Cavernous nkusani thrombosis: zizindikiro, matenda, mankhwala

Cavernous thrombosis nkusani ndi occlusion thrombus cavernous nkusani, limene lili m'munsi a Chigaza pa mbali zonse za pa sella turcica.

Ntchito ya nkusani cavernous ndi outflow venous ku dera la mwake diso ndi ubongo, komanso lamulo la kufalitsa ubongo.

kudwala Izi kawirikawiri ndithu, koma zingachititse mavuto aakulu. Komanso sichipezeka thrombosis wa sigmoid ndi yopingasa nkusani.

Zimayambitsa matenda

Cavernous thrombosis nkusani zikhonza kukhalapo pa zifukwa zosiyanasiyana. Kwa iye odana:

• matenda opatsirana zimachitika mu mawonekedwe pachimake mu maxillary sinuses, makutu, mano, mphuno komanso pakhosi;
• pamaso pa zoopsa cranial;
• matenda autoimmune (zokhudza zonse lupus erythematosus, nyamakazi);
• njira pathological hemostasis amene anatsagana ndi kuchuluka mapangidwe thrombi (pamaso politsetemii);
• mtima ndi matenda mtima (kuwonongeka ischemic, mtima mungoli chisokonezo neri Al.);
• shuga;
• mimba;
• kuyambira mwana wake.

magazi kuundana ndi matenda ndi noninfectious chikhalidwe. Panopa ukuwonongedwa sanali opatsirana. Ichi ndi chifukwa ntchito kawirikawiri mankhwala kuti kuteteza mavuto aakulu. Pankhaniyi adafuna kulankhula za mtundu idiopathic wa thrombosis venous.

symptomatology matendawa

ndi zizindikiro za matenda monga thrombosis cavernous nkusani chiyani? Clinic ndi zovuta ndithu. Nthawi zina matenda ndi zovuta kudziwa mu magawo oyambirira, chifukwa zizindikiro nthawi zambiri chobvalidwa mu chikhalidwe ndi ofanana ndi zizindikiro za matenda ena.

Pakati pa zowonetsera matenda ayenera utoto

• pamaso pa mutu kwambiri;
• kunyansidwa ndi kusanza;
• imfa ndi chisokonezo;
• chikomokere;
• yatsoka a khunyu.
• kupweteka kwa khosi mu flexion mu njira kutsogolo;
• malungo;
• pamaso pa exophthalmos (protrusion wa mwana wa diso patsogolo kenako kusamutsidwa mu malangizo).
• chitukuko ophthalmoplegia (ziwalo minofu diso mu kugonjetsedwa kwa misempha kuti zonse kayendedwe ka maso);
• zosayembekezereka wa edema mu chamawonedwe mitsempha ndi zikope;
• utachepa masomphenya;
• diplopia;
• ululu ndi cyanosis mwake pamphumi ndi pamphuno ya m'munsi ndi;
• imfa ya tilinazo mitsempha nkhope;
• thrombophlebitis mitsempha nkhope.

thrombosis Cavernous nkusani amakhala ndi otsika kalasi kutentha, asthenia, ndikumverera mukupweteka m'minofu, ndi m'mfundo. Pankhani ya magazi kuundana opatsirana chikhalidwe zizindikiro sizingakhale kuonekera.

Zizindikiro oziziritsa kuoneka zizindikiro meningeal. Ndi chitukuko cha matenda kumawonjezera kulanda pakhomo. Zikavuta, wodwala akhoza kugwa mu chikomokere.

Maonekedwe zizindikiro chowawa chikwiyire CSF outflow, kuthamanga intracranial, kuchuluka kwa edema oziziritsa, zomwe mwina zimatsogolera kuti imfa ya wodwala.

Kupeza Vuto

Monga tawerenga thrombosis cavernous nkusani? Matendawa zachokera njira zosiyanasiyana bwino. Komanso n'komwe madandaulo wodwalayo komanso matenda.

Migraine Mwachitsanzo, ali zingapo zochititsa:

• Ayamba bwinobwino ndipo pang'onopang'ono aakulu. Ululu amakhala kugonjetsedwa mpumulo ululu.
• Ululu kukula ndi zolimbitsa thupi ndi mu malo supine. mawonetseredwe ili la mutu zikusonyeza kuti thrombosis nkusani anthu feathery.
• Pamene mbamuikha pa mfundo Greenstein mtima anadandaula ululu. Pali kutupa ndi zitsulo diso oumbidwa wa mwana wa m'diso la.

odwala onse ndi zizindikiro ubongo chikhalidwe ofanana ankafuna nditapita ku ofesi ya maso a.

Mu fundus zingaoneke pamaso pa tortuosity ziwiya, kutupa kwa chimbale chamawonedwe.

Tikaona maphunziro zasayansi njira ntchito matenda:

• wathunthu magazi.
• Kutolere magazi chikhalidwe cha sterility.
• akuchititsa coagulation,
• kudziwa chizindikiro D-dimer
• Analysis wa madzimadzi cerebrospinal.

Kafukufuku amenewa ndi mpata kudziwa matenda chotupa, komanso matenda hemostatic.

Kuyambira njira malangizo tisaiwale:

• opacification ndi CT;
• kumveka maginito kulingalira;
• angiography ubongo.

mankhwala ndizosowa

Cavernous nkusani thrombosis, komanso sigmoid ndi yopingasa, njira wamba amafuna chithandizo. Therapy kungakhale ndiwofatsa komanso opaleshoni. The muyeso yamasika akusonyeza matenda achilendo.

Njira ya mankhwala

Monga atazikocheza thrombosis cavernous nkusani? Chithandizo njira ndiwofatsa akuthamangitsa angapo zolinga:

• detoxification;
• polimbana mapangidwe magazi kuundana;
• Kupha ubongo edema;
• atagwira ndondomeko matenda;
• neuroprotective mankhwala.

Detoxification ndi mankhwala opha tizilombo ntchito ngati pali thrombosis chiyambi opatsirana. Detoxification yapereka mwayi kuthetsa ndi kubweretsa poizoni. Chifukwa chaichi ntchito kulowetsedwa isotonic sodium kolorayidi njira, "reopoligljukin" "gemodez".

Pambuyo Kutolere magazi chikhalidwe yoikidwiratu mankhwala. Malinga ndi kusanthula prescribers ndi sipekitiramu yotakata kanthu. Mu yomweyi, mankhwala akhoza analamula kuti mpumulo wa matenda anaerobic ( "Metronidazole").

Kubwezeretsa krovobrascheniya wabwinobwino ayenera kuchotsa aumirira. Kuti izi mapeto, ndi heparin mankhwala. Komanso yoikidwiratu anticoagulants mwachindunji, omwe atengedwa kwa miyezi itatu.

Pambuyo Maphunzirowa akulimbikitsidwa odwala kulandira nthumwi antiplatelet monga "Aspirin", "Dipyridamole" "Clopidogrel".

Zikavuta, chitukuko cha oziziritsa ndondomeko matenda edema likuchotsedwa ndi okodzetsa.

mankhwala Neuroprotective ndi kutumikiridwa mu nthawi kuchira. Iwo imachitika kudzera mwa nthumwi zomwe zimalimbikitsa vasodilatation ndi njira neurometabolic.

ntchito alowererepo

Ntchito opaleshoni zikusonyezedwa choncho kumene njira ndiwofatsa ndiribe zidapatsa zotsatira yoyenera. Ndi nkusani cavernous zovuta kufikako chifukwa malo anatomical. Choncho, ntchito amatenda kutsegula kwa sinuses ndi ukhondo chachikulu opatsirana kwambiri.

zosokonezeka zotheka

Cavernous nkusani thrombosis (chithunzi cha odwala matenda matenda m'nkhani ino) kungayambitse mavuto aakulu. The kale njira yodziwira ndi anayambitsa mankhwala kunachitika, chindichepere mwayi matendawo.

Zovuta anawagawa oyambirira ndi mochedwa.

Zotsiriza tisaiwale:

• imfa ya acuity zithunzi;
• paresis wa abducens ;
• pamaso pa ptosis (kuŵeramitsa za m'ma);
• chitukuko cha arachnoiditis;
• hypopituitarism;
• anisocoria.

oyambirira:

• ubongo edema;
• tsankho kukomoka;
• infarction ubongo.

Nthawi zambiri, cavernous thrombosis nkusani kumabweretsa mtima:

• okwana khungu.
• sitiroko (pachimake magazi matenda a mu ubongo amene nthawi zambiri amakwiya chilema ndi imfa);
• kusokonezeka kwa magwiridwe ya England pineal kuti ndi amene chopinga kukula timadzi kumasulidwa;
• liwiro chotupa ndondomeko za chitukuko;
• matenda a chitukuko kugonana ndi khalidwe.

mavuto oterowo anati pafupifupi theka la milandu.

zodzitetezera

Pofuna kupewa matenda monga matenda ayenera kutsatira zina zodzitetezera kuti kupewa chitukuko cha matenda:

• chithandizo yake njira yotupa mu thupi;
• kutsatira moyo wathanzi;
• kupeza nthawi yake kwa munthu waluso matenda zimachitika mu aakulu limodzi ndi kusintha structural makoma chotengera ndi maonekedwe a hyperviscosity.

madokotala ananena zawo

Kulosera tsogolo la matenda a matenda ndi mwachindunji amadalira matenda yake ndi mankhwala. The kale anakhazikitsa pamaso pa matenda, ndi chithandizocho anayamba bwino mwayi wa kuchira.

Njira chithandizo, ndi mtsikana ano mankhwala n'zotheka kuchepetsa kwambiri imfa pamenepa pakhomo matenda. Zili 20%. Mozungulira 10% a milandu thrombosis zisadzachitikenso chaka chimodzi pambuyo mankhwala.

Pomaliza

Cavernous thrombosis nkusani, zizindikiro zimene yatchedwa m'nkhani ino, ndi matenda aakulu. Matendawo ovuta kuchiza.

Nthawi zambiri, kudwala kuchititsa kupunduka wodwalayo, ndipo nthawi zambiri umatha mu imfa. Choncho, n'kofunika kuti njira yake matenda ndi mankhwala.