intracular swanoma

vaidya netra saastramlo, intracular swanoma, dheenini uvial swanoma anie kooda pilustaaru, idhi kantiloo kanipinche oka rakamaina swanoma (sajatiya kaniti). eee kanitulu daadaapu ellappuduu nirapaayamaina swabhaavam kaligi untaayi mariyu sariiramlooni itara praantaalalo praanaantaka roopaalu namodu cheyabadinappatiki, idhi yuveel praantamloo nivedinchabadaledu. shwan kanaalatoe koodi, eee dravyarashi saadhaaranamgaa nemmadigaa perugutaayi mariyu paridheeya naraala maargamlo, tarachugaa thala mariyu meda chuttoo kanipistaayi.
sankethaalu mariyu lakshanaalu.
kaniti perugudalanu soochinche kanti yokka aneka sankethaalu mariyu lakshanaalu unnaayi, vaatilo ivi unnaih
yantraangam.
shwan kanaalu anevi glial kanaalu, veetini modata pantommidava sataabdamloo kana siddhaantam saha vyavasthaapakudu theodor shwan kanugonnaru. eee kanaalu ippudu paridheeya naadii vyavastha (pns) nirvahanalo paalgontaayani mariyu myelinated mariyu naan-myelinated anae rendu rakaluga upavibhajana cheyavachu. eee kanaalu pns yokka akshatantuvula chuttoo chutti untaayi, vaati plasticity swabhaavam kaaranamgaa, avi vividha rakaala mukhyamaina vidhulanu nirvahinchagalavu. 
function.
shwan kanaala yokka mukhya pani myelination, ledhaa kevalam oxanla insulation. eee kovvu covering neuronal signals yokka prasaranalo sahaayapadutundi, samarthavanthamaina prasaaraaniki veelu kalpistundi. eee kanaalu cellular sidhilaala tolagimpu, punarutpatti mariyu oxanla nirvahanalo kooda sahaayapadataayi. adanamgaa, pns gaayaaniki pratispandanagaa vaapu praticharyanu srushtinchadamlo shwan kanaalu churukuga palgontayi. gayalu debbatinna oxanlaku daariteestaayi kabatti, shwan kanaalu oxonal nashtanni saricheyadamlo mariyu kotta perugudalanu prothsahinchadamlo sahaayapadataayi. vaati vaidyam chese lakshanaala kaaranamgaa, debbatinna oxanla punarutpattini prothsahinchadaaniki eee kanaalanu vennupamu gayalalo upayoginchavacchu. chivaraga, eee bahulardhasadhaka kanaalu rakshanaatmaka bahya avarodham ledhaa perinurial sheet erpadatamlo keelakam, idhi paridheeya naralaku mukhyamaina vibajananu srushtistundi.
anubandha paristhitulu.
shwan kanaalatoe mudipadi unna aneka vyaadhulu kooda gamaninchaali. praarambhamlo, konni demilinating rugmatalalo multiple sclerosis, charcott-maerii-tooth disease (CMT) mariyu gilline-barrey syndrome unnaayi. shwan kana marpidi anedi demilinating rugmatalaku samarthavanthamaina chikitsa anie sains inca nischayaatmaka aadhaaraalanu andinchanappatikii, bhavishyattulo dheenini clinical practicelo vartimpajese avakaasam undhi. rendu vaarasatvamgaa vacchina kaniti rugmatalu kooda shwan kanaalatoe anusandhaaninchabadi unnaayi, neurophybromatosis rakam 1 mariyu rakam 2. rendoo nirapaayamaina kanitulato sambandham unna janyu paristhitulu, neurophybromatosis rakam I neurofibromas mariyu anduvalla vividha kanaalu mariyu muulakaalatoe koodi untaayi, veetilo shwan kanaalu mariyu maast kanaalu unnaayi. dheeniki viruddhamgaa, neurophybromatosis rakam II enimidava kapaala narampai unna shwanomas dwara vargeekarinchabadutundi. eee duradrushtakaramaina sthaanam samatulyata, vinikidi mariyu konnisaarlu drushtilo kooda antaraayaalaku daariteestundi.
vivarana.
shwannomas saadhaarana konamlo shwan kanaalu unna vividha pradaesaalaloo kanipistaayi, intracular shwannomas anedi arudaina conny teevramaina paristhiti, idhi pratyaekamgaa kantiki guri chestundi. eee kanitulu siliary naraala yokka shwan kanaala nundi vachayani bhaavistaaru mariyu manchi kaaranam kosam "sudomelanomas" anie kooda pilustaaru. avi tarachugaa saadhaarana mariyu pramaadakaramaina kanti kaniti, yuveel praanaantaka melanomanu pooli untaayi kabatti vatiki eee paeru pettaru. eee saaruupyata tappu roganirdhaaranaku mariyu phalitamgaa kanti anavasaramaina nucleationku daariteestundi. eee gandaragolam kaaranamgaa, tolaginchina tarvaata chaalaa tarachugaa shwannomas nirdhaarana cheyabadataayi. saadhaarana pareeksha mariyu roganirdhaarana charyala aadhaaramgaa thedaanu gurtinchadam asaadhyame kakapoyina kashtamgaa unnappatikee, intracular swanomas sambhaavyata gurinchi telusukovadam mariyu tamanu taamu pradarsinchagala edainaa asaadhaarana lakshanaala kosam chudatam chaalaa mukhyam.
rooga nirdhaarana.
paina perkonna lakshanaalanu drushtilo unchukuni, vaidyulu tama roganirdhaaranalo taggina drushti mariyu intracular maas kosam chuustaaru, endukante ivi intracular swanomas kosam atyanta saadhaarana falitaalugaa namodu cheyabaddaayi. adanamgaa, eee kanitulu chaalaa tarachugaa coroidlo kanipistaayi, siliary boddy (40 saatam) mariyu iris (11 saatam) thoo poliste 60 saatam. shwannomas saadhaaranamgaa varnadravyam laeni mruduvaina, andotsarga dravyaraasigaa kanipistaayi. ayithe, eee kanitulu arudugaa rangu vaeyabadataayi mariyu lobulate cheyabadataayi. eee ativyaapti yuvel melanoma nirdhaaranaku daariteestundi, endukante ivi rendinti lakshanaalu kaavacchu.
chikitsa.
intracular swanomas chikitsa cheyadaginavi mariyu kaniti yokka parimaanam mariyu nirdishta sthaanaanni batti pariganinchadagina aneka chikitsa empikalu unnaayi. chinna kanitulaku, mundugaane pattukunnatlayithe, manchi drushtini konasaginchinanta kaalam pariseelananu praarambhamlo upayoginchavacchu. ayithe, meeru mariyu itarulu nirvahinchina adhyayanamlo gamaninchadam mukhyam. praarambhamlo kanitulanu gamaninchina rogulandarikee vaari paristhitulu ksheeninchadamto marinta chikitsa mariyu nucleation avasaram. praarambhamlo marinta dookudugaa, parimaanamlo peddadigaa ledhaa cancer anie anumaaninchabadina kanitulaku, sthaanika vichchaedana mariyu nucleation kooda empikalu. ayithe, eee sandarbhamlo radiation therapyni upayoginchalemu, endukante shwannomas eee chikitsaku nirodhakatanu kaligi untaayi.
rooga niruupana.
intracular swanoma kosam daihika mariyu kanti rooga niruupana sanukoolamgaa untundi. oka roogi oka kannu kolpoina, vaaru metastasized perugudala ledhaa praanaantakamaina praanaantaka maarpunu edurkone avakaasam ledhu. tadupari dayta tirigi tolagimpu mariyu dushprabhaavaala sambhaavya avasaranni chuupimchinappatikii, eee samasyalu chinnavi mariyu rogulaku saadhaarana phalitam adbhutamainadi.
epidemiology.
meeru mariyu itarulu chesina adhyayanam. ippati varaku namodaina 47 namodaina kesulanu matrame anchanaa veyagaligindi. eee adhyayanam prakaram, 3:1 nishpattilo unna purushulatho poliste streelalo intracular swanomas ekkuvagaa untaayi. adanamgaa, vyaktulu yuveel melanomas kante chinna vayassulo intracular swanomas thoo kanipinche avakaasam ekkuvagaa untundi, idhi atyanta saadhaarana intracular tumour. eee adhyayanamlo moolyaankanam chesina palgonevari prakaram, sambhavinche sagatu vayassu 37 samvatsaraalu, ayithe, namodu cheyabadina vayassu paridhi 9-76 samvatsaraala vayassu gala vyaktulanu suuchistumdani gamaninchadam mukhyam.

