Asicingi kangako ngephundu elisebusweni bethu, ingakumbi emacaleni empumlo okanye ngaphezulu komlomo wethu ongaphezulu, iintlungu zamazinyo, okanye usulelo lwe-sinus, akunjalo? Kodwa ubusazi na ukuba nezinto ezingaqhelekanga neziqhelekileyo ezifana nale zinokukhokelela kwimeko embi enokuba yingozi ebomini ukuba ayinyangwa ngokufanelekileyo? Namhlanje sithetha ngesinye sezifo ezingaqhelekanga kodwa eziyingozi kakhulu, " i-Cavernous Sinus Thrombosis ".
Ngamafutshane, yintoni iCavernous Sinus Thrombosis?
Khawucinge ukuba phantsi kwengqondo yethu, ngasemva kwamehlo ethu, kukho indawo encinci engenanto. Le yinto esiyibiza ngokuba yi-"Cavernous Sinus" kwezonyango. Ngale ndlela kudlula umthambo omkhulu othwala igazi elisetyenzisiweyo okanye elingcolileyo ebusweni bethu uze ubuyele entliziyweni.
Ngoko ke, iCavernous Sinus Thrombosis iyenzeka xa ihlwili legazi lenzeka ngaphakathi kwesi sitsha segazi lize libambeke. Eli hlwili legazi lithintela ukuhamba kwegazi kwaye lonyusa uxinzelelo kuloo ndawo. Olu xinzelelo luchaphazela ngqo ingqondo, lubangela umonakalo engqondweni kwaye kwezinye iimeko, nokufa. Oku kunzulu kangangokuba malunga nama-30% abantu abafumana le meko bayafa. Ke ngoko, kubaluleke kakhulu ukuqaphela oku.
Zithini iimpawu zale meko iyingozi?
Ezinye zeempawu zesi sifo zibonakala ngequbuliso. Ukuba unenye okanye ngaphezulu kwezi, kufuneka ukhathazeke.
Eyona nto ibalulekileyo kukuba, ukuba intloko ebuhlungu ihamba nengxaki yamehlo (ukudumba, ukuba bomvu , okanye utshintsho kwindlela abona ngayo), ungaze uyityeshele.
Masiziqonde ngokucacileyo ezi mpawu kwitheyibhile engezantsi.
| Uphawu | Ijongeka njani le nto? |
|---|---|
| Intloko ebuhlungu kakhulu | Intloko ebuhlungu enganyamezelekiyo. Ngamanye amaxesha inokuza neenyembezi emehlweni. |
| Utshintsho olujikeleze amehlo | Ukudumba, ukuba bomvu, kunye nokudumba kwelinye okanye omabini amehlo. Iliso lisenokubonakala ngathi liphumile. |
| Ukugoba kweenkophe | Ukuziva ngathi amehlo atshonile kwelinye okanye omabini, nto leyo eyenza kube nzima ukuvula iliso ngokupheleleyo. |
| Ukungakwazi ukuhambisa iliso | Ukungakwazi ukuhambisa iliso phezulu, ezantsi, okanye emacaleni. |
| Umkhuhlane ophezulu | Umkhuhlane ophezulu kunye nokungakhululeki ngaphandle kwesizathu esicacileyo. |
| Intlungu yobuso okanye ukungaziva | Intlungu okanye ukungaziva mnandi ebusweni okanye kufutshane namehlo. |
| Iingxaki zokubona | Umbono ofipheleyo, ukubona kabini, okanye ukulahleka ngokupheleleyo kombono. |
| Ukudideka kunye nokuxhuzula | Utshintsho kwinkumbulo, ukuphazamiseka kwengqondo, kunye nokungakhuli kakuhle kwengqondo lunokwenzeka. Ukuxhuzula nako kunqabile. |
Kutheni oku kusenzeka? Zithini izizathu?
Eyona sizathu siphambili soku kukwanda kosulelo. Ngokwesiqhelo, xa usulelo ebusweni bethu, kwiisinuses, okanye emazinyweni lungenakulawuleka, iibhaktheriya ezibangele usulelo zihamba ngegazi ziye kwiCavernous Sinus ebesithethe ngayo ngaphambili.
"Unxantathu oNgozi woBuso"
Njengoogqirha, sibiza indawo engxantathu yobuso ukusuka kwibhulorho yempumlo ukuya kwiikona zomlomo ngokuthi "unxantathu onobungozi." Imithambo yegazi kule ndawo iqhagamshelwe ngqo engqondweni.Idibene neCavernous Sinus . Ngoko ke , ukucinezela iqhubu kule ndawo uze ubangele ukwenzakala kunokuba yingozi kakhulu. Ukuba wenza njalo, kukho ithuba elikhulu lokuba iintsholongwane ezikumphezulu wolusu zingene egazini zize zihambe ngqo kwindawo ejikeleze ubuchopho.
Xa usulelo lusasazeka, umzimba wethu uzama ukulunqanda. Ngenxa yaloo mzamo, kuvela ihlwili legazi. Kodwa eli hlwili legazi lelona ngxaki inkulu kamva.
Kunokubakho ezinye izizathu ngaphandle koku:
- Ukulimala entloko kakhulu.
- Abanye abantu basengozini enkulu yokuba namahlwili egazi. Umzekelo, abafazi abasebenzisa iipilisi zokulawula ukuzala, abantu abanesifo seswekile esingalawulekiyo, kunye nabantu abanomhlaza basengozini enkulu kancinci.
Uvavanyo lokufumanisa le meko
Xa usiya esibhedlele uneempawu ezinje, ugqirha uza kukuhlola, kwaye ukuba bayakurhanela ukuba unale meko, baza kukuthumela ngokukhawuleza ukuze uvavanywe izihlandlo ezininzi.
- Iiskeni zobuchopho: Le yeyona nto ibalulekileyo. Iskeni ye-CT okanye i-MRI ingenziwa ukujonga izinto ezifana nokuqhekeka kwegazi kunye noxinzelelo oluphezulu engqondweni.
- Uvavanyo lwegazi : Uvavanyo lwegazi lwenziwa ukuqinisekisa ukuba kukho usulelo emzimbeni.
- Ukubhoboza eLumbar: Ngamanye amaxesha, olu vavanyo lunokwenziwa ukuze kubonwe ukuba usulelo luchaphazele ingqondo kunye nomqolo.
Iphathwa njani?
I-Cavernous Sinus Thrombosis yimeko engxamisekileyo yezonyango. Oku kuthetha ukuba xa kuvela iimpawu, kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngaphandle kokuchitha ixesha. Unyango luhlala lunikezelwa kwiYunithi yoKhathalelo oluNgxamisekileyo (ICU) yesibhedlele.
Unyango lubandakanya izinto ezimbalwa:
- Ii-Antibiotics ezinedosi ephezulu: Ukulawula usulelo, ii-antibiotics ezinamandla zinikwa ngemithambo yegazi ngesisombululo se-saline.
- Izinto zokunciphisa igazi: La mayeza anikwa ukuthintela amahlwili egazi ukuba angabi maninzi nokuthintela ukwakheka kwamahlwili angakumbi.
- IiCorticosteroids: Ezi ntlobo zamayeza zinikwa ukunciphisa ukudumba kunye noxinzelelo engqondweni.
- Utyando: Ngamanye amaxesha, kunokufuneka utyando oluncinci ukuze kususwe ubovu apho usulelo luqale khona (umz., kwi-sinus cavity).
Okukhona olu nyango luqalwa ngokukhawuleza, kokukhona amathuba okusindisa ubomi aba maninzi. Ke ngoko, kubalulekile ukuba uqaphele ezi mpawu kwaye uthathe amanyathelo ngokukhawuleza ukuba into efana nale iyenzeka kuwe okanye kumntu omaziyo.
Umyalezo Wokuya Ekhaya
- I-Cavernous Sinus Thrombosis yimeko engaqhelekanga kakhulu, kodwa esongela ubomi, enokuba yingozi.
- Isizathu esiphambili soku kukusasazwa okungalawulekiyo kosulelo ebusweni, emazinyweni, okanye kwiinkozo.
- Kuphephe ukucinezela amaqhakuva avela "kunxantathu onobungozi" wobuso (indawo ukusuka kwibhulorho yempumlo ukuya kwiikona zomlomo).
- Intloko ebuhlungu enganyamezelekiyo, kunye namehlo adumbileyo nabomvu, utshintsho embonweni, kunye nomkhuhlane ophezulu ziimpawu ezilumkisayo.
- Ukuba unale mpawu, yingxamiseko yezonyango. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngoko nangoko uze ubone ugqirha wakho.
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