Hlahala ea Glomus jugulare

Lefu la glomus jugulare ke hlahala ea karolo ea lesapo la nakoana ka lehata le kenyelletsang likarolo tsa tsebe le bohareng. Hlahala ena e ka ama tsebe, molala o kaholimo, lehata, le methapo ea mali e haufi le methapo.

Lefu la glomus jugulare le hola lesapong la nakoana la lehata, sebakeng se bitsoang jugular foramen. The jugular foramen ke moo mothapo o jugular le methapo e mengata ea bohlokoa e tsoang lehata.

Sebaka sena se na le likhoele tsa methapo, tse bitsoang 'mele ea glomus. Ka tloaelo, methapo ena e arabela liphetohong tsa mocheso oa 'mele kapa khatello ea mali.

Lihlahala tsena hangata li hlaha hamorao bophelong, li ka ba lilemo li 60 kapa 70, empa li ka hlaha li le lilemo life kapa life. Lebaka la hlahala ea glomus jugulare ha le tsejoe. Maemong a mangata, ha ho na mabaka a tsejoang a kotsi. Lihlahala tsa Glomus li amahanngoa le liphetoho (liphetoho tse bang teng liphatseng tsa lefutso) lefung le ikarabellang bakeng sa enzyme ea succinate dehydrogenase (SDHD).

Matšoao a ka kenyelletsa:

• Bothata ba ho metsa (dysphagia)
• Botsoa
• Mathata a ho utloa kapa tahlehelo
• Ho utloa ho phatloha tsebeng
• Ho thothofala
• Bohloko
• Bofokoli kapa tahlehelo ea motsamao sefahlehong (sefahleho sa sefahleho sa methapo ea kutlo)

Lihlahala tsa Glomus jugulare li fumanoa ka liteko tsa 'mele le liteko tsa ho nka litšoantšo, ho kenyelletsa:

• Angiography ea boko
• CT scan
• Ho hlahloba MRI

Lihlahala tsa Glomus jugulare hangata ha li na mofetše mme ha li atele ho namela likarolong tse ling tsa 'mele. Leha ho le joalo, ho ka hlokahala kalafo ho fokotsa matšoao. Kalafo ea mantlha ke ho buuoa. Phekolo e rarahane mme hangata e etsoa ke ngaka e buoang ea methapo ea kutlo, hlooho le molala, le ngaka e buoang ea tsebe (neurotologist).

Maemong a mang, ts'ebetso e bitsoang embolization e etsoa pele ho opereishene ho thibela hlahala hore e se ke ea tsoa mali haholo nakong ea ts'ebetso.

Kamora 'opereishene, kalafo ea radiation e ka sebelisoa ho alafa karolo efe kapa efe ea hlahala e neng e ke ke ea tlosoa ka botlalo.

Lihlahala tse ling tsa glomus li ka phekoloa ka radiosurgery ea stereotactic.

Batho ba etsoang opereishene kapa radiation ba etsa hantle. Ho feta 90% ea ba nang le lihlahala tsa glomus jugulare ba folisitsoe.

Mathata a atileng haholo a bakoa ke tšenyo ea methapo, e ka bakoang ke hlahala ka boeona kapa tshenyo nakong ea ho buuoa. Tšenyo ea methapo e ka lebisa ho:

• Fetola ka lentsoe
• Ho thata ho koenya
• Ho lahleheloa ke kutlo
• Ho holofala sefahleho

Bitsa mofani oa tlhokomelo ea bophelo haeba u:

• Ba thatafalloa ke ho utloa kapa ho koenya
• Hlaolela likhahla tsebeng ea hau
• Hlokomela lesela molaleng oa hau
• Hlokomela mathata afe kapa afe ka mesifa e sefahlehong sa hau

Paraganglioma - glomus jugulare

Marsh M, Jenkins HA. Matšoafo a nakoana a masapo le opereishene ea mantlha ea cranial base. Ka: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 6th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 176.

Rucker JC, Thurtell MJ. Li-neuropathies tsa Cranial. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 104.

Zanotti B, Verlicchi A, lihlahala tsa Gerosa M. Glomus. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 156.