Koj puas muaj mob taub hau uas tsis tuaj yeem ua tau thiab koj lub zeem muag hloov pauv? Qee zaum koj xav tias koj hnov lub suab nrov hauv koj pob ntseg lossis pom ob yam hauv koj lub qhov muag? Txawm hais tias ntau tus neeg xav tias qhov no yog mob taub hau ib txwm muaj, qee zaum qhov ua rau qhov no tuaj yeem yog ib qho mob tshwj xeeb uas ua rau muaj kev ntxhov siab hauv peb lub taub hau. Txawm hais tias qhov no yuav zoo li ntshai me ntsis, yog tias koj nkag siab nws kom zoo thiab kho nws raws sijhawm, nws tuaj yeem tswj tau zoo. Hnub no peb yuav tham txog qhov mob no uas ntau tus neeg tsis paub txog, tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub.
Hauv lwm lo lus, Idiopathic Intracranial Hypertension (IIH) yog dab tsi?
Lub npe no zoo li nyuaj me ntsis, puas yog? Cia peb piav qhia txhua lo lus thiab nkag siab.
- Idiopathic : Qhov no txhais tau tias "tsis paub ua rau muaj tus kab mob." Qhov no txhais tau tias cov kws kho mob tseem tab tom sim nrhiav qhov ua rau muaj tus kab mob no.
- Intracranial: Qhov no txhais tau tias "hauv lub taub hau."
- Ntshav Siab: Qhov no txhais tau tias "ntshav siab."
Hauv lwm lo lus, Idiopathic Intracranial Hypertension (IIH) yog qhov nce siab hauv lub taub hau yam tsis muaj laj thawj pom tseeb.
Xav txog nws, peb lub hlwb tsis yog ib yam dab tsi hauv lub taub hau xwb. Muaj ib qho kua tshwj xeeb nyob ib puag ncig nws los tiv thaiv nws. Peb hu qhov no ua kua Cerebrospinal (CSF) . Cov kua CSF no yog qhov uas tiv thaiv peb lub hlwb thiab tus txha caj qaum kom tsis txhob sib tsoo. Cov kua CSF no raug tsim tawm tas li hauv peb lub cev, thiab nws kuj raug lub cev nqus rov qab. Ib yam li lub tank puv nrog dej, thiab dej ntws tawm sab tod.
Hauv IIH, vim li cas los xij, cov kua dej CSF no raug tsim ntau dhau lossis tsis tau rov qab nqus mus rau hauv lub cev kom zoo. Qhov no ua rau cov kua dej no sib sau ua ke hauv lub taub hau thiab maj mam nce siab. Qhov kev nce siab no tuaj yeem cuam tshuam tsis yog rau peb lub hlwb xwb, tab sis kuj rau cov hlab ntsha optic uas pab peb lub qhov muag pom.
Tus mob no yav tas los hu ua 'pseudotumor cerebri'. Nws txhais tau tias "qog hlwb cuav." Qhov laj thawj uas nws hu ua li ntawd yog vim nws cov tsos mob zoo ib yam li cov qog hlwb. Tab sis nco ntsoov, IIH tsis yog hom mob qog noj ntshav lossis qog hlwb.
Cov tsos mob ntawm ib tus neeg uas muaj IIH yog dab tsi?
Ib tug neeg uas muaj tus mob no muaj ntau yam tsos mob sib txawv. Tab sis cov no yog cov tsos mob tseem ceeb thiab feem ntau tshwm sim. Cia peb saib qhov no hauv daim ntawv teev kom nkag siab meej.
| Cov tsos mob | Qhov ntawd xav li cas? |
|---|---|
| Mob taub hau hnyav heev | Qhov no yog cov tsos mob uas feem ntau tshwm sim. Nws tsis zoo li mob taub hau ib txwm muaj. Nws pib sai sai, tsis tuaj yeem ua tau, thiab tuaj yeem pib ntawm tom qab taub hau thiab nthuav mus rau caj dab. Qee zaum qhov mob hnyav dua thaum koj sawv thaum sawv ntxov. |
| Kev hloov pauv ntawm qhov muag pom kev | Cov tsos mob yuav muaj xws li pom kev tsis meej, pom tsis meej tam sim ntawd ob peb feeb, pom ob sab, lossis pom tsis meej sab nraud. Qhov no yog cov tsos mob txaus ntshai tshaj plaws. |
| Hnov suab nrov hauv pob ntseg (Tinnitus) | Ib lub suab nrov nrov, zoo li lub suab "hissing", tuaj yeem hnov hauv pob ntseg, zoo li lub suab ntawm lub plawv dhia. Qhov no tuaj yeem ua rau qee tus neeg ntxhov siab heev. |
| Ntuav thiab xeev siab | Ib txhia neeg yuav xeev siab thiab ntuav nrog rau lawv mob taub hau. |
| Mob caj dab thiab xub pwg | Ntxiv rau qhov mob taub hau, koj yuav hnov mob txhav lossis mob hauv caj dab thiab xub pwg. |
| Kev nkees nkees | Koj kuj tseem yuav xav tias nkees thiab tsaug zog txhua lub sijhawm yam tsis muaj laj thawj tshwj xeeb. |
Vim tias cov tsos mob no kuj tuaj yeem pom hauv lwm yam kab mob, yog tias koj ntsib qee yam zoo li no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob thiab nrhiav kev qhia.
Vim li cas qhov mob no thiaj tshwm sim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Raws li peb tau hais ua ntej lawm, qhov ua rau qhov no tsis paub meej, tab sis cov kws kho mob ntseeg tias qhov kev nyuaj siab no yuav yog los ntawm kev thaiv hauv txoj kev uas nqa cov kua CSF lossis kev nqaim ntawm cov leeg loj (venous sinuses) hauv lub hlwb.
Txawm hais tias tus mob no tuaj yeem tshwm sim rau txhua tus neeg, tab sis qee tus neeg yuav muaj feem ntau dua. Cia peb saib seb lawv yog leej twg.
- Cov Poj Niam: Tus mob no feem ntau tshwm sim rau cov poj niam ntau dua li cov txiv neej, tshwj xeeb tshaj yog cov poj niam uas muaj hnub nyoog yug tau menyuam (hnub nyoog 20-45 xyoo).
- Rog dhau: Cov neeg uas rog dhau rau lawv qhov siab, txhais tau tias cov neeg uas muaj Body Mass Index (BMI) ntau tshaj 30, muaj feem yuav mob IIH ntau dua. Cov kws tshawb fawb hais tias cov rog ntau dhau hauv plab thiab hauv siab tuaj yeem ua rau cov ntshav ntws mus rau lub hlwb nyuaj dua, ua rau cov kua dej sib sau ua ke hauv lub hlwb.
- Kev xeeb tub los ntawm noob caj noob ces: Qee qhov kev tshawb fawb qhia tau tias yog tias ib tug neeg hauv tsev neeg muaj tus kab mob no, ces yuav muaj feem me me uas lwm tus yuav muaj tus kab mob no thiab. Txawm li cas los xij, kev tshawb fawb tseem tab tom ua mus ntxiv txog qhov no.
Qhov no puas loj heev? Puas muaj teeb meem tshwm sim tau?
Qhov no yuav zoo li txaus ntshai, tab sis IIH tsis yog ib yam kab mob uas ua rau tuag taus. Qhov ntawd txhais tau tias nws tsis tua koj.
Txawm li cas los xij, qhov teeb meem loj tshaj plaws thiab loj tshaj plaws ntawm qhov no yog qhov tsis pom kev mus tas li. Qhov no yog vim tias qhov kev ntxhov siab ntxiv hauv lub taub hau ncaj qha cuam tshuam rau peb cov hlab ntsha pom kev. Yog tias cov hlab ntsha no raug puas tsuaj ntev, nws tsis tuaj yeem kho tau. Yog li ntawd, qhov tsis pom kev mus tas li tuaj yeem tshwm sim.
Yog vim li ntawd peb thiaj hais tias yog koj mob taub hau hnyav nrog rau qhov pom kev hloov me ntsis (pom tsis meej, tsaus ntuj nti ib pliag, pom ob sab), koj yuav tsum tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob tam sim ntawd. Yog tias koj pib kho raws sijhawm, koj tuaj yeem tiv thaiv qhov teeb meem loj no tau tag nrho.
Tus kws kho mob kuaj mob li cas tiag?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob thiab tom qab ntawd xaj ntau yam kev kuaj mob kom paub tseeb tias tsis muaj lwm yam mob uas yuav muaj cov tsos mob zoo sib xws.
- Kev kuaj qhov muag: Tus kws kho qhov muag yuav kuaj koj ob lub qhov muag kom zoo zoo, tshwj xeeb yog xyuas seb puas o ntawm cov hlab ntsha optic. Lawv kuj tseem yuav ua qhov kev kuaj pom kom paub seb puas muaj qhov tsis pom kev hauv koj qhov kev pom kev.
- Kev tshuaj xyuas lub hlwb: Tej zaum yuav muaj kev txiav txim kom kuaj CT lossis MRI kom paub tseeb tias tsis muaj lwm yam ua rau mob hnyav, xws li mob qog hauv hlwb.
- Kev tho qhov txha nraub qaum / Kev tho qhov ntawm lub duav:Muaj ib txhia neeg ntshai thaum lawv hnov lub npe no. Tab sis qhov no yog ib qho kev kuaj mob tseem ceeb heev rau kev kuaj mob. Koj ua li cas yog ntxig ib rab koob me me rau hauv qab nraub qaum, rho tawm me ntsis ntawm cov kua CSF uas peb tau tham txog, thiab ntsuas nws qhov siab. Qhov siab no siab dua li qub rau ib tus neeg uas muaj IIH.
Yog tias tag nrho cov kev kuaj no tau ua tiav thiab tsis pom muaj lwm yam ua rau thiab CSF siab kuj siab, koj tus kws kho mob yuav lees paub tias koj muaj IIH.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob IIH muaj ob lub hom phiaj tseem ceeb. Ib qho yog kom txo qhov siab hauv lub hlwb. Qhov thib ob yog kom tiv thaiv kev pom kev tsis pom kev. Nyob ntawm seb koj tus mob hnyav npaum li cas, koj tus kws kho mob yuav pom zoo ib lossis ntau txoj kev kho mob.
Cov tshuaj
Feem ntau, kev kho mob pib nrog tshuaj.
- Cov tshuaj uas txo cov CSF tsim tawm: Cov tshuaj xws li acetazolamide lossis topiramate yog muab rau kom txo cov kua dej CSF hauv lub cev.
- Cov tshuaj diuretics: Cov no pab txo cov ntshav siab los ntawm kev tshem tawm cov kua dej ntau dhau ntawm lub cev los ntawm cov zis.
- Cov Tshuaj Tua Kab Mob: Cov tshuaj tua kab mob dav dav yog muab los tswj kev mob taub hau.
Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis noj tshuaj tiv thaiv kev yug menyuam, koj yuav tsum qhia rau koj tus kws kho mob, vim tias qee cov tshuaj yuav tsis haum rau cov xwm txheej ntawd.
Kev phais mob
Yog tias muaj mob hnyav uas tshuaj tsis tuaj yeem tswj tau, lossis ua rau pom kev tsis meej, tej zaum yuav tsum tau phais.
- Kev tso chaw Shunt: Qhov no cuam tshuam txog kev tso cai rau cov kua CSF ntau dhau los ntawm ib lub raj nyias mus rau lwm qhov chaw, xws li lub plab.
- Muab Stent tso rau hauv: Yog tias cov hlab ntsha hauv lub hlwb nqaim, yuav muab ib lub raj me me zoo li daim ntaub mesh (stent) ntxig rau hauv kom nws dav dua. Qhov no ua rau cov ntshav ntws tau zoo dua thiab txo qhov siab.
- Kev phais qhov muag los ntawm kev txiav cov hlab ntsha hauv lub qhov muag: Qhov no yog kev phais qhov muag uas yuav tsum ua ob peb lub qhov me me hauv lub qhov muag uas nyob ib puag ncig cov hlab ntsha hauv lub qhov muag, ua rau cov CSF uas tau sib sau ua ke ntawd ntws tawm.
Kev Tswj Qhov Hnyav
Qhov no yog ib kauj ruam tseem ceeb heev rau kev kho mob thiab kev tiv thaiv kev rov qab mob dua. Yog tias koj qhov BMI tshaj 30, koj tus kws kho mob yuav qhia koj kom poob phaus. Kev tshawb fawb tau qhia tias kev poob tsuas yog 5% txog 10% ntawm koj qhov hnyav hauv lub cev tuaj yeem txhim kho cov tsos mob IIH. Nws tuaj yeem pab tau los ua haujlwm nrog tus kws noj haus kom pab koj nrog qhov no.
Yuav muaj li cas tom ntej no? Kuv yuav ua li cas thiaj nyob tau nrog qhov no?
Yog tias kuaj pom thaum ntxov thiab kho kom zoo, feem ntau cov neeg uas muaj IIH tuaj yeem ua neej nyob li qub. Txawm hais tias tsis muaj kev kho, nws yog ib qho mob uas tswj tau.
Qhov no txhais tau tias koj yuav tsum tau daws nws mus tas koj lub neej. Qee zaum cov tsos mob yuav ploj mus thiab tom qab ntawd rov qab los. Yog li nws tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob txoj kev npaj kho mob, tshwj xeeb tshaj yog kev tswj qhov hnyav.
Thaum koj tau kuaj pom tias muaj IIH lawm, tsis txhob nco qab koj qhov kev mus ntsib kws kho mob thiab kws kho qhov muag tas li. Nws yog ib qho tseem ceeb kom tiv thaiv koj qhov muag pom kev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Idiopathic Intracranial Hypertension (IIH) tsis yog mob qog hauv lub hlwb. Nws yog ib qho mob uas qhov siab hauv lub taub hau nce ntxiv yam tsis muaj laj thawj pom tseeb.
- Yog tias mob taub hau uas tsis tuaj yeem ua tau nrog rau kev hloov pauv ntawm qhov muag pom kev (tsis meej, tsaus ntuj), qhov ntawd yog ib qho cim ceeb toom loj.
- Tus mob no feem ntau pom ntawm cov poj niam rog dhau thiab muaj hnub nyoog yug tau menyuam.
- Qhov teeb meem loj tshaj plaws uas tuaj yeem tshwm sim los ntawm qhov no yog qhov muag tsis pom kev mus tas li, yog li nws tseem ceeb heev uas yuav tsum nrhiav kev kho mob sai sai.
- Kev kho mob suav nrog kev siv tshuaj, qee zaum phais, thiab kev poob phaus yog qhov tseem ceeb rau kev tswj hwm mus sij hawm ntev.
- Yog koj muaj lus nug txog qhov no, tsis txhob yig nrog koj tus kws kho mob tham thiab nrhiav kev pab tswv yim.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus