Ingabe uke walahlekelwa ukuzwa ngokuzumayo kwenye indlebe wazizwa unesiyezi? Mhlawumbe uzwa ukukhala endlebeni yakho? Cabanga nje, uhlala usebenzisa indlebe efanayo uma ukhuluma ocingweni, ngoba uqaphela ukuthi awukwazi ukuzwa kahle kwenye indlebe. Uma unezimpawu ezinjengalezi, imbangela ingaba yisimo esibizwa ngokuthi i-Acoustic Neuroma. Ungakhathazeki, sizoxoxa ngalokhu ngendlela elula ongayiqonda.
Iyini ngempela i-Acoustic Neuroma?
Kalula nje, i-Acoustic Neuroma iyisimila
esingenabungozi esikhula endlebeni. Elinye igama lalokhu yi-Vestibular Schwannoma. Lesi simila sikhula emthanjeni othwala izimpawu ezivela endlebeni yethu yangaphakathi ziye ebuchosheni. Uma sikhuluma iqiniso, emthanjeni we-cranial wesi-8 noma emthanjeni we-vestibulocochlear ekhanda lethu. Le nzwa inemisebenzi emibili eyinhloko. Omunye
ukusisiza sizwe . Omunye
ukulawula ibhalansi yomzimba wethu . Ngakho-ke lapho isimila sikhula kulo mthambo, yomibili le misebenzi ingathinteka.
Lolu hlobo lwesimila alunawo umdlavuza, futhi isikhathi esiningi lukhula kancane kakhulu. Ngakho-ke asikho isidingo sokukhathazeka. Kodwa-ke, kubaluleke kakhulu ukufuna iseluleko sezokwelapha uma kuvela izimpawu.
Ziyini izimpawu zalesi simo?
Izimpawu zingahluka kuye ngendawo kanye nobukhulu besimila. Lezi zimpawu zingase zingabonakali ekuqaleni. Kodwa-ke, njengoba isimila sikhula ngokuhamba kwesikhathi, izimpawu zingase zande.
| Izimpawu Zokuqala | Izimpawu zakamuva ezingase zenzeke njengoba isimila sikhula |
|---|
| Ukulahlekelwa kancane kancane kokuzwa endlebeni eyodwa: Lolu uphawu oluvame kakhulu. Kwabanye abantu, lungenzeka ngokuzumayo. | Ukungazweli noma ubuthakathaka bobuso: Lesi simo singavela lapho isimila sikhula futhi sicindezela imizwa ebusweni. |
| I-Tinnitus: Umsindo oqhubekayo wokukhala noma wokubhonga endlebeni ethintekile. | Ikhanda elibuhlungu: Ikhanda elibuhlungu elihlala njalo elihlukile kwekhanda elibuhlungu elivamile. |
| Izinkinga zokulinganisela: ukuzizwa unesizungu lapho uhamba, ukuzizwa sengathi uyajikeleza ngisho nalapho umile (i-vertigo). | Isicanucanu nokuhlanza. |
| Umuzwa wokugcwala endlebeni. | Izinguquko ekunambithekeni. |
| Ubunzima bokugwinya. |
| Umbono ofiphele noma umbono ophindwe kabili. |
Kungani kwakheka isimila esinjengalesi?
Kukhona uhlobo lweseli oluzungeze inzwa engikhulume ngayo ekuqaleni. Lawa abizwa ngokuthi
amaseli eSchwann . Kufana nesigxobo sepulasitiki esizungeze ucingo
lukagesi . Lesi simila sakha lapho la maseli eSchwann eqala ukuhlukana ngokungalawuleki ngesizathu esithile. Kodwa
odokotela abasazi kahle ukuthi kungani la maseli ehlukana kanje. Kodwa-ke, abantu abanesimo esingavamile sezakhi zofuzo esibizwa ngokuthi 'i-Neurofibromatosis uhlobo 2' basengozini yokuthola izimila ezinjengalezi kuzo zombili izinhlangothi.
Udokotela ukuthola kanjani lokhu?
Uma unalezi zimpawu, udokotela wakho uzoqala ngokukubuza ngezimpawu zakho bese ekuxilonga. Angase acele ukuhlolwa okuningana ukuqinisekisa isimo.
- Ama-MRI nama-CT scan : Lezi izindlela ezinhle kakhulu zokubona ukuthi isimila sikhona yini, sikhulu kangakanani, nokuthi sikuphi.
- Ukuhlolwa kokuzwa: Kwenziwa ukuhlolwa okuhlukahlukene ukuhlola ukuthi ukuzwa kwakho kuphilile kangakanani. `Impendulo Yobuchopho Bokuzwa` ingenye yezivivinyo ezikhethekile.
- Ukuhlolwa kwebhalansi : Lokhu kuhlolwa kubheka ukuthi ibhalansi yakho ithinteka kanjani. I-Electronystagmography ingenye yezivivinyo ezingasetshenziswa ukuhlola lokhu.
Yiziphi izindlela zokwelapha lokhu?
Uhlelo lokwelashwa luncike ezintweni eziningi, okuhlanganisa iminyaka yakho, impilo, ubukhulu besimila, indawo yaso, kanye nohlobo lwezimpawu zakho. Kunezindlela eziningana zokwelapha eziyinhloko.
1. Ukubuka nje (Ukubuka)
Uma isimila sisincane kakhulu, singakhuli, futhi ungenazo izimpawu ezinkulu, udokotela wakho angase asikisele ukuthi ulinde isikhashana ngaphandle kokwelashwa. Kodwa-ke, phakathi nalesi sikhathi
, uzoba ne-MRI scan njalo ukuze uqaphe isimila ukuze ubone noma yiziphi izinguquko. Njengoba lesi simila esingesona esibi, ngokuvamile inqubo ephephile.
2. Ukwelashwa ngemisebe okukhethekile (ukuhlinzwa kwemisebe kwe-Stereotactic)
Nakuba kuthiwa "ukuhlinzwa" egameni, lokhu akusikho ukuhlinzwa empeleni. Okwenziwa lapha
ukuthi umsebe wemisebe uqondiswe esigaxeni ngokunemba okukhulu, ngaphandle kokulimaza izicubu eziphilile ezizungezile. Lokhu kungavimba isigaxa ekukhuleni noma kusenze sinciphe.
3. Ukuhlinzwa
Ukuphela kwendlela yokususa lesi simila ngokuphelele ukuhlinzwa. Udokotela ohlinzayo udlula ekhanda bese esebenzisa amathuluzi amahle kakhulu (microsurgery) ukususa isimila ngaphandle kokulimaza imizwa ebalulekile esizungezile. Inqubo yokuhlinzwa ingahluka kuye ngobukhulu nendawo yesimila.
4. Ukwelashwa ngamakhemikhali
Lokhu akuvamile ukusetshenziswa. Imithi efana ne-'Bevacizumab' ngezinye izikhathi isetshenziselwa ukunciphisa izimila. Ingasetshenziswa ukugcina ukuzwa, ikakhulukazi ezinganeni, kanye nokwelapha imiphumela emibi (i-necrosis) eyenzeka ngemva kokwelashwa ngemisebe.
5. Ukwelashwa Kokuvuselelwa Kwe-Vestibular
Abanye abantu bangase babe nezinkinga zokulinganisela ngemva kokuhlinzwa. Uma lokhu kwenzeka, udokotela we-physiotherapist angakusiza
ngezivivinyo ezikhethekile ukuze akusize uthole ibhalansi .
Yini okufanele ngiyibuze udokotela?
Kuvamile ukuba nemibuzo uma uthola ukuthi unalesi simo. Unganqikazi ukubuza le mibuzo uma ukhuluma nodokotela wakho.
- Ingabe ngidinga ukwelashwa ngokushesha, noma kungcono ukumane ngibheke?
- Kuzoba njani ukuzwa kwami ngemuva kokwelashwa?
- Lingakanani ithuba lokuthi lesi simila sizobuya ngemva kokuhlinzwa noma ukwelashwa ngemisebe ?
- Ingabe ngisengozini yokuthola ezinye izinhlobo zezimila?
- Yiziphi izingozi nezinzuzo zokuhlinzwa ?
- Ingabe ngizodinga ukuvuselelwa ngemva kokwelashwa?
Umlayezo Wokuya Nawe Ekhaya
- I-Acoustic Neuroma iyisimila esingenawo umdlavuza, esikhula kancane kakhulu, ngakho-ke asikho isidingo sokwesaba.
- Izimpawu zokuqala eziyinhloko ukulahlekelwa ukuzwa endlebeni eyodwa, ukukhala endlebeni, kanye nezinkinga zokulinganisela.
- Uma unalezi zimpawu, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
- Akuwona wonke umuntu odinga ukuhlinzwa. Ngezinye izikhathi, ukubhekwa kwesimila noma ukwelashwa ngemisebe kungase kwanele.
- Unganqikazi ukubuza udokotela wakho noma yimiphi imibuzo onayo, kungakhathaliseki ukuthi mincane kangakanani. Ukuba nolwazi olufanele kuyinto ebaluleke kakhulu.
I-Acoustic Neuroma, i-Vestibular Schwannoma, Isimila sendlebe, Ukulahlekelwa ukuzwa, I-Tinnitus, I-Vertigo, Ukulahlekelwa ibhalansi, i-cranial nerve yesi-8, Ukuhlinzwa
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