛm, we de mek pipul dɛn gɛt dɛn tɔŋ ya.

If dɛn dɔn no se pɔsin na yu famili gɛt nyurofibromatosis tayp 2 (NF2), schwannomatosis, ɔ Carney complex, tɔk to yu dɔktɔ . I kin tɛl yu fɔ advays yu bɔt yu jɛnɛtiks fɔ si if yusɛf gɛt dis sik.

Wetin na de lukin-grɔn fɔ di sik we dɛn kɔl Schwannoma?

Dis na di sik we dɛn kɔl Schwannoma.De prognosis, dat na aw de sik go afɛkt yu fɔ lɔng tɛm, de dipen pan sɔm tin dɛm:

• Usay di tumbu de na di bɔdi.
• Aw di tumbu big .
• If dɛn du ɔpreshɔn, dɛn pul ɔmɔs pan di tumbu .
• If di tumbu gɛt kansa (malignant) ɔ benign (benign) .

Jɛnɛral wan, di lukin-grɔn fɔ wan schwannoma kin fayn . Bɔku tɛm, if dɛn pul di tumbu kpatakpata, i nɔ go gro bak .

כl di komplikashכn dεm we kin apin bikoz fכ dis ‘Schwannoma’ kin apin afta di כpεrayshכn fכ pul di tכmכro . Dɛn tin ya kin mek yu gɛt prɔblɛm mɔ afta dɛn dɔn du di ɔpreshɔn:

• If di tumbu rili big .
• If di tumbu de dip insay di bɔdi.
• If di tכmכro bigin na di ulnar nεv, we na wan pan di tri men nεv dεm na yu an.

Ustɛm yu fɔ go to dɔktɔ bɔt Schwannoma?

If dɛn dɔn no se yu gɛt schwannoma, i impɔtant fɔ go to yu dɔktɔ wantɛm wantɛm fɔ advays yu bɔt aw fɔ mɛn yu schwannoma , ilɛksɛf yu gɛt nyu sik ɔ if di sik we yu dɔn gɛt dɔn wɔs .

If yu dɔktɔ dɔn tɛl yu fɔ wach di tumbu we yu nɔ gɛt tritmɛnt, yu fɔ si am wan tɛm insay di ia fɔ mek dɛn chɛk yu . Dɔn i kin du imej tɛst (lɛk MRI) fɔ wach aw di tumbu de gro ɛn aw i de.

Na nɔmal tin fɔ fil fɔ fred we yu kam fɔ no se yu gɛt tumbu. Bɔt di gud nyus na dat schwannoma na wan kayn tumbu we nɔ kin gɛt kansa ɛn i kin gro sloslo . Yu mɛdikal tim go ɛp yu fɔ disayd di bɛst tritmɛnt plan fɔ yu. I kin bi jɔs fɔ wach di tumbu, ɔpreshɔn fɔ pul am, ɔ ɔda tin. Nɔ fred fɔ aks kwɛstyɔn, ilɛk wetin apin . Yu dɔktɔ de ya ɔltɛm fɔ ɛp yu.

Mɛsej we dɛn kin kɛr go na os

Okay, so naw yu geht gud aidia boht wetin wi bin de tok boht, Schwannoma. Na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

• Schwannoma na tכmכro we de kכmכt frכm di Schwann sεl dεm we de rawnd di nεv dεm. Bɔku tɛm, dɛn tin ya nɔ kin gɛt kansa .
• Dɛn tin ya kin gro sloslo , so sɔntɛnde i kin tek sɔm ia fɔ sho di sayn dɛm.
• di simptom dεm kin difrεn bכku wan dipכnt pan usay di tכmכro de na di bכdi . Fɔ ɛgzampul, i kin bi se i nɔ kin yɛri fayn, i kin ring na in yes, i kin swɛla, i kin fil pen, ɛn di mɔsul dɛn kin wik.
• Mek dɛn tin ya gro.Bɔku tɛm dɛn nɔ kin no di rayt tin we kin mek i apin, bɔt i kin gɛt sɔntin fɔ du wit sɔm tin dɛn we kin apin to pɔsin in jɛnɛtiks .
• MRI skan na di men ɛn bɛst we fɔ no dɛn tin ya.
• Di tritmɛnt kin inklud fɔ wach di tumbu, ɔpreshɔn fɔ pul am, ɔ fɔ tek redyushɔn tɛrapi . Di tritmɛnt dipen pan di kayn ɛn usay di tumbu de.
• Nɔ wɔri , Bɔku tɛm, Schwannoma na wan sik we dɛn kin mɛn fayn fayn wan, we dɛn kin mɛn. If yu gɛt ɛnitin fɔ wɔri bɔt ɔ kwɛstyɔn, mek shɔ se yu tɔk to yu dɔktɔ.

` Schwannoma, nyuromas, Schwann sel dεm, vεstibular schwannoma, nεv sistεm, tכmכro dεm we nכ de kεnsar, MRI skan