Thrombosis sanka Cavernous: calaamadaha, cudurka, daaweynta

thrombosis sanka Cavernous waa thrombus qabsamin sanka ah cavernous, oo ku yaalla salka dhaladii labada dhinac ee turcica Sella ah.

shaqo ee sanka ka cavernous waa dheecaanka ka arooriyaha gobolka of saldhig isha iyo maskaxda, iyo sidoo kale sharciyeynta wareegga cerebral.

cudurada Tani waa arrin naadir ah, laakiin waxay keeni karaan cawaaqib xun. Sidoo kale marmar dhif ah thrombosis ah sigmoid iyo sanka transverse helay.

Sababaha cudurka

thrombosis sanka Cavernous dhici kara sababo kala duwan. isaga Si kudhacaan:

• cudurada faafa oo ka dhaca qaab daran ee maxillary JQSHM, dhegaha, ilkaha, sanka iyo dhuunta,
• joogitaanka trauma cranial;
• shalalka (lupus erythematosus oo nidaamsan, rheumatoid arthritis);
• geeddi socodka hemostasis bahal ah kuwaas oo la socda formation of korodhay thrombi (politsetemii joogitaanka);
• vascular iyo cudurka wadnaha (dhaawaca wadnaha ischaemic, qas garaaca wadnaha et al.);
• mellitus diabetes;
• ilmo iska soo ridid,
• tan iyo dhalashada ilmaha.

xinjiro dhiig oo waa dabeecadda faafa iyo noninfectious. Currently, more calaamadeeyay asal non-faafa. Tan waxa u sabab isticmaalka joogtada ah ee antibiotics in looga hortago dhibaatooyin daran. Xaaladdan oo kale waa caado ah in laga hadlo qaab idiopathic ee Dhiigxinjirowga arooriyaha.

symptomatology cudurka

Waa maxay calaamadaha cudurrada sida thrombosis sanka cavernous? Clinic waa arrin adag. Mararka qaarkood cudurka waa ay adag tahay in la ogaado in marxaladaha hore, sababtoo ah calaamadaha waxaa inta badan lagu xirto ee dabiiciga ah iyo mid yihiin calaamadaha cudurrada kale.

Waxaa ka mid ah tilmaamayaasha ugu weyn ee cudurka waa in lagu iftiimiyay:

• joogitaanka madax xanuun aad u daran;
• lallabo iyo matag,
• waayidda iyo jahawareerka,
• kooma,
• dhacdo of qalal.
• xanuunka qoorta in flexion dhinaca weerarka,
• qandho,
• joogitaanka exophthalmos (protrusion ee bu'da hore u raacay by barakaca jihada).
• ophthalmoplegia horumarinta (curyaannimo muruqyada indhaha ku soo gaartay ee dareemayaasha haga dhaqdhaqaaqa indhaha ka);
• dhacdo bararka ee dareemayaasha optic iyo kaaha;
• hoos aragti;
• diplopia;
• xanuun iyo dhiigrooraan saldhig, fooddiisa iyo sanka saldhigga ah,
• luminta dareenka of dareemaha wajiga,
• thrombophlebitis xididdada wajiga.

thrombosis sanka Cavernous waxa lagu gartaa a heerkulka hoose, asthenia, dareen xanuun ah murqaha iyo kala goysyada. In the case of xinjiro dhiig dabeecadda faafa calaamadaha sida laga yaabaa in aanay muuqan.

calaamadaha Cerebral muuqan calaamadaha meningeal. Iyadoo horumarinta cudurka kordhiyaa marinka qalalka. Xaaladaha daran, bukaanka waxaa ridda galay kooma.

muuqaalka kore ee calaamadaha xun xanaajiyeen dheecaanka CSF, kordhay cadaadiska intracranial, siyaadiyaa bararka cerebral, kaas oo laga yaabaa in ugu dambeyntii keeni dhimashada bukaanka.

ogaanshaha

Sida shaaca ka qaaday thrombosis sanka cavernous? Cilad ku salaysan yahay habab kala duwan oo ka mid ah imtixaanka. Sidoo kale tixgeliyo cabashooyinka bukaan-socodka iyo taariikhdaada caafimaad galay.

Dhanjaf, tusaale ahaan, waxa uu leeyahay tiro ka mid ah muuqaalada:

• Bilaabasho nafaqo iyo si tartiib tartiib ah uu noqdo chronic. Xanuun uu adkaysi u yeesho xanuun joojiyaha.
• Xanuun daran by dhaqdhaqaaqa jirka iyo in booska la jiifo. Tani muujinta madax soo jeedisay in feathery thrombosis sanka aadanaha.
• Marka u riixriixan oo ku barta bukaanka Greenstein cabanaya xanuunka. Waxaa barar iyo saldhigyadiisa isha ferjiga ee bu'da.

Dhammaan bukaanka qaba calaamadaha dareemayaasha nooca la mid ah loo baahan yahay booqasho uu ku xafiiska indhaha ee.

In fundus ah oo laga dheehan karo joogitaanka tortuosity marinnada, barar disc ah optic.

Laga soo bilaabo barashada cilmiga shaybaarka mid ah hababka loo adeegsado ogaanshaha:

• complete count dhiigga.
• collection of dhiig dhaqanka, waayo, ma dhalaysnimo.
• qabashada xinjirowga,
• tilmaame go'aaminta D-dimer
• Falanqaynta of dheecaan lafdhabarka.

sahan noocan oo kale ah siiyaan fursad ay ku aqoonsadaan nabar faafa, iyo sidoo kale cudurada hemostatic.

Laga soo bilaabo hababka qalabka waa in la ogaadaa,

• opacification by CT;
• imaging resonance magnetic;
• ANGIOGRAFI cerebral.

Aasaaska therapy

thrombosis sanka Cavernous, iyo sidoo kale sigmoid iyo transverse, hababka caadiga ah u baahan tahay daaweyn. Therapy noqon kartaa muxaafid iyo qalliin. qiyaastii danbe la tilmaamay cudurada la dayacay.

Hababka daaweynta caafimaadka

Sida xirtay thrombosis sanka cavernous? Daaweynta hababka muxaafidka eryanayn tiro ka mid ah ujeeddooyinka:

• naanin,
• dagaalka ka dhanka ah formation of xinjiro dhiig;
• tirtiridda bararka maskaxda,
• oo qabatay habka cudurka;
• therapy neuroprotective.

Naanin iyo therapy antibiotic loo isticmaalo haddii ay jirto thrombosis asal ahaan faafa. Naanin ku siinaysaa fursad in la baabi'iyo oo keeni walxaha sunta ah. Ujeedada this waxaa loo isticmaalaa galiyey xal isotonic chloride sodium, "reopoligljukin" "gemodez".

Ka dib markii ururinta dhiig dhaqanka magacaabay antibiotics. Sida laga soo xigtay qorayaasha falanqaynta leh qaybaha kala duwan ee ficil ah. In isku midka ah, antibiotics waxaa laguugu qori karaa gargaarka ee cudurada anaerobic ( "Metronidazole").

Si loo soo celiyo krovobrascheniya caadiga ah waa in meesha laga saaro xinjir ah. Si taas loo dhamaadka, therapy heparin ah. Dheeraad ah oo loo magacaabay xinjirowga lidka ku ah si toos ah, kuwaas oo loo qaatay muddo saddex bilood ah.

Ka dib markii koorsada waxaa lagu talinayaa in bukaanlayda qaadato wakiilada antiplatelet sida "Aspirin", "Dipyridamole" "Clopidogrel".

Xaaladaha daran, horumarinta nidaamka cudurada bararka cerebral la tirtiro by diuretics.

therapy Neuroprotective waxaa maamula in muddo soo kabashada. Waxaa la sameeyay hab of wakiilada taas oo kor u vasodilatation iyo hab neurometabolic.

faragelinta operative

Hawlgalka ayaa qalliin lagu muujiyay in kiiska halkaas oo hababka muxaafidka aan ruuxii natiijada saxda ah. By sanka ka cavernous waxaa aad u adag in hab sababtoo ah halka ay jidh. Sidaas daraaddeed, qalliinka ku lug leedahay furitaanka JQSHM iyo hoose fayadhowrka faafa diirada.

dhibaatooyin ay suuragal tahay

thrombosis sanka Cavernous (sawirka bukaanka qaba cudurkaan waxaa lagu soo bandhigay in this article) waxay keeni kartaa dhibaatooyin daran. Qaabka hore ogaanshaha iyo daaweynta bilaabay fuliyay, fursad yar dhibaatooyinka.

Dhibaatooyinka kala qaybsan yihiin hore iyo kan dambe.

Dabayaaqadii waa in la ogaadaa,

• luma toosan muuqaal ah;
• paresis of abducens ;
• joogitaanka ptosis (kaa dhaga qarnigii);
• horumarinta arachnoiditis;
• hypopituitarism;
• anisocoria.

Hore:

• bararka maskaxda,
• qalal qayb ahaan;
• Wadnaxanuun cerebral.

Inta badan, thrombosis sanka cavernous keenaysaa in bukaanka:

• total indho la'aan.
• stroke (disorder wareegga dhiigga ba'an ee maskaxda, taas oo inta badan dhirfinaya curyaanimo, iyo dhimasho);
• carqalad ah ka shaqeynayaan of qanjirka pineal in mas'uul ka yahay Iscelin ee saamaxaaddu hormone koritaanka;
• gaabis geedi socodka horumarka buro,
• cudurada of horumarinta galmada iyo dabeecadda.

dhibaatooyinka noocan oo kale ah waxaa lagu arkay oo ku saabsan saddexaad oo ka mid ah xaaladaha.

tallaabooyinka ka hortagga

Si looga fogaado cudurrada sida cudurka waa inay raacaan tallaabooyin qaar ka mid ah ka hortag ah si looga hortago horumarinta cudurka:

• daaweynta waqtigii la xidhiidha geedi socodka bararka ee jirka ku jira;
• u hogaansanaanta hab nololeed caafimaad leh,
• waqtigii ay helaan qof xirfad leh ee cudurada taas oo ka dhaca chronic iyo Ulasocto isbadal leh qaabka derbiyada markabka iyo muuqaalka kore ee hyperviscosity.

saadaal

Saadaasha cudurka waa si toos ah ay ku xidhan tahay cudurka waqtiga iyo daaweynta. The hore u dhiganay jiritaanka cudur, iyo daawada la billaabo, si fiican fursadaha soo kabashada.

Hababka daaweynta, daawada ku lug casriga ah waxaa suurto gal ah si aad loogu yareeyo dhimashada ka soo marinka cudurkan. Jaantuska waa 20%. Qiyaastii 10% ka mid ah xaaladaha soo laabto thrombosis hal sano gudahood daaweynta ka dib.

gunaanad

thrombosis sanka Cavernous, calaamadaha mid ah taas oo lagu tilmaamay in this article, waa cudur aad u daran. cudurka waa ay adag tahay in la daweeyo.

Xaaladaha intooda badan, cudurada ku keenaya naafada bukaan-socodka, iyo inta badan dhamaado dhimasho. Sidaa darteed, waxaa muhiim ah in nidaamka lagu ogaanayo waqtiga iyo daaweynta.