I-Craniopharyngioma

Iyini i-craniopharyngioma?

I-Craniopharyngioma iyithumba ebuchosheni elingenawo umdlavuza (benign) elingavamile kakhulu.

I-craniopharyngioma ikhula eduze nendlala ye-pituitary ebuchosheni, ekhiqiza amahomoni alawula imisebenzi ehlukahlukene yomzimba. I-craniopharyngioma ingaphazamisa ukusebenza kwe-pituitary gland nezinye izakhiwo zobuchopho njengoba ikhula kancane.

I-craniopharyngioma ingathinta noma ubani kunoma imuphi ubudala, kodwa ivame kakhulu entsheni nakubantu asebekhulile. Ukungaboni kahle kahle, ukukhathala, ukuchama njalo, kanye nekhanda elibuhlungu ngezinye zezimpawu. I-Craniopharyngioma idala ukuthi izingane zikhule kancane futhi zibe zincane kunalokho obekubikezelwe.

I-Craniopharyngiomas yenza cishe amaphesenti angu-10 kuya kwangu-15 azo zonke izimila ze-pituitary. Ngaphezu kwalokho, lolu hlobo lwesimila lwakha cishe u-6% wawo wonke umdlavuza wobuchopho ezinganeni.
I-craniopharyngiomas ivame kakhulu ezinganeni eziphakathi kweminyaka emihlanu neshumi nane. Ngakolunye uhlangothi, abantu abadala abangaphezu kweminyaka engama-50 bangathola izimila ezimbi.

Izimpawu ze-craniopharyngioma

I-craniopharyngioma ekhulayo ingafaka ukucindezela emithanjeni ye-pituitary gland, imithambo yegazi kanye nezicubu zobuchopho, okubangela izimpawu ezifana nalezi:

• Izinkinga zokulinganisela

• Ukudideka, ukushintsha kwemizwa noma ukushintsha kokuziphatha

• bekhanda

• Ukoma nokwanda kokuchama

• I-nausea nokuhlanza

• Ukukhula kancane ezinganeni

• Izinkinga zembono

Ukuxilongwa kwe-craniopharyngioma

I-Craniopharyngioma ayinazo izimbangela ezibonwayo noma izici eziyingozi eziqinisekisiwe ngalesi sikhathi.

Ukungalingani kwehomoni okubangelwa ukungasebenzi kahle kwe-pituitary gland kungatholwa kusetshenziswa ukuhlolwa kwegazi nomchamo.

Uma udokotela wakho esola i-craniopharyngioma, angase aphakamise i-MRI noma i-CT scan yendawo ezungezile ye-pituitary gland. Lezi zivivinyo zingasiza ekuboneni i-craniopharyngioma kwezinye izimila ze-pituitary ngokunikeza umbono ophelele wobuchopho kanye ne-pituitary gland.

The isisu ingase itholwe futhi isuswe ngesikhathi esifanayo uma udokotela wakho eyala i-biopsy.

Ukwelashwa kwe-craniopharyngioma

Ukususwa ngokuhlinzwa kuwumugqa wokuqala wokwelapha ongcono kakhulu we-craniopharyngioma. Umgomo wokuhlinzwa uwukukhipha isimila ngokuphepha ngangokunokwenzeka kuyilapho futhi kuthuthukisa umbono nokusebenza kobuchopho kuyilapho ugwema izinkinga. Kunengqondo ukuphokophela ukususwa kwesimila esibanzi uma isiguli sinokushoda kwehomoni ye-pituitary ngaphambi kokuhlinzwa. Ukuze kuvikelwe ukusebenza kwendlala, indlela yokuhlinzwa ecophelela kakhulu ingase icatshangelwe uma ukusebenza kwe-pituitary kuvame kakhulu. Ishiya le-supra-orbital i-craniotomy noma indlela ye-endoscopic endonasal (ngekhala) ingasetshenziswa ukususa ingxenye enkulu ye-craniopharyngiomas. Zingama-50-60% kuphela eziguli ezingasuswa ngokuphelele izimila ngenxa yokungakwazi ukunamathela ku-optic chiasm, eminye imizwa, kanye nemithambo yegazi ebalulekile.

I-Orbitozygomatic craniotomy

I-orbitozygomatic craniotomy iyindlela evamile yokuhlinzwa yokwelapha izimila eziyinkinga kanye nama-aneurysms phansi kogebhezi. Kusekelwe embonweni wokuthi kuphephe kakhudlwana ukususa ithambo elingadingekile kunokulungisa ubuchopho ngokungadingekile.

I-neurosurgeon yenza i-incision esikhumbeni ngemuva komugqa wezinwele futhi isuse ithambo elakha i-contour ye-orbit nesihlathi isebenzisa le ndlela ukuze isuse i-craniopharyngioma. Ukususa leli thambo okwesikhashana kusiza udokotela ohlinzayo ukuthi afinyelele izingxenye zobuchopho okunzima ukuzifinyelela kuyilapho kunciphisa ukulimala kwengqondo. Ekupheleni kokwelashwa, udokotela ohlinzayo ufaka ithambo.

Ithimba likadokotela wakho ohlinzayo lingase futhi liphakamise ukwelashwa esikhundleni se-hormone kanye/noma i-stereotactic radiosurgery ngemva kokuhlinzwa.