Schwannoma chu eng nge ni? Hlauh tur thil a ni em? A dik chiahin han chhui teh ang u

A châng chuan i taksa hmun dangah hnah te tak te ang chi thil i hre thei bawk. A nih loh leh, tingling, natna, a nih loh leh thil mak tak mai mai i nei thei bawk. Heng thilte chhan pakhat chu ‘Schwannoma’ an tih dinhmun a ni. A hming hi a buaithlak deuhin a hlauhawm deuhin a ri a ni lawm ni? Mahse, lungngai suh. He thuziakah hian hei hi eng nge a nih tak tak, a lo awm chhan, a hlauhawm em, leh a enkawl dan chu mi zawng zawng hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Schwannoma chu eng nge ni?

A awlsam zawngin schwannoma hi tumor a ni. Mahse kan taksaa cell chi khat bik atanga lo chhuak a ni. ‘Schwann cells’ kan ti a.

Tunah chuan heng ‘Schwann cells’ te hi eng nge an nih i ngaihtuah mai thei. Kan taksa pum puia nerve awmte hi electrical wire angin ngaihtuah rawh. Heng nerve te hian thluak atang hian taksa peng zawng zawngah thuchah an keng tel thin. Chu electrical wire vel chu venhimna atan plastic sheath a awm a ni lawm ni? Chutiang bawkin kan nerve te pawh hian anmahni humhimtu leh thuchah rang zawka an phurh theihna tura puitu tur sheath an nei bawk. Chu sheath chu ‘Schwann cells’ atanga siam a ni. Chuvangin, eng emaw chhan vangin heng Schwann cell te hi thunun theih loha an lo thang lian tan chuan chutah chuan tumor a lo awm ta a ni. Chu chu Schwannoma kan tih chu a ni.

Thu lawmawm tak chu heng tumor tam zawk hi cancer (benign) an ni lo . Chumi awmzia chu taksa peng dangah an darh lo tihna a ni. Tin, an thang zawi zawi fo bawk a, a chang chuan kum tam tak chhung pawh an thang lian thin.

Mahse, a tlem hle, chu chu a tlem hle tihna a ni, hengte hi cancer (malignant) an lo ni thei bawk. Tichuan ‘soft tissue sarcoma’ kan ti bawk. Mahse chu chu a tlem hle. 90% ah chuan hengte hi tumor pakhat angin an awm a ni.

Schwannomas hi khawiah nge a awm tam ber?

Heng tumor te hi ‘peripheral nervous system’, kan thluak leh ruhro atanga thuchah taksa peng dang thlenga thawn chhuaktu nervous system chhungah khawi hmunah pawh a lo awm thei a ni.

Mahse, hmuh tam zawk chi bik a awm. ‘vestibular schwannoma’ an ti a ni. Mi thenkhat chuan ‘acoustic neuroma’ an ti bawk. Hei hi kan thluak atanga kan beng thlenga kal nerve-ah a lo thang lian a, chu chuan kan hriatna leh balance-ah min pui thin. Hei pawh hi cancer a ni lo fo va, a lo thang zawi zawi bawk.

Tin, kea sciatic nerve, kut chhunga brachial plexus, leh hnungzang hnuai lam nerve-ah te pawh an lo thang lian thei bawk.

Hei hi thluaka tumor a ni em?

Hei hi mi tam takin zawhna an neih a ni. A chhanna chu, a ni thei a, a ni lo thei bawk. Tumor awmna hmunah a innghat.

A hmaa kan sawi tawh chi hrang hrang, ‘vestibular schwannoma’ te hi thluak chhunga nerve-ah a lo chhuak thin. Chuvang chuan thluak natna (brain tumor) anga ngaih a ni. Mahse schwannoma hi taksa khawi hmunah pawh, entirnan, kut emaw, ke emawa nerve-ah a lo awm thei a, chuvang chuan an vai hian thluaka tumor an ni vek lo.

Schwannoma natna lan chhuah dan chu engte nge ni?

Heng tumor te hi an lo thang zawi hle a, a chang chuan kum tam tak chhung chu natna lan chhuah lohvin an kal thei a ni. Symptoms a lo lang tak tak a nih chuan eng nge a nih tih chu tumor awmna leh a lian ziaah a innghat ang.

A hnuaia table-ah hian a lan chhuah dan tlangpui thenkhat tarlan a ni.

Tumor awmna hmun a zirin symptom bik a inang lo

• Vestibular Schwannoma: Hei hi beng nerve-ah a awm a, beng pakhatah hriatna hloh a ni.A theih a ni. I beng chhungah ring ri (tinnitus), luak chhuak, leh balance hloh i nei thei bawk.
• Facial Nerve: He lai hmunah hian tumor a awm chuan ei harsat, mit chet harsa, thlum inthlak danglam, hmai paralysis a thlen thei.
• Sciatic Nerve: Ke lama kal main nerve-ah tumor a lo awm chuan hnungzang atanga ke hnuai lam pan thei natna a thlen thei a, chu chu hnungzang na emaw ‘disc problem’ emaw ang chi a ni

Engvangin nge he Schwannoma hi a lo awm?

Dik tak chuan, heng zinga 90% hi chu a chang chuan a thleng a, a chhan chiang tak a awm lo . A chhan chiang tak erawh hmuhchhuah a la ni lo.

Mahse, mi tlemte chauh hian genetic cause an nei thei. Entirnan, Neurofibromatosis 2 (NF2), Schwannomatosis, Carney complex ang chi genetic condition nei te hian heng tumor zinga pakhat aia tam an nei tam zawk. Heng genetic condition nei te hian an taksaa tumor siam dan control tu genes-ah chhiatna an nei a.

Engtin nge doctor hian hei hi a hmuh theih?

Symptom nei doctor i pan chuan an enfiah ang che a, he natna hi an rinhlelh chuan imaging test engemawzat nei turin an refer ang che. A châng chuan, he tumor hi chhan dang vanga scan an tih laiin a thleng mai thei.

Chumi atana test hman ber berte chu:

• MRI (Magnetic Resonance Imaging) scan: Hei hi schwannoma hriat theihna atana test tha ber leh chiang ber a ni. Magnetic field leh radio wave hmangin taksa chhungril lam thlalak chiang tak tak a la thin. MRI hian a awmna hmun dik tak, a lian leh te, leh a bul hnaia nerve-a nghawng a neih dan tur a hriat theih nan a pui thei a ni.
• CT (Computed Tomography) scan: Hei hian X-ray beam tam tak hmangin taksa cross-sectional image a la thin. MRI angin chiang lo mahse, natna hriatchhuahna kawngah pawh a pui thei hle.
• Ultrasound scan: Hei hi tumor te tak te ang chi, a bik takin vun hnuai lam thil zawng nan hman a ni.
• Biopsy: A chang chuan, doctor chuan a hnah te tak te chu needle hmanga lak a, enfiah a tum mai thei. Hei hi ‘biopsy’ an ti a. Hei hian schwannoma a nih tak tak leh cancer cell a awm em tih 100% in a nemnghet ang.

Hei hi eng enkawlna nge ni?

Enkawlna chu thil engemaw zatah a innghat a ni. I doctor chuan tumor awmna hmun, a lian leh te, a lo thang chak dan leh i natna lan chhuah dan te a ngaihtuah ang.

Enkawl dan chi thum a awm a.

1. Enfiahna (Enfiahna / "En la, nghak rawh") .

Tumor hi cancer a nih loh chuan, a lo thang zawi zawi hle a, symptoms buaithlak tak tak i neih loh chuan i doctor chuan, "I nghak mai ang u," a ti mai thei. Chumi awmzia chu MRI scan ang chi thil a ti ang a, tumor chu a lian leh te a inthlak em tih a enfiah ang. Tumor a lo lian tan emaw, symptom i neih chuan an enkawl tan ang.

2. Surgery hmanga lakchhuah (Surgery) .

Tumor chu a lo thang chak hle a nih chuan emaw, a natna lan chhuah danin a tibuai che a nih chuan, i doctor chuan operation tihchhuah a rawt thei ang. Heng tumor te hi nerve chhehvela sheath-ah an lo thang lian a, a tam zawkah chuan nerve tichhe lovin tumor chu lakchhuah vek theih a ni . Mahse, ‘vestibular schwannoma’ ang chi case-ah chuan operation hnua hriatna hloh engemaw zat a awm theihna a awm.

3. Radiation Therapy hmanga enkawlna

Hei hi stereotactic radiosurgery (SRS) an ti a. Hei hian tumor tihchhiat nan radiation beam chiang tak tak, targeted tak tak tam tak hman a huam a ni. Surgery ang mai a ni a, mahse chem hmang lovin. I doctor chuan he enkawlna hi a rawt thei a, chu chu tumor chu operation atana hmun harsa emaw, hlauhawmna hmunah (entir nan, thisen kalna kawng emaw nerve pawimawh tak bulah) a awm a nih chuan.

Enkawl hnuah eng dinhmun nge a awm?

A tam zawkah chuan enkawl hnuah prognosis a tha hle. A bik takin tumor chu lakchhuah vek a nih chuan a lo let leh theihna chance a tlem hle.

Mahse, operation hnua harsatna awm thei zat chu a hnuaia thilteah hian a innghat a ni:

• Tumor a lian a nih chuan
• Tumor chu taksa chhung thuk takah a awm a nih chuan
• Kut chhunga nerve lian tak ulnar nerve-ah tumor a lo awm tawh a nih chuan

Mahse, a pum puiah chuan schwannoma prognosis hi a tha hle.

Hei hi a thleng lo thei lo em ni?

Vanduaithlak takin schwannomas lo awm tur ven dan tur a awm lo, a chhan chu kan sawi tawh ang khan random leh chhan awm lovin an lo piang fo thin.

Mahse, i chhungkuaa mi tu emaw hian neurofibromatosis 2 (NF2) ang chi genetic condition a nei tih i hriat chuan i doctor nen inbiakna neih a tha. Genetic counseling atan a refer thei che a ni.