I-Neurinoma ye-neurinoma ye-nerous - acoustic neurinoma, i-vestibular schwannoma-isifo esibi esisuka kwii-Schwann ze-nervical auditory. Le ngxaki ye-pathology iphendula malunga ne-8% yazo zonke i-neoplasms kwi-cranial cavity kwaye ifunyaniswa ngonyaka malunga nomntu omnye kwikhulu lamawaka. Ngokuqhelekileyo ikhula emva kweminyaka engama-30 kwaye ibe yinye, nangona kukho iimeko zesigxathu se-tumor.
Iimpawu ze-neurinoma yentsholongwane yokuhlola
Esi sifo sichazwe ngu:
- ukulahlekelwa kweendlebe;
- ingxolo kunye nokukhala ezindlebeni;
- intlungu ezindlebeni;
- i-paresis (i-numbness kunye nobuthakathaka) beentlungu zomzimba;
- izifo ezibangelwa i-vestibular, ukuxakeka kwegazi, ukulungelelanisa ukulungelelanisa ;
- isicefe
- Umbono ongaphumeleli (umbono ombini, ukuncipha kwengqondo yomfundi ukukhanya);
- ukuphulwa kwe-salivation kunye nokulahlekelwa kwintetho phambi kweelwimi;
- ukuphulwa kokugwinya nokuhlanza i-reflex;
- intloko;
- utshintsho kulwazi.
Esi sifo sikhula ngokukhawuleza kwaye kwinqanaba lokuqala (ukuya kwi-2.5 cm ubukhulu) asisongela ubomi kunye nempilo, zibonakalisa kuphela ekunciphiseni kwintetho. Kwisigaba sesibini sesi sifo, ukuphazamiseka okuchaphazela amehlo kunye nezihlunu ebusweni kungeniswa kwiimpawu. Kwinqanaba lesithathu, xa i-tumor ifinyelela kubukhulu obungaphezu kwe-4 cm, ngenxa yokuxinzelela kwe-neoplasm enkulu kwingqondo, ukukhathazeka okukhulu kweengqondo, iimpawu zesifo, kunye neengxaki zengqondo.
Ukuxilongwa kwe-neurinoma yentsholongwane yokuhlola
Ukuxilongwa kwe-neurinoma ye-nervitive auditory is often difficult and in the first stage, xa ibonakalisa kuphela ukulahlekelwa kwindlebe , kudla ukudideka ngokulahlekelwa kwindlebe.
Ukufunyaniswa kwesi sifo kusetyenziswa:
- Abafundi. Isetyenziselwa ukubona ukukhubazeka kokuva.
- Uvavanyo lophicotho-zincwadi ukuphendula impendulo yengqondo. Ukunciphisa umhlathi wesalathiso phantse kubonisa ukuba khona kwe-neurinoma.
- Ikhompyutha. Iimvumi ezilinganisa ngaphantsi kwe-1.5 cm ngale ndlela zingafumaneki.
- I-magnnetic resonance tomography. Kuthathwa njengendlela echanekileyo yokufumana isisu kunye nendawo yaso.
Unyango lwe-neurinoma ye-nervitive auditory
Akukho ziyeza zeso sifo.
Kuya kulungelelaniso, ngaphandle kokuhlinzwa, iindlela zokwelapha i-neurinomas ye-nervitive audit include:
- Ukuqwalaselwa. Kwimeko yentsholongwane emancinci, ukuba ingaqhubekiyo kwaye iimpawu zingabalulekanga okanye zingekho, i-wait-and-see-tactic isetyenziselwa ukubeka i-tumor nokulawula ubukhulu bayo.
- Iyeza zonyango kunye nezindlela zonyango. Zisetyenziselwa iifom ezincinci, kodwa zithatha ukwandisa, kunye nakwiimeko xa ukungenelela ngophakanyiswa kuyaphikisana (uneminyaka engaphezu kwe-60, intliziyo enzima okanye ukungaphumeleli kwezintso, njl.). Imiphumo emibi yonyango olunjalo ingaba yilahleko yokuvalelwa kwindlebe okanye umonakalo kwiiswini zomzimba. Ngokukhawuleza emva kwe-radiotherapy, ukuphazamiseka ngokubanzi kwintlalo-ntle, isicupunu, ukuphazamiseka kokutya, iintlungu, ukucaphuka kwesikhumba kunye nokulahleka kweenwele kwisiza soxilongo.
Kuzo zonke ezinye iziganeko, ukungenelela okucwangcisiweyo kuyenziwa ukususa i-neurinoma ye-nervitive auditor. Ukusebenza kwenziwa phantsi kwe-anesthesia jikelele, nge-trepanation yekrele, kwaye ihlala kwiiyure eziyi-6 ukuya kwi-12. Ngokuxhomekeka kubukhulu kunye nendawo ye-tumor, ngokuqhelekileyo kunokwenzeka ukugcina okanye ukugcina ngokupheleleyo ukuva nokusebenza kweentsholongwane zobuso. Esibhedlele, umntu ufikelela kwiintsuku ezingama-7 emva kokusebenza. Ixesha lokuvuselela ngokupheleleyo lingathabatha kwiinyanga ezine ukuya kunyaka.
Emva kokusebenza, umntu kufuneka anike i-MRI minyaka yonke ubuncinane iminyaka emihlanu ukuqinisekisa ukuba akukho kubuya.