Koj puas xav tias koj lub pob ntseg ib sab maj mam tsis hnov lus zoo? Los yog koj puas hnov lub suab 'C' (tinnitus) tas li hauv koj pob ntseg? Koj puas qee zaum poob koj qhov sib npaug thiab kiv taub hau? Muaj ntau tus neeg tsis quav ntsej txog tej yam no li "tej yam ib txwm muaj thaum koj laus zuj zus." Tab sis cov no kuj yog thawj cov tsos mob ntawm tus mob hu ua Acoustic Neuroma, uas peb tab tom tham txog hnub no. Tsis txhob txhawj, peb yuav tham txog txhua yam kom meej meej.
Hais yooj yim xwb, Acoustic Neuroma yog dab tsi?
Acoustic Neuroma, tseem hu ua Vestibular Schwannoma, tsis yog mob qog noj ntshav . Nws yog ib qho qog tsis yog mob qog noj ntshav uas tshwm sim ntawm lub paj hlwb thib yim, uas txuas peb lub hlwb thiab pob ntseg sab hauv.
Xav txog cov hlab ntsha no zoo li ib txoj hlua uas nqa cov ntaub ntawv mus rau peb lub hlwb thiab pob ntseg. Nws muaj ob feem tseem ceeb.
1. Qhov uas xa suab: Qhov no nqa cov suab uas peb hnov mus rau lub hlwb.
2. Qhov uas tswj qhov sib npaug: Qhov no xa cov ntaub ntawv txog peb lub cev qhov sib npaug los ntawm pob ntseg sab hauv mus rau lub hlwb.
Acoustic Neuroma yog ib qho qog uas loj hlob ntawm cov hlab ntsha. Cov qog no feem ntau loj hlob qeeb heev, dhau ntau xyoo . Txawm hais tias lawv tsis kis mus rau lub hlwb zoo li mob qog noj ntshav, thaum cov qog loj hlob, nws tuaj yeem tso siab rau lub hlwb thiab cov hlab ntsha ib puag ncig. Piv txwv li, nws tuaj yeem tso siab rau cov hlab ntsha uas tswj kev qhia tawm ntawm lub ntsej muag thiab kev xav. Yog tias cov qog loj heev, nws tuaj yeem nias rau ntawm lub hlwb lossis cerebellum, uas tuaj yeem ua rau tuag taus. Yog li nws yog ib qho tseem ceeb kom paub txog qhov no.
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob thaum ntxov ntawm tus mob no tsis pom tseeb, ua rau nws nyuaj rau paub. Feem ntau, thawj cov tsos mob yog qhov maj mam poob pob ntseg hauv ib lub pob ntseg . Qhov no yuav nrog lub suab nrov (tinnitus) lossis xav tias puv pob ntseg. Tsis tshua muaj, qhov poob pob ntseg tam sim ntawd tuaj yeem tshwm sim.
Lwm cov tsos mob uas yuav tshwm sim raws sijhawm tau teev nyob rau hauv lub rooj hauv qab no.
| Cov tsos mob | Nws tshwm sim li cas |
|---|---|
| Teeb meem sib npaug | Kev taug kev tsis ruaj khov, xws li thaum taug kev, nyuaj rau nyob ruaj khov. |
| Kab mob kiv taub hau | Zoo li koj lossis lub ntiaj teb tig ib ncig ntawm koj. |
| Lub ntsej muag tsis muaj zog thiab tingling | Qhov xwm txheej no yuav kav ntev lossis tuaj thiab mus. |
| Lub ntsej muag tsis muaj zog | Zoo li ib sab ntawm lub ntsej muag raug rub lossis tsis tuaj yeem tswj tau cov leeg nqaij. |
| Kev hloov pauv saj | Xav txawv dua li yog tias cov zaub mov saj txawv. |
| Nyuaj nqos thiab suab nrov | Nyuaj nqos zaub mov thiab dej haus thiab hloov lub suab. |
| Mob taub hau | Mob taub hau ntau zaus, tsis tu ncua. |
| Kev tsis ruaj khov thiab kev tsis zoo | Ua tsis tau tej haujlwm, tsis muaj zog tswj tau ceg. |
| Kev tsis meej pem | Teeb meem nrog kev nco qab thiab kev meej ntawm kev xav. |
Qhov tseem ceeb tshaj plaws yog tias yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib koj tus kws kho mob. Cov tsos mob xws li kev tsis meej pem thiab kev tsis meej pem, tshwj xeeb, tuaj yeem yog ib qho cim qhia txog tus mob hnyav uas xav tau kev kho mob ceev. Hauv qhov xwm txheej zoo li no, nws yog ib qho tseem ceeb kom mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Dab tsi ua rau cov qog no tshwm sim?
Muaj ob hom kab mob acoustic neuroma tseem ceeb.
1. Hom mob tsis tu ncua: Qhov no yog hom mob uas feem ntau cov neeg mob muaj. Cov kws kho mob tseem tsis tau pom ib qho laj thawj tshwj xeeb rau qhov no.
2. Nws muaj feem cuam tshuam li cas rau Neurofibromatosis hom II (NF2): NF2 yog ib yam mob caj ces tsis tshua muaj. Cov neeg uas muaj tus mob no yuav tsim cov qog nqaij hlav uas tsis yog mob qog noj ntshav hauv lub paj hlwb ntawm lub cev. Acoustic Neuroma yog hom qog nqaij hlav uas pom ntau tshaj plaws. Cov neeg uas muaj NF2 feem ntau yuav tsim cov qog nqaij hlav no hauv ob lub pob ntseg thaum muaj hnub nyoog 30 xyoo.
Txawm li cas los xij, tsuas yog 5% ntawm cov neeg mob acoustic neuroma muaj NF2. Qhov ntawd txhais tau tias 95% ntawm lawv yog hom idiopathic. Tsuas yog qhov paub tias muaj kev pheej hmoo rau qhov no yog kev raug tshuaj ntau ntawm cov tshuaj radiation rau lub taub hau thiab caj dab .
Cov kev xaiv kho mob yog dab tsi?
Muaj peb txoj kev kho mob tseem ceeb rau qhov no.
1. Kev Soj Ntsuam: Qhov no kuj hu ua 'kev tos saib xyuas'. Vim tias acoustic neuromas tsis yog mob qog noj ntshav thiab tuaj yeem loj hlob qeeb heev, kev kho mob yuav tsis tsim nyog tam sim ntawd. Koj tus kws kho mob yuav saib xyuas qhov kev loj hlob ntawm cov qog nrog kev kuaj xws li MRI scans ntawm lub sijhawm tsis tu ncua. Tsuas yog tias cov qog loj hlob sai lossis yog tias muaj cov tsos mob hnyav tshwm sim yuav xav txog lwm yam kev kho mob.
2. Kev Phais Mob: Kev phais mob tuaj yeem tshem tawm tag nrho lossis ib feem ntawm lub qog. Muaj peb txoj kev phais mob tseem ceeb rau qhov no.
| Kev phais mob | Yuav ua li cas thiab cov ntaub ntawv tseem ceeb |
|---|---|
| Translabyrinthine | Yuav muaj ib qho kev phais tom qab pob ntseg, thiab cov pob txha tom qab pob ntseg thiab ib feem ntawm pob ntseg nruab nrab raug tshem tawm kom mus txog qhov mob qog. Qhov no siv rau cov qog loj dua 3 centimeters. Qhov zoo: Tus kws phais pom tau cov hlab ntsha ntawm lub ntsej muag meej meej. Qhov tsis zoo: Tom qab phais no, kev hnov lus hauv pob ntseg ntawd ploj tag. |
| Retrosigmoid/sub-occipital | Lub pob txha taub hau qhib rau tom qab ntawm lub taub hau kom ncav cuag tom qab ntawm lub qog. Qhov no siv tau rau cov qog ntawm txhua qhov loj me thiab muaj peev xwm los tswj kev hnov lus . |
| Qhov nruab nrab ntawm lub qhov quav | Yuav muab ib daim pob txha me me saum lub qhov pob ntseg tshem tawm kom mus txog qhov mob qog. Qhov no siv rau cov qog me me uas tsuas yog nyob rau hauv txoj kev me me uas mus rau sab hauv pob ntseg (lub qhov pob ntseg sab hauv). Txoj kev no kuj muaj feem ntau dua los khaws kev hnov lus . |
3. Kev Kho Mob Hluav Taws Xob: Qee zaum kev kho mob hluav taws xob raug pom zoo. Nrog rau cov thev naus laus zis niaj hnub no, cov tshuaj hluav taws xob ntau tuaj yeem xa mus rau qhov mob qog nqaij hlav thaum txo qhov kev puas tsuaj rau cov nqaij noj qab haus huv ib puag ncig. Kev kho mob no ua rau cov hlwb qog nqaij hlav tuag. Qhov no tuaj yeem tiv thaiv qhov mob qog nqaij hlav kom tsis txhob loj hlob, ua rau nws me dua, lossis ua rau nws me dua. Txawm li cas los xij, nws tsis tshem tawm qhov mob qog nqaij hlav tag nrho zoo li kev phais mob.
Muaj ob txoj kev tseem ceeb uas siv hluav taws xob los kho:
- Kev phais mob hluav taws xob ib feem (SRS): Hauv ib zaug phais, muaj ntau pua lub teeb me me ntawm cov hluav taws xob raug tsom mus rau qhov mob qog.
- Kev kho mob hluav taws xob fractionated stereotactic radiotherapy (FRS) ntau zaus: Muab cov tshuaj hluav taws xob me me txhua hnub rau ntau lub lis piam. Cov kev tshawb fawb thawj zaug qhia tias txoj kev no yuav pab tau kom tsis hnov lus ntau dua li SRS.
Ob qho kev kho mob no yog kev kho mob sab nraud, txhais tau tias koj tsis tas yuav nyob hauv tsev kho mob.
Koj xaiv txoj kev kho mob zoo li cas rau koj?
Qhov kev txiav txim siab txog kev kho mob twg zoo tshaj plaws rau koj yuav nyob ntawm ntau yam.
- Qhov loj ntawm lub qog.
- Seb qhov mob qog nqaij hlav loj hlob.
- koj lub hnub nyoog.
- Lwm yam kab mob uas koj muaj.
- Qhov hnyav ntawm koj cov tsos mob thiab lawv cuam tshuam li cas rau koj lub neej txhua hnub.
Koj tus kws kho mob yuav piav qhia txhua yam no rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Acoustic Neuroma tsis yog mob qog noj ntshav, tab sis nws tuaj yeem loj hlob thiab cuam tshuam rau lub hlwb thiab cov hlab ntsha ib puag ncig.
- Tsis txhob tsis quav ntsej cov tsos mob thaum ntxov xws li pob ntseg tsis hnov lus zoo, pob ntseg nrov nrov, lossis tsis sib npaug. Tsis txhob xav tias "tej yam tshwm sim thaum koj laus zuj zus."
- Yog koj muaj ib qho ntawm cov tsos mob no, nrhiav kev pab kho mob tam sim ntawd, zoo dua yog los ntawm tus kws phais pob ntseg, qhov ntswg, thiab caj pas (ENT).
- Muaj cov kev kho mob zoo xws li kev soj ntsuam, phais, thiab kev kho mob hluav taws xob.
- Tham txog kev kho mob zoo tshaj plaws rau koj tus mob nrog koj tus kws kho mob, nkag siab txog qhov zoo thiab qhov tsis zoo, thiab txiav txim siab.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus