Ƙananan Raunin Ciwon Kai a Matasan Mata
Hawan jini na Intracranial Intracranial (IIH) wani yanayi ne na likita wanda ya haifar da ƙara yawan ruwan jini a cikin kwakwalwa, idan babu wata ciwon ƙwayar cuta ko ƙwararrun kwakwalwa. An san shi da sunan karnin pseudotumor. IIH mafi yawanci a cikin mata masu girma da shekarun haihuwa.
Bayyanar cututtuka na IIH
Ciwon kai da hangen nesa sune bayyanar cututtuka da aka gani a IIH.
A duba idanun ido, likitoci za su ga papilledema -yanayin da ke nuna kullun ido na ido, saboda karuwa a cikin kwakwalwa. Kwararren likita ne ke bincikarsa a yayin binciken gwaji na ophthalmoscopic.
Sauran kwayoyin cututtuka (amma ba na musamman) sun gani a marasa lafiya tare da IIH sun hada da:
- canje-canje na canji na zamani
- Maganin tinnitus (jin motsawa ko jujjuya a cikin kai)
- photopsia (fahimtar hasken haske)
- zafi a bayan idanu
- biyu hangen nesa
- asarar hangen nesa
Menene Ciwon Kai na IIH Yana Jin?
Ciwon kai daga IIH zai iya kwatanta cewa ƙaura ko ƙananan ciwon zuciya , yana yin ganewar asali. Bugu da ƙari, babu wani musamman "nau'in ciwon kai" wanda mutane da IIH suna da. Abin da aka ce da ciwon ciwon zuciya IIH mai tsanani ne mai tsanani da damuwa, kamar ƙaura. Rashin zafi zai iya zama tsaka-tsakin ko akai kuma zai iya hade da tashin hankali da / ko vomiting. Wani lokaci, mutanen da ke fama da ciwon kai na IIH zasu lura da ciwo a idanunsu da / ko ciwo tare da motsi ido.
Yaya aka gano IIH?
Idan likitan da ake tuhuma IIH kuma yana ganin papilledema akan gwajin ido, zai umurci MRI na kwakwalwa tare da ba tare da bambanci ba don bincika mahimmancin dalilin yaduwar matsa lamba ta intracranial. Abubuwa na biyu na hauhawar jini intracranial sun haɗa da (amma ba'a iyakance ga) ba:
- Crobral venous thrombosis
- Ciwon ƙwayar zuciya ko ƙuruci (tarin ruwa mai kamu)
- Obstructive hydrocephalus
- Subarachnoid Gubar jini
- Rashin ƙwayar cutar
Idan babu dalilin da ake gani a kan MRI, za ku shawo kan launi na lumbar don tabbatar da matsa lamba mai girma da kuma yin watsi da kamuwa da cuta ta hanyar bincike na ruwa ko na CSF. A IIH, babu kamuwa da cuta, don haka abun da ke cikin CSF ya dace. Amma ƙuƙwalwar lumbar zai nuna matsi budewa fiye da 250 mmH2O, wanda shine bincike don matsa lamba intracranial.
Jiyya na IIH
Jiyya na IIH na buƙatar bin bin gogewa tare da wani neurologist da kuma wanda yake son yin amfani da su. Babban magunguna na IIH shine maganin magani wanda ake kira acetazolamide, wanda ya rage yawan kuɗin CSF. Kwararka zai iya la'akari da sauran hanyoyin kwantar da hankali idan kana da wani ciwon sikila ko kuma yana da ciki. Wani lokaci, ana amfani da alamar lumbar da corticosteroids a cikin gajeren lokaci don taimakawa wajen rage matsalolin CSF-amma, waɗannan ba mafita ba ne.
Idan ciwon kai na mutum yana da mawuyacin maganin likita da / ko tana fama da lalacewar hangen nesa, ana bukatar tiyata. Hanyar shigarwa ta ƙunshi hanyoyi da ake kira ƙwaƙwalwar ƙuƙwalwar ƙuƙwalwar ƙuƙwalwa ta jiki (ONSF) da / ko hanyar CSF.
A cikin ƙwaƙwalwar ƙuƙwalwar ƙuƙwalwar ƙyalƙwarar ƙyallen, an yi ɓoye ko taga a cikin ƙuƙwalwar ƙuƙwalwa. Wannan ya ba CSF damar yin magudi, kawar da matsa lamba a kan jijiyar, ya ba da damar hangen nesa da za a mayar da shi ko kuma a sake dawo da ita. Nazarin ya nuna cewa ONSF yana da tasiri sosai wajen inganta fadar hangen nesa, musamman ma lokacin da aka yi a baya fiye da baya. A cikin CSF shunting, ruwan tazarar yana juya zuwa wasu sassa na jiki, kuma sake rage matsa lamba akan kwakwalwa.
Kalma daga
Ciwon kai na IIH mai sauƙi ne kuma an samar da shi ta hanyar ƙarar ƙin intracranial , wanda aka nuna ta papilledema akan binciken ido. Jiyya yana da mahimmanci da gaggawa don hana lalacewar hangen nesa kuma yana bukatar buƙatarwa tare da ƙwararren ku da kuma mai ƙwaƙwalwa.
Sources:
Lee AG & Wall M. Tsarin hawan jini na intracranial (pseudotumor cerebri): fasali da kuma ganewar asali. A cikin: UpToDate, Basow DS (ed), UpToDate, Waltham, MA, 2015.
Lee AG & Wall M. Tsarin hawan jini na intracranial (pseudotumor cerebri): Tsarin gwaninta da magani. A cikin: UpToDate, Basow DS (ed), UpToDate, Waltham, MA, 2015.
Ƙungiyar Cibiyar Kwayoyin Tsaro ta Duniya da Tashin Kashe. Pseudotumor Cerebri Bayanin Page.
Obi EE, Lakhani BK, Burns J, & Sampath R. Optic nerve sheath fatar jiki don hawan jini na intracranial halayen ciki: nazarin shekaru bakwai game da abubuwan da ke gani a cikin babban jami'a. Clin Neurol Neurosurg . 2015 Oktoba; 137: 94-101.
Pineles SL, Volta NJ. Sakamakon lokaci mai tsawo na Harkokin Ƙunƙasar Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarya. Neuro-Ophthalmology. 2013; 37 (1): 12-19.