Yɛnsusuw yɛn anim a ɛyɛ akisikuru ho kɛse, titiriw wɔ yɛn hwene nkyɛnkyɛn anaa yɛn anofafa a ɛwɔ soro no atifi, ɛse a ɛyɛ yaw, anaasɛ sinus yare, ɛnte saa? Nanso so wunim sɛ nneɛma a ɛntaa nsi koraa mpo a wɔtaa yɛ te sɛ eyi betumi de tebea bi a emu yɛ den a sɛ wɔansa no yiye a ebetumi de nkwa ato asiane mu aba? Ɛnnɛ yɛreka tebea biako a ɛntaa nsi nanso ɛyɛ hu kɛse ho asɛm, " Cavernous Sinus Thrombosis ".
Sɛ yɛbɛka no tiawa a, dɛn ne Cavernous Sinus Thrombosis?
Fa no sɛ tokuru ketewaa bi wɔ yɛn amemene ase, yɛn aniwa akyi. Eyi ne nea yɛfrɛ no "Cavernous Sinus" wɔ aduruyɛ mu. Ntini kɛse bi a ɛde mogya a wɔde adi dwuma anaa ɛho agu fĩ fi yɛn anim na ɛde yɛn ti san kɔ koma no mu no fa eyi mu.
Enti, Cavernous Sinus Thrombosis yɛ bere a mogya a ɛtɔ gu mogya ntini yi mu na ɛkyere. Saa mogya a ɛtwetwe yi siw mogya no kwan na ɛma nhyɛso kɔ soro wɔ saa beae no. Saa nhyɛso yi ka amemene no tẽẽ, na ɛma amemene no sɛe na wɔ tebea horow bi mu no, owu mpo. Eyi yɛ aniberesɛm araa ma nnipa a wonya saa tebea yi mu bɛyɛ 30% wuwu. Enti, ɛho hia paa sɛ yehu eyi.
Dɛn ne tebea a ɛyɛ hu yi ho sɛnkyerɛnne?
Saa yare yi ho sɛnkyerɛnne ahorow bi da adi mpofirim. Sɛ wowɔ eyinom mu biako anaa nea ɛboro saa a, ɛsɛ sɛ ɛhaw wo.
Ade a ɛho hia sen biara ne sɛ, sɛ tiyɛ a emu yɛ den ka aniwa mu haw (a ɛho ahonhon, ɛyɛ kɔkɔɔ , nsakrae a ɛba w’ani so) ho a, mmu w’ani ngu so da.
Momma yɛnte saa sɛnkyerɛnne ahorow yi ase yiye mfi pon a ɛwɔ ase ha no so.
| Nsɛnkyerɛnne a ɛkyerɛ | Eyi te dɛn? |
|---|---|
| Tiyɛ a emu yɛ den | Tiyɛ a wontumi nnyina ano. Ɛtɔ da bi a, etumi de nusuo ba. |
| Nsakrae a ɛba aniwa no ho | Aniwa biako anaa abien no nyinaa hohoro, ɛyɛ kɔkɔɔ, na ɛyɛ hyew. Ebia ɛbɛyɛ te sɛ nea aniwa no nso apue. |
| Aniwa anim a ɛrehwe ase | Aniwa biako anaa abien no nyinaa mu nkate a ɛkɔ fam, na ɛma ɛyɛ den sɛ wobebue aniwa no koraa. |
| Aniwa no a wontumi ntutu | Aniwa no a wontumi mfa nkɔ soro, nkɔ fam, anaa nkɔ nkyɛnkyɛn. |
| Atiridiinini a emu yɛ den | Atiridiinini a emu yɛ den ne adwenemhaw a ntease biara nni mu. |
| Anim yaw anaasɛ ɛyɛ mmerɛw | Ɛyaw anaa anim a ɛyɛ mmerɛw wɔ anim anaa aniwa no ho. |
| Anisoadehu mu haw ahorow | Anisoadehu a ɛyɛ kusuu, aniwa abien, anaasɛ aniwa a ɛyera koraa. |
| Adwene a ɛyɛ basaa ne akisikuru | Nsakrae betumi aba wɔ nkae, basabasayɛ, ne koma mu. Akisikuru nso ntaa mma. |
Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?
Ade titiriw nti a ɛte saa ne ɔyare mmoawa bi a ɛtrɛw. Mpɛn pii no, sɛ yentumi nni ɔyare mmoawa bi a ɛwɔ yɛn anim, yɛn ntini mu, anaa yɛn sẽ so a, mmoawa a wɔde ɔyare no bae no fa mogya no mu kɔ Cavernous Sinus a yɛadi kan aka ho asɛm no mu.
"Asiane Ahinanan a Ɛwɔ Anim".
Sɛ́ nnuruyɛfo no, yɛfrɛ anim no fã a ɛyɛ ahinanan fi hwene ano kosi ano no ntwea so no "asiane ahinanan." Mogya ntini a ɛwɔ saa beae yi no ne amemene no wɔ abusuabɔ tẽẽ.Ɛne Cavernous Sinus no wɔ abusuabɔ . Enti , sɛ wobɛpiapia akisikuru wɔ saa beae yi na woapira a, ebetumi ayɛ asiane kɛse. Sɛ woyɛ saa a, hokwan kɛse wɔ hɔ sɛ mmoawa a wɔwɔ honam ani no bɛkɔ mogya no mu na wɔakɔ baabi a atwa amemene no ho ahyia no tẽẽ.
Sɛ ɔyare mmoawa bi trɛw a, yɛn nipadua no bɔ mmɔden sɛ ebesiw ano. Esiane saa mmɔdenbɔ no nti, mogya a ɛretu. Nanso mogya a ɛtwetwe yi ne ɔhaw kɛse a ɛba akyiri yi.
Ebia ntease afoforo wɔ hɔ a ɛka eyi ho:
- Ti a wɔapirapira kɛse.
- Nnipa binom wɔ asiane kɛse mu sɛ wobenya mogya a ɛbɛtɔ. Sɛ nhwɛso no, mmea a wɔnom nnuru a wɔde siw awo ano, nnipa a wɔwɔ asikreyare a wontumi nni so , ne nnipa a wɔwɔ kokoram no wɔ asiane mu kakra.
Sɔhwɛ ahorow a wɔde hu tebea yi
Sɛ wokɔ ayaresabea a wowɔ saa sɛnkyerɛnne yi a, oduruyɛfo no bɛhwɛ wo na sɛ osusuw sɛ wowɔ saa tebea yi a, ɔde wo bɛkɔ ntɛm akɔyɛ nhwehwɛmu mpɛn pii.
- Amemene mu nhwehwɛmu: Eyi ne ade a ɛho hia sen biara. Wobetumi ayɛ CT scan anaa MRI scan de ahwehwɛ nneɛma te sɛ mogya a ɛtɔ ne nhyɛso a ɛkɔ soro wɔ amemene no mu.
- Mogya mu nhwehwɛmu : Wɔyɛ mogya mu nhwehwɛmu de hwɛ sɛ ɔyare mmoawa bi wɔ nipadua no mu anaa.
- Lumbar Puncture: Ɛtɔ da bi a, wobetumi ayɛ nhwehwɛmu yi nso de ahwɛ sɛ ɔyare no aka amemene ne akyi berɛmo no anaa.
Ɔkwan bɛn so na wɔsa?
Cavernous Sinus Thrombosis yɛ aduruyɛ mu tebea a egye ntɛmpɛ. Wei kyerɛ sɛ, sɛ yareɛ no ho sɛnkyerɛnne da adi ara pɛ a, ɛsɛ sɛ wokɔ ayaresabea Emergency Department (ETU) a wonsɛe bere biara. Wɔtaa de ayaresa ma wɔ ayaresabea no Intensive Care Unit (ICU).
Ayaresa no fa nneɛma kakraa bi ho titiriw:
- Nnuru a wɔde kum ɔyare mmoawa a wɔde di dwuma kɛse: Nea ɛbɛyɛ na wɔatumi asiw ɔyare mmoawa no ano no, wɔde nnuru a ano yɛ den a ekum ɔyare mmoawa fa ntini mu denam nkyene aduru so.
- Nnuru a ɛma mogya yɛ mmerɛw: Wɔde nnuru yi ma na ama mogya a ɛtwetwe no anyɛ kɛse na amma mogya a ɛbɛtɔ bio no ankɔ so.
- Corticosteroids: Wɔde nnuru ahorow yi ma na ama amemene no mu ahonhon ne nhyɛso so atew.
- Oprehyɛn: Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn ketewaa bi de yi akisikuru fi baabi a ɔyare no fii ase (e.g., wɔ sinus cavity mu).
Dodow a wofi ayaresa ahorow yi ase ntɛm no, dodow no ara na hokwan a ɛwɔ hɔ sɛ wobegye obi nkwa no yɛ kɛse. Enti, ɛho hia sɛ wuhu saa sɛnkyerɛnne ahorow yi na sɛ biribi te sɛ eyi to wo anaa obi a wunim no a, woyɛ ho biribi ntɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Cavernous Sinus Thrombosis yɛ tebea a ɛntaa nsi koraa, nanso ɛde nkwa to asiane mu, a ebetumi akum obi.
- Nea enti titiriw a ɛte saa ne ɔyare mmoawa bi a ɛtrɛw wɔ anim, sẽ, anaa ntini mu a wontumi nni so.
- Kwati sɛ wobɛpiapia akisikuru a epue wɔ anim "asiane ahinanan" (beae a efi hwene no bridge kosi ano no ntwea so) no.
- Tiyɛ a wontumi nnyina ano, ne aniwa a ɛho ahonhon na ɛyɛ kɔkɔɔ, nsakrae a ɛba wɔ anisoadehu mu, ne atiridiinini a ano yɛ den no yɛ kɔkɔbɔ nsɛnkyerɛnne.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Kɔ ayaresabea bi Emergency Department (ETU) ntɛm ara na kɔ wo duruyɛfo nkyɛn.
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