Loaʻa i kāu keiki kēia mau hōʻailona? E aʻo kākou e pili ana i ka Hypothalamic Hamartoma!

Ke hana ʻē nei kāu keiki liʻiliʻi i kekahi manawa, me he mea lā e ʻakaʻaka wale ana no kekahi mau kekona? A i ʻole ke hōʻike nei lākou i nā hōʻailona o ka wā ʻōpiopio mua? He mea maopopo ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kēia mau mea. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi lolo e hiki ai ke hana i kēia mau hōʻailona, ​​​​he mea kakaikahi iki ia, akā he mea nui e makaʻala.

No laila he aha kēia hamartoma hypothalamic?

I ka ʻōlelo maʻalahi, ʻo ka Hypothalamic Hamartoma (HH) he puʻupuʻu e ulu ana i loko o ka hypothalamus, kahi ʻāpana o ka lolo e waiho hohonu ana i loko o ka lolo . Eia naʻe, ʻaʻole ia he maʻi kanesa, ʻo ia hoʻi , ʻaʻohe ona mau hunaola kanesa (ʻaʻole maʻi kanesa) . He ʻano liʻiliʻi ka hypothalamus e like me ka nui o ka ʻalemona. Akā he kuleana koʻikoʻi loa ia i loko o ko kākou kino. Hana ia ma ke ʻano he mea hoʻonohonoho ma waena o kā kākou ʻōnaehana endocrine a me ka ʻōnaehana nerve , e kōkua ana i ka mālama ʻana i ka homeostasis (kaulike) i loko o ke kino.

E noʻonoʻo i kēia ʻano, ua like ka hypothalamus me kahi papa hoʻomalu i loko o ko kākou kino. Hoʻomalu ia i kēia mau mea:

• Ke koko
• Mahana kino
• Ke kaomi a me ke kaumaha a mākou e manaʻo nei
• Ka pōloli a me ka make wai
• Ka hoʻokuʻu ʻia ʻana o nā hormones mai ka pituitary gland
• Nā pōʻaiapuni hiamoe a ala

Hoʻomaka kēia puʻupuʻu, i kapa ʻia he hematoma hypothalamic, e hana ʻia i ka wā e noho ana ke pēpē i loko o ka ʻōpū ('hoʻomohala ka fetus') . A laila ulu mālie ia i ka ulu ʻana o ka lolo. ʻO ka mea maikaʻi loa , ʻaʻole ia e laha i nā ʻāpana ʻē aʻe o ka lolo a i ʻole nā ​​​​ʻāpana ʻē aʻe o ke kino . ʻO ka hapa pinepine, hoʻokahi wale nō puʻupuʻu, akā kakaikahi loa ka hiki ke loaʻa he nui. Aia nā lāʻau lapaʻau maikaʻi e kāohi i nā hōʻailona o kēia ʻano.

No laila he aha nā hōʻailona o kēia kūlana hypothalamic hematoma (HH)?

Hiki ke ʻokoʻa nā hōʻailona o kēia maʻi mai kēlā me kēia kanaka, akā aia kekahi mau hōʻailona nui e ʻike ʻia:

• ʻŌpio mua
• Nā hopu ʻana
• Nā hōʻailona neurological

He aha ke ʻano o ka "Precocious Puberty"?

ʻO ka mea e hana ʻia ana, hoʻomaka ko kākou lolo e hoʻokuʻu i nā hormones moekolohe ma mua o ko lākou manawa kūpono. ʻO ka maʻamau , hiki i nā kaikamahine ke hōʻike i kēia mau hōʻailona ma mua o 8 mau makahiki a me nā keikikāne ma mua o 9 mau makahiki .

Nā hōʻailona e ʻike ai nā kaikamahine :

• Ka ulu ʻana o ka umauma
• Ka ulu ʻana o ka lauoho ma nā armpits a me nā wahi pilikino
• Ka hoʻomaka ʻana o ka menstruation
• ʻAkika

Nā hōʻailona e ʻike ai nā keikikāne :

• Ka hoʻohōhonu ʻana o ka leo
• Ka ulu ʻana o ka lauoho ma ka maka, nā ʻūpā lima, a me nā wahi pilikino
• Ka hoʻonui ʻia ʻana o ka scrotum a me nā testicles
• ʻAkika

E noʻonoʻo i ke kaumaha o kou naʻau a me kāu kaikamahine ke hoʻomaka lākou e hōʻike i kēia mau loli ma mua o ko lākou mau hoaaloha. No laila, inā ʻike ʻoe i kekahi mea e like me kēia, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa.

E aʻo pū kākou e pili ana i nā maʻi ʻōʻili.

He mea maʻamau nō hoʻi ka loaʻa ʻana o nā hopu ʻana o ka epileptic me kēia ʻano. ʻO kekahi o nā mea maʻamau ka 'gelastic seizure' . He pahū koke kēia o ka ʻakaʻaka me ke kumu ʻole . Hoʻokumu ʻia ia e kahi ʻano ʻē i ka hana uila i loko o ka lolo. Hiki i kēia ke mau no kekahi mau kekona, akā hiki ke hana i nā manawa he nui i ka lā, a i nā hihia koʻikoʻi, i nā manawa he nui i ka hola.

ʻO ka hapa nui o ka manawa, hoʻomaka kēia ʻano maʻi epilepsy ma mua o ka piha ʻana o ke keiki i hoʻokahi makahiki . Eia nō naʻe, ma hope o ka piha ʻana o 10 makahiki, hiki ke ʻike ʻia ka emi ʻana o kēia alapine (frequency).

Ma waho aʻe o kēia epilepsy gelatinous, hiki ke ʻike ʻia nā ʻano epilepsy ʻē aʻe:

• Nā hopu ʻana o Atonic: Ma kēia, aia kahi nalowale koke o ka mana o nā ʻiʻo, a hiki paha iā ʻoe ke hiolo, me he mea lā ua paʻi kekahi iā ʻoe.
• Nā kuʻi ʻana o Dacrystic: He pahū koke kēia o ka uē ʻana me ke kāohi ʻole ʻia. Hana ʻia kēia me ke kumu ʻole.
• Nā hopu ʻana o ka tonic-clonic: ʻO kēia ka mea a ka poʻe he nui i ʻike ai he "fit." Aia ka nalowale o ka ʻike, a lele ke kino a neʻe me ke kāohi ʻole ʻia.

He aha nā hōʻailona neurological?

ʻO kēia kūlana, i kapa ʻia ʻo hypothalamic hematoma (HH), hiki ke hoʻopilikia i ke ʻano o kāu keiki, ke ʻano, a me ka hana noʻonoʻo . ʻO ke ʻano kēia:

• Ka maʻi hoʻolohe-nele/hyperactivity (ADHD)
• Ka hana ʻino
• Ke kīnā noʻonoʻo
• Nā loli o ke ʻano, e noho like ana i nā manawa like ʻole ('Nā maʻi ʻano')
• Ka maʻi kūʻē-kūʻē (ka maʻi kūʻē-kūʻē)
• Nā ʻano hana pane (e laʻa me ka huhū koke, ka lilo ʻana i mea hoʻonāukiuki)
• Nā pilikia me ka hoʻomanaʻo pōkole

Ma ke ʻano he mau mākua, hopohopo nui mākou ke hōʻike kahi keiki i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona. Akā, he mea nui e hoʻomanaʻo he mau lāʻau lapaʻau i ʻōlelo ʻia no kēia mau mea a pau.

He aha nā ʻano nui o ka hematoma hypothalamic (HH)?

Aia ʻelua ʻano nui o ka hematoma hypothalamic, i hoʻokaʻawale ʻia e like me ka wahi o ka puʻupuʻu a me nā hōʻailona i hoʻokumu ʻia :

1. ʻO ka ʻeha intrahypothalamic: I kēia hihia, aia ka puʻupuʻu ma kahi kokoke i ke kua o kou hypothalamus. Hoʻopilikia kēia i ka hana uila o ka lolo, hiki ke hoʻoulu i nā hopu a me nā ʻano hana ʻē.

2. ʻO ka lesion Parahypothalamic (Pedunculated lesion - `Parahypothalamic lesion`):I kēia hihia, aia ka puʻupuʻu ma kahi kokoke i ke alo o ka hypothalamus. Hoʻopili pinepine ʻia kēia ʻano me ka wā ʻōpiopio.

Eia nō naʻe, i kekahi manawa hiki i kēia mau ʻano ʻelua ke loaʻa i loko o ka mea hoʻokahi i ka manawa like.

No ke aha i hoʻokumu ʻia ai kēia hematoma hypothalamic (HH)? He aha ke kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā loea ke kumu o HH. ʻAʻohe ala e pale aku ai. ʻO ka hapa nui o ka manawa, hiki ke ʻano maʻamau. ʻO ia hoʻi , ʻaʻole ia e holo i loko o nā ʻohana . No laila, haʻahaʻa loa ka manawa e hoʻoilina ai ʻoe.

Eia nō naʻe, ua loaʻa i nā noiʻi hou kahi ʻano somatic o kahi gene i kapa ʻia ʻo GLI3 i loko o ka ʻiʻo tumor mai nā tumors i ʻoki ʻia. Ua loaʻa pū kekahi mau ʻano genetic ʻē aʻe i loko o kēia mau tumors i ʻoki ʻia. Ke hoʻomau nei ka noiʻi hou aku ma kēia mau genes.

ʻO kekahi mea ʻē aʻe, aia paha kahi pilina ma waena o kēia hematoma hypothalamic a me kahi maʻi genetic i kapa ʻia ʻo Pallister-Hall syndrome (PHS) . Hoʻokumu ʻia kēia maʻi PHS e kahi ʻano genetic. Hiki iā ia ke hana i nā ʻano ʻē i ka ulu ʻana o nā lima, nā wāwae, ka larynx (pahu leo), a me ka anus.

He aha nā kumu pilikia no kēia maʻi?

Hiki i kēia maʻi ke hoʻopilikia i kekahi. ʻOi aku ka maʻamau i nā kāne . Hoʻopilikia nui ʻo HH i nā keiki a me nā ʻōpio. Eia nō naʻe, i kekahi mau hihia, ʻaʻole paha e ʻike ʻia ke ʻano a hiki i ka wā e ʻike ʻia ai nā hōʻailona i ka wā makua.

He aha nā pilikia e hiki mai ana o ka hematoma hypothalamic (HH)?

Hiki i ka wā ʻōpiopio mua ke hoʻopilikia i ke olakino kino a me ka noʻonoʻo o ke keiki , ʻoiai ke loli koke ko lākou kino ma mua o nā keiki ʻē aʻe i ko lākou mau makahiki. No ka laʻana, he pōkole paha ko lākou kino . Eia kekahi, ʻaʻole hiki i ke keiki ke hoʻomaopopo pono i kēia mau loli. Hiki i kēia ke hoʻopilikia i ko lākou manaʻo ponoʻī a me ke olakino naʻau. Hiki i ka hui lapaʻau o kāu keiki ke kōkua i ka hoʻokele ʻana i nā pilikia e kū mai ana.

Pehea e ʻike ʻia ai kēia ʻano o ka hematoma hypothalamic (HH)?

Hiki i kāu kauka ke hana i kekahi mau hoʻokolohua kiʻi e hōʻoia i ke kūlana HH.

• MRI scan (MRI - Magnetic Resonance Imaging): Hiki i kēia ke kiʻi i nā kiʻi maopopo loa a kikoʻī o kou lolo. Pono paha e hāʻawi ʻia i nā keiki liʻiliʻi i ka hoʻomaha māmā e hoʻomau iā lākou i ka wā o ka MRI. ʻO kēia no ka mea inā neʻe lākou, hiki ke blurry nā kiʻi. E noʻonoʻo e like me ke kiʻi e lawe ʻia ana a inā neʻe lākou, e blurry nā kiʻi.

• Hoʻāʻo EEG (`EEG - Electroencephalogram`): Inā loaʻa iā ʻoe nā hopu ʻana o ka epileptic, hiki i kāu kauka ke kauoha i kahi hoʻāʻo EEG. Hana ʻia kēia e nānā i ka hana uila i loko o kou lolo . E like me ka ECG o ko kākou puʻuwai, hoʻāʻo kēia i ka hana o ka lolo.

• Hoʻāʻo neurological: Ke ana kēia i ka nui o nā pilikia noʻonoʻo, e like me ka noʻonoʻo ʻana, ke aʻo ʻana, a me ka hoʻomanaʻo . Hiki i kāu kauka ke hana i nā hoʻokolohua koko e nānā i nā pae hormone. Hiki i kēia mau hoʻokolohua ke kōkua i ka hoʻolālā ʻana i ka lāʻau.

I kekahi manawa, paʻakikī ke ʻike i ka HH no ka mea ua like kona mau hōʻailona me nā maʻi neurological ʻē aʻe .

ʻAe, he aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no kēia ʻano, ʻo ia hoʻi ka hypothalamic hematoma (HH). ʻElua mau koho lapaʻau nui:

• Nā lāʻau lapaʻau e kāohi i ka wā ʻōpiopio: Hoʻohana kēia i kahi papa o nā lāʻau lapaʻau i kapa ʻia ʻo 'Gonadotropin-releasing hormone agonists '. Hana kēia ma ka kaohi ʻana i ka hoʻokuʻu ʻia ʻana o nā hormones i ka wā ʻōpiopio, e like me ka mea i ʻōlelo ʻia ma mua.
• ʻO ke ʻoki kino e kāohi ai i nā hopu ʻana o ka epileptic: E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku.

Eia kekahi, hiki i ke kauka o kāu keiki ke ʻōlelo aku i ke kākoʻo hoʻonaʻauao ma ke kula, ka lāʻau lapaʻau, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe no ke ʻano, ka hana, a me nā pilikia noʻonoʻo.

He aha nā ʻokiʻoki e hana ʻia no ka hematoma hypothalamic (HH)?

No ka kāohi ʻana i nā hopu ʻana, hiki i ke kauka ke ʻōlelo aku i ke ʻoki ʻana i ka maʻi epilepsy a i ʻole kekahi hana ʻē aʻe e wehe ai a luku paha i ka hematoma. ʻAʻole maikaʻi pinepine nā lāʻau antiseizure no nā hopu gelastic . Eia nō naʻe, hiki iā lākou ke kōkua i ka kāohi ʻana i nā ʻano hopu ʻē aʻe.

I kēia manawa, e nānā kākou i ke ʻano o kēia mau ʻano hana:

• ʻO ke ʻoki ʻana i ka pahi Gamma: He ʻano ʻoki kino kēia, akā he ʻano radiation therapy ia e hana ʻia me ka ʻoki ʻole ʻana i ka ʻili . ʻO ke kikoʻī, hoʻohana ia i nā kukuna ikehu ikaika e luku ai i ka puʻupuʻu.
• Resection (ʻoki wehe): Ma kēia, wehe ke kauka ʻoki i ka puʻupuʻu ma ka wehe ʻana i ke poʻo (kahi craniotomy) a i ʻole ma ka hana ʻana i kahi puka liʻiliʻi i loko o ke poʻo a hoʻokomo i kahi mea liʻiliʻi i kapa ʻia he endoscope ma loko.
• ʻO ka ablation laser Stereotactic: He minimally invasive kēia.He ʻano hana. Ua luku ʻia ka puʻupuʻu e ka mālamalama laser i hoʻouna ʻia ma o kahi kaula fiber optic.
• ʻO ka thermoablation Stereotactic: He ʻano lapaʻau ablation kēia. Hoʻohana ia i ka wela e mālama i ka hematoma . Hoʻokomo ke kauka lapaʻau i nā probes lahilahi ma o ke poʻo i loko o kahi i loaʻa ai ka puʻupuʻu. A laila hoʻomehana ʻia nā probes me ka hoʻohana ʻana i nā nalu lekiō e luku i ka ʻiʻo puʻupuʻu.

ʻOiai paha he mea paʻakikī iki kēia mau kaʻina hana ʻoki kino, e wehewehe pono nā kauka i nā mea āpau iā ʻoe.

He aha ka wānana no ka ho'ōla hou ʻana ma kēia kūlana?

I ka hapanui o nā hihia , maikaʻi ka prognosis (a i ʻole ka nānā ʻana) no ka hematoma hypothalamic (HH) , no ka mea, aia nā lāʻau lapaʻau kūpono e kaohi i nā hōʻailona.

Hiki i ke ʻoki kino ke hōʻemi i ke alapine (frequency) a me ke koʻikoʻi o nā hopu ʻana. Noho kekahi poʻe me ka ʻole o nā hopu ʻana ma hope o ke ʻoki kino . I kekahi mau hihia, inā hiki ke wehe palekana ʻia ka hematoma, hiki ke ho'ōla ʻia ke ʻano. Eia nō naʻe, aia kahi pilikia o ka hoʻi hou ʻana mai o nā hopu ʻana.

E like me ka mea i ʻōlelo ʻia ma mua, ʻo nā inikini lāʻau lapaʻau e kāohi ana i ka hoʻokuʻu ʻia ʻana o kekahi mau hormones i kēlā me kēia mahina e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona o ka wā ʻōpiopio mua. Ke hiki kāu keiki i ka makahiki e hiki ai ke wā ʻōpiopio, hiki i ke kauka ke hoʻōki i nā lāʻau lapaʻau. ʻO ka hapa nui o nā keiki a me nā ʻōpio e hele i ka wā ʻōpiopio a me ka ulu ʻana o ka moekolohe e like me ka mea i manaʻo ʻia i kēia manawa .

Ma muli o ke kūlana o kāu keiki, hiki i kā lākou kauka ke hāʻawi iā ʻoe i ka ʻike maikaʻi loa.

Pehea lā ka nui o ke ola?

Hiki ke ʻokoʻa ke ʻano o ke ola me kēia maʻi (ʻo ia hoʻi, "life expectancy") mai kēlā kanaka a kēia kanaka. Aia ia ma luna o kekahi mau kumu:

• Ka nui a me ke ʻano o ka maʻi hematoma
• Pehea ka nui a me ka pinepine o nā hopu ʻana o ka epileptic
• Pehea ka holomua o ka lāʻau lapaʻau?

E wehewehe kāu kauka i kēia iā ʻoe ma hope o ka noʻonoʻo ʻana i kēia mau mea āpau.

Eia nō naʻe, aia kahi pilikia o ka make koke ʻana i ka maʻi epilepsy (SUDEP) me kēia hematoma hypothalamic. No laila, e kōkua kāu kauka iā ʻoe e mālama iā ʻoe iho a hana i kahi hoʻolālā lapaʻau e kāohi i kāu mau hopu epileptic.

Inā loaʻa i kaʻu keiki kēia mau hōʻailona, ​​​​i ka manawa hea e pono ai iaʻu e ʻike i ke kauka?

Inā he mau hopohopo kāu e pili ana i kāu keiki, ʻo ʻoe ka mea ʻike maikaʻi loa iā lākou . No laila, mai kānalua e ʻike i ke kauka, ʻoiai inā he mea liʻiliʻi wale nō. E makaʻala pono i kēia mau hōʻailona:

• Nā kūlana epileptic (ʻakaʻaka, lele, hāʻule)
• ʻŌpio mua (e.g., ka ulu mua ʻana o ka lauoho, ka hohonu ʻana o ka leo)
• Nā loli i ka nānā ʻana, ka hoʻomanaʻo, a i ʻole ke hiki ke aʻo
• Nā loli o ke ʻano (e.g., huhū i nā mea liʻiliʻi, hoʻonāukiuki)
• Nā hemahema hormonal (e.g., ka make wai nui, nā loli i ka makemake, nā loli koʻikoʻi o ke ʻano)

Inā loaʻa i kaʻu keiki kahi hematoma hypothalamic (HH), he aha nā nīnau e pono ai iaʻu e nīnau aku i ke kauka?

Ke ʻike ʻoe ua loaʻa i kāu keiki ka HH, hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:

• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• Pehea ka nui o ka pono e hana ʻia nā lāʻau lapaʻau a ʻoki kino paha he nui?
• He aha nā hopena ʻaoʻao o nā lāʻau lapaʻau?
• Pehea e pili ai kēia lāʻau i ka hana maʻamau o kaʻu keiki, nā hana kula, a me nā hana maʻamau?

He mea maʻamau ka makaʻu a me ka haʻalulu ke haʻi ʻia aku iā ʻoe he puʻupuʻu lolo kou, ke loaʻa iā ʻoe nā hopu ʻana, a i ʻole ke ʻike ʻoe i nā loli i kou kino ma mua o kou ʻelemakule ʻana. Akā ʻo ka mea maikaʻi loa, aia nā lāʻau lapaʻau kūpono e hoʻokele i nā hōʻailona o ka hematoma hypothalamic . Pono ʻoe e noho pili me kāu hui lapaʻau. E hōʻoia lākou ʻaʻole e hoʻopilikia kāu mau hōʻailona i kou olakino kino a noʻonoʻo paha. Hiki i ke ʻoki kino ke hōʻemi i ka alapine a me ke koʻikoʻi o kāu mau hōʻailona, ​​​​no laila e kamaʻilio me kāu kauka e pili ana inā he moho maikaʻi ʻoe no ia.

No laila, he aha nā mea nui e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai? (Leka Lawe-Home)

He huaʻōlelo weliweli iki ka hematoma hypothalamic (HH), akā he mea nui loa ia e makaʻala i ia mea.

E hoʻomanaʻo, ʻaʻole kēia he maʻi kanesa. A he kūlana kēia e kū mai ana i ka wā e hānau ai kahi pēpē.

• Nā hiʻohiʻona nui: ʻO ka wā ʻōpiopio mua, nā ʻano maʻi epileptic like ʻole (ʻoi aku hoʻi ʻo 'Gelastic seizures'), a me nā pilikia pili i ke ʻano/aʻo ʻana nā mea nui.
• ʻAʻole ʻike ʻia ke kumu kikoʻī: ʻO ka hapa nui o ka manawa, he hanana ulia kēia. He mea kākaʻikahi ke hoʻoilina.
• Aia nā lāʻau lapaʻau maikaʻi: Aia nā lāʻau lapaʻau kūpono, e like me nā lāʻau lapaʻau a me ke ʻoki kino, e kaohi i nā hōʻailona, ​​​​ʻoi aku hoʻi no ka maʻi epilepsy a me ka wā ʻōpiopio.
• He mea nui ka ʻike mua ʻana: Inā kānalua ʻoe ua loaʻa i kāu keiki kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka. ʻO ka hoʻomaka koke ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka hopena.
• ʻAʻole ʻoe hoʻokahi: ​​Hiki i kēia ke lilo i mea paʻakikī no ʻoe a me kāu keiki. He mea waiwai nui ke kākoʻo mai nā kauka, nā kākā'ōlelo, a me ka ʻohana.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. ʻOiai ke aha, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka a loaʻa ka ʻōlelo aʻo me ka makaʻu ʻole.

ʻO ka hematoma hypothalamic, ka puʻupuʻu lolo, ka wā ʻōpiopio o ka wā kamaliʻi, ka maʻi epilepsy, ka maʻi epilepsy gelatinous, nā pilikia hormonal, ke ʻoki ʻana o ka lolo