Acoustic neuroma

Acoustic neuroma ibundu rinokura zvishoma nezvishoma mutsinga dzinobatanidza nzeve kuuropi. Tsinga iyi inonzi vestibular cochlear nerve. Iri kuseri kwenzeve, pasi chaipo peuropi.

Acoustic neuroma haina kunaka. Izvi zvinoreva kuti haina kupararira kune dzimwe nhengo dzomuviri. Zvisinei, inogona kukuvadza tsinga dzinoverengeka dzakakosha painokura.

Acoustic neuromas yakabatanidzwa neiyo genetic chirwere neurofibromatosis mhando 2 (NF2).

Acoustic neuromas haina kujairika.

Zviratidzo zvinosiyana, zvichibva pahukuru uye nzvimbo yebundu. Nekuti bundu rinokura zvishoma nezvishoma, zviratidzo zvinowanzotanga mushure memakore makumi matatu.

Zviratidzo zvakajairika zvinosanganisira:

• Kusanzwisisika kwekunzwa kwekufamba (vertigo)
• Kunzwa kurasikirwa munzeve yakakanganiswa zvinoita kuti zvive zvakaoma kunzwa hurukuro
• Kurira (tinnitus) munzeve yakakanganiswa

Zviratidzo zvishoma zvinozivikanwa zvinosanganisira:

• Zvakaoma kunzwisisa kutaura
• Dzungu
• Kutemwa nemusoro
• Kurasikirwa kwekuenzanisa
• Unhu kumeso kana nzeve imwe
• Marwadzo kumeso kana nzeve imwe
• Kushaya simba kwechiso kana kumeso asymmetry

Anopa hutano anogona kufungidzira acoustic neuroma zvichibva pane yako nhoroondo yezvokurapa, bvunzo yehurongwa hwako hwemitsipa, kana bvunzo.

Kazhinji, kuongororwa kwemuviri kunowanzoitika kana bundu rikaonekwa. Dzimwe nguva, zviratidzo zvinotevera zvinogona kunge zviripo:

• Kupera kwekunzwa kune rumwe rutivi rwechiso
• Kumira kune rumwe rutivi rwechiso
• Kufamba usina kugadzikana

Chiyero chinonyanya kubatsira kuziva acoustic neuroma ndiyo MRI yeuropi. Mimwe miedzo yekuongorora bundu uye kuritaura kunze kwezvimwe zvinokonzera dzungu kana vertigo inosanganisira:

• Kunzwa bvunzo
• Kwayedza yeyeroilibrium uye chiyero (electronystagmography)
• Kwayedza yekunzwa uye brainstem basa (brainstem auditory evoked mhinduro)

Kurapa kunoenderana nesaizi uye nzvimbo yebundu, zera rako, uye hutano hwako hwese. Iwe nemupi wako munofanira kusarudza kuti motarisa bundu here musina kurapwa, shandisai radiation kuti irege kukura, kana kuyedza kuribvisa.

Mazhinji acoustic neuromas madiki uye anokura zvishoma zvishoma. Mamota madiki ane mashoma kana asina zviratidzo anogona kutariswa shanduko, kunyanya kune vanhu vakuru. Nguva dzose MRI inoongorora ichaitwa.

Kana ikasarapwa, mamwe acoustic neuromas anogona:

• Kukuvadza tsinga dzakabatanidzwa mukunzwa uye kuenzanisa
• Isa kumanikidza padhuze dzehuropi dziri padyo
• Kukuvadza mitsipa inokonzeresa kufamba uye kunzwa kumeso
• Tungamira kune iyo buildup yemvura (hydrocephalus) muuropi (ine mamota makuru kwazvo)

Kubvisa acoustic neuroma kunowanzoitirwa kune:

• Mamota mahombe
• Mamota ari kukonzera zviratidzo
• Mamota ari kukura nekukurumidza
• Mamota ari kutsimbirira pauropi

Kuvhiya kana rudzi rwemushonga wemwaranzi kunoitwa kubvisa bundu uye kudzivirira kumwe kukuvara kwetsinga. Zvichienderana nerudzi rwekuvhiya kunoitwa, kunzwa dzimwe nguva kunogona kuchengetedzwa.

• Nzira yekuvhiya kubvisa acoustic neuroma inonzi microsurgery. Yakakosha microscope uye diki, chaiyo zviridzwa zvinoshandiswa. Iyi nzira inopa mukana wepamusoro wekurapa.
• Stereotactic radiosurgery inotarisa yakakwira-magetsi x-mwenje pane diki nzvimbo. Icho chimiro che radiation radiation, kwete yekuvhiya. Inogona kushandiswa kudzikira kana kumisa kukura kwemamota ayo akaoma kubvisa pamwe nekuvhiyiwa. Izvo zvinogona zvakare kuitwa kurapa vanhu vasingakwanise kuvhiyiwa, senge vakuru vakuru kana vanhu vari kurwara zvakanyanya.

Kubvisa acoustic neuroma kunogona kukuvadza tsinga. Izvi zvinogona kukonzera kurasikirwa kwekunzwa kana kushaya simba mumaziso mhasuru. Uku kukuvara kunowanzoitika kana bundu racho rakakura.

Acoustic neuroma haisi kenza. Bundu haripararire kune dzimwe nhengo dzemuviri. Nekudaro, inogona kuramba ichikura uye kumanikidza pazvivakwa mudehenya.

Vanhu vane tumota tudiki, tunokura zvishoma vangangoda kurapwa.

Kunzwa kurasikirwa kuripo usati warapwa hakugone kudzoka mushure mekuvhiyiwa kana radiosurgery. Mune zviitiko zvemamota madiki, kurasikirwa kwekunzwa kunoitika mushure mekuvhiyiwa kunogona kudzoka.

Vazhinji vanhu vane mamota madiki havazove nehurema husingaperi hwechiso mushure mekuvhiyiwa. Nekudaro, vanhu vane mamota akakura vanowanzo kuve nekumwe kushomeka kwechigarire kwechiso mushure mekuvhiyiwa.

Zviratidzo zvekukuvara kwetsinga sekurasikirwa kwekunzwa kana kushaya simba kwechiso zvinogona kunonoka mushure meye radiosurgery.

Muzviitiko zvakawanda, kuvhiyiwa huropi kunogona kubvisa zvachose bundu.

Fonera mupiki wako kana iwe uine:

• Kunzwa kurasikirwa izvo zvinongoerekana zvave kuita kana kuwedzera
• Kuridza mune imwe nzeve
• Dzungu (vertigo)

Vestibular schwannoma; Tumor - acoustic; Cerebellopontine angle bundu; Angle bundu; Kunzwa kurasikirwa - acoustic; Tinnitus - acoustic

• Kuvhiya kwehuropi - kubuda
• Stereotactic radiosurgery - kubuda

• Central nervous system uye yekumusoro tsinga system

Arriaga MA, Brackmann DE. Neoplasms yepashure fossa. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 179.

DeAngelis LM. Bundu repakati tsinga system. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 180.

Wang X, Mack SC, Taylor MD. Genetics yehutachiona hwehuropi hwevana. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 205.