I-Cerebral Vasoconstriction Syndrome ne-Stroke
I-cerebral vasoconstriction syndrome eguqulwayo (RCVS) ibonakala ngezici ezimbili eziyinhloko. Okokuqala kungukuqala okungazelelwe kwekhanda lokuduma . Owesibili ukutholakala kwezindawo zokunciphisa noma "i-vasoconstriction" lapho udonga lomuthi owodwa noma ngaphezulu ebuchosheni bubhekana nesicupho esivimbela ukugeleza kwegazi. Lezi zindawo zingatholakala kalula nge- catheter angiogram , nakuba ngezinye izikhathi zingabonakala nge- magnétique resonance angiography (MRA) .
I-vasoconstriction ye-cerebral eguqulwayo ingase iholele noma ingabe ingaholela ekushayweni . Ezimweni eziningi, izimpawu zesifo sohlangothi ziyavela kodwa ziguqulwa ngokuphelele. Kodwa-ke, abanye abantu bangase bashiye ukulahlekelwa okuhlala njalo. Umcimbi ungase ubangele nokugubha nokufa.
Kuyini Stroke?
Ukushaywa yisifo yisifo esithinta imishanguzo eholela ngaphakathi nangaphakathi kobuchopho. Yimbangela yezokufa kanye nesizathu esiyinhloko sokukhubazeka e-United States. I-stroke kwenzeka uma isitsha segazi esithwala i-oksijeni nezakhi kumbono kungavinjelwa i-clot noma i-bursts (noma i-break). Uma lokho kwenzeka, ingxenye yengqondo ayikwazi ukuthola igazi (ne-oksijeni) idinga, ngakho-ke amaseli obuchopho abufa.
Ukushaywa yisisu kungabangelwa yi-clot engavimbela ukugeleza kwegazi ebuchosheni (okuthiwa i- ischemic stroke ) noma nge-blood vessel ukubhula nokuvimbela igazi ukugeleza ebuchosheni (okubizwa ngokuthi isifo esibuhlungu ). I- TIA (ukuhlaselwa kwe-ischemic okudlulayo), noma "ukushaywa kwesikhashana", kubangelwa i-clot yesikhashana.
I-RCVS ingabangela ukushaywa kwe-ischemic noma i- hemorrhagic , ngokuvamile ngendlela yesimiso sokumisa imfucuza .
Izingozi Zengozi Nge-Stroke
- Ubudala - Ilungelo lokuba nesifo sokushaya isifo cishe kokuphindwe kabili iminyaka eyishumi ngayinye yokuphila ngemva kweminyaka yobudala engama-55. Ngenkathi isifo sivame kakhulu kubantu asebekhulile, iningi labantu abangaphansi kweminyaka engu-65 linemivimbo.
- I-Heredity (umlando womndeni) - Ingozi yakho yokushaya isifo ingase ibe mkhulu uma umzali, ugogo nomkhulu, udadewabo noma umfowenu sebehlaselwe isifo.
- Umjaho - Abase-Afrika baseMelika banengozi enkulu yokufa ngenxa yokushaywa yisifo esibucayi kunaseCaucasus. Lokhu kungenxa yokuthi abamnyama banengozi ephezulu yokucindezeleka kwegazi, isifo sikashukela nokukhuluphala.
- Ubulili (ubulili) - Unyaka ngamunye, abesifazane banemivimbo eminingi kunabesilisa, kanti ukushaywa yicala kubulala abesifazane abaningi kunamadoda. Ukusetshenziswa kwamaphilisi okulawula ukubeletha, ukukhulelwa, umlando we-preeclampsia / eclampsia noma isifo sikashukela sokubeletha, ukusetshenziswa komlomo ngokweqile, nokubhema, kanye nokwelashwa kwe-hormone ye-post-menopausal kungabangela izingozi ezikhethekile zokuhlukunyezwa kwabesifazane.
- Ukushaywa kanzima, i-TIA noma i-heart attack - Ingozi yokushaya isifo somuntu osevele esenayo izikhathi eziningi zomuntu ongenakho. Ukuhlaselwa kwe-ischemic esheshayo (TIAs) "yiziphazamiso ezixwayisa" eziveza izimpawu ezinjenge-stroke kodwa azikho umonakalo ohlala njalo. Ama-TIA ayimemezelo eqinile yokushaywa yisifo. Umuntu ophethe i-TIA eyodwa noma ngaphezulu cishe cishe izikhathi ezingu-10 ukuthi abe nesifo esingaphezu komuntu oneminyaka efanayo nobulili obengazange. Ukuqaphela nokwelapha i-TIA kunganciphisa ingozi yesifo esibucayi. I-TIA kufanele ibhekwe njengesimo esiphuthumayo sezokwelapha futhi ilandelwe ngokushesha kanye nochwepheshe wezempilo. Uma uke wahlaselwa yinhliziyo, usengozini enkulu yokuba nesifo, futhi.
Ubani Ongathinteka RCVS?
I-RCVS ithinta abesifazane ngokuphindaphindiwe kunamadoda, ejwayelekile kakhulu ngemva kokubeletha.
Yini eyenza i-RCVS?
Isizathu se-RCVS asiyazi, kodwa kucatshangwa ukuthi kubangelwa ukuphazanyiswa kwesikhashana kwodonga oluyingqayizivele, okuholela ekunciphiseni kwalo. Izinto eziningana ziye zahlotshaniswa ne-RCVS, kufaka phakathi:
- I-serotonin reuptake inhibitors ekhethiwe (SSRIs)
- Ama-decongestant ase-nasal aqukethe i- pseudoephedrine noma i- ephedrine
- I-Ergotamine
- I-Tacrolimus
- Ama-patches ka-Nicotime
- I-Cocaine
- I-Marijuana
Izinkomba:
U-Anne Ducros, uMonique Boukobza, uRaphaël Porcher, uMariana Sarov, u-Dominique Valade noMsizi we-Marie-Germaine; I-spectrum ye-clinic neye-radiological ye-cerebral vasoconstriction syndrome. Uchungechunge lweziguli ezingu-67: Ubunjiniyela buka-2007 130 (12): 3091-3101