Ngaba nawe uvakalelwa kukuba ukuva kwakho kwindlebe enye kuyehla kancinci kancinci? Okanye uhlala usiva isandi esithi 'C' (tinnitus) endlebeni yakho? Ngaba ngamanye amaxesha uyalahlekelwa yibhalansi yakho kwaye uzive unesizungu? Abantu abaninzi bayayilahla le nto "njengezinto eziqhelekileyo ezenzeka njengoko ukhula." Kodwa ezi zinokuba ziimpawu zokuqala zesifo esibizwa ngokuba yi-Acoustic Neuroma, esithetha ngaso namhlanje. Ungakhathazeki, siza kuthetha ngayo yonke into ngokucacileyo.
Ngamafutshane, yintoni i-Acoustic Neuroma?
I-Acoustic Neuroma, ekwaziwa ngokuba yiVestibular Schwannoma, ayilomhlaza . Lithumba elingelomhlaza elikhula kwimithambo-luvo yesibhozo yentloko, edibanisa ingqondo yethu kunye nendlebe yangaphakathi.
Cinga ngale mithambo-luvo njenge-'cable' ethwala ulwazi oluya engqondweni nasezindlebeni zethu. Ineenxalenye ezimbini eziphambili.
1. Inxalenye edlulisela isandi: Le nxalenye ithwala izandi esizivayo izise engqondweni.
2. Inxalenye elawula ibhalansi: Le nxalenye ithumela ulwazi malunga nebhalansi yomzimba wethu ukusuka endlebeni engaphakathi ukuya engqondweni.
I-Acoustic Neuroma sisimila esikhula kwimithambo-luvo. Ezi zimila zihlala zikhula kancinci kakhulu, kangangeminyaka emininzi . Nangona zingasasazeki engqondweni njengomhlaza, njengoko isimila sikhula, sinokubangela uxinzelelo engqondweni nakwimithambo-luvo ejikelezileyo. Umzekelo, sinokubangela uxinzelelo kwimithambo-luvo elawula ukubonakala kobuso kunye neemvakalelo. Ukuba isimila siba sikhulu kakhulu, sinokucinezela isiqu sobuchopho okanye i-cerebellum, enokuba yingozi ebomini. Ngoko ke kubalulekile ukuqaphela oku.
Zithini iimpawu zale meko?
Iimpawu zokuqala zale meko azibonakali kakuhle, nto leyo eyenza kube nzima ukuzibona. Ngokuqhelekileyo, uphawu lokuqala luba kukulahlekelwa kancinci kokuva kwenye indlebe . Oku kunokukhatshwa sisandi sokukhala (i-tinnitus) okanye ukuziva ugcwele endlebeni. Amaxesha amaninzi, ukulahlekelwa kukuva ngequbuliso kunokwenzeka.
Ezinye iimpawu ezinokuvela ngokuhamba kwexesha zidweliswe kwitheyibhile engasezantsi.
| Uphawu | Kwenzeka njani oku |
|---|---|
| Iingxaki zokulinganisela | Ukuxakeka, njengokuba uhamba, ubunzima bokuhlala ungashukumi. |
| I-Vertigo | Ukuziva ngathi wena okanye ihlabathi liyakujikeleza. |
| Ubuso obungenamsebenzi kunye nokurhawuzelela | Le meko isenokuqhubeka okanye ifike ize idlule. |
| Ubuthathaka bobuso | Ukuziva ngathi icala elinye lobuso liyatsalwa okanye ukungakwazi ukulawula izihlunu. |
| Utshintsho kwincasa | Ukuziva wahlukile kunokuba ukutya kunencasa eyahlukileyo. |
| Ubunzima bokuginya kunye nokurhawuzelela | Ubunzima bokuginya ukutya nokusela kunye nokutshintsha kwelizwi. |
| Intloko ebuhlungu | Intloko ebuhlungu rhoqo nengapheliyo. |
| Ukungazinzi kunye nokungakhathali | Ubunzima bokwenza imisebenzi, ukulahlekelwa kukulawula amalungu omzimba. |
| Ukudideka | Iingxaki ngenkumbulo kunye nokucaca kwengcinga. |
Eyona nto ibalulekileyo kukuba ukuba unale mpawu, ngokuqinisekileyo kufuneka ubonane nogqirha wakho. Iimpawu ezinje ngokungakwazi ukuthetha kakuhle nokudideka, ingakumbi, zinokuba luphawu lwemeko enzima efuna unyango olungxamisekileyo. Kwimeko enjalo, kububulumko ukuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
Yintoni ebangela ukuba la mathumba akheke?
Kukho iintlobo ezimbini eziphambili ze-acoustic neuroma.
1. Uhlobo olungaqhelekanga: Olu lolona hlobo abantu abaninzi abaluhlakulelayo. Oogqirha abakafumani sizathu sithile sale nto.
2. Indlela enxulumene ngayo ne-Neurofibromatosis uhlobo lwesibini (NF2): I-NF2 yimeko engaqhelekanga yemfuza. Abantu abanale meko bahlakulela iithumba ezingezizo zomhlaza kwinkqubo yemithambo-luvo yomzimba. I-Acoustic Neuroma lolona hlobo luqhelekileyo lwethumba. Abantu abane-NF2 badla ngokuhlakulela ezi thumba kuzo zombini iindlebe xa beneminyaka engama-30 ubudala.
Nangona kunjalo, yi-5% kuphela yezigulane ezine-acoustic neuroma ezine-NF2. Oko kuthetha ukuba yi-95% yazo eziluhlobo lwe-idiopathic. Eyona nto ibalulekileyo yomngcipheko woku kukuvezwa kwimitha ephezulu yelanga entloko nasentanyeni .
Ziziphi iindlela zonyango?
Kukho iindlela ezintathu eziphambili zonyango loku.
1. Ukuqwalasela: Oku kukwabizwa ngokuba 'kukulinda ngononophelo'. Ekubeni ii-neuromas ze-acoustic azingomhlaza kwaye zinokukhula kancinci, unyango lusenokungabi yimfuneko ngoko nangoko. Ugqirha wakho uza kujonga ukukhula kwethumba ngovavanyo olufana nee-MRI scans rhoqo. Kuphela xa ithumba likhula ngokukhawuleza okanye ukuba kuvela iimpawu ezinzulu apho kuya kuqwalaselwa ezinye iindlela zonyango.
2. Utyando: Utyando lunokususa yonke okanye inxalenye yethumba. Kukho iindlela ezintathu eziphambili zotyando lokwenza oku.
| Indlela yotyando | Indlela yokwenza kunye nolwazi olubalulekileyo |
|---|---|
| I-Translabyrinthine | Kwenziwa umsikelo emva kwendlebe, kwaye ithambo elingasemva kwendlebe kunye nenxalenye yendlebe ephakathi ziyasuswa ukuze zifikelele kwithumba. Oku kusetyenziswa kwiithumba ezinkulu kuneesentimitha ezi-3. Inzuzo: Ugqirha unokubona ngokucacileyo umthambo wobuso. Ingxaki: Emva kolu tyando, ukuva kuloo ndlebe kuyaphela ngokupheleleyo. |
| I-Retrosigmoid/sub-occipital | Ikhaka livuleka ngasemva kwentloko ukuze lifikelele ngasemva kwethumba. Eli khaka lingasetyenziselwa iithumba ezinobukhulu obungakanani na kwaye linamandla okugcina ukuva . |
| I-Middle fossa | Iqhekeza elincinci lethambo elingaphezulu komjelo wendlebe liyasuswa ukuze lifikelele kwithumba. Oku kusetyenziswa kwiithumba ezincinci ezivaleleke kwindlela encinci ekhokelela kwindlebe yangaphakathi (umjelo wangaphakathi wokuva). Le ndlela ikwanethuba eliphezulu lokugcina ukuva . |
3. Unyango lweMisebe: Unyango lweMisebe ngamanye amaxesha luyacetyiswa. Ngeteknoloji yanamhlanje, iidosi eziphezulu zemitha zinokuthunyelwa kwithumba ngelixa kunciphisa umonakalo kwizicubu eziphilileyo ezijikelezileyo. Olu nyango lubangela ukuba iiseli zethumba zife. Oku kungayiyekisa ithumba ekukhuleni, kulinciphise, okanye kulwenze libe lincinci. Nangona kunjalo, aluyisusi ngokupheleleyo ithumba njengoko utyando lunokwenza.
Kukho iindlela ezimbini eziphambili zokunikwa unyango lwemitha:
- Utyando lwe-radiosurgery oluyi-single fraction stereotactic (SRS): Kwiseshoni enye, amakhulu emitha emincinci ye-radiation ajoliswe kwi-tumor.
- Unyango lwe-radiotherapy olune-stereotactic olune-multi-session fractionated stereotactic (FRS): Iidosi ezincinci ze-radiation zinikwa imihla ngemihla kwiiveki ezininzi. Izifundo zokuqala zibonisa ukuba le ndlela inokuthi igcine ukuva kune-SRS.
Zombini ezi ndlela zonyango zonyango lwangaphandle, oko kuthetha ukuba akufuneki uhlale esibhedlele.
Ulukhetha njani unyango olufanelekileyo kuwe?
Isigqibo sokuba loluphi unyango olulungele wena siya kusekelwa kwizinto ezahlukeneyo.
- Ubungakanani bethumba.
- Nokuba ithumba liyakhula na.
- iminyaka yakho.
- Ezinye izifo onazo.
- Ubukhali beempawu zakho kunye nendlela ezichaphazela ngayo ubomi bakho bemihla ngemihla.
Ugqirha wakho uza kukuchazela konke oku.
Umyalezo Wokuya Ekhaya
- I-Acoustic Neuroma ayilomhlaza, kodwa inokukhula kwaye ichaphazele ingqondo kunye nemithambo-luvo ejikelezileyo.
- Musa ukuyityeshela iimpawu zokuqala ezifana nokulahlekelwa kancinci kancinci kokuva kwenye indlebe, ukukhala kwendlebe, okanye ukulahleka kokulinganisela. Musa ukucinga ukuba "izinto ziyenzeka njengoko ukhula."
- Ukuba unayo nayiphi na kwezi mpawu, funa ingcebiso yezonyango ngokukhawuleza, kungcono ukuba uyifumane kugqirha wendlebe, impumlo, nomqala (ENT).
- Kukho unyango olusebenzayo olufana nokujonga, utyando, kunye nonyango lwemitha.
- Xoxa nogqirha wakho ngonyango olufanelekileyo kwimeko yakho, uqonde okulungileyo nokubi, uze wenze isigqibo.
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