Ke manaʻo nei hoʻi ʻoe e emi mālie ana kou lohe ʻana ma kekahi pepeiao? A i ʻole ke lohe mau nei ʻoe i kahi leo 'C' (tinnitus) i loko o kou pepeiao? Ke nalowale nei kou kaulike i kekahi manawa a poniuniu? Hoʻokuʻu ka poʻe he nui i kēia mau mea me he "nā mea maʻamau e hana ʻia i kou wā ʻelemakule." Akā hiki i kēia ke lilo i mau hōʻailona mua o kahi maʻi i kapa ʻia ʻo Acoustic Neuroma, a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, e kamaʻilio maopopo mākou e pili ana i nā mea āpau.
I ka ʻōlelo maʻalahi, he aha ka Acoustic Neuroma?
ʻO ka Acoustic Neuroma, i ʻike ʻia hoʻi ʻo Vestibular Schwannoma, ʻaʻole ia he maʻi kanesa . He puʻupuʻu ʻaʻole ia he maʻi kanesa e ulu ana ma ke aʻalolo cranial ʻewalu, kahi e hoʻopili ai i ko kākou lolo a me ka pepeiao o loko.
E noʻonoʻo i kēia aʻalolo me he 'kaula' lā e lawe ana i ka ʻike i ko kākou lolo a me nā pepeiao. He ʻelua ona ʻāpana nui.
1. ʻO ka ʻāpana e hoʻoili i ke kani: Lawe kēia ʻāpana i nā leo a kākou e lohe ai i ka lolo.
2. ʻO ka ʻāpana e kaohi ana i ke kaulike: Hoʻouna kēia ʻāpana i ka ʻike e pili ana i ke kaulike o ko mākou kino mai ka pepeiao o loko a i ka lolo.
ʻO ka Acoustic Neuroma kahi puʻupuʻu e ulu ana ma ke aʻalolo. ʻO ka maʻamau , ulu mālie kēia mau puʻupuʻu, i nā makahiki he nui . ʻOiai ʻaʻole lākou e pālahalaha i ka lolo e like me ke kanesa, i ka ulu ʻana o ka puʻupuʻu, hiki iā ia ke kau i ke kaomi ma luna o ka lolo a me nā aʻalolo a puni. No ka laʻana, hiki iā ia ke kau i ke kaomi ma luna o nā aʻalolo e hoʻomalu i nā ʻano helehelena a me nā manaʻo. Inā nui loa ka puʻupuʻu, hiki iā ia ke kaomi ma luna o ke kumu o ka lolo a i ʻole ka cerebellum, kahi mea e hoʻoweliweli ai i ke ola. No laila he mea nui e makaʻala i kēia.
He aha nā hōʻailona o kēia maʻi?
He palupalu nā hōʻailona mua o kēia ʻano, e paʻakikī ai ke ʻike. ʻO ka pinepine, ʻo ka hōʻailona mua ka nalowale mālie o ka lohe ʻana ma kekahi pepeiao . Hiki ke hele pū ʻia kēia me ke kani ʻana o ke kani (tinnitus) a i ʻole ka manaʻo o ka piha i loko o ka pepeiao. He mea kākaʻikahi loa, hiki ke nalowale koke ka lohe ʻana.
Aia nā hōʻailona ʻē aʻe e ʻike ʻia i ka hala ʻana o ka manawa ma ka papa ma lalo nei.
| Hōʻailona | Pehea e hana ai |
|---|---|
| Nā pilikia kaulike | Ke kūpikipikiʻō, e like me ka hele wāwae ʻana, paʻakikī ke noho paʻa. |
| Vertigo | Manaʻo me he mea lā ʻo ʻoe a i ʻole ke ao nei e milo ana a puni ʻoe. |
| ʻO ka mae a me ke kani ʻana o ka maka | Hiki i kēia kūlana ke hoʻomau a hele mai a hele aku paha. |
| Ka nāwaliwali o ka helehelena | Manaʻo e like me ke huki ʻia ʻana o kekahi ʻaoʻao o ka maka a i ʻole ka nalowale ʻana o ke kaohi ʻana i nā ʻiʻo. |
| Nā loli o ka ʻono | He ʻokoʻa ka manaʻo ma mua o ka ʻono o ka meaʻai. |
| Ka paʻakikī i ka moni ʻana a me ka leo haʻalulu | Ka paʻakikī i ka moni ʻana i ka meaʻai a me ka mea inu a me nā loli i ka leo. |
| Nā ʻeha poʻo | ʻO ke poʻo pinepine, mau ʻole. |
| Ka paʻa ʻole a me ka palaualelo | Ka paʻakikī e hana i nā hana, ka nalowale o ka mana o nā lālā. |
| Ka huikau | Nā pilikia me ka hoʻomanaʻo a me ka maopopo o ka noʻonoʻo. |
ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike i kāu kauka. ʻO nā hōʻailona e like me ka palaualelo a me ka huikau, ʻoiai, hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi e pono ai ka mālama ʻana i ka pilikia. I ia hihia, he mea naʻauao ke hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
He aha ke kumu o ka hoʻokumu ʻana o kēia mau puʻupuʻu?
ʻElua ʻano nui o ka neuroma acoustic.
1. ʻAno sporadic: ʻO kēia ke ʻano i loaʻa i ka hapa nui o ka poʻe. ʻAʻole i loaʻa i nā kauka kahi kumu kikoʻī no kēia.
2. Pehea e pili ai i ka Neurofibromatosis type II (NF2): He ʻano laha ʻole ka NF2. Hoʻomohala ka poʻe me kēia ʻano i nā puʻupuʻu ʻaʻole kanesa i loko o ka ʻōnaehana nerve o ke kino. ʻO Acoustic Neuroma ke ʻano maʻamau o ka puʻupuʻu. Hoʻomohala pinepine ka poʻe me NF2 i kēia mau puʻupuʻu ma nā pepeiao ʻelua i ka piha ʻana o 30 mau makahiki.
Eia nō naʻe, he 5% wale nō o nā maʻi neuroma acoustic i loaʻa iā NF2. ʻO ia hoʻi, he 95% o lākou ke ʻano idiopathic. ʻO ke kumu pilikia wale nō i ʻike ʻia no kēia, ʻo ia ka ʻike ʻana i nā nui o ka radiation i ke poʻo a me ka ʻāʻī .
He aha nā koho lapaʻau?
ʻEkolu mau lāʻau lapaʻau nui no kēia.
1. Nānā: Ua kapa ʻia kēia ʻo 'kali makaʻala'. ʻOiai ʻaʻole maʻi kanesa nā neuromas acoustic a hiki ke ulu lohi loa, ʻaʻole pono koke ka lāʻau lapaʻau. E nānā kāu kauka i ka ulu ʻana o ka puʻupuʻu me nā hoʻokolohua e like me nā scan MRI i nā manawa maʻamau. Inā wale nō e ulu wikiwiki ana ka puʻupuʻu a i ʻole inā loaʻa nā hōʻailona koʻikoʻi e noʻonoʻo ʻia nā lāʻau lapaʻau ʻē aʻe.
2. ʻOki kino: Hiki i ke ʻoki kino ke wehe i ka hapa a i ʻole ka ʻāpana o ka puʻupuʻu. ʻEkolu mau ʻano hana ʻoki kino nui no kēia.
| ʻAno hana ʻoki kino | Pehea e hana ai a me nā ʻike koʻikoʻi |
|---|---|
| ʻO ka Translabyrinthine | Hana ʻia kahi ʻoki ma hope o ka pepeiao, a wehe ʻia ka iwi ma hope o ka pepeiao a me kahi ʻāpana o ka pepeiao waena e hiki ai i ka puʻupuʻu. Hoʻohana ʻia kēia no nā puʻupuʻu i ʻoi aku ma mua o 3 kenimika. Pōmaikaʻi: Hiki i ke kauka ʻoki ke ʻike maopopo i ke aʻalolo maka. Pōʻino: Ma hope o kēia ʻoki ʻana, nalowale loa ka lohe ma ia pepeiao. |
| ʻO Retrosigmoid/sub-occipital | Ua wehe ʻia ke poʻo ma ke kua o ke poʻo e hiki ai i ke kua o ka puʻupuʻu. Hiki ke hoʻohana ʻia kēia no nā puʻupuʻu o kēlā me kēia nui a he hiki ke mālama i ka lohe . |
| Fossa waena | Ua wehe ʻia kahi ʻāpana iwi liʻiliʻi ma luna o ke kahawai pepeiao e hiki ai i ka puʻupuʻu. Hoʻohana ʻia kēia no nā puʻupuʻu liʻiliʻi i hoʻopaʻa ʻia i ke ala liʻiliʻi e alakaʻi ana i ka pepeiao o loko (kahawai pepeiao kūloko). Loaʻa i kēia ʻano hana kahi manawa kūpono kiʻekiʻe e mālama ai i ka lohe . |
3. Lapaʻau Radiation: Manaʻo ʻia ka lāʻau radiation i kekahi manawa. Me ka ʻenehana hou, hiki ke hāʻawi ʻia nā nui kiʻekiʻe o ka radiation i ka puʻupuʻu me ka hoʻēmi ʻana i ka hōʻino ʻana i nā ʻiʻo olakino a puni. ʻO kēia lāʻau lapaʻau ke kumu o ka make ʻana o nā hunaola puʻupuʻu. Hiki i kēia ke hoʻōki i ka ulu ʻana o ka puʻupuʻu, hoʻemi iā ia, a hoʻemi paha iā ia. Eia naʻe, ʻaʻole ia e wehe loa i ka puʻupuʻu e like me ka hana ʻoki kino.
ʻElua mau ala nui e hāʻawi ʻia ai ka radiation therapy:
- ʻO ke keʻena radiosurgery stereotactic hapa hoʻokahi (SRS): I loko o hoʻokahi kau, ua kuhikuhi ʻia nā haneli o nā kukuna liʻiliʻi o ka radiation i ka puʻupuʻu.
- ʻO ka radiotherapy stereotactic fractionated multi-sessionated (FRS): Hāʻawi ʻia nā liʻiliʻi o ka radiation i kēlā me kēia lā no kekahi mau pule. Hōʻike nā haʻawina mua e ʻoi aku ka maikaʻi o kēia ʻano hana e mālama i ka lohe ma mua o SRS.
He mau lāʻau lapaʻau outpatient kēia mau lāʻau ʻelua, ʻo ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila.
Pehea ʻoe e koho ai i ka lāʻau lapaʻau kūpono nou?
ʻO ka hoʻoholo ʻana e pili ana i ka lāʻau lapaʻau kūpono loa iā ʻoe e hilinaʻi ʻia i kekahi mau kumu.
- Ka nui o ka puʻupuʻu.
- Inā paha e ulu ana ka puʻupuʻu.
- kou mau makahiki.
- Nā maʻi ʻē aʻe i loaʻa iā ʻoe.
- Ke koʻikoʻi o kou mau hōʻailona a pehea lākou e pili ai i kou ola o kēlā me kēia lā.
E wehewehe kāu kauka i kēia mau mea a pau iā ʻoe.
Leka Lawe-Home
- ʻAʻole ka Acoustic Neuroma he maʻi ʻaʻai, akā hiki iā ia ke ulu a hoʻopilikia i ka lolo a me nā aʻalolo a puni.
- Mai hoʻowahāwahā i nā hōʻailona mua e like me ka nalowale mālie o ka lohe ma kekahi pepeiao, ke kani ʻana o ka pepeiao, a i ʻole ka nalowale o ke kaulike. Mai manaʻo e "hana ʻia nā mea i kou wā ʻelemakule."
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau, ʻoi aku ka maikaʻi mai ke kauka pepeiao, ihu, a me ka puʻu (ENT).
- Aia nā lāʻau lapaʻau kūpono e like me ka nānā ʻana, ke ʻoki kino, a me ka radiation therapy.
- E kūkākūkā me kāu kauka i ka lāʻau lapaʻau maikaʻi loa no kou kūlana, e hoʻomaopopo i nā pōmaikaʻi a me nā pōʻino, a hoʻoholo.
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