Cavernous imi thrombosis: mgbaàmà, nchoputa, ọgwụgwọ

Cavernous imi thrombosis bụ occlusion thrombus cavernous imi, bụ nke dị n'ala ala nke okpokoro isi na abụọ nke ndị sella turcica.

The ọrụ nke cavernous imi bụ a venous outflow si n'ógbè anya sockets na ụbụrụ, nakwa dị ka ụkpụrụ nke ụbụrụ mgbasa.

Nke a daa ọrịa bụ nnọọ obere, ma nwere ike ime ka akwa ya pụta. Ọzọkwa adịkarịghị hụrụ thrombosis nke sigmoid na transverse imi.

Na-akpata ọrịa

Cavernous imi thrombosis nwere ike ime ihe dị iche iche mere. Iji ya predispose:

• na-efe efe nke ime ke nnukwu ụdị na maxillary sinuses, ntị, ezé, imi na akpịrị;
• ọnụnọ nke cranial trauma;
• autoimmune ọrịa (systemic lupus erythematosus, ọrịa ogbu ogbu na nkwonkwo);
• enweghị nchịkwa hemostasis n'ibu nke na-ebu ụba guzobere thrombi (ọnụnọ politsetemii);
• vaskụla na gbasara obi ọrịa (ischemic obi mmebi, obi n'afọ iri na ụma nsogbu et al.);
• -arịa ọrịa shuga mellitus;
• ime na;
• ebe ọ bụ na a mụrụ nwa ahụ.

Egbochi mkpụkọ nke ọbara bụ na-efe efe na noninfectious okike. Ugbu a, ihe akara na-abụghị na-efe efe si malite. Nke a bụ n'ihi na mgbe mgbe iji ọgwụ nje na gbochie oké nsogbu. Na nke a, ọ bụ omenala na-ekwu okwu nke mgbawa ụdị venous thrombosis.

symptomatology nke ọrịa

Gịnị bụ ihe mgbaàmà nke ọrịa ndị dị ka cavernous imi thrombosis? Clinic ọ bụ nnọọ mgbagwoju anya. Mgbe ụfọdụ, ọrịa siri ike ịchọpụta ná mmalite nkebi, n'ihi na mgbaàmà na-emekarị na-eyi na ọdịdị na ndị yiri ihe mgbaàmà nke ọrịa ndị ọzọ.

N'etiti isi na-egosi nke ọrịa ga-pụta ìhè:

• ọnụnọ nke oké isi ọwụwa;
• ọgbụgbọ na vomiting;
• ọnwụ na mgbagwoju anya;
• amaghị onwe;
• omume nke ọdịdọ.
• mgbu n'olu na flexion na-atụ direction;
• fever;
• ọnụnọ nke exophthalmos (protrusion nke nwa anya n'ihu sotere Ndahie na ntụziaka).
• development ophthalmoplegia (mkpọnwụ anya uru na-emeri nke irighiri akwara na-achịkwa ije nke anya);
• omume nke edema na optic akwara na mbubere;
• ebelata ọhụụ;
• diplopia;
• mgbu na cyanosis n'oghere ya, n'egedege ihu na imi nke a isi;
• ọnwụ nke uche nke ọdịdị ihu akwara;
• thrombophlebitis ọdịdị ihu veins.

Cavernous imi thrombosis e ji a ala ọkwa okpomọkụ, asthenia, na-eche ihe mgbu na uru na nkwonkwo. N'ihe egbochi mkpụkọ nke ọbara na-efe efe agwa ndị dị otú ahụ ihe mgbaàmà ọ pụrụ iyi.

Ọrịa ụbụrụ mgbaàmà na-egosi meningeal mgbaàmà. Na mmepe nke ọrịa enwekwu ọdịdọ mbata. Na oké ikpe, onye ọrịa nwere ike ịdaba a amaghị onwe ya.

Ọdịdị nke oghom mgbaàmà kpasue CSF outflow, mụbara intracranial nsogbu, na-abawanye nke ụbụrụ edema, nke nwere ike n'ikpeazụ iduga ọnwụ nke onye ọrịa.

Ịchọpụta Otú Nsogbu

Dị ka e kpughere cavernous imi thrombosis? Diagnosis dabeere ụzọ dị iche iche nke nyochaa. Ọzọkwa sonye na akaụntụ onye ọrịa ahụ mkpesa na ọgwụ na ihe mere eme.

Migraine, n'ihi na ihe atụ, nwere ọtụtụ atụmatụ:

• Amalite acutely na-eji nwayọọ nwayọọ na-aghọ ala ala. Pain aghọ eguzogide mgbu enyemaka.
• Pain kawanye njọ site emega ahụ na na supine ọnọdụ. Nke a pụta ìhè nke isi ọwụwa na-egosi na ụmụ mmadụ imi thrombosis feathery.
• Mgbe enwe na mgbe Greenstein ndidi ọdọhọde nke mgbu. E nwere na ọzịza na anya sockets bulging nke nwa anya.

All ọrịa na akwara ozi mgbaàmà yiri uwa chọrọ a nleta ophthalmologist si ọrụ.

Na fundus pụrụ hụrụ ọnụnọ nke tortuosity nke arịa, ọzịza nke optic diski.

Site laabu ọmụmụ nke ụzọ mee ihe n'ihi nchoputa:

• zuru ọbara ọnụ.
• collection-ọbara omenala maka Vol.
• eduzi coagulation,
• ịchọpụta egosi D-dimer
• Analysis nke cerebrospinal ọmụmụ.

Ndị dị otú ahụ nnyocha inweta ohere mata nje lesion, nakwa dị ka hemostatic ọrịa.

Site instrumental ụzọ ga-kwuru:

• opacification site CT;
• magnetik resonance Onyonyo;
• ọrịa ụbụrụ angiography.

ọgwụ Basics

Cavernous imi thrombosis, nakwa dị ka sigmoid na transverse, ụzọ nkịtị na-achọ ọgwụgwọ. Agwọ nwere ike ịbụ na-achọghị mgbanwe na-awa ahụ. Nke ikpeazụ ụfọdụ gosiri maka eleghara anya ọrịa.

Ụzọ nke ọgwụgwọ

Ka kwụsịrị n'ọdụ ụgbọ mmiri cavernous imi thrombosis? Ọgwụgwọ mgbanwe ụzọ achụ a ọnụ ọgụgụ nke ebumnobi:

• detoxification;
• agha megide guzobe egbochi mkpụkọ nke ọbara;
• mkpochapu ụbụrụ edema;
• ijide ọrịa usoro;
• neuroprotective ọgwụ.

Detoxification na ogwu mgbochi ọgwụ a na-eji ma ọ bụrụ na e nwere thrombosis nke na-efe efe si malite. Detoxification enye ohere iji kpochapụ na-ewetara nsi. N'ihi nke a na-eji infusion isotonic sodium chloride ngwọta, "reopoligljukin" "gemodez".

Mgbe collection-ọbara omenala họpụtara ọgwụ nje. Dị ka analysis prescribers na a iche iche sara mbara nke edinam. Ke ukem, ọgwụ nje nwere ike kenyere maka enyemaka nke anaerobic na-efe efe ( "Metronidazole").

Iji weghachite nkịtị krovobrascheniya kwesịrị wepụ clot. Iji mezuo nke a, a heparin ọgwụ. Ọzọkwa họpụtara kpọmkwem anticoagulants, nke na-e ọnwa atọ.

Mgbe N'ezie na-atụ aro maka ọrịa na-anata antiplatelet mmadụ dị ka "Ịṅụ Ọgwụ Aspirin", "Dipyridamole" "Clopidogrel".

Na oké ikpe, mmepe nke ọrịa ụbụrụ edema ọrịa usoro na-tutu amama site diuretics.

Neuroprotective ọgwụ na-ndinọ na mgbake oge. Ọ a mụụrụ site n'aka mmadụ nke na-akwalite vasodilatation na neurometabolic n'aka.

ịkpa aka

Nke ogwugwo na ime gosiri na ihe banyere ebe mgbanwe ụzọ na-adịghị amịghịkwa kwesịrị ekwesị N'ihi. Site na cavernous imi ọ bụ nnọọ siri ike mbanye ruru ya anatomical ọnọdụ. Ya mere, na-arụ ọrụ na-agụnye oghere nke sinuses na idebe ihe ọcha bụ isi na-efe efe na-elekwasị anya.

kwere omume nsogbu

Cavernous imi thrombosis (picture nke ọrịa na-ata ahụhụ si na ọrịa a na-e kwuru n'isiokwu a) nwere ike ịkpata oké nsogbu. The mbụ na-achọpụta ọrịa usoro na butere ọgwụ na-ebupụ, bụ obere ohere nke nsogbu.

Nsogbu na-ekewa n'ime n'oge na mbubreyo.

Of mbubreyo ya ga-kwuru:

• ọnwụ nke visual acuity;
• paresis nke abducens ;
• ọnụnọ nke ptosis (drooping nke narị afọ);
• mmepe nke arachnoiditis;
• hypopituitarism;
• anisocoria.

Early:

• ụbụrụ edema;
• ele mmadụ anya n'ihu ihe ọdịdọ;
• ọrịa ụbụrụ infarction.

Ọtụtụ mgbe, cavernous imi thrombosis na-eduga ná ọrịa:

• ngụkọta ìsì.
• ọrịa strok (nnukwu ọbara ọrịa ụbụrụ, nke na-akpalite nkwarụ na ọnwụ);
• emeghasịkwa nke arụmọrụ nke pineal gland na bụ maka na mgbochi nke ibu hormone ntọhapụ;
• ibelata akpụ mmepe usoro;
• ọrịa nke mmekọahụ mmepe na omume.

Dị otú ahụ nsogbu na-hụrụ banyere a atọ nke ikpe.

mgbochi

Iji zere ọrịa ndị dị ka ọrịa kwesịrị iso ụfọdụ mgbochi iji nyere aka gbochie mmepe nke ọrịa:

• adọ ọgwụgwọ nke mkpali Filiks ke idem;
• n'idebe a ike ndụ;
• adọ ohere a onye ọkà ọrịa nke ime ke adịghị ala ala na-esonyere bughi mgbanwe nke arịa mgbidi na ọdịdị hyperviscosity.

prognosis

Prognosis nke ọrịa bụ na dabere na-adọ nchoputa na ọgwụgwọ. The mbụ ike na ọnụnọ nke ọrịa, na ọgwụgwọ a na malitere, mma Ohere nke mgbake.

Ụzọ nke ọgwụgwọ ahụ, idem nkà mmụta ọgwụ ọgbara o kwe omume ukwuu belata enwe si na ọrịa a mbata. Ọgụgụ bụ 20%. Around 10% nke ikpe nke thrombosis nlọghachite n'ime otu afọ mgbe ọgwụgwọ.

ọgwụgwụ

Cavernous imi thrombosis, mgbaàmà nke nke e kwuru n'isiokwu a, bụ a nnọọ oké ọrịa. The ọrịa siri ike na-emeso.

N'ọnọdụ ka ukwuu, na daa ọrịa na-eme ka ọrịa na-nkwarụ, ma na-agwụ na ọnwụ. Ya mere, ọ dị mkpa na-adọ na-achọpụta ọrịa na usoro ọgwụgwọ.