Neurinoma wa mitsempha yolondola

Neurinoma ya mitsempha yodalirika ndi zotupa zowononga zomwe zimapangidwa kuchokera ku maselo omwe amapanga mitsempha yachisanu ndi chiwiri yokha. Zimapangidwa ndi zigawo zingapo zomwe zimayambitsa ntchito yowonongeka ndi kuyang'anira. Matendawa ndi odwala omwe ali ndi zaka 50 mpaka 60. Chotupa ichi chimadziwika ndi kukula msanga.

Etiology

Zomwe zimayambitsa chotupa chotero sizinakhazikitsidwe, zifukwa zoopsya zimakhalanso zosadziwika. Nthawi zambiri, neurinoma ya mitsempha yowonjezereka ndi chizindikiro cha mphuno za ubongo, zomwe zimayambitsa matenda. Mu chithunzichi chachipatala, chotupacho chimagwirizanitsa.

Zizindikiro

Kumva kutayika, chizungulire ndi zizindikiro zomwe zimagwirizana ndi neurinoma ya mitsempha yolondola. Zizindikiro zimachitika patangotha kanthawi kochepa chiberekero chikuoneka ndipo zimakhala zofanana ndi zomwe zimachitika mliriwu. Kumva kupweteka ndi njira yoyamba ya neurinoma. Lili ndi khalidwe la kukwiyitsa, lomwe limadziwonetsera pambali ya kukula kwa chotupa. Odwala amamva phokoso ndi phokoso losiyanasiyana. Ena sazindikira zovuta zazikulu mu ntchito yoyang'anira.

Kukula kwapang'onopang'ono kwa chotupacho kumayambitsa chizungulire, chomwe nthawi zina chimakhala ndi khalidwe lachisokonezo. Pankhaniyi, amatsuka ndi kusanza ndi kusuta. Pa kafukufuku wovomerezeka mtundu wa nystagmus ukuwululidwa umene umasonyezedwa mwachindunji kupatula kupangidwa kwa chiwerewere. Zokongoletsera, ziwalo za mitsempha zimakhudzidwa panthawi imodzi.

Chizindikiro chotsatira chomwe chimapezeka mu matendawa ndi kupweteka ndi parasthesia, zomwe zimapezeka pambali pa chotupacho. Iwo ali ndi khalidwe losasangalatsa, lopweteka. M'nthawi yoyamba ya matendawa, iwo amatha kusiya. Mavutowa amayamba chifukwa cha kupanikizika, komwe khunyu kamakhala ndi mitsempha yotchedwa trigeminal nerve, ikuyandikira pafupi ndi chovalacho. Nthaŵi zina, kupweteka maganizo kumatenga chikhalidwe cha paroxysmal. Choncho, amavomerezedwa ku trigeminal neuralgia ndi matenda a mano. Pamene mukukula, kupanikizika kwa chotupa kumakula, ndipo ululu umakhala wamuyaya.

Mawonetseredwe ena a kachipatala amadalira kukula kwa chisudzo. Ndi kukula ndi kumbuyo, pali zizindikiro za kuwonongeka kwa minofu ya cerebellar. Pamene mukuyamba ndi kumbuyo, mitsempha yowopsya ndi yofiira imakhudzidwa, komwe kumakhala kovuta kwa ntchito yowononga, kuvutika maganizo, kuimbidwa kwa foni, kuchepetsedwa kwa pharyngeal reflex.

Neurinoma ya mitsempha yowonjezereka sichimasokoneza ntchito zogwira ntchito komanso zamagalimoto. Pyramidal system imakhudzidwa kwambiri, pamene kusintha kwawonjezeka.

Chizindikiro chakumapeto chimawonjezeka kuwonjezeka kwa ubongo. Izi zimachepetsa malo owonetsera.

Zofufuza

Amafuna njira zotsatirazi:

- kumvetsera komwe kumathandiza kuyeza kumva m'makutu onse;

- Electronastagmography, yomwe imakulolani kuyang'anitsitsa kayendetsedwe ka diso ndi chizungulire mukamadzaza kankhutu ndi mpweya kapena madzi otentha;

- kuyesa kofufuza, komwe kumathandizira kuyesa momwe mphuno imayambira;

- kujambula kwa maginito a maginito;

- Computed tomography.

Njira zonsezi zimapangitsa kusiyana kwa matendawa kuchokera ku ziwalo zina za ubongo, monga neurinoma ya ubongo.

Chithandizo

Pali njira zingapo zothandizira kutaya izi: kasamalidwe ka ntchito, ma radiosurgery, opaleshoni yopaleshoni. Pa kukula kwazing'ono, mawonetseredwe osadziwika a chipatala ndi ukalamba wa wodwalayo, njira yoyamba imagwiritsidwa ntchito. Muzochitika zina zonse, neurinoma ya mitsempha yodalirika imafuna kuvomereza opaleshoni.