Matenda Otsitsimutsidwa a Vasoconstriction Syndrome

Matenda osokonezeka a Vasoconstriction Syndrome ndi Stroke

Matenda osokoneza ubongo a vasoconstriction syndrome (RCVS) amadziwika ndi zigawo zikuluzikulu ziwiri. Yoyamba ndi kuyamba kwadzidzidzi kwa mutu wa bingu . Yachiŵiri ndi kupezeka kwa malo ochepetsera kapena "vasoconstriction" kumene khoma la mitsempha imodzi kapena zingapo m'mbongo imakhala ndi chipsinjo chomwe chimachepetsa magazi. Madera amenewa akhoza kupezeka mosavuta ndi katheter angiogram , ngakhale nthawi zina amatha kuwonanso ndi maginito resonance angiography (MRA) .

Matenda osokonezeka a vasoconstriction akhoza kapena sangayambe kudwala . Nthaŵi zambiri, matenda a stroke amayamba koma amatha kusintha mochedwa. Komabe, anthu ena angasiyidwe ndi malire osatha. Chochitikacho chingayambitsenso kugwidwa ndi imfa.

Kodi Stroke ndi chiyani?

Stroke ndi matenda omwe amakhudza mitsempha yopita ku ubongo. Ndicho chifukwa cha imfa ndi chifukwa chachikulu cholemala ku United States. Sitiroko imapezeka pamene chombo cha magazi chomwe chimanyamula oksijeni ndi zakudya ku ubongo chimatsekedwa ndi chovala kapena kupasuka. Izi zikachitika, mbali imodzi ya ubongo silingapeze magazi (ndi oxygen), kotero izo ndi maselo a ubongo amafa.

Mliriwu ukhoza kuwonetsedwa ndi kutsekemera kwa magazi kutsegula magazi ku ubongo (wotchedwa ischemic stroke ) kapena mwazi wamadzimadzi komanso kuteteza magazi ku ubongo (wotchedwa kupweteka kwa magazi ). TIA (kusachedwa ischemic), kapena "kupweteka kwapang'ono", zimayambitsidwa ndi kanthawi kochepa.

RCVS ikhoza kuyambitsa matenda a ischemic kapena achemorrhagic, omwe amawoneka ngati maimfa a subarachnoid .

Zinthu Zowopsa Kwa Kugonana

• Ukalamba - Mpata wokhala ndi sitiroko pafupifupi maulendo awiri pa zaka khumi zonse za moyo mutakwanitsa zaka 55. Ngakhale kuti anthu ambiri okalamba amavutika ndi zilonda, anthu ambiri oposa 65 amakhala ndi zikwapu.

• Heredity (mbiri yakale ya banja) - Vuto lanu la kupweteka kwambiri lingakhale lalikulu ngati kholo, agogo, aakazi kapena mbale adagwidwa ndi stroke.
• Mpikisano - African-American ali ndi chiopsezo chochuluka cha imfa kuchokera ku stroke kuposa Caucasians. Izi ndizo chifukwa anthu akuda ali ndi mavuto akuluakulu a kuthamanga kwa magazi, shuga ndi kunenepa kwambiri.
• Kugonana (kugonana) - Chaka chilichonse, amayi ali ndi zilonda zambiri kuposa amuna, ndipo kupha ziwalo kumapha akazi ambiri kuposa amuna. Kugwiritsa ntchito mapiritsi oletsa kubereka, mimba, mbiri ya preeclampsia / eclampsia kapena matenda a shuga, kugwiritsira ntchito pakamwa, ndi kusuta, komanso mankhwala opatsirana am'mimba amatha kupweteka kwambiri amayi.
• Musanayambe kupwetekedwa, TIA kapena matenda a mtima - Kuopsa kwa kupwetekedwa kwa munthu amene kale ali ndi nthawi zambiri kuposa munthu amene alibe. Kugonjetsa kwa ischemic (TIAs) kochepa kwambiri ndi "machenjezo ochenjeza" omwe amachititsa zizindikiro monga matenda koma osati kuwonongeka kosatha. TIAs ndizowongolera mwamphamvu za kupwetekedwa. Munthu yemwe ali ndi TIA imodzi kapena zambiri amakhala odwala kangapo kambirimbiri kuposa munthu yemwe ali ndi zaka zofanana komanso kugonana yemwe alibe. Kuzindikira ndi kuchiza TIA kungachepetse chiopsezo chachikulu cha kupwetekedwa. TIA iyenera kuonedwa kuti ndi yachipatala mwamsanga ndipo imatsatira nthawi yomweyo ndi dokotala wa zaumoyo. Ngati mwakhala ndi matenda a mtima, muli pachiopsezo chachikulu chokhala ndi stroke, nanunso.

Ndani Amakhudzidwa ndi RCVS?

RCVS imakhudza amayi nthawi zambiri kuposa amuna, omwe amakhala osowa kwambiri atabereka.

Nchiyani Chimachititsa RCVS?

Chifukwa cha RCVS sichikudziwika, koma akuganiza kuti chimachokera ku chisokonezo cham'tsogolo cha khoma lozungulira, zomwe zimabweretsa kukhwima kwake. Zinthu zingapo zakhala zikugwirizana ndi RCVS, kuphatikizapo:

• Kusankha serotonin reuptake inhibitors (SSRIs)
• Amadzimadzi otsika kwambiri omwe ali ndi pseudoephedrine kapena ephedrine
• Ergotamine
• Tacrolimus
• Nsalu za Nicotime
• Cocaine
• Marijuana

_Zolemba:

_{Anne Ducros, Monique Boukobza, Raphaël Porcher, Mariana Sarov, Dominique Valade ndi Marie-Germaine Bousser; Matenda a zachipatala komanso maulendo opatsirana pogwiritsa ntchito matenda osokoneza ubongo a vasoconstriction syndrome. Oyembekezera odwala 67: Ubongo 2007 130 (12): 3091-3101}