Kodi mukudziwa matenda omwe amayambitsa kutupa kwa mitsempha yamagazi muubongo ndi msana? Tiyeni tikambirane za (CNS Vasculitis)!

Kodi munayamba mwadwalapo mutu waukulu womwe sunathe kwa masiku ambiri? Kapena mwadzidzidzi mumamva ngati thupi lanu layamba kuchita dzanzi, ndi zinthu monga kuiwala ndi kuchita dzanzi? Izi nthawi zina zingakhale zizindikiro za matenda aakulu, ngakhale titapanda kuwasamalira kwambiri. Lero, tikambirana za matenda ovuta koma ofunikira kwambiri omwe amakhudza ubongo wathu ndi msana.

Kodi ichi ndi chiyani (CNS Vasculitis)? Tiyeni timvetse mosavuta?

Mwachidule, CNS Vasculitis ndi kutupa kwa mitsempha yamagazi mu dongosolo lathu la mitsempha (CNS), kutanthauza ubongo ndi msana. Monga momwe timachitira ndi kuvulala kwinakwake m'thupi lathu, mitsempha yamagazi yomwe imapereka magazi ku ubongo ndi msana imatupa kuchokera mkati. Madokotala nthawi zina amatcha izi "angiitis yoyamba ya dongosolo la mitsempha ". Dzina lina ndi "granulomatous angiitis".

Taganizirani izi, dongosolo lathu la mitsempha lili ngati malo olamulira thupi lathu lonse. Chilichonse chomwe timachita mwadala, kuyambira kugwiritsa ntchito zala zanu mpaka kuwerenga nkhaniyi, mpaka chilichonse chomwe timachita mosadziwa, monga kupuma ndi kugunda kwa mtima , chimalamulidwa pano. Ndiye chimachitika ndi chiyani ngati pali vuto ndi mitsempha yamagazi pamalo ofunikira chonchi? Ndicho chifukwa chake tiyenera kuda nkhawa ndi matendawa.

Kodi pali mitundu ikuluikulu ya matenda a CNS Vasculitis?

Inde, madokotala apeza mitundu iwiri ikuluikulu ya izi:

1. Matenda a CNS Vasculitis Oyamba: Izi zimachitika zokha, popanda kukhudzidwa ndi matenda ena aliwonse. Ndiko kuti, palibe matenda ena omwe angapezeke ngati chifukwa.

2. Matenda a Vasculitis a CNS Yachiwiri: Izi zimachitika ndi matenda ena kapena chifukwa cha matenda ena. Mwachidule, zimayambitsidwa ndi matenda otupa kapena matenda ena kwina kulikonse m'thupi. Matenda a autoimmune ( monga matenda omwe chitetezo cha thupi lathu chimagwira ntchito motsutsana nafe) ndi matenda ndizomwe zimayambitsa kwambiri mtundu wachiwiriwu.

Kodi zizindikiro za matendawa ndi ziti? Kodi timazizindikira bwanji?

Zizindikiro za CNS Vasculitis zimatha kusiyana malinga ndi munthu, koma pali zizindikiro zina zodziwika bwino:

• Mutu wopweteka kwambiri komanso wokhalitsa: Ichi ndi chizindikiro choyamba chomwe chimabwera m'maganizo mwa anthu ambiri. Sizili ngati mutu wamba, koma ndi woopsa pang'ono ndipo ukhoza kukhalapo kwa masiku ambiri.
• Kuiwala kapena kusokonezeka: Mungaiwale zinthu mwadzidzidzi ndikumva kusokonezeka.
• Kusanza, kumva zachilendo, kapena kusintha kwa kukhudza: Miyendo yanu ingamve ngati yachita dzanzi, ndipo simungamve chilichonse mukazikhudza.
• Kumva kufooka m'thupi: Kumva ngati wopanda thandizo, wosafuna kuchita chilichonse.
• Kulephera kuwona bwino: Kuona molakwika, nthawi zina ngakhale kuona kawiri.
• Zizindikiro za khunyu (Kugwidwa ndi khunyu): Kutaya mwadzidzidzi chidziwitso ndi kugwedezeka kungachitike.
• Encephalopathy: Izi zingayambitse kusintha kwa maganizo, khalidwe, komanso nthawi zina kukomoka.

Ngati muli ndi chimodzi mwa zizindikiro izi, ndikofunikira kwambiri kupeza upangiri wa dokotala nthawi yomweyo. Popeza izi zitha kukhala zizindikiro za matenda ena, ndikofunikira kudziwa vuto lenileni.

Kodi mavuto omwe angakhalepo chifukwa cha matenda a CNS Vasculitis ndi ati?

Matendawa amachititsa kuti mitsempha yamagazi itukuke ndikukula, zomwe zimapangitsa kuti magazi aziyenda movutikira. Pakapita nthawi, kutupa kumeneku kumatha kuwononga ubongo ndi msana, zomwe zimapangitsa kuti pakhale mavuto aakulu, nthawi zina omwe angawopseze moyo. Mavuto akuluakulu ndi awa:

• Kukwapula
• Kuukira kwa ischemic kwa kanthawi kochepa (komwe kumatchedwanso "mini-stroke")
• Ma aneurysms a muubongo (matumphuka omwe amatha kuswa mitsempha yamagazi muubongo)

Mavuto onsewa amafunika thandizo lachipatala mwamsanga. Ngati mukuona zizindikiro za sitiroko kapena kusweka kwa ubongo, pitani kuchipatala nthawi yomweyo kapena imbani 1990 (ambulansi).

Kodi zimayambitsa matenda a CNS Vasculitis ndi ziti?

(CNS Vasculitis) ndi matenda omwe amayambitsa chitetezo chamthupi . Mwachidule, chitetezo cha thupi lathu, asilikali omwe akuyenera kutiteteza ku matenda, amayamba molakwika kuukira maselo athu. Chomwe chimachitika apa ndichakuti chitetezo chimaukira mitsempha yathu yamagazi.

• Anthu omwe ali ndi matenda oyamba a CNS vasculitis amadwala matendawa popanda chifukwa chenicheni, kutanthauza kuti, "mwanjira yosadziwika bwino." Sizotheka kunena chomwe chinayambitsa matendawa.
• Matenda a CNS achiwiri nthawi zambiri amapezeka limodzi ndi matenda ena omwe amayambitsa kutupa m'thupi. Matenda ena odziteteza ku matenda ndi matenda ena angayambitse kutupa. Nazi zitsanzo zingapo:
• `Lupus`
• "Granulomatosis yokhala ndi polyangiitis"
• "Eosinophilic granulomatosis yokhala ndi polyangiitis (EGPA)"
• `Microscopic polyangiitis`
• Matenda a Behçet
• `Sjögren's syndrome`
• Matenda opatsirana ndi mavairasi: Kachilombo ka Epstein-Barr, kachilombo ka varicella-zoster (kachilombo kamene kamayambitsa matenda monga nkhuku ndi herpes)
• Matenda a bakiteriya: Chifuwa chachikulu, Syphilis

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

(CNS Vasculitis) Ngakhale kuti aliyense akhoza kudwala matendawa, amapezeka kwambiri mwa amuna. Ngakhale kuti amapezeka kwambiri mwa anthu azaka zapakati pa 50, matendawa amatha kuchitika pa msinkhu uliwonse.

Kodi madokotala amazindikira bwanji matenda a CNS Vasculitis?

Dokotala adzazindikira vutoli mwa kukupimani mwakuthupi ndikukuyesani mayeso apadera. Adzakufunsani za zizindikiro zanu, monga nthawi yomwe munazizindikira koyamba. Uzani dokotala wanu ngati zizindikiro zanu zimabwera ndi kutha (`recur`), komanso ngati zikuipiraipira nthawi zina za tsiku kapena panthawi ya zochita zina.

Kuzindikira matenda a CNS Vasculitis nthawi zina kungakhale njira yochotsera matenda ena (kuzindikira matenda osiyanasiyana) . Izi zikutanthauza kuti musanazindikire matendawa, dokotala wanu adzakuyesani mayeso angapo kuti atsimikizire kuti mulibe matenda ena ofala kwambiri. Mungafunike kuchita izi:

• MRI (Kujambula kwa Magnetic Resonance)
• `CT scan` (Kujambula kwa kompyuta)
• Angiogram (kuyezetsa kwapadera kwa X-ray kwa mitsempha yamagazi)
• Kufufuza za matenda (kutengera chidutswa cha minofu kuti chikayesedwe)

Mungafunikenso kuonana ndi dokotala wa nyamakazi, dokotala amene amasamalira matenda otupa .

Kodi zizindikiro ziti zomwe zimathandiza kuzindikira matenda a CNS Vasculitis?

"Zolemba" ndi zizindikiro za matenda. Izi zitha kupezeka ndi dokotala wanu m'magazi anu kapena m'madzi ena amthupi kudzera mu mayeso a labotale. Nazi mayeso ena omwe dokotala wanu angagwiritse ntchito kuti aone zizindikiro za CNS Vasculitis:

• Kuyezetsa magazi kuti aone ngati ali ndi magazi m'thupi.
• Kuyesa kwa ESR (chiwerengero cha erythrocyte sedimentation): Chizindikiro cha kutupa m'thupi.
• Kuyesa kwa C-reactive protein (CRP): Kufufuza zizindikiro zotupa zomwe chiwindi chimatulutsa.
• Kuboola m'chiuno: Tengani chitsanzo cha madzi a msana muubongo wanu ndikuwona kuchuluka kwa maselo oyera m'magazi.

Kodi mankhwala ochizira izi ndi otani?

Dokotala wanu mwina angakulangizeni mankhwala oletsa kutupa. Chofunika kwambiri pochiza matenda a CNS Vasculitis ndikuchepetsa kuwonongeka komwe kumayambitsa ku ubongo wanu ndi msana. Anthu ambiri amafunika kumwa mankhwala osakaniza otchedwa corticosteroids (mtundu wa mankhwala ochepetsa kutupa) ndi immunosuppressants (mankhwala omwe amaletsa chitetezo cha mthupi) .

Poyamba, mudzapatsidwa mlingo wokwera wa mankhwala. Pambuyo pake (nthawi zambiri patatha miyezi ingapo), dokotala wanu angachepetse kuchuluka kwa jakisoni ndi mlingo. Madokotala anu akuyesera kukulowetsani mu gawo la "kuchira" komwe zizindikiro zanu zimakhala zochepa kapena zatha kwathunthu.

Ngati muli ndi matenda achiwiri a CNS vasculitis, muyenera kulandira chithandizo chosiyana kuti muwongolere vuto lomwe limayambitsa matendawa, lomwe dokotala wanu adzakufotokozerani.

Kodi ndiyenera kupita kwa dokotala liti?

Yang'anirani zizindikiro zanu. Ngati muwona kusintha kulikonse, lembani. Uzani dokotala wanu nthawi yomweyo, makamaka ngati zizindikiro zanu zikuwoneka kuti zikubwera kawirikawiri kapena zikukulirakulira kuposa kale. Uzaninso dokotala wanu ngati chithandizo chilichonse chikuwoneka kuti sichikugwira ntchito kapena sichikugwira ntchito bwino monga kale.

Dokotala wanu adzakuuzani kangati komwe muyenera kupita kwa dokotala wanu, kukayezetsa magazi, kapena kukayezetsa zina.

Ngati muli ndi zizindikiro zotsatirazi, pitani kuchipatala nthawi yomweyo kapena imbani 1990:

• Ngati mukuganiza kuti muli ndi zizindikiro za sitiroko kapena kuphulika kwa aneurysm ya ubongo .
• Ngati mukuvutika kupuma.
• Palibe vuto ngati maso anu ayamba kuipiraipira mwadzidzidzi, kapena ngati mwadzidzidzi mwataya maso anu.

Ngati ndili ndi (Central Nervous System Vasculitis), kodi ndiyenera kuyembekezera chiyani?

Palibe mankhwala a CNS Vasculitis. Komabe, anthu ambiri amatha kuchira kwa nthawi yayitali atapeza mankhwala osakaniza omwe amawathandiza. Anthu ena amatha miyezi kapena zaka osawonetsa zizindikiro, koma zizindikirozo zimabwereranso.

(CNS Vasculitis) nthawi zambiri sichikhudza kwambiri moyo wanu. Koma izi n'zovuta kunena motsimikiza. Chifukwa (CNS Vasculitis) ingayambitse mavuto aakulu monga sitiroko ndi aneurysm. Ngati mavuto otere achitika, mwayi wa imfa ndi wokwera kuposa masiku onse.

Ngati muli ndi nkhawa zokhudza thanzi lanu kapena momwe matenda a CNS Vasculitis akukhudzira moyo wanu, lankhulani ndi dokotala wanu.

Matenda aliwonse omwe amakhudza dongosolo lanu la mitsempha (CNS) akhoza kukhala oopsa. Makamaka mukadziwa kuti chitetezo chanu cha mthupi chikuukira ubongo wanu ndi msana wanu. Koma nkhani yabwino ndi yakuti anthu ambiri omwe ali ndi CNS Vasculitis amatha kupeza mankhwala osakaniza omwe amawongolera. Mukapeza chithandizo choyenera kwa inu, dokotala wanu angakuthandizeni kuchepetsa momwe zizindikiro zanu zimakhudzira moyo wanu.

Kumbukirani, si chinthu choipa kufunsa mafunso okhudza thanzi lanu. Lankhulani ndi dokotala wanu za nkhawa zanu zonse. Iye adzayankha mafunso anu onse, kukupatsani chidaliro pa zomwe zikuchitika m'thupi lanu, ndikukuthandizani kuthana nazo.

Uthenga wofunika kwambiri woti upite nawo kunyumba

(CNS Vasculitis) ndi matenda oopsa koma ochiritsika. Chofunika kwambiri ndikupempha upangiri wa dokotala mukangozindikira zizindikiro ndikumwa mankhwala oyenera. Mukakhala ndi matendawa, ndikofunikira kwambiri kukhala ndi ubale wabwino ndi dokotala wanu. Mwa kutsatira upangiri wawo ndikuwauza za kusintha kulikonse komwe mukukumana nako, mutha kukhala bwino ndi matendawa. Musaope, simuli nokha. Ndi upangiri woyenera wachipatala, vutoli lingathe kuthandizidwa bwino.

Matenda a CNS Vasculitis, dongosolo lapakati la mitsempha, kutupa kwa mitsempha yamagazi, ubongo, msana, matenda a autoimmune, mutu