Isimila sikaGlomus jugulare

Isigaxa se-glomus jugulare yisimila sengxenye yethambo lesikhashana kugebhezi elibandakanya ukwakheka kwendlebe kwaphakathi nangaphakathi. Lesi isimila singathinta indlebe, intamo engenhla, isisekelo sogebhezi, nemithambo yegazi nemizwa ezungezile.

Isigaxa se-glomus jugulare sikhula ethanjeni lesikhashana logebhezi, endaweni ebizwa nge-jugular foramen. I-jugular foramen kulapho umthambo we-jugular nezinzwa eziningana ezibalulekile ziphuma khona kugebhezi.

Le ndawo iqukethe imicu yezinzwa, ebizwa ngemizimba ye-glomus. Ngokuvamile, lezi zinzwa ziphendula ekushintsheni kokushisa komzimba noma umfutho wegazi.

Lezi zicubu zivame ukwenzeka kamuva empilweni, ezineminyaka yobudala engama-60 noma engama-70, kepha zingavela noma kunini. Imbangela yesimila i-glomus jugulare ayaziwa. Ezimweni eziningi, azikho izici eziyingozi ezaziwayo. Izicubu zeGlomus zihlotshaniswa nezinguquko (ukuguquka kwezakhi zofuzo) kufuzo olubhekele i-enzyme succinate dehydrogenase (SDHD).

Izimpawu zingafaka:

• Kunzima ukugwinya (i-dysphagia)
• Isiyezi
• Izinkinga zokuzwa noma ukulahleka
• Ukuzwa ukuqhuma endlebeni
• Ukungahambi kahle
• Ubuhlungu
• Ubuthakathaka noma ukulahleka kokunyakaza ebusweni (i-facial nerve palsy)

Izicubu zeGlomus jugulare zitholwa ngokuhlolwa komzimba nokuhlolwa kwe-imaging, kufaka phakathi:

• I-Cerebral angiography
• Iskena se-CT
• Ukuskena kwe-MRI

Izicubu zeGlomus jugulare azivamile ukuba nomdlavuza futhi azijwayele ukusabalala kwezinye izingxenye zomzimba. Kodwa-ke, ukwelashwa kungadingeka ukukhulula izimpawu. Ukwelashwa okuyinhloko ukuhlinzwa. Ukuhlinzwa kuyinkimbinkimbi futhi kuvame ukwenziwa ngudokotela ohlinza izinzwa, ikhanda nodokotela ohlinzayo, nodokotela ohlinzayo wezindlebe (i-neurotologist).

Kwezinye izimo, inqubo ebizwa ngokuthi i-embolization yenziwa ngaphambi kokuhlinzwa ukuze kuvinjelwe isimila ukuthi singophi kakhulu ngesikhathi sokuhlinzwa.

Ngemuva kokuhlinzwa, ukwelashwa ngemisebe kungasetshenziswa ukwelapha noma iyiphi ingxenye yesimila ebingasuswa ngokuphelele.

Ezinye izicubu ze-glomus zingelashwa nge-radiosurgery ye-stereotactic.

Abantu abahlinzwa noma imisebe bavame ukwenza kahle. Ngaphezu kwe-90% yalabo abane-glomus jugulare tumors bayelapheka.

Izinkinga ezivame kakhulu zibangelwa ukulimala kwezinzwa, okungabangelwa isimila uqobo noma ukulimala ngesikhathi sokuhlinzwa. Ukulimala kwemizwa kungaholela ku:

• Shintsha ngezwi
• Kunzima ukugwinya
• Ukulahlekelwa ukuzwa
• Ukukhubazeka kobuso

Shayela umhlinzeki wakho wezempilo uma:

• Unenkinga ngokuzwa noma ukugwinya
• Thuthukisa imizwa endlebeni yakho
• Qaphela isigaxa entanyeni yakho
• Qaphela noma yiziphi izinkinga ngemisipha ebusweni bakho

IParaganglioma - glomus jugulare

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URucker JC, uThurtell MJ. Ama-neuropathies we-Cranial. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 104.

UZanotti B, uVerlicchi A, uGerosa M. Glomus izimila. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 156.