Arachnoid chotupa: chimene icho chiri, zizindikiro, zimayambitsa ndi chithandizo
Zamkati
Arachnoid cyst imakhala ndi chotupa chosaopsa chomwe chimapangidwa ndi cerebrospinal fluid, yomwe imayamba pakati pa nembanemba ya arachnoid ndi ubongo. Nthawi zina imathanso kupanga msana.
Ziphuphuzi zimatha kukhala zoyambirira kapena kubadwa pamene zimapangidwa panthawi yomwe mwana amakula panthawi yapakati, kapena yachiwiri, akamapangidwa m'moyo wonse chifukwa cha zowawa kapena matenda, kukhala ocheperako.
Chotupa cha arachnoid nthawi zambiri sichikhala choopsa kapena chowopsa, ndipo sichiyenera kusokonezedwa ndi khansa, ndipo chitha kukhala chosagwirizana. Pali mitundu itatu yama arachnoid cysts:
- Lembani I: ndizochepa komanso sizikhala;
- Mtundu Wachiwiri:ndizapakatikati ndipo zimayambitsa kusunthika kwakanthawi kwakanthawi;
- Mtundu Wachitatu: ndizazikulu ndipo zimayambitsa kusunthika kwakanthawi kwakutsogolo, kutsogolo ndi parietal lobe.
Zizindikiro zake ndi ziti
Kawirikawiri zotupazi sizimadziwika ndipo munthu amangodziwa kuti ali ndi chotupacho akamayesedwa pafupipafupi kapena kupezedwa matenda.
Komabe, pali zochitika zina pomwe ma arachnoid cysts amakhala ndi zoopsa zina ndipo zimayambitsa zizindikilo zomwe zimadalira komwe amakulira, kukula kwake kapena ngati atapondereza malo aliwonse amitsempha kapena ubongo wa msana:
Cyst yomwe ili mu ubongo | Cyst yomwe ili mumtsempha wamtsempha |
Mutu | Ululu wammbuyo |
Chizungulire | Scoliosis |
Nseru ndi kusanza | Minofu kufooka |
Kuvuta kuyenda | Kupweteka kwa minofu |
Kusadziŵa kanthu | Kupanda chidwi |
Mavuto akumva kapena masomphenya | Kuyika mikono ndi miyendo |
Mavuto osamala | Zovuta pakulamulira chikhodzodzo |
Kuchedwa kwakukula | Zovuta pakulamulira m'matumbo |
Misala |
Zomwe zingayambitse
Mapuloteni oyambira a arachnoid amayamba chifukwa chakukula kosazolowereka kwaubongo kapena msana panthawi yakukula kwa mwana.
Matenda achiwiri a arachnoid amatha kuyambitsidwa ndi zochitika zosiyanasiyana, monga kuvulala kapena zovuta muubongo kapena msana, matenda monga meningitis kapena zotupa.
Momwe mankhwalawa amachitikira
Ngati arachnoid cyst siyimayambitsa zizindikilo, chithandizo sichifunika, komabe, chiyenera kuyang'aniridwa nthawi ndi nthawi pogwiritsa ntchito computed tomography kapena MRI scan, kuti muwone ngati chikuwonjezeka kukula kapena ngati pali kusintha kulikonse mu morphology.
Ngati chotupacho chimayambitsa zizindikiro, ziyenera kuyesedwa kuti muwone ngati kuli kofunikira kuchita opaleshoni, yomwe nthawi zambiri imakhala yotetezeka ndipo imabweretsa zotsatira zabwino. Pali mitundu itatu ya maopaleshoni:
- Permanent ngalande dongosolo, chomwe chimakhala ndi kuyika chida chokhazikika chomwe chimatulutsa madzimadzi kuchokera mu cyst kupita pamimba, kuti muchepetse kukakamizidwa kwaubongo, ndipo madzi amtunduwu amabwereranso ndi thupi;
- Kutengera, yomwe imapangidwa ndikucheka mu chigaza kuti mufikire chotupacho, komanso momwe mapangidwe ake amapangira chotupacho kuti madziwo atuluke ndikulowetsedwa ndimatumba oyandikana nawo, potero amachepetsa kukakamiza komwe kumabweretsa muubongo. Ngakhale ndiwowopsa kuposa momwe zidalili kale, ndiwothandiza kwambiri komanso motsimikiza.
- Kutsekeka kwa Endoscopic, yomwe ili ndi luso lapamwamba lomwe limapindulanso chimodzimodzi ndi kuziziritsa, koma silowonongeka chifukwa sikofunikira kutsegula chigaza, pokhala njira yofulumira. Mwa njirayi imagwiritsidwa ntchito endoscope, yomwe ndi mtundu wa chubu wokhala ndi kamera kumapeto kwake, yomwe imakoka madziwo kuchokera ku chotupacho kupita kuubongo.
Chifukwa chake, munthu ayenera kulankhula ndi adotolo, kuti amvetsetse njira zomwe zili zoyenera mtundu wa chotupa ndi zizindikilo zomwe zimaperekedwa, kuphatikiza pazaka, zaka kapena kukula kwa chotupacho, mwachitsanzo.