Kei tō tamaiti ēnei tohu? Me ako tātou mō te Hypothalamic Hamartoma!

He rerekē te whanonga a tāu tamaiti i ētahi wā, me te mea kei te kata noa ia mō ētahi hēkona? He tohu rānei kei te whakaatu ia i te pakeketanga wawe? He mea mārama te mataku ina kite koe i ēnei mea. I tēnei rā ka kōrero tātou mō tētahi mate roro ka puta ai ēnei tohu, he mea onge noa iho, engari he mea nui kia mōhio.

Nā, he aha tēnei hamartoma hypothalamic?

He whakarāpopototanga noa iho, ko te Hypothalamic Hamartoma (HH) he pukupuku e tupu ana i roto i te hypothalamus, he wāhanga o te roro kei roto rawa i te roro . Heoi, ehara i te mate pukupuku, arā , kāore he pūtau mate pukupuku i roto (ehara i te mate pukupuku) . He hanganga iti te hypothalamus, he rite te rahi ki te aramona. Engari he mahi tino nui tāna i roto i tō tātou tinana. He kaiwhakahaere ia i waenga i tō tātou pūnaha endocrine me te pūnaha io , e āwhina ana ki te pupuri i te homeostasis (taurite) i roto i te tinana.

Whakaarohia pēnei, he rite te hypothalamus ki tētahi papa whakahaere i roto i tō tātou tinana. Māna ēnei mea e whakahaere:

• Te toto totoka
• Te pāmahana tinana
• Te pēhanga me te ahotea e pā ana ki a tātou
• Te hiakai me te matewai
• Te tukunga o ngā homoni mai i te repe pituitary
• Ngā huringa moe me te ara ake

Ka tīmata te hanga o tēnei pukupuku, e kiia nei ko te hematoma hypothalamic, i te wā e noho tonu ana te pēpi i roto i te kōpū ('ka whanake te tamaiti') . Kātahi ka nui haere i te whanaketanga o te roro. Ko te mea pai rawa atu , kāore e horapa ki ētahi atu wāhanga o te roro, ki ētahi atu wāhanga rānei o te tinana . I te nuinga o te wā, kotahi anake te pukupuku, engari he tino onge ka maha. He pai ngā maimoatanga hei whakahaere i ngā tohu o tēnei mate.

Nā, he aha ngā tohu o tēnei mate hematoma hypothalamic (HH)?

Ka rerekē pea ngā tohu o tēnei mate i ia tangata, engari e toru ngā tohu matua ka kitea:

• Te pakeketanga wawe
• Ngā mate hopuhopu
• Ngā tohu mate io

He aha te 'Pākeketanga o mua'?

Ko te mea ka tupu, ka tīmata te roro ki te tuku i ngā homoni ira tangata i mua i te wā tika. I te nuinga o te wā , ka kitea ēnei tohu e ngā kōtiro i mua i te 8 tau te pakeke, ā, e ngā tama i mua i te 9 tau te pakeke .

Ngā tohu ka kitea i roto i ngā kōtiro :

• Te whanaketanga o ngā ū
• Te tupu o ngā huruhuru i roto i ngā kēkē me ngā wāhi tūmataiti
• Te tīmatanga o te paheketanga
• hakihaki

Ngā tohu ka kitea pea e ngā tama :

• Te hōhonutanga o te reo
• Te tupu o ngā huruhuru i te mata, i ngā kēkē, me ngā wāhi tūmataiti
• Te whakanui ake i te kiriuhi me ngā porotiti
• hakihaki

Whakaarohia te mamae o te ngākau mōu me tāu tamāhine ina tīmata rātou ki te whakaatu i ēnei huringa i mua noa atu i ō rātou hoa. Nō reira, ki te kite koe i tētahi mea pēnei, he pai ake te toro atu ki te tākuta i te wā e taea ai.

Me ako anō hoki tātou mō ngā mate hopuhopu.

He mea tino noa hoki te puta o ngā mate haurangi me tēnei mate. Ko tētahi o ngā mea tino noa ko te 'gelastic seizure' . He kata ohorere tēnei, kāore e taea te whakahaere, kāore he take mārama . Nā te rerekētanga o te mahi hiko i roto i te roro i puta ai. Ka roa pea tēnei mō ētahi hēkona, engari ka maha ngā wā i te rā, i ngā wā kino rānei, maha ngā wā i te hāora.

I te nuinga o te wā, ka tīmata tēnei momo mate haurangi i mua i te kotahi tau te pakeke o te tamaiti . Heoi, i muri i te 10 tau te pakeke, ka kitea te heke o tēnei auau.

Haunga tēnei mate haurangi rite ki te gelatin, ka kitea anō hoki ētahi atu momo mate haurangi:

• Ngā mate hopuhopu atonic: I roto i tēnei, ka ngaro ohorere te mana whakahaere o ngā uaua, ā, ka hinga pea koe, me te mea nei kua panaia koe e tetahi.
• Ngā hopukanga dacrystic: He tangi ohorere tēnei, kāore e taea te whakahaere. Ka puta tēnei mō te kore take e kitea.
• Ngā hopukanga tonic-clonic: Koinei te mea e mōhiotia ana e te tini he "fit." Ka ngaro te māramatanga, ā, ka oho, ka neke te tinana, kāore e taea te whakahaere.

He aha ngā tohumate io?

Ka pāngia hoki te whanonga, te wairua, me te mahi hinengaro o tāu tamaiti e tēnei āhuatanga, e kiia nei ko te hypothalamic hematoma (HH). Ko te tikanga tēnei:

• Mate kore aro/mate kore mahi nui (ADHD)
• Te mate whanonga
• Hauātanga hinengaro
• Ngā huringa kare ā-roto, e noho tonu ana i te āhua kotahi i ngā wā rerekē ('Ngā mate kare ā-roto')
• Mate whakahē-whakahē (mate whakahē-whakahē)
• Ngā whanonga tauhohe (hei tauira, te tere o te riri, te kaha o te pukuriri)
• Ngā raruraru ki te mahara poto

Hei mātua, ka tino āwangawanga tātou ina whakaatu te tamaiti i tētahi, i ētahi rānei o ēnei tohu. Engari he mea nui kia mahara kei reira ngā rongoā hauora e taunaki ana mō ēnei katoa.

He aha ngā momo matua o te hematoma hypothalamic (HH)?

E rua ngā momo matua o te hematoma hypothalamic, e whakarōpūtia ana i runga i te wāhi o te pukupuku me ngā tohu e puta mai ana :

1. Te whara o roto i te hypothalamus: I tēnei wā, kei te taha o muri o tō hypothalamus te pukupuku. Ka whakararuraru tēnei i te mahi hiko o te roro, ka puta ai he haurangi me ngā whanonga rerekē.

2. Te whara parahypothalamic (Te whara pedunculated - `Te whara parahypothalamic`):I tēnei āhuatanga, kei te taha o mua o te hypothalamus te pukupuku. He maha ngā wā ka honoa tēnei momo ki te pakeketanga wawe.

Heoi, i ētahi wā ka kitea ēnei momo e rua i roto i te tangata kotahi i te wā kotahi.

He aha i puta ai tēnei hematoma hypothalamic (HH)? He aha te take?

Ina hoki, kāore anō ngā tohunga kia tino mōhio he aha te take o te HH. Ā, kāore he huarahi hei ārai. I te nuinga o te wā, ka puta noa te mate i te 'tūpono noa'. Ko te tikanga , kāore e horapa i roto i ngā whānau . Nō reira, he tino iti te tūponotanga ka riro mai i a koe.

Heoi, kua kitea i roto i ngā rangahau tata nei tētahi momo ira tinana o tētahi ira e kīia nei ko te GLI3 i roto i te kiko pukupuku mai i ngā pukupuku kua tangohia. Kua kitea anō hoki ētahi atu momo ira i roto i ēnei pukupuku kua tangohia. Kei te haere tonu ngā rangahau mō ēnei ira.

Ko tētahi atu mea, tera pea he hononga i waenga i tēnei hematoma hypothalamic me tētahi āhuatanga ira e kiia nei ko te Pallister-Hall syndrome (PHS) . Nā tētahi momo ira tēnei āhuatanga PHS. Ka taea e ia te whakaputa i ngā āhuatanga rerekē o te whanaketanga o ngā ringa, ngā waewae, te larynx (pouaka reo), me te nono.

He aha ngā āhuatanga mōrearea mō tēnei mate?

Ka pāngia te tangata katoa e tēnei mate. He paku noa ake te kitea i roto i ngā tāne . Ko te nuinga o te wā ka pāngia ngā tamariki me ngā taiohi e te HH. Heoi, i ētahi wā, kāore pea te mate e kitea kia puta rā anō ngā tohu i te pakeketanga.

He aha ngā raruraru pea o te hematoma hypothalamic (HH)?

Ka pā pea te pakeketanga wawe ki te hauora tinana me te hinengaro o te tamaiti , inā koa ka tere ake te huri o tōna tinana i ētahi atu tamariki o tō rātou tau. Hei tauira, he poto pea tōna tinana . Hei tāpiri, kāore pea te tamaiti e mārama pai ki ēnei huringa. Ka pā pea tēnei ki tōna whakaaro nui ki a ia anō me te oranga ngākau. Ka taea e te tīma hauora o tāu tamaiti te āwhina ki te whakahaere i ngā raruraru ka puta mai.

Me pēhea te tautuhi i tēnei āhua o te hematoma hypothalamic (HH)?

Tērā pea ka whakahaerehia e tō tākuta ētahi whakamātautau whakaahua hei whakaū i te mate HH.

• Matawai MRI (MRI - Magnetic Resonance Imaging): Ka taea e tēnei te tango pikitia tino mārama, taipitopito hoki o tō roro. Me hoatu pea he rongoā whakamoe māmā ki ngā tamariki nohinohi kia noho marino ai rātou i te wā o te MRI. Nā te mea ki te neke rātou, ka pōuri pea ngā pikitia. Whakaarohia he rite ki te whakaahua e tangohia ana, ā, ki te neke rātou, ka pōuri ngā pikitia.

• Whakamātautau EEG (`EEG - Electroencephalogram`): Mena he mate haurangi tōu, ka tono pea tō tākuta i tētahi whakamātautau EEG. Ka mahia tēnei hei aroturuki i te mahi hiko i roto i tō roro . Pērā i te ECG o tō tātou ngākau, ka whakamātautauhia te mahi a te roro.

• Whakamātautau io: Ka ine ēnei i te whānuitanga o ngā raruraru hinengaro, pērā i te whakaaro, te ako, me te mahara . Tērā pea ka whakahaerehia e tō tākuta he whakamātautau toto hei tirotiro i ngā taumata homoni. Ka taea e ēnei whakamātautau te āwhina i te whakamahere maimoatanga.

I ētahi wā, he uaua ki te tautuhi i te HH nā te mea he rite tonu ōna tohu ki ērā o ētahi atu mate pūnaha io .

Āe, he aha ngā maimoatanga mō tēnei?

Ko te rongo pai, kei reira ngā maimoatanga mō tēnei mate, arā, te hypothalamic hematoma (HH). E rua ngā kōwhiringa maimoatanga matua:

• Ngā rongoā hei whakahaere i te pakeketanga o te wā: Ka whakamahia he momo rongoā e kiia nei ko ngā 'Gonadotropin-releasing hormone agonists' . Ka mahi ēnei mā te whakahaere i te tukunga o ngā homoni o te wā, e ai ki te kōrero i mua ake nei.
• Te pokanga hei whakahaere i ngā hopukanga haurangi: Me kōrero taipitopito atu tātou mō tēnei.

Hei tāpiritanga, ka tūtohu pea te tākuta o tāu tamaiti i te tautoko mātauranga i te kura, i te rongoā whakaora, i ētahi atu rongoā rānei mō ngā raruraru kare ā-roto, whanonga, me te hinengaro.

He aha ngā pokanga e mahia ana mō te hematoma hypothalamic (HH)?

Hei whakahaere i ngā mate hopuhopu, ka tūtohu pea te tākuta i tētahi pokanga mate haurangi , i tētahi atu tikanga rānei hei tango, hei whakangaro rānei i te hematoma. Kāore i te nuinga o te wā ka whai hua ngā rongoā ārai-hopu mō ngā mate hopuhopu gelastic . Heoi, ka āwhina pea ēnei ki te whakahaere i ētahi atu momo mate hopuhopu.

Nā, kia tirohia tātou he aha ēnei momo pokanga:

• Pokanga Maripi Gamma: He momo pokanga tēnei, engari he momo rongoā irahiko e mahia ana me te kore e tapahia te kiri . Ina koa, ka whakamahia he hihi kaha hei whakangaro i te pukupuku.
• Te tango (pokanga): I tēnei mahi, ka tangohia e te taote te pukupuku mā te whakatuwhera i te angaanga (he craniotomy) mā te hanga rānei i tētahi kōhao iti ki te angaanga ka whakauru i tētahi taputapu iti e kiia nei ko te endoscope mā roto.
• Te tango i te taiaho stereotactic: He iti noa te whakaekenga o tēnei.He tikanga. Ka whakangaromia te puku e te mārama taiaho e tukuna ana mā te taura muka whatu.
• Te whakawera wera ā-ira: He momo whakaora whakawātea anō hoki tēnei. Ka whakamahia te wera hei rongoā i te hematoma . Ka whakauruhia e te taote pokanga he pūwero angiangi mā roto i te angaanga ki te wāhi kei reira te pukupuku. Kātahi ka whakamahanahia ngā pūwero mā te whakamahi i ngā ngaru reo irirangi hei whakangaro i te kiko pukupuku.

Ahakoa te ahua uaua o ēnei tikanga pokanga, ka whakamāramahia e ngā tākuta ngā mea katoa ki a koe.

He aha te matapae mō te whakaoranga i tēnei āhuatanga?

I te nuinga o te wā , he pai te matapae (te tirohanga rānei) mō te hematoma hypothalamic (HH) , nā te mea he maha ngā maimoatanga whai hua hei whakahaere i ngā tohu.

Ka taea e te pokanga te whakaiti i te auau me te kaha o ngā mate hopuhopu. Ko ētahi tāngata ka noho kore rawa he mate hopuhopu i muri i te pokanga . I ētahi wā, ki te taea te tango haumaru me te katoa o te hematoma, ka ora pea te mate. Heoi, tera pea ka hoki mai anō ngā mate hopuhopu.

E ai ki te kōrero i mua ake nei, ko ngā werohanga rongoā ia marama e aukati ana i te tukunga o ētahi homoni ka āwhina i te whakahaere i ngā tohu o te pakeketanga wawe. Ina tae tāu tamaiti ki te tau e puta ai te pakeketanga, ka taea e te tākuta te whakamutu i ngā rongoā. Ko te nuinga o ngā tamariki me ngā taiohi ka uru ki te pakeketanga me te whanaketanga ā-ira tangata e ai ki te tumanako i tēnei wā .

I runga i te āhua o tāu tamaiti, ka taea e tā rātou tākuta te hoatu ki a koe ngā mōhiohio pai rawa atu.

Ā, me pēhea te auau oranga?

Ka rerekē te kaha ki te ora me tēnei mate ('roaroa o te oranga') i ia tangata, i ia tangata. E whakawhirinaki ana ki ētahi āhuatanga:

• Te rahi me te momo o te pukupuku hematoma
• Te kaha me te auau o ngā hopukanga haurangi
• E pēhea ana te angitu o te maimoatanga?

Mā tō tākuta tēnei e whakamārama ki a koe i muri i te whai whakaaro ki ēnei āhuatanga katoa.

Heoi anō, kei reira te mōrearea o te mate ohorere i roto i te mate haurangi (SUDEP) me tēnei hematoma hypothalamic. Nō reira, mā tō tākuta koe e āwhina ki te pupuri i a koe kia haumaru, me te waihanga i tētahi mahere maimoatanga hei whakahaere i ō mate haurangi.

Mena kei taku tamaiti ēnei tohu, āhea ahau me toro atu ki te tākuta?

Mena he āwangawanga āu mō tāu tamaiti, ko koe te mea tino mōhio ki a rātou . Nō reira kaua e mangere ki te toro atu ki te tākuta, ahakoa he mea iti noa iho. Kia tino mōhio ki ēnei tohu:

• Ngā hopukanga haurangi (kata, oho, hinga)
• Te pakeketanga o te tinana (hei tauira, te tupu wawe o te makawe, te hohonu haere o te reo)
• Ngā huringa o te aro, te mahara, te kaha ako rānei
• Ngā huringa whanonga (hei tauira, te riri mō ngā mea iti, te pukuriri)
• Ngā koretake o ngā homoni (hei tauira, te matewai nui, ngā huringa o te hiahia kai, ngā huringa nui o te wairua)

Mena he hematoma hypothalamic (HH) tō taku tamaiti, he aha ngā pātai me pātai atu e au ki te tākuta?

Kia kitea e koe kei te pāngia tō tamaiti e te HH, ka taea e koe te pātai atu ki te tākuta i ēnei pātai:

• He aha te momo maimoatanga e taunaki ana koe?
• E hia te tūponotanga me maha ngā maimoatanga, ngā pokanga rānei e hiahiatia ana e ia?
• He aha ngā pānga taha o ngā maimoatanga?
• He aha te pānga o tēnei maimoatanga ki ngā mahi o ia rā a taku tamaiti, ki āna mahi kura, me āna mahi o ia rā?

He mea noa te mataku me te ohorere ina kīia atu he pukupuku roro tōu, ina pāngia koe e ngā mate haurangi, ina pāngia rānei koe e ngā huringa o tō tinana i mua i tō pakeketanga. Engari ko te mea pai rawa atu ko ngā maimoatanga whai hua hei whakahaere i ngā tohu o te hematoma hypothalamic . Me noho tata tonu koe ki tō tīma hauora. Mā rātou e whakarite kia kore ō tohu e whakararuraru i tō hauora tinana, i tō hauora hinengaro rānei. Ka taea e te pokanga te whakaiti i te auau me te kaha o ō tohu, nō reira kōrero ki tō tākuta mēnā he pai koe mō tēnei.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i roto i ngā kōrero kua kōrerotia nei? (Karere hei kawe ki te kāinga)

He kupu whakamataku te kupu "hypothalamic hematoma" (HH), engari he mea tino nui kia mōhio ki tēnei kupu.

Kia maumahara, ehara tēnei i te mate pukupuku. He mate tēnei e puta ana ina whānau mai he pēpi.

• Ngā Āhuatanga Matua: Ko te pakeketanga o te tinana i mua i te wā, ngā momo mate haurangi (ina koa ko ngā 'mate Gelastic'), me ngā raruraru whanonga/ako ngā mea matua.
• Kāore i te mōhiotia te tino take: I te nuinga o te wā, he mea tupu noa iho tēnei. He onge te tuku iho.
• He pai ngā maimoatanga: He pai ngā maimoatanga, pērā i ngā rongoā me ngā pokanga, hei whakahaere i ngā tohu, inā koa mō te mate haurangi me te pakeketanga wawe.
• He mea nui te mōhio wawe ki a ia: Ki te whakapae koe kei tō tamaiti tētahi o ēnei tohu, me toro atu ki te tākuta tonu. Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake o te putanga.
• Kāore koe i te mokemoke: He uaua pea tēnei ki a koe me tāu tamaiti. He mea tino nui te tautoko a ngā tākuta, ngā kaiwhakatakoto whakaaro, me te whānau.

Ko tāku tumanako he whai hua ēnei mōhiohio ki a koe. Ahakoa pēhea, he pai ake te kōrero ki te tākuta me te tiki tohutohu me te kore e mataku.

` Hematoma hypothalamic, pukupuku roro, pakeketanga o te tamarikitanga, mate haurangi, mate haurangi gelatinous, raruraru homoni, pokanga roro