Une ropa rakagwamba mutsinga muuropi hwako here? (Cerebral Venous Sinus Thrombosis - CVST) Ngatidzidzei nezvazvo.

Wakambova nemusoro wakanyanya wairatidzika kunge wakanyanya kuipa zuva nezuva here? Kana kuti wakambova nechirwere chakafanana nepfari here? Izvi dzimwe nguva zvinogona kuva chiratidzo chechimwe chinhu chakakomba. Nhasi tichataura nezvechimwe chirwere chinogona kukonzera izvi, iro ropa rakagwamba mutsinga huru muuropi.

Chii chinonzi Cerebral Venous Sinus Thrombosis (CVST)?

Muchidimbu, Cerebral Venous Sinus Thrombosis , kana kuti muchidimbu CVST , igwamba reropa rinoumbwa mukati metsinga huru yeropa, mutsinga, muuropi hwako. Ichi chirwere chisingawanzoitiki, asi chinokonzera 1% yekurohwa kwetsinga kunozivikanwa.

Fungidzira, kana ropa rakagwamba mutsinga huru muuropi hwako, ropa rinotanga kuyerera nenzira isiriyo panzvimbo penzira chaiyo. Izvi zvinokonzera kumanikidzwa mukati meuropi, zvichiita kuti uropi huzvimbe. Izvi zvakafanana nepombi yemvura iri kuvharwa uye zvichiita kuti mvura idzokere shure.

Magwamba eropa akadai anogona kuumbwa mu sinuses muuropi hwako:

• Sinus inotenderera
• Sinus yepamusoro ye sagittal
• Sinus yakaderera ye sagittal
• Sinuses dzeSigmoid
• Sinus yeCavernous
• Sinuses dzakadzika dze cortex yako

Ndiani anonyanya kubatwa nechirwere ichi (CVST)?

Chirwere ichi (CVST) chinowanzoitika kuvakadzi . Chinowanzoonekwa kuvanhu vane makore ari pakati pe40 ne50, asi chinogona kuitika pazera diki, kunyangwe kuvacheche .

Une mukana mukuru wekuwana CVST kana uine chimwe chezvikonzero zvinotevera kana zvinhu zvinoisa njodzi:

• Nephrotic syndrome - Ichi chirwere chine chekuita neitsvo.
• Matambudziko egomarara.
• Vasculitis - Uku kuzvimba kwetsinga dzeropa.
• Sarcoidosis.
• Kufuta zvakanyanya.
• Kutapukirwa neCovid-19 ('COVID-19').
• Thrombophilia - Ichi chirwere chinogara nhaka umo ropa rako rinogwamba zviri nyore.
• Chirwere chechiropa.

CVST yakajairika zvakadii?

CVST chirwere chisingawanzoitiki . Vaongorori vanofungidzira kuti inobata vanhu vaviri (`2`) kusvika gumi nevashanu (`15`) pavanhu miriyoni imwe neimwe gore rega rega. Zvinofungidzirwawo kuti vana nevacheche vanosvika vanomwe (`7`) pavana nevacheche vanowana CVST gore rega rega. Saka munoona, hazviwanzoitiki.

CVST inogona kukanganisa sei muviri wangu?

Kune matambudziko akawanda anogona kuitika nekuda kweCVST. Aya ndiwo:

• Kurasikirwa nekuona.
• Kubuda ropa mukati metsinga yeropa (`kubuda ropa`) - kureva kurasikirwa neropa kubva mutsinga yeropa yakaputika.
• Musoro wakanyanya.
• Kubatwa nechirwere.
• Chirwere chakafanana nestroke.

Ndezvipi zviratidzo zveCVST?

Zviratidzo zveCVST zvinogona kusiyana zvichienderana nekuoma kweropa rakagwamba uye kuti riri kupi muuropi .

Zviratidzo zvikuru zvinogona kuonekwa ndezvi:

• Kumusoro kunowedzera zvishoma nezvishoma, kwakanyanya (ichi ndicho chiratidzo chinowanzoitika).
• Kubatwa nepfari.
• Kuchinja kwemamiriro epfungwa uye/kana matambudziko matsva etsinga, senge kana uropi hwakakura hukabuda ropa.

Ndezvipi zvikonzero zveCVST?

Kune zvinhu zvakawanda zvinogona kukonzera CVST:

• Kuva nepamuviri .
• Kushandisa mapiritsi ekudzivirira pamuviri (mishonga yekudzivirira pamuviri inonwiwa).
• Kusangana netsaona yakakomba (kushungurudzika).
• Kuva nechirwere chinogara nhaka chinoita kuti ropa rigwambe zviri nyore, semuenzaniso, thrombophilia.
• Kuvapo kwechirwere (semuenzaniso, chirwere cheCOVID-19).

Uyewo, vanhu vashoma kwazvo vakashumwa kuti vakabatwa neCVST mushure mekugamuchira mushonga weCOVID-19. Zvisinei, zvakakosha kuyeuka kuti izvi hazviwanzoitika .

Vanachiremba vanoongorora sei CVST?

Chiremba wako achashandisa bvunzo dzekuongorora uropi kuti aone kana uine CVST. Kuongororwa kwechirwere nekukasika kwakakosha kudzivirira matambudziko.

Ndezvipi zvidzidzo zvinoshandiswa kuongorora CVST?

Kuti aongorore CVST, chiremba wako anogona kuita bvunzo dzemifananidzo dzakadai se:

• Kuongororwa kweMRI yeuropi (magnetic resonance imaging) kwakaitwa uchishandisa dhayi yekuenzanisa.
• Kuongororwa kweCT yeuropi (`Brain CT - computed tomography`) kunoitwa uchishandisa dhayi.
• Magnetic Resonance Venography (MRV), CT Venography (CT venography) kana Cerebral Angiography (Cerebral Angiography).

Pamusoro pezvo, kuongororwa kweropa, senge panel ye hypercoagulability, kunogona kuitwa kuti kutariswe kana paine matambudziko ekugwamba kweropa.

CVST inorapwa sei?

Kune nzira dzakasiyana dzekurapa CVST, dzinosanganisira:

• Mishonga inorwisa ropa : Semuenzaniso, heparin. Izvi zvinogona kupihwa kunyangwe panguva yekuzvitakura.
• Mishonga yeThrombolytics (mishonga inobvisa ropa rakagwamba).
• Kana ropa rako rakagwamba nekuda kwehutachiona, unonyorerwa mishonga inorwisa mabhakitiriya .
• Muzviitiko zvakakomba, kuvhiyiwa kwekubvisa ropa rakagwamba (`Thrombectomy`) kunoitwa .
• Acetazolamide kana mamwe marapirwo ekuderedza kumanikidzwa kweuropi (intracranial pressure).
• Kana paine pfari, mishonga yekudzivirira pfari inopihwa.

Zvichienderana nechikonzero cheCVST yako, ungangoda kutora warfarin (semuenzaniso Coumadin®, Jantoven®) kana mushonga unorwisa ropa (semuenzaniso Rivaroxaban, Apixaban kana Dabigatran) kwemwedzi mitatu kusvika gumi nemiviri. Vanhu vane chirwere chakadai sethrombophilia vangangoda kutora warfarin kweupenyu hwavo hwese.

Ndezvipi zvinetso kana migumisiro yekurapwa?

Kana uri kutora warfarin, zvakakosha kuti utore mushonga chaiwo wawakanyorerwa . Ndosaka chiremba wako achigara achiongorora ropa rako richigwamba. Mushonga waunopihwa unofanira kukwana kudzivirira kuumbwa kweropa rinogona kukukuvadza, asi kwete zvakanyanya zvekuti hauzokwanisi kumisa kubuda ropa kana ukacheka ruoko kana gumbo. Saka unofanira kuwana chiyero chakakodzera.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Kana wawana heparin, kungave kuburikidza neIV kana jekiseni, inotanga kushanda nekukurumidza . Warfarin inogona kutora inenge vhiki kuti ishande, saka chiremba wako acharamba achikupa heparin kusvika yatanga kushanda. Mushure meizvozvo, unogona kurega kutora heparin wotora warfarin chete.

Kana, kana chiremba wako akasarudza mushonga unorwisa ropa kuti riome, unogona kuderedza ropa rako kusvika padanho raunoda mukati memaawa mashoma. Sezvo ropa rinogwamba richitanga kunyungudika uye kumanikidzwa kweropa mukati meuropi kuchiderera, zvishoma nezvishoma unotanga kunzwa zviri nani.

Ndingaderedza sei njodzi yangu yekubatwa neCVST?

Kana wakambova neCVST panguva yekuzvitakura, kutora mushonga unorwisa ropa panguva yekuzvitakura kunoderedza njodzi iyi.

Mishonga yekudzivirira pamuviri inotorwawo inokonzera njodzi yeCVST. Saka, unogona kuderedza njodzi iyi nekusashandisa mapiritsi ekudzivirira pamuviri. Unogona kushandisa nzira yekudzivirira pamuviri ine progestin chete.

Kusvuta paunenge uchitora mapiritsi ekudzivirira pamuviri kunowedzerawo njodzi yekubatwa neCVST . Kudzivisa zvese izvi kunogona kubatsira kudzivirira CVST.

Kana ndine (CVST), chii chandinofanira kutarisira?

Kare, vanhu vanosvika 50% chete vaiva neCVST ndivo vakapona. Asi iye zvino mamiriro ezvinhu ava nani zvikuru.Huwandu hwevanhu vanofa nechirwere ichi hwaderera zvikuru, pakati pe5% ne10%. Izvi zvinokonzerwa nehunyanzvi hwepamusoro hwemifananidzo uye nzira dzekurapa dzepamusoro.

Zvisinei, CVST inogona kudzoka . Ndosaka chiremba wako achikupa mishonga inoderedza ropa (anticoagulants).

Chirwere cheCVST chinotora nguva yakareba sei?

(CVST) inogona kugara kubva pamaawa kusvika kumavhiki. Chirwere chako chingangove chiri mune chimwe chezvikamu izvi:

• Kurwisa: Kusvika maawa makumi mana nemasere.
• Subacute: Inopfuura maawa makumi mana nemasere, asi kusvika mazuva makumi matatu. (Uyu ndiwo rudzi rwakajairika.)
• Chisingaperi: Chinogara kwemwedzi kana kupfuura.

Ndeipi tarisiro yemamiriro ezvinhu (CVST)?

Tariro yevanhu vane CVST vanoongororwa uye vanorapwa zvakanaka yakanaka . Zvisinei, CVST inogona kuuraya kana ikasaongororwa uye ikasarapwa nekukurumidza. Ndosaka zvichikosha kutsvaga rubatsiro rwechiremba kana zviratidzo zvangoonekwa.

Ndinofanira kuzvitarisira sei?

Mushure mekunge maongororwa ropa neCVST, chiremba wenyu achada kudzivirira kuti ropa risagwambe zvakare. Izvi zvinoreva kuti muchafanira kuramba muchitora mushonga unorwisa ropa kuti risagwambe kana kuti "unobvisa ropa rakawanda" wakaita sewarfarin.

Kunyangwe izvi zvichikudzivirira kubva kuganda reropa rine njodzi, zvinowedzera njodzi yekubuda ropa kubva kukukuvara kudiki kwezuva nezuva. Saka, unofanira kungwarira zvikuru paunenge uchishandisa zvinhu zvakapinza zvakaita semapanga . Zvingave zvakachengeteka kushandisa reza yemagetsi pane reza yenguva dzose.

Ndinofanira kuona chiremba wangu rini?

Unofanira kuona chiremba wako nguva nenguva (zvichida mwedzi mishoma yega yega) paunenge uchitora mishonga inobvisa ropa mumuviri (anticoagulants). Kana ukarasikirwa newarfarin, fonera chiremba wako nekukasika.

Mwedzi mitatu kusvika mitanhatu mushure mekunge wava neCVST, ungangoda kudzokororwa CT scan kana MRI nedhayi kuti uone kana ropa rakagwamba muuropi hwako.

Ndinofanira kuenda kuchipatara riini?

Kana uri kutora Warfarin uye uine chimwe chezviratidzo izvi zvekubuda ropa, fonera 1990 (Sri Lanka's emergency ambulance service) nekukasika, kana kuenda kuchipatara chiri pedyo nekukurumidza sezvinobvira :

• Kubuda ropa kusingadzivisiki .
• Musoro wakaipa kwazvo .
• Ropa dzvuku rakatsvuka kana uchikosora, kurutsa, kana kuita tsvina.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba mibvunzo yakaita seiyi:

• Sei ndakava nechirwere ichi (CVST)?
• Ndichatora nguva yakareba sei kuti ndirapwe?
• Ndeipi njodzi yangu yekubatwa neCVST zvakare?

Nekuti CVST inogona kudzoka, zvakakosha kugara uchitevera nguva dzese nachiremba wako. Vachada kuva nechokwadi chekuti uri kutora mishonga yakakwana kudzivirira CVST kuti isadzokorore. Kana uri kutora mishonga inobvisa ropa, unofanirawo kudzivisa zvinhu zvinogona kukonzera kukuvara. Kunyangwe zvinhu zvemazuva ese zvakaita semapanga nechigero zvinogona kukonzera kubuda ropa. Saka ipfungwa yakanaka kushandisa dzimwe nzira dzakachengeteka senge reza yemagetsi.

Saka, chii chatinofanira kurangarira kubva munyaya iyi?

Zvichitaurwa zviri nyore, CVST chirwere chisingawanzoitiki asi chakakomba umo ropa rinogwamba mutsinga yeropa muuropi. Kana ukaona zviratidzo zvakaita semusoro wakanyanya, unowedzera uye pfari, enda kuna chiremba nekukasika . Kuongororwa nekukurumidza uye kurapwa kunogona kutungamira kumhedzisiro iri nani. Mishonga inobvisa ropa ndiyo inonyanya kukosha pakurapa. Unofanirawo kungwarira nezvekubuda ropa paunenge uchitora mishonga iyi. Zvakakosha kunwa mishonga yako sezvakaudzwa nachiremba wako uye kutevera chiremba wako. Yeuka, hausi wega, uye chiremba wako aripo kuti ataure newe uye akubatsire.

Kuvharika kwetsinga dzeropa muuropi, CVST, kuumbwa kweropa muuropi, musoro, kuderedza ropa, sitiroko, pfari