Achinyamata angiofibroma

Achinyamata angiofibroma ndikukula kopanda khansa komwe kumayambitsa magazi m'mphuno ndi sinus. Amawonekera kwambiri mwa anyamata ndi anyamata achikulire.

Achinyamata angiofibroma siofala kwambiri. Nthawi zambiri amapezeka mwa anyamata achichepere. Chotupacho chili ndi mitsempha yambiri yamagazi ndipo imafalikira mdera momwe idayambira (yolowerera kwanuko). Izi zitha kupangitsa kuwonongeka kwa mafupa.

Zizindikiro zake ndi izi:

• Kuvuta kupuma kudzera pamphuno
• Kuvulaza kosavuta
• Kutuluka magazi pafupipafupi kapena mobwerezabwereza
• Mutu
• Kutupa kwa tsaya
• Kutaya kwakumva
• Kutulutsa m'mphuno, nthawi zambiri kumakhala kwamagazi
• Kutaya magazi nthawi yayitali
• Mphuno yodzaza

Wopereka chithandizo chamankhwala amatha kuwona angiofibroma poyang'ana khosi lakumtunda.

Mayeso omwe angachitike ndi awa:

• Arteriogram kuti muwone momwe magazi amakulira
• CT scan ya sinus
• Kujambula kwa MRI pamutu
• X-ray

Biopsy sichikulimbikitsidwa chifukwa chakuwopsa kwa magazi.

Mudzafunika chithandizo ngati angiofibroma ikukula, kutsekereza mayendedwe apansi, kapena kuyambitsa kutulutsa magazi m'mphuno mobwerezabwereza. Nthawi zina, sipafunika chithandizo.

Angafunike opaleshoni kuti achotse chotupacho. Chotupacho chingakhale chovuta kuchichotsa ngati sichinatsekedwe ndipo chafalikira kumadera ena. Njira zatsopano zopangira opaleshoni zomwe zimaika kamera kupyola m'mphuno zapangitsa kuti opaleshoni yochotsa chotupa ichepetse.

Njira yotchedwa embolization itha kuchitidwa kuti chotupa chisatuluke magazi. Njirayi imatha kukonza okha magazi am'mphuno, koma nthawi zambiri amatsatiridwa ndi opareshoni kuti achotse chotupacho.

Ngakhale kuti angiofibromas si khansa, imatha kupitilirabe kukula. Ena amatha kutha okha.

Zimakhala zachilendo kuti chotupacho chibwererenso pambuyo pochitidwa opaleshoni.

Zovuta zingaphatikizepo:

• Kuchepa kwa magazi m'thupi
• Kupanikizika pa ubongo (kawirikawiri)
• Kufalikira kwa chotupacho mphuno, sinus, ndi zina

Itanani omwe akukuthandizani ngati nthawi zambiri mumakhala:

• Kutulutsa magazi m'mphuno
• Kutsekeka kwammbali kwamodzi

Palibe njira yodziwika yopewera vutoli.

Chotupa; Angiofibroma - wachinyamata; Chotupa cha Benign nasal; Achinyamata amphuno angiofibroma; JNA

• Tuberous sclerosis, angiofibromas - nkhope

Chu WCW, Epelman M, Lee EY. Neoplasia. Mu: Coley BD, Mkonzi. Kujambula Kuzindikira Kwa Ana kwa Caffey. Wolemba 13. Philadelphia, PA: Elsevier; 2019: chap 55.

Haddad J, Dodhia SN. Anapeza matenda a mphuno. 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 405.

Nicolai P, Castelnuovo P. Benign zotupa zamagawo a sinonasal. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 48.

Snyderman CH, Pant H, Gardner PA. Achinyamata angiofibroma. Mu: Meyers EN, Snyderman CH, olemba. Opolaryngology Yogwira Ntchito: Opaleshoni ya Mutu ndi Khosi. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 122.