Cavernous sinus thrombosis: bayyanar cututtuka, ganewar asali, magani

Cavernous sinus thrombosis ne occlusion thrombus cavernous sinus, wanda aka located a gindi daga cikin kwanyar a garesu daga cikin sella turcica.

Ayyukan sinus na cavernous yana cikin ƙuƙwalwa mai ƙuƙwalwa daga shinge da kwakwalwa, har ma da tsarin ƙwayar cuta.

Irin wannan nau'i ne mai wuya, amma zai iya haifar da sakamako mai tsanani. Har ila yau, thrombosis na sigmoid da transverse sinus ba shi da yawa.

Sanadin cutar

Za'a iya kafa kwayar cutar ta cavernous sinus don dalilai daban-daban. Zuwa gare shi ya kasance yana cewa:

• Kwayoyin cututtuka da ke faruwa a cikin mummunan siffar a yankin na maxillary sinuses, kunnuwa, hakora da nasopharynx;
• Gabatar da rauni zuwa kwanyar;
• autoimmune cututtuka (na tsari lupus erythematosus, rheumatoid amosanin gabbai).
• Hanyoyin daji na hemostasis, wadanda suke tare da karuwar girma na thrombi (gaban polycemia);
• Cututtuka na jini da zuciya (cututtukan zuciya, cututtukan zuciya, da dai sauransu);
• Gabatar da ciwon sukari mellitus;
• Zubar da ciki;
• Lokaci bayan haihuwar jaririn.

Samun thrombi yana daga cikin cututtukan da ba a cutar ba. A halin yanzu, asalin mawuyacin hali ba shi da alama. Wannan shi ne saboda amfani da maganin maganin rigakafi da sauri, yana hana ƙwayar cuta mai tsanani. A wannan yanayin, al'ada ce don magana game da nau'in ƙwayar cuta na ƙananan jini.

Symptomatic na cutar

Mene ne bayyanar irin wannan cuta, a matsayin cavernous sinus thrombosis? Kamfanin asibiti yana da wuya. Wani lokaci cutar zai iya zama da wuyar ganewa a farkon matakai, saboda bayyanar cututtuka sun ɓace kuma sau da yawa kama da alamun sauran cututtuka.

Daga cikin manyan alamun cutar ya kamata a kasaftawa:

• A gaban tsanani ciwon kai;
• Bayyanar tashin hankali da zubar da ciki;
• Rushe da rikicewa;
• Ƙaddamarwa na coma;
• Sakamakon haɗuwa.
• Pain a cikin wuyansa a lokacin da yake tafiya gaba;
• Ƙara yawan zafin jiki;
• Gabatar da exophthalmos (farfadowa na ido da ido da kuma tafiye-tafiye zuwa gefe).
• Gabatarwa na ophthalmoplegia (ƙuƙwalwar ƙwayar ido a cikin shan kashi na jijiyoyi da ke tsara motsi akan idanu);
• Bayyanar kumburi a cikin jijiyar ido da eyelids;
• Rage hangen nesa;
• Diplomacy;
• Ƙananan jijiyoyi da cyanosis na kwaskwar ido, goshin da tushe na hanci;
• Rashin fahimtar gashin jijiyoyin ido;
• Thrombophlebitis na gyara fuska fuska.

Harshen ɓarna na sinus na cavernal yana nuna yanayin ciwon zafin jiki, asthenia, jijiya a cikin tsokoki da haɗin gwiwa. Game da samuwar kwayar cutar marasa lafiya, irin waɗannan cututtuka bazai bayyana ba.

Babban bayyanar cututtuka suna nunawa ta hanyar bayyanar cututtuka na meningeal. Lokacin da cutar ta tasowa, ƙofar bakin ciki yana ƙaruwa. A cikin lokuta masu tsanani, mai haƙuri na iya fada cikin haɗuwa.

Sakamakon mummunar cututtuka yana haifar da fitarwa daga ruwa mai ƙwaya, ƙara ƙin intracranial, ƙara yawan ƙwaƙwalwar kwakwalwa, wanda hakan zai haifar da mutuwar mai haƙuri.

Sanin asali

Ta yaya aka bayyana sinadarin ɓoyayyen sinus na cavernous? Binciken ganewa ya dogara akan hanyoyi daban-daban na jarrabawa. Bugu da ƙari, ƙidodin masu haƙuri da kuma kayan aiki suna dauke da su.

Migraine, alal misali, tana da fasali da yawa:

• Yana farawa da hankali kuma a hankali ya samo wani nau'i na yau da kullum. Pain ya zama mai sauƙi ga magunguna.
• Ƙananan jijiyoyi sun karu da aiki na jiki kuma a matsayi mafi kyau. Wannan bayyanar da ciwon kai yana nuna cewa mutum yana da wani ɓarna na sinus filnate.
• Lokacin da ake latsawa a kan maki na Greenstein, mai haƙuri yana jin zafi. Akwai kullun idanu da idanuwan ido.

Duk marasa lafiya wadanda ke da irin wannan alama ta yanayin jiki ba su buƙatar ziyara a ofishin masanin ilimin lissafi.

A kan asusun yana yiwuwa a lura da kasancewar azabtarwa na tasoshin, rubutun ƙwayar ƙwayar jijiya.

Daga hanyoyi na bincike-bincike na bincike don ganewar asali an yi amfani dasu:

• Gwajin jini na kowa.
• Tattalin jini don girbi don sterility.
• Takaddama kalma,
• Tabbatar da ƙaddamarwar D-dimer,
• Tattaunawa game da ruwan sanyi na cerebrospinal.

Irin wannan jarrabawa yana iya gano magungunan cutar, har ma da cuta a cikin tsarin hemostasis.

Daga bincike ta hanya mai amfani ya kamata a lura:

• Bambanci ta hanyar CT;
• Hanyoyin fuska ta Magnetic;
• Cetobral angiography.

Tushen farfadowa

Harshen ɓarna na sinus na cavernous, da sigmoid da kewayo, yana buƙatar hanyoyi na kowa don magancewa. Farka na iya zama ra'ayin mazan jiya da m. Ana nuna ma'auni na ƙarshe lokacin da aka manta da yanayin cutar.

Hanyar magungunan ra'ayin mazan jiya

Ta yaya cavernous sinus thrombosis tsaya? Jiyya hanyoyin mazan jiya bin wasu ayyuka:

• Detoxification;
• Yakin da jini;
• Kashe edema na kwakwalwa;
• Taimako na tsari;
• Neuroprotective far.

Ana amfani da maganin rigakafi da maganin kwayoyin cutar a gaban ɓarna na asali na asali. Detoxification ya sa ya yiwu a kawar da kawar da abubuwa mai guba. Don haka, ana amfani da infusions tare da bayani na sodium chloride sodium isotonic, "Reopoliglyukin", "Hemodesum".

Bayan shan jini don girbi, an tsara maganin rigakafi. Bisa ga sakamakon binciken, shirye-shiryen da aka yi da nauyin aiki da yawa. A layi daya, ana iya yin rigakafi don magance cututtukan anaerobic ("Metronidazole").

Don sake mayar da jini na al'ada, dole a cire thrombus. Don haka, ana gudanar da heparin. Bugu da ƙari, an tsara takaddama masu tsauraran kai tsaye, wanda aka dauka na watanni uku.

Bayan wannan gwaji, an bayar da shawarar cewa marasa lafiya suna daukar nauyin kayan shafa kamar "Aspirin", "Dipiridamol", "Klopidogrel".

A lokuta masu tsanani musamman tare da ci gaban cerebral edema, tsarin nazarin halittu ya shafe ta da diuretics.

An wajabta farfadowa na Neuroprotective a lokacin lokacin dawowa. Ana aiwatar da shi tare da taimakon kayan aikin da ke inganta fadada jini, da magungunan neurometabolic.

Amfani da aiki

An nuna aikin motsa jiki a cikin shari'ar lokacin da hanyoyin rikitarwa ba su kawo sakamakon dace ba. Zuwa gagarumin sinus yana da matukar wuya a samo wata hanya ta musamman saboda yanayin sa. Sabili da haka, aikin ya hada da buɗe sinushin hanci da sanyayawa na mayar da hankali kan cutar.

Matsalolin da suka yiwu

Harshen kwayar cutar sinadarin (hotuna marasa lafiya da ke fama da wannan cuta, wanda aka gabatar a wannan labarin) zai haifar da rikitarwa mai tsanani. A baya an gudanar da hanyoyin bincike kuma farfadowa ya fara, ƙananan ƙwayar matsalolin.

Ana samun raguwa a cikin marigayi da farkon.

Daga daga baya ya kamata a lura:

• Rashin haɓaka mai gani;
• paresis na abducens .
• Tsayar da ptosis (watsar da fatar ido);
• Ci gaba na arachnoiditis;
• Hypopituitarism;
• Anisocoria.

Daga farkon:

• Kusar da kwakwalwa;
• Takaddun hankali;
• Carbral infarction.

Sau da yawa, thrombosis na sinus na cavernous ya jagoranci mai haƙuri zuwa:

• Kammala makanta.
• Rashin ciwo (ƙananan lalata jini a cikin kwakwalwa, wanda yakan haifar da rashin lafiya da mutuwa);
• Rushewa na aiki na glandal da ke da alhakin hana ƙaddamar da hormone;
• Rage saukar da ci gaban ciwace-ciwacen ƙwayoyi;
• Rashin zinawa da halayyar jima'i.

Irin waɗannan matsalolin an lura da su game da kashi uku na lokuta.

Tsarin kariya

Don kaucewa wannan cututtuka, dole ne a dauki wasu matakan m don hana haɓaka pathology:

• Gwanin lokaci na maganin ƙwayoyin ƙwayar cuta a jiki;
• Tsayawa ga salon lafiya;
• Samun lokaci zuwa ga likita don cututtuka da ke faruwa a cikin tsari na yau da kullum kuma tare da canje-canjen tsari a ganuwar jinin jini da kuma bayyanar jini dan jini.

Fahimtarwar cutar

Sakamakon cutar ya dogara ne akan ainihin ganewar asali da farfadowa. A baya an kafa ciwon cutar kuma an fara jiyya, mafi girma shine damar dawo da cutar.

Hanyar magani da maganin zamani ya yi amfani da ita ya sa ya yiwu ya rage yawan mutuwar wannan cuta. Alamar ita ce 20%. Kimanin kashi 10 cikin dari na lokuta akwai lokuttan da suka faru na thrombosis cikin shekara guda bayan bayanan da aka ciyar.

Kammalawa

Wannan mummunar sinus thrombosis, wanda aka bayyana a wannan labarin, alamun cutar mai tsanani ne. Mawuyacin wuya yana biyan.

A mafi yawan lokuta, ilimin cututtuka yana haifar da rashin lafiya ga marasa lafiya kuma yakan ƙare a sakamakon ƙarshe. Saboda haka, dacewa da aiwatar da hanyoyin bincike da magani yana da mahimmanci.