Glomus jugulare bundu

Glomus jugulare bundu ibundu rechikamu chefupa repanguva mudehenya chinosanganisira zvivakwa zvepakati uye zvemukati zve nzeve. Bundu iri rinogona kukanganisa nzeve, mutsipa wepamusoro, hwaro hwehenya, uye nemidzi yeropa yakakomberedza uye tsinga.

Bundu re glomus jugulare rinokura mupfupa reiyo dehenya, munzvimbo inonzi jugular foramen. Iyo jugular foramen iri zvakare apo iyo jugular vein uye akati wandei akakosha tsinga dzinobuda mudehenya.

Iyi nzvimbo ine tsinga dzemagetsi, inonzi glomus miviri. Kazhinji, idzi tsinga dzinopindura shanduko mukushisa kwemuviri kana kuwedzerwa kweropa.

Aya mamota anowanzoitika mumashure muhupenyu, angangoita makore makumi matanhatu kana makumi manomwe, asi anogona kuoneka chero pazera. Chikonzero che glomus jugulare bundu hachizivikanwe. Kazhinji, hapana zvinozivikanwa zvine njodzi. Glomus tumarara dzakabatana nekuchinja (shanduko) mune geni rinotungamira iyo enzyme succinate dehydrogenase (SDHD).

Zviratidzo zvinogona kusanganisira:

• Dambudziko kumedza (dysphagia)
• Dzungu
• Kunzwa matambudziko kana kurasikirwa
• Kunzwa kupururudza munzeve
• Kuchema
• Kurwadziwa
• Kushaya simba kana kurasikirwa kwekufamba kumeso (kumeso kwetsinga palsy)

Glomus jugulare mamota anoonekwa nekuongororwa kwemuviri uye bvunzo dzekufungidzira, kusanganisira:

• Cerebral angiography
• CT scan
• MRI scan

Glomus jugulare mamota haawanzo kenza uye haawanzo kupararira kune dzimwe nhengo dzomuviri. Zvisinei, kurapwa kunogona kudiwa kubvisa zviratidzo. Mushonga mukuru kuvhiya. Kuvhiya kwakaoma uye kunowanzoitwa neurosurgeon, musoro uye mutsipa chiremba, uye nzeve chiremba (neurotologist).

Mune zvimwe zviitiko, maitiro anonzi embolization anoitwa usati wavhiyiwa kudzivirira bundu kubva pakubuda ropa zvakanyanya panguva yekuvhiyiwa.

Mushure mekuvhiyiwa, kurapwa kwemwaranzi kunogona kushandiswa kurapa chero chikamu chebundu icho chisingakwanise kubviswa zvachose.

Mamwe matumbo e glomus anogona kurapwa ne stereotactic radiosurgery.

Vanhu vanovhiyiwa kana radiation vanowanzoita zvakanaka. Vanopfuura makumi mapfumbamwe muzana evaya vane glomus jugulare tumors vanorapwa.

Zvinetso zvakajairika zvinokonzerwa nekukuvara kwetsinga, izvo zvinogona kukonzerwa nebundu pacharo kana kukuvara panguva yekuvhiyiwa. Kukuvara kwemutsipa kunogona kutungamira ku:

• Chinja nezwi
• Zvakaoma kumedza
• Kunzwa kurasikirwa
• Kuoma muviri kwechiso

Fonera wako mupi wezvehutano kana iwe:

• Vari kunetsekana nekunzwa kana kumedza
• Gadzira pulsations munzeve yako
• Cherechedza bundu mumutsipa mako
• Cherekedza chero matambudziko ane mhasuru kumeso kwako

Paraganglioma - glomus jugulare

Marsh M, Jenkins HA. Yechinguva mapfupa mapundu uye lateral cranial base kuvhiyiwa. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 176.

Rucker JC, Thurtell MJ. Cranial neuropathies. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 104.

Zanotti B, Verlicchi A, Gerosa M. Glomus mamota. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 156.