Rare Complication Pashure Kushandiswa Kuvhara Sitiroko
Cerebral hyperperfusion syndrome (CHS) chinhu chisingawanzoitiki chinogona kuitika mushure mokuvhiyiwa kunonzi carotid arterial revascularization. Chinangwa che revascularization ndechokudzivirira zvirwere zvinokonzerwa nekuderedza kwetari yeraroti (ropa rinotakura ropa rinopa oxygen muuropi).
Izwi hyperperfusion rinoshandiswa kurondedzera kuwedzerwa ropa rinokonzerwa neropa iro rinoratidzika rwechirwere.
Kana isingatarisirwi zvakanaka, CHS inogona kukonzera kukura kwehupfungwa (edema), kubuda ropa, uye kunyange rufu.
Maitiro eCS Anoitika
Mukati carotid arteri stenosis inoratidzwa nekuderera kweyeri, izvo zvishoma nezvishoma zvinoderedza kubuda kweropa uye oksijeni kuuropi.
Kusiyana nechirwere chinopisa , icho chinoitika apo mudziyo unoputika, rudzi urwu rwekurohwa runofungidzirwa ischemic , zvinoreva kuti uropi hunosiyiwa oksijeni nekuda kwekudziviswa kana kudzivirirwa kweropa.
Kana akaongororwa, vanachiremba vanowanzoita imwe yeviri nzira inotarisirwa kuita kuti kuwedzerwa ropa kusina kunetseka:
- Endarterectomy , nzira inoshandiswa kubvisa chero kuvhara kubva mukati memudziyo
- Kutsiva , kuiswa kwemesh tube kuitira kuti ropa rive rakazaruka
Kunyange zvazvo maitiro maviri aya ari anoshanda pakurapa chirwere chekugadzikana, dzimwe nguva zvinogona kubudirira. Apo ropa rekuyerera rinokurumidza uye rakadzorerwa zvakakwana, mambure emidziyo miduku uye capillaries inogona kusakwanisa kurarama, kunyanya kana vakave vakaona kuderera uye kuomesa ivo pachavo.
Izvi zvinoitika nokukurumidza kweropa zvinogona kukonzera spike yakakura mukumanikidzwa kunogona kuvhiringidza mishonga yevascular, zvichikonzera kuora uye kupfugama kwemukati. Mune zvimwe zviitiko, mishonga yeropa inogona kuparara zvachose, zvichikonzera kushungurudzika kukuru kwemhepo-chinhu chaicho icho chirwere chacho chairehwa kuchengetedza.
Njodzi Zviitiko Zvinosanganiswa neCS
Pakati pemitemo miviri, carotid endarterectomy inofungidzirwa kuti ndiyo yegoridhe inoshandiswa pakurapa arterial stenosis.
Dambudziko rekurohwa neshure rinotevera endarterectomy inofungidzirwa kuva inenge mishanu kubva muzana uye inowanzokonzerwa kana chimwe chigadzirwa chebhandi chinoparara panguva yekuvhiyiwa uye chinovhara mudziyo mune rumwe rutivi rweuropi.
Kunyangwe kana nzira yacho inopera pasina chechi, chero kupi zvako pakati pepfumbamwe ne14 muzana yevarwere vachawana hyperperfusion. Zvose zvinotaurirwa, zvishoma pane zvitatu zveparotid endarterectomies zvinokonzera CHS yezviratidzo.
Zviratidzo zveCS
Zviratidzo zveCS zvinowanzoitika kune vanhu vane ruzivo rwakakura kupfuura 100 muzana kukura kweropa kuderera kuuropi huchivhiyiwa mushure mekuvhiyiwa. Zvinogona kumira zvakasimba kubva pane zvinyoro uye zvishoma nezvishoma kuti zvigone kutyisidzira upenyu uye zvinosanganisira:
- Headache
- Nausea
- Kudzora
- Chizutu
- Kuora mwoyo
- Chiratidzo chakasvibiswa
- Kugumburwa
- Stroke
- Coma
Zvichienderana nepo kuvhara kana kubuda kunoitika, imwe nhamba yemamwe zviratidzo zvepfungwa dzinogona kukura, kusanganisira kurasikirwa kwepfungwa, kutadza kutaura, kutadza kufema, uye zvinetso zvemotokari.
Kudzivirira kweCS
Iyo huru pane imwe yengozi inokonzerwa neCS is postoperative hypertension. Saka, zvinokosha, kuti chero ani zvake anotarisana ne endarterectomy anofanira kunyatsoongororwa kuti aone chinetso pakutanga. Mafungiro ekufungidzira anosanganisira transcranial Doppler , chimiro che ultrasound chinoyera kuwedzerwa kweropa kuburikidza neuropi.
Pakupedzisira, kupindira kwepakutanga nekudzivirira kwehutano kweropa ndizvo zvinokosha pakugadzirisa kana kuderedza zviratidzo zveCS.
> Kwakabva:
> Lieb, M .; Shah, U .; uye Hines, G. "Cerebral hyperperfusion syndrome mushure mokunge maitiro ekugadzirisa: kuongorora." Ongororo yeCardiology. 2012: 20 (2): 84-9.