Mwana wanu ali ndi chotupa cha m'mafupa? Musachite mantha! Tiyeni tikambirane za Non-Ossifying Fibroma

Tangoganizani mwana wanu agwa akusewera ndipo avulala mkono kapena mwendo. Ndiye dokotala akatenga X-ray, amati, "Nayi chotupa chaching'ono m'fupa, koma palibe chodetsa nkhawa nacho." Kodi mayi kapena bambo angaope bwanji akamva mawu akuti 'chotupa'? Koma si zotupa zonse zomwe zili zoopsa. Fibroma iyi yosapsa yomwe tikulankhula lero si chinthu choopa. Tiyeni tiwone chomwe chilidi.

Kodi kwenikweni Fibroma Yosapanga Ossifying ndi chiyani?

Mwachidule, Fibroma Yosapanga Ossifying ndi chotupa cha m'mafupa chosaopsa, chosakhala khansa. Chimapangidwa ndi minofu ya ulusi. Chimapangidwa ndi minofu yofanana ndi minofu ya chilonda yomwe imapangika pakhungu lathu. Mawu akuti "Osapanga ossifying" m'dzina lake amatanthauza kuti sichimasintha kukhala minofu ya mafupa. Ndiko kuti, chotupachi chimakula pa fupa, koma chotupachi sichimakula kuchokera ku fupa.

Izi n’zofala kwambiri. Pakati pa 20% ndi 40% ya ana athanzi adzakhala ndi chotupa chonga ichi nthawi ina m’miyoyo yawo. Chimapezeka nthawi zambiri mozungulira bondo, kumapeto kwa ntchafu kapena mafupa a m’chiuno. Chingathenso kufalikira m’mafupa ena aatali, koma izi sizichitika kawirikawiri.

Chabwino kwambiri n’chakuti zotupa zimenezi sizifalikira ku ziwalo zina za thupi, sizimakhala khansa, ndipo nthawi zambiri sizimayambitsa zizindikiro zilizonse. Zotupa zimenezi zimatha zokha pamene chigoba cha mwana chimasiya kukula, chomwe chili pafupi ndi zaka 20-25.

Kodi izi zingakhale khansa?

Ili ndi funso lalikulu kwambiri lomwe aliyense ali nalo. Yankho lake ndi lomveka bwino.

Ndani ali ndi vutoli? Zizindikiro zake ndi ziti?

Matenda a fibroma osatulutsa mafupa ndi omwe amapezeka kwambiri mwa ana omwe si a khansa.

• Izi ndi zofala kwambiri pakati pa anyamata kuposa atsikana .
• Kawirikawiri imapezeka mwa ana azaka zapakati pa 10 ndi 15 .
• Kawirikawiri zimenezi zimachira zokha akafika zaka 25.
• Anthu ambiri sadziwa ngakhale kuti ali ndi vuto lotere.

Palibe chomwe chikudziwika chomwe chimayambitsa, kulumikizana kwa majini, kapena chiopsezo cha zotupa izi. Nthawi zina pangakhale zotupa zoposa chimodzi (ziwiri kapena zitatu). Komabe, zotupa zingapo sizimachitika kawirikawiri. Izi zimachitika kokha ndi matenda enaake, monga neurofibromatosis kapena Jaffe-Campanacci Syndrome.

Kodi pali ululu uliwonse?

Chotupacho sichimayambitsa ululu. Komabe, ngati chotupacho chikukulirakulira pang'ono, mungamve kutupa pang'ono pansi pa khungu ndi kupweteka pang'ono mukachikhudza. Izi zitha kuchitika makamaka ngati pali kupanikizika pang'ono pamalopo pamene mukuthamanga ndi kusewera.

Koma pali chinthu chofunikira chomwe tiyenera kusamala nacho apa. Nthawi zambiri, ngati chotupacho chikukulirakulira kwambiri, fupa lomwe lili likhoza kufooka pang'ono. Ngati zimenezo zitachitika, pali mwayi woti fupalo lidzasweka (kusweka) panthawiyo.

Kodi ndingapeze bwanji ndikutsimikizira kuti izi zilipo?

Nthawi zambiri, zotupa zimenezi zimapezeka mwangozi. Zimapezeka panthawi ya X-ray yotengedwa pazifukwa zina, monga kugwa. Nthawi zina, zimapezeka pokhapokha fupa litafooka ndi kusweka, pamene tikuyesera kudziwa chomwe chayambitsa.

Ngati mukumva chinthu chonga chotupa cholimba m'fupa lalitali m'dzanja kapena mwendo wa mwana wanu, ngakhale palibe ululu, ndi bwino kupita ku X-ray kuti mudziwe bwino chomwe chili.

Mayeso

X-ray nthawi zambiri imakhala yokwanira kuzindikira chotupachi ndikuyang'anira kukula kwake pakapita nthawi. Pa X-ray, chimawoneka ngati banga lakuda lokhala ndi malire oyera.

Komabe, ngati chotupacho ndi chachikulu, dokotala wanu angafune kuti muyesedwe mwatsatanetsatane, monga MRI kapena CT scan , kuti muwone ngati fupa lili ndi mphamvu komanso ngati pali zizindikiro zofooka.

Kodi imachiritsidwa bwanji?

Ma fibroma ambiri osapanga mafupa safuna chithandizo chilichonse. Ngati dokotala wanu akudziwa za chotupacho, adzachitenga nthawi zonse kuti aone kukula kwake. Ngati chotupacho sichikuyambitsa zizindikiro koma ndi chachikulu mokwanira kuti chifooketse fupa, angakulimbikitseni kuti chichotsedwe kuti chisasweke.

Ngati mwana wanu ali ndi ululu kapena kutupa komwe kuli chotupacho, pitani kwa dokotala nthawi yomweyo. Iye adzafufuza ngati chotupacho ndi chachikulu, chasweka, kapena zonse ziwiri. Opaleshoni yochotsa chotupacho ingakulimbikitseni kuti muchepetse zizindikiro ndikuteteza fupa lomwe likukula.

Kodi opaleshoniyi imachitidwa bwanji?

Chotupachi chimachotsedwa kudzera mu njira yosavuta yochitira opaleshoni yotchedwa curettage . Madokotala amagwiritsa ntchito zida zapadera kuti achotse chotupacho pafupa. Kenako , fupa limagwiritsidwa ntchito kudzaza malo otsala. Ichi chingakhale chidutswa chaching'ono cha fupa chotengedwa kuchokera ku gawo lina la thupi la mwana, kuchokera ku fupa, kapena kuchokera ku fupa lopangidwa.

Chiŵerengero cha kuchira pambuyo pa opaleshoniyi n’chokwera kwambiri. Pakatha miyezi itatu mpaka isanu ndi umodzi, mwanayo akhoza kuyambiranso ntchito zake zonse zachizolowezi. Dokotalayo apitiliza kumujambula X-ray kuti aone momwe fupa likuchiritsira komanso kuti atsimikizire kuti chotupacho sichikukuliranso pamalo omwewo. Komabe, ndi zocheperako kuti chotupachi chikulenso.

Kodi chiyembekezo chili bwanji? Kodi mukufuna kukaonananso ndi dokotala?

Ma fibroma ambiri osapanga mafupa samayambitsa mavuto aliwonse. Sakula mokwanira kuti ayambe zizindikiro. Amathanso okha anthu akamakula.

Vuto lokhalo lalikulu lomwe lingachitike ndi fupa lomwe limafooka ndikusweka mosavuta (kusweka). Dokotala wanu angathandize kupewa izi poyang'anira kukula kwa chotupacho.

Kwa mwana wanuNgati muyamba kuona zizindikiro monga kutupa, kupweteka, kapena kupweteka kosasangalatsa, pitani kwa dokotala nthawi yomweyo kuti akakupimeni chotupa ndi fupa.

"Non-ossifying fibroma" ndi dzina lalitali komanso lovuta, koma kwenikweni ndi chinthu chosowa, chongochitika mwangozi, ndipo palibe chodetsa nkhawa kwambiri. Ndi kachidutswa kakang'ono ka maselo m'fupa la mwana wanu komwe sangadziwe. Sikafalikira, sichidzakhala khansa, ndipo sichidzakula. Dokotala amangoyang'anira. Nthawi zambiri, izi zimatha zokha.