I-pseudotumor cerebri iyenzeka uma ingcindezi ngaphakathi kwekhanda, noma ingcindezi engasebenzi, iyanda ngenxa yesizathu esicacile. Lokhu kuncipha kwengcindezi kubangela izimpawu zesisu endaweni yobuchopho. Ngoba empeleni akukho okwamanje isisu, lesi simo sibhekwa njengepseudotumor noma i-tumor yamanga. I-Pseudotumor cerebri yisimo esibi esingabangela ukulahlekelwa umbono.
Odokotela bangase basebenzise leli gama elithi hypertension elibhekene ne-british intracranial. Kodwa-ke, ochwepheshe bezokwelapha uzama ukugwema ukusebenzisa kokubili imigomo enesifo somfutho wegazi ophezulu ongathandwayo kanye ne-pseudotumor cerebri ngoba kunciphisa ukungathí sina kwangempela kwalesi simo. Igama elifanele liyi-hypertension ye-idiopathic engenangqondo noma i-IIH.
Izimpawu
Uphawu oluyinhloko lwe-IIH ingcindezi eyengeziwe ngaphakathi kwegazi lakho. Ukunyuka kwengcindezi engaphambisani nomzimba kubangelwa ama-papilledema, noma aphakeme, avuvukale ama-optic neva. I-nertic optic yi-cable yezinzwa ezixhuma iso lakho ebuchosheni bakho. Ngenxa yalokhu kuvuvukala, umbono ungathinteka kakhulu futhi ubufebe bungenzeka nakanjani. Izimpawu ezivamile ze-IIH zihlanganisa:
- Izinwele ezingase zenzeke ngokuguquguquka kwesimo
- Ubuhlungu obubangelwa ukuhamba kwamehlo
- Umbono ophuphuthekile noma odibeneyo
- Umbono kabili
- Isizungu
- I-nausea
- Ama-tinnitus, noma ukukhala ezindlebeni
Izimbangela
Ezimweni eziningi ze-IIH, isizathu esiqondile asiyazi. Isimo singase sibangelwe amazinga angaphezu kwe-cerebrospinal fluid ngaphakathi kwegazi lakho.
I-Pseudotumor ibonakala ivame kakhulu kubantu besifazane abakhuluphele bokubeletha. Imithi ethile ingakwandisa ingozi yokuthuthukisa i-IIH, kuhlanganise nemithi eningi kakhulu ye-vitamin A, i-tetracycline, i-minocycline, i-nalidixic acid, i-corticosteroids, nokukhishwa kwe-corticosteroid. Ezinye izimo ezingase zandisa ingozi yakho zibandakanya ukungavamile kwe-endocrinologic, i-anemias, i-blood dyscrasias, nokungakwazi ukuphefumula okungapheli.
Nokho, iningi lamacala alingaziwa.
Ukuxilongwa
Odokotela bamehlo bavame ukuqala ukusola i-IIH ngenxa yezinguquko embonweni wakho nasekubukeni kwesibindi se-optic. Ukuhlolwa okulandelayo kungasetshenziswa uma ngabe i-pseudotumor cerebri icatshangwa:
- Ubuningi obubonakalayo
- Ukuhlolwa kwendawo okubonakalayo
- Ukuhlolwa kwangaphakathi kwe-eye
- Ukuhlolwa kwemisipha yeso
- Umbono wombala
Ukuhlolwa okungeziwe, okufana nokuhlolwa kwegazi, i-MRI, i-CT scan, kanye nephepheni lomgogodla kungadingeka ukuqinisekisa ukuxilongwa nokulawula ezinye izimo ezibangela ukunyuka kwengcindezi.
Izinketho zokwelapha
Ukwelashwa kwe-pseudotumor cerebri kugxile ekunciphiseni ukucindezela kwakho okungahambi kahle. Lokhu kungase kutholakale ngokushintsha ukudla kwakho ngokunciphisa uketshezi oketshezi kanye nosawoti. Imithi ethile ingase inikezwe, njenge-corticosteroids, i-acetazolamide noma i-furosemide. Ukwelashwa kungadingeka nakwezinye izimo ezinzima, kugxile ekudaleni amafasitela noma ukuvinjelwa ukunciphisa ukwakhiwa kwamanzi okuzungeza umlenze we-optic, ubuchopho, nomgogodla.
Izwi elivela
I-IIH ivame ukuthuthukisa ukwelashwa. Kodwa-ke, ngezinye izikhathi zibuhlungu ngesikhathi, noma zingaxazulula bese ziphinde zibuye. amaphesenti angama-5-10 abesifazane abanobuchwepheshe be-IIH abakhubaza umbono wokulahleka. Iningi labantu abanesimo asidingi ukwelashwa.
> Imithombo:
> Ukubuyekezwa kwe-Optometry. I-Handbook ye-Ocular Disease Management: Pseudotumor Cerebri. 2000-01.
> Slamovits, > Thomad > L. noRonald Burde. I-Neuro-ophthalmology, uMqulu 6. I-Mosby-Year Book Europe Ltd., ngo-1994.