Yu pikin gɛt dɛn sik ya? Mek wi lan bɔt Hypothalamic Hamartoma!

Sɔntɛnde, yu smɔl pikin kin du tin we strenj, lɛk se dɛn jɔs de laf fɔ sɔm sɛkɔn? Ɔ dɛn de sho sayn dɛn we de sho se dɛn dɔn bɔn pikin bifo tɛm? I kin ɔndastand se yu kin fred smɔl we yu si dɛn tin ya. Tide wi go tɔk bɔt wan bren kɔndishɔn we kin mek yu gɛt dɛn sik ya, we nɔ kin apin smɔl, bɔt i impɔtant fɔ no bɔt.

So wetin na dis haypothalamic hamartoma?

Fɔ tɔk am simpul wan, Hypothalamic Hamartoma (HH) na wan tumbu we de divɛlɔp na di haypothalamus, we na wan pat pan di bren we de dip insay di bren . Bɔt i nɔ gɛt kansa, we min se i nɔ gɛt kansa sɛl dɛn (we nɔ gɛt kansa) . di haypothalamus na smɔl tin we tan lɛk amɔnd. Bɔt i rili impɔtant na wi bɔdi. i de wok lεk kכdכnayt bitwin wi εndokrin sistεm εn nεv sistεm , we de εp fכ mεnten homכstasis (bεlεns) na di bכdi.

Tink bɔt am dis we, di haypothalamus tan lɛk kɔntrol panɛl na wi bɔdi. I de kɔntrol dɛn tin ya:

• Blɔd prɛshɔn
• Di tɛmpracha na di bɔdi
• Di prɛshɔn ɛn strɛs we wi kin fil
• Angri ɛn tɔsti
• di rilis fכ di כmon dεm frכm di pituitary gland
• Slip ɛn wek saykl dɛn

dis tכmכro we dεn kכl haypothalamic hεmatoma , de bigin fכ fכm we di pikin stil de na di bכdi (`fetus de divεlכp`) . Dɔn i kin gro smɔl smɔl as di bren de divɛlɔp. Di bɛst pat na dat i nɔ de skata to ɔda pat dɛn na di bren ɔ ɔda pat dɛn na di bɔdi . Bɔku tɛm, na wan tumbu nɔmɔ kin de, bɔt nɔto ɔltɛm i kin gɛt sɔm. Gud tritmɛnt dɛn de fɔ kɔntrol di sayn dɛm fɔ dis sik.

So wetin na di sayn dɛm fɔ dis haypothalamic hematoma (HH) kɔndishɔn?

De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt sɔm men sayn dɛm de wae yu kin si:

• Di tɛm we pɔsin de bɔn pikin kwik kwik wan
• Di sik dɛn we kin mek pɔsin sik
• Nyurolɔjik simptom dɛm

Wetin na `Precocious Puberty`?

Wetin kin apin na we wi bren kin bigin fɔ pul di ɔmon dɛn we de mek pɔsin du mami ɛn dadi biznɛs bifo di tɛm we i fɔ dɔn. Bɔku tɛm , gyal pikin dɛn kin sho dɛn sik ya bifo dɛn rich 8 ia ɛn bɔy pikin dɛn bifo dɛn ol 9 ia .

Di sayn dɛm we gyal pikin dɛn kin si:

• divεlכpmεnt fכ di brεst
• di ia we de gro na di armpit dεm εn di prayvet εria dεm
• Di biginin fɔ gɛt mɔnt
• Akni we gɛt akni

Di sayn dɛm wae bɔy pikin kin si:

• Dip we di vɔys de dip
• Di ia we de gro na di fes, di armpit, ɛn di say dɛn we pɔsin kin si in prayvet pat
• di skrotum εn di tεstikul dεm we de big
• Akni we gɛt akni

Imajin aw i go mek yu ɛn yu gyal pikin at pwɛl we dɛn bigin fɔ sho dɛn chenj ya kwik kwik wan pas dɛn padi dɛn. So if yu si sɔntin lɛk dis, i go fayn fɔ mek yu go to dɔktɔ kwik kwik wan.

Lɛ wi lan bak bɔt aw pɔsin kin sik.

I kin rili kɔmɔn bak fɔ mek epileptic seizure apin wit dis kɔndishɔn. Wan pan di wan dεm we kכmכn pas כl na ‘jεlastik seizure’ . Dis na laf we pɔsin kin laf wantɛm wantɛm ɛn we pɔsin nɔ ebul fɔ kɔntrol fɔ no rizin . I kin kam bikɔs ɔf wan abnɔmal tin we de na di ilɛktrik aktiviti na di bren. Dis kin las fɔ sɔm sɛkɔn, bɔt i kin apin bɔku tɛm insay di de, ɔ if i tranga, bɔku tɛm insay wan awa.

Bɔrku tɛm, dis kayn epilepsy kin bigin bifo di pikin ivin ol wan ia . Bɔt afta dɛn dɔn ol 10 ia, dɛn kin si se di frɛkuɛns we dis kin apin kin go dɔŋ.

Apat frɔm dis jelatin epilepsy, yu kin si ɔda kayn epilepsy bak:

• Atonic seizures: Insay dis, yu kin lɔs yu mɔsul kɔntrol wantɛm wantɛm, ɛn yu kin fɔdɔm, lɛk se sɔmbɔdi dɔn push yu.
• Dacrystic seizures: Dis na we pɔsin kin kray wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ kɔntrol. Dis kin apin fɔ no rizin.
• Tonic-clonic seizures: Dis na wetin bɔku pipul dɛn no as "fit." I nɔ kin no natin, ɛn di bɔdi kin jɔk ɛn muf we i nɔ ebul fɔ kɔntrol.

Wetin na di nyurolɔjik simptom dɛm?

Dis sik we dɛn kɔl hypothalamic hematoma (HH), kin afɛkt bak aw yu pikin de biev, aw i de fil, ɛn aw in maynd de wok . Dis min se:

• Atɛnshɔn-dɛfisit/haypa aktiviti disɔda (ADHD) .
• Kɔndɔkt dizayd
• Intɛlektual disabiliti
• Mud swing, de de di sem we na difrɛn tɛm (`Mood disorders`)
• Disɔda we de agens di we aw pɔsin de agens (disɔda we de agens pɔsin) .
• Riaktiv bihayvya (fɔ ɛgzampul, fɔ vɛks kwik, fɔ bi agresiv) .
• Prɔblɛm dɛn wit shɔt tɛm mɛmori

As mama ɛn papa, wi kin rili wɔri we pikin sho wan ɔ mɔ pan dɛn sik ya. Bɔt i impɔtant fɔ mɛmba se mɛrɛsin dɛn de we di dɔktɔ dɛn kin se fɔ mɛn ɔl dɛn tin ya.

Wetin na di men kayn haypothalamic hematoma (HH)?

Tu men kayn haypothalamic hematoma de, we dεn kכl dεm akɔdin to usay di tכmכro de εn di simptom dεm we i de mek :

1. Intrahypothalamic lesion: insay dis kes, di tכmכro de nia di bak pat pan yu haypothalamus. Dis kin ambɔg di ilɛktrik aktiviti na di bren, we kin mek pɔsin gɛt sik ɛn i kin mek i biev fayn.

2. Parahaypothalamik lεshכn (Pedunkulεt lεshכn - `Parahypothalamic lεshכn`):insay dis kes, di tכmכro de nia di fכnt pan di haypothalamus. Bɔku tɛm, dis kayn tin kin gɛt fɔ du wit di tɛm we pɔsin kin bɔn kwik kwik wan.

Bɔt sɔntɛnde, dɛn tu kayn ya kin de na di sem pɔsin di sem tɛm.

Wetin mek dis haypothalamic hematoma (HH) kin fɔm? Wetin na di kɔz?

Infakt, masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt HH. Ɛn no we nɔ de fɔ mek i nɔ apin. Bɔrku tɛm, di kɔndishɔn kin apin `randomly.' Dat min se i nɔ de rɔn na famili . So di chans fɔ mek yu gɛt am, rili smɔl.

כltu, risεch we dεn jכs du dεn fכnshכn wan somatik vεryכnt fכ wan jin we dεn kכl GLI3 insay tכmכro tisu frכm tכmכro dεm we dεn rεsεkt. כda jεnεtik vεryכnt dεm dεn dכn fכnshכn bak insay dεn rεsεkt tכmכro dεm ya. Dɛn de du mɔ risach bɔt dɛn jin ya.

Wan ɔda tin na dat, i kin gɛt sɔntin fɔ du wit dis haypothalamic hematoma ɛn wan jenɛtik kɔndishɔn we dɛn kɔl Pallister-Hall syndrome (PHS) . dis PHS kכndishכn de kכz fכ wan jεnεtik vεryכnt. I kin mek di an, fut, larynx (voys bɔks), ɛn anus nɔ de gro fayn.

Wetin na de risk factor fɔ dis sik?

Dis sik kin afɛkt ɛnibɔdi. I kin bɔku smɔl pan man dɛn . HH kin mɔs afɛkt pikin ɛn yɔŋ pipul dɛn. Bɔt sɔm tɛm, dɛn nɔ kin no di sik te di sayn dɛn kin sho we i dɔn big.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt haypothalamic hematoma (HH)?

We pikin kin bɔn bifo tɛm, dat kin afɛkt in bɔdi ɛn in maynd , mɔ we dɛn bɔdi kin chenj kwik pas ɔda pikin dɛn we dɛn ej. Fɔ ɛgzampul, dɛn kin gɛt shɔt ayt . Apat frɔm dat, di pikin nɔ go ebul fɔ ɔndastand dɛn chenj ya gud gud wan. Dis kin afɛkt aw dɛn kin fil bɔt dɛnsɛf ɛn aw dɛn kin fil fayn. Yu pikin in mɛdikal tim kin ɛp fɔ mɛn ɛni prɔblɛm we kin kam.

Aw dɛn kin no dis sik we dɛn kɔl hypothalamic hematoma (HH)?

Yu dɔktɔ kin du sɔm imej tɛst fɔ kɔnfirm di HH kɔndishɔn.

• MRI skan (MRI - Magnetic Resonance Imaging): Dis kin tek rili klia, ditayl pikchɔ dɛm fɔ yu bren. Sɔntɛm dɛn go nid fɔ gi yɔŋ pikin dɛn layt sɛdɛshɔn fɔ mek dɛn kɔntinyu fɔ de we dɛn de du di MRI. Dis na bikɔs if dɛn muf, di pikchɔ dɛn kin blɔk. Tink bɔt am lɛk se dɛn de tek foto ɛn if dɛn muf, di pikchɔ dɛn go blɔk.

• EEG test (`EEG - Electroencephalogram`): If yu gɛt ɛpileptik sik, yu dɔktɔ kin ɔda bak fɔ mek dɛn du EEG tɛst. Dɛn kin du dis fɔ wach aw ilɛktrik de wok na yu bren . Jɔs lɛk ECG na wi at, dis kin tɛst aw di bren de wok.

• Nyurolɔjik tɛst: Dɛn tin ya de mɛzhɔ aw di prɔblɛm dɛn we pɔsin kin gɛt we i de tink, lɛk fɔ tink, fɔ lan, ɛn fɔ mɛmba . Yu dɔktɔ kin du blɔd tɛst bak fɔ chɛk di ɔmon lɛvɛl. Dɛn tɛst ya kin ɛp fɔ plan di tritmɛnt.

Sɔntɛnde, i kin at fɔ no HH bikɔs di sayn dɛn we i kin gɛt kin tan lɛk ɔda nyurolɔjik sik dɛn .

Okay, so wetin na di tritmɛnt dɛm fɔ dis?

Di gud nyus na dat, tritmɛnt dɛn de fɔ dis sik, we na hypothalamic hematoma (HH). Tu men tritmɛnt dɛn de we yu kin gɛt:

• mεdikeshכn dεm fכ kכntrכl di prεmature puberty: Dis de yuz wan klas mεdikeshכn dεm we dεn kכl `Gonadotropin-releasing hormone agonists` . Dɛn tin ya kin wok bay we dɛn kin kɔntrol di ɔmon dɛn we kin kɔmɔt bifo tɛm, lɛk aw wi bin dɔn tɔk.
• Ɔpreshɔn fɔ kɔntrol di sik we pɔsin kin gɛt we i de sik: Lɛ wi tɔk bɔt dis smɔl mɔ.

Apat frɔm dat, yu pikin in dɔktɔ kin tɛl yu fɔ gi yu pikin fɔ ɛp am fɔ lan buk na skul, fɔ tek tritmɛnt, ɔ fɔ tek ɔda mɛrɛsin fɔ di we aw i de fil, di we aw i de biev, ɛn di prɔblɛm dɛn we i gɛt wit in maynd.

Us ɔpreshɔn dɛn kin du fɔ di haypothalamic hematoma (HH)?

Fɔ kɔntrol di sik we pɔsin kin gɛt, dɔktɔ kin tɛl am fɔ du ɔpreshɔn pan pɔsin we gɛt ɛpilepsi ɔ ɔda we fɔ pul ɔ pwɛl di ɛmatoma. Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik nɔ kin wok fɔ di wan dɛn we gɛt jɛlɛstik sik . Bɔt dɛn kin ɛp fɔ kɔntrol ɔda kayn sik dɛn we de mek pɔsin sik.

Naw lɛ wi si wetin na dɛn kayn ɔpreshɔn ya:

• Gama Naif ɔpreshɔn: Dis na rili wan kayn ɔpreshɔn, bɔt na wan kayn redyushɔn tɛrapi we dɛn kin du we dɛn nɔ kɔt di skin . Speshal, i de yuz pawaful bim dεm fכ enεji fכ pwεl di tכmכro.
• Risekshɔn (ɔpareshɔn fɔ pul am): Insay dis, dɔktɔ kin pul di tɔŋ bay we i opin di skel (wan krayniatɔmi) ɔ bay we i mek smɔl ol na di skel ɛn put wan smɔl tin we dɛn kɔl ɛndoskɔp tru am.
• Stereotactic laser ablation: Dis na smɔl tin we de mek pɔsin invayd.Wan we fɔ du tin. di tכmכro de pwεl bay laser layt we dεn sεnd tru wan fayv optik kebul.
• Stereotactic thermoablation: Dis na wan kayn ablashɔn tɛrapi bak. I de yuz ɔt fɔ trit di ɛmatoma . Wan dɔktɔ we de du ɔpreshɔn kin put tin prob dɛn tru di skel insay di say we di tumbu de. afta dat dεn kin hεt di prob dεm bay we dεn de yuz redio wev dεm fכ pwεl di tכmכro tisu.

Pan ɔl we dɛn ɔpreshɔn ya kin tan lɛk se dɛn at smɔl, di dɔktɔ dɛn go ɛksplen ɔltin to yu ditayli.

Wetin na di prɔgnosis fɔ wɛl bɔdi na dis sityueshɔn?

Bɔrku tɛm , di prɔgnosis (ɔ aw pɔrsin kin si) fɔ haypothalamic hematoma (HH) kin fayn , bikɔs fayn tritmɛnt dɛn de fɔ kɔntrol di simptom dɛm.

Ɔpreshɔn kin ridyus di frɛkuɛns ɛn di kayn we aw pɔsin kin sik. Sɔm pipul dɛn nɔ kin gɛt sik we dɛn kɔl seizure atɔl afta dɛn dɔn du dɛn ɔpreshɔn . Sɔntɛnde, if dɛn ebul fɔ pul di ɛmatoma sef wan ɛn kɔmɔt kpatakpata, di sik kin wɛl. Bɔt, risk de fɔ mek di sik dɛn we de sik kam bak.

As wi bin dɔn tɔk, if yu injɛkshɔn drɔgs ɛvri mɔnt we de mek sɔm ɔmon dɛn nɔ de kɔmɔt, dat kin ɛp fɔ kɔntrol di sayn dɛn we de sho se pɔsin de bɔn kwik kwik wan. We yu pikin rich di ej we i kin bi puberty, di dɔktɔ kin stɔp di drɔgs. Bɔku pikin ɛn yɔŋ pipul dɛn go go tru di tɛm we dɛn de bɔn pikin ɛn di divɛlɔpmɛnt pan mami ɛn dadi biznɛs lɛk aw dɛn bin de op fɔ dis tɛm .

Dipen pan yu pikin in kɔndishɔn, dɛn dɔktɔ kin gi yu di bɛst infɔmeshɔn.

Wetin wi go se bɔt di we aw pipul dɛn de liv?

di ebul fכ liv wit dis kכndyushכn (`layf εkspεktεns`) kin difrεn frכm pכsin to pכsin. I dipen pan bɔku tin dɛn:

• Sayz ɛn di kayn hematoma tumor
• Aw di epileptic seizures kin tranga ɛn kin kam ɔltɛm
• Aw di tritmɛnt kin wok fayn?

Yu dɔktɔ go ɛksplen dis to yu afta i dɔn tink bɔt ɔl dɛn tin ya.

Bɔt, risk de fɔ mek pɔsin day wantɛm wantɛm we i nɔ bin de ɛkspɛkt pan ɛpilepsi (SUDEP) wit dis haypothalamic hematoma. So, yu dɔktɔ go ɛp yu fɔ kip yusɛf sef ɛn mek wan tritmɛnt plan fɔ kɔntrol yu epileptic seizures.

If mi pikin gɛt dɛn sik ya, ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛnitin we de mɔna yu bɔt yu pikin, na yu go no am gud gud wan . So nɔ shem fɔ go to dɔktɔ, ilɛksɛf na jɔs smɔl tin. Yu fɔ no mɔ bɔt dɛn sayn dɛn ya:

• Epileptic stet (fɔ laf, jɔk, fɔdɔm) .
• di pikin we yu bכn bifo tεm (e.g., di ia we de gro kwik, di vכys de dip) .
• Chenj na di atɛnshɔn, mɛmori, ɔ di ebul fɔ lan
• Di chenj na yu bihayvya (e.g., wae yu de vɛks pan smɔl tin, wae yu de vɛks) .
• di hכmon imbalans (e.g., we yu de tɔsti pasmak, we yu de chenj di we aw yu want fɔ it, we yu de fil bad bad wan) .

If mi pikin gɛt hypothalamic hematoma (HH), us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Wae yu dɔn no se yu pikin gɛt HH, yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn tritmɛnt yu kin advays?
• Aw i go bi se i go nid fɔ du bɔku tritmɛnt ɔ ɔpreshɔn?
• Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt dɛm kin gɛt?
• Aw dis tritmɛnt go afɛkt di tin dɛn we mi pikin kin du ɛvride, di wok we i kin du na skul, ɛn di tin dɛn we i kin du fɔ du tin dɛn we i nɔ kin du?

Na nɔmal tin fɔ mek yu fred ɛn shɔk we dɛn tɛl yu se yu gɛt bren tumbu, we yu gɛt sik, ɔ we yu gɛt chenj na yu bɔdi bifo yu ol. Bɔt di bɛst pat na dat, fayn tritmɛnt dɛn de fɔ kɔntrol di sayn dɛn we de sho se pɔsin gɛt haypothalamic hematoma . Yu go nid fɔ de tɔk to yu mɛdikal tim. Dɛn go mek shɔ se yu sik nɔr de ambɔg yu bɔdi ɔr maynd wɛl bɔdi. Ɔpreshɔn kin mek yu nɔ gɛt bɔku sik ɛn aw i kin tranga, so tɔk to yu dɔktɔ bɔt if yu na gud pɔsin fɔ gɛt am.

So, wetin na di impɔtant tin dɛn we wi fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt? (Mɛsej we dɛn kin tek go na os)

Hypothalamic hematoma (HH) na wɔd we de mek pɔsin fred smɔl, bɔt i rili impɔtant fɔ no bɔt am.

Mɛmba se dis nɔto kansa. Ɛn dis na tin we kin apin we dɛn bɔn pikin.

• di men tin dεm: We uman kin bכn bifo tεm, difrεn kayn epileptic seizures (especially ‘Gelastic seizures’), εn di prכblεm dεm we i kin gεt pan bihayvya/lanin na dεn men wan dεm.
• Wi nɔ no di rayt tin we kin mek i apin: Bɔrku tɛm, dis na tin we kin apin bay wilful. I nɔ kin izi fɔ mek i kɔmɔt frɔm ɔda pɔsin.
• Gud tritmɛnt dɛn de: Sɔm tritmɛnt dɛn de we go wok fayn, lɛk fɔ tek mɛrɛsin ɛn ɔpreshɔn fɔ kɔntrol di sik dɛn, mɔ fɔ di sik we dɛn kɔl epilepsy ɛn fɔ pikin dɛn we nɔ rich 18 ia yet.
• I impɔtant fɔ no am kwik: If yu tink se yu pikin gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm. Di kwik we dɛn bigin fɔ trit, na di mɔ di tin go fayn.
• Nɔto yu wangren de: Dis kin tranga fɔ yu ɛn yu pikin fɔ fil bad. Di sɔpɔt we dɔktɔ dɛn, advaysa dɛn, ɛn famili dɛn de gi rili impɔtant.

A op se dis infɔmeshɔn go ɛp yu. I nɔ mata wetin, i go fayn fɔ mek yu tɔk to dɔktɔ ɛn gɛt advays ɛn nɔ fred.

` Hypothalamic hematoma, bren tumor, pikin tɛm puberty, epilepsy, gelatinous epilepsy, ɔmon prɔblɛm, bren ɔpreshɔn