Isizathu esiqhelekileyo seNtloko yabaseTyhini abaselula
Idiopathic Intracranial Hypertension (IIH) yimeko yonyango ephumela ekunyuseni uxinzelelo lwe-spinal flu ujikeleze ingqondo, ekungabikho kwesisu okanye enye ingxaki yengqondo. Yayaziwa ngokuba yi-pseudotumor cerebri. I-IIH ixhaphake kakhulu kubasetyhini abagqithiseleyo kunye neminyaka yabo yokuzala.
Iimpawu ze-IIH
Intloko kunye nokuguquka kombono ziyimpawu zeklasi ezibonwe kwi-IIH.
Kuhlolisiso kwamehlo, oogqirha baya kubona i- papilledema- imeko ebonakaliswe ukukhukhuma kwe-optic ukukhanya kweso, ngenxa yoxinzelelo lwengqondo kwingqondo. Kufunyanwa ngugqirha ngexesha lokuhlolwa kwe-ophthalmoscopic.
Ezinye iimpawu eziqhelekileyo (kodwa ezingenayo) ezibonwa kwizigulane ezine-IIH zibandakanya:
- utshintsho lwexesha elide
- i-pulsatile tinnitus (ukuva ingxolo okanye ukuphosa ingxolo entloko yakho)
- photopsia (ekuboneni ukukhanya kokukhanya)
- intlungu emva kwamehlo
- mbono ombini
- ukulahleka kombono
Yintoni intloko ye-IIH evakalelwa ngayo?
Intloko evela kwi-IIH inokulinganisa okokutshatyalaliswa kwentloko okanye ukuxhatshazwa kwentloko , okwenza ukuba uxilongo lukhohlise. Ngaphezu koko, akukho "uhlobo oluthile lwentloko" abantu abanalo IIH. Oko kuthetha ukuba intloko yesifo somlomo i-IIH inzima kwaye iphoqa, njengemigraine. Intlungu ingaba phakathi okanye ihlale idibeneyo kunye / okanye ukuhlanza. Ngamanye amaxesha, abantu abaneentloko ze-IIH baya kuqaphela intlungu emva kwamehlo abo kunye / okanye intlungu ngokunyakaza kwamehlo.
I-IIH ichongwa njani?
Ukuba ugqirha ugxeka i-IIH kwaye ubona i-papilledema ekuhlolweni kwamehlo, uya kululeka iMRI yengqondo kunye kwaye ngaphandle kokujonga ukuba yintoni imbangela yokunyuka kwengcinezelo yakho. Izizathu eziphambili ze-intracranial hypertension zibandakanya (kodwa zingaphelelanga):
- I-cerebral venous thrombosis
- Ubunzima be-Brain okanye i-abscess (ukuqokelela umkhuhlane we-HIV)
- IHycecephalus
- Imihla yokumisa imitha
- Uxinzelelo olushushu
Ukuba akukho nto ibonwayo kwi-MRI, uya kufakwa kwisigxina sokuqinisekisa uxinzelelo oluphezulu kunye nokulawula ukusuleleka ngohlalutyo lwe- cerebrospinal fluid okanye i-CSF. Kwi-IIH, akukho ntsholongwane, ngoko ukusetyenziswa kwe-CSF kuqhelekile. Kodwa ukugqithwa kwe-lumbar kuya kubonisa ukuvulwa kwengcinezelo enkulu kunama-250 mmH2O, okuyi-diagnostic yexinzelelo eliphezulu.
Unyango lwe IIH
Ukwelashwa kwe-IIH kudinga ukulandelwa okufutshane kunye neurologist ne-opthamalogist. I-HH yokwelapha i-mainstay i-medication medicine ebizwa ngokuthi i-acetazolamide, eyanciphisa izinga lokuveliswa kwe-CSF. Ugqirha wakho unokuqwalasela ezinye iindlela zokwelapha ukuba unesifo sulfa okanye ukhulelwe. Ngamanye amaxesha, ii-punctures ze-serial kunye ne-corticosteroids zisetyenziswe kwixesha elifutshane ukwenzela ukunciphisa uxinzelelo lwe-CSF-kodwa, ezi zixazululo zexesha elide.
Ukuba intloko yomntu ayixhatshali kwiyeza lonyango kwaye / okanye ejongene nokulahleka kombono oqhubela phambili, kufuneka utyando. Ingenelelo yokuphanda iquka iinkqubo ezibizwa ngokuba yi-optic nerath seal (FSST) kunye / okanye inkqubo yokukhusela i-CSF.
Kwi-optic ye-heath fathestration, i-flit okanye iwindow eyenziwa kwi-optic nerath. Oku kuvumela i-CSF ukuba ikhuphe, iyanciphise uxinzelelo kwi-nerve, ivumela umboniso ukuba ubuyisele okanye ubuyiswe ngokupheleleyo. Izifundo zibonisa ukuba i-ONSF isebenza ngokukodwa ekuphuculeni ukulahleka kombono, ngakumbi xa kwenziwe ngaphambi kwangoko. Kwi-CSF ukukhupha, umthambo wamanzi uyaphambukiswa kwezinye iindawo zomzimba, kwakhona ukunciphisa uxinzelelo kwingqondo.
ILizwi
Intloko ye-IIH iyatshintsha kwaye iveliswa yinycinezelo enganyanzelekanga , echazwe yi-papilledema kwimeko yokuhlolwa kwamehlo. Unyango lubaluleke kakhulu kwaye ukhawuleze ukukhusela ukulahleka kombono kwaye ufuna ukulandelelana ngokufutshane ne-neurologist yakho kunye ne-opthamalogist.
Imithombo:
U-Lee AG & Wall Wall Idiopathic ingcinezelo yomshuwalense (pseudotumor cerebri): Iinkalo zeklinikhi kunye nokuxilongwa. Ku: U-UpToDate, iBasow DS (ed), UpToDate, i-Waltham, MA, 2015.
U-Lee AG & Wall Wall Idiopathic ingcinezelo yomshuwalense (pseudotumor cerebri): Ukuhlaziya nokunyanga. Ku: U-UpToDate, iBasow DS (ed), UpToDate, i-Waltham, MA, 2015.
Isiko seSizwe seNational Psychology and Stroke. I-Pseudotumor I-Information Information Page.
I-Obi EE, i-Lakhani BK, i-Burns J, ne-Sampath R. I-Optic ye-nertic hyathtension for the idiopathic intracranial hypertension: i-review of years seven. Iklinikhi yaseNeurol Neurosurg . 2015 Oct; 137: 94-101.
I-Pineles SL, Volpe NJ. Iziphumo zexesha elide loMzimba weMisipha yokuFama kwe-Idiopathic Intracranial Hypertension: Ixesha eliPhambi kweNkxaso yeziPhuculo eziPhuculo. Neuro-Ophthalmology. 2013; 37 (1): 12-19.