Acoustic neuroma chirwere chisingaperi chinokura pane tsinga huru inobva kunze kwemhuno ichienda kuuropi. Iyi tsinga inonzi vestibular nerve. Matavi etsinga anokanganisa zvakananga kuenzana nekunzwa. Kumanikidzwa kubva ku acoustic neuroma kunogona kukonzera kurasikirwa nekunzwa, kurira mumhuno nematambudziko ekukwanisa kuenzana. Zita rimwe re acoustic neuroma ndere vestibular schwannoma. Acoustic neuroma inokura kubva ku Schwann cells dzakafukidza vestibular nerve. Acoustic neuroma kazhinji inokura zvishoma nezvishoma. Zvisingawanzoitika, inogona kukura nekukurumidza uye kuva hombe zvokusundira uropi uye kukanganisa mabasa akakosha. Mishonga ye acoustic neuroma inosanganisira kuongororwa, kurapwa neradiotherapy uye kubviswa nekuvhiya.
Se zvipembenene zvichiswedera, zvinogona kukonzera zviratidzo zvinonyanya kuoneka kana kuti zvakakomba. Zviratidzo zve acoustic neuroma zvinosanganisira:
Chikonzero che acoustic neuromas chinogona dzimwe nguva kubatana nedambudziko regene riri pachromosome 22. Kazhinji, iyi gene inogadzira tumor suppressor protein inobatsira kudzora kukura kweSchwann cells dzinovhara mitsipa. Nyanzvi hadzina kuziva zvinokonzera dambudziko iri regene. Kazhinji hapana chikonzero chinozivikanwa che acoustic neuroma. Shanduko iyi yegene inogara ichitenderera muvanhu vane chirwere chisina kujairika chinonzi neurofibromatosis type 2. Vanhu vane neurofibromatosis type 2 vanowanzokura matumour pamitsipa yekunzwa nekutsetsereka kurutivi rwe musoro. Aya matumour anozivikanwa se bilateral vestibular schwannomas.
Mukudziviriro inotongwa ne autosomal dominant, jini rachinja igene rinotonga. Iri pane rimwe remachromosomes asiri ebonde, anonzi autosomes. Jini rimwe chete rachinja rinokwana kuti munhu azviratidze nechirwere cheiyi mhando. Munhu ane chirwere che autosomal dominant — muenzaniso uyu, baba — ane mukana we50% wekuva nembabvu yakabatwa nejini rimwe rachinja uye mukana we50% wekuva nembabvu isina kukanganiswa.
Fakita chete yakasimbiswa yengozi ye acoustic neuromas ndeyekuve nemuridzi ane chirwere chisina kujairika chemajini neurofibromatosis type 2. Zvisinei, neurofibromatosis type 2 inongoita 5% yezviitiko zve acoustic neuroma.
Hunhu hwakakosha hwe neurofibromatosis type 2 ndetumors isina kenza pane tsinga dzekuenzanisa kurutivi rwose rwetsigiro. Tumors inogonawo kukura pane dzimwe tsinga.
Neurofibromatosis type 2 inozivikanwa se autosomal dominant disorder. Izvi zvinoreva kuti jini rine chekuita nechirwere rinogona kupfuudzwa kumwana nemubereki mumwe chete. Mwana wese wemubereki akabatwa ane mukana we50-50 wekuchinja.
Neuroma ye acoustic inogona kukonzera matambudziko asingaperi, anosanganisira:
Kutarisa kwemuviri kwakakwana, kusanganisira bvunzo yemhino, kazhinji ndiyo nhanho yekutanga pakuzarura uye kurapwa kwe acoustic neuroma.
Acoustic neuroma kazhinji inonetsa kuziva pakutanga nekuti zviratidzo zvinogona kunge zviri nyore kupotsa uye zvinobudirira zvishoma nezvishoma nekufamba kwenguva. Zviratidzo zvakajairika senge kurasikirwa kunzwa zvinowiriranawo nezvimwe zvirwere zvakawanda zvepakati nepakati pemhino.
Pashure pekubvunza mibvunzo nezve zviratidzo zvako, nhengo yemubatanidzwa wehutano hwako inoita bvunzo yemhino. Ungada bvunzo dzinotevera:
Bvunzo yekunzwa, inozivikanwa se audiometry. Bvunzo iyi inoitirwa nyanzvi yekunzwa inonzi audiologist. Panguva yebvunzo, inzwi rinotungamirwa kune rimwe nzeve panguva imwe chete. Audiologist inopa mutsindo wakasiyana-siyana wezwi. Unoona nguva dzose paunonzwa ruzha. Ruzha rwega rwegag rinoitwazve pazvikamu zvishoma kuti uwane kana usinganzwi.
Audiologist inogona zvakare kupa mazwi akasiyana-siyana kuti aongorore kunzwa kwako.
Kufananidzira. Magnetic resonance imaging (MRI) ine contra dye kazhinji inoshandiswa kuziva acoustic neuroma. Bvunzo iyi yekufananidzira inogona kuona zvirwere zvidiki sezvidiki se 1 kusvika ku 2 millimeters muhupamhi. Kana MRI isingaawanikwe kana usingakwanisi kuita MRI scan, computerized tomography (CT) inogona kushandiswa. Zvisinei, CT scans inogona kupotsa zvirwere zvidiki.
Bvunzo yekunzwa, inozivikanwa se audiometry. Bvunzo iyi inoitirwa nyanzvi yekunzwa inonzi audiologist. Panguva yebvunzo, inzwi rinotungamirwa kune rimwe nzeve panguva imwe chete. Audiologist inopa mutsindo wakasiyana-siyana wezwi. Unoona nguva dzose paunonzwa ruzha. Ruzha rwega rwegag rinoitwazve pazvikamu zvishoma kuti uwane kana usinganzwi.
Audiologist inogona zvakare kupa mazwi akasiyana-siyana kuti aongorore kunzwa kwako.
"Kurapa kwe acoustic neuroma kwako kunogona kusiyana, zvichienderana ne:\n- Saizi nekukura kwe acoustic neuroma.\n- Hutano hwako hwese.\n- Zviratidzo zvako.\nKune nzira nhatu dzekurapa acoustic neuroma: kuongorora, kuvhiya kana kurapwa kwemwaranzi.\nIwe nechikwata chako chehutano mungasarudza kuongorora acoustic neuroma kana iri diki uye haisi kukura kana iri kukura zvishoma nezvishoma. Izvi zvinogona kuva sarudzo kana acoustic neuroma ikakonzeresa zviratidzo zvishoma kana kuti hapana. Kuongorora kunogonawo kukurudzirwa kana uri mukuru wekare kana kuti uri munhu asingakodzeri kurapwa kwakasimba.\nPaunenge uchiongororwa, uchada kuongororwa kwenguva dzose uye bvunzo dzekunzwa, kazhinji mwedzi mitanhatu kusvika ku12. Aya ma bvunzo anogona kuona kana tumor iri kukura uye nekukurumidza sei. Kana scans ikaratidza kuti tumor iri kukura kana tumor ikakonzeresa zviratidzo zvakakomba kana matambudziko mamwe, ungada kuvhiyiwa kana mwaranzi.\nUngada kuvhiyiwa kubvisa acoustic neuroma, kunyanya kana tumor iri:\n- Ichiri kukura.\n- Irikukura kwazvo.\n- Ichiita zviratidzo.\nChiremba wako anogona kushandisa imwe yezvinhu zvakati wandei zvekubvisa acoustic neuroma. Nzira yekuvhiya inotsamira pakukura kwe tumor, mamiriro ako ekunzwa nezvimwe zvinhu.\nChinangwa che kuvhiya ndechekubvisa tumor uye kuchengetedza tsinga yekumeso kudzivirira kuora kwemisungo pachiso chako. Kubvisa tumor yese kungave kusina kukwanisika nguva dzose. Semuenzaniso, kana tumor iri pedyo kwazvo nezvikamu zvikuru zveuropi kana tsinga yekumeso, chikamu che tumor chete chingabviswa.\nKuvhiya kwe acoustic neuroma kunoitirwa pasi peanesthesia yakajairika. Kuvhiya kunosanganisira kubvisa tumor kuburikidza nzeve yemukati kana kuburikidza nehwindo muhombodo yako.\nDzimwe nguva kubvisa tumor kunogona kuwedzera zviratidzo kana kunzwa, kuenzana, kana tsinga dzekumeso dzikatsamwiswa kana kukuvadzwa panguva yekushanda. Kunzwa kunogona kurasikirwa parutivi rwakaitwa kuvhiya. Kuenzana kazhinji kunokanganiswa kwenguva pfupi.\nMatambudziko anogona kusanganisira:\n- Kubuda kwemvura inotenderedza uropi rwako nemutadzi wemutsipa, inozivikanwa se cerebrospinal fluid. Kubuda kunogona kuitika kuburikidza nekuvhunduka.\n- Kurasikirwa nekunzwa.\n- Kushaya simba kumeso kana kusanzwa.\n- Kuridza m'unenze.\n- Matambudziko ekuenzana.\n- Kurwadziwa kwemusoro kwenguva refu.\n- Zvisingawanzoitiki, hutachiona hwe cerebrospinal fluid, inozivikanwa se meningitis.\n- Zvisingawanzoitiki kwazvo, stroke kana ropa muuropi.\nTekinoroji ye stereotactic radiosurgery inoshandisa ma gamma rays mazhinji maduku kuti ipe chiyero chakanyatsojeka chemwaranzi kune chinangwa.\nKune marudzi akati wandei ekurapa kwemwaranzi anoshandiswa kurapa acoustic neuroma:\n- Stereotactic radiosurgery. Rudzi rwekurapa kwemwaranzi runozivikanwa se stereotactic radiosurgery runogona kurapa acoustic neuroma. Inowanzo shandiswa kana tumor iri diki - pasi pe 2.5 masentimita mumita.\nKurapa kwemwaranzi kunogona kushandiswawo kana uri mukuru wekare kana kuti haugoni kutsungirira kuvhiya nekuda kwezvikonzero zvehutano.\nStereotactic radiosurgery, senge Gamma Knife ne CyberKnife, inoshandisa ma gamma rays mazhinji maduku kuti ipe chiyero chakanyatsojeka chemwaranzi kune tumor. Iyi nzira inopa kurapwa pasina kukuvadza tishu dzakapoteredza kana kuita incision.\nChinangwa che stereotactic radiosurgery ndechekumisa kukura kwe tumor, kuchengetedza basa retsiva yekumeso uye zvichida kuchengetedza kunzwa.\nZvinogona kutora mavhiki, mwedzi kana makore usati waona migumisiro ye radiosurgery. Chikwata chako chehutano chinoongorora kufambira mberi kwako nekuongororwa kwemafambiro ekutevera uye bvunzo dzekunzwa.\nMatambudziko e radiosurgery anosanganisira:\n* Kurasikirwa nekunzwa.\n* Kuridza m'unenze.\n* Kushaya simba kumeso kana kusanzwa.\n* Matambudziko ekuenzana.\n* Kukura kwe tumor kwenguva refu.\n- Kurasikirwa nekunzwa.\n- Kuridza m'unenze.\n- Kushaya simba kumeso kana kusanzwa.\n- Matambudziko ekuenzana.\n- Kukura kwe tumor kwenguva refu.\n- Fractionated stereotactic radiotherapy. Fractionated stereotactic radiotherapy (SRT) inopa chiyero chidiki chemwaranzi kune tumor pamisangano yakati wandei. SRT inoitirwa kudzikisira kukura kwe tumor pasina kukuvadza tishu dzeuropi dzakapoteredza.\n- Proton beam therapy. Rudzi urwu rwekurapa kwemwaranzi runoshandisa ma beam ane simba akakwirira emaparticles ane chaji inonzi protons. Ma proton beams anopiwa kune nzvimbo yakabatwa mune zviyero zvakarongedzwa kurapa matumor. Rudzi urwu rwekurapa runodzikisa kusimbiswa kwemwaranzi kune nzvimbo yakapoteredza.\nStereotactic radiosurgery. Rudzi rwekurapa kwemwaranzi runozivikanwa se stereotactic radiosurgery runogona kurapa acoustic neuroma. Inowanzo shandiswa kana tumor iri diki - pasi pe 2.5 masentimita mumita.\nKurapa kwemwaranzi kunogona kushandiswawo kana uri mukuru wekare kana kuti haugoni kutsungirira kuvhiya nekuda kwezvikonzero zvehutano.\nStereotactic radiosurgery, senge Gamma Knife ne CyberKnife, inoshandisa ma gamma rays mazhinji maduku kuti ipe chiyero chakanyatsojeka chemwaranzi kune tumor. Iyi nzira inopa kurapwa pasina kukuvadza tishu dzakapoteredza kana kuita incision.\nChinangwa che stereotactic radiosurgery ndechekumisa kukura kwe tumor, kuchengetedza basa retsiva yekumeso uye zvichida kuchengetedza kunzwa.\nZvinogona kutora mavhiki, mwedzi kana makore usati waona migumisiro ye radiosurgery. Chikwata chako chehutano chinoongorora kufambira mberi kwako nekuongororwa kwemafambiro ekutevera uye bvunzo dzekunzwa.\nMatambudziko e radiosurgery anosanganisira:\n- Kurasikirwa nekunzwa.\n- Kuridza m'unenze.\n- Kushaya simba kumeso kana kusanzwa.\n- Matambudziko ekuenzana.\n- Kukura kwe tumor kwenguva refu.\nKuwedzera pakurapa kubvisa kana kumisa kukura kwe tumor, kurapwa kunotsigira kunogona kubatsira. Kurapwa kunotsigira kunogadzirisa zviratidzo kana matambudziko e acoustic neuroma nekurapwa kwaro, senge dizziness kana matambudziko ekuenzana.\nCochlear implants kana kurapwa kwakasiyana kunogona kushandiswa pakurasikirwa nekunzwa.\nNyorera mahara uye gamuchira zvinyorwa zvitsva pane kurapwa kwehuropi tumor, kuongororwa nekurapwa.\nlink yekubvisa kunyorero mu email.\nKubata nekugona kurasikirwa nekunzwa nekukanganiswa kumeso kunogona kuva kushushikana kwazvo. Kusarudza kurapwa kwakanakira iwe kunogonawo kuva kuomesa. Aya mazano anogona kubatsira:\n- Dzidza nezve acoustic neuromas. Zvakawanda zvaunoziva, unogadzirira zviri nani kuita sarudzo dzakanaka pamusoro pekurapa. Kunze kwekukurukura nechikwata chako chehutano ne audiologist yako, ungada kutaura nemurayiridzi kana mushandi wemagariro. Kana kuti ungawana zvichibatsira kutaura nevamwe vanhu vakave ne acoustic neuroma. Zvinogona kubatsira kudzidza zvakawanda nezve zvakaitika kwavari panguva nekurapa kwapfuura.\n- Chengetera rubatsiro rwakasimba. Hama neshamwari dzinogona kukubatsira paunenge uchifamba ne nguva ino yakaoma. Dzimwe nguva, zvisinei, ungawana hanya nekunzwisisa kwevamwe vanhu vane acoustic neuroma kunyaradza zvikuru.\nChikwata chako chehutano kana mushandi wemagariro anogona kukubatsira kusangana nechikwata cherubatsiro. Kana kuti ungawana boka rerubatsiro remunhu kana online kuburikidza ne Acoustic Neuroma Association.\nChengetera rubatsiro rwakasimba. Hama neshamwari dzinogona kukubatsira paunenge uchifamba ne nguva ino yakaoma. Dzimwe nguva, zvisinei, ungawana hanya nekunzwisisa kwevamwe vanhu vane acoustic neuroma kunyaradza zvikuru.\nChikwata chako chehutano kana mushandi wemagariro anogona kukubatsira kusangana nechikwata cherubatsiro. Kana kuti ungawana boka rerubatsiro remunhu kana online kuburikidza ne Acoustic Neuroma Association."
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