Nechikonzero Chidiki cheMusoro weCheche Women
Idiopathic Intracranial Hypertension (IIH) chirwere chekurapa chinokonzerwa nokuwedzera kwemumumvuri wezvinokonzera kumhepo kwakapoteredza uropi, mukushayikwa kwechirwere kana zvimwe chirwere chepfungwa. Iyo yaimbozivikanwa se pseudotumor cerebri. IWE inowanzoonekwa kune vakadzi vakanyanyisa uye mumakore ekubereka kwavo.
Zviratidzo zveHII
Musoro uye chiratidzo zvinoshandiswa ndezvipi zviratidzo zvekare zvinowanikwa muna IIH.
Pamusoro pekuongororwa kweziso, vanachiremba vachaona papilledema -mamiriro ezvinhu anogadzirwa ne optic disc kuvhara kweziso, nekuda kwekuwedzera kuwedzera muuropi. Iyo inorwara nechiremba panguva yekuongorora kwei ophthalmoscopic.
Zvimwe zvakajairika (asi kwete zvoga) zviratidzo zvinowanikwa kune varwere vane IIH dzinosanganisira:
- zvishoma nezvishoma zvinoonekwa
- pulsatile tinnitus (kunzwa kuchema kana kuputika ruzha mumusoro wako)
- photopsia (perceiving flashes of light)
- kurwadziwa shure kwemaziso
- zviratidzo zviviri
- kurasikirwa kworatidzwa
Musoro Wechipiri unonzwa Sei?
Musoro unobva kuHH unogona kufanana neyemagraine kana kushungurudzika-musoro musoro , zvichiita kuti kuongororwa kunetseke. Kunyanya, hapana imwe "chaiyo yemusoro" iyo vanhu vane IIH vane. Izvo zvinonzi chikamu chepachipiri cheHH chakanyanya uye chinoputika, sechine migraine. Iyo kurwadziwa inogona kunge iri pakati kana nguva dzose uye inogona kusanganiswa neyeusea uye / kana kurutsa. Dzimwe nguva, vanhu vane hutachiona hweHH vanocherechedza marwadzo shure kwemaziso avo uye / kana kurwadziwa nekufamba kweziso.
IIH Inozivikanwa Sei?
Kana chiremba achifungira IIH uye achiona papilledema paziso rekuongorora, acharonga MRI yeuropi uye uye pasina kusiyana nekuongorora kuti chinokonzera chikonzero chako chekuwedzera kusagadzikana. Sekondari zvinokonzera kushandiswa kwepracharal hypertension dzinosanganisira (asi kwete zvishoma):
- Cerebral venous thrombosis
- Uturu hwebongo kana abscess (kukohwa kwehutachiwana hwehutachiwana)
- Kubvisa hydrocephalus
- Subarachnoid Hemorrhage
- Malignant Hypertension
Kana pasina chikonzero chakaonekwa paMRI, iwe uchange uchinge uchinge uchisimbiswa uye uchengetedze hutachiwana kuburikidza nekuongororwa kweperesi yemvura kana CSF. Muna IIH, hapana hutachiona, saka kuumbwa kweCSF kunowanzoitika. Asi iyo yakagadziriswa inenge ichinyatsoratidza kuvhara kwekuzaruka kupfuura 250 mmH2O, iyo inoratidzirwa yekumanikidzirwa kwepamusoro.
Kurapa kweHIIH
Kurapa kweHSH kunoda kutevedza pedyo neurologist uye opthamalogist. Chirwere chepachipiri cheHIV chinonzi mishonga yemishonga inonzi acetazolamide, iyo inoderedza chiyero cheCF production. Chiremba wako angarangarira mamwe mazano kana iwe uine sulfa allerergy kana uri nepamuviri. Dzimwe nguva, mazamu emarcccc and corticosteroids anoshandiswa munguva shomanana kubatsira kubvisa kukanda kweSCF-asi, izvi hazvirevi nguva refu.
Kana munhu ane musoro musoro asingagadziri kurapa kurapwa uye / kana ari kutambura nekufambira mberi kwekuona kurasikirwa, chirwere chinodiwa. Kupindira kwekuvhiya kunosanganisira mitemo inonzi optic nerve sheath fenestration (ONSF) uye / kana chirongwa cheScF shunting.
Mu optic nerve sheath kupera, tsanga kana hwindo rinogadzirwa mu optic nerve sheath. Izvi zvinobvumira CSF kubvisa, kuderedza kushungurudzika kweropa, kubvumira kuti chiratidzo chive chikamu kana kuti chakakwana chakadzorerwa. Zvidzidzo zvinoratidza kuti ONSF inonyanya kushanda pakuvandudza kurasikirwa kworuzhinji, kunyanya kana yakaitwa kare kupfuura gare gare. MuchiScF shunting, mvura yepamuviri inoderedzwa kune dzimwe nhengo dzomuviri, zvakare kuderedza kushandiswa kweuropi.
Shoko kubva
Musoro weHII huri kushanduka uye unobudiswa nekuwedzera kusagadzikana , kunoratidzwa nepapilledema pane kuongorora kweziso. Mishonga inokosha uye inokurumidza kuchengetedza kurasikirwa nekuona uye inoda kufambisa-kutevedzana neurourologist yako uye opthamalogist.
Sources:
Lee AG & Wall M. Idiopathic inonyanya kukonzerwa nehutachiona (pseudotumor cerebri): Clinical features uye diagnostic. Mu: UpToDate, Basow DS (ed), UpToDate, Waltham, MA, 2015.
Lee AG & Wall M. Idiopathic inonyanya kukonzerwa nehutachiona (pseudotumor cerebri): Prognosis uye kurapwa. Mu: UpToDate, Basow DS (ed), UpToDate, Waltham, MA, 2015.
National Institute of Neurological Disorders uye Stroke. Pseudotumor Cerebri Information Page.
Obi EE, Lakhani BK, Burns J, & Sampath R. Kugadzirwa kwehutano hwesheati yehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hwehutachiona hunoti: Clin Neurol Neurosurg . 2015 Nha. 137: 94-101.
Pineles SL, Washington DC. Mikana Yenguva Yakareba yeAvtic Nerve Sheath Kuwedzera kweIdiopathic Intracranial Hypertension: Pakutanga Kupindira Vanoda Maitiro Akavandudzwa. Neuro-Ophthalmology. 2013; 37 (1): 12-19.