Matenda a Mitsempha Yachibadwa
Nthenda yotchedwa Neurofibromatosis mtundu 2 ndi imodzi mwa mitundu itatu ya matenda omwe amachititsa kuti mimba ikhale yozungulira mitsempha. Mitundu itatu ya neurofibromatosis ndi mtundu wa 1 (NF1) , mtundu wa 2 (NF2), ndi schwannomatosis. Anthu pafupifupi 100,000 a ku America ali ndi mtundu wa neurofibromatosis. Nthenda yotchedwa neurofibromatosis imapezeka mwa amuna ndi akazi a mafuko onse.
Nthenda yotchedwa Neurofibromatosis ikhoza kukhala yochokera muyambidwe yambiri ya autosomal kapena ikhoza kukhala chifukwa cha latsopano gene mutation mwa munthu. Gulu la neurofibromatosis mtundu 2 liri pa chromosome 22.
Zizindikiro
Matenda a Neurofibromatosis 2 ndi ochepa kuposa NF1. Zimakhudza pafupifupi 1 pa anthu 40,000. Zizindikiro zikuphatikizapo:
- mitsempha mu minofu kuzungulira mitsempha yachisanu ndi chitatu (yotchedwa vestibular schwannomas)
- kumva kapena kumva, kapena kumvetsera (tinnitus)
- zilonda zam'mimba
- meningioma (chotupa pamphuno chomwe chimaphimba msana ndi ubongo) kapena zina zotupa za ubongo
- nthenda m'maso mwaunyamata
- mavuto okwanira
- kufooka kapena kupweteka mu mkono kapena mwendo
Kudziwa
Zizindikiro za matenda a neurofibromatosis mtundu 2 amapezeka kawirikawiri pakati pa zaka 18 ndi 22 zakubadwa. Chizindikiro choyamba kawirikawiri ndikumva kutayika kapena kumalira m'makutu (tinnitus). Kuti adziwe NF2, dokotala amayang'ana schwannomas mbali zonse ziwiri za mitsempha yachisanu ndi chitatu, kapena mbiri ya banja ya NF2 ndi schwannoma imodzi pa mitsempha yachisanu ndi chitatu isanafike zaka makumi atatu.
Ngati palibe schwannoma pa mitsempha yachisanu ndi chitatu ya mitsempha, zotupa m'madera ena a thupi ndi / kapena matenda a ubongo m'maso mwaunyamata zingathandize kutsimikizira.
Popeza kumva kutayika kungakhalepo mu neurofibromatosis mtundu 2, kuyezetsa kumva (audiometry) kudzachitika. Mayendedwe a Brainstem angayesedwe (BAER) angathandize kudziwa ngati mitsempha yachisanu ndi chitatu ya cranial ikugwira ntchito bwino.
Kujambula kwa maginito (MRI), kujambulidwa kwa tomato (CT), ndipo ma X-ray amagwiritsidwa ntchito kuyang'ana matenda mkati ndi kuzungulira mitsempha yodabwitsa. Kuyesedwa kwa majeremusi ndi mayeso a magazi kungapangidwe pofuna kuyang'ana zolepheretsa mu nthenda ya NF2.
Chithandizo
Madokotala sakudziwa momwe angalekerere zotupa kuti zisakule mu ubongo wa neurofibromatosis. Opaleshoni ingagwiritsidwe ntchito kuchotsa zotupa zomwe zikupweteka kapena mavuto ndi masomphenya kapena kumva. Mankhwala kapena mankhwala opatsirana pogwiritsa ntchito mankhwalawa angagwiritsidwe ntchito kuchepetsa kukula kwa zotupa.
Mu NF2, ngati opaleshoni yochotsedwera kuchotsa schwannoma imayambitsa kumva, kutentha kwa ubongo kungagwiritsidwe ntchito kuti lipititse patsogolo kumva.
Zizindikiro zina monga kupweteka, kupweteka mutu, kapena kugwa kwa matenda amatha kusamalidwa ndi mankhwala kapena mankhwala ena.
Kulimbana ndi Kuthandizidwa
Kusamalira wina, makamaka mwana, ali ndi matenda aakulu monga neurofibromatosis angakhale kovuta.
Kukuthandizani kupirira:
- Pezani dokotala wamkulu yemwe mungamukhulupirire ndi ndani amene angayang'anire chisamaliro cha mwana wanu ndi akatswiri ena.
- Gwiritsani ntchito gulu lothandizira makolo omwe amasamalira ana omwe ali ndi matenda a neurofibromatosis, ADHD, zosowa zapadera kapena matenda aakulu nthawi zambiri.
- Landirani chithandizo pa zosowa za tsiku ndi tsiku monga kuphika, kuyeretsa, kusamalira ana ena kapena kungokupatsani chofunikira.
- Funani thandizo la maphunziro kwa ana omwe ali ndi vuto la kuphunzira.
> Zotsatira:
"Chipepala Choona za Neurofibromatosis." Kusokonezeka. 13 Dec 2007. National Institute of Neurological Disorders ndi Stroke.
"Kuphunzira Za Neurofibromatosis." Matenda Odziwika Amtundu Wachibadwa. 27 Nov 2007. National Institute of Research Institute.