Kodi mukuda nkhawa ndi ziphuphu kapena ziphuphu m'thupi lanu? Izi zitha kukhala neurofibromas. Tiyeni tikambirane za izo!

Kodi munayamba mwaonapo ziphuphu zazing'ono kapena zotupa pathupi lanu, kaya pansi pa khungu kapena pamwamba pa khungu? Kapena munayamba mwawonapo munthu amene mumamudziwa ali nazo? Ndizachibadwa kumva mantha pang'ono komanso nkhawa mukaziona. Koma si ziphuphu zonse zomwe ndi zoopsa. Lero tikambirana za mtundu umodzi wa chotupa, womwe ndi vuto lotchedwa neurofibroma. Musadandaule, tikambirana izi mwatsatanetsatane komanso mosavuta.

Kodi Neurofibroma ndi chiyani?

Mwachidule, neurofibroma ndi chotupa chosaopsa chomwe chimamera m'maselo a mitsempha yanu. Ndi chimodzi mwa matenda osowa kwambiri a majini otchedwa neurofibromatosis. Anthu ena obadwa ndi neurofibromatosis amatha kudwala chotupachi pakhungu, pansi pa khungu, kapena mkati mwa thupi.

Koma apa pali vuto, ma neurofibroma ambiri samayambitsa mavuto aakulu azaumoyo . Komabe, nthawi zina, ngati akukula pang'ono, amatha kukhudza mitsempha yambiri ndikuyambitsa mavuto akulu azaumoyo. Zikatero, madokotala amawachotsa ndi opaleshoni.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Ndipotu, anthu amabadwa ndi ma neurofibromas amenewa. Koma chodabwitsa n'chakuti, pamene zotupazi ziyamba kuonekera, zimatenga zaka zambiri. Nthawi zambiri, zimaonekera bwino paunyamata.

Malinga ndi ziwerengero, pafupifupi mwana m'modzi mwa ana 3,000 akhoza kukhala ndi vuto lotchedwa Neurofibromatosis Type 1 (NF1) . Nthawi zambiri limapezeka asanakwanitse zaka 10. Pafupifupi 25% ya ana omwe ali ndi NF1, kapena pafupifupi m'modzi mwa ana anayi, amatha kukhala ndi zotupa zomwe zimatha kukula mokwanira kuyambitsa mavuto akulu azaumoyo.

Kodi neurofibroma imakhudza bwanji thupi lathu?

Mmene ma neurofibromas amakhudzira munthu aliyense zimasiyana kwambiri. Zimatengera mtundu wa chotupa, kukula kwake, komanso komwe chili pathupi.

• Kwa anthu ena, izi zimawoneka ngati ziphuphu zazing'ono kapena mawanga a khungu lokhuthala.
• Komabe, kwa anthu ena omwe ali ndi neurofibromas zazikulu, zimatha kukhudza ziwalo zawo zamkati komanso ngakhale msana.

Taganizirani izi, nthawi zina zimakhala ngati mpira waung'ono womwe ukupangika mkati mwa thupi. Zotsatira zake zimadalira komwe uli.

Kodi zotupa izi zingakhale khansa?

Vutoli ndi lomwe anthu ambiri ali nalo. Matenda ambiri a neurofibroma samakhala oopsa. Ndi abwino.

Koma,Pali mtundu wapadera wotchedwa Plexiform neurofibromas. Pafupifupi 10% ya mtundu uwu, kapena pafupifupi m'modzi mwa khumi, ali ndi kuthekera kokhala khansa. Chifukwa chake, ndikofunikira kwambiri kuti dokotala akufufuzeni ngati muli ndi chotupa chonga ichi.

Kodi zizindikiro za Neurofibroma ndi ziti?

Zizindikiro za neurofibroma zimasiyana. Monga tanenera kale, zimatengera mtundu, kukula, ndi komwe chotupacho chili. Chodabwitsa n'chakuti, anthu ena omwe ali ndi neurofibroma sangasonyeze zizindikiro zilizonse. Komabe, nthawi zina zimatha kuyambitsa matenda monga kufooka kwa ziwalo kapena khungu.

Tiyeni tiwone mitundu iyi ya neurofibromas ndi zizindikiro zake:

Ma neurofibromas am'deralo

Izi zimatchedwanso kuti cutaneous neurofibromas.

• Izi zitha kuoneka ngati matuza ang'onoang'ono thupi lonse .
• Izi nthawi zambiri zimachitika mwa anthu azaka zapakati pa 20 ndi 40.
• Matumbo amenewa amatha kuyabwa komanso kupweteka akamakanikiza .

Kufalikira kwa neurofibromas

Ichi ndi china chomwe chili m'gulu lomwelo la neurofibroma ya khungu.

• Izi nthawi zambiri zimawoneka pamutu ndi pakhosi .
• Zimawoneka ngati malo okhuthala komanso okwezeka pamwamba pa khungu.
• Mungamve ngati mukumva kuwawa kapena dzanzi mukakhudza.

Ma neurofibromas a Plexiform

Mtundu uwu wa neurofibroma umayamba pa magulu a mitsempha.

• Izi zimapezeka kwambiri mwa ana omwe ali ndi Neurofibromatosis Type 1.
• Zomerazi zimatha kukula pakapita nthawi ndipo nthawi zina zimaoneka ngati ziphuphu zazikulu kwambiri pakhungu la ana kapena pansi pa khungu lawo.
• Izi zimatha kukakamiza msana kapena mitsempha ya m'mphepete mwa thupi, zomwe zimayambitsa zizindikiro monga kufooka , kufooka, komanso dzanzi .
• Kwa ana ena omwe ali ndi Plexiform neurofibromas, kupanikizika kwa zotupa izi pamsana kungayambitse vuto lotchedwa scoliosis . Ndikofunikira kudziwa izi, chifukwa monga makolo, tiyenera kukhala osamala kwambiri ngati chinthu chonga ichi chikukhudza mwana.

Kodi ziphuphu izi zimawoneka bwanji? (Mawonekedwe)

Zotupa za neurofibroma, zomwe zimapangidwa pakhungu kapena pansi pa khungu, zimasiyana kwambiri ndi plexiform neurofibromas, zomwe zimapangidwa mkati mwa thupi.

• Ma neurofibromas a m'deralo / ma neurofibromas a m'mimba:Izi ndi ziphuphu zooneka ngati khungu (tizidutswa) . Nthawi zambiri zimapezeka pa thunthu, mutu, khosi, manja, ndi miyendo. Zimakhala zazikulu ngati nandolo . Ndi zofewa mukakhudza ndipo zimakhala ndi mawonekedwe osalala pang'ono . Ngati mukanikiza chotupa chonga ichi, chidzalowa m'khungu, ndipo mukachotsa dzanja lanu, lidzatulukanso. Madokotala amatcha ichi "chizindikiro cha dzenje la mabatani." Chimawoneka ngati dzenje mu shati pomwe batani limayikidwa.
• Ma neurofibroma ofalikira: Izi zitha kuoneka ngati malo ofiira, okwezeka pakhungu .
• Ma plexiform neurofibromas: Izi zingawoneke ngati ziphuphu zazikulu za minofu zomwe zatulutsidwa m'thupi. Madokotala amati ndi "ngati thumba la mphutsi pansi pa khungu." Ngati muwona chinthu chonga ichi, ndi bwino kufunafuna upangiri wa dokotala nthawi yomweyo.

Kodi Neurofibromatosis Type 1 (NF1) ndi chiyani?

Matenda a Neurofibromatosis Type 1 (NF1) ndi matenda omwe amakhudza pafupifupi mwana m'modzi mwa ana 3,300 obadwa kumene. Matenda a Neurofibroma ndi chizindikiro chimodzi chokha cha matendawa (NF1). Palinso zizindikiro zina:

• Madontho a ku cafe-au-lait: Awa ndi madontho a bulauni wopepuka, ofanana ndi khofi, komanso akuluakulu. Madonthowa amatha kukula pakapita nthawi.
• Zomera zopanda vuto zomwe zimapangidwa pa mbali ya diso (iris): Izi zimatchedwanso kuti ma nodule a Lisch.
• Zotupa za mitsempha ya optic: Izi zimatchedwa optic pathway gliomas.

Ngati mukuganiza kuti mwana wanu ali ndi chimodzi mwa zizindikiro izi, ndikofunikira kukaonana ndi dokotala wa ana kuti akupatseni upangiri.

Kodi ndi zifukwa ziti zomwe zimayambitsa neurofibroma?

Neurofibroma ndi chizindikiro cha matenda a neurofibromatosis mtundu 1 (NF1). Matendawa amayamba chifukwa cha kusintha kwa majini otchedwa NF1 gene. Jini ya NF1 ili ndi malangizo opangira puloteni yotchedwa neurofibromin.

Tsopano onani, puloteni iyi yotchedwa Neurofibromin ndi yofunika kwambiri. Ndi puloteni yoletsa chotupa . Izi zikutanthauza kuti, ndi yomwe nthawi zambiri imaletsa maselo kukula mofulumira kwambiri ndikugawa mosasamala. Kodi imachita bwanji zimenezo? Pali puloteni ina yotchedwa Ras protein, yomwe imathandiza maselo kukula ndikugawa. Puloteni ya Ras imeneyo imayendetsedwa ndi Neurofibromin.

Kotero, jini ya `(NF1)` ikasintha, imasiya kuletsa kukula kwa maselo. Kenako maselo amachulukana mosalamulirika ndikupanga zotupa. Kodi mukumvetsa?

Matendawa `(NF1)` amatha kufalikira kwa ana ngati m'modzi mwa makolo ali ndi kusintha kwa majini kumeneku. Makolo amenewo mwina adatengera matendawa kwa makolo awo. Komabe, modabwitsa, 50% ya anthu omwe ali ndi `(NF1)`, kutanthauza kuti pafupifupi theka, alibe mbiri ya m'banja lawo ya matendawa. Izi zikutanthauza kuti vutoli lingachitike ngakhale kusintha kwa majini kwatsopano kuchitike.

Kodi madokotala amazindikira bwanji izi?

Madokotala nthawi zambiri amayamba kaye akuyang'anani kuti adziwe ngati muli ndi matenda a neurofibroma. Izi zikutanthauza kuti amakuyang'anani ndikuyang'ana ngati muli ndi zotupa.

Kuphatikiza apo, mayeso ojambulira zithunzi monga awa angagwiritsidwe ntchito:

• Kujambula kwa CT (Computed Tomography scan) ndi MRI scan (MRI - Magnetic Resonance Imaging): Mayesowa amagwiritsidwa ntchito kupeza zotupa zazing'ono kwambiri. Amathandizanso kudziwa komwe chotupa chili komanso ngati opaleshoni idzakhudza minofu kapena ziwalo zozungulira.
• Kujambula kwa PET (Positron Emission Tomography scan): Kuyesa kumeneku kumathandiza madokotala kudziwa ngati chotupa chili choipa kapena choipa.

Kodi mankhwala a neurofibroma ndi ati?

Madokotala ali ndi njira zingapo zochizira neurofibroma:

• Kuwunika: Ngati neurofibroma yanu ndi yabwino ndipo siimayambitsa mavuto aakulu, dokotala wanu adzakuuzani kuti mubwere kudzaonana ndi dokotala nthawi zonse kuti akaone ngati pali kusintha kulikonse.
• Opaleshoni ya pulasitiki: Dokotala wanu angakulangizeni opaleshoni ya pulasitiki kuti muchotse zotupa zosavulaza pakhungu kapena pansi pake.
• Opaleshoni: Ngati muli ndi neurofibroma yomwe ikukankhira mafupa kapena ziwalo zanu, dokotala wanu angakulangizeni opaleshoni kuti muchotse chotupacho, kapena chotupacho momwe mungathere, popanda kuwononga ziwalo kapena minofu yanu.

Kodi pali zotsatirapo zilizonse za opaleshoni?

Zotsatira zoyipa za opaleshoni ya neurofibroma zimasiyana malinga ndi opaleshoni. Mwachitsanzo, zotsatira zoyipa za opaleshoni yochotsa zotupa pakhungu zimasiyana ndi zomwe zimachitika pa opaleshoni yochotsa zotupa za msana. Ngati mukukonzekera opaleshoni ya neurofibroma, ndikofunikira kufunsa dokotala wanu za zotsatira zoyipa za opaleshoniyo.

Kodi pali njira yopewera izi kuti zisachitike?

Neurofibroma ndi matenda a majini, kotero n'kovuta kupewa kukula kwa zotupa izi .

Kodi chimachitika ndi chiyani ndikakhala ndi neurofibroma?

Kawirikawiri, anthu ambiri omwe ali ndi matenda a neurofibromas sakhudzidwa ndi matendawa . Komabe, omwe ali ndi zotupa zambiri kapena zazikulu angadandaule za mawonekedwe awo ndipo amaona kuti zikukhudza moyo wawo. Ngati muli ndi vutoli, lankhulani ndi dokotala wanu za opaleshoni yochotsa zotupa zomwe zimakupangitsani kumva kuti simukumva bwino komanso kudziona kuti ndinu wofooka. Matenda a neurofibromas ndi osowa kwambiri akabweranso mutachitidwa opaleshoni.

Kodi ndimadzisamalira bwanji ngati ndili ndi neurofibroma?

Neurofibromas ndi zotupa zabwino, ndipo sizimayambitsa mavuto aakulu azaumoyo . Komabe, anthu omwe ali ndi neurofibromas zambiri, kapena omwe ali ndi zotupa zazikulu, nthawi zina amamva chisoni ndi mawonekedwe awo. Pazochitika zotere, opaleshoni ikhoza kukhala njira yabwino.

Kupezeka ndi chotupa chosaopsa sikungakhale koopsa kapena koopsa monga kupezeka ndi chotupa cha khansa. Komabe, ngakhale chotupa chosaopsa monga neurofibroma chingakhudze moyo wanu.

Izi zingakhudze mawonekedwe anu. Anthu ena amakhala ndi neurofibromas, zomwe zimatha kukula mokwanira kukhudza ziwalo ndi minofu yapafupi. Ngati mwapezeka ndi neurofibromas, funsani dokotala wanu za opaleshoni yochotsera neurofibromas yanu.

Komanso, kumbukirani kuti neurofibroma ikhoza kukhala chizindikiro cha matenda osowa, obadwa nawo otchedwa neurofibromatosis, omwe angayambitse mavuto aakulu azaumoyo. Chifukwa chake, ndikofunikira kwambiri kufunsa dokotala wanu ngati chotupa chanu ndi chizindikiro cha neurofibromatosis.

Uthenga Wopita Nawo Kunyumba

Chabwino, nazi zina mwa zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Neurofibroma ndi mtundu wa chotupa chomwe chimachokera ku maselo a mitsempha ndipo nthawi zambiri sichivulaza .
• Izi zitha kukhala chizindikiro cha matenda a majini otchedwa neurofibromatosis.
• Ngakhale nthawi zambiri izi sizimayambitsa mavuto aakulu azaumoyo, mitundu ina ikuluikulu kapena yopyapyala ingayambitse mavuto .
• Chiwerengero chochepa cha mitundu ya Plexiform chili pachiwopsezo chokhala ndi khansa .
• Zizindikiro zimasiyana, kuyambira pakhungu lotupa, dzanzi, kupweteka, komanso nthawi zina kuwonongeka kwakukulu kwa mitsempha.
• Kuzindikira matendawa kumachitika kudzera mu mayeso azachipatala ndipo, ngati kuli kofunikira, CT, MRI, ndi PET scans.
• Chithandizo ndi kuyang'aniridwa, kapena opaleshoni ngati pakufunika.
• IziSizingapewedwe chifukwa ndi za majini, koma zizindikiro zake zitha kuthetsedwa.
• Ngati muli ndi kukayikira kulikonse za chotupa chonga ichi, ndibwino kuti musachite mantha ndikupempha upangiri kwa dokotala .

Kumbukirani kuti simuli nokha. Kudziwa za matendawa ndikupeza thandizo lachipatala kungakuthandizeni kukhala ndi thanzi labwino.

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