I beng chhungah hetiang tumor hi a awm em? (Acoustic Neuroma) A chanchin hi i zir chiang ang u!

A chang chuan beng pakhata hriatna tlahniam ang maiin i inhria em? A nih loh leh i beng a ri reng tih i hre mai mai a, a châng chuan i lu a buai a, i balance i hloh mai mai em ni? Hengte hi a chang chuan kan ngaihven vak loh thil ni mahse, hei hi chhan tlemte a awm mai thei. Vawiin hian tumor pakhat, chutiang chhan nei thei, mahse cancer nei lo, chu chu ‘Acoustic Neuroma’ an tih natna a ni tih kan sawi dawn a ni.

Acoustic Neuroma chu eng nge ni?

A awlsam zawngin acoustic neuroma hi tumor tha lo tak a ni. Chumi awmzia chu taksa peng dangah a darh lo tihna a ni. Vestibular schwannoma an ti bawk . He tumor hi i beng chhung lam atanga i thluak thlenga kal nerve-ah a lo piang chhuak thin. A dik tak chuan kan lu chhunga 8th cranial nerve (vestibulocochlear nerve)-ah a lo thang lian a ni. He nerve hian hriatna (hriatna) leh i balance (balance) vawng reng turin a pui ber a ni.

He nerve hi beng atanga thluak thlenga thuchah phur thei cable te tak te angin ngaihtuah rawh. Chuvangin, he cable-ah hian tumor tlem a lo awm chuan chu thuchah thawn chhuahna chu a tibuai thei a ni. Chutiang chuan hriatna leh balance a nghawng a ni.

Heng tumor te hi cancer angin taksa pum puiah darh lo mah se , an lo thanglian zel chuan hriatna a tichhe thei a, beng a ri reng (tinnitus), balance a hloh a, a chang chuan hmai sir khatah a rilru a buai emaw, a chak lo emaw a ni. Hei hi enkawlna hrang hrangah surgery leh radiation therapy te a ni. Chemotherapy hi a ngai tlem hle.

Hetiang dinhmun hi acoustic neuroma an tih hi a awm fo em?

Ni lo, a nihna takah chuan chutiang chuan a awm lo. Kum tin mi 100,000 zinga pakhat velin he natna hi an vei thin. Kum 65 leh 74 inkar te hian naupang zawk leh naupang te aiin he natna hi an vei tam zawk a ni.

Acoustic neuroma natna lan chhuah dan chu engte nge ni?

Hei hi a symptoms hi a lo lang nghal lo. A tam zawkah chuan zawi zawiin an rawn lang thin.

A tir lama hmuh theih symptoms: 1.1.

• Beng pakhata hriatna hloh zauh zauh: Hei hi a hmaa a lan chhuah tam ber a ni. Phone-a inbiak laiin beng pakhatah chiang takin i hre thei lo mai thei a, a nih loh leh mi pakhatin a sawi laiin a ri chu a sir khatah a muang ang tih i hre mai thei bawk.
• Tinnitus: Hei hi beng chhunga thawm hrang hrang (e.g., ringing, buzzing, or humming sound) hriat rengna a ni. Hei hi mi thenkhat tan chuan a buaithlak hle thei.
• Balance lama harsatna: I kal laiin i tlu dawn ang maiin i inhria thei a, hmun khata awm chu a harsa thei bawk.
• Vertigo: I chhehvela inher emaw, inher emaw tih hriatna. Hei hi a na hle thei.

Tumor a lo lian zel chuan a hnuaia symptoms te hi a awm thei bawk:

• Facial paralysis emaw numbness: Hmai sir khatah tingling sensation a awm thei a, chumi sir lamah muscle chak lohna a awm thei bawk.
• Lu na: Lu na fo, a chang chuan na tak tak.
• Nausea leh luak chhuak.
• Taste changes: Chaw ei tur chu a hma aia thlum a danglam thei.
• Chaw ei harsa (Dysphagia).
• Mit lama harsatna: Mit hmuhna (blurred vision or double vision) emaw.

Heng symptoms te hi i neih hian acoustic neuroma i nei tihna a ni lo tih hre reng ang che. Mahse, heng symptoms pakhat emaw a aia tam emaw i neih chhunzawm chuan doctor pan a, thurawn lak a pawimawh.

Engvangin nge he acoustic neuroma hi a lo awm?

Zirchiangtute chuan heng tumor te hi eng nge a thlen tih chiang takin an la hre lo. Mahse hriat chhuah chu Schwann cells an tih cell chi khat a lo thang dan pangngai lo avanga lo awm an ni . Heng Schwann cells te hi kan nervous system-a nerve vel, a bik takin hriatna leh balance-a inrawlhtute vel venhimna (protective sheath) anga thawk cell te an ni.

Thil dang pakhat chu ‘Neurofibromatosis type 2’ (NF2) tih hming pu genetic condition nei te hian thluak sir lehlamah auditory nerve-ah bilateral acoustic neuromas an nei tam zawk a ni.

Engtin nge hei hi i diagnose?

Doctor i pan hunah i symptoms te a zawt hmasa ang che. Tichuan physical exam an ti leh ang. Chu bakah, test an ti thei bawk a, chungte chu:

• Imaging test: Hengte hian tumor a awm leh awm loh, a lian zia leh a awmna hmun dik tak hriat theih nan a pui thei a ni.
• MRI (Magnetic Resonance Imaging) scan: Hei hi acoustic neuroma hriat theihna tha ber a ni.
• CT (Computed Tomography) scan: Hei pawh hi a chang chuan hman a ni.
• Hearing test: I hriatna a that zia hriat nan test hrang hrang an ti thin. Chutiang test pakhat chu Auditory Brainstem Response (ABR) .
• Balance test: I balance enfiahna tur test pawh a awm bawk.
• Electronystagmography (ENG): Hei hian mit che leh balance inzawmna a test thin.

Acoustic neuroma hi eng enkawlna nge ni?

Hei hi engtin nge enkawl a nih tih hi thil engemaw zatah a innghat a ni. Chung zingah chuan:

• Tumor lian leh te leh a awmna hmun.
• Tumor hian i hriatna leh balance a nghawng nasat zia.
• I kum leh i hriselna zawng zawng.

Enkawlna kawng hrang hrang a awm a, chungte chu:

1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hmuhdan:

• A châng chuan, tumor chu a te lutuk a, a lo lian zawi hle a nih chuan, leh symptom lian tak tak i neih loh chuan, i doctor chuan tunah chuan engmah ti suh la, MRI scan pangngai hmangin tumor chu enfiah rawh a ti mai thei Mi tam tak chu kum tam tak chhung harsatna nei lovin an kal thin.

2. Stereotactic Radiosurgery hmanga tih a ni: 1.1.

• Hei hi operation tel lova radiation therapy ang mai a ni. Tumor chungah hian radiation beam chak tak tak a focus thin. Tumor a lo thang lian zel tur chu a titawp thei a, a chang chuan a ti tlem thei bawk. A chhehvela tissue hrisel tak takte chu a tichhe tlem hle. Ni khata enkawlna a ni tlangpui.

3. Microsurgery tih a ni: 1.1 .

• Hei chauh hi tumor chu a chhuah vek theihna tur a ni. Neurosurgeon te hian he surgery hi special instrument hmangin nalh takin an ti thin. Surgical technique hi tumor awmna hmun leh a lian leh te a zirin a danglam thei.

• Microsurgery hi chi hrang hrang a awm a:
• Middle fossa approach: Hetiang method hi tumor chu beng chhungah a awm a, a te deuh a nih chuan hman thin a ni. Lu sir lama incision te tak te hmangin tumor hi lakchhuah a ni.
• Retrosigmoid approach: Hetah hian beng hnung lamah incision siam a ni a, chu chu luruh section pakhat kaltlangin beng chhung lam chhungah tumor chu lakchhuah a ni.
• Translabyrinthine approach: I beng pakhata hriatna hloh vek tawh chuan he method hi a tha thei ang. Tumor hi beng hnung lamah incision siamin, beng chhung lam ruh chu lakchhuah a ni. Hetiang tih zawh hian chu beng chhungah chuan i hre leh tawh lovang.

4. Chemotherapy hmanga enkawlna:

• Hei hi hman a tlem hle . Bevacizumab an tih damdawi hian a chang chuan tumor a ti tlem thei a, a bik takin NF2 vei naupangte hriatna a humhim thei a ni. Radiation therapy hnua harsatna awm thei , radiation necrosis enkawlna atan pawh hman a ni.

5. Vestibular Rehabilitation Therapy hmanga enkawl dan tur: 1.1.

• A châng chuan operation neih laiin balance-a inrawlh nerve ṭhenkhat chu lak chhuah a ngai ṭhin. Hei hian taksa balance a nghawng thei a ni. Vestibular rehabilitation therapy hi exercise leh training hrang hrang a ni a, taksa chu nerve hnathawh hloh tawhte phuhruk turin a zirtir leh thin. Hei hi physiotherapist-in a ti thin.

Microsurgery hnua harsatna awm thei te chu engte nge ni?

Surgery dang ang bawkin, he surgery hnua harsatna awm thei thenkhat a awm bawk. I medical team chuan hengte hi an hrilhfiah lawk ang che. Ngaihtuah buai suh, heng zawng zawng deuhthaw hi enkawlna leh enkawl dan tur a awm vek.

• Beng pakhata hriatna hloh emaw tlahniam emaw.
• Facial paralysis (hun eng emaw chen emaw, a awm reng emaw pawh a ni thei).
• Tinnitus (beng chhunga ri chhuak).
• Cerebrospinal fluid (CSF) a leak thin.
• Balance lama harsatna a awm.
• Chaw ei harsa.
• Luak chhuak thei.
• Double vision emaw mit vawt emaw.
• Lu na.
• Infection awm thei te.
• Meningitis ( thluaka khawsik ang chi - a awm lo hle).
• Tumor lo thang leh (a lo thang tam lo).

Acoustic neuroma ka neih chuan eng nge ka beisei ang?

Thil tam takah a innghat a, chu chu i dinhmun te, i enkawlna chi hrang hrang te, leh harsatna i tawh zawng zawng te hi a ni. I neurosurgeon chuan enkawl dan tur leh harsatna awm thei te chu a hrilhfiah ang che.

A châng chuan hriatna lama harsatna i neih chuan ṭanpui theitu hmanrua a awm ṭhin. Entirnan, ‘bone conduction hearing implants’ emaw ‘cross hearing aids’ (CROS - contralateral routing of signals hearing aids) ang chi thil i hmang thei ang.

Engtin nge ka in enkawl ang?

Acoustic neuroma i vei tih i hriat chuan hlauthawng leh lungkham deuh i nei thei a, a bik takin i doctor-in enkawl loha enkawl che a tum chuan. "He tumor hi a lian lehzual ang em? Ka hriatna a na zual ang em?" Chutih hunah chuan i doctor hnenah eng inthlak danglamna nge tumor hian nerve a nghawng tih hriattirna zawt rawh.

Symptoms i neih a, i doctor-in operation a rawt chuan operation hnuah i balance a nghawng thei a ni. Chutiang a nih chuan i doctor chuan vestibular rehabilitation therapy a rawt thei a, chu chu a hmaa kan sawi tawh kha a ni. Hei hian thil tih dan pangngaia i thawh leh theih nan a pui thei che a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Acoustic neuroma i neih chuan i doctor hnenah hetiang zawhna hi i zawt mai thei:

• Enkawlna ka mamawh em, a nih loh leh tumor hi enkawl a ni ang em?
• Ka beng hian hriatna level tangkai tak a siam theihna chance chu engzat nge ni?
• Surgery emaw radiation treatment emaw hnuah he tumor hi a lo lang leh theihna chance chu engzat nge ni?
• Tumor chi dang ka neih theihna chance a sang zawk em?
• Acoustic neuroma surgery hian eng nge a thatna leh a that lohna?
• Operation hnuah rehabilitation treatment ka mamawh dawn em?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Acoustic neuroma hi cancer nei lo , a lo thang zawi zawi a, i hriatna leh i balance a tichhe thei a ni. Mahse , lungngai suh, a enkawl dan tha tak tak a awm.

I doctor chuan tumor lakchhuah nan operation neih a rawt mai thei. Chutiang a nih chuan, operation chungchangah te, a hnua thil thleng tur te, i hriatna a nghawng dawn em tih te, leh a side effect dangte chungchangah zawhna tam tak i nei thei a ni. Hei hi thil pangngai a ni. I medical team chuan i zawhna zawng zawng chhanna tur leh i hlauhthawnna tihziaawm turin an inpeih reng a ni. Chuvangin, i rilrua thil awm zawng zawngte chu sawipui rawh.

A pawimawh ber chu heng symptoms te hi i neih chuan doctor lam pan vat hi a ni. Natna hi a hriat hma poh leh a enkawl dan chu a hlawhtling thei a ni.

` Acoustic neuroma, beng natna, vestibular schwannoma, hriatna nerve, hriatna hloh, tinnitus, vertigo