Iyo inozivikanwawo se: acoustic neurinoma, vestibular schwannoma, chiremera chekuongorora
Acoustic neuroma inonzi breatin tumor inokonzera mitsipa iyo inomhanya kubva munzeve yomukati kusvika kuuropi. Kazhinji noutano hwakanaka hunofukidzwa nehupamhi hwemasero anonzi Schwann masero anoshanda nenzira imwechete iyo rubber kana kupfeka kwepurasitiki pamatafura emagetsi kushanda; kupa kuvharidzira uye kutsigirwa kwemaitiro emagetsi.
Apo masero aya anotanga kukura nekuwanda pahuwandu husingawanzoiti, an acoustic neuroma inogona kuitika.
Kuwanda kweAcoustic Neuroma
Acoustic neuroma inowanzoitika kune vanenge 2 kubva kune 100 000 vanhu kana pasina zvimwe zvinogadzirisa zvinhu. Chinhu chinonyanya kukosha chisina chikonzero chekugadzirisa anousous neuroma ndechokuvhiringidzika uye pane imwe dzidziso yokuti madhigirii emadhora mashoma emitemo yemusoro nemutsipa pazera duku anogona kuwedzera ngozi yako. Nepo pave pave nenhema yokuti kushandiswa kwefoni kwenguva refu kunogona kusanganiswa ne acoustic neuroma, tsvakurudzo haitsigire runyerekupe.
Acoustic neuroma yakawanda kana iwe une neurofibromatosis type 2 (NF2). Kana iwe ukaonekwa kuti une NF2, njodzi yako inowedzera kusvika kune 2 kubva kune 10 000 vanhu. Mune zvimwe zviitiko, acoustic neuroma inowanzoitika pakati pemakore makumi mashanu nemakumi manomwe emakore.
Symptoms of Acoustic Neuroma
Acoustic neuroma inhibits iyo inowanzoshanda yemitsipa inokonzerwa nekunzwa nekuenzanisa .
Symptoms of acoustic neuroma dzinosanganisira:
- kurasikirwa kwekunzwa kune rumwe rutivi
- vertigo
- tinnitus
Kana bundu racho richimanikidzira kurwisana nehutachiona, zviratidzo zvinogonawo kusanganisira:
- chiso chisina simba
- chiso chisina simba
- chiso chekuora mutezo
Kunyange zvazvo acoustic neuroma ichinge ichikura-chinokura, kana isingateereri inogona kuva yakakura kwazvo zvokuti inoputira kurwisana nehutano hwehutano hunokosha uye inogona kuva upenyu hunotyisidzira.
Kuziva
Kuongororwa kwe acoustic neuroma kunogona kuva kwakaoma (zvikurukuru kana chironda chacho chiri chiduku) nokuti zviratidzo zvinopindirana nezvimwe zvizhinji zvepfungwa dzomukati dzomukati. Zvimwe zveongororo zvakakosha zvikuru zvinoshandiswa kuongororwa nemamiriro aya ndezvi:
- Madigiriji
- CT scan
- MRI
MRI ndiyo nzira inoshandiswa yekuedza sezvo inogona kubatsira pakutsvaga tumakumbo maduku (2 mm muhukuru kana hukuru) kana yakashandiswa ne gadolinium kusiyana. CT inogona kushandiswa pakuona zviremara zvakakura kudarika 2 cm.
Kurapa
Mushonga unowanzobatanidza kubviswa kwechiremera. Zvisinei, kana chironda ichi chiduku uye chisingaiti, murwere uye chiremba angasarudza kutarisa tumarara. Izvi ndizvo zvakare kana murwere asina mukana wakanaka wekuvhiyiwa sevakwegura vakwegura vane nhoroondo yemwoyo uye mapapu chirwere. Kugadziriswa kwechiremera ichi kunotakura njodzi dzakasiyana-siyana kusanganisira dambudziko rekuti mishonga inopoteredza tumarara inogona kukuvara. Izvi zvinonyanya kuitika kana chironda ichi chikuru. Zvimwe zvingasarudzwa zvekurapa zvinosanganisira kupisa kwemaawa kana radiosurgery. Zvose izvi zvinorapwa zvinotarirwa kuderedza ukuru hwechirwere.
Mukuedza kuderedza dambudziko rekukuvadza mitsetse yakapoteredza tumarara, vamwe vanachiremba vanogona kusarudza kuita zvichemo zvishoma kuti vabvise vazhinji, asi kwete zvose, zvechirwere.
Kutevera kuvhiyiwa, chirwere chinonzi rayation chinogona kuitwa kuti chiparadze chinenge chese chinorara.
Kusakwanisa kubata acoustic neuroma kunogona kutungamirira kukunzwa nekusingaperi uye zvinetso zvepakati. Kana chironda chacho chiri chiduku, chiremba wako angada kunonoka kubvisa chirwere chacho, uye achatevera neMRI buri mwedzi 6 kusvika ku12. Kurambidza kurapwa kwenguva refu kunyange zvingaguma nokukanganisa kusingagadziki. Kuva nekukurukurirana pachena pamusoro pengozi pamwe nekubatsirwa kwekuregererwa kuvhiyiwa nechiremba wako kunofanirwa usati wasarudza chero zvisarudzo.
Sources:
Ferri, FF. (2017). Ferri's Clinical Advisor 2017. https://www.clinicalkey.com (Kubhadhara Kunodikanwa).
Medline Plus. Acoustic Neuroma. https://medlineplus.gov/acousticneuroma.html.
National Institute on Deafness uye Zvimwe Zvinetso Zvokukurukura. Vestibular Schwannoma (Acoustic Neuroma) uye Fibromatosis. http://www.nidcd.nih.gov/health/hearing/acoustic_neuroma.asp.
Pettersson, D, Mathiesen, T, Prochazka, M, Bergenheim, T, Florentzson, R, Harder, H ... Feychting M. (2014). Kushandiswa kwemazuva mazhinji kwemafoni uye acoustic neuroma ngozi. Epidemiology. 25 (2): 233-41. doi: 10.1097 / EDE.0000000000000058.