Taɖuame sesẽ kpata abe dzikedzo enea? Ðe wòate ŋu anye RCVS? (Ahɔhɔ̃mekawo ƒe Ʋukawo ƒe Tsitretsitsi ƒe Dɔléle si Woate Ŋu Atrɔ) .

Bu eŋu kpɔ ne èle wò dɔ si nèwɔna ɖaa wɔm eye kasia, nuxlɔ̃ame aɖeke manɔmee la, taɖuame sesẽtɔ kekeake si nèkpɔ kpɔ. Enye vevesese si nu sẽ wu le wò agbe me. Vevesesea aɖo eƒe sesẽaƒe le sɛkɛnd ʋɛ aɖewo ko me. Le atikewɔwɔ me la, míeyɔa taɖuame sia si nu sẽ kpata be "Thunderclap Headache." Menye taɖuame ɖesiaɖe koe esia nye o. Zi geɖe la, esia nyea nuxlɔ̃ame vevi aɖe si míaƒe ŋutilã le na mí. RCVS nye nɔnɔme mawo dometɔ ɖeka si naa nuxlɔ̃ame ma tɔgbe.

Kpuie ko la, nukae nye RCVS?

RCVS ƒe ŋkɔ bliboae nye Reversible Cerebral Vasoconstriction Syndrome . Ŋkɔa adze abe ɖe wòdidi vie eye wòsesẽ ene, gake mina míana wòanɔ bɔbɔe.

• Reversible: gɔmee nye "woate ŋu atrɔe." Esia fia be nɔnɔmea menɔa anyi ɖaa o eye woate ŋu adae ne wodae nyuie .
• Cerebral: gɔmee nye "si ku ɖe ahɔhɔ̃ ŋu."
• Vasoconstriction: gɔmee nye "ʋukawo ƒe ʋuʋu alo woƒe ʋuʋu."

Kpuie ko la, RCVS nye nɔnɔme si me ʋuka siwo le ahɔhɔ̃a me la me tsina, woxena, eye woxena zi ɖeka . Gake woate ŋu atrɔ esia ne wowɔ atike nɛ nyuie.

Bu tsi ƒe pɔmpi aɖe ŋu kpɔ. Nukae dzɔna ne míemimi pɔmpia ƒe akpa ɖeka? Exea mɔ na tsia ƒe sisi, alo? Nu ma ke dzɔna ɖe ʋuka siwo le míaƒe ahɔhɔ̃ me hã dzi. Ne ʋuka siawo me sẽ zi ɖeka (míeyɔa esia be ``vasospasm''), ahɔhɔ̃a mexɔa ʋu agbɔsɔsɔme si hiã o. Esia tae míexɔa taɖuame sesẽ mawo siwo sena le mía ɖokui me abe dzikedzo ene. Nɔnɔme sia ate ŋu afia dzesiwo abe taɖuame, ʋusɔgbɔdɔ, alo ʋu si le dodom le ahɔhɔ̃a me ene hã ɣeaɖewoɣi .

Nukae nye RCVS ƒe dzesiwo?

RCVS ate ŋu ahe dzesi vovovowo vɛ le ʋu ƒe sisi yi ahɔhɔ̃a me ƒe gbegblẽ ta. Dzesi vevitɔe nye taɖuame sesẽ, gake dzesi bubuwo hã li.

Le go aɖewo me la, RCVS ate ŋu ana ʋu nado le ahɔhɔ̃a kple taɖua dome. Woyɔa esia be `(Subarachnoid Hemorrhage - SAH)`. Esia hã nye atikewɔwɔ kpata si nu sẽ ŋutɔ. Tsɔ kpe ɖe dzesi siwo le etame ŋu la, SAH ate ŋu aɖe dzesi siwo gbɔna hã afia:

• Kɔ ƒe sesẽ, lãmekawo ƒe vevesese le kɔ kple abɔta.
• Nuwɔna kple seselelãme ƒe tɔtrɔ (dzikudodo le susu manɔmee).
• Ŋutilã ƒe akpa aɖe ƒe ʋuʋu.

Nukawoe nye nusiwo kpena ɖe RCVS ƒe ŋgɔyiyi ŋu?

Togbɔ be womekpɔ ke ɖe nusi tututu gbɔ RCVS tsona ŋu haɖe o hã la, wode dzesi afɔku geɖe siwo ate ŋu ana nɔnɔme sia nadze egɔme.

Fufɔfɔ kple vidzidzi

Afɔku si bɔ wu eye wòbɔ wu na RCVS enye fufɔfɔ. Afɔkua lolo wu le kwasiɖa ade gbãtɔ siwo le vidzidzi megbe (vidzidzi megbe). Ðɔktawo xɔe se be lãmetsiŋusẽ ƒe tɔtrɔ le fufɔɣi ate ŋu awɔ akpa aɖe. RCVS ate ŋu adzɔ ne kuxiwo abe preeclampsia, si nye ʋusɔgbɔdɔ si dzɔna le fufɔɣi ene meli o gɔ̃ hã.

Atike kple atike aɖewo zazã

Atike kple atike aɖewo siwo gblẽa nu le míaƒe ʋu ƒe sisi ŋu dzia RCVS ƒe afɔkua ɖe edzi.

Lãmesẽ ƒe nɔnɔme bubuwo

Atikewɔwɔ ƒe nɔnɔme aɖewo hã dzia afɔku si le RVCS xɔxɔ me ɖe edzi.

• Taɖuame: Amesiwo ŋu taɖuame le la ate ŋu axɔ RCVS.
• Calcium ƒe agbɔsɔsɔ si le ʋu me ƒe dzidziɖedzi (Hypercalcemia): Ne calcium ƒe agbɔsɔsɔ le ʋu me dzi ɖe edzi la, ʋukawo ƒe dɔwɔwɔ ate ŋu agblẽ.
• Lãmetsiŋusẽ ƒe nyawo: Wosusu be lãmetsi si nye estrogen ye kpɔa gome le esia me. Esia tae dɔléle sia bɔ ɖe nyɔnuwo dome wu.
• Domenyiŋusẽ ƒe dɔlélewo: Dɔléle siwo hea dɔdzẽ siwo naa adrenaline lãmetsi si sɔ gbɔ wu, abe ``Pheochromocytoma`` ene vɛ.

Nukawoe nye kuxi siwo ate ŋu ado tso RCVS me?

Tsã la, ɖɔktawo susui be RCVS nye dɔléle si megblẽa nu le ame ŋu o, si megblẽa nu le ame ŋu o, gake numekuku yeyewo ɖee fia be menye nenemae wònɔna ɣesiaɣi o.

Woate ŋu agblẽ RCVS dɔnɔ siwo ade 30% ɖi kple nuwɔametɔ sue aɖewo siwo nɔa anyi ɖaa (le kpɔɖeŋu me, lãmekawo ƒe gbɔdzɔgbɔdzɔ aɖewo, dadasɔ ƒe kuxiwo ne wole zɔzɔm). Anɔ abe 8% ate ŋu axɔ kuxi sesẽwo wu, siwo nɔa anyi didi.

Tsɔ kpe ɖe eŋu la, kuxi sesẽwo ate ŋu ado mo ɖa le ŋkeke ʋɛ aɖewo megbe tso esime dzesi gbãtɔawo dze.

• Ischemic Stroke: Ʋusɔgbɔdɔ si tsoa ʋuka si naa ʋu yia ahɔhɔ̃a me ƒe xexe me.
• Ʋu si dona le ahɔhɔ̃ me: Nɔnɔme si sɔ kple SAH tɔ.
• Aɖuɖɔtoedɔ (`(Alɔ̃madɔmadɔ)`).

Aleke wokpɔa RCVS ƒe dɔléleae?

Ne èyi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) la, ɖɔktawo wɔa afɔɖeɖe geɖe tsɔ dea dzesi dɔléle sia.

1. Ŋutilã kple lãmekawo dodokpɔ: Tsɔ kpe ɖe biabia tso wò dzesiwo ŋu la, woado wò lãmekawo ƒe dɔwɔwɔ (e.g., nuƒoƒo, nukpɔkpɔ, ŋutilã ƒe dadasɔ) kpɔ.

2. Ʋudodokpɔ: Wowɔa ʋudodokpɔ be woatsɔ adi nuwo abe ʋu ƒe sisi ƒe kuxiwo, dɔlékuiwo, kple ŋutilã ƒe dzewo ƒe masɔmasɔ.

3. Nɔnɔmetatawo Kpɔkpɔ: Nɔnɔmetata siawoe nye nu vevitɔ kekeake le RCVS ƒe dɔléle didi me. Woate ŋu "akpɔ" ahɔhɔ̃a me eye woade dzesi teƒe siwo kuxiwo le.

Scan ka ƒomeviwoe wowɔa esiawo?

• CT Scan (`(Computed Tomography - CT scan)`): Woateŋu azã scan si woyɔna be `(CT angiogram)` atsɔ akpɔ ʋuka siwo le ahɔhɔ̃a me ƒe nɔnɔme. CT scan le vevie ŋutɔ na ʋusɔgbɔdɔ didi kaba, elabena sɛkɛnd ɖesiaɖe le vevie ne wole ʋusɔgbɔdɔ dam.
• MRI scan (Magnetic Resonance Imaging - MRI scan): Scan si woyɔna be Magnetic Resonance Angiogram - MRA ate ŋu aɖe ʋukawo ƒe ʋuʋu (vasospasm) kple ŋusẽ si dona tso eme ɖe ahɔhɔ̃a dzi afia kɔte.
• Transcranial Doppler ultrasound: Esia dzidzea ʋu ƒe sisi kabakaba to ahɔhɔ̃a me eye ate ŋu ana woakpɔe ɖa be ʋukawo xe hã.

Zi geɖe la, ne woɖe asi le ʋusɔgbɔdɔ ŋu vɔ la, ehiãna be woawɔ MRI/MRA scan atsɔ aɖo kpe RCVS dzi.

Aleke wowɔa atike na RCVS?

Abe alesi ŋkɔa ɖee fia ene ("Reversible"), esia nye nɔnɔme si woate ŋu ada . Taɖodzinu vevi eve le atikewɔwɔ ŋu.

1. Nusi gbɔ wòtso ɖeɖeɖa: Ne woate ŋu ade dzesi nusi gbɔ RCVS ƒe nɔnɔmea tso nyuie (e.g., atike aɖe) la, afɔɖeɖe gbãtɔe nye be woaɖe nusi gbɔ RCVS ƒe nɔnɔmea tso ɖa.

2. Ʋukawo ƒe ʋuʋu dzi ɖuɖu: Wona atikewo be woatsɔ akpɔ ʋukawo ƒe ʋuʋu dzi (`(vasospasm)`).

Atike ƒomevi si wozãna wu na esiae nye calcium channel blockers (`(Calcium Channel Blockers - CCBs)`).Atike siawo wɔa dɔ to mɔxexe ɖe calcium nu be wòagage ɖe lãmeka gbadza siwo le ʋukawo ƒe gliwo me o me. Emegbe lãmekaawo ɖea dzi ɖi, ʋukawo gakekena, eye ʋu gaɖoa ahɔhɔ̃a me.

Le nɔnɔme siwo mebɔ kura me o la, ne dɔlélea mewɔ nu ɖe ​​atike ŋu o la, woate ŋu azã mɔnu aɖe si woyɔna be ``endovascular''. Le nɔnɔme sia me la, wotsɔa ʋuka si le sue ŋutɔ (``catheter'') toa ʋuka aɖe me le alɔ alo afɔ me yia ʋuka aɖe me le ahɔhɔ̃a me, eye wodoa ʋuƒo aɖe to eme (``angioplasty'') be wòakeke ʋuka si xe la ɖe enu alo ana atike tẽ.

Nukae woakpɔ mɔ na ne woɖo RCVS?

Ne RCVS le ŋuwò la, nu gbãtɔ si nàte ŋu akpɔe nye taɖuame sesẽ kpata. Esia nye atikewɔwɔ kpata eye wòhiã be woawɔ atike nɛ enumake. Ne wonya dze atikewɔwɔ gɔme ko la, ame akpa gãtɔ hayana le ŋkeke alo kwasiɖa ʋɛ aɖewo megbe .

Ame akpa gãtɔ (anɔ abe 80% - 85%) hayana keŋkeŋ kuxi aɖeke manɔmee ɣeyiɣi didi . Emae nye nu nyuitɔ kekeake le dɔléle sia ŋu. Anɔ abe 10% ene ate ŋu akpɔ kuxi suesuesuewo. Gake afɔku sue aɖe li be kuxi sesẽwo, abe ʋusɔgbɔdɔ si ŋu míeƒo nu tsoe va yi ene, ate ŋu ado mo ɖa, eyata dɔlélea didi kaba kple edada le vevie ŋutɔ.

Nukae wòle be míawɔ be RCVS nagatrɔ ava o?

Ne RCVS dze dziwò kpɔ la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ tɔtrɔ aɖewo le agbenɔnɔ me be wòagadzɔ ake o.

• Atike si na RCVS la nu tsotso: Ne atike aɖee he dɔlélea vɛ la, dzudzɔ ezã abe alesi wò ɖɔkta gblɔe ene eye nàƒo asa na atike ma nono le etsɔme.
• No atike siwo ɖɔkta ŋlɔ na wò edziedzi: No atike siwo nèŋlɔ na wò ɖe game dzi be dzesiawo nagatrɔ ava o.
• Ƒo asa na atike muamewo zazã madzemadzee kura: Te ɖa le atike siwo doa ŋusẽ ame ŋu, vevietɔ esiwo gblẽa nu le ʋu ƒe sisi ŋu, abe marijuana ene.
• Kpɔ caffeine kple ŋusẽdonuwo dzi: Nunya anɔ eme be nàɖe agbɔsɔsɔ si nènona dzi akpɔtɔ alo nàdzudzɔ esiawo nono kura.

Wò ɖɔkta abia tso asiwò be nàtrɔ ava atikewɔƒea be yealé ŋku ɖe wò nɔnɔmea ŋu. Kpɔ egbɔ be yede ɖoɖowɔɖi mawo.