Kodi mwana wanu wamwamuna wamng'ono kunyumba nthawi zambiri amatuluka magazi m'mphuno? Kodi akuoneka kuti ali ndi mphuno yotsekeka mbali imodzi? Nthawi zina timaganiza kuti izi ndi zinthu zachilendo, koma pakhoza kukhala vuto lapadera kumbuyo kwa izi lomwe tiyenera kuliganizira. Ndicho chifukwa chake tikambirana za chotupa chosowa chomwe chimapezeka mwa anyamata aang'ono okha. Izi zimatchedwa `Juvenile Nasopharyngeal Angiofibroma` kapena `(JNA)` mwachidule.
Mwachidule, kodi JNA iyi ndi chiyani?
Musachite mantha ndi dzina lalitali ili. Tiyeni tilifotokoze mwachidule ndipo tilimvetse.
- "Achinyamata" - Izi zikutanthauza "achinyamata." Izi zikutanthauza kuti vutoli limachitika kawirikawiri mwa achinyamata.
- "Nasopharyngeal" - Izi zikutanthauza malo omwe ali kumbuyo kwa mphuno yathu, omwe amalumikizana ndi gawo lapamwamba la pakhosi pathu. Pamenepo ndi pomwe chotupacho chimapangika.
- "Angiofibroma" - Izi zitha kugawidwa m'magawo awiri. "Angio" amatanthauza mitsempha yamagazi (mitsempha yamagazi). "Fibroma" amatanthauza chotupa chosakhala khansa chopangidwa ndi minofu yolumikizana.
Mwachidule, JNA ndi chotupa chosakhala khansa chomwe chimapangidwa ndi mitsempha yambiri yamagazi yomwe imapanga kumbuyo kwa mphuno ali wamng'ono.
Koma chofunika kwambiri apa ndichakuti ngakhale kuti iyi si khansa, ndi chotupa choopsa kwambiri. Izi zikutanthauza kuti, monga udzu, chotupachi chingafalikire kumadera oyandikana nawo. Chingafalikire ku mphuno, m'mphuno, m'chigaza, komanso muubongo. Ngati sichinachiritsidwe, chingakhale choopsa ngakhale moyo. Ndicho chifukwa chake ndikofunikira kwambiri kudziwa izi. Koma nkhani yabwino ndi yakuti, ndi chithandizo choyenera, chotupachi chingachiritsidwe kwathunthu.
Ndani amene angaone vutoli kwambiri?
Ichi ndi vuto lenileni. Chifukwa JNA nthawi zambiri imapezeka mwa anyamata azaka zapakati pa 10 ndi 25 okha. Nthawi zambiri, imatha kuchitika mwa amuna azaka zopitilira 25 kapena mwa ana azaka zapakati pa 7. N'zolondola kunena kuti atsikana sadwala matendawa.
Ndipo vutoli ndi losowa kwambiri. Mwina limakhudza munthu mmodzi pa anthu miliyoni imodzi okha. Choncho musaope kukhala amene ali ndi zizindikirozi, koma chofunika kwambiri ndikudziwa.
Kodi zizindikiro za JNA ndi ziti?
Chotupacho sichisonyeza zizindikiro zazikulu chikakhala chaching'ono. Zizindikiro zimangowonekera chikakula pang'ono ndikuyamba kutsekereza njira yodutsa mpweya m'mphuno. Tiyeni tiwone zizindikiro zazikulu.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kutuluka magazi m'mphuno pafupipafupi | Ichi ndiye chizindikiro chachikulu komanso chofala kwambiri . Nthawi zina pamakhala kutuluka magazi ambiri komwe kumakhala kovuta kuletsa. |
| Kuvuta kupuma kudzera m'mphuno | Nthawi zambiri, mbali imodzi ya mphuno imamva ngati yatsekedwa nthawi zonse. Zimakhala ngati pali ntchofu yomwe yatsekeredwa, koma palibe ntchofu. |
| Kutupa kwa nkhope | Pamene chotupacho chikukulirakulira, chingatupe, makamaka m'malo monga pa tsaya. |
| Mutu | Mutu wopitirira muyeso ungachitike chifukwa chotupacho chikukankhira madera ozungulira. |
| Kusintha kwa masomphenya kapena kumva | Vutoli ndi lalikulu kwambiri. Ngati chotupacho chikakankhira mitsempha yomwe imalumikiza maso kapena makutu, chingayambitse kusawona bwino, kuwona kawiri, komanso kulephera kumva. |
Chifukwa chiyani JNA iyi ikupangidwa? Chifukwa chake ndi chiyani?
Kwenikweni, chifukwa chenicheni cha izi sichinapezekebe. Koma popeza zimachitika mwa anyamata okha, madokotala amaganiza kuti mahomoni achimuna ali ndi chochita nacho. Koma zimenezo sizinatsimikizidwe.
Imeneyi si matenda obadwa nawo. Izi zikutanthauza kuti chifukwa chakuti bambo anali nawo, mwana wamwamuna sadzadwala. Komabe, ofufuza apeza chinthu chimodzi. Ngati wina m'banjamo ali ndi matenda ena otchedwa ``Familial Adenomatous Polyposis (FAP)``, pali chiopsezo chochepa chotenga matenda a JNA. Kugwirizana pakati pa matenda awiriwa kukufufuzidwabe.
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kwa dokotala yemwe ali ndi zizindikiro ngati izi, adzakuyang'anirani motere.
1. Kufunsa za zizindikiro:Choyamba, dokotala adzakufunsani inu ndi mwana wanu za zizindikiro zake, monga nthawi yomwe mphuno yatuluka magazi komanso kuchuluka kwake.
2. Kuyezetsa thupi: Mphuno yanu idzayezetsedwa. Nthawi zambiri mudzatumizidwa kwa dokotala wa khutu, mphuno ndi pakhosi (dokotala wa opaleshoni ya ENT) .
3. Mayeso apadera: Mayeso awa akhoza kuchitidwa kuti atsimikizire matendawa.
- Mayeso ojambulira: Kujambula kwa CT kapena MRI kudzachitika kuti muwone komwe chotupacho chili, kukula kwake, komanso ngati chafalikira. Izi zingathandize kupeza chithunzi chomveka bwino cha chotupacho.
- Endoscopy ya mphuno: Kuyesa komwe chubu chopyapyala chokhala ndi kamera kakang'ono chimayikidwa m'mphuno kuti chiwone bwino chotupacho. Izi zimathandiza kuti muwone bwino momwe chotupacho chilili.
Kodi mankhwala a JNA ndi otani?
Ngati JNA yatsimikizika, pali njira zingapo zochiritsira. Dokotala adzasankha chithandizo choyenera kwambiri kutengera kukula ndi kufalikira kwa chotupacho.
| Njira yochizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Opaleshoni | Uwu ndiye chithandizo chachikulu . Dokotala amayesa kuchotsa chotupacho kwathunthu. Nthawi zambiri, opaleshoniyi imachitika popanda kuduladula, pogwiritsa ntchito endoscope kudzera m'mphuno. Komabe, ngati chotupacho ndi chachikulu, kuduladula pang'ono kungafunike. |
| Kutulutsa mpweya | Izi zimachitika opaleshoni isanachitike . Popeza chotupa cha JNA chimapangidwa ndi mitsempha yambiri yamagazi, pakhoza kukhala kutuluka magazi ambiri panthawi ya opaleshoni. Kuti izi zitheke, izi zikutanthauza kutseka mitsempha yamagazi yomwe imapereka chotupacho mwadala. Izi zikachitika, zimakhala zosavuta kuchita opaleshoniyo mosamala. |
| Chithandizo cha radiation | Mankhwalawa amagwiritsidwa ntchito ngati zidutswa zazing'ono za chotupacho zatsala pambuyo pa opaleshoni, kapena ngati chotupacho chabwerera. Izi zimaphatikizapo kugwiritsa ntchito kuwala kwamphamvu kwambiri kuti kuwononge maselo otsalawo. |
Kodi chotupacho chingabwererenso kukula?
Inde, nthawi zina zimatha kubwereranso. Kafukufuku wasonyeza kuti pali mwayi wa 37% wobwereranso. Ichi ndichifukwa chake dokotala apitiliza kukuyang'anirani (kutsatirani) ngakhale mutachita opaleshoni. Adzakuyang'anirani nthawi zina ndipo, ngati pakufunika, adzakujambulani MRI kuti awone ngati chotupacho chabwerera. Ngati chabwerera, palibe chodetsa nkhawa nacho chifukwa chingachiritsidwe mwachangu.
Kodi ndiyenera kupita kwa dokotala liti?
Ngati mwana wanu wamng'ono ayamba mwadzidzidzi kukhala ndi zizindikiro monga mphuno yotsekeka, makamaka kutuluka magazi m'mphuno pafupipafupi komwe kumakhala kovuta kuletsa, musaganize kuti ndi zachilendo.
Palibe amene amadziwa bwino thupi lanu kuposa inu. Inu ndi amene mumamvetsa bwino kusintha kwa thupi la mwana wanu. Ngati mukumva kukayikira kulikonse kapena kusintha pang'ono, pitani kwa dokotala nthawi yomweyo ndikupempha upangiri. Izi zingakuthandizeni kuwongolera vutoli lisanakhale vuto lalikulu.
JNA si khansa, koma ndi matenda omwe amafunika chithandizo chachangu. Ngati atapezeka ndi kuchiritsidwa msanga, amatha kuchiritsidwa kwathunthu ndikukhala ndi moyo wabwinobwino.
Uthenga Wopita Nawo Kunyumba
- JNA si khansa, koma ndi chotupa chomwe chimafalikira mofulumira chomwe chimapezeka mwa ana aang'ono aamuna.
- Zizindikiro zazikulu ndi kutuluka magazi m'mphuno pafupipafupi komanso kutsekeka kwa mphuno mbali imodzi.
- Ngati muwona zizindikiro izi, musachite mantha ndipo pitani kwa dokotala wa khutu, mphuno, ndi pakhosi (ENT) nthawi yomweyo.
- Njira zina zochiritsira zimaphatikizapo opaleshoni ndi chithandizo cha radiation. Pambuyo pa chithandizo, munthu akhoza kuchira kwathunthu.
- Popeza chotupacho chingabwerenso, ndikofunikira kwambiri kupitiriza ndi kufufuza monga momwe dokotala wanenera.
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