Ua nalowale koke anei kou lohe ma kekahi pepeiao a ua poniuniu wale? Ke lohe nei paha ʻoe i ke kani ʻana i loko o kou pepeiao? E noʻonoʻo, hoʻohana mau ʻoe i ka pepeiao hoʻokahi ke kamaʻilio ʻoe ma ke kelepona, no ka mea, ua ʻike ʻoe ʻaʻole hiki iā ʻoe ke lohe maopopo ma kekahi pepeiao. Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻo ke kumu paha he ʻano i kapa ʻia ʻo Acoustic Neuroma. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
He aha maoli ka Acoustic Neuroma?
I ka ʻōlelo maʻalahi, ʻo Acoustic Neuroma kahi puʻupuʻu
maikaʻi e ulu ana i loko o ka pepeiao. ʻO kekahi inoa no kēia ʻo Vestibular Schwannoma. Ulu kēia puʻupuʻu i loko o kahi aʻalolo e lawe ana i nā hōʻailona mai ko mākou pepeiao i loko i ka lolo. I ka pololei, ma ke aʻalolo cranial 8 a i ʻole ke aʻalolo vestibulocochlear i loko o ko mākou iwi poʻo. ʻElua mau hana nui o kēia aʻalolo. ʻO kekahi
e kōkua iā mākou e lohe . ʻO kekahi
e kaohi i ke kaulike o ko mākou kino . No laila, i ka wā e ulu ai kahi puʻupuʻu i loko o kēia aʻalolo, hiki ke hoʻopilikia ʻia kēia mau hana ʻelua.
ʻAʻole kēia ʻano puʻupuʻu he maʻi kanesa, a i ka hapa nui o ka manawa e ulu mālie loa ia. No laila, ʻaʻohe pono e hopohopo. Eia nō naʻe, he mea nui loa ke ʻimi i ke kōkua lapaʻau inā ʻike ʻia nā hōʻailona.
He aha nā hōʻailona o kēia maʻi?
Hiki ke ʻokoʻa nā hōʻailona ma muli o kahi a me ka nui o ka puʻupuʻu. ʻAʻole paha e ʻike ʻia kēia mau hōʻailona i ka wā mua. Eia nō naʻe, i ka ulu ʻana o ka puʻupuʻu i ka hala ʻana o ka manawa, hiki ke hoʻonui ʻia nā hōʻailona.
| Nā Hōʻailona Mua | Nā hōʻailona ma hope e hiki mai ana i ka ulu ʻana o ka puʻupuʻu |
|---|
| Ka nalowale mālie o ka lohe ʻana ma kekahi pepeiao: ʻO kēia ka hōʻailona maʻamau. No kekahi poʻe, hiki ke hiki koke mai. | Ka mae ʻana o ka maka a i ʻole ka nāwaliwali: Hiki ke hana i kēia ʻano ke ulu ka puʻupuʻu a kaomi i nā aʻalolo ma ke alo. |
| Tinnitus: He kani mau a kani paha i loko o ka pepeiao i hoʻopilikia ʻia. | ʻEha poʻo: He ʻeha poʻo mau e ʻokoʻa ai mai ka ʻeha poʻo maʻamau. |
| Nā pilikia kaulike: manaʻo poniuniu i ka wā e hele ana, me he mea lā e milo ana ʻoe ʻoiai ke kū mālie nei (vertigo). | Ka luaʻi a me ka luaʻi. |
| He manaʻo o ka piha i loko o ka pepeiao. | Nā loli i ka ʻono. |
| Paʻakikī ke ale ʻana. |
| ʻIke pōwehiwehi a ʻike pālua paha. |
No ke aha e makemake ai kahi puʻupuʻu i kēia ʻano?
Aia kekahi ʻano o ke kelepona e hoʻopuni ana i ke aʻalolo aʻu i ʻōlelo ai ma mua. Ua kapa ʻia kēia mau mea
he mau kelepona Schwann . Ua like ia me ka ʻūpā palakiko a puni kahi uea
uila . Hoʻokumu ʻia kēia puʻupuʻu ke hoʻomaka kēia mau kelepona Schwann e māhelehele me ke kāohi ʻole ʻia no kekahi kumu. Akā,
ʻaʻole maopopo i nā kauka ke kumu e māhelehele ai kēia mau kelepona penei. Eia nō naʻe, ʻo ka poʻe me kahi maʻi genetic laha ʻole i kapa ʻia ʻo 'Neurofibromatosis type 2' e pilikia ana i ka hoʻomohala ʻana i nā puʻupuʻu e like me kēia ma nā ʻaoʻao ʻelua.
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. A laila hiki iā ia ke kauoha i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
- Nā scan MRI a me CT: ʻO kēia nā ala maikaʻi loa e ʻike pono ai inā aia ka puʻupuʻu , pehea kona nui, a ma hea ia.
- Nā hoʻāʻo lohe: Hana ʻia nā hoʻokolohua like ʻole e nānā i ka maikaʻi o kou lohe. ʻO ka 'Auditory Brainstem Response' kekahi o ia mau hoʻokolohua kūikawā.
- Nā hoʻāʻo kaulike : Nānā kēia mau hoʻāʻo i ke ʻano o ka hopena o kāu kaulike. ʻO ka Electronystagmography kekahi hoʻāʻo e hiki ke hoʻohana ʻia e nānā i kēia.
He aha nā lāʻau lapaʻau no kēia?
Aia ka hoʻolālā lapaʻau i nā kumu he nui, me kou makahiki, ke olakino, ka nui o ka puʻupuʻu, kona wahi, a me ke ʻano o kāu mau hōʻailona. Aia kekahi mau koho lapaʻau nui.
1. Ke nānā wale nei (Nānā)
Inā liʻiliʻi loa ka puʻupuʻu, ʻaʻole ia e ulu ana, a ʻaʻohe ou hōʻailona nui, hiki i kāu kauka ke ʻōlelo aku e kali ʻoe no kekahi manawa me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, i loko o kēia manawa
, e loaʻa iā ʻoe nā scan MRI maʻamau e nānā i ka puʻupuʻu no nā loli. ʻOiai he puʻupuʻu maikaʻi ʻole kēia, he hana palekana kēia.
2. Hoʻōla radiation kūikawā (Stereotactic Radiosurgery)
ʻOiai ke ʻōlelo ʻia nei "ʻoki kino" ma ka inoa, ʻaʻole kēia he ʻoki kino maoli. ʻO ka mea i hana ʻia ma ʻaneʻi
, ʻo ia ke kuhikuhi ʻia ʻana o kahi kukuna o ka radiation i ka puʻupuʻu me ka pololei loa, me ka ʻole o ka hōʻeha ʻana i nā ʻiʻo olakino a puni. Hiki i kēia ke hoʻōki i ka ulu ʻana o ka puʻupuʻu a i ʻole ke kumu e emi ai.
3. ʻoki kino
ʻO ke ala wale nō e wehe loa ai i kēia puʻupuʻu ma o ke ʻoki kino. Hele ke kauka ʻoki kino ma o ke poʻo a hoʻohana i nā mea hana maikaʻi loa (microsurgery) e wehe i ka puʻupuʻu me ka ʻole o ka hōʻino ʻana i nā aʻalolo koʻikoʻi a puni. Hiki ke ʻokoʻa ke kaʻina hana ʻoki kino ma muli o ka nui a me kahi o ka puʻupuʻu.
4. Kemoterapi
ʻAʻole hoʻohana pinepine ʻia kēia. Hoʻohana ʻia nā lāʻau lapaʻau e like me `Bevacizumab` i kekahi manawa e hoʻēmi i nā puʻupuʻu. Hiki ke hoʻohana ʻia e mālama i ka lohe, ʻoi aku hoʻi i nā keiki, a e mālama i nā hopena ʻaoʻao (necrosis) e kū mai ana ma hope o ka radiation therapy.
5. Hoʻōla hou ʻana o Vestibular
Hiki i kekahi poʻe ke loaʻa nā pilikia kaulike ma hope o ke ʻoki ʻana. Inā hana kēia, hiki i kahi physiotherapist ke kōkua iā ʻoe me
nā hoʻomaʻamaʻa kūikawā e kōkua iā ʻoe e hoʻihoʻi i ke kaulike .
He aha kaʻu e nīnau aku ai i ke kauka?
He mea maʻamau ka loaʻa ʻana o nā nīnau ke ʻike ʻoe he loaʻa iā ʻoe kēia maʻi. Mai kānalua e nīnau i kēia mau nīnau ke kamaʻilio ʻoe me kāu kauka.
- Pono koke anei au i ka lāʻau lapaʻau, a i ʻole he mea maikaʻi ke nānā wale aku?
- Pehea lā koʻu lohe ma hope o ka mālama ʻana?
- He aha ka manawa e hoʻi mai ai kēia puʻupuʻu ma hope o ke ʻoki ʻana a i ʻole ka lāʻau lapaʻau radiation ?
- Aia anei iaʻu ka pilikia o ka loaʻa ʻana o nā ʻano puʻupuʻu ʻē aʻe?
- He aha nā pilikia a me nā pono o ka hana ʻoki kino ?
- E pono anei iaʻu ka hoʻōla hou ʻana ma hope o ka lāʻau lapaʻau?
Leka Lawe-Home
- He puʻupuʻu ulu lohi ʻole ka Acoustic Neuroma, no laila ʻaʻohe pono e makaʻu.
- ʻO nā hōʻailona mua nui ka nalowale o ka lohe ma kekahi pepeiao, ke kani ʻana o ka pepeiao, a me nā pilikia kaulike.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i ke kauka no ka ʻōlelo aʻo.
- ʻAʻole pono nā kānaka a pau i ke ʻoki kino. I kekahi manawa, ua lawa paha ka nānā ʻana i nā puʻupuʻu a i ʻole ka radiation therapy .
- Mai kānalua e nīnau i kāu kauka i nā nīnau āu e loaʻa ai, ʻaʻohe mea liʻiliʻi. ʻO ka ʻike pono ʻana ka mea nui loa.
ʻO Acoustic Neuroma, Vestibular Schwannoma, ʻōpū pepeiao, Pohō lohe, Tinnitus, Vertigo, Pohō o ke kaulike, 8th cranial nerve, ʻoki kino
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