Yu tink se tumbu lɛk dis de insay yu yes? (Acoustic Neuroma) Lɛ wi lan bɔt am!

Sɔntɛnde yu kin fil lɛk se yu nɔ de yɛri fayn na wan yes? Ɔ yu jɔs de yɛri sɔntin de ring ɔltɛm na yu yes, sɔntɛnde yu kin fil lɛk se yu ed de tɔn, ɔ yu nɔ kin balans igen? Pan ɔl we dɛn tin ya na tin dɛn we wi nɔ kin pe atɛnshɔn to bɔku tɛm, sɔntɛm smɔl rizin de biɛn dis. Tide wi go tɔk bɔt wan tumbu we kin gɛt dis kayn rizin, bɔt nɔto kansa, ɛn dat na wan sik we dɛn kɔl ‘Acoustic Neuroma’ .

Wetin na Akɔstik Nyuroma?

Fɔ tɔk am simpul wan, akostik nyuroma na wan benign tumor. Dis min se i nɔ de skata to ɔda pat dɛn na di bɔdi. Dɛn kin kɔl am bak vestibular schwannoma . Dis tכmכro de divεlכp pan wan nεv we de kכmכt na yu insay yes to yu bren. fכ bi prεsis, i de divεlכp pan di 8th kraynia nεv (vestibulocochlear nerve) na wi ed. dis nerve de mεntal εp yu fכ yεri (yεri) εn mεnten yu bεlε (balans).

Tink bɔt dis nɛv lɛk smɔl kebul we de kɛr mɛsej frɔm di yes to di bren. So, we smɔl tumbu fɔm pan dis kebul, i kin ambɔg di transmishɔn fɔ dɛn mɛsej dɛn de. Na so dɛn kin afɛkt di we aw pɔsin de yɛri ɛn balans.

Pan ɔl we dɛn tumbu ya nɔ kin skata ɔlsay na di bɔdi lɛk kansa , as dɛn de gro, dɛn kin afɛkt di we aw pɔsin de yɛri, i kin mek di yes ring ɔltɛm (tinnitus), i nɔ kin balans igen, ɛn sɔntɛnde i kin mek wan say na di fes swɛ ɔ wik. Di tritmɛnt fɔ dis na ɔpreshɔn ɛn redyushɔn tɛrapi. Dɛn nɔ kin nid fɔ tek kimotɛrapi.

Yu tink se dis sik we dɛn kɔl akostik nyuroma kɔmɔn?

Nɔ, fɔ tru, i nɔ kɔmɔn so. Na lɛk wan pan ɛvri 100,000 pipul dɛn kin gɛt dis sik ɛvri ia. Pipul wae ol bitwin 65 ɛn 74 ia kin gɛt dis sik pas yɔŋ pipul dɛm ɛn yɔŋ pikin dɛm.

Wetin na di sayn dɛm fɔ wan akostik nyuroma?

Di sayn dɛm fɔ dis nɔ kin kam wantɛm wantɛm. Bɔku tɛm, dɛn kin apia smɔl smɔl.

Di sayn dɛm wae yu kin si na di fɔs tɛm:

• Wan yes nɔ de yɛri smɔl smɔl: Dis na di sik we kin apin kwik kwik wan. Yu nɔ go ebul fɔ yɛri klia wan na wan yes we yu de tɔk na fon, ɔ yu go fil se di sawnd de muf na wan say we pɔsin de tɔk.
• Tinnitus: Dis na we yu de yɛri difrɛn sawnd dɛn ɔltɛm na di yes (e.g., sawnd we de ring, buz, ɔ hum). Dis kin rili mɔna sɔm pipul dɛn.
• Prɔblɛm fɔ balans: Yu kin fil lɛk se yu de kam fɔdɔm we yu de waka, ɛn i kin at fɔ de na wan ples.
• Vertigo: Na filin fɔ spin ɔ spin rawnd yu. Dis kin rili bad.

As di tכmכro de gro, dεn simptom dεm ya kin apin bak:

• Facial paralysis or numbness: Yu kin fil lɛk se yu de swɛt na wan say na yu fes, ɔ yu kin fil se yu mɔsul dɛn wik na da say de.
• Ɛd we de at: I kin at bɔku tɛm, sɔntɛnde i kin at bad bad wan.
• Nɔs ɛn vɔmit.
• Di chenj we yu de chenj di we aw yu de te: Fɔ it kin te difrɛn frɔm aw i kin te.
• I nɔ izi fɔ swɛla (Dysphagia).
• Prɔblɛm dɛn we yu de si: Yu nɔ de si fayn ɔ yu nɔ de si tu tɛm.

Mɛmba se fɔ gɛt dɛn sik ya nɔ min se yu gɛt akostik nyuroma. Bɔt if yu kɔntinyu fɔ gɛt wan ɔ mɔ pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ fɔ advays.

Wetin mek dis akostik nyuroma kin apin?

Di wan dɛn we de stɔdi bɔt dis nɔ no yet bɛtɛ bɛtɛ wan wetin kin mek dɛn gɛt dɛn tumbu ya. Bɔt wetin dɛn no na dat, wan kayn sɛl we dɛn kɔl Schwann sɛl nɔ de gro fayn fayn wan . dis Schwann sεl dεm na sεl dεm we de wok lεk sεl we de protεkt rawnd di nεv dεm na wi nεv sεstem, spεshal wan dεm we de involv fכ yεri εn bεlε.

כda tin na dat pipul dεm we gεt jεnεtik kכndyushכn we dεn kכl ‘Neurofibromatosis type 2’ (NF2) kin gεt baylatarכl akostik nyuromas na di כditory nεv dεm na di tu say dεm na di bren.

Aw yu kin no bɔt dis?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt. Dɔn dɛn go du ɛgzam fɔ dɛn bɔdi. Apat frɔm dat, dɛn kin du tɛst dɛn lɛk:

• Imej tɛst: Dɛn tin ya kin ɛp fɔ no if di tumbu de, aw i big, ɛn usay i de.
• MRI (Magnetic Resonance Imaging) scan: Dis na di bɛst we fɔ no di akostik nyuroma.
• CT (Computed Tomography) scan: Sɔntɛnde dɛn kin yuz dis bak.
• Test fɔ yɛri: Dɛn kin du difrɛn tɛst fɔ si aw yu de yɛri fayn. Wan pan dɛn tɛst ya na di Ɔditory Brainstem Response (ABR) .
• Balans tɛst: Test dɛn de bak fɔ chɛk yu balans.
• εlektronistagmografi (ENG): Dis de tεst di rilayshכn bitwin di yay muvmεnt εn bεlε.

Wetin na di tritmɛnt fɔ akostik nyuroma?

Aw dɛn kin trit dis kin dipen pan bɔku tin dɛn. Dɛn tin ya na:

• Di saiz fɔ di tumbu ɛn usay i de.
• Aw di tumbu dɔn afɛkt yu yɛri ɛn balans.
• Yu ej ɛn ɔl yu wɛlbɔdi.

Bɔku men tritmɛnt dɛn de we yu kin pik:

1. 1. 1. .Fɔ wach:

• Sɔntɛnde, if di tumbu rili smɔl, if i de gro sloslo, ɛn if yu nɔ gɛt ɛni big sayn, yu dɔktɔ kin se nɔ fɔ du natin fɔ naw ɛn wach di tumbu wit MRI skan ɔltɛm . Bɔku pipul dɛn kin go fɔ lɔng lɔng tɛm ɛn dɛn nɔ kin gɛt ɛni prɔblɛm.

2. Stiriɔtaktik Redio ɔpreshɔn: .

• Dis tan lɛk redyushɔn tɛrapi we dɛn nɔ gɛt ɔpreshɔn. I de fos pawaful bim dɛn we gɛt raytin pan di tumbu. I kin mek di tumbu nɔ gro ɛn sɔntɛnde i kin mek i smɔl. I de mek smɔl damej to di wɛlbɔdi tisu we de rawnd am. Bɔku tɛm, na wan de tritmɛnt.

3. Maykro ɔpreshɔn: .

• Dis na di wangren we fɔ pul di tumbu kpatakpata. Nyurosɔjɔn dɛn kin du dis ɔpreshɔn rili fayn bay we dɛn de yuz spɛshal inschrumɛnt dɛn. Di we aw dɛn kin du di ɔpreshɔn kin difrɛn difrɛn wan bay di say ɛn di sayz we di tɔŋ de.

• Bɔku kayn maykro ɔpreshɔn dɛn de:
• di midul fosa apכch: dεn kin yuz dis mεtכd if di tכmכro de na di ia kanal εn i sכm sכm. Dɛn kin pul di tumbu tru wan smɔl say we dɛn kɔt na di sayd we di ed de.
• Retrosigmoid aprɔch: insay dis, dɛn kin kɔt biɛn di yes, ɛn dɛn kin pul di tɔŋ tru wan pat pan di skel ɛn go insay di insay yes.
• Translabyrinthine approach: Dɛn kin advays yu fɔ du dis if yu nɔ yɛri igen na wan yes. dεn kin pul di tכmכro bay we dεn mek wan say biεn di yes εn pul di bon na di insay yes. Afta dis prosidur, yu nɔ go yɛri na da yes de igen.

4. Kimotɛrapi: .

• Dɛn nɔ kin yuz dis bɔku tɛm. Sɔntɛnde wan mɛrɛsin we dɛn kɔl bevacizumab kin ɛp fɔ mek di tumbu dɛn smɔl, mɔ fɔ mek pikin dɛn we gɛt NF2 nɔ yɛri fayn. Dɛn kin yuz am bak fɔ trit redyushɔn nɛkrɔsis, we na wan prɔblɛm we kin apin afta redyushɔn tɛrapi.

5. Vɛstibular Rihabiliteshɔn Tɛrapi: .

• Sɔntɛnde, we dɛn de du ɔpreshɔn, dɛn kin pul sɔm pat dɛn pan di nerv dɛn we de insay di balans. Dis kin afɛkt di we aw di bɔdi de balans. di vεstibular rihabiliteshכn tεrapi na wan siriכs εksεsayz εn trenin we de tren di bכdi bak fכ kכmpεns di nεv fכnshכn we dεn lכs. Na wan dɔktɔ we de mɛn yu bɔdi kin du dis.

Wetin na di prɔblɛm dɛn we kin apin afta dɛn dɔn du maykro ɔpreshɔn?

Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin afta dis ɔpreshɔn. Yu mɛdikal tim go ɛksplen dɛn tin ya to yu bifo tɛm. Nɔ wɔri, tritmɛnt ɛn manejmɛnt opshɔn dɛn de fɔ ɔlmost ɔl dɛn tin ya.

• Wan yes nɔ de yɛri ɔ i nɔ de yɛri igen.
• Facial paralysis (i kin bi fɔ sɔm tɛm ɔ fɔ ɔltɛm).
• Tinnitus (we de ring na di yes).
• Sεribrospεnal fכluid (CSF) de lik.
• Prɔblɛm dɛn fɔ balans.
• I nɔ izi fɔ swɛla.
• Diziz we pɔsin kin gɛt.
• Dabl vishɔn ɔ dray yay.
• Ed de at.
• Infεkshכn dεm.
• Meningitis ( wan sik we tan lɛk fiva na di bren - we nɔ kin apin so ɔltɛm).
• Tumɔs de gro bak (we nɔ kin bɔku).

If a gɛt akostik nyuroma, wetin a fɔ ɛkspɛkt?

I dipen pan bɔku tin, lɛk yu sik, di kayn tritmɛnt we yu bin gɛt, ɛn ɛni prɔblɛm we bin apin. Yu nyurosɔjɔn go ɛksplen to yu di tritmɛnt opshɔn dɛm ɛn di prɔblɛm dɛm we kin apin.

Sɔntɛnde, if yu nɔ de yɛri fayn, tin dɛn de we go ɛp yu. fכ egzampl, yu kin yuz tin dεm lεk ‘bon kכndukshכn yεri implant’ כ ‘krכs hεri εd’ (CROS - kontralateral routing of signals hearing aids) .

Aw a kin kia fɔ misɛf?

We yu kam fɔ no se yu gɛt akostik nyuroma, yu kin fred smɔl ɛn wɔri, mɔ if yu dɔktɔ disayd fɔ wach yu we yu nɔ gɛt tritmɛnt. Yu kin tink tin dɛm lɛk, "Dis tumbu go big? Mi yɛri go wɔs?" Da tɛm de, aks yu dɔktɔ wetin chenj dɛn we de sho se di tumbu de afɛkt di nerv dɛn.

If yu gɛt sɔm sayn dɛn, ɛn yu dɔktɔ tɛl yu fɔ du ɔpreshɔn, yu balans kin afɛkt afta di ɔpreshɔn. If na so, yu dɔktɔ kin tɛl yu fɔ gi yu vestibular rihabiliteshɔn tɛrapi, we wi bin dɔn tɔk bɔt. Dis kin ɛp yu fɔ go bak to di nɔmal tin dɛn we yu kin du.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt akostik nyuroma, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• A nid tritmɛnt, ɔ dɛn go de wach di tumbu?
• Wetin na di prɔbabiliti fɔ mek mi yes prodyuz yusful lɛvɛl fɔ yɛri?
• Wetin na di chans fɔ mek dis tumbu kam bak afta dɛn dɔn du ɔpreshɔn ɔ trit am wit raytin?
• A kin gɛt mɔ risk fɔ gɛt ɔda kayn tumbu dɛn?
• Wetin na di bɛnifit ɛn bad tin dɛn we pɔsin kin du we i de du ɔpreshɔn pan akostik nyuroma?
• A go nid rihabiliteshɔn tritmɛnt afta dɛn dɔn du mi ɔpreshɔn?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Akostik nyuroma na wan tכmכro we de gro sloslo, we nכ gεt kansa we kin afekt yu yεri εn bεlε. Bɔt nɔ wɔri, gud tritmɛnt dɛn de fɔ am.

Yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn fɔ pul di tumbu. If na so, yu kin gɛt bɔku kwɛstyɔn bɔt di ɔpreshɔn, wetin go apin afta am, if i go afɛkt di we aw yu de yɛri, ɛn ɔda bad tin dɛn we go apin to yu. Dis na nɔmal tin. Yu mɛdikal tim dɔn rɛdi fɔ ansa ɔl yu kwɛstyɔn dɛn ɛn mek yu nɔr de fred. So, tɔk to dɛn bɔt ɔltin we de na yu maynd.

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt dɛn sik ya. Di kwik we dɛn no di sik, na di mɔ di tritmɛnt go wok fayn.

` Akostik nyuroma, ia tכmכro, vεstibular schwannoma, כditory nεv, yεri lכs, tinnitus, vεrtigo