I-Neurinoma ye-nerve auditory - i-neurinoma yama-acoustic, i-schwannoma ye-vestibular-isifo esibuhlungu esivela kumaseli ase-Schwann we-nerve auditory. Lezi zifo zenza cishe amaphesenti angu-8 azo zonke izidakamizwa emgodini we-cranial futhi zitholwa minyaka yonke kumuntu oyedwa ngamakhulu ayikhulu. Kuvame ukukhula ngemva kweminyaka engama-30 futhi inhlangothini elilodwa, nakuba kunezimo zokubunjwa kwamathumba amabili.
Izimpawu ze-neurinoma yenzwa yokuhlola
Ngoba lesi sifo sibonakala yi:
- ukulahleka kokuzwa;
- umsindo nokukhala ezindlebeni;
- ubuhlungu ezindlebeni;
- i-paresis (ukungabi nanjengobuthakathaka nobuthakathaka) bezinsipho zobuso;
- ukuphazamiseka kwesisindo, isizungu, ukusebenzisana nokukhubazeka ;
- isicasuli;
- Umbono okhubazekile (umbono ophindwe kabili, ukwehla kwengqondo yomfundi ukukhanya);
- ukwephulwa kwesibalo nokulahlekelwa ukunambitheka phambi kolimi;
- ukwephulwa kokugwinya nokuhlanza;
- ikhanda;
- izinguquko ekuzileni.
Lesi sifo sakhula kancane kancane futhi esiteji sokuqala (kuze kube ngu-2.5 cm usayizi) asisongela empilweni nasemphilweni, ebonakala ngokwawo kuphela ekuncipheni kokuzwa. Esigabeni sesibili sesifo, ukukhubazeka okuthinta amehlo nemisipha ebusweni kunganakwa izimpawu. Esigabeni sesithathu, lapho lesi sifo sifinyelela esilinganisweni esingaphezu kuka-4 cm, ngenxa yokucindezela okukhulu kwe-neoplasm ebuchosheni, ukucindezeleka okukhulu kwegazi, izimpawu zobuhlungu, nokuphazamiseka kwengqondo kwenzeka.
Ukuxilongwa kwe-neurinoma ye-nerve auditory
Ukuthola ukuthi i-neurinoma ye-nerve auditory ivame kangakanani futhi ekuqaleni, lapho ibonakala ngokulahlekelwa ukuzwa , ingase idideke ngokulahlekelwa kokuzwa kwe-neurosensory.
Ukuze kutholakale ukuthi isifo siyasetshenziswa yini:
- Abafundi. Isetshenziselwa ukuthola ukukhubazeka kokuzwa.
- Ukuhlolwa kwamabhuku okuphendula ukuphendula kobuchopho. Ukunciphisa ukuhamba kwesignali cishe njalo kubonisa ukuba khona kwe-neurinoma.
- I-computer ye-tomography. Izicubu ezilinganisa ngaphansi kuka-1.5 cm ngale ndlela azikho ukuthi zikhona.
- I-resonance magnontic tomography. Kubhekwa njengendlela enokwethenjelwa kakhulu yokuthola isisu kanye nendawo yayo.
Ukwelashwa kwe-neurinoma ye-nerve auditory
Ayikho imithi yalesi sifo.
Kumuntu oqaphele, ngaphandle kokuhlinzwa, izindlela zokwelashwa ze-neurinomas zenzwa yokuhlola zihlanganisa:
- Ukuqaphela. Uma kwenzeka ubuncane bezinsalela, uma kungaphuthuki futhi izimpawu zingenasikhathi noma zingekho, indlela yokulinda nokubona isetshenziswa ukuqapha isisu futhi ilawule usayizi wayo.
- Ukwelashwa kwezidakamizwa kanye nezindlela ze-radiosurgical. Zisetshenziselwa izicubu ezincane, kodwa zivame ukwandisa, kanye nakwamacala uma ukungenelela kokuhlinzekwa kungavunyelwe (iminyaka engaphezu kwengu-60, inhliziyo enzima noma ukwehluleka kwezinso, njll). Imithelela emibi yokwelapha okunjalo ingase iqhubeke ukulahlekelwa ukuzwa noma ukulimala kwezinzwa zomzimba. Ngokushesha emva kwe-radiotherapy, ukuwohloka okuvamile kwenhlalakahle, isicanucanu, ukuphazamiseka kokudla, ukuphathwa ikhanda, ukucasula isikhumba kanye nokulahleka kwezinwele endaweni yesilradiation kungenzeka.
Kuzo zonke ezinye izimo, ukungenelela okuhlinzekwayo kwenziwa ukuze kususwe i-neurinoma ye-nerve auditory. Ukusebenza kwenziwa ngaphansi kwe-anesthhesia jikelele, nge-trepanation ye-skull, futhi ihlala emahoreni angu-6 kuya kwangu-12. Ngokuya ngobukhulu nendawo yesikhumba, ngokuvamile kuvame ukugcina noma ukugcina ngokuphelele ukuzwa nokusebenza kwezinzwa zomzimba. Esibhedlela, umuntu ungakapheli izinsuku ezingu-7 ngemuva kokusebenza. Isikhathi sokuvuselela esigcwele singathatha kusukela ezinyangeni ezine kuya ngonyaka.
Ngemuva kokusebenza, umuntu kufanele athole i-MRI minyaka yonke iminyaka okungenani emihlanu ukuze aqiniseke ukuthi abuyiselwa emuva.