Mutu waukulu womwe ukumva ngati chotupa m'mutu? Tiyeni tikambirane za Pseudotumor Cerebri!

Kodi nthawi zina mutu umapweteka kwambiri? Nthawi yomweyo, kodi mumamva kusawona bwino, nseru, kapena chizungulire ? Zizindikiro izi zikachitika, mantha akulu omwe amabwera m'maganizo mwathu ndi akuti, 'Kodi ndili ndi chotupa m'mutu mwanga?' Koma nthawi zonse sitiyenera kuopa. Chifukwa, pali vuto lomwe limasonyeza zizindikiro za chotupa cha muubongo, koma kwenikweni si chotupa. Ndicho chomwe timachitcha Pseudotumor Cerebri.

Kodi Pseudotumor Cerebri ndi chiyani?

Mawu akuti "pseudotumor" amatanthauza "chotupa chabodza." Izi zikutanthauza kuti si chotupa cha khansa kwenikweni. Komabe, zizindikiro zake zimafanana kwambiri ndi za chotupa cha muubongo. Dzina lodziwika bwino lachipatala la izi ndi Idiopathic Intracranial Hypertension (IIH) . Mwachidule, apa ndi pamene kuthamanga kwa ubongo wanu kumawonjezeka popanda chifukwa chomveka.

Sitingathe kudzidziwitsa tokha ngati zizindikirozi zimachokera ku chotupa cha muubongo kapena matenda otchedwa Pseudotumor Cerebri. Chifukwa chake, ngati muli ndi zizindikirozi, ndikofunikira kupita kwa dokotala mwachangu ndikupita kuchipatala. Matendawa amatha kupweteka kwambiri, ndipo angayambitsenso kuwonongeka kosatha kwa masomphenya anu. Ngati muyamba chithandizo msanga, mutha kusunga masomphenya anu.

Chifukwa chiyani izi zikuchitika? Chifukwa chake ndi chiyani?

Chabwino, tiyeni tiwone chifukwa chake kuthamanga kwa magazi kuzungulira ubongo kumawonjezeka chonchi.

Ubongo wathu ndi msana wathu zimazunguliridwa ndi madzi apadera omwe amawateteza ku kuwonongeka. Timatcha madzi a m'mitsempha ya ubongo (CSF) . Thupi lathu limapanga madzi amenewa nthawi zonse, ndipo amatengedwanso kudzera m'mitsempha yamagazi. Izi zimapangitsa kuti madzi ena aziyenda mozungulira ubongo nthawi zonse.

Koma nthawi zina, matupi athu amayamba kupanga madzi ambiri amenewa. Kapena, samatenganso madzi ambiri monga momwe amapangira. Mulimonsemo, zotsatira zake zimakhala kuwonjezeka kwa kuchuluka kwa madzi a CSF kuzungulira ubongo. Madzi awa akamaunjikana, kuthamanga kwa magazi mkati mwa ubongo kumawonjezeka. Kuthamanga kumeneku kumapangitsa kuti mitsempha ya maso, yomwe imanyamula mauthenga kuchokera m'maso mwathu kupita ku ubongo, itukuke. Pamenepo ndi pomwe mavuto a maso amayamba kuchitika.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Matenda a Pseudotumor Cerebri amapezeka kwambiri mwa akazi azaka zapakati pa 20 ndi 50. Azimayi onenepa kwambiri (onenepa kwambiri) ali pachiwopsezo chachikulu.

Kuphatikiza apo, chiopsezochi chingawonjezeke ndi matenda ena ndi mankhwala ena.

Kodi zizindikiro za izi ndi ziti kwenikweni?

Nazi zizindikiro zina zosonyeza kuti muli ndi vutoli.

Zizindikirozi zimatha kukulirakulira mukakhala ndi zochita masewera olimbitsa thupi, monga mukamachita masewera olimbitsa thupi. Izi zimachitika chifukwa chakuti kupanikizika mkati mwa ubongo kumawonjezeka panthawi yochita masewera olimbitsa thupi.

Kodi dokotala amazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, choyamba amakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala.

Chizindikiro chachikulu chodziwira matendawa ndi chakuti dokotala akamafufuza diso lanu ndi chipangizo chapadera (ophthalmoscope), mitsempha ya maso yomwe ili kumbuyo kwa diso imaoneka ngati yatupa .

Kuphatikiza apo, mungafunike kuchita chimodzi kapena zingapo mwa izi:

• Kuboola kwa msana / Kuboola kwa msana:Izi zikuphatikizapo kulowetsa singano yaying'ono kumbuyo kwanu ndikuchotsa madzi ochepa a CSF omwe ali pafupi ndi msana wanu. Kuyesaku kungayang'ane ngati pali kupanikizika kowonjezereka mkati mwa mutu ndipo kungathandize kuchepetsa kupanikizika mwa kuchotsa madzi ena ochulukirapo.
• Kujambula kwa CT ( computed tomography ): Iyi ndi njira yamphamvu yoyesera X-ray yomwe ingapangitse zithunzi zatsatanetsatane za ubongo wanu.
• Kujambula kwa MRI (Magnetic Resonance Imaging): Izi zimagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kuti aone ngati pali kupanikizika kowonjezereka mkati mwa ubongo kapena kukula kwina kosazolowereka.

Muyeneranso kuyesedwa maso anu nthawi zonse . Dokotala wa maso adzafufuza malo osawona bwino komanso kutupa kwa mitsempha ya maso.

Kodi chimachiritsidwa bwanji?

Kuyamba chithandizo mwamsanga kungakuthandizeni kuti maso anu asawonongeke.

Kusintha kwa moyo

Chimodzi mwa njira zabwino komanso zofunika kwambiri zochizira izi ndi kuchepetsa thupi ngati muli onenepa kwambiri . Kuchepetsa thupi nokha kungakhale kovuta. Chifukwa chake, ndi bwino kupempha thandizo kwa katswiri wa zakudya kapena mphunzitsi. Ndikofunikiranso kuchepetsa mchere ndi madzi muzakudya zanu. Izi zitha kuchepetsa kuchuluka kwa madzi a CSF omwe amapangidwa m'thupi.

Mankhwala ndi opaleshoni

Mankhwala ndi opaleshoni yochepetsera kupanikizika kwa ubongo ndiye njira zazikulu zothandizira.

• Mankhwala: Acetazolamide (Diamox) ndi mankhwala omwe amaperekedwa nthawi zambiri. Izi zimachepetsa kuchuluka kwa madzi a CSF omwe amapangidwa ndi thupi. Komanso, ngati muli ndi mutu, monga mutu waching'alang'ala, mudzapatsidwanso mankhwala a zimenezo.
• Opaleshoni: Ngati zizindikiro sizingathe kuthetsedwa ndi mankhwala, opaleshoni ingafunike.
• Kusuntha: Mwachidule, izi zimaphatikizapo kulowetsa chubu chaching'ono mu ubongo kapena msana ndikutulutsa madzi ochulukirapo (CSF).
• Kutsekeka kwa sheath ya mitsempha ya optic: Mu njirayi, dokotalayo amacheka pang'ono minofu yozungulira mitsempha ya optic, zomwe zimathandiza kuti madzi omwe asonkhana pamenepo atuluke.

Mukalandira chithandizo, kuthamanga kwa magazi mkati mwa ubongo kumachepa pang'onopang'ono ndipo mudzayamba kumva bwino. Anthu ambiri amachira kwathunthu. Komabe, anthu ochepa akhoza kuvutika ndi masomphenya osatha.