Kodi ichi ndi chizindikiro choopsa cha magazi kuundana m'mutu? Kodi ichi ndi chizindikiro cha Cavernous Sinus Thrombosis?

Kodi munayamba mwavulalapo pang'ono pankhope kapena vuto la sinus lomwe linakupangitsani kukhala ndi mutu waukulu? Kodi munayamba mwatupapo maso ndi kuvutika kuona? Nthawi zina timanyalanyaza zinthuzi, koma zimatha kukhala zoopsa kwambiri ndipo zimafuna chithandizo chachangu. Lero tikulankhula za vuto lalikulu lomwe anthu ambiri salidziwa, lotchedwa Cavernous Sinus Thrombosis .

Kodi thrombosis ya sinus ya cavernous ndi chiyani?

Mwachidule, Cavernous Sinus Thrombosis imachitika pamene magazi amaundana m'malo ang'onoang'ono mkati mwa mutu wanu, makamaka kumbuyo kwa maso anu, pansi pa ubongo wanu wotchedwa Cavernous Sinuses . Ganizirani za sinuses izi ngati mapanga ang'onoang'ono komwe mitsempha yambiri imasonkhana. Mitsempha yambiri yayikulu yomwe imatuluka magazi kuchokera kumaso ndi muubongo imadutsa mu izi. Mtsempha wa jugular , womwe ndi mtsempha waukulu m'khosi mwanu, umalumikizidwanso ndi sinuses izi. Chifukwa chake, ngati magazi amaundana mu imodzi mwa mitsempha iyi (nthawi zambiri imayambitsidwa ndi matenda), magazi amaundana amatseka kutuluka kwa magazi muubongo mwanu. Izi ndizowopsa kwambiri, chifukwa zimatha kuwononga ubongo wanu, maso, ndi mitsempha kwa nthawi yayitali. Ili ndi vuto lomwe lingakhale pachiwopsezo ngati silikuchiritsidwa mwachangu.

Kodi vutoli ndi lofala bwanji?

Kwenikweni, vuto limeneli lotchedwa Cavernous Sinus Thrombosis ndi losowa kwambiri. Izi zikutanthauza kuti, si chinthu chomwe chimapezeka kawirikawiri. N'zovuta kunena kuchuluka kwa milandu yomwe imanenedwa pachaka, ndi yochepa kwambiri. Koma nkhani yabwino ndi yakuti pambuyo poti maantibayotiki apezeka, chiwerengero cha malipoti a matendawa chachepa kwambiri. Chifukwa matenda, omwe ndi omwe amachititsa magazi kuundana, amatha kuchiritsidwa ndi maantibayotiki, matendawa tsopano sangakhale oopsa kwambiri.

Kodi zizindikiro za izi ndi ziti? Kodi mungazindikire bwanji?

Choopsa kwambiri pa izi ndichakuti zizindikiro zimatha kuipiraipira mwachangu kwambiri. Chimodzi mwa zizindikiro zazikulu zomwe zimayamba ndi mutu waukulu. Izi sizili ngati mutu wamba. Ndi mutu womwe sutha ngakhale mutamwa mankhwala ochepetsa ululu, ndipo umaipiraipira tsiku ndi tsiku. Ungabwere mwadzidzidzi komanso moopsa, kapena ungawonjezere pang'onopang'ono pakatha masiku angapo. Ululuwu nthawi zambiri umamveka pafupi ndi diso limodzi, pafupi ndi maso onse awiri, kapena kumbuyo kwa maso.

Zizindikirozi zimachitika chifukwa cha kupanikizika kwambiri mkati mwa sinus ya cavernous chifukwa cha magazi kuundana. Samalani kuti muwone ngati muli ndi zizindikiro izi:

• Mutu waukulu komanso woopsa womwe sumatha ngakhale mutamwa mankhwala.
• Kutupa kwa diso limodzi kapena onse awiri, nthawi zina ndi kumva ngati maso akutupa.
• Kugwa kwa zikope, ngati kuti diso latsekedwa pang'ono (`zikope zopindika`).
• Kumva kupweteka kwambiri poyesa kusuntha diso limodzi kapena onse awiri.
• Kulephera kusuntha diso limodzi kapena onse awiri, kumamatira mbali imodzi.
• Kuona molakwika, kutayika kwa masomphenya omveka bwino.
• Kuona kawiri.
• Kusamva bwino kapena kutaya kumva bwino pankhope, makamaka mozungulira maso.
• Kutentha kwambiri.
• Anthu ena akhoza kukhala ndi khunyu.

Chofunika Kwambiri: Ngati sichichiritsidwa, thrombosis ya cavernous sinus ikhoza kukulirakulira pang'onopang'ono, zomwe zimapangitsa wodwalayo kusokonezeka komanso kugona. Izi zingayambitse chikomokere komanso imfa. Chifukwa chake, ndikofunikira kwambiri kupita kuchipatala mwamsanga mutangozindikira zizindikirozi, vutoli lisanafike pamenepa.

Kodi izi zimachitika mofulumira bwanji?

Kawirikawiri, kutsekeka kwa mitsempha ya m'mphuno (cavernous sinus thrombosis) kumachitika masiku 5 mpaka 10 mutatha kutenga matenda osachiritsidwa kumaso kapena kumutu (monga sinus, dzino, kapena khutu). Chizindikiro choyamba ndi mutu. Zizindikiro za maso (monga kutupa, kutupa) zingabwere mwadzidzidzi, mutu utangoyamba, kapena zingayambe pang'onopang'ono.

Kodi n’chiyani chimayambitsa izi? N’chifukwa chiyani izi zikuchitika?

Taganizirani izi motere. Muli ndi chotupa chaching'ono pankhope panu, mwina m'mbali mwa mphuno yanu, kapena pamlomo wanu wapamwamba. Kapena muli ndi dzino lopweteka. Simukuliganizira kwambiri, mukuganiza kuti, 'Ndi chinthu chaching'ono chabe, chidzatha chokha.' Koma, matenda a bakiteriya pamalo ang'onoang'ono amenewo nthawi zambiri amabweretsa vuto loopsa lotchedwa Cavernous Sinus Thrombosis . Ndiko kuti, limabwera ngati vuto la matenda.

Chomwe chimachitika ndi ichi: Magazi omwe ali m'mitsempha yanu ya m'mapapo amaundana pofuna kuletsa kufalikira kwa matendawa. Ndi njira yodzitetezera m'thupi. Koma m'malo moletsa kufalikira kwa matendawa, magazi amenewa amamanga matendawa. Kenako magazi amasiya kutuluka muubongo. Izi zimapangitsa kuti kuthamanga kwa magazi mkati mwa m'mapapo kuchuluke, zomwe zimapangitsa kuti zizindikiro zomwe tatchulazi ziwonjezeke.

Mitundu ya matenda omwe amakhudza kwambiri izi ndi:

• Matenda a sinus (sinusitis). Matenda m'mabowo ozungulira mphuno.
• Zithupsa kapena mafinya omwe amapangika pansi pa khungu pankhope, makamaka kuzungulira mphuno ndi mlomo wapamwamba.
• Matumbo a mano.
• Matenda a m'makutu, makamaka matenda a m'makutu apakati.

Nthawi zambiri, pafupifupi 70% ya milandu, chomwe chimayambitsa ndi mabakiteriya otchedwa `Staphylococcus aureus` . Iyi ndi mabakiteriya ofala kwambiri. Kupatula apo, mitundu ina ya mabakiteriya ndi mitundu ina ya bowa ingayambitsenso matenda omwe amayambitsa thrombosis ya cavernous. Posachedwapa, milandu ingapo ya thrombosis ya cavernous sinus yokhudzana ndi matenda a `COVID-19` yanenedwa.

Kawirikawiri, magazi amenewa amatha kupangika chifukwa cha kuvulala kwambiri mutu, osati chifukwa cha matenda.

Kodi madokotala amazindikira bwanji izi?

Zingakhale zovuta kuzizindikira, chifukwa zizindikiro zake zimafanana ndi za matenda ena ofala, monga matenda a maso, mutu waching'alang'ala, kapena matenda ena amitsempha.

Komabe, kutengera zizindikiro zanu, makamaka ngati muli ndi matenda a pankhope kapena a sinus kapena mwakhala nawo posachedwapa, dokotala wanu angaganize kuti cavernous sinus thrombosis ndi vuto la thrombosis.

Kuyesa kamodzi kapena zingapo mwa izi kungachitike kuti kutsimikizire matendawa:

• Mayeso ojambula zithunzi.
• MRI (Magnetic Resonance Imaging): Izi zimakupatsani mwayi wowona bwino ubongo ndi malo a sinus a cavernous, zomwe ndizofunikira kwambiri kuti mudziwe ngati pali magazi oundana.
• Kujambula kwa `CT` (Computed Tomography): Izi zingathandizenso kuwona magazi oundana ndi zizindikiro za matenda.
• MRV (Magnetic Resonance Venogram yokhala ndi MRI): Iyi ndiyo njira yodziwira matendawa mosavuta. Mu MRV iyi, dokotala amaikamo madzi apadera (utoto wosiyana) mumtsempha wanu. Kenako MRI imatha kuona bwino momwe magazi amayendera komanso kutsekeka kwa mitsempha.
• Kuyezetsa kwa bakiteriya. Dokotala wanu adzayesa magazi anu kapena madzi ena amthupi lanu (monga madzi ochokera m'mphuno mwanu kapena mafinya ochokera pabala) kuti aone ngati pali mabakiteriya kapena tizilombo tina toyambitsa matendawa. Izi zingathandize kuzindikira mabakiteriya enieni ndikukupatsani mankhwala oyenera opha tizilombo toyambitsa matenda.
• Kuboola kwa msana/kuboola lumbar. Kuyezetsa kumeneku kungathe kuona ngati matendawa afalikira ku nembanemba zomwe zimaphimba ubongo ndi msana (meninges). Ngati atero, amatchedwa meningitis . Meningitis ndi vuto loopsa la cavernous sinus thrombosis. Mu kuyezetsa kumeneku, dokotala amaika singano yopyapyala kumbuyo kwanu ndikutengera chitsanzo cha madzi a msana. Madziwo amayesedwa ngati ali ndi mabakiteriya ndi zizindikiro zina za matenda.

Chofunika: Popeza cavernous sinus thrombosis ndi matenda oopsa komanso omwe amakula mofulumira, dokotala angayambe kulandira chithandizo potengera kukayikira asanatsimikizire bwino matendawa. Chifukwa sekondi iliyonse imawerengedwa apa.

Kodi mankhwala ake ndi otani? Kodi angachiritsidwe?

Inde, chithandizo chachangu komanso choyenera chingachepetse vutoli ndikupulumutsa miyoyo. Komabe, ngati chithandizo chachedwa, vutoli likhoza kukulirakulira. Mwina mungalowe m'chipinda chosamalira odwala kwambiri (ICU) cha chipatala.Mudzaloledwa kulowa m'chipatala. Kenako madokotala ndi anamwino akhoza kukuyang'anirani mosamala maola 24 patsiku.

Mankhwala akuluakulu ndi awa:

• Mankhwala opha tizilombo toyambitsa matenda. Uwu ndiye mankhwala akuluakulu. Dokotala wanu adzayamba kumwa mankhwala opha tizilombo toyambitsa matenda m'mitsempha (IV) kuti aphe matenda omwe amayambitsa magazi kuundana. Monga tanenera kale, izi zimatenga nthawi yambiri, kotero mutha kupatsidwa mankhwala opha tizilombo toyambitsa matenda musanadziwe chomwe chimayambitsa matendawa (mabakiteriya kapena bowa). Kuti mukhale otetezeka, mudzapatsidwa mankhwala opha tizilombo toyambitsa matenda omwe amatha kupha mabakiteriya osiyanasiyana (makamaka mabakiteriya ofala monga S. aureus) . Pambuyo pake, zotsatira za chitukuko zikabweranso, mutha kusinthidwa kukhala mankhwala oyenera. Muyenera kupitiriza chithandizochi kuchipatala kwa milungu ingapo.
• Mankhwala ochepetsa magazi (anticoagulants). Mungapatsidwe mankhwala ochepetsa magazi (anticoagulants) monga heparin kuti magazi asamaundane, kuti asungunuke pang'onopang'ono, komanso kuti magazi asamaundane.
• Mankhwala oletsa magazi kutuluka magazi (ochepetsa magazi) angaperekedwe kudzera m'mitsempha kapena pansi pa khungu. Muyenera kumwa mankhwala ochepetsa magazi awa mu mawonekedwe a mapiritsi kwa miyezi ingapo mutalandira chithandizo choyamba.
• Corticosteroids. Dokotala wanu angakupatseni mankhwala ochepetsa kutupa ndi kutupa komwe kumayambitsa kupanikizika mkati mwa sinuses yanu. Komabe, awa amaperekedwa pokhapokha mutayamba kumwa mankhwala opha tizilombo toyambitsa matenda kuti muchepetse matendawa ndipo matendawa atha.
• Opaleshoni. Nthawi zina, opaleshoni ingafunike kuti ichotse komwe kwayambitsa matendawa (monga matenda a sinus, thumba la dzino) ndikuchotsa mafinya kapena madzi ena omwe asonkhana. Izi zingathandize kulamulira matendawa mwachangu.

Kodi tingayembekezere chiyani ngati izi zitachitika? Kodi mavuto ake ndi otani?

Asanapezeke maantibayotiki, matenda a cavernous sinus thrombosis nthawi zambiri ankapha anthu. Koma tsopano, chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, anthu opitilira 70% omwe amadwala matendawa amapulumuka. Ndi kupambana kwakukulu kumeneku.

Komabe, ngakhale atapulumuka, anthu ambiri amatha kukhala ndi mavuto chifukwa ichi ndi vuto lomwe limakhudza ubongo ndi mitsempha. Mwachitsanzo, pafupifupi 20% ya anthu omwe amachira ku cavernous sinus thrombosis angapitirize kukhala ndi mavuto a masomphenya (kulephera kuwona bwino, khungu) ndi mavuto a mitsempha (kusawona bwino nkhope, kuvutika kusuntha maso awo) .

Mavuto ena omwe angakhalepo ndi awa:

• Mutu wopweteka kwambiri pafupipafupi.
• Kutaya kwathunthu kwa masomphenya m'diso limodzi kapena onse awiri.
• Kugwidwa ndi khunyu kosalekeza.
• Matenda a meningitis (matenda a nembanemba zomwe zimaphimba ubongo).
• Sepsis (kufalikira kwa matenda m'magazi).

Chinthu china n’chakuti kukhala ndi cavernous sinus thrombosis kumakuika pachiwopsezo chokhala ndi magazi ena oopsa, monga magazi kuundana m’miyendo yanu ( Deep Vein Thrombosis - DVT ), magazi kuundana omwe amapita kumapapu anu ( Pulmonary Embolism - PE ), kapena magazi kuundana omwe amapangika kwina muubongo wanu ( Stroke ).

Choncho, ndikofunikira kulankhula momasuka ndi dokotala wanu za mavuto omwe angakhalepo chifukwa cha vuto lanu. Ndikofunikanso kudziwa zizindikiro zochenjeza za mavuto kuti muthe kuwapewa nthawi iliyonse yomwe mungathe.

Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?

Ngati muli ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo:

• Mutu wopweteka womwe sumatha ngakhale mutamwa mankhwala ochepetsa ululu, ndipo umakula kwambiri.
• Ngati mutu ukupita limodzi ndi ululu, ululuwo umakula kwambiri mukagona kapena kuwerama.
• Ngati diso limodzi kapena onse awiri ayamba kumva kupweteka, kutupa, kufiira, kapena kutumphuka.
• Ngati mukumva kudwala kwambiri, kufooka, kapena kugona kwambiri.
• Ngati mukuvutika kupuma.
• Ngati muli ndi malungo, kuzizira, komanso kunjenjemera.

Zizindikiro ngati izi zikusonyeza kuti pakhoza kuchitika vuto ladzidzidzi.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Ngati dokotala wanu akukuuzani kuti muli ndi vutoli, mungamve nkhawa. Koma, kuti mumve bwino za vuto lanu komanso chithandizo chanu, musaiwale kufunsa dokotala wanu mafunso awa:

• Kodi kwenikweni ndili ndi chiyani? Kodi izi ndi zoona bwanji?
• Kodi ndi chithandizo chamtundu wanji chomwe ndikufunika? Chidzatenga nthawi yayitali bwanji?
• Kodi zotsatirapo zake ndi ziti?
• Kodi ndidzakhala m'chipatala kwa nthawi yayitali bwanji?
• Kodi pali mwayi wotani woti ndikhale ndi mavuto a nthawi yayitali chifukwa cha magazi kuundana? Kodi ndi mavuto otani? Kodi angapewedwe?
• Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga watsiku ndi tsiku chifukwa cha mavuto awa?
• Kodi pali mwayi wotani woti ndibwererenso ku vutoli? Kodi ndiyenera kuchita chiyani kuti ndipewe vutoli?
• Ndi zinthu ziti zomwe ndiyenera kusamalira ndikabwerera kunyumba?

Mayankho a mafunso awa adzakhala ofunikira kwambiri kwa inu.

Pomaliza, zinthu zoti muzikumbukira

Zingakhale zoopsa kudziwa kuti chinthu chofala monga matenda a sinus kapena chotupa chaching'ono pankhope panu chingayambitse magazi kuundana omwe angawononge moyo. Cavernous sinus thrombosis - magazi kuundana omwe amapangika pankhope kapena pamutu panu chifukwa cha matenda - kwenikweni ndi vuto losowa kwambiri. Chifukwa chake, sizingatheke kuti mutu wanu kapena kupweteka kwa maso anu ndi chizindikiro cha chinthu china choopsa kwambiri. Chingakhale chizindikiro cha chinthu china chosakhala chachikulu kwambiri.

Komabe, chinthu chofunika kwambiri kukumbukira nthawi zonse ndi kuchiza matenda aliwonse - ngakhale atakhala ang'onoang'ono bwanji - mwachangu komanso moyenera. Samalani kwambiri ndi matenda omwe amapezeka m'malo a nkhope, mphuno, pakamwa, ndi m'maso. Chithandizo chofulumira choterechi chingathandize kwambiri kupewa matenda oopsa ngati amenewa. Chifukwa chake, ndi bwino kufunafuna upangiri wa dokotala ngati muli ndi zizindikiro zachilendo, ngakhale zazing'ono. Samalani zizindikiro zomwe thupi lanu likukupatsani!

` Cavernous Sinus Thrombosis, Kuundana kwa magazi muubongo, Matenda a khungu, Matenda a nkhope, Mutu waukulu, Kutupa kwa maso, Maantibayotiki, Matenda a mitsempha