Mwana wako mudiki dzimwe nguva anotanga kuseka zvinonzwika pasina chikonzero here? Kuseka ikoko hakumisiki here, sekunge kurwara nepfungwa? Kana kuti mwanasikana wako kana mwanakomana wako ari kuratidza zviratidzo zvekuyaruka nguva isati yakwana? Zvakajairika kuti iwe, semubereki, unzwe kutya uye kuzvidya mwoyo zvakanyanya paunoona zvinhu izvi. Nhasi tiri kutaura nezvechirwere chepfungwa chisingawanzoitiki, asi chakakosha kuziva, chinogona kukonzera zviratidzo izvi.
Chii chinonzi Hypothalamic Hamartoma (HH)?
Zvichitaurwa zviri nyore, ibundu risiri rekenza rinokura mukati meuropi hwedu, muchikamu chakakosha chinonzi hypothalamus, icho chakaenzana nearumondi.
Funga nezve hypothalamus senzvimbo huru yekudzora muviri wedu. Inoita basa guru mukuchengetedza zvese zviri muchiyero (homeostasis), ichibatanidza mahormone netsinga mumuviri wedu.
Zvimwe zvezvinhu zvinodzorwa nehypothalamus ndeizvi:
- Kumanikidzwa kweropa
- Kupisa kwemuviri
- Kunzwa kushushikana, kuzvidya mwoyo
- Nzara nenyota
- Kuburitswa kwemahormone kubva mugland repituitary
- Kurara nekumuka nguva nenguva
Bundu iri reHH rinotanga kukura mwana achiri mudumbu . Sezvo uropi hwemwana huchikura, bundu iri rinokura zvishoma nezvishoma. Asi musazvidya mwoyo, haripararire kune dzimwe nhengo dzeuropi kana dzimwe nhengo mumuviri. Kazhinji, pane bundu rimwe chete, asi kashoma kuti pave neakawanda.
Chinhu chakanaka ndechekuti pari zvino kwava nemishonga yakanaka yekudzivirira zviratidzo zvinokonzerwa nechirwere ichi.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo izvi hazvina kufanana kumwana wese uye zvinogona kusiyana kubva pamwana kuenda kune mumwe. Zvisinei, kune mapoka matatu makuru ezviratidzo zvinogona kuonekwa.
1. Kuyaruka Usati Wasvika Pazera Rekuyaruka
Ichi ndicho chimwe chezviratidzo zvikuru zvechirwere ichi. Muchidimbu, muviri wemwana unotanga kukura pabonde kare kare kupfuura zera rakajairika. Izvi zvinonzi "Central Precocious Puberty". Izvi zvinoitika nekuti uropi hunotumira zviratidzo zvekugadzira mahormone epabonde nekukurumidza.
Kazhinji, kana musikana akaratidza zviratidzo zvekuyaruka asati asvitsa makore masere uye mukomana asati asvitsa makore mapfumbamwe, tinofanira kunetseka.
| Hunhu hunoonekwa muvasikana | Hunhu hunoonekwa muvakomana |
|---|---|
| Kukura kwemazamu | Kunzwa kurira/kudzikira kwezwi |
| Kukura kwebvudzi muhapwa nenzvimbo dzakavanzika | Kukura kwebvudzi pachiso, muhapwa, uye munzvimbo dzakavanzika |
| Kuenda kumwedzi (kuenda kumwedzi) | Kukura kwemachende nenhengo yemurume |
| Kuumbwa kwemapundu | Kuumbwa kwemapundu |
2. Kubatwa nepfari
Kubatwa nepfari kunowanzoitikawo muchirwere ichi. Kunewo rudzi rwakakosha uye rwakajairika rwepfari muchirwere ichi. Chinonzi Gelastic seizure .
Kubatwa nepfungwa kunokonzerwa nemagetsi muuropi izvo zvinokonzera kuseka kusingadzoreki pasina chikonzero chakajeka. Zvakafanana nekuseka zvisina kunaka.
Kuseka uku hakusi chiitiko chinofadza. Kunogona kungotora masekondi mashoma chete, asi kunogona kuitika kakawanda pazuva, uye mune dzimwe nguva dzakakomba, kakawanda paawa. Kazhinji, rudzi urwu rwepfari runotanga mwana asati asvika gore rimwe chete . Asi zvishoma nezvishoma runoderera mushure memakore gumi.
Pamusoro pezvo, mamwe marudzi echirwere chepfungwa anogona kuonekwawo.
- Kubatwa nepfungwa dzinokonzera kudonha kweropa (Atonic epilepsy): Kutadza kudzora muviri kamwe kamwe, kushaya simba kwetsandanyama, uye kuwira pasi.
- Kubatwa nepfungwa dzakasimba: Kusagona kudzora, kuchema nguva dzose pasina chikonzero, zvakafanana nekuseka.
- Kubatwa nepfungwa dzakaita se tonic-clonic seizures: Sezvatinoziva tese, kubatwa nepfungwa kukuru kunokonzera kurasikirwa nepfungwa uye kugwinha-gwinha kwemuviri.
3. Zviratidzo zveHuropi uye Kuchinja Kwemaitiro
Sezvo hypothalamus iri chikamu cheuropi chinobatsira kudzora manzwiro edu nemaitiro edu, HH inogona kukanganisa maitiro emwana, mafungiro, uye kugona kwake kudzidza. Matambudziko anogona kuitika anosanganisira:
- Kuomerwa nekuteerera uye kusanyanya kuita zvinhu (Attention-deficit/hyperactivity disorder - ADHD)
- Hunhu hwakaipa, husina kunaka `(Kusagadzikana kwemaitiro)`
- Kuremara kwepfungwa
- Matambudziko epfungwa
- Dambudziko rekusawirirana kwevamwe
- Maitiro ekuita chiito
- Matambudziko ekurangarira kwenguva pfupi
Pane mhando dzema hematoma e hypothalamic here?
Ehe, bundu iri rinogona kukamurwa kuita mhando mbiri huru zvichienderana nenzvimbo yaro mu hypothalamus uye zviratidzo zvarinokonzera.
1. Chironda chemukati memuviri: Murudzi urwu, bundu iri riri kuseri kwehypothalamus. Izvi zvinokanganisa mashandiro emagetsi europi, zvichikonzera njodzi yakakura yekubatwa nepfari nematambudziko ehunhu .
2. Parahypothalamic lesion (pedunculated lesion): Pano bundu riri pamberi pehypothalamus. Ichi ndicho chiratidzo chikuru chinoonekwa nekuda kwekukura kwevana .
Vamwe vana vanogona kunge vaine mhando dzese dziri mbiri pamwe chete.
Chii chiri kukonzera mamiriro ezvinhu aya?
Hapana chikonzero chaicho cheizvi parizvino . Uye hapana nzira yekuzvidzivirira. Kazhinji, zvinoitika zvisina tsarukano. Izvi zvinoreva kuti hazviwanzoitika zvenhaka. Mikana yekuti mwana wako azviite yakaderera nekuti mumwe munhu mumhuri mako anazvo.
Asi tsvakiridzo yazvino yakawana kuti pane shanduko dziri mujini rinonzi `GLI3` mukati menyama yemabundu aya. Tsvagiridzo ichiri kuenderera mberi panyaya iyi.
Zvakaonekwawo kuti chirwere chinonzi ``Pallister-Hall syndrome (PHS)'' chingave chine chekuita neHH.
Nzira yekuziva sei chirwere ichi chaizvo?
Chiremba wako angangoda kuti upihwe MRI (Magnetic Resonance Imaging) scan yeuropi hwako kuti asimbise chirwere chacho. MRI inogona kuburitsa mifananidzo yakajeka uye yakadzama yeuropi.
Vana vadiki vangangoda kupiwa mushonga wekudzikisa marwadzo kuti vasafambe panguva yeMRI, sezvo kufamba-famba kunogona kukonzera kuti mifananidzo iri pascan isanyatsojeka.
Kana mwana wako aine pfari, bvunzo yeEEG (Electroencephalogram) inokurudzirwawo. Izvi zvinoedza mashandiro emagetsi europi.
Pamusoro pezvo, bvunzo dzetsinga dzinogona kuitwa kuti mwana aone kufunga kwake, kudzidza kwake, uye kugona kwake kuyeuka, uye bvunzo dzeropa dzinogona kuitwa kuti aone huwandu hwemahormone. Ruzivo rwunobva muongororo idzi runogona kubatsira zvikuru pakuronga kurapwa.
Inorapwa sei?
Pane zvinangwa zvikuru zviviri pakurapa HH: Chimwe ndechekudzora kuyaruka panguva yekuzvitakura, uye chimwe ndechekudzora pfari.
- Pakuyaruka kwekutanga: Mishonga inoshandiswa pakuita izvi. Majekiseni eGonadotropin-releasing hormone anopiwa sejekiseni remwedzi wega wega. Izvi zvinodzora kuburitswa kwemahormone uye zvinodzora zviratidzo zvekuyaruka. Kana mwana asvika pazera iro mwana anofanira kuyaruka, chiremba anomisa mushonga wacho.
- Nezvepfari: 'Gelastic seizures' yatakambotaura nezvayo haipinduri zvakanaka nemishonga yakajairika yekudzivirira pfari. Saka , kuvhiyiwa kana mamwe maitiro ehunyanzvi anowanzo dikanwa.
Heano mamwe enzira huru dzinoshandiswa kubvisa kana kuparadza hematoma kudzora pfari.
| Nzira yekurapa | Zvakatsanangurwa zviri nyore |
|---|---|
| Kuvhiyiwa kwebanga reGamma | Uku hakusi kuvhiyiwa chaiko. Ganda harichekwe. Simba guru (radiation) rinongonangwa panzvimbo yebundu reuropi uye rinoriparadza. |
| Kuvhiyiwa kwekubvisa ganda (kuvhiyiwa kwekubvisa ganda) | Chiremba anobvisa bundu nekuvhura dehenya (craniotomy), kana kugadzira buri diki mudehenya, uye kuisa chinhu chakadai se endoscope. |
| Kubviswa kweStereotactic laser | Iyi inzira isinganyanyi kukuvadza. Benzi relaser rinotumirwa kuburikidza netambo ye fiber optic kuti riparadze bundu. |
| Stereotactic thermoablation | Nzira iyi inoshandisa kupisa kuparadza bundu. Zvishandiso zvitete zvinopinzwa nepaganda remusoro uye zvinopiswa nemasaisai eredhiyo kuparadza tishu yebundu. |
Pamusoro pezvo, rubatsiro rwedzidzo rwakakosha, kurapwa kwemaitiro, uye mishonga zvinogona kupihwa kuchikoro kugadzirisa matambudziko emwana emaitiro nekudzidza.
Unofanira kuona chiremba rini?
Saamai kana baba, unonyatsoziva mwana wako. Saka, kana ukaona shanduko kana zviratidzo zvisingawanzoitika pamwana wako, usazvifuratira . Kana mwana wako aine chimwe chezviratidzo zvinotevera, tsvaga rubatsiro rwechiremba nekukasika.
- Kubatwa nepfungwa: Kunyanya kuseka pasina chikonzero.
- Zviratidzo zvekutanga kuyaruka: Sezvatakambotaura, zvinhu zvakaita sekukura kwebvudzi uye inzwi zvinoshanduka.
- Matambudziko ekudzidza: kutadza kuisa pfungwa pachinhu chimwe, kuchinja kwendangariro.
- Kuchinja kwemaitiro: Kutsamwira zvinhu zvidiki, kuva nehasha.
- Kusawirirana kwemahormone: nyota yakawandisa, kuchinja kwenzara, kushanduka-shanduka kwemafungiro kamwe kamwe.
Unganzwa kutya zvikuru paunoziva kuti mwana wako ane HH. Asi yeuka, ikozvino kune mishonga inoshanda zvikuru yeizvi. Taura nachiremba wako uye sarudza mushonga wakanakira mwana wako.
Mharidzo Yekuenda Nayo Kumba
- Hypothalamic Hamartoma (HH) ibundu risingawanzoitiki, risiri rekenza rinoumbwa muuropi panguva yekuzvarwa.
- Zviratidzo zvikuru zviviri zveizvi nderekufa kweganda uye kuyaruka nguva isati yakwana.
- Muedzo mukuru unoshandiswa pakuongorora chirwere ichi iMRI scan yeuropi.
- Kuyaruka kwevana vasati vasvika panguva yekuzvitakura kunogona kudzorwa zvinobudirira kuburikidza nemishonga, kuvhiyiwa kwepfari, kana dzimwe nzira dzakagadzirwa.
- Kana muine fungidziro diki yekuti mwana wenyu ane zviratidzo izvi, ndapota bvunzai chiremba wevana kana nyanzvi yezveuropi nekukurumidza.
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