Mtsempha wamagazi muubongo? Tiyeni tiphunzire za Cavernous Malformation (Cavernoma) mwachidule.

Kodi nthawi zina mumadwala mutu popanda chifukwa? Kapena mwangodwala mwadzidzidzi khunyu? Mwina dokotala wanu anati panthawi yowunikira ubongo wanu muli ndi magazi ochepa muubongo wanu? N'zachibadwa kumva mantha pang'ono komanso nkhawa mukamva chinthu chonga ichi. Koma musadandaule. Nthawi zambiri, izi sizovuta kwenikweni. Lero tikulankhula za 'magazi oundana' kapena omwe amatchedwa 'Cavernous Malformation' m'mankhwala. Tiyeni tikambirane izi mosavuta, m'njira yomwe mungamvetse.

Kodi Cavernous Malformation ndi chiyani?

Mwachidule, `Cavernous Malformation` ndi chotupa chosazolowereka chomwe chimapangidwa ndi mitsempha yaing'ono yamagazi m'thupi lathu, yotchedwa capillaries, yomwe imalumikizana. Chimawoneka ngati rasiberi poyamba. Mkati mwa chotupachi muli mabowo ang'onoang'ono ambiri odzaza ndi magazi.

Taganizirani izi, mitsempha yathu yamagazi yachibadwa imapangidwa ndi makoma olimba. Koma makoma a mitsempha yamagazi mu 'Cavernous Malformation' iyi ndi ofooka kwambiri komanso ofooka . Ndipo alibe chithandizo choyenera. Apa ndi pomwe vutoli limayambira. Chifukwa cha makoma ofooka awa, nthawi zina pamakhala mwayi waukulu kuti magazi ena atuluke m'mitsempha iyi kupita ku minofu yozungulira.

Vutoli limapezeka kwambiri mu ubongo ndi msana wathu. Ichi ndichifukwa chake limatchedwanso 'Cerebral Cavernous Malformation'. Komabe, nthawi zina limatha kuchitika m'malo monga pakhungu, chiwindi, ndi maso.

Madokotala amatchula vutoli ndi mayina osiyanasiyana. Choncho musadandaule ngati muwona limodzi mwa mayina awa mu lipoti lanu, onse amatanthauza chinthu chimodzi.

• Matenda a Cavernoma
• Cavernous Hemangiomas
• Makhalidwe Olakwika a Mitsempha ya Cerebral
• Cavernous Angiomas

Kodi ma Cavernous Malformations awa ndi oopsadi?

Funso lalikulu lomwe anthu ambiri amakhala nalo akamva dzinali ndi lakuti, "Kodi khansa iyi ndi yoopsa?" Choyamba, si khansa .

Koma kaya vutoli ndi loopsa kapena ayi zimasiyana malinga ndi munthu ndi munthu. Zimatengera zinthu zingapo:

• Kukula kwa chotupa: Kukula kwake.
• Chiwerengero cha ziphuphu: Kodi pali ziphuphu zingati ngati izi m'thupi lanu.
• Malo: Kodi ili kuti muubongo?
• Kuopsa kwa kutuluka magazi: Pali mwayi woti magaziwo adzaphulika n’kuyambitsa kutuluka magazi ambiri.

Popeza makoma a mitsempha yamagazi iyi ndi opyapyala, pali chiopsezo cha kutuluka magazi. Kutuluka magazi mkati mwa ubongo kungayambitse matenda monga khunyu, kufooka kwa ziwalo, kapena sitiroko. Ngati kutuluka magazi kuli kwakukulu, kungakhale koopsa pa moyo.

Choncho, kuti mudziwe bwino momwe zinthu zilili, ndi bwino kulankhula momasuka ndi dokotala wanu. Iye adzawunikanso lipoti lanu la scan ndikufotokozera zoopsa zomwe zingachitike chifukwa cha vuto lanu.

Kodi zizindikiro za vutoli ndi ziti?

Anthu ambiri omwe ali ndi vutoli alibe zizindikiro zilizonse. Koma ngati ali ndi zizindikiro, nthawi zambiri zimakhala chizindikiro chakuti magazi ochepa akutuluka m'mitsempha yamagazi. Zizindikirozi nthawi zambiri zimayamba kuonekera pakati pa zaka 20 ndi 60.

Gome ili m'munsimu likuwonetsa zina mwa zizindikiro zodziwika bwino.

Kodi chifukwa cha vutoli n'chiyani?

Nthawi zambiri, kutanthauza kuti, pafupifupi 80% ya milandu, madokotala sadziwa chomwe chimayambitsa 'Cavernous Malformations'. Amachitika 'mosakhalitsa'.

Koma pafupifupi 20% ya milandu, imakhala ndi ubale wa majini . Izi zikutanthauza kuti vutoli likhoza kufalikira kuchokera ku mibadwomibadwo kupita ku mibadwomibadwo. Majini atatu apezeka omwe amayambitsa vutoli:

• `CCM1 (KRIT1)`
• `CCM2`
• `CCM3 (PDCD10)`

Mwachidule, majini amenewa ndi omwe amapanga mapuloteni omwe amathandiza kulumikiza maselo m'mitsempha yathu yamagazi ndikuisunga yolimba. Pakakhala cholakwika kapena kusiyana kwa majini awa, kulumikizana pakati pa maselo amenewo kumakhala kofooka. Pamenepo ndi pomwe mitsempha yamagazi yofooka komanso yosazolowereka imapanga magazi kuundana.

Matendawa amabadwa nawo mu njira ya ``Autosomal Dominant``. Izi zikutanthauza kuti mwana akhoza kukhala ndi vutoli kaya alandire majini ena olakwika kuchokera kwa mayi kapena bambo. Ngati muli ndi vutoli, pali mwayi wa 50% kuti mwana wanu adzalandira. Ngati wina m'banja mwanu ali ndi vutoli kapena ngati wina ali ndi majini oposa amodzi, mwina chifukwa cha majini ena.

Kodi dokotala amazindikira bwanji izi?

Kawirikawiri, vutoli limapezeka mwangozi panthawi yowunikira ubongo pazifukwa zina, monga mutu kapena ngozi, kapena zizindikiro monga khunyu zitayamba kuonekera.

Mayeso akuluakulu omwe amagwiritsidwa ntchito pozindikira izi ndi MRI (Magnetic Resonance Imaging) .

• MRI yokhazikika: Izi zimatha kuona bwino zinthu monga malo ndi kukula kwa chotupacho.
• MRI Yapadera (Kujambula Kolemera kwa Matenda): Iyi ndi njira yowunikira kwambiri. Imatha kuzindikira magazi ochepa kwambiri, komanso zizindikiro za kutuluka magazi pang'ono m'magazi. Izi zingathandize dokotala wanu kudziwa zoopsa zomwe zingachitike mtsogolo.

Kuphatikiza apo, mayeso a majini angachitike kuti aone mbiri ya banja ndipo, ngati kuli kofunikira, atsimikizire ngati ndi vuto la majini.

Kodi mankhwala omwe alipo ndi ati?

Si aliyense amene wapezeka ndi vuto la m'mimba adzafunika opaleshoni. Chithandizo chimadalira zizindikiro zanu, komwe pali chotupacho, komanso ngati chikutuluka magazi.

1. Kuwunika

Ngati mulibe zizindikiro ndipo simukutuluka magazi kuchokera pa chotupacho, dokotala wanu nthawi zambiri amatsatira njira ya "kudikira mosamala".

• Kujambula kwa MRI nthawi ndi nthawi : Kujambula kumachitika kamodzi pachaka kuti muwone ngati pali kusintha kwa kukula kwa chotupa ndi kutuluka magazi kwatsopano.
• Kudziwa zizindikiro: Mudzadziwitsidwa za zizindikiro zomwe muyenera kuda nkhawa nazo komanso nthawi yoti mudziwitse dokotala nthawi yomweyo.

2. Kuwongolera zizindikiro ndi mankhwala

Ngati muli ndi zizindikiro monga khunyu kapena mutu chifukwa cha chotupa, dokotala wanu adzakupatsani mankhwala oletsa zizindikirozo. Mankhwalawa sangathandize kuti chotupacho chichoke, koma angathandize kuchepetsa kusasangalala komwe kumabwera chifukwa cha chotupacho.

3. Kuchotsa Opaleshoni

Opaleshoni imalimbikitsidwa kokha pazochitika zina zapadera.

• Ngati mwakhala mukutuluka magazi nthawi zingapo ndi zizindikiro .
• Ngati kutuluka magazi kwayambitsa vuto la mitsempha (monga kutaya kumverera mbali imodzi ya thupi, kusintha kwa masomphenya) ndipo vutoli likuipiraipira tsiku ndi tsiku.
• Ngati muli ndi khunyu lomwe silingathe kuthetsedwa ndi mankhwala.
• Ngati chotupacho chili pamalo pomwe chingachotsedwe bwino popanda kuwononga ubongo kwambiri.

Chisankho chochita opaleshoni kapena ayi chimapangidwa ndi dokotala wa opaleshoni ya mitsempha atatha kukambirana nanu kwa nthawi yayitali za ubwino ndi kuipa kwa opaleshoniyo.

Kodi ndingatani kuti ndichepetse chiopsezo chotaya magazi?

Ngakhale palibe njira yoletsera kuti ziphuphuzi zisapangike, pali zinthu zingapo zomwe mungachite kuti muchepetse chiopsezo cha kutuluka magazi kapena kuphulika. Izi zikutanthauza kusamalira bwino thanzi lanu lonse.

• Sungani kuthamanga kwa magazi, cholesterol, ndi shuga m'magazi moyenera.
• Ngati mukumwa mankhwala aliwonse, monga mankhwala ochepetsa magazi , lankhulani ndi dokotala wanu ngati angakhudze vutoli.
• Chitani masewera olimbitsa thupi kwa mphindi zosachepera 30 masiku ambiri pa sabata.
• Pewani kugwiritsa ntchito fodya (kusuta) kotheratu.
• Kumanani ndi dokotala panthawi yomwe mwakonza kuti mukayezedwe ndipo mufunseni ngati muli ndi mafunso kapena nkhawa.

Kodi ndiyenera kupita ku ETU liti posachedwa?

Izi ndizofunikira kwambiri. Ngati mukudziwa kuti muli ndi `Cavernous Malformation`, ndipo zizindikiro zotsatirazi zikuwonekera mwadzidzidzi, musataye nthawi ndipo pitani nthawi yomweyo ku Emergency Treatment Unit (ETU) ya chipatala chapafupi .

Izi zitha kukhala zizindikiro za kutuluka magazi muubongo, zomwe zingayambitse matenda otchedwa sitiroko, choncho ndikofunikira kupeza chithandizo mwachangu.