Kodi zotupa ngati izi zingayambike m'mitsempha yanu? Tiyeni tiphunzire za 'Schwannoma'!

Kodi mudamvapo mawu oti 'Schwannoma'? Liwu limeneli likhoza kukhala latsopano kwa inu. Ndi mtundu wa chotupa chomwe chimapanga mu dongosolo lathu la mitsempha. Musadandaule, nthawi zonse sichimakhala choopsa. Tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.

Kodi 'Schwannoma' ndi chiyani?

Mwachidule, 'Schwannoma' iyi ndi chotupa chomwe chimachokera ku 'maselo a Schwann' m'thupi lathu. Tsopano mwina mukudabwa kuti 'maselo a Schwann' awa ndi chiyani, sichoncho? Awa ndi maselo a 'peripheral nervous system' yathu, kutanthauza mtundu wa selo lomwe limapanga chipolopolo chozungulira ulusi wa mitsempha womwe umachokera ku ubongo ndi msana. Zili ngati pulasitiki yophimba waya wamagetsi. Maselo awa amateteza mitsempha yathu ndipo amathandiza mauthenga a mitsempha kuyenda mwachangu. Chifukwa chake 'maselo a Schwann' awa ndi omwe amapanga zotupa izi zotchedwa 'Schwannomas'.

Nthawi zambiri, pafupifupi 90% ya nthawi, ma 'Schwannomas' amenewa ndi abwino . Izi zikutanthauza kuti safalikira m'thupi lonse, amakhala pamalo amodzi. Komabe, nthawi zambiri, amatha kukhala ndi khansa . Ngati izi zitachitika, muyenera kusamala pang'ono. Zotupa izi nthawi zambiri zimakula pang'onopang'ono .

Zotupa zimenezi zimatha kufalikira kulikonse m'thupi, kulikonse komwe kuli mitsempha. Mwachitsanzo, zimapezeka kwambiri m'mitsempha yomwe imachokera muubongo wathu kupita m'makutu athu. Izi zimatchedwanso 'vestibular schwannoma' kapena 'acoustic neuroma' . Malignant schwannomas nthawi zambiri zimakhudza 'sciatic nerve' m'mwendo, 'brachial plexus' m'dzanja, ndi 'sacral plexus' m'munsi mwa msana.

Ma Schwannoma nthawi zina amatchedwa neurilemmomas kapena neuromas. Ngati ndi khansa, amatha kutchedwa soft tissue sarcomas .

Chabwino kwambiri n'chakuti, 90% ya nthawi, 'Schwannoma' iyi imapezeka ngati chotupa chimodzi chokha .

Kodi 'Vestibular Schwannoma' ndi chiyani?

Takambiranapo pang'ono za vestibular schwannoma kale. Uwu ndi mtundu wa schwannoma womwe umayamba m'mitsempha yomwe ili mkati mwa khutu yomwe imayang'anira kumva kwathu komanso kukhazikika kwathu. Izi nthawi zambiri sizimayambitsa khansa, ndipo zimakula pang'onopang'ono.

Komabe, pamene chotupachi chikukulirakulira, chimayamba kukanikiza mitsempha yokhudzana ndi kumva ndi kukhazikika. Pamenepo ndi pamene:

• Kumva m'khutu lomwe lakhudzidwa kumayamba kuchepa pang'onopang'ono .
• Tinnitus ndi phokoso lomveka m'makutu.
• Nthawi zinaZikumveka ngati chizungulire.

Kodi 'schwannoma' ndi chotupa muubongo?

Tsopano mwina mukudabwa ngati 'schwannoma' iyi nthawi zonse ndi chotupa cha muubongo. Kwenikweni, sichoncho. Imatha kukula mkati mwa ubongo kapena m'mutu, koma imathanso kukula mu mitsempha kwina kulikonse m'thupi. Chifukwa, monga tanenera, izi zimapangidwa kuchokera ku 'maselo a Schwann', ndipo maselo amenewo ali mu 'dongosolo lathu la mitsempha ya m'mphepete', kutanthauza, m'mitsempha yomwe imayenda kuchokera ku ubongo kupita ku thupi lonse.

Komabe, mtundu wofala kwambiri, wotchedwa 'Vestibular Schwannoma', womwe tidakambirana, umaonedwa ngati chotupa cha muubongo .

Ndani amapeza Schwannoma?

Matenda a 'Schwannomas' amenewa nthawi zambiri amapezeka mwa anthu azaka zapakati pa 50 ndi 60. Ndi osowa kwambiri mwa ana aang'ono.

Ma Schwannoma nthawi zambiri amakula mwachisawawa mwa anthu athanzi. Komabe, nthawi zina, ma schwannoma amathanso kukula chifukwa cha matenda a majini monga neurofibromatosis mtundu wachiwiri (NF2) , schwannomatosis , kapena Carney complex . Anthu omwe ali ndi matenda a majini amenewa nthawi zambiri amakhala ndi ma schwannoma oposa amodzi.

Kodi Schwannoma ndi yofala bwanji?

Schwannoma ndi chotupa chosowa kwambiri . Tangoganizirani, ngakhale m'dziko ngati America, anthu osakwana mazana awiri zikwi amakhudzidwa ndi matendawa chaka chilichonse. 60% yokha ya Schwannomas omwe si a khansa (osaopsa) ndi omwe ali ndi 'vestibular Schwannoma' yomwe tatchula kale.

Kodi zizindikiro za Schwannoma ndi ziti?

Popeza ma Schwannoma amenewa amakula pang'onopang'ono , sangasonyeze zizindikiro kwa zaka zambiri. Komanso, chifukwa chakuti zotupazi zimatha kufalikira m'malo osiyanasiyana a thupi, zizindikiro zimatha kusiyana kwambiri kuchokera kwa munthu ndi munthu . Anthu ena akhoza kukhala ndi zizindikiro zingapo, ndipo akhoza kukhala ochepa kwambiri, pomwe ena akhoza kukhala oopsa.

Nazi zizindikiro zina zodziwika bwino:

• Chotupa kapena chotupa chooneka . Izi zingamveke kupweteka pang'ono zikakhudzidwa kapena kukanidwa.
• Kumva dzanzi .
• Kufooka kwa minofu .
• Zimamveka ngati nyerere zikukwawa kapena zikhomo ndi singano (madokotala amatchanso izi kuti 'paresthesia').
• Ululu woopsa womwe umamveka ngati ululu woyaka, wopweteka, kapena wobaya .

Chofunika: Zizindikirozi zingayambitsidwenso ndi matenda ena, choncho ngati muli ndi vuto ngati ili, ndi bwino kupita kwa dokotala kuti akupatseni upangiri.

Momwe zizindikiro zimasiyanirana malinga ndi komwe chotupacho chili

• Vestibular SchwannomaMonga tanenera kale, anthu omwe ali ndi vutoli amatha kukhala ndi mavuto a kumva ndi kusamva bwino , komanso amatha kumva kulira m'makutu (tinnitus).
• Ngati zotupazi zipanga pa mitsempha ya nkhope yanu, zingakhudze luso lanu lomeza, kusuntha maso anu, ndi kulawa . Mungatayenso luso lanu logwiritsa ntchito mbali imodzi ya nkhope yanu (facial paralysis) .
• Ngati schwannoma imayamba pa mitsempha ya sciatic yomwe ili mwendo, ingayambitse kupweteka kwa msana ndi ululu womwe umatuluka pansi pa mwendo, mofanana ndi disc ya herniated .

Kodi n’chiyani chimayambitsa matenda a Schwannoma?

Ndipotu, nthawi zambiri, chomwe chimayambitsa Schwannoma sichidziwika . 90% yokha ya milandu imachitika pang'onopang'ono.

Komabe, monga tanenera kale, ma Schwannoma amathanso kukula chifukwa cha matenda a majini monga Carney complex, Neurofibromatosis type 2 (NF2), ndi Schwannomatosis. Kafukufuku wa majini wasonyeza kuti jini ya NF2 pa chromosome yathu 22 ndiye chinthu chachikulu chomwe chimayambitsa kukula kwa ma Schwannomas.

Kodi Schwannoma imapezedwa bwanji ?

Popeza zotupazi zimakula pang'onopang'ono, zimatha kukhalapo kwa zaka zambiri musanayambe zizindikiro zilizonse. Chifukwa chake zingatenge nthawi kuti mudziwe ngati muli ndi matendawa . Ngati muli ndi zizindikiro, dokotala wanu mwina angakupatseni mayeso ena. Nthawi zina, chotupa chimapezeka mwangozi panthawi yojambula pazifukwa zina.

Mayeso ojambula zithunzi omwe angathandize kuzindikira schwannoma ndi awa:

• Kujambula kwa MRI (Magnetic Resonance Imaging) : Iyi ndi njira yoyesera yopanda ululu. Imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zomveka bwino za ziwalo ndi kapangidwe ka thupi mkati mwa thupi. Iyi ndi njira yabwino kwambiri yopezera ndikupeza matenda a Schwannoma.
• Kujambula kwa CT (Computed Tomography) : Izi zimagwiritsa ntchito X-ray ndi kompyuta kujambula zithunzi za ziwalo zomwe zili mkati mwa thupi.
• Kujambula kwa Ultrasound : Izi zimagwiritsa ntchito mafunde amphamvu kwambiri kuti zijambule zithunzi kapena makanema a ziwalo kapena minofu yofewa mkati mwa thupi. Madokotala amagwiritsa ntchito izi kuti apeze ma schwannomas pansi pa khungu.

Dokotala wanu angachitenso biopsy kuti atsimikizire kuti ndi schwannoma kapena khansa. Izi zimaphatikizapo kutenga chitsanzo chaching'ono cha chotupacho pogwiritsa ntchito singano. Katswiri wa matenda a khansa, ndiko kuti, dokotala waluso amene amafufuza zitsanzo za minofu ngati iyi, amayang'ana maselo omwe ali mu chitsanzo ichi pansi pa maikulosikopu, kenako amachita mayeso ena kuti adziwe mtundu weniweni wa chotupa ichi.

Kodi matenda a Schwannomas amachiritsidwa bwanji?

Chithandizo cha schwannoma chimadalira zinthu monga komwe chotupacho chili, kukula kwake mofulumira, komanso zizindikiro zomwe mukukumana nazo .

Pali njira zingapo zochizira:

• Kuyang'anitsitsa/kuyang'anirani ndi kudikira : Ngati chotupacho sichili khansa (chosaopsa), chikukula pang'onopang'ono, ndipo mulibe zizindikiro kapena zochepa kwambiri, dokotala wanu angakulangizeni kuti muwonetsetse bwino m'malo molandira chithandizo. Izi zikutanthauza kuti adzakujambulani pafupipafupi kuti aone ngati chotupacho chikukulirakulira kapena ngati zizindikiro zatsopano zikuwonekera. Komabe, ngati chikukulirakulira kapena ngati mutakhala ndi zizindikiro pambuyo pake, angakulangizeni chithandizo.
• Opaleshoni : Ngati chotupacho chikukula mofulumira kwambiri, ngati chikukuvutitsani ndi zizindikiro, kapena ngati chikuyambitsa mavuto ena, dokotala wanu angakulangizeni opaleshoni kuti chichotsedwe . Nthawi zambiri, chotupa chonsecho chimachotsedwa, koma nthawi zina, kutengera komwe chili, dokotalayo amatha kuchotsa gawo limodzi la chotupacho. Schwannomas imapanga m'chimake mozungulira mitsempha, kotero opaleshoni nthawi zambiri imachitika popanda kuwononga mitsempha . Komabe, pali chiopsezo chachikulu cha kutaya kumva pambuyo pa opaleshoni ya vestibular schwannomas.
• Chithandizo cha radiation : Izi zimagwiritsa ntchito njira zapadera, monga stereotactic radiosurgery (SRS) , kuti ziwononge chotupacho potumiza kuwala kolunjika bwino kwa radiation. Ngati chotupacho chili pafupi ndi mitsempha yamagazi kapena mitsempha yofunika kwambiri , dokotala wanu angakulangizeni mtundu uwu wa chithandizo cha radiation kuti mupewe mavuto omwe angachitike ndi opaleshoni.

Kuphatikiza pa izi , mankhwala ochizira matenda a immunotherapy ndi chemotherapy amagwiritsidwanso ntchito pa malignant schwannoma.

Kodi Schwannoma ingapewedwe?

Tsoka ilo, pakadali pano palibe njira yopewera 'schwannomas' izi. Nthawi zambiri, zimakula mwachisawawa, popanda chifukwa chodziwika. Pafupifupi 10% ya milandu imalumikizidwa ndi matenda enaake a majini, zomwe zimapangitsa kuti anthu azikhala ndi zotupa izi.

Ngati wina m'banja mwanu wapezeka ndi matenda a neurofibromatosis type 2 (NF2), schwannomatosis, kapena Carney complex, lankhulani ndi dokotala wanu . Angakulimbikitseni kuti mulandire upangiri wa majini kuti muwone ngati inunso muli ndi vutoli.

Kodi chiyembekezo cha matenda a Schwannoma ndi chotani?

Imeneyi ndi matenda a Schwannoma.Kuyembekeza kwa matendawa, ndiko kuti, momwe matendawa adzakukhudzireni kwa nthawi yayitali, kumadalira zinthu zingapo:

• Kumene chotupa chili pa thupi.
• Kukula kwa chotupacho.
• Ngati opaleshoni inachitika, kuchuluka kwa chotupacho kunachotsedwa .
• Kaya chotupacho ndi cha khansa (choopsa) kapena chosaopsa (chosavulaza) .

Kawirikawiri, chiyembekezo cha schwannoma chimakhala chabwino . Nthawi zambiri, ngati chotupacho chachotsedwa kotheratu, sichidzakulanso .

Mavuto ambiri omwe angabwere chifukwa cha 'Schwannoma' iyi amapezeka pambuyo pa opaleshoni yochotsa chotupacho . Zotsatirazi ndizomwe zimayambitsa mavuto pambuyo pa opaleshoni:

• Ngati chotupacho ndi chachikulu kwambiri .
• Ngati chotupacho chili mkati mwa thupi.
• Ngati chotupacho chinayambira mu mitsempha ya ulnar, chimodzi mwa mitsempha itatu yayikulu yomwe ili m'dzanja lanu.

Kodi muyenera kupita kwa dokotala liti pankhani ya Schwannoma?

Ngati mwapezeka ndi schwannoma, ndikofunikira kuonana ndi dokotala nthawi yomweyo kuti akupatseni upangiri wa momwe mungathanirane ndi schwannoma yanu , kaya mukuyamba ndi zizindikiro zatsopano kapena ngati zizindikiro zomwe muli nazo zikuipiraipira .

Ngati dokotala wanu wakuuzani kuti muone chotupacho popanda chithandizo, muyenera kukaonana naye kamodzi pachaka kuti mukaone . Kenako akhoza kuchita mayeso ojambulira zithunzi (monga MRI) kuti aone kukula ndi momwe chotupacho chikuonekera.

Ndizachilendo kuchita mantha mukazindikira kuti muli ndi chotupa. Koma nkhani yabwino ndi yakuti schwannoma ndi mtundu wa chotupa chomwe nthawi zambiri sichimakhala cha khansa ndipo chimakula pang'onopang'ono . Gulu lanu lachipatala lidzakuthandizani kusankha njira yabwino kwambiri yothandizira. Ikhoza kukhala kungoyang'ana chotupacho, kuchotsa opaleshoni, kapena china chilichonse. Musaope kufunsa mafunso, zivute zitani . Dokotala wanu nthawi zonse amakhalapo kuti akuthandizeni.

Uthenga Wopita Nawo Kunyumba

Chabwino, tsopano muli ndi lingaliro labwino pa zomwe takhala tikulankhula, Schwannoma. Nazi zinthu zofunika kukumbukira:

• Schwannoma ndi chotupa chomwe chimachokera ku maselo a Schwann omwe amazungulira mitsempha. Nthawi zambiri, izi sizimayambitsa khansa .
• Izi zimakula pang'onopang'ono , kotero nthawi zina zimatenga zaka kuti ziwonetse zizindikiro.
• Zizindikiro zimasiyana kwambiri kutengera komwe chotupacho chili m'thupi . Mwachitsanzo, pakhoza kukhala kutaya kumva, kulira m'makutu, dzanzi, kupweteka, komanso kufooka kwa minofu.
• Lolani izi zikule.Chifukwa chenicheni nthawi zambiri sichidziwika, koma chikhoza kulumikizidwa ndi matenda enaake a majini .
• Kujambula kwa MRI ndiyo njira yayikulu komanso yabwino kwambiri yodziwira izi.
• Chithandizo chingaphatikizepo kuyang'ana chotupa, kuchotsa opaleshoni, kapena chithandizo cha radiation . Chithandizocho chimadalira mtundu ndi malo a chotupacho.
• Musadandaule , Schwannoma nthawi zambiri ndi matenda omwe amachiritsidwa bwino. Ngati muli ndi nkhawa kapena mafunso, onetsetsani kuti mwalankhula ndi dokotala wanu.

Schwannoma , neuromas, maselo a Schwann, vestibular schwannoma, dongosolo la mitsempha, zotupa zopanda khansa, MRI scan