Glomus jugulare chotupa

Chotupa cha glomus jugulare ndi chotupa cha gawo la fupa losakhalitsa mu chigaza lomwe limakhudza mawonekedwe amkati ndi amkati amkati. Chotupachi chimatha kukhudza khutu, khosi lakumtunda, chigaza, ndi mitsempha yamagazi yoyandikana nayo.

Chotupa cha glomus jugulare chimamera mu fupa lanthawi yayitali la chigaza, mdera lotchedwa jugular foramen. The jugular foramen ndipamene mtsempha wosakhazikika ndi minyewa yambiri yofunikira imatuluka chigaza.

Malowa amakhala ndi ulusi wamitsempha, wotchedwa matupi a glomus. Nthawi zambiri, mitsempha imeneyi imayankha kusintha kwa kutentha kwa thupi kapena kuthamanga kwa magazi.

Zotupa izi zimakonda kuchitika pambuyo pake m'moyo, azaka pafupifupi 60 kapena 70, koma amatha kuwonekera msinkhu uliwonse. Zomwe zimayambitsa chotupa cha glomus jugulare sizikudziwika. Nthawi zambiri, palibe zomwe zimadziwika kuti ndi zoopsa. Zotupa za Glomus zimalumikizidwa ndi kusintha (kusintha) mu jini lomwe limayambitsa enzyme succinate dehydrogenase (SDHD).

Zizindikiro zimaphatikizapo:

• Kuvuta kumeza (dysphagia)
• Chizungulire
• Mavuto akumva kapena kutayika
• Kumva kupindika m'makutu
• Kuopsa
• Ululu
• Kufooka kapena kutayika kwa nkhope kumaso (nkhope yaminyewa ya manjenje)

Zotupa za Glomus jugulare zimapezeka ndi mayeso athupi ndi kuyerekezera kujambula, kuphatikiza:

• Angiography ya ubongo
• Kujambula kwa CT
• Kujambula kwa MRI

Zotupa za Glomus jugulare sizikhala ndi khansa kawirikawiri ndipo sizimakonda kufalikira mbali zina za thupi. Komabe, chithandizo chitha kukhala chofunikira kuti muchepetse matenda. Chithandizo chachikulu ndi opaleshoni. Opaleshoni ndi yovuta ndipo nthawi zambiri imachitidwa ndi a neurosurgeon, mutu ndi khosi wochita opaleshoni, komanso dokotala wamakutu (neurotologist).

Nthawi zina, njira yotchedwa embolization imagwiridwa musanachite opareshoni kuti muchepetse chotupacho kuti chisatuluke magazi kwambiri panthawi yochita opareshoni.

Pambuyo pa opareshoni, mankhwala a radiation atha kugwiritsidwa ntchito kuchiza gawo lililonse la chotupacho chomwe sichingachotsedwe kwathunthu.

Zotupa zina za glomus zitha kuchiritsidwa ndi ma stereotactic radiosurgery.

Anthu omwe anachitidwa maopareshoni kapena ma radiation amachita bwino. Oposa 90% mwa omwe ali ndi zotupa za glomus jugulare amachiritsidwa.

Zovuta zomwe zimafala kwambiri zimachitika chifukwa cha kuwonongeka kwa mitsempha, komwe kumatha kuyambitsidwa ndi chotupacho kapena kuwonongeka kwa opaleshoni. Kuwonongeka kwa mitsempha kumatha kubweretsa ku:

• Sinthani ndi mawu
• Zovuta kumeza
• Kutaya kwakumva
• Kufa kwa nkhope

Imbani wothandizira zaumoyo wanu ngati:

• Mukuvutika ndi kumva kapena kumeza
• Pangani makutu m'makutu mwanu
• Tawonani chotupa m'khosi mwanu
• Zindikirani mavuto aliwonse okhala ndi minofu pankhope panu

Paraganglioma - glomus jugulare

[Adasankhidwa] Marsh M, Jenkins HA. Zotupa zam'mafupa osakhalitsa komanso opareshoni yotsatira. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 176.

Wopanda JC, Thurtell MJ. Mitsempha ya Cranial neuropathies. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 104.

Zanotti B, Verlicchi A, Gerosa M. Glomus zotupa. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 156.