Dzimwe nguva unombonzwa musoro wakanyanya here paunomira kana kutwasanudza musoro wako? Asi kurwadziwa kunodzikira here paunorara kwenguva yakati? Kana kuti unobuda mvura mumhino kana munzeve pasina chikonzero? Kunyangwe uchifunga kuti zvinhu izvi ingori imwe dzihwa kana musoro wakajairika, dzimwe nguva ichi chingava chirwere chinoda kutariswa zvakanyanya. Nhasi tiri kutaura nezvechimwe chirwere chakadai, 'kubuda kwemvura muuropi' ( CSF leak).
Chii chinonzi kubuda kwemvura yemumusana (CSF)?
Zvichitaurwa zviri nyore, uropi hwedu nemusana, zvinoyerera kumashure kwemutsipa wedu, inhengo mbiri dzakapfava zvikuru. Kuti dzisakuvadzwe, dzakakomberedzwa nemvura yakajeka. Zvakafanana nekuisa chimwe chinhu chisina kusimba mupiro yakazara nemvura. Mvura iyi inonzi Cerebrospinal Fluid (CSF) .
Kuti mvura iyi inokosha isabude, inowanikwa muchimiro chakaita sebhegi chakagadzirwa nemembrane yakasimba inonzi dura mater. Kana paine chimwe chikonzero paine buri kana kubvaruka mumembrane iyi, mvura yeCSF inobuda zvishoma nezvishoma. Ndizvo zvatinodaidza kuti CSF leak.
Kubuda kwemvura uku kunogona kuitika nenzira mbiri huru:
1. Kubuda kweCSF mumusoro: Izvi zvinoitika kana membrane yeCSF iri mukati medehenya , yakakomberedza uropi, ikakuvara. Izvi zvinogona kukonzerwa nechimwe chinhu chakaita sekutyoka kwedehenya.
2. Kubuda kweCSF yemusana: Kana membrane iyi ikadonha chero kupi zvako pamusana .
Kana mvura ichibuda nenzira iyi, kutsvedza kwakakomberedza uropi kunoderera, uye kumanikidzwa kuri mukati medehenya kunodererawo. Izvi zvinonzi ``Intracranial hypotension.'' Izvi zvinoita kuti uropi huderere zvishoma, zvichikonzera musoro . Kana chirwere ichi chikaramba chiripo, tsinga dzeropa dzakatetepa dziri muuropi dzinogona kutatamuka uye kubvaruka, zvichikonzera chirwere chakakomba chinonzi subdural hematoma.
Asi musazvidya moyo, kubuda kwemvura muCSF idambudziko risingawanzoitiki. Rinowanzoonekwa muvanhu vanosvika vashanu pavanhu zana rezviuru. Rinowanzoonekwa muvanhu vane makore ari pakati pe30 ne40.
Chii chinokonzera kubuda kwemvura muCSF?
Dzimwe nguva, hapana chikonzero chaicho chinogona kuwanikwa. Vanachiremba vanoti izvi 'kubuda kweCSF' kunoitika pasina kurongwa. Zvisinei, kazhinji, pane zvikonzero chaizvo zvinokonzera izvi.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Maitiro ekurapa | Nekuda kwezvinhu zvakaita sekubhoorwa kwechiuno, jekiseni re epidural rekuti munhu asazorore , uye macatheter emusana. |
| Kuvhiya | Kuvhiyiwa kwemusana, sekuvhiyiwa kwe transsphenoidal kubvisa bundu remuuropi. |
| Kushungurudzika | Kukuvara kwakanyanya mumusoro, mumutsipa, kana musana. |
| Kuwedzera kumanikidzwa mudehenya | Kukwira kweropa kwakanyanya mumusoro kana kusina kurapwa kunogona kukonzera kumanikidzwa kwakanyanya paganda uye kukonzera kuti riputsike. |
| Zvimwe zvirwere | Zvirwere zvekubatana kwenyama zvakaita seEhlers-Danlos neMarfan syndromes, uye bone spurs. |
Ndezvipi zviratidzo zvekubuda kweCSF?
Chiratidzo chikuru uye chinonyanya kuzivikanwa chekubuda kwemvura muCSF musoro watakatanga kutaura nezvawo, asi panogona kunge paine zvimwe zviratidzo zvakawanda zvakare.
| Chiratidzo | Tsananguro |
|---|---|
| Zviratidzo zvinowanzoonekwa | |
| Musoro chaiwo | Musoro unowedzera kana wakagara kana kumira. Unonzwa wakasununguka kana wakarara pasi. Ichi ndicho chiratidzo chikuru. |
| Mhino/nzeve dzinoyerera | Mvura yakajeka, yakaita semvura kupfuura manyoka, inoyerera kunyanya kana musoro wakarereka. |
| Kuravira kwesimbi mumuromo | Inonaka sesimbi mumuromo mako. |
| Kuchinja kwemaonero | Kuona kusina kujeka, kuona kaviri. |
| Zvimwe zvinhu | |
| Kunzwisisa | Kunzwa chiedza chakajeka uye ruzha. |
| Matambudziko ekunzwa | Kurira munzeve, kurasikirwa nekuenzana (matambudziko ekuenzana). |
| Marwadzo | Kuomarara uye kurwadziwa mumutsipa, kurwadziwa pakati pemafudzi. |
| Zvimwe | Kusvotwa, kurutsa, kurasikirwa nekunhuwa. |
Kuongororwa kwechirwere kunoitwa sei?
Kana uchifungidzira kuti une chimwe chezviratidzo izvi, enda kuna chiremba nekukasika.Zvakakosha zvikuru. Chiremba achakubvunza nezvezviratidzo zvako uye achakuongororwa muviri.
- Ungakumbirwa kuti ukotame mberi woona kana paine mvura iri kubuda mumhino dzako. Kana iripo, sampuro ichatorwa yotumirwa kurabhoritari kusimbisa kuti iCSF.
- Endoscopy inogona kuitwa, iyo inosanganisira kuisa chubhu diki ine kamera mumhino.
- Unogona kutarisa nzeve dzako.
Pamusoro pezvo, bvunzo dzinoverengeka dzinogona kuitwa kuti vatore mifananidzo yeuropi nemusana kuti vaone nzvimbo chaiyo yakabuda mvura.
- ' CT scan'
- MRI
- Myelography (bvunzo yekuongorora musana)
- `Cisternography` (kuyedza mifananidzo yeuropi nemusana)
Dzimwe nguva chirwere ichi chinogona kuonekwa zvisirizvo semigraine kana sinusitis . Saka, kana uine musoro unowedzera kuipa paunomira uye ukavandudzika paunorara pasi, iva nechokwadi chekuudza chiremba wako nezvazvo.
Kana hutachiona hukasarapwa, hunogona kupararira huchienda kumasero akakomberedza uropi uye hunokonzera hutachiona hwakakomba hwakadai se meningitis. Saka, kuongororwa kwechirwere nekurapwa kwakakosha zvikuru.
Ndezvipi zvingasarudzwa zvekurapa zviripo?
Kurapwa kunoenderana nenzvimbo yabuda ropa, chikonzero chacho, uye kuoma kwaro.
Kurapwa kwekutanga
Kazhinji, kunyanya kana mvura ichibuda ichibva pakupinda kwemusana wako, chiremba anokuudza kuti utange waedza zvinhu zvishoma zviri nyore.
- Ingorara pamubhedha wozorora kwemazuva mashoma.
- Kunwa mvura yakawanda uye zvinwiwa .
- Kunwa caffeine (tii, kofi).
Kazhinji, zvinhu zviri nyore izvi zvinoporesa kubuda kwemvura zvega.
Kurapa kwakakosha
Kana kubuda kwemvura kusingamire nekurapwa kwekutanga, chiremba achashandisa dzimwe nzira dzekurapa.
- Kubuda Kwemvura Mumusana weCSF:
- Epidural Blood Patch: Iyi ndiyo nzira inonyanya kushandiswa uye inobudirira. Unotora ropa rako woriisa mumusana wako paunofunga kuti ndipo panobva kubuda ropa. Ropa rinogwamba rovhara buri racho.
- Dzimwe nguva, kuvhiyiwa kunoitwa kuvhara buri nekusona kana kuisirwa mafuta/tsandanyama .
- Kuburitswa kweCranial CSF:
- Izvi zvinowanzoda kuvhiyiwa. Buri iri rinovharwa ne endoscopy yemhino kana kuvhiyiwa nzeve.
- Vhara gomba.Chigadzirwa chekugadzira, chidimbu chenyama yemuviri wako , guruu rekuvhiya rakakosha , kana simende yemapfupa zvinoshandiswa.
Zvinhu zvekungwarira mushure mekurapwa
Mushure mekurapwa kwekubuda kweCSF, unofanira kungwarira zvikuru panguva yekupora, inova mavhiki mana kusvika matanhatu, nekuti membrane inoda nguva yekupora.
- Usasimudza zvinhu zvinorema kupfuura mapaundi gumi (4.5 kg).
- Dzivisa zvinhu zvakaita sekukotama mberi, kusimudza zvinorema, uye kumonyorora .
- Dzivisa kuomesa muviri paunenge uchibvisa tsvina. Kana zvichidikanwa, bvunza chiremba wako kuti akupe chinopfavisa tsvina.
- Kana uchikosora kana kuhotsira, ramba wakashama muromo wako . Izvi zvinoderedza kuunganidzwa kwesimba mudehenya.
- Kana mhino yako ichiyerera, usanyanya kusimudza mhino yako.
- Usashandise mashanga ekunwira.
- Gara wakabata musana wako wakatwasuka paunenge uchishanda. Kana uchifanira kukotama, kotama pamabvi ako nemuchiuno.
Mharidzo Yekuenda Nayo Kumba
- Chiratidzo chikuru chekubuda kweCSF musoro unorema paunomira wodzikira paunorara.
- Kana uine mvura yakachena, ine mvura ichibuda mumhino dzako kana munzeve pasina chikonzero, kana kana uine kuravira kwesimbi mumuromo mako, zvinogona kuva chiratidzo chenjodzi.
- Kana uine zviratidzo zvakaita seizvi, usafunge kuti zvakajairika uye edza kuona chiremba.
- Musanetseke. Kubuda kwemvura muCSF kwakawanda kunogona kurapwa zvachose nekuzorora, kunyoroveswa nemvura mumuviri, kana kurapwa kuri nyore.
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