Cavernous itheku thrombosis: izimpawu, uphethwe, ukuphathwa

Cavernous itheku thrombosis kuyinto occlusion thrombus itheku cavernous, esemgwaqweni ngasesinqeni se ugebhezi nhlangothi zombili the turcica sella.

Umsebenzi we itheku cavernous kuyinto outflow emithambo yegazi evela esifundeni enethiwekhi iso kanye nobuchopho, kanye ukulawulwa kwegazi cerebral palsy.

Lokhu zokugula kuyinto ngempela ezingavamile, kodwa kungabangela nemiphumela emibi ngendlela efanayo. Futhi lengatfolakali thrombosis we sigmoid futhi itheku transverse.

Izimbangela zesifo

Cavernous itheku thrombosis kungenzeka ngenxa yezizathu ezihlukahlukene. Kuye kubenza bavame:

• izifo ezithathelwanayo okuyinto zenzeka ngendlela acute ku maxillary sinuses, izindlebe, amazinyo, ikhala nomphimbo;
• khona ukuhlukumezeka cranial;
• izifo sokuhlasela kwamasosha omzimba (omzimba izicubu erythematosus, i-rheumatoid arthritis);
• sokugembula hemostasis izinqubo zazo ephelezelwa ukwakheka anda thrombi (khona politsetemii);
• semithambo nezifo zenhliziyo (umonakalo inhliziyo ischemic, inhliziyo isigqi ukuphazamiseka et al.);
• ngifundise ngesifo sikashukela;
• isisu;
• kusukela kwazalwa umntwana.

Amahlule sidalwe ezithathelwanayo kanye noninfectious. Okwamanje, ngaphezulu imakwe ayinawo umsuka ezithathelwanayo. Lokhu kungenxa ukusetshenziswa njalo kwamaphilisi esikuvimbela yezinkinga ezinzima. Kulokhu kuyisiko ukukhuluma yefomu idiopathic ka thrombosis emithambo yegazi.

symptomatology lesi sifo

Yiziphi izimpawu zezifo ezifana cavernous itheku thrombosis? Umtholampilo kuba kubenzima. Ngezinye izikhathi lesi sifo kunzima ukuthola okwakuhlalwa kuzo lapho kusaqalwa, ngoba ngokuvamile izimpawu sezigugile ngokwemvelo futhi zifana izimpawu ezinye izifo.

Phakathi izinkomba main lesi sifo kufanele ezigqanyisiwe:

• khona ukuphathwa ikhanda okukhulu;
• isicanucanu nokuhlanza;
• ukulahlekelwa futhi ukudideka;
• ikhoma;
• okuvela nokuquleka.
• ubuhlungu entanyeni flexion bebheke phambili;
• umkhuhlane;
• khona exophthalmos (protrusion we inhlamvu yeso phambili kulandele ukufuduka kwabantu isiqondiso).
• ukuthuthukiswa ophthalmoplegia (ukukhubazeka kwemisipha iso e ukunqotshwa imizwa elawula ukunyakaza kwamehlo);
• okuvela edema e emsipheni optic nezinkophe;
• kwehle umbono;
• diplopia;
• ubuhlungu futhi cyanosis nezinyawo, emabunzini ekhaleni base;
• ukulahlekelwa nozwela emsipheni ebusweni;
• thrombophlebitis emithanjeni ebusweni.

Cavernous itheku thrombosis elinesimo ongaphakeme grade lokushisa, asthenia, ngizwa ubuhlungu emisipheni nasemalungeni. Endabeni amahlule imvelo ezithathelwanayo izimpawu ezinjalo zingase zingaveli.

izimpawu Cerebral ukubonakala kwezimpawu meningeal. With ukuthuthukiswa sifo kwandisa kokuquleka embundwini. Ezimweni ezimbi kakhulu, isiguli angase awele equlekile.

Ukubukeka izimpawu enqabayo sokucasuka CSF outflow, waqinisa intracranial, nesanda edema palsy, okungase kuholele ekufeni isiguli.

ekuxilongweni

Njengoba kwembulwe cavernous itheku thrombosis? Sifo kusekelwe izindlela ezahlukene luhlolo. Futhi kubhekelwe izikhalazo lesiguli kanye nemlandvo wetekwelashwa kwakhe.

Migraine, isibonelo, enezinto eziningi izici:

• Ucala babazi futhi kancane kancane kuba amahlala khona. Ubuhlungu iba amelana ukukhululeka ubuhlungu.
• Ubuhlungu ukucasulwa umsebenzi ngokomzimba isikhundla lisalele. Lokhu okubonakalisa ikhanda kusikisela ukuthi itheku womuntu thrombosis feathery.
• Lapho sicindezelwe kuphoyinti Greenstein nesineke ekhononda ubuhlungu. Kukhona ukuvuvukala kanye neso enethiwekhi bulging we inhlamvu yeso.

Zonke iziguli ezine izimpawu zokungasebenzi kahle kwemizwa imvelo efanayo edingekayo ukuvakashelwa ehhovisi ophthalmologist sika.

Esikhathini fundus kungabonakala nasemkhakheni khona tortuosity nemikhumbi, ukuvuvukala disc optic.

Kusukela izifundo laboratory izindlela ezisetshenziselwa uphethwe:

• ephelele kakhulu segazi.
• iqoqo igazi ngoba isiko ngoba inzalo.
• kokuqhuba coagulation,
• sokunquma inkomba D-dimer
• Ukuhlaziya cerebrospinal fluid.

survey enjalo inikeza ithuba ukuhlonza lesion ezithathelwanayo, kanye iziyaluyalu hemostatic.

Kusukela izindlela wezinsimbi Kumele kuqashelwe:

• opacification by CT;
• -magnetic resonance imaging,
• angiography palsy.

ukwelashwa Basics

Cavernous itheku thrombosis, kanye sigmoid futhi transverse, evamile zidinga ukwelashwa. Ukwelashwa kungaba ngoludala futhi kuhlinzwa. Isilinganiso yokugcina kuboniswa izifo dengwane.

Izindlela zokwelapha

Njengoba iboshiwe cavernous itheku thrombosis? Ukwelashwa izindlela olandelanayo olandela eziningi izinhloso:

• kobuthi egazini;
• ekulweni kumiswa amahlule;
• nokuqedwa ubuchopho edema;
• zokubopha inqubo ukutheleleka;
• ukwelashwa neuroprotective.

Nokwehlisa nokwelulekwa antibiotic esetshenziswa uma kukhona thrombosis Lokudabuka ezithathelwanayo. Nokwehlisa inikeza ithuba ukuqeda futhi alethe ezinobuthi. Ngenxa yale njongo asetshenziswa ukumnika sodium isotonic chloride isixazululo, "reopoligljukin" "gemodez".

Ngemva iqoqo igazi ngoba isiko esimisiwe antibiotic. Ngokwe prescribers ukuhlaziywa nge spectrum ezibanzi yesenzo. Ngo parallel, kungenzeka imithi elwa namagciwane engabelwe ngempumuzo anaerobic izifo ( "metronidazole").

Ukubuyisela krovobrascheniya evamile kufanele ususe ihlule. Kuze kube yimanje, nokwelapha heparin. Ngaphezu kwalokho esimisiwe anticoagulants oqondile, okuyinto zithathwa izinyanga ezintathu.

Ngemva kwalezi zifundo ezathatha Kunconywa seziguli ezithola ejenti antiplatelet ezifana "aspirin", "Dipyridamole" "Clopidogrel".

Ezimweni ezimbi kakhulu, ukuthuthukiswa cerebral inqubo isifo edema siqedwa by isisu.

yokwelapha Neuroprotective iqondiswa esikhathini yokutakula. It is olwenziwa esebenzisa amanxusa okuyinto ukukhuthaza vasodilatation futhi izindlela neurometabolic.

kokungenela op

Ukusebenza kuhlinzwa kuboniswa esimweni lapho izindlela olandelanayo ungazange ayithelanga umphumela efanele. By itheku cavernous kunzima kakhulu indlela ngenxa indawo yayo yokwakheka. Ngakho-ke, ukusebenza kuhilela kuvulwa sinuses nokuthuthwa kwendle eyinhloko focus ezithathelwanayo.

yezinkinga kungenzeka

Cavernous itheku thrombosis (isithombe iziguli lesi sifo kulesi sihloko) kungaholela eziyingozi. I ngaphambili izindlela zokuxilonga yokwelapha okuqalwe Kwakuseshwa, ithuba kancane izinkinga.

Izinkinga zihlukaniswe ekuseni khulu, ngemuva kwesikhathi.

Of ngasekupheleni kufanele kuphawulwe:

• ukulahlekelwa acuity ezibukwayo;
• paresis ka abducens ;
• khona ptosis (alengayo kwekhulu);
• ukuthuthukiswa arachnoiditis;
• hypopituitarism;
• anisocoria.

Early:

• ubuchopho edema;
• ukuquleka esinqunyiwe;
• infarction palsy.

Ngokuvamile, cavernous itheku thrombosis kuholela isiguli:

• ngokungaboni nhlobo.
• unhlangothi (acute disorder kwegazi ebuchosheni, lapho ngokuvamile abantu bakuphathe ukukhubazeka nokufa);
• ukuphazamiseka ukusebenza indlala pineal ukuthi unesibopho okusithiyayo hormone ukukhula ukukhululwa;
• okwehlisa isimila inqubo ukuthuthukiswa;
• iziyaluyalu ukuthuthukiswa okuya ocansini.

yezinkinga ezinjalo ebonwe cishe ingxenye yesithathu yabantu amacala.

izinyathelo

Ukuze ugweme izifo ezifana ukugula kuzomele zilandele ezinye izinyathelo ukusiza ukuvimbela ukuthuthukiswa isifo:

• ukwelashwa esifike ngesikhathi izinqubo ukuvuvukala emzimbeni;
• ukunamathela ngendlela enempilo;
• ukufinyelela esifike umuntu onolwazi ngalezi izifo okuyizinto zenzeka chronic ephelezelwa izinguquko ezihlelekile izindonga umkhumbi ukubukeka hyperviscosity.

Izibikezelo

Izibikezelo of isifo encike ngqo kwi uphethwe ngesikhathi esifanele kanye nokwelashwa. I ngaphambili wasungula khona isifo, kanye nokwelashwa iqalisiwe, ngcono amathuba alulame.

Izindlela ukwelashwa, bazibandakanye imithi yesimanje kungenzeka ukunciphisa kakhulu lokufa kusukela kule embundwini isifo. Figure 20%. Babalelwa ku-10% we amacala thrombosis Ukuphinda kungakapheli nonyaka owodwa emva kokwelashwa.

isiphetho

Cavernous itheku thrombosis, izimpawu zazo ziye achazwe kulo magazini, isifo esiyingozi kakhulu. Ukugula kunzima ukuyelapha.

Ezimweni eziningi, le zokugula okubangela ukukhubazeka lesiguli, futhi ngokuvamile iphela ekufeni. Ngakho-ke, kubalulekile ukuba izinqubo esifike ngesikhathi zokuxilonga kanye nokwelashwa.