Koj tus menyuam puas muaj cov tsos mob no? Cia peb kawm txog Hypothalamic Hamartoma!

Koj tus me nyuam puas qee zaum ua txawv txawv, zoo li lawv tsuas yog luag ob peb feeb xwb? Los yog lawv puas qhia tias lawv tseem hluas ua ntej lub sijhawm? Nws yog qhov nkag siab tias yuav ntshai me ntsis thaum koj pom cov no. Hnub no peb yuav tham txog ib qho mob hlwb uas tuaj yeem ua rau muaj cov tsos mob no, uas yog qhov tsis tshua muaj, tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog.

Yog li ntawd, qhov hypothalamic hamartoma no yog dab tsi?

Hais yooj yim xwb, Hypothalamic Hamartoma (HH) yog ib qho qog uas loj hlob hauv hypothalamus, ib feem ntawm lub hlwb uas nyob tob hauv lub hlwb . Txawm li cas los xij, nws tsis yog mob qog noj ntshav, txhais tau tias nws tsis muaj cov hlwb qog noj ntshav (tsis yog mob qog noj ntshav) . Lub hypothalamus yog ib lub qauv me me li qhov loj ntawm lub txiv almond. Tab sis nws ua lub luag haujlwm tseem ceeb heev hauv peb lub cev. Nws ua haujlwm ua tus sib koom tes ntawm peb lub endocrine system thiab lub paj hlwb , pab tswj kev sib npaug (homeostasis) hauv lub cev.

Xav txog nws li no, lub hypothalamus zoo li lub vaj huam sib luag tswj hwm hauv peb lub cev. Nws tswj cov no:

• Ntshav siab
• Qhov kub ntawm lub cev
• Qhov kev nyuaj siab thiab kev ntxhov siab uas peb hnov
• Kev tshaib plab thiab kev nqhis dej
• Kev tso tawm cov tshuaj hormones los ntawm lub qog pituitary
• Kev pw tsaug zog thiab kev sawv rov los

Cov qog no, hu ua hypothalamic hematoma , pib tsim thaum tus menyuam tseem nyob hauv plab ('fetus tsim') . Tom qab ntawd nws maj mam loj hlob tuaj thaum lub hlwb loj hlob. Qhov zoo tshaj plaws yog tias nws tsis kis mus rau lwm qhov ntawm lub hlwb lossis lwm qhov ntawm lub cev . Feem ntau, tsuas muaj ib qho qog xwb, tab sis tsis tshua muaj ntau qhov. Muaj kev kho mob zoo los tswj cov tsos mob ntawm tus mob no.

Yog li cov tsos mob ntawm tus mob hypothalamic hematoma (HH) no yog dab tsi?

Cov tsos mob ntawm tus mob no yuav txawv ntawm ib tus neeg mus rau ib tus neeg, tab sis muaj ob peb yam tsos mob tseem ceeb uas tuaj yeem pom:

• Kev laus ua ntej yug me nyuam
• Qaug dab peg
• Cov tsos mob ntawm lub paj hlwb

'Precocious Puberty' yog dab tsi?

Qhov tshwm sim yog tias peb lub hlwb pib tso tawm cov tshuaj hormones poj niam txiv neej ua ntej lawv lub sijhawm. Feem ntau , cov ntxhais tuaj yeem pom cov tsos mob no ua ntej hnub nyoog 8 xyoo thiab cov tub hluas ua ntej hnub nyoog 9 xyoo .

Cov tsos mob uas cov ntxhais yuav pom:

• Kev loj hlob ntawm lub mis
• Cov plaub hau loj hlob hauv qhov chaw mos thiab qhov chaw ntiag tug
• Qhov pib ntawm kev muaj hli
• Pob txuv

Cov tsos mob uas cov tub hluas yuav pom:

• Kev ua kom lub suab tob zuj zus
• Cov plaub hau loj hlob ntawm lub ntsej muag, qhov chaw mos, thiab thaj chaw ntiag tug
• Kev loj hlob ntawm lub scrotum thiab noob qes
• Pob txuv

Xav txog seb koj thiab koj tus ntxhais yuav mob siab npaum li cas thaum lawv pib pom cov kev hloov pauv no ua ntej lawv cov phooj ywg. Yog li ntawd, yog tias koj pom ib yam dab tsi zoo li no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob sai li sai tau.

Cia peb kawm txog kev qaug dab peg thiab.

Nws kuj yog ib qho mob uas feem ntau tshwm sim los ntawm tus kab mob qaug dab peg nrog rau tus mob no. Ib qho ntawm cov mob feem ntau yog 'gelastic seizure' . Qhov no yog kev luag ntxhi sai sai, tsis tuaj yeem tswj tau yam tsis muaj laj thawj pom tseeb . Nws yog tshwm sim los ntawm qhov tsis zoo ntawm kev ua haujlwm hluav taws xob hauv lub hlwb. Qhov no tuaj yeem kav ntev li ob peb feeb, tab sis tuaj yeem tshwm sim ntau zaus hauv ib hnub, lossis hauv cov xwm txheej hnyav, ntau zaus hauv ib teev.

Feem ntau, hom mob qaug dab peg no pib ua ntej tus menyuam muaj ib xyoos . Txawm li cas los xij, tom qab muaj hnub nyoog 10 xyoo, qhov zaus ntawm qhov no tuaj yeem pom tias txo qis.

Ntxiv rau qhov gelatinous epilepsy no, lwm hom epilepsy kuj tseem tuaj yeem pom:

• Qaug dab peg Atonic: Hauv qhov no, muaj kev poob ntawm kev tswj cov leeg nqaij tam sim ntawd, thiab koj tuaj yeem vau, zoo li muaj ib tug neeg thawb koj.
• Qaug dab peg Dacrystic: Qhov no yog ib qho kev quaj sai sai, tsis tuaj yeem tswj tau. Qhov no tshwm sim yam tsis muaj laj thawj pom tseeb.
• Qaug dab peg Tonic-clonic: Qhov no yog yam uas ntau tus neeg hu ua "fit." Muaj kev poob siab, thiab lub cev co thiab txav mus los tsis tswj tau.

Cov tsos mob ntawm lub paj hlwb yog dab tsi?

Qhov mob no, hu ua hypothalamic hematoma (HH), kuj tseem tuaj yeem cuam tshuam rau koj tus menyuam tus cwj pwm, lub siab, thiab kev ua haujlwm ntawm lub hlwb . Qhov no txhais tau tias:

• Kev tsis mloog zoo/kev ua ub ua no ntau dhau (ADHD)
• Kev coj cwj pwm tsis zoo
• Kev tsis taus ntawm kev txawj ntse
• Kev hloov pauv ntawm lub siab, nyob zoo li qub rau ntau lub sijhawm sib txawv ('Kev puas siab puas ntsws')
• Kev tsis sib haum xeeb ntawm cov neeg tawm tsam (kev tsis sib haum xeeb ntawm cov neeg tawm tsam)
• Kev coj cwj pwm tsis zoo (piv txwv li, npau taws sai sai, ua nruj ua tsiv)
• Teeb meem nrog kev nco qab luv luv

Ua niam txiv, peb txhawj heev thaum ib tug me nyuam muaj ib lossis ntau yam ntawm cov tsos mob no. Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias muaj cov tshuaj kho mob uas pom zoo rau txhua yam no.

Cov hom ntshav hauv hypothalamic hematoma (HH) tseem ceeb yog dab tsi?

Muaj ob hom hypothalamic hematoma tseem ceeb, faib ua pawg raws li qhov chaw ntawm lub qog thiab cov tsos mob uas nws ua rau :

1. Qhov mob hauv lub hlwb: Hauv qhov no, qhov mob qog nyob ze rau tom qab ntawm koj lub hypothalamus. Qhov no cuam tshuam kev ua haujlwm hluav taws xob ntawm lub hlwb, uas tuaj yeem ua rau qaug dab peg thiab coj tus cwj pwm tsis zoo.

2. Qhov mob Parahypothalamic (Qhov mob Pedunculated - `Qhov mob Parahypothalamic`):Hauv qhov no, qhov mob qog nyob ze ntawm pem hauv ntej ntawm hypothalamus. Hom no feem ntau cuam tshuam nrog kev laus thaum ntxov.

Txawm li cas los xij, qee zaum ob hom no tuaj yeem muaj nyob rau hauv tib tus neeg tib lub sijhawm.

Vim li cas cov ntshav hauv lub hypothalamic hematoma (HH) no thiaj li tshwm sim? Dab tsi yog qhov ua rau?

Qhov tseeb, cov kws tshaj lij tseem tsis tau paub meej tias yog dab tsi ua rau HH. Thiab tsis muaj txoj hauv kev los tiv thaiv nws. Feem ntau, tus mob no tshwm sim 'random.' Qhov ntawd txhais tau tias nws tsis khiav hauv tsev neeg . Yog li ntawd, qhov muaj feem yuav tau txais nws yog tsawg heev.

Txawm li cas los xij, kev tshawb fawb tsis ntev los no tau pom ib qho kev hloov pauv ntawm lub cev hu ua GLI3 hauv cov nqaij mob qog los ntawm cov qog uas raug txiav tawm. Lwm cov kev hloov pauv ntawm cov noob caj noob ces kuj tau pom muaj nyob rau hauv cov qog uas raug txiav tawm no. Kev tshawb fawb ntxiv tseem tab tom ua rau cov noob no.

Lwm yam yog tias tej zaum yuav muaj kev sib txuas ntawm cov ntshav hauv hypothalamic no thiab ib qho mob caj ces hu ua Pallister-Hall syndrome (PHS) . Qhov mob PHS no yog tshwm sim los ntawm ib qho kev hloov pauv caj ces. Nws tuaj yeem ua rau muaj qhov tsis zoo ntawm kev loj hlob ntawm tes, taw, lub suab (lub thawv suab), thiab qhov quav.

Cov yam ua rau muaj tus mob no yog dab tsi?

Tus mob no tuaj yeem cuam tshuam rau txhua tus neeg. Nws feem ntau tshwm sim ntau dua rau cov txiv neej . HH feem ntau cuam tshuam rau cov menyuam yaus thiab cov tub ntxhais hluas. Txawm li cas los xij, qee zaum, tus mob no yuav tsis raug lees paub txog thaum cov tsos mob tshwm sim hauv cov neeg laus.

Cov teeb meem uas yuav tshwm sim ntawm hypothalamic hematoma (HH) yog dab tsi?

Kev loj hlob ua ntej lub hnub nyoog tuaj yeem cuam tshuam rau tus menyuam lub cev thiab lub hlwb kev noj qab haus huv , tshwj xeeb tshaj yog thaum lawv lub cev hloov pauv sai dua li lwm tus menyuam hnub nyoog lawv. Piv txwv li, lawv yuav muaj qhov siab luv . Tsis tas li ntawd, tus menyuam yuav tsis nkag siab txog cov kev hloov pauv no zoo. Qhov no tuaj yeem cuam tshuam rau lawv tus kheej kev ntseeg siab thiab kev noj qab haus huv ntawm lub siab. Pab neeg kho mob ntawm koj tus menyuam tuaj yeem pab tswj txhua yam teeb meem uas yuav tshwm sim.

Yuav kuaj mob li cas ntawm tus mob hypothalamic hematoma (HH) no?

Koj tus kws kho mob yuav ua ntau yam kev kuaj duab kom paub meej tias koj muaj mob HH.

• Kev thaij duab MRI (MRI - Magnetic Resonance Imaging): Qhov no tuaj yeem thaij tau cov duab meej thiab ntxaws ntxaws ntawm koj lub hlwb. Tej zaum cov menyuam yaus yuav tsum tau noj tshuaj loog kom lawv tsis txhob txav thaum lub sijhawm MRI. Qhov no yog vim tias yog tias lawv txav mus los, cov duab yuav tsis meej. Xav txog nws zoo li daim duab thaij thiab yog tias lawv txav mus los, cov duab yuav tsis meej.

• Kev kuaj EEG ('EEG - Electroencephalogram'): Yog tias koj muaj qaug dab peg, koj tus kws kho mob kuj tseem yuav hais kom kuaj EEG. Qhov no yog ua los saib xyuas kev ua haujlwm hluav taws xob hauv koj lub hlwb . Ib yam li ECG ntawm peb lub plawv, qhov no kuaj kev ua haujlwm ntawm lub hlwb.

• Kev kuaj mob hlwb: Cov no ntsuas qhov dav ntawm cov teeb meem kev xav, xws li kev xav, kev kawm, thiab kev nco . Koj tus kws kho mob kuj tseem yuav ua cov kev kuaj ntshav los xyuas cov tshuaj hormones. Cov kev kuaj no tuaj yeem pab npaj kev kho mob.

Qee zaum, HH tuaj yeem nyuaj rau kuaj mob vim tias nws cov tsos mob zoo ib yam li lwm yam mob ntawm lub paj hlwb .

Zoo, yog li ntawd, cov kev kho mob rau qhov no yog dab tsi?

Qhov xov xwm zoo yog tias muaj kev kho mob rau qhov mob no, hypothalamic hematoma (HH). Muaj ob txoj kev kho mob tseem ceeb:

• Cov tshuaj siv los tswj kev laus ua ntej lub sijhawm: Qhov no siv ib pawg tshuaj hu ua 'Gonadotropin-releasing hormone agonists' . Cov no ua haujlwm los ntawm kev tswj kev tso tawm cov tshuaj hormones ua ntej lub sijhawm, raws li tau hais ua ntej.
• Kev phais kom tswj tau qhov qaug dab peg: Cia peb tham txog qhov no kom meej me ntsis.

Ntxiv mus, koj tus menyuam tus kws kho mob yuav pom zoo kom muaj kev txhawb nqa kev kawm hauv tsev kawm ntawv, kev kho mob, lossis lwm yam tshuaj rau kev xav, kev coj cwj pwm, thiab teeb meem kev puas siab puas ntsws.

Yuav ua phais dab tsi rau cov ntshav hauv hypothalamic (HH)?

Yuav kom tswj tau qhov qaug dab peg, tus kws kho mob yuav pom zoo kom phais mob qaug dab peg lossis lwm txoj kev kho mob kom tshem tawm lossis rhuav tshem cov ntshav tawm. Cov tshuaj tiv thaiv kev qaug dab peg feem ntau tsis zoo rau kev qaug dab peg gelastic . Txawm li cas los xij, lawv yuav pab tswj tau lwm hom qaug dab peg.

Tam sim no cia peb saib seb cov kev phais mob no yog dab tsi:

• Kev phais mob Gamma Knife: Qhov no yog ib hom kev phais mob tiag tiag, tab sis nws yog ib hom kev kho mob hluav taws xob uas ua yam tsis txiav daim tawv nqaij . Tshwj xeeb, nws siv cov zog muaj zog los rhuav tshem cov qog nqaij hlav.
• Kev phais tshem tawm (kev phais tshem tawm): Hauv qhov no, tus kws phais yuav tshem tawm cov qog los ntawm kev qhib lub taub hau (kev phais lub taub hau) lossis los ntawm kev ua ib lub qhov me me hauv lub taub hau thiab ntxig ib lub cuab yeej me me hu ua endoscope los ntawm nws.
• Stereotactic laser ablation: Qhov no yog minimally invasive.Ib txoj kev. Lub qog nqaij hlav raug rhuav tshem los ntawm lub teeb laser xa los ntawm ib txoj hlua fiber optic.
• Stereotactic thermoablation: Qhov no kuj yog ib hom kev kho mob ablation. Nws siv cua sov los kho cov hematoma . Tus kws phais muab cov probes nyias nyias los ntawm lub taub hau mus rau hauv thaj chaw uas muaj qog nyob. Tom qab ntawd cov probes raug cua sov siv cov nthwv dej xov tooj cua los rhuav tshem cov nqaij qog.

Txawm hais tias cov txheej txheem phais no yuav zoo li nyuaj me ntsis los xij, cov kws kho mob yuav piav qhia txhua yam rau koj kom meej.

Yuav ua li cas thiaj li yuav muaj kev cia siab rau kev rov zoo hauv qhov xwm txheej no?

Feem ntau , qhov kev kwv yees (lossis qhov kev cia siab) rau hypothalamic hematoma (HH) yog qhov zoo , vim tias muaj cov kev kho mob zoo los tswj cov tsos mob.

Kev phais mob tuaj yeem txo qhov zaus thiab qhov hnyav ntawm qaug dab peg. Ib txhia neeg tseem tsis muaj qaug dab peg kiag li tom qab phais mob . Qee zaum, yog tias cov ntshav hematoma tuaj yeem raug tshem tawm kom zoo thiab tag nrho, qhov mob yuav kho tau. Txawm li cas los xij, muaj kev pheej hmoo ntawm qaug dab peg rov qab los.

Raws li tau hais ua ntej lawm, kev txhaj tshuaj txhua hli uas tiv thaiv kev tso tawm qee cov tshuaj hormones tuaj yeem pab tswj cov cim ntawm kev laus ua ntej. Thaum koj tus menyuam mus txog hnub nyoog uas kev laus ua ntej feem ntau tshwm sim, tus kws kho mob tuaj yeem tso tseg cov tshuaj. Feem ntau cov menyuam yaus thiab cov tub ntxhais hluas yuav dhau los ntawm kev laus ua ntej thiab kev loj hlob ntawm kev sib deev raws li xav tau lub sijhawm no .

Nyob ntawm seb koj tus menyuam mob li cas, lawv tus kws kho mob tuaj yeem muab cov ntaub ntawv zoo tshaj plaws rau koj.

Ua li cas txog qhov feem pua ​​ntawm kev ciaj sia?

Lub peev xwm ua neej nyob nrog tus mob no ('lub neej ntev') yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm ntau yam:

• Qhov loj thiab hom ntawm cov qog hematoma
• Cov mob qaug dab peg hnyav npaum li cas thiab ntau npaum li cas
• Kev kho mob no ua tau zoo npaum li cas?

Koj tus kws kho mob yuav piav qhia qhov no rau koj tom qab xav txog tag nrho cov yam no.

Txawm li cas los xij, muaj kev pheej hmoo ntawm kev tuag tam sim ntawd tsis tau xav txog hauv kev qaug dab peg (SUDEP) nrog rau qhov hypothalamic hematoma no. Yog li ntawd, koj tus kws kho mob yuav pab koj kom koj tus kheej muaj kev nyab xeeb thiab tsim ib txoj kev npaj kho mob los tswj koj qhov qaug dab peg.

Yog tias kuv tus menyuam muaj cov tsos mob no, kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj muaj kev txhawj xeeb txog koj tus menyuam, koj paub lawv zoo tshaj plaws . Yog li ntawd, tsis txhob yig mus ntsib kws kho mob, txawm tias nws tsuas yog ib qho me me xwb los xij. Yuav tsum paub txog cov cim qhia no:

• Cov xwm txheej qaug dab peg (luag, co, ntog)
• Lub hnub nyoog laus zuj zus (piv txwv li, cov plaub hau loj hlob sai, lub suab tob zuj zus)
• Kev hloov pauv ntawm kev mloog, kev nco, lossis kev kawm
• Kev hloov pauv tus cwj pwm (piv txwv li, npau taws rau tej yam me me, ua rau chim siab)
• Kev tsis sib npaug ntawm cov tshuaj hormones (piv txwv li, nqhis dej ntau dhau, kev hloov pauv ntawm kev noj mov, kev hloov pauv ntawm lub siab)

Yog tias kuv tus menyuam muaj cov ntshav hauv lub hlwb (hypothalamic hematoma - HH), kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj paub tias koj tus menyuam muaj HH, koj tuaj yeem nug tus kws kho mob cov lus nug zoo li no:

• Koj pom zoo kom siv hom kev kho mob twg?
• Nws yuav muaj feem ntau npaum li cas uas nws yuav tau txais kev kho mob lossis kev phais mob?
• Cov kev mob tshwm sim ntawm cov kev kho mob yog dab tsi?
• Txoj kev kho mob no yuav cuam tshuam li cas rau kuv tus menyuam txoj kev ua neej niaj hnub, kev kawm ntawv, thiab kev ua ub ua no ib txwm?

Nws yog ib qho ib txwm muaj uas yuav ntshai thiab xav tsis thoob thaum koj raug qhia tias koj muaj qog hauv lub hlwb, thaum koj qaug dab peg, lossis thaum koj muaj kev hloov pauv hauv koj lub cev ua ntej koj laus. Tab sis qhov zoo tshaj plaws yog tias muaj cov kev kho mob zoo los tswj cov tsos mob ntawm hypothalamic hematoma . Koj yuav tsum sib txuas lus nrog koj pab neeg kho mob. Lawv yuav xyuas kom koj cov tsos mob tsis cuam tshuam rau koj lub cev lossis lub hlwb kev noj qab haus huv. Kev phais tuaj yeem txo qhov zaus thiab qhov hnyav ntawm koj cov tsos mob, yog li tham nrog koj tus kws kho mob txog seb koj puas yog tus neeg sib tw zoo rau nws.

Yog li ntawd, cov lus tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov yog dab tsi? (Cov Lus Coj Mus Tsev)

Hypothalamic hematoma (HH) yog ib lo lus txaus ntshai me ntsis, tab sis nws tseem ceeb heev uas yuav tsum paub txog nws.

Nco ntsoov, qhov no tsis yog mob qog noj ntshav. Thiab qhov no yog ib qho mob uas tshwm sim thaum tus menyuam yug los.

• Cov yam ntxwv tseem ceeb: Lub cev hluas ua ntej lub sijhawm, ntau hom qaug dab peg (tshwj xeeb yog 'Gelastic seizures'), thiab teeb meem kev coj cwj pwm/kev kawm yog cov yam ntxwv tseem ceeb.
• Qhov ua rau muaj qhov teeb meem no tseem tsis tau paub meej: Feem ntau, qhov no yog ib qho xwm txheej uas tshwm sim tsis tau npaj tseg. Nws tsis tshua muaj neeg paub tias yog los ntawm noob caj noob ces.
• Muaj cov kev kho mob zoo: Muaj cov kev kho mob zoo, xws li cov tshuaj thiab phais, los tswj cov tsos mob, tshwj xeeb tshaj yog rau kev qaug dab peg thiab kev laus ua ntej lub sijhawm.
• Kev paub thaum ntxov yog qhov tseem ceeb: Yog tias koj xav tias koj tus menyuam muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd. Kev kho mob sai dua, qhov tshwm sim zoo dua.
• Koj tsis nyob ib leeg: Qhov no tuaj yeem ua rau koj thiab koj tus menyuam nyuaj siab. Kev txhawb nqa los ntawm cov kws kho mob, cov kws pab tswv yim, thiab tsev neeg muaj nqis heev.

Vam tias cov ntaub ntawv no yuav pab tau koj. Txawm li cas los xij, qhov zoo tshaj plaws yog nrog kws kho mob tham thiab tau txais kev qhia yam tsis ntshai.

Hypothalamic hematoma, mob qog hauv hlwb, thaum yau tseem hluas, qaug dab peg, qaug dab peg gelatinous, teeb meem hormonal, phais hlwb