UGlomus jugulare ithumba

I-glomus jugulare tumor isisu senxalenye yethambo lokwexeshana kwikakayi elibandakanya ukwakheka kwendlebe kwaphakathi naphakathi. Eli thumba linokuchaphazela indlebe, intamo ephezulu, isiseko solukakayi, kunye nemithambo yegazi ejikeleze imithambo-luvo.

I-glomus jugulare tumor ikhula kwithambo lokwexeshana lokakayi, kwindawo ebizwa ngokuba yi-jugular foramen. I-jugular foramen ikwakhona apho umthambo wejugular kunye neerves ezininzi ezibalulekileyo ziphumayo kukhakhayi.

Lo mmandla uqulethe iintsinga zemithambo-luvo, ezibizwa ngokuba yimizimba ye-glomus. Ngokwesiqhelo, le mithambo-luvo iyaphendula kutshintsho lobushushu bomzimba okanye uxinzelelo lwegazi.

Ezi tumors zihlala zenzeka kamva ebomini, malunga neminyaka engama-60 okanye engama-70, kodwa zinokubonakala nakweyiphi na iminyaka. Unobangela we-glomus jugulare tumor awaziwa. Kwiimeko ezininzi, akukho zinto zaziwayo zomngcipheko. Izidumba zeGlomus zinxulunyaniswa notshintsho (uguquko) kwimfuza ejongene ne-enzyme succinate dehydrogenase (SDHD).

Iimpawu zingabandakanya:

• Kunzima ukugwinya (iDysphagia)
• Ukuba nesiyezi
• Iingxaki zokuva okanye ukulahleka
• Ukuva ukubetha kwindlebe
• Ukurhabaxa
• Intlungu
• Ubuthathaka okanye ukulahleka kwentshukumo ebusweni (ukukhubazeka kwemithambo-luvo yobuso)

Amathumba eGlomus jugulare afunyaniswa kuvavanyo lomzimba kunye novavanyo lokucinga, kubandakanya:

• I-angiography yeCerebral
• Ukuskena i-CT
• Ukuskena iMRI

Izidumba zeGlomus jugulare kunqabile ukuba zibe nomhlaza kwaye azihlali zisasazeka kwamanye amalungu omzimba. Nangona kunjalo, unyango lunokufuneka ukuze kunciphise iimpawu. Olona nyango luphambili lutyando. Ugqirha luyinkimbinkimbi kwaye luhlala lusenziwa ngugqirha we-neurosurgeon, ugqirha wentloko kunye nentamo, kunye nodokotela ogqirha weendlebe (neurotologist).

Ngamanye amaxesha, inkqubo ebizwa ngokuba yi-embolization yenziwa ngaphambi kotyando ukunqanda ithumba ekuphumeni kwegazi kakhulu ngexesha lotyando.

Emva kotyando, unyango ngemitha lungasetyenziselwa ukunyanga naliphi na icandelo lesisu elingenakususwa ngokupheleleyo.

Ezinye iitum ze-glomus zinokunyangwa nge-stereotactic radiosurgery.

Abantu abaye benza utyando okanye imitha bakholisa ukwenza kakuhle. Ngaphezulu kwe-90% yabo bane-glomus jugulare tumors bayaphiliswa.

Ezona ngxaki zixhaphakileyo zibangelwa kukonakala kwemithambo-luvo, enokubangelwa sisisu ngokwaso okanye umonakalo ngexesha lotyando. Ukonakala kwemithambo kungakhokelela:

• Guqula ngelizwi
• Kunzima ukugwinya
• Ukuphulukana nokuva
• Ukukhubazeka kobuso

Fowunela umboneleli wakho ukuba:

• Banobunzima bokuva okanye ukuginya
• Phuhlisa ukubetha kwindlebe yakho
• Qaphela inqaba entanyeni yakho
• Qaphela naziphi na iingxaki ezinemisipha ebusweni bakho

IParaganglioma - glomus jugulare

UMarsh M, uJenkins HA. Iimpawu zethambo zexeshana kunye noqhaqho olusisiseko lwamva. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 176.

URucker JC, uThurtell MJ. I-cranial neuropathies. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 104.

UZanotti B, uVerlicchi A, uGerosa M.Glomus tumors. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 156.