Matenda a Pseudotumor cerebri

Matenda a Pseudotumor cerebri ndi momwe kupanikizika mkati mwa chigaza kumakulira. Ubongo umakhudzidwa m'njira yomwe vutoli limawoneka, koma ayi, chotupa.

Vutoli limapezeka makamaka mwa akazi kuposa amuna, makamaka azimayi onenepa kwambiri azaka 20 mpaka 40 zakubadwa. Ndi kawirikawiri mwa makanda koma amatha kuchitika mwa ana. Msinkhu usanathe, umachitika chimodzimodzi mwa anyamata ndi atsikana.

Choyambitsa sichikudziwika.

Mankhwala ena amatha kuonjezera chiopsezo chotenga vutoli. Mankhwalawa ndi awa:

• Amiodarone
• Mapiritsi oletsa kubereka monga levonorgestrel (Norplant)
• Cyclosporine
• Cytarabine
• Hormone yakukula
• Isotretinoin
• Levothyroxine (ana)
• Lifiyamu carbonate
• Minocycline
• Asidi Nalidixic
• Nitrofurantoin
• Phenytoin
• Steroids (kuyamba kapena kuwaletsa)
• Sulfa maantibayotiki
• Zamgululi
• Makhalidwe
• Mankhwala ena omwe ali ndi Vitamini A, monga cis-retinoic acid (Accutane)

Zinthu zotsatirazi zikugwirizananso ndi izi:

• Matenda a Down
• Matenda a Behcet
• Kulephera kwa impso
• Matenda a Endocrine (mahomoni) monga matenda a Addison, Cushing matenda, hypoparathyroidism, polycystic ovary syndrome
• Kutsatira chithandizo (kuphatikiza) kwamatenda amitsempha
• Matenda opatsirana monga HIV / AIDS, matenda a Lyme, kutsatira nthomba kwa ana
• Kusowa kwa magazi m'thupi kwachitsulo
• Kunenepa kwambiri
• Kulepheretsa kugona tulo
• Mimba
• Sarcoidosis (kutupa kwa ma lymph node, mapapo, chiwindi, maso, khungu, kapena ziwalo zina)
• Zokhudza lupus erythematosis
• Matenda a Turner

Zizindikiro zimatha kuphatikizira izi:

• Litsipa, throbbing, tsiku ndi tsiku, osasamba ndiponso oyipa m'mawa
• Kupweteka kwa khosi
• Masomphenya olakwika
• Kumveka phokoso m'makutu (tinnitus)
• Chizungulire
• Masomphenya awiri (diplopia)
• Nseru, kusanza
• Mavuto masomphenya monga kung'anima kapena kutayika kwamaso
• Kupweteka kwakumbuyo, komwe kumayenda m'miyendo yonse iwiri

Mutu ukhoza kuipiraipira mukamachita masewera olimbitsa thupi, makamaka mukalimbitsa minofu yam'mimba mukatsokomola kapena kupsinjika.

Wothandizira zaumoyo adzayesa. Zizindikiro za vutoli ndi monga:

• Kutulutsa mawonekedwe akunja m'makanda
• Kukula kwa mutu
• Kutupa kwa mitsempha ya optic kumbuyo kwa diso (papilledema)
• Kutembenukira mkati kwa diso mphuno (chisanu ndi chimodzi, kapena kuchotsa, kufooka kwa mitsempha)

Ngakhale pali kupanikizika kowonjezeka mu chigaza, palibe kusintha pakukhala tcheru.

Mayeso omwe angachitike ndi awa:

• Kufufuza kwa Funduscopic
• Kujambula kwa CT pamutu
• Kuyesa kwamaso, kuphatikiza kuyesa kwamaso
• MRI ya mutu wokhala ndi MR venography
• Lumbar kuboola (tapampopi)

Matendawa amadziwika ngati matenda ena atayidwa. Izi zikuphatikizapo zinthu zomwe zingayambitse kupanikizika mu chigaza, monga:

• Hydrocephalus
• Chotupa
• Matenda a sinus thrombosis

Chithandizo chake ndicholinga cha pseudotumor. Cholinga chachikulu cha chithandizo ndikuteteza masomphenya ndikuchepetsa kuuma kwa mutu.

Kuboola lumbar (mpopi wamtsempha) kumatha kuthana ndi mavuto muubongo komanso kupewa mavuto amaso. Kubwereza ma lumbar ndi othandiza kwa amayi apakati kuti achedwetse kuchitidwa opaleshoni mpaka akabereka.

Mankhwala ena atha kukhala:

• Kuletsa madzi kapena mchere
• Mankhwala monga corticosteroids, acetazolamide, furosemide, ndi topiramate
• Njira zosunthira kuti muchepetse kukakamizidwa ndi kuchuluka kwa madzimadzi amtsempha
• Kuchita opaleshoni kuti muchepetse kuthamanga kwa mitsempha ya optic
• Kuchepetsa thupi
• Chithandizo cha matenda, monga vitamini A bongo

Anthu adzafunika kuyang'anitsitsa masomphenya awo. Pakhoza kukhala kutayika kwamasomphenya, komwe nthawi zina kumakhala kosatha. Kutsata kwa MRI kapena CT kumatha kuchitidwa kuti muchepetse mavuto monga zotupa kapena hydrocephalus (kuchuluka kwa madzi mkati mwa chigaza).

Nthawi zina, kupanikizika mkati mwa ubongo kumakhalabe kwazaka zambiri. Zizindikiro zimatha kubwerera kwa anthu ena. Chiwerengero chochepa cha anthu chimakhala ndi zizindikilo zomwe pang'onopang'ono zimawonjezeka ndikupangitsa khungu.

Vutoli nthawi zina limasowa palokha mkati mwa miyezi isanu ndi umodzi. Zizindikiro zimatha kubwerera kwa anthu ena. Chiwerengero chochepa cha anthu chimakhala ndi zizindikilo zomwe pang'onopang'ono zimawonjezeka ndikupangitsa khungu.

Kutaya masomphenya ndizovuta kwambiri pamkhalidwewu.

Itanani omwe akukuthandizani ngati inu kapena mwana wanu muli ndi zizindikiro zomwe zafotokozedwa pamwambapa.

Idiopathic intracranial matenda oopsa; Benign intracranial matenda oopsa

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Malangizo: Miller NR. Pseudotumor cerebri. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 164.

Rosenberg GA. Edema wamaubongo ndi zovuta zamayendedwe amadzimadzi a cerebrospinal. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 88.

Varma R, Williams SD. Neurology. Mu: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ndi Davis ’Atlas of Pediatric Physical Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier, 2018: mutu 16.