Kodi muli ndi chotupa chaching'ono pakhosi panu? Chingakhale chotupa cha Thyroglossal Duct Cyst!

Kodi munayamba mwaonapo chotupa chaching'ono pakati pa khosi lanu, kapena cha mwana wanu? Nthawi zina mumatha kuchiwona chikukwera mmwamba mukamameza. Musadandaule! Ichi chikhoza kukhala vuto lotchedwa Thyroglossal Duct Cyst. Lero, tikambirana za izi mwatsatanetsatane, ngati kuti tikulankhula ndi mnzanu.

Kodi chotupa cha Thyroglossal Duct Cyst n'chiyani?

Mwachidule, ichi ndi chotupa chaching'ono, chofewa chomwe anthu ena amabadwa nacho, chomwe chili pakati pa khosi. Chimatha kumveka ndipo nthawi zina chimaoneka. Nthawi zambiri, chotupachi chimakhala cha kukula kwa masentimita awiri. Koma izi sizofala kwambiri. Akuti pafupifupi 7% ya anthu m'maiko ngati United States ali ndi vutoli.

Ma cysts a thyroglossal duct amatha kufalikira mwa ana ndi akuluakulu. Komabe, amapezeka kwambiri mwa ana osakwana zaka 10. Chabwino kwambiri n'chakuti 99% ya ma cysts amenewa ndi abwino, zomwe zikutanthauza kuti si khansa . Komabe, nthawi zambiri, osakwana 1% mwa iwo amatha kufalikira kukhala khansa. Akuluakulu ali ndi mwayi waukulu wopeza khansa yotereyi kuposa ana. Ma cysts amenewa amachiritsidwa ndi opaleshoni. Akachotsedwa opaleshoni, ma cysts amenewa nthawi zambiri sabwerera.

Kodi chotupa cha Thyroglossal Duct Cyst chingakhale choopsa bwanji?

Monga ndanenera kale, nthawi zambiri mtedza uwu sumayambitsa mavuto aakulu azaumoyo. Komabe, nthawi zina, ungayambitse mavuto. Yang'anani:

• Kawirikawiri, ndipo ndikutanthauza kuti nthawi zina, zotupa izi zimatha kukhala khansa .
• Matumbo ena angapangitse kuti zikhale zovuta kumeza chakudya ndi chakumwa . Madokotala amatcha izi "dysphagia."
• Ziphuphu zimenezi zimatha kutenga matenda . Ngati zitatero, zimatha kupweteka.

Kodi chotupa ichi chidzachira chokha?

Ayi, zimenezo sizichitika. Chiphuphu cha thyroglossal duct chimakhala pamenepo mpaka chitachotsedwa opaleshoni.

Kodi zizindikiro za thyroglossal duct cyst ndi ziti?

Ngati inu kapena mwana wanu muli ndi chotupa chamtunduwu, choyamba mungazindikire chotupa pakhosi panu, makamaka mukameza . Kapena mungaone chotupacho mukatulutsa lilime lanu . Nthawi zina, chimapezeka mwangozi mukapita kwa dokotala chifukwa cha vuto lina. Pali zizindikiro zina zingapo:

• Mtedza uwu ndi wovuta kuupeza pansi pa khungu lanu. Ukaukhudza, umakhala wofewa, wosalala, komanso wozungulira , ndipo umamveka ngati zidutswa zazing'ono za mtanda wa buledi.
• Ngati inu kapena mwana wanu muli ndi matenda a m'mapapo (monga chimfine kapena fuluwenza) , matendawa amatha kufalikira ku chotupa, zomwe zimapangitsa kuti chizitupa ndi kupweteka.
• Nthawi zina ma cysts amenewa amatha kuphulika , ndipo chinthu chonga madzi chimatha kutuluka pakhungu.
• Kawirikawiri chifukwa cha mtedza uwuZingakhale zovuta kumeza chakudya ndi chakumwa .

Kodi zizindikiro za khansa ya Thyroglossal Duct Cyst ndi ziti?

Imeneyi ndi vuto losowa kwambiri . Milandu yosakwana 300 ya khansa yamtunduwu yanenedwa m'zaka 100 zapitazi. Ngakhale ikachitika, imakhudza akuluakulu kuposa ana. Anthu ena amatha kukhala ndi khansa iyi kwa zaka zambiri popanda zizindikiro zilizonse. Madokotala nthawi zambiri amaipeza akamachiritsa matenda ena, monga goiter. Zizindikiro za thyroglossal duct cyst ndi izi:

• Zikuoneka ngati pali chotupa kutsogolo kwa khosi langa, ndipo chikuoneka kuti chikukulirakulira .
• Ndikumva chotupa kutsogolo kwa khosi langa, chikumveka chovuta .
• Ma lymph nodes atupa .
• N'zovuta kumeza chakudya ndi chakumwa .

Nchifukwa chiyani thyroglossal duct cyst iyi imapanga?

Zotupa zimenezi zimapangika panthawi ya mimba , pamene thupi lanu limayamba kupanga chithokomiro. Chithokomiro ndi chithokomiro chooneka ngati gulugufe chomwe chimapanga mahomoni omwe amalamulira kagayidwe kathu ka chakudya. Mwachidule, chithokomirochi chimalamulira zinthu monga liwiro lomwe timasinthira chakudya chomwe timadya kukhala mphamvu.

Kuti apange chithokomiro ichi, maselo a chithokomiro amayenda kuchokera pansi pa lilime kupita ku fupa looneka ngati U lotchedwa fupa la hyoid, lomwe limachirikiza lilime lathu. Ulendowu umachitika m'njira yotchedwa thyroglossal tract. Nthawi zambiri, chithokomiro chikafika pamalo ake oyenera, chithokomirochi chimatseka ndikusungunuka. Komabe, mwa anthu ena, chithokomirochi sichimatseka bwino . Pamenepo ndi pamene chimadzaza ndi madzi ndi ntchofu, zomwe zimapangitsa kuti ma cysts a thyroglossal ayambe. Ofufuza sakudziwabe chifukwa chake chithokomirochi sichimasungunuka mwa anthu ena.

Kodi madokotala amazindikira bwanji vuto la thyroglossal duct cyst?

Madokotala amazindikira izi pofufuza khosi lanu kapena la mwana wanu, kenako n’kuchita ultrasound scan kuti adziwe kukula kwa chotupacho.

Kodi madokotala amadziwa bwanji ngati iyi ndi khansa?

Kawirikawiri, madokotala amapeza khansa yamtunduwu akamachiritsa matenda ena, mwachitsanzo, panthawi ya opaleshoni yochotsa chotupa. Ngati akukayikira kuti chotupacho chingakhale khansa, angachite mayeso ngati awa kuti atsimikizire zomwe akukayikira:

• Kuyeza singano yaying'ono: Izi zimaphatikizapo kugwiritsa ntchito singano yopyapyala komanso yopanda kanthu kuti muchotse chitsanzo cha maselo, madzi, kapena minofu ya chotupacho ndikuchiyang'ana pansi pa maikulosikopu kapena mu labotale kuti muwone ngati chotupacho chili ndi maselo a khansa.
• Kujambula kwa CT (Computed tomography - CT scan): Izi zimagwiritsa ntchito X-rays ndi kompyuta kuti zipange zithunzi za khosi lanu za magawo atatu (3D).
• Kujambula kwa MRI (Magnetic Resonance Imaging - MRI): Iyi ndi njira yoyesera yopanda ululu yomwe imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi zomveka bwino za khosi.

Kodi Chotupa cha Thyroglossal Duct Cyst Chiyenera Kuchotsedwa?

Dokotala wanu angakulangizeni opaleshoni, makamaka ngati chotupacho chili ndi kachilomboka kapena ngati chikukulepheretsani inu kapena mwana wanu kumeza chakudya kapena chakumwa . Nthawi zina, ngakhale chotupacho sichikuyambitsa zizindikiro zilizonse, dokotala wanu angakulangizeni opaleshoni.

Ndi opaleshoni yamtundu wanji yomwe imagwiritsidwa ntchito kuchotsa zotupa izi?

Opaleshoni yofala kwambiri imatchedwa Sistrunk surgery . Pa opaleshoniyi, madokotala amadula pang'ono khosi lanu kapena la mwana wanu ndikuchotsa chotupacho, mbali zina zotsala za thyroglossal tract, ndi pakati pa fupa lanu kapena la mwana wanu la hyoid.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni ya Sistrunk?

Anthu omwe adachitidwa opaleshoni ya Sistrunk amatha kubwerera kusukulu kapena kugwira ntchito patatha pafupifupi sabata imodzi . Komabe, madokotala angakulangizeni kuti mupewe kuchita zinthu zolemetsa, makamaka kunyamula zinthu zolemera, kwa milungu iwiri mpaka isanu ndi umodzi mutachitidwa opaleshoni.

Kodi Khansa ya Thyroglossal Duct Cyst imachiritsidwa bwanji?

Ngati muli ndi khansa yamtunduwu, dokotala wanu adzayamba walangiza njira ya Sistrunk. Kenako adzafufuza ma lymph nodes anu a lateral neck ndi thyroid gland. Kutengera ndi zotsatira za mayeso amenewo, angakulangizeni opaleshoni ina. Mwachitsanzo:

• Kuchotsa chithokomiro chonse: Mu njira iyi, madokotala amachotsa chithokomiro chonse kapena gawo lake.
• Kuduladula khosi la mbali: Ma lymph nodes onse m'khosi omwe angakhudzidwe ndi chotupacho amachotsedwa.
• Chithandizo cha ayodini wowopsa (RAI): Chithandizochi chimaphatikizapo kumwa piritsi lokhala ndi ayodini wowopsa, lomwe limawononga maselo onse a khansa otsala.

Kodi Thyroglossal Duct Cyst ingapewedwe?

Ayi. Chotupa ichi ndi chobadwa nacho . Izi zikutanthauza kuti munthu amabadwa ndi chotupachi. Chifukwa chake, palibe njira yochitetezera.

Kodi ndiyenera kuyembekezera chiyani ngati mwana wanga ali ndi thyroglossal duct cyst?

Nthawi zambiri, zotupazi sizibwerera pambuyo poti zachotsedwa ndi opaleshoni ya Sistrunk.Izi zikutanthauza kuti vutoli latha pafupifupi kwathunthu. Choncho, palibe chodetsa nkhawa nacho.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi khansa ya Thyroglossal Duct Cyst?

Kafukufuku akusonyeza kuti pafupifupi 95% ya khansa imeneyi imatha kuchiritsidwa ndi opaleshoni . Anthu ena angafunikenso kulandira chithandizo cha ayodini chochokera ku radioactive pambuyo pa opaleshoni. Koma mwayi wochira ndi waukulu kwambiri.

Mwana wanga anachotsedwa thyroglossal duct cyst. Kodi ndiyenera kupita kwa dokotala liti?

Ngati mwana wanu ali ndi zizindikiro izi atachitidwa opaleshoni, muyenera kuonana ndi dokotala nthawi yomweyo:

• Ngati pali malungo: Izi zikutanthauza kuti kutentha kwake ndi madigiri 38 Celsius (100.4 degrees Fahrenheit) kapena kupitirira apo.
• Ngati pali zizindikiro za matenda: monga kufiira, kutupa, kapena kupweteka.
• Ngati pali madzi akutuluka kuchokera pamalo ochitira opaleshoni.
• Ngati ululu suchepa ngakhale mutamwa mankhwala ochepetsa ululu omwe dokotala wakupatsani.

Chotupa cha khansa chinachotsedwa. Ndiyenera kupita kwa dokotala liti?

Madokotala angagwiritse ntchito njira zosiyanasiyana pochiza thyroglossal duct cyst. Chifukwa chake, funsani dokotala wanu za mavuto aliwonse omwe angachitike mutachita opaleshoni. Kawirikawiri, onani dokotala wanu ngati muli ndi zotsatirazi:

• Ngati muli ndi malungo: Ngati kutentha kuli madigiri Celsius 38 (madigiri Fahrenheit 100.4) kapena kupitirira apo.
• Ngati mukuona zizindikiro za matenda: monga kufiira, kutupa, kapena kupweteka.
• Ngati pali madzi akutuluka kuchokera pamalo ochitira opaleshoni.
• Mumamva ululu, ndipo ngakhale mutamwa mankhwala ochepetsa ululu omwe dokotala wakupatsani, samatha.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Matenda a Thyroglossal Duct Cyst ndi matenda osowa kwambiri, kotero mungadabwe kudziwa kuti mwana wanu ali ndi chotupa. Kapena, ngati muli ndi chotupa cha khansa, mungakhale ndi mafunso ambiri oti mufunse dokotala wanu. Nazi mafunso ena oti mufunse panthawi yotereyi:

• Kodi chotupa cha Thyroglossal Duct Cyst n'chiyani?
• N’chifukwa chiyani izi zinachitikira ine/mwana wanga?
• Kodi ine/mwana wanga ndikufunika opaleshoni?
• Kodi chotupachi chingabwererenso ngati nditachitidwa opaleshoni?
• Chotupa changa ndi khansa. Kodi mumalimbikitsa chithandizo chanji?
• Kodi zotsatirapo zake ndi ziti?

Ndizachilendo kukhala ndi nkhawa pang'ono ngati muwona chotupa chachilendo pakhosi panu kapena pa mwana wanu. Komabe, ngati ndi Thyroglossal Duct Cyst (TDC), mutha kupuma momasuka, chifukwa chotupachi nthawi zambiri chimakhala chosaopsa ndipo sichibwerera mutachichotsa opaleshoni .

Pomaliza, zinthu zoti muzikumbukira

Tangoganizirani, ngati mutapeza chotupa chaching'ono kapena chotupa pakhosi panu kapena pakhosi la mwana wanu, ndi zachilendo kukhala ndi nkhawa pang'ono, eti? Komabe, ngati ndi Thyroglossal Duct Cyst, n'zolimbikitsa kukumbukira kuti nthawi zambiri si choopsa. Zotupa zambirizi si khansa . Monga, sizimabweranso kawirikawiri mutachotsedwa ndi 'opereshoni ya Sistrunk'.

Komabe, nthawi zambiri, matendawa amatha kukhala khansa. Ngakhale zili choncho, akuti ndi opaleshoni ndi chithandizo china ngati pakufunika, pafupifupi 95% ya milandu imatha kuchiritsidwa.

Nthawi zambiri, Thyroglossal Duct Cyst siipweteka. Komanso, anthu ena sadziwa kuti ali nayo mpaka atavutika kumeza. Chifukwa chake, ngati muwona chotupa chatsopano pakhosi panu kapena pakhosi pa mwana wanu, ndi bwino kupita kwa dokotala popanda kuda nkhawa kwambiri. Dokotalayo amatha kuzindikira vutoli ndikulangiza chithandizo ngati pakufunika kutero. Musadandaule, pali njira zothetsera mavuto onse!

Chiphuphu cha Thyroglossal Duct Cyst, Chiphuphu cha Thyroglossal Duct Cyst, Chiphuphu cha Khosi, Ana, Opaleshoni ya Sistrunk, Khansa, Matenda Obadwa Nawo