Tiyeni tiphunzire za CNS Vasculitis: matenda omwe mitsempha yamagazi muubongo ndi msana imatupa.

Kodi mutu wanu umapweteka kwambiri moti simungathe kupirira? Kapena mwadzidzidzi mumadzimva chizungulire n’kuiwala zinthu? Nthawi zina timaganiza kuti zinthuzi ndi kutopa kapena kupsinjika maganizo kwachibadwa ndipo timangozinyalanyaza. Komabe, kumbuyo kwa izi, tiyenera kusamala pang'ono, pakhoza kukhala matenda osowa omwe abisika kumbuyo kwawo. Lero tikambirana za matenda otere. Umenewo ndi CNS Vasculitis.

Mwachidule, kodi CNS Vasculitis ndi chiyani?

Tangoganizani kuti thupi lathu ndi mzinda waukulu. Kenako chipinda chachikulu chowongolera cha mzindawu ndi Central Nervous System (CNS) . Izi zikuphatikizapo ubongo wathu ndi msana . Chilichonse chomwe timachita mozindikira (monga kuwerenga nkhaniyi ndi zala zathu) ndi chilichonse chomwe timachita mosazindikira (monga kupuma, kugunda kwa mtima) chimayendetsedwa kuchokera ku chipinda chowongolera ichi.

Chipinda chowongolera ichi chimafuna magazi nthawi zonse kuti chigwire ntchito bwino. Magazi awa amaperekedwa ndi netiweki ya mitsempha yamagazi yabwino kwambiri. CNS Vasculitis ndi vuto lomwe mitsempha yamagazi yomwe imapereka magazi ku ubongo ndi msana imatupa, kapena kutupa . Monga momwe payipi yamadzi imatsekekera ndi dzimbiri ndikutupa, imatseka kuyenda kwa madzi, pamene mitsempha yamagazi iyi imatupa, imatseka kuyenda kwa magazi ku ubongo. Izi zitha kuwononga kwambiri ntchito ya ubongo.

Pali mitundu iwiri ikuluikulu ya CNS Vasculitis:

Madokotala amagawa matendawa m'magawo awiri akuluakulu. Kumvetsetsa zimenezi kudzakuthandizani kumvetsetsa matendawa bwino.

Ndi zizindikiro ziti zomwe muyenera kuda nkhawa nazo?

Zizindikiro za matendawa zimatha kusiyana malinga ndi munthu. Komanso, popeza zizindikirozi zimapezekanso m'matenda ena, palibe chifukwa chochita mantha mukaziona. Komabe, ngati zizindikirozi zikupitirira, ndikofunikira kwambiri kuonana ndi dokotala ndikupempha upangiri.

Mavuto omwe angachitike chifukwa cha matendawa

Mu matenda a CNS Vasculitis, timanena kuti mitsempha yamagazi imatupa ndipo makoma amakhuthala, zomwe zimalepheretsa kuyenda kwa magazi. Ngati vutoli silikulamuliridwa, lingayambitse kuwonongeka kwakukulu kwa ubongo ndi msana, ndipo ngakhale mavuto omwe angawopseze moyo angachitike.

• Stroke: Stroke imachitika pamene magazi opita ku gawo lina la ubongo atsekedwa kwathunthu.
• Matenda a Ischemic Attacks Osakhalitsa (TIAs): Izi zimatchedwanso "mini-stroke." Ndi kusokonekera kwakanthawi kwa magazi, zomwe zimapangitsa kuti zizindikiro za sitiroko zibwere ndi kutha kwa kanthawi kochepa. Komabe, zimatha kukhala chiyambi cha sitiroko yayikulu.
• Mitsempha ya magazi yotupa imafooka, imatupa ngati baluni, ndipo imatha kuphulika mwadzidzidzi. Uwu ndi mkhalidwe wadzidzidzi komanso woopsa.

N’chifukwa chiyani matenda amtunduwu amapezeka? (Chifukwa)

Matenda a CNS Vasculitis ndi matenda omwe amayambitsa chitetezo chamthupi . Kuti timvetse izi, tiyeni titenge chitsanzo chaching'ono. Tangoganizani kuti pali gulu lankhondo loteteza m'thupi lathu. Limenelo ndi chitetezo chathu chamthupi. Ntchito ya gululi ndikulimbana ndi majeremusi (monga mavairasi ndi mabakiteriya) omwe amalowa m'thupi kuchokera kunja ndikutiteteza ku matenda.

Komabe, mu matenda a autoimmune, chitetezo chathu chimalakwika ndipo chimayamba kuukira maselo ndi minofu yathu yathanzi m'malo mwa olowa m'thupi. Mu CNS Vasculitis, chitetezo chamthupi ichi chimaukira mitsempha yamagazi muubongo ndi msana.

Zifukwa za CNS yachiwiri Vasculitis

Timanena kuti mtundu wachiwiriwu umayamba chifukwa cha matenda ena. Nazi zina mwa zifukwa zomwe zingachitike:

• Matenda ena odziteteza ku matenda: Matenda monga lupus, Sjögren's syndrome, Behçet's syndrome.
• Matenda opatsirana ndi mavairasi: Zinthu monga kachilombo ka Epstein-Barr (EBV), kachilombo ka Varicella-zoster, komwe kamayambitsa nthenda ya nkhuku.
• Matenda a bakiteriya: Matenda monga chifuwa chachikulu ndi syphilis.

Kodi dokotala amazindikira bwanji matendawa?

Kuzindikira matendawa ndi njira yovuta kwambiri. Chifukwa zizindikiro zake zimafanana ndi matenda ena ofala, dokotalayo amachita njira yotchedwa "differential diagnosis." Izi zikutanthauza kuti, amayesa ndikutsimikizira kuti si matenda awa, amodzi ndi amodzi, chifukwa cha matenda ena ofala omwe angayambitse zizindikirozi (monga mutu waching'alang'ala, khunyu).

Dokotala wanu adzayamba kaye wakuyezani ndikukufunsani funso latsatanetsatane lokhudza zizindikiro zanu. Ndikofunikira kudziwa nthawi yomwe zizindikiro zanu zinayambira, ngati zimabwera ndi kupita, komanso ngati zikuipiraipira nthawi zina za tsiku.

Pambuyo pake, mukhoza kulangizidwa kuti muchite mayeso monga awa:

• MRI ndi CT scan: Jambulani zithunzi za ubongo ndi msana kuti muwone ngati pali kutupa, kuwonongeka, kapena zolakwika zilizonse.
• Angiogram: Kuyeza komwe kumaphatikizapo kubaya madzi apadera m'mitsempha yamagazi ndikujambula zithunzi za X-ray kuti muwone momwe mitsempha yamagazi ilili, kaya yatsekeka kapena yotupa.
• Kufufuza za matenda a ubongo: Izi zimachitika nthawi zambiri kuti zitsimikizire kuti munthu wapezeka ndi matendawa. Chitsanzo chochepa kwambiri cha minofu ya ubongo chimatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti aone ngati pali kutupa m'mitsempha yamagazi.
• Kuboola Lumbar / Spinal Tap: Chitsanzo chaching'ono cha madzi a msana (CSF) ozungulira msana chimatengedwa kuchokera ku msana ndikuyang'aniridwa kuchuluka kwa maselo oyera amagazi ndi zizindikiro za kutupa.
• Kuyezetsa Magazi: Yang'anani magazi kuti muwone ngati pali zizindikiro za kutupa m'thupi (monga ESR, C-reactive protein).

Mungathenso kutumizidwa kwa katswiri wa nyamakazi .

Kodi chimachiritsidwa bwanji?

Cholinga chachikulu chochiza matenda a CNS vasculitis ndikuletsa kutupa m'mitsempha yamagazi ndikuletsa kuwonongeka kwa ubongo ndi msana.

Kawirikawiri, mitundu yosiyanasiyana ya mankhwala imagwiritsidwa ntchito pochiza:

1. Corticosteroids: Awa ndi mankhwala amphamvu oletsa kutupa. Amathandiza kulamulira mwachangu ntchito ya chitetezo chamthupi. Mungayambe ndi mlingo waukulu poyamba.

2. Mankhwala oletsa chitetezo chamthupi:Mankhwalawa amagwira ntchito polamulira chitetezo cha mthupi chomwe chimagwira ntchito mopitirira muyeso ndikuchiletsa kuti chisaukire thupi lokha.

Ngakhale kuti mankhwala ambiri angaperekedwe poyamba, patatha miyezi ingapo, pamene zizindikiro zatha, dokotalayo adzachepetsa pang'onopang'ono mlingo. Cholinga chachikulu cha chithandizo ndikuchepetsa matendawa. Izi zikutanthauza kuti, nthawi yayitali pamene zizindikiro sizikupezeka konse kapena zochepa kwambiri.

Ngati muli ndi mtundu wachiwiri, muyeneranso kuchiza matenda omwe adayambitsa matendawa (monga lupus).

Kodi mungakhale bwanji ndi matendawa?

Palibe mankhwala a matendawa pakadali pano. Koma sizikutanthauza kuti tiyenera kutaya chiyembekezo. Ndi chithandizo choyenera, anthu ambiri akhoza kukhala opanda zizindikiro kwa miyezi kapena zaka, koma pang'onopang'ono.

Matenda a CNS Vasculitis nthawi zambiri safupikitsa nthawi yomwe munthu amakhala ndi moyo. Komabe, ngati pachitika mavuto akuluakulu, monga sitiroko kapena kuphulika kwa aneurysm, akhoza kupha munthu. Ichi ndichifukwa chake ndikofunikira kwambiri kuzindikira matendawa msanga ndikupeza chithandizo choyenera.

Ndizachilendo kuti aliyense aziopa akadziwa kuti ali ndi matenda a ubongo. Koma kumbukirani, ndi sayansi ya zamankhwala yapamwamba masiku ano, vutoli lingathe kuthetsedwa bwino. Chofunika kwambiri ndikulankhula momasuka ndi dokotala wanu. Muuzeni zonse zomwe muli nazo, nkhawa zanu, mantha anu, ndi kusintha kwa zizindikiro zanu. Kenako akhoza kupanga njira yoyenera kwambiri yothandizira.