Kodi mukudziwa za vuto losowa ili lotchedwa Carney Complex?

Kodi khungu lanu lasintha mwadzidzidzi, kapena mwaona mawanga kapena zilema zachilendo? Kapena mwaona zotupa zazing'ono, zotupa pathupi lanu? Mwina mukuda nkhawa pang'ono. Nthawi zina sitisamala kwambiri ndi zizindikirozi. Komabe, kumbuyo kwa zizindikirozi, pakhoza kukhala vuto losowa kwambiri lotchedwa Carney Complex lomwe limafuna chisamaliro chapadera. Musadandaule, tidzakambirana izi mosavuta komanso mwanjira yomwe mungamvetse.

Kodi kwenikweni Carney Complex ndi chiyani?

Mwachidule, Carney Complex ndi matenda omwe amakhudza mtundu wa khungu lathu ndipo amachititsa kuti zotupa zomwe si khansa (zosaopsa), zomwe nthawi zambiri sizikhala zoopsa, zipangike m'thupi la munthu komanso m'maselo a endocrine. Izi nthawi zambiri zimachitika chifukwa cha majini. Izi zikutanthauza kuti zimachitika chifukwa cha kusintha kwa majini komwe kumatengera makolo kupita kwa ana.

Kodi pali mayina ena a izi?

Inde, malo otchedwa Carney Complex amadziwikanso ndi mayina ena angapo. Dokotala wanu angagwiritse ntchito limodzi mwa mayina awa:

• Matenda a Carney
• Matenda a NAME - Zilembo za NAME zimayimira nevi (malo ofanana ndi zizindikiro zobadwa nazo), atrial myxoma (mtundu wa chotupa chomwe chimapezeka mumtima), myxoid neurofibromas (mtundu wa chotupa chokhudzana ndi mitsempha), ndi ephelides (mabala).
• Matenda a LAMB - Izi zimayimiranso lentigines (mawanga a bulauni), atrial myxoma, ndi blue nevi (mabala obadwa nawo abuluu).

Ndani amadwala matenda a Carney? Kodi ndi ofala bwanji?

Carney Complex ndi matenda omwe amapezeka mwa anthu obadwa ndi kusintha kwa majini. Komabe, anthu ambiri sangadziwe kuti ali ndi vutoli mpaka zizindikiro zitayamba. Ngakhale kuti zizindikirozi zimatha kuwoneka nthawi iliyonse ali ana, anthu ambiri amapezeka ndi madokotala ali ndi zaka pafupifupi 20.

Ponena za momwe izi zimachitikira kawirikawiri, Carney Complex ndi matenda osowa kwambiri . Tangoganizirani, pali anthu osakwana 750 padziko lonse lapansi omwe adapezeka ndi matendawa. Chifukwa chake palibe chifukwa chodera nkhawa, koma ndikofunikira kudziwa.

N’chifukwa chiyani malo amenewa a Carney Complex amapangidwira? Chifukwa chake n’chiyani?

Carney Complex ndi matenda a majini.Matendawa amayamba makamaka chifukwa cha kusintha kwa majini otchedwa (jini la PRKAR1A). DNA yomwe ili mu jini iyi imalangiza thupi lathu momwe tingapangire enzyme yomwe imalamulira puloteni inayake. Ganizirani za jini iyi ngati chipinda chachikulu chowongolera fakitale. Ngati pali kusintha kwa (jini la PRKAR1A) ili, puloteni yokhudzana ndi enzyme imeneyo singathe kulamulidwa bwino. Kenako maselo amayamba kukula mosalamulirika komanso mopitirira muyeso. Umu ndi momwe zinthu monga zotupa zimayambira kupangika.

Nthawi zambiri, pafupifupi 70% , Carney Complex imayamba chifukwa cha mwana amene walandira kusintha kwa majini kuchokera kwa mmodzi wa makolo ake. Komabe, kwa anthu ena, vutoli limayamba chifukwa cha kusintha kwa majini kumene, zomwe zikutanthauza kuti silinatengedwe kuchokera kwa kholo.

Kodi kusintha kwa majini kumeneku ndiko kokha komwe kumayambitsa?

Si aliyense amene ali ndi Carney Complex amene angakhale ndi kusintha kwa majini. Ofufuza amakhulupirira kuti vutoli likhozanso kuchitika chifukwa cha kusintha kwa gawo la chromosome (molekyu yomwe ili ndi majini). Komabe, kafukufuku pa izi akupitirirabe.

Kodi zizindikiro zazikulu za Carney Complex ndi ziti?

Ngati muli ndi matenda a Carney, mungaone kusintha kwa mtundu wa khungu lanu.

• Madontho ndi madontho a lentigine: Izi zimatha kuwoneka kulikonse pa thupi, koma nthawi zambiri zimawoneka pa:
• Pozungulira maso
• Milomo yolumikizidwa.
• Kuzungulira malo oberekera. Madontho awa angawoneke ngati madontho ang'onoang'ono a bulauni, mtundu wa nyemba za khofi.
• Blue nevi: Nthawi zina zizindikiro za kubadwa zabuluu kapena zakuda zimatha kuwoneka pakhungu.

Kodi zizindikiro zina ndi ziti kupatula kusintha kwa khungu?

Anthu ena omwe ali ndi Carney Complex amatha kukhala ndi matenda a mtima otchedwa cardiac myxomas. Izi zitha kukhala zoopsa kwambiri ndipo zimafuna chisamaliro chapadera. Kuphatikiza apo, zotupa zimatha kufalikira m'malo ena angapo. Mwachitsanzo:

• Mafupa
• Mabere
• Ziwalo zoberekera
• Ma glands opanga mahomoni (endocrine system) - mwachitsanzo, gland ya chithokomiro ndi glands ya adrenal.
• Dongosolo la mitsempha
• Khungu
• Gawo lapamwamba la pakhosi (oropharynx)

Chofunika kwambiri ndichakuti ziphuphu zambiri zomwe zimakula mwanjira imeneyi sizikhala za khansa (zoipa). Izi zikutanthauza kuti sizimayambitsa mavuto ambiri. Komabe, nthawi zina, ziphuphu zina zimatha kukhala khansa (zoopsa) . Ndicho chifukwa chake ndikofunikira kupita kuchipatala nthawi zonse.

Kodi iyi ndi matenda opatsirana?

Ayi, ayi konse. Carney Complex si matenda opatsirana . Simungawatenge kuchokera kwa munthu amene ali ndi vutoli.

Kodi matendawa amapezeka bwanji molondola? (Kuzindikira)

Ngati inu kapena dokotala wanu mukukayikira kuti muli ndi matenda a Carney Complex, dokotala wanu adzachita kaye kafukufuku wa thupi . Adzakufunsaninso za mbiri ya banja lanu. Kuyezetsa majini kungafunike kuti mutsimikizire matendawa.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira matenda?

Kutengera ndi zizindikiro zomwe inu kapena mwana wanu mukukumana nazo, madokotala angakulangizeni mayeso osiyanasiyana. Zina mwa izi ndi izi:

• Echocardiogram: Ichi ndi chithunzi chowunikira momwe mtima umagwirira ntchito. Ichi ndi chofunikira kwambiri pofufuza zotupa za mtima.
• Kuyezetsa magazi ndi mkodzo: Kuyezetsa kumeneku kumachitika kuti muwone kuchuluka kwa mahomoni m'thupi.
• Mayeso osiyanasiyana ojambulira: Mayeso monga ultrasound, CT scan, MRI, ndi X-ray amagwiritsidwa ntchito kuti aone ngati pali zotupa mkati mwa thupi.
• Kuyeza khungu: Ngati pali chotupa kapena kukula kwa khungu kokayikitsa, khungu limatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu.
• Kuyesa majini: Izi ndizofunikira kuti zitsimikizire ngati pali kusintha kwa majini mu (jini la PRKAR1A).

Kodi mankhwala a Carney Complex ndi ati?

Dokotala adzalangiza chithandizo kutengera zizindikiro zomwe inu kapena mwana wanu muli nazo.

• Opaleshoni ya mtima yotseguka kuti muchotse zotupa za mtima: Zotupa za mtima zimatha kukhala zoopsa ndipo zimafunika opaleshoni kuti muchotse zotupazo.
• Opaleshoni yochotsa zotupa pakhungu kapena m'zigawo zina: Zotupa pakhungu kapena m'zigawo za mahomoni zimachotsedwanso opaleshoni, ngati pakufunika kutero.

Dokotala wanu adzakambirana nanu za njira zabwino zochiritsira zomwe zingakuthandizireni.

Kodi izi zingathe kuchiritsidwa kwathunthu?

Carney Complex ndi matenda omwe munthu amakhala nawo kwa moyo wake wonse . Izi zikutanthauza kuti sangachiritsidwe kwathunthu. Koma musadandaule, madokotala angakuthandizeni kuthana ndi zizindikiro zanu ndikukhala ndi moyo wathanzi. Pachifukwa ichi, chithandizo choyenera komanso kuyang'aniridwa nthawi zonse kwa dokotala ndikofunikira kwambiri.

Kodi pali njira zochepetsera chiopsezo chotenga matendawa?

Palibe njira yopewera Carney Complex chifukwa ndi vuto la majini. Komabe, ngati muli ndi pakati, mutha kuyesedwa ndi genetic amniocentesis kuti muwone ngati mwana wanu ali ndi vuto lililonse la majini.

Ndingadziwe bwanji ngati ndili pachiwopsezo chotenga matendawa?

Ngati wina aliyense m'banja mwanu - makamaka makolo anu - ali ndi Carney Complex, ndikofunikira kwambiri kulankhula ndi dokotala wanu za vutoli kuti mayeso ofunikira athe kuchitidwa.

Ngati ndili ndi Carney Complex, ndiyenera kuyembekezera chiyani?

Ngati muli ndi Carney Complex, muyenera kudziwitsa dokotala wanu nthawi yomweyo ngati mukupeza zizindikiro zatsopano. Dokotala wanu angakulangizeninso kuti muyesedwe nthawi zonse kuti muwone kuchuluka kwa mahomoni anu komanso thanzi lanu lonse. Mwachitsanzo:

• Echocardiogram ya pachaka .
• Kuyezetsa magazi.
• Kuwunika kwa dongosolo la endocrine.
• Kuyezetsa khungu.
• Kwa amuna, mayeso a testicular kapena ultrasound.

Kodi ndidzakhala ndi vutoli kwa nthawi yayitali bwanji?

Monga tanenera kale, Carney Complex ndi matenda omwe munthu amakhala nawo kwa moyo wake wonse . Dokotala wanu adzakhala bwenzi lofunika kwambiri pothana ndi zizindikiro zanu komanso kukhala ndi thanzi labwino.

Kodi tinganene chiyani za moyo wa anthu omwe ali ndi matendawa?

Anthu omwe ali ndi Carney Complex amatha kukhala ndi moyo wabwinobwino , koma chofunika kwambiri ndikupita kukayezetsa kuchipatala nthawi zonse ndikutsatira malangizo a dokotala.

Kodi zotupa zingabwererenso mutalandira chithandizo?

Inde, mwatsoka, nthawi zina zotupa zimatha kubwereranso pambuyo pa chithandizo. Ichi ndichifukwa chake kuwunika nthawi zonse kwa dokotala ndikofunikira.

Kodi Carney Complex ndi khansa?

Nthawi zambiri, ziphuphu zomwe zimamera ku Carney Complex zimakhala zabwino . Izi zikutanthauza kuti sizimayambitsa vuto lililonse. Komabe, pakapita nthawi, ziphuphu zina zimatha kukhala khansa/zoopsa . Chifukwa chake, ndikofunikira kwambiri kuuza dokotala wanu za zizindikiro zatsopano komanso kuyezetsa zonse zofunika.

Kodi ndi mavuto ati omwe angakhalepo chifukwa cha Carney Complex?

Inde, vutoli lingayambitse mavuto ena.

• Ngati muli ndi chotupa mu pituitary gland yanu (gawo la endocrine system), chingakhudze kupanga kwa mahomoni okulira m'thupi lanu. Ngati mahomoni okulira achuluka kwambiri, zotsatirazi zingachitike:
• Matenda a nyamakazi
• Kusintha kwa mawonekedwe a nkhope
• Kukulitsa kosazolowereka kwa manja ndi mapazi (acromegaly)
• Ngati zotupa zimayamba m'matenda ena a endocrine, zimatha kuyambitsa matenda monga:
• Matenda a Cushing
• Chotupa chachikulu cha selo la Sertoli chomwe chimapanga maselo ambiri (mtundu wa chotupa chomwe chimayamba m'machende)
• Matenda oyamba a adrenocortical okhala ndi pigment ( zotupa za adrenal glands)
• Schwannomas(Mtundu wa chotupa chomwe chimayamba pamitsempha)
• Ma nodule a chithokomiro ( matumphu mu chithokomiro)

Ngakhale izi zingamveke ngati zovuta pang'ono, zonsezo zimagwirizana ndi dongosolo la mahomoni. Ndicho chifukwa chake tikukulimbikitsani kuti nthawi zonse muziyang'ana kuchuluka kwa mahomoni anu.

Kodi munthu amene ali ndi Carney Complex ayenera kupita kwa dokotala liti?

Tsatirani malangizo a dokotala wanu molondola. Musadumphe mayeso okonzedweratu ndi nthawi yokumana ndi dokotala pazifukwa zilizonse . Ngati muyamba zizindikiro zatsopano, dziwitsani dokotala wanu nthawi yomweyo.

Kodi izi zingayambitse ngozi?

Inde, nthawi zina pamakhala zadzidzidzi. Zotupa, makamaka zomwe zimachitika mumtima, zimatha kuletsa kuyenda kwa magazi. Izi zingayambitse matenda aakulu monga sitiroko , kulephera kwa mtima , kapena kulephera kwa mtima mwadzidzidzi . Chifukwa chake, pitani kuchipatala nthawi yomweyo ngati muli ndi zizindikiro izi:

• Kusintha kwa kugunda kwa mtima wanu
• Kutsokomola kapena kupuma movutikira
• Kutopa pafupipafupi
• Kupuma movutikira
• Kutupa m'thupi - makamaka m'mimba, m'mapazi, kapena m'mapazi.

Uthenga Womaliza Wopita Nawo Kunyumba

Carney Complex ndi matenda osowa kwambiri omwe angayambitse kusintha kwa mtundu wa khungu ndi zotupa zosavulaza m'mbali zosiyanasiyana za thupi, makamaka mtima ndi dongosolo la endocrine. Ngati zotupazi zikuyambitsa mavuto, madokotala amatha kuzichotsa opaleshoni.

Ngakhale kuti vutoli ndi la moyo wonse, potsatira malangizo oyenera a zachipatala ndikupita kukayezetsa nthawi zonse, inu kapena mwana wanu mungakhale ndi moyo wathanzi. Chifukwa chake, ndikofunikira kumvera zomwe dokotala wanu akunena ndikuchitapo kanthu moyenera. Musadandaule, simuli nokha, ndipo madokotala alipo kuti akuthandizeni.

Carney Complex, mawanga pakhungu, kusintha kwa mtundu wa khungu, zotupa za thupi, matenda a majini, mavuto a mahomoni, matenda a mtima, jini la PRKAR1A