Ngati mwapezeka kuti muli ndi matenda a sinus thrombosis, mukhoza kukhala ndi mafunso okhudza zomwe muyenera kuyembekezera. Pano pali mayankho a mafunso anu okhudza dural sinus thrombosis.
Dural Sinus mwachidule
Chimake chakumidzi ndi mtundu wa mitsuko ya magazi, ndipo, ngakhale dzina, silikugwirizana ndi machimo omwe timaganizira tikamaganizira za kusokonezeka ndi uchimo.
Ubongo uli ndi dongosolo la mitsempha yomwe magazi a mpweya wotsekemera amachotsedwa kumapapo, komwe angathenso kubwezeretsedwa ndi mpweya. Ndondomeko ya mitsempha ndi intaneti ya ziwiya zazing'ono zomwe zimalandira magazi okhetsedwa ndi oksijeni m'madera onse a ubongo.
Pamene mitsempha ikuchoka kutali ndi ubongo, zimapangidwira kupanga ziwiya zazikulu zomwe zimasonkhana pakati pa ubongo ndi fupa la fupa kuti lizipanga zomwe zimatchedwa "uchimo wamtundu." Zowonongeka za m'midzi ndizo ziwiya zazikuru zomwe magazi amachokera mu ubongo, pobwerera kumapapo. Pali ziwonongeko zambiri, ndipo amatchedwa:
- Chomera chachikulu komanso chochepa cha sagittal
- Choponderetsa chachikulu komanso chochepa
- Sinus yopatutsa
- Sigmoid sinus
- Sinus yolondola
- Cavernous sinus
- Kusamvana kwa machimo
Dural Sinus Thrombosis?
Thrombosis ndi magazi. Chimake chapachirombo chotchedwa sinus thrombosis chimakhala mwazi wamkati mkati mwa chimodzi mwa zochimwa.
Mmene Mungayambitsire Stroke
Pamene magazi amagawidwa mkati mwa ubongo umodzi wa ubongo, amachititsa kusungira magazi mkati mwa ubongo wa ubongo, kuteteza magazi kuti asachoke mu ubongo.
Poyambirira, izi sizingakhale zovuta, chifukwa mitsempha yaing'ono imakhala ndi malo owonjezera kuti ikhale ndi magazi owonjezera.
Koma pamene nthawi ikupitirira ndipo magazi atsopano okosijeni akupitirizabe kulowa m'magulu a ubongo kupyolera mu mitsempha, kukonzekera kwa magazi kungayambe kukakamiza makoma a mitsempha mpaka itaphulika, ndipo imatuluka mkati mwa ubongo.
Izi zimayambitsa kupweteka kwa magazi.
Zizindikiro
Chimodzi mwa zinthu zodziwika bwino za dural sinus thrombosis ndi chakuti zimatha kuyambitsa zizindikiro kuyambira kumutu mpaka kupunduka mwadzidzidzi kumbali imodzi ya thupi.
- Anthu oposa 90% omwe ali ndi dera losokoneza bongo amadandaula chifukwa cha kupweteka kwa mutu
- 50% ali ndi zizindikiro zowonongeka
- Pafupifupi 40% ya zowonongeka zapachilengedwe zimayambitsa kukomoka
- Munthu yemwe ali ndi dera lapachirombo lingathe kukumana ndi kukumbukira kapena akhoza kusiya kulankhula mosayembekezereka, malingana ndi uchimo wamtundu womwe umakhudzidwa.
Pamene chiwonongeko cha m'mimba chimayambitsa mitu ndi masomphenya osasangalatsa, chikhoza kusokonezeka ndi chidziwitso chodziwika bwino monga hypertesion yoopsa, yomwe imadziwika kuti pseudotumor cerebri.
Kudziwa
Ngati mupita kuchipinda chodzidzimutsa ndi zizindikiro zilizonsezi, muyenera kuyembekezera kuti muyesetse kugwiritsira ntchito matenda a ubongo komanso khungu la CT. CT scan ndiyeso yowonongeka yomwe ingasonyeze malo omwe amachotsa mkati mwa ubongo.
Ngati pali magazi, opaleshoni yokhetsa magazi ikhoza kukhala njira. Komabe, kuti apeze madokotala a dural sinus thrombosis madokotala ayenera kuchita mayeso otchedwa magnetic resonance venography kapena MRV, mayeso ojambula zithunzi omwe ali ofanana ndi a MRI, koma omwe amasonyeza mwazi mkati mwa mitsempha ya ubongo ndi fuga.
Pamene MRV sichipezeka, CT angiography ingagwiritsidwenso ntchito kuwonetsera zochimwa za m'midzi.
Chithandizo
- Kuchiza opaleshoni:
Pamene uchimo wa thrombosis umayambitsa kuchuluka kwa magazi mkati mwa ubongo, opaleshoni ikhoza kukhala yofunikira kuchotsa magazi. Kutaya magazi mu ubongo kungayambitse kupweteka kwa ubongo mu ubongo, kuchititsa kulemala kosatha komanso mwinamwake imfa. Ndondomeko yochotsa magazi mu ubongo imatchedwa kuti compressant hemicraniectomy. - Mankhwala:
Ngati mwapezeka kuti muli ndi sinus thrombosis, mungalandire chithandizo cha nthawi yaitali ndi ochepa magazi, monga heparin, coumadin, kapena Lovenox. Mankhwalawa amaperekedwa pofuna kupewa kutsekula kwa magazi mkati mwa malo osokonekera, komanso kuletsa mapangidwe atsopano a magazi omwe angapangitse kukwapula kwatsopano kapena mwakuya.
- Nthaŵi zina, kupanikizika kwapachilendo koopsa kuchokera ku zilonda zikuluzikulu kumafuna kutulutsa hypothermia kapena kutentha kwa kutentha kwa thupi, komwe kumathandiza kupewa ubongo. Mankhwala ena akuyesetsanso amapezeka m'mazipatala kudutsa m'dziko lonse lapansi, momwe magazi amathyoledwa mkati mwa chimbudzi chokhudzidwa pogwiritsira ntchito njira zamakono zotchedwa endovascular thrombolysis.
Ndani Ali Pangozi?
Anthu makumi asanu ndi atatu mphambu zisanu ndi atatu mwa anthu omwe amapezeka ndi matenda a sinus thrombosis amakhala ndi chizoloŵezi chopanga magazi. Zina mwa zochitika kapena zochitika zomwe zimapangitsa anthu kuti apange magazi amphatikizapo:
- Kuvulaza mutu
- Miyezi itatu yapitayi ya mimba
- Posakhalitsa, nthawi kapena pambuyo mutapereka zoipa
- Kugwiritsa ntchito mapiritsi oletsa kubereka
- Mankhwala a Lumbar (matepi a m'mphepete)
- Matenda, makamaka pamaso, maso kapena makutu
- Matenda a magazi omwe amachititsa kuti aphedwe
Mawu Ochokera
Dususus thrombosis si yachilendo, ndipo ngati inu kapena wokondedwa wanu muli ndi sinus thrombosis, ndiye kuti mwapezeka kuti muli ndi stroke. Dural sinus thrombosis ndi mtundu wa stroke. Anthu ambiri amachiritsidwa pambuyo poti sinus thrombosis imakhalapo ndipo amafunika kufufuza bwinobwino kuti azindikire komanso kuthana ndi mavuto a magazi omwe angayambitse matenda a sinus thrombosis.
> Zotsatira:
> Cerebral venous sinus thrombosis yovuta kwambiri ndi chitukuko chochuluka cha feretula yambiri: Nkhani yofotokozera. Chen JG, Li ZX, Zhang DF, Wang JY, Hou LJ, J Clin Neurosci. 2017 Jun 30. pii: S0967-5868 (17) 30048-6.