Kei te rongo anō koe kei te heke haere te rongo i roto i te taringa kotahi? Kei te rongo tonu rānei koe i te tangi 'C' (tinnitus) i roto i tō taringa? Kei te ngaro tō taurite i ētahi wā, ā, ka pōuri koe? He tokomaha e whakahē ana i ēnei mea hei "mea noa e puta ana i a koe e pakeke haere ana." Engari koinei pea ngā tohu tuatahi o te mate e kiia nei ko te Acoustic Neuroma, e kōrerohia ana e tātou i tēnei rā. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa me te mārama.
He aha te Acoustic Neuroma?
Ehara te Acoustic Neuroma, e mōhiotia ana ko te Vestibular Schwannoma, i te matepukupuku . He pukupuku ehara i te matepukupuku e tupu ana i te io tuawaru o te angaanga, e hono ana i tō tātou roro me te taringa o roto.
Whakaarohia tēnei io hei 'taura' e kawe ana i ngā kōrero ki tō tātou roro me ō tātou taringa. E rua ngā wāhanga matua o tēnei io.
1. Te wāhanga e tuku ana i te oro: Ka haria e tēnei wāhanga ngā oro e rangona ana e tātou ki te roro.
2. Te wāhanga e whakahaere ana i te taurite: Ka tukuna e tēnei wāhanga ngā kōrero mō te taurite o tō tātou tinana mai i te taringa o roto ki te roro.
Ko te Acoustic Neuroma he pukupuku e tipu ana i runga i te io. He puhoi rawa te tipu o ēnei pukupuku, i roto i ngā tau maha . Ahakoa kāore e horapa ki te roro pērā i te mate pukupuku, i te tipu haere o te pukupuku, ka taea e ia te pēhi i te roro me ngā io e karapoti ana. Hei tauira, ka taea e ia te pēhi i ngā io e whakahaere ana i ngā āhua o te kanohi me ngā kare ā-roto. Ki te nui rawa te pukupuku, ka taea e ia te pēhi i te take o te roro, i te cerebellum rānei, ka taea te whakararu i te ora. Nō reira, he mea nui kia mōhio ki tēnei.
He aha ngā tohu o tēnei mate?
He ngawari ngā tohu tōmua o tēnei mate, ā, he uaua ki te kite. He maha ngā wā, ko te tohu tuatahi he ngaronga haere o te rongo i roto i te taringa kotahi . Tērā pea ka haere tahi tēnei me te tangi (tinnitus) me te rongo kī tonu rānei i roto i te taringa. He tino onge te ngaronga ohorere o te rongo.
Kei te ripanga i raro nei ētahi atu tohu ka puta ake i roto i te wā.
| Tohu | Te āhua o te tupu |
|---|---|
| Ngā raruraru taurite | Te wiri, pērā i te hikoi, te uaua ki te noho pumau. |
| Pōuriuri | Te āhua nei kei te hurihuri koe, kei te huri rānei te ao i a koe. |
| Te māuiui me te kōkō o te kanohi | Tērā pea ka mau tonu tēnei āhuatanga, ka hoki mai, ka haere atu rānei. |
| ngoikore o te kanohi | Te āhua e tōia ana tetahi taha o te mata, e ngaro ana rānei te mana whakahaere uaua. |
| Ngā huringa reka | He rerekē te āhua o te tinana i tērā mēnā he rerekē te reka o te kai. |
| Te uaua ki te horomi me te reo pāorooro | Te uaua ki te horomi i te kai me te inu, me ngā panonitanga o te reo. |
| Ngā mamae o te upoko | Te mamae o te upoko auau, kore e mutu. |
| Te kore pumau me te mangere | Te uaua ki te mahi i ngā mahi, te ngaronga o te mana whakahaere o ngā peka. |
| Pōhēhētanga | Ngā raruraru ki te mahara me te mārama o te whakaaro. |
Ko te mea nui, ki te pāngia koe e ēnei tohu, me toro atu koe ki tō tākuta. Ko ngā tohu pēnei i te koretake me te pōhēhē, he tohu pea tēnei mō tētahi mate kino e hiahia ana kia rongoatia wawetia. I roto i tēnei āhuatanga, he mea whakaaro nui kia haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
He aha te take e puta ai ēnei pukupuku?
E rua ngā momo matua o te neuroma acoustic.
1. Āhua tūpono noa: Koinei te momo e pāngia ana e te nuinga o te tangata. Kāore anō kia kitea e ngā tākuta tētahi take motuhake mō tēnei.
2. Te hononga ki te momo Neurofibromatosis II (NF2): He mate ira onge te NF2. Ka whakawhanakehia e te hunga whai mate nei ngā pukupuku kore-matepukupuku i roto i te pūnaha io o te tinana. Ko te Acoustic Neuroma te momo pukupuku tino noa. He maha ngā wā ka whakawhanakehia ēnei pukupuku e te hunga whai NF2 i ngā taringa e rua i te 30 tau te pakeke.
Heoi, e 5% anake o ngā tūroro neuroma acoustic he NF2. Ko te tikanga he 95% o rātou he momo idiopathic. Ko te take mōrearea anake e mōhiotia ana mō tēnei ko te pānga ki ngā horopeta teitei o te irahiko ki te mahunga me te kaki .
He aha ngā kōwhiringa maimoatanga?
E toru ngā maimoatanga matua mō tēnei.
1. Te Tirotiro: Ka kiia hoki tēnei ko te 'tatari mataara'. Nā te mea ehara ngā neuromas acoustic i te mate pukupuku, ā, ka puhoi te tipu, kāore pea e hiahiatia he maimoatanga i taua wā tonu. Ka aroturukihia e tō tākuta te tipu o te pukupuku mā te whakamahi i ngā whakamātautau pēnei i ngā matawai MRI i ngā wā auau. Mēnā kei te tere te tipu o te pukupuku, mēnā rānei ka puta he tohu kino, ka whakaarohia ētahi atu maimoatanga.
2. Pokanga: Ka taea e te pokanga te tango i te katoa, i tetahi wāhanga rānei o te pukupuku. E toru ngā huarahi pokanga matua mō tēnei.
| Huarahi pokanga | Me pēhea te mahi me ngā mōhiohio nui |
|---|---|
| Translabyrinthine | Ka tapahia te wheua i muri i te taringa, ā, ka tangohia te wheua i muri i te taringa me te wāhanga o te taringa waenga kia tae atu ki te pukupuku. Ka whakamahia tēnei mō ngā pukupuku nui atu i te 3 henimita te rahi. Painga: Ka kitea mārama e te taote pokanga te io o te kanohi. Huakore: Whai muri i tēnei pokanga, ka ngaro katoa te rongo i roto i taua taringa. |
| Retrosigmoid/sub-occipital | Ka whakatuwheratia te angaanga i te tuara o te māhunga kia tae atu ki te tuara o te pukupuku. Ka taea te whakamahi i tēnei mō ngā pukupuku o tetahi rahi, ā, ka taea hoki te tiaki i te whakarongo . |
| Fossa waenga | Ka tangohia he wahi iti o te wheua i runga ake i te awa taringa hei tae atu ki te pukupuku. Ka whakamahia tēnei mō ngā pukupuku iti e piri ana ki te ara iti e anga atu ana ki te taringa o roto (awa whakarongo o roto). He nui ake te tūponotanga o tēnei tikanga ki te tiaki i te whakarongo . |
3. Whakaora Irahiko: I ētahi wā ka tūtohutia te rongoā irahiko. Mā te hangarau hou, ka taea te tuku i ngā horopeta teitei o te irahiko ki te pukupuku, me te whakaiti i te kino ki ngā kiko hauora e karapoti ana. Mā tēnei maimoatanga ka mate ngā pūtau pukupuku. Ka taea e tēnei te aukati i te tipu o te pukupuku, te whakaiti, te whakaiti rānei. Heoi, kāore e tino tangohia te pukupuku pērā i te pokanga.
E rua ngā huarahi matua e tukuna ai te rongoā irahiko:
- Pokanga irahiko stereotactic kotahi-wāhanga (SRS): I roto i te wā kotahi, ka tukuna ngā rau hihi iti o te irahiko ki te puku.
- Te rongoā irahiko stereotactic wehewehenga maha-wāhanga (FRS): Ka tukuna he iti noa ngā horopeta o te irahiko i ia rā mō ētahi wiki. E whakaatu ana ngā rangahau tuatahi he nui ake te tūponotanga o tēnei tikanga ki te tiaki i te rongo i te SRS.
He maimoatanga ā-waho ēnei e rua, arā, kāore koe e hiahia ki te noho ki te hōhipera.
Me pēhea te whiriwhiri i te maimoatanga tika māu?
Ko te whakatau mō te maimoatanga e pai ana māu ka whakawhirinaki ki ētahi āhuatanga.
- Te rahi o te pukupuku.
- Ahakoa kei te tipu te pukupuku.
- tō tau.
- Ētahi atu mate kei a koe.
- Te kaha o ō tohu me te pānga ki tō oranga o ia rā.
Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.
Karere Tangohia ki te Kāinga
- Ehara te Acoustic Neuroma i te mate pukupuku, engari ka taea e ia te tipu me te pā ki te roro me ngā io e karapoti ana.
- Kaua e warewarehia ngā tohu tōmua pēnei i te ngaro haere o te rongo i te taringa kotahi, te tangi o te taringa, te ngaro rānei o te taurite. Kaua e whakaaro "ka puta ngā mea i a koe e pakeke haere ana."
- Mena kei a koe tētahi o ēnei tohu, rapua tonutia he tohutohu hauora, ko te mea pai ko te taote taringa, ihu, me te korokoro (ENT).
- He maha ngā maimoatanga whai hua pēnei i te mātakitaki, te pokanga, me te rongoā irahiko.
- Kōrerohia te maimoatanga pai rawa atu mō tō āhua me tō tākuta, kia mārama ki ngā painga me ngā huakore, kātahi ka whakatau.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero