Ubuchopho cavernoma: izimbangela, izimpawu, uphethwe, zokwelapha, imiphumela

Umdlavuza akuyona into engavamile. Minyaka yonke kwandisa inani leziguli, oncologists. Ithumba ezingase ziphakame noma kuphi emzimbeni, kanye nezimpawu khona isikhathi eside. Ngamunye wethu, yebo, senze ikhanda, kodwa kukangaki sibhala off ukubukeka yakhe ukukhathala, umfutho wegazi ophezulu, noma izimpawu osteoarthritis. Mhlawumbe isikhathi ihlolwe futhi ukuthola isizathu sangempela? Izimila yokuthi kukhona abulalayo hhayi kuphela kodwa ingozi. Kuyini cavernoma palsy, iziphi nezimbangela zayo kanye zokwelapha, sibheke esilandelayo.

Kuyini cavernoma

Cavernoma has elinye igama - angioma cavernous zobuchopho. Lokhu kuwuphawu lwesimila akuyona walandisa jikelele ukugeleza kwegazi futhi has naye ukuxhumana okucacile, organic futhi zisebenza kahle.

Uma impendulo yombuzo othi: "cavernoma cerebral - kuyini," ukuthi ungakwazi ukuchaza it njengoba. Lokhu ubuchopho izimila njengoba izimbotshana semithambo tabobunjwa. Ziqukethe imikhiqizo yegazi zokuwohloka. Okuqukethwe kungaba kuqukathe zezinzwa kwezicubu amahlule, futhi ezinye izindonga eziyiqhwa nasebubini. Ubukhulu cavernomas kanye nenombolo yabo zingahluka. Ngakho izinhlangano ezimbalwa amahhala ukwehlukanisa kusuka komunye nomunye futhi ingakwazi ukunamathela nomunye eduze.

Ngaphandle cavernoma has a ebusweni esingemnandi ephethe tinge bluish. It has a ushefile, ngokuvamile babanjwa, futhi eklanywe kusukela nezicubu eziseduze. Emisipheni ezizungezile izinguquko okwedlulele. umbala aphuzi ngeke medulla, oluzungeze izimbobo emazinyweni, kuyisibonakaliso ukuthi zazopha.

Lapho kungenziwa akhiwe cavernoma?

Kwasendaweni izimila

Cavernous Ange ubuchopho kungatholakala kunoma iyiphi ingxenye yalo. Ingabe izindawo ezilandelayo kwasendaweni yayo:

• Cortex - ngokuvamile.
• Thalamus.
• I callosum Corpus.
• Ventricles zobuchopho.
• Brainstem.

Izimbangela cavernomas

Ngokuvamile, ubuchopho cavernoma - ukwakheka azalwa nako. Isimila ingozi ethambile nezimo lapho sicindezelwe. Lapho sicindezelwe, iphele, kodwa ke futhi ezakheke yokuqala, kungenzeka opha, kamuva isifo.

Isizathu sokuba e utero - ukuhlukumeza lokuguqula kwesakhiwo obusebenzayo izicubu amaseli. uxhumano emithambo yegazi ukuze imithambo efanele usaqala wokukhula kwengane esiswini kuphakamisa lesi sifo.

Isizathu kungaba soft izicubu okubi okuqaliswe kumiswa izimila semithambo.

Futhi kunenkolelo ukuthi ukwakheka cavernomas anganikela:

• isifo ezithathelwanayo uthwele ingane.
• izici Immune futhi ukuvuvukala.
• Beam ngemisebe.

Indlela bathola lesi sifo? Yini izimpawu sici for kuye?

Izimpawu ze-cerebral angioma cavernous

Ngokuvamile, izifo ezifana ne-cerebral cavernoma asymptomatic. Isiguli akazange kukuhlupha, asinazo izimpawu asolisayo. Okuvamise wathola neoplasm ngesikhathi sokuhlolwa isimiso. Kodwa-ke, izimpawu incike cavernomas indawo kanye nosayizi walo. It is waphawula ukuthi liphinyiselwe ukubonakaliswa in iziguli Cavernomas empandni ubuchopho, e kwesobunxele noma kwesokudla Lobe yesikhashana Lobe engaphelele.

Isithombe emitholampilo ye isifo kuhambisana zimpawu ezilandelayo:

• Ukuphathwa yikhanda bemvelo unomphela.
• syndrome sokuwa.
• Vela amajaqamba.
• Ukuhlanza.
• ukuzwela Disturbed.
• Lost nokucija ukuzwa.
• Ukukhubazeka.

Uma ikhanda iyanda, kungenzeka ukudabuka cavernomas udonga. Inkulu kakhulu ingozi ukopha. Kulezi iziguli, kuba 4-23%, futhi uma isiguli ehlupheka ukopha futhi, e-30% amacala kudala ukukhubazeka.

imiphumela sokugembula

ubuchopho cavernoma nemiphumela ngokuyinhloko ezihlobene iziyaluyalu zezinzwa. Kanye le izilonda ebalulekile zobuchopho. Ithumba licindezele izicubu ubuchopho, babuye bacale kutfutfukisa izimpawu njengoba kuchaziwe ngenhla. Uma ukopha kwenzeka, medulla elifakwe hemosiderin neminye imikhiqizo umzimba. Ngenxa yalokho, abanye imisebenzi zikhutshaziwe. Ngakho uma cavernoma Itholakala Lobe ngokuqondile, beba nezimpawu ezifana:

• Isiguli ilahlekelwa amakhono.
• Ngeke nge iso esibucayi ukuhlola ngokwabo kanye nabanye.

Uma kukhona lesion kwesokunxele noma kwesokudla Lobe yesikhashana, kuyilapho share evelele, okungukuthi ilungelo-handers - kwesokunxele, angamanxele - kwesokunene, ingavela zimpawu:

• Ukulahlekelwa Amasimu ezibukwayo.
• Ukwephula ukuzwa.
• It kwaphazamisa ikhono uphimisele.

Uma lesion alikho esifundeni olukhulunywa kulelo Lobe yesikhashana, libhekene zinkinga:

• Ukuvela ukusangana sokuzwa.

Kunoma yikuphi, uma lokalizetsya lesion esifundeni yesikhashana, libhekene ukuthuthukiswa okuthile engqondweni.

Futhi, ukuvuvukala iqala ukuthola ngasekupheleni kwezifo Cavernomas noma izinguquko esiwohlozayo, futhi nangemiphumela engaba khona efana:

• Ukopha.
• ingozi Cerebrovascular.
• Ukudabuka yegazi kanye nokwephula wendawo ukugeleza kwegazi.
• Ukwanda amaqoqo semithambo kanye imigede.
• Ukufa.

Imiphumela yaloku kuhlola okungenhla cavernomas

Iziguli ngezinye izikhathi abaqapheli ukuthi bane-cavernoma ingqondo. Kuyini wafunda kuphela ngemva kokutholakala yayo, ngesikhathi esifanayo Emangazwe ukuthi kulo ukhona ayizange kumbangela yimuphi kabi. Uma kutholakala ukuthi uphethwe yini udokotela bese ulandela ukuthuthukiswa yayo kufanele ziqashwe njalo.

ubuchopho cavernoma okwatholakala yalokho zezifundo ezilandelayo:

• computed tomography.
• Magnetic resonance imaging.
• Angiography.
• Bheka. Intengo le sevisi kuncike Yiqiniso, ku umtholampilo edolobheni noma isiguli bayothola inqubo, kodwa uma sikhuluma ezomhlaba ke ukuhlangabezana in ruble 1500 kungenzeka. Kodwa-ke iyindlela elilungile kakhulu ekunqumeni khona zesifo sokuwa.

Lapho kulungiselelwa nesiguli radiosurgical ukwelashwa esetshenziswa tractography, okuvumela ukuba abale umthamo edingekayo.

Izimo for Cavernomas

Kufanele kuqashelwe ukuthi izifo ezifana cavernoma palsy, ayivumeli ekwelapheni amakhambi abantu futhi zokuzelapha. Njengoba ngezinye izikhathi kwandisa ingozi ukopha noma ukudabuka yegazi.

Kuyinto futhi kuvunyelwe ukwenza phezu Physiotherapy isimila, ukubhucungwa nokunye. N., Lokho ukusebenzisa zonke izindlela ukufukula kwegazi.

Kunconywa ukuqapha njalo Cavernomas ukwenza i-MRI kanye Bheka. Nokho, Intengo amasevisi wawo ukuthi ezinye zingase zibonakale okusezingeni eliphezulu ngokwanele, waphinda awubalulekile ke sethemba ukuba akhumbule ukuthi yena, impilo kanye zonke elingenakuqhathaniswa.

mayelana ukwelashwa

Cavernoma hhayi amenable ukuba ukwelashwa. kokungenela Steel kuyadingeka. Isimila efiselekayo ukususa. Nokho, lokhu akwenzeki ngaso sonke isikhathi ngenxa indawo yayo. Futhi, nangesineke kungase kube ngokumelene nalo, uma kungaphazamisi cavernoma. Ukusebenza kulokhu kungadingeki, kodwa izingozi ahlale. Isiguli kufanele ibe ngaphansi kokuqondisa isazi sezinzwa.

Ephambi kwezinduna nokuquleka lesiguli nabanesithuthwane ukuphathwa anticonvulsants. Nokho laphakamisa sincomo sekutsi iziguli olunjalo ngokushesha kusukela neoplasm.

cavernomas esiyingozi kakhulu, okuyinto zitholakala izingqimba ezijulile ebuchosheni futhi ayikwazi ukuthi lisuswe. A umzamo ophindaphindiwe nesipiliyoni kule ukwelashwa has Institute of Neurosurgery. Burdenko.

isimo Kuyivelakancane lapho odokotela batusa nokuba ususe isimila, besebenzisa amasu ahlukahlukene.

Lapho ukusebenza kuyadingeka

Odokotela singaphoqi ukususwa cavernomas uma:

• Isimila avuse zesifo sokuwa, Ukudlikizela.
• Kutholwe budebuduze nezindawo ezibalulekile.
• Cavernoma pravotsiruet iziyaluyalu zezinzwa ukopha okuphindaphindiwe.
• Ithumba esikhulu ngobukhulu futhi endaweni ezisebenza ezibalulekile.

Kulokhu, lo dokotela kufanele inake:

• yobudala wesiguli.
• Ukuma kanye nosayizi yesimila.
• Inkambo isifo kanye nezifo ezihlobene nayo.
• Wagcina nini ukuyohlola Wopha.

Uma isimila ayikwazi lisuswe, kunezinye izindlela zanamuhla zokukhulekela ukususwa.

Amasu ukuze kususwe cavernomas

Cabanga ngalokho ezinye izindlela zokususa ubuchopho cavernomas ngaphandle ukuhlinzwa bendabuko, zikhona:

• Radiosurgery. Gamma Knife. Faka isicelo izimila engafinyeleleki. Ayikho ingozi ukopha. Ukuphungula isimila ngokuphelele.
• ukwelashwa Laser. Sebenzisa at kokususa ebusweni izimbotshana. ingozi Minimal ukopha kanye nezibazi.
• Kriolechenie. Sebenzisa liquid nitrogen for izimila ezingabalulekile.

Zonke lezi zinqubo asetshenziswa ukususwa cavernomas e-Institute of Neurosurgery. Burdenko. Ukuze ukusetshenziswa indlela ngamunye icala umuntu wenza isinqumo khona lapho kokubonisana yezokwelapha, ngemva Ukuhlolisisa nesineke.

Yokutakula emva kokuhlinzwa

izinqubo yokuvuselela kumele kuqale kusenesikhathi ukuvimbela amalungelo ukukhubazeka. Eminye imisebenzi ngeke ukwazi ukubuyisa.

Yokutakula emva kokuhlinzwa kumele kwenziwe ongoti abanolwazi. Udinga iseluleko nosizo:

• Surgeon.
• Udokotela wengqondo.
• Doctor LFK.
• Physiotherapist.
• Inkulumo owelapha.
• Chemotherapist.
• Ukuzivocavoca physiologist.
• abasebenzi Junior.

Postoperatively, qiniseka ukwenza i-MRI, bese okuphindaphindiwe emva kwezinyanga ezingu-4-6. Lokhu kuzosiza ukuqinisekisa ukuthi angioma cavernous zobuchopho lususwe.

Inqubo nokuvuselelwa kangcono futhi ukhiqize ngokwengeziwe izobanjelwa, ukuze ngokushesha ukubuyisela imisebenzi elahlekile. Ukuze isiguli ngasinye kudingeka uhlelo ngabanye ukuvuselelwa. Ngesikhathi besanda kuqala, zonke amakilasi zenzeke ikumodi yokwenziwa, futhi uma kukhona kuphakama kube nezinkinga, ungakwazi ukwandisa uhlelo.

Onalesi sifo ukuze isiguli

Odokotela bathi ekususeni cavernomas e inchubekelembili yayo phakathi nezinyanga eziyisithupha has a Izibikezelo kangcono. Ngezinye 70% stop ukopha, 55% of iziguli inesithuthwane syndrome ukuhlaselwa abohle noma zinyamalale ngokuphelele.

Uma athuthukile syndrome nabanesithuthwane okuholela cavernoma isikhathi eside, nekusebenta ukwelashwa incipha.

Ukuze ususe cavernomas wayevame ukusebenzisa kulesigaba yokwelashwa radiosurgical. Into esemqoka - hhayi ukulahlekelwa isikhathi, khona-ke nethuba lokuphinde bathole umsebenzi walahleka kuncishiswe ingozi ukopha luyanda.