Ngezinye izikhathi ungase uzwe okuthile okufana neqhubu elincane endaweni ethile emzimbeni wakho. Noma ungase uzwe ukuqaqamba, ubuhlungu, noma umuzwa ongajwayelekile. Esinye sezizathu zalezi zinto yisimo esibizwa ngokuthi 'iSchwannoma'. Leli gama lizwakala liyinkimbinkimbi futhi liyesabeka, akunjalo? Kodwa ungakhathazeki. Kulesi sihloko, sizoxoxa ngokuthi lokhu kuyini ngempela, ukuthi kungani kwenzeka, ingabe kuyingozi, nokuthi ukwelashwa kuyini.
Kuyini iSchwannoma?
Kalula nje, i-schwannoma iyisimila. Kodwa ivela ohlotsheni olukhethekile lweseli emzimbeni wethu. Siyibiza ngokuthi 'amaseli e-Schwann'.
Manje ungase uzibuze ukuthi ziyini lezi 'zisele zeSchwann'. Cabanga ngemizwa emizimbeni yethu njengezintambo zikagesi. Lezi zinzwa zithwala imiyalezo evela ebuchosheni iye kuzo zonke izingxenye zomzimba. Kukhona igobolondo lepulasitiki elizungeze leyo ntambo kagesi yokuvikela, akunjalo? Ngokufanayo, izinzwa zethu nazo zinegobolondo elizungezile ukuze zizivikele futhi zizisize zithwale imiyalezo ngokushesha. Lelo gobolondo lenziwe 'ngamaseli eSchwann'. Ngakho-ke, ngesizathu esithile, lapho la maseli eSchwann eqala ukukhula ngokungalawuleki, kwakheka isimila lapho. Yilokho esikubiza ngokuthi iSchwannoma.
Izindaba ezinhle ukuthi iningi lala mathumba awawona umdlavuza (angabi yingozi) . Lokhu kusho ukuthi awasabalali kwezinye izingxenye zomzimba. Futhi avame ukukhula kancane kakhulu, ngezinye izikhathi eminyakeni eminingi.
Kodwa, akuvamile kakhulu, okungukuthi, akuvamile kakhulu, lokhu kungaba nomdlavuza (okuyingozi). Bese siphinde sikubize ngokuthi 'i-soft tissue sarcoma'. Kodwa lokho akuvamile kakhulu. Ezimweni ezingama-90%, lokhu kuvela njengesimila esisodwa.
Zitholakala kuphi i-Schwannomas?
Lezi zimila zingakhula noma kuphi 'ohlelweni lwezinzwa oluseceleni', uhlelo lwezinzwa oluthwala imiyalezo evela ebuchosheni bethu kanye nomgogodla iye emzimbeni wonke.
Kodwa kukhona uhlobo olukhethekile olubonakala kaningi. Lubizwa ngokuthi 'i-vestibular schwannoma' . Abanye abantu balubiza nangokuthi 'i-acoustic neuroma'. Lokhu kukhula emthanjeni osuka ebuchosheni bethu uye endlebeni yethu, osisiza ukuzwa nokulinganisela. Lokhu futhi akuvamile ukuba nomdlavuza, futhi uhlobo olukhula kancane.
Ngaphezu kwalokho, zingakhula futhi emsipheni we-sciatic emlenzeni, i-brachial plexus engalweni, kanye nemizwa engaphansi komhlane.
Ingabe lesi isimila sobuchopho?
Lona umbuzo abantu abaningi abanawo. Impendulo ithi, kungenzeka noma cha. Kuya ngokuthi isimila sikuphi.
Izinhlobo esikhulume ngazo ngaphambili, njenge-'vestibular schwannoma', zivela emithanjeni engaphakathi kobuchopho. Yingakho kubhekwa njengesimila sobuchopho. Kodwa ngenxa yokuthi i-schwannoma ingavela noma kuphi emzimbeni, isibonelo, emthanjeni engalweni noma emlenzeni, akuzona zonke eziyizimila zobuchopho.
Ziyini izimpawu zeSchwannoma?
Ngenxa yokuthi lezi zimila zikhula kancane kakhulu, ngezinye izikhathi zingahlala iminyaka eminingi zingabonisi zimpawu. Uma kuvela izimpawu, ukuthi ziyini zizoncika ekutheni isimila sikuphi nokuthi sikhulu kangakanani.
Ithebula elingezansi libala ezinye zezimpawu ezivame kakhulu.
| Isibonakaliso | Incazelo |
|---|---|
| Ifindo elibonakalayo | Ngezinye izikhathi ungase uzwe iqhubu elincane ngaphansi kwesikhumba, okungaba buhlungu uma ulicindezela. |
| Ukuthintitha noma umuzwa ofana nezintuthwane ziyagijima | Uma isimila sicindezela inzwa, ungase uzizwe umuzwa wokucasuka endaweni lapho inzwa ithwala khona imiyalezo. Ngokwezokwelapha, lokhu kubizwa ngokuthi 'i-paresthesia'. |
| Ubuthakathaka bemisipha | Ngenxa yokuthi imisipha elawulwa yizinzwa ayisebenzi kahle, ungase uzizwe ubuthakathaka kuleyo ndawo. Isibonelo, kungase kube nzima ukubamba into esandleni sakho. |
| Ubuhlungu | Ukucindezeleka kwemizwa kungabangela ubuhlungu obungacacile, obuvuthayo, noma obubukhali. |
Izimpawu ezithile ezihlukahluka kuye ngokuthi isimila sikhona kuphi
- I-Vestibular Schwannoma: Lokhu kutholakala emsipheni wendlebe, okubangela ukulahlekelwa ukuzwa endlebeni eyodwa.Kungenzeka. Ungase uzwe nomsindo wokukhala ezindlebeni zakho (i-tinnitus), isiyezi, kanye nokulahlekelwa ibhalansi.
- I-Facial Nerve: Uma kuvela isimila kule ndawo, singabangela ubunzima bokugwinya, ubunzima bokuhambisa amehlo, izinguquko ekunambithekeni, noma ukukhubazeka kobuso.
- I-Sciatic Nerve: Uma kuvela isimila emsipheni oyinhloko oya emlenzeni, singadala ubuhlungu obuhamba kusukela emhlane wehle emlenzeni, njengobuhlungu bomhlane noma 'inkinga yediski' .
Kungani le Schwannoma yakheka?
Eqinisweni, ama-90% ala macala ayenzeka ngezikhathi ezithile, ngaphandle kwesizathu esithile . Akukho sizathu esithile esitholakele okwamanje.
Kodwa-ke, idlanzana elincane kakhulu lingaba nezimbangela zofuzo. Isibonelo, abantu abanezimo zofuzo ezifana ne-Neurofibromatosis 2 (NF2), i-Schwannomatosis, noma i-Carney complex banamathuba amaningi okuthuthukisa izimila ezingaphezu kweyodwa. Abantu abanezimo zofuzo banesici ezizakhini zofuzo ezilawula ukwakheka kwesimila emizimbeni yabo.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela onezimpawu, bazokuhlola futhi, uma besola lesi simo, bakuthumelele ukuhlolwa okuningana kwezithombe. Ngezinye izikhathi, lesi simila singatholakala ngengozi ngesikhathi sokuhlolwa okwenziwe ngesinye isizathu.
Izivivinyo eziyinhloko ezisetshenziselwa lokhu yilezi:
- Iskena se-MRI (Magnetic Resonance Imaging): Lesi isivivinyo esingcono kakhulu nesicacile sokuthola i-schwannoma. Sisebenzisa insimu yamagnetic namagagasi omsakazo ukuthatha izithombe ezicacile zangaphakathi lomzimba. I-MRI ingasiza ekutholeni indawo eqondile, usayizi, kanye nomphumela ezinzwa eziseduze.
- Ukuskena kwe-CT (Computed Tomography): Lokhu kusebenzisa imisebe eminingi ye-X-ray ukuthatha izithombe zomzimba ezihlukaniswe ngezigaba. Nakuba kungacacile njenge-MRI, kungasiza nasekuxilongweni.
- Ukuskena nge-ultrasound: Lokhu kusetshenziselwa ukubheka izinto ezifana nezimila ezincane, ikakhulukazi ngaphansi kwesikhumba.
- Ukuhlolwa kwe-biopsy: Ngezinye izikhathi, udokotela angase anqume ukuthatha ucezu oluncane lwesigaxa ngenaliti bese eluhlola. Lokhu kubizwa ngokuthi 'i-biopsy'. Lokhu kuzoqinisekisa ngokuphelele ukuthi ngabe empeleni yi-schwannoma noma ukuthi inamangqamuzana omdlavuza.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ezintweni eziningana. Udokotela wakho uzocabangela izinto ezifana nendawo lapho kukhona khona isimila, ubukhulu baso, ukuthi sikhula ngokushesha kangakanani, kanye nezimpawu zakho.
Kunezindlela ezintathu zokwelapha eziyinhloko.
1. Ukuqaphela (Ukuqaphela / "Qaphela bese Ulinda")
Uma isimila singesona umdlavuza, sikhula kancane kakhulu, futhi ungenazo izimpawu ezikukhathazayo, udokotela wakho angase athi, "Ake silinde sibone." Lokho kusho ukuthi uzokwenza izinto ezifana ne-MRI scans ngezikhathi ezithile ukuze abone ukuthi isimila siyashintsha yini ngobukhulu. Uma isimila siqala ukukhula noma uma unezimpawu, bazoqala ukuselapha.
2. Ukususwa ngokuhlinzwa (Ukuhlinzwa)
Uma isimila sikhula ngokushesha noma uma izimpawu zikukhathaza, udokotela wakho angase akuncome ukuhlinzwa ukuze kususwe. Njengoba lezi zimila zikhula esikhaleni esizungeze inzwa, isikhathi esiningi isimila singasuswa ngokuphelele ngaphandle kokulimaza inzwa . Kodwa-ke, ezimweni ezifana ne-'vestibular schwannoma', kunengozi yokulahlekelwa ukuzwa ngemva kokuhlinzwa.
3. Ukwelashwa Ngemisebe
Lokhu kubizwa ngokuthi i-stereotactic radiosurgery (SRS) . Lokhu kuhilela ukusebenzisa inani elikhulu lemisebe yemisebe eqondiswe ngqo ukubhubhisa isimila. Kufana nokuhlinzwa, kodwa ngaphandle kokusebenzisa ummese. Udokotela wakho angancoma lokhu kwelashwa uma isimila sisendaweni enzima noma eyingozi yokuhlinzwa (isibonelo, eduze kwemithambo yegazi ebalulekile noma imizwa).
Into ebaluleke kakhulu ukuthi udokotela wakho kanye nethimba lakhe lezokwelapha bazokhetha ukwelashwa okukulungele. Ngakho-ke khuluma nabo nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Sinjani isimo ngemva kokwelashwa?
Ezimweni eziningi, isibikezelo silungile kakhulu ngemva kokwelashwa. Ikakhulukazi uma isimila sisusiwe ngokuphelele, amathuba okuthi sibuye aphansi kakhulu.
Kodwa-ke, ubukhulu bezinkinga ezingase zenzeke ngemva kokuhlinzwa buxhomeke kulezi zinto ezilandelayo:
- Uma isimila sikhulu
- Uma isimila sitholakala ekujuleni komzimba
- Uma isimila sitholakala emthanjeni we-ulnar, inzwa enkulu esandleni
Kodwa-ke, sekukonke, isibikezelo se-schwannoma sihle kakhulu.
Ingabe lokhu akunakuvinjelwa ukuthi kwenzeke?
Ngeshwa, ayikho indlela yokuvimbela ukwakheka kwama-schwannoma, ngoba njengoba sishilo ngaphambili, avame ukwakheka ngokungahleliwe futhi ngaphandle kwesizathu.
Kodwa-ke, uma wazi ukuthi othile emndenini wakho unesifo sofuzo esifana ne-neurofibromatosis 2 (NF2), kuwumqondo omuhle ukukhuluma nodokotela wakho ngaso. Angase akwazi ukukudlulisela ukuze uthole ukwelulekwa ngofuzo.
Umlayezo Wokuya Nawe Ekhaya
- I-schwannoma yisisu esikhula emaseli e-Schwann amboza imizwa. Iningi lalawa awawona umdlavuza (awekho bungozi) .
- Izimpawu zincike endaweni yesimila. Kungase kube neqhubu, ukuqaqamba, ubuhlungu, noma ubuthakathaka bemisipha. Uhlobo oluvame ukuvela eduze kwendlebe lungathinta ukuzwa kanye nokulinganisela.
- Ukwelashwa akudingeki ngaso sonke isikhathi. Kunezindlela zokwelapha ezifana nokubona isimila, ukususwa kokuhlinzwa, noma ukwelashwa ngemisebe.
- Sekukonke, isibikezelo ngemva kokwelashwa sihle kakhulu.
- Uma ubona iqhubu elisha emzimbeni wakho, noma uma unobuhlungu obungapheli noma ukungakhululeki kunoma iyiphi indawo, ungakushayi indiva bese ubona udokotela wakho ngokushesha . Ungesabi, mhlawumbe akuyona into embi kangako, kodwa kubalulekile ukuthi uhlolwe.
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