He aha te Neuroma Rongo? Tohutohu, Take, me te Maimoatanga

Ko te neuroma rongo he pūngāwerewere kore-mate pūngāwerewere e tipu ana i runga i te ngongo e hono ana i tō taringa ki tō roro. Ka tipu tēnei pūngāwerewere e tipu haere ana i runga i te ngongo vestibular, ā, tēnei te āwhina i te whakahaere i tō toenga me tō rongohanga. Ahakoa ka rongo te ingoa he wehi, he ngāwari ēnei pūngāwerewere, ā, ko te tikanga, e kore e horapa ki ētahi atu wāhanga o tō tinana penei i te mate pukupuku.

Ko te nuinga o ngā neuroma rongo ka tipu haere noa i roto i ngā tau maha. Ka noho etahi tangata me ētahi iti kaore rawa e mohio ana kei reira rātou. Ka hanga te pūngāwerewere mai i te hipoki tiaki i te ngongo, rite tonu ki te hipoki o te wāea hiko.

He aha ngā tohu o te neuroma rongo?

Ko te tohu tuatahi tino noa ko te ngaro o te rongohanga i tetahi taringa. Ka āta tirohia e koe te ngaro o te rongohanga, ā, ka rongo pea koe i te ngaro o te reo, ā, ka rongo pea koe kei te korero ngāwari te tangata ki a koe. Ka puta haere tenei huringa rongohanga kaore e mohiotia e te nuinga o te iwi kei te puta.

I te tipu o te pūngāwerewere, ka kite pea koe i ētahi atu tohu ka pā ki tō oranga o ia rā:

• Te tangi i roto i tō taringa (tinnitus) e kore e mutu
• Te kare-ā-roto ranei te mokemoke, ina koa i te haere
• Te ki tonu ranei te pehanga i roto i tō taringa pānga
• Te uaua ki te mārama i te kōrero, ina koa i ngā wā rongoa
• Ngā raruraru toenga e ngāwari ai koe ki te whakaaro kei te wiri koe

I roto i ngā take onge ka nui haere te pūngāwerewere, ka kite pea koe i ngā tohu nui ake. Ka uru pea ēnei ki te ngenge o te mata, te ngoikore i tetahi taha o tō mata, te mamae o te upoko. Ka taea e ngā pūngāwerewere nui te raruraru i te tirohanga, te uaua ki te horomia.

Ka puta haere ngā tohu na te mea he wā tō roro ki te whakarite ki ngā huringa. Koinei te take kaore te nuinga o te iwi e rapu awhina tonu, mā te whakaaro ko te ngaro o te rongohanga he wāhanga noa o te koroheketanga.

He aha ngā take o te neuroma rongo?

Ko te nuinga o ngā neuroma rongo ka tipu kaore he take mārama. Ka hanga te pūngāwerewere ina tīmata ngā pūtau i roto i te hipoki tiaki o te ngongo ki te tipu kaore i te noa. E whakapono ana ngā kairangahau kua puta tenei na te huringa ira i roto i ēnei pūtau, engari kāore kātahi anō ka mārama.

Ko te take morearea anake e mohiotia ana ko te āhuatanga ira onge e kiia nei ko te neurofibromatosis momo 2 (NF2). He nui ake te tūponotanga o te hunga e pā ana ki te NF2 ki te whanake i ngā neuroma rongo, i roto i ngā taringa e rua. Heoi, ka pā tēnei āhuatanga ki te iti iho i te 1 i roto i ngā 25,000 tangata.

Kua tirohia e etahi rangahau mēnā te whakamahinga o te waea pūkoro, te pānga o te haruru nui pea ka piki ake te morearea, engari kāore i kitea e te rangahau he hononga mārama. He mahi te tau, na te mea ko ēnei pūngāwerewere te nuinga i roto i ngā tāngata kei waenga i ngā tau 40 me te 60.

Nōhea te kite i te taote mō te neuroma rongo?

Me whakapiri atu koe ki tō taote mēnā ka kite koe i te ngaro o te rongohanga i tetahi taringa e kore e pai ake. Ahakoa he iti te huringa, he mea tika kia tirohia, na te mea ka taea e te kite wawe te arahi ki ngā hua pai ake o te maimoatanga.

Whakahaerehia he whakaritenga i mua atu i muri mai mēnā ka kite koe i te ngaro o te rongohanga, te tangi tonu i tetahi taringa, te raruraru hou ranei o te toenga. Ahakoa he maha ngā take o ēnei tohu, me whakakore e tō taote te neuroma rongo me ētahi atu āhuatanga.

Rapua te awhina hauora tonu mēnā ka whanake koe i te mamae o te upoko nui, ngā huringa tirohanga, te ngoikore ranei o te mata. Ka tohu pea ēnei tohu i te pūngāwerewere nui ake e hiahia ana ki te aromatawai tere me te maimoatanga.

He aha ngā take morearea mō te neuroma rongo?

Ko te tau te take morearea matua mō te whanaketanga o te neuroma rongo. Ko te nuinga o ngā tāngata e whakatauhia ana ki tēnei āhuatanga kei waenga i ngā tau 40 me te 60, ahakoa ka puta i tetahi tau.

Ko te whai neurofibromatosis momo 2 ka piki ake te morearea. Ka puta tēnei āhuatanga ira i te tipu o ngā pūngāwerewere i runga i ngā ngongo maha puta noa i tō tinana. Mēnā he hītori whānau o te NF2, ka taea e te tohutohu ira te āwhina i a koe ki te mārama ki tō morearea.

Ko te whakamahinga o te radiation ki tō ārā ranei o tō kaki, ina koa i te tamarikitanga, ka piki ake pea tō morearea. Ka uru atu ēnei ki ngā maimoatanga radiation mō ētahi atu āhuatanga hauora. Heoi, he tino iti tonu te morearea whānui ahakoa tenei whakamahinga.

He aha ngā raruraru pea o te neuroma rongo?

Ko te pānga roa tino noa ko te ngaro o te rongohanga pumau i te taringa e pā ana. Ka taea tēnei te puta haere i te tipu o te pūngāwerewere, te puta ranei i muri i te maimoatanga. He maha ngā tāngata e ako ana ki te whakarite pai ki te rongohanga me tetahi taringa.

Ka taea te mau tonu ngā raruraru toenga ahakoa i muri i te maimoatanga, ahakoa ka pai ake te toenga o te nuinga o te iwi i te wa. Ka ako tō roro ki te whakawhirinaki atu ki ō ētahi atu pūnaha toenga, tae atu ki tō tirohanga me te tinana toenga i roto i tō taringa kaore i pā.

Ko ngā raruraru o te ngongo mata he uaua ake engari he iti ake te pānga. Ka taea e ngā pūngāwerewere nui te pā ki te ngongo mata e tata ana ki te ngongo rongohanga. Ka puta pea tēnei i te ngoikore o te mata, te uaua ki te kati i tō kanohi, ngā huringa reka ranei. He nui ake te morearea me ngā pūngāwerewere nui ake, ngā huarahi maimoatanga ranei.

I roto i ngā take onge, ka taea e ngā pūngāwerewere nui te raruraru kino ki te pehi i ngā hanganga o te roro e whakahaere ana i ngā mahi nui. Koinei te take e aroturuki ana ngā taote i ngā neuroma rongo me te tūtohutia te maimoatanga ina tika.

Me pēhea te whakatau i te neuroma rongo?

Ka tīmata tō taote me te whakamātautau rongohanga ki te tirotiro i te pai o te mahi o ia taringa. Ka taea e tēnei whakamātautau te whakaatu i te tauira o te ngaro o te rongohanga e tino rite ana ki ngā neuroma rongo. Ka whakarongo koe ki ngā tangi ma te potae, ka whakautu ina rongo koe i a rātou.

Ka hoatu e te tātaritanga MRI te whakatau. Ka whakamahi tēnei tātaritanga whakaahua i ngā mara hiko hei hanga i ngā pikitia taipitopito o tō roro me tō taringa o roto. Ka taea e te tātaritanga te whakaatu i ngā pūngāwerewere iti, te āwhina ranei i tō taote ki te whakarite i te huarahi maimoatanga pai.

Ka tono pea tō taote i ngā whakamātautau toenga mēnā kei te kite koe i te mokemoke, te kore ranei o te toenga. Ka āwhina ēnei whakamātautau ki te whakatau i te pai o te mahi o tō pūnaha toenga, ka taea te arahi i ngā whakatau maimoatanga.

I etahi wā ka kite ngā taote i ngā neuroma rongo mā te aituā i te mahi i ngā tātaritanga MRI mō ētahi atu take. Kei te noho haere tonu ēnei kitenga aituā i te pai ake o te hangarau whakaahua.

He aha te maimoatanga mō te neuroma rongo?

Ka whakawhirinaki te maimoatanga ki ētahi take, tae atu ki te rahi o te pūngāwerewere, ō tohu, me tō hauora whānui. Ka hiahia pea ngā pūngāwerewere iti kaore e puta he raruraru nui ki te aroturuki noa me ngā tātaritanga MRI ia 6 ki te 12 marama.

Ka tūtohuhia te tango pokanga mō ngā pūngāwerewere nui ake, ngā mea ranei e puta ana i ngā tohu nui. Ko te whāinga o te pokanga ko te tango i te pūngāwerewere katoa me te tiaki i te nuinga o te rongohanga me te mahi o te ngongo mata. Ko te ora ake ka roa pea i te maha o ngā wiki ki ngā marama.

Ka tukuna e te radiosurgery stereotactic he huarahi kore-whakauru ki te pokanga tuku iho. Ka whakamahi tēnei maimoatanga i ngā hihi radiation e arotahi tika ana ki te aukati i te tipu o te pūngāwerewere. Ka tino pai tēnei mō ngā pūngāwerewere iti ki te reo i ngā tūāhine pakeke ake, ngā mea ranei kaore i te pai mō te pokanga.

Ka taea e ngā taputapu rongohanga te whakahaere i te ngaro o te rongohanga ina iti te pūngāwerewere, i muri ranei i te maimoatanga. Ka whai hua etahi tangata i ngā taputapu rongohanga motuhake e whakawhiti ana i te tangi mai i te taringa e pā ana ki te taringa pai.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te neuroma rongo?

Mēnā kei te kite koe i ngā raruraru toenga, kia haumaru ake tō kāinga mā te tango i ngā morearea tū, te tāpiri ranei i ngā paepae hopu i roto i ngā ruma kaukau. Ka āwhina te mārama pai ki a koe ki te haere haere haumaru ake, ina koa i te pō.

Mō ngā raruraru rongohanga, whakatūria koe kia kite koe i ngā mata o te iwi ina korero ratou. Ka āwhina tēnei ki a koe ki te whakamahi i ngā tohu tirohanga ki te mārama pai ake i te kōrero. Tonoa te iwi kia korero mārama atu i te nui.

Ka taea e te tinnitus te tino raruraru i te pō. Ka taea e te haruru papamuri mai i te pā, te mīhini haruru ma, te waiata ngawari ranei te āwhina i te huna i te tangi me te whakapai ake i te kounga o te moe.

Noho mahi me ngā whakakori ngawari penei i te haere, te kauhoe ranei hei āwhina i te pupuri i tō toenga me tō hauora whānui. Kaua e mahi i ngā mahi e whakatūpono ana koe ki te hinga rawa kia pai ake tō toenga.

Me pēhea te whakarite mō tō whakaritenga taote?

Tuhia katoa ō tohu me te wā i kite tuatahi ai koe i a rātou. Whakauruhia ngā kōrero mō ō huringa rongohanga, ngā raruraru toenga, me ētahi atu āwangawanga. Ka āwhina ēnei kōrero i tō taote ki te mārama pai ake ki tō āhuatanga.

Kawe mai he rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā-a-te-kāinga me ngā taapiri. Ka taea e ētahi rongoā te pā ki te rongohanga, te toenga ranei, na reira e hiahia ana tō taote ki tēnei whakaahua katoa.

Whakaarohia te kawe mai i te mema whānau ranei i te hoa ki tō whakaritenga. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā kōrero nui me te whakarato tautoko i ngā kōrero mō ngā huarahi maimoatanga.

Whakamahia ngā pātai mō tō āhuatanga, ngā huarahi maimoatanga, me ngā mea e tumanakohia ana. Kaua e whakaroa ki te ui atu mō tetahi mea kaore koe i te mārama.

He aha te tango matua mō te neuroma rongo?

Ko ngā neuroma rongo he pūngāwerewere kore-mate pūngāwerewere e tipu haere ana, ka taea te whakahaere pai me te tiaki hauora tika. Ahakoa ka taea e rātou te puta i ngā tohu āwangawanga penei i te ngaro o te rongohanga me ngā raruraru toenga, kāore rātou e mate kino i te nuinga o ngā take.

Ka taea e te kite wawe me te maimoatanga tika te āwhina i te tiaki i tō kounga o te ora. He maha ngā tāngata e whai neuroma rongo ana e noho tonu ana i ngā oranga noa, mahi me te whakahaere me te tautoko tika.

Kia mahara ko te whai neuroma rongo kaore e tikanga kei te tūpono koe i te mate. Ka tipu haere ēnei pūngāwerewere, ka hoatu ki a koe me tō rōpū hauora te wā ki te mahi i ngā whakatau whakaaro mō te huarahi maimoatanga pai mō tō āhuatanga motuhake.

Ngā pātai uiui noa mō te neuroma rongo

Ka taea te mate pukupuku ngā neuroma rongo?

Kāo, he pūngāwerewere ngāwari ngā neuroma rongo e kore e mate pukupuku. E kore e horapa ki ētahi atu wāhanga o tō tinana penei i te mate pukupuku. Ahakoa ka taea e rātou te puta i ngā tohu nui mēnā ka nui haere, ka noho tonu he kore-mate pukupuku i roto i to rātou whanaketanga.

Ka ngaro rāwa atu taku rongohanga me te neuroma rongo?

Kāore rawa. He maha ngā tāngata e pupuri ana i ētahi rongohanga, ina koa mēnā ka kitea me te maimoatanga wawe. Heoi, he noa te ngaro o te rongohanga i te taringa e pā ana. Ka mahi tō taote ki te tiaki i te nuinga o te rongohanga i te wā o te maimoatanga.

E hohoro ana te tipu o ngā neuroma rongo?

Ko te nuinga o ngā neuroma rongo ka tipu haere noa, 1-2 millimeters ia tau. Kaore pea etahi e tipu mo te maha o ngā tau, ka tipu pea ētahi atu i te tere ake. Ko tēnei tipu haere noa te take ka taea e ngā taote te aroturuki i ngā pūngāwerewere iti i te maimoatanga tonu.

Ka hoki mai ngā neuroma rongo i muri i te maimoatanga?

He onge te hokinga mai engari he mea pea. I muri i te tango pokanga katoa, he tino iti te tūponotanga o te hokinga mai o te pūngāwerewere, te iti iho i te 5%. Me te maimoatanga radiation, ka mutu te tipu o te pūngāwerewere, ahakoa ka tino onge te tīmata ano ki te tipu i muri i ngā tau.

He whakatūpato te neuroma rongo?

Ko te nuinga o ngā neuroma rongo kaore i te whakatūpato, ka puta noa. Heoi, he nui ake te morearea o te hunga e whai neurofibromatosis momo 2 (NF2), he āhuatanga ira onge, ki te whanaketanga o ēnei pūngāwerewere. Mēnā he hītori whānau o te NF2, whakaarohia te tohutohu ira ki te mārama ki tō morearea.