Ingabe nawe uzizwa sengathi ukuzwa kwakho endlebeni eyodwa kuncipha kancane kancane? Noma ingabe uhlala uzwa umsindo we-'C' (i-tinnitus) endlebeni yakho? Ingabe ngezinye izikhathi ulahlekelwa yibhalansi yakho futhi uzizwe udidekile? Abantu abaningi bayazamukela lezi zinto njengezinto "ezivamile ezenzeka njengoba ukhula." Kodwa lezi zingaba futhi izimpawu zokuqala zesimo esibizwa ngokuthi i-Acoustic Neuroma, esikhuluma ngaso namuhla. Ungakhathazeki, sizokhuluma ngakho konke ngokucacile.
Kalula nje, iyini i-Acoustic Neuroma?
I-Acoustic Neuroma, eyaziwa nangokuthi i-Vestibular Schwannoma, ayiyona umdlavuza . Iyisimila esingeyona umdlavuza esikhula emthanjeni wesishiyagalombili we-cranial, oxhumanisa ubuchopho bethu nendlebe yangaphakathi.
Cabanga ngalo mthambo 'njengentambo' ethwala ulwazi ebuchosheni nasezindlebeni zethu. Unezingxenye ezimbili eziyinhloko.
1. Ingxenye edlulisela umsindo: Le ngxenye ithwala imisindo esiyizwayo iyiyise ebuchosheni.
2. Ingxenye elawula ibhalansi: Le ngxenye ithumela ulwazi mayelana nebhalansi yomzimba wethu kusukela endlebeni yangaphakathi kuya ebuchosheni.
I-Acoustic Neuroma iyisimila esikhula emthanjeni. Lezi zimila zivame ukukhula kancane kakhulu, eminyakeni eminingi . Nakuba zingasabalali ebuchosheni njengomdlavuza, njengoba isimila sikhula, singabeka ingcindezi ebuchosheni nasezinzwa ezizungezile. Isibonelo, singabeka ingcindezi ezinzwa ezilawula ukubonakaliswa kobuso nemizwa. Uma isimila siba sikhulu kakhulu, singacindezela isiqu sobuchopho noma i-cerebellum, okungaba yingozi empilweni. Ngakho-ke kubalulekile ukuqaphela lokhu.
Ziyini izimpawu zalesi simo?
Izimpawu zokuqala zalesi simo azicacile, okwenza kube nzima ukuzibona. Ngokuvamile, uphawu lokuqala luwukulahlekelwa kancane kancane kokuzwa endlebeni eyodwa . Lokhu kungase kuhambisane nomsindo wokukhala (i-tinnitus) noma umuzwa wokugcwala endlebeni. Akuvamile kakhulu, ukulahlekelwa ukuzwa kungazelelwe kungenzeka.
Ezinye izimpawu ezingase zivele ngokuhamba kwesikhathi zibhalwe kuthebula elingezansi.
| Isibonakaliso | Kwenzeka kanjani |
|---|---|
| Izinkinga zokulinganisela | Ukungazethembi, njengalapho uhamba, ubunzima bokuhlala unganyakazi. |
| I-Vertigo | Ukuzizwa sengathi wena noma umhlaba uyakujikeleza. |
| Ubuso obungenamizwa kanye nokuqaqamba | Lesi simo singase siqhubeke noma sifike sidlule. |
| Ubuthakathaka bobuso | Ukuzwa sengathi uhlangothi olulodwa lobuso luyadonswa noma ukulahlekelwa ukulawula imisipha. |
| Izinguquko zokunambitha | Ukuzizwa uhlukile kunokuba ukudla kunambitheke ngendlela ehlukile. |
| Ubunzima bokugwinya kanye nokushoshozela | Ubunzima bokugwinya ukudla nokuphuza kanye nokushintsha kwezwi. |
| Ubuhlungu bekhanda | Ubuhlungu bekhanda obuhlala bukhona, obungapheli. |
| Ukungazinzi kanye nokungakhululeki | Ubunzima bokwenza imisebenzi, ukulahlekelwa ukulawula izitho zomzimba. |
| Ukudideka | Izinkinga ngenkumbulo kanye nokucaca komcabango. |
Into ebaluleke kakhulu ukuthi uma unalezi zimpawu, kufanele nakanjani ubone udokotela wakho. Izimpawu ezinjengokungakhululeki nokudideka, ikakhulukazi, zingaba uphawu lwesimo esibucayi esidinga ukwelashwa okuphuthumayo. Esimweni esinjalo, kuwukuhlakanipha ukuya ngokushesha e-Emergency Treatment Unit (ETU) yesibhedlela.
Yini ebangela ukuthi la mathumba akheke?
Kunezinhlobo ezimbili eziyinhloko ze-acoustic neuroma.
1. Uhlobo olungavamile: Lolu uhlobo olukhula kubantu abaningi. Odokotela abakayitholi imbangela ethile yalokhu.
2. Indlela okuhlobene ngayo ne-Neurofibromatosis uhlobo lwesibili (NF2): I-NF2 yisimo esingavamile sofuzo. Abantu abanalesi simo bahlakulela izimila ezingezona umdlavuza ohlelweni lwezinzwa zomzimba. I-Acoustic Neuroma uhlobo oluvame kakhulu lwesimila. Abantu abane-NF2 bavame ukuba nalezi zimila kuzo zombili izindlebe lapho beneminyaka engu-30.
Kodwa-ke, yi-5% kuphela yeziguli ezine-acoustic neuroma ezine-NF2. Lokho kusho ukuthi yi-95% yazo eziwuhlobo lwe-idiopathic. Okuwukuphela kwento eyaziwayo eyingozi yalokhu ukuchayeka emithanjeni ephezulu yemisebe ekhanda nasentanyeni .
Yiziphi izindlela zokwelapha?
Kunezindlela ezintathu zokwelapha eziyinhloko zalokhu.
1. Ukuqaphela: Lokhu kubizwa nangokuthi 'ukulinda ngokuqapha'. Njengoba ama-neuromas e-acoustic engewona umdlavuza futhi angakhula kancane kakhulu, ukwelashwa kungase kungadingeki ngokushesha. Udokotela wakho uzoqapha ukukhula kwesimila ngezivivinyo ezifana ne-MRI scans ngezikhathi ezivamile. Kuphela uma isimila sikhula ngokushesha noma uma kuvela izimpawu ezinkulu lapho kuzocatshangelwa khona ezinye izindlela zokwelapha.
2. Ukuhlinzwa: Ukuhlinzwa kungasusa yonke noma ingxenye yesimila. Kunezindlela ezintathu eziyinhloko zokuhlinzwa zalokhu.
| Indlela yokuhlinzwa | Indlela kanye nolwazi olubalulekile |
|---|---|
| I-Translabyrinthine | Kwenziwa ukusika ngemuva kwendlebe, bese kususwa ithambo elingemuva kwendlebe kanye nengxenye yendlebe ephakathi ukuze kufinyelelwe esimila. Lokhu kusetshenziselwa izimila ezingaphezu kwamasentimitha amathathu. Inzuzo: Udokotela ohlinzayo angayibona kahle inzwa yobuso. Ububi: Ngemva kwalokhu kuhlinzwa, ukuzwa kuleyo ndlebe kuyaphela ngokuphelele. |
| I-Retrosigmoid/sub-occipital | Ugebhezi luvuleka ngemuva kwekhanda ukuze lufinyelele ngemuva kwesimila. Lokhu kungasetshenziswa ezimila zanoma yiluphi usayizi futhi kunamandla okulondoloza ukuzwa . |
| I-fossa ephakathi | Ingcezu encane yethambo ngaphezu komsele wendlebe iyasuswa ukuze ifinyelele isimila. Lokhu kusetshenziselwa izimila ezincane ezivaleleke endleleni encane eholela endlebeni yangaphakathi (umsele wangaphakathi wokuzwa). Le ndlela inethuba eliphezulu lokulondoloza ukuzwa . |
3. Ukwelashwa Ngemisebe: Ukwelashwa ngemisebe ngezinye izikhathi kuyanconywa. Ngobuchwepheshe besimanje, imithamo ephezulu yemisebe ingalethwa esigaxeni ngenkathi kunciphisa umonakalo ezicutshini eziphilile ezizungezile. Lokhu kwelashwa kubangela ukuthi amangqamuzana esigaxa afe. Lokhu kungavimba isigaxa ekukhuleni, kusinciphise, noma kusenze sibe sincane. Kodwa-ke, akusisusi ngokuphelele isigaxa njengoba ukuhlinzwa kungenza.
Kunezindlela ezimbili eziyinhloko zokwelashwa ngemisebe:
- Ukuhlinzwa kwe-radiosurgery ye-stereotactic ye-single fraction (SRS): Esikhathini esisodwa, amakhulu emisebe emincane yemisebe iqondiswe esimila.
- Ukwelashwa ngemisebe ye-stereotactic ehlukaniswe ngamaseshini amaningi (i-FRS): Kunikezwa imithamo emincane yemisebe nsuku zonke emavikini amaningana. Izifundo zokuqala zisikisela ukuthi le ndlela inamathuba amaningi okugcina ukuzwa kune-SRS.
Zombili lezi zindlela zokwelapha ziyindlela yokwelapha ngaphandle kwesibhedlela, okusho ukuthi akudingeki uhlale esibhedlela.
Ukhetha kanjani ukwelashwa okufanele wena?
Isinqumo sokuthi yikuphi ukwelashwa okungcono kakhulu kuwe sizosekelwe ezintweni eziningana.
- Usayizi wesimila.
- Ukuthi isimila siyakhula yini.
- iminyaka yakho.
- Ezinye izifo onazo.
- Ubukhali bezimpawu zakho nokuthi zithinta kanjani impilo yakho yansuku zonke.
Udokotela wakho uzochaza konke lokhu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Acoustic Neuroma ayiwona umdlavuza, kodwa ingakhula futhi ithinte ubuchopho kanye nezinzwa ezizungezile.
- Ungazinaki izimpawu zokuqala njengokulahlekelwa ukuzwa kancane kancane endlebeni eyodwa, ukukhala endlebeni, noma ukulahlekelwa ibhalansi. Ungacabangi ukuthi "izinto ziyenzeka njengoba ukhula."
- Uma unezinye zalezi zimpawu, funa iseluleko sezokwelapha ngokushesha, okungcono kakhulu kudokotela ohlinzayo wezindlebe, impumulo nomphimbo (ENT).
- Kunezindlela zokwelapha ezisebenzayo ezifana nokubuka, ukuhlinzwa, kanye nokwelashwa ngemisebe.
- Xoxa nodokotela wakho ngokwelashwa okungcono kakhulu kwesimo sakho, uqonde izinzuzo nezingozi, bese unquma.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho