Matuza amadzi pamutu ndi kumbuyo? (Arachnoid Cysts) Tiyeni tiphunzire bwino lomwe kuti ndi chiyani!

Mwina mwamvapo za zinthu monga matuza amadzi omwe amapangika pamutu panu kapena kumbuyo kwanu? Mwina inu, munthu amene mumamudziwa, kapena mwana wanu munakhalapo ndi vuto lotere, ndipo dokotala wakuuzani. Chifukwa chake ndikwachibadwa kumva mantha pang'ono mukamva izi. Mafunso monga "Kodi izi ndizoopsa? Kodi ndi khansa?" mwina amabwera m'maganizo. Ndicho chifukwa chake, lero tikambirana za ma cysts otchedwa arachnoid . Tiyeni tiwone zomwe zili, chifukwa chake zimapangidwira, zizindikiro zake ndi ziti, zomwe muyenera kuopa, komanso mankhwala ake ndi ati.

Kodi mukudziwa kuti ma cyst a arachnoid awa ndi ati?

Mwachidule, arachnoid cysts ndi timatumba tating'onoting'ono todzaza ndi madzi tomwe timapangika muubongo kapena msana. Chofunika kwambiri, si khansa , ndipo si zotupa za muubongo. Nthawi zambiri, ma cysts awa samayambitsa mavuto aliwonse, ndipo anthu ambiri sadziwa kuti ali nawo.

Komabe, nthawi zambiri, ngati chotupachi chikukulirakulira kwambiri, kapena ngati chikukankhira gawo lofunika kwambiri la ubongo kapena msana, ndiye kuti mavuto ena angachitike. Mwachitsanzo, pakhoza kukhala kuwonongeka kwa ubongo, kuvutika kuyenda, kapena mavuto ena amitsempha .

Nthawi zambiri, ma cysts awa (Arachnoid Cysts) amakhala obadwa nawo . Izi zikutanthauza kuti amayamba kupangika mwana akadali m'mimba. Nthawi zina, amatha kupangika atavulala mutu kwambiri kapena opaleshoni ya ubongo ali mwana. Anthu ambiri omwe ali ndi ma cysts awa alibe zizindikiro zilizonse. Komabe, anthu ena amatha kukhala ndi zizindikiro monga mutu, chizungulire, nseru , kusanza , komanso nthawi zina khunyu .

Kuchiza kapena kusachiza cyst kumadalira komwe cyst ili, kukula kwake, ngati ikukulirakulira, komanso ngati ikuwonetsa zizindikiro zilizonse. Ngati dokotala wanu asankha kuti chithandizo chikufunika, nthawi zambiri amachotsa cyst kapena kuchita opaleshoni yaying'ono kuti ayilumikize ndi malo ozungulira kuti madziwo atuluke.

Kodi ma cyst a arachnoid awa ndi ofala bwanji?

Mungadabwe kumva izi! Ma cysts a arachnoid kwenikweni ndi mtundu wofala kwambiri wa cysts ya ubongo. Ngakhale amatha kupezeka mwa anthu azaka zilizonse, nthawi zambiri amapezeka koyamba mwa makanda ndi ana aang'ono. Kuphatikiza apo, zapezeka kuti anyamata ali ndi mwayi wochuluka wopeza cysts ya arachnoid kuposa atsikana.

Komabe, n'zovuta kwambiri kunena kuti ndi anthu angati padziko lonse omwe ali ndi ziphuphuzi. Chifukwa cha izi ndi chakuti, monga ndanenera kale, nthawi zambiri ziphuphuzi sizimayambitsa zizindikiro zilizonse. Chifukwa chake, madokotala amawawona mwangozi akachita MRI kapena CT scan pamutu pazifukwa zina. Chifukwa chake, n'zovuta kupereka chiwerengero chenicheni cha anthu omwe akukhala ndi ziphuphuzi.

Kodi ma cyst a arachnoid awa amapangika kuti m'thupi?

Ma cysts amenewa (Arachnoid Cysts) nthawi zambiri amamera mu ubongo (intracranial arachnoid cysts ). Nthawi zambiri, amathanso kukula mu msana (spinal arachnoid cysts).

Mitundu yonse iwiri ya ma cysts imapanga pa nembanemba yofewa kwambiri komanso yopyapyala yomwe imaphimba ndikuteteza ubongo wanu ndi msana wanu. Madokotala amatcha nembanemba iyi nembanemba ya arachnoid . Kodi mukudziwa chifukwa chake imatchedwa choncho? Chifukwa imaoneka ngati ukonde wa kangaude! Mawu oti "arachnoid" amachokera ku liwu lachi Greek lotanthauza kangaude.

Mu ubongo, ma cysts awa amatha kupangika m'malo osiyanasiyana.

• Kawirikawiri, izi zimakula m'dera lotchedwa dera la pakati la fossa, mbali zonse ziwiri za ubongo, patsogolo pa makutu anu.
• Zingathenso kupangika m'dera la suprasellar , kumbuyo kwa maso, pansi pa ubongo.
• Malo ena ndi posterior fossa , yomwe ili kumbuyo kwa chigaza, pafupi ndi maziko.

Tsopano onani, pali madzi apadera otchedwa Cerebrospinal Fluid (CSF) ozungulira ubongo wathu ndi msana. Awa ndi madzi owoneka bwino ngati madzi. Izi (CSF) zimateteza ubongo wathu ndi msana ku zoopsa zosiyanasiyana, zimawapatsa zakudya zofunikira, komanso zimachotsa zinyalala. Chifukwa chake, izi (Arachnoid Cysts) zimapangidwa pamene madzi awa (CSF) asonkhana pakati pa zigawo ziwiri za nembanemba ya arachnoid, ndikupanga thumba laling'ono ngati buluni yamadzi.

Kodi zizindikiro za Arachnoid Cysts ndi ziti?

Ili ndiye vuto lalikulu kwa anthu ambiri. Nkhani yabwino ndi yakuti nthawi zambiri, ma cysts awa (Arachnoid Cysts) sasonyeza zizindikiro zilizonse. Izi zikutanthauza kuti ngakhale mutakhala ndi cyst, mutha kukhala moyo wabwinobwino osadziwa.

Komabe, nthawi zina zizindikiro zimatha kuwoneka. Ngati ndi choncho, zizindikiro zimenezoZitha kukhala zofatsa mpaka zowopsa. Zonse zimatengera komwe chotupacho chili, kukula kwake, komanso ngati chikukankhira mitsempha yofunika kwambiri kapena ziwalo zina mu ubongo kapena msana. Nthawi zambiri, ngati zizindikiro zichitika, nthawi zambiri zimaonekera munthu asanakwanitse zaka 20 .

Zizindikiro zina zodziwika bwino zomwe anthu ambiri angakumane nazo ndi izi:

• Kupweteka mutu pafupipafupi.
• Hydrocephalus - Apa ndi pamene ubongo umakhala ndi nkhawa chifukwa cha kuchuluka kwa madzi a m'mitsempha ya ubongo (CSF) mkati mwa ubongo.
• Kusanza ndi kusanza .
• Kugwidwa ndi khunyu .
• Chizungulire ndi chizungulire .

Chofunika: Zizindikiro izi zitha kukhalanso zizindikiro za matenda ena ambiri. Chifukwa chake, ngati muli ndi vuto ngati ili, ndi bwino kupita kwa dokotala kuti akadziwe chomwe chikukuvutani.

Kuphatikiza apo, zizindikiro zimatha kusiyana kutengera komwe kuli cyst, kaya mu ubongo kapena msana.

• Chiphuphu chapakati cha fossa: Ngati chiphuphu chikayamba m'derali, chingayambitse mavuto a masomphenya, kumva, kuyenda, komanso kukhazikika bwino. Anthu ena amatha kumva kutopa nthawi zonse, kumva kufooka, kapena kukhala ndi ziwalo mbali imodzi ya thupi. Mwa ana aang'ono, zizindikiro zokhudzana ndi dongosolo la mitsempha nthawi zina zimatha kuwoneka. Mwachitsanzo, kuchedwa kwa chitukuko ndi kusintha kwadzidzidzi kwa khalidwe kungachitike. Mwachitsanzo, mwana wanu angasiye mwadzidzidzi kuchita zinthu zomwe ankachita kale, kapena kutaya chidwi ndi ntchito ya kusukulu.

• Ma cysts a Suprasellar: Ma cysts m'derali, lomwe lili kumbuyo kwa maso, angayambitse mavuto osiyanasiyana a maso. Derali limalumikizidwanso ndi dongosolo la endocrine la thupi lathu. Makamaka, ma cysts awa amatha kukhudza mahomoni omwe amalamulira kutha msinkhu ndi kukula kwa kugonana mwa mwana. Anthu ena, makamaka ana omwe ali ndi arachnoid cysts m'dera la suprasellar kapena mu posterior cranial fossa, amagwedeza mitu yawo mosalamulirika, ngati chidole chogwedezeka. Ndiko kuti, amasuntha mitu yawo kuchokera mbali imodzi kupita mbali kapena mozungulira. Ngakhale kuti ichi ndi chizindikiro chachilendo pang'ono, nthawi zina chimawoneka.

• Chiphuphu cha msana: Ngati chiphuphu chamtunduwu chikayamba m'msana, chingayambitse dzanzi m'manja ndi miyendo, kumva kuwawa, kugwedezeka kwa minofu, kuvutika kuyenda, komanso nthawi zina kufooka kwa thupi. Kupweteka kwa msana ndi scoliosis, zomwe zimapangitsa kuti msana upinde pakapita nthawiVutoli likhozanso kugwirizanitsidwa ndi msana. Anthu ena amathanso kudwala matenda a mkodzo pafupipafupi chifukwa cha msana.

N’chifukwa chiyani ma cyst a arachnoid amenewa amapangika? Kodi zimayambitsa chiyani?

Ilinso ndi funso lomwe anthu ambiri amafunsa.

Ma cysts ambiri a arachnoid ndi obadwa nawo (ma cysts oyamba a arachnoid). Izi zikutanthauza kuti ma cysts amenewa amayamba kupangika mwana akadali m'mimba, m'masabata oyamba a mimba. Ndipotu, madokotala sakudziwabe chifukwa chake izi zimachitika. Ndi chinsinsi.

Popeza nthawi zina ma cysts a arachnoid amapezeka m'mabanja, madokotala amaganiza kuti majini angathandize. Izi zikutanthauza kuti pali mwayi wochepa woti ana adzalandira matendawa kuchokera kwa makolo awo. Komanso, anthu omwe ali ndi matenda enaake, monga arachnoiditis (kutupa kwa arachnoid membrane) kapena Marfan syndrome (matenda a majini omwe amakhudza minofu yolumikizana), ali ndi mwayi wochuluka wopeza ma cysts a arachnoid kuposa ena.

Kawirikawiri, ma cysts amenewa amatha kupangika munthu atabadwa. Izi zikutanthauza kuti amatha kupangika munthu atavulala mutu kwambiri, monga kuvulala muubongo, opaleshoni yaubongo, kapena matenda omwe amakhudza ubongo, ali mwana. Madokotala amatcha ma cysts omwe amapangika munthu akakula m'moyo wake ma cysts achiwiri a arachnoid .

Kodi madokotala amazindikira bwanji molondola ma cysts a arachnoid?

Zizindikiro za Arachnoid Cysts, monga ndanenera kale, zitha kufanana ndi zizindikiro za matenda ena ambiri. Chifukwa chake, ngati inu kapena mwana wanu muli ndi chimodzi kapena zingapo mwa zizindikiro zomwe zatchulidwa pamwambapa, dokotalayo adzakufunsani kaye za mbiri yanu yonse yaumoyo. Kenako, kutengera zizindikiro zanu, adzakulangizani mayeso ena omwe akuwona kuti ndi ofunikira.

Koma, modabwitsa, nthawi zambiri madokotala amapeza izi (Arachnoid Cysts) mwangozi akamayesa kuchiza vuto lina la thanzi. Mwachitsanzo, munthu akagwidwa ndi khunyu ndipo akuyesedwa mutu kuti apeze chomwe chikuyambitsa, kapena akamafufuza chomwe chikuyambitsa mutu pafupipafupi, angapeze kuti ali ndi chotupa ichi.

Madokotala amagwiritsa ntchito makamaka maphunziro apadera ojambula zithunzi, monga MRI scans (Magnetic Resonance Imaging - MRI scans) ndi CT scans (Computed Tomography - CT scans), kuti apeze zithunzi zomveka bwino za ma cysts awa, kuti awone kukula kwake, komwe ali, komanso ngati akukankhira madera ozungulira ubongo. Zithunzi kuchokera ku ma scans awa zingathandize dokotala kumvetsetsa bwino za cyst.

Kodi madokotala amachiritsa bwanji ma cysts a arachnoid awa?

Si aliyense amene amafunika chithandizo akangozindikira kuti ali ndi chotupa.

• Kuyang'anitsitsa: Ngati chotupa sichikuyambitsa zizindikiro zilizonse ndipo ndi chaching'ono, dokotala wanu angakulangizeni kuti mudikire mosamala . Komabe, izi sizikutanthauza kungodikira. Dokotala wanu angakupempheni kuti muyesedwe nthawi zonse, monga MRI scan, kuti muwone ngati chotupacho chikukulirakulira pakapita nthawi kapena ngati zizindikiro zatsopano ziyamba . Kujambula kwa MRI ndi CT kungathandize dokotala wanu kuwona ngati chotupacho chikukankhira mbali zofunika monga mitsempha, ubongo, kapena msana. Ndipotu, chotupa chachikulu sichifunikira chithandizo china chilichonse.

• Ngati pakufunika chithandizo: Komabe, ngati chotupacho ndi chachikulu, chikupitirira kukula, kapena chimayambitsa zizindikiro zoopsa (monga mutu wosalamulirika, khunyu, kapena dzanzi m'miyendo), ndiye kuti dokotala wanu angakulangizeni chithandizo. Mankhwalawa amatha kusiyana. Ena mwa iwo ndi awa:

• Njira zochizira matenda a Endoscopic: Iyi ndi njira yatsopano komanso yapamwamba. Kutengera ndi malo ndi kukula kwa chotupa, dokotala angagwiritse ntchito njira yochizira matenda a endoscopic kuti atulutse madzi kuchokera mu chotupacho kapena kupanga 'zenera' laling'ono (fenestration) pakhoma la chotupacho kuti madziwo atuluke. Mu njira iyi, dokotala amagwiritsa ntchito chubu chopyapyala komanso chachitali. Kumapeto kwa chubucho kuli kamera yaying'ono ndi chida chaching'ono chochitira opaleshoni. Iyi ndi njira yochepetsera kufalikira kwa matendawa . Izi zikutanthauza kuti chubucho chimayikidwa kudzera mu kudula pang'ono pamutu ndipo opaleshoniyo imachitika. Zotsatira zake, nthawi yochira imakhala yachangu kuposa opaleshoni yayikulu yanthawi zonse, ndipo nthawi yogona kuchipatala imakhala yochepa.

• Kutsegula chigoba cha craniotomy: Iyi ndi opaleshoni yayikulu pang'ono. Pa opaleshoniyi, dokotala amachotsa kwakanthawi gawo laling'ono la chigoba chanu, amapita kumalo komwe kuli chigoba, ndipo amaduladula pang'ono khoma la chigoba. 'Mawindo' awa amalola madzi (CSF) mu chigoba kutuluka kupita m'malo ozungulira ubongo. Pakapita nthawi, thupi lanu lidzayamwa madzi owonjezera. Gawo la chigoba lomwe dokotalayo adachotsa limabwezeretsedwanso pamalo pake ndikusokedwa pakhungu.

• Kuthira mankhwala: Iyi ndi njira ina yochiritsira. Pachifukwa ichi, dokotala amaika shunt ya cystoperitoneal mu cyst.Shunt (yomwe imatchedwanso CP shunt mwachidule) imayikidwa. Shunt ndi chubu chopyapyala kwambiri cha pulasitiki (catheter). Mbali imodzi yake imalumikizidwa ndi cyst, ndipo mbali inayo nthawi zambiri imalumikizidwa ndi m'mimba mwanu (peritoneum). Pali valavu yaying'ono pakati pa chubu ichi yomwe imayang'anira kuchuluka kwa madzi omwe amatuluka kuchokera ku cyst ndi momwe amafulumira. Chifukwa chake, madzi owonjezera omwe amasonkhana mu cyst amadutsa mu shunt iyi kupita m'mimba mwanu. Pamenepo, thupi lanu limayamwanso madziwo. Shunt iyi nthawi zambiri imakhala chinthu chomwe chimatsala m'thupi lanu.

• Kuchotsa opaleshoni: Pankhani ya arachnoid cysts mu msana, madokotala nthawi zonse amayesa kuchotsa cyst kwathunthu kudzera mu opaleshoni. Dokotala amacheka pamwamba pa khungu pomwe pali cyst ndikuchotsa cyst mosamala. Komabe, nthawi zina, kutengera malo ndi kukula kwa cyst, sizingatheke kuichotsa kwathunthu. Pazochitika zotere, dokotala angalimbikitse kutulutsa madzi kapena kuyika shunt monga tafotokozera kale.

Kodi chiyembekezo cha anthu omwe ali ndi Arachnoid Cysts ndi chotani? (Outlook)

Iyi ndi nkhani yofunika kwambiri kwa anthu ambiri.

Ma cysts ambiri a arachnoid samayambitsa zizindikiro zilizonse. Chifukwa chake, anthu omwe ali ndi cysts zotere sakhala ndi vuto lililonse.

Komabe, nthawi zina pamene zizindikiro zimachitika, chithandizo cha Arachnoid Cysts nthawi zambiri chimathandiza kwambiri zizindikirozo ndipo zimatha.

Komabe, nthawi zina, mutalandira chithandizo, pamakhala mwayi wochepa woti chotupacho chidzabwereranso kapena chidzazenso ndi madzi. Ngati izi zitachitika, mungafunike kulankhula ndi dokotala wanu kachiwiri ndikuchitidwa opaleshoni ina kuti muchotse madziwo kapena kuchotsa chotupacho.

Tsopano, ma cysts a arachnoid omwe sachiritsidwa komanso omwe ali ndi zizindikiro akhoza kukhala ndi zotsatirapo zoopsa. Mwachitsanzo, kuwonongeka kwa ubongo kosatha, kupweteka kwakukulu, kosalamulirika, mavuto oyendayenda omwe angapangitse kuti munthu asayende, ndi mavuto ena akuluakulu azaumoyo amatha kuchitika. Nthawi zambiri, ma cysts osachiritsidwa angayambitse chigaza kukula modabwitsa, makamaka kwa ana aang'ono, kukula mbali imodzi yokha.

Mavuto awiri akuluakulu omwe angabwere chifukwa cha arachnoid cysts ndi awa:

• Kutuluka magazi mu chotupa: Mitsempha yamagazi yopyapyala kwambiri yomwe ili pakhoma la chotupa imatha kuphulika, zomwe zimapangitsa kuti magazi alowe mu chotupacho. Izi zingapangitse kuti chotupacho chikule mwadzidzidzi ndikuwonjezera zizindikiro. Nthawi zina mitsempha yamagazi imatha kuphulika, zomwe zimapangitsa kuti magazi atuluke mu chotupacho ndikulowa mu minofu ya ubongo. Ngati izi zitachitika, vuto loopsa lotchedwa hematoma likhoza kubuka.
• Kutuluka kwa madzi kuchokera ku chotupa:Ngati chotupacho chawonongeka chifukwa cha ngozi kapena kuvulala kwakukulu kwa mutu, chingaphulike ndipo madzi omwe ali mkati mwake (CSF) amatha kulowa muubongo wozungulira (CSF leak). Izi zingayambitsenso mavuto aakulu azaumoyo.

Kodi tingaletse kupangika kwa ma cyst a arachnoid awa?

Mwatsoka, palibe chomwe tingachite kuti tipewe kupangika kwa izi (Arachnoid Cysts). Chifukwa, nthawi zambiri, izi ndi zobadwa nazo, sitingathe kuziletsa.

Komabe, ngati wina m'banja mwanu ali ndi arachnoid cysts (monga, pakhoza kukhala chifukwa cha majini), kapena ngati muli ndi vuto lina lachipatala, monga arachnoiditis, lomwe limawonjezera chiopsezo chanu chokhala ndi ma cysts awa, ndi bwino kulankhula ndi dokotala wanu za izi. Kenako, dokotalayo angakupatseni upangiri wofunikira.

Kodi muyenera kupita kwa dokotala liti pankhani ya Arachnoid Cysts?

Iyinso ndi nkhani yofunika kwambiri.

• Ngati inu kapena mwana wanu muli ndi zizindikiro zilizonse zomwe mukuganiza kuti zingakhale zokhudzana ndi Arachnoid Cysts zomwe ndafotokoza kale m'nkhaniyi, chonde musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.
• Ma cysts ena, makamaka ngati amayambitsa zizindikiro, amafunika chithandizo chachangu kuti apewe mavuto azaumoyo kwa nthawi yayitali.
• Chinthu china n’chakuti zizindikiro zambiri za Arachnoid Cysts zimatha kufanana ndi za matenda ena akuluakulu omwe angawononge moyo, monga chotupa cha muubongo. Chifukwa chake, ndikofunikira kwambiri kupeza matenda oyenera. Izi zimafuna thandizo la dokotala.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera munkhaniyi? (Uthenga Wopita Nawo Kunyumba)

Chabwino, taphunzira zambiri zokhudza Arachnoid Cysts m'nkhani yayitali iyi, sichoncho? Pomaliza, nazi mfundo zofunika kuzikumbukira:

• Musadandaule: Arachnoid cysts si khansa. Nthawi zambiri, sizimayambitsa vuto lililonse kapena kuyambitsa zizindikiro zilizonse.
• Dziwani zizindikiro: Ngati mukukumana ndi zizindikiro monga mutu, chizungulire, kusanza, khunyu, kusintha kwa masomphenya, kapena kutaya chidziwitso, dziwani izi.
• Pitani kwa dokotala: Ngati muli ndi kukayikira kapena zizindikiro zilizonse, pitani kwa dokotala ndikupempha upangiri. Musadziyese nokha.
• Pali mankhwala: Pali mankhwala othandiza a ma cysts omwe ali ndi zizindikiro. Ena mwa iwo amatha kuchiritsidwa mwachangu ndi opaleshoni yochepa kwambiri.
• Kuzindikira msanga n'kofunika: Kuzindikira msanga kwa arachnoid cyst, kuyang'anira ngati kuli kofunikira, ndi kulandira chithandizo chanthawi yake kungathandize thanzi lanu la nthawi yayitali.

Kotero, ndikukhulupirira kuti nkhaniyi yayankha mafunso anu ena okhudza Arachnoid Cysts. Khalani ndi thanzi labwino!

Chiphuphu cha Arachnoid , chiphuphu cha muubongo, chiphuphu cha msana, mutu, hydrocephalus, khunyu, matenda amitsempha, CSF, MRI, CT scan