Kutaya kumva m'khutu limodzi ndi mavuto a kulinganiza bwino? Zingakhale chifukwa cha Acoustic Neuroma (Vestibular Schwannoma)!

Kodi mwadzidzidzi mwataya kumva m'khutu limodzi ndipo mwangomva chizungulire? Mwina mumamva kulira m'khutu mwanu? Tangoganizirani, nthawi zonse mumagwiritsa ntchito khutu lomwelo mukamalankhula pafoni, chifukwa mumazindikira kuti simungamve bwino m'khutu lina. Ngati muli ndi zizindikiro ngati izi, chifukwa chake chingakhale matenda otchedwa Acoustic Neuroma. Musadandaule, tikambirana izi m'njira yosavuta yomwe mungamvetse.

Kodi Acoustic Neuroma ndi chiyani kwenikweni?

Mwachidule, Acoustic Neuroma ndi chotupa chosaopsa chomwe chimakula m'khutu. Dzina lina la izi ndi Vestibular Schwannoma. Chotupachi chimakula mu mitsempha yomwe imanyamula zizindikiro kuchokera mkati mwa khutu lathu kupita ku ubongo. Kunena zoona, mu mitsempha ya 8 ya cranial kapena vestibulocochlear mu chigaza chathu. Mitsempha iyi ili ndi ntchito ziwiri zazikulu. Choyamba ndikutithandiza kumva . Chinanso ndikulamulira bwino momwe thupi lathu lilili . Chifukwa chake chotupa chikakula mu mitsempha iyi, ntchito zonsezi zimatha kukhudzidwa.

Kodi zizindikiro za vutoli ndi ziti?

Zizindikiro zimatha kusiyana malinga ndi malo ndi kukula kwa chotupacho. Zizindikirozi sizingawonekere poyamba. Komabe, pamene chotupacho chikukulirakulira pakapita nthawi, zizindikirozo zimatha kuwonjezeka.

N’chifukwa chiyani chotupa ngati ichi chimapangika?

Pali mtundu wa selo womwe umazungulira mitsempha yomwe ndatchula kale. Izi zimatchedwa maselo a Schwann . Zili ngati chidebe cha pulasitiki chozungulira waya wamagetsi . Chotupachi chimachitika pamene maselo a Schwann awa ayamba kugawikana mosalamulirika pazifukwa zina. Koma madokotala sakudziwabe chifukwa chake maselowa amagawikana motere. Komabe, anthu omwe ali ndi vuto la majini lotchedwa `Neurofibromatosis type 2` ali pachiwopsezo chokhala ndi zotupa ngati izi mbali zonse ziwiri.

Kodi dokotala amapeza bwanji izi?

Ngati muli ndi zizindikiro zimenezi, dokotala wanu adzakufunsani kaye za zizindikiro zanu ndikukuyesani. Kenako angakupatseni mayeso angapo kuti atsimikizire vutoli.

• Kujambula kwa MRI ndi CT: Izi ndi njira zabwino kwambiri zodziwira ngati chotupacho chilipo, kukula kwake, komanso komwe chili.
• Mayeso a kumva: Mayeso osiyanasiyana amachitidwa kuti awone ngati kumva kwanu kuli bwino. `Kuyankha kwa Ubongo wa Makutu` ndi mayeso apadera otere.
• Mayeso a Balance : Mayeso awa amayang'ana momwe balance yanu imakhudzidwira. Electronystagmography ndi imodzi mwa mayeso omwe angagwiritsidwe ntchito poyesa izi.

Kodi mankhwala ochizira izi ndi otani?

Ndondomeko ya chithandizo imadalira zinthu zambiri, kuphatikizapo zaka zanu, thanzi lanu, kukula kwa chotupacho, komwe chili, komanso mtundu wa zizindikiro zanu. Pali njira zingapo zazikulu zochizira.

1. Kungoyang'ana (Kuyang'ana)

Ngati chotupacho ndi chaching'ono kwambiri, sichikukula, ndipo mulibe zizindikiro zazikulu, dokotala wanu angakulangizeni kuti mudikire kwakanthawi popanda chithandizo chilichonse. Komabe, panthawiyi , mudzayang'aniridwa ndi MRI nthawi zonse kuti muwone ngati chotupacho chasintha. Popeza ichi ndi chotupa chosaopsa, nthawi zambiri iyi ndi njira yotetezeka.

2. Chithandizo chapadera cha radiation (Stereotactic Radiosurgery)

Ngakhale kuti dzina lake ndi "opaleshoni", kwenikweni si opaleshoni. Chomwe chimachitika apa ndichakuti kuwala kwa radiation kulunjika pa chotupacho molondola kwambiri, popanda kuvulaza minofu yathanzi yozungulira. Izi zitha kuletsa chotupacho kukula kapena kuchipangitsa kuti chichepe.

3. Opaleshoni

Njira yokhayo yochotseratu chotupachi ndi opaleshoni. Dokotala wochita opaleshoni amadutsa m'chigaza ndipo amagwiritsa ntchito zipangizo zabwino kwambiri (microsurgery) kuti achotse chotupacho popanda kuwononga mitsempha yofunika kwambiri yozungulira. Njira yochitira opaleshoniyo ingasiyane malinga ndi kukula ndi malo a chotupacho.

4. Mankhwala a Chemotherapy

Izi sizigwiritsidwa ntchito kawirikawiri. Mankhwala monga `Bevacizumab` nthawi zina amagwiritsidwa ntchito kuchepetsa zotupa. Angagwiritsidwe ntchito kusunga kumva, makamaka kwa ana, komanso kuchiza zotsatira zoyipa (necrosis) zomwe zimachitika pambuyo pa chithandizo cha radiation.

5. Chithandizo cha Kubwezeretsa Ma Vestibular

Anthu ena angakumane ndi mavuto a thanzi labwino atachitidwa opaleshoni. Ngati izi zitachitika, katswiri wa zamaganizo angakuthandizeni ndi masewera olimbitsa thupi apadera kuti akuthandizeni kuyambiranso thanzi lanu .

Kodi ndifunse dokotala chiyani?

Ndizachilendo kukhala ndi mafunso mukazindikira kuti muli ndi vutoli. Musazengereze kufunsa mafunso awa mukalankhula ndi dokotala wanu.

• Kodi ndikufunika chithandizo nthawi yomweyo, kapena ndibwino kungoyang'anitsitsa?
• Kodi kumva kwanga kudzakhala bwanji nditalandira chithandizo?
• Kodi pali mwayi wotani kuti chotupachi chibwererenso pambuyo pa opaleshoni kapena chithandizo cha radiation ?
• Kodi ndili pachiwopsezo chotenga mitundu ina ya zotupa?
• Kodi zoopsa ndi ubwino wa opaleshoni ndi ziti?
• Kodi ndikufunika kuchira pambuyo pa chithandizo?

Acoustic Neuroma, Vestibular Schwannoma, Chotupa cha m'khutu, Kutaya kumva, Tinnitus, Vertigo, Kutaya kulinganiza bwino, mitsempha yachisanu ndi chitatu ya cranial, Opaleshoni