Har ila yau, an san shi: ƙananan ƙwayoyin neurinoma, vestibular schwannoma, ƙwararriyar auditive
Ƙananan ƙwayoyin neuroma shine ciwon daji wanda yake shafa jijiyoyin da ke gudana daga kunnen ciki zuwa kwakwalwa. Kwayoyin lafiya na al'ada suna rufe da kwayoyin halitta da ake kira Schwann wadanda suke aiki kamar yadda rubba ko filastik din ke aiki a kan na'urorin wiwannin lantarki; samar da tsawa da goyan baya ga kwakwalwa.
Lokacin da wadannan kwayoyin sun fara girma kuma suna karuwa a cikin wani nau'i na hauka, wani ƙwayar ƙwayoyin cuta na iya faruwa.
Yanayi na ƙwayoyin ƙwayoyin cuta na Neuroma
Ƙananan neuroma na faruwa ne kawai a cikin kimanin 2 daga mutane 100,000 idan babu wasu abubuwan da ke motsawa. Abinda mafi yawancin kwayoyin halitta ba don ƙaddamar da ƙwayoyin ƙwayoyin cuta ba ne ƙwararriyar binciken kuma akwai wasu gaskantawa cewa radiation mai raɗaɗi ga hanyoyin da kai da wuyansa a lokacin ƙuruciyar na iya kara yawan haɗarinka. Duk da yake akwai jita-jita cewa tsawon lokacin amfani da wayoyin salula zai iya hadewa da neuroma, bincike baya goyon bayan wannan jita-jita.
Na'urar da ke da ƙwayar cuta ne mafi rinjaye idan kana da neurofibromatosis type 2 (NF2). Idan an gano ku tare da NF2, haɗarinku ya kara zuwa 2 daga mutane 10,000. A kowane hali, ƙananan neuroma yana da tsammanin faruwa tsakanin shekaru 50 zuwa 70.
Cutar cututtuka na ƙwayoyin ƙwayoyin cuta
Ƙananan neuroma ya hana aikin al'ada na jijiyoyin da ke da alhakin ji da daidaitawa .
Kwayoyin cututtuka na ƙananan ƙwayoyin cuta sun hada da:
Idan kututtukan ya fara aiki akan cutar da fuskar mutum, alamun bayyanar sun hada da:
- gyaran fuska
- fatar jiki
- gyaran fuska
Duk da yake neuroustic neuroma yana cike da ciwo mai tsanani, idan ba a yi masa hukunci ba zai iya zama babba don haka yana matsawa ga tsarin kwakwalwa mai kyau kuma zai iya zama barazanar rai.
Sanin asali
Sakamakon ganewar kwayar neuroma zai iya zama da wuya (musamman idan ƙwayar ƙananan yake ƙananan) saboda bayyanar cututtuka sun dace daidai da wasu kunnuwan kunnen kunnuwan ciki. Wasu daga cikin gwaje-gwajen da suka fi amfani da su don gano wannan yanayin sune:
- Audiogram
- CT dubawa
- MRI
MRI ita ce hanyar da aka fi dacewa don gwaji kamar yadda zai iya zama da amfani a gano kananan ƙwayoyin cuta (2 mm a girman ko girma) idan aka yi amfani da ita ga bambancin gadolinium. Ana iya amfani da CT a ganin ciwace-ciwacen da ya fi girma 2 cm.
Jiyya
Jiyya yawanci yana dauke da cirewar ƙwayar cutar. Duk da haka, idan ƙwayar ƙwayar ƙuruciya ne da kuma asymptomatic, mai haƙuri da likita zasu iya barin saka idanu. Haka kuma idan har mai haƙuri ba dan takarar kirki ne ba don tiyata kamar tsofaffin marasa lafiya wadanda ke da tarihin zuciya da cutar huhu. Rashin ƙwayar ƙwayar ƙwayar cuta yana ɗauke da haɗari da dama ciki har da haɗari cewa jijiyoyin dake kewaye da ƙwayar cuta na iya lalacewa. Wannan shi ne ainihin gaskiya idan tarin yana da girma. Wasu zaɓuɓɓukan don magani sun haɗa da farfado da radiation ko radiosurgery. Dukkanin wadannan jiyya suna nufin rage girman ƙwayar.
A cikin ƙoƙari na rage haɗarin jijiyoyin jijiyoyin da ke kewaye da ciwon sukari, wasu likitoci na iya ƙyamar yin wani resection mai rauni don cire yawancin, amma ba duka ba, daga cikin ƙwayar cuta.
Bayan an tilastawa, anyi amfani da maganin radiation da za a iya yi domin ya hallaka sauran ƙwayar.
Rashin kula da ƙananan ƙwayoyin cuta zai iya haifar da sauraron jin dadi da daidaita matsalar. Idan ƙwararrun ƙananan ne, likitan likitanka na son jinkirta jinkirin cire ƙwayar cutar, kuma zai bi MRI kowane watanni 6 zuwa 12. Rage jinkirin magani yana da tsawo kuma zai iya haifar da lalacewa mara kyau. Samun bayani game da hadarin vs. Amfanin jinkirta tiyata tare da likitan likitanka yana da tabbaci kafin yin yanke shawara.
Sources:
Ferri, FF. (2017). Ferri na Clinical Advisor 2017. https://www.clinicalkey.com (Abinda ake buƙata).
Medline Plus. Ƙaramar Neuroma. https://medlineplus.gov/acousticneuroma.html.
Ƙungiyar Ƙasa ta Cibiyar Cutar Cutar da Sauran Sadarwar Sadarwa. Vestibular Schwannoma (Auroustic Neuroma) da Fibromatosis. http://www.nidcd.nih.gov/health/hearing/acoustic_neuroma.asp.
Pettersson, D, Mathiesen, T, Prochazka, M, Bergenheim, T, Florentzson, R, Harder, H ... Feychting M. (2014). Dogon lokacin amfani da wayoyin tafi-da-gidanka da kuma ƙananan ƙwayoyin cuta. Epidemiology. 25 (2): 233-41. Doi: 10.1097 / EDE.0000000000000058.