Uma uthola ukuthi unesifo se-sinus thrombosis, ungase ube neminye imibuzo mayelana nokuthi ungalindela. Nazi izimpendulo zemibuzo yakho mayelana nesifo se-sinus thrombosis.
Ukubukwa kweDural Sinus
I-sinus yasemaphandleni iyimvelo yesitsha segazi, futhi, naphezu kwegama, akuhlobene nezimo esizicabangayo lapho sicabanga ngokuzibamba nokuxubana kwesono.
Ubuchopho bunesimiso semithanjeni lapho i-oxygen-ephelile igazi ihanjiswe emaphashini, lapho iphinda iphindwe khona nge-oxygen. Lolu hlelo lwezimvini yiwebhu yezitsha ezincane ezithola igazi eliphethwe yi-oksijeni kusukela kulo lonke ubuchopho.
Njengoba imifudlana ihamba isuka emathisini echopho, iqhuma ukwakha izitsha ezinkulu ezibutha phakathi kobuchopho kanye nethambo le-skull ukwakha okuthiwa "ama-sinus asezindaweni zasemakhaya." I-sinus zasemakhaya yizona zitsha ezinkulu kakhulu lapho igazi liphuma khona ebuchosheni, lapho libuyela emuva emaphashini. Kunezinhlobo zesinasi zasemakhaya, futhi zibizwa ngokuthi:
- Isinus sagittal esiphezulu nesingaphansi
- Sinus esiphezulu nesingaphansi kwe-petrosal
- Sinus eguqukayo
- I-Sigmoid sinus
- Sinus eqondile
- I-Cavernous sinus
- Ukuxhumana kwezono
I-Dural Sinus Thrombosis?
I-thrombosis yi-clot yegazi. Ukwehliswa kwe-sinus yasemakhaya yi-clot yegazi phakathi kwesinye sezidalwa zasemakhaya.
Indlela Engabangela Ngayo Ukushaya Isisu
Uma i-clot yegazi ingena ngaphakathi kwesinye sezimo zesibindi sebuchopho, kubangela ukugcinwa kwegazi ngaphakathi ohlelweni lobuchopho lobuchopho, ukuvimbela igazi ukuba lingashiyi izicubu zomqondo.
Ekuqaleni, lokhu kungase kungabi inkinga, ngoba imifino encane inekamelo elithile lokukhulisa ukuze likwazi ukuthola igazi elingeziwe.
Kodwa njengoba isikhathi siqhubeka futhi igazi elisha eline-oksijeni liqhubeka lifaka izicubu zobuchopho ngokusebenzisa imishanguzo, ukwakhiwa kwegazi okwedlulele kungase kubangele ukucindezela ezindongeni zomzimba ngaphambi kokuba kuqhume, futhi kungena ngaphakathi kwengqondo.
Lokhu kubangela ukushaya kwesifo esibi.
Izimpawu
Esinye sezici ezaziwayo zesifo se-sinus thrombosis ukuthi singabangela izimpawu ezivela ekhanda kuya ekukhubazekeni okungazelelwe nokuphelele komunye uhlangothi lomzimba.
- Abantu abangaphezu kwezingu-90% abanesifo se-sinus thrombosis bakhononda ngekhanda elibi
- Amaphesenti angu-50 anesimpawu esivamile sokushaya
- Cishe amaphesenti angama-40% e-sinus thromboses asezindaweni zasemakhaya abangela ukugubha
- Umuntu onesifo se-sinus thrombosis angase abone ukulahlekelwa inkumbulo noma angayeka ukukhuluma ngokungalindelekile, kuye ngesimo esithile sendawo esithintekayo.
Uma isifo se-sinus esisenyakatho senza kuphela ukuphathwa ikhanda kanye nombono ongenalutho, kungahle kudidaniswe nesimo esibizwa ngokuthi i-hypertesion engenazintambo, esaziwa nangokuthi i-pseudotumor cerebri.
Ukuxilongwa
Uma uya ekamelweni eliphuthumayo nganoma iyiphi yalezi zimpawu, kufanele ulindele ukuthi ube nokuhlolwa okugcwele kwegazi futhi ubuchopho beC CT. I-CT scan iyinkinga yokuxilonga okusheshayo engabonisa izindawo zokuphuma ngaphakathi kwengqondo.
Uma kukhona ukuphuma, ukuhlinzekwa ukukhipha igazi kungase kube inketho. Kodwa-ke, ukuze kutholakale ukuthi odokotela base-dural sinus thrombosis kumele bahlole ubizwa ngokuthi i-magnetic resonance venography noma i-MRV, ukuhlolwa kwe-imaging yokuxilonga okufana ne-MRI evamile, kodwa okubonisa ngokuqondile igazi ngaphakathi kwemithanjeni yobuchopho ne-skull.
Uma i-MRV ingatholakali, i- CT angiography ingasetshenziselwa ukubona ngeso lengqondo iziphambeko zasendlini.
Ukwelapha
- Ukwelapha okuhlinzekwayo:
Uma isifo se-sinus thrombosis sinomsindo omkhulu wegazi ngaphakathi kwengqondo, ukuhlinzwa kungase kudingekile ukususa igazi. Ukweqa umzimba ebuchosheni kungaholela ekucindezelweni kwezakhiwo ezibalulekile ebuchosheni, okubangela ukukhubazeka okungapheli kanye nokufa. Inqubo yokukhipha igazi ebuchosheni ibizwa ngokuthi i-hemicraniectomy ehlukumezayo. - Ukwelapha kwezokwelapha:
Uma uthola ukuthi unesifo se-sinus thrombosis, ungathola ukwelashwa kwesikhashana ngegazi elincane, njenge- heparin, i- coumadin noma i-Lovenox. Le mithi inikezwa ukuze kuvinjelwe ukukhuliswa kwegazi eliphakathi kwe-sinus yasemaphandleni ethintekile, nokuvimbela ukwakheka kwezingubo ezintsha zegazi ezingabangela ukushaywa okusha nokubi nakakhulu.
- Kwezinye izimo, ukunyuka kwengcindezi ekhuphuka emithonjeni emikhulu kudinga ukufakwa kwe-hypothermia noma ukupholisa ukushisa komzimba, okusiza ukuvimbela umonakalo owengeziwe ebuchosheni. Eminye imithi yokuhlola iyatholakala nasezibhedlela ezikhethiwe ezweni lonke, lapho ama-clots egazi aphulwa khona ngaphakathi kwesinusithinte esithintekile usebenzisa amasu akhethekile we-endovascular thrombolysis.
Ubani Osesengozini?
Amaphesenti angamashumi ayisishiyagalombili nanhlanu abantu abatholwa ukuthi banesifo se-sinus thrombosis banesimo sokwenza ama-blood clots. Ezinye zezimiso noma izenzakalo ezenza abantu baningi amathuba okwenza ama-clots wegazi zihlanganisa:
- Ukulimala kwekhanda
- Izinyanga ezintathu zokugcina zokukhulelwa
- Ngokushesha ngaphambi, ngesikhathi noma ngemuva kokuletha okubi
- Ukusetshenziswa kwamaphilisi okulawula ukuzalwa
- Ama-punctures e-Lumbar (amathinta omgogodla)
- Izifo, ikakhulu ebusweni, amehlo noma izindlebe
- Ukuphazamiseka kwegazi okuholela ekushayweni
Izwi elivela
I-dural sinus thrombosis ayilona evamile, futhi uma wena noma othandekayo ube nesifo se-sinus thrombosis, ngokusobala ukuthi uthola ukuthi une-stroke. I-dural sinus thrombosis wuhlobo lwesifo sohlangothi. Abantu abaningi baphila kahle ngemuva kokuhlukunyezwa kwe-sinus futhi badinga ukuhlola okuphelele ukukhomba nokuphatha ukuphazamiseka kwegazi okungenzeka kwaholela ekutheni isifo se-sinus sithinte.
> Imithombo:
> I-cerebral sinous thrombosis eyinkimbinkimbi yinkimbinkimbi yokuthuthukiswa kwe-fistula yase-arteriovenous: I-case case. Chen JG, Li ZX, Zhang DF, Wang JY, Hou LJ, J Clin Neurosci. 2017 Jun 30. pii: S0967-5868 (17) 30048-6.