Koj tus menyuam tus nplaig puas loj dua lawv lub qhov ncauj? Cia peb tham txog 'Macroglossia'!

Koj puas tau pom lossis hnov ​​​​tias qee tus neeg, tshwj xeeb tshaj yog cov menyuam yaus, muaj tus nplaig loj dua lawv lub qhov ncauj? Qee zaum koj tuaj yeem pom tias tus nplaig tawm ntawm lub qhov ncauj. Qhov no yog qhov peb hu ua 'Macroglossia' hauv kev kho mob. Lub npe yuav zoo li ib qho teeb meem loj, tab sis tsis txhob ntshai. Hnub no peb yuav tham txog qhov no hauv txoj kev yooj yim uas koj tuaj yeem nkag siab.

Yog li, 'Macroglossia' yog dab tsi tiag? Koj paub li cas?

Hais yooj yim xwb, 'Macroglossia' yog tus nplaig loj txawv txawv piv rau qhov loj ntawm lub qhov ncauj. Nws feem ntau tshwm sim rau cov menyuam yaus, tab sis nws kuj tuaj yeem tshwm sim rau cov neeg laus. Feem ntau, nws yog los ntawm yug los. Ntawd yog, nws cuam tshuam nrog qee yam mob caj ces xws li 'Beckwith-Wiedemann syndrome' lossis 'Down syndrome'. Tsis tas li ntawd, 'Macroglossia' tuaj yeem tshwm sim vim yog qee hom mob qog noj ntshav, kev kis kab mob hnyav, lossis txawm tias tom qab.

Tej zaum koj yuav xav tias, 'Kuv tus menyuam tus nplaig zoo li loj me ntsis, kuv tsis paub tias nws puas muaj qhov no thiab.' Yog li, ua tib zoo saib xyuas cov tsos mob no:

• Tus nplaig tawm hauv qhov ncauj tas li: Qhov no yog qhov tsos mob tseem ceeb thiab pom tseeb tshaj plaws. Zoo li tsis muaj chaw txaus los khaws tus nplaig hauv qhov ncauj.
• Ua pa nyuaj:
• Qee zaum koj yuav hnov ​​​​​​lub suab nrov, siab thaum koj ua pa. Nws zoo li ib tug neeg tab tom hu nkauj. Hauv kev kho mob, peb hu qhov no 'stridor'.
• Los yog, koj yuav ua pa nrog lub suab snoring , tshwj xeeb tshaj yog thaum pw tsaug zog. Qhov no hu ua 'stertor'.
• Nyuaj nqos (dysphagia): Tus nplaig loj ua rau nws nyuaj rau tuav, zom, thiab nqos zaub mov kom raug. Cov menyuam mos yuav muaj teeb meem nqus mis niam lossis haus dej los ntawm lub raj mis. Lawv kuj tseem yuav xav tias lawv txhaws thaum noj mov.
• Qaug dej: Thaum tus nplaig loj dhau los kaw qhov ncauj kom zoo, cov qaub ncaug yuav tawm ntau zaus. Tej zaum koj yuav pom tias lub hauv ncoo ntub nrog cov qaub ncaug.
• Nyuaj hais lus: Nws yuav nyuaj rau hais cov lus thiab hais lus kom meej. Qhov no yog vim tus nplaig yog ib lub cev uas pab tau ntau yam nrog kev hais lus. Thaum koj tsis tuaj yeem hais cov tsiaj ntawv kom raug, koj cov lus yuav tsis meej.

Qhov tseem ceeb uas yuav tsum nco ntsoov yog tias yog koj tus menyuam muaj ib lossis ntau yam ntawm cov tsos mob no, nws yuav yog Macroglossia. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tsos mob no kuj tseem yuav yog ib feem ntawm ib qho mob uas twb muaj lawm .

Tej zaum koj yuav xav paub seb qhov no puas yog ib qho mob uas ib txwm muaj. Qhov tseeb, 'Macroglossia' yog ib qho mob uas tsis tshua muaj. Nws nyuaj rau hais tias muaj pes tsawg tus neeg muaj nws. Vim tias nws feem ntau zoo li yog ib qho tsos mob ntawm lwm yam kab mob.

Vim li cas qhov 'Macroglossia' no thiaj tshwm sim? Dab tsi yog cov ua rau?

Muaj ntau yam ua rau mob macroglossia. Tsis tshua muaj neeg yug los nrog tus nplaig loj yam tsis muaj teeb meem kev noj qab haus huv. Txawm li cas los xij, nws yog ib qho tshwm sim ntau dua los ua ib qho tsos mob ntawm ib qho mob uas twb muaj lawm. Ib txhia ntawm cov mob no tuaj yeem yog los ntawm noob caj noob ces (genetic), thaum lwm tus tuaj yeem tshwm sim los ntawm ib qho mob uas tshwm sim tom qab hauv lub neej. Qee qhov kev phais thiab kev kho mob kuj tuaj yeem ua rau mob macroglossia.

Cia peb saib seb cov laj thawj no yog dab tsi.

Cov mob uas muaj txij thaum yug los (genetic) yog dab tsi?

Tus mob no, hu ua "Macroglossia," yog txuam nrog ntau yam kab mob caj ces. Nov yog qee yam ntawm lawv:

• Kab mob Beckwith-Wiedemann: Qhov no yog ib qho mob uas cuam tshuam rau kev loj hlob ntawm cov menyuam yaus. Hauv qhov no, tus menyuam lub cev loj thiab cov kab mob sab hauv loj dua li qub. Tsis tas li ntawd, cov menyuam yaus uas muaj tus mob no muaj feem yuav mob qog noj ntshav thaum yau ntau dua. Qhov tseem ceeb tshaj plaws, kwv yees li 90% ntawm cov menyuam yaus uas muaj kab mob Beckwith-Wiedemann muaj macroglossia, uas txhais tau tias tus nplaig loj.
• Hurler/Hunter syndrome - mucopolysaccharidosis: Qhov no yog ib pawg kab mob uas cuam tshuam rau txoj kev uas peb lub cev zom cov suab thaj. Hauv qhov mob no, tus nplaig kuj tuaj yeem loj tuaj.
• Down syndrome: Tej zaum koj yuav tau hnov ​​​​​​txog qhov no. Cov menyuam yaus uas muaj Down syndrome yug los nrog ib qho chromosome ntxiv. Qhov no tuaj yeem ua rau muaj kev hloov pauv hauv kev loj hlob ntawm lawv lub hlwb thiab lub cev, ua rau muaj kev cov nyom ntawm lub cev thiab lub hlwb. Macroglossia kuj yog ib qho tshwj xeeb ntawm Down syndrome.

Cov xwm txheej tau txais yog dab tsi?

Qee zaum, tus nplaig tuaj yeem loj tuaj vim muaj qee yam mob uas tsis muaj thaum yug los. Piv txwv li, nws tuaj yeem tshwm sim los ntawm cov kab mob metabolic lossis endocrine, cov mob xws li hypothyroidism, lossis cov kab mob xws li diphtheria.

Nov yog qee qhov xwm txheej zoo li no:

• Amyloidosis: Qhov no yog ib yam kab mob uas muaj feem cuam tshuam nrog ib hom protein. Hauv qhov no, cov protein no tau tso rau hauv cov nqaij thiab cov kabmob, ua rau lawv tsis ua haujlwm zoo. Cov tsos mob tseem ceeb ntawm Amyloidosis hauv qhov ncauj yog Macroglossia.
• Kev mob hypothyroidism:Qhov no yog ib qho mob uas tshwm sim ntau heev. Qhov uas tshwm sim ntawm no yog tias koj lub qog thyroid tsis tsim cov tshuaj hormones thyroid txaus thiab tso nws mus rau hauv cov ntshav. Qhov no ua rau koj lub cev zom zaub mov qeeb. Hypothyroidism yog ib qho ua rau macroglossia, tshwj xeeb tshaj yog rau cov menyuam yaus.
• Acromegaly: Qhov no yog ib qho mob tsis tshua muaj. Qhov tshwm sim ntawm no yog tias koj lub cev tsim cov tshuaj hormones loj hlob ntau dhau. Cov neeg uas muaj acromegaly muaj cov nplaig, lub puab tsaig, tes, thiab taw loj heev.
• Kab mob diphtheria: Qhov no yog ib qho kab mob sib kis tau. Qhov no kuj tseem tuaj yeem ua rau tus nplaig o.

Cov qog nqaij hlav hom twg ua rau muaj macroglossia?

Macroglossia kuj tseem tuaj yeem yog ib qho tsos mob ntawm qee cov qog nqaij hlav benign thiab cancer.

• Lymphangioma: Qhov no yog ib qho mob qog nqaij hlav uas tsis yog mob qog nqaij hlav uas loj hlob hauv lub cev lymphatic. Nws tuaj yeem ua rau cov kua dej puv nkaus los ua rau ntawm cov ntaub so ntswg hauv qhov ncauj, uas kuj tuaj yeem ua rau tus nplaig loj hlob.
• Hemangioma: Cov no kuj yog cov qog nqaij hlav uas tsis yog mob qog noj ntshav . Lawv yog tsim los ntawm cov hlab ntsha.
• Lymphoma: Qhov no yog ib hom mob qog nqaij hlav uas cuam tshuam rau lub cev lymphatic.

Cov kws kho mob kuaj mob no li cas kom meej?

Thaum koj lossis koj tus menyuam mus ntsib kws kho mob, thawj qhov uas lawv yuav ua yog kev kuaj lub cev . Qhov no yuav suav nrog kev kuaj xyuas tus nplaig, lub taub hau, thiab caj dab kom meej. Tom qab ntawd, lawv yuav ua ntau qhov kev kuaj mob los kuaj mob macroglossia thiab lwm yam mob uas ua rau nws.

Ib txhia ntawm cov kev xeem ntawd yog:

• `CT Scan` (Computed Tomography - CT scan): Qhov no suav nrog kev siv X-rays thiab lub khoos phis tawj los thaij duab peb-seem (3D) ntawm koj lossis koj tus menyuam lub qhov ncauj, taub hau, thiab caj dab. Qhov no tuaj yeem muab lub tswv yim zoo dua rau koj txog yam nyob sab hauv.
• Kev Ntsuas Duab Sib Nqus (MRI): Qhov no yog kev kuaj mob uas tsis mob uas siv lub hlau nplaum loj, cov nthwv dej xov tooj cua, thiab lub khoos phis tawj los ua cov duab meej heev ntawm cov kabmob thiab cov qauv hauv lub cev.

Nws yog raws li cov ntaub ntawv tau los ntawm cov kev kuaj no uas cov kws kho mob txiav txim siab qhov ua rau muaj mob 'Macroglossia' thiab kev kho mob zoo tshaj plaws rau nws.

Yuav ua li cas thiaj kho tau tus mob no hu ua 'Macroglossia'?

Qee zaum, qhov xav tsis thoob yog tias muaj qee tus menyuam uas muaj tus kab mob macroglossia thaum lawv tseem yog menyuam yaus, thaum lawv loj hlob tuaj, lawv cov pob txha ntsej muag loj hlob tuaj, ua rau muaj chaw rau tus nplaig kom haum rau hauv qhov ncauj, thiab qhov mob no zoo dua ntawm nws tus kheej. Ib yam li ib lub tsho uas haum rau lub cev, lub qhov ncauj kuj loj hlob kom haum rau tus nplaig.

Txawm li cas los xij, qhov no tsis yog txhua lub sijhawm. Thaum cov kws kho mob kho mob macroglossia, lawv xub txheeb xyuas thiab kho qhov mob uas ua rau nws. Tsuas yog tom qab ntawd lawv thiaj kho cov tsos mob ntawm macroglossia.

Kev kho mob rau macroglossia yuav suav nrog:

• Tshuaj: Cov tshuaj xws li corticosteroids tuaj yeem muab tau los txo qhov o ntawm tus nplaig.
• Kev kho hniav orthodontic: Yog tias tus nplaig loj tau cuam tshuam rau qhov chaw ntawm cov hniav, qhov kev kho mob no tuaj yeem pab kho nws.
• Kev Phais Mob: Qee zaum, tshwj xeeb tshaj yog tias muaj teeb meem loj xws li ua pa nyuaj lossis nqos nyuaj, kev phais mob yuav tsum tau ua kom tus nplaig me dua. Txawm li cas los xij, tsuas yog li ntawm 10% ntawm cov neeg uas muaj tus kab mob macroglossia yuav tsum tau phais mob.

Kuv puas txo tau qhov kev pheej hmoo ntawm kev mob macroglossia ntawm kuv tus menyuam?

Feem ntau, macroglossia yog tus kab mob uas muaj txij thaum yug los, txhais tau tias nws muaj feem cuam tshuam nrog cov mob caj ces, yog li tsis muaj dab tsi peb ua tau los tiv thaiv nws. Txawm li cas los xij, qee zaum nws kuj tuaj yeem tshwm sim los ntawm cov kab mob sib kis, yog li kev tiv thaiv koj tus kheej ntawm cov kab mob no tuaj yeem txo qhov kev pheej hmoo no rau qee qhov. Piv txwv li, nws yog ib qho tseem ceeb kom tau txhaj tshuaj tiv thaiv kab mob xws li diphtheria.

Yog tias kuv tus menyuam muaj mob Macroglossia, kuv yuav tsum xav li cas?

Tam sim no peb paub tias macroglossia feem ntau yog ib qho tsos mob ntawm qhov teeb meem tseem ceeb, txawm tias nws yog ib qho mob uas yug los lossis lwm yam kab mob. Yog li, qhov tseem ceeb yog txheeb xyuas thiab kho qhov mob tseem ceeb ntawd.

Yog tias koj tus menyuam muaj mob macroglossia, tej zaum nws twb tau txais kev kho mob rau qhov mob uas ua rau nws. Koj qhov tseem ceeb yuav tsum yog ua raws li txoj kev npaj kho mob ntawd. Tham nrog koj tus kws kho mob txog qhov no. Nws yuav qhia koj tias yuav tsum xav li cas thiab thaum twg yuav rov qab ntsib nws dua.

Kuv yuav tsum nug tus kws kho mob li cas?

Yog tias koj tus menyuam muaj mob macroglossia, tej zaum koj yuav muaj ntau lo lus nug. Vim li cas qhov no thiaj tshwm sim thiab yuav xav li cas los ntawm kev kho mob. Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob:

• Macroglossia yog dab tsi tiag?
• Qhov no yuav cuam tshuam li cas rau kuv tus menyuam? Puas yuav cuam tshuam rau lub neej txhua hnub?
• Vim li cas kuv tus menyuam thiaj muaj tus kab mob "Macroglossia"? Dab tsi yog qhov ua rau muaj qhov teeb meem no?
• Koj pom zoo kom muaj kev kho mob dab tsi? Cov kev kho mob ntawd ua tau zoo npaum li cas?
• Kev kho mob yuav siv sijhawm ntev npaum li cas? Kuv yuav xav tau cov kev mob tshwm sim dab tsi?
• Puas muaj ib txoj kev tshwj xeeb uas kuv yuav tsum saib xyuas kuv tus menyuam hauv tsev? (piv txwv li, pub mis, muab pw tsaug zog)

Tsis txhob ntshai nug cov lus nug no. Nws yog ib qho tseem ceeb heev uas yuav tsum tshem tawm tag nrho koj cov kev tsis ntseeg. Tus kws kho mob yuav piav qhia txhua yam rau koj.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Macroglossia, lossis tus nplaig loj, tej zaum yuav zoo li txaus ntshai me ntsis. Txawm li cas los xij, nws feem ntau yog ib qho tsos mob ntawm ib qho mob uas twb muaj lawm. Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai thiab nrhiav kev kho mob tam sim ntawd.

• Yog koj xav tias koj tus menyuam tus nplaig loj dhau, lossis yog tias lawv muaj ib qho tsos mob uas peb tau tham txog, mus ntsib kws kho mob menyuam yaus lossis kws phais pob ntseg, qhov ntswg, thiab caj pas (ENT).
• Macroglossia tuaj yeem tswj tau los ntawm kev txheeb xyuas qhov ua rau thiab kho nws kom zoo.
• Rau qee tus menyuam yaus, qhov mob no yuav zoo dua thaum lawv loj hlob tuaj.
• Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia ntawm cov kws kho mob kom zoo thiab muab kev txhawb nqa thiab kev hlub rau tus menyuam uas lawv xav tau.

Nco ntsoov tias, koj tsis yog tib tug xwb. Muaj lwm cov niam txiv uas ntsib cov teeb meem zoo sib xws. Yog koj tau txais kev qhia txog kev kho mob zoo thiab koj txoj kev mob siab rau, koj tuaj yeem ua tiav qhov zoo tshaj plaws rau koj tus menyuam.

`Macroglossia, Tus nplaig loj, Tus nplaig menyuam yaus, Ua pa nyuaj, Nqos nyuaj, Macroglossia, Beckwith-Wiedemann syndrome, Down syndrome, Tus nplaig loj, Cov kab mob ntawm tus nplaig