Yu kin fil bak se yu yɛri na wan yes de stɔp smɔl smɔl? Ɔ yu kin yɛri ‘C’ sawnd (tinnitus) na yu yes ɔltɛm? Sɔntɛnde, yu nɔ kin balans ɛn yu kin fil lɛk se yu ed de tɔn? Bɔrku pipul kin dismis dɛn tin ya as "nɔmal tin wae kin apun as yu de ol." Bɔt dɛn tin ya kin bi bak di fɔs sayn dɛm fɔ wan sik we dɛn kɔl Akɔstik Nyuroma, we wi de tɔk bɔt tide. Nɔ wɔri, wi go tɔk bɔt ɔltin klia wan.
Fɔ tɔk am simpul wan, wetin na Akɔstik Nyuroma?
Akostik Nyuroma, we dɛn kin kɔl bak Vestibular Schwannoma, nɔto kansa . na tכmכro we nכ de kεnsar we de divεlכp pan di et kraynia nεv, we de kכnεkt wi bren εn insay yes.
Tink bɔt dis nerve lɛk ‘kebul’ we de kɛr infɔmeshɔn go na wi bren ɛn yes. I gɛt tu men pat dɛn.
1. Di pat we de transmit sawnd: Dis pat de kɛr di sawnd dɛn we wi de yɛri go na di bren.
2. Di pat we de kɔntrol di balans: Dis pat de sɛn infɔmeshɔn bɔt aw wi bɔdi balans frɔm di insay yes to di bren.
Akostik Nyuroma na wan tumbu we de gro pan di nerve. Dɛn tumbu ya kin gro sloslo, fɔ lɔng lɔng tɛm . Pan ɔl we dɛn nɔ kin skata to di bren lɛk kansa, as di tumbu de gro, i kin put prɛshɔn pan di bren ɛn di nerv dɛn we de rawnd am. Fɔ ɛgzampul, i kin put prɛshɔn pan di nerv dɛn we de kɔntrol di we aw pɔsin de sho in fes ɛn di we aw i de fil. If di tumbu rili big, i kin prɛs pan di bren stem ɔ di sɛribɛl, we kin mek pɔsin in layf de pan denja. So i impɔtant fɔ no bɔt dis.
Wetin na di sayn dɛm fɔ dis sik?
Di fɔs sayn dɛm fɔ dis sik nɔr kin no, wae kin mek i nɔr izi fɔ no. Bɔku tɛm, di fɔs sayn we pɔsin kin gɛt na we i nɔ de yɛri smɔl smɔl na wan yes . Dis kin kam wit sawnd we de ring (tinnitus) ɔ fil se yu yes ful-ɔp. Na smɔl tɛm nɔmɔ, pɔsin kin lɔs fɔ yɛri wantɛm wantɛm.
Ɔda sayn dɛm wae kin apun as tɛm de go, de na di tebul wae de dɔŋ ya.
| Di sayn we de sho se di sik de | Aw i kin apin |
|---|---|
| Prɔblɛm dɛn fɔ balans | Fɔ stɔp, lɛk we yu de waka, i nɔ kin izi fɔ yu fɔ tinap tranga wan. |
| Vertigo we pɔsin kin gɛt | Fɔ fil lɛk se yu ɔ di wɔl de spin rawnd yu. |
| Fes de swɛ ɛn tingling | Dis tin kin kɔntinyu fɔ de ɔ i kin kam ɛn go. |
| Fes we wik | Fɔ fil lɛk se dɛn de pul wan say na di fes ɔ yu nɔ ebul fɔ kɔntrol yu mɔsul. |
| Test de chenj | Fɔ fil difrɛn pas if di it te difrɛn. |
| I nɔ kin izi fɔ swɛla ɛn i kin mek pɔsin ala lawd wan | I nɔ kin izi fɔ swɛla it ɛn drink ɛn yu vɔys kin chenj. |
| Ɛd we de at | Ed we kin at ɔltɛm ɛn we nɔ kin taya. |
| Nɔ stedi ɛn Klɔmsi | I nɔ izi fɔ du di wok, we yu nɔ ebul fɔ kɔntrol yu an ɛn fut. |
| Kɔnfyus | Prɔblɛm wit mɛmori ɛn klia we aw yu de tink. |
Di tin we impɔtant pas ɔl na dat if yu gɛt dɛn sik ya, yu fɔ rili go to yu dɔktɔ. Sɔm kayn sik lɛk fɔ nɔr de fil fayn ɛn fɔ kɔnfyus, mɔ kin bi sayn fɔ wan siriɔs sik wae nid fɔ gɛt tritmɛnt kwik kwik wan. If na so i bi, i fayn fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
Wetin kin mek dɛn tumbu ya fɔm?
Tu men kayn akostik nyuroma de.
1. Sporadic form: Dis na di kayn we we bɔku pipul dɛn kin gɛt. Dɔktɔ dɛn nɔ dɔn fɛn ɛni patikyula rizin yet fɔ dis.
2. Aw i riliyt to Nyurofibromatosis tayp II (NF2): NF2 na wan jεnεtik kכndyushכn we nכ kin apin. Pipul dεm wae gεt dis kכndyushכn kin gεt tכmכro dεm we nכ de kכnsan na di nεv sεstem na di bכdi. Akostik Nyuroma na di kayn tumbu we kin bɔku pas ɔl. Pipul dεm we gεt NF2 kin gεt dεn tכmכro dεm ya na dεn tu yes dεm we dεn ol 30 ia.
כltu, na כnli 5% pan di akostik nyuroma pasεnshכn dεm gεt NF2. Dat min se 95% pan dɛm na di idiopathic tayp. Di wangren tin we dɛn no se kin mek dis sik na we pɔsin gɛt bɔku bɔku raytin na di ed ɛn nɛk .
Wetin na di tritmɛnt dɛn we yu kin gɛt?
Tri men tritmɛnt dɛn de fɔ dis.
1. Obshɔbishɔn: Dɛn kin kɔl dis bak ‘watchful waiting’. Bikɔs akostik nyuroma nɔto kansa ɛn i kin gro sloslo, i nɔ kin nid fɔ gɛt tritmɛnt wantɛm wantɛm. Yu dɔktɔ go wach aw di tumbu de gro wit tɛst lɛk MRI skan ɔltɛm. Na if di tumbu de gro kwik kwik wan ɔ if siriɔs sayn dɛn de, na in dɛn go tink bɔt ɔda tritmɛnt dɛn.
2. Ɔpreshɔn: Ɔpreshɔn kin pul ɔl ɔ pat pan di tumbu. Tri men we dɛn de fɔ ɔpreshɔn fɔ dis.
| Di we aw dɛn kin du ɔpreshɔn | Aw fɔ du am ɛn impɔtant tin dɛn |
|---|---|
| Translabirintin we dɛn kɔl | Dɛn kin kɔt wan say biɛn di yes, ɛn dɛn kin pul di bon we de biɛn di yes ɛn pat pan di midul yes fɔ rich di tumbu. dis dεn kin yus fכ tכmכro dεm we big pas 3 sεntimita. Advantej: Di dɔktɔ we de du di ɔpreshɔn kin si di fes nerve klia wan. Disadvantage: Afta dis ɔpreshɔn, di yes we de na da yes de kin lɔs kpatakpata. |
| Retrosigmoid/sab-ɔksipital | di sכkul de opin na di bak pat pan di ed fכ rich di bak pat pan di tכmכro. dis kin bi fכ tכmכro dεm we gεt εni saiz εn i gεt di potenshal fכ kip di yεri . |
| Midul fosa | dεn kin pul wan sכmכl bon we de oba di ia kanal fכ rich di tכmכro. dis dεn kin yus fכ sכm tכmכro dεm we de kכnfyus na di sכmכl pasεj we de go na di insay yes (intanεt כditory kanal). Dis we fɔ du tin gɛt ay chans bak fɔ mek pɔsin nɔ yɛri fayn . |
3. Radiation Therapy: Sɔntɛnde, dɛn kin advays fɔ tek redyushɔn tɛrapi. wit di mכdan tεknכlכji, dεn kin gi hכy doz rεdyushכn to di tכmכro we dεn kin minimiz di damej to di hεlty tisu we de rawnd am. Dis tritmɛnt kin mek di tumbu sɛl dɛn day. Dis kin mek di tumbu nɔ gro, i kin mek i smɔl, ɔ ivin mek i smɔl. Bɔt i nɔ de pul di tumbu ɔltogɛda lɛk aw ɔpreshɔn kin pul am.
Tu men we dɛn de we dɛn kin gi redyushɔn tɛrapi:
- Singl fraction stereotactic radiosurgery (SRS): Insay wan sɛshɔn, dɛn kin aim ɔndrɛd smɔl smɔl bim dɛn we gɛt raytin fɔ di tumbu.
- Multi-session fractionated stereotactic radiotherapy (FRS): Dɛn kin gi smɔl smɔl raydyushɔn ɛvride fɔ sɔm wiks. di fכs stכdi dεm sho se dis mεtכd de mכr lεk fכ kip di yεri pas SRS.
Dɛn tu tritmɛnt ya na ɔutpatient tritmɛnt, we min se yu nɔ nid fɔ de na ɔspitul.
Aw yu kin pik di rayt tritmɛnt fɔ yu?
Di disayd fɔ no us tritmɛnt go fayn fɔ yu go dipen pan sɔm tin dɛn.
- Di saiz fɔ di tumbu.
- If di tumbu de gro.
- yu ej.
- Ɔda sik dɛn we yu gɛt.
- De kayn bad bad sik wae yu de fil ɛn aw dɛn kin afɛkt yu ɛvride layf.
Yu dɔktɔ go ɛksplen ɔl dis to yu.
Mɛsej we dɛn kin kɛr go na os
- Akostik Nyuroma nɔto kansa, bɔt i kin gro ɛn afɛkt di bren ɛn di nɛf dɛn we de rawnd am.
- Nɔ ignore di fɔs sayn dɛm lɛk wae yu de yɛri smɔl smɔl na wan yes, yu de ring na yu yes, ɔr yu nɔr de balans. Nɔ tink se "tin kin apin as yu de ol."
- If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm, i go fayn fɔ mek yu go to dɔktɔ we de mɛn yu yes, nos, ɛn trot (ENT).
- Sɔm tritmɛnt dɛn de we go wok fayn lɛk fɔ wach, ɔpreshɔn, ɛn fɔ yuz redyushɔn.
- Tɔk bɔt di bɛst tritmɛnt fɔ yu sik wit yu dɔktɔ, ɔndastand di gud ɛn bad tin dɛn, ɛn disayd.
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