Ngaba ngequbuliso ulahlekelwe kukuva kwenye indlebe waza waziva unesiyezi? Mhlawumbi uva isandi endlebeni yakho? Khawucinge nje, uhlala usebenzisa indlebe efanayo xa uthetha ngefowuni, kuba uqaphela ukuba awukwazi ukuva kakuhle kwenye indlebe. Ukuba uneempawu ezinje, unobangela usenokuba yimeko ebizwa ngokuba yi-Acoustic Neuroma. Ungakhathazeki, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Yintoni kanye kanye i-Acoustic Neuroma?
Ngamafutshane, i-Acoustic Neuroma sisimila
esingenabungozi esikhula endlebeni. Elinye igama laso yiVestibular Schwannoma. Esi simila sikhula kwimithambo-luvo ethwala imiqondiso esuka endlebeni yethu yangaphakathi ukuya ebuchotsheni. Ngokuchanekileyo, kwimithambo-luvo ye-8 ye-cranial okanye kwimithambo-luvo ye-vestibulocochlear ekhakhayini lethu. Esi simila sinemisebenzi emibini ephambili. Omnye
kukusinceda sive . Omnye
kukulawula ibhalansi yomzimba wethu . Ngoko ke xa isimila sikhula kule mithambo-luvo, zombini ezi misebenzi zinokuchaphazeleka.
Olu hlobo lwethumba alunamhlaza, kwaye uninzi lwexesha lukhula kancinci kakhulu. Ngoko ke akukho mfuneko yokukhathazeka. Nangona kunjalo, kubaluleke kakhulu ukufuna ingcebiso kagqirha ukuba iimpawu ziyavela.
Zithini iimpawu zale meko?
Iimpawu zinokwahluka ngokuxhomekeke kwindawo kunye nobukhulu bethumba. Ezi mpawu zisenokungabonakali ekuqaleni. Nangona kunjalo, njengoko ithumba likhula ngokuhamba kwexesha, iimpawu zinokwanda.
| Iimpawu Zakuqala | Iimpawu zamva ezinokwenzeka njengoko ithumba likhula |
|---|
| Ukulahlekelwa kancinci kancinci kokuva kwindlebe enye: Olu lolona phawu luqhelekileyo. Kwabanye abantu, lunokwenzeka ngequbuliso. | Ubuso obungenamsebenzi okanye ubuthathaka: Le meko inokwenzeka xa ithumba likhula kwaye licinezela imithambo-luvo ebusweni. |
| I-Tinnitus: Isandi esingapheliyo sokukhala okanye ukubhuza endlebeni echaphazelekayo. | Intloko ebuhlungu: Intloko ebuhlungu engapheliyo eyahlukileyo kwintloko eqhelekileyo. |
| Iingxaki zokulinganisela: ukuziva unesizungu xa uhamba, uzive ngathi uyajikeleza nangona umi ungashukumi (vertigo). | Isicaphucaphu nokuhlanza. |
| Ukuziva ugcwele endlebeni. | Utshintsho kwincasa. |
| Ubunzima bokuginya. |
| Umbono ofipheleyo okanye umbono ophindwe kabini. |
Kutheni ithumba elinje lenzeka?
Kukho uhlobo lweseli olujikeleze umthambo endithethe ngawo ngaphambili. Ezi zibizwa ngokuba
ziiseli zeSchwann . Zifana neplastiki ejikeleze ucingo
lombane . Eli thumba lenzeka xa ezi seli zeSchwann ziqala ukwahlukana ngokungalawulekiyo ngesizathu esithile. Kodwa
oogqirha abasazi ukuba kutheni ezi seli zahlukana ngolu hlobo. Nangona kunjalo, abantu abanesimo esingaqhelekanga semfuza esibizwa ngokuba yi-'Neurofibromatosis type 2' basengozini yokufumana izimila ezinje kumacala omabini.
Ugqirha uyifumana njani le nto?
Ukuba unale mpawu, ugqirha wakho uza kuqala akubuze ngeempawu zakho aze akuhlole. Emva koko unokuyalela iimvavanyo ezininzi ukuqinisekisa imeko.
- Ii-MRI kunye nee-CT scans : Ezi zezona ndlela zibalaseleyo zokubona ukuba ithumba likhona na, likhulu kangakanani, kwaye likuphi.
- Uvavanyo lokuva: Kuyenziwa uvavanyo olwahlukeneyo ukujonga ukuba ukuva kwakho kunjani. `Impendulo yeNgqondo yokuva` lolunye lovavanyo olukhethekileyo.
- Uvavanyo lwebhalansi : Olu vavanyo lujonga indlela ibhalansi yakho echaphazeleka ngayo. I-Electronystagmography lolunye uvavanyo olunokusetyenziswa ukujonga oku.
Zithini iindlela zonyango zoku?
Isicwangciso sonyango sixhomekeke kwizinto ezininzi, kuquka ubudala bakho, impilo, ubungakanani bethumba, indawo elikuyo, kunye nohlobo lweempawu zakho. Kukho iindlela ezininzi zonyango eziphambili.
1. Ukubukela nje (Ukubukela)
Ukuba ithumba lincinci kakhulu, alikhuli, kwaye awunazo naziphi na iimpawu ezinkulu, ugqirha wakho unokucebisa ukuba ulinde ithutyana ngaphandle konyango. Nangona kunjalo, ngeli xesha
, uya kwenziwa ii-MRI scans rhoqo ukuze ujonge ithumba ukuba alinaluphi na utshintsho. Ekubeni eli lithumba elingengobungozi, le yinkqubo ekhuselekileyo.
2. Unyango olukhethekileyo lwemitha (utyando lwemitha olubizwa ngokuba yi-Stereotactic Radiosurgery)
Nangona isithi "utyando" egameni, olu asilotyando ngokwenene. Okwenziwayo apha
kukuba umsebe wemitha ujoliswe kwithumba ngokuchanekileyo okukhulu, ngaphandle kokulimaza izicwili eziphilileyo ezijikelezileyo. Oku kungayithintela ithumba ekukhuleni okanye kuyenze inciphe.
3. Utyando
Eyona ndlela yokususa ngokupheleleyo eli thumba kukuhlinzwa. Ugqirha udlula ekhayeni aze asebenzise izixhobo ezincinci kakhulu (microsurgery) ukususa ithumba ngaphandle kokonakalisa imithambo-luvo ebalulekileyo ejikeleze lona. Inkqubo yotyando inokwahluka ngokuxhomekeke kubukhulu nendawo elikuyo ithumba.
4. Unyango ngamakhemikhali
Oku akusetyenziswa rhoqo. Amayeza afana ne-'Bevacizumab' ngamanye amaxesha asetyenziselwa ukunciphisa iithumba. Ingasetyenziselwa ukugcina ukuva, ingakumbi ebantwaneni, kunye nokunyanga iziphumo ebezingalindelekanga (necrosis) ezenzeka emva konyango lwemitha.
5. Unyango lokubuyisela iVestibular Rehabilitation Therapy
Abanye abantu banokuba neengxaki zokulinganisela emva kotyando. Ukuba oku kuyenzeka, ingcali ye-physiotherapist ingakunceda
ngemithambo ekhethekileyo ukukunceda ubuyisele ukulinganisela .
Ndingayibuza ntoni ugqirha?
Kuqhelekile ukuba nemibuzo xa ufumanisa ukuba unale meko. Ungathandabuzi ukubuza le mibuzo xa uthetha nogqirha wakho.
- Ngaba ndifuna unyango ngoko nangoko, okanye kungcono ndimjonge nje?
- Kuza kuba njani ukuva kwam emva konyango?
- Lingakanani ithuba lokuba eli thumba libuye emva kotyando okanye unyango lwemitha ?
- Ngaba ndisemngciphekweni wokufumana ezinye iintlobo zeethumba?
- Zithini iingozi kunye neenzuzo zotyando ?
- Ngaba ndiza kufuna ukuvuselelwa emva konyango?
Umyalezo Wokuya Ekhaya
- I-Acoustic Neuroma sisimila esingengomhlaza, esikhula kancinci, ngoko ke akukho mfuneko yokoyika.
- Iimpawu zokuqala eziphambili kukulahlekelwa kukuva kwindlebe enye, ukukhala kwendlebe, kunye neengxaki zokulinganisela.
- Ukuba unale mpawu, qiniseka ukuba ubona ugqirha ukuze akunike ingcebiso.
- Asinguye wonke umntu odinga utyando. Ngamanye amaxesha, ukuqwalasela ithumba okanye unyango ngemitha lunokwanela.
- Ungathandabuzi ukubuza ugqirha wakho nayiphi na imibuzo onayo, nokuba mincinci kangakanani na. Ukuba nolwazi olufanelekileyo yeyona nto ibalulekileyo.
I-Acoustic Neuroma, i-Vestibular Schwannoma, i-tumor yendlebe, ukulahleka kokuva, i-Tinnitus, i-Vertigo, ukulahleka kokulinganisela, i-8th cranial nerve, utyando
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