He aha ka Schwannoma? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

He ʻano maʻi ʻaʻai ʻole ia ka schwannoma e ulu mai ana mai ka palekana o kou mau aʻalolo, i kapa ʻia ʻo ka myelin sheath. E ulu mālie kēia mau maʻi ʻaʻai ʻole a ʻaneʻane loa ʻaʻohe mea ʻino, ʻo ia hoʻi ʻaʻole lākou e pālahalaha i nā wahi ʻē aʻe o kou kino.

E noʻonoʻo iā ia e like me kahi ʻāpana liʻiliʻi, palupalu e hana ʻia ma ka "palekana" a puni nā kaula o kou aʻalolo. ʻOiai he mea weliweli paha ka huaʻōlelo "maʻi ʻaʻai ʻole," he mea palekana maʻamau nā schwannomas a hiki ke hoʻokele maikaʻi ʻia me ka mālama kūpono.

He aha nā hōʻailona o ka schwannoma?

Aia nā hōʻailona āu e ʻike ai ma ka aʻalolo i pilikia a me ka nui o ka maʻi ʻaʻai ʻole i ulu. ʻAʻole ʻike nui nā kānaka me nā schwannomas liʻiliʻi i kekahi hōʻailona, ​​​​ʻoi aku hoʻi i nā wā mua.

Ke ʻike ʻia nā hōʻailona, ​​​​e ulu mālie lākou i nā mahina a i ʻole nā ​​​​makahiki. Eia nā hōʻailona maʻamau e nānā ai:

• Kahi ʻāpana ʻeha ʻole a i ʻole kahi ʻāpana hiki iā ʻoe ke ʻike ma lalo o kou ʻili
• Ka numbness a i ʻole ka tingling ma ka wahi e noho ana ka maʻi ʻaʻai ʻole
• Ka nāwaliwali o nā ʻiʻo i kaohi ʻia e ka aʻalolo i pilikia
• Ka ʻeha e hiki ke ʻoi aku ka ʻino me ka neʻe ʻana a i ʻole ka kaomi
• Nā loli i ka manaʻo, e like me ka liʻiliʻi o ka pā a i ʻole ka mahana

No nā acoustic neuromas (schwannomas ma ka aʻalolo lohe), hiki iā ʻoe ke ʻike i ka nalowale o ka lohe ma kekahi pepeiao, nā kani kani, a i ʻole nā ​​​​pilikia kaulike. Hiki i kēia mau hōʻailona ke palupalu i ka wā mua akā e ʻoi aku ka ʻino.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka nui o nā schwannomas e ulu mālie loa, e hāʻawi ana iā ʻoe a me kāu kauka i ka manawa nui e hoʻolālā ai i ke ala maikaʻi loa no kou kūlana.

He aha nā ʻano o ka schwannoma?

Hoʻokaʻawale ʻia nā Schwannomas ma muli o kahi e ulu ai lākou i loko o kou kino. Hoʻoholo ka wahi i nā hōʻailona āu e ʻike ai a pehea lākou e mālama ʻia ai.

ʻO nā ʻano maʻamau loa:

• Acoustic neuromas: E ulu ana kēia ma ka aʻalolo e kaohi ana i ka lohe a me ke kaulike, e hoʻopilikia ana i hoʻokahi a i ʻole ʻelua pepeiao
• Spinal schwannomas: E ulu ana kēia ma nā aʻalolo i loko o kou kua a hiki ke hoʻopilikia i ka neʻe ʻana a i ʻole ka manaʻo
• Peripheral schwannomas: E hana ʻia kēia ma nā aʻalolo i kou mau lima, nā wāwae, a i ʻole nā ​​​​wahi ʻē aʻe o kou kino
• Cranial schwannomas: E hoʻopilikia ana kēia i nā aʻalolo i loko o kou poʻo, hiki ke hoʻopilikia i ka ʻike, ka neʻe ʻana o ka maka, a i ʻole ka ʻai ʻana

Loaʻa i kēlā me kēia ʻano kāna mau hōʻailona a me nā manaʻo mālama. E hoʻoholo kāu kauka i ke ʻano pololei ma muli o nā hoʻokolohua kiʻi a me kou mau hōʻailona kūikawā.

He aha ka mea e hoʻokumu ai i ka schwannoma?

ʻAʻole ʻike ʻia ke kumu pololei o ka nui o nā schwannomas, akā manaʻo nā mea noiʻi ua hopena lākou mai nā loli i nā gene e kaohi ana i ka ulu ʻana a me ka māhele ʻana o nā pūnaewele Schwann. ʻO kēia nā pūnaewele e hana i ka palekana a puni kou mau aʻalolo.

I ka nui o nā hihia, e hana ʻia kēia mau loli gene i ka wā o kou ola. Eia naʻe, e loaʻa i kekahi poʻe nā schwannomas ma muli o nā kūlana hoʻoilina.

ʻO nā kumu i ʻike ʻia:

• Neurofibromatosis type 2 (NF2): Hoʻonui kēia kūlana genetic maʻamau i kou pilikia o ka loaʻa ʻana o nā schwannomas he nui
• Schwannomatosis: ʻO kekahi maʻi genetic maʻamau e hoʻokumu ana i nā schwannomas he nui me ka ʻole o nā hiʻohiʻona NF2 ʻē aʻe
• Nā loli gene kūpono ʻole: Loaʻa ka nui o nā schwannomas me ka ʻole o ka mōʻaukala ʻohana a i ʻole ke kumu i ʻike ʻia

Hiki i ka hoʻolaha radiation mua i ka wahi poʻo a i ʻole ka ʻāʻī ke hoʻonui iki i kou pilikia, akā he mea maʻamau ʻole kēia. ʻO ka hapa nui o nā schwannomas e ulu me ka ʻole o kekahi mea hoʻonāukiuki a i ʻole ka pilikia i ʻike ʻia.

I ka wā e ʻike ai i ke kauka no ka schwannoma?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i kekahi mau ʻāpana, nā ʻāpana, a i ʻole nā ​​​​hōʻailona neurological e ʻaʻole e hele ma luna o lākou iho. Hiki i ka loiloi mua ke kōkua i ka hoʻoholo ʻana inā pono ʻoe i ka mālama a pale aku i nā pilikia.

E ʻimi i ka mālama lapaʻau inā ʻike ʻoe:

• Kahi ʻāpana ulu a i ʻole ka nui ma kahi o kou kino
• Ka numbness a i ʻole ka tingling e mau ana no kekahi mau pule
• Ka nāwaliwali o nā ʻiʻo e ʻoi aku ka ʻino ma luna o ka manawa
• Ka nalowale o ka lohe a i ʻole ka kani ʻana i hoʻokahi pepeiao
• Nā pilikia kaulike a i ʻole ka dizziness
• Ka ʻeha e hoʻopilikia ana i kāu mau hana i kēlā me kēia lā

Mai kali inā ʻike ʻoe i nā loli koke i kou mau hōʻailona a i ʻole inā e hoʻopilikia nui ana lākou i kou ola. Hiki i kāu kauka ke hana i nā hoʻokolohua e hoʻoholo ai i ka mea e hoʻokumu ana i kou mau hōʻailona a paipai i ke ala mālama maikaʻi loa.

He aha nā pilikia no ka schwannoma?

ʻOiai he benign nā schwannomas a he mea weliweli ʻole ke ola, hiki iā lākou ke hoʻokumu i nā pilikia inā ulu lākou i ka nui e kaomi ana i nā mea nui. Aia nā pilikia kūikawā ma kahi e noho ana ka maʻi ʻaʻai ʻole.

Hiki i nā pilikia ke komo pū:

• Ka poino mau o ka aʻalolo: Hiki i nā maʻi ʻaʻai ʻole nui ke hōʻino i ka aʻalolo e ulu ana lākou
• Ka nalowale o ka lohe: Hiki i nā Acoustic neuromas ke hoʻokumu i ka nalowale o ka lohe hapa a i ʻole piha
• Nā pilikia kaulike: Hiki i nā maʻi ʻaʻai ʻole e hoʻopilikia ana i nā aʻalolo kaulike ke hoʻokumu i ka dizziness mau
• Ka nāwaliwali o nā ʻiʻo: Hiki i nā Schwannomas ma nā aʻalolo motor ke alakaʻi i ka nāwaliwali o nā ʻiʻo a i ʻole ka paralysis
• Ka paralysis o ka maka: He mea maʻamau ʻole akā hiki ke loaʻa me nā maʻi ʻaʻai ʻole e hoʻopilikia ana i nā aʻalolo maka

ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke pale ʻia a hoʻemi ʻia ka nui o nā pilikia me ka ʻike mua a me ka mālama kūpono. ʻAe ka nānā mau i kāu kauka e komo ma mua o ka ulu ʻana o nā pilikia koʻikoʻi.

Pehea ka hōʻoia ʻana o ka schwannoma?

ʻO ka hōʻoia ʻana i ka schwannoma e komo pinepine ana i ka hui ʻana o ka nānā kino, nā hoʻokolohua kiʻi, a i kekahi manawa he biopsy. E hoʻomaka kāu kauka ma ka nīnau ʻana i kou mau hōʻailona a me ka nānā ʻana i ka wahi i pilikia.

ʻO ke kaʻina hana hōʻoia e komo pinepine ana:

1. Nānā kino: E nānā kāu kauka no nā ʻāpana a e hoʻokolohua i kou mau reflexes a me ka manaʻo
2. MRI scan: Hāʻawi kēia i nā kiʻi kikoʻī o nā ʻiʻo palupalu a hiki ke hōʻike i ka nui a me ka wahi o ka maʻi ʻaʻai ʻole
3. CT scan: Hoʻohana ʻia i kekahi manawa e loaʻa ai ka ʻike hou aku e pili ana i ka maʻi ʻaʻai ʻole
4. Nā hoʻokolohua lohe: He mea nui inā manaʻo ʻia kahi acoustic neuroma
5. Biopsy: He mea maʻamau ʻole, akā hiki ke hana ʻia e hōʻoia i ka hōʻoia

ʻO ka MRI maʻamau ka hoʻokolohua nui loa no ka mea hiki ke hōʻike maopopo i nā schwannomas a kōkua i ka hoʻokaʻawale ʻana iā lākou mai nā ʻano maʻi ʻaʻai ʻole ʻē aʻe. Hiki i kāu kauka ke kauoha i ka hoʻokolohua gene inā manaʻo lākou i kahi kūlana hoʻoilina.

He aha ka mālama no ka schwannoma?

Aia ka mālama ʻana no ka schwannoma ma nā mea he nui, e komo pū ana i ka nui o ka maʻi ʻaʻai ʻole, ka wahi, kou mau hōʻailona, ​​​​a me kou olakino holoʻokoʻa. Pono ka nui o nā schwannomas liʻiliʻi, asymptomatic i ka nānā ʻana ma mua o ka mālama koke.

Hiki i kāu mau koho mālama ke komo pū:

• Watchful waiting: Ka nānā mau ʻana me nā MRI scans no nā maʻi ʻaʻai ʻole liʻiliʻi, ʻaʻohe hōʻailona
• Surgical removal: Hoʻoneʻe piha ʻana i ka maʻi ʻaʻai ʻole, e mālama pinepine ana i ka hana o ka aʻalolo
• Stereotactic radiosurgery: Ka mālama radiation pololei e hiki ke hoʻemi a hoʻopau i ka ulu ʻana o ka maʻi ʻaʻai ʻole
• Conventional radiation therapy: Hoʻohana ʻia i kekahi mau hihia kahi ʻaʻole hiki ke hana ʻia ka ʻoki kino

ʻO ka ʻoki kino pinepine ka mālama i makemake ʻia no nā maʻi ʻaʻai ʻole nui a i ʻole nā ​​​​mea e hoʻokumu ana i nā hōʻailona nui. ʻO ka pahuhopu ke wehe i ka maʻi ʻaʻai ʻole holoʻokoʻa me ka mālama ʻana i ka nui o ka hana o ka aʻalolo.

No nā acoustic neuromas, e noʻonoʻo pū nā hoʻoholo mālama i kou pae lohe, makahiki, a me ka wikiwiki ulu o ka maʻi ʻaʻai ʻole. E hana pū kāu kauka me ʻoe e koho i ke ala maikaʻi loa no kou kūlana kūikawā.

Pehea e hoʻokele ai i ka schwannoma ma ka home?

ʻOiai ʻaʻole hiki iā ʻoe ke mālama i ka schwannoma ma ka home, aia kekahi mau mea hiki iā ʻoe ke hana e hoʻokele i nā hōʻailona a kākoʻo i kou olakino holoʻokoʻa i ka wā mālama. Hiki i kēia mau hoʻolālā ke kōkua iā ʻoe e ʻoluʻolu a me ka mana.

Eia kekahi mau ala kōkua:

• Ka mālama ʻeha: Hiki i nā mea hoʻoemi ʻeha ma luna o ka counter ke kōkua me ka ʻoluʻolu ʻole
• Ka hoʻoikaika mālie: E noho ikaika i loko o kou pae ʻoluʻolu e mālama i ka ikaika a me ka hoʻoponopono
• Ka mālama kaumaha: E hoʻomaʻamaʻa i nā ʻano hoʻomaha e like me ka hanu hohonu a i ʻole ka noʻonoʻo
• Ke ola olakino: E ʻai maikaʻi, e hiamoe lawa, a e pale i ka puhipaka
• Nā hui kākoʻo: E hoʻopili me nā poʻe ʻē aʻe i loaʻa nā kūlana like

E mālama i kou mau hōʻailona a e hōʻike i nā loli i kāu kauka. Inā ʻike ʻoe i nā pilikia kaulike, e hoʻolilo i kou home i palekana ma ka wehe ʻana i nā mea hāʻule a me ka hoʻokomo ʻana i nā pā hao ma nā wahi e pono ai.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai ke kōkua iā ʻoe e loaʻa ka nui loa mai kāu kipa a hōʻoia i loaʻa i kāu kauka nā ʻike āpau e pono ai e hāʻawi i ka mālama maikaʻi loa. He ala lōʻihi ka hoʻomākaukau iki.

Ma mua o kāu hālāwai:

1. E kākau i kou mau hōʻailona: E komo pū me ka wā i hoʻomaka ai lākou, pehea lākou i loli ai, a he aha ka mea e hoʻomaikaʻi ai a i ʻole ka ʻino
2. E papa inoa i kāu mau lāʻau lapaʻau: E komo pū i nā lāʻau lapaʻau āpau, nā lāʻau lapaʻau ma luna o ka counter, a me nā mea hoʻohui
3. E hōʻiliʻili i nā moʻolelo lapaʻau: E lawe mai i nā hopena hoʻokolohua a i ʻole nā ​​​​hoʻonaʻauao kiʻi mua
4. E hoʻomākaukau i nā nīnau: E kākau i nā mea āu e makemake ai e ʻike e pili ana i kou kūlana a me nā koho mālama
5. E lawe mai i ke kākoʻo: E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha

Mai kānalua e nīnau i nā nīnau i ka wā o kāu hālāwai. Makemake kāu kauka e kōkua iā ʻoe e hoʻomaopopo i kou kūlana a me ka hilinaʻi i kāu hoʻolālā mālama.

He aha ka mea nui e pili ana i ka schwannoma?

ʻO nā Schwannomas he mau maʻi ʻaʻai ʻole o nā aʻalolo ia, ʻoiai he mea hopohopo paha, akā hiki ke hoʻokele maikaʻi ʻia me ka mālama lapaʻau kūpono. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻaʻole aneane loa kēia mau maʻi ʻaʻai ʻole a he mea weliweli ʻole ke ola.

Hiki i ka ʻike mua a me ka mālama kūpono ke pale aku i nā pilikia a kōkua i ka mālama ʻana i ka hana o kou aʻalolo. He nui nā kānaka me nā schwannomas e ola ana i nā ola maʻamau loa, inā pono lākou i ka mālama a i ʻole ka nānā wale nō.

Inā ʻike ʻoe i nā hōʻailona e pili ana paha i ka schwannoma, mai hoʻokaʻulua i ka ʻimi ʻana i ka mālama lapaʻau. Hiki i kāu hui olakino ke hāʻawi i ke alakaʻi a me ke kākoʻo pilikino i kou huakaʻi.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka schwannoma

Hiki i nā schwannomas ke lilo i mea ʻino?

ʻO nā Schwannomas he mau maʻi ʻaʻai ʻole ia, ʻo ia hoʻi ʻaʻole lākou he mea ʻino a ʻaʻole e pālahalaha i nā wahi ʻē aʻe o ke kino. He mea maʻamau loa ka hoʻololi ʻino, e loaʻa ana i ka liʻiliʻi ma mua o 1% o nā hihia. Eia naʻe, he mea nui ka nānā mau ʻana e hahai i nā loli i ka nui a i ʻole nā ​​​​hōʻailona.

Pehea ka wikiwiki o ka ulu ʻana o nā schwannomas?

E ulu mālie loa ka nui o nā schwannomas, e lawe pinepine ana i nā makahiki e hoʻonui ai i ka nui. Hiki i kekahi ke noho paʻa no nā manawa lōʻihi me ka ʻole o ka ulu ʻana. Hiki i ka wikiwiki ulu ke loli ma muli o ka wahi a me nā mea pilikino, ʻo ia ke kumu o ka nānā mau ʻana me nā hoʻokolohua kiʻi he mea nui.

Hiki i nā schwannomas ke hoʻi mai ma hope o ka ʻoki kino?

He mea maʻamau ʻole ka hoʻi hou ʻana ma hope o ka wehe ʻana i ka ʻoki kino piha, e loaʻa ana i ka liʻiliʻi ma mua o 5% o nā hihia. ʻOi aku ka nui o ka pilikia o ka hoʻi hou ʻana inā wehe ʻia wale nō ka hapa o ka maʻi ʻaʻai ʻole e mālama i ka hana o ka aʻalolo. E kūkākūkā kāu kauka ʻoki kino i ka hiki ke hoʻi hou ʻana ma muli o kou kūlana kūikawā.

He mea hoʻoilina nā schwannomas?

Loaʻa ka nui o nā schwannomas i ka manawa kūpono ʻole a ʻaʻole hoʻoilina. Eia naʻe, loaʻa i nā kānaka me nā kūlana genetic e like me ka neurofibromatosis type 2 (NF2) a i ʻole schwannomatosis ka pilikia kiʻekiʻe o ka loaʻa ʻana o nā schwannomas he nui. Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o kēia mau kūlana, hiki ke kōkua ka ʻōlelo aʻo genetic.

Hiki iaʻu ke pale aku i ka ulu ʻana o nā schwannomas?

ʻAʻohe ala i ʻike ʻia e pale aku i ka nui o nā schwannomas no ka mea e ulu pinepine ana lākou ma muli o nā loli gene kūpono ʻole. Eia naʻe, hiki i ka pale ʻana i ka hoʻolaha radiation pono ʻole a me ka mālama ʻana i ke olakino maikaʻi holoʻokoʻa ke kōkua i ka hoʻemi ʻana i kou pilikia. Inā loaʻa iā ʻoe kahi predisposition genetic, hiki i ka nānā mau ke kōkua i ka ʻike mua ʻana i nā maʻi ʻaʻai ʻole.