Pseudotumor cerebri imapezeka pamene kupsinjika pakati pa chigaza, kapena kupanikizika, kumawonjezera popanda chifukwa. Kuwonjezeka kumeneku kumachititsa zizindikiro za chotupa mu ubongo. Chifukwa palibe kwenikweni chotupa chopezekapo, chikhalidwecho chimatchulidwa ngati pseudotumor kapena chithokomiro chabodza. Pseudotumor cerebri ndi vuto lalikulu limene lingayambitse kupweteka kwa masomphenya.
Madokotala angagwiritsenso ntchito mawu akuti benign intracranial hypertension. Komabe, ntchito zachipatala zikuyesera kuti zisagwiritse ntchito mawu onsewa omwe amachititsa kuti thupi likhale loopsa kwambiri komanso likhale lopweteka chifukwa limachepetsanso vutoli. Mawu olondola ndi akuti idiopathic intracranial hypertension kapena IIH.
Zizindikiro
Chizindikiro chachikulu cha IIH ndikumanikizidwa mkati mkati mwachangu. Kuwonjezeka kwa mankhwala osokoneza bongo kumachititsa kuti papilledema, kapena kutsekemera, kutsegula m'mitsempha. Mitsempha ya optic ndi chingwe cha mitsempha chomwe chimagwirizanitsa maso anu ndi ubongo wanu. Chifukwa cha kutupa uku, masomphenya akhoza kuwonongeka kwambiri ndipo ubongo ukhoza kuchitika. Zizindikiro za IIH zikuphatikizapo:
- Mutu umene ukhoza kuwonjezereka ndi kusintha kwa malo
- Ululu wopangidwa ndi kayendedwe ka maso
- Masomphenya obisika kapena osokonezeka
- Masomphenya awiri
- Chizungulire
- Nausea
- Matenda, kapena kumalira m'makutu
Zimayambitsa
NthaĊµi zambiri IIH, chifukwa chenicheni sichidziwika. Matendawa amayamba chifukwa cha kuchuluka kwa cerebrospinal fluid m'thuga lanu.
Pseudotumor amaoneka ngati yowonongeka kwambiri pa akazi oposa kwambiri a zaka za kubala. Mankhwala ena angapangitse chiopsezo chanu chokhala ndi IIH, kuphatikizapo mlingo wa mavitamini A, tetracycline, minocycline, nalidixic acid, corticosteroids, ndi corticosteroid kuchotsa. Zinthu zina zomwe zingakuchititseni chiopsezo, zimaphatikizapo zovuta zowonjezereka, anemias, magazi a dyscrasias, ndi kupereĊµera kosapumitsa kwachilendo.
Komabe, ambiri amalephera kudziwika.
Kudziwa
Madokotala a maso nthawi zambiri amayamba kukayikira IIH chifukwa cha kusintha kwa masomphenya anu komanso maonekedwe a mitsempha ya optic. Mayesero otsatirawa angagwiritsidwe ntchito ngati pseudotumor cerebri akukayikira:
- Zooneka bwino
- Kuyesedwa koyang'ana kumunda
- Kuyesedwa kwa maso mkati
- Kuyesedwa kwa maso kumaso
- Masomphenya a mtundu
Kuyezetsa koonjezera, monga kuyezetsa magazi, MRI, CT scan, ndi phokoso la msana kungakhale kofunika kutsimikizira kuti matendawa ndi otani komanso kuti athetse mavuto ena omwe akuchititsa kuti anthu asamapanikizidwe kwambiri.
Njira Zothandizira
Chithandizo cha pseudotumor cerebri chimapangitsa kuchepetsa kupanikizika kwanu. Izi zikhoza kupindulidwa mwa kusintha malingaliro anu pochepetsa kuchepetsa madzi ndi mchere. Mankhwala ena angaperekedwe, monga corticosteroids, acetazolamide kapena furosemide. Kuchitanso opaleshoni kumafunikanso pa milandu yowopsya kwambiri, poyang'ana kupanga mawindo kapena kutseka kuti kuchepetsa kutentha kwa madzi kumbali ya mitsempha, ubongo, ndi msana.
Mawu Ochokera
2H amayamba bwino ndi mankhwala. Komabe, nthawi zina zimakhala zovuta ndi nthawi, kapena zimatha kuthetsa ndi kubwereranso. Amayi asanu ndi awiri (5-10%) omwe ali ndi chidziwitso cha IIH amalepheretsa kuona masomphenya. Anthu ambiri omwe ali ndi vutoli sakufuna chithandizo cha opaleshoni.
> Zotsatira:
> Kukambirana kwa Optometry. Buku Lopereka Mauthenga Olimbana ndi Matenda a Edzi: Pseudotumor Cerebri. 2000-01.
> Slamovits, > Thomad > L. ndi Ronald Burde. Neuro-ophthalmology, Voliyumu 6. Buku la Mosby-Year Europe Ltd., 1994.