Koj puas muaj cov xim kas fes ntawm koj daim tawv nqaij uas tej zaum koj tau pom txij li thaum koj tseem yog menyuam yaus? Los yog koj puas muaj tej yam me me, pob uas tshwm sim rau ntawm koj lub cev? Tej zaum cov no tsis yog cov pob lossis pob xwb. Hnub no peb yuav tham txog ib qho mob uas zoo li ntawd, thiab nws nyuaj me ntsis tab sis nkag siab tau. Ntawd yog Neurofibromatosis , lossis luv luv NF .
Neurofibromatosis (NF) yog dab tsi?
Hais yooj yim xwb, Neurofibromatosis (NF) yog ib pawg mob uas cuam tshuam rau peb lub paj hlwb thiab cov noob caj noob ces . Nws cuam tshuam rau peb lub hlwb, cov hlab ntsha, thiab daim tawv nqaij. Cov tsos mob uas koj ntsib tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg, thiab lawv kuj sib txawv nyob ntawm hom NF uas koj muaj. Tab sis cov tsos mob feem ntau yog cov cim yug thiab cov qog uas feem ntau tsis yog mob qog noj ntshav (benign). Koj kuj tuaj yeem tau txais tus mob no los ntawm koj tsev neeg, uas yog koj cov noob caj noob ces. Tab sis qhov xav tsis thoob, kwv yees li 50% ntawm cov neeg mob, nws tuaj yeem tshwm sim yam tsis tau npaj tseg, tsis muaj keeb kwm tsev neeg.
Cov hom mob Neurofibromatosis (NF) tseem ceeb yog dab tsi?
Muaj peb hom NFs tseem ceeb no. Cia peb saib seb lawv yog dab tsi.
1. Kab mob Neurofibromatosis hom 1 (NF1)
Nov yog hom NF uas feem ntau pom . Nws tshwm sim thaum:
- Cov pob khaus Café au lait: Cov no zoo li cov pob khaus xim kas fes. Lawv tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev.
- Neurofibromas: Cov qog me me uas tsim rau ntawm cov hlab ntsha.
- Cov quav hnav ntawm qhov tsoob thiab qhov ncauj: Lawv zoo li cov me me.
- Cov qog nqaij hlav ntawm cov hlab ntsha optic: Cov no tuaj yeem tshwm sim hauv cov hlab ntsha uas txuas rau lub qhov muag.
- Cov pob txha tsis zoo: Piv txwv li, tej yam zoo li scoliosis.
Xav txog seb, muaj ib tug ntxhais me hu ua Nimali. Thaum nws yug los, nws muaj ntau lub pob xim kas fes zoo li mis nyuj ntawm nws lub cev. Thaum nws loj hlob me ntsis, cov pob me me kuj tshwm sim ntawm nws qhov chaw mos. Tsuas yog thaum nws qhia lawv rau tus kws kho mob xwb nws thiaj paub tias nws muaj NF1.
2. Kab mob Schwannomatosis uas cuam tshuam nrog NF2 (yav tas los hu ua Neurofibromatosis hom 2 (NF2))
Hom no tshwm sim:
- Cov neuromas uas loj hlob qeeb: Cov no kuj tsim raws cov hlab ntsha.
- Kev hnov lus tsis zoo: Kev hnov lus tsis zoo yuav tshwm sim.
- Kev hloov pauv ntawm qhov muag: Tej yam zoo li cataracts tuaj yeem tshwm sim.
- Kev tsis muaj zog lossis tsis muaj zog: Koj yuav xav tias koj ob txhais ceg tsis muaj zog (peripheral neuropathy).
3. Kab mob Schwannomatosis (SWN)
Qhov no yog hom mob tsawg tshaj plaws . Muaj ntau hom mob no, nyob ntawm seb qhov kev hloov pauv ntawm cov noob caj noob ces yog dab tsi. Tej zaum yuav tsis muaj tsos mob li. Tab sis yog tias muaj tsos mob tshwm sim, ntawm no yog qee yam uas tuaj yeem tshwm sim:
- Cov qog nqaij hlav ntawm cov hlab ntsha uas loj hlob qeeb (Schwannomas):Tej no tsuas tshwm sim rau ib feem ntawm lub cev xwb.
- Mob ntev.
- Kev loog thiab o ntawm cov ntiv tes.
Kab mob Neurofibromatosis (NF) feem ntau tshwm sim li cas?
Yog hais li ntawd, NF1 yog li ntawm 96% ntawm tag nrho cov mob NF. Qhov ntawd txhais tau tias muaj li ntawm ib tug ntawm 3,000 tus menyuam mos uas yug los txhua xyoo thoob ntiaj teb muaj nws. NF2 yog li ntawm 3%, uas yog, muaj li ntawm ib tug ntawm 33,000 tus menyuam mos uas yug los. Schwannomatosis (SWN) tsis tshua muaj, tshwm sim li ntawm 1%.
Cov tsos mob ntawm Neurofibromatosis (NF) yog dab tsi?
Raws li peb tau hais ua ntej lawm, cov tsos mob sib txawv nyob ntawm hom NF. Ib txhia neeg yuav tsis muaj tsos mob li, thaum lwm tus yuav muaj cov tsos mob hnyav. Txawm li cas los xij, muaj ob yam ntxwv tseem ceeb uas zoo sib xws rau txhua peb hom:
- Cov qog nqaij hlav: Cov no yog cov pob ntawm cov nqaij uas tsim thaum cov hlwb sib sau ua ke. Ntau hom qog nqaij hlav NF sib txawv yog ua los ntawm ntau hom hlwb sib txawv. Cov qog nqaij hlav no feem ntau loj hlob qeeb thiab tsis yog mob qog noj ntshav (benign) . Txawm li cas los xij, tsis tshua muaj qee cov qog nqaij hlav tuaj yeem dhau los ua mob qog noj ntshav. Cov qog nqaij hlav uas tsim rau ntawm cov hlab ntsha hu ua Neurofibromas .
- Cov tawv nqaij loj hlob: Cov no suav nrog cov cim yug los, xws li cov chaw café au lait uas peb tau tham ua ntej, nrog rau cov moles uas loj hlob hauv qhov chaw caj npab thiab qhov chaw puab tais. Qee zaum, cov pob me me, mos, loj li taum pauv (cutaneous neurofibromas) kuj tseem tuaj yeem loj hlob ntawm qhov chaw ntawm daim tawv nqaij.
Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai tias koj muaj NF tsuas yog vim koj muaj ob peb qhov chaw zoo li no. Txawm li cas los xij, yog tias koj muaj kev tsis ntseeg, nws yog qhov zoo tshaj plaws los nrhiav kev pab kho mob.
Ntxiv rau cov tsos mob tseem ceeb no, lwm cov tsos mob yuav tshwm sim:
- Kev hnov lus lossis kev pom kev tsis zoo.
- Kab mob Scoliosis.
- Cov leeg tsis muaj zog.
- Kev tsis muaj zog lossis tingling hauv cov ceg.
- Mob lub cev thiab mob taub hau.
- Kev hloov pauv tus cwj pwm, xws li Kev Xav Tsis Zoo/Kev Ua Haujlwm Tsis Tau Zoo (ADHD).
- Kev kawm nyuaj.
- Cov mob zoo li qaug dab peg.
Ib tug neeg uas muaj Neurofibromatosis (NF) zoo li cas?
Qhov no yeej txawv ntawm ib tus neeg mus rau ib tus neeg. Ib txhia neeg yuav pom cov pob me me, puag ncig (kwv yees li ib centimeter dav, loj li lub taum pauv) ntawm lawv daim tawv nqaij. Cov no yog neurofibromas. Ib txhia neeg yuav muaj ntau tshaj ob lub pob no, lossis lawv yuav muaj ib lub pob loj (plexiform neurofibroma) uas muaj ntau cov hlab ntsha hauv qab daim tawv nqaij.
Peb tau tham txog cov chaw café au lait. Cov no muaj ntau qhov loj thiab cov duab los ntawm tiaj tus, xim av daj mus rau xim av tsaus. Feem ntau koj yuav pom rau lossis ntau dua ntawm cov chaw no.
Nws yog ib qho ib txwm muaj cov pob ntawm peb lub ntsej muag. Tab sis hauv NF, cov pob no tshwm sim hauv qhov chaw ntawm caj npab thiab qhov chaw ntawm lub qhov ncauj.Cov no yog cov feem ntau pom. Lawv zoo li cov me me, xim av liab.
Cov tsos mob ntawm Neurofibromatosis (NF) tshwm sim thaum muaj hnub nyoog li cas?
Qhov no kuj txawv ntawm ib tus neeg mus rau ib tus neeg. Tej zaum yuav muaj tej tsos mob thaum yug los. Tej zaum yuav tshwm sim thaum koj laus zuj zus, thaum koj tseem hluas, lossis thaum koj laus zuj zus. Piv txwv li, neurofibromas tuaj yeem tshwm sim rau ntawm daim tawv nqaij ntawm qee tus menyuam thaum yug los. Tab sis feem ntau lawv tshwm sim thaum lawv tseem hluas. Cov pob caus Café au lait feem ntau tshwm sim rau thawj ob peb xyoos ntawm tus menyuam lub neej. Cov quav hnav ntawm lub puab tsaig thiab caj npab tuaj yeem tshwm sim ntawm hnub nyoog 3 thiab 5 xyoos. Cov tsos mob ntawm schwannomatosis feem ntau pib thaum lawv laus zuj zus, thaum muaj hnub nyoog li ntawm 30 xyoo.
Dab tsi ua rau muaj Neurofibromatosis (NF)?
Qhov laj thawj tseem ceeb rau qhov no yog kev hloov pauv (kev hloov pauv) hauv peb cov noob caj noob ces . Cia peb saib seb dab tsi ua rau txhua hom:
- Neurofibromatosis hom 1 (NF1): Peb muaj ib lub noob hu ua NF1 hauv peb lub cev. Qhov no tswj kev tsim cov protein hu ua neurofibromin. Lub luag haujlwm ntawm cov protein no yog los tiv thaiv kev tsim cov qog nqaij hlav.
- NF2-associated schwannomatosis/Neurofibromatosis type 2 (NF2): Qhov no yog tshwm sim los ntawm ib lub noob hu ua NF2 (merlin) . Qhov no kuj tswj lwm cov protein hu ua neurofibromin. Cov protein no kuj tiv thaiv kev tsim cov qog nqaij hlav.
- Schwannomatosis: Qhov no tuaj yeem tshwm sim los ntawm kev hloov pauv hauv cov noob caj noob ces SMARCB1 lossis LZTR1 . Txawm li cas los xij, feem ntau, cov noob caj noob ces tseeb uas ua rau muaj tus mob no tsis tuaj yeem txheeb xyuas tau.
Hais yooj yim xwb, yog tias muaj kev hloov pauv hauv ib qho ntawm plaub lub noob caj noob ces no, cov protein yuav tsis tau txais cov lus qhia uas xav tau los tswj kev loj hlob ntawm peb cov cell. Thaum ntawd cov qog pib tsim hauv lub cev.
Koj tuaj yeem tau txais NF1 lossis NF2 los ntawm koj niam koj txiv, uas hu ua tus qauv autosomal dominant . Qhov no txhais tau tias koj tsuas yog yuav tsum tau txais daim qauv ntawm cov noob caj noob ces hloov pauv los ntawm ib tug ntawm koj niam koj txiv thiaj li tau txais tus mob no. Txawm li cas los xij, kwv yees li ib nrab ntawm cov neeg uas muaj NF1 tshwm sim nws tus kheej, tsis muaj keeb kwm tsev neeg. Qhov no kuj tuaj yeem tshwm sim rau cov neeg uas muaj NF2. Kwv yees li 85% ntawm cov neeg uas muaj schwannomatosis tshwm sim tus mob no tus kheej, tsis muaj keeb kwm tsev neeg.
Cov yam ua rau muaj kev pheej hmoo ntawm Neurofibromatosis (NF) yog dab tsi?
Tus mob no tuaj yeem tshwm sim rau txhua tus neeg, tab sis yog tias ib tug neeg hauv koj tsev neeg muaj ib qho ntawm cov mob NF no, koj yuav muaj feem yuav tshwm sim thiab.
Cov teeb meem uas yuav tshwm sim ntawm Neurofibromatosis (NF) yog dab tsi?
NF tuaj yeem ua rau muaj qee yam teeb meem. Qee qhov ntawm lawv yog:
- Kev hnov lus tsis zoo.
- Pom kev tsis meej.
- Mob tas li.
- Teeb meem kev kawm thiab kev coj cwj pwm.
- tej yam mob plawv - piv txwv li, ntshav siab, tej yam mob plawv txij thaum yug los.
- Teeb meem kev hwm tus kheej vim yog cov teeb meem ntawm daim tawv nqaij.
- Muaj feem yuav mob qog noj ntshav ntau dua li cov pej xeem feem ntau, suav nrog mob qog noj ntshav hauv lub mis thiab mob qog noj ntshav ntawm cov nqaij mos (sarcoma).
Tseem Ceeb: Feem ntau cov qog NF tsis yog mob qog noj ntshav. Txawm li cas los xij, tsis tshua muaj, qee cov qog NF tuaj yeem dhau los ua mob qog noj ntshav. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj mob tsis tu ncua.
Yuav kuaj mob Neurofibromatosis (NF) li cas?
Ib tug kws kho mob yuav kuaj koj thiab ua cov kev kuaj mob tsim nyog los kuaj mob NF. Lawv yuav xub kuaj koj daim tawv nqaij kom paub seb puas muaj cov cim qhia txog cov pob café au lait lossis neurofibromas. Lawv kuj tseem yuav kuaj seb puas muaj scoliosis, ntshav siab, pom kev, thiab hnov lus. Lawv kuj tseem yuav nug txog koj txoj kev noj qab haus huv thiab keeb kwm kev kho mob hauv tsev neeg. Yog li, yog tias koj paub tias muaj ib tug neeg hauv koj tsev neeg muaj NF, nco ntsoov qhia rau koj tus kws kho mob.
Cov txheej txheem rau kev kuaj mob txhua hom NF txawv. Txawm hais tias kev kuaj mob feem ntau tuaj yeem ua qhov kev kuaj mob, qee qhov kev kuaj mob tuaj yeem pab txiav txim siab qhov ua rau koj cov tsos mob. Kev kuaj duab, xws li MRI, X-ray, lossis CT scan, tuaj yeem qhia tau tias tus mob tau cuam tshuam li cas rau koj lub paj hlwb. Kev kuaj noob caj noob ces kuj tseem tuaj yeem pab txheeb xyuas qhov kev hloov pauv ntawm cov noob caj noob ces uas ua rau koj cov tsos mob. Txawm li cas los xij, cov kws kho mob tseem tsis tau txheeb xyuas tag nrho cov noob caj noob ces uas ua rau muaj tus mob.
Qee zaum, cov tsos mob tsis raug kuaj pom kom txog thaum ntau xyoo tom qab lawv tshwm sim. Ib txhia neeg raug kuaj pom tias yog cov neeg laus. Qhov no yog vim tias cov tsos mob NF tshwm sim raws sijhawm, ua ntu zus.
Cov kev kho mob rau Neurofibromatosis (NF) yog dab tsi?
Qhov no tseem ceeb heev: Koj txoj kev kho mob NF yuav tsum nyob hauv qab kev coj ntawm pab pawg kws kho mob uas muaj ntau yam kev txawj ntse uas muaj kev txawj ntse hauv cov neeg mob NF . Pab pawg no feem ntau suav nrog:
- Cov kws kho mob hlwb.
- Cov kws phais hlwb.
- Cov kws phais pob ntseg, qhov ntswg thiab caj pas (ENT surgeons).
- Cov kws phais yas.
- Cov kws kho mob hlwb.
- Cov kws kho mob hnov lus.
- Cov kws pab tswv yim txog noob caj noob ces.
Txawm hais tias tam sim no tsis muaj kev kho rau NF los xij, muaj ntau yam kev vam meej hauv kev kuaj mob thiab kev kho mob ntawm cov qog nqaij hlav ntsig txog NF. Koj tus kws kho mob yuav coj koj mus rau qhov kev kho mob zoo tshaj plaws rau koj tus mob.
Yog tias koj tsis muaj tsos mob, lossis koj cov tsos mob tsis cuam tshuam rau koj lub neej txhua hnub, tej zaum koj yuav tsis tas yuav kho mob dab tsi. Yog li ntawd, koj tus kws kho mob yuav hais kom koj tuaj kuaj mob ib lossis ob zaug hauv ib xyoos kom saib xyuas qhov kev nce qib ntawm tus kab mob.
Tus kws kho mob yuav pom zoo kom siv cov kev kho mob xws li:
- Kev tshem tawm cov qog:Kev phais mob tuaj yeem tshem tawm cov qog ntawm daim tawv nqaij thiab lwm qhov hauv lub cev.
- Cov Tshuaj: Cov tshuaj selumetinib tau txais kev pom zoo los ntawm US Food and Drug Administration (FDA) los tiv thaiv kev loj hlob ntawm cov qog nqaij hlav hauv cov menyuam yaus hnub nyoog ntawm 2 thiab 18 xyoo uas muaj NF1 uas muaj cov qog nqaij hlav plexiform neurofibroma uas tsis tuaj yeem phais tshem tawm, lossis cov qog nqaij hlav uas ua rau muaj kev tsis taus lossis ua rau lub cev puas tsuaj.
- Kev phais kom kho qhov tsis zoo ntawm cov pob txha loj hlob: Yog tias koj muaj scoliosis lossis lwm yam kev tsis zoo ntawm cov pob txha loj hlob, koj tus kws kho mob yuav pom zoo kom siv lub brace lossis, thaum muaj mob hnyav, phais.
- Kev Kho Mob Qog Ntsws: Kev kho mob no yog muab rau cov qog nqaij hlav phem. Kev kho mob qog nqaij hlav rhuav tshem cov hlwb qog nqaij hlav.
- Kev Kho Mob Hluav Taws Xob: Kev kho mob hluav taws xob siv tau los tswj kev loj hlob ntawm cov qog nqaij hlav hauv cov qog nqaij hlav xws li mob qog nqaij hlav mis, mob qog nqaij hlav nqaij mos hu ua sarcoma, malignant peripheral nerve sheath tumors (MPNST), lossis glioma (mob qog nqaij hlav hauv hlwb).
Yog tias koj lub pob ntseg lossis qhov muag raug cuam tshuam los ntawm NF, koj tus kws kho mob yuav pom zoo cov khoom siv pab xws li cov khoom pab hnov lus lossis cov iav kho qhov muag.
Puas muaj tej yam tshwm sim ntawm kev kho mob?
Txhua txoj kev kho mob muaj tej yam tshwm sim tsis zoo. Koj tus kws kho mob yuav tham txog cov no nrog koj ua ntej koj pib kho mob.
Tej zaum yuav muaj tej yam tshwm sim ntawm kev phais:
- Los ntshav.
- Kev kis kab mob.
- Neurofibromas rov qab los tom qab tshem tawm.
- Kev puas tsuaj rau cov hlab ntsha.
Cov kev mob tshwm sim ntawm kev siv tshuaj kho mob qog noj ntshav:
- Qaug zog.
- Raws plab los yog cem quav.
- Plaub hau poob.
- Cov zaub mov tsis qab.
- Xeev siab thiab ntuav.
Lub neej ntev npaum li cas ntawm ib tus neeg uas muaj Neurofibromatosis (NF) yog dab tsi?
Feem ntau, tus kab mob Neurofibromatosis (NF) tsis muaj feem cuam tshuam loj rau koj lub neej ntev. Txawm li cas los xij, nyob ntawm seb cov qog nqaij hlav nyob qhov twg, qee yam ntawm koj cov dej num txhua hnub, xws li kev hnov lus thiab kev pom kev, yuav nyuaj rau ua yam tsis muaj kev pab. Yog tias tsis kho, qee qhov teeb meem, xws li mob qog noj ntshav, tuaj yeem ua rau tuag taus.
Puas tiv thaiv tau tus kab mob Neurofibromatosis (NF)?
Tam sim no tsis muaj ib txoj kev twg uas paub los tiv thaiv NF. Yog tias koj tab tom npaj yuav pib tsev neeg, nws yog ib lub tswv yim zoo los tham nrog tus kws pab tswv yim txog caj ces kom paub ntau ntxiv txog qhov kev pheej hmoo ntawm kev muaj menyuam uas muaj mob caj ces.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Mus ntsib kws kho mob yog tias koj lossis koj tus menyuam pom ib qho ntawm cov tsos mob NF no ntawm lawv daim tawv nqaij:
- Muaj rau lossis ntau dua qhov chaw café au lait.
- Cov pob ntawm daim tawv nqaij tshwm sim yam tsis muaj laj thawj.
- Muaj cov pob me me hauv qhov chaw mos los yog qhov chaw mos.
Lwm cov tsos mob uas yuav tsum tau mus ntsib kws kho mob:
- Kev hloov pauv ntawm koj lub pob ntseg thiab/lossis qhov muag pom kev.
- Mob tsis muaj laj thawj.
- Cov leeg tsis muaj zog.
- Mob loog los yog tingling hauv cov ntiv tes thiab cov ntiv taw.
Yog koj muaj NF, koj tus kws kho mob yuav pom zoo kom koj tuaj kuaj mob tsis tu ncua (feem ntau txhua 6 txog 12 lub hlis) los saib xyuas koj cov tsos mob. Nco ntsoov teem sijhawm ntxiv yog tias koj muaj cov tsos mob tshiab lossis yog tias cov tsos mob uas twb muaj lawm zuj zus tuaj.
Kuv yuav tsum nug kuv tus kws kho mob li cas?
- Dab tsi ua rau kuv cov tsos mob?
- Yuav muaj kev pheej hmoo dab tsi rau kuv cov menyuam yav tom ntej uas yuav tau txais tus mob no?
- Koj pom zoo kom siv hom kev kho mob twg?
- Puas muaj tej yam tshwm sim ntawm kev kho mob?
- Kuv yuav tsum tuaj kuaj mob ntxiv ntau npaum li cas?
- Puas muaj kev sim tshuaj uas kuv tuaj yeem nkag mus tau?
- Kuv puas yuav tsum mus ntsib kws kho mob tshwj xeeb txog kev yug me nyuam?
Neurofibromatosis yog ib yam mob uas cuam tshuam rau koj lub paj hlwb thiab daim tawv nqaij. Nws tuaj yeem cuam tshuam rau koj ntau txoj kev sib txawv. Tej zaum koj yuav muaj cov tsos mob uas cuam tshuam rau koj cov dej num txhua hnub, lossis koj yuav tsis muaj tsos mob li. Feem ntau, nyob ntawm seb koj cov tsos mob li cas thaum koj laus zuj zus, nws tuaj yeem siv sijhawm ntau xyoo kom tau txais kev kuaj mob raug cai. Thaum koj tau txais kev kuaj mob no, kev paub meej tias muaj dab tsi tshwm sim tuaj yeem yog qhov kev pab loj heev. Koj pab neeg kho mob tuaj yeem pab koj kawm paub ntau ntxiv txog seb qhov mob no tuaj yeem cuam tshuam rau koj thiab tej zaum koj tsev neeg yav tom ntej li cas. Txawm hais tias tsis muaj kev kho, muaj cov kev xaiv kho mob.
Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)
Neurofibromatosis (NF) tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis nws yog ib yam dab tsi uas yuav tsum paub txog.
- Yog tias koj muaj cov pob txawv txawv, pob ntawm koj daim tawv nqaij, lossis ntau cov pob hauv koj lub qhov tso/qhov ncauj, mus ntsib kws kho mob .
- Muaj ntau hom NF sib txawv, thiab cov tsos mob sib txawv rau txhua tus.
- Qhov no yog ib qho mob caj ces, tab sis nws tsis yog ib txwm muaj nyob rau hauv tsev neeg.
- Txawm hais tias tsis muaj kev kho mob los xij, muaj ntau yam kev kho mob uas muaj los pab tswj cov tsos mob thiab ua lub neej zoo dua .
- Nws yog ib qho tseem ceeb heev uas yuav tsum tau txais kev kho mob nyob rau hauv kev saib xyuas ntawm pab pawg kws kho mob tshwj xeeb.
- Nws yog ib qho tseem ceeb uas yuav tsum tau mus kuaj mob tsis tu ncua thiab ceev faj txog cov tsos mob tshiab.
Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nrog koj tus kws kho mob tham. Lawv yuav zoo siab pab koj.
` Neurofibromatosis, NF, qog nqaij hlav ntawm cov hlab ntsha, cov pob café-au-lait, cov kab mob caj ces, cov pob tawv nqaij, lub paj hlwb











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus