Ngamanye amaxesha ungaziva into efana neqhuma elincinci ndaweni ithile emzimbeni wakho. Okanye ungaziva ukurhawuzelela, iintlungu, okanye uvakalelo nje olungaqhelekanga. Esinye sezizathu zezi zinto yimeko ebizwa ngokuba yi-'Schwannoma'. Eli gama livakala liyinkimbinkimbi kwaye liyoyikisa, akunjalo? Kodwa ungakhathazeki. Kweli nqaku, siza kuthetha ngokuba yintoni kanye kanye le nto, kutheni isenzeka, ingaba iyingozi, kwaye yintoni unyango ngendlela elula enokuqondwa ngumntu wonke.
Yintoni iSchwannoma?
Ngamafutshane, i-schwannoma sisimila. Kodwa sivela kuhlobo oluthile lweseli emzimbeni wethu. Siyibiza ngokuba 'ziiseli zeSchwann'.
Ngoku usenokuba uzibuza ukuba zeziphi ezi 'seli zeSchwann'. Cinga ngemithambo-luvo emizimbeni yethu njengeentambo zombane. Ezi mithambo-luvo zithwala imiyalezo esuka engqondweni iye kuzo zonke iindawo zomzimba. Kukho isiciko seplastiki esijikeleze loo ntambo yombane yokuzikhusela, akunjalo? Ngokufanayo, imithambo-luvo yethu ikwanaso nesisiciko esizijikelezileyo ukuze ibakhusele kwaye ibancede bathwale imiyalezo ngokukhawuleza. Eso sisiciko senziwe 'ngeeseli zeSchwann'. Ngoko ke, ngesizathu esithile, xa ezi seli zeSchwann ziqala ukukhula zingalawuleki, kuvela ithumba apho. Yiloo nto siyibiza ngokuba yiSchwannoma.
Iindaba ezimnandi zezokuba uninzi lwezi thumba azinawo umhlaza (ezingenobungozi) . Oku kuthetha ukuba azisasazeki kwezinye iindawo zomzimba. Kwaye zihlala zikhula kancinci, ngamanye amaxesha kangangeminyaka emininzi.
Kodwa, kunqabile kakhulu, oko kukuthi, kunqabile kakhulu, ezi zinokuba ngumhlaza (ziyingozi). Sizibiza ngokuba yi-'soft tissue sarcoma'. Kodwa oko kunqabile kakhulu. Kwiimeko ezingama-90%, ezi zibonakala njengethumba elinye.
Ziphi iiSchwannomas ezixhaphake kakhulu?
Ezi thumba zinokukhula naphi na 'kwinkqubo yemithambo-luvo engaphandle', inkqubo yemithambo-luvo ethwala imiyalezo esuka kwingqondo yethu nakwithambo lomqolo ukuya emzimbeni wonke.
Kodwa kukho uhlobo olukhethekileyo olubonakala rhoqo. Lubizwa ngokuba yi -'vestibular schwannoma' . Abanye abantu balubiza ngokuba yi-'acoustic neuroma'. Oku kukhula kwimithambo-luvo esuka engqondweni yethu iye endlebeni yethu, esinceda sive kwaye silinganise. Olu alusoloko lubangela umhlaza, kwaye luhlobo olukhula kancinci.
Ukongeza, zinokukhula nakwi-sciatic nerve emlenzeni, kwi-brachial plexus engalweni, nakwi-nerve esezantsi komqolo.
Ingaba le yithumba lobuchopho?
Lo ngumbuzo abantu abaninzi abanawo. Impendulo kukuba, kusenokwenzeka okanye akunjalo. Kuxhomekeke ekubeni ithumba likuphi.
Iintlobo esizikhankanyileyo ngaphambili, ezifana ne-'vestibular schwannoma', zivela kwimithambo-luvo engaphakathi kwengqondo. Yiyo loo nto ithathwa njengethumba lobuchopho. Kodwa kuba i-schwannoma inokuvela naphi na emzimbeni, umzekelo, kwimithambo-luvo engalweni okanye emlenzeni, ayizizo zonke ezi zithumba zobuchopho.
Zithini iimpawu zeSchwannoma?
Ngenxa yokuba la mathumba akhula kancinci, ngamanye amaxesha anokuthatha iminyaka emininzi engabonakalisi zimpawu. Ukuba iimpawu ziyavela, ukuba ziyintoni ziya kuxhomekeka ekubeni ithumba likuphi kwaye likhulu kangakanani.
Le theyibhile ingezantsi idwelisa ezinye zezona mpawu zixhaphakileyo.
| Uphawu | Inkcazo |
|---|---|
| Iqhina elibonakalayo | Ngamanye amaxesha ungaziva iqhuma elincinci phantsi kolusu, elinokuba buhlungu xa ulicinezela. |
| Ukurhawuzelela okanye ukuziva ngathi ziimbovane ziyabaleka | Xa ithumba licinezela umthambo, ungaziva urhawuzelelwa kwindawo apho umthambo uthwala imiyalezo. Ngokwezonyango, oku kubizwa ngokuba yi-'paresthesia'. |
| Ubuthathaka bemisipha | Ngenxa yokuba izihlunu ezilawulwa yimithambo-luvo azisebenzi kakuhle, ungaziva ubuthathaka kuloo ndawo. Umzekelo, kunokuba nzima ukubamba into esandleni sakho. |
| Intlungu | Ukucinezelwa kwemithambo-luvo kunokubangela intlungu ebuhlungu, etshisayo, okanye ebukhali. |
Iimpawu ezithile ziyahluka ngokuxhomekeke kwindawo yethumba
- I-Vestibular Schwannoma: Le ikwi-nerve yendlebe, nto leyo ebangela ukulahlekelwa kukuva kwenye indlebe.Kunokwenzeka. Usenokuva nesandi sokukhala ezindlebeni zakho (i-tinnitus), isiyezi, kunye nokulahlekelwa yibhalansi.
- I-Facial Never: Ukuba kuvela ithumba kule ndawo, linokubangela ubunzima bokuginya, ubunzima bokuhambisa amehlo, utshintsho kwincasa, okanye ukukhubazeka kobuso.
- I-Sciatic Nerve: Ukuba kuvela ithumba kwi-nerve ephambili eya emlenzeni, inokubangela iintlungu ezihamba ukusuka emqolo ukuya emlenzeni, ezifana neentlungu zomqolo okanye 'ingxaki yediski' .
Kutheni le nto iSchwannoma isenzeka?
Enyanisweni, ama-90% ezi meko zenzeka ngamaxesha athile, ngaphandle kwesizathu esithile . Akukho sizathu sithile sifunyenweyo okwangoku.
Nangona kunjalo, iqaqobana elincinci kakhulu linokuba nezizathu zemfuza. Umzekelo, abantu abaneengxaki zemfuza ezifana neNeurofibromatosis 2 (NF2), iSchwannomatosis, okanye iCarney complex banamathuba amaninzi okuphuhlisa ngaphezu kwesinye sezi zifo. Abantu abanezi meko zemfuza banesiphako kwiijini ezilawula ukwakheka kwethumba emizimbeni yabo.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha oneempawu, baya kukuhlola, kwaye ukuba bayayikrokrela le meko, bakuthumelele iimvavanyo ezininzi zomfanekiso. Ngamanye amaxesha, eli thumba linokufunyanwa ngengozi ngexesha lokuhlolwa ngesinye isizathu.
Iimvavanyo eziphambili ezisetyenzisiweyo koku zezi:
- Iskeni ye-MRI (Magnetic Resonance Imaging): Olu lolona vavanyo lubalaseleyo nolucacileyo lokufumanisa i-schwannoma. Isebenzisa intsimi yemagnethi kunye namaza erediyo ukuthatha imifanekiso ecacileyo yangaphakathi lomzimba. I-MRI inokunceda ekumiseleni indawo echanekileyo, ubungakanani, kunye nefuthe kwimithambo-luvo ekufutshane.
- Iskeni ye-CT (Computed Tomography): Le skeni isebenzisa imisebe emininzi ye-X-ray ukuthatha imifanekiso yomzimba enqamlezileyo. Nangona ingacacanga njenge-MRI, inokunceda ekuxilongeni.
- I-ultrasound scan: Oku kusetyenziswa ukujonga izinto ezifana neethumba ezincinci, ingakumbi phantsi kolusu.
- I-Biopsy: Ngamanye amaxesha, ugqirha unokugqiba ekubeni athathe iqhekeza elincinci leqhubu ngenaliti alihlole. Oku kubizwa ngokuba yi-'biopsy'. Oku kuya kuqinisekisa ngokupheleleyo ukuba ngaba yi-schwannoma okanye ingaba ineeseli zomhlaza.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kwizinto ezininzi. Ugqirha wakho uza kuqwalasela izinto ezifana nendawo ekuyo ithumba, ubungakanani balo, ukuba likhula ngokukhawuleza kangakanani, kunye neempawu zakho.
Kukho iindlela ezintathu eziphambili zonyango.
1. Ukuqaphela (Ukuqaphela / "Ukulinda nokulinda")
Ukuba ithumba alinawo umhlaza, likhula kancinci kakhulu, kwaye awunazo naziphi na iimpawu ezikukhathazayo, ugqirha wakho usenokuthi, "Masilinde sibone." Oko kuthetha ukuba uza kwenza izinto ezifana ne-MRI scans rhoqo ukuze abone ukuba ithumba liyatshintsha na ngobukhulu. Ukuba ithumba liqala ukukhula okanye ukuba uneempawu, baza kuqala ukulinyanga.
2. Ukususwa ngotyando (Utyando)
Ukuba ithumba likhula ngokukhawuleza okanye ukuba iimpawu ziyakukhathaza, ugqirha wakho unokucebisa utyando ukuze lisuswe. Ekubeni la mathumba ekhula kwi-sheath ejikeleze i-nerve, uninzi lwexesha ithumba linokususwa ngokupheleleyo ngaphandle kokonakalisa i-nerve . Nangona kunjalo, kwiimeko ezifana ne-'vestibular schwannoma', kukho umngcipheko wokulahlekelwa kukuva emva kotyando.
3. Unyango lweMisebe
Oku kubizwa ngokuba yi -stereotactic radiosurgery (SRS) . Oku kuquka ukusebenzisa inani elikhulu lemitha yemitha ejoliswe ngqo ukutshabalalisa ithumba. Kufana notyando, kodwa ngaphandle kokusebenzisa imela. Ugqirha wakho unokucebisa olu nyango ukuba ithumba likwindawo enzima okanye enobungozi yotyando (umzekelo, kufutshane nemithambo yegazi ebalulekileyo okanye imithambo-luvo).
Eyona nto ibalulekileyo kukuba ugqirha wakho kunye neqela lakhe lezonyango baya kukhetha unyango olulungele wena. Ngoko ke thetha nabo ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Injani imeko emva konyango?
Kwiimeko ezininzi, isiphumo sonyango silungile kakhulu emva konyango. Ingakumbi ukuba ithumba lisusiwe ngokupheleleyo, amathuba okuba libuye kwakhona mancinci kakhulu.
Nangona kunjalo, ubungakanani beengxaki ezinokwenzeka emva kotyando buxhomekeke kwezi zinto zilandelayo:
- Ukuba ithumba likhulu
- Ukuba ithumba likwindawo enzulu emzimbeni
- Ukuba ithumba likwi-ulnar nerve, kukho i-nerve enkulu esandleni.
Nangona kunjalo, ngokubanzi, ingqikelelo yesifo se-schwannoma ilungile kakhulu.
Ngaba oku akunakuthintelwa ukuba kwenzeke?
Ngelishwa, akukho ndlela yokuthintela ukwakheka kwe-schwannomas, kuba njengoko besitshilo ngaphambili, zihlala zenzeka ngokungacwangciswanga kwaye ngaphandle kwesizathu.
Nangona kunjalo, ukuba uyazi ukuba kukho umntu kusapho lwakho onesifo semfuza esifana ne-neurofibromatosis 2 (NF2), kungcono ukuthetha nogqirha wakho ngaso. Usenokukwazi ukukuthumela kwingcebiso yemfuza.
Umyalezo Wokuya Ekhaya
- I-schwannoma sisimila esiphuma kwiiseli zeSchwann ezigubungela imithambo-luvo. Uninzi lwazo alunazo umhlaza (olungabalulekanga) .
- Iimpawu zixhomekeke kwindawo ekuyo ithumba. Kusenokuba kukho iqhuma, ukurhawuzelela, iintlungu, okanye ubuthathaka bemisipha. Uhlobo oluhlala lukhula lujikeleze indlebe lunokuchaphazela ukuva kunye nokulinganisela.
- Unyango alusoloko luyimfuneko. Kukho iindlela ezinje ngokujonga ithumba, ukususwa ngotyando, okanye unyango ngemitha.
- Lilonke, ingqikelelo emva konyango ilungile kakhulu.
- Ukuba ubona iqhuma elitsha emzimbeni wakho, okanye ukuba unentlungu engapheliyo okanye ukungakhululeki nakweyiphi na indawo, musa ukulibazisa kwaye ubone ugqirha wakho ngoko nangoko . Musa ukoyika, mhlawumbi akukho nto imbi kangako, kodwa kubalulekile ukuya kuhlolwa.
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