Cavernous sinus thrombosis: symptoms,ʻike, lapaʻau

Cavernous sinus thrombosis mea he occlusion thrombus cavernous sinus, i ua Aia ma ke kumu o ka puniu wale no ma na aoao a elua o ka sella turcica.

I ka hana o ka cavernous sinus mea he venous outflow, mai ka aina mai o ka maka mau kumu a me ka lolo, e like me ka rula o ka cerebral holo.

Kēia pathology He loa pohihihi, akā, hiki i ka hopena nui. I kākaʻikahi loaʻa thrombosis o ka sigmoid a me ka transverse sinus.

Nā kumu o ka maʻi

Cavernous sinus thrombosis kānāwai no kela kumu. I ka mea nana predispose:

• infectious maʻi a ana i loko o ka huʻi ano i loko o ka maxillary sinuses, pepeiao, niho, ihu a me ka puʻu;
• i ke alo o cranial trauma;
• autoimmune maʻi (systemic lupus erythematosus, rheumatoid arthritis);
• pathological hemostasis keʻano o ka hanaʻana a pau i hele pu me ia e mahuahua ho okumu ana o thrombi (alo aku politsetemii);
• vascular a cardiac maʻi (ischemic naau poino, naau pāpana haunaele listen'ōlelo.);
• mimikō mellitus;
• abortion;
• mai o ka hanau ana o ke keiki.

Koko clots mea infectious a me ka noninfectious ano. Currently, oi ia ole-infectious kumu. O ke kumu ho i ka pinepine ana o antibiotics i ole loa complications. Ma keia hihia ka mea, me ke ano mua, e olelo aku i ka idiopathic helehelena o venous thrombosis.

symptomatology o ka maʻi

He aha e na symptoms o na maʻi like cavernous sinus thrombosis? Ke Kalinika ia mea he huikau. I kekahi manawa, i ka maʻi, ua paʻakikī e huai ae i ke kakahiaka nui kahua o ka hoʻonaʻauao, no ka mea, symptoms i pinepine pohole ma ke ano maoli, a ua like ia symptoms o'ē aʻe ka maʻi.

Mawaena o ka papa kuhikuhiE nā hoailona o ka maʻi e e kahiāuli.

• i ke alo o ka, pili headaches;
• nausea a me ka luaʻi;
• poho a me ka hilahila;
• coma;
• hanana o ke kāʻili 'ana.
• eha ma ka'ā'ī ma ka flexion i loko o ka mua, ao ao;
• kuni;
• i ke alo o nā exophthalmos (protrusion o ka'ōnohi a poʻopoʻo ka mua i hahai aku ma ka pohupani hale i loko o ka ao ao).
• hooulu ana ophthalmoplegia (lōlō o ka maka nāʻiʻo i loko o ka pio ana o nā aʻalolo e hooponopono ana o na maka);
• hanana o edema i loko o ka optic nā aʻalolo a me ka lihilihi;
• ua hoʻemi hihiʻo;
• diplopia;
• ka eha, a me ka cyanosis mau kumu, lae a me ka ihu o ka waihona ipu;
• lilo o ka pā lonoaʻili o ka lehalehu t nā aʻalolo;
• thrombophlebitis lehalehu t aa koko.

Cavernous sinus thrombosis ua wehewehe aku ma ka haʻahaʻa papa wela, asthenia, e manao ana he ache i loko o nāʻiʻo a me ka ami. Ma ka hihia o ke koko clots infectious ano ua symptoms e ole hōʻike.

Cerebral symptoms ikeia meningeal symptoms. Me ka hooulu ana o ka maʻi maoli he kāʻili 'ana i paepae. I loa hoopii, i ka hoʻomanawanui i hāʻule i loko o ka coma.

Keʻano o ka adverse symptoms hoʻonāukiuki CSF outflow, a mahuahua nui intracranial puʻe, mahuahua o cerebral edema, a hiki ultimately alakai i ka make ana o ka hoʻomanawanui.

diagnosing

E like me ka weheia cavernous sinus thrombosis? ʻike, ua nānā 'ana i kekahi mau ano o ka ninaninau. No hoi ia i loko, no ka hoʻomanawanui i ka hoopii a me ka 'inikua mōʻaukala.

Migraine, no ka laʻana, i ka helu o nā hiʻona:

• Hoʻomaka ke hākilo loa a me ke kiʻekiʻe o lilo maʻi. Pain i hoʻopale i ka eha ke ola.
• Pain ano hoomainoino ma physical hana, a ma ka supine kulana. Keia hoike ana o ka headache paipai i kanaka sinus thrombosis feathery.
• I ka ikaika loa o Paulo ma ka wahi Greenstein ahonui complains o ka eha. Ma ua haanou ana a me ka maka kumu bulging o ka'ōnohi a poʻopoʻo.

All nā mea maʻi me ka neurological symptoms ano like ke ano maoli koi 'ia i ka makaikai ana i ka ophthalmologist ka oihana.

Ma ka fundus hiki ke malama i ke alo o ka tortuosity o na moku, haanou ana o ka optic iwi kuamoʻo.

Mai keʻena hoʻokolohua haʻawina o nā kiʻina hana i hoʻohana no kaʻike,:

• piha koko helu.
• ohi ana o ke koko no ka moʻomeheu no ka sterility.
• e mālama nei coagulation,
• hoomaopopo ana anakahi D-dimer
• Ka Ikepili o cerebrospinal loli.

Ia ana i ka manawa e hōʻike infectious lesion, e like me hemostatic kāna hana.

Mai vocal ki ina hana e ke kaulana:

• opacification ma HI;
• ʻume mākenēki resonance kiʻi;
• cerebral angiography.

Inc kumu o ke

Cavernous sinus thrombosis, e like me ka sigmoid a me ka transverse, na hoʻokokoke mai e noi mai ana i ka lapaau. Inc hiki e makeʻe kulana, aʻoki lāʻau lapaʻau. Ka mea hope ana ua hōʻike no ka malama ole lakou i na mai.

Nā Papahana O Ka 'inikua lapaʻau

Like docked cavernous sinus thrombosis? Lapaʻau makeʻe kulana ano poʻe hahai iā i ka helu o nā Pahuhopu:

• detoxification;
• i ke kaua e kū'ē i ke kahua o ke koko clots;
• hoʻopau o ka lolo edema;
• hopu ana i ka maʻiʻaʻai kaʻina hana;
• neuroprotective Inc.

Ua hoʻohana 'Detoxification a antibiotic Inc ina he mea thrombosis o infectious kumu. Detoxification hoʻolako i ka manawa e hoʻopau, a lawe maiʻawahia waiwai. No keia mea i hoʻohana infusion isotonic paʻakai koloriside pāʻoihana, "reopoligljukin" "gemodez".

Ma hope o ohi o ke koko no ka moʻomeheu i kauoha mai ai antibiotics. E like me ka Ka Ikepili prescribers me ka palahalaha pae o ka hana. Ma ia laua, i ke hoakaka antibiotics no ke kokua o ka anaerobic nā mea palahēhē ( "Metronidazole").

E hoihoi maʻamau krovobrascheniya ka clot e wehe. No keia hopena, he heparin Inc. Eia waeia kauoha anticoagulants, a i lawe ai no na malama ekolu.

Ma hope o ka papa ua paipaiʻia no nā mea maʻi loaa antiplatelet Luna e like me "Aspirin", "Dipyridamole" "Clopidogrel".

I loa hoopii, i ka ulu ana o cerebral edema maʻi kaʻina ua eliminated ma diuretics.

Neuroprotective Inc ua lawelawe i loko o ke ola au. Ua Ua lawelawe 'ia ma ka mea o ka Luna i k vasodilatation a me neurometabolic mea.

operative uao

Keʻoki lāʻau lapaʻau ana ua hoike mai ia ma ka hihia ma ka makeʻe kulana ano i ole haawi i ka pono hopena. Ma ka cavernous sinus ia mea loa paʻakikī ke kokoke no i kona anatomical henua. No laila, i ka hana komo ai i ka puka o ka sinuses a me sanitation iniiaiie infectious pulakaumaka.

hiki complications

Cavernous sinus thrombosis (kiʻi o nā mea maʻi e loaa ana mai keia mai ua hōʻike i loko o kēia 'atikala) ke alakai i ka mea complications. Ua lawe ia ka mua PalekanaEND_LINK ke kaʻina hana a me ka ulu mau Inc mai, me ka emi wale ana o complications.

Complications i maheleia i loko o ka wanaʻao, a lohi.

O ka hopena o ka mea, e kaulana:

• lilo o ka pilikia makapō acuity;
• paresis o abducens ;
• i ke alo o ka ptosis (palupalu o ke kenekulia);
• ulu o ka arachnoiditis;
• hypopituitarism;
• anisocoria.

kakahiaka nui:

• lolo edema;
• ka helehelena kāʻili 'ana;
• cerebral infarction.

Pinepine, cavernous sinus thrombosis hiki aku ai i ka hoʻomanawanui.

• huina makapo.
• mapuna (huʻi circulatory kāna hana i loko o ka lolo, a pinepine hoʻonāukiukiʻana mai o kīnā o ke kino a me ka make);
• hoʻohuikau o functionality o ka pineal gland i mea kuleana no ka inhibition o ka ulu hōmona kalaʻana;
• ka meheu oʻeho ulu kaʻina hana;
• kāna hana o ka moe ana a me ka hana.

Oia complications i malama ma ka pili ana i ka hapakolu o ka hihia.

kāohi ana

I mea e pale aku i na mai e like maʻi e hahai i kekahi kāohi ana, e kōkua pale aku i ka ulu ana o ka maʻi.

• 'eleu lapaʻau o hoʻoʻino keʻano o ka hanaʻana i loko o ke kino;
• adherence i ke ola i ke Aloha Hawaii;
• 'eleu' ae 'ia kekahi kanaka akamai i ka maʻi i ana i ka maʻi, a pu ma mall loli o ka moku paia, a me ka helehelena o ka hyperviscosity.

prognosis

Prognosis o ka maʻi mea pololei e kaukaʻi ma o ka 'eleuʻike, a me ka lapaau. Ka mua hoʻokumu i ke alo o ka maʻi, a me ka lapaʻau ua hoʻomaka ', i ka maikaʻi o ka manawa o ke ola.

Nā Papahana O Ka lapaau, ke komo pū o laekahi lapaau ia e hiki ai i ka nui emi i ka make, mai keia maʻi paepae. Ke Kii o 20%. Around 10% o ka hihia o ka thrombosis recurrence i loko o hoʻokahi makahiki ma hope o ka lapaau.

ka hopena

Cavernous sinus thrombosis, na symptoms o i i ua hōʻike i loko o keia 'atikala, mea he maʻi loa nui. I ka maʻi, ua hiki ole ke hana.

Ma ka hapanui o na hihia, ka pathology ana i ke ahonui o ka kino, a me ka pinepine welau a me ka make. Nolaila, ia mea nui i ka 'āwīwī PalekanaEND_LINK kaʻina hana a me ka lapaau.