Matenda omwe amadziwika kuti matenda otchedwa leukoencephalopathy, kapena RPLS, ndi osowa, omwe amawoneka ngati akugunda m'mimba. Kutembenuka mtima kotchedwa leukoencephalopathy nthawi zambiri kumagwirizanitsidwa ndi nthawi yambiri ya kuthamanga kwa magazi . Komabe, matendawa angakhalepo mwadzidzidzi musanasankhe. Ndipo, chifukwa sichikutsimikiziridwa kuti kanthawi koti sitiroko kapena kachilomboka kamene kadzachitika, ndikofunika kupeza chithandizo cha matenda a ubongo.
Ngati mwauzidwa kuti inu kapena wokondedwa wanu mwakhala mukudwala matenda a leukoencephalopathy, mukhoza kukhala ndi mafunso angapo okhudza izo.
Chimodzi mwa zizindikiro za RPLS ndi chakuti ndizosinthika, zomwe zikutanthauza kuti vutoli ndi laling'ono komanso kuti zizindikiro zake ndi zotsatira za MRI zimakhala zosakhalitsa. Madera a ubongo omwe amakhudzidwa ndi matendawa ali kumbuyo kwa ubongo. Leukoencephalopathy imatanthauzidwa ngati kugwidwa kwa chidziwitso, chisokonezo, kapena kusintha kwa maganizo chifukwa cha chikhalidwe chomwe chimakhudza dera lalikulu la ubongo. Pankhani ya RPLS, ndi nkhani yoyera ya ubongo yomwe imakhudzidwa kwambiri. Matendawa ndi matenda. Matenda ndi magulu a zizindikiro za matenda omwe amapezeka nthawi zonse pamene matendawa akufalikira kapena 'amatha.'
RPLS ndi matenda omwe nthawi zambiri kuthamanga kwa magazi kumapangitsa kuti kutupa kumabweretsedwe mu nkhani yoyera kumbuyo kwa ubongo, motero kumatsogolere kusintha kwapakati pa maganizo.
Kusiyana kwa RPLS
Pamene zikuchitika, zizindikiro zomwe zimachitika ndi chikhalidwechi sizinatchulidwe momveka bwino, monga momwe RPLS yasonyezera kuti imayambitsa zizindikiro zosiyanasiyana, zomwe zimakhala zovuta kwambiri, komanso nthawi yayitali. Zowonjezereka mwa izi, monga momwe zinafotokozedwa ndi kafukufuku wina, zimaphatikizapo matenda opatsirana (92%) kugwidwa (87%), kupweteka mutu (54%) ndi mavuto a maso (39%).
Koma sikuti milandu yonse ya RPLS imasinthidwa, pambuyo pake, kapena yokhudzana ndi kutupa mu nkhani yoyera. Choncho pafupifupi mbali iliyonse ya ubongo ingasokonezedwe ndi RPLS, ndipo zizindikiro zina zapakati zikhoza kukhalapo.
Kudziwa
Chidziwitso cha RPLS chimapangidwa mwa kupyolera mwachipatala chomwe chimaphatikizapo mbiri yakale ya zizindikiro zomwe wodwalayo amapeza, kuyezetsa magazi, MRI ya ubongo, ndi kukhalapo kwa kuthamanga kwambiri kwa magazi pa nthawi ya mwambo. Kafukufuku wina, amasonyeza kuti anthu ena amatha kuvutika ndi RPLS pakakhala vuto la magazi. Izi zikhoza kuchitika mu chikhalidwe chotchedwa eclampsia, chomwe nthawi zambiri chimagwirizanitsidwa ndi kutenga mimba mochedwa kapena kugwira ntchito ndi kubereka. Kuchulukitsana ndi leukoencephalopathy kungakhalenso mwa anthu omwe amagwiritsa ntchito mankhwala enaake.
Kawirikawiri, MRI ya ubongo wa odwala omwe ali ndi RPLS imasonyeza kuphulika mu nkhani yoyera ya chigawo chotsatira cha ubongo ku mbali zonse za kumanzere ndi kumanja. Komabe, nthawi zina, RPLS ikhoza kumaphatikizapo madera omwe ali kutsogolo kwa ubongo kapena zigawo zina za ubongo, ndipo mwina zingaphatikizepo mfundo zakuda. Komanso, ambiri a RPLS apulumuka opulumuka ndi kuwonongeka kwa ubongo, ngakhale kuti nthawi zambiri chisankho cha kutupa chimachitika.
Kupititsa patsogolo kungathe kutsimikiziridwa ndi MRI yotsatira ya ubongo.
Chithandizo
Chithandizo cha RPLS chimaphatikizapo kuyang'anitsitsa kuthamanga kwa magazi ndi magulu a madzi m'thupi. Kuwonjezera pamenepo, kuteteza ndi kuchiza kukhumudwa ndi gawo lofunika kwambiri pa kayendedwe ka vutoli. Kuyang'anitsitsa kwambiri zizindikiro monga mutu ndi chinthu chofunikira chodziwitsa kusintha kwachangu mkhalidwewu.
Kuthamangitsani
Kawirikawiri, zizindikiro zimatsimikiziranso masiku angapo mpaka masabata pambuyo pa kuyamba koyamba kwa RPLS. Komabe, mofanana ndi zigawo zonse za stroke kapena mini-stroke, pakhoza kukhala zizindikiro zotsalira za kuwonongeka kwa ubongo.
Kusinthidwa ndi Heidi Moawad MD
Zotsatira:
> Vivien H. Lee, MD; Eelco FM Wijdicks, MD; Edward M. Manno, MD; Alejandro A. Rabinstein, MD; Matenda a Kachilombo Opatsirana Otchedwa Leukoencephalopathy; Arch Neurol. 2008; 65 (2): 205-210.
> JP Mohr, Dennis W. Choi, James C. Grotta, Bryce Weir, Phillip A. Wolf Stroke: Matenda, Maganizidwe, ndi Management Churchill Livingstone; Kope lachinayi ( > 2004).