Kuphulika kwa zigawenga

Ganglioneuroma ndi chotupa cha dongosolo lodziyimira palokha lamanjenje.

Ganglioneuromas ndi zotupa zosawerengeka zomwe nthawi zambiri zimayamba m'maselo amitsempha odziyimira pawokha. Mitsempha yodziyimira payokha imayang'anira ntchito za thupi monga kuthamanga kwa magazi, kugunda kwa mtima, thukuta, matumbo ndi kutulutsa chikhodzodzo, ndi kugaya chakudya. Zotupa nthawi zambiri zimakhala zopanda khansa (zabwino).

Ganglioneuromas nthawi zambiri imapezeka mwa anthu azaka zopitilira 10. Amakula pang'onopang'ono, ndipo amatha kutulutsa mankhwala kapena mahomoni.

Palibe zodziwika pangozi. Komabe, zotupazo zimatha kuphatikizidwa ndi mavuto ena amtundu, monga neurofibromatosis mtundu 1.

Ganglioneuroma nthawi zambiri siyimayikitsa. Chotupacho chimapezeka kokha munthu akamayesedwa kapena kuchiritsidwa matenda ena.

Zizindikiro zimadalira pomwe panali chotupacho komanso mtundu wa mankhwala omwe amatulutsa.

Ngati chotupacho chili m'chifuwa (mediastinum), zizindikiro zimatha kuphatikizira izi:

• Kupuma kovuta
• Kupweteka pachifuwa
• Kuponderezedwa kwa mphepo (trachea)

Ngati chotupacho chili pansi pamimba mdera lotchedwa retroperitoneal space, zizindikilo zimatha kuphatikizira izi:

• Kupweteka m'mimba
• Kuphulika

Ngati chotupacho chili pafupi ndi msana, chingayambitse:

• Kupanikizika kwa msana, komwe kumabweretsa kupweteka ndi kutaya mphamvu kapena kumva m'miyendo, mikono, kapena zonse ziwiri
• Kupunduka kwa msana

Zotupa izi zimatha kupanga mahomoni ena, omwe angayambitse izi:

• Kutsekula m'mimba
• Clitoris yowonjezera (akazi)
• Kuthamanga kwa magazi
• Kuchuluka kwa tsitsi la thupi
• Kutuluka thukuta

Mayeso abwino kwambiri ozindikiritsa ganglioneuroma ndi awa:

• Kujambula kwa CT pachifuwa, pamimba, ndi m'chiuno
• Kujambula kwa MRI pachifuwa ndi pamimba
• Ultrasound pamimba kapena m'chiuno

Mayeso amwazi ndi mkodzo atha kuchitidwa kuti adziwe ngati chotupacho chimapanga mahomoni kapena mankhwala ena.

Kuchotsa biopsy kapena kuchotsa kwathunthu kwa chotupacho kungafune kuti mutsimikizire matendawa.

Kuchiza kumaphatikizapo kuchitidwa opaleshoni kuchotsa chotupacho (ngati chikuyambitsa zizindikiro).

Ma ganglioneuromas ambiri alibe khansa. Zotsatira zomwe amayembekezera nthawi zambiri zimakhala zabwino.

Ganglioneuroma itha kukhala khansa ndikufalikira kumadera ena. Itha kubwereranso ikachotsedwa.

Ngati chotupacho chakhalapo kwanthawi yayitali ndipo chadina msana wam'mimba kapena chikuyambitsa zizindikilo zina, kuchitidwa opaleshoni kuchotsa chotupacho sikungabwezeretse kuwonongeka. Kupanikizika kwa msana wam'mimba kumatha kubweretsa kusunthika (ziwalo), makamaka ngati chifukwa chake sichikupezeka msanga.

Kuchita opaleshoni kuchotsa chotupacho kungayambitsenso zovuta zina. Nthawi zina, mavuto chifukwa cha kupanikizika amatha kuchitika ngakhale chotupacho chitachotsedwa.

Itanani woyang'anira zaumoyo wanu ngati inu kapena mwana wanu muli ndi zizindikiro zomwe zingayambitsidwe ndi chotupachi.

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Goldblum JR, Anthu AL, Weiss SW. Benign zotupa za zotumphukira misempha. Mu: Goldblum JR, Folpe AL, Weiss SW, olemba. Ziphuphu Zofewa za Enzinger ndi Weiss. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2020: mutu 26.

Kaidar-Munthu O, Zagar T, Haithcock BE, Weiss J. Matenda a pleura ndi mediastinum. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 70.