Ese ibibyimba nk'ibi bishobora kuvuka mu mitsi yawe? Reka twige kuri 'Schwannoma'!

Ese wigeze wumva ijambo 'Schwannoma'? Iri rishobora kuba ari ijambo rishya kuri wewe. Mu by'ukuri ni ubwoko bw'ikibyimba kiba mu mitsi yacu. Ntugahangayike, ntabwo buri gihe kiba ari ikibazo gikomeye. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva.

'Schwannoma' ni iki?

Mu magambo make, iyi 'Schwannoma' ni ikibyimba gituruka ku 'seli za Schwann' mu mubiri wacu. Noneho ushobora kuba wibaza uti 'seli za Schwann' ni izihe, sibyo? Izi ni uturemangingo tw ' 'imitsi yo mu mpande zacu' , ni ukuvuga ubwoko bw'uturemangingo dukora agahu gakikije imitsi iva mu bwonko no mu ruti rw'umugongo. Ni nk'iplasitiki itwikira insinga y'amashanyarazi. Utu turemangingo turinda imitsi yacu kandi tugafasha ubutumwa bw'imitsi kugenda vuba. Rero utu 'seli za Schwann' ni two tubyara utu tubyimba twitwa 'Schwannomas'.

Akenshi, hafi 90% by'igihe, izi 'Schwannomas' ntizitera indwara . Bivuze ko zidakwirakwira mu mubiri wose, ziguma ahantu hamwe. Ariko, ni gake cyane, zishobora kuba indwara mbi . Iyo bibaye, ugomba kwitonda gato. Izi ndwara zikunze gukura buhoro buhoro .

Ibi bibyimba bishobora kugaragara ahantu hose mu mubiri, ahantu hose hari imitsi. Urugero, bikunze kugaragara mu mitsi iva mu bwonko bwacu ikagera mu matwi yacu. Ibi kandi byitwa 'vestibular schwannoma' cyangwa 'acoustic neuroma' . Indwara mbi ya schwannoma ikunze kugira ingaruka ku 'mitsi ya sciatic' mu kuguru, 'brachial plexus' mu kuboko, na 'sacral plexus' mu mugongo wo hasi.

Schwannomas rimwe na rimwe yitwa neurilemmomas cyangwa neuromas. Iyo ari kanseri, ishobora kwitwa sarcomas zoroshye z'imitsi .

Ikintu cyiza ni uko, 90% by'igihe, iyi 'Schwannoma' iboneka gusa nk'ikibyimba kimwe .

'Vestibular Schwannoma' ni iki?

Twavuze gato kuri vestibular schwannoma mbere. Ubu ni ubwoko bwa schwannoma butangirira mu mitsi iri imbere mu gutwi ituma twumva neza kandi tukagira uburinganire. Ubusanzwe iyi nayo ntabwo itera kanseri, kandi ikura buhoro buhoro.

Ariko, uko iki kibyimba gikura, gitangira gukanda imitsi ijyanye no kumva no kuringaniza. Icyo gihe ni bwo:

• Kumva mu gutwi kwangiritse bitangira kugabanuka buhoro buhoro .
• Tinnitus ni urusaku rusa n'urusaku mu matwi .
• Rimwe na rimweBimeze nk'izunguza.

Ese 'schwannoma' ni ikibyimba mu bwonko?

Noneho ushobora kwibaza niba iyi 'schwannoma' ihora ari ikibyimba cyo mu bwonko. Mu by'ukuri, si ko biri. Ishobora gukurira mu bwonko cyangwa mu mutwe, ariko ishobora no gukurira mu mitsi ahandi hantu hose mu mubiri. Kuko, nk'uko twabivuze, izi ngirabuzimafatizo zikomoka kuri 'uturemangingo twa Schwann', kandi utwo turemangingo turi mu 'sisteme y'imitsi yo mu mpande' zacu, ni ukuvuga mu mitsi iva mu bwonko ijya mu yindi mitsi yose.

Ariko, ubwoko bukunze kugaragara cyane twavuga, bwitwa 'Vestibular Schwannoma', bufatwa nk'ikibyimba cyo mu bwonko .

Ni nde uhabwa Schwannoma?

Izi 'Schwannomas' zikunze kugaragara cyane mu bantu bari hagati y'imyaka 50 na 60. Ni gake cyane mu bana bato.

Schwannomas ikunze kwibasira abantu bazima. Ariko, rimwe na rimwe, schwannomas ishobora no kwibasira bitewe n’imiterere y’uturemangingo nka neurofibromatosis type 2 (NF2) , schwannomatosis , cyangwa Carney complex . Abantu bafite iyi ndwara y’uturemangingo bashobora kugira schwannomas zirenze imwe.

Schwannoma ikunze kugaragara gute?

Schwannoma ni ikibyimba kidakunze kugaragara . Tekereza gato, ndetse no mu gihugu nka Amerika, abantu bari munsi y'ibihumbi magana abiri ni bo bibasirwa n'iyi ndwara buri mwaka. 60% by'indwara za Schwannoma zitari kanseri (zitari mbi) ni zo 'vestibular Schwannoma' twavuze mbere.

Ni ibihe bimenyetso by'indwara ya Schwannoma?

Kubera ko izi Schwannoma zikura buhoro cyane , zishobora kudagaragaza ibimenyetso mu gihe cy'imyaka myinshi. Nanone, kubera ko izi kanseri zishobora kuvuka mu bice bitandukanye by'umubiri, ibimenyetso bishobora gutandukana cyane bitewe n'umuntu ku wundi . Hari abantu bashobora kugira ibimenyetso byinshi, kandi bishobora kuba byoroheje cyane, mu gihe abandi bashobora kuba bakomeye.

Dore ibimenyetso bimwe na bimwe bikunze kugaragara:

• Ikibyimba cyangwa ikibyimba kigaragara . Ibi bishobora kubabaza gato iyo bikozweho cyangwa bikandagiwe.
• Kumva nta kintu na kimwe kigutwaye .
• Intege nke z'imitsi .
• Bimeze nk'ibimonyo birimo kurira cyangwa udushinge (abaganga nabo babyita 'paresthesia').
• Ububabare bukabije bumeze nk'ubushye, ububabare bukabije cyangwa buteye icyuma .

Icy'ingenzi: Ibi bimenyetso bishobora guterwa n'izindi ndwara, bityo rero niba ufite ikibazo nk'iki, ni byiza kujya kwa muganga kugira ngo akugire inama.

Uko ibimenyetso bitandukana bitewe n'aho ikibyimba giherereye

• Schwannoma yo mu matwiNkuko twabivuze mbere, abayirwaye bashobora kugira ibibazo byo kumva no kuringaniza imiterere , ndetse bashobora no kugira urusaku mu matwi (tinnitus).
• Iyo ibi bibyimba bitangiye ku mitsi yo mu maso , bishobora kugira ingaruka ku bushobozi bwawe bwo kumira, kwimura amaso yawe no kuryoherwa . Ushobora no gutakaza ubushobozi bwo gukoresha uruhande rumwe rw'isura yawe (facial paralysis) .
• Iyo schwannoma itangiye ku mitsi yo mu kaguru, ishobora gutera ububabare bw'umugongo n'ububabare bukwirakwira mu kaguru, nk'uko byamera kuri disiki yo mu kaguru .

Ni iki gitera Schwannoma?

Mu by’ukuri, akenshi, impamvu nyayo ya Schwannoma ntabwo izwi . 90% by’abarwayi ni bo bonyine bakunze kugaragara rimwe na rimwe.

Ariko, nk'uko byavuzwe mbere, Schwannomas ishobora no gukura bitewe n'imiterere y'uturemangingo nka Carney complex, Neurofibromatosis type 2 (NF2), na Schwannomatosis. Ubushakashatsi ku turemangingo bwerekanye ko gene ya NF2 iri kuri chromosome yacu 22 ari yo mpamvu nyamukuru ituma Schwannomas ikura.

Schwannoma ipimwa ite ?

Kubera ko ibi bibyimba bikura buhoro buhoro, bishobora kubaho imyaka myinshi mbere yuko ugaragaza ibimenyetso. Bityo bishobora gufata igihe kugira ngo umenye niba ufite ibimenyetso. Niba ufite ibimenyetso, muganga wawe ashobora kugutegeka ko upimwa. Hari igihe ikibyimba kiboneka mu buryo bw’impanuka mu gihe cyo gupimwa hakoreshejwe indi mpamvu.

Ibizamini byo gupima bishobora gufasha mu gupima schwannoma ni ibi bikurikira:

• Isuzuma rya MRI (Magnetic Resonance Imaging) : Iki ni ikizamini kidasaba ububabare. Gikoresha rukuruzi nini, imiraba ya radiyo, na mudasobwa kugira ngo hakorwe amashusho asobanutse neza y’ingingo n’imiterere y’umubiri. Iki ni cyo kizamini cyiza cyo kubona no gusuzuma Schwannoma.
• Gupima CT (Computed Tomography) : Ibi bikoresha imirasire ya X na mudasobwa kugira ngo bifate amafoto y'imiterere y'umubiri.
• Gupima ikoranabuhanga rya Ultrasound : Ibi bikoresha amajwi menshi cyane kugira ngo bifate amafoto cyangwa amashusho y’ingingo cyangwa ingirangingo zoroshye mu mubiri. Abaganga babikoresha kugira ngo barebe schwannomas munsi y’uruhu.

Muganga wawe ashobora kandi gukora biopsy kugira ngo amenye neza ko ari schwannoma cyangwa kanseri koko. Ibi bisaba gufata icyitegererezo gito cy'ikibyimba ukoresheje urushinge. Inzobere mu ndwara, ni ukuvuga umuganga w’inzobere usuzuma ingero z’uturemangingo nk’utu, akareba uturemangingo turi muri uru rugero akoresheje mikorosikopi, hanyuma agakora ibindi bipimo kugira ngo amenye neza ubwoko bw’iki kibyimba.

Indwara ya Schwannomas ivurwa ite?

Uburyo bwo kuvura schwannoma buterwa n'ibintu nko aho ikibyimba giherereye, uburyo gikura vuba, ndetse n'ibimenyetso urimo kubona .

Hari uburyo butandukanye bwo kuvura:

• Kwitegereza/kwitegereza no gutegereza : Niba ikibyimba atari kanseri (cyangwa se kibi), kirimo gukura buhoro buhoro, kandi nta bimenyetso ufite cyangwa bike cyane, muganga wawe ashobora kukugira inama yo kukwitegereza neza aho kuvura. Ibi bivuze ko bazajya bagusuzuma kenshi kugira ngo barebe niba ikibyimba kirimo kwiyongera cyangwa niba ibimenyetso bishya bigaragara. Ariko, niba kirushijeho kwiyongera cyangwa niba ugaragaje ibimenyetso nyuma, bashobora kukugira inama yo kugivura.
• Kubagwa : Iyo ikibyimba kirimo gukura vuba cyane, niba kikubangamiye kubera ibimenyetso, cyangwa niba gitera ibindi bibazo, muganga wawe ashobora kukugira inama yo kubagwa kugira ngo gikureho . Ubusanzwe, ikibyimba cyose kirakurwaho, ariko rimwe na rimwe, bitewe n'aho ikibyimba kiri, umuganga ashobora kuba ashobora gukuraho igice cyacyo gusa. Schwannomas zibaho mu gituza gikikije imitsi, bityo kubagwa akenshi bishobora gukorwa hatabayeho kwangiza imitsi . Ariko, hari ibyago byinshi byo kubura amatwi nyuma yo kubagwa schwannomas zo mu nda.
• Ubuvuzi bushingiye ku mirasire : Ubu bukoresha uburyo bwihariye, nko kubaga hakoreshejwe imirasire ya stereotactic (SRS) , kugira ngo busenye ikibyimba butanga imirasire ihamye cyane. Niba ikibyimba kiri hafi y'imitsi y'amaraso cyangwa imitsi y'amaraso y'ingenzi , muganga wawe ashobora kukugira inama yo gukoresha ubu buryo bwo kuvura hakoreshejwe imirasire kugira ngo wirinde ingorane zishobora kubaho mu kubagwa.

Uretse ibi , imiti ivura ubudahangarwa bw'umubiri n'imiti ivura kanseri ikoreshwa no kuvura schwannoma mbi.

Ese Schwannoma ishobora kwirindwa?

Ikibabaje ni uko ubu nta buryo bwo gukumira izi 'schwannomas' buhari. Akenshi, zikura ku buryo butunguranye, nta mpamvu izwi iziteye. Hafi 10% by'abarwayi bahura n'ibibazo bimwe na bimwe by'uturemangingo, bigatuma abantu bashobora kurwara izi ndwara.

Niba hari umuntu wo mu muryango wawe wasanzwemo indwara ya neurofibromatosis type 2 (NF2), schwannomatosis, cyangwa Carney complex, vugana na muganga wawe . Ashobora kukugira inama yo kuguha inama ku bijyanye n'imiterere y'umubiri kugira ngo arebe niba nawe ufite iyo ndwara.

Ni iki kizere cy’uko indwara ya Schwannoma izagenda?

Iyi ni indwara ya Schwannoma.Uburyo indwara izagutera mu gihe kirekire, biterwa n'ibintu byinshi:

• Aho ikibyimba kiri ku mubiri.
• Uburyo ikibyimba kingana .
• Niba harakozwe operasiyo, ni ingano y'ikibyimba cyakuweho .
• Niba ikibyimba ari kanseri (cyangiza) cyangwa kitari kibi (kitarwaye) .

Muri rusange, icyerekezo cya schwannoma ni cyiza . Akenshi, iyo ikibyimba gikuweho burundu, ntikizasubira gukura .

Ingorane nyinshi zishobora guterwa n'iyi 'Schwannoma' zibaho nyuma yo kubagwa kugira ngo ikibyimba gikureho . Izi zikurikira zishobora gutera ingorane cyane cyane nyuma yo kubagwa:

• Iyo ikibyimba ari kinini cyane .
• Iyo ikibyimba kiri mu mubiri cyane .
• Niba ikibyimba cyatangiriye mu mitsi yo mu gituza, ni kimwe mu mitsi itatu y'ingenzi iri mu kiganza cyawe.

Ni ryari wagombye kujya kwa muganga ku bijyanye na Schwannoma?

Niba warasanzwe urwaye schwannoma, ni ngombwa ko uhita ubonana na muganga wawe kugira ngo akugire inama z'uburyo wakwitwaramo schwannoma yawe , waba ufite ibimenyetso bishya cyangwa niba ibimenyetso byawe bikomeje kwiyongera .

Niba muganga wawe yagusabye gusuzuma ikibyimba nta kuvurwa, ugomba kumusura nibura rimwe mu mwaka kugira ngo asuzumwe . Hanyuma ashobora gukora ibizamini byo gufata amashusho (nk'ibya MRI) kugira ngo akurikirane imikurire n'imiterere y'ikibyimba.

Ni ibisanzwe kumva ufite ikibyimba. Ariko inkuru nziza ni uko schwannoma ari ubwoko bw'ikibyimba ubusanzwe kitari kanseri kandi gikura buhoro buhoro . Itsinda ry'abaganga rizagufasha guhitamo gahunda nziza yo kuvura. Bishobora kuba ukwitegereza ikibyimba gusa, kubagwa, cyangwa ikindi kintu. Ntutinye kubaza ibibazo, uko byagenda kose . Muganga wawe ahora ahari kugira ngo agufashe.

Ubutumwa bwo kujyana mu rugo

Sawa, noneho ufite igitekerezo cyiza ku byo twaganiriyeho, Schwannoma. Dore ibintu by'ingenzi ugomba kwibuka:

• Schwannoma ni ikibyimba gituruka ku turemangingo twa Schwann dukikije imitsi. Akenshi, ibi ntabwo ari kanseri .
• Ibi bikura buhoro buhoro , bityo rimwe na rimwe bishobora gufata imyaka myinshi kugira ngo ibimenyetso bigaragare.
• Ibimenyetso biratandukanye cyane bitewe n'aho ikibyimba giherereye mu mubiri . Urugero, hashobora kubaho kubura amatwi, gucurama mu matwi, gucika intege, ububabare, ndetse n'intege nke z'imitsi.
• Reka ibi bikure.Impamvu nyayo akenshi ntizwi, ariko ishobora kuba ifitanye isano n'indwara zimwe na zimwe ziterwa n'uturemangingo .
• Gupima MRI ni bwo buryo bw'ingenzi kandi bwiza bwo kubitahura.
• Ubuvuzi bushobora kuba burimo kureba ikibyimba, gukuraho ikibyimba, cyangwa kuvurwa hakoreshejwe imirasire . Ubuvuzi buterwa n'ubwoko n'aho ikibyimba giherereye.
• Ntugahangayike , Schwannoma akenshi ni indwara ifatwa neza kandi ivurwa neza. Niba ufite ikibazo cyangwa impungenge, vugana na muganga wawe.

Schwannoma , neuromas, uturemangingo twa Schwann, vestibular schwannoma, uturemangingo tw'imitsi, ibibyimba bitari kanseri, MRI scan