Ukuba ufumene unyango lwe-sinus thrombosis, unokuba nemibuzo ethile malunga noko ukulindele. Nazi iimpendulo zemibuzo yakho malunga nesifo se-sinus thrombosis.
Isiqendu seSinus
Isono esisemdeni luhlobo lwesitya segazi, kwaye, nangona libizo, alinxulumene neesono esizicingayo xa sicinga ngokubambisana kunye nokunyanyiswa kwesono.
Ingqondo inesistim seemvini apho igazi le-oksijini eliphelile lihlonyeliselwe kwimiphunga, apho iphinda iphinde iphinde ifakwe nge-oxygen. Le nkqubo yeemvini yiwebhu yeenqanawa ezincinci ezifumana igazi eliphefumliweyo-oksijini.
Njengoko iimvini zihamba kude neengcambu zeengqondo, zifakela umbane ukuba zenze iinqanawa ezinkulu ezihlanganisana phakathi kwengqondo kunye neethambo lekrele ukuba yenze into ebizwa ngokuthi "izidalwa zasemaphandleni." Iimpazamo zasemaphandleni yizona nqanawa ezinkulu kakhulu apho igazi liphuma ngaphandle kwengqondo, ekubuyeni kwayo kwimiphunga. Kukho inani lezidalwa zasemaphandleni, kwaye zibizwa ngokuba:
- Isono esiphezulu nesingaphantsi kwe-sagittal
- Isikhundla esiphezulu nesingaphantsi kwesilus
- Sinus Transverse
- Sigmoid sinus
- Sinus echanekileyo
- Cavernous sinus
- Ukudibanisa kwezono
Dural Sinus Thrombosis?
I-thrombosis yi-clot yegazi. I-sinus thrombosis ephakathi kwendawo yegazi i-clot ngaphakathi kwenye yezono zesidlangalaleni.
Indlela Ongayenza ngayo iStroke
Xa i-clot yegazi ibumba ngaphakathi kwesinye seengqondo zesidlangalaleni seengqondo, ibangela ukugcinwa kwegazi ngaphakathi kwenkqubo yesifo sobuchopho, ukuthintela igazi ekushiyeni izicubu zeengqondo.
Ekuqaleni kwamanyathelo, oku kungenokuba yingxaki, kuba iimvini ezincinci zinamagumbi okunyusa ukwenzela ukuba zilungele igazi elongezelelweyo.
Kodwa njengoko ixesha liqhubeka kwaye igazi elitsha le-oksijini liqhubeka lifaka iingcuba zeengqondo ngokusebenzisa iirriyiti, ukwakhiwa kwegazi kunokuqala ukuxinzelela kwiindonga zeetriyeri zize ziqhume, zaza zaphuma ngaphakathi kwengqondo.
Oku kubangela ukushaya kwesifo esibi.
Iimpawu
Enye yempawu eyaziwayo ye-sinus thrombosis yilapho ikwazi ukubangela iimpawu ezivela kwintloko yesifo ukuya kuphazamiseka ngokukhawuleza nokugqibeleleyo kwelinye icala lomzimba.
- Abantu abangaphezu kwe-90% abanesifo se-sinus thrombosis bakhalaza ngeentloko ezinzima
- Ama-50% aneempawu eziphazamisayo zesifo
- Phantse i-40% yezidumbu zengqondo ezisemaphandleni zibangela ukuxhwaleka
- Umntu onesifo se-sinus thrombosis unokufumana ukulahlekelwa kweememori okanye angayeka ukuthetha ngokungalindelekanga, kuxhomekeka kwisimo esithile sendawo esithintekayo.
Xa i-sinus thrombosis ibangele i-headaches kunye nombono ophazamisayo, inokudideka kunye nesimo esibizwa ngokuba yi-hypertesion engenazintlu, eyaziwa ngokuba yi-pseudotumor cerebri.
Ukuxilongwa
Ukuba uhamba kwigumbi lexakeka kunye naluphi na le mpawu, kufuneka ulindele ukuba uvavanyo olupheleleyo lwe-neurological and brain CT. I-CT scan iyona vavanyo olukhawulezayo lokuxilonga olungabonisa indawo yokuphuma kumbilini.
Ukuba kukho ukuphuma, ukuhlinzwa ukucima igazi kungenokuba kukho. Nangona kunjalo, ukuze uhlolisise i-sinus thrombosis oogqirha kufuneka benze uvavanyo olubizwa ngokuba yi-magnetic resonance venography okanye i-MRV, uvavanyo lwe-imaging lwe-diagnostic efana ne-MRI eqhelekileyo, kodwa leyo ibonisa ngokucacileyo igazi ngaphakathi kweemvini zengqondo kunye negazi.
Xa i-MRV ingatholakali, i- CT engiography ingasetyenziselwa ukujonga ngeso sakhiwo isono.
Unyango
- Unyango:
Xa i-sinus thrombosis yasemaphandleni ibangela inani elikhulu lokulapha ngaphakathi kwengqondo, utyando lungafuneka ukuba ususe igazi. Ukuhlamba kwiingqondo kunokukhokelela ekunyanzelweni kwezakhiwo ezibalulekileyo engqondweni, obangela ukukhubazeka ngonaphakade kunye nokufa. Inkqubo yokususa igazi kwi-brain ibizwa ngokuba yi-hemicraniectomy ephazamisayo. - Unyango:
Ukuba ufumene unyango lwe-sinus thrombosis, unokufumana unyango lwangexesha elide kunye nabagcini begazi, njenge- heparin, i- coumadin, okanye i-Lovenox. La mayeza anikezelwa ukwenzela ukuthintela ukwandiswa kwegazi lokungena kwi-sinus echaphazelekayo, kunye nokuthintela ukwakheka kwegazi elitsha elingaholela ekubetheni kwintsha kwaye mhlawumbi imivimbo embi.
- Kwezinye iimeko, ukunyuka kwengcinezelo engaphezulu kwimiba emikhulu kudinga ukufakelwa kwe-hypothermia okanye ukupholisa ukushisa komzimba, oku kunceda ukukhusela umonakalo omkhulu engqondweni. Olunye unyango lwezilingo lufumaneka kwizibhedlele ezikhethiweyo kulo lonke ilizwe, apho iimbambo zegazi zingaphulika ngaphakathi kwesosi esithintekileyo usebenzisa iindlela ezikhethekileyo zokugcina i-endovascular thrombolysis.
Ngubani Osemngciphekweni?
Amashumi asibhozo anesithandathu kwipesenti zabantu abafunyaniswa ukuba banesifo se-sinus thrombosis banesimo esithile sokwenza ama-blood clots. Ezinye zeemeko okanye iziganeko ezenza abantu baninzi ukuba benze amacandelo egazi zibandakanya:
- Ukulimala kwentloko
- Iinyanga ezintathu zokugqibela zokukhulelwa
- Kungekudala ngaphambi, ngexesha okanye emva kokukhululeka
- Ukusetyenziswa kwamapilisi okulawula ukuzalwa
- I-Lumbar punctures (iimpompo zomqolo)
- Izifo, ngakumbi ebusweni, amehlo okanye iindlebe
- Iziphazamiso zegazi ezikhokelela ekubetheni
ILizwi
I-sinus thrombosis ayiqhelekanga, kwaye ukuba wena okanye umntu obathandayo unesifo se-sinus thrombosis, ngokuqhelekileyo ukuba ufumene ukuba unesifo. I-sinus thrombosis yintlobo yesifo. Uninzi lwabantu luyabuyiselwa kakuhle emva kwe-sinus thrombosis kwaye ludinga ukuvavanya ngokuchanekileyo ukuchonga nokuphatha iingxaki zegazi ezinokubakhokelela kwi-sinus thrombosis.
> Imithombo:
> I-cerebral sinous thrombosis enobudlelwane obunzima nokuphuhliswa kolukhuhlane lwe-fistula yendawo ephakathi: Ingxelo yecala. Chen JG, Li ZX, Zhang DF, Wang JY, Hou LJ, J Clin Neurosci. 2017 Juni 30. i-pii: S0967-5868 (17) 30048-6.