Kodi muli ndi magazi oundana m'mitsempha muubongo wanu? (Cerebral Venous Sinus Thrombosis - CVST) Tiyeni tiphunzire za izi.

Kodi munayamba mwadwalapo mutu waukulu womwe unkaoneka kuti ukukulirakulira tsiku lililonse? Kapena mwakhala ndi vuto lofanana ndi khunyu mwadzidzidzi? Izi nthawi zina zingakhale chizindikiro cha vuto lalikulu. Lero tikambirana za vuto limodzi lomwe lingayambitse izi, lomwe ndi magazi kuundana mumtsempha waukulu wamagazi muubongo.

Kodi Cerebral Venous Sinus Thrombosis (CVST) ndi chiyani?

Mwachidule, Cerebral Venous Sinus Thrombosis , kapena mwachidule CVST , ndi magazi omwe amaundana mkati mwa mtsempha waukulu wamagazi, womwe ndi mtsempha, muubongo mwanu. Imeneyi ndi vuto losowa kwambiri, koma limakhala pafupifupi 1% ya sitiroko zonse zodziwika.

Tangoganizirani, magazi akamaundana m'mitsempha yayikulu muubongo mwanu, magazi amayamba kuyenda molakwika m'malo mopita koyenera. Izi zimapangitsa kuti kupanikizika mkati mwa ubongo kuchuluke, zomwe zimapangitsa ubongo kutupa. Izi zili ngati chitoliro cha madzi chomwe chatsekedwa ndikupangitsa madzi kubwerera mmwamba.

Magazi oundana ngati awa nthawi zambiri amatha kupangika m'ma sinuses muubongo wanu:

• Sinus yopingasa
• Sinus yapamwamba kwambiri ya sagittal
• Sinus yotsika ya sagittal
• Sinuses za Sigmoid
• Cavernous sinus
• Ma sinus akuya a cortex yanu

Ndani amene akukhudzidwa kwambiri ndi vutoli (CVST)?

Matendawa (CVST) amapezeka kwambiri mwa akazi . Amapezeka kwambiri mwa anthu azaka zapakati pa 40 ndi 50, koma amatha kuchitika ali aang'ono, ngakhale kwa makanda .

Muli ndi mwayi waukulu wopeza matenda a CVST ngati muli ndi vuto lililonse kapena zinthu zotsatirazi:

• Matenda a Nephrotic - Ichi ndi matenda okhudzana ndi impso.
• Matenda a khansa.
• Vasculitis - Ichi ndi kutupa kwa mitsempha yamagazi.
• Sarcoidosis.
• Kunenepa kwambiri.
• Matenda a Covid-19 ('COVID-19').
• Thrombophilia - Ichi ndi matenda obadwa nawo omwe amachititsa kuti magazi anu aziuma mosavuta.
• Matenda a chiwindi.

Kodi CVST ndi yofala bwanji?

Matenda a CVST ndi matenda osowa kwambiri . Ofufuza akuti amakhudza anthu awiri (`2`) ndi khumi ndi asanu (`15`) pa anthu miliyoni iliyonse chaka chilichonse. Akutinso ana asanu ndi awiri (`7`) mwa ana ndi makanda miliyoni iliyonse amakhala ndi matenda a CVST chaka chilichonse. Kotero mutha kuwona, si zachilendo.

Kodi CVST ingakhale ndi zotsatirapo zotani pa thupi langa?

Pali mavuto angapo omwe angachitike chifukwa cha CVST. Awa ndi awa:

• Kutaya masomphenya.
• Kutuluka magazi m'mimba (`kutuluka magazi`) - ndiko kuti, kutaya magazi kuchokera m'mitsempha yamagazi yophulika.
• Mutu waukulu.
• Kugwidwa.
• Matenda ofanana ndi sitiroko.

Kodi zizindikiro za CVST ndi ziti?

Zizindikiro za CVST zimatha kusiyana malinga ndi kuopsa kwa magazi kuundana komanso komwe ali muubongo .

Zizindikiro zazikulu zomwe zingawonekere ndi izi:

• Kupweteka mutu pang'onopang'ono kumawonjezeka, ndipo mutu wake umapweteka kwambiri (ichi ndiye chizindikiro chofala kwambiri).
• Kugwidwa ndi khunyu.
• Kusintha kwa mkhalidwe wamaganizo ndi/kapena kusowa kwatsopano kwa mitsempha, monga momwe zimakhalira ndi kutuluka magazi ambiri muubongo.

Kodi zifukwa za CVST ndi ziti?

Pali zinthu zingapo zomwe zingayambitse CVST:

• Kukhala ndi pakati .
• Kugwiritsa ntchito mapiritsi oletsa kubereka (mankhwala oletsa kubereka).
• Kukumana ndi ngozi yaikulu (kuvulala).
• Kukhala ndi vuto lobadwa nalo lomwe limapangitsa kuti magazi aziuma mosavuta, mwachitsanzo, thrombophilia.
• Kupezeka kwa matenda (monga matenda a COVID-19).

Komanso, anthu ochepa kwambiri anenedwa kuti ali ndi matenda a CVST atalandira katemera wa COVID-19. Komabe, ndikofunikira kukumbukira kuti izi zimachitika kawirikawiri .

Kodi madokotala amazindikira bwanji matenda a CVST?

Dokotala wanu adzagwiritsa ntchito mayeso owunikira ubongo kuti adziwe ngati muli ndi CVST. Kuzindikira matenda mwachangu ndikofunikira kuti mupewe mavuto.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira CVST?

Kuti adziwe matenda a CVST, dokotala wanu angachite mayeso otsatirawa:

• Kuyesa kwa MRI ya ubongo (magnetic resonance imaging) kunachitidwa pogwiritsa ntchito utoto wosiyana.
• Kujambula kwa ubongo (CT) (`Brain CT - computed tomography`) kumachitika pogwiritsa ntchito utoto.
• Magnetic Resonance Venography (MRV), CT Venography (CT venography) kapena Cerebral Angiography (Cerebral Angiography).

Kuphatikiza apo, mayeso a magazi, monga hypercoagulability panel, angachitike kuti aone ngati pali vuto lililonse la magazi oundana.

Kodi CVST imachiritsidwa bwanji?

Pali njira zingapo zochizira CVST, kuphatikizapo:

• Mankhwala Oletsa Kutsekeka kwa Magazi : Mwachitsanzo, heparin. Izi zitha kuperekedwa ngakhale panthawi ya mimba.
• Mankhwala oletsa magazi kuundana (thrombolytics).
• Ngati magazi anu agwa chifukwa cha matenda, maantibayotiki amaperekedwa .
• Pa milandu yoopsa kwambiri, opaleshoni yochotsa magazi oundana (`Thrombectomy`) imachitika .
• Acetazolamide kapena mankhwala ena ochepetsa kuthamanga kwa magazi muubongo wanu (kuthamanga kwa magazi mkati mwa ubongo).
• Ngati khunyu lachitika, mankhwala oletsa khunyu amaperekedwa.

Kutengera ndi chomwe chimayambitsa CVST yanu, mungafunike kumwa warfarin (monga Coumadin®, Jantoven®) kapena mankhwala oletsa magazi kutuluka magazi mwachindunji (monga Rivaroxaban, Apixaban kapena Dabigatran) kwa miyezi itatu mpaka 12. Anthu omwe ali ndi vuto monga thrombophilia angafunike kumwa warfarin kwa moyo wawo wonse.

Kodi mavuto kapena zotsatirapo zake ndi ziti?

Ngati mukumwa warfarin, ndikofunikira kwambiri kumwa mlingo womwe mwapatsidwa . Ichi ndichifukwa chake dokotala wanu nthawi zonse amawunika magazi anu kuti atseke magazi. Mlingo womwe mwapatsidwa uyenera kukhala wokwanira kuti magazi asamatseke zomwe zingakupwetekeni, koma osati wokwera kwambiri kotero kuti simungathe kuletsa kutuluka magazi ngati mutadula dzanja kapena mwendo wanu. Chifukwa chake muyenera kupeza mulingo woyenera.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Mukalandira heparin, kaya kudzera mu IV kapena jakisoni, imayamba kugwira ntchito mwachangu kwambiri . Warfarin imatha kutenga pafupifupi sabata imodzi kuti igwire ntchito, kotero dokotala wanu adzakusungani pa heparin mpaka itayamba kugwira ntchito. Pambuyo pake, mutha kusiya kumwa heparin ndikumwa warfarin yokha.

Kapena, ngati dokotala wanu asankha mankhwala oletsa magazi kutuluka m'magazi mwachindunji, akhoza kuchepetsa magazi anu kufika pamlingo womwe mukufuna mkati mwa maola ochepa. Pamene magazi oundana akuyamba kusungunuka ndipo kuthamanga kwa magazi mkati mwa ubongo kukuchepa, pang'onopang'ono mudzayamba kumva bwino.

Kodi ndingachepetse bwanji chiopsezo changa chokhala ndi CVST?

Ngati mwakhala ndi CVST panthawi ya mimba, kumwa mankhwala oletsa magazi kutuluka magazi m'magazi pambuyo pa mimba kungachepetse chiopsezochi.

Mankhwala oletsa kubereka ndi omwe amachititsa kuti munthu adwale matenda a mtima (CVST). Chifukwa chake, mutha kuchepetsa chiopsezochi posagwiritsa ntchito mapiritsi oletsa kubereka. M'malo mwake, mutha kugwiritsa ntchito njira yoletsa kubereka yokhala ndi progestin yokha.

Kusuta fodya mukumwa mapiritsi oletsa kubereka kumawonjezera chiopsezo cha matenda a mtima . Kupewa zonsezi kungathandize kupewa matenda a mtima.

Ngati ndili ndi (CVST), ndiyenera kuyembekezera chiyani?

Kale, anthu pafupifupi 50% okha omwe anali ndi CVST ndi omwe anapulumuka. Koma tsopano zinthu zili bwino kwambiri.Chiwerengero cha anthu omwe amafa chifukwa cha matendawa tsopano chatsika kwambiri, pakati pa 5% ndi 10%. Izi zikuchitika chifukwa cha ukadaulo wapamwamba wojambula zithunzi komanso njira zamakono zochizira.

Komabe, CVST ikhoza kubwereranso . Ndicho chifukwa chake dokotala wanu adzakupatsani mankhwala ochepetsa magazi (anticoagulants).

Kodi vuto la (CVST) limatenga nthawi yayitali bwanji?

(CVST) imatha kutenga maola angapo mpaka milungu ingapo. Matenda anu akhoza kugawidwa m'magulu awa:

• Kuthamanga: mpaka maola 48.
• Subacute: Kupitirira maola 48, koma mpaka masiku 30. (Uwu ndi mtundu wofala kwambiri.)
• Matenda Osatha: Okhalitsa kwa mwezi umodzi kapena kuposerapo.

Kodi chiyembekezo cha mkhalidwe wa (CVST) ndi chiyani?

Chiyembekezo cha anthu omwe ali ndi CVST omwe amalandira chithandizo choyenera ndi chabwino . Komabe, CVST ikhoza kupha ngati siidapezeke ndi kuchiritsidwa msanga. Ichi ndichifukwa chake ndikofunikira kufunafuna upangiri wa dokotala zizindikiro zikayamba kuwonekera.

Kodi ndiyenera kudzisamalira bwanji?

Mukamaliza kuchitidwa opaleshoni ya CVST, dokotala wanu adzafuna kukuletsani kuti magazi anu asaundanenso. Izi zikutanthauza kuti muyenera kupitiriza kumwa mankhwala oletsa magazi kuundana kapena "ochepetsa magazi" monga warfarin.

Ngakhale izi zimakutetezani ku magazi owuma, zimawonjezera chiopsezo chotuluka magazi ngakhale pang'ono tsiku lililonse. Chifukwa chake, muyenera kusamala kwambiri mukamagwiritsa ntchito zinthu zakuthwa monga mipeni . Kungakhale kotetezeka kugwiritsa ntchito lezala yamagetsi m'malo mwa lezala wamba.

Ndiyenera kupita liti kwa dokotala wanga?

Muyenera kupita kwa dokotala nthawi zonse (mwina miyezi ingapo iliyonse) pamene mukumwa mankhwala ochepetsa magazi (anticoagulants). Ngati mwaphonya mlingo wa warfarin, imbani dokotala nthawi yomweyo.

Miyezi itatu kapena isanu ndi umodzi mutatha kukhala ndi CVST, mungafunike kuchitidwanso CT scan kapena MRI ndi utoto kuti muwone momwe magazi amaundana muubongo mwanu.

Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?

Ngati mukumwa Warfarin ndipo muli ndi zizindikiro izi za kutuluka magazi, imbani 1990 (ambulansi yadzidzidzi ya ku Sri Lanka) nthawi yomweyo, kapena pitani ku dipatimenti yadzidzidzi yachipatala yapafupi mwamsanga :

• Kutuluka magazi kosalekeza .
• Mutu wopweteka kwambiri .
• Magazi ofiira owala kwambiri akamatsokomola, kusanza, kapena kuchita chimbudzi.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mungathe kufunsa dokotala mafunso monga awa:

• N’chifukwa chiyani ndinakhala ndi vuto limeneli (CVST)?
• Kodi ndiyenera kulandira chithandizo kwa nthawi yayitali bwanji?
• Kodi chiopsezo changa chobwereranso ku matenda a CVST ndi chiyani?

Popeza CVST ikhoza kubwereranso, ndikofunikira kuti mupitirize kukaonana ndi dokotala wanu nthawi zonse. Adzafuna kuonetsetsa kuti mukumwa mankhwala okwanira kuti CVST isabwerenso. Ngati mukumwa mankhwala ochepetsa magazi, muyeneranso kupewa zinthu zomwe zingayambitse kuvulala. Ngakhale zinthu za tsiku ndi tsiku monga mipeni ndi lumo zingayambitse kutuluka magazi. Chifukwa chake ndi bwino kugwiritsa ntchito njira zina zotetezeka monga lezala yamagetsi.

Ndiye, kodi uthenga wotani womwe tiyenera kukumbukira kuchokera mu nkhaniyi?

Mwachidule, CVST ndi matenda osowa koma oopsa omwe magazi amaundana m'mitsempha yamagazi muubongo. Ngati mukukumana ndi zizindikiro monga mutu waukulu komanso khunyu, pitani kwa dokotala nthawi yomweyo . Kuzindikira msanga ndi chithandizo kungakuthandizeni kupeza zotsatira zabwino. Mankhwala ochepetsa magazi ndiye chinthu chofunikira kwambiri pa chithandizo. Muyeneranso kusamala ndi kutuluka magazi mukamamwa mankhwala awa. Ndikofunikira kumwa mankhwala anu monga momwe dokotala wanu wanenera ndikutsatira dokotala wanu. Kumbukirani, simuli nokha, ndipo dokotala wanu alipo kuti alankhule nanu ndikukuthandizani.

Kutsekeka kwa mitsempha ya m'mitsempha ya ubongo, CVST, magazi kuundana muubongo, mutu, kuchepetsa magazi, sitiroko, khunyu