Puas muaj ib lub qog zoo li no hauv koj pob ntseg? (Acoustic Neuroma) Cia peb kawm txog nws!

Puas muaj tej lub sij hawm koj xav tias koj hnov ​​lus tsis zoo hauv ib lub pob ntseg? Los yog koj tsuas hnov ​​lub suab nrov hauv koj pob ntseg tas li, tej lub sij hawm kiv taub hau, los yog tsis sib npaug? Txawm hais tias cov no yog tej yam uas peb tsis tshua ua tib zoo saib xyuas, tej zaum yuav muaj ib qho laj thawj me me tom qab qhov no. Hnub no peb yuav tham txog ib qho qog uas tej zaum yuav muaj qhov laj thawj zoo li no, tab sis tsis yog mob qog noj ntshav, thiab qhov ntawd yog ib qho mob hu ua 'Acoustic Neuroma' .

Acoustic Neuroma yog dab tsi?

Hais yooj yim xwb, acoustic neuroma yog ib qho mob qog nqaij hlav tsis muaj teeb meem dab tsi . Qhov no txhais tau tias nws tsis kis mus rau lwm qhov ntawm lub cev. Nws tseem hu ua vestibular schwannoma . Qhov mob qog nqaij hlav no tshwm sim ntawm ib txoj hlab ntsha uas mus ntawm koj lub pob ntseg sab hauv mus rau koj lub hlwb. Yog hais kom meej, nws tshwm sim ntawm 8th cranial nerve (vestibulocochlear nerve) hauv peb lub taub hau. Cov hlab ntsha no feem ntau pab koj hnov ​​(hnov) thiab tswj koj qhov kev sib npaug (balance).

Xav txog cov hlab ntsha no zoo li ib txoj hlua me me uas nqa cov lus los ntawm pob ntseg mus rau lub hlwb. Yog li, thaum muaj qog me me tshwm sim ntawm txoj hlua no, nws tuaj yeem cuam tshuam rau kev xa cov lus ntawd. Yog li ntawd kev hnov ​​​​lus thiab kev sib npaug raug cuam tshuam.

Txawm hais tias cov qog no tsis kis thoob plaws lub cev zoo li mob qog noj ntshav , thaum lawv loj hlob tuaj, lawv tuaj yeem cuam tshuam rau kev hnov ​​​​lus, ua rau muaj suab nrov hauv pob ntseg (tinnitus), poob qhov sib npaug, thiab qee zaum ua rau loog lossis tsis muaj zog ntawm ib sab ntawm lub ntsej muag. Kev kho rau qhov no suav nrog kev phais thiab kev kho mob hluav taws xob. Kev kho mob chemotherapy tsis tshua xav tau.

Puas yog qhov mob no hu ua acoustic neuroma uas tshwm sim ntau?

Tsis yog, qhov tseeb tiag, nws tsis yog ib qho uas pom ntau. Muaj li ib tug ntawm 100,000 tus neeg uas muaj tus kab mob no txhua xyoo. Cov neeg hnub nyoog ntawm 65 thiab 74 xyoo feem ntau yuav muaj tus kab mob no dua li cov neeg hluas thiab cov menyuam yaus.

Cov tsos mob ntawm tus kab mob acoustic neuroma yog dab tsi?

Cov tsos mob ntawm qhov no tsis tshwm sim sai sai. Feem ntau, lawv tshwm sim qeeb qeeb.

Cov tsos mob uas yuav pom tau thaum ntxov:

• Maj mam poob kev hnov ​​lus hauv ib lub pob ntseg: Qhov no yog cov tsos mob thaum ntxov uas tshwm sim ntau tshaj plaws. Tej zaum koj yuav tsis hnov ​​lus meej hauv ib lub pob ntseg thaum tham hauv xov tooj, lossis koj yuav hnov ​​​​​​tias lub suab tsis meej ntawm ib sab thaum ib tug neeg tab tom tham.
• Tinnitus: Qhov no yog qhov hnov ​​​​​​ntau yam suab hauv pob ntseg tas li (piv txwv li, lub suab nrov, buzzing, lossis humming). Qhov no tuaj yeem ua rau qee tus neeg ntxhov siab heev.
• Teeb meem sib npaug: Tej zaum koj yuav xav tias koj yuav ntog thaum koj taug kev, thiab nws yuav nyuaj rau koj nyob hauv ib qho chaw.
• Vertigo: Xav tias koj tig ib ncig lossis tig ib ncig koj. Qhov no tuaj yeem ua rau mob hnyav heev.

Thaum lub qog loj hlob tuaj, cov tsos mob hauv qab no kuj tseem yuav tshwm sim:

• Lub ntsej muag tuag tes tuag taw lossis loog: Tej zaum yuav muaj qhov mob tingling ntawm ib sab ntawm lub ntsej muag, lossis muaj qhov xav tias cov leeg nqaij tsis muaj zog ntawm sab ntawd.
• Mob taub hau: Mob taub hau ntau zaus, qee zaum mob taub hau hnyav.
• Xeev siab thiab ntuav.
• Kev hloov saj: Cov khoom noj yuav saj txawv ntawm li niaj zaus.
• Nyuaj nqos (Dysphagia).
• Teeb meem pom kev: Pom kev tsis meej lossis pom ob sab.

Nco ntsoov tias, kev muaj cov tsos mob no tsis tau txhais hais tias koj muaj mob acoustic neuroma. Txawm li cas los xij, yog tias koj tseem muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob kom tau txais kev qhia.

Vim li cas qhov acoustic neuroma no thiaj tshwm sim?

Cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau cov qog no. Tab sis qhov paub yog tias lawv yog los ntawm kev loj hlob tsis zoo ntawm ib hom cell hu ua Schwann cells . Cov Schwann cell no yog cov cell uas ua haujlwm ua lub plhaub tiv thaiv nyob ib puag ncig cov hlab ntsha hauv peb lub paj hlwb, tshwj xeeb tshaj yog cov uas koom nrog kev hnov ​​​​lus thiab kev sib npaug.

Ib qho ntxiv yog tias cov neeg uas muaj mob caj ces hu ua 'Neurofibromatosis type 2' (NF2) yuav muaj feem ntau dua los tsim cov kab mob acoustic neuromas ntawm cov hlab ntsha auditory ntawm ob sab ntawm lub hlwb.

Koj kuaj qhov no li cas?

Thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj cov tsos mob ua ntej. Tom qab ntawd lawv yuav kuaj koj lub cev. Tsis tas li ntawd xwb, lawv yuav ua cov kev kuaj xws li:

• Kev kuaj duab: Cov no tuaj yeem pab txiav txim siab seb puas muaj qog nqaij hlav, nws loj npaum li cas, thiab nws nyob qhov twg.
• Kev kuaj MRI (Magnetic Resonance Imaging): Qhov no yog txoj hauv kev zoo tshaj plaws los kuaj pom acoustic neuroma.
• CT (Computed Tomography) scan: Qhov no kuj qee zaum siv.
• Kev ntsuam xyuas pob ntseg: Muaj ntau yam kev ntsuam xyuas los saib seb koj hnov ​​​​lus zoo npaum li cas. Ib qho kev ntsuam xyuas zoo li no yog Auditory Brainstem Response (ABR) .
• Kev ntsuam xyuas koj qhov sib npaug: Kuj tseem muaj kev ntsuam xyuas los xyuas koj qhov sib npaug.
• Electronystagmography (ENG): Qhov no sim kev sib raug zoo ntawm kev txav ntawm lub qhov muag thiab kev sib npaug.

Cov kev kho mob rau acoustic neuroma yog dab tsi?

Yuav kho qhov no li cas nyob ntawm ntau yam. Cov no suav nrog:

• Qhov loj ntawm lub qog thiab nws qhov chaw.
• Qhov mob qog no tau cuam tshuam rau koj lub pob ntseg thiab koj lub cev npaum li cas.
• Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho.

Muaj ntau txoj kev kho mob tseem ceeb:

1.Kev Soj Ntsuam:

• Qee zaum, yog tias lub qog me heev, yog tias nws loj hlob qeeb heev, thiab yog tias koj tsis muaj cov tsos mob loj, koj tus kws kho mob yuav hais kom tsis txhob ua dab tsi tam sim no thiab saib xyuas lub qog nrog kev thaij MRI tsis tu ncua . Muaj ntau tus neeg mus tau ntau xyoo yam tsis muaj teeb meem dab tsi.

2. Kev phais mob los ntawm kev siv hluav taws xob Stereotactic:

• Qhov no zoo li kev kho mob hluav taws xob yam tsis tas phais. Nws tsom cov teeb hluav taws xob muaj zog rau ntawm lub qog. Nws tuaj yeem tiv thaiv lub qog kom tsis txhob loj hlob thiab qee zaum nws me. Nws ua rau muaj kev puas tsuaj me ntsis rau cov nqaij noj qab haus huv nyob ib puag ncig. Feem ntau nws yog kev kho mob ib hnub xwb.

3. Kev phais me me:

• Nov yog tib txoj kev los tshem tawm cov qog nqaij hlav tag nrho. Cov kws phais hlwb ua qhov kev phais no zoo heev siv cov cuab yeej tshwj xeeb. Cov txheej txheem phais yuav txawv nyob ntawm qhov chaw thiab qhov loj ntawm cov qog nqaij hlav.

• Muaj ntau hom kev phais me me:
• Txoj kev phais mob hauv qhov ncauj nruab nrab: Txoj kev no yog siv yog tias qhov mob qog nyob hauv lub qhov pob ntseg thiab me me. Qhov mob qog raug tshem tawm los ntawm kev phais me me ntawm sab ntawm lub taub hau.
• Txoj kev Retrosigmoid: Hauv qhov no, ib qho kev phais raug ua tom qab pob ntseg, thiab cov qog raug tshem tawm los ntawm ib feem ntawm lub pob txha taub hau thiab mus rau hauv pob ntseg sab hauv.
• Txoj kev kho mob Translabyrinthine : Txoj kev no yuav raug pom zoo yog tias koj tsis hnov ​​lus zoo hauv ib lub pob ntseg kiag li. Cov qog no raug tshem tawm los ntawm kev txiav tom qab pob ntseg thiab tshem cov pob txha ntawm pob ntseg sab hauv. Tom qab txoj kev kho mob no, koj yuav tsis hnov ​​lus hauv pob ntseg ntawd dua.

4. Kev kho mob qog nqaij hlav:

• Qhov no tsis tshua muaj neeg siv. Qee zaum cov tshuaj hu ua bevacizumab tuaj yeem pab kom cov qog nqaij hlav me me, tshwj xeeb tshaj yog kom khaws cov pob ntseg hauv cov menyuam yaus uas muaj NF2. Nws kuj tseem siv los kho cov kab mob tawg, uas yog ib qho teeb meem uas tuaj yeem tshwm sim tom qab kev kho mob hluav taws xob.

5. Kev Kho Mob Vestibular Rehabilitation:

• Qee zaum, thaum lub sijhawm phais mob, yuav tsum tshem tawm qee cov hlab ntsha uas cuam tshuam rau kev sib npaug. Qhov no tuaj yeem cuam tshuam rau lub cev txoj kev sib npaug. Kev kho mob Vestibular yog ib qho kev tawm dag zog thiab kev cob qhia uas cob qhia lub cev kom rov ua kom lub paj hlwb ua haujlwm tau zoo. Qhov no yog ua los ntawm tus kws kho lub cev.

Tej yam teeb meem tom qab phais mob me me yog dab tsi?

Ib yam li lwm yam kev phais mob, muaj qee yam teeb meem uas yuav tshwm sim tom qab phais mob no. Koj pab neeg kho mob yuav piav qhia rau koj ua ntej. Tsis txhob txhawj, muaj kev kho mob thiab kev tswj hwm rau yuav luag txhua yam no.

• Kev hnov ​​​​lus tsis zoo los yog txo qis hauv ib lub pob ntseg.
• Kev tuag tes tuag taw ntawm lub ntsej muag (tej zaum yuav yog ib ntus lossis mus tas li).
• Tinnitus (nrov nrov hauv pob ntseg).
• Kev xau ntawm cov kua dej cerebrospinal (CSF).
• Teeb meem sib npaug.
• Nyuaj nqos.
• Kiv taub hau.
• Pom ob sab los yog qhov muag qhuav.
• Mob taub hau.
• Kev kis kab mob.
• Kab mob meningitis ( mob zoo li kub taub hau ntawm lub hlwb - tsis tshua muaj).
• Kev loj hlob ntawm cov qog (tsis tshua muaj).

Yog tias kuv muaj mob acoustic neuroma, kuv yuav tsum xav li cas?

Nws nyob ntawm ntau yam, xws li koj tus mob, hom kev kho mob uas koj tau txais, thiab tej yam teeb meem uas tau tshwm sim. Koj tus kws phais hlwb yuav piav qhia txog cov kev xaiv kho mob thiab tej yam teeb meem uas yuav tshwm sim rau koj.

Qee zaum, yog tias koj hnov ​​​​lus tsis zoo, muaj cov khoom siv uas tuaj yeem pab tau. Piv txwv li, koj tuaj yeem siv cov khoom xws li 'bone conduction hearing implants' lossis 'cross hearing aids' (CROS - contralateral routing of signals hearing aids) .

Kuv yuav saib xyuas kuv tus kheej li cas?

Thaum koj pom tias koj muaj mob acoustic neuroma, koj yuav ntshai thiab txhawj me ntsis, tshwj xeeb yog tias koj tus kws kho mob txiav txim siab saib koj yam tsis kho. Tej zaum koj yuav xav li no, "Puas yog qhov mob qog no yuav loj zuj zus? Kuv lub pob ntseg puas yuav mob zuj zus?" Thaum ntawd, nug koj tus kws kho mob seb qhov kev hloov pauv twg qhia tias qhov mob qog no cuam tshuam rau cov hlab ntsha.

Yog tias koj muaj cov tsos mob, thiab koj tus kws kho mob pom zoo kom phais, koj qhov kev sib npaug yuav raug cuam tshuam tom qab phais. Yog tias yog, koj tus kws kho mob yuav pom zoo kom kho vestibular rehabilitation, uas tau hais ua ntej lawm. Qhov no tuaj yeem pab koj rov qab mus ua ub ua no li qub.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj muaj mob acoustic neuroma, koj yuav xav nug koj tus kws kho mob cov lus nug zoo li no:

• Kuv puas xav tau kev kho mob, los yog puas yuav tsum tau saib xyuas qhov mob qog?
• Muaj feem ntau npaum li cas uas kuv pob ntseg yuav hnov ​​lus tau zoo?
• Muaj feem ntau npaum li cas uas tus mob qog no yuav rov qab tshwm sim dua tom qab phais lossis kho mob los ntawm kev siv hluav taws xob?
• Kuv puas muaj feem yuav mob lwm hom qog nqaij hlav ntau dua?
• Cov txiaj ntsig thiab qhov tsis zoo ntawm kev phais mob acoustic neuroma yog dab tsi?
• Kuv puas yuav tsum tau kev kho mob rov qab tom qab phais?

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Acoustic neuroma yog ib qho mob qog nqaij hlav uas loj hlob qeeb qeeb, tsis yog mob qog noj ntshav uas tuaj yeem cuam tshuam rau koj lub pob ntseg thiab kev sib npaug. Tab sis tsis txhob txhawj, muaj kev kho mob zoo rau nws.

Koj tus kws kho mob yuav pom zoo kom phais kom tshem tawm cov qog. Yog tias yog li ntawd, tej zaum koj yuav muaj ntau cov lus nug txog kev phais, yuav muaj dab tsi tshwm sim tom qab nws, seb nws puas yuav cuam tshuam rau koj lub pob ntseg, thiab lwm yam kev phiv. Qhov no yog qhov ib txwm muaj. Koj pab neeg kho mob npaj txhij los teb tag nrho koj cov lus nug thiab txo koj qhov kev ntshai. Yog li, tham nrog lawv txog txhua yam uas nyob hauv koj lub siab.

Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob no. Yog tias kuaj pom tus kab mob sai npaum li cas, kev kho mob yuav ua tau zoo dua.

Acoustic neuroma, mob qog ntawm pob ntseg, vestibular schwannoma, auditory nerve, hearing loss, tinnitus, vertigo