Kodi muli ndi chotupa ngati ichi m'khosi mwanu? Tiyeni tiphunzire bwino za Carotid Body Tumor!

Kodi munayamba mwamvapo chotupa pakhosi panu? Kapena kodi pali munthu amene mumamudziwa amene anachimvapo ndipo analankhulapo za icho? Nthawi zina zimakhala zachilendo kumva mantha pang'ono kapena chidwi mukawona chinthu chonga ichi. Lero tikambirana za mtundu wina wa chotupa womwe ungachitike pakhosi, koma anthu ambiri sadziwa za icho. Madokotala amatcha ichi 'Carotid Body Tumor' . Ngakhale dzinalo lingamveke lovuta pang'ono, tiyeni tikambirane mwachidule.

Kodi 'Carotid Body Tumor' iyi ndi chiyani?

Mwachidule, chotupa cha m'thupi la carotid ndi chotupa chomwe chimamera mozungulira mitsempha iwiri ikuluikulu yamagazi (mitsempha) mbali zonse ziwiri za khosi lanu. Mitsempha iyi timaitcha mitsempha yamagazi ya carotid. Iyi ndi yomwe imanyamula magazi kuchokera mumtima mwanu kupita kumutu ndi ubongo wanu. Ili ngati mapaipi awiri akuluakulu omwe amanyamula madzi kuchokera pampope wamadzi kupita ku thanki.

Tsopano, kumene 'carotid artery' iyi imagawanika, pali gulu laling'ono la maselo, lomwe limatchedwa 'carotid body'. Ili ndi gawo lofunika kwambiri. Chifukwa, ili ndi lomwe limamva kuchuluka kwa mpweya ndi carbon dioxide m'magazi athu ndikudziwitsa ubongo. Chifukwa chake, maselo omwe ali mu 'carotid body' iyi akayamba kukula modabwitsa, ndi pomwe chotupa chotchedwa 'carotid body tumor' chimayamba.

Izi zimatchedwa ndi mayina ena, mwachitsanzo, 'Carotid Body Paraganglioma' kapena 'Carotid Body Chemodectoma' . Komabe, dzina lodziwika kwambiri ndi 'Carotid Body Tumor'.

Kodi chotupa ichi ndi mtundu wa khansa?

Funso ili limachititsa mantha anthu ambiri akalimva. Komabe, nkhani yabwino ndi yakuti ambiri mwa 'Carotid Body Tumors' si khansa. Izi zikutanthauza kuti, ndi 'Benign' , kapena zotupa zopanda vuto. Kafukufuku wina amati zosakwana 10% mwa izo zimakhala khansa, kutanthauza 'Malignant' . Chifukwa chake, musaope kuganiza kuti ndi khansa mukaona chotupa pakhosi panu. Komabe, ndikofunikira kuwonetsa dokotala kuti adziwe chomwe chili.

Ndani angadwale 'Carotid Body Tumor'?

Kwenikweni, vutoli limatha kufalikira mwa aliyense. Komabe, mwayi woti matendawa ayambe kufalikira ukhoza kukhala wokwera pang'ono chifukwa cha zinthu zina.

• Kafukufuku wasonyeza kuti akazi ali ndi mwayi wochuluka wopeza zotupa izi kuposa amuna .
• Komanso, vutoli nthawi zambiri limapezeka munthu akakwanitsa zaka 20. Komabe, nthawi zina limatha kuoneka mwa anthu azaka zapakati.

Kodi vutoli ndi lofala bwanji?

Matenda a Carotid Body Tumors ndi matenda osowa kwambiri. Malinga ndi malipoti ena, pafupifupiZimakhudza munthu m'modzi pa anthu 30,000. Choncho sizodabwitsa kuti anthu ochepa okha ndi omwe adamvapo za izi, kapena omwe amadziwa za izo.

Kodi chipatso ichi chingakukhudzeni bwanji?

Nthawi zambiri, 'Carotid Body Tumors' izi sizimayambitsa ululu uliwonse kumayambiriro. Chifukwa chake, anthu ena sangadziwe kuti ali ndi chotupa chotere. Komabe, ngati dokotala awona chotupa chotere, angalimbikitse kuti chichotsedwe. Izi zili choncho chifukwa chotupachi chimatha kukula pang'onopang'ono. Pamene chikukula, chingayambitse kupanikizika pa mitsempha ina yamagazi ndi mitsempha ya m'khosi, zomwe zimayambitsa zizindikiro zosiyanasiyana.

Kodi zizindikiro za izi ndi ziti?

Ngakhale poyamba sipangakhale zizindikiro, chotupa chikakula, chimayamba kukakamiza mitsempha yozungulira ndi mitsempha yamagazi. Mutha kukhala ndi zizindikiro monga:

• Chotupa kapena kutupa pang'ono kungamveke mbali imodzi ya khosi . Ichi ndi chizindikiro choyamba chomwe anthu ambiri amazindikira.
• Kusintha kwa mawu kapena mawu omveka bwino kungachitike.
• Mungamve dzanzi m'chinenero chanu .
• Mungayambe kupweteka pakhosi .
• Mavuto omeza (Dysphagia) angachitike.

Tangoganizirani, bwenzi lanu, tiyeni tinene Sunil. Kwa kanthawi tsopano, Sunil waona kusintha pang'ono kwa mawu ake akamalankhula, kumawoneka ngati kukweza mawu pang'ono. Pakhosi pake pakumvanso kukanda. Akakhudza khosi lake, amamva chotupa chaching'ono mbali imodzi. Poyamba, ankaganiza kuti ndi chotupa chotupa chomwe chimayambitsidwa ndi chimfine, koma sichinathe ngakhale patatha masiku angapo. Koma atapita kukaonana ndi dokotala ndiye anakayikira kuti ichi chikhoza kukhala 'Carotid Body Tumor' ndipo anatumizidwa kukayezetsanso.

Chofunika: Kukhala ndi zizindikiro izi sizikutanthauza kuti muli ndi chotupa cha m'thupi. Zingayambitsidwenso ndi mavuto ena azaumoyo. Chifukwa chake, ndi bwino kupita kwa dokotala popanda mantha.

Nchifukwa chiyani zotupa za m'thupi la carotid izi zimapangidwa?

Ndipotu, ofufuza sanapezebe chomwe chimayambitsa matenda a chotupachi. Komabe, amakhulupirira kuti pali zinthu zina zomwe zingayambitse vutoli.

• Hypoxia: Anthu omwe akusowa mpweya kwa nthawi yayitali m'thupi lawo ali ndi mwayi waukulu wopeza zotupazi. Mwachitsanzo, anthu omwe amakhala m'malo okwera kwambiri (kutali ndi nyanja) kapena omwe ali ndi matenda ena a m'mapapo angakhale pachiwopsezo chachikulu.
• Matenda obwera mwadzidzidzi: Pafupifupi 90% ya matenda, matendawa amakula mwachisawawa, popanda mbiri ya m'banja. Izi zikutanthauza kuti wina akhoza kuwadwala ngakhale palibe m'banja mwawo amene wakhalapo nawo kale.
• Milandu ya mabanja:Pa milandu pafupifupi 10%, imakhala ndi ubale wa majini. Izi zikutanthauza kuti ngati wina m'banjamo ali ndi vutoli, enanso amakhala ndi mwayi waukulu wolitenga. Izi zimatchedwa 'chibadwa cha majini' .

Kodi madokotala amazindikira bwanji izi?

Mukapita kwa dokotala yemwe ali ndi chotupa pakhosi, chinthu choyamba chomwe amachita ndikuwunika bwino mutu ndi khosi lanu. Ngati akukayikira kuti muli ndi zizindikiro za chotupa cha m'mimba, angakufunseni kuti muyesedwenso kuti atsimikizire matendawa.

Ndi mayeso ati omwe amagwiritsidwa ntchito pa izi?

Mayeso ojambulira zithunzi amagwiritsidwa ntchito makamaka pozindikira zotupa izi. Izi zikutanthauza kuti, mayeso omwe amatha kuona zomwe zili mkati mwa thupi kuchokera kunja.

• Kujambula kwa CT: Izi zimagwiritsa ntchito X-rays kujambula zithunzi za mwatsatanetsatane za ziwalo za thupi. Zingasonyeze kukula, malo, ndi ubale wa chotupacho ndi minofu yozungulira.
• MRA (Magnetic Resonance Angiography - MRA): Iyi ndi njira yomwe imagwiritsa ntchito mphamvu zamaginito ndi mafunde a wailesi kujambula zithunzi zatsatanetsatane za mitsempha yamagazi. Izi ndizothandiza kwambiri poona momwe chotupa cha m'thupi la carotid chimalumikizirana ndi mitsempha yamagazi.
• MRI (Magnetic Resonance Imaging): Izi zimagwiritsa ntchito mphamvu zamaginito ndi mafunde a wailesi monga MRA. Komabe, zimatha kupanga zithunzi zomveka bwino za minofu yofewa. Izi zingathandize kupeza zambiri zokhudza mtundu wa chotupacho.
• Ultrasound: Izi zimagwiritsa ntchito mafunde amphamvu kwambiri kuti apange zithunzi za mkati mwa thupi. Izi zingathandize kudziwa ngati chotupacho chili cholimba kapena chodzaza ndi madzi.

Kutengera ndi zomwe zapezeka kuchokera ku mayesowa, dokotala angatsimikizire kuti iyi ndi 'Carotid Body Tumor'.

Kodi mankhwala ochizira izi ndi otani?

Dokotala wanu adzasankha chithandizo chabwino kwambiri kwa inu kutengera zinthu zambiri, kuphatikizapo zizindikiro zanu, kukula kwa chotupacho, ndi thanzi lanu lonse. Pali njira zingapo zazikulu zothandizira:

1. Opaleshoni yochotsera chotupa: Nthawi zambiri, chithandizo chabwino kwambiri cha zotupa izi ndi opaleshoni yochotsera chotupa chonse.

2. Chithandizo cha radiation: Ngati opaleshoni siingatheke kapena kwa iwo omwe sakufuna opaleshoni, chithandizo cha radiation ichi chingagwiritsidwe ntchito. Chimagwiritsa ntchito kuwala kwamphamvu kwambiri kuwononga maselo a chotupa kapena kuwaletsa kukula.

3. Kutulutsa kwa Transcatheter:Izi zingamveke ngati dzina lovuta, koma mwachidule, zimaphatikizapo kutseka mitsempha yamagazi yomwe imapereka magazi pachifuwa. Zili ngati kutseka chitoliro chamadzi. Chubu chaching'ono (catheter) chimalowetsedwa mumtsempha wamagazi, chimapita kumalo komwe magazi akupita kuchotupacho, ndipo chinthu chaching'ono chimalowetsedwa pamenepo kuti chichepetse magazi. Izi zimapangitsa kuti chotupacho chitaye magazi ndikuyamba kuchepa. Njira imeneyi nthawi zina imagwiritsidwa ntchito kuchepetsa chotupacho musanachite opaleshoni.

Nanga chimachitika ndi chiyani ndikachitidwa opaleshoni?

Ngati chotupa cha m'thupi la carotid chili chachikulu, chingasiye dzenje laling'ono mu mtsempha wa carotid chikachotsedwa. Ngati izi zitachitika, dokotalayo adzaika chigamba kapena graft panthawi ya opaleshoni kuti atseke dzenjelo ndikubwezeretsa mtsemphawo kukhala wabwinobwino. Izi zimachitika kuti apewe kusokonezeka kulikonse kwa kuyenda kwa magazi.

Kodi mankhwala angayambitse mavuto?

Anthu ambiri omwe amalandira chithandizo cha chotupa cha m'thupi la carotid samakumana ndi mavuto aliwonse. Komabe, chifukwa chakuti chithandizochi, makamaka opaleshoni, chimakhudza mitsempha yambiri yamagazi ndi mitsempha ya m'khosi, pali mwayi woti mavuto ang'onoang'ono angachitike. Zina mwa izi ndi izi:

• Kuvuta kumeza (Dysphagia)
• Kuwonongeka kwa mitsempha ya m'khosi: Izi zingayambitse kusintha kwakanthawi kapena nthawi zina kwa nthawi yayitali kwa mawu ndi dzanzi la lilime.
• Mavuto ochira pamalo obayidwa opaleshoni
• Stroke: Izi sizichitika kawirikawiri, koma pali chiopsezo.

Dokotala adzakambirana nanu zoopsa zonsezi musanayambe kulandira chithandizo. Funsani mafunso kapena nkhawa zilizonse zomwe mungakhale nazo panthawiyo.

Kodi ndidzachira msanga bwanji nditalandira chithandizo?

Pambuyo pa opaleshoni yochotsa chotupa cha m'mimba, nthawi zambiri zimatenga milungu itatu kapena inayi kuti munthu achire bwino . Panthawi imeneyi, ndikofunikira kwambiri kusamalira bala la opaleshoni monga momwe dokotala wanu akukulangizirani. Komanso, pumulani mokwanira, idyani zakudya zopatsa thanzi, ndikutsatira malangizo a dokotala wanu. Funsani dokotala wanu momwe muyenera kudzisamalira nokha mukachira.

Kodi pali njira yochepetsera izi?

Mwatsoka, palibe njira yodziwikiratu yopewera kapena kuchepetsa chiopsezo chokhala ndi chotupa cha m'mimba. Komabe, ngati wina m'banja mwanu wakhala ndi chotupacho (monga mbiri ya banja), ndi bwino kulankhula ndi dokotala wanu za chiopsezo chanu komanso mayeso omwe mungachite ngati pakufunika kutero.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi chotupa cha m'mimba chomwe chili ndi carotid?

Ngati dokotala wanu akunena kuti muli ndi chotupa cha m'mimba, adzayang'ana zizindikiro zanu ndi kukula kwa chotupacho kuti adziwe njira yabwino kwambiri yothandizira. Nthawi zina, ngati chotupacho ndi chaching'ono kwambiri ndipo mulibe zizindikiro, dokotala wanu angakulangizeni kuti mudikire "mosamala." Izi zikutanthauza kuti simudzalandira chithandizo nthawi yomweyo, koma mudzayesedwa nthawi ndi nthawi kuti muwone ngati chotupacho chikukulirakulira kapena ngati mukupeza zizindikiro zatsopano. Munthawi iyi ya "kuyembekezera mosamala", ngati mukupeza zizindikiro zatsopano, muyenera kuuza dokotala wanu nthawi yomweyo.

Kodi izi zingathe kuchiritsidwa kwathunthu?

Inde, nthawi zambiri imatha kuchiritsidwa. Makamaka chotupa cha m'thupi la carotid chikachotsedwa kwathunthu kudzera mu opaleshoni, nthawi zambiri sipamafunika chithandizo china. Komabe, ndikofunikira kupitiliza kukaonana ndi dokotala wanu chifukwa chotupachi nthawi zina chimatha kubwereranso.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro ngati izi, makamaka:

• Ngati chotupa chatsopano chapezeka pakhosi
• Ngati pali kusintha kosamveka bwino kwa mawu
• Ngati mukuvutika kumeza
• Ngati muli ndi dzanzi losatha m'chinenero chanu

Pitani kwa dokotala nthawi yomweyo ndipo mukayezetsedwe. Monga tanenera kale, si zizindikiro zonsezi zomwe zimayambitsidwa ndi chotupa cha m'thupi chomwe chili ndi carotid. Komabe, ndi bwino kudziwa chomwe chimayambitsa ndikuyamba chithandizo mwachangu momwe mungathere, ngati pakufunika kutero.

Uthenga Wopita Nawo Kunyumba

Chotupa cha m'mimba mwa munthu ndi mtundu wa chotupa chomwe chimamera mozungulira mitsempha yayikulu yamagazi m'khosi, ndipo nthawi zambiri sichimayambitsa khansa (chosaopsa). Izi sizimachitika kawirikawiri ndipo sizingayambitse zizindikiro poyamba. Komabe, pamene chotupacho chikukulirakulira, chingakhudze mitsempha yozungulira ndi mitsempha yamagazi.

Kumbukirani: Ngati mwaona chotupa kapena chotupa chosazolowereka pakhosi panu, kapena ngati mawu anu asintha kapena mukuvutika kumeza, musachinyalanyaze ndipo pitani kwa dokotala kuti akupatseni upangiri. Ngati chapezeka msanga, vutoli lingathe kuchiritsidwa bwino. Musachite mantha, chofunika kwambiri ndikukhala ndi chidziwitso!

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu. Iye adzakupatsani zonse zomwe mukufuna.

Chotupa cha Thupi la Carotid , Chotupa cha Thupi la Carotid, Chotupa cha Khosi, Paraganglioma, Chemodectoma, Khansa ya Khosi, Chotupa cha Mitsempha ya Magazi