Kodi munayamba mwaonapo chotupa chaching'ono pafupi ndi khutu lanu, m'nsagwada yanu, kapena mkamwa mwanu? Mwina simunachione chifukwa sichikupweteka. Koma ngakhale chitakhala chotupa chaching'ono, ndikofunikira kuchidziwa. Lero, tikambirana za chinthu chotere - vuto lotchedwa Pleomorphic Adenoma .
Kodi Pleomorphic Adenoma ndi chiyani?
Mwachidule, Pleomorphic Adenoma iyi si khansa . Izi zikutanthauza kuti, si chotupa choipa chomwe chimafalikira m'thupi lonse. Komabe, ndi chotupa chomwe chingapangidwe m'maselo athu a malovu . Kodi mukudziwa kuti pali maselo angapo mkamwa mwathu omwe amathandiza kupanga malovu? Mwa awa, maselo a parotid, omwe ali patsogolo pa makutu, ndi omwe amapezeka kwambiri. Kuphatikiza apo, amathanso kupangidwa m'maselo a pansi pa nsagwada ndi maselo ang'onoang'ono a malovu pamwamba pa pakamwa. Chabwino kwambiri ndichakuti chotupa ichi chikachotsedwa opaleshoni, nthawi zambiri sichibwereranso.
Kodi vutoli ndi lofala bwanji?
Tsopano mwina mukudabwa kuti izi ndi zofala bwanji. Kwenikweni, Pleomorphic Adenoma si yofala kwambiri . Ngati muyang'ana ziwerengero m'dziko ngati America, akuti vutoli limakhudza anthu pafupifupi atatu pa anthu 100,000 aliwonse (3 pa 100,000). Koma chofunika kwambiri ndichakuti iyi ndi mtundu wofala kwambiri wa chotupa chosakhala khansa (chosaopsa) chomwe chimayamba m'malovu. Ngakhale kuti aliyense akhoza kukhala ndi chotupa ichi, nthawi zambiri chimapezeka mwa akazi azaka zapakati pa 30 ndi 70 .
Kodi zizindikiro za Pleomorphic Adenoma ndi ziti?
Kodi zotupa zimenezi zimawonekera bwanji? Nthawi zambiri zimawonekera koyamba m'malo awa:
- Pamaso pa khutu lanu (iyi ndi pleomorphic adenoma yomwe imayamba mu parotid gland)
- Pansi pa nsagwada yanu (iyi ndi pleomorphic adenoma yomwe imapanga mu submandibular gland)
- Pamwamba kapena padenga la pakamwa panu (izi zimapangidwa ndi tinthu tating'onoting'ono ta malovu)
Chofunika kwambiri ndichakuti zotupazi zikule pang'onopang'ono . Chifukwa chake, simungazindikire zizindikiro zilizonse poyamba. Zizindikirozi zimawonekera pakapita nthawi:
- Chotupa chimodzi chopanda ululu nthawi zambiri chimayamba kuonekera pansi pa khungu, m'dera la nsagwada yanu, pafupi ndi khutu lanu, kapena mkati mwa pakamwa panu.
- Mukakhudza chipatsochi, nthawi zina chimakhala chofewa ndipo nthawi zina chimakhala cholimba pang'ono .
- Nthawi zambiri, ngati mutakankhira mtedza uwu ndi zala zanu , umayendayenda .
Ma pleomorphic adenoma ambiri amakhala ndi kukula kuyambira masentimita awiri (pafupifupi kukula kwa mtedza) mpaka masentimita 6 (pafupifupi kukula kwa dzira). Komabe, ngati sanalandire chithandizo , zotupazi nthawi zina zimatha kukula kwambiri. Milandu yayikulu ngati masentimita 35 (pafupifupi mainchesi 13!) yanenedwa. Tangoganizirani momwe zingakhalire zovuta kukhala ndi chotupa chachikulu chotere.
Kodi n’chifukwa chiyani Pleomorphic Adenoma imayamba?
Ofufuza zachipatala sakudziwabe chomwe chimayambitsa pleomorphic adenoma, koma apeza zinthu zingapo zoopsa:
- Kukhudzidwa ndi kuwala kwa dzuwa: Kafukufuku wina akusonyeza kuti anthu ena akhoza kukhala ndi zotupa zimenezi patatha zaka 15 mpaka 20 atalandira chithandizo cha kuwala kwa khansa ya mutu ndi khosi.
- Kukumana ndi mankhwala ena: Akukayikiridwa kuti mankhwala ena omwe amagwiritsidwa ntchito popanga rabara, migodi ya asbestos, kapena ntchito za mapaipi nawonso angakhale chifukwa.
Kodi ndi mavuto ati omwe angayambitse Pleomorphic Adenoma?
Nkhani imeneyi ndi yodetsa nkhawa. Pafupifupi 5% ya pleomorphic adenomas imatha kukhala khansa . Izi zimatchedwa 'carcinoma ex pleomorphic adenoma' . Ofufuza zachipatala sakudziwa bwino chifukwa chake izi zimachitika. Ichi ndichifukwa chake timanena kuti ngakhale ndi chotupa chaching'ono, ndikofunikira kuti musachinyalanyaze ndikupempha upangiri kwa dokotala.
Kodi madokotala amazindikira bwanji vutoli?
Mukapita kwa dokotala, choyamba adzakuyesani thupi . Izi zikutanthauza kuti adzayang'ana komwe kuli chotupa ndi mawonekedwe ake. Kenako adzakufunsani za zizindikiro zanu. Kuphatikiza apo, angachitenso mayeso otsatirawa:
- Kujambula kwa CT (Computed Tomography - CT scan): Izi zimatha kujambula zithunzi za mkati mwa thupi. Izi zimathandiza kuona bwino zinthu monga kukula ndi malo a chotupacho.
- Kujambula kwa MRI (Magnetic Resonance Imaging - MRI scan): Iyi ndi njira yoyesera yomwe imawoneka mkati mwa thupi, monga CT scan. Komabe, imatha kupanga zithunzi zomveka bwino za minofu yofewa.
- Kufufuza ndi singano: Izi zimaphatikizapo kugwiritsa ntchito singano yopyapyala kwambiri kuchotsa madzi pang'ono kapena minofu kuchokera pa chotupacho. Kenako imafufuzidwa pogwiritsa ntchito maikulosikopu kuti mudziwe mtundu wa chotupacho. Iyi ndiyo njira yodziwira ngati chotupacho chili ndi khansa kapena ayi.
Kodi Pleomorphic Adenoma imachiritsidwa bwanji?
Kodi izi zili ndi chiyani?Chithandizo chachikulu komanso chofala kwambiri ndi opaleshoni yochotsa gland yonse kapena gawo lake lomwe lakhudzidwa ndi pleomorphic adenoma. Mwachitsanzo, dokotala wa opaleshoni angachite opaleshoni ya parotidectomy kwa munthu yemwe ali ndi pleomorphic adenoma mu parotid gland. Izi zimaphatikizapo kuchotsa gland yonse kapena gawo lake.
Kodi ndi mavuto otani omwe angabwere chifukwa cha opaleshoni?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zovuta zina zomwe zingachitike ndi opaleshoniyi. Tiyeni tidziwenso zimenezo. Koma musadandaule, sizinthu zonsezi zomwe zimachitika kwa aliyense. Madokotala amachita zonse zomwe angathe kuti achepetse zoopsazi.
- Kuyankha kwa mankhwala oletsa ululu: Anthu ena akhoza kukhala ndi ziwengo kapena zotsatira zina chifukwa cha mankhwala oletsa ululu omwe amaperekedwa asanachite opaleshoni.
- Kutuluka magazi ambiri: Kutuluka magazi ambiri kungachitike panthawi ya opaleshoni kapena pambuyo pake.
- Matenda: Majeremusi amatha kulowa kudzera pa bala la opaleshoni ndikuyambitsa matenda.
- Kuwonongeka kwa mitsempha ya nkhope komwe kumabweretsa kufooka kwakanthawi kapena kosatha kwa nkhope: Izi ndi vuto pang'ono. Izi zili choncho chifukwa mitsempha ya nkhope, yomwe imayang'anira mayendedwe a nkhope, ili pafupi ndi parotid gland. Ngati mitsempha iyi yawonongeka panthawi ya opaleshoni, kuyenda mbali imodzi ya nkhope kumatha kusokonekera kapena kuyimitsidwa kwathunthu. Nthawi zina izi zimakhala zakanthawi kochepa, koma nthawi zambiri zimakhala zosatha.
- Matenda a Frey: Ichi ndi vuto lachilendo. Mitsempha ina yomwe imadulidwa panthawi ya opaleshoni ikakulanso, imatha kusokonezeka ndi ma glands a thukuta. Ngati izi zitachitika, mudzayamba kutuluka thukuta kumbali ya nkhope yanu komwe mudachitidwa opaleshoni mukamadya, makamaka chinthu chokometsera.
- Kuvutika kulankhula kapena kumeza: Ngati mitsempha ya pankhope ndi pakamwa yawonongeka, kulankhula ndi kumeza kungakhale kovuta pang'ono.
- Zilonda: Opaleshoni yochotsa zotupa za m'malovu nthawi zina imatha kusiya zilonda zooneka. Komabe, madokotala amayesetsa momwe angathere kuchepetsa zilondazi.
Kodi chiwopsezo cha Pleomorphic Adenoma ndi chiyani?
Iyi ndi nkhani yabwino kwambiri! Ma adenoma opitilira 90% omwe amachotsedwa opaleshoni sabwereranso . Izi zikutanthauza kuti vutoli limachira kwathunthu ndi opaleshoni. Chifukwa chake, palibe chodetsa nkhawa, eti?
Kodi vutoli lingapewedwe?
Mwatsoka, ofufuza zachipatala sakudziwabe chomwe chimayambitsa vutoli, kotero palibe njira yotsimikizika yopewera vutoli .
Kodi ndimadzisamalira bwanji?
Chinthu chabwino kwambiri chomwe mungachite ndi chakuti,Samalani ndi ziphuphu zatsopano m'nsagwada kapena khutu lanu. Ngati sizikutha patatha sabata imodzi kapena kuposerapo, pitani kwa dokotala. Mwina mukuganiza kuti, 'Kodi ndikufunika kukaonana ndi dokotala chifukwa cha chotupa chaching'onochi?' Yankho lalifupi ndilakuti, inde, ndithudi mukuyenera . Simuli nokha, ndipo anthu ambiri amapita kwa dokotala chifukwa cha ziphuphu zachilendo ngati izi.
Ngakhale sizingatheke, ziphuphu zatsopano pafupi ndi nsagwada kapena khutu lanu zitha kukhala chizindikiro cha pleomorphic adenoma mu parotid kapena submandibular glands yanu. Kumbukirani, pleomorphic adenomas si khansa, koma nthawi zambiri sangakhale khansa .
Kodi ndi liti pamene muyenera kupita ku Chipinda cha Emergency?
Ngati mukuchitidwa opaleshoni yochotsa pleomorphic adenoma, funsani dokotala wanu za mavuto aliwonse omwe angachitike mutachita opaleshoni omwe amafunikira chithandizo chamankhwala mwachangu . Mwachitsanzo, ngati mukutuluka magazi ambiri, kutupa kwambiri, kupuma movutikira, kapena bala lomwe likutupa, ndi bwino kupita kuchipatala nthawi yomweyo.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Mungathe kufunsa mafunso monga awa:
- Kodi ndili ndi zotupa zoposa chimodzi zopanda khansa ngati izi?
- Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
- Kodi chotupa ichi chidzachiritsidwa kwathunthu ndi chithandizo?
- Kodi ndingayembekezere chiyani nditachita opaleshoni? Kodi ndi mavuto otani omwe angabwere?
- Kodi pali mwayi wotani kuti izi zichitikenso? Kodi tingatani kuti tipewe izi?
- Kodi izi zidzakhudza moyo wanga watsiku ndi tsiku?
Mukafunsa mafunso awa, mutha kumvetsetsa bwino momwe zinthu zilili.
Chinthu chofunika kwambiri chomwe tidakambirana - Uthenga Wopita Nawo Kunyumba
Chabwino, kodi ndi mauthenga otani ofunika kwambiri ochokera kwa inu ochokera m'nkhani zomwe takambiranazi?
Pleomorphic adenoma ndi chotupa chosaopsa chomwe chingakule m'malovu athu. Izi nthawi zambiri zimawoneka ngati tinthu tating'onoting'ono kutsogolo kwa khutu, pansi pa nsagwada, kapena mkati mwa pakamwa. Chifukwa chakuti zotupazi zimakula pang'onopang'ono , simungazindikire zizindikiro zilizonse kwa zaka zambiri. Nthawi zambiri, zotupa zina zimatha kukhala khansa . Koma chabwino kwambiri ndichakuti, zotupazi zikachotsedwa opaleshoni, vutoli limachira kwathunthu .
Choncho, ngati muwona chotupa chatsopano kapena chotupa pafupi ndi khutu lanu, m'nsagwada yanu, kapena mkamwa mwanu, ngakhale chitakhala chopanda ululu, ndipo sichimatha mkati mwa sabata imodzi kapena ziwiri, onani dokotala kuti akupatseni upangiri. Kuzindikira msanga ndiye njira yabwino kwambiri! Musachite mantha, madokotala alipo kuti akuthandizeni.
'Pleomorphic Adenoma, Chotupa cha Salivary Gland, Parotid Gland, Chotupa Pansi pa Nsagwada, Chotupa Pafupi ndi Khutu, Chotupa Pakamwa, Opaleshoni











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