Fungidzira dai waiita basa rako remazuva ese uye kamwe kamwe, pasina yambiro, wakatanga kurwadziwa nemusoro zvakanyanya kupfuura zvawati wamboona. Ndiwo waive marwadzo akaipisisa muhupenyu hwako. Marwadzo acho aizosvika pakakwirira mukati memasekonzi. Mukurapa, tinoti kurwadziwa uku kwemusoro kwakangoerekana kwaitika "Thunderclap Headache." Uku hakusi kungova musoro chete. Iyi inowanzova yambiro yakakomba iyo miviri yedu iri kutipa. RCVS chimwe chezvirwere zvakadaro chinopa yambiro yakadaro.
Zvichitaurwa zviri nyore, chii chinonzi RCVS?
Zita rakazara reRCVS nderekuti Reversible Cerebral Vasoconstriction Syndrome . Zita racho ringaita serakareba uye rakaoma kunzwisisa, asi ngatirichengetedzei riri nyore.
- Zvinogona kugadziriswa: zvinoreva kuti "zvinogona kugadziriswa." Izvi zvinoreva kuti chirwere ichi hachigari kwenguva refu uye chinogona kurapwa nekurapwa kwakakodzera .
- Cerebral: zvinoreva "zvine chekuita neuropi."
- Kuvharwa kweropa: zvinoreva "kuvharwa kwetsinga dzeropa."
Zvichitaurwa zviri nyore, RCVS chirwere apo tsinga dzeropa muuropi dzinoerekana dzaoma, dzavharika, uye dzavharika . Zvisinei, izvi zvinogona kugadziriswa nekurapwa kwakakodzera.
Fungidzira pombi yemvura. Chii chinoitika kana tikadzvanya chikamu chimwe chete chepombi? Zvinomisa mvura kuyerera, handiti? Chinhu chimwe chete chinoitika kumidziyo yeropa iri muuropi hwedu. Kana midziyo iyi yeropa ikangoerekana yaoma (tinoidaidza kuti "vasospasm"), uropi hauwani ropa rinodiwa. Ndokusaka tichinzwa kurwadziwa kwemusoro kwakanyanya kunonzwa sekunge mheni inorova. Dambudziko iri rinogonawo dzimwe nguva kuratidza zviratidzo zvakaita semigraine, stroke, kana kubuda ropa muuropi .
Zvakakosha: "Musoro weThunderclap", unongoerekana watanga, musoro wakanyanya kurwadza unonzwa semusoro wakaipisisa wawakambova nawo, idambudziko rehutano . Izvi zvinogona kuva chiratidzo chekubuda ropa muuropi. Kana iwe kana mumwe munhu waunoziva aine rudzi urwu rwemusoro, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza.
Ndezvipi zviratidzo zveRCVS?
MuRCVS, kuyerera kweropa kuenda kuuropi kunokanganiswa, zvichikonzera zviratidzo zvakasiyana-siyana. Chiratidzo chikuru musoro wakanyanya, asi kune zvimwe zviratidzo zvakare.
| Chiratidzo | Tsananguro |
|---|---|
| Musoro we "Kurova kwemutinhiro" | Musoro wakakomba unotanga kamwe kamwe, unosvika pakakwirira mukati memasekonzi, uye unogona kudzoka mukati mevhiki imwe kana ina. |
| Kuwedzera kwekunzwa | Kusashivirira chiedza chakajeka (`(Photophobia)`) uye ruzha rukuru (`(Phonophobia)`). |
| Zvimwe zvinhu | Kusvotwa nekurutsa, kuchinja kwekuona (kuona zvisina kujeka, kuona kaviri), kushaya simba kwetsandanyama mumuviri, kuvhiringidzika. |
| Zviratidzo zvakakomba | Kubatwa nepfungwa, kuoma kutaura kana kunzwisisa zviri kutaurwa nevamwe (`(Aphasia)`). |
Mune zvimwe zviitiko, RCVS inogona kukonzera kubuda ropa pakati peuropi nedehenya. Izvi zvinonzi `(Subarachnoid Hemorrhage - SAH)`. Iyi zvakare idambudziko guru rekurapa. Kuwedzera kune zviratidzo zvataurwa pamusoro apa, SAH inogonawo kuratidza zviratidzo zvinotevera:
- Kuoma kwemutsipa, kurwadziwa kwemhasuru mumutsipa nemapfudzi.
- Kuchinja kwemaitiro nemanzwiro (kutsamwa pasina chikonzero).
- Kusanzwa zvakanaka muchikamu chemuviri.
Ndezvipi zvinhu zvinobatsira pakukura kweRCVS?
Kunyangwe chikonzero chaicho cheRCVS chisati chawanikwa, zvinhu zvinoverengeka zvinogona kukonzera chirwere ichi zvakawanikwa zvinogona kukonzera kuti chirwere ichi chiitike.
Kubata pamuviri uye kubereka mwana
Chinhu chinonyanya kukosha uye chinonyanya kukosha panjodzi yeRCVS ipamuviri. Njodzi yacho yakanyanya kuwanda mukati memavhiki matanhatu ekutanga mushure mekusununguka (postpartum). Vanachiremba vanotenda kuti shanduko dzemahormone panguva yekuzvitakura dzinogona kukonzera dambudziko iri. RCVS inogona kuitika kunyangwe pasina matambudziko akadai se preeclampsia, inova chirwere cheBP chakakwira chinoitika panguva yekuzvitakura.
Kushandisa mimwe mishonga nemishonga
Mimwe mishonga nemishonga inokanganisa mashandiro eropa inowedzera njodzi yekubatwa neRCVS.
| Rudzi rwemushonga/zvinhu | Mienzaniso |
|---|---|
| Mishonga yekuderedza kushushikana | Kunyanya mishonga yemhando yeSSRI (`(Selective Serotonin Reuptake Inhibitors)`). |
| Mishonga yekurwadziwa kwemusoro | Mishonga ine ergot inonzi triptans. |
| Mishonga inodzvinyirira masoja emuviri | Mishonga inoderedza dziviriro yemuviri inopihwa kune zvimwe zvirwere. |
| Zvinokurudzira uye zvinodhaka | Zvinodhaka zvakaita seamphetamines, cocaine, mbanje, nicotine patches, energy drinks, LSD, uye MDMA. |
Mamwe matambudziko ehutano
Mamwe matambudziko ehutano anowedzerawo njodzi yekubatwa neRCVS.
- Migraine: Vanhu vane migraine vanowanzobatwa neRCVS.
- Kuwanda kwecalcium muropa (Hypercalcemia): Kana calcium muropa ikawedzera, inogona kukanganisa mashandiro etsinga dzeropa.
- Matambudziko emahormone: Homoni inonzi estrogen inofungidzirwa kuti ine chekuita neizvi. Ndosaka chirwere ichi chichiwanzoitika pakati pevakadzi.
- Zvirwere zvenhaka: Zvirwere zvinokonzera bundu rinoburitsa adrenaline yakawanda, senge ``Pheochromocytoma``.
Ndezvipi zvinetso zvinogona kuitika nekuda kweRCVS?
Kare, vanachiremba vaifunga kuti RCVS chirwere chisina njodzi, chisina njodzi, asi tsvakurudzo itsva yakaratidza kuti izvi hazvisirizvo nguva dzose.
Vanenge 30% yevarwere veRCVS vanogona kunge vaine zvimwe zvirwere zvidiki zvechigarire (semuenzaniso, kusasimba kwetsandanyama, matambudziko ekufamba zvakanaka). Vanenge 8% vanogona kuva nematambudziko akakomba kwenguva refu.
Pamusoro pezvo, matambudziko akakomba anogona kuitika mukati memazuva mashoma kubva pakatanga kuoneka zviratidzo.
- Ischemic Stroke: Kurohwa kunokonzerwa nekuvharika kwetsinga yeropa inoendesa ropa kuuropi.
- Kubuda ropa muuropi: Chirwere chakafanana neSAH.
- Pfari (`(Kubatwa nepfari)`).
Ndosaka tichiramba tichiti zvakakosha kutsvaga rubatsiro rwechiremba nekukasika kana uchinzwa musoro wakakomba. Kurapwa nekukasika kunogona kudzivirira matambudziko mazhinji aya akakomba.
RCVS inoonekwa sei?
Paunoenda kuEmergency Department (ETU), vanachiremba vanotevera matanho akati wandei kuti vaongorore chirwere ichi.
1. Kuongororwa kwemuviri netsinga: Pamusoro pekubvunza nezvezviratidzo zvako, mashandiro etsinga dzako (semuenzaniso, kutaura, kuona, kuenzana kwemuviri) achaedzwa.
2. Kuongororwa kweropa: Kuongororwa kweropa kunoitwa kuti kuonekwe zvinhu zvakaita sematambudziko ekugwamba kweropa, hutachiona, uye kusaenzana kwemunyu mumuviri.
3. Kuongororwa kweMifananidzo: Kuongororwa uku ndiko kwakakosha pakuongorora maRCVS. Kunogona "kutarisa" mukati meuropi uye kuona nzvimbo dzine dambudziko.
Ndeapi marudzi ekuskena aya anoitwa?
- CT Scan (`(Computed Tomography - CT scan)`): Kuongororwa kunonzi `(CT angiogram)` kunogona kushandiswa kuona mamiriro etsinga dzeropa muuropi. CT scan yakakosha zvikuru pakuongorora sitiroko nekukurumidza, nekuti sekondi yega yega inokosha pakurapa sitiroko.
- Kuongororwa kweMRI (Magnetic Resonance Imaging - MRI scan): Kuongororwa kunonzi Magnetic Resonance Angiogram - MRA kunogona kuratidza zvakajeka kuvharika kwetsinga dzeropa (vasospasm) uye mhedzisiro yacho pauropi.
- Kuongororwa kweTranscranial Doppler ultrasound: Izvi zvinoyera kumhanya kweropa kuburikidza neuropi uye zvinogona kupa pfungwa yekuti mitsipa yeropa yakavharwa here.
Kazhinji, mushure mekunge chirwere chestroke chabviswa, MRI/MRA scan inodiwa kuti isimbise RCVS.
RCVS inorapwa sei?
Sezvinoreva zita racho ("Inogona Kudzoserwa"), ichi chirwere chinorapika . Pane zvinangwa zvikuru zviviri zvekurapa.
1. Kubvisa chikonzero: Kana chikonzero chechirwere cheRCVS chikagona kuzivikanwa zvakajeka (semuenzaniso, mushonga wakati), danho rekutanga nderekubvisa chikonzero ichocho.
2. Kudzora kuvharika kwetsinga dzeropa: Mishonga inopiwa kudzora kuvharika kwetsinga dzeropa (`(vasospasm)`).
Mhando yemushonga inonyanya kushandiswa pakurapa izvi ndeye calcium channel blockers (`(Calcium Channel Blockers - CCBs)`).Mishonga iyi inoshanda nekudzivirira calcium kuti isapinde mumasero emhasuru akatsetseka ari mumadziro etsinga dzeropa. Tsandanyama dzinozozorora, tsinga dzeropa dzinokura zvakare, uye ropa rinoyerera richienda kuuropi rinodzorerwa.
Muzviitiko zvisingawanzoitiki, kana chirwere chikasapindura mishonga, nzira inonzi ``endovascular'' inogona kushandiswa. Muchiitiko ichi, chubhu yakatetepa kwazvo (``catheter'') inopfuudzwa netsinga yeropa iri muruoko kana gumbo ichienda kutsinga yeropa iri muuropi, uye bharumu rinofuridzirwa kuburikidza naro (``angioplasty'') kuti riwedzere tsinga yakavharika kana kuti ripe mushonga zvakananga.
Chii chekutarisira kana RCVS ikaumbwa?
Kana uine RCVS, chinhu chekutanga chaungasangana nacho musoro wakaoma, unongoerekana warwadza. Iyi inyaya yekurapa uye inoda kurapwa nekukasika. Kana kurapwa kwatanga, vanhu vazhinji vanopora mukati memazuva mashoma kana mavhiki .
Vanhu vazhinji (vanenge 80% - 85%) vanopora zvachose vasina matambudziko enguva refu . Ndicho chinhu chakanakisa nezvechirwere ichi. Vanenge 10% vanogona kunge vasina kugadzikana kudiki. Zvisinei, pane mukana mudiki wematambudziko akakomba, akadai sestroke yatakakurukura kare, saka kuongororwa nekukurumidza uye kurapwa kwakakosha zvikuru.
Chii chatinofanira kuita kudzivirira maRCVS kuti asadzoke?
Kana wakambobatwa neRCVS, chiremba wako anogona kukukurudzira kuti uchinje mararamiro ako kuti isadzokorore.
- Kumisa mushonga wakakonzera RCVS: Kana mushonga wakakonzera chirwere ichi, chirega sezvakarairwa nachiremba wako uye usatore mushonga iwoyo mune ramangwana.
- Nwa mishonga yawakanyorerwa nachiremba nguva dzose: Nwa mishonga yawakanyorerwa nenguva kuti zviratidzo zvisadzoke zvakare.
- Dzivisa zvachose kushandisa zvinodhaka zvisina kufanira: Rega kushandisa zvinokurudzira muviri, kunyanya izvo zvinokanganisa mashandiro eropa, zvakaita sembanje.
- Dzora caffeine nezvinwiwa zvinopa simba: Kuchenjera kuderedza huwandu hwezvinwiwa izvi kana kurega kuzvinwa zvachose.
Chiremba wako achakukumbira kuti udzoke kukiriniki kuzoongorora mamiriro ako ezvinhu. Iva nechokwadi chekuti wapinda musangano iwoyo.
Mharidzo Yekuenda Nayo Kumba
- Kungoerekana watanga kurwadziwa nemusoro kwakanyanya ("Thunderclap Headache") idambudziko rehutano. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza.
- RCVS chirwere chinokonzerwa nekuvharika kamwe kamwe uye kutetepa kwetsinga dzeropa muuropi. Asi sezvinoreva zita racho, chirwere chinogadziriswa zvachose kana chikarapwa nemazvo .
- Izvi zvinonyanya kuitika mushure mekusununguka, nekuda kwekushandisa mimwe mishonga, kana kuti zvinogona kuitika pamwe chete nedzimwe zvirwere.
- Kuongororwa kwechirwere nekukurumidza uye kurapwa kunogona kudzivirira matambudziko akakomba akadai sestroke, uye vanhu vazhinji vanopora zvizere.
- Taura pachena nachiremba wako nezvechirwere chako, kurapwa kwako, uye zvinokunetsa mune ramangwana.
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