Kodi muli ndi vuto la mitsempha yamagazi lomwe silikuyenda bwino m'mutu mwanu? (Dural Arteriovenous Fistula - dAVF) Tiyeni tikambirane izi!

Kodi nthawi zina mumamva phokoso m'mutu mwanu? Kapena nthawi zambiri mutu umapweteka? Mungaganize kuti zinthuzi ndi zachilendo, koma nthawi zina pali china chake chomwe chimafunika chisamaliro. Ndicho chomwe chimatchedwa dural arteriovenous fistula (dAVF) . Tiyeni tikambirane mwachidule.

Kodi fistula ya arteriovenous fistula (dAVF) ya m'dera la dural ndi chiyani?

Mwachidule, pali nembanemba yopyapyala yoteteza ubongo wathu ndi msana. Ichi ndi chomwe timachitcha dura mater . Chili ngati chikuto chakumbuyo cha buku.

Tsopano taonani, tili ndi netiweki ya mitsempha yamagazi yonyamula magazi kupita ku ziwalo zonse za thupi lathu. Mitsempha imanyamula magazi oyera, okhala ndi mpweya wambiri kuchokera mumtima kupita ku ziwalo zina zonse, kuphatikizapo ubongo. Mitsempha imanyamula magazi akale, opanda mpweya wabwino kubwerera kumtima. Pakati pa mitsempha iyi ndi mitsempha, pali netiweki yabwino kwambiri ya mitsempha yamagazi, yomwe timaitcha kuti ma capillaries . Ma capillaries awa amalamulira kuyenda kwa magazi ndikugawa magazi moyenera ku ziwalo.

Tsopano, mu vuto ili lotchedwa fistula , mtsempha wamagazi umalumikizana mwachindunji ndi mtsempha, popanda dongosolo lapakati la mitsempha yamagazi. Tangoganizani ngati chitoliro chachikulu chamadzi chalumikizidwa mwadzidzidzi ndi chitoliro chaching'ono. Kenako, magazi amathamangira mumtsempha umenewo mofulumira kwambiri komanso pansi pa kupanikizika kwakukulu. Mtsempha sudziwa magazi ambiri komanso kupanikizika kwakukulu.

Chifukwa chake, fistula iyi yotchedwa dural arteriovenous fistula (dAVF) ndi kulumikizana kosazolowereka pakati pa mtsempha wamagazi ndi mtsempha mkati mwa dura mater, nembanemba yomwe imazungulira ubongo. Nthawi zina dokotala wanu angatchulenso izi kuti ndi dural arteriovenous malformation .

Kulumikizana kosazolowereka kumeneku kungayambitse kuthamanga kwa magazi mkati mwa mitsempha yamagazi kukhala kosakhazikika, mawonekedwe a mitsempha yamagazi amatha kusintha, ndipo magazi sangayende momwe ayenera kukhalira. Nthawi zina, mitsempha yamagazi imatha kuphulika chifukwa sichingathe kuthana ndi kuthamanga kwa magazi. Ngati zimenezo zitachitika, zingayambitse kutuluka magazi komwe kungawononge moyo.

Kodi vutoli ndi lofala bwanji?

Kwenikweni, vutoli (dAVF) silofala kwambiri. Mwachitsanzo, ku United States, akuti limachitika pakati pa 0.15 ndi 0.19 pa anthu 100,000 pachaka. Izi zikutanthauza kuti ndi losowa kwambiri.

Kodi ichi (dAVF) ndi vuto lalikulu?

Umu ndi momwe imagwirira ntchito. Zina (dAVF) ndi zofatsa kwambiri ndipo sizimayambitsa mavuto aakulu azaumoyo. Komabe, zina zimakhala zoopsa kwambiri ndipo zimatha kupha anthu. Makamaka ngati mtsempha wamagazi waphulika ndikutuluka magazi, monga tafotokozera pamwambapa, zimatha kuwononga minofu ya ubongo ndikuyambitsa sitiroko .

Chofunika kwambiri ndikuonana ndi dokotala mwamsanga ngati muli ndi zizindikiro zilizonse. Ngati inu kapena munthu amene muli naye pafupi akukumana ndi zizindikiro za sitiroko (monga kufooka mbali imodzi, kulankhula movutikira, kutaya chidziwitso), muyenera kuyimbira foni 911 nthawi yomweyo kapena kuchipinda chodzidzimutsa chapafupi.

Kodi zizindikiro za (dAVF) ndi ziti?

Nthawi zina simungakhale ndi zizindikiro zilizonse ngakhale mutakhala ndi (dAVF) . Koma ngati muli ndi zizindikiro, zimatha kukhala zochepa mpaka zazikulu. Zizindikiro zimasiyananso kutengera komwe fistula ili muubongo. Yang'anani izi:

• Mutu: Mwina si mutu wamba, koma mutu watsopano womwe nthawi zina umakhala woopsa pang'ono.
• Kusanza ndi kusanza: Izi zitha kuchitika, makamaka mutu ukapweteka.
• Kulira kwa kugunda kwa mtima: Ichi ndi chizindikiro chapadera kwambiri. Chimakhala ngati phokoso la "kulira" kapena "kufuula" m'khutu mwanu, lofanana ndi kugunda kwa mtima kwanu. Anthu ena amanenanso kuti ndi "kulira kwa khutu mwanu."
• Kusintha kwa masomphenya: Kusawona bwino mwadzidzidzi, kuona zinthu ziwiri, kapena kumva ngati masomphenya sakuoneka bwino.
• Kuvuta kulankhula kapena kulankhula: Kusalankhula bwino, ngati kuti simungathe kulankhula.
• Kutaya mphamvu poyenda, kuvutika kulamulira miyendo ndi miyendo pogwira ntchito.
• Kufooka kwa minofu kapena dzanzi: Kumva dzanzi kapena kufooka mbali imodzi ya mkono, mwendo, kapena nkhope.
• Ululu pankhope, m'manja, kapena m'miyendo.
• Kutaya kukumbukira.
• Maganizo kapena zomverera zachilendo.

Zizindikiro zimenezi nthawi zambiri zimachitika chifukwa cha kutuluka magazi muubongo mwanu . Choncho ngati muli ndi zizindikiro zimenezi, pitani kwa dokotala nthawi yomweyo.

Kodi zifukwa za izi (dAVF) ndi ziti?

Madokotala sakudziwabe chomwe chimayambitsa dAVF . Komabe, asayansi ambiri amakhulupirira kuti ikhoza kuchitika chifukwa cha kuvulala kwa mutu . Itha kuwoneka patatha zaka zambiri kuchokera pamene kuvulalako kunayamba. Kafukufuku wina akusonyeza kuti izi zikugwirizana ndi kutsekeka kwa mitsempha yamagazi yomwe imanyamula magazi kupita ku ubongo. Kutsekeka kumeneku kungayambitsidwe ndi matenda, ngozi, kapena chochitika china. Mwachitsanzo:

• Kuundana kwa magazi (Thrombosis).
• Kuvulala kwa ubongo koopsa.
• Opaleshoni ya ubongo, monga craniotomy.

Kawirikawiri, munthu amabadwa ndi matendawa (dAVF) , koma si achibadwa. Matendawa akufufuzidwabe.

Ndani ali pachiwopsezo chachikulu chotenga matendawa (dAVF)?

Matendawa (dAVF) amatha kuchitika pa msinkhu uliwonse, koma amapezeka kwambiri mwa akuluakulu azaka zapakati pa 40 ndi 60 .

Kodi mavuto omwe angakhalepo chifukwa cha (dAVF) ndi ati?

Mavuto omwe amayamba chifukwa cha izi (dAVF) nthawi zina amatha kukhala pachiwopsezo. Akuluakulu ndi awa:

• Kutuluka magazi m'thupi (kutuluka magazi m'thupi).
• Kutuluka magazi mkati mwa chigaza, koma kunja kwa ubongo (subdural hematoma).
• Kutuluka magazi pakati pa ubongo ndi nembanemba yoteteza yozungulira ubongo (Subarachnoid hemorrhage).
• Kupanikizika kowonjezereka mkati mwa chigaza (kupanikizika kwa mkati mwa mutu).
• Kugwidwa ndi khunyu.
• Stroke.

Tangoganizirani, chingachitike n’chiyani ngati pompo yaying’ono yolumikizidwa ku chitoliro chachikulu chomwe chimabweretsa madzi ku thanki ya madzi ya nyumba yathu itatuluka mwadzidzidzi? Madzi angatuluke m’nyumba monse. Ndicho chimene chingachitike ngati mtsempha wamagazi utaphulika muubongo. Ndicho chifukwa chake izi ndi zoopsa kwambiri.

Kodi vutoli (dAVF) limapezedwa bwanji?

Dokotala amazindikira vutoli (dAVF) pambuyo pa izi:

• Kuwunika thupi.
• Mayeso okhudzana ndi dongosolo la mitsempha.
• Mayeso apadera ojambula zithunzi.

Pochita mayeso awa, dokotala wanu adzakufunsani za zizindikiro zanu ndi tsatanetsatane wa matenda anu akale.

Nthawi zina, simungakhale ndi zizindikiro zilizonse ndipo zitha kupezeka mwangozi mukayesa ubongo wanu kapena msana wanu pazifukwa zina.

Mayeso apadera omwe amathandiza kuzindikira (dAVF)

Dokotala akhoza kujambula bwino mitsempha yanu yamagazi ndikugwiritsa ntchito mayeso ngati awa kuti aone ngati muli ndi izi (dAVF) :

• Kujambula kwa MRI (Magnetic Resonance Imaging) kapena MRA (Magnetic Resonance Angiography).
• Mayeso a CT Angiography (CTA - Computed Tomography Angiography).

Mayeso onsewa ndi osapweteka ndipo sabweretsa mavuto ambiri. Amalola dokotala wanu kudziwa bwino mitsempha yamagazi yomwe ili mu dongosolo lanu la mitsempha, zomwe zingayambitse zizindikiro zanu.

Ngati mayeso ojambulira zithunzi ngati awa (dAVF) akubweretsa nkhawa, madokotala anu adzakambirana nanu za mayeso ena apadera otchedwa cerebral angiogram .

Angiogram ya ubongo ndi mayeso osavulaza omwe angapereke zithunzi zabwino kwambiri komanso zomveka bwino za mitsempha yamagazi muubongo wanu. Mu mayesowa, madokotala amaika chubu chaching'ono kwambiri - chomwe timachitcha kuti catheter - mumtsempha wamagazi womwe uli pachiwuno chanu kapena mwendo wakumtunda, ndikuchiyika kudzera mumtsempha womwe uli pakhosi panu kupita ku mitsempha yamagazi yomwe ili muubongo wanu. Kenako, kudzera mu catheter imeneyo, madzi apadera amabayidwa.Mankhwala osiyanitsa amalowetsedwa m'thupi. Akasakanikirana ndi magazi anu, amatha kuwoneka pa mavidiyo a X-ray pamene magazi akuyenda kudzera m'mitsempha ya muubongo ndikubwerera kuchokera m'mitsempha. Izi ndi zomwe zimathandiza madokotala kudziwa momwe dAVF imaonekera komanso chithandizo chabwino kwambiri.

Kodi pali mankhwala a vutoli (dAVF)?

Inde, chithandizo chingachotse fistula iyi ndikubwezeretsa kuyenda bwino kwa magazi m'mitsempha. Izi zitha kuchepetsa kapena kuletsa zizindikiro zatsopano ndi zovuta zina.

Kodi (dAVF) imachiritsidwa bwanji?

Cholinga chachikulu cha chithandizochi (dAVF) ndikuchotsa kulumikizana kosayenera (fistula) pakati pa mtsempha wamagazi ndi mitsempha. Pakhoza kukhala njira zina zochiritsira monga:

• Opaleshoni: Opaleshoni yotseguka ikhoza kuchitidwa kuti muchotse kulumikizana kosazolowereka (fistula) mu mtsempha wamagazi wokhudzidwa.
• Kutulutsa magazi m'mitsempha ya m'magazi: Monga tanenera kale, chubu chaching'ono kwambiri (catheter) chimadutsa m'mitsempha yanu imodzi, kupita komwe kuli fistula, ndipo chimatsekedwa. Zili ngati kutseka malo otayikira.
• Opaleshoni ya radiotactic: Iyi ndi mtundu wa chithandizo cha radiation. Mu izi, kuwala kwa radiation komwe kumalunjika kwambiri kumalunjika ku mtsempha wamagazi womwe wakhudzidwa komwe fistula imalumikizidwa, ndikutseka.

Dokotala wanu adzakukonzerani njira yabwino kwambiri yothandizira. Izi zidzadalira zinthu zambiri, kuphatikizapo mtundu wa (dAVF) , thanzi lanu lonse, zizindikiro, komanso chiopsezo chanu chotaya magazi kapena mavuto ena.

Ngati mulibe zizindikiro, dokotala wanu sangakupatseni chithandizo nthawi yomweyo, koma angakuyang'anireni nthawi zonse kuti apewe mavuto.

Kodi chiyembekezo cha (dAVF) ndi chiyani?

Kuyezetsa matenda anu kumadalira zinthu zambiri, monga komwe fistula ili komanso ngati ikutuluka magazi. Ngati yapezeka ndikuchiritsidwa msanga, nthawi zambiri imakhala yabwino. Tsoka ilo, zina (dAVF) zimatha kuyambitsa mavuto osatha kapena oopsa. Ngati mavuto otere achitika, pali chithandizo chamankhwala pambuyo pake komanso chithandizo chothandizira, monga chithandizo cha thupi , chithandizo cha ntchito , ndi chithandizo cha kulankhula .

Dokotala wanu ndiye munthu amene angakupatseni chidziwitso cholondola kwambiri kutengera vuto lanu.

Chiwerengero cha Kupulumuka kuchokera ku (dAVF)

Popeza vutoli (dAVF) silili lofala kwambiri, kafukufuku wokhudza kuchuluka kwa anthu opulumuka akadalipo. Kafukufuku wapano akusonyeza kuti chiwerengero cha anthu omwe amafa chaka chilichonse chifukwa cha vutoli ndiAkuti ali pakati pa 11% ndi 19%. Izi zikutanthauza kuti nthawi zina, kuchuluka kwa anthu omwe amapulumuka pachaka kumatha kupitirira 80%.

Kodi vutoli (dAVF) lingapewedwe?

Palibe njira yodziwika yopewera vutoli (dAVF) . Komabe, mutha kuchepetsa chiopsezo chanu poletsa matenda ena (monga matenda otsekeka magazi) omwe angayambitse vutoli. Muthanso kudziteteza ku kuvulala mutu povala zida zoyenera zodzitetezera mukamasewera masewera ndi zochitika zina.

Ndiyenera kupita kwa dokotala nthawi yanji?

Pitani kwa dokotala ngati mukukumana ndi zizindikiro izi:

• Mutu wopweteka kwambiri komanso wodzidzimutsa mwadzidzidzi.
• Kufooka kwa minofu kapena dzanzi.
• Kusintha kwa kalankhulidwe kanu, kuyenda, kulinganiza bwino, kapena kuona bwino.
• Kuyamba kwatsopano, kulira m'makutu (Pulsatile tinnitus).

Ngati inu kapena munthu amene muli naye pafupi akukumana ndi zizindikiro za sitiroko (monga kufooka mbali imodzi, kulankhula mosasamala, kutaya chidziwitso), muyenera kuyimbira 911 kapena chipinda chadzidzidzi chapafupi nthawi yomweyo. Nthawi ndi yofunika kwambiri!

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso ngati awa:

• Kodi fistula iyi ili kuti?
• Kodi ndi njira iti yothandizira yomwe mukupangira?
• Kodi ndikufunikadi opaleshoni?
• Kodi zotsatirapo zake ndi ziti?
• Kodi fistula iyi ingayambirenso pambuyo pa chithandizo?
• Kodi zitenga nthawi yayitali bwanji kuti ndibwererenso kukachita mayeso?

Pomaliza, uthenga wopita nawo kunyumba

Vutoli, lotchedwa dural arteriovenous fistula (dAVF), likhoza kukhala ndi vuto lalikulu kapena laling'ono pa moyo wanu. Nthawi zina, likhoza kukhala vuto laling'ono lomwe lingathe kuthetsedwa mosavuta motsogozedwa ndi dokotala. Komabe, ngati silipezeka ndi kuchiritsidwa mwachangu, lingayambitse mavuto osatha kapena oopsa.

Ngati muli ndi zizindikiro zilizonse kapena mukuda nkhawa ndi zinazake, imbani dokotala kapena chipinda chodzidzimutsa nthawi yomweyo. Pali mankhwala omwe angathandize kuchotsa fistula ndikubwezeretsa magazi m'thupi lanu lonse. Pali njira zosiyanasiyana zochiritsira, zomwe sizimafuna opaleshoni yotseguka. Gulu lanu lachipatala lidzawunika zizindikiro zanu ndikusankha njira yabwino kwambiri yothandizira kuti mupewe mavuto.

Mumadziwa bwino thanzi lanu. Choncho ngati muwona kusintha kulikonse m'thupi lanu, musanyalanyaze. Kuchitapo kanthu mwachangu kungapewe matenda ambiri oopsa.

Fistula ya m'mitsempha ya m'munsi , dAVF, mitsempha yamagazi ya muubongo, mutu, kugunda kwa mtima, kutuluka magazi muubongo, sitiroko