Kodi mudamvapo za matenda osowa omwe amachititsa kuti mitsempha yamagazi ichepetse muubongo? (Matenda a Moyamoya) Tiyeni tikambirane za matendawa!

Kodi munayamba mwadwala mutu mwadzidzidzi, kapena kumva dzanzi mbali imodzi ya thupi lanu? Nthawi zina pangakhale zifukwa zomwe simungaganizire. Lero tikambirana za matenda osowa koma ofunika kwambiri. Amatchedwa Matenda a Moyamoya . Dzinalo likumveka lachilendo pang'ono, sichoncho? Tiyeni tiwone chomwe chili.

Kodi Matenda a Moyamoya ndi chiyani?

Mwachidule, Matenda a Moyamoya ndi matenda omwe amakhudza mitsempha yamagazi muubongo wanu. Kunena zoona, ndi matenda a mitsempha yamagazi . Mitsempha yayikulu yamagazi yomwe imapereka magazi ku ubongo wanu ndi mitsempha ya carotid , yomwe imayenda kuchokera m'mbali mwa khosi lanu kupita ku ubongo wanu. Pa matendawa, mitsempha imodzi kapena yonseyi imachepa pang'onopang'ono kapena kutsekeka kwathunthu. Zingakhudzenso mitsempha ya ubongo , yomwe imapereka magazi ku mbali zakutsogolo ndi zapakati za ubongo wanu.

Taganizirani izi, pafupifupi magawo awiri mwa atatu a kutsogolo kwa ubongo wathu amaperekedwa magazi ndi mpweya kuchokera ku mitsempha ikuluikulu ya magazi iyi. Ndiye chimachitika ndi chiyani pamene mitsempha iyi yachepa? Kuchuluka kwa magazi ndi mpweya wofunikira mu ubongo kumachepa. Zili ngati chitoliro cha madzi chikatsekedwa, madzi amachepa.

Tsopano matupi athu ndi odabwitsa. Pamene mtsempha waukulu wamagazi watsekedwa motere, ubongo umayesetsa kubweza kusowa kwake popanga mitsempha yatsopano, yaying'ono yamagazi. Koma mitsempha yatsopano yamagazi iyi si yolimba ngati mitsempha yayikulu yamagazi. Nthawi zambiri imakhala yofooka komanso yaying'ono . Zili ngati msewu waukulu wotsekedwa ndipo magalimoto akupititsidwa m'misewu yaying'ono ya m'mbali. Mitsempha yaying'ono yamagazi iyi mwina singathe kupatsa ubongo magazi okwanira. Komanso, mitsempha yofooka iyi nthawi zina imatha kuphulika. Izi zingayambitse kutuluka magazi muubongo ndi sitiroko .

Kodi dzina lakuti "Moyamoya" limatanthauza chiyani?

"Moyamoya" ndi mawu achijapani. Amatanthauza "utsi wochuluka" kapena "ngati utsi wochuluka." Madokotala aku Japan anali oyamba kupeza matendawa. Atachita scan yapadera ya mitsempha yamagazi, yotchedwa angiogram , adawona kuti mitsempha yaying'ono yamagazi yomwe idapangidwa kumene inali yopindika ngati utsi wochuluka, kapena utsi wochuluka. Ndicho chifukwa chake matendawa adatchedwa "Matenda a Moyamoya." Kodi si dzina labwino kwambiri limenelo?

Kodi matenda a Moyamoya ndi osowa bwanji?

Imeneyi ndi matenda osowa kwambiri. Amaonekera kwambiri ku Japan. Akuti pali anthu pafupifupi asanu pa anthu 100,000 omwe amadwala matendawa. Ngakhale m'dziko ngati America, pali anthu osakwana 5,000 omwe ali ndi matendawa. Chifukwa chake tinganene kuti izi ndizosowa kwambiri ku Sri Lanka. Koma nthawi ndi nthawi, odwala otere amanenedwa.

Kodi zizindikiro za matenda a Moyamoya ndi ziti?

Zizindikiro za matendawa zimachitika chifukwa cha kuchepa kwa magazi kupita ku ubongo. Nthawi zambiri, nthawi yoyamba yomwe muzindikira matendawa ndiPamene sitiroko yachitika, kapena pamene pali ma TIA angapo obwerezabwereza . Ma TIA amenewa nthawi zina amatchedwa "mini-stroke" ndi madokotala. Izi zikutanthauza kuti kuyenda kwa magazi kupita ku ubongo kumasokonekera kwakanthawi kenako n’kubwezeretsedwa. Koma ili ndi chenjezo.

Zizindikiro zina zingaphatikizepo:

• Kutuluka magazi muubongo: Izi zitha kuchitika chifukwa cha kuphulika kwa mitsempha yamagazi yofooka yomwe tatchula kale.
• Mutu: Mutu wopweteka kwambiri nthawi zina umakhala wopweteka kwambiri.
• Kuchedwa kukula: Makamaka ngati ana aang'ono ayamba matendawa, kukula kwawo kungakhale kochedwa kuposa ana ena.
• Aneurysm: Kutupa ngati baluni m'mbali mwa mtsempha wamagazi. Izi zimatha kuphulika.
• Kusuntha kosafunikira: Kugwedezeka kosalamulirika kwa zinthu monga ziwalo.
• Mavuto okhudzana ndi luso la kuzindikira: Mwachitsanzo, kuvutika kuphunzira, kukumbukira, ndi kuyang'ana kwambiri.
• Mavuto a kumva: Kusintha kwa masomphenya, kumva, kununkhiza, kukhudza, ndi kukoma kungachitike.
• Kugwidwa ndi khunyu: Matenda ofanana ndi khunyu.

Mungakhale ndi chimodzi kapena zingapo mwa zizindikirozi. Si aliyense amene angakumane ndi zizindikirozi mofanana.

Kodi n’chiyani chimayambitsa matenda a Moyamoya?

Ndipotu, ofufuza sanathe kupeza chomwe chimayambitsa matendawa. Komabe, zapezeka kuti ali ndi mphamvu ya majini , ndipo nthawi zina amatha kukhala vuto lobadwa nalo chifukwa cha zifukwa zina. Kafukufuku akupitilirabe pa majini omwe amatha kufalitsa matendawa kuchokera kwa makolo kupita kwa ana. Akukayikiridwanso kuti zinthu zina monga kutupa kapena matenda m'thupi zimatha kuyambitsa matendawa.

Nthawi zina, zizindikiro za Moyamoya zimatha kuchitika ndi matenda ena. Izi zimatchedwa Moyamoya syndrome kapena Moyamoya phenomenon. Mwachitsanzo:

• Matenda a Down
• Matenda a Graves ( matenda okhudzana ndi chithokomiro)
• Mtundu woyamba wa Neurofibromatosis (matenda a majini)
• Matenda a sickle cell ( matenda a magazi)
• Atherosclerosis (mafuta omwe amaikidwa m'mitsempha yamagazi)

Anthu omwe ali ndi matenda ena ngati awa amakhala ndi zizindikiro za Moyamoya.

Kodi Matenda a Moyamoya ndi majini?

Inde, ofufuza apeza RNF213Kusintha kwa majini, kapena kusintha kwa majini otchedwa RNF213, kungakhale komwe kumayambitsa matenda ena a fibromyalgia. Akuti puloteni yopangidwa ndi majini amenewa, RNF213, imakhudzidwa ndi kukula kwa mitsempha yamagazi.

Pafupifupi 15% ya anthu aku Japan omwe ali ndi matenda a Moyamoya ali ndi wachibale wawo yemwe ali ndi matendawa, zomwe zikusonyeza kuti ali ndi ubale wa majini. Komabe, njira yeniyeni yopezera cholowa sichikudziwikabe.

Ndani amene ali ndi mwayi waukulu wopeza matenda a Moyamoya?

Monga tanenera kale, uwu ndi matenda osowa kwambiri. Ngakhale kuti matenda a moyamoya, omwe amayamba chifukwa cha majini, ndi ofala kwambiri pakati pa anthu aku Japan, tsopano akunenedwanso pakati pa mafuko ena.

Ngakhale asayansi sakumvetsabe chomwe chimayambitsa matendawa, akazi ali ndi mwayi wowirikiza kawiri kuposa amuna.

Matenda a Moyamoya amatha kufalikira pa msinkhu uliwonse. Komabe, ana azaka zapakati pa 5 ndi 10 komanso akuluakulu azaka zapakati pa 30 ndi 50 ndi omwe ali ndi mwayi waukulu wodwala matendawa.

Kodi ndi mavuto otani omwe angayambitse matendawa?

Ngati matenda a moyamoya sanachiritsidwe bwino, mavuto osiyanasiyana angachitike. Izi zikuphatikizapo:

• Kufa ziwalo
• Mavuto a masomphenya
• Mavuto a kulankhula
• Matenda oyenda
• Kuwonongeka kwa ubongo kosatha

Ichi ndichifukwa chake ndikofunikira kuzindikira ndi kuchiza matendawa mwachangu.

Kodi mungadziwe bwanji ngati muli ndi matenda a Moyamoya?

Ngati muli ndi zizindikiro za matenda a moyamoya, dokotala adzakuyesani ndikufunsani za zizindikiro zanu. Kenako, ngati mukukayikira kuti matenda a moyamoya ayamba, angakupatseni mayeso monga:

• Kuyeza kwa mitsempha ya m'mitsempha ya ubongo: Mu mayesowa, chubu chaching'ono, chotchedwa catheter, chimayikidwa mu mtsempha wamagazi womwe uli m'dzanja kapena mwendo wanu. Madzi apadera okhala ndi ayodini (utoto wosiyana) amalowetsedwa m'magazi kudzera mu catheter. Kenako amatengedwa X-ray kuti awone momwe madziwo amayendera kudzera m'mitsempha yamagazi. Izi zimakupatsani mwayi wowona momwe mitsempha yamagazi ilili yopapatiza komanso momwe magazi akuyendera.
• Magnetic Resonance Angiography (MRA): Iyi ndi njira yoyesera yopanda ululu yomwe imagwiritsa ntchito mphamvu ya maginito, mafunde a wailesi, ndi kompyuta kuti ione mitsempha yanu yamagazi.
• Kujambula Magnetic Resonance Imaging (MRI): Iyi ndi njira yofanana ndi MRA. Imajambula zithunzi za mkati mwa thupi lanu ndipo imatha kuwona momwe matendawa amakhudzira ubongo wanu.

Mayeso amenewa ndi omwe amalola madokotala kudziwa ngati muli ndi matenda a Moyamoya kapena ayi.

Kodi magawo a Matenda a Moyamoya ndi ati?

Matenda a Moyamoya ndi matenda omwe amapitirira kukula.Matenda. Izi zikutanthauza kuti, ngati sachiritsidwa, matendawa amakula pang'onopang'ono. Madokotala amagwiritsa ntchito gulu lotchedwa "Suzuki stages" pofotokoza kuopsa kwa matendawa. Amagwiritsa ntchito zomwe zapezeka mu MRA scan kuti adziwe gawo lomwe muli. Magawo a Suzuki awa, mwachidule, ndi awa:

• Gawo 1: Pali kuchepa kapena kutsekeka kwa mitsempha ya carotid kokha mkati mwa mitsempha ya carotid.
• Gawo lachiwiri: Nthambi zonse za apical za mtsempha wa carotid zayamba kuchepa. Mitsempha yamagazi "yosuta" (yaing'ono, yooneka ngati utsi) sizikuwoneka bwino pa angiogram.
• Gawo 3: Mitsempha yamagazi imawonekera bwino pa angiogram. Mutha kuwona bwino mawonekedwe a "utsi wa utsi".
• Gawo 4: Mitsempha yamagazi mu dura mater imayamba kuchepa pang'onopang'ono. M'malo mwake, mitsempha yamagazi ina (transdural collateral vessels) imayamba kupangika.
• Gawo 5: Chiwerengero cha mitsempha yamagazi chimachepa kwambiri, ndipo mitsempha ina yamagazi imakulanso.
• Gawo 6: Mitsempha yamagazi muubongo yatsala pang'ono kutha. Mitsempha ya carotid yachepa kapena yatsekeka kwathunthu.

Kumvetsa magawo awa molondola kumathandiza madokotala kukonzekera chithandizo.

Kodi mankhwala a matenda a Moyamoya ndi ati?

Pochiza matenda a Moyamoya, cholinga chachikulu ndikuwongolera zizindikiro ndikuyesera kupewa kuti vutoli lisakule kwambiri. Pachifukwa ichi, dokotala wanu angakulembereni mankhwala ena:

• Aspirin: Aspirin imathandiza kupewa kapena kuchepetsa magazi kuundana m'mitsempha yaing'ono komanso yofooka yomwe yapangidwa kumene.
• Mankhwala oletsa khunyu: Mankhwalawa amaperekedwa kuti apewe khunyu (kugwedezeka) komwe kumachitika chifukwa cha khunyu.
• Mankhwala Oletsa Kuundana kwa Magazi: Awa ndi mankhwala ochepetsa magazi. Amathandiza kupewa magazi kuundana. Komabe, mankhwala awa ali ndi chiopsezo, chomwe ndi chakuti ngati magazi atatuluka, zimakhala zovuta kusiya. Chifukwa chake, madokotala amapatsa mankhwalawa mosamala, komanso pokhapokha ngati pali milandu yapadera.
• Mankhwala oletsa calcium channel: Izi zingathandize kuchepetsa mutu womwe umayamba chifukwa cha mutu waching'alang'ala. Komabe, mankhwalawa amathanso kuchepetsa kuthamanga kwa magazi, zomwe zingapangitse chiopsezo cha sitiroko. Chifukwa chake, amagwiritsidwa ntchito pokhapokha ngati pali milandu yapadera.

Koma kumbukirani kuti, mankhwala awa sangalepheretse kuchepa kwa mitsempha yamagazi. Chifukwa chake, matendawa amatha kukulirakulira pang'onopang'ono. Ngati izi zitachitika, dokotala wanu angakulimbikitseni opaleshoni ya bypass . Opaleshoni iyi:

• Kupanga njira yatsopano yodutsa magazi mwa kunyalanyaza mtsempha wotsekeka ndikugwiritsa ntchito mitsempha yathanzi m'mutu.
• Kutumiza magazi kumadera omwe akhudzidwa ndi ubongo.
• Kutsegula mitsempha yamagazi yopapatiza.

Dokotala wanu adzakufotokozerani mwatsatanetsatane njira yochitira opaleshoni yoyenera kwambiri pa vuto lanu, zotsatira zake, ndi mavuto omwe angakhalepo.

Kodi Matenda a Moyamoya angapewedwe?

Palibe njira yotsimikizika yopewera matenda a Moyamoya, omwe amayamba chifukwa cha majini. Komabe, chiopsezo chotenga matenda a Moyamoya chingachepe powongolera zinthu zomwe zimayambitsa matenda okhudzana ndi mitsempha yamagazi ndikuchepetsa chiopsezo cha atherosclerosis .

Komanso, ngati muli ndi matenda a Moyamoya, kumwa mankhwala omwe dokotala wanu wakupatsani monga momwe mwalangizira kungathandize kuchepetsa zizindikiro zanu ndikupewa mavuto.

Kodi munthu amene ali ndi matendawa angayembekezere chiyani?

Kwa anthu ambiri, matenda a Moyamoya amakula pang'onopang'ono pakapita nthawi. Pamene mitsempha yamagazi ikuchepa, amathanso kudwala sitiroko . Ngati salandira chithandizo, matenda a Moyamoya angayambitse kuwonongeka kwakukulu kwa mitsempha, sitiroko, komanso imfa.

Komabe, anthu ena amatha kukhalabe olimba kwa zaka zambiri popanda zizindikiro zilizonse. Zizindikiro zikayamba kuonekera, dokotala angakulimbikitseni opaleshoni.

Kodi munthu amene ali ndi matenda a Moyamoya amakhala ndi moyo wautali bwanji?

Ngati matendawa apezeka msanga ndipo chithandizo chimayamba mwachangu, anthu omwe ali ndi matenda a Moyamoya akhoza kukhala moyo wabwinobwino.

Komabe, ngati matendawa sanachiritsidwe, akhoza kupha. Ichi ndichifukwa chake kuzindikira matendawa msanga ndi chithandizo n'kofunika kwambiri.

Kodi ndi liti pamene munthu amene ali ndi matenda a Moyamoya ayenera kupita kuchipatala mwamsanga?

Ngati mukumva zizindikiro zilizonse za sitiroko , muyenera kupeza chithandizo chamankhwala mwachangu . Nthawi ndiyofunika kwambiri apa.

Bungwe la American Stroke Association limagwiritsa ntchito chidule chotchedwa FAST kuti anthu azikumbukira mosavuta. Tiyeni tiwone tanthauzo lake mu Chisinhala:

• F - Nkhope yako yagwa: Kodi mbali imodzi ya nkhope yako imamva dzanzi? Ngati muyesa kumwetulira, kodi mbali imodzi ya nkhope yako imagwa?
• A - Kufooka kwa mkono: Kodi mungathe kukweza manja onse awiri? Kodi mkono umodzi umatsika?
• S - Kuvuta kulankhula: Kodi kulankhula kwanu kuli kosokoneza? Kapena kuli pang'onopang'ono? Kodi mungabwereze chiganizo chosavuta?
• T - Nthawi yoyimbira ogwira ntchito zadzidzidzi: Ngati muwona zizindikiro zilizonse za sitiroko, imbani 911 nthawi yomweyo ndipo tenga ambulansi, kapena pitani kuchipatala nthawi yomweyo. Nthawi ndi yofunika kwambiri!

Zizindikiro zina za sitiroko zingaphatikizepo kuyamba mwadzidzidzi kwa:

• Chisokonezo
• Kusanza mbali imodzi ya thupi
• Mavuto a masomphenya
• Kuyenda movutikira
• Mutu waukulu kwambiri

Matenda a Moyamoya ndi matenda osowa omwe angayambitse sitiroko ndi kutuluka magazi muubongo. Ngakhale ofufuza sanadziwe chomwe chimayambitsa matendawa, amapezeka kwambiri kwa anthu aku Japan. Ngati muli ndi zizindikiro za Moyamoya, pitani kuchipatala nthawi yomweyo. Kuzindikira msanga ndi kuchiza Matenda a Moyamoya kungakhale kusiyana pakati pa moyo ndi imfa. Ndikofunikanso kudziwa zizindikiro za sitiroko ndikuchitapo kanthu mwachangu ngati zitachitika.

Chidule (Uthenga Wopita Nawo Kunyumba)

Kotero, ndikukhulupirira kuti tsopano mwamvetsa pang'ono za Matenda a Moyamoya omwe takambirana lero. Nazi zinthu zofunika kukumbukira:

• Imeneyi ndi matenda osowa omwe amachititsa kuti mitsempha ya magazi muubongo ichepetseke.
• Zizindikiro monga sitiroko , mutu , ndi khunyu zimatha kuchitika.
• Ndikofunikira kwambiri kuzindikira ndi kuchiza matendawa mwachangu.
• Chithandizo chimaphatikizapo mankhwala, ndipo ngati pakufunika , opaleshoni yodutsa .
• Kudziwa zizindikiro za sitiroko (FAST) kungathandize kupulumutsa moyo.

Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikirozi, chonde funsani upangiri kwa dokotala. Musadandaule, pali njira zothetsera vuto lililonse. Chofunika kwambiri ndikuchitapo kanthu mwachangu.

Moyamoya , matenda a ubongo, sitiroko, mitsempha yamagazi, matenda amitsempha, matenda a majini, mutu