Craniopharyngioma

Craniopharyngioma ndi chotupa chosagwetsa khansa (chotupa) chomwe chimayamba m'munsi mwaubongo pafupi ndi gland.

Zomwe zimayambitsa chotupacho sizikudziwika.

Chotupachi chimakonda kwambiri ana azaka zapakati pa 5 mpaka 10. Akuluakulu nthawi zina amakhudzidwa. Anyamata ndi atsikana nawonso atha kukhala ndi chotupacho.

Craniopharyngioma imayambitsa zizindikiro ndi:

• Kuchulukitsa kwaubongo, nthawi zambiri kuchokera ku hydrocephalus
• Kusokoneza kapangidwe ka mahomoni ndimatenda a pituitary
• Kupanikizika kapena kuwonongeka kwa mitsempha ya optic

Kuchulukitsidwa kwaubongo kumatha kuyambitsa:

• Mutu
• Nseru
• Kusanza (makamaka m'mawa)

Kuwonongeka kwa vuto la pituitary kumayambitsa kusamvana kwa mahomoni komwe kumatha kubweretsa ludzu komanso kukodza, ndikukula pang'onopang'ono.

Mitsempha yamawonedwe ikawonongeka ndi chotupacho, mavuto am'maso amayamba. Zowonongeka izi nthawi zambiri zimakhala zosatha. Amatha kukulirakulira atachitidwa opaleshoni kuti achotse chotupacho.

Mavuto azikhalidwe komanso kuphunzira atha kukhalapo.

Wothandizira zaumoyo wanu adzakuyesani. Kuyesedwa kudzachitika kuti aone ngati pali chotupa. Izi zingaphatikizepo:

• Kuyezetsa magazi kuyeza kuchuluka kwa mahomoni
• CT scan kapena MRI scan yaubongo
• Kupenda kwamanjenje

Cholinga cha chithandizochi ndi kuthetsa zizindikiro. Kawirikawiri, opaleshoni yakhala chithandizo chachikulu cha craniopharyngioma. Komabe, chithandizo chama radiation m'malo mochita opareshoni kapena kuchitira kaye opaleshoni yaying'ono chingakhale chisankho chabwino kwa anthu ena.

Mu zotupa zomwe sizingachotsedwe kwathunthu ndi opaleshoni yokha, mankhwala a radiation amagwiritsidwa ntchito.Ngati chotupacho chimakhala chowoneka bwino pa CT scan, biopsy singakhale yofunikira ngati chithandizo ndi radiation yokha chikukonzekera.

Ma radiosurgery a stereotactic amachitika m'malo ena azachipatala.

Chotupachi chimathandizidwa bwino pakatikati ndikudziwa bwino pochiza craniopharyngiomas.

Mwambiri, mawonekedwe ake ndiabwino. Pali mwayi wa machiritso 80% mpaka 90% ngati chotupacho chitha kuchotsedwa kwathunthu ndi opareshoni kapena kuchiritsidwa ndi ma radiation. Chotupacho chikabweranso, chimakonda kubwerera mkati mwa zaka ziwiri zoyambirira atachitidwa opaleshoni.

Maonekedwe amatengera zinthu zingapo, kuphatikiza:

• Kaya chotupacho chitha kuchotsedwa
• Matenda amanjenje omwe amayambitsa vuto la mahomoni chotupa ndi chithandizo

Mavuto ambiri amtundu wa mahomoni komanso masomphenya samasintha ndi chithandizo chamankhwala. Nthawi zina, chithandizocho chitha kuwapangitsa kukhala akuipiraipira.

Pakhoza kukhala ma hormone a nthawi yayitali, masomphenya, ndi mavuto amanjenje pambuyo poti craniopharyngioma yathandizidwa.

Ngati chotupacho sichichotsedwa kwathunthu, vutoli limatha kubwerera.

Itanani omwe akukuthandizani kuti adziwe izi:

• Mutu, kunyoza, kusanza, kapena kusamala (zizindikiro zakuchulukira kwa ubongo)
• Kuchuluka kwa ludzu ndi kukodza
• Kukula pang'ono kwa mwana
• Masomphenya akusintha

• Matenda a Endocrine

Styne DM. Physiology ndi zovuta zakutha msinkhu. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 26.

Suh JH, Chao ST, Murphy ES, Recinos PF. Zotupa za pituitary ndi craniopharyngiomas. Mu: Tepper JE, Foote RL, Michalski JM, olemba. Chipatala cha Gunderson & Tepper's Radiation Oncology. 5th ed. Philadelphia, PA: Elsevier; 2021: chaputala 34.

Zaky W, Ater JL, Khatua S. Zotupa zamaubongo ali mwana. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 524.