I fa tê chu a châng chuan chhan awm lovin a nui chhuak ta thut mai em? Chu nuih chu tihtawp theih loh, fit of fits ang mai a ni em? A nih loh leh i fanu emaw, i fapa emaw hian puitlin hmaa chhinchhiahna a lantir em? Nu leh pa angin heng thilte hi i hmuh hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni. Vawiin hian thluak dinhmun hmuh tur awm lo tak, mahse hriat tur pawimawh tak, heng symptoms thlen thei tur kan sawi dawn a ni.
Hypothalamic Hamartoma (HH) hi eng nge ni tak tak?
A awlsam zawngin, cancer ni lo tumor ang chi, kan thluak chhung thuk takah a lo thang lian a, a pawimawh hle a, hypothalamus an ti a, chu chu almond ang vel a ni.
Kan taksa control center ber chu hypothalamus hi han ngaihtuah teh. Engkim a inthlau (homeostasis) a awm tir a, kan taksa chhunga hormonal system leh nervous system te a thlunzawm vek a ni.
Hypothalamus-in a thunun ṭhenkhat chu:
- Thisen sang a ni
- Taksa lum leh vawt
- Stress, lungkhamna neia hriatna
- Riltam leh tuihalna
- Pituitary gland atanga hormone chhuak
- Mut leh harh cycle te
He HH tumor hi naupang chu nausen pum chhunga a la awm laiin a lo awm tan thin . Naupang thluak a lo than chhoh zel chuan he tumor hi a lo thang zauh zauh a. Mahse lungngai suh, thluak hmun dangah emaw, taksa peng dangah emaw a darh lo. A tam zawkah chuan tumor pakhat chauh a awm a, mahse a tlem hle a, engemaw zat a awm thei.
A tha ber chu tunah hian he natna avanga natna lan chhuah dan tur control turin enkawlna tha tak tak a awm ta a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
Heng symptoms te hi naupang tin tan a inang lo va, naupang pakhatah a inang lo thei bawk. Mahse, symptoms chi thum lian tak tak hmuh theih a awm.
1. Puitlin hma (Precocious Puberty) a ni
Hei hi he natna lanchhuahna ber pakhat a ni. A awlsam zawngin, naupang taksa chu kum pangngai aiin mipat hmeichhiatna lamah a puitlin hma hle. Hei hi ``Central Precocious Puberty'' an ti a. Hei hi thluak hian sex hormone siam chhuahna tur signal a thawn hma lutuk vang a ni.
A tlangpuiin hmeichhe naupangin kum 8 a tlin hmaa puitlin theihna chhinchhiahna a lantir a, mipa naupangin kum 9 a tlin hmaa a lan chhuah chuan kan ngaihtuah tur a ni.
| Hmeichhe naupangte mizia hmuh theih | Mipa naupangte mizia hmuh theih |
|---|---|
| Hnute hmasawnna | Aw ri bengchheng/thuk zawk |
| Armpit leh private area-a sam sei | Hmai, kutphah leh mimal hmuna sam sei |
| Thlasik (thlasik) . | Testicles leh penis tihzauh |
| Acne a lo awm thin | Acne a lo awm thin |
2. Seizures (Seizures) a awm thin
He natnaah hian seizures pawh a tam hle. He natnaah hian seizure chi khat bik leh tlanglawn tak a awm bawk. Gelastic seizure an ti a .
Gelastic seizure hi thluaka electrical activity danglam tak, chhan hriat loha thunun theih loha nuihzatthlak tak a ni. Nui fit ang mai a ni.
He nuih hi thil lawmawm tak a ni lo. Second tlemte chauh a daih thei a, mahse ni khatah vawi eng emaw zat a awm thei a, a nasat ber ṭhenkhatah chuan darkar khatah vawi eng emaw zat a awm thei bawk. A tam zawkah chuan he seizure chi hi naupang kum khat a tlin hmain a intan thin . Mahse kum 10 a tlin hnuah chuan a tlahniam zauh zauh thin.
Hei bakah hian seizure chi dang pawh hmuh tur a awm bawk.
- Atonic seizures (drop attacks): Taksa thununna hloh nghal, taksa ruh chak lo, leia tlak.
- Dacrystic seizures: Thunun theih loh, chhan awm lovin tap chhunzawm zel, nuih nen a inang.
- Tonic-clonic seizures: Kan hriat vek angin seizure lian tak, hriatna hloh leh taksa ti na thei.
3. Neurological Symptoms leh Nungchang inthlak danglamna
Hypothalamus hi thluaka kan rilru put hmang leh nungchang thunun theitu a nih avangin HH hian naupang nungchang, rilru put hmang leh zir theihna a nghawng thei a ni. Harsatna lo awm thei te chu:
- Ngaihven harsatna leh thiltih tam lutuk (Attention-deficit/hyperactivity disorder - ADHD) .
- Thil tha lo, nalh tak `(Conduct disorder)`
- Thinlung lama harsatna nei
- Mood disorder (Mood disorder) a awm thin
- Opposition-defiant disorder a ni
- Reactive thiltih dan
- Hun rei lote chhunga hriatrengna lama harsatna awm thei
Hypothalamic hematomas chi hrang hrang a awm em?
Ni e, he tumor hi hypothalamus-a a awmna leh a natna lan chhuah dan azirin chi hnih ah then theih a ni.
1. Intrahypothalamic lesion: Hetiang chi ah hian tumor hi hypothalamus hnung lamah a awm a. Hei hian thluaka electrical activity a tibuai a, chu chuan seizures leh nungchang lama harsatna a thlen theihna a sang zawk a ni .
2. Parahypothalamic lesion (pedunculated lesion): Hetah hian tumor hi hypothalamus hmaah a awm a. Hei hi puitlin hma avanga symptom hmuh tur ber a ni .
Naupang thenkhat chuan chi hnih hi an nei dun thei bawk.
Hetiang dinhmun a lo awm chhan hi eng nge ni?
Hei hi a chhan chiang tak a la awm lo . Tin, ven dan tur a awm lo bawk. A tam zawkah chuan random takin a thleng thin. Chu chu a tlangpuiin rochan a ni lo tihna a ni. I fain a neih theihna chance a hniam hle a, a chhan chu i chhungkuaa mi pakhatin a neih vang a ni.
Mahse tun hnaia zirchianna hrang hrangah chuan heng tumor tissue chhungah hian `GLI3` an tih gene ah hian inthlak danglamna engemaw zat a awm tih hmuhchhuah a ni. Hemi chungchangah hian zirchianna a la kal zel a ni.
Tin, ``Pallister-Hall syndrome (PHS)'' tih hming pu genetic condition hian HH nen hian inzawmna engemaw zat a nei thei tih hmuhchhuah a ni bawk.
He natna hi engtin nge dik taka kan hriat theih ang?
I doctor chuan i thluak MRI (Magnetic Resonance Imaging) scan hmangin i natna hriat chian a ti mai thei. MRI hian thluak thlalak chiang tak, chipchiar tak tak a siam thei a ni.
Naupang tête chu MRI an tih laiin an che thei lo turin light sedation pek an ngai mai thei a, an che chuan scan-a thlalak awmte chu a chiang lo thei a ni.
I fain seizures a neih chuan EEG (Electroencephalogram) test neih a tha bawk. Hei hian thluak electrical activity a test thin.
Chu bâkah, naupang ngaihtuahna, zir leh hriatrengna tehna atân neurological testing neih theih a ni a, hormone level enfiah nân thisen test pawh tih theih a ni bawk. Heng test atanga thu hriatte hi enkawlna ruahmanna siamnaah a \angkai hle thei a ni.
Engtin nge enkawl a nih?
HH enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu precocious puberty control a ni a, pakhat chu seizures control a ni.
- Puitling hma tan: Hei atan hian damdawi hman a ni. Gonadotropin-releasing hormone agonists hi thla tin injection angin pek thin a ni. Hei hian hormone chhuah dan a thunun a, puitlin hun chhinchhiahna a thunun bawk. Naupang chu a tlangpuiin puitlin hun tur kum a thlen chuan doctor chuan damdawi chu a titawp ang.
- Seizures tan: A hmaa kan sawi tawh ‘Gelastic seizures’ te hian standard antiseizure damdawi te hi an chhang tha lo hle. Chuvangin , surgery emaw specialized procedure dang emaw tih a ngai fo thin.
A hnuaia tarlan te hi seizures control nan hematoma lakchhuah emaw tihchhiat emaw atana hmanraw pawimawh thenkhat tarlan a ni.
| Enkawl dan tur | A awlsam zawngin sawifiah a ni |
|---|---|
| Gamma Knife hmanga operation tih a ni | Hei hi surgery tak tak a ni lo. A vun chu a cut lo. Energy (radiation) chak tak hian thluaka tumor awmna hmun chauh a tum a, a tichhia a ni. |
| Resection (a lakchhuahna surgery) 1.1. | Surgeon chuan luruh chu a hawng (craniotomy), emaw, luruh chhungah khur te tak te siamin, endoscope ang chi hmanrua a dah lut a, tumor chu a paih chhuak thin. |
| Stereotactic laser hmanga tihthianghlim a ni | Hei hi minimally invasive method a ni bawk. Fiber optic cable hmangin laser beam thawnin tumor hi a tichhia a ni. |
| Stereotactic hmanga tihchak a ni | Hetiang method hian lumna hmangin tumor chu a tichhia a ni. Instrument te tak te chu lu vun kaltlangin dahin radio wave hmangin an lum a, tumor tissue chu a tichhia a ni. |
Chu bakah, naupang nungchang leh zirlai harsatna sutkian nan sikulah special educational support, behavioral therapy, leh damdawi te pek theih a ni bawk.
Engtikah nge Doctor i hmuh ang?
Nu emaw pa emaw i nih angin i fa chu i hre chiang ber a ni. Chuvangin, i fateah hian danglamna emaw, natna lan chhuah dan danglam emaw i hmuh chuan ngaihthah suh . I fain a hnuaia symptoms te hi a neih chuan doctor rawn la nghal rawh.
- Seizures: A bik takin chhan awm lovin nuihzatthlak tak tak.
- Puitling hma chhinchhiahna: A hmaa kan sawi tawh ang khan sam sei leh aw ang chi thil te hi a inthlak danglam thin.
- Zirna lama harsatna: ngaihtuahna seng thei lo, hriatrengna lama inthlak danglamna.
- Nungchang inthlak danglamna: Thil tenawm tak avanga thinrim, chetsualna.
- Hormone inthlauhna: tuihal lutuk, riltam inthlak danglam, mood inthlak nghal.
I fain HH a nei tih i hriat chuan i hlauthawng hle mai thei. Mahse, tunah chuan hei hi enkawlna tha tak tak a awm tawh tih hre reng ang che. Doctor nen inbia la, i fa tana enkawlna tha ber thlang rawh.
Take-Home Thuchah a ni
- Hypothalamic Hamartoma (HH) hi cancer awm lo, pian tirh atanga thluaka lo awm thin a ni.
- Hei hi a lan chhuah dan ber pahnih chu gelastic seizures leh premature puberty te hi a ni.
- Diagnosis atana test hman ber chu thluak MRI scan a ni.
- Precocious puberty chu damdawi hmangin, epilepsy surgery emaw, hmanraw bik dang hmangin hlawhtling takin control theih a ni.
- I fa hian heng symptoms te hi a nei nia rinhlelhna tlem ber i neih chuan pediatrician emaw neurologist emaw hnenah tihkhawtlai lohvin rawn hmasa phawt ang che.
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