Kodi pali chotupa chonga ichi mkati mwa khutu lanu? (Acoustic Neuroma) Tiyeni tiphunzire za icho!

Kodi nthawi zina mumamva ngati kuti simukumva bwino m'khutu limodzi? Kapena mumangomva kulira kosalekeza m'khutu mwanu, nthawi zina mumadzimva chizungulire, kapena kutaya mtima? Ngakhale izi ndi zinthu zomwe nthawi zina sitimaziganizira kwambiri, pakhoza kukhala chifukwa chochepa kumbuyo kwa izi. Lero tikambirana za chotupa chomwe chingakhale ndi chifukwa chotere, koma sichili khansa, ndipo ndi vuto lotchedwa 'Acoustic Neuroma' .

Kodi Acoustic Neuroma ndi chiyani?

Mwachidule, acoustic neuroma ndi chotupa chosaopsa . Izi zikutanthauza kuti sichifalikira ku ziwalo zina za thupi. Chimatchedwanso vestibular schwannoma . Chotupachi chimakula pa mitsempha yomwe imachokera mu khutu lanu lamkati kupita ku ubongo wanu. Kunena zoona, chimakula pa mitsempha yachisanu ndi chitatu ya cranial (vestibulocochlear nerve) m'mutu mwathu. Mitsempha iyi imakuthandizani kumva (kumva) ndikukhalabe ndi thanzi labwino (bwino).

Taganizirani za mitsempha iyi ngati chingwe chaching'ono chomwe chimanyamula mauthenga kuchokera ku khutu kupita ku ubongo. Chifukwa chake, chotupa chaching'ono chikapangidwa pa chingwe ichi, chingasokoneze kutumiza mauthengawo. Umu ndi momwe kumva ndi kukhazikika zimakhudzira.

Ngakhale kuti zotupazi sizifalikira m'thupi lonse monga khansa , zikamakula, zimatha kukhudza kumva, zimayambitsa kulira kosalekeza m'makutu (tinnitus), kutaya mphamvu, ndipo nthawi zina zimayambitsa dzanzi kapena kufooka mbali imodzi ya nkhope. Mankhwala a izi amaphatikizapo opaleshoni ndi chithandizo cha radiation. Chemotherapy siifunikira kawirikawiri.

Kodi vutoli lotchedwa acoustic neuroma ndi lofala?

Ayi, kwenikweni si zachilendo. Pafupifupi munthu m'modzi pa anthu 100,000 amadwala matendawa chaka chilichonse. Anthu azaka zapakati pa 65 ndi 74 ali ndi mwayi waukulu wodwala matendawa kuposa achinyamata ndi ana aang'ono.

Kodi zizindikiro za acoustic neuroma ndi ziti?

Zizindikiro za izi sizibwera mwadzidzidzi. Nthawi zambiri, zimawonekera pang'onopang'ono.

Zizindikiro zomwe zingawonekere pazigawo zoyamba:

• Kutaya pang'onopang'ono kumva m'khutu limodzi: Ichi ndi chizindikiro choyambirira kwambiri. Mwina simungathe kumva bwino m'khutu limodzi mukamalankhula pafoni, kapena mungamve kuti phokosolo silimveka bwino mbali imodzi pamene wina akulankhula.
• Kulira kwa mawu: Uku ndi kumva kosalekeza kwa mawu osiyanasiyana m'makutu (monga kulira, kulira, kapena kung'ung'udza). Izi zingakhale zovutitsa kwambiri kwa anthu ena.
• Mavuto a kusasinthasintha: Mungamve ngati mugwa mukuyenda, ndipo zingakhale zovuta kukhala pamalo amodzi.
• Chizungulire: Kumva ngati ukuzungulira kapena kuzungulira mozungulira. Izi zitha kukhala zovuta kwambiri.

Pamene chotupa chikukula, zizindikiro zotsatirazi zingachitikenso:

• Kufooka kwa nkhope kapena dzanzi: Pakhoza kukhala kumva kuwawa mbali imodzi ya nkhope, kapena kumva kufooka kwa minofu mbali imeneyo.
• Mutu: Mutu wopweteka pafupipafupi, nthawi zina woopsa.
• Kusanza ndi kusanza.
• Kusintha kwa kukoma: Chakudya chingakhale ndi kukoma kosiyana ndi kwa masiku onse.
• Kuvuta kumeza (Dysphagia).
• Mavuto a maso: Kuona zinthu molakwika kapena kuona zinthu ziwiri.

Kumbukirani, kukhala ndi zizindikiro izi sizikutanthauza kuti muli ndi vuto la neuroma. Komabe, ngati mukupitiriza kukhala ndi chimodzi mwa zizindikirozi, ndikofunikira kuonana ndi dokotala kuti akupatseni upangiri.

Nchifukwa chiyani neuroma iyi ya acoustic imachitika?

Ofufuza sakudziwa bwino chomwe chimayambitsa matendawa. Koma chomwe chikudziwika ndi chakuti amayamba chifukwa cha kukula kosazolowereka kwa mtundu wina wa selo wotchedwa maselo a Schwann . Maselo a Schwann awa ndi maselo omwe amagwira ntchito ngati chitetezo chozungulira mitsempha mu dongosolo lathu la mitsempha, makamaka omwe amagwira ntchito yokhudza kumva ndi kulinganiza bwino.

Chinthu china n’chakuti anthu omwe ali ndi vuto la majini lotchedwa 'Neurofibromatosis type 2' (NF2) ali ndi mwayi waukulu wokhala ndi ma neuromas a acoustic neuromas m'mitsempha yomvera mbali zonse ziwiri za ubongo.

Kodi mumazindikira bwanji izi?

Mukapita kwa dokotala, iye adzakufunsani kaye za zizindikiro zanu. Kenako adzakuyesani thupi. Kuphatikiza apo, angachite mayeso monga:

• Mayeso ojambulira: Izi zingathandize kudziwa ngati chotupa chilipo, kukula kwake, komanso komwe chili.
• Kujambula kwa MRI (Magnetic Resonance Imaging): Iyi ndiyo njira yabwino kwambiri yodziwira acoustic neuroma.
• Kujambula kwa CT (Computed Tomography): Izi nthawi zina zimagwiritsidwanso ntchito.
• Mayeso a kumva: Mayeso osiyanasiyana amachitidwa kuti aone momwe mukumvera. Chimodzi mwa mayeso amenewa ndi Auditory Brainstem Response (ABR) .
• Mayeso a Balance: Palinso mayeso owunikira balance yanu.
• Electronystagmography (ENG): Izi zimayesa ubale pakati pa mayendedwe a maso ndi kulinganiza bwino.

Kodi chithandizo cha acoustic neuroma ndi chiyani?

Momwe izi zimachitidwira zimatengera zinthu zingapo. Izi zikuphatikizapo:

• Kukula kwa chotupacho ndi komwe chili.
• Kodi chotupacho chakhudza bwanji kumva kwanu ndi kukhazikika kwanu?
• Zaka zanu ndi thanzi lanu lonse.

Pali njira zingapo zazikulu zothandizira:

1.Kuyang'anitsitsa:

• Nthawi zina, ngati chotupacho chili chaching'ono kwambiri, ngati chikukula pang'onopang'ono, ndipo ngati mulibe zizindikiro zazikulu, dokotala wanu angakuuzeni kuti musachite kalikonse pakadali pano ndikuyang'anira chotupacho pogwiritsa ntchito MRI scans nthawi zonse . Anthu ambiri amakhala zaka zambiri popanda vuto lililonse.

2. Opaleshoni ya Radiotactic:

• Izi zili ngati chithandizo cha radiation popanda opaleshoni. Chimayang'ana kuwala kwamphamvu kwa radiation pa chotupacho. Chingathe kuletsa chotupacho kukula ndipo nthawi zina chimachichepetsa. Sichiwononga kwambiri minofu yathanzi yozungulira. Nthawi zambiri ndi chithandizo cha tsiku limodzi.

3. Opaleshoni ya Microsurgery:

• Iyi ndiyo njira yokhayo yochotseratu chotupacho. Madokotala a opaleshoni ya mitsempha amachita opaleshoniyi mosamala kwambiri pogwiritsa ntchito zida zapadera. Njira yochitira opaleshoniyi ingasiyane malinga ndi malo ndi kukula kwa chotupacho.

• Pali mitundu ingapo ya opaleshoni ya microsurgery:
• Njira yapakati ya fossa: Njirayi imagwiritsidwa ntchito ngati chotupacho chili m'ngalande ya khutu ndipo ndi chaching'ono. Chotupacho chimachotsedwa kudzera mu kudula pang'ono mbali ya mutu.
• Njira yobwerezabwereza: Pachifukwa ichi, kudula kumapangidwa kumbuyo kwa khutu, ndipo chotupacho chimachotsedwa kudzera mu gawo la chigaza ndikulowa mkati mwa khutu.
• Njira ya Translabyrinthine : Njira iyi ingakulimbikitseni ngati mwataya kumva konse m'khutu limodzi. Chotupacho chimachotsedwa mwa kudula kumbuyo kwa khutu ndikuchotsa fupa la mkati mwa khutu. Mukachita izi, simudzamvanso m'khutu limenelo.

4. Mankhwala Ochepetsa Ululu:

• Izi sizigwiritsidwa ntchito kawirikawiri . Mankhwala otchedwa bevacizumab nthawi zina angathandize kuchepetsa zotupa, makamaka kusunga kumva kwa ana omwe ali ndi NF2. Amagwiritsidwanso ntchito pochiza necrosis ya radiation, vuto lomwe lingachitike pambuyo pa chithandizo cha radiation.

5. Chithandizo cha Kubwezeretsa Ma Vestibular:

• Nthawi zina, panthawi ya opaleshoni, ziwalo zina za mitsempha zomwe zimakhudzidwa ndi kukhazikika bwino zimayenera kuchotsedwa. Izi zingakhudze kukhazikika bwino kwa thupi. Chithandizo cha kubwezeretsa mitsempha ndi masewera olimbitsa thupi omwe amalimbitsanso thupi kuti libwezeretse ntchito ya mitsempha yotayika. Izi zimachitika ndi katswiri wa zamaganizo.

Kodi ndi mavuto otani omwe angabwere pambuyo pa opaleshoni ya microsurgery?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali mavuto ena omwe angachitike pambuyo pa opaleshoniyi. Gulu lanu lachipatala lidzakufotokozerani izi pasadakhale. Musadandaule, pali njira zochiritsira komanso njira zothanirana ndi zonsezi.

• Kutaya kapena kuchepa kwa kumva m'khutu limodzi.
• Kufa ziwalo pankhope (kungakhale kwakanthawi kapena kosatha).
• Tinnitus (kulira m'makutu).
• Kutuluka kwa madzi a m'mphuno (CSF).
• Mavuto a kusasinthasintha.
• Kuvuta kumeza.
• Chizungulire.
• Maso awiri kapena maso ouma.
• Mutu.
• Matenda.
• Matenda a Meningitis ( matenda ofanana ndi malungo muubongo - osowa kwambiri).
• Kukonzanso kukula kwa chotupa (kawirikawiri).

Ngati ndili ndi vuto la acoustic neuroma, ndiyenera kuyembekezera chiyani?

Zimadalira zinthu zambiri, monga matenda anu, mtundu wa chithandizo chomwe mudalandira, ndi mavuto aliwonse omwe adachitika. Dokotala wanu wa opaleshoni ya mitsempha adzakufotokozerani njira zochiritsira komanso mavuto omwe angakhalepo.

Nthawi zina, ngati muli ndi vuto la kumva, pali zipangizo zomwe zingakuthandizeni. Mwachitsanzo, mungagwiritse ntchito zinthu monga 'mafupa oyendetsera kumva' kapena 'zothandizira kumva' (CROS - contralateral routing of signals hearing aids) .

Kodi ndimadzisamalira bwanji?

Mukazindikira kuti muli ndi vuto la acoustic neuroma, mungamve mantha pang'ono komanso nkhawa, makamaka ngati dokotala wanu asankha kukuyang'anirani popanda chithandizo. Mungaganize zinthu monga, "Kodi chotupachi chidzakula? Kodi kumva kwanga kudzaipiraipira?" Pamenepo, funsani dokotala wanu kusintha komwe kukusonyeza kuti chotupacho chikukhudza mitsempha.

Ngati muli ndi zizindikiro, ndipo dokotala wanu akulangizani opaleshoni, thanzi lanu lingasinthe mukatha opaleshoni. Ngati ndi choncho, dokotala wanu angakulangizeni chithandizo cha vestibular rehabilitation, chomwe chatchulidwa kale. Izi zingakuthandizeni kubwerera ku zochita zanu zachizolowezi.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati muli ndi vuto la neuroma, mungafune kufunsa dokotala wanu mafunso monga awa:

• Kodi ndikufunika chithandizo, kapena chotupacho chidzayang'aniridwa?
• Kodi pali mwayi wotani woti khutu langa lipange kumvetsera kothandiza?
• Kodi pali mwayi wotani kuti chotupachi chidzabwerenso pambuyo pa opaleshoni kapena chithandizo cha radiation?
• Kodi ndili pachiopsezo chachikulu chotenga mitundu ina ya zotupa?
• Kodi ubwino ndi kuipa kwa opaleshoni ya acoustic neuroma ndi kotani?
• Kodi ndikufunika chithandizo chobwezeretsa thanzi langa pambuyo pa opaleshoni?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Acoustic neuroma ndi chotupa chomwe chikukula pang'onopang'ono, chosakhala khansa chomwe chingakhudze kumva kwanu komanso thanzi lanu. Koma musadandaule, pali mankhwala abwino ochichiritsira.

Dokotala wanu angakulangizeni opaleshoni kuti muchotse chotupacho. Ngati ndi choncho, mungakhale ndi mafunso ambiri okhudza opaleshoniyo, zomwe zidzachitike pambuyo pake, ngati idzakhudza kumva kwanu, ndi zotsatirapo zina. Izi ndi zachilendo. Gulu lanu lachipatala ndi lokonzeka kuyankha mafunso anu onse ndikuchepetsa mantha anu. Chifukwa chake, kambiranani nawo chilichonse chomwe chili m'maganizo mwanu.

Chofunika kwambiri ndikupempha upangiri wa dokotala nthawi yomweyo ngati muli ndi zizindikiro izi. Matendawa akapezeka msanga, chithandizocho chimayenda bwino kwambiri.

Acoustic neuroma, chotupa cha m'khutu, vestibular schwannoma, mitsempha yomvera, kutayika kwa kumva, tinnitus, vertigo