Ingabe ngezinye izikhathi uthola ikhanda elibuhlungu kakhulu? Ngesikhathi esifanayo, ingabe uzizwa ungacacile embonweni wakho, unesicanucanu, noma unesizungu ? Lapho lezi zimpawu zivela, ukwesaba okukhulu okufika engqondweni yethu ukuthi, 'O, ingabe nginesimila ekhanda lami?' Kodwa akudingeki sihlale sesaba. Ngoba, kukhona isimo esibonisa izimpawu zesimila sobuchopho, kodwa empeleni akusona isimila. Yilokho esikubiza ngokuthi i-Pseudotumor Cerebri.
Iyini i-Pseudotumor Cerebri?
Igama elithi "pseudotumor" lisho "isimila esingamanga." Lokhu kusho ukuthi empeleni akusona isimila esinomdlavuza. Kodwa-ke, izimpawu zifana kakhulu nezesimila sobuchopho. Igama lezokwelapha elivame kakhulu lalokhu yi -Idiopathic Intracranial Hypertension (IIH) . Kalula nje, yilapho ingcindezi ezungeze ubuchopho bakho ikhuphuka ngaphandle kwesizathu esibonakalayo.
Asikwazi ukunquma ngokwethu ukuthi lezi zimpawu zibangelwa yisifo sobuchopho noma isimo esibizwa ngokuthi i-Pseudotumor Cerebri. Ngakho-ke, uma unalezi zimpawu, kubalulekile ukubona udokotela ngokushesha okukhulu bese uhlolwa. Lesi simo singaba buhlungu kakhulu, futhi singabangela nomonakalo ongapheli ekuboneni kwakho. Uma uqala ukwelashwa kusenesikhathi, ungasindisa ukubona kwakho.
Kungani lokhu kwenzeka? Iyini imbangela?
Kulungile, ake sibone ukuthi kungani ingcindezi ezungeze ubuchopho ikhula kanje.
Ubuchopho bethu kanye nomgogodla kuzungezwe uketshezi olukhethekile olubavikela ekulimaleni. Lokhu sikubiza ngokuthi uketshezi lwe-cerebrospinal (CSF) . Umzimba wethu ukhiqiza njalo lolu ketshezi, futhi luphinde lumuncwe ngemithambo yegazi. Lokhu kwenzelwa ukugcina inani elithile loketshezi oluzungeze ubuchopho ngaso sonke isikhathi.
Kodwa ngezinye izikhathi, imizimba yethu iqala ukukhiqiza uketshezi oluningi kakhulu. Noma, ayimunci okuningi njengoba ikhiqiza. Noma ngabe yikuphi, umphumela uba ukwanda kwenani loketshezi lwe-CSF oluzungeze ubuchopho. Lapho lolu ketshezi luqoqana, ingcindezi ngaphakathi kobuchopho iyanda. Lokhu kucindezela okwandayo kubangela ukuthi i-optic nerve, ethwala imiyalezo evela emehlweni ethu iye ebuchosheni, ivuvuke. Yilapho izinkinga zokubona ziqala khona.
Ubani osengozini enkulu yokuthola lesi simo?
I-Pseudotumor Cerebri ivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-20 no-50. Abesifazane abakhuluphele ngokweqile (abakhuluphele ngokweqile) basengozini enkulu.
Ngaphezu kwalokho, le ngozi ingandiswa ngezinye izimo zezokwelapha kanye nemithi ethile.
| Izimo zezokwelapha ezandisa ingozi | Izidakamizwa ezandisa ingozi |
|---|---|
| Isifo sika-Addison | Amanye ama-antibiotic |
| Izinkinga zegazi (ukujiya kwegazi, i-anemia) | Amaphilisi okuvimbela inzalo |
| Izimo ezifana ne-lupus kanye ne-Behcet's syndrome | I-hormone yokukhula |
| Isifo sezinso | I-Lithium |
| I-Polycystic Ovary Syndrome (PCOS) | Izinhlobo ze-Steroids |
| Ukuphefumula komoya ngesikhathi sokulala | Imithi equkethe i-Vitamin A |
Ziyini ngempela izimpawu zalokhu?
Nazi ezinye izimpawu zokuthi ungase ube nalesi simo.
Njengoba lesi simo singabangela ukulimala kwamehlo, kubaluleke kakhulu ukubonana nodokotela ngokushesha okukhulu bese uthola ukwelashwa .
| Isibonakaliso | Incazelo |
|---|---|
| Ikhanda elibuhlungu | Ubuhlungu obukhulu obuvame ukuqala ngemuva kwamehlo noma ngemuva kwekhanda. Ubuhlungu buyanda uma ulele phansi futhi bunciphe kancane uma uhleli. |
| Izinkinga zokubona | Umbono ofiphele, umbono ophindwe kabili. Ngezinye izikhathi, umbono ungase ulahleke imizuzwana embalwa. |
| Isicanucanu nokuhlanza | Ikhanda elibuhlungu elihambisana nokucasuka nokuhlanza. |
| Isiyezi | Ukuzizwa unesizungu. |
| Ukuzwa umsindo ezindlebeni | Ukuzwa umsindo othi "gum gum" ezindlebeni ngokwenhliziyo. |
| Ukuqina kwentamo | Ukuzwa sengathi imisipha yentamo iqinile. |
Lezi zimpawu zingase zibe zimbi kakhulu uma usebenza, njengalapho uzivocavoca. Lokhu kungenxa yokuthi ingcindezi ngaphakathi kobuchopho iyanda ngesikhathi sokuzivocavoca.
Udokotela ukubona kanjani lokhu?
Uma uya kudokotela, baqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha.
Inkomba enkulu yokuthola lesi sifo ukuthi lapho udokotela ehlola iso lakho ngethuluzi elikhethekile (i-ophthalmoscope), inzwa ye-optic ngemuva kweso ibonakala sengathi ivuvukele .
Ngaphezu kwalokho, kungadingeka ukuthi ube nokuhlolwa okukodwa noma ngaphezulu kwalokhu:
- Ukubhoboza umgogodla/umgogodla:Lokhu kuhilela ukufaka inalithi encane emhlane wakho ongezansi bese ususa inani elincane loketshezi lwe-CSF oluzungeze umgogodla wakho. Lokhu kuhlolwa kungahlola ukucindezela okwenyukile ngaphakathi kwekhanda futhi kungasiza ekunciphiseni ukucindezeleka ngokususa uketshezi oluningi.
- I-CT scan ( i-computed tomography ): Lokhu ukuhlolwa kwe-X-ray okunamandla okungaveza izithombe ezinemininingwane zobuchopho bakho.
- I-MRI scan (Magnetic Resonance Imaging): Lokhu kusebenzisa omaginethi abanamandla namagagasi omsakazo ukuze kubhekwe ingcindezi eyengeziwe ngaphakathi kobuchopho noma okunye ukukhula okungavamile.
Kuzodingeka futhi uhlolwe amehlo akho njalo . Udokotela wamehlo uzohlola izindawo ezingaboni kahle kanye nokuvuvukala kwenzwa yokukhanya.
Iphathwa kanjani?
Ukuqala ukwelashwa ngokushesha okukhulu kungasindisa umbono wakho.
Izinguquko zendlela yokuphila
Enye yezindlela zokwelapha ezinhle kakhulu nezibaluleke kakhulu zalokhu ukunciphisa isisindo uma ukhuluphele ngokweqile . Ukwehlisa isisindo ngokwakho kungaba nzima. Ngakho-ke, kungcono ukufuna usizo lochwepheshe wezokudla noma umqeqeshi. Kubalulekile futhi ukunciphisa usawoti noketshezi ekudleni kwakho. Lokhu kunganciphisa inani loketshezi lwe-CSF olukhiqizwa emzimbeni.
Imithi nokuhlinzwa
Imithi kanye nokuhlinzwa ukuze kuncishiswe ingcindezi ebuchosheni yizona zindlela zokwelapha eziyinhloko.
- Imithi: I-Acetazolamide (Diamox) umuthi ovame ukunqunywa. Lokhu kunciphisa inani loketshezi lwe-CSF olukhiqizwa umzimba. Futhi, uma unekhanda elibuhlungu, njenge-migraine, uzonikezwa imithi yalo.
- Ukuhlinzwa: Uma izimpawu zingenakulawuleka ngemithi, kungase kudingeke ukuhlinzwa.
- Ukuzithiba: Kalula nje, lokhu kuhilela ukufaka ipayipi elincane ebuchosheni noma emgogodleni bese kukhishwa uketshezi oluningi (CSF).
- Ukufakwa kwe-optic nerve sheath fenestration: Kule nqubo, udokotela ohlinzayo wenza i-incision encane esicutshini esizungeze i-optic nerve, okuvumela uketshezi oluqongelelene lapho ukuthi luphume.
Ngemva kokwelashwa, ingcindezi ngaphakathi kobuchopho izoncipha kancane kancane futhi uzoqala ukuzizwa ungcono. Iningi labantu liyalulama ngokuphelele. Kodwa-ke, inani elincane labantu lingase libe nomonakalo wamehlo unomphela.
Umlayezo Wokuya Nawe Ekhaya
- I-Pseudotumor I-Cerebri empeleni ayisona isimila sobuchopho. Yisimo esibangelwa ukucindezeleka okukhulu okuzungeze ubuchopho.
- Izimpawu eziyinhloko ikhanda elibuhlungu kakhulu, ukubona okufiphele, kanye nesicanucanu. Lezi zifana nezimpawu zesimila sobuchopho.
- Lesi simo sivame ukubonakala phakathi kwabesifazane abakhuluphele, abasebasha.
- Uma unezimpawu ezinjengalezi, bonana nodokotela ngokushesha ngaphambi kokuba umbono wakho wonakale.
- Ukwehlisa isisindo kungenye yezindlela eziyinhloko nezibaluleke kakhulu zokwelapha lokhu.
- Njengoba lesi simo singaphinde sibuye, kubalulekile ukulandela imiyalelo kadokotela nokuhlolwa njalo.
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