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Neurinome
ʻO kahi neuroma kahi tumo e ulu ana i ka pale pale o nā ʻalolo. ʻO ke ʻano maʻamau ka neuroma acoustic e pili ana i ke aʻalolo vestibulocochlear, ʻo ia hoʻi ka nerve cranial e pili ana i ka hoʻolohe a me ke ʻano o ke kaulike. ʻOiai ʻo nā neuromas he tumors benign i ka hapa nui o nā hihia, hiki i kekahi ke hana i nā pilikia. Pono paha ke kākoʻo.
He aha ka neuroma?
Ka wehewehe o ka neuroma
ʻO kahi neuroma kahi tumo e ulu ana i nā aʻalolo. Kūkulu pololei kēia tumo mai nā hunaola Schwann i loaʻa i ka wahī pale e hoʻopuni ana i nā aʻa. ʻO ia ke kumu i kapa ʻia ai kahi neuroma he schwannoma.
ʻO ke ʻano maʻamau ka acoustic neuroma, i kapa ʻia ʻo vestibular schwannoma. Hoʻopili kēia neuroma i ke aʻalolo vestibular, kekahi o nā lālā o ke aʻalolo cranial VIII e pili ana i ka hoʻolohe a me ke ʻano o ke kaulike.
Kumu du neurinome
E like me nā ʻano tumors ʻē aʻe, loaʻa kahi neuromas i kahi kumu e hoʻomaopopo iki ʻole ʻia. Eia nō naʻe, ua ʻike ʻia kekahi mau hihia o ka neuroma acoustic i hōʻailona o ke ʻano 2 neurofibromatosis, kahi maʻi i hoʻokumu ʻia e ka mutation mutation.
ʻO ka diagnostic du neurinome
Hiki ke kānalua ʻia kahi neuroma ma muli o kekahi mau hōʻailona olakino akā hiki ke ʻike ʻia kekahi manawa ʻia i ka wā o kahi loiloi olakino. Hiki i kēia tumo ke lilo i asymptomat i kekahi mau hihia, ʻo ia me ka ʻole o nā ʻōuli.
Hoʻokumu mua ʻia ke kuhi o ka neuroma acoustic i ka hoʻolohe ʻana i nā hoʻokolohua e like me:
- kahi audiogram e lawe ʻia i nā hihia āpau i mea e ʻike ai i kahi ʻano o ka lohe pepeiao o ka neuroma acoustic;
- tympanometry i hana ʻia i kekahi manawa e hoʻoholo inā hiki ke hele ke kani ma waena o ka pepeiao a me ka pepeiao waena;
- kahi hoʻokolohua e hoʻonāukiuki i nā hiki (AEP) hōʻike, kahi e ana ai i nā impulses nerve i ka lolo mai nā hōʻailona kani mai nā pepeiao.
E hōʻoia a hoʻonui i ka ʻike, hana ʻia kahi hōʻike kiʻi resonance magnet (MRI).
ʻO nā neuromas he tumors laha ʻole. Hōʻike lākou i ka awelika ma waena o 5 a me 8% o nā tumors lolo. ʻO ka hanana makahiki ma kahi o 1 a 2 mau hihia no 100 mau kānaka.
Nā ʻōuli o neuroma
I kekahi mau hihia, hoʻomohala maikaʻi ʻole ʻia ka neuroma a ʻaʻole kumu ʻia nā ʻōuli i ʻike ʻia.
ʻO nā hōʻailona maʻamau o ka neuroma acoustic
Hiki i ka hoʻomohala ʻana o kahi neuroma acoustic ke hōʻike iā ia iho e kekahi mau hōʻailona maʻamau:
- ka lohe pepeiao e holomua i ka hapanui o nā hihia akā hiki i kekahi manawa ke hele koke;
- tinnitus, ʻo ia ka walaʻau a kani paha i ka pepeiao;
- he manaʻo puʻe a kaumaha paha i ka pepeiao;
- ʻeha pepeiao a i ʻole ʻeha pepeiao;
- ʻeha poʻo poʻo a poʻo poʻo poʻo paha;
- kaulike ʻole a me ka dizziness.
Nānā: ʻO ka neuroma ākea ka mea maʻamau āpau akā hiki i nā manawa ʻelua ʻelua.
Ka pilikia o nā pilikia
ʻO nā neuromas he mau ʻōpū maʻi i ka hapa nui o nā hihia. Eia nō naʻe, he maʻi maʻi kēia mau tumors.
I ke kumu o ka neuroma acoustic, hiki i ka tum tum i ke aʻalolo cranial VIII ke hana i nā pilikia ke ulu a hoʻonui i ka nui. Hoʻomaʻamaʻa ia e kaomi i nā aʻa cranial ʻē aʻe, i hiki ke kumu:
- helehelena paresis e ka compression o ke alo nerve (cranial nerve VII), kahi hapa o ka lilo o ka mākau kaʻa i ka maka;
- neuralgia trigeminal ma muli o ka compression trigeminal (cranial nerve V), i hōʻike ʻia e ka ʻeha nui e pili ana i ka ʻaoʻao o ka maka.
Nā hana no ka neuroma
ʻAʻole pono ka neuroma i ka lāʻau lapaʻau, keu hoʻi inā liʻiliʻi ka tumo, ʻaʻole ulu i ka nui, ʻaʻole kumu o nā ʻōuli. Eia nō naʻe, mālama ʻia ka mālama lapaʻau ʻana e kaohi i ka makaʻu o nā pilikia.
I kekahi ʻaoʻao, hiki i kahi hoʻokele o ka neuroma ke lilo i mea nui inā ulu ka tumo, hoʻonui a hōʻike i kahi pilikia o nā pilikia. Manaʻo ʻia ʻelua mau koho lapaʻau:
- ʻoki kino e hemo i ka puʻupuʻu;
- radiation therapy, kahi e hoʻohana ai i ka radiation e hoʻopau i ka tumo.
ʻO ke koho ʻana o ka mālama ʻana ma muli o nā palena he nui me ka nui o ka tumo, ka makahiki, ke kūlana o ke olakino a me ke koʻikoʻi o nā ʻōuli.
Kāohi i ka neuroma
ʻAʻole maopopo ke kumu o nā neuromas. ʻAʻole i hoʻokumu ʻia kahi ana e pale ai a hiki i kēia lā.