Glomus jugulare hlav

Glomus jugulare hlav yog lub qog ntawm cov ntu ntawm cov pob txha ib ntus hauv cov pob txha taub hau uas cuam tshuam txog hauv nruab nrab thiab sab hauv pob ntseg. Cov qog no tuaj yeem cuam tshuam pob ntseg, caj dab sab sauv, puag ntawm lub pob txha taub hau, thiab cov hlab ntshav nyob ib puag ncig.

Glomus jugulare hlav hlav hauv pob txha ntawm lub pob txha taub hau, hauv thaj chaw hu ua jugular foramen. Lub jugular foramen kuj tseem yog qhov chaw jugular hlab ntsha thiab ob peb lub qab haus huv tseem ceeb tawm ntawm lub pob txha taub hau.

Cov chaw no muaj cov hlab ntsha hauv lub cev, hu ua glomus lub cev. Nquag, cov qab haus huv no teb rau qhov hloov ntawm lub cev kub lossis ntshav siab.

Cov hlav no feem ntau tshwm sim tom qab lub neej, thaj tsam hnub nyoog 60 lossis 70 xyoo, tab sis tuaj yeem tshwm sim thaum muaj hnub nyoog. Cov ua rau mob glomus jugulare hlav tsis paub meej. Feem ntau, tsis paub txog cov kev pheej hmoo txaus ntshai. Glomus qog tau cuam tshuam nrog kev hloov pauv (hloov pauv) hauv ib tus gene lub luag haujlwm rau lub enzyme succinate dehydrogenase (SDHD).

Cov tsos mob tuaj yeem suav nrog:

• Nyuaj nqos nyuaj (dysphagia)
• Kiv taub hau
• Hnov teeb meem tsis hnov ​​lus los yog poob
• Hnov cov mem tes hauv pob ntseg
• Khuam
• Mob
• Tsis muaj zog lossis poob ntawm lub ntsej muag (ntsej muag lub ntsej muag)

Glomus jugulare hlav tau raug kuaj los ntawm kev kuaj lub cev thiab ntsuam xyuas lub ntsej muag, suav nrog:

• Cerebral angiography
• Iav scan
• MRI scan

Glomus jugulare qog yuav tsis tshua muaj mob qog thiab tsis mob kis mus rau lwm qhov ntawm lub cev. Txawm li cas los xij, kev kho mob tuaj yeem xav tau los daws cov tsos mob. Qhov kev kho mob tseem ceeb yog kev phais mob. Kev phais mob yog qhov nyuaj thiab feem ntau ua los ntawm tus kws kho mob hlwb, kws phais taub hau thiab caj dab, thiab kws phais pob ntseg (neurotologist).

Qee qhov xwm txheej, txheej txheem hu ua embolization tau ua ua ntej kev phais mob kom tiv thaiv qog ntshav los ntshav ntau dhau thaum phais.

Tom qab kev phais mob, kev siv tshuaj hluav taws xob rau kev kho mob rau qee feem ntawm cov qog ntshav uas tsis tuaj yeem tshem tawm tag nrho.

Qee qhov glomus hlav tuaj yeem kho nrog stereotactic radiosurgery.

Cov neeg uas phais los yog hluav taws xob zoo yuav ua zoo. Ntau tshaj li 90% ntawm cov neeg uas mob glomus jugulare hlav tau zoo.

Cov teeb meem feem ntau tshwm sim yog vim puas ntsoog, uas yuav yog los ntawm lub qog nws tus kheej lossis puas tsuaj thaum phais mob. Kev puas ntsoog tuaj yeem ua rau:

• Hloov suab
• Nyuaj nqos nyuaj
• Hnov tsis hnov ​​lus
• Paralysis ntawm lub ntsej muag

Hu koj tus kws kho mob yog tias koj:

• Puas muaj teeb meem nrog hnov ​​lossis nqos
• Tsim kom muaj kev xoo hauv koj lub pob ntseg
• Pom tias muaj qog nyob hauv koj lub caj dab
• Pom tias muaj teeb meem nrog cov leeg hauv koj lub ntsej muag

Paraganglioma - glomus jugulare

Marsh M, Jenkins HA. Temporal pob txha neoplasms thiab phais tom qab cranial puag. Hauv: Flint PW, Haughey BH, Lund V, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 176.

Rucker JC, Thurtell MJ. Cov leeg neuropathies. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 104.

Zanotti B, Verlicchi A, Gerosa M. Glomus hlav. Hauv: Winn HR, ed. Youmans thiab Winn Neurological phaisCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 156.