Kuphulika kwa ganglioneuroblastoma

Ganglioneuroblastoma ndi chotupa chapakatikati chomwe chimachokera kumatenda amitsempha. Chotupa chapakatikati chimakhala pakati pa chosaopsa (chofulumira kukula komanso chosafalikira) ndi chowopsa (chikukula msanga, chankhanza, ndipo chitha kufalikira).

Ganglioneuroblastoma imapezeka kwambiri mwa ana azaka zapakati pa 2 ndi 4. Chotupacho chimakhudza anyamata ndi atsikana mofanana. Zimapezeka kawirikawiri mwa akuluakulu. Zotupa zamanjenje zimasiyana mosiyanasiyana. Izi zimadalira momwe ma chotupa amawonera pansi pa microscope. Ikhoza kuneneratu ngati zingafalikire kapena ayi.

Zotupa za Benign sizingafalikire. Zotupa zoyipa ndizamphamvu, zimakula msanga, komanso zimafalikira. Gulu la ganglioneuroma silowopsa kwenikweni m'chilengedwe. Neuroblastoma (yomwe imachitika mwa ana opitilira chaka chimodzi) nthawi zambiri imakhala yoyipa.

Gulu la ganglioneuroblastoma limatha kukhala m'dera limodzi kapena kutha kufalikira, koma nthawi zambiri limakhala loopsa kuposa neuroblastoma. Choyambitsa sichikudziwika.

Nthawi zambiri, chotupa chimamveka m'mimba mwachikondi.

Chotupachi chikhozanso kupezeka m'malo ena, kuphatikizapo:

• Pachifuwa
• Khosi
• Miyendo

Wothandizira zaumoyo atha kuchita izi:

• Kukhumba kwabwino kwa singano kwa chotupacho
• Kukhumba kwamfupa ndi mafupa
• Kujambula mafupa
• CT scan kapena MRI scan ya dera lomwe lakhudzidwa
• Kujambula PET
• Kusanthula kwa Metaiodobenzylguanidine (MIBG)
• Mayeso apadera a magazi ndi mkodzo
• Biopsy ya opaleshoni kuti mutsimikizire matenda

Kutengera mtundu wa chotupacho, chithandizo chitha kuphatikizira kuchitidwa opaleshoni, ndipo mwina chemotherapy ndi radiation.

Chifukwa zotupazi ndizochepa, zimayenera kuthandizidwa kuchipatala chapadera ndi akatswiri omwe akudziwa nazo.

Mabungwe omwe amapereka chithandizo ndi zina zowonjezera:

• Gulu la Oncology la Ana - www.childrensoncologygroup.org
• Gulu la Cancer Society la Neuroblastoma - www.neuroblastomacancer.org

Maganizo ake amatengera kutalika kwa chotupacho, komanso ngati madera ena a chotupacho ali ndimaselo owopsa a khansa.

Zovuta zomwe zingakhalepo ndi izi:

• Zovuta za opaleshoni, radiation, kapena chemotherapy
• Kufalikira kwa chotupacho kumadera oyandikana nawo

Itanani omwe akukuthandizani ngati mukumva chotupa kapena chokula m'thupi la mwana wanu. Onetsetsani kuti ana amalandira mayeso a nthawi zonse monga gawo la chisamaliro cha ana awo.

DJ Harrison, Ater JL. Matenda a Neuroblastoma. 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 525.

Myers JL. Mediastinum. Mu: Goldblum JR, Nyali LW, McKenney JK, Myers JL, olemba. Rosai ndi Ackerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: mutu 12.