Njira Zamtundu wa Thyroglossal

Zamkati

• Kodi zizindikiro za chithokomiro chamtundu wa thyroglossal ndi ziti?
• Kodi chotupachi chimapezeka bwanji?
• Nchiyani chimayambitsa chotupa chotere?
• Kodi zotupa zoterezi zitha kuchiritsidwa bwanji?
• Kuchita opaleshoni yamtundu wa Thyroglossal
• Kodi pali zovuta zilizonse zokhudzana ndi chotupa ichi?
• Kutenga

Kodi chotupa cha thyroglossal rust ndi chiyani?

Chotupa cha thyroglossal chotupa chimachitika pamene chithokomiro chanu, chotupa chachikulu m'khosi mwanu chomwe chimatulutsa mahomoni, chimasiya maselo owonjezera pomwe chimapanga panthawi yomwe mumakula. Maselo owonjezerawa amatha kukhala zotupa.

Mtundu woterewu ndi wobadwa nawo, kutanthauza kuti amapezeka m'khosi mwanu kuyambira nthawi yomwe mudabadwa. Nthawi zina, ziphuphu zimakhala zochepa kwambiri moti sizimayambitsa zizindikiro zilizonse. Ma cysts akulu, kumbali inayo, amatha kukulepheretsani kupuma kapena kumeza bwino ndipo angafunike kuchotsedwa.

Kodi zizindikiro za chithokomiro chamtundu wa thyroglossal ndi ziti?

Chizindikiro chowonekera kwambiri cha chotupa cha thyroglossal cyst ndikupezeka kwa chotupa pakati pakatikati pakhosi panu pakati pa apulo wa Adam ndi chibwano chanu. Chotupacho chimasuntha mukameza kapena kutulutsa lilime.

Chotupacho sichingawonekere mpaka patadutsa zaka zochepa kapena kupitirira mutabadwa. Nthawi zina, mwina simungazindikire chotupa kapena kudziwa kuti chotupacho chilipo mpaka mutakhala ndi matenda omwe amachititsa kuti chotupacho chifufume.

Zizindikiro zina zofala za chotupa cha thyroglossal duct cyst ndizo:

• akuyankhula ndi mawu okweza
• kukhala ndi vuto kupuma kapena kumeza
• kutsegula m'khosi mwako pafupi ndi chotupa chomwe ntchofu imatuluka
• kumverera mwachikondi pafupi ndi dera la chotupacho
• kufiira kwa khungu mozungulira dera la chotupacho

Kufiira ndi kukoma mtima kumatha kuchitika pokhapokha ngati chotupacho chatenga kachilomboka.

Kodi chotupachi chimapezeka bwanji?

Dokotala wanu amatha kudziwa ngati muli ndi chotupa cha thyroglossal pongoyang'ana chotupa pakhosi panu.

Ngati dokotala akukayikira kuti muli ndi chotupa, angakulimbikitseni magazi amodzi kapena angapo kuti ayesetse chotupa pakhosi panu ndikutsimikizira kuti mwapezeka. Kuyezetsa magazi kumatha kuyeza kuchuluka kwa mahomoni otulutsa chithokomiro (TSH) m'magazi anu, omwe akuwonetsa momwe chithokomiro chanu chikugwirira ntchito.

Mayeso ena ojambula omwe angagwiritsidwe ntchito ndi awa:

• Ultrasound: Kuyesaku kumagwiritsa ntchito mafunde akumveka kuti apange zithunzi zenizeni za cyst. Dokotala wanu kapena katswiri wa ultrasound amakuphimbani pakhosi panu ndi gel osalala ndipo amagwiritsa ntchito chida chotchedwa transducer kuti ayang'ane chotupa pakompyuta.
• Kujambula kwa CT: Kuyesaku kumagwiritsa ntchito ma X-ray kuti apange chithunzi cha 3-D cha zotupa pakhosi panu. Dokotala wanu kapena waluso adzakufunsani kuti mugone pansi patebulo. Gome limalowetsedwa mu sikani yopangidwa ndi zopereka zomwe zimatenga zithunzi kuchokera mbali zingapo.
• MRI: Kuyesaku kumagwiritsa ntchito mafunde a wailesi komanso maginito kuti apange zithunzi zam'mimba pakhosi panu. Monga CT scan, mudzagona pansi patebulo ndikukhala chete. Gome lidzalowetsedwa mkati mwamakina akuluakulu, ooneka ngati chubu kwa mphindi zochepa pomwe zithunzi zochokera pamakina zimatumizidwa pakompyuta kuti ziziwonedwa.

Dokotala wanu amathanso kuchita zokhumba zabwino za singano. Pachiyeso ichi, dokotala wanu amaika singano mu cyst kuti atulutse maselo omwe angayese kuti atsimikizire kuti ali ndi matenda.

Nchiyani chimayambitsa chotupa chotere?

Nthawi zambiri, chithokomiro chanu chimayamba kukulira pansi pa lilime lanu ndikudutsa mumtsinje wa thyroglossal kuti ukakhale m'malo mwanu, pansi pamphongo (womwe umadziwikanso kuti mawu anu). Kenako, ngalande ya thyroglossal imazimiririka musanabadwe.

Mng'omawo ukapanda kutheratu, ma cell am'miyendo yotsalira amatha kusiya zotseguka zomwe zimadzaza mafinya, madzi, kapena gasi. Potsirizira pake, matumba odzaza ndi zinthuzi amatha kukhala zotupa.

Kodi zotupa zoterezi zitha kuchiritsidwa bwanji?

Ngati chotupa chanu chili ndi kachilombo ka bakiteriya kapena kachilombo, dokotala wanu adzakupatsani mankhwala opha tizilombo kuti athetse matendawa.

Kuchita opaleshoni yamtundu wa Thyroglossal

Dokotala wanu angakulimbikitseni kuchitidwa opaleshoni kuti muchotse chotupa, makamaka ngati muli ndi kachilombo kapena mukukuvutitsani kupuma kapena kumeza. Kuchita opaleshoni kotereku kumatchedwa njira ya Sistrunk.

Kuti muchite izi Sistrunk, dokotala kapena dokotalayo:

1. Akupatseni mankhwala oletsa ululu kuti mutha kugona nthawi yonse ya opaleshoniyi.
2. Dulani pang'ono kutsogolo kwa khosi kuti mutsegule khungu ndi minofu pamwamba pa chotupacho.
3. Chotsani minofu ya cyst m'khosi mwanu.
4. Chotsani chidutswa chaching'ono mkatikati mwa fupa lanu la hyoid (fupa pamwamba pa apulo lanu la Adam lomwe limawoneka ngati nsapato ya akavalo), pamodzi ndi minofu yotsala ya njira ya thyroglossal.
5. Tsekani minofu ndi minofu kuzungulira fupa la hyoid ndi madera omwe anachitidwa opareshoni.
6. Tsekani chodulira pakhungu lanu ndimitengo.

Kuchita opaleshoniyi kumatenga maola ochepa. Mungafunike kugona mchipatala usiku womwewo. Tengani masiku angapo kuntchito kapena kusukulu, ndipo onetsetsani kuti mnzanu kapena wachibale wanu alipo kuti akupititseni kwanu.

Pamene mukuchira:

• Tsatirani malangizo aliwonse omwe dokotala akukupatsani kuti musamalire kudula ndi mabandeji.
• Pitani ku msonkhano wotsatira womwe dokotala amakupangirani.

Kodi pali zovuta zilizonse zokhudzana ndi chotupa ichi?

Ma cysts ambiri alibe vuto lililonse ndipo sangayambitse zovuta zazitali. Dokotala wanu angakulimbikitseninso kuchotsa chotupa chosavulaza ngati chikukupangitsani kudzimva nokha za mawonekedwe a khosi lanu.

Ziphuphu zimatha kubwereranso ngakhale zitachotsedwa kwathunthu, koma izi zimachitika munthawi yochepera pa 3 peresenti ya milandu yonse. Kuchita ma cyst kumathanso kusiya chilonda chowoneka pakhosi panu.

Ngati chotupa chimakula kapena chimatupa chifukwa cha matenda, simungathe kupuma kapena kumeza bwino, zomwe zitha kukhala zowopsa. Komanso, ngati chotupa chatenga kachilomboka, chikufunika kuchotsedwa. Izi zimachitika pambuyo poti matenda atachiritsidwa.

Nthawi zambiri, zotupazi zimatha kukhala ndi khansa ndipo zimafunika kuchotsedwa nthawi yomweyo kuti maselo a khansa asafalikire. Izi zimachitika ochepera 1 peresenti yamatenda onse a thyroglossal duct cysts.

Kutenga

Ma cysts a Thyroglossal amakhala opanda vuto lililonse. Kuchotsa ziphuphu kumawoneka bwino: zopitilira 95 peresenti yama cyst amachiritsidwa atatha opaleshoni. Mpata wobwerera cyst ndi wocheperako.

Mukawona chotupa m'khosi mwanu, pitani kuchipatala nthawi yomweyo kuti muwonetsetse kuti chotupacho sichikhala ndi khansa komanso kuti mukhale ndi matenda aliwonse kapena ziphuphu zazikuluzikulu zimachiritsidwa kapena kuchotsedwa.