Ese hari ikibyimba nk'iki mu gutwi kwawe? (Acoustic Neuroma) Reka tubyigeho!

Ese hari igihe wumva umeze nk'aho ufite ikibazo cyo kutumva mu gutwi kumwe? Cyangwa wumva gusa urusaku ruhoraho mu gutwi kwawe, rimwe na rimwe ukumva uzungazunga, cyangwa utakaza uburimbane bwawe? Nubwo ibi ari ibintu rimwe na rimwe tutitaho cyane, hashobora kuba hari impamvu nto inyuma y'ibi. Uyu munsi tugiye kuvuga ku kibyimba gishobora kuba gifite impamvu nk'iyo, ariko kitari kanseri, kandi iyo ni indwara yitwa 'Acoustic Neuroma' .

Acoustic Neuroma ni iki?

Mu magambo make, acoustic neuroma ni ikibyimba kitanduye . Ibi bivuze ko kidakwirakwira mu bindi bice by'umubiri. Nanone cyitwa vestibular schwannoma . Iki kibyimba kiva ku mitsi iva mu gutwi kwawe imbere ijya mu bwonko. Mu by'ukuri, kiva ku mitsi ya 8 yo mu mutwe (vestibulocochlear nerve) mu mutwe wacu. Uyu mutsi ugufasha cyane cyane kumva (kumva) no kugumana kuringaniza (kuringaniza).

Tekereza uyu mutsi nk'agatsi gato gatwara ubutumwa buva mu gutwi bujya mu bwonko. Rero, iyo ikibyimba gito kivutse kuri uyu mutsi, gishobora kubangamira ihererekanya ry'ubwo butumwa. Uko ni ko kumva no kuringaniza bigira ingaruka.

Nubwo ibi bibyimba bidakwirakwira mu mubiri wose nk'uko kanseri ikura, bishobora kugira ingaruka ku matwi, bigatera gucurama mu matwi (tinnitus), bigatakaza uburinganire, ndetse rimwe na rimwe bigatera ububabare cyangwa intege nke ku ruhande rumwe rw'isura. Ubuvuzi bwo kubivura burimo kubagwa no kuvurwa hakoreshejwe imirasire. Chimiotherapie ntikenewe cyane.

Ese iyi ndwara yitwa acoustic neuroma ikunze kugaragara?

Oya, mu by’ukuri ntabwo ari ibintu bisanzwe. Umuntu umwe ku bantu 100.000 barwara iyi ndwara buri mwaka. Abantu bari hagati y’imyaka 65 na 74 bafite amahirwe menshi yo kuyirwara kurusha abakiri bato n’abana bato.

Ni ibihe bimenyetso by'indwara y'ubwonko ifata amajwi?

Ibimenyetso by'ibi ntibigaragara mu buryo butunguranye. Akenshi, bigaragara buhoro buhoro.

Ibimenyetso bishobora kugaragara mu ntangiriro:

• Gutakaza amatwi buhoro buhoro mu gutwi kumwe: Iki ni cyo kimenyetso gikunze kugaragara mu ntangiriro. Ushobora kudashobora kumva neza mu gutwi kumwe iyo urimo kuvugana kuri telefoni, cyangwa ushobora kumva ijwi rituje ku ruhande rumwe iyo umuntu arimo kuvuga.
• Kuvuga mu matwi: Ni uguhora wumva amajwi atandukanye mu matwi (urugero: ijwi ricurama, ijwi ricurama, cyangwa ijwi ricurama). Ibi bishobora kubangamira cyane abantu bamwe na bamwe.
• Ibibazo byo kuringaniza: Ushobora kumva ugiye kugwa uri kugenda, kandi bishobora kugorana kuguma ahantu hamwe.
• Vertigo: Kumva uzunguruka cyangwa uzunguruka hirya no hino. Ibi bishobora kuba bikomeye cyane.

Uko ikibyimba kigenda gikura, ibimenyetso bikurikira nabyo bishobora kugaragara:

• Kubabara mu maso cyangwa kubura ibinure: Hashobora kubaho kumva ubabaye ku ruhande rumwe rw'isura, cyangwa kumva imitsi idafite imbaraga kuri urwo ruhande.
• Kuribwa umutwe: Kuribwa umutwe kenshi, rimwe na rimwe bikaba bikomeye.
• Isesemi no kuruka.
• Impinduka mu buryohe: Ibiryo bishobora kugira uburyohe butandukanye n'uko bisanzwe.
• Kugorwa no kumira (Dysphagia).
• Ibibazo byo kureba: Kutabona neza cyangwa kureba kabiri.

Wibuke ko kugira ibi bimenyetso bitavuze ko ufite acoustic neuroma. Ariko, niba ukomeje kugira kimwe muri ibi bimenyetso, ni ngombwa kugana muganga kugira ngo akugire inama.

Kuki iyi neuroma y'amajwi ibaho?

Abashakashatsi ntibaramenya neza icyatera izi kanseri. Ariko ikizwi ni uko ziterwa n'ikura ridasanzwe ry'ubwoko bw'uturemangingo twitwa Schwann . Utu turemangingo twa Schwann ni uturemangingo dukora nk'agakingirizo gakingira imitsi yo mu bwonko bwacu, cyane cyane izigira uruhare mu kumva no kuringaniza.

Ikindi kintu ni uko abantu bafite ikibazo cya genetike cyitwa 'Neurofibromatosis type 2' (NF2) bashobora kurwara indwara ya acoustic neuromas ku mitsi yo mu bwonko ku mpande zombi z'ubwonko.

Ni gute wasuzuma ibi?

Iyo ugiye kwa muganga, abanza kukubaza ibimenyetso byawe. Hanyuma bazakora isuzuma ry'umubiri. Byongeye kandi, bashobora gukora ibizamini nka:

• Ibizamini byo gupima: Ibi bishobora gufasha kumenya neza niba ikibyimba gihari, ingano yacyo, n'aho giherereye.
• Isuzuma rya MRI (Magnetic Resonance Imaging): Ubu ni bwo buryo bwiza bwo kumenya neuroma y'amajwi.
• Gupima CT (Computed Tomography): Ibi nabyo rimwe na rimwe birakoreshwa.
• Ibizamini byo kumva: Ibizamini bitandukanye bikorwa kugira ngo harebwe uko wumva neza. Kimwe muri ibyo bizamini ni Auditory Brainstem Response (ABR) .
• Ibizamini byo kuringaniza: Hariho kandi ibizamini byo kugenzura ko uringaniye.
• Electronystagmography (ENG): Ibi bipima isano iri hagati y'imyitwarire y'amaso n'uburinganire.

Ni ubuhe buryo bwo kuvura neuroma y'amajwi?

Uburyo ibi bivurwa biterwa n'ibintu byinshi. Muri byo harimo:

• Ingano y'ikibyimba n'aho giherereye.
• Uburyo ikibyimba cyagize ingaruka ku buryo wumva neza no kuringaniza imiterere y'umubiri wawe.
• Imyaka yawe n'ubuzima bwawe muri rusange.

Hari uburyo bwinshi bw'ingenzi bwo kuvura:

1.Kwitegereza:

• Hari igihe, iyo ikibyimba ari gito cyane, iyo kirimo gukura buhoro buhoro, kandi niba nta bimenyetso bikomeye ufite, muganga wawe ashobora kukubwira ko utagomba kugira icyo ukora ubu kandi ugakurikirana ikibyimba ukoresheje MRI scans . Abantu benshi bamara imyaka myinshi nta kibazo bafite.

2. Kubaga imirasire ya stereotactic:

• Ibi ni nk'ubuvuzi bushingiye ku mirasire nta kubagwa. Byerekeza imirasire ikomeye kuri iki kibyimba. Bishobora kubuza ikibyimba gukura ndetse rimwe na rimwe kikagabanuka. Ntibyangiza cyane ingingo nzima zikikije. Ubusanzwe ni uburyo bwo kuvura bw'umunsi umwe.

3. Kubaga mikorosikopi:

• Ubu ni bwo buryo bwonyine bwo gukuraho burundu ikibyimba. Abaganga b'imitsi bakora ubu buryo bwo kubaga bakoresheje ibikoresho byihariye. Uburyo bwo kubaga bushobora gutandukana bitewe n'aho ikibyimba giherereye n'ingano yacyo.

• Hari ubwoko butandukanye bwo kubaga mikorosikopi:
• Uburyo bwo hagati bwa fossa: Ubu buryo bukoreshwa iyo ikibyimba kiri mu muyoboro w'ugutwi kandi kikaba gito ugereranyije. Ikibyimba gikurwaho binyuze mu gukata gato ku ruhande rw'umutwe.
• Uburyo bwo gusubira inyuma: Muri ubu buryo, hakorwa icyuho inyuma y'ugutwi, maze ikibyimba kigakurwaho binyuze mu gice cy'agahanga kikajya mu gutwi imbere.
• Uburyo bwa Translabyrinthine : Ubu buryo bushobora kugirwa inama niba watakaje burundu kumva mu gutwi kumwe. Ikibyimba gikurwaho no gukata inyuma y'ugutwi no gukuraho igufwa ry'ugutwi kw'imbere. Nyuma y'ubu buryo, ntuzongera kumva muri ubwo gutwi ukundi.

4. Ubumenyi bw'imiti ikoresha imiti igabanya ubukana:

• Ibi ntibikunze gukoreshwa. Umuti witwa bevacizumab rimwe na rimwe ushobora gufasha kugabanya ibibyimba, cyane cyane mu gutuma abana barwaye NF2 bagumana ubushobozi bwo kumva. Ukoreshwa kandi mu kuvura indwara ya radiation necrosis, ikibazo gishobora kubaho nyuma yo kuvurwa hakoreshejwe radiation.

5. Ubuvuzi bwo kuvura indwara zo mu majosi:

• Hari igihe, mu gihe cyo kubaga, ibice by'imitsi bifitanye isano no kuringaniza bigomba gukurwaho. Ibi bishobora kugira ingaruka ku kuringaniza k'umubiri. Ubuvuzi bwo kuvura indwara zo mu nda ni urukurikirane rw'imyitozo n'imyitozo itoza umubiri kongera gukora neza kugira ngo isubize imikorere y'imitsi yatakaye. Ibi bikorwa n'umuganga w'imitsi.

Ni izihe ngorane zishobora kubaho nyuma yo kubagwa mikorosikopi?

Nkuko bigenda mu kubagwa kose, hari ingorane zimwe na zimwe zishobora kubaho nyuma y’uku kubagwa. Itsinda ry’abaganga rizabigusobanurira mbere y’igihe. Ntugahangayike, hari uburyo bwo kuvura no kuvura hafi ya zose.

• Kubura cyangwa kugabanuka k'uburyo bwo kumva mu gutwi kumwe.
• Gupfa kw'isura (bishobora kuba iby'igihe gito cyangwa burundu).
• Kuvuga mu matwi (tinnitus).
• Kuva kw'amazi yo mu bwonko (CSF).
• Ibibazo byo kuringaniza.
• Kugorwa no kumira.
• Kuzungera.
• Kureba kabiri cyangwa amaso yumye.
• Umutwe.
• Indwara zandurira mu mubiri.
• Meningite ( indwara isa n'umuriro mu bwonko - idakunze kugaragara cyane).
• Kugaruka kwa kanseri (gake cyane).

Niba mfite neuroma y'amajwi, nkwiye kwitega iki?

Biterwa n'ibintu byinshi, nk'uko umerewe, ubwoko bw'ubuvuzi wahawe, n'ingorane zose zabayeho. Umuganga wawe w'imitsi azagusobanurira uburyo bwo kuvura n'ingorane zishobora kubaho.

Hari igihe, niba ufite ikibazo cyo kutumva, hari ibikoresho bishobora kugufasha. Urugero, ushobora gukoresha ibintu nka 'amagufwa atuma umuntu yumva' cyangwa 'amajwi afasha mu kumva' (CROS - contralateral routing of signals hearing aids) .

Nitwara nte?

Iyo umenye ko ufite indwara ya neuroma y’amajwi, ushobora kumva ufite ubwoba n’impagarara, cyane cyane iyo muganga wawe afashe icyemezo cyo kugukurikirana nta kuvurwa. Ushobora gutekereza ibintu nk'ibi, "Ese iki kibyimba kizaba kinini? Ese amatwi yanjye azarushaho kuba mabi?" Muri icyo gihe, baza muganga wawe impinduka zigaragaza ko iki kibyimba kirimo kugira ingaruka ku mitsi.

Niba ufite ibimenyetso, kandi muganga wawe akagusaba kubagwa, uburimbane bwawe bushobora kugira ingaruka nyuma yo kubagwa. Niba ari uko bimeze, muganga wawe ashobora kukugira inama yo kuvura indwara zo mu nda, nk'uko byavuzwe mbere. Ibi bishobora kugufasha gusubira mu mirimo isanzwe.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba ufite ikibazo cy’ubwonko mu maraso (neuroma), ushobora kubaza muganga wawe ibibazo nk'ibi bikurikira:

• Ese nkeneye kuvurwa, cyangwa ikibyimba kizakurikiranwa?
• Ni amahirwe angahe ko ugutwi kwanjye kuzatanga urwego rwiza rwo kumva?
• Ni amahirwe angahe ko iki kibyimba gishobora kongera kugaruka nyuma yo kubagwa cyangwa kuvurwa hakoreshejwe imirasire?
• Ese mfite ibyago byinshi byo kurwara izindi ndwara z'ibibyimba?
• Ni izihe nyungu n'ibibi byo kubaga neuroma y'amajwi?
• Ese nkeneye kuvurwa nyuma yo kubagwa?

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Acoustic neuroma ni ikibyimba gikura buhoro buhoro, kidaterwa na kanseri, gishobora kugira ingaruka ku matwi yawe no kuringaniza imiterere. Ariko ntugahangayike, hari uburyo bwiza bwo kuvura.

Muganga wawe ashobora kukugira inama yo kubagwa kugira ngo iki kibyimba gikureho. Niba ari uko bimeze, ushobora kuba ufite ibibazo byinshi bijyanye no kubagwa, uko bizagenda nyuma yacyo, niba bizagira ingaruka ku matwi yawe, n'izindi ngaruka mbi. Ibi ni ibisanzwe. Itsinda ry'abaganga bawe ryiteguye gusubiza ibibazo byawe byose no kugabanya ubwoba bwawe. Rero, vugana nabo ku kintu cyose kiri mu mutwe wawe.

Igikuru ni ukwihutira gushaka inama kwa muganga niba ufite ibi bimenyetso. Uko indwara igaragaye vuba, niko ubuvuzi burushaho kugenda neza.

Neuroma y'amajwi, ikibyimba cyo mu matwi, vestibular schwannoma, imitsi yo kumva, gutakaza amatwi, tinnitus, vertigo