Neurilemmoma

Schwannoma

Ama-tumors angapheli angatholakala emithanjeni, emachaleni nasemathanjeni. Lesi sihloko sibonisa i-schwannoma yethanjeni le-tibial ezinhlangothini.

Ochwepheshe bokuhlinzwa basusa ama-schwannomas ngokucophelela beqaphela ukulondoloza ama-nerve fascicles angathintekile yi-tumors. Ama-nerve fascicles yiqembu lezintambo zezinzwa.

ISchwannoma uhlobo lwe-tumor yethanjeni le-sheath yethanjeni. Yilona hlobo oluvamile lwe-tumor yethanjeni elingaphelile lezinzwa ezingaphandle kwabantu abadala. Lingatholakala noma kuphi emzimbeni wakho, kunoma iyiphi iminyaka.

ISchwannoma ngokuvamile livela eqoqweni elilodwa (fascicle) ngaphakathi kwethanjeni elikhulu futhi lihambisa iningi lethanjeni. Uma i-schwannoma ikhula, ama-fascicles amaningi athinteka, okwenza ukususa kube nzima. Ngokuvamile, i-schwannoma ikhula kancane.

Uma uthuthukisa i-schwannoma engalweni noma emilenzeni, ungase uqaphele i-lump engahlungu. Ama-Schwannomas awavamile ukuba yi-cancerous, kodwa angabangela ukonakala kwezinzwa nokulahlekelwa ukulawula kwemisipha. Bheka udokotela wakho uma une-lumps noma ukungathandeki okungavamile.

Ukuthola i-schwannoma, udokotela wakho angase akusize ngezimpawu nezimpawu, axoxe ngomlando wakho wezokwelapha, futhi enze kokubili ukuhlolwa komzimba jikelele nokuhlolwa kwezinzwa. Uma izimpawu zikhomba ukuthi ungaba ne-schwannoma noma ezinye i-tumor yethanjeni, udokotela wakho angase akukhuthaze ukwenza olunye noma ngaphezulu kwalokhu ukuhlolwa kokuxilonga:

• Ukuthwebula kwe-magnetic resonance (MRI). Lesi sihloko sisebenzisa i-magnet namaza erediyo ukukhiqiza umbono ocacile, we-3-D wezinzwa zakho kanye nezinye izicubu.
• Ukuthwebula kwe-Computerized tomography (CT). I-CT scanner iphenduka emzimbeni wakho ukuqopha uchungechunge lwemifanekiso. Ikhompyutha isebenzisa imifanekiso ukwenza umbono ocacile wokukhula kwakho ukuze udokotela wakho akwazi ukuhlola ukuthi kungakuthinta kanjani.
• Electromyogram (EMG). Kulokhu kuhlolwa, udokotela wakho ubeka izimpumputhe ezincane emachaleni akho ukuze ithuluzi le-electromyography likwazi ukuqopha umsebenzi wamagetsi emachaleni akho njengoba uzama ukuwasusa.
• Ukuhlolwa kokuphathwa kwezinzwa. Cishe uzoba nalokhu kuhlolwa kanye ne-EMG yakho. Kulinganisa ukuthi izinzwa zakho zithwala kanjani izibonakaliso zamagetsi emachaleni akho.
• I-biopsy ye-tumor. Uma ukuhlolwa kwezithombe kuqaphela i-tumor yethanjeni, udokotela wakho angase asuse futhi ahlole isampula encane yamashelu (i-biopsy) evela e-tumor yakho. Kuye ngosayizi we-tumor nendawo yayo, ungase udinga ukwelashwa kwendawo noma okukhulu ngesikhathi se-biopsy.
• I-biopsy yethanjeni. Uma unezimo ezinjengokuhlupheka okuqhubekayo kwezinzwa ezingaphandle noma izinzwa ezinkulu ezilingana nama-tumor yethanjeni, udokotela wakho angase athathe i-biopsy yethanjeni.

Ukuphathwa kwe-Schwannoma kuncike lapho ukukhula okungalungile kukhona nokuthi kubangela ubuhlungu noma kukhula ngokushesha. Izinketho zokwelapha zihlanganisa:

• Ukuqapha. Udokotela wakho angase akukhuthaze ukubuka isimo sakho ngokuhamba kwesikhathi. Ukuqapha kungase kuhlanganise ukuhlolwa okuvamile kanye ne-CT noma i-MRI scan njalo ngezinyanga ezimbalwa ukubona ukuthi i-tumor yakho ikhula yini.
• Ukuhlinzwa. Ochwepheshe bokuhlinzwa kwezinzwa ezingaphandle bangasusa i-tumor uma ibingela ubuhlungu noma ikhula ngokushesha. Ukuhlinzwa kwe-Schwannoma kwenziwa ngaphansi kokwelashwa okukhulu. Kuye ngendawo ye-tumor, abanye abantu bangabuya ekhaya ngosuku lokuhlinzwa. Abanye bangase badinge ukulala esibhedlela usuku olulodwa noma amabili. Ngisho noma ngemuva kokususa ngempumelelo i-tumor ngesikhathi sokuhlinzwa, i-tumor ingase ibuyele.
• Ukwelashwa ngomgogodla. Ukwelashwa ngomgogodla kusetshenziswa ukusiza ukulawula ukukhula kwe-tumor nokuthuthukisa izimpawu zakho. Kungase kusetshenziswe ndawonye nokuhlinzwa.
• I-Stereotactic radiosurgery. Uma i-tumor isondele ezinzwini ezibalulekile noma ezinhlanzi zegazi, indlela ebizwa ngokuthi i-stereotactic body radiation therapy ingase isetshenziswe ukulinganisela ukonakala kwezicubu eziphilile. Ngalokhu, odokotela banikeza imigogodla ngokuqondile e-tumor ngaphandle kokwenza isiqeshana.

Ukuthola i-tumor yethambo lezinzwa ezingaphandle, umhlinzeki wakho wezempilo uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Ungase udlule ekuhlolweni komzimba jikelele kanye nokuhlolwa kwezinzwa. Iivivinyo eziningi zingasiza ekutholeni imbangela yezimpawu zakho.

• Ukuthwebula komfanekiso we-magnetic resonance (MRI). Lesi sikena sisebenzisa i-magnet namaza erediyo ukukhiqiza umbono we-3D onemininingwane yezinzwa namalungu omzimba.
• Ukuthwebula komfanekiso we-computerized tomography (CT). I-CT scanner iphenduka emzimbeni ukuthatha uchungechunge lwemifanekiso. Ikhompyutha isebenzisa umfanekiso ukwenza umbono onemininingwane we-tumor yethambo lezinzwa ezingaphandle. I-CT scan ingasiza umhlinzeki wakho ukuthi abone ukuthi i-tumor ingakuthinta kanjani.
• I-Electromyogram (EMG). Kulolu viyo, izimpumputhe ezincane zifakwa emiphongolweni. Ithuluzi lirekhoda umsebenzi wamagetsi emsini njengoba uthuthuka.
• Ucwaningo lokuqhuba kwezinzwa. Lo mvivinyo uhlala wenziwa nge-EMG. Ulinganisa ukuthi izinzwa ziqhuba kanjani izibonakaliso zamagetsi emiphongolweni.
• I-biopsy ye-tumor. Uma une-tumor yethambo lezinzwa, ungase udinga i-biopsy. Isibonelo esincane samangqamuzana e-tumor sisuswa futhi sihlolwe. Kuye ngosayizi we-tumor nendawo yayo, ungase udinga imithi ehlanza indawo yomzimba, ebizwa ngokuthi i-anesthesia yendawo, noma imithi ekulalisa, ebizwa ngokuthi i-anesthesia ejikeleze, ngesikhathi se-biopsy. Ngezinye izikhathi i-biopsy kuphela indlela yokuthola ukuthi i-tumor iyomdlavuza yini.
• I-biopsy yethambo lezinzwa. I-biopsy yethambo lezinzwa ingase idingeke kubantu abanezinye izimo, ezifana ne-neuropathy ezingaphandle eyaqhubeka kanye nezinzwa ezinkulu ezifana ne-tumor yethambo lezinzwa.

Ukwelapha isibazi sezinzwa ezingaphandle kuncike ohlotsheni lwesibazi, izinzwa nezinye izicubu ezihlaselayo, kanye nezimpawu. Izindlela zokwelapha zingafaka: Ukubuka nokulinda ukuze kubonwe ukuthi isibazi siyakhula yindlela engase ibe khona uma sikhona endaweni okwenza kube nzima ukusikhipha. Noma kungaba yindlela uma isibazi sincane, sikhulayo kancane, futhi sibangela izimpawu ezimbalwa noma azikho. Uzobe ukhona ukuhlolwa okuvamile futhi ungase ube nokwenziwa kwe-MRI scans, i-CT scans noma i-ultrasounds yonke imizuzwana eyi-6 kuya kweyi-12 ukuze ubone ukuthi isibazi liyakhula. Uma ukuhlolwa okuphindwe kabusha kukhombisa ukuthi isibazi siqinisile, khona-ke kungase kulandelelwe yonke imizuzwana embalwa. Odokotela abachwepheshe bakhipha ngokucophelela ama-schwannomas ngenkathi benakekela ukulondoloza ama-nerve fascicles angathintekile yizibazi. Ama-nerve fascicles yiqembu lezinzwa. Amanye ama-peripheral nerve tumors akhishwa ngokuchwephesha. Umgomo wokuchwephesha ukukhipha lonke isibazi ngaphandle kokulimaza izicubu ezempilo nezindawo eziseduze. Uma lokho kungenakwenzeka, odokotela bakhipha okuningi lwesibazi njengoba bengaqala. Izindlela ezintsha nezithuluzi zivumela odokotela ukuba bafinyelele ezibazini okunzima ukuzifinyelela. Ama-microscope aphezulu asebenza e-microsurgery kwenza kube lula ukubona umehluko phakathi kwesibazi nezicubu ezempilo. Futhi umsebenzi wezinzwa ungalandelelwa ngesikhathi sokwenza uchwepheshe, okusiza ekulondolozeni izicubu ezempilo. Izingozi zokwenza uchwepheshe zifaka ukulimala kwezinzwa nokukhubazeka. Lezi zingozi zivame ukusekelwe ebukhoneni besibazi, lapho kikhona nokuthinta okusetshenziswayo sokwenza uchwepheshe. Amanye ama-tumors aphinde akhule. I-Stereotactic radiosurgery technology isebenzisa ama-gamma rays amancane amaningi ukuletha umthamo oluqondile wolwelo endaweni ehlosiwe. I-Stereotactic radiosurgery isetshenziswa ukwelapha amanye ama-peripheral nerve tumors aphakathi noma eduze kwengqondo. Ulwelo lunikezwa ngokuqondile esibazini ngaphandle kokwenza isiqeshana. Uhlobo olulodwa lolu hlobo lokuchwepa lubizwa ngokuthi i-Gamma Knife radiosurgery. Izingozi ze-radiosurgery zifaka ubuthakathaka noma ukungabi namandla endaweni ephiliwe. Noma isibazi singaqhubeka sikhulayo. Ngokuvamile, ulwelo lungabangela umdlavuza endaweni ephiliwe esikhathini esizayo. Izibazi zomdlavuza ziphathwa ngezindlela zokwelapha umdlavuza ezijwayelekile. Lokhu kufaka uchwepheshe, i-chemotherapy kanye ne-radiation therapy. Ukuxilongwa kwasekuqaleni nokuphathwa kuyizinto ezibaluleke kakhulu zokuphumelela okuhle. Izibazi zingabuya emuva kokwelashwa. Ngemva kokwenza uchwepheshe, ungase udinga ukuqeqeshwa komzimba. Umhlinzeki wakho wezempilo angase asebenzise i-brace noma i-splint ukuze agcine ingalo yakho noma umlenze wakho esimweni esikusiza ukuba uphulukise. Abachwepheshe bezempilo kanye nabachwepheshe bezokusebenza bangakusiza ukuba ubuyisele umsebenzi nokuhamba okulahlekile ngenxa yokulimala kwezinzwa noma ukunqunywa kwelungu lomzimba. Kungaba nzima ukubhekana nethuba lokulimala kwezinzwa ezingaphandle. Ukukhetha ukuthi yikuphi ukwelapha okuzokufaneleka nawe kungaba isinqumo esinzima. Lezi zihluzo zingakusiza: - Funda konke ongakwazi ngezibazi zezinzwa ezingaphandle. Okwengeziwe okwaziyo, uzokulungela kangcono ukwenza izinqumo ezinhle mayelana nokuphathwa. Ngaphandle kokukhuluma nomhlinzeki wakho wezempilo, ungase ufune ukukhuluma nomxhumanisi noma umsebenzi wokuxhumana. Noma ungase uthole ukuthi kuwusizo ukukhuluma nabanye abantu abake baba nesimo elifana nelakho. Buza ngamava abo ngesikhathi nangemuva kokwelashwa. - Gcina uhlelo oluqinile lokusekela. Umuzi nabangane bangaba umthombo wokusekela. Ungase uthole ukukhathalela nokuqonda kwabanye abantu abanesimo elifana nelakho okududuzayo ngokukhethekile. Umhlinzeki wakho wezempilo noma umsebenzi wokuxhumana angase akwazi ukukuxhumanisa neqembu lokusekela.