Kodi mumamvanso ngati kumva kwanu m'khutu limodzi kukuchepa pang'onopang'ono? Kapena nthawi zonse mumamva phokoso la 'C' (tinnitus) m'khutu mwanu? Kodi nthawi zina mumataya mphamvu zanu ndikumva chizungulire? Anthu ambiri amanyalanyaza zinthuzi ngati "zinthu zachilendo zomwe zimachitika mukamakula." Koma izi zitha kukhalanso zizindikiro zoyamba za matenda otchedwa Acoustic Neuroma, omwe tikulankhula lero. Musadandaule, tidzakambirana zonse momveka bwino.
Mwachidule, kodi Acoustic Neuroma ndi chiyani?
Acoustic Neuroma, yomwe imadziwikanso kuti Vestibular Schwannoma, si khansa . Ndi chotupa chomwe sichili khansa chomwe chimayamba pa mitsempha yachisanu ndi chitatu ya fundu, yomwe imalumikiza ubongo wathu ndi khutu lamkati.
Taganizirani za mitsempha iyi ngati 'chingwe' chomwe chimanyamula chidziwitso ku ubongo ndi makutu athu. Ili ndi magawo awiri akuluakulu.
1. Gawo lomwe limatumiza mawu: Gawoli limatengera mawu omwe timamva kupita nawo ku ubongo.
2. Gawo lomwe limalamulira kulinganiza bwino zinthu: Gawoli limatumiza chidziwitso chokhudza kulinganiza bwino kwa thupi lathu kuchokera mkati mwa khutu kupita ku ubongo.
Acoustic Neuroma ndi chotupa chomwe chimamera pa mitsempha. Zotupazi nthawi zambiri zimakula pang'onopang'ono, kwa zaka zambiri . Ngakhale sizifalikira ku ubongo ngati khansa, pamene chotupacho chikula, chimatha kukakamiza ubongo ndi mitsempha yozungulira. Mwachitsanzo, chimatha kukakamiza mitsempha yomwe imalamulira mawonekedwe a nkhope ndi momwe zimamvera. Ngati chotupacho chikukula kwambiri, chimatha kukakamiza tsinde la ubongo kapena cerebellum, zomwe zingakhale zoopsa kwa moyo. Chifukwa chake ndikofunikira kudziwa izi.
Kodi zizindikiro za vutoli ndi ziti?
Zizindikiro zoyambirira za vutoli zimakhala zosaonekera bwino, zomwe zimapangitsa kuti zikhale zovuta kuzizindikira. Nthawi zambiri, chizindikiro choyamba chimakhala kutaya pang'onopang'ono kumva m'khutu limodzi . Izi zitha kutsatiridwa ndi phokoso lolira (tinnitus) kapena kumva kudzaza m'khutu. Nthawi zambiri, kutaya mwadzidzidzi kumva kumachitika.
Zizindikiro zina zomwe zingawonekere pakapita nthawi zalembedwa mu tebulo ili m'munsimu.
| Chizindikiro | Momwe zimachitikira |
|---|---|
| Mavuto a kusasinthasintha | Kugwedezeka, monga poyenda, kuvutika kukhalabe olimba. |
| Chizungulire | Kumva ngati inu kapena dziko lapansi likuzungulirani. |
| Kusanza nkhope ndi kumva kuwawa | Vutoli likhoza kupitirira kapena kubwera ndi kutha. |
| Kufooka kwa nkhope | Kumva ngati mbali imodzi ya nkhope ikukokedwa kapena kulephera kulamulira minofu. |
| Kusintha kwa kukoma | Kumva mosiyana ndi ngati chakudya chili ndi kukoma kosiyana. |
| Kuvuta kumeza ndi kusanza mawu | Kuvuta kumeza chakudya ndi chakumwa komanso kusintha kwa mawu. |
| Mutu | Mutu wopweteka nthawi zonse komanso wosalekeza. |
| Kusakhazikika ndi Kusakhazikika | Kulephera kugwira ntchito, kulephera kulamulira ziwalo. |
| Chisokonezo | Mavuto ndi kukumbukira bwino komanso kuganiza bwino. |
Chofunika kwambiri ndichakuti ngati muli ndi zizindikirozi, muyenera kuonana ndi dokotala wanu. Zizindikiro monga kusakhazikika maganizo ndi kusokonezeka, makamaka, zitha kukhala chizindikiro cha vuto lalikulu lomwe limafuna chithandizo chadzidzidzi. Zikatero, ndi bwino kupita ku chipatala nthawi yomweyo.
Kodi n’chiyani chimayambitsa zotupa zimenezi?
Pali mitundu iwiri ikuluikulu ya acoustic neuroma.
1. Mtundu wa matenda osakhazikika: Uwu ndi mtundu womwe anthu ambiri amakumana nawo. Madokotala sanapezebe chifukwa chenicheni cha izi.
2. Momwe imagwirizanirana ndi Neurofibromatosis mtundu wachiwiri (NF2): NF2 ndi matenda osowa kwambiri m'majini. Anthu omwe ali ndi vutoli amakhala ndi zotupa zopanda khansa m'mitsempha ya thupi. Acoustic Neuroma ndiye mtundu wofala kwambiri wa chotupa. Anthu omwe ali ndi NF2 nthawi zambiri amakhala ndi zotupa izi m'makutu onse awiri akafika zaka 30.
Komabe, 5% yokha ya odwala acoustic neuroma ali ndi NF2. Izi zikutanthauza kuti 95% ya iwo ndi mtundu wa idiopathic. Chomwe chimadziwika kuti ndi chiopsezo cha izi ndi kupezeka kwa radiation yambiri kumutu ndi pakhosi .
Kodi njira zochiritsira ndi ziti?
Pali njira zitatu zazikulu zothandizira izi.
1. Kuyang'anitsitsa: Izi zimatchedwanso 'kudikira mosamala'. Popeza ma neuromas a acoustic si khansa ndipo amatha kukula pang'onopang'ono, chithandizo sichingakhale chofunikira nthawi yomweyo. Dokotala wanu adzayang'anira kukula kwa chotupacho ndi mayeso monga MRI scans nthawi ndi nthawi. Chithandizo china chikaganiziridwa pokhapokha ngati chotupacho chikukula mofulumira kapena ngati zizindikiro zazikulu zachitika.
2. Opaleshoni: Opaleshoni imatha kuchotsa chotupa chonse kapena gawo lake. Pali njira zitatu zazikulu zochitira opaleshoni.
| Njira yopangira opaleshoni | Momwe mungachitire izi komanso mfundo zofunika |
|---|---|
| Translabyrinthine | Kuduladula kumapangidwa kumbuyo kwa khutu, ndipo fupa kumbuyo kwa khutu ndi gawo la khutu lapakati zimachotsedwa kuti zifike pa chotupacho. Izi zimagwiritsidwa ntchito pa zotupa zazikulu kuposa masentimita atatu. Ubwino: Dokotala wochita opaleshoni amatha kuwona bwino mitsempha ya nkhope. Kuipa: Pambuyo pa opaleshoni iyi, kumva m'khutulo kumatayika kwathunthu. |
| Retrosigmoid/sub-occipital | Chigaza chimatsegulidwa kumbuyo kwa mutu kuti chifike kumbuyo kwa chotupacho. Izi zingagwiritsidwe ntchito pa zotupa za kukula kulikonse ndipo zimatha kusunga kumva . |
| Fossa yapakati | Chidutswa chaching'ono cha fupa pamwamba pa ngalande ya khutu chimachotsedwa kuti chifike pa chotupacho. Izi zimagwiritsidwa ntchito pa zotupa zazing'ono zomwe zimatsekeredwa panjira yaying'ono yopita ku khutu lamkati (ngalande yamkati yamkati). Njirayi ilinso ndi mwayi waukulu wosunga kumva . |
3. Chithandizo cha Radiation: Nthawi zina chithandizo cha radiation chimalimbikitsidwa. Ndi ukadaulo wamakono, kuchuluka kwa radiation kumatha kuperekedwa ku chotupacho ndikuchepetsa kuwonongeka kwa minofu yathanzi yozungulira. Chithandizochi chimapangitsa maselo a chotupa kufa. Izi zitha kuletsa chotupacho kukula, kuchichepetsa, kapena kuchichepetsa. Komabe, sichichotsa chotupacho kwathunthu monga momwe opaleshoni ingachitire.
Pali njira ziwiri zazikulu zomwe chithandizo cha radiation chimaperekedwa:
- Kuchitidwa opaleshoni ya radiosurgery ya single fraction stereotactic (SRS): Pa nthawi imodzi, ma radiation ang'onoang'ono mazana ambiri amalunjika ku chotupacho.
- Chithandizo cha radiotherapy cha stereotactic (FRS) cha magawo ambiri: Mlingo wochepa wa radiation umaperekedwa tsiku lililonse kwa milungu ingapo. Kafukufuku woyamba akusonyeza kuti njira imeneyi ndi yothandiza kwambiri posunga kumva kuposa SRS.
Mankhwala onsewa ndi operekedwa kwa odwala akunja, zomwe zikutanthauza kuti simukuyenera kukhala m'chipatala.
Kodi mumasankha bwanji chithandizo choyenera kwa inu?
Kusankha chithandizo chomwe chili chabwino kwa inu kudzadalira zinthu zingapo.
- Kukula kwa chotupacho.
- Kaya chotupacho chikukula.
- zaka zanu.
- Matenda ena omwe muli nawo.
- Kuopsa kwa zizindikiro zanu ndi momwe zimakhudzira moyo wanu watsiku ndi tsiku.
Dokotala wanu adzakufotokozerani zonsezi.
Uthenga Wopita Nawo Kunyumba
- Acoustic Neuroma si khansa, koma imatha kukula ndikukhudza ubongo ndi mitsempha yozungulira.
- Musanyalanyaze zizindikiro zoyambirira monga kutaya kumva pang'onopang'ono m'khutu limodzi, kulira m'khutu, kapena kulephera kukhazikika. Musaganize kuti "zinthu zimachitika mukakula."
- Ngati muli ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo, makamaka kwa dokotala wa khutu, mphuno, ndi pakhosi (ENT).
- Pali njira zothandiza monga kuyang'anitsitsa, opaleshoni, ndi chithandizo cha radiation.
- Kambiranani ndi dokotala wanu za chithandizo chabwino kwambiri cha vuto lanu, mvetsetsani zabwino ndi zoyipa zake, kenako sankhani.
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