Nayi mayankho a mafunso anu okhudza chotupa chosowa ichi chotchedwa Paraganglioma!

Kodi nthawi zina mumamva ngati mukutuluka thukuta kwambiri, mtima wanu ukugunda mofulumira, mutu wanu ukugunda? Kapena mumamva ngati kuthamanga kwa magazi kwanu kukukwera mwadzidzidzi popanda chifukwa? Ngakhale mungaganize kuti izi ndi zinthu zosayembekezereka, nthawi zina pakhoza kukhala chifukwa china kumbuyo kwa izi. Paraganglioma ndi vuto losowa koma lofunika kwambiri loyenera kudziwa.

Ndiye, paraganglioma iyi ndi chiyani?

Mwachidule, ma paraganglioma ndi zotupa zomwe zimapezeka kawirikawiri m'thupi lanu. Nthawi zambiri zimakula pafupi ndi mtsempha wamagazi wa carotid, mtsempha waukulu wamagazi m'khosi mwanu, m'mitsempha ya m'mutu ndi m'khosi mwanu, kapena kwina kulikonse m'thupi mwanu. Zotupazi zimapangidwa ndi mtundu wapadera wa selo lotchedwa maselo a chromaffin . Maselo amenewa amapanga mahomoni otchedwa catecholamines ndipo amawatulutsa m'magazi mwanu.

Kodi mukudziwa kuti ma adrenal glands, omwe ali pamwamba pa impso zathu, amapanga mitundu yosiyanasiyana ya mahomoni? Ma catecholamine awa ndi mahomoni omwe amalamulira ntchito zingapo zofunika kwambiri m'thupi lathu. Kodi mukudziwa kuti ndi chiyani?

• Kugunda kwa mtima wanu.
• Kuthamanga kwa magazi.
• Kuchuluka kwa shuga m'magazi (`glucose m'magazi`).
• Mmene thupi lathu limayankhira likakumana ndi mavuto.

Mitundu ikuluikulu ya ma catecholamines omwe ndi ofunikira ndi awa:

• Dopamine.
• Epinephrine (imeneyi ndi imene timaitchanso kuti adrenaline).
• Norepinephrine (yomwe imatchedwanso noradrenaline).

Ngakhale kuti ma paragangliomas sakula m'matenda a adrenal, zotupazi zimapangidwa kuchokera ku minofu yomwe ili m'matenda a adrenal. Chifukwa chake, kuwonjezera pa ma paragangliomas awa, mahomoni a catecholamine amathanso kudziunjikira m'magazi. Pamenepo ndi pomwe zizindikiro zosiyanasiyana zimayamba kuwonekera.

Kodi pali kusiyana kotani pakati pa Paraganglioma ndi Pheochromocytoma?

Mayina awiriwa akhoza kukhala osokoneza pang'ono, sichoncho? Paraganglioma ndi pheochromocytoma zonse ndi zotupa zomwe sizipezeka kawirikawiri zomwe zimachokera ku maselo a chromaffin omwe atchulidwa pamwambapa. Kusiyana kwakukulu pakati pa awiriwa ndi komwe amapangika m'thupi.

Ma pheochromocytomas amakula pakati pa adrenal gland yanu, yotchedwa adrenal medulla. Ma paragangliomas amakula kunja kwa adrenal gland. Nthawi zambiri amapezeka m'mitsempha yamagazi kapena mitsempha ya m'khosi. Ichi ndichifukwa chake nthawi zina ma paragangliomas amatchedwa 'extra-adrenal pheochromocytomas'.

Kodi Paraganglioma ndi khansa?

Ili ndi vuto lomwe anthu ambiri ali nalo. Zotupa izi, zotchedwa paragangliomas , zitha kukhala khansa (yoopsa) kapena yosakhala khansa (yoipa).Mwachidule, pafupifupi 20% ya ma paragangliomas ndi khansa.

Koma vuto apa ndilakuti nthawi zina zimakhala zovuta kwa madokotala kudziwa ngati chotupa ndi khansa kapena ayi. Izi zikutanthauza kuti, ngakhale chotupacho chitachotsedwa opaleshoni ndipo minofu yake ikuyang'aniridwa ndi maikulosikopu, nthawi zina sizingatheke kunena motsimikiza. Chifukwa chake, paraganglioma nthawi zambiri imaonedwa ngati khansa pazochitika zotsatirazi:

• Ngati chotupacho chafalikira ku minofu yozungulira (izi zimatchedwa `kufalikira kwa paraganglioma m'chigawo`).
• Ngati yafalikira ku ziwalo zakutali, monga mapapo anu kapena mafupa (izi zimatchedwa `metastasized`).
• Ngati yabwerera italandira chithandizo ndi kuchiritsidwa koyamba (izi zimatchedwa `recurred`).

Ngati ndi khansa, imafalikira bwanji?

Ngati paraganglioma iyi ndi khansa, palibe njira yodziwika bwino yodziwira matendawa. M'malo mwake, yafotokozedwa motere:

• Malo omwe ali ndi paraganglioma: Chotupacho chili pamalo amodzi okha.
• Paraganglioma ya m'deralo: Khansa yafalikira ku ma lymph nodes kapena minofu ina pafupi ndi komwe idayambira.
• Metastatic paraganglioma: Khansa yafalikira ku ziwalo zina za thupi lanu, monga chiwindi chanu, mapapo, mafupa, kapena ma lymph nodes akutali. Pakati pa 35% ndi 50% ya ma paraganglioma a khansa amatha kufalikira (metastasize) mwanjira iyi.
• Paraganglioma yobwerezabwereza: Khansa yabwerera pambuyo pochiritsidwa. Ikhoza kukhala pamalo omwewo monga kale, kapena ikhoza kukhala mbali ina ya thupi.

Kodi mtedza uwu umakula mofulumira bwanji?

Kawirikawiri, ma paragangliomas amakula pang'onopang'ono kwambiri. Komabe, izi zimatha kusiyana malinga ndi munthu. Anthu ena amatha kukula mofulumira pang'ono.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matendawa, otchedwa paraganglioma , amatha kufalikira pa msinkhu uliwonse. Komabe, amapezeka kwambiri mwa anthu azaka zapakati pa 30 ndi 50. Komanso, pafupifupi 10% ya milandu imanenedwa mwa ana.

Kodi Paraganglioma ndi yofala bwanji?

Ichi ndi chotupa chosowa kwambiri. Malinga ndi ziwerengero, akuti anthu awiri okha pa anthu miliyoni imodzi ndi omwe amadwala paragangliomas. Kotero mutha kuganiza momwe izi zilili zachilendo.

Kodi zizindikiro za Paraganglioma ndi ziti?

Zizindikiro za paragangliomas zimayambitsidwa ndi chotupa chomwe chimatulutsa adrenaline kapena noradrenaline yambiri yomwe yatchulidwa pamwambapa m'magazi mwanu. Komabe, ma paragangliomas ena sapanga mahomoni owonjezera awa, motero samayambitsa zizindikiro zilizonse (amatchedwa kuti asymptomatic).

Zizindikiro zomwe zimawonedwa kwambiriNdi:

• Kuthamanga kwa magazi mwadzidzidzi (kuthamanga kwa magazi).
• Mutu.
• Kutuluka thukuta kwambiri popanda chifukwa.
• Kugunda kwa mtima mofulumira komanso kosasinthasintha komwe kumakhala kokweza kwambiri kotero kuti mtima umamveka kugunda.
• Kumva ngati thupi lanu likugwedezeka.

Kuwonjezera pa izi, palinso zizindikiro zomwe sizimafala kawirikawiri :

• Kukhala wotumbululuka kwambiri kuposa momwe mumaonekera nthawi zambiri.
• Kusanza ndi/kapena kusanza.
• Kutsegula m'mimba.
• Kudzimbidwa.
• Kuchuluka kwa shuga m'magazi (hyperglycemia).
• Kutsika mwadzidzidzi kwa kuthamanga kwa magazi komwe kumayambitsa chizungulire mukayimirira (izi zimatchedwa orthostatic hypotension).
• Kukhala woonda popanda chifukwa.

Anthu ena angakumane ndi zizindikirozi pafupipafupi, kapena kuphulika mwadzidzidzi. Tangoganizirani, nthawi zina palibe cholakwika, kenako zizindikirozi zimaonekera mwadzidzidzi, kenako zimazimiririka pakapita kanthawi. Ichi ndichifukwa chake nthawi zina zimachedwa kuzindikira izi.

Kodi chimayambitsa paraganglioma ndi chiyani?

Nthawi zambiri, palibe chifukwa chenicheni cha paragangliomas. Izi zikutanthauza kuti, zimachitika mwangozi. Komabe, pafupifupi 25% mpaka 35% ya anthu amadwala paragangliomas chifukwa cha matenda a majini omwe amapezeka m'mabanja (cholowa). Zina mwa matenda amenewa ndi monga:

• Matenda a Multiple endocrine neoplasia 2, mitundu A ndi B (MEN2A ndi MEN2B)).
• Matenda a Von Hippel-Lindau (VHL).
• Mtundu wa Neurofibromatosis 1 (NF1).
• Matenda a paraganglioma a cholowa.
• Carney-Stratakis dyad (momwe paraganglioma ikhoza kutsagana ndi chotupa cha m'mimba (GIST)).
• Carney triad (yomwe ingaphatikizepo paraganglioma, GIST, ndi mtundu wa chotupa cha m'mapapo chotchedwa pulmonary chondroma).

Kodi matenda a Paraganglioma amawapeza bwanji?

Paraganglioma ingakhale yovuta kuizindikira chifukwa ndi chotupa chosowa kwambiri ndipo nthawi zina sichisonyeza zizindikiro. Nthawi zina, madokotala amapeza paraganglioma akamayesa pazifukwa zina.

Dokotala angaganize kuti paraganglioma ali ndi vuto ataganizira zinthu zotsatirazi:

• Mbiri yanu yonse yachipatala, makamaka ngati wina aliyense m'banja mwanu adakhalapo ndi pheochromocytoma kapena paraganglioma.
• Kuyezetsa thupi lonse ndi zachipatala.
• Mtundu wa zizindikiro zina. Mwachitsanzo, ngati muli ndi kuthamanga kwa magazi komwe sikulamuliridwa ndi mankhwala wamba.

Ndi mayeso ati omwe amachitidwa pa izi?

Dokotala wanu angagwiritse ntchito mayeso ndi njira izi kuti adziwe ngati muli ndi paraganglioma:

• Kuyezetsa thupi: Dokotala wanu adzakuyezani ndikuyang'ana thanzi lanu lonse, monga kuthamanga kwa magazi. Adzakufunsaninso za mbiri yanu yachipatala komanso ya banja lanu, makamaka mavuto aliwonse okhudzana ndi mahomoni.
• Kuyesa mkodzo kwa maola 24: Izi zimaphatikizapo kusonkhanitsa chitsanzo cha mkodzo wanu kwa maola 24 ndikuyesa kuchuluka kwa mahomoni a adrenal otchedwa catecholamines. Kumafufuzanso zinthu zomwe zimapangidwa mahomoniwa akamawonongeka. Ngati ma catecholamine awa ali mumkodzo wanu pamlingo wokwera kuposa wabwinobwino, kungakhale chizindikiro cha paraganglioma.
• Mayeso a catecholamine m'magazi: Mayesowa amayesa kuchuluka kwa ma catecholamine m'magazi mwanu. Monga tanenera kale, amafufuzanso zinthu zomwe zimapangidwa mahomoniwa akamawonongeka. Ngati awa alipo m'magazi mopitirira muyeso, akhoza kukhala chizindikiro cha paraganglioma.
• Kujambula kwa PET (positron emission tomography scan): Kujambula kwa PET kumaphatikizapo kubaya mankhwala otetezeka a radioactive (radiotracer) m'thupi lanu ndikujambula zithunzi za ziwalo ndi minofu yanu pogwiritsa ntchito chipangizo chotchedwa PET scanner. Kujambula kumeneku kumazindikira maselo ndi zotupa zomwe zimagwira ntchito kwambiri zomwe zimayamwa mankhwalawo. Izi zingathandize kudziwa ngati pali vuto la thanzi. Kujambula kumeneku ndi kwabwino kwambiri pozindikira komwe paraganglioma ili.
• Kujambula kwa CT (computer tomography scan): Kujambula kwa CT ndi njira yomwe imatenga ma X-ray angapo kuchokera mbali zosiyanasiyana kuti ipange zithunzi zamkati mwa thupi lanu. Dokotala wanu angakulangizeni kuti mujambula kwa CT scan kuti mudziwe komwe kuli chotupa (nthawi zambiri m'khosi).
• Kujambula kwa MRI (magnetic resonance imaging): MRI imagwiritsa ntchito maginito, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zambiri zamkati mwa thupi lanu. Dokotala wanu angakulangizeni kuti mujambula MRI kuti muwone bwino malo omwe chotupacho chili.

Dokotala wanu akadzakupezani ndi paraganglioma, angachite mayeso ena kuti aone ngati yafalikira mbali zina za thupi lanu.

Kodi Kuyezetsa Majini N'kofunikira?

Ngati mwapezeka ndi paraganglioma, dokotala wanu angakulangizeni kuti mulandire upangiri wa majini kuti mudziwe ngati muli ndi matenda obadwa nawo ndipo muli pachiwopsezo chotenga khansa zina zokhudzana ndi matendawa.

Dokotala wanu angakulangizeni kuti muyesedwe majini pazochitika izi:

• Ngati inu kapena wina m'banja mwanu ali ndi zizindikiro zokhudzana ndi cholowa cha pheochromocytoma kapena paraganglioma syndrome.
• Ngati muli ndi zizindikiro za kuchuluka kwa ma catecholamine m'magazi mwanu kuposa momwe mumafunira kapena zizindikiro za paraganglioma ya khansa.
• Ngati mwakhala ndi paraganglioma musanakwanitse zaka 40.

Ngati mlangizi wanu wa majini apeza kusintha kulikonse kwa majini mu zotsatira zanu za mayeso, mwina angakulangizeni kuti achibale anu ena (ngakhale omwe alibe zizindikiro koma omwe ali pachiwopsezo) nawonso akapimidwe.

Kodi paraganglioma imachiritsidwa bwanji?

Chithandizo cha paraganglioma chimadalira zinthu zingapo, kuphatikizapo:

• Kukula kwa chotupacho.
• Kaya chotupacho ndi cha khansa (choopsa) kapena chosaopsa (chosavulaza).
• Kaya muli ndi zizindikiro chifukwa cha kuchuluka kwa ma catecholamines.
• Kodi chotupacho chili pamalo amodzi okha, kapena chafalikira (chosasinthika) ku ziwalo zina za thupi?
• Kaya chotupacho chinapezeka koyamba, kapena ngati chinachiritsidwa kale kenako n’kubwereranso.

Ngati muli ndi paraganglioma yomwe imayambitsa zizindikiro chifukwa cha kuchuluka kwa mahomoni, dokotala wanu adzakupatsani mankhwala oletsa zizindikirozo. Mankhwalawa angaphatikizepo:

• Mankhwala oletsa kuthamanga kwa magazi, mwachitsanzo alpha-blockers .
• Mankhwala oti mtima wanu ukhale wabwinobwino, mwachitsanzo beta-blockers .
• Mankhwala omwe amaletsa mphamvu ya mahomoni omwe amatulutsidwa mopitirira muyeso ndi adrenal gland yanu.

Njira zochizira paraganglioma ndi izi:

• Kuchotsa chotupacho opaleshoni.
• Chithandizo cha radiation.
• Mankhwala a chemotherapy.
• Chithandizo cha ablation.
• Chithandizo cholunjika.

Pamodzi, inu ndi gulu lanu lachipatala mudzasankha njira yochiritsira yomwe ikugwirizana bwino ndi inu komanso vuto lanu.

Kuchotsa chotupacho opaleshoni

Chithandizo chachikulu cha paraganglioma ndi opaleshoni. Pa opaleshoni yochotsa chotupacho, dokotala wanu adzayang'ana minofu yozungulira ndi ma lymph nodes kuti awone ngati chotupacho chafalikira. Ngati chafalikira, dokotalayo adzachotsa minofu yokhudzidwayo, ngati n'kotheka.

Ma paragangliomas ambiri amatha kuchotsedwa pogwiritsa ntchito njira zosavulaza kwambiri, monga opaleshoni ya laparoscopic . Izi zimaphatikizapo kudula pang'ono pakhungu lanu ndikuchotsa chotupacho ndi zida zapadera. Komabe, zotupa zazikulu zingafunike opaleshoni yachikhalidwe yotseguka.

Pambuyo pa opaleshoni, dokotala wanu adzayang'ana kuchuluka kwa ma catecholamines m'magazi kapena mkodzo wanu. Ngati kuchuluka kwa ma catecholamines kubwereranso mwakale, ichi ndi chizindikiro chakuti maselo onse a paraganglioma achotsedwa.

Chithandizo cha X-ray

Chithandizo cha khansa pogwiritsa ntchito kuwala kwa dzuwa komwe kumagwiritsa ntchito kuwala kwamphamvu kwambiri kuti kuphe maselo a khansa kapena kuwaletsa kukula. Izi zimachitika pochepetsa kuwonongeka kwa minofu yathanzi yozungulira.

Pali mitundu iwiri ya chithandizo cha radiation:

• Chithandizo cha radiation yakunja: Izi zimaphatikizapo kugwiritsa ntchito makina omwe ali kunja kwa thupi lanu kuti atsogolere radiation kumalo komwe khansa ili.
• Chithandizo cha radiation yamkati: Izi zimaphatikizapo kuyika mankhwala owopsa mu singano, mbewu, mawaya, kapena ma catheter, omwe amaikidwa mwachindunji mu chotupacho kapena pafupi ndi dokotala.

Mtundu wa chithandizo cha radiation chomwe dokotala wanu amalimbikitsa chimadalira ngati khansa yanu ili m'dera lanu, m'chigawo, kutali, kapena yabwerera. Madokotala nthawi zambiri amagwiritsa ntchito chithandizo cha radiation chakunja ndi/kapena 131I-MIBG therapy pochiza matenda a khansa a paragangliomas. 131I-MIBG therapy ndi njira yoperekera mankhwala a radioactive ku mitundu ina ya maselo a khansa, omwe kenako amalowetsedwa m'thupi ndipo radiation yomwe imatulutsa imapha maselowo.

Mankhwala a Chemotherapy

Chithandizo chodziwika bwino cha matenda a paraganglioma omwe amafalikira ndi chemotherapy. Izi zimaphatikizapo kugwiritsa ntchito mankhwala ophera maselo a khansa, kuwaletsa kugawikana, kapena kuwaletsa kukula. Chemotherapy nthawi zambiri imaperekedwa kudzera m'mitsempha. Ngakhale kuti nthawi zambiri iyi ndi njira yothandiza, ingayambitse zotsatirapo zoyipa.

Chithandizo cha Ablation

Chithandizo cha ablation ndi njira yochepetsera kufala kwa khansa yomwe imagwiritsa ntchito kutentha kwambiri kapena kotsika kwambiri kuti iwononge zotupa. Chithandizo cha ablation chomwe chimathandiza kupha maselo a khansa ndi maselo osazolowereka ndi awa:

• Kuchotsa mafunde a wailesi: Izi zimaphatikizapo kugwiritsa ntchito mafunde a wailesi kutentha ndi kuwononga maselo a khansa ndi maselo osazolowereka. Mafunde a wailesi amatumizidwa kudzera mu ma electrode (zipangizo zazing'ono zomwe zimayendetsa magetsi).
• Kuwotcha: Mankhwalawa amagwiritsa ntchito nayitrogeni wamadzimadzi kapena carbon dioxide kuti aziziritse ndikuwononga maselo a khansa ndi maselo olakwika.

Chithandizo Cholunjika

Chithandizo cholunjika ndi njira yochizira yomwe imagwiritsa ntchito mankhwala kapena zinthu zina kuti iukire maselo enaake a khansa, popanda kuvulaza maselo athanzi. Madokotala amagwiritsa ntchito chithandizo cholunjika pochiza ma paragangliomas akutali komanso obwerezabwereza.

Ofufuza panopa akufufuza mankhwala oletsa tyrosine kinase otchedwa sunitinib.Mtundu wina wa mankhwala ukuphunziridwa kuti awone momwe angachiritsire ma paragangliomas akutali. Chithandizo cha Tyrosine kinase inhibitor ndi mtundu wa chithandizo cholunjika chomwe chimaletsa kukula kwa chotupa.

Kodi chitukuko cha paraganglioma chingapewedwe?

Mwatsoka, ma paragangliomas sangapewedwe. Komabe, ngati muli ndi matenda enaake obadwa nawo komanso majini omwe amakuika pachiwopsezo chotenga ma paragangliomas, upangiri wa majini ungakuthandizeni kuyezetsa ma paragangliomas ndipo mwina kuwapeza msanga.

Lankhulani ndi dokotala wanu ngati achibale anu oyamba (abale ndi makolo) adakhalapo ndi paraganglioma kapena pheochromocytoma, ndi/kapena ngati muli ndi matenda aliwonse a majini awa:

• Matenda ambiri a endocrine neoplasia 2.
• Matenda a Von Hippel-Lindau (VHL).
• Mtundu wa Neurofibromatosis 1.
• Matenda a paraganglioma a cholowa.
• Carney-Stratakis dyad.
• Carney triad.

Kodi chiyembekezo cha matendawa ndi chiyani pamenepa?

Chiyembekezo cha paragangliomas, ndiko kuti, mwayi wochira ndi kupulumuka, chimasiyana malinga ndi zinthu zingapo. Pakati pawo:

• Kumene chotupa chili m'thupi lanu komanso kukula kwake.
• Kaya ndi khansa kapena yafalikira ku ziwalo zina za thupi.
• Kodi chotupacho chinachotsedwa opaleshoni, ndipo ngati ndi choncho, ndi chotupa chochuluka bwanji chomwe chinachotsedwa panthawi ya opaleshoni?

Anthu omwe ali ndi paraganglioma yaying'ono yomwe sinafalikire ku ziwalo zina za thupi (yomwe sinafalikire) amakhala ndi moyo wa zaka zisanu wa pafupifupi 95%. Komabe, anthu omwe ali ndi paraganglioma yomwe yabwereranso pambuyo pa chithandizo choyamba kapena yomwe yafalikira ku ziwalo zina za thupi (yomwe inafalikira) amakhala ndi moyo wa zaka zisanu wa pakati pa 34% ndi 60% .

Komanso, pali ma paragangliomas ena oopsa omwe, ngakhale atakhala kuti sanafalikire kwambiri, sangachotsedwe kwathunthu ndi opaleshoni chifukwa afalikira mokwanira m'minofu yozungulira. Pazochitika zotere, kutulutsa kwambiri kwa adrenaline ndi noradrenaline kungakhale koopsa komanso kovuta kuchiza.

Chofunika kwambiri, paragangliomas, kaya ndi khansa kapena ayi, ngati sanalandire chithandizo, angayambitse mavuto aakulu, ngakhale oopsa chifukwa cha kuchuluka kwa adrenaline ndi noradrenaline zomwe amatulutsa.

Zina mwa zovuta izi ndi izi:

• Matenda a minofu ya mtima (cardiomyopathy).
• Kutupa kwa minofu ya mtima wanu (`myocarditis`).
• Kutuluka magazi muubongo mosalamulirika (kutuluka magazi muubongo).
• Kuchulukana kwa madzi m'mapapo mwanu (pulmonary edema).
• Kudwala kwa mtima (`myocardial infarction`).
• Stroke.
• Chikomokere.
• Imfa.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mwapezeka ndi paraganglioma ndipo mukumva zizindikiro zokayikitsa, pitani kwa dokotala nthawi yomweyo.

Ngati mukuona zizindikiro za paraganglioma, monga kuthamanga kwa magazi ndi mutu, lankhulani ndi dokotala wanu. Popeza paraganglioma ndi yosowa, ndikofunikirabe kuchiza kuthamanga kwa magazi, ngakhale kuti mwina simungakhale nayo.

Ngati mwapeza kuti m'modzi mwa achibale anu oyamba (abale, makolo) ali ndi matenda a majini monga ``Multiple endocrine neoplasia 2 syndrome`` kapena ``Von Hippel-Lindau (VHL) disease``, funsani dokotala wanu za kuyezetsa majini, chifukwa izi zitha kuwonjezera chiopsezo chanu chokhala ndi paraganglioma.

Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?

Ngati mwapezeka ndi paraganglioma, zingakhale zothandiza kufunsa dokotala mafunso awa:

• N’chifukwa chiyani ndinayamba kudwala paraganglioma?
• Kodi ana anga ndi/kapena achibale anga angapeze paraganglioma?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi zotsatirapo zake za mankhwala osiyanasiyana ndi ziti?
• Kodi ndingathe bwanji kuthana ndi zizindikiro zanga?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Paraganglioma ndi matenda osowa kwambiri, koma ndikofunikira kudziwa za matendawa. Ngati muli ndi zizindikiro zosatha zomwe zimakhala zovuta kuzimvetsa, makamaka kuthamanga kwa magazi mwadzidzidzi, kutuluka thukuta, kapena kugunda kwa mtima mwachangu, ndi bwino kufunafuna upangiri wa dokotala m'malo mongoganiza kuti ndi matenda a chibayo basi.

Ngakhale kuti chifukwa cha paraganglioma nthawi zambiri sichidziwika, chimagwirizana ndi matenda enaake obadwa nawo. Chifukwa chake ngati wina m'banja mwanu wakhala ndi paraganglioma kapena pheochromocytoma, kuyezetsa majini kungakuthandizeni kudziwa chiopsezo chanu, komanso ngati mungakhale ndi mavuto ena azaumoyo. Ngati muli ndi mafunso okhudza izi, musazengereze kulankhula ndi dokotala wanu. Alipo kuti akuthandizeni.

Paraganglioma , Paraganglioma, Pheochromocytoma, maselo a Chromaffin, Catecholamines, Mahomoni, Zotupa, Khansa, Zizindikiro, Kuthamanga kwa Magazi, Matenda a Majini