Neurilemmoma

Schwannoma

Zviratidzo zvisina ngozi zvinogona kuitika munervhi, tsandanyama nemapfupa. Mufananidzo uyu unoratidza schwannoma yenerve yetibial mumutsipa.

Vanachirurgi vanobvisa schwannomas nekungwarira vachichengeta fascicles dzenervhi dzisingakanganiswi nezviratidzo. Fascicles dzenervhi ndidzo mapoka emafiber enervhi.

Schwannoma rudzi rwenervhi tumor yekushongedza nerve. Rudzi rwakajairika kwazvo rwe benign peripheral nerve tumor muvakuru. Inogona kuitika chero kupi mumuviri wako, pazera ripi zvaro.

Schwannoma kazhinji inobva kuboka rimwe chete (fascicle) mukati menervhi huru uye inoshandura zvimwe zvenervhi. Kana schwannoma ikakura, fascicles dzakawanda dzinoonekwa, zvichiita kuti kubviswa kuve kwakaoma. Kazhinji, schwannoma inokura zvishoma nezvishoma.

Kana ukawana schwannoma muruoko kana gumbo, unogona kuona bhora risina marwadzo. Schwannomas hadzina kenza, asi dzinogona kukonzera kukuvara kwenervhi nekurasikirwa nekudzora kwetsandanyama. Ona chiremba wako kana uine mabhora asingawanzo kana kusanzwa.

Kuti uongorore schwannoma, chiremba wako anogona kukubvunza nezvezviratidzo, kukurukura nhoroondo yako yekurapa, uye kuita bvunzo yemuviri wese neye neurological. Kana zviratidzo zvichiratidza kuti unogona kunge uine schwannoma kana imwe nerve tumor, chiremba wako anogona kukurudzira imwe kana dzakawanda dzebvunzo idzi dzekuongorora:

• Magnetic resonance imaging (MRI). Bvunzo iyi inoshandisa maneti nema radio waves kugadzira maonero akakwana, e3-D enervhi dzako ne tishu dziri pedyo.
• Computerized tomography (CT). CT scanner inotenderera pamuviri wako kunyoresa akatevedzana mifananidzo. Kombiyuta inoshandisa mifananidzo kugadzira maonero akakwana ekukura kwako kuitira kuti chiremba wako azive kuti inogona kukukanganisa sei.
• Electromyogram (EMG). Kune bvunzo iyi, chiremba wako anoisa zvinyorwa zvidiki mutsandanyama dzako kuitira kuti chishandiso che electromyography chinogona kunyoresa simba remagetsi mutsandanyama yako sezvaunoramba uchiedza kuifambisa.
• Nerve conduction study. Unofanira kuita bvunzo iyi pamwe chete ne EMG yako. Inoyera kuti nerves dzako dzinokurumidza sei kutakura masaini emagetsi kutsandanyama dzako.
• Tumor biopsy. Kana bvunzo dzekuongorora dzikaziva nerve tumor, chiremba wako anogona kubvisa uye kuongorora sampuli diki yesero (biopsy) kubva kune tumor yako. Zvichienderana nehukuru hwe tumor uye nzvimbo, unogona kuda anesthesia yemunharaunda kana yega panguva yebiopsy.
• Nerve biopsy. Kana uine mamiriro akadai se progressive peripheral neuropathy kana nerves dzakura dzinoita senge nerve tumors, chiremba wako anogona kutora nerve biopsy.

Kurapwa kweSchwannoma kunoenderana nekuti kukura kwakashata kuri kupi uye kana kuri kukonzera marwadzo kana kukura nekukurumidza. Sarudzo dzekurapa dzinosanganisira:

• Kuongorora. Chiremba wako anogona kukurudzira kutarisa mamiriro ako nguva nenguva. Kucherechedza kunogona kusanganisira kuongororwa kazhinji uye CT kana MRI scan mazuva mashoma kuti uone kana tumor yako iri kukura.
• Kuvhiya. Munyanzvi wekuvhiya we peripheral nerve anogona kubvisa tumor kana iri kukonzera marwadzo kana kukura nekukurumidza. Kuvhiya kweSchwannoma kunoitirwa pasi pe anesthesia yega. Zvichienderana nenzvimbo ye tumor, varwere vamwe vanogona kudzokera kumba zuva rekuvhiya. Vamwe vanogona kuda kugara muchipatara kwezuva rimwe kana maviri. Kunyangwe mushure mekubviswa kwakabudirira kwe tumor panguva yekuvhiya, tumor inogona kudzokazve.
• Radiation therapy. Radiation therapy inoshandiswa kubatsira kudzora kukura kwe tumor uye kuvandudza zviratidzo zvako. Inogona kushandiswa pamwe chete nekuvhiya.
• Stereotactic radiosurgery. Kana tumor iri pedyo nenervhi dzakakosha kana midziyo yeropa, nzira inonzi stereotactic body radiation therapy inogona kushandiswa kuderedza kukuvara kune tishu dzakakosha. Nenheyo iyi, vanachiremba vanopa radiation zvakananga kune tumor pasina kuita incision.

Kuongorora bundu remunyonga wemativi, chiremba wenyu achakubvunza nezve zviratidzo zvenyu uye nhoroondo yenyu yehutano. Mungaita bvunzo yepanyama yakazara nebvunzo yemanyonga. Kuongororwa kwakati wandei kunogona kubatsira kuwana chikonzero chezviratidzo zvenyu.

• Magnetic resonance imaging (MRI). Kuongororwa uku kunoshandisa manyetic nemawonde e redhiyo kugadzira maonero e3D akakwana emanyonga nemakwinya.
• Computerized tomography (CT). CT scanner inotenderera pamuviri kuti itange kuita mifananidzo yakawanda. Kombiyuta inoshandisa mufananidzo kugadzira maonero akakwana ebundu remunyonga wemativi. CT scan inogona kubatsira chiremba wenyu kuona kuti bundu racho riri kukukanganisa sei.
• Electromyogram (EMG). Mu bvunzo iyi, zvinyorwa zvidiki zvinoshandiswa mumasumbu. Chishandiso chinonyora basa remagetsi mumasumbu sezvo ari kufamba.
• Nerve conduction study. Kuongororwa uku kazhinji kunoitirwa ne EMG. Inoyera kuti manyonga anokurumidza sei kutakura masaini emagetsi kuenda kumasumbu.
• Tumor biopsy. Kana uine bundu remunyonga, ungada biopsy. Sampuli diki yemasero kubva kubundu inobviswa uye inongororwa. Zvichienderana nehukuru nekwakagara bundu, ungada mushonga unonzvenga nzvimbo yemuviri, unonzi local anesthesia, kana mushonga unokurara, unonzi general anesthesia, panguva yebiopsy. Dzimwe nguva biopsy ndiyo nzira chete yekuziva kana bundu riri kenza.
• Nerve biopsy. Biopsy yemunyonga inogona kudiwa kune vanhu vane zvimwe zvirwere, senge progressive peripheral neuropathy nemanyonga makuru anofananidza mabundu emanyonga.

Mabundu emanyonga emativi haawanzoitika. Zvakakosha kuwana chiremba ane ruzivo mukuongorora nekurapa. Kana zvichidiwa, tsvaga pfungwa yechipiri.

Kurapa kenza ye tsinga dzekumativi kunotsamira pachikamu chekenza, tsinga nedzimwe tishu dzinotambudzwa, uye zviratidzo. Nzira dzekurapa dzinogona kusanganisira:

Kutarisa nekumirira kuona kana kenza ikakura inogona kuva sarudzo kana iri munzvimbo inoita kuti kubvisa kuve kwakaoma. Kana zvakare inogona kuva sarudzo kana kenza iri diki, inokura zvishoma nezvishoma, uye inokonzera zviratidzo zvishoma kana kuti hapana. Uchava nekuongororwa kazhinji uye unogona kuve nekuongororwa kweMRI, CT scans kana ultrasounds inoitwa mwedzi mitanhatu kusvika ku12 kuona kana kenza ikakura. Kana kuongororwa kwakawanda kucharatidza kuti kenza yakadzikama, saka inogona kutarisirwa makore mashoma.

Vanachirurgi vanobvisa schwannomas nekungwarira vachichengeta fascicles dzetsoka dzisingakanganiswi nekenza. Nerve fascicles ndiwo mapoka ematsinga etsinga.

Mamwe makenza etsinga dzekumativi anobviswa nekuvhiya. Chinangwa chekuvhiya ndechekubvisa kenza yese pasina kukuvadza tishu nemitsara ine hutano iri pedyo. Kana izvozvo zvisingaite, vanachirurgi vanobvisa zvakawanda zvekensa sezvinobvira.

Nzira itsva nezvishandiso zvinoita kuti vanachirurgi vasvike kumakenza ari madikanwa kusvika. Microscopes ine simba rakakwirira inoshandiswa mu microsurgery inoita kuti zvive nyore kusiyanisa pakati pekensa netishu ine hutano. Uye basa remitsara rinogona kutarisirwa panguva yekuvhiya, izvo zvinoita kuti kuchengetedza tishu ine hutano.

Matambudziko ekuvhiya anosanganisira kukuvara kwetsoka nekuremara. Aya matambudziko kazhinji anobva pakukura kwekensa, kwaari, uye nzira inoshandiswa yekuvhiya. Mamwe makenza anokurazve.

Tekinoroji ye stereotactic radiosurgery inoshandisa gamma rays diki kuti ipe chiyero chakanyatsojeka cheradhiation kune chinangwa.

Stereotactic radiosurgery inoshandiswa kurapa mamwe makenza etsinga dzekumativi mu kana pedyo nehuropi. Radiation inopiwa chaizvoizvo kune kenza pasina kuita incision. Rudzi rumwe rwerudzi urwu rwekuvhiya runonzi Gamma Knife radiosurgery.

Matambudziko e radiosurgery anosanganisira kushaya simba kana kunzwa kusagadzikana munzvimbo yakarapwa. Kana kenza ingaramba ichikura. Zvisingawanzoitiki, radiation inogona kukonzera kenza munzvimbo yakarapwa mune ramangwana.

Makenza ane kenza anorapwa nezvinorapwa zvakajairwa zvekenza. Izvi zvinosanganisira kuvhiya, chemotherapy uye radiation therapy. Kuongororwa nekurapa nekukurumidza ndizvo zvinhu zvikuru zvechinangwa chakanaka. Makenza anogona kudzoka mushure mekurapa.

Mushure mekuvhiya, unogona kuda kupora kwemuviri. Mupi wako wehutano anogona kushandisa bhandeji kana splint kuchengeta ruoko rwako kana gumbo munzvimbo inokubatsira kupora. Vanachipatara vemuviri nevanoongorora basa vanogona kukubatsira kudzoreredza basa nekufamba kwakarasika nekuda kwekuvadza kwetsoka kana kucheka kwemutumbi.

Zvinogona kunetsa kubata nematambudziko ekensa ye tsinga dzekumativi. Kusarudza kurapa kwakanakira iwe zvakare kunogona kuva sarudzo yakaoma. Aya mazano anogona kubatsira:

• Dzidza zvakawanda sezvinobvira nezve makenza etsinga dzekumativi. Zvakawanda zvaunoziva, zvakanyanya kugadzirira kuita sarudzo dzakanaka pamusoro pekurapa. Kunze kwekutaura nachiremba wako, unogona kuda kutaura nemurongi kana mushandi wemagariro. Kana unogona kuwana zvinobatsira kutaura nevamwe vanhu vane mamiriro akafanana neako. Bvunza nezve zvakaitika kwavari panguva uye mushure mekurapa.
• Chengetera rutsigiro rwakasimba. Hama neshamwari dzinogona kuva sosi yerutsigiro. Unogona kuwana hanya nekunzwisisa kwevamwe vanhu vane mamiriro akafanana neako kunyaradza zvikuru. Mupi wako wehutano kana mushandi wemagariro anogona kukubatsira kusangana nechikwata cherutsigiro.