I beng pakhata i hriatna pawh a tlahniam zauh zauh niin i hria em? A nih loh leh i beng bulah ‘C’ thawm (tinnitus) i hre reng em? A chang chuan i balance a hloh a, i lu a buai thin em? Mi tam tak chuan heng thilte hi "i upat deuh deuha thil thleng pangngai" tiin an hnawl thin. Mahse hengte hi tunlaia kan sawi tur Acoustic Neuroma tih natna lan chhuahna hmasa ber pawh a ni thei bawk. Lungngai suh, engkim chiang takin kan sawi dawn a ni.
A awlsam zawngin Acoustic Neuroma chu eng nge ni?
Acoustic Neuroma, Vestibular Schwannoma tia hriat bawk hi cancer a ni lo . Cancer ni lo tumor a ni a, kan thluak leh kan beng chhungril inzawmkhawmtu cranial nerve pariatna-ah a lo piang a ni.
He nerve hi kan thluak leh beng thlenga information phurtu ‘cable’ angin han ngaihtuah teh. A ṭhen lian pahnih a nei a.
1. Aw thlunzawmtu part: He part hian kan hriat thawmte chu thluak lamah a phur a.
2. Balance control tu part: He part hian kan taksa balance chungchang information chu beng chhung lam atanga thluak thlengin a thawn chhuak thin.
Acoustic Neuroma hi nerve-ah hian tumor a lo thang lian a, a lo thang lian thin. Heng tumor te hi a tlangpuiin a lo thang zawi zawi hle a, kum tam tak chhung chu . Cancer angin thluaka darh lo mah se, tumor a lo lian zel chuan thluak leh a chhehvel nerve-ah pressure a siam thei a ni. Entirnan, hmêl lan dân leh hriatna thununtu nerve-te chu pressure a siam thei a ni. Tumor a lian lutuk chuan thluak stem emaw cerebellum emaw a press thei a, chu chuan nunna a tichhe thei a ni. Chuvangin hei hi hriat chian a pawimawh hle.
Hetiang natna lan chhuah dan hi engte nge ni?
Hetiang natna lan chhuah hmasak ber hi a fiah lo hle a, hriat a harsa hle. Vawi tam tak chu, a lan chhuah hmasak ber chu beng pakhata hriatna hloh zauh zauh a ni . Hei hi ri ri (tinnitus) emaw, beng chhunga a khat tih hriatna emaw nen a inzawm thei bawk. A tlem hle a, hriatna hloh nghal mai thei.
Hun kal zelah symptom dang lo lang thei te chu a hnuaia table-ah hian tarlan a ni.
| Symptom a ni | Engtin nge a nih |
|---|---|
| Balance lama harsatna a awm | Staggering, kea kal lai ang chi, dinhmun nghet taka awm harsa. |
| Vertigo a awm | Nangmah emaw khawvel emaw hian a rawn inher kual vel ang maia inhriatna. |
| Hmai hring leh tingling | Hetiang dinhmun hi a awm reng thei a, a lo kal leh thei bawk. |
| Hmai chak lohna | Hmai sir khat chu hrual emaw, taksa ruh control hloh emaw ang maia hriat. |
| Taste a inthlak danglam thin | Chaw ei tur a thlum danglam a nih chuan a danglam zawk tih hriatna. |
| Chaw ei harsa leh ri bengchheng | Ei leh in ei harsa leh aw inthlak danglam. |
| Lu na | Lu na fo, reh thei lo. |
| Thil nghet lo leh Clumsiness | Hna thawh harsat, kut leh ke control hloh. |
| Rilru tibuai | Hriatrengna leh ngaihtuahna fiah lama harsatna. |
A pawimawh ber chu heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. A bik takin, clumsiness leh confusion ang chi symptoms te hi natna khirh tak, emergency treatment mamawhna chhinchhiahna a ni thei. Chutiang hunah chuan damdawi in pakhata Emergency Treatment Unit (ETU) pan nghal mai chu a finthlak hle.
Eng thilin nge heng tumor te hi a lo awm chhan?
Acoustic neuroma hi chi hnih lian tak a awm a.
1. Sporadic form: Hei hi mi tam zawkin an lo neih thin chi a ni. Doctor-te chuan hei hi chhan chiang tak an la hmu lo.
2. Neurofibromatosis type II (NF2) nena a inzawmna: NF2 hi genetic condition hmuh tur awm lo tak a ni. Hetiang natna vei te hian taksa nervous system-ah cancer ni lo tumor an nei thin. Acoustic Neuroma hi tumor chi khat a ni ber. NF2 vei te hian kum 30 an tlin chuan beng pahnih ah heng tumor te hi an nei fo thin.
Mahse, acoustic neuroma vei zinga 5% chauhvin NF2 an nei thung. Chu chu 95% chu idiopathic type an ni tihna a ni. Hei hi a hlauhawmna hriat chhuah awmchhun chu lu leh kawr atanga radiation tam tak pek hi a ni .
Enkawlna kawng hrang hrangte chu engte nge ni?
Hemi atan hian enkawlna chi thum a awm a.
1. Enfiahna: Hei hi ‘watchful waiting’ an ti bawk. Acoustic neuromas hi cancer a nih loh avangin a lo thang zawi hle thei a, enkawl a ngai nghal lo mai thei. I doctor chuan MRI scan ang chi test hmangin tumor lian zel chu a hun takah a enfiah ang. Tumor chu a lo thang chak hle a nih chuan emaw, natna lan chhuahna na tak a awm emaw chauhvin enkawlna dang ngaihtuah a ni ang.
2. Surgery: Surgery hian tumor zawng zawng emaw, a then emaw a paih chhuak thei. Hei atan hian surgical approach lian pathum a awm a.
| Surgery hmanga tih dan tur | Engtin nge tih leh thu pawimawh |
|---|---|
| Lehlin labyrinthine tih a ni | Beng hnung lamah incision siam a ni a, beng hnung lama ruh leh beng lai tak thenkhat chu tumor thleng turin an la chhuak a ni. Hei hi tumor centimetre 3 aia lian tan hman a ni. Advantage: Surgeon chuan hmai nerve chiang takin a hmu thei. A that lohna: He operation hnu hian chu beng chhunga hriatna chu a bo vek a ni. |
| Retrosigmoid/sub-occipital tih a ni | Luruh chu lu hnung lamah hawn a ni a, tumor hnunglam thleng a ni. Hei hi tumor lian leh te tan pawh hman theih a ni a , hriatna humhalh theihna a nei bawk . |
| Middle fossa | Ear canal chunglam ruh te tak te chu tumor thleng turin lakchhuah a ni. Hei hi beng chhung lam panna kawngpui te tak te (internal auditory canal)-a awm, tumor te tak te tan hman a ni. Hetiang method hian hriatna humhalh theihna chance a nei sang zawk bawk . |
3. Radiation Therapy: A chang chuan Radiation therapy hman a tha. Tunlai technology hmang hian radiation dose sang tak chu tumor-ah hian a thleng thei a, chutih rualin a chhehvela tissue hriselte tihchhiat a tlem thei bawk. Hetianga enkawlna hian tumor cells te chu a thi ta a ni. Hei hian tumor chu a tipung thei lo a, a ti tlem thei a, a ti te zawk thei bawk. Mahse, operation angin tumor chu a paih chhuak vek lo.
Radiation therapy pek dan tlangpui pahnih a awm a, chungte chu:
- Single fraction stereotactic radiosurgery (SRS): Session khatah hian radiation beam te tak te za tam tak chu tumor lam hawi a ni.
- Multi-session fractionated stereotactic radiotherapy (FRS): Nitin kar engemaw zat chhungin radiation dose tlemte pek thin a ni. Zirna hmasa berah chuan he method hian SRS aiin hriatna a humhim zawk tih a tarlang.
Heng enkawlna pahnihte hi outpatient treatment a ni a, damdawi ina awm reng a ngai lo tihna a ni.
Engtin nge i tana enkawlna dik tak i thlan?
Eng enkawlna nge i tan a tha ber tih thutlukna siam chu thil engemaw zatah a innghat ang.
- Tumor lian leh te.
- Tumor chu a lo thang lian em tih.
- i kum zat.
- Natna dang i neih te.
- I natna lan chhuah dan nasat dan leh i nitin nun a nghawng dan.
I doctor chuan heng zawng zawng hi a hrilhfiah ang che.
Take-Home Thuchah a ni
- Acoustic Neuroma hi cancer ni lo mahse a thang lian thei a, thluak leh a chhehvel nerve te a nghawng thei a ni.
- Beng pakhata hriatna hloh zauh zauh, beng ri bengchheng, balance hloh ang chi natna lan chhuahna hmasa berte chu ngaihthah suh. "I tar chhoh zel angin thil a thleng thin" tih hi ngaihtuah suh.
- Heng symptoms te hi i neih chuan doctor thurawn la nghal la, beng, hnar leh kawr (ENT) surgeon hnen atangin a tha ber.
- Enkawlna \ha tak tak a awm a, chu chu observation, surgery, leh radiation therapy te hi a ni.
- I dinhmun enkawlna tha ber chu i doctor nen sawiho la, a thatna leh that lohna hrethiam la, thutlukna siam rawh.
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