Kana wakamboonekwa kuti une dural sinus thrombosis, unogona kuva nemimwe mibvunzo pamusoro pezvaunotarisira. Heano mhinduro dzemibvunzo yako maererano nedhara sinus thrombosis.
Dural Sinus Overview
Chivi chemukati chikamu chechiropa chemvura, uye, pasinei nezita racho, hachina kufanana nezvivi zvatinofunga apo patinofunga nezvezvakanaka uye sinus kusanganiswa.
Uropi hune urongwa hwemitsipa iyo iyo oxygen-yakazara ropa inotakurwa zvakare kumapapu, apo inogona zvakare kugadziridzwa ne oksijeni. Iyi nzira yemashuini ibhuroti remidziyo miduku inogamuchira ropa reyerojeni-rakapedzwa kubva kumativi ose europi.
Sezvo mitsetse ichienda kure nemakumbo, inofanirwa kuumba midziyo mikuru inoungana pakati peuropi nefupa rehenya rekuumba izvo zvinonzi "zvitadzo zvemukati." Zvivi zvepakati pezvisikwa ndiyo midziyo huru pane iyo ropa rinobuda kunze kweuropi, pakudzokera kwayo kumapapu. Kune huwandu hwezvitadzo zvemukati, uye dzinonzi:
- Yakakwirira uye yakashata sagittal sinus
- Mukurumbira uye pasi pechirusi chechivi
- Transvers sinus
- Sigmoid sinus
- Sinus yakarurama
- Cavernous sinus
- Kutenderera kwezvitadzo
Dural Sinus Thrombosis?
A thrombosis inopa ropa. A dural sinus thrombosis ivhapa reropa mukati meimwe yezvivi zvemukati.
Zvingaita Sei Sitiroko
Apo ropa rinoputika mukati meimwe yenhengo dzouropi hwezvitadzo zvemukati, zvinokonzera kubvisa ropa mukati mehutano hwehuputi hwehuropi, kudzivirira ropa kubva pakusiya maitiro europi.
Muchikamu chekutanga, izvi zvingasava dambudziko, nokuti mitsetse miduku ine imwe nzvimbo yekuwedzera kuti igone kuwedzerwa ropa.
Asi sezvo nguva ichienderera mberi uye ropa idzva rega-oxygen rinoenderera mberi kupinda muuropi mahutusi kuburikidza nemishonga, kuwedzera kwekuwedzera kweropa kunogona kutanga kukonzera kumadziro emariti kusvikira yava kuputika, uye kubuda mukati meuropi.
Izvi zvinokonzera chirwere chakanyanya.
Zviratidzo
Chimwe chezvinhu zvakazivikanwa zvemukatikati sinus thrombosis ndechokuti inogona kukonzera zviratidzo kubva kubva kumusoro kusvika kune kupera kamwe kamwe uye kwakakwana kune rumwe rutivi rwemuviri.
- Vanhu vanopfuura 90% vane dural sinus thrombosis vanogunun'una nezvekurwadza musoro
- 50% vane chimiro chekurova zviratidzo
- Anenge makumi mana kubva muzana makumi mana ematatu ezviuru zvechivi chinokonzera kukanganisa
- Munhu ane ruvara rwechihedhu sinus anogonawo kunzwa kurasikirwa mupfungwa kana kuti anogona kurega kutaura asingatarisirwi, zvichienderana nedzimwe dural sinus yakaitwa.
Apo dural sinus thrombosis inongokonzera misoro uye maziso asinganzwisisiki, inogona kuvhiringidzwa nemamiriro ezvinhu anozivikanwa sebenign intracranial hypertesion, inozivikanwawo se pseudotumor cerebri.
Kuziva
Kana iwe uchienda kuchivako chinoshamwaridzana nechimwe chezviratidzo izvi, unofanirwa kutarisira kuva nechizere chekuongorora kwepfungwa uye uropi CT scan. The CT scan is a fast diagnostic test that can show areas of bleeding within the brain.
Kana pane kubuda ropa, kuvhiyiwa kukwepa ropa kunogona kuva sarudzo. Zvisinei, kuitira kuti uongorore dural sinus thrombosis vanachiremba vanofanira kuita chiitiko chinonzi magnetic resonance venography kana MRV, chirwere chekufananidzira chekufananidzira icho chakafanana neCMRI inowanzogadzirwa, asi iyo inonyatsoratidza ropa mukati memaketani europi nehenya.
Apo MRV isiripo, CT ingiography inogona kushandiswawo kufungidzira zvivi zvemukati.
Kurapa
- Zvokurapa:
Apo dural sinus thrombosis inokonzera kuwanda kwekubuda ropa mukati meuropi, chirwere chinogona kudikanwa kubvisa ropa. Kusvetuka mukati meuropi kunogona kutungamirira kukumanikidzwa kwezvivako zvakakosha muuropi, zvichikonzera kusagadzikana kusingaperi uye pamwe kunyange kufa. Nzira yekubvisa ropa kubva muuropi inonzi inodzvinyirira hemicraniectomy. - Zvirwere zvokurapa:
Kana iwe wakamboonekwa uine dural sinus thrombosis, unogona kugamuchira kwenguva yakareba kurapwa nevhudzi veropa, zvakadai saHeparin, coumadin, kana Lovenox. Iyi mishonga inopiwa kuitira kuti kudzivirira kuwedzerwa kweropa mukati mechirwere chakakanganiswa, nekudzivirira kuumbwa kwemagazi eropa matsva zvinogona kutungamirira kune zvitsva uye zvichida kurohwa.
- Mune zvimwe zviitiko, kuwedzerwa kudzvinyirira kunokonzerwa nemakumbo makuru kunoda kuiswa kwe hypothermia kana kupisa kwekushisa kwemuviri, izvo zvinobatsira kudzivirira humwe hupakuvadza huropi. Mimwe mishonga yekuedza inowanikwawo mune zvipatara zvakasarudzwa munyika yose, umo ropa rinoputika rinogona kuputsika mukati mechando chakakanganiswa uchishandisa magadzirirwo anokosha endovascular thrombolysis.
Ndiani Ari Pangozi?
Eighty-five per cent of people who are diagnosed with dudity sinus thrombosis have a predetermined form of blood clots. Mimwe yemamiriro ezvinhu kana zviitiko zvinoita kuti vanhu vagone kuumba ropa rinosanganisira:
- Musoro kukuvara
- Mwedzi mitatu yekupedzisira yekuzvitakura
- Nguva pfupi isati yasvika, panguva kana mushure mokutora zvakaipa
- Kushandiswa kwekuberekwa kwepiritsi mapiritsi
- Lumbar punctures (spinal taps)
- Zvirwere, kunyanya mumeso, maziso kana nzeve
- Kushungurudzwa kweRopa kunotungamirira pakurohwa
Shoko Rinobva
Dural sinus thrombosis haisi yakakurumbira, uye kana iwe kana munhu waunoda aine dhimoni yepachivi sinus thrombosis, zviri pachena kuti iwe wakamboonekwa une chirwere. Dural sinus thrombosis rudzi rwechirwere. Vanhu vazhinji vane hutano hwakanaka mushure mekuda kwechivi sinus thrombosis uye zvinoda kunyatsoongorora kuongorora nekubata zvirwere zveropa zvinogona kunge zvakatungamirira kuchivi chechivi chishuvo.
> Sources:
> Cerebral venous sinus thrombosis yakaoma nehutukutu hwekuvaka dural arteriovenous fistula: Nyaya yenyaya. Chen JG, Li ZX, Zhang DF, Wang JY, Hou LJ, J Clin Neurosci. 2017 Jun 30. pii: S0967-5868 (17) 30048-6.