ʻO Tumom jugulare jugulare

ʻO ka tumom glumus jugulare kahi tumo o ka ʻāpana o ka iwi maha i ka iwi poʻo e pili ana i ka hale waena a me loko o ka pepeiao. Hiki i kēia tumo ke hoʻopili i ka pepeiao, ʻāʻī luna, kumu o ka iwi poʻo, a me nā kīʻaha koko a me nā aʻa.

Ulu kahi ʻōpala glomus jugulare i ka iwi maha o ka iwi poʻo, ma kahi i kapa ʻia ʻo ka foram jugular. ʻO ka foramen jugular kekahi kahi e puka ai ka veins jugular a me kekahi mau aʻa koʻikoʻi i ka iwi poʻo.

Aia nā ʻāpana nerve i kēia wahi, i kapa ʻia he mau kino glomus. ʻO ka maʻamau, pane kēia mau aʻalolo i nā loli o ke ana wela o ke kino a i ʻole ke kaomi koko.

Kū pinepine kēia mau tumors ma hope o ke ola, ma kahi o 60 a 70 paha makahiki, akā hiki ke ʻike ʻia i kēlā me kēia makahiki. ʻAʻole ʻike ʻia ke kumu o kahi tumom jugulare jugulare. I ka hapanui o nā hihia, ʻaʻohe mea ʻike e ʻike ʻia ai ka pilikia. Ua hoʻopili ʻia nā tumomoma Glomus me nā loli (mutations) i loko o kahi ʻāpana e pili ana i ka enzyme succinate dehydrogenase (SDHD).

Pākuʻi ʻia paha nā ʻōuli:

• Pilikia i ka ale ʻana (disphagia)
• Puʻupuʻu
• Lohe i ka pilikia a i ʻole ke eo
• Lohe i ka pulsations ma ka pepeiao
• Hoarseness
• ʻEha
• Nawaliwali a nalowale paha o ka neʻe ʻana i ka maka (palsy nerve maka)

ʻIke ʻia nā ʻōpala Glomus jugulare e kahi hoʻokolohua kino a me nā hoʻokolohua kiʻi, me:

• Cerebral angiography
• CT scan
• MRI hoʻoili

ʻAʻole maʻi iki nā ʻōpala Glomus jugulare i ka maʻi ʻaʻai a ʻaʻole maʻamau e hoʻolaha i nā ʻāpana ʻē aʻe o ke kino. Eia nō naʻe, pono ʻia ka lāʻau e hōʻoluʻolu ai i nā ʻōuli. ʻO ka lapaʻau nui ka ʻoki kino. Kūpilikiʻi ke kīʻaha a hana pinepine ʻia e ka neurosurgeon, ke poʻo o ke poʻo a me ka ʻāʻī, a me ke kauka pepeiao (neurotologist).

I kekahi mau hihia, hana ʻia kahi hana i kapa ʻia ʻo embolization ma mua o ke kaha ʻana e pale ai i ka tumo mai ke kahe nui ʻana i ka wā o ke ʻoki.

Ma hope o ke kahakaha ʻana, hoʻohana ʻia paha ka radiation radiation e mālama i nā ʻāpana o ka tumo i hiki ʻole ke hemo loa.

Hiki ke mālama ʻia i kekahi mau tumom glomus me ka radiosurgery stereotactic.

ʻO ka poʻe i loaʻa i ka ʻoki a me ka radiation e hana maikaʻi. Ma mua o 90% o ka poʻe me nā ʻōpala glomus jugulare e hoʻōla ʻia.

ʻO nā pilikia maʻamau ma muli o ka hōʻino ʻia o ke aʻalolo, a ma muli paha o ka tumo iho a i ʻole ka hōʻino ʻana i ka wā o ke kaha Hiki i nā hōʻino nerve ke alakaʻi i:

• Hoʻololi i ka leo
• Pilikia i ka ale ʻana
• Lohe hoʻolohe
• Paralysis o ka helehelena

Kāhea i kāu kahu mālama ola inā ʻoe:

• Ke pilikia nei i ka lohe ʻana a i ʻole ke ale ʻana
• E hoʻomohala i nā pulsations i loko o kou pepeiao
• E nānā i kahi puʻupuʻu i kou ʻāʻī
• E nānā i nā pilikia me nā mākala i kou alo

Paraganglioma - glomus jugulare

ʻO Marsh M, ʻo Jenkins HA. ʻO nā neoplasms iwi kuamoʻo a me ke keʻoki kumu cranial lateral. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 176.

ʻO Rucker JC, Thurtell MJ. Nā neuropathies Cranial. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 104.

Nā Tumors Zanotti B, Verlicchi A, Gerosa M. Glomus. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 156.