Ingaba eli lihlwili legazi eliyingozi entlokweni? Ngaba eli liyiCavernous Sinus Thrombosis?

Ngaba wakha wenzakala kancinci ebusweni okanye wanengxaki ye-sinus eyabangela ukuba ube nentloko ebuhlungu? Ngaba wakha wadumba amehlo kwaye wabona nzima? Ngamanye amaxesha siyazityeshela ezi zinto, kodwa zinokuba yingozi kakhulu kwaye zifune unyango olukhawulezileyo. Namhlanje sithetha ngemeko enzima abantu abaninzi abangayaziyo, ebizwa ngokuba yi -Cavernous Sinus Thrombosis .

Yintoni le cavernous sinus thrombosis?

Ngamafutshane, iCavernous Sinus Thrombosis kuxa ihlwili legazi lenzeka kwiindawo ezincinci ngaphakathi kwentloko yakho, ngakumbi emva kwamehlo akho, phantsi kwengqondo yakho ebizwa ngokuba yiCavernous Sinuses . Cinga ngezi sinuses njengemiqolomba emincinci apho imithambo emininzi idibana khona. Uninzi lwemithambo ephambili ekhupha igazi ebusweni bakho nasebuchotsheni bakho idlula kwezi. Umthambo wejugular , umthambo omkhulu entanyeni yakho, nawo uqhagamshelwe kwezi sinuses ze-cavernous. Ngoko ke, ukuba ihlwili legazi lenzeka kwenye yezi veins (edla ngokubangelwa lusulelo), ihlwili livala ukuhamba kwegazi eliphuma engqondweni yakho. Oku kuyingozi kakhulu, njengoko kunokubangela umonakalo wexesha elide engqondweni yakho, emehlweni, nakwimithambo-luvo. Le yimeko enokuba yingozi ebomini ukuba ayinyangwa ngokukhawuleza.

Ixhaphake kangakanani le meko?

Enyanisweni, le meko ibizwa ngokuba yiCavernous Sinus Thrombosis ayiqhelekanga. Oko kukuthi, ayisiyonto ibonwa rhoqo. Kunzima ukutsho ngokuthe ngqo ukuba zingaphi iimeko ezixelwayo ngonyaka, iphantsi kakhulu. Kodwa iindaba ezimnandi zezokuba emva kokufunyanwa kwee-antibiotics , inani leengxelo zesi sifo liye lehla kakhulu. Ngenxa yokuba usulelo, oluyimbangela ephambili yala mahlwili egazi, lunokunyangwa ngee-antibiotics, ezo sulelo ngoku azinakwenzeka ukuba zibe yingozi.

Zithini iimpawu zoku? Ungazibona njani?

Eyona nto iyingozi kakhulu ngale nto kukuba iimpawu zinokuba mandundu ngokukhawuleza. Enye yeempawu eziphambili eziza kuqala yintloko ebuhlungu kakhulu. Oku akufani nentloko eqhelekileyo. Yintlungu engapheliyo nasemva kokusela amayeza okudambisa iintlungu, kwaye iba mandundu imihla ngemihla. Ingavela ngequbuliso nangokuqatha, okanye inokwanda kancinci kancinci kwiintsuku ezimbalwa. Le ntlungu idla ngokuvakala ijikeleze iliso elinye, ijikeleze omabini amehlo, okanye ngasemva kwamehlo.

Ezi mpawu zibangelwa kukunyuka koxinzelelo ngaphakathi kwi-cavernous sinus ngenxa yokuqhekeka kwegazi. Lumka ukuze ubone ukuba unazo na ezi mpawu:

• Intloko ebuhlungu nebukhali engapheliyo nokuba sele usele amayeza.
• Ukudumba kwelinye okanye omabini amehlo kamva, ngamanye amaxesha kunye nokuziva ngathi amehlo avuvukile.
• Ukugoba kwamehlo, ngokungathi iliso livalekile kancinci (`amehlo agobileyo`).
• Ukuziva intlungu eqatha xa uzama ukuhambisa iliso elinye okanye omabini.
• Ukungakwazi ukuhambisa iliso elinye okanye omabini, kunamathele kwelinye icala.
• Umbono ofipheleyo, ukulahlekelwa ngumbono ocacileyo.
• Ukubona kabini.
• Ukuba ndindisholo okanye ukuphelelwa yimvakalelo ebusweni, ingakumbi kufutshane namehlo.
• Tshisa kakhulu.
• Abanye abantu banokuba nesifo sokuxhuzula.

Kubaluleke kakhulu: Ukuba ayinyangwa, i-cavernous sinus thrombosis inokuba mandundu kancinci kancinci, nto leyo enokubangela ukuba isigulane sidideke size silale. Oku kunokukhokelela kwi-coma kwanokufa. Ke ngoko, kubaluleke kakhulu ukufuna unyango kwangoko nje ukuba uqaphele ezi mpawu, ngaphambi kokuba imeko ifikelele kweli nqanaba.

Oku kwenzeka ngokukhawuleza kangakanani?

Ngokwesiqhelo, i-cavernous sinus thrombosis yenzeka kwiintsuku ezi-5 ukuya kwezili-10 emva kosulelo olunganyangwanga ebusweni okanye entlokweni yakho (umzekelo, i-sinus, izinyo, okanye indlebe). Uphawu lokuqala yintloko ebuhlungu. Iimpawu zamehlo (ezifana nokudumba, ukudumba) zinokuvela ngequbuliso, kungekudala emva kwentloko ebuhlungu, okanye zinokukhula kancinci kancinci.

Yintoni ebangela oku? Kutheni oku kusenzeka?

Cinga ngale ndlela. Uneqhubu elincinci ebusweni bakho, mhlawumbi ecaleni kwempumlo yakho, okanye emlonyeni wakho ongasentla. Okanye uneentlungu zamazinyo. Awunaki kakhulu, ucinga ukuba, 'Yinto encinci nje, iza kuziphelela.' Kodwa, usulelo lwebhaktheriya kuloo ndawo incinci ludla ngokukhokelela kule meko iyingozi ebizwa ngokuba yiCavernous Sinus Thrombosis . Oko kukuthi, luza njengengxaki yosulelo.

Okwenzekayo koku: Igazi elikwimithambo yakho ye-cavernous sinus liyawa lizama ukuthintela ukusasazeka kosulelo. Yindlela yokuzikhusela yomzimba. Kodwa endaweni yokuthintela ukusasazeka kosulelo, eli hlwili legazi liyawabamba amahlwili osulelo. Emva koko igazi liyayeka ukuphuma engqondweni. Oku kubangela ukuba uxinzelelo ngaphakathi kwi-cavernous sinus lunyuke, nto leyo ebangela iimpawu ezikhankanyiweyo ngaphambili.

Iindidi zezifo ezichaphazela kakhulu oku zezi:

• Usulelo lweSinus (sinusitis). Usulelo olukwimingxuma ejikeleze impumlo.
• Amathumba okanye amaqhuqhuva aphuma phantsi kolusu ebusweni, ingakumbi kufutshane nempumlo kunye nomlebe ongentla.
• Amathumba amazinyo.
• Usulelo lwendlebe, ingakumbi usulelo lwendlebe ephakathi.

Kwiimeko ezininzi, malunga nama-70% amatyala, unobangela yibhaktiriya ethi `Staphylococcus aureus` . Le yibhaktiriya eqhelekileyo kakhulu. Ngaphandle koko, ezinye iintlobo zebhaktiriya kunye nezinye iintlobo zefungi nazo zinokubangela usulelo olubangela i-cavernous thrombosis. Kutshanje, kuye kwaxelwa amatyala aliqela e-cavernous sinus thrombosis anxulunyaniswa nosulelo lwe -`COVID-19` .

Kunqabile kakhulu ukuba eli hlwili legazi livele ngenxa yokwenzakala okukhulu entloko, endaweni yosulelo.

Oogqirha bayixilonga njani le nto?

Kunokuba nzima kancinci ukuxilonga, njengoko iimpawu zayo zifana nezezinye izifo eziqhelekileyo, ezinje ngosulelo lwamehlo, i-migraine, okanye ezinye izifo zemithambo-luvo.

Nangona kunjalo, ngokusekwe kwiimpawu zakho, ingakumbi ukuba okwangoku unentsholongwane yobuso okanye ye-sinus okanye ukhe waba nayo kutshanje, ugqirha wakho unokurhanela ukuba i-cavernous sinus thrombosis ibangelwa yi-cavernous sinus thrombosis.

Uvavanyo olunye okanye ngaphezulu kwezi lunokwenziwa ukuqinisekisa ukuxilongwa:

• Uvavanyo lomfanekiso.
• I-MRI (iMagnetic Resonance Imaging): Oku kukuvumela ukuba ubone ingqondo kunye nendawo ye-cavernous sinus ngokucacileyo, nto leyo ebaluleke kakhulu ekufumaneni ukuba kukho ihlwili legazi na.
• Iskeni se-`CT` (i-Computed Tomography): Oku kunokujonga amahlwili egazi kunye neempawu zosulelo.
• I-MRV (iMagnetic Resonance Venogram eneMRI): Le yeyona ndlela ibuthathaka yokuxilonga esi sifo. Kule MRV, ugqirha ufaka ulwelo olukhethekileyo (idayi yokwahlula) emthanjeni wakho. Emva koko i-MRI inokukubona ngokucacileyo ukuhamba kwegazi kunye nokuvaleka kwemithambo.
• Uvavanyo lokukhulisa iintsholongwane. Ugqirha wakho uza kuvavanya igazi lakho okanye olunye ulwelo lomzimba (njengolwelo oluvela kwiisinus zakho okanye ubomvu obuvela kwinxeba) ukuze abone ukuba kukho iintsholongwane okanye ezinye izifo ezibangela usulelo. Oku kunokunceda ekuchongeni iintsholongwane ezichanekileyo kwaye kunikeze i-antibiotic efanelekileyo.
• Ukubhoboza umqolo/i-lumbar puncture. Olu vavanyo lunokubona ukuba usulelo lusasazeke na kwiimembrane ezigubungela ingqondo kunye nomqolo (meninges). Ukuba lukhona, lubizwa ngokuba yi-meningitis . I-Meningitis yingxaki eyingozi ye-cavernous sinus thrombosis. Kolu vavanyo, ugqirha ufaka inaliti encinci emqolo wakho ongezantsi aze athathe isampuli yolwelo lomqolo. Ulwelo luvavanywa iibhaktheriya kunye nezinye iimpawu zosulelo.

Kubalulekile: Ngenxa yokuba i-cavernous sinus thrombosis sisifo esisongela ubomi, esiqhubeka ngokukhawuleza, ugqirha unokuqalisa unyango ngokusekelwe kumathandabuzo ngaphambi kokuba uxilongo luqinisekiswe ngokupheleleyo. Kuba umzuzwana ngamnye ubalulekile apha.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Ewe, unyango olukhawulezileyo nolufanelekileyo lunokulawula le meko kwaye lusindise ubomi. Nangona kunjalo, ukuba unyango lulibaziseka, imeko inokuba mandundu. Kusenokwenzeka ukuba ungeniswe kwigumbi lonyango olungxamisekileyo (ICU) lesibhedlele.Uza kwamkelwa. Emva koko oogqirha kunye nabasebenzi bonyango banokukujonga ngokusondeleyo iiyure ezingama-24 ngosuku.

Nazi iindlela eziphambili zonyango:

• Iiantibiotics. Olu lolona nyango luphambili. Ugqirha wakho uza kukuqalisa ngee-antibiotics ze-intravenous (IV) ezinedosi ephezulu ukubulala usulelo olubangela ukuqhekeka kwegazi. Njengoko bekutshiwo ngaphambili, le yinkqubo ethatha ixesha elide, ngoko unokunikwa ii-antibiotics ngaphambi kokuba uvavanyo lokuxilonga lukwazi ukubona unobangela ochanekileyo wosulelo (iibhaktheriya okanye ifungus). Ukuze ube kwicala elikhuselekileyo, uya kunikwa ii-antibiotics ze-broad-spectrum ezinokubulala uluhlu olubanzi lweebhaktheriya (ingakumbi iibhaktheriya eziqhelekileyo ezifana ne-S. aureus) . Kamva, xa iziphumo zenkcubeko zibuyile, ungatshintshelwa kwi-antibiotic efanelekileyo ngakumbi. Kuya kufuneka uqhubeke nolu nyango esibhedlele iiveki ezimbalwa.
• Izinto zokunciphisa igazi (izinto ezithintela ukugabha kwegazi). Usenokunikwa izinto zokunciphisa igazi (izinto zokunciphisa igazi) ezifana ne-heparin ukuthintela ihlwili ukuba lingabi likhulu, ukuze linyibilike kancinci, kwaye kuthintelwe ukwakheka kwamahlwili amatsha.
• Izithinteli-gazi (izithinteli-gazi) zinganikwa ngemithambo yegazi okanye ngaphantsi kwesikhumba. Kuya kufuneka uzithathe ezi zithinteli-gazi zikwimo yeepilisi kangangeenyanga eziliqela emva konyango lokuqala.
• Ii-Corticosteroids. Ugqirha wakho unokukunika ii-steroids ukunciphisa ukudumba kunye nokuvuvukala okubangela uxinzelelo ngaphakathi kweesinus zakho. Nangona kunjalo, ezi zinikwa kuphela emva kokuba uqalise amayeza okubulala iintsholongwane ukulawula usulelo kwaye usulelo luphantsi kolawulo.
• Utyando. Kwezinye iimeko, utyando lunokufuneka ukuze kucocwe umthombo wosulelo (umz., usulelo lwe-sinus, ithumba lamazinyo) kunye nokususa naluphi na ubovu okanye olunye ulwelo oluqokeleleneyo. Oku kunokunceda ukulawula usulelo ngokukhawuleza.

Yintoni esinokuyilindela ukuba oku kuyenzeka? Zithini iingxaki?

Ngaphambi kokuba kufunyanwe ii-antibiotics, i-cavernous sinus thrombosis yayidla ngokuba yingozi. Kodwa ngoku, ngenxa yenkqubela phambili kwisayensi yezonyango, abantu abangaphezu kwama-70% abafumana esi sifo bayasinda. Yimpumelelo enkulu leyo.

Nangona kunjalo, nokuba bayasinda, abantu abaninzi banokuba neengxaki kuba le yimeko echaphazela ingqondo kunye nemithambo-luvo. Umzekelo, malunga nama-20% abantu abachacha kwi-cavernous sinus thrombosis banokuqhubeka beneengxaki zokubona (ukubona okungalunganga, ubumfama) kunye neengxaki ze-neurological (ubuso obungenamsebenzi, ubunzima bokuhambisa amehlo abo) .

Ezinye iingxaki ezinokubakho zezi:

• Iintloko ezibuhlungu ezihlala zikho rhoqo.
• Ukulahlekelwa ngokupheleleyo kombono kwelinye okanye omabini amehlo.
• Ukuxhuzula okungapheliyo kwesifo sokuwa.
• I-Meningitis (usulelo lwee-membrane ezigubungela ubuchopho).
• I-Sepsis (ukusasazeka kosulelo egazini).

Enye into kukuba ukuba ne-cavernous sinus thrombosis kukubeka emngciphekweni wokufumana amanye amahlwili egazi ayingozi, afana namahlwili egazi emilenzeni yakho ( Deep Vein Thrombosis - DVT ), amahlwili egazi aya emiphungeni yakho ( Pulmonary Embolism - PE ), okanye amahlwili egazi ayenzeka kwenye indawo engqondweni yakho ( Stroke ).

Kungoko ke, kubalulekile ukuba uthethe ngokukhululekileyo nogqirha wakho malunga neengxaki ezinokubakho kwimeko yakho. Kubalulekile nokwazi iimpawu ezilumkisayo zeengxaki ukuze ukwazi ukuzithintela nanini na xa kunokwenzeka.

Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?

Ukuba unayo nayiphi na kwezi mpawu, funa ingcebiso kagqirha ngokukhawuleza ngaphandle kokulibazisa:

• Intloko ebuhlungu engapheliyo nokuba sele usele amayeza okubulala iintlungu, kwaye iba mandundu ngakumbi nangakumbi.
• Ukuba intloko ebuhlungu ihamba nentlungu iba mandundu xa ulele okanye ugobile.
• Ukuba iliso elinye okanye omabini aqala ukuva iintlungu, ukudumba, ukuba bomvu, okanye ukudumba.
• Ukuba uziva ugula kakhulu, ubuthathaka, okanye ulele kakhulu.
• Ukuba unengxaki yokuphefumla.
• Ukuba unomkhuhlane ophezulu, ugodola, kwaye uqhaqhazela.

Iimpawu ezinje zibonisa ukuba kukho imeko engxamisekileyo.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Ukuba ugqirha wakho ukuxelela ukuba unale meko, ungaziva uxhalabile. Kodwa, ukuze ukhululeke engqondweni kwaye uqonde kakuhle imeko yakho kunye nonyango lwakho, ungalibali ukubuza ugqirha wakho le mibuzo:

• Yintoni kanye kanye endinayo? Ibaluleke kangakanani le nto?
• Luhlobo luni lonyango endiludingayo? Luza kuthatha ixesha elingakanani?
• Zithini iziphumo ebezingalindelekanga zezi ndlela zonyango?
• Ndiza kuhlala ixesha elingakanani esibhedlele?
• Zithini iingxaki zokuba ndibe neengxaki ezihlala ixesha elide ngenxa yokuqhekeka kwegazi? Zithini ezo? Ngaba zinokuthintelwa?
• Zeziphi iinguqu ekufuneka ndizenze kubomi bam bemihla ngemihla ngenxa yezi ngxaki?
• Ngawaphi amathuba okuba ndiphinde ndibe nale meko? Ndingenza ntoni ukuze ndiyithintele?
• Zeziphi izinto ekufuneka ndizinyamekele emva kokuba ndibuyele ekhaya?

Iimpendulo zale mibuzo ziya kuba zibaluleke kakhulu kuwe.

Okokugqibela, izinto ekufuneka uzikhumbule

Kunokuba yinto eyoyikisayo ukwazi ukuba into eqhelekileyo njengosulelo lwe-sinus okanye iqhuma elincinci ebusweni bakho linokubangela ukuba igazi lijijeke ngendlela esongela ubomi. I-Cavernous sinus thrombosis — iqhuma legazi elenzeka ebusweni okanye entlokweni yakho ngenxa yosulelo — ngokwenene yimeko engaqhelekanga. Ngoko ke, akunakwenzeka ukuba intloko yakho okanye intlungu yamehlo ibe luphawu lwento enzulu ngakumbi. Inokuba luphawu lwento engenzulu kangako.

Nangona kunjalo, eyona nto ibalulekileyo ekufuneka uyikhumbule rhoqo kukuyinyanga nayiphi na intsholongwane – nokuba ibonakala incinci kangakanani – ngokukhawuleza nangokufanelekileyo. Lumka ngakumbi kwiintsholongwane ezenzeka ebusweni, empumlweni, emlonyeni, namehlo. Unyango olunjalo olukhawulezileyo lunokunceda kakhulu ekuthinteleni ukuphuhliswa kwesifo esinzima kangaka. Ke ngoko, bubulumko ukufuna ingcebiso kagqirha ukuba uneempawu ezingaqhelekanga, nokuba zincinci. Nika ingqalelo kwiimpawu umzimba wakho okunika zona!

I- Cavernous Sinus Thrombosis, Ukuqhekeka kwegazi ebuchotsheni, Usulelo lwentloko, Usulelo lobuso, Intloko ebuhlungu, Ukudumba kwamehlo, Ii-Antibiotics, Iingxaki ze-Neurological