Zimene Muyenera Kudziwa Ponena za Acoustic Neuroma

Amatchedwanso: acoustic neurinoma, vestibular schwannoma, chotupa chovomerezeka

Acoustic neuroma ndi zotupa zowopsa zomwe zimayambitsa mitsempha yomwe imatuluka kuchokera kumutu wamkati kupita ku ubongo. Mitsempha yathanzi imaphimbidwa ndi maselo omwe amatchedwa maselo a Schwann omwe amagwira ntchito mofananamo kuti mphira kapena pulasitiki yophimba pazitsulo zamagetsi ntchito; kupereka kutsekemera ndi kuthandizira kuti zikhale zovuta.

Pamene maselowa amayamba kukula ndi kuchulukitsa pamtundu wosasangalatsa, amayamba kutulutsa neuroma.

Kukula kwa Acoustic Neuroma

Acoustic neuroma imapezeka pakati pa anthu awiri mwa 100,000 pamene palibe zifukwa zina. Chifukwa chodziwika bwino chosakhala ndi chibadwa chokhalira ndi chidziwitso cha neuroma ndizovuta kwambiri ndipo pali chikhulupiriro china chakuti miyezi yaing'ono ya miyezi yambiri ya mutu ndi khosi paunyamata ingapangitse chiopsezo chanu. Ngakhale pakhala pali mphekesera kuti kugwiritsa ntchito foni yam'tsogolo kwa nthawi yayitali kungagwirizanitsidwe ndi acoustic neuroma, kafukufuku sichirikiza chinyengochi.

Acoustic neuroma yakula kwambiri ngati muli ndi neurofibromatosis mtundu 2 (NF2). Ngati mwapezeka ndi NF2, chiopsezo chanu chimawonjezeka kufika pa anthu awiri mwa anthu 10,000. Mulimonsemo, acoustic neuroma imachitika pakati pa zaka 50 ndi 70.

Zizindikiro za Acoustic Neuroma

Acoustic neuroma imalepheretsa ntchito yeniyeni ya mitsempha yokhutira kumva ndi kuyeza .

Zizindikiro za acoustic neuroma zikuphatikizapo:

• kumva kumbali imodzi
• vutolo
• tinnitus

Ngati chotupacho chikugwedeza mitsempha ya nkhope, zizindikiro zingaphatikizepo:

• kusweka kwa nkhope
• kufooka kwa nkhope
• nkhope yofa ziwalo

Ngakhale maseŵera a neuroma ndi chotupa chofulumira, ngati sichikuchitidwa chikhoza kukhala chachikulu kwambiri moti chimasunthira motsutsana ndi zofunikira za ubongo ndipo zingakhale zoopsya.

Kudziwa

Kuzindikira kwa acoustic neuroma kungakhale kovuta (makamaka ngati chotupacho ndi chaching'ono) chifukwa zizindikiro zimagwirizana ndi matenda ena ambiri amkati. Zina mwa mayesero ofunikira kwambiri omwe amagwiritsidwa ntchito kuti azindikire vutoli ndi awa:

• Kujambula
• CT scan
• MRI

MRI ndi njira yabwino yoyesera momwe zingatithandizire kudziwa matenda aang'ono (2 mm kukula kapena kwakukulu) pamene agwiritsidwa ntchito ndi kusiyana kwa gadolinium. CT ingagwiritsidwe ntchito pakuwona zotupa zomwe zili zazikulu kuposa 2 cm.

Chithandizo

Chithandizochi chimaphatikizapo kuchotsa opaleshoni. Komabe, ngati chotupacho ndi chochepa komanso chosakwanira, wodwala ndi dokotala akhoza kusankha kuwona chotupacho. Izi ndizowonjezereka ngati wodwalayo sali woyenera kuchita opaleshoni monga okalamba omwe ali ndi mbiri ya matenda a mtima ndi mapapo. Kuchotsa opaleshoni ya chotupacho kumakhala ndi zoopsa zingapo kuphatikizapo chiopsezo chakuti mitsempha yozungulira chotupa iwonongeke. Izi ndi zoona makamaka ngati chotupacho ndi chachikulu kwambiri. Zosankha zina zothandizira mankhwalawa zimaphatikizapo mankhwala opangira ma radiation kapena radiosurgery. Mankhwalawa ndi ofunikira kuchepetsa kukula kwa chotupacho.

Poyesera kuchepetsa chiopsezo chovulaza mitsempha yodwala chotupacho, madokotala ena opaleshoni angasankhe kuchita chotupa chochepa kuti athetse ambiri, koma osati onse.

Pambuyo pa opaleshoni, mankhwala opatsirana pogwiritsa ntchito ma radiation angapangidwe kuti awononge chotupa chonsecho.

Kulephera kuchiza acoustic neuroma kungapangitse kukumva kwamuyaya ndi kuthetsa mavuto. Ngati chotupacho ndi chaching'ono, dokotala wanu angafune kuchepetsa kupaleshoni kuti amuchotse chotupacho, ndipo amatsatira MRI iliyonse miyezi 6 mpaka 12. Kuchepetsa chithandizo chamankhwala nthawi yaitali ngakhale kuti chingabweretse kuwonongeka kosasinthika. Pokambirana momasuka za chiopsezo ndi phindu la kuchedwa kwa opaleshoni ndi dokotala wanu mukuyenera kuti musanapange chisankho chilichonse.

_Zotsatira:

_{Ferri, FF. (2017). Mlangizi wa Clinic wa Ferri 2017. https://www.clinicalkey.com (Kulembetsa Kufunikira).}

_{Medline Plus. Acoustic Neuroma. https://medlineplus.gov/acousticneuroma.html.}

_{National Institute on Deafness ndi Mavuto Ena Oyankhulana. Vestibular Schwannoma (Acoustic Neuroma) ndi Fibromatosis. http://www.nidcd.nih.gov/health/hearing/acoustic_neuroma.asp.}

_{Pettersson, D, Mathiesen, T, Prochazka, M, Bergenheim, T, Florentzson, R, Ovuta, H ... Feychting M. (2014). Kugwiritsa ntchito foni yam'maulendo kwa nthawi yaitali ndi chiopsezo cha neuroma. Epidemiology. 25 (2): 233-41. lembani: 10.1097 / EDE.0000000000000058.}