Asicabangi kakhulu ngenduna ebusweni bethu, ikakhulukazi ezinhlangothini zekhala lethu noma ngaphezulu kodebe lwethu olungaphezulu, ubuhlungu bamazinyo, noma ukutheleleka kwe-sinus, akunjalo? Kodwa bewazi ukuthi ngisho nezinto ezingavamile kakhulu, ezivamile njengalezi zingaholela esimweni esibi esingaba yingozi empilweni uma singelashwa kahle? Namuhla sikhuluma ngesinye isimo esingavamile kodwa esiyingozi kakhulu, " i-Cavernous Sinus Thrombosis ".
Kalula nje, iyini i-Cavernous Sinus Thrombosis?
Cabanga ukuthi ngaphansi kobuchopho bethu, ngemuva kwezimbobo zamehlo ethu, kukhona isikhala esincane esingenalutho. Yilokhu esikubiza ngokuthi "i-Cavernous Sinus" kwezokwelapha. Ngale ndlela kudlula umthambo omkhulu othwala igazi elisetshenzisiwe noma elingcolile ebusweni bethu bese ubuyela enhliziyweni.
Ngakho-ke, i-Cavernous Sinus Thrombosis ilapho kwakheka ihlule legazi ngaphakathi kwalomthambo wegazi bese libhajwa. Leli hlule legazi livimba ukugeleza kwegazi futhi landise ingcindezi kuleyo ndawo. Lokhu kucindezela kuthinta ngqo ubuchopho, okubangela ukulimala kobuchopho futhi kwezinye izimo, ngisho nokufa. Lokhu kubi kakhulu kangangokuthi cishe abantu abangu-30% abathola lesi simo bayafa. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Yiziphi izimpawu zalesi simo esiyingozi?
Izimpawu zalesi sifo zivele ngokuzumayo. Uma unesinye noma ngaphezulu kwalezi, kufanele ukhathazeke.
Into ebaluleke kakhulu ukuthi, uma ikhanda elibuhlungu kakhulu lihambisana nenkinga yamehlo (ukuvuvukala, ukubomvu , ukushintsha kombono), ungalokothi ulishaye indiva.
Ake siqonde lezi zimpawu ngokucacile kusukela kuthebula elingezansi.
| Isibonakaliso | Kubukeka kanjani lokhu? |
|---|---|
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu elingabekezeleleki. Ngezinye izikhathi lingafika nezinyembezi emehlweni. |
| Izinguquko ezizungeze amehlo | Ukuvuvukala, ukubomvu, kanye nokuvuvukala kweso elilodwa noma womabili. Iso lingase libonakale sengathi liphumile. |
| Ukugoba kwejwabu leso | Umuzwa wokugoba kwamehlo kwelinye noma kuwo womabili amehlo, okwenza kube nzima ukuvula iso ngokugcwele. |
| Ukungakwazi ukuhambisa iso | Ukungakwazi ukuhambisa iso phezulu, phansi, noma emaceleni. |
| Umkhuhlane ophezulu | Umkhuhlane omkhulu kanye nokungaphatheki kahle ngaphandle kwesizathu esibonakalayo. |
| Ubuhlungu bobuso noma ukungazweli | Ubuhlungu noma ukungazweli ebusweni noma eduze kwamehlo. |
| Izinkinga zokubona | Ukubona okufiphele, ukubona okukabili, noma ukulahlekelwa umbono ngokuphelele. |
| Ukudideka kanye nokuquleka | Izinguquko ekukhumbuleni, ekuphazamisekeni, kanye nasekufeni zingaba khona. Ukuquleka nakho akuvamile. |
Kungani lokhu kwenzeka? Yiziphi izizathu?
Isizathu esiyinhloko salokhu ukusabalala kokutheleleka. Ngokuvamile, lapho ukutheleleka ebusweni bethu, ema-sinuses, noma emazinyweni kungenakulawuleka, amagciwane abangele ukutheleleka ahamba egazini aye e-Cavernous Sinus esikhulume ngayo ngaphambili.
"Unxantathu Oyingozi Wobuso"
Njengodokotela, sibiza indawo engunxantathu yobuso kusukela ekhaleni kuya emakhoneni omlomo ngokuthi "unxantathu oyingozi." Imithambo yegazi kule ndawo ixhunywe ngqo ebuchosheni.Ixhumene ne -Cavernous Sinus . Ngakho-ke , ukucindezela induna kule ndawo nokudala ukulimala kungaba yingozi kakhulu. Uma wenza kanjalo, kunethuba elikhulu lokuthi amagciwane asebusweni besikhumba azongena egazini futhi ahambe ngqo endaweni ezungeze ubuchopho.
Uma ukutheleleka kusakazeka, umzimba wethu uzama ukukuvimba. Ngenxa yalowo mzamo, kwakheka ihlule legazi. Kodwa leli hlule legazi liyinkinga enkulu kamuva.
Kungase kube nezinye izizathu ngaphandle kwalokhu:
- Ukulimala okukhulu ekhanda.
- Abanye abantu basengozini enkulu yokuba namahlule egazi. Isibonelo, abesifazane abathatha amaphilisi okuvimbela inzalo, abantu abanesifo sikashukela esingalawulwa, kanye nabantu abanomdlavuza basengozini enkulu kancane.
Ukuhlolwa kokuxilonga lesi simo
Uma uya esibhedlela unalezi zimpawu, udokotela uzokuxilonga futhi, uma esola lesi simo, uzokudlulisela ngokushesha ukuze uyohlolwa kaningana.
- Ukuskena kobuchopho: Lena yinto ebaluleke kakhulu. Kungenziwa ukuskena kwe-CT noma i-MRI ukuze kubhekwe izinto ezifana namahlule egazi kanye nomfutho wegazi ophakeme ebuchosheni.
- Ukuhlolwa kwegazi : Ukuhlolwa kwegazi kwenziwa ukuqinisekisa ukuthi kukhona yini ukutheleleka emzimbeni.
- Ukubhoboza Kwethambo: Ngezinye izikhathi, lokhu kuhlolwa kungenziwa ukuze kubonakale ukuthi ukutheleleka kuthinte ubuchopho kanye nomgogodla.
Iphathwa kanjani?
I-Cavernous Sinus Thrombosis iyisimo esiphuthumayo sezokwelapha. Lokhu kusho ukuthi ngokushesha nje lapho kuvela izimpawu, kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngaphandle kokuchitha isikhathi. Ukwelashwa kuvame ukunikezwa eYunithi Yokunakekelwa Okujulile yesibhedlela (ICU).
Ukwelashwa kuhilela izinto ezimbalwa kakhulu:
- Ama-antibiotic Anamandla: Ukuze kulawulwe ukutheleleka, ama-antibiotic anamandla anikezwa nge-intravenously ngesisombululo sikasawoti.
- Izinto zokunciphisa igazi: Le mithi inikezwa ukuvimba amahlule egazi ukuthi angabi makhulu futhi kuvinjelwe ukwakheka kwamahlule egazi engeziwe.
- Ama-Corticosteroids: Lezi zinhlobo zemithi zinikezwa ukunciphisa ukuvuvukala kanye nengcindezi ebuchosheni.
- Ukuhlinzwa: Ngezinye izikhathi, kungadingeka ukuhlinzwa okuncane ukuze kususwe ubomvu lapho kwaqala khona ukutheleleka (isb., emgodini we-sinus).
Uma lokhu kwelashwa kuqalwa ngokushesha, amathuba okusindisa impilo aba maningi. Ngakho-ke, kubalulekile ukuqaphela lezi zimpawu futhi uthathe isinyathelo ngokushesha uma kwenzeka into efana nale kuwe noma kothile omaziyo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cavernous Sinus Thrombosis iyisimo esingavamile kakhulu, kodwa esisongela ukuphila, esingase sibe yingozi.
- Isizathu esiyinhloko salokhu ukusabalala okungalawuleki kokutheleleka ebusweni, emazinyweni, noma emaphaphu.
- Gwema ukucindezelwa kwezinduna ezibonakala "kunxantathu oyingozi" wobuso (indawo kusukela ebhulohweni lekhala kuya emakhoneni omlomo).
- Ikhanda elibuhlungu elingabekezeleleki, kanye namehlo avuvukile nabomvu, izinguquko embonweni, kanye nomkhuhlane omkhulu kuyizimpawu eziyisixwayiso.
- Uma unalezi zimpawu, kuyisimo esiphuthumayo sezokwelapha. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha bese ubona udokotela wakho.
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