Yala nin taamasiɲɛ ninnu bɛ aw den na wa? An ka kunnafoni sɔrɔ Hypothalamic Hamartoma (HH) kan, o ye kunsɛmɛnasumaya ye min man teli ka sɔrɔ

Yala i denmisɛnnin bɛ ŋɛɲɛ daminɛ tuma dɔw la ni kanba ye kun tɛ wa? Yala o ŋɛɲɛ tɛ se ka bali, i n’a fɔ fiɲɛ bilali wa? Walima i denmuso walima i denkɛ bɛ ka cɛya daminɛ joona taamasiɲɛw jira wa? A bɛnnen don i ma, i n’a fɔ bangebaga, ka siran ni jɔrɔnanko caman sɔrɔ ni i ye nin ko ninnu ye. Bi an bɛ kuma kunkolo bana dɔ kan min man ca kosɛbɛ, nka a nafa ka bon kosɛbɛ k’a dɔn, min bɛ se ka nin taamasiɲɛ ninnu bila mɔgɔ la.

Hypothalamic Hamartoma (HH) ye mun ye tigitigi?

N’an y’a fɔ cogo nɔgɔman na, a ye bonya ye min tɛ kansɛri ye i n’a fɔ kuru min bɛ bonya an hakili la kosɛbɛ, a yɔrɔ nafamaba dɔ la min bɛ wele ko hypothalamus, o bonya bɛ se amande ma.

Aw ye miiri ko hypothalamus ye an farikolo kɔlɔsili yɔrɔba ye. A jɔyɔrɔ ka bon kosɛbɛ fɛn bɛɛ ka to balansi la (homéostase), ka ɔrimɔni ni farikolo yɔrɔw bɛɛ siri ɲɔgɔn na an farikolo la.

Hypothalamus bɛ fɛn minnu kɔlɔsi, olu dɔw ye:

• Tansiyɔn jiginni
• Farikolo funteni
• Degun, jɔrɔnanko dusukunnataw
• Kɔngɔ ni minnɔgɔ
• Ɔrimɔniw bɔli ɲɛgɛnɛsira la
• Sunɔgɔ ni kununni sɛgɛsɛgɛliw

nin HH kuru in bɛ daminɛ ka bɔ den kɔnɔ hali bi . Ni den kunkolo bɛ ka bonya, o kuru in bɛ bonya dɔɔni dɔɔni. Nka aw kana aw hakili ɲagami, a tɛ jɛnsɛn kunsɛmɛ yɔrɔ wɛrɛw la walima farikolo yɔrɔ wɛrɛw la. A ka ca a la, kuru kelen dɔrɔn de bɛ yen, nka a man teli kosɛbɛ ko a caman bɛ se ka kɛ.

Fɛn min ka fisa, o ye ko furakɛli ɲumanw bɛ yen sisan walasa ka bana in taamasiɲɛw kunbɛn.

Nin bana in taamasiɲɛw ye jumɛnw ye?

Nin taamasiɲɛ ninnu tɛ kelen ye den bɛɛ la, wa u bɛ se ka ɲɔgɔn ta den kelen-kelen bɛɛ la. Nka, a taamasiɲɛw kuluba saba bɛ yen minnu bɛ se ka ye.

1. Furuɲɔgɔnmaya joona

Nin ye bana in taamasiɲɛba dɔ ye. N’an y’a fɔ cogo nɔgɔman na, den farikolo bɛ daminɛ ka kɔgɔ cɛnimusoya siratigɛ la joona kosɛbɛ ka tɛmɛ a si hakɛ kan. O bɛ Weele ko ``Central Precocious Puberty''. O bɛ kɛ barisa hakili bɛ taamasiɲɛw ci walasa ka cɛnimusoya hormones dilan joona kosɛbɛ.

A ka c’a la, ni npogotiginin ye cɛya taamasiɲɛw jira sani a ka se san 8 ma, ni cɛden ye sani a ka san 9 sɔrɔ, an ka kan ka hami.

2. Kɔnɔboli

Kɔnɔboli fana ka ca nin bana in na. Kɔnɔboli suguya kɛrɛnkɛrɛnnen dɔ fana bɛ yen min ka teli ka kɛ nin bana in na. A bɛ fɔ a ma ko Gelastic seizure .

Nin ŋɛɲɛ in tɛ nisɔndiyako ye. A bɛ se ka kɛ sekɔndi damadɔ dɔrɔn, nka a bɛ se ka kɛ siɲɛ caman tile kɔnɔ, ani a juguman dɔw la, siɲɛ caman lɛrɛ kɔnɔ. A ka ca a la, nin kirinni sugu bɛ daminɛ sani den ka san kelen sɔrɔ . Nka a bɛ dɔgɔya dɔɔni dɔɔni san 10 kɔfɛ.

Ka fara o kan, kirinni suguya wɛrɛw fana bɛ se ka ye.

• Atonic seizures (drop attacks): Farikolo tɛ se ka a yɛrɛ minɛ yɔrɔnin kelen, farikolo fanga dɔgɔyali, ani ka bin duguma.
• Dacrystic seizures : A tɛ se ka kunbɛn, a bɛ to ka kasi kun t’a la, a ni nisɔndiya bɛ tali kɛ ɲɔgɔn na.
• Tonic-clonic seizures : I n’a fɔ an bɛɛ b’a dɔn cogo min na, kirinniba don min bɛ kɛ sababu ye ka mɔgɔ hakili bɔ ani ka farikolo lamaga.

3. Farikoloɲɛnajɛ taamasiɲɛw ni kɛwale caman yeli

Ikomi hypothalamus ye hakili yɔrɔ dɔ ye min bɛ dɛmɛ ka an dusukunnataw ni an ka kɛwalew kunbɛn, HH bɛ se ka nɔ bila den ka kɛwalew la, a dusukunnataw la ani a ka kalan seko la. Gɛlɛya minnu bɛ se ka sɔrɔ olu dɔw ye:

• Jateminɛ gɛlɛya ani farikoloɲɛnajɛ kojugu (Attention-deficit/hyperactivity disorder - TDAH) .
• Taamacogo jugu, nalonma `(Conduct disorder)`
• Hakilila-dɛsɛ
• Dusukunnataw ka banaw
• Kɛlɛcɛ-kɛlɛ-ko-dɛsɛ
• Taamacogo min bɛ mɔgɔ bila ka wale kɛ
• Hakililajigin gɛlɛya minnu bɛ sɔrɔ waati kunkurunnin kɔnɔ

Yala joli-sira-funu suguya dɔw bɛ yen wa?

Ɔwɔ, nin kuru in bɛ se ka tila suguyaba fila ye ka kɛɲɛ ni a sigiyɔrɔ ye hipotalamus kɔnɔ ani a bɛ taamasiɲɛ minnu lase mɔgɔ ma.

1. Joginda min bɛ sɔrɔ farikolojidɛsɛ la: Nin suguya in na, kuru bɛ ​​sɔrɔ hipotalamu kɔfɛ. O bɛ kunsɛmɛ kuran baara tiɲɛ, o bɛ na ni kirinni ni kɛwale gɛlɛyaw faratiba ye .

2. Parahypothalamic lesion (pedunculated lesion): Yan, kuru bɛ ​​sɔrɔ hipotalamu ɲɛfɛ. nin ye taamasiɲɛba ye min bɛ ye ka da cɛya ni musoya daminɛ na .

Den dɔw bɛ se ka o suguya fila bɛɛ kɛ ɲɔgɔn fɛ.

O ko in sababu ye mun ye?

sababu kɛrɛnkɛrɛnnen si ma sɔrɔ o la fɔlɔ . Wa, cogo si tɛ yen min bɛ se k’a bali. Tuma caman na, a bɛ kɛ k’a sɔrɔ a ma kɛ cogo si la. O kɔrɔ ye ko a ka c’a la, a tɛ sɔrɔ cɛya la. Aw den ka a sɔrɔcogo ka dɔgɔ kosɛbɛ barisa aw ka denbaya kɔnɔ mɔgɔ dɔ bɛ a sɔrɔ.

Nka kɔsa in na ɲininiw y’a Jira ko fɛn dɔw bɛ Yɛlɛma `GLI3` jɛnɛya la o kuru ninnu farikolo yɔrɔ la. Sɛgɛsɛgɛli bɛ sen na hali bi o ko la.

A jirala fana ko jamu bana dɔ min bɛ wele ko ``Pallister-Hall syndrome (PHS)'', o bɛ se ka kɛ ni jɛɲɔgɔnya dɔ ye ni HH ye.

Nin bana in bɛ se ka sɛgɛsɛgɛ cogo di tigitigi?

A ka c’a la, dɔgɔtɔrɔ bɛna yamaruya di aw ma aw ka MRI (Magnetic Resonance Imaging) sɛgɛsɛgɛli kɛ aw kunkolo la walasa ka bana sɛgɛsɛgɛli dafa. MRI bɛ se ka ja jɛlenw bɔ, minnu bɛ ɲɛfɔli kɛ kunsɛmɛ kan.

Ni kirinni bɛ den na, a ka ɲi ka EEG (Electroencephalogramme) sɛgɛsɛgɛli fana kɛ. O bɛ hakili kuran baara kɔrɔbɔ.

Ka fara o kan, hakililata sɛgɛsɛgɛli bɛ se ka kɛ walasa ka den ka miirili, a ka kalan ani a hakilijagabɔ sekow jateminɛ, ani joli sɛgɛsɛgɛli bɛ se ka kɛ walasa ka ɔrimɔni hakɛ lajɛ. Kunnafoni minnu bɛ bɔ o sɛgɛsɛgɛliw la, olu bɛ se ka dɛmɛ kosɛbɛ furakɛli bolodacogo la.

A bɛ furakɛ cogo di?

Laɲiniba fila bɛ HH furakɛli la. Kelen ye ka cɛya ni musoya joona kunbɛn, tɔ kelen ye ka kirinni kunbɛn.

• Walasa ka cɛya daminɛ joona: Fura bɛ kɛ o la. Gonadotropin bɔli ɔrimɔni agonistew bɛ di kalo o kalo. O bɛ ɔrimɔni bɔli kɔlɔsi ani ka cɛya ni musoya taamasiɲɛw kɔlɔsi. Ni den sera san ma, cɛya ni musoya ka kan ka kɛ min na, dɔgɔtɔrɔ bɛna fura tali dabila.
• Kɔnɔboli ta fan fɛ: An ye kuma minnu kan ka tɛmɛ, an ye minnu fɔ ka tɛmɛ, olu tɛ jaabi ɲuman di kirinni furaw ma minnu bɛ kɛ ka caya. O la , opereli walima fɛɛrɛ kɛrɛnkɛrɛnnen wɛrɛw ka teli ka kɛ.

Fɛɛrɛba dɔw bɛ sɔrɔ jukɔrɔ minnu bɛ kɛ ka joli segin walima ka a tiɲɛ walasa ka kirinni kunbɛn.

Ka fara o kan, kalan dɛmɛ kɛrɛnkɛrɛnnen, kɛwalew furakɛli, ani furaw bɛ se ka di lakɔli la walasa ka den ka kɛwalew ni a ka kalanko gɛlɛyaw ɲɛnabɔ.

Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?

I n’a fɔ denba walima fa, i bɛ i den dɔn kosɛbɛ. O la, ni aw ye fɛn dɔw yeli ye walima taamasiɲɛ minnu tɛ deli ka kɛ aw den na, aw kana aw ɲɛmajɔ o la. Ni nin taamasiɲɛ ninnu dɔ bɛ den na, aw bɛ dɔgɔtɔrɔ ka ladilikan ɲini joona.

• Kɔnɔboli: Kɛrɛnkɛrɛnnenya la, nisɔndiya bɛ kɛ kun tɛ min na.
• Furuɲɔgɔnmaya daminɛ taamasiɲɛw: I n’a fɔ an y’a fɔ cogo min na ka tɛmɛ, fɛn dɔw i n’a fɔ kunsigi falenni ani kan bɛ Changé.
• Kalan gɛlɛyaw : sebaliya ka i hakili to fɛn na, fɛn caman yeli hakili la.
• Taamacogo caman yeli: Ka dimi fɛn misɛnninw na, ka kɛ mɔgɔ fariman ye.
• Ɔrimɔni balanbaliya : minnɔgɔ kojugu, kɔngɔ bɛ yɛlɛma, dusukunnataw bɛ wuli yɔrɔnin kelen.

Aw bɛ se ka siran kosɛbɛ ni aw y’a ye ko HH bɛ aw den na. Nka aw k’aw hakili to a la ko sisan fura minnu bɛ se ka kɛ kosɛbɛ o la. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ ani ka fura sugandi min ka fisa aw den ma.