Craniopharyngioma

Craniopharyngioma ke hlahala e se nang mofetše (benign) e hlahang botlaaseng ba boko haufi le tšoelesa ea pituitary.

Lebaka le tobileng la hlahala ha le tsejoe.

Hangata hlahala ena e ama bana ba pakeng tsa lilemo tse 5 ho isa ho tse 10. Ka linako tse ling batho ba baholo ba ka ameha. Bashemane le banana le bona ba na le monyetla o tšoanang oa ho ba le hlahala ena.

Craniopharyngioma e baka matšoao ka:

• Khatello e ntseng e eketseha bokong, hangata e tsoang ho hydrocephalus
• Ho senya tlhahiso ea lihormone ke tšoelesa ea pituitary
• Khatello kapa tšenyo ea methapo ea mahlo

Khatello e eketsehileng bokong e ka baka:

• Ho opeloa ke hlooho
• Ho nyekeloa
• Ho hlatsa (haholo-holo hoseng)

Tšenyo ea lesela la pituitary e baka ho se leka-lekane ha lihormone ho ka lebisang lenyong le ho tlotseng ho fetelletseng, le kholo e liehang.

Ha methapo ea mahlo e senngoa ke hlahala, mathata a pono a ba teng. Hangata liphoso tsena ke tsa ka mehla. Ba ka mpefala kamora ho buuoa ho tlosa hlahala.

Mathata a boitšoaro le a ho ithuta a ka ba teng.

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Liteko li tla etsoa ho hlahloba hlahala. Tsena li ka kenyelletsa:

• Liteko tsa mali ho lekanya maemo a lihormone
• CT scan kapa MRI ea boko
• Tlhahlobo ea tsamaiso ea methapo

Morero oa kalafo ke ho imolla matšoao. Hangata, ho buuoa e bile kalafo e ka sehloohong ea craniopharyngioma. Leha ho le joalo, kalafo ea radiation ho fapana le ho buuoa kapa ho etsoa opereishene e nyane e kanna ea ba khetho e ntle ho fetisisa ho batho ba bang.

Ka lihlahala tse ke keng tsa tlosoa ka botlalo ka ho buuoa feela, ho sebelisoa kalafo ea radiation.Haeba hlahala e na le ponahalo ea khale ho CT scan, biopsy e kanna ea se hlokahale haeba ho reriloe kalafo ka radiation feela.

Li-radiosurgery tsa stereotactic li etsoa litsing tse ling tsa bongaka.

Hlahala ena e phekoloa hantle setsing se nang le boiphihlelo ba ho phekola craniopharyngiomas.

Ka kakaretso, pono e ntle. Ho na le monyetla oa pheko oa 80% ho ea ho 90% haeba hlahala e ka tlosoa ka botlalo ka ho buuoa kapa ea phekoloa ka mahlaseli a phahameng. Haeba hlahala e khutla, hangata e tla khutla nakong ea lilemo tse 2 tse qalang kamora ho buuoa.

Ponahalo e latela lintlha tse 'maloa, ho kenyelletsa:

• Hore na hlahala e ka tlosoa ka botlalo
• Ke mathata afe a sistimi ea methapo le ho se leka-lekane ha li-hormone hlahala le sesosa sa kalafo

Mathata a mangata a li-hormone le pono ha a ntlafatse kalafo. Ka linako tse ling, kalafo e ka ba ea ba mpefatsa le ho feta.

Ho ka ba le mathata a li-hormone tsa nako e telele, pono le tsamaiso ea methapo kamora ho phekoloa ha craniopharyngioma.

Ha hlahala e sa tlosoe ka botlalo, boemo bo ka khutla.

Bitsa mofani oa hau bakeng sa matšoao a latelang:

• Hlooho, ho nyekeloa ke pelo, ho hlatsa kapa ho leka-lekanya mathata (matšoao a khatello e eketsehileng bokong)
• Nyora e eketsehileng le ho ntša metsi
• Khōlo e fokolang ho ngoana
• Pono ea fetoha

• Litšoelesa tsa endocrine

DM ea setaele. Physiology le mathata a ho kena bohlankaneng kapa boroetsaneng. Ka: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, bahlophisi. Buka ea Williams ea Endocrinology. La bo14 la ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 26.

Suh JH, Chao ST, Murphy ES, Recinos PF. Lihlahala tsa pituitary le craniopharyngiomas. Ka: Tepper JE, Foote RL, Michalski JM, eds. Oncology ea mahlaseli a kotsi ea Gunderson & Tepper. La 5th. Philadelphia, PA: Elsevier; 2021: khaolo ea 34.

Zaky W, Ater JL, Khatua S. Lihlahala tsa bongo bongoaneng. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 524.