So eyi yɛ mogya a ɛretu wɔ ti no mu a asiane wom? So eyi betumi ayɛ Cavernous Sinus Thrombosis?

So w’anim apira kakra anaasɛ w’anim haw bi a ɛma wo ti yɛɛ wo yaw kɛse pɛn? So w’aniwa ahonhon na ɛyɛ den sɛ wubehu ade pɛn? Ɛtɔ mmere bi a yebu yɛn ani gu saa nneɛma yi so, nanso ebetumi ayɛ nea asiane wom kɛse na ehia sɛ yɛsa ntɛm ara. Ɛnnɛ yɛreka tebea bi a emu yɛ den a nnipa pii nnim ho asɛm, a wɔfrɛ no Cavernous Sinus Thrombosis .

Dɛn ne saa cavernous sinus thrombosis yi?

Sɛ yɛbɛka no tiawa a, Cavernous Sinus Thrombosis yɛ bere a mogya a ɛtɔ gu wo ti mu mmeae nketenkete, titiriw w’ani akyi, wɔ w’amemene ase a wɔfrɛ no Cavernous Sinus . Susuw saa ntini ahorow yi ho sɛ abodan nketewa a ntini pii bom. Ntini atitiriw a ɛma mogya fi w’anim ne w’amemene mu no pii fa eyinom mu. Jugular vein , ntini titiriw bi a ɛwɔ wo kɔn mu no nso ne saa cavernous sinuses yi wɔ abusuabɔ. Enti, sɛ mogya tu wɔ saa ntini yi biako mu (a mpɛn pii no ɔyare mmoawa na ɛde ba) a, mogya a ɛtwetwe no siw mogya a efi w’amemene mu no kwan. Eyi yɛ asiane kɛse, efisɛ ebetumi asɛe w’amemene, w’ani, ne ntini ahorow bere tenten. Eyi yɛ tebea a sɛ wɔansa no ntɛm a, ebetumi de nkwa ato asiane mu.

Saa tebea yi abu so dɛn?

Nokwarem no, tebea a wɔfrɛ no Cavernous Sinus Thrombosis yi ho yɛ na koraa. Ɛne sɛ, ɛnyɛ biribi a wɔtaa hu. Ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a wɔbɔ amanneɛ afe biara, ɛba fam saa. Nanso asɛmpa no ne sɛ bere a wɔahu nnuru a ekum ɔyare mmoawa akyi no , yare yi ho amanneɛbɔ dodow so atew kɛse. Esiane sɛ wobetumi de nnuru a ekum ɔyare mmoawa asa nyarewa a ɛma mogya tu yi titiriw nti, mprempren ɛnyɛ den koraa sɛ saa nyarewa no bɛyɛ kɛse.

Dɛn ne eyi ho sɛnkyerɛnne? Ɔkwan bɛn so na yebetumi ahu?

Ade a ɛyɛ hu sen biara wɔ eyi ho ne sɛ yare no ho sɛnkyerɛnne no betumi asɛe ntɛmntɛm. Nsɛnkyerɛnne titiriw biako a edi kan ne tiyɛ a emu yɛ den. Eyi nte sɛ tiyɛ a ɛyɛ daa. Ɛyɛ nea ɛnbrɛ ase bere a wanom nnuru a wɔde kum ɛyaw mpo akyi, na ɛyɛ kɛse da biara da. Ebetumi aba mpofirim na emu yɛ den, anaasɛ ebetumi akɔ soro nkakrankakra wɔ nna pii mu. Wɔtaa te ɛyaw yi wɔ aniwa biako ho, aniwa abien no nyinaa ho, anaa aniwa no akyi.

Saa sɛnkyerɛnne ahorow yi fi nhyɛso a ɛkɔ soro wɔ cavernous sinus no mu esiane mogya a ɛtwetwe nti. Hwɛ yiye na woahu sɛ wowɔ saa sɛnkyerɛnne ahorow yi anaa:

• Tiyɛ a emu yɛ den a ano yɛ nnam a ɛnkɔ bere a wanom nnuru mpo akyi.
• Aniwa biako anaa akyiri yi abien no nyinaa a ɛho ahonhon, ɛtɔ mmere bi a ɛte sɛ nea aniwa no ayɛ kɛse.
• Aniwa no a ɛrehwe ase, te sɛ nea aniwa no ayɛ fã (`droopy eyelids`).
• Ɛyaw a emu yɛ den a wobɛte nka bere a worebɔ mmɔden sɛ wobɛkanyan w’ani biako anaa abien no nyinaa.
• Aniwa biako anaa abien no nyinaa a wontumi ntutu, a ɛbata ɔfã biako.
• Anisoadehu a ɛyɛ kusuu, anisoadehu a emu da hɔ a ɛyera.
• Wohu mmɔho abien.
• Anim a ɛyɛ mmerɛw anaasɛ ɛyera, titiriw wɔ aniwa no ho.
• Ɔhyew kɛse.
• Ebia nnipa binom benya akisikuru.

Nea ɛho hia yiye: Sɛ wɔansa a, cavernous sinus thrombosis betumi asɛe nkakrankakra, na ama ɔyarefo no adwene atu afra na wada. Eyi betumi ama obi akɔ komayare na wawu mpo. Enti, ɛho hia yiye sɛ wobɛkɔ aduruyɛ nkyɛn bere a woahu saa sɛnkyerɛnne ahorow yi ara pɛ, ansa na tebea no akɔ so akodu saa bere yi.

Eyi ba ntɛmntɛm dɛn?

Mpɛn pii no, cavernous sinus thrombosis ba wɔ nnafua 5 kosi 10 akyi wɔ ɔyare mmoawa a wɔansa wɔ w’anim anaa wo ti nhwi mu (sɛ nhwɛso no, sinus, wo sẽ, anaa aso) akyi. Nsɛnkyerɛnne a edi kan ne tiyɛ. Aniwa ho sɛnkyerɛnne (te sɛ ɛho ahonhon, akisikuru) betumi aba mpofirim, wɔ tiyɛ no akyi bere tiaa bi, anaasɛ ebetumi aba nkakrankakra.

Dɛn na ɛde eyi ba? Dɛn nti na eyi rekɔ so?

Susuw ho saa kwan yi so. Wowɔ akuru ketewaa bi wɔ w’anim, ebia wɔ wo hwene nkyɛn, anaa w’anofafa a ɛwɔ soro. Anaasɛ wo sẽ ayɛ wo yaw. Womfa w’adwene nsi so kɛse, na wususuw sɛ, ‘Ɛyɛ ade ketewaa bi kɛkɛ, ɛno ara bɛkɔ.’ Nanso, ɔyare mmoawa a ɛba saa beae ketewaa no so no taa de tebea a asiane wom yi a wɔfrɛ no Cavernous Sinus Thrombosis . Ɛne sɛ, ɛba sɛ ɔyare mmoawa bi a ɛde ɔhaw ba.

Nea ɛba ne sɛ: Mogya a ɛwɔ wo cavernous sinus ntini mu no twetwe de bɔ mmɔden sɛ ebesiw ɔyare mmoawa no kwan. Ɛyɛ nipadua no ahobammɔ afiri. Nanso sɛ́ anka mogya a ɛretu yi besiw ɔyare mmoawa no kwan no, ɛkyere ɔyare mmoawa no. Afei mogya no gyae sɛ ɛbɛsen afi amemene no mu. Eyi ma nhyɛso a ɛwɔ cavernous sinus no mu no yɛ kɛse, na ɛde sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no ba.

Nyarewa ahorow a ɛka eyi titiriw ne:

• Sinus mu nyarewa (sinusitis). Nyarewa a ɛwɔ abon a atwa hwene no ho ahyia no mu.
• Boils anaa furuncles a ɛba wɔ honam ani wɔ anim, titiriw wɔ hwene ne anofafa a ɛwɔ soro no ho.
• Nsõ mu akisikuru.
• Aso mu yare, titiriw aso mfinimfini yare.

Mpɛn pii no, bɛyɛ 70% no, nea ɛde ba ne mmoawa `Staphylococcus aureus` . Eyi yɛ ɔyare mmoawa a abu so yiye. Sɛ ɛno da nkyɛn a, mmoawa ahorow afoforo ne fungi ahorow bi nso betumi de nyarewa a ɛde cavernous thrombosis ba. Nnansa yi ara, wɔabɔ amanneɛ sɛ cavernous sinus thrombosis a ɛbata `COVID-19` yareɛ no ho.

Ɛntaa mma koraa sɛ mogya a ɛtɔ yi betumi aba esiane ti a wapira kɛse nti, sen sɛ ɛbɛyɛ ɔyare mmoawa.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Ebetumi ayɛ den kakra sɛ wobehu, efisɛ ne sɛnkyerɛnne te sɛ tebea afoforo a ɛtaa ba te sɛ aniwa mu yare, atiridiinini, anaa ntini mu yare afoforo de.

Nanso, sɛ wogyina wo sɛnkyerɛnne ahorow so, titiriw sɛ mprempren wowɔ w’anim anaa w’anim yare anaasɛ woanya bi nnansa yi a, ebia wo duruyɛfo besusuw sɛ cavernous sinus thrombosis .

Wobetumi ayɛ nhwehwɛmu ahorow yi mu biako anaa nea ɛboro saa de asi so dua sɛ wɔahu yare no:

• Mfoninitwa sɔhwɛ ahorow.
• MRI (Magnetic Resonance Imaging): Eyi ma wuhu amemene no ne cavernous sinus beae no yiye, na ɛno ho hia yiye na ama woahu sɛ ebia mogya atɔw anaa.
• `CT` (Computed Tomography) scan: Eyi nso betumi ahwehwɛ mogya a ɛtɔ ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya ɔyare mmoawa.
• MRV (Magnetic Resonance Venogram with MRI): Eyi ne ɔkwan a ɛyɛ mmerɛw sen biara a wɔfa so hu yare yi. Wɔ saa MRV yi mu no, oduruyɛfo no de nsu titiriw bi (contrast dye) gu wo ntini mu. Afei MRI no tumi hu mogya a ɛkɔ ne ntini no mu a esiw no pefee.
• Mmoawa amammerɛ ho sɔhwɛ. Wo duruyɛfo bɛsɔ wo mogya anaa nipadua mu nsu afoforo (te sɛ nsu a efi wo ntini mu anaa akisikuru a efi kuru mu) ahwɛ sɛ ebia mmoawa anaa ɔyare mmoawa afoforo bi wɔ hɔ a ɛde ɔyare no reba anaa. Eyi betumi aboa ma wɔahu mmoawa no pɔtee na wɔakyerɛw nnuru a ɛfata a ekum ɔyare mmoawa.
• Spinal tap / akyi berɛmo a wɔde tow. Saa sɔhwɛ yi betumi ahu sɛ ɔyare no atrɛw akɔ ntini a ɛkata amemene ne akyi berɛmo (meninges) no so anaa. Sɛ anya bi a, wɔfrɛ no meningitis . Meningitis yɛ ɔhaw a asiane wom a ɛde cavernous sinus thrombosis ba. Wɔ sɔhwɛ yi mu no, oduruyɛfo no de ade teateaa bi hyɛ w’akyi ase na ɔfa akyi berɛmo mu nsu bi. Wɔsɔ nsu no hwɛ sɛ ebia ɔyare mmoawa ne sɛnkyerɛnne afoforo a ɛkyerɛ sɛ ɔyare no wɔ hɔ anaa.

Nea ɛho hia: Esiane sɛ cavernous sinus thrombosis yɛ yare a ɛde nkwa to asiane mu na ɛkɔ so ntɛmntɛm nti, oduruyɛfo no betumi afi ase agyina adwenem naayɛ so sa yare ansa na wɔahu sɛ ɔwɔ yare no koraa. Efisɛ sekan biara ho hia wɔ ha.

Dɛn ne ayaresa ahorow a wɔde sa eyi? So wobetumi asa no yare?

Yiw, ayaresa a wɔde ma ntɛm na ɛfata betumi adi tebea yi so na agye nnipa nkwa. Nanso, sɛ wɔtwentwɛn ayaresa no ase a, tebea no betumi asɛe kɛse. Ɛda adi sɛ wɔde wo bɛkɔ ayaresabea hɔ a wɔhwɛ wɔn a wɔyare denneennen (ICU).Wɔbɛgye wo akɔ. Afei nnuruyɛfo ne ayarehwɛfo betumi ahwɛ wo yiye nnɔnhwerew 24 da biara.

Nea edidi so yi ne ayaresa atitiriw:

• Nnuru a ekum ɔyare mmoawa. Eyi ne ayaresa titiriw. Wo duruyɛfo befi ase anom nnuru a ekum ɔyare mmoawa a wɔde fa ntini mu (IV) a ɛdɔɔso na ama woakum ɔyare mmoawa a ɛma mogya no tu no. Sɛnea yɛadi kan aka no, eyi yɛ adeyɛ a egye bere tenten, enti wobetumi ama wo nnuru a ekum ɔyare mmoawa ansa na nhwehwɛmu ahorow a wɔde hu yare no atumi akyerɛ nea ɛde ɔyare no ba ankasa (mmoawa anaa ntontom). Sɛnea ɛbɛyɛ na woakɔ ɔfã a ahobammɔ wom no, wɔbɛma wo nnuru a ekum ɔyare mmoawa a ɛtrɛw a ebetumi akum mmoawa ahorow pii (titiriw mmoawa a wɔtaa de di dwuma te sɛ S. aureus) . Akyiri yi, sɛ nea efi amammerɛ mu ba no san ba a, wobetumi asesa wo akɔ nnuru a ekum ɔyare mmoawa a ɛfata so. Ɛho behia sɛ wotoa saa ayaresa yi so wɔ ayaresabea adapɛn pii.
• Nnuru a ɛma mogya yɛ mmerɛw (nnuru a ɛma mogya tu). Ebia wɔbɛma wo nnuru a ɛma mogya tu (nneɛma a ɛma mogya yɛ mmerɛw) te sɛ heparin na amma mogya a ɛtwetwe no anyɛ kɛse, na atumi apete nkakrankakra, na amma mogya a ɛtwetwe no foforo anhyehyɛ.
• Wobetumi de nnuru a ekum mogya a ɛtwetwe mogya (nneɛma a ɛma mogya yɛ mmerɛw) ahyɛ ntini mu anaasɛ wɔde ahyɛ honam ani. Ɛho behia sɛ wonom nnuru a ɛma mogya tu yi wɔ aduruyɛ mu asram pii wɔ ayaresa a edi kan no akyi.
• Nnuru a wɔfrɛ no corticosteroids. Ebia wo duruyɛfo bɛkyerɛw wo steroids de atew ɔfe ne ɔfe a ɛde nhyɛso ba wo ntini mu no so. Nanso, wɔde eyinom ma bere a woafi nnuru a ekum ɔyare mmoawa ase de asiw ɔyare mmoawa no ano na wɔadi ɔyare no so nkutoo akyi.
• Sɛɛgyiri. Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn de tew faako a ɔyare no fi no ho (sɛ nhwɛso no, ntini mu yare, sẽ mu akisikuru) na wɔayi akisikuru anaa nsu foforo biara a aboaboa ano afi hɔ. Eyi betumi aboa ma wɔadi ɔyare mmoawa no so ntɛmntɛm.

Sɛ eyi ba a, dɛn na yebetumi ahwɛ kwan? Dɛn ne nsɛnnennen no?

Ansa na wɔrehu nnuru a ekum ɔyare mmoawa no, na cavernous sinus thrombosis taa di awu. Nanso seesei, ɛnam nkɔsoɔ a aba wɔ aduruyɛ ho nyansahu mu nti, nnipa a wɔnya saa yareɛ yi bɛboro 70% nya nkwa. Ɛno yɛ ade kɛse a wɔatumi ayɛ.

Nanso, sɛ wonya nkwa mpo a, nnipa pii betumi anya nsɛnnennen efisɛ eyi yɛ tebea a ɛka amemene ne ntini ahorow. Sɛ nhwɛso no, nnipa bɛyɛ 20% a wɔn ho tɔ wɔn fi cavernous sinus thrombosis mu no betumi akɔ so anya aniwa mu haw (aniwa a enhu ade yiye, anifurae) ne ntini mu haw (anim a ɛyɛ mmerɛw, ɛyɛ den sɛ wɔbɛkanyan wɔn ani) .

Nsɛnnennen afoforo a ebetumi aba ne:

• Tiyɛ a emu yɛ den a ɛtaa ba.
• Aniwa biako anaa abien no nyinaa a ɛyera koraa.
• Akisikuru a ɛkɔ so daa.
• Meningitis (nyarewa a ɛba ntini a ɛkata amemene no so).
• Sepsis (nyarewa a ɛtrɛw kɔ mogya mu).

Ade foforo ne sɛ, sɛ wowɔ cavernous sinus thrombosis a, ɛde wo to asiane mu sɛ wubenya mogya a ɛyɛ hu, te sɛ mogya a ɛtɔ wo nan mu ( Deep Vein Thrombosis - DVT ), mogya a ɛtɔ kɔ w’ahurututu mu ( Pulmonary Embolism - PE ), anaa mogya a ɛtɔ wɔ w’amemene no mu baabi foforo ( Stroke ).

Enti, ɛho hia sɛ woka nsɛnnennen a ebetumi de wo tebea no aba no ho asɛm pefee kyerɛ wo duruyɛfo. Ɛho hia nso sɛ wuhu nsɛnnennen ho kɔkɔbɔ sɛnkyerɛnne sɛnea ɛbɛyɛ a wubetumi asiw ano bere biara a ɛbɛyɛ yiye.

Bere bɛn na ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, hwehwɛ aduruyɛfo afotu ntɛm ara a ɛnntwentwɛn wo nan ase:

• Tiyɛ a ano yɛ den a ɛnkɔ bere a wɔanom nnuru a wɔde kum ɛyaw mpo akyi, na ɛyɛ kɛse.
• Sɛ ɛyaw a ɛyɛ kɛse bere a woada anaa woakotow ka tiyɛ no ho a.
• Sɛ aniwa biako anaa abien no nyinaa fi ase te yaw, ɛhoa, ɛyɛ kɔkɔɔ, anaasɛ ɛbɔ a.
• Sɛ wote nka sɛ woyare paa, woyɛ mmerɛw, anaasɛ woda paa a.
• Sɛ ɛyɛ den ma wo sɛ wobɛhome a.
• Sɛ wowɔ atiridiinini kɛse, atiridiinini, ne wo ho popo a.

Nsɛnkyerɛnne a ɛte sɛ eyinom kyerɛ sɛ ebia tebea bi a egye ntɛmpɛ rekɔ so.

Nsɛmmisa a ɛho hia bɛn na ɛsɛ sɛ wobisa oduruyɛfo no?

Sɛ wo duruyɛfo ka kyerɛ wo sɛ wowɔ saa yare yi a, ebia wobɛte dadwen nka. Nanso, sɛnea ɛbɛyɛ na w’adwene ho adwo wo na woanya wo tebea ne ayaresa ho ntease a emu da hɔ no, mma wo werɛ mmfi sɛ wubebisa wo duruyɛfo nsɛm yi:

• Dɛn ankasa na mewɔ? Eyi yɛ aniberesɛm dɛn?
• Ayaresa bɛn na mihia? Bere tenten ahe na ebegye?
• Dɛn ne ayaresa ahorow yi mu nsunsuanso bɔne?
• Bere tenten ahe na ɛsɛ sɛ metra ayaresabea?
• Hokwan ahorow bɛn na ɛwɔ hɔ sɛ menya nsɛnnennen a ɛtra hɔ kyɛ fi mogya a ɛtɔ kɔ yi mu? Dɛn ne wɔn? So wobetumi asiw wɔn kwan?
• Nsakrae bɛn na ɛsɛ sɛ meyɛ wɔ me da biara da asetra mu esiane nsɛnnennen yi nti?
• Hokwan ahorow bɛn na ɛwɔ hɔ sɛ menya saa tebea yi bio? Dɛn na ɛsɛ sɛ meyɛ de siw ano?
• Nneɛma bɛn na ɛsɛ sɛ mehwɛ so bere a makɔ fie awie no?

Nsɛmmisa yi ho mmuae bɛyɛ nea ɛho hia wo paa.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Ebetumi ayɛ hu sɛ wubehu sɛ biribi a abu so te sɛ sinus mu yare anaasɛ w’anim a ɛyɛ kurukuruwa ketewaa bi betumi ama mogya atɔw wo nkwa mu. Cavernous sinus thrombosis — mogya a ɛtwetwe a ɛba w’anim anaa wo ti mu de bua ɔyare mmoawa — yɛ tebea a ɛntaa nsi ankasa. Enti, ɛnyɛ nea ɛbɛyɛ yiye sɛ wo tiyɛ anaa w’ani a ɛyɛ wo yaw no yɛ biribi a emu yɛ den kɛse ho sɛnkyerɛnne. Ebetumi ayɛ biribi a ɛnyɛ aniberesɛm kɛse ho sɛnkyerɛnne.

Nanso, ade a ɛho hia sen biara a ɛsɛ sɛ wokae bere nyinaa ne sɛ wobɛsa ɔyare mmoawa biara – ɛmfa ho sɛnea ɛbɛyɛ te sɛ nea ɛyɛ ketewaa no – ntɛm ara na ɛfata. Hwɛ yiye titiriw wɔ nyarewa a ɛba w’anim, hwene, ano, ne aniwa mmeae ho. Ayaresa a ɛte saa a wɔyɛ no ntɛm no betumi aboa kɛse ma wɔasiw tebea a emu yɛ den a ɛte saa ano. Enti, sɛ wowɔ sɛnkyerɛnne bi a ɛyɛ soronko a, sɛ ɛyɛ nketenkete mpo a, ɛbɛyɛ nea nyansa wom sɛ wobɛhwehwɛ aduruyɛfo afotu. Hwɛ nsɛnkyerɛnne a wo nipadua no de rema wo no yiye!

` Cavernous Sinus Thrombosis, Mogya a ɛtwetwe wɔ amemene no mu, Ti nhwi mu yare, Anim yare, Ti a ɛyɛ yaw kɛse, Aniwa a ɛho ahonhon, Nnuru a ekum ɔyare mmoawa, Ntini mu yare