Ngaba ngamanye amaxesha uphathwa yintloko ebuhlungu? Kwangaxeshanye, ngaba uziva ungacacanga embonweni wakho, unesicaphucaphu, okanye unesizungu ? Xa ezi mpawu zisenzeka, uloyiko olukhulu oluza engqondweni yethu kukuba, 'Owu, ngaba ndinethumba entlokweni yam?' Kodwa akufuneki sihlale soyika. Kuba, kukho imeko ebonisa iimpawu zethumba lobuchopho, kodwa ingesilo ithumba ngokwenene. Yiloo nto siyibiza ngokuba yiPseudotumor Cerebri.
Yintoni iPseudotumor Cerebri?
Igama elithi "pseudotumor" lithetha "isisu esingeyonyani." Oku kuthetha ukuba asisiso isisu esinomhlaza ngokwenene. Nangona kunjalo, iimpawu zifana kakhulu nezo zesisu esinobuchopho. Igama eliqhelekileyo lezonyango lale nto yi -Idiopathic Intracranial Hypertension (IIH) . Ngamafutshane, kulapho uxinzelelo olujikeleze ingqondo yakho lunyuka ngaphandle kwesizathu esicacileyo.
Asinakuzigqibela ngokwethu ukuba ezi mpawu zibangelwa sisimila sobuchopho okanye yimeko ebizwa ngokuba yiPseudotumor Cerebri. Ke ngoko, ukuba unale mpawu, kubalulekile ukubona ugqirha ngokukhawuleza kwaye uhlolwe. Le meko inokuba buhlungu ngendlela engakhululekiyo, kwaye inokubangela umonakalo ongunaphakade ekuboneni kwakho. Ukuba uqala unyango kwangethuba, ungasindisa amehlo akho.
Kutheni oku kusenzeka? Yintoni unobangela?
Kulungile, makhe sibone ukuba kutheni uxinzelelo olujikeleze ingqondo lusanda ngolu hlobo.
Ingqondo yethu kunye nomqolo zijikelezwe lulwelo olukhethekileyo oluzikhusela ekonakaleni. Olu lwelo silubiza ngokuba yi- cerebrospinal fluid (CSF) . Umzimba wethu uhlala uvelisa olu lwelo, kwaye luphinda lufunxwe ngemithambo yegazi. Oku kwenzelwa ukugcina umlinganiselo othile wolwelo olujikeleze ingqondo ngamaxesha onke.
Kodwa ngamanye amaxesha, imizimba yethu iqala ukuvelisa olu lwelo luninzi kakhulu. Okanye, ayiphindi ifunxe kangangoko iluvelisa. Nokuba yeyiphi na indlela, isiphumo kukwanda kolwelo lwe-CSF olujikeleze ingqondo. Xa olu lwelo luqokelelana, uxinzelelo olungaphakathi kwengqondo luyanda. Olu xinzelelo lukhulayo lubangela ukuba i-optic nerve, ethwala imiyalezo esuka emehlweni ethu iye engqondweni, idumbe. Kulapho ke iingxaki zokubona ziqala khona.
Ngubani osengozini enkulu yokuhlaselwa yile meko?
I-Pseudotumor Cerebri ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-20 ukuya kwengama-50 ubudala. Abafazi abatyebe kakhulu (abatyebe kakhulu) basengozini enkulu.
Ukongeza, le ngozi inokwandiswa zezinye iimeko zonyango kunye namayeza athile.
| Iimeko zonyango ezandisa umngcipheko | Iziyobisi ezonyusa umngcipheko |
|---|---|
| Isifo sika-Addison | Amanye amayeza okubulala iintsholongwane |
| Iingxaki zegazi (ukujiya kwegazi, i-anemia) | Iipilisi zokulawula inzala |
| Iimeko ezifana ne-lupus kunye ne-Behcet's syndrome | Ihomoni yokukhula |
| Isifo sezintso | I-Lithium |
| I-Polycystic Ovary Syndrome (PCOS) | Iintlobo zeeSteroids |
| Ukuphelelwa ngamandla kokulala | Amayeza aqulethe iVithamin A |
Zithini kanye kanye iimpawu zoku?
Nazi ezinye zeempawu zokuba usenokuba nale meko.
Ekubeni le meko inokubangela umonakalo ekuboneni, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza kwaye ufumane unyango .
| Uphawu | Inkcazo |
|---|---|
| Intloko ebuhlungu | Intlungu enzima edla ngokuqala ngasemva kwamehlo okanye ngasemva kwentloko. Intlungu iyanda xa ulele phantsi kwaye iyancipha kancinci xa uhleli. |
| Iingxaki zokubona | Umbono ofipheleyo, umbono ophindwe kabini. Ngamanye amaxesha, umbono unokulahleka imizuzwana embalwa. |
| Isicaphucaphu nokuhlanza | Intloko ebuhlungu ehamba nesicaphucaphu nokuhlanza. |
| Isiyezi | Ndiziva ndinesizungu. |
| Ukuva isandi ezindlebeni | Ukuva isandi esithi "gum gum" ezindlebeni ngokwendlela ukubetha kwentliziyo. |
| Ukuqina kwentamo | Ndiziva ngathi izihlunu zentamo ziqinile. |
Ezi mpawu zinokuba mandundu xa usebenza, njengaxa uzilolonga. Oku kungenxa yokuba uxinzelelo olungaphakathi kwengqondo luyanda ngexesha lokuzilolonga.
Ugqirha uyibona njani le nto?
Xa usiya kugqirha, baqala bakubuze ngeempawu zakho kunye nembali yakho yezonyango.
Eyona nto ibalulekileyo ekufumaneni esi sifo kukuba xa ugqirha ehlola iliso lakho ngesixhobo esikhethekileyo (i-ophthalmoscope), umthambo wokubona ongasemva kweliso ubonakala ngathi uvuvukile .
Ukongeza, unokufuna olunye okanye ngaphezulu kwezi vavanyo:
- Ukubhoboza umqolo/Ukubhoboza iLumbar:Oku kuquka ukufaka inaliti encinci emqolo wakho ongezantsi kunye nokususa inani elincinci lolwelo lwe-CSF olujikeleze umqolo wakho. Olu vavanyo lunokujonga uxinzelelo olongezelelekileyo ngaphakathi kwentloko kwaye lunokunceda ekunciphiseni uxinzelelo ngokususa ulwelo olugqithisileyo.
- I-CT scan ( i-computed tomography ): Olu luvavanyo lwe-X-ray olunamandla olunokuvelisa imifanekiso eneenkcukacha zobuchopho bakho.
- I-MRI scan (Magnetic Resonance Imaging): Oku kusebenzisa iimagnethi ezinamandla kunye namaza erediyo ukujonga uxinzelelo oluphezulu ngaphakathi kwengqondo okanye ezinye izihlunu ezingaqhelekanga.
Kuya kufuneka uhlolwe amehlo akho rhoqo . Ugqirha wamehlo uza kujonga iindawo ezingaboniyo kunye nokudumba kwemithambo-luvo.
Iphathwa njani?
Ukuqala unyango ngokukhawuleza kunokwenzeka kunokusindisa umbono wakho.
Utshintsho kwindlela yokuphila
Enye yezona ndlela zilungileyo nezibalulekileyo zokunyanga oku kukunciphisa umzimba ukuba utyebile kakhulu . Ukunciphisa umzimba wedwa kunokuba nzima. Ke ngoko, kungcono ukufuna uncedo kwingcali yesondlo okanye kumqeqeshi. Kubalulekile nokunciphisa ityuwa kunye nolwelo ekutyeni kwakho. Oku kunokunciphisa ubungakanani bolwelo lwe-CSF oluveliswa emzimbeni.
Amayeza kunye notyando
Amayeza kunye notyando lokunciphisa uxinzelelo engqondweni zezona ndlela ziphambili zonyango.
- Amayeza: I-Acetazolamide (Diamox) yeyona iyeza liqhelekileyo. Oku kunciphisa ubungakanani bolwelo lwe-CSF oluveliswa ngumzimba. Kwakhona, ukuba unentloko ebuhlungu, njenge-migraine, uya kunikwa amayeza alo.
- Utyando: Ukuba iimpawu azinakulawulwa ngamayeza, utyando lunokufuneka.
- Ukushukuma: Ngamafutshane, oku kuquka ukufaka umbhobho omncinci engqondweni okanye emgogodleni uze ukhuphe ulwelo olugqithisileyo (CSF).
- Ukufakelwa kwe-optic nerve sheath fenestration: Kule nkqubo, ugqirha wenza umngxuma omncinci kwizicubu ezijikeleze i-optic nerve, evumela ulwelo oluqokelelene apho ukuba luphume.
Emva konyango, uxinzelelo olungaphakathi kwengqondo luya kuncipha kancinci kancinci kwaye uya kuqala ukuziva ungcono. Uninzi lwabantu luya kuphila ngokupheleleyo. Nangona kunjalo, inani elincinci labantu linokuba nomonakalo ongapheliyo ekuboneni.
Umyalezo Wokuya Ekhaya
- I-Pseudotumor I-Cerebri ayilomhlaza wobuchopho ngokwenene. Yimeko ebangelwa kukunyuka koxinzelelo olujikeleze ingqondo.
- Iimpawu eziphambili ziintloko ezibuhlungu kakhulu, ukubona okufipheleyo, kunye nokucaphuka. Ezi zifana neempawu zethumba lobuchopho.
- Le meko ixhaphake kakhulu kubafazi abancinci nabatyebileyo.
- Ukuba uneempawu ezinje, bonana nogqirha ngokukhawuleza ngaphambi kokuba umbono wakho wonakale.
- Ukunciphisa umzimba yenye yezona ndlela ziphambili nezibalulekileyo zokunyanga oku.
- Ekubeni le meko inokuphinda ivele, kubalulekile ukulandela imiyalelo kagqirha kwaye uhlolwe rhoqo.
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