Glomus tympanum chotupa
Chotupa cha glomus tympanum ndi chotupa cha khutu lapakati ndi fupa kuseri kwa khutu (mastoid).
Chotupa cha glomus tympanum chimakula mu fupa lanthawi yayitali la chigaza, kuseri kwa eardrum (tympanic nembanemba).
Dera ili lili ndi ulusi wamitsempha (matupi a glomus) omwe nthawi zambiri amayankha kusintha kwa kutentha kwa thupi kapena kuthamanga kwa magazi.
Zotupa izi zimapezeka nthawi yayitali kwambiri, azaka pafupifupi 60 kapena 70, koma zimatha kuwoneka pamisinkhu iliyonse.
Zomwe zimayambitsa chotupa cha glomus tympanum sizidziwika. 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:
- Mavuto akumva kapena kutayika
- Kulira m'khutu (pulsatile tinnitus)
- Kufooka kapena kutayika kwa nkhope kumaso (nkhope yaminyewa ya manjenje)
Zotupa za Glomus tympanum zimapezeka ndikuwunika kwakuthupi. Amatha kuwonekera khutu kapena kumbuyo kwa khutu.
Kuzindikira kumatanthauzanso zowunikira, kuphatikiza:
- Kujambula kwa CT
- Kujambula kwa MRI
Zotupa za Glomus tympanum sizikhala ndi khansa kawirikawiri ndipo sizimakonda kufalikira mbali zina za thupi. Komabe, chithandizo chitha kukhala chofunikira kuti muchepetse matenda.
Anthu omwe anachitidwa opaleshoni amachita bwino. Oposa 90% mwa anthu omwe ali ndi zotupa za glomus tympanum amachiritsidwa.
Vuto lofala kwambiri ndikumva kwakumva.
Kuwonongeka kwa mitsempha, komwe kumatha kuyambitsidwa ndi chotupacho kapena kuwonongeka panthawi ya opaleshoni, kumachitika kawirikawiri. Kuwonongeka kwa mitsempha kumatha kubweretsa ziwalo pamaso.
Imbani wothandizira zaumoyo wanu mukawona:
- Zovuta ndi kumva kapena kumeza
- Mavuto ndi minofu pamaso panu
- Kutengeka khutu lanu
Paraganglioma - glomus tympanum
[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.