Ðe esia nye ʋu ƒe sisi si me afɔku le le ta mea? Ðe esia ate ŋu anye Cavernous Sinus Thrombosisa?

Ðe nèxɔ abi sue aɖe le mo alo ʋuka me kuxi aɖe si na ta ɖu wò vevie kpɔa? Ðe ŋkuwo vuvu eye nukpɔkpɔ sesẽ na wò kpɔa? Míeŋea aɖaba ƒua nu siawo dzi ɣeaɖewoɣi, gake woate ŋu anye afɔku gã aɖe eye ahiã be woawɔ atike na wo enumake. Egbea míele nu ƒom tso nɔnɔme sesẽ aɖe si ŋu ame geɖe menya nu tsoe o, si woyɔna be Cavernous Sinus Thrombosis .

Nukae nye cavernous sinus thrombosis sia?

Kpuie ko la, Cavernous Sinus Thrombosis nye ne ʋu ƒe sisi le teƒe sue siwo le wò ta me, vevietɔ le wò ŋkuwo megbe, le wò ahɔhɔ̃ te si woyɔna be ‘Cavernous Sinus’ . Bu lãkusi siawo be wonye agado sue siwo me ʋuka geɖe ƒoa ƒu ɖo. Ʋuka vevi siwo ɖea ʋu le wò mo kple ahɔhɔ̃ me la dometɔ geɖe toa esiawo me. ‘Jugular Vein’, si nye vein vevi aɖe le wò kɔ me hã do ƒome kple do siawo siwo me do le. Eyata ne ʋuka aɖe va le ʋuka sia me (zi geɖe la, dɔlékui aɖe gbɔe wòtsona) la, ʋukaa xea mɔ na ʋu si dona le wò ahɔhɔ̃ me. Esia nye afɔku gã aɖe, elabena ate ŋu agblẽ nu le wò ahɔhɔ̃, ŋku, kple lãmekawo ŋu ɣeyiɣi didi. Esia nye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me ne womedae kaba o.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, nɔnɔme sia si woyɔna be Cavernous Sinus Thrombosis mebɔ kura o. Eyae nye be menye nane si wokpɔna zi geɖee wònye o. Esesẽ be woagblɔ dɔléle agbɔsɔsɔme si tututu wogblɔna le ƒe ɖeka me, ebɔbɔ ale gbegbe. Gake nya nyuiae nye be esi woke ɖe dɔlékuiwutikewo ŋu vɔ la , dɔléle sia ŋuti nyatakakawo ƒe xexlẽme dzi ɖe kpɔtɔ ŋutɔ. Esi wònye be woate ŋu atsɔ dɔlékuiwutikewo ada dɔlékui siwo koŋ gbɔ ʋu ƒe sisi siawo tsona ta la, fifia dɔlékui mawo megale sesẽm o.

Nukae nye esia ƒe dzesiwo? Aleke woawɔ ade dzesii?

Nusi me afɔku le wu le esia ŋue nye be dzesiawo ate ŋu agblẽ ɖe edzi kaba ŋutɔ. Dzesi vevi siwo dzena gbã dometɔ ɖekae nye taɖuame sesẽ. Esia mele abe taɖuame si sɔ ene o. Enye esi meɖina ne eno vevesesenutsitikewo gɔ̃ hã o, eye wògblẽna ɖe edzi gbesiagbe. Ate ŋu ava kpata eye wòasẽ, alo ate ŋu adzi ɖe edzi vivivi le ŋkeke geɖe me. Zi geɖe la, wosea vevesese sia le ŋku ɖeka ŋu, le ŋku eveawo ŋu, alo le ŋku megbe.

Dzesi siawo tsoa nyaƒoɖeamenu si dzina ɖe edzi le doa me le ʋu ƒe sisi ta. Kpɔ nyuie be nàkpɔe ɖa be dzesi siawo le ŋuwò hã:

• Taɖuame sesẽ si nu sẽ, si nu meyina le atike nono vɔ megbe o.
• Ŋku evea siaa ƒe vuvu ɖeka alo emegbe, eye ɣeaɖewoɣi la, ŋkuwo ƒe ʋuʋu ƒe seselelãme nɔa ame ŋu.
• Ŋku ƒe ʋuʋudedi, abe ɖe ŋkua tu afã ene (`ŋku ƒe ʋuʋudedi`).
• Vevesese sesẽ sese ne èle agbagba dzem be yeaʋuʋu ŋku ɖeka alo evea siaa.
• Ŋutete manɔanyi be woaʋuʋu ŋku ɖeka alo evea siaa, si lé ɖe axa ɖeka ŋu.
• Nukpɔkpɔ si me kɔ o, nukpɔkpɔ si me kɔ nyuie ƒe bu.
• Nukpɔkpɔ zi gbɔ zi eve.
• Mo ƒe ʋuʋu alo seselelãme ƒe bu, vevietɔ le ŋkuwo ŋu.
• Dzoxɔxɔ ŋutɔ.
• Ame aɖewo ate ŋu akpɔ alɔ̃dɔdɔ.

Vevietɔ ŋutɔ: Ne womewɔ atike nɛ o la, cavernous sinus thrombosis ate ŋu agblẽ ɖe edzi vivivi, si ana dɔnɔa natɔtɔ eye wòadɔ alɔ̃. Esia ate ŋu ana ame natsi alɔ̃ me eye wòaku gɔ̃ hã. Eyata ele vevie ŋutɔ be nàyi atikewɔƒe ne ènya de dzesi dzesi siawo ko, hafi nɔnɔmea nayi ŋgɔ va ɖo afisia.

Aleke gbegbee esia dzɔna kabakabae?

Zi geɖe la, cavernous sinus thrombosis dzɔna le ŋkeke 5 va ɖo 10 le dɔlékui si womekpɔ kpɔ o le wò mo alo ta me (le kpɔɖeŋu me, sinus, aɖu, alo to) megbe . Dzesi gbãtɔe nye taɖuame. Ŋku ƒe dzesiwo (abe ʋuʋudedi, ʋuʋudedi ene) ate ŋu ava kpata, le taɖuamea megbe kpuie, alo woate ŋu adze egɔme vivivi.

Nukae hea esia vɛ? Nukatae esia le dzɔdzɔm?

Bu eŋu ale. Kpe sue aɖe le mo na wò, ɖewohĩ le wò ŋɔti ƒe axadzi, alo le wò nuyi si le etame. Alo aɖu le veve sem na wò. Mèléa ŋku ɖe eŋu boo o, henɔa susum be, ‘Nu sue aɖe koe wònye, adzo le eɖokui si.’ Gake, dɔlékui ƒe dɔléle si le teƒe sue ma hea nɔnɔme sia si me afɔku le si woyɔna be Cavernous Sinus Thrombosis vɛ zi geɖe. Eyae nye be eva abe dɔlékui aɖe ƒe kuxi ene .

Nusi dzɔnae nye esi: Ʋu si le wò do me ʋuka siwo me ʋu sina tona me la tsina le agbagbadzedze be yeaxe mɔ na dɔlékuia be wòagakaka o. Enye ŋutilãa ƒe ametakpɔnu. Gake le esi teƒe be ʋuka sia naxe mɔ na dɔlékuia be wòagakaka o la, eléa dɔlékuia. Emegbe ʋua meganɔa sisim le ahɔhɔ̃a me o. Esia nana be nyaƒoɖeamenu si le doa ƒe lãkusi me dzina ɖe edzi, si wɔnɛ be dzesi siwo míeyɔ va yi la dona.

Dɔlékui ƒomevi siwo gblẽa nu le esia koŋ ŋue nye:

• Sinus ƒe dɔlékuiwo (sinusitis). Dɔlékui siwo le do siwo ƒo xlã ŋɔti me.
• Boils alo furuncles siwo dzɔna le ŋutigbalẽ te le mo, vevietɔ ƒo xlã ŋɔti kple nuyi si le etame.
• Aɖu ƒe ʋuʋudedi.
• To me dɔlékuiwo, vevietɔ titinato me dɔlékuiwo.

Zi geɖe la, abe 70% ene la, nusi gbɔ wòtsonae nye dɔlékui si nye `Staphylococcus aureus` . Esia nye dɔlékui si bɔ ŋutɔ. Tsɔ kpe ɖe eŋu la, dɔlékui ƒomevi bubuwo kple fungi ƒomevi aɖewo hã ate ŋu ahe dɔlékui siwo hea ʋuka si me ʋu sina tona le do me vɛ. Nyitsɔ laa la, wogblɔ be cavernous sinus thrombosis si do ƒome kple `COVID-19` dɔlékui ƒe dɔléle geɖe.

Ƒã ŋutɔ hafi ʋu ƒe sisi sia ate ŋu adzɔ le ta ƒe abi gã aɖe ta, ke menye le dɔlékui aɖe ta o.

Aleke ɖɔktawo dea dzesi esiae?

Ate ŋu asesẽ vie be woakpɔe, elabena eƒe dzesiwo sɔ kple dɔléle bubu siwo bɔ, abe ŋkudɔ, taɖuame, alo ahɔhɔ̃mekawo ƒe dɔléle bubuwo ene.

Gake le wò dzesiwo nu, vevietɔ ne mo alo lãkusi me dɔléle aɖe le ŋuwò fifia alo wòxɔe nyitsɔ laa la, wò ɖɔkta ate ŋu asusui be ʋuka si me ʋu sina tona le ʋuka me le do .

Woate ŋu awɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema atsɔ aɖo kpe dɔlélea dzi:

• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo.
• MRI (Magnetic Resonance Imaging): Esia wɔnɛ be nàte ŋu akpɔ ahɔhɔ̃a kple do siwo me ʋu sina tona la ƒe akpa si le doa me nyuie, si le vevie ŋutɔ be nànya ne ʋu aɖe le ƒoƒom.
• `CT` (Computed Tomography) scan: Esia ateŋu adi ʋu ƒe sisi kple dɔléle ƒe dzesiwo hã.
• MRV (Magnetic Resonance Venogram with MRI): Esiae nye mɔ si ŋu woate ŋu awɔ nuvevii wu si dzi woato anya dɔléle sia. Le MRV sia me la, ɖɔktaa doa tsi tɔxɛ aɖe (contrast dye) wò ʋuka me. Emegbe MRI la te ŋu kpɔa ʋu ƒe sisi kple ʋukawo ƒe xexe nyuie.
• Dɔlékuiwo ƒe dekɔnu dodokpɔ. Wò ɖɔkta ado wò ʋu alo ŋutilã me tsi bubuwo (abe tsi si tso wò ʋukawo me alo aɖuɖɔ si tso abi me ene) akpɔ be dɔlékui alo dɔlékui bubu siwo le dɔlékuia hem vɛ hã. Esia ate ŋu akpe ɖe ame ŋu woade dzesi dɔlékuiawo tututu eye woaŋlɔ dɔlékuiwutike nyuitɔ na wo.
• Spinal tap / akɔta ƒe ʋuʋu. Dodokpɔ sia ate ŋu akpɔe ɖa be dɔlélea kaka ɖe lãkusi siwo tsyɔ ahɔhɔ̃a kple aklã (meninges) dzi hã. Ne ewɔe la, woyɔnɛ be taɖuame . Tagbɔdɔ nye kuxi si me afɔku le si dona tso cavernous sinus thrombosis me. Le dodokpɔ sia me la, ɖɔktaa tsɔa aŋe tsɛ aɖe dea wò akɔta eye wòɖea aklã me tsi ƒe kpɔɖeŋu. Wodoa tsia kpɔna be dɔlékuiwo kple dɔléle ƒe dzesi bubuwo le eŋu hã.

Vevietɔ: Esi wònye be cavernous sinus thrombosis nye dɔléle si ate ŋu ade ame ƒe agbe afɔku me, si yia ŋgɔ kabakaba ta la, ɖɔkta ate ŋu adze atikewɔwɔ gɔme le ɖikeke ta hafi woaɖo kpe dɔlélea dzi bliboe. Elabena sɛkɛnd ɖesiaɖe le vevie le afisia.

Nukawoe nye atike siwo wozãna na esia? Ðe woate ŋu adaea?

Ẽ, atikewɔwɔ kaba eye wòasɔ ate ŋu aɖu nɔnɔme sia dzi eye wòaɖe amewo ƒe agbe. Gake ne wohe atikewɔwɔa ɖe megbe la, nɔnɔmea ate ŋu agblẽ ɖe edzi. Anɔ eme be woaxɔ wò ɖe kɔdzi ƒe dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie (ICU).Woaxɔ wò ɖe kɔdzi. Emegbe ɖɔktawo kple dɔnɔdzikpɔlawo ate ŋu alé ŋku ɖe ŋuwò nyuie gaƒoƒo 24 gbesiagbe.

Esiawoe nye atikewɔmɔnu vevitɔwo:

• Dɔlékuiwutikewo. Esiae nye atikewɔwɔ vevitɔ. Wò ɖɔkta adze dɔlékuiwutike siwo wodona ɖe ʋuka me (IV) ƒe agbɔsɔsɔ gã zazã gɔme na wò be wòawu dɔlékui si na ʋua le ƒoƒom. Abe alesi míegblɔe va yi ene la, esia xɔa ɣeyiɣi geɖe, eyata woate ŋu ana dɔlékuiwutikewo wò hafi dodokpɔ siwo wowɔ tsɔ dea dzesi dɔlélea nate ŋu afia nusi tututu gbɔ dɔlélea tso (dɔlékui alo lãvi). Be nànɔ dedie la, woana dɔlékuiwutike siwo ƒe dɔwɔwɔ keke ta siwo ate ŋu awu dɔlékui vovovowo (vevietɔ dɔlékui siwo bɔ abe S. aureus ene) wò . Emegbe ne dekɔnu me tsonuawo gadze ake ko la, woate ŋu atrɔ wò ɖe dɔlékuiwutike si sɔ wu ŋu. Ahiã be nàyi atikewɔwɔ sia dzi le kɔdzi kwasiɖa geɖe.
• Ʋu ƒe ʋuʋu (anticoagulants). Woate ŋu ana ʋumenugbagbeviɣitikewo (ʋuɖetikewo) abe heparin ene wò be ʋumenugbagbeviɣia nagalolo o, be wòaʋuʋu vivivi, eye be ʋuka yeyewo nagadzɔ o.
• Woate ŋu ado atike siwo tsia ʋumenugbagbeviɣidɔ nu (atike siwo naa ʋu mekɔna o) to ʋuka me alo le ŋutigbalẽ te. Ahiã be nàno ʋumenugbagbeviɣitike siawo le atikekui ƒe nɔnɔme me ɣleti geɖe le atikewɔwɔ gbãtɔa megbe.
• Corticosteroids ƒe atikewo. Wò ɖɔkta ate ŋu aŋlɔ steroid na wò be wòaɖe abi kple abi si hea nyaƒoɖeamenu vɛ le wò ʋukawo me dzi akpɔtɔ. Gake ne èdze dɔlékuiwutikewo zazã gɔme be woatsɔ aɖu dɔlékuia dzi eye woɖu dɔlékuia dzi vɔ ko hafi wonaa esiawo.
• Amekoko. Le go aɖewo me la, ahiã be woawɔ dɔ na ame be wòakɔ afisi dɔlékuia tso (e.g., aɖuɖɔtoe me dɔléle, aɖu ƒe ʋuʋudedi) eye woaɖe ʋuʋudedi alo tsi bubu ɖesiaɖe si ƒo ƒu la ɖa. Esia ate ŋu akpe ɖe ame ŋu wòaɖu dɔlékuia dzi kaba.

Nukae míate ŋu akpɔ mɔ na ne esia dzɔ? Nukawoe nye kuxi siwo dona tso eme?

Hafi woake ɖe dɔlékuiwutikewo ŋu la, zi geɖe la, cavernous sinus thrombosis wua ame. Gake fifia, esi wowɔ ŋgɔyiyi le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me ta la, amesiwo xɔ dɔléle sia dometɔ siwo wu 70% tsi agbe. Ema nye dzidzedzekpɔkpɔ gã aɖe ŋutɔ.

Gake ne wotsi agbe gɔ̃ hã la, ame geɖe ate ŋu ato kuxiwo vɛ elabena esia nye nɔnɔme si gblẽa nu le ahɔhɔ̃ kple lãmekawo ŋu. Le kpɔɖeŋu me, amesiwo haya tso cavernous sinus thrombosis me dometɔ siwo ade 20% ate ŋu ayi edzi anɔ ŋku ƒe kuxiwo (nukpɔkpɔ ƒe kuxi, ŋkuagbã) kple ahɔhɔ̃mekawo ƒe kuxiwo (mo ƒe ʋuʋu, woƒe ŋkuwo ʋuʋu sesẽ) .

Kuxi bubu siwo ate ŋu ado tso emee nye:

• Taɖuame sesẽ enuenu.
• Nukpɔkpɔ bu keŋkeŋ le ŋku ɖeka alo evea siaa me.
• Asrãdɔ ƒe alɔ̃madɔmadɔ si nɔa anyi ɖaa.
• Meningitis (dɔlékui siwo le lãkusi siwo tsyɔ ahɔhɔ̃a me).
• Sepsis (dɔlékui ƒe kaka ɖe ʋu me).

Nu bubue nye be ne cavernous sinus thrombosis le ŋuwò la, edea afɔku me be ʋu ƒe sisi bubu siwo me afɔku le, abe ʋu ƒe sisi le wò afɔwo me ( Deep Vein Thrombosis - DVT ), ʋu ƒe sisi si zɔa mɔ yia wò lãkusi me ( Pulmonary Embolism - PE ), alo ʋu ƒe sisi le wò ahɔhɔ̃ ƒe akpa bubu ( Stroke ) ene.

Eyata ele vevie be nàgblɔ kuxi siwo ate ŋu ado tso wò nɔnɔmea me na wò ɖɔkta faa. Ele vevie hã be nànya nuxlɔ̃amedzesiwo le kuxiwo ŋu ale be nàte ŋu axe mɔ ɖe wo nu ɣesiaɣi si wòanya wɔ.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake?

Ne dzesi siawo dometɔ aɖe le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake kaba:

• Taɖuame sesẽ aɖe si nu metsina le vevesesenutsitikewo nono vɔ megbe o, eye wògblẽna ɖe edzi.
• Ne vevesese si nu sẽna ɖe edzi ne èmlɔ anyi alo bɔbɔ ɖe anyi kpe ɖe taɖuamea ŋu.
• Ne ŋku ɖeka alo evea siaa te vevesese, vuvu, biã, alo ʋuʋu.
• Ne èse le ɖokuiwò me be yele dɔ lém vevie, yegbɔdzɔ, alo yele alɔ̃ dɔm vevie.
• Ne gbɔgbɔ sesẽ na wò.
• Ne asrã sesẽ aɖe le ŋuwò, vuvɔ le wɔwɔm, eye nèle ʋuʋum.

Dzesi siawo tɔgbe ɖenɛ fiana be nɔnɔme kpata aɖe ate ŋu anɔ dzɔdzɔm.

Nya vevi kawoe wòle be míabia ɖɔktaa?

Ne wò ɖɔkta gblɔ na wò be dɔléle sia le ŋuwò la, àte ŋu atsi dzimaɖi. Gake, be wò susu naɖe dzi ɖi eye nàse wò nɔnɔmea kple atikewɔwɔ gɔme nyuie la, mègaŋlɔ be be yeabia nya siawo wò ɖɔkta o:

• Nuka tututue le asinye? Aleke gbegbee esia nye nu vevi aɖee?
• Atikewɔwɔ ka ƒomevie mehiã? Ɣeyiɣi didi kae wòaxɔ?
• Nukawoe nye atike siawo ƒe nugbegblẽ le ame ŋu?
• Ɣeyiɣi didi kae wòahiã be manɔ kɔdzi?
• Mɔnukpɔkpɔ kawoe li be kuxi siwo nɔa anyi didi tso ʋu ƒe sisi sia gbɔ nam? Nukawoe wonye? Ðe woate ŋu axe mɔ ɖe wo nua?
• Tɔtrɔ kawoe wòahiã be mawɔ le nye gbesiagbegbenɔnɔ me le kuxi siawo ta?
• Mɔnukpɔkpɔ kawoe li be nɔnɔme sia nagadze dzinye ake? Nukae wòle be mawɔ atsɔ axe mɔ ɖe enu?
• Nu kawoe wòle be malé be na ne metrɔ yi aƒeme?

Nyabiase siawo ƒe ŋuɖoɖo anɔ vevie na wò ŋutɔ.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Ate ŋu ado vɔvɔ̃ na wò be nànya be nane si bɔ abe ʋuka me dɔlékui alo ƒoƒo sue aɖe si le mo na wò ene ate ŋu ana ʋu nado si ate ŋu ade wò agbe afɔku me. Cavernous sinus thrombosis — ʋu ƒe sisi si dzɔna ɖe wò mo alo ta me le dɔlékui aɖe ta — nye nɔnɔme si mebɔ kura o ŋutɔŋutɔ. Eyata, anɔ eme be wò taɖuame alo ŋku ƒe vevesese nye nane si nu sẽ wu ƒe dzesi o. Ate ŋu anye nane si mehiã boo o ƒe dzesi.

Ke hã, nu vevitɔ si dzi wòle be nàɖo ŋkui ɣesiaɣi enye be nàda dɔlékui ɖesiaɖe – aleke kee wòɖadze nu sue aɖee o – kaba eye wòasɔ. Kpɔ nyuie vevietɔ le dɔlékui siwo dona le mo, ŋɔti, nu, kple ŋku ƒe teƒewo ŋu. Atikewɔwɔ kabakaba alea ate ŋu awɔ akpa gã aɖe le mɔxexe ɖe nɔnɔme sesẽ sia tɔgbe nu be wòagadzɔ o me. Eyata nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dzesi aɖewo siwo mebɔ o le ŋuwò, ne wole sue gɔ̃ hã. Lé ŋku ɖe dzesi siwo wò ŋutilã le na wò ŋu!

` Cavernous Sinus Thrombosis, Ʋu ƒe sisi le ahɔhɔ̃ me, Tagbɔdɔléle, Mo ƒe dɔléle, Taɖuame sesẽ, Ŋkuwo ƒe vuvu, Dɔlékuiwutikewo, Ahɔhɔ̃mekawo ƒe dɔlélewo