Neurinoma yeruzivo rwekuongorora - acoustic neurinoma, vestibular schwannoma - chirwere chinorwara chinowedzera kubva kuSchwann masero emagetsi ekuongorora. Izvi zvinokonzerwa ne8% yeeoplasms yose mumugwagwa wecani uye inowanikwa gore negore mumunhu mumwe chete nezana remakore. Inowanzokura mushure mezera remakore makumi matatu nemakumi matatu uye imwe-yakatarisana, kunyange kune zviitiko zvepamuviri maitiro ekugadzirwa.
Zviratidzo zveNeurinoma yehutano hwekuongorora
Nokuti chirwere ichi chinoratidzwa ne:
- kurasikirwa kwekunzwa;
- ruzha uye kuchema munzeve;
- kurwadziwa munzeve;
- paresis (numbness uye kushaya simba) kwezviso zvepiso;
- kushungurudzika kwemaziso, ucheche, kusaremara kubatana ;
- nausea;
- kuonekwa kusina kunaka (kaviri chiratidzo, kuderera kwekudzidzira kwevadzidzi kuchiedza);
- kukanganisa salivation nekurasikirwa kwekavira pamberi kwerurimi;
- kuputsa kwekumedza uye kurutsa reflex;
- headaches;
- kuchinja mukuziva.
Iyi tumarara inokura zvishoma nezvishoma uye pamatambo ekutanga (kusvika pa2,5 cm muhukuru) haisi mungozi kuhupenyu uye hutano, zvichizviratidza pachavo chete pakuderera kwekunzwa. Muchikamu chechipiri chechirwere, kukanganiswa kunokanganisa maziso nemisungo yechiso kunogona kuwedzerwa kune zviratidzo. Mutsara wechitatu, apo bundu racho rinosvika pakukura kwemasendimita 4, zvichienderana nekunyanya kunetseka kweeoplasm pauropi, kukanganisika kwehutano hwepfungwa, zviratidzo zvekurwadziwa, uye zvinetso zvepfungwa zvinoitika.
Kuongororwa kweNeurinoma yemutsara wokuongorora
Kuongororwa kweeurinoma yenheyo yepamusoro kunowanzooma uye pamatambo ekutanga, apo inoratidzika chete nekunzwa kurasikirwa , inogona kugara ichivhiringidza neurosensory kurasikirwa kwekunzwa.
Nokuti kuongororwa kwechirwere kunoshandiswa:
- Vanyori. Inoshandiswa kuona kushaya hutano.
- Testingory test for the reaction of the brain. Kuderedza chidimbu chechiratidzo kunenge kuchiratidza nguva dzose kuva neurinoma.
- Computer tomography. Mishonga inosvika pasi pe5,5 cm nenzira iyi inenge isina kuongororwa.
- Magnetic resonance tomography. Inofungidzirwa ndiyo nzira yakatendeseka yakawanda yekuona tumarara uye inharaunda.
Mushonga we neurinoma wehutano hwekuongorora
Hapana mishonga yechirwere ichi.
Kune avo vanochengetedza, pasina kuvhiyiwa, nzira dzokurapa neurinomas dzenzara yekuongorora dzinosanganisira:
- Kucherechedza. Muchiitiko chemadiki makuru emakumbo, kana ikasafambira mberi uye zviratidzo zvisinganyanyi kukosha kana kusipo, chimiro chekumirira-uye-kuona chinoshandiswa kutarisa tumarara uye kutarisa ushu hwayo.
- Radiation therapy uye nzira dzemaharasurgical. Iyo inoshandiswa pamakumbo maduku, asi inowedzera kuwedzera, uyewo mumatambudziko apo kupindira kwokuvhiya kunopesana (makore anopfuura makumi matanhatu, mwoyo wakakomba kana kuputsika kwetsvo, nezvimwewo). Migumisiro yechirwere yakadai ingave iri kuramba ichirasikirwa nekuteerera kana kukuvadzwa kweropa. Nenguva pfupi pashure peyeriotherapy, kuora kwehupenyu hwakanaka, kuora mwoyo, kunetseka kwezvokudya, kuora musoro, kusuruvara kweganda uye kurasikirwa kwebvudzi panzvimbo yeirradiation inogona kuitika.
Mune zvimwe zviitiko zvose, kupindira kwekuvhiya kunoitwa kuti ubvise neurinoma yehutano hwekuongorora. Kuvhiya kunoitwa pasi peanesthesia yakawanda, nehupamhi yehenya, uye inopera kubva kumaawa matanhatu kusvika ku12. Zvichienderana nehukuru uye nzvimbo yechipfupa chacho, kazhinji zvinogoneka kuisa zvishoma kana zvachose kuchengetedza kunzwa nekushanda kwehutano hwemaziso. Muchipatara, munhu anenge mazuva manomwe mushure mekushanda. Nguva yakazara yekugadzirisa inogona kutora kubva pamwedzi mina kusvika pagore.
Mushure mokuvhiyiwa, munhu anofanira kupinda MRI gore negore kwemakore mashanu kuti ave nechokwadi chokuti hakuna kudzoka zvakare.