Kodi mwana wanu ali ndi zizindikiro izi? Tiyeni tiphunzire za Hypothalamic Hamartoma!

Kodi mwana wanu nthawi zina amachita zinthu zachilendo, ngati kuti akungoseka kwa masekondi angapo? Kapena akusonyeza zizindikiro za kutha msinkhu msanga? N'zomveka kumva mantha pang'ono mukaona zinthuzi. Lero tikambirana za vuto la ubongo lomwe lingayambitse zizindikirozi, lomwe ndi losowa pang'ono, koma ndikofunikira kudziwa.

Ndiye kodi hypothalamic hamartoma iyi ndi chiyani?

Mwachidule, Hypothalamic Hamartoma (HH) ndi chotupa chomwe chimakula mu hypothalamus, gawo la ubongo lomwe lili mkati mwa ubongo . Komabe, si khansa, zomwe zikutanthauza kuti ilibe maselo a khansa (osakhala khansa) . Hypothalamus ndi kapangidwe kakang'ono kofanana ndi amondi. Koma kamachita gawo lofunika kwambiri m'thupi lathu. Kamagwira ntchito ngati chogwirizanitsa pakati pa dongosolo lathu la endocrine ndi dongosolo lamanjenje , kuthandiza kusunga homeostasis (kulinganiza) m'thupi.

Taganizirani izi motere, hypothalamus ili ngati gulu lowongolera m'thupi lathu. Imalamulira zinthu izi:

• Kuthamanga kwa magazi
• Kutentha kwa thupi
• Kupsinjika maganizo komwe timamva
• Njala ndi ludzu
• Kutulutsidwa kwa mahomoni kuchokera ku pituitary gland
• Kugona ndi kudzuka nthawi zonse

Chotupa ichi, chotchedwa hypothalamic hematoma , chimayamba kupangika mwana akadali m'mimba ('fetus ikukula') . Kenako chimakula pang'onopang'ono pamene ubongo ukukula. Gawo labwino kwambiri ndilakuti sichifalikira kumadera ena a ubongo kapena ziwalo zina za thupi . Nthawi zambiri, pamakhala chotupa chimodzi chokha, koma nthawi zambiri sichimakhala zingapo. Pali mankhwala abwino oletsa zizindikiro za vutoli.

Ndiye kodi zizindikiro za vuto la hypothalamic hematoma (HH) ndi ziti?

Zizindikiro za matendawa zimatha kusiyana malinga ndi munthu, koma pali zizindikiro zingapo zazikulu zomwe zingawonekere:

• Kutha msinkhu msanga
• Kugwidwa ndi khunyu
• Zizindikiro za mitsempha

Kodi 'Kukula Usana' N'chiyani?

Chomwe chimachitika pamenepa ndichakuti ubongo wathu umayamba kutulutsa mahomoni ogonana nthawi yake isanakwane. Nthawi zambiri , atsikana amatha kuwonetsa zizindikirozi asanakwanitse zaka 8 ndipo anyamata asanakwanitse zaka 9 .

Zizindikiro zomwe atsikana angaone:

• Kukula kwa bere
• Kumera kwa tsitsi m'khwapa ndi m'malo obisika
• Kuyamba kwa msambo
• Ziphuphu

Zizindikiro zomwe anyamata angaone:

• Kuzama kwa mawu
• Kumera kwa tsitsi pankhope, m'khwapa, ndi m'malo obisika
• Kukula kwa machende ndi machende
• Ziphuphu

Tangoganizirani momwe zimakhalira zopweteka mtima kwa inu ndi mwana wanu wamkazi akayamba kusonyeza kusintha kumeneku msanga kuposa anzawo. Choncho ngati muwona chinthu chonga ichi, ndi bwino kupita kwa dokotala mwamsanga.

Tiyeni tiphunzirenso za khunyu.

Ndi zachilendo kwambiri kuti khunyu ichitike ndi vutoli. Chimodzi mwa zofala kwambiri ndi 'kugwidwa ndi gel' . Uku ndi kuseka mwadzidzidzi komanso kosalamulirika popanda chifukwa chomveka . Kumachitika chifukwa cha kusagwira bwino ntchito kwa magetsi muubongo. Izi zimatha kwa masekondi angapo, koma zimatha kuchitika kangapo patsiku, kapena pazochitika zoopsa, kangapo pa ola limodzi.

Nthawi zambiri, mtundu uwu wa khunyu umayamba mwana asanakwanitse chaka chimodzi . Komabe, akakwanitsa zaka 10, kuchuluka kwa khunyu kumeneku kumaoneka kuti kukuchepa.

Kuwonjezera pa khunyu la gelatinous, mitundu ina ya khunyu imathanso kuwoneka:

• Kukomoka kwa thupi: Pachifukwa ichi, minofu imachepa mwadzidzidzi, ndipo mungagwe ngati wina wakukankhirani.
• Kukomoka kwa Dacrystal: Uku ndi kulira mwadzidzidzi komanso kosalamulirika. Izi zimachitika popanda chifukwa chomveka.
• Kugwidwa ndi khunyu: Izi ndi zomwe anthu ambiri amazidziwa kuti "kugona bwino." Pali kutaya chidziwitso, ndipo thupi limagwedezeka ndikuyenda mosalamulirika.

Kodi zizindikiro za matenda a ubongo ndi ziti?

Matendawa, otchedwa hypothalamic hematoma (HH), angakhudzenso khalidwe la mwana wanu, momwe akumvera, komanso momwe amagwirira ntchito m'maganizo mwake . Izi zikutanthauza:

• Matenda a ADHD (ADHD)
• Matenda a khalidwe
• Kulemala kwa nzeru
• Kusintha kwa maganizo, kukhalabe chimodzimodzi nthawi zosiyanasiyana ('Matenda a maganizo')
• Matenda otsutsana ndi otsutsa (matenda otsutsana ndi otsutsa)
• Makhalidwe oyankha (monga kukwiya msanga, kukhala waukali)
• Mavuto ndi kukumbukira kwakanthawi kochepa

Monga makolo, timada nkhawa kwambiri mwana akasonyeza chimodzi mwa zizindikirozi. Koma ndikofunikira kukumbukira kuti pali mankhwala ochiritsira omwe amalimbikitsidwa ndi madokotala kuti athetse zonsezi.

Kodi mitundu ikuluikulu ya hypothalamic hematoma (HH) ndi iti?

Pali mitundu iwiri ikuluikulu ya hypothalamic hematoma, yomwe imagawidwa malinga ndi komwe chotupacho chili komanso zizindikiro zake :

1. Chilonda cha m'mimba: Pankhaniyi, chotupacho chili pafupi ndi kumbuyo kwa hypothalamus yanu. Izi zimasokoneza ntchito yamagetsi ya ubongo, zomwe zingayambitse khunyu ndi khalidwe losazolowereka.

2. Chilonda cha parahypothalamic (Chilonda cha Pedunculated - `Chilonda cha parahypothalamic`):Pankhaniyi, chotupacho chili pafupi ndi kutsogolo kwa hypothalamus. Mtundu uwu nthawi zambiri umagwirizanitsidwa ndi kutha msinkhu msanga.

Komabe, nthawi zina mitundu yonseyi ingakhalepo mwa munthu m'modzi nthawi imodzi.

N’chifukwa chiyani hypothalamic hematoma (HH) imeneyi imachitika? Kodi chifukwa chake n’chiyani?

Ndipotu, akatswiri sakudziwabe chomwe chimayambitsa HH. Ndipo palibe njira yopewera. Nthawi zambiri, vutoli limachitika 'mwachisawawa.' Izi zikutanthauza kuti silichitika m'mabanja . Chifukwa chake mwayi woti mulandire cholowa ndi wochepa kwambiri.

Komabe, kafukufuku waposachedwapa wapeza mtundu wina wa jini wotchedwa GLI3 m'thupi la chotupa kuchokera ku zotupa zomwe zachotsedwa. Mitundu ina ya majini yapezekanso m'zotupa zomwe zachotsedwa. Kafukufuku wina akupitilira pa majini awa.

Chinthu china n'chakuti pakhoza kukhala mgwirizano pakati pa hypothalamic hematoma iyi ndi matenda a majini otchedwa Pallister-Hall syndrome (PHS) . Matenda a PHS amenewa amayamba chifukwa cha majini osiyanasiyana. Angayambitse matenda m'manja, mapazi, m'phuno (mawu), ndi m'matako.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

Matendawa angakhudze aliyense. Amafala kwambiri mwa amuna . Matendawa amakhudza makamaka ana ndi achinyamata. Komabe, nthawi zina, matendawa sangadziwike mpaka zizindikiro zitayamba kuonekera munthu akakula.

Kodi mavuto omwe angakhalepo chifukwa cha hypothalamic hematoma (HH) ndi ati?

Kutha msinkhu msanga kungakhudze thanzi la mwana mwakuthupi ndi m'maganizo , makamaka pamene thupi lake limasintha mofulumira kuposa ana ena a msinkhu wake. Mwachitsanzo, akhoza kukhala ndi msinkhu waufupi . Kuphatikiza apo, mwanayo sangamvetse bwino kusintha kumeneku. Izi zingakhudze kudzidalira kwake komanso thanzi lake la maganizo. Gulu lachipatala la mwana wanu lingathandize kuthana ndi mavuto aliwonse omwe angabuke.

Kodi vuto la hypothalamic hematoma (HH) limapezedwa bwanji?

Dokotala wanu angachite mayeso angapo ojambulira zithunzi kuti atsimikizire vuto la HH.

• Kujambula kwa MRI (MRI - Magnetic Resonance Imaging): Izi zitha kujambula zithunzi zomveka bwino komanso zatsatanetsatane za ubongo wanu. Ana aang'ono angafunike kupatsidwa mankhwala ochepetsa ululu kuti asasunthe panthawi ya MRI. Izi zili choncho chifukwa ngati asuntha, zithunzizo zingakhale zosawoneka bwino. Taganizirani ngati chithunzi chikujambulidwa ndipo ngati zisuntha, zithunzizo zidzakhala zosawoneka bwino.

• Mayeso a EEG (`EEG - Electroencephalogram`): Ngati muli ndi khunyu, dokotala wanu angakupatseninso mayeso a EEG. Izi zimachitika kuti muwone momwe magetsi akugwirira ntchito muubongo wanu . Monga momwe ECG ya mtima wathu imachitira, izi zimayesa momwe ubongo umagwirira ntchito.

• Kuyezetsa kwa mitsempha: Izi zimayesa kuchuluka kwa mavuto amisala, monga kuganiza, kuphunzira, ndi kukumbukira . Dokotala wanu angachitenso mayeso a magazi kuti awone kuchuluka kwa mahomoni. Mayesowa angathandize kukonzekera chithandizo.

Nthawi zina, HH ingakhale yovuta kuzindikira chifukwa zizindikiro zake zimatha kufanana ndi za matenda ena amitsempha .

Chabwino, kodi chithandizo cha izi ndi chiyani?

Nkhani yabwino ndi yakuti pali njira ziwiri zochizira vutoli, hypothalamic hematoma (HH). Pali njira ziwiri zazikulu zochizira:

• Mankhwala oletsa kutha msinkhu msanga: Mankhwalawa amagwiritsa ntchito gulu la mankhwala otchedwa `Gonadotropin-releasing hormone agonists` . Mankhwalawa amagwira ntchito poletsa kutulutsidwa kwa mahomoni msanga, monga tafotokozera kale.
• Opaleshoni yoletsa khunyu: Tiyeni tikambirane za izi mwatsatanetsatane.

Kuphatikiza apo, dokotala wa mwana wanu angakulangizeni thandizo la maphunziro kusukulu, chithandizo, kapena mankhwala ena a maganizo, khalidwe, ndi mavuto amisala.

Ndi opaleshoni ziti zomwe zimachitika pa hypothalamic hematoma (HH)?

Pofuna kuchepetsa khunyu, dokotala angakulangizeni opaleshoni ya khunyu kapena njira ina yochotsera kapena kuwononga hematoma. Mankhwala oletsa khunyu nthawi zambiri sagwira ntchito pa khunyu lopanda mphamvu . Komabe, angathandize kuchepetsa mitundu ina ya khunyu.

Tsopano tiyeni tiwone mitundu iyi ya opaleshoni:

• Opaleshoni ya Gamma Mpeni: Iyi ndi mtundu wa opaleshoni, koma ndi mtundu wa chithandizo cha radiation chomwe chimachitika popanda kudula khungu . Makamaka, chimagwiritsa ntchito mphamvu zamphamvu kuti chiwononge chotupacho.
• Kuchotsa chiwalo (kuchotsa chiwalo): Pa opaleshoni imeneyi, dokotala amachotsa chotupacho mwa kutsegula chigaza (craniotomy) kapena mwa kuboola kabowo kakang'ono m'chigaza ndikuyikapo chida chaching'ono chotchedwa endoscope .
• Kuchotsa kwa laser kwa stereotactic: Izi sizimakhudza kwambiri maso.Njira. Chotupacho chimawonongeka ndi kuwala kwa laser komwe kumatumizidwa kudzera mu chingwe cha fiber optic.
• Stereotactic thermoablation: Iyi ndi njira inanso yochotsera ululu. Imagwiritsa ntchito kutentha pochiza hematoma . Dokotala wa opaleshoni amaika ma probe opyapyala kudzera m'chigaza kupita kumalo komwe chotupacho chili. Kenako ma probewo amatenthedwa pogwiritsa ntchito mafunde a wailesi kuti awononge minofu ya chotupacho.

Ngakhale kuti njira zimenezi zochitira opaleshoni zingamveke zovuta pang'ono, madokotala adzakufotokozerani zonse mwatsatanetsatane.

Kodi chiyembekezo cha kuchira ndi chiyani pankhaniyi?

Nthawi zambiri , nthawi yodziwira matenda a hypothalamic hematoma (HH) ndi yabwino , chifukwa pali mankhwala othandiza oletsa zizindikiro.

Opaleshoni ingachepetse kuchuluka ndi kuopsa kwa khunyu. Anthu ena amakhalabe opanda khunyu konse atachitidwa opaleshoni . Nthawi zina, ngati hematoma ikhoza kuchotsedwa bwino komanso mosatekeseka, vutoli likhoza kuchiritsidwa. Komabe, pali chiopsezo chakuti khunyu libwererenso.

Monga tanenera kale, jakisoni wa mankhwala omwe amaletsa kutulutsa mahomoni ena pamwezi angathandize kuwongolera zizindikiro za kutha msinkhu msanga. Mwana wanu akafika msinkhu womwe nthawi zambiri umakhalapo, dokotala amatha kusiya mankhwalawa. Ana ambiri ndi achinyamata amatha kutha msinkhu komanso kukula kwa kugonana monga momwe amayembekezera panthawiyi .

Kutengera ndi matenda a mwana wanu, dokotala wawo angakupatseni chidziwitso chabwino kwambiri.

Nanga bwanji za kuchuluka kwa kupulumuka?

Kutha kukhala ndi vutoli ('nthawi yoyembekezera moyo') kungasiyane malinga ndi munthu ndi munthu. Kumadalira zinthu zingapo:

• Kukula ndi mtundu wa chotupa cha hematoma
• Kodi khunyu ndi yoopsa bwanji komanso yofala bwanji
• Kodi chithandizochi chikuyenda bwino bwanji?

Dokotala wanu adzakufotokozerani izi ataganizira zonsezi.

Komabe, pali chiopsezo cha imfa yadzidzidzi ya khunyu (SUDEP) ndi hypothalamic hematoma iyi. Chifukwa chake, dokotala wanu adzakuthandizani kukhala otetezeka ndikupanga dongosolo la chithandizo chowongolera khunyu yanu.

Ngati mwana wanga ali ndi zizindikiro izi, ndiyenera kupita kwa dokotala liti?

Ngati muli ndi nkhawa iliyonse yokhudza mwana wanu, mumawadziwa bwino . Choncho musazengereze kupita kwa dokotala, ngakhale zitakhala zazing'ono. Dziwani zizindikiro izi:

• Khunyu (kuseka, kugwedezeka, kugwa)
• Kutha msinkhu msanga (monga kukula kwa tsitsi msanga, kuzama kwa mawu)
• Kusintha kwa chidwi, kukumbukira, kapena luso lophunzira
• Kusintha kwa khalidwe (monga kukwiya pa zinthu zazing'ono, kukwiya)
• Kusalinganika kwa mahomoni (monga ludzu lochuluka, kusintha kwa chilakolako cha chakudya, kusintha kwakukulu kwa malingaliro)

Ngati mwana wanga ali ndi hypothalamic hematoma (HH), ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukangodziwa kuti mwana wanu ali ndi HH, mutha kufunsa dokotala mafunso monga:

• Kodi mumalimbikitsa chithandizo chamtundu wanji?
• Kodi pali kuthekera kotani kuti adzafunika kuchitidwa chithandizo kapena opaleshoni zingapo?
• Kodi zotsatirapo zake ndi ziti?
• Kodi chithandizochi chidzakhudza bwanji zochita za mwana wanga za tsiku ndi tsiku, ntchito yake ya kusukulu, ndi zochita zake za tsiku ndi tsiku?

Ndizachibadwa kuchita mantha komanso kudabwa mukauzidwa kuti muli ndi chotupa muubongo, mukakhala ndi khunyu, kapena mukamakumana ndi kusintha kwa thupi lanu musanakule. Koma chabwino kwambiri ndichakuti pali mankhwala othandiza kuthana ndi zizindikiro za hypothalamic hematoma . Muyenera kulumikizana ndi gulu lanu lachipatala. Adzaonetsetsa kuti zizindikiro zanu sizikusokoneza thanzi lanu lakuthupi kapena lamaganizo. Opaleshoni ingachepetse kuchuluka ndi kuopsa kwa zizindikiro zanu, choncho lankhulani ndi dokotala wanu ngati ndinu woyenera kulandira chithandizochi.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambiranazi? (Uthenga Wopita Nawo Kunyumba)

Hypothalamic hematoma (HH) ndi mawu owopsa pang'ono, koma ndikofunikira kwambiri kuwadziwa.

Kumbukirani, iyi si khansa. Ndipo iyi ndi vuto lomwe limachitika mwana akabadwa.

• Zinthu zazikulu: Kutha msinkhu msanga, mitundu yosiyanasiyana ya khunyu (makamaka 'Gelastic seizures'), ndi mavuto a khalidwe/kuphunzira ndizomwe zimayambitsa vutoli.
• Chifukwa chenicheni sichikudziwika: nthawi zambiri, izi zimachitika mwachisawawa. Sizachilendo kuti zikhale zobadwa nazo.
• Pali mankhwala abwino: Pali mankhwala othandiza, monga mankhwala ndi opaleshoni, kuti athetse zizindikiro, makamaka za khunyu ndi kutha msinkhu msanga.
• Kuzindikira msanga n'kofunika: Ngati mukuganiza kuti mwana wanu ali ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. Chithandizo chikayamba msanga, zotsatira zake zimakhala zabwino.
• Simuli nokha: Izi zitha kukhala zovuta kwa inu ndi mwana wanu. Chithandizo chochokera kwa madokotala, alangizi, ndi banja n'chofunika kwambiri.

Ndikukhulupirira kuti izi zikuthandizani. Kaya zinthu zikuyenda bwanji, ndi bwino kulankhula ndi dokotala ndikupeza upangiri popanda mantha.

Hypothalamic hematoma, chotupa cha muubongo, kutha msinkhu kwa ana, khunyu, khunyu yosalala, mavuto a mahomoni, opaleshoni ya muubongo