Eyaziwa nangokuthi: i-neurinoma yama-acoustic, i-schwannoma ye-vestibular, i-tumor
I-acoustic neuroma iyisisu esinomthelela esithinta izinzwa ezigijima kusukela endlebeni yangaphakathi kuya ebuchosheni. Izindebe ezivamile zempilo zimbozwe ungqimba lwamaseli abizwa ngokuthi ama-Schwann amangqamuzana asebenza ngendlela efanayo ukuthi ukugqoka i-rabber noma ipulasitiki kwimbambo kagesi isebenza; ukuhlinzekela ukusekela nokusekela izimo zesibindi.
Lapho la maseli eqala ukukhula futhi athule ngesilinganiso esingavamile, i-neuroma yama-acoustic ingenzeka.
Ukuvama kwe-Acoustic Neuroma
I-neuroma yama-acoustic ivele kuphela kubantu abangaba ngu-2 kwabangu-100,000 uma kungekho ezinye izici zokunqanda. Isizathu esivamile kakhulu esingezona zofuzo sokuthuthukisa i-neuroma ye-acoustic yi-traumatic auduma futhi kukhona inkolelo yokuthi imisebe encane yokumaza ngezinqubo zekhanda nentamo lapho usemncane ingandisa ingozi yakho. Ngenkathi kube khona amahemuhemu ukuthi ukusetshenziswa kwesikhathi eside kwefoni kungase kuhlotshaniswe ne-acoustic neuroma, ucwaningo alusekeli le nkohlakalo.
I-neuroma ye-Acoustic ivame kakhulu uma une-neurofibromatosis uhlobo 2 (NF2). Uma uthola ukuthi unesifo se-NF2, ingozi yakho iyanda kwabangu-2 kwabangu-10 000 abantu. Kunoma yikuphi, i-acoustic neuroma ivame ukuba khona phakathi kweminyaka engu-50 kuya kwangu-70 ubudala.
Izimpawu ze-Acoustic Neuroma
I-Acoustic neuroma inqabela umsebenzi ojwayelekile wezinzwa ezibhekene nokuzwa nokulinganisela .
Izimpawu ze-acurtic neuroma zifaka:
- ukulahleka kokuzwa ngakolunye uhlangothi
- i-vertigo
- tinnitus
Uma i-tumor icindezela ngokumelene ne-facial nerve, izimpawu zingase zibandakanye:
- ubunzima bokubukeka
- ubuthakathaka ebusweni
- ukukhubazeka ebusweni
Nakuba i-acoustic neuroma i-tumor ekhula kancane, uma ingaphathwa kabi ingaba mkhulu kakhulu kangangokuthi iqhuma ngokumelene nezakhiwo ezibalulekile zobuchopho futhi ingaba yingozi yokuphila.
Ukuxilongwa
Ukuxilongwa kwe-acoustic neuroma kungaba nzima (ikakhulukazi uma i-tumor encane) ngoba izimpawu zihambisana nezinye izinkinga eziningi ezingaphakathi. Ezinye izivivinyo eziwusizo kakhulu ezisetshenziselwa ukuhlonza lesi simo ziyi:
- I-audiogram
- CT scan
- I-MRI
I-MRI yiyona ndlela ekhethiwe yokuhlola njengoba ingaba usizo ekuboneni izicubu ezincane (2 mm ngobukhulu noma ngaphezulu) uma zisetshenziselwa umehluko we-gadolinium. I-CT ingahle isetshenziswe ekuboneni izicubu ezingaphezu kuka-2 cm.
Ukwelapha
Ukwelashwa ngokuvamile kuhilela ukususwa kokuhlinzwa kwesisu. Kodwa-ke, uma i-tumor encane futhi ingenasifo, isiguli nodokotela bangase bakhethe ukuqapha lesi sifo. Lokhu kunjalo futhi uma isiguli singesona sikhokhelo esihle sokuhlinzwa njengalabo asebekhulile abanomlando wenhliziyo nesifo sephaphu. Ukuziqhenya okuhlinzekwa kwe-tumor kunezingozi eziningana kubandakanya ingozi yokuthi izinzwa ezungeze lesi sifo zingalimala. Lokhu kuyiqiniso ikakhulukazi uma isisu sikhulu kakhulu. Ezinye izinketho zokwelapha zibandakanya ukwelashwa kwemishanguzo noma imisebe ye-radiosurgery. Zombili lezi zelako zihloswe ukunciphisa ubukhulu besisu.
Emzamweni wokunciphisa ingozi yokulimaza izinzwa ezungeze lesi sifo, abanye odokotela bangase bakhethe ukwenza ukuthengiswa komzimba okuyingxenye ukuze kususwe iningi, kodwa hhayi bonke, lesi sifo.
Ukulandela ukuhlinzwa, ukwelashwa kwama-radiation okuhlosiwe kungenziwa ukubhubhisa lonke lesi sifo.
Ukwehluleka ukuphatha i-acoustic neuroma kungabangela izinkinga zokuzwa ngokugcwele nokulinganisela. Uma lesi sifo sincane, udokotela wakho ohlinzayo angase afune ukubambezela ngokuhlinzwa ngokukhipha isisu, futhi azolandela nge-MRI njalo ezinyangeni ezingu-6 kuya kwezingu-12. Ukulahla ukwelashwa isikhathi eside kakhulu kungakhathaliseki ukuthi kungabangela umonakalo ongaphenduki. Ukuba nengxoxo evulekile ngengozi kanye nokuhlomula kokulibazisa ukuhlinzekwa nodokotela wakho ohlinzayo kuyadingeka ngaphambi kokwenza noma yiziphi izinqumo.
Imithombo:
UFerri, uFF. (2017). Umeluleki we-Ferri's Clinical 2017. https://www.clinicalkey.com (Okubhaliselwe Kudingeka).
I-Medline Plus. I-Acoustic Neuroma. https://medlineplus.gov/acousticneuroma.html.
Isikhungo Sikazwelonke Sokuzizwa Sokuzizwa Nezinye Izinkinga Zokuxhumana. I-Vestibular Schwannoma (Acoustic Neuroma) ne-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). Ukusetshenziswa kwefoni yesikhathi eside nomngcipheko we-acoustic neuroma. Epidemiology. 25 (2): 233-41. i-doi: 10.1097 / EDE.0000000000000058.