Cavernoma yeuropi: zvinokonzera, zviratidzo, kuongororwa, nzira dzokurapa, migumisiro

Zvirwere zvepachikafu hazvisi zvisiri izvo zvino. Gore negore, nhamba yevarwere vane oncologists ichawedzera. Chirwere chinogona kuitika mune chero chimiro, asi chichigara chisingaenzaniswi kwenguva refu. Mumwe nomumwe wedu, hongu, akatarisana nemusoro, asi kakawanda sei tinonyora kuonekwa kwaro pane kuneta, kuwedzerwa kweropa kana zviratidzo zve osteochondrosis. Uye zvinogona here, iyo nguva yekuongororwa uye kuziva chikonzero chaicho kana chechokwadi? Makomba haisi kungovhiringidza chete, asiwo ane bhondi. Chii chinonzi cavernoma yeuropi, chii chinokonzera uye nzira dzokurapa, tichakurukura zvakare.

Chii chinonzi cavernoma

Cavernoma ine rimwe zita-cavernous angioma yeuropi. Izvi zvinenge zvisingabatanidzi neropa rega rega uye harine hukama hwakachena, huripo uye hune hutano nayo.

Kana iwe ukapindura mubvunzo uyu: "Cavernoma yeuropi - chii icho?", Uye iwe unogona kuzvitsanangura nenzira iyi. Idzi ihwo hupfungwa dzoupfungwa dzakaita sevascular cavities yemarudzi akasiyana-siyana. Izvo zvine zvinhu zvekuora ropa. Zviri mukati maro zvinogona kuva nemagetsi anokonzera uye trombi, uye dzimwe dzisina simba uye masvingo mashoma. Ukuru hwe cavernoma uye nhamba yavo inogona kunge yakasiyana chaizvo. Nokudaro, maitiro akawanda anogona kusununguka zvakasiyana kubva kune mumwe, uye vanogona kubatana zvikuru.

Kunze, iyo cavernoma ine nzvimbo ine tuberous ine mumvuri we cyanotic. Iine mitsara yakajeka, kakawanda inenge yakapoteredzwa, uye inogadziriswa kubva kumasukisi anenge ari pedyo. Muchidimbu chemashuga pane kuchinja kukuru. Mucheka wechizha uchava huro uropi hunopoteredza cavernous, ichi chiratidzo chokuti pane kuve nekushaya hemorrhages.

Ndeipi kupi ganda rinogona kuwanikwa?

Localization ye neoplasm

Cavernous uropi angoma inogona kuwanikwa mune chero chikamu chayo. Nzvimbo dzinotevera dzenzvimbo dzayo dzinogona kusiyaniswa:

• Iyo bark yemakumbo ehemispheres kazhinji.
• The thalamus.
• A corpus callosum.
• Ventricles oropi.
• Tsvina yeuropi.

Zvinokonzera cavitation

Kazhinji kazhinji, cavernoma yeuropi isarudzo ye innate. Bonde rinonyorova uye rakasununguka kana rakanyunyisa. Kana ikamanikidzwa, inonyangarika, asi zvakare inotora fomu yayo yepakutanga, inokwanisa kubuda, iyo inokonzera utachiona.

Chikonzero chekuonekwa panguva yekutambisa intrauterine iko kukanganisa kwezvakagadzirwa uye kushanduka kwemasero emuviri. Kubatana kwemasipire kune mishonga pakusangana kwekutanga kwekuwedzera kweprauterine kunokonzera chirwere ichi.

Chikonzero chacho chinogona kunge chiri kushungurudzika kwezvinyama zvishoma, izvo zvinotanga kuumbwa kwemapapu emakumbo.

Inotendwawo kuti kuumbwa kwe cavernoma kunogona kushandiswa ne:

• Utachiona hutachiona hwepabonde panguva yekutakura mwana.
• Zvirwere zvekuzvidzivirira-kupisa.
• Mhepo inopisa.

Nzira yekuziva sei chirwere? Ndezvipi zviratidzo kwaari?

Zviratidzo zve cavernous angioma yeuropi

Sezvo mutemo, chirwere chakadaro, se cavernoma yeuropi, hachina kumira. Murwere haatambudzi, hapana zviratidzo zvinoshusha. Kazhinji kechipiri chinowanikwa munguva yekudzivirira kudzivirira. Asi, hongu, zviratidzo izvi zvinowanzoenderana nekugara kwe cavernoma nekukura kwayo. Izvo zvakaratidzwa kuti zviratidzo kune varwere vane cavernoma mu brain brain, muruboshwe kana kurudyi rwemazuva ano, mumutsetse wekunze unozivikanwa.

Chirwere chemakiriniki chechirwere chiri pamwe chete nezviratidzo zvinotevera:

• Musoro wehupenyu hunogara huripo.
• Epileptic syndrome.
• Cramps kuonekwa.
• Kudzora.
• Kunzwa kunotambudzwa.
• Kubwinya kwekunzwa kwakarasika.
• Paralysis.

Kana musoro wepamusoro wakaipa, ipapo pane mikana yekuparara kwemasvingo e cavernoma. Ngozi yekupisa ropa inowedzera. Mune varwere vakadaro, inenge 4-23%, uye kana murwere ane chirwere chekushaya ropa, zvakare mu 30% yezviitiko zvinokonzera kuremara.

Migumisiro yezvirwere

Iyo cavernoma yeuropi inokonzera migumisiro inonyanya kusanganiswa nehutano hwepfungwa. Uyewo ndezvezvipembenene zvakanyanya zveuropi. Dumbu racho rinomesa pfungwa yeuropi, uye zviratidzo zvataurwa pamusoro zvinotanga kukura. Mushure mokunge kubuda ropa kunenge kuchiitika, uropi huri hunoiswa pamwe nehemosiderin uye zvimwe zvigadzirwa zvemagetsi. Somugumisiro, mamwe mabasa akaremara. Saka, kana cavernoma iri munzvimbo yechipfuva chiri mberi, zvinokwanisika kukura zviratidzo zvakadai:

• Murwere anorasikirwa nounyanzvi hunoshanda.
• Haikwanise kubva pane chinotyisa chekuona zviongorore iwe nevamwe.

Kana pane chiremera chekusiiwa kana kurudyi kwemazuva ano, uye apo chikamu chacho chiri chikuru, icho chakanaka-kuruboshwe - kuruboshwe, kuruboshwe-kurudyi, zvino pangave pane zviratidzo izvi:

• Kuwa kweminda yekuona.
• Kunzwa kuora mwoyo.
• Kukwanisa kukanganisa kutaura mashoko.

Kana chironda chacho chisingawani munzvimbo inowanikwa panguva yekutora, kukanganisa kwakadaro kunowanzoitika:

• Kuonekwa kwekuongorora mazano.

Chero mamiriro ose ezvinhu, kana chironda chacho chiri munzvimbo yekanguva, kukura kwehutano hwepfungwa kunoratidza.

Uyezve, nekupedzisira kuonekwa kwehutachiwana mu cavernoma, chirongwa chekuputika kana dystrophic zvinotanga, pamwe nemigumisiro inotevera:

• Hemorrhages.
• Kuita zvechisimba kwemawere ekupararira.
• Vascular rupture uye kukanganisa kweropa rwenharaunda.
• Kuwedzerwa kwevascular confusion uye mabhavha.
• Lethal results.

Kuongororwa kwe cavernoma

Vamwe varwere dzimwe nguva havambofungi kuti vane cavernoma yeuropi. Chii ichocho, tsvaga mushure mokunge wawana, apo achishamiswa kuti munguva yaro iripo hauna kuvakonzera kusasuruvara. Mushure mokunge chirwere ichi chiitwa, chiremba anofanira kuonekwa nguva dzose uye kuongorora kukura kwayo.

Iyo cavernoma yeuropi inoratidzika sechikonzero chezvidzidzo zvinotevera:

• Computer tomography.
• Magnetic resonance imaging.
• Angiography.
• EEG. Mutengo webasa iri unofanirwa, zvechokwadi, pane chipiki kana guta iro murwere acharamba achiita, asi kana tikataura pamusoro pehuwandu hunokosha, saka tinogona kugara mukati ma1500 rubles. Asi iyi ndiyo nzira yakanakisisa yekugadzirisa kuvepo kwekufa kwekufa.

Penguva yekugadzirira kwemurwere kwehutachiona hwemashu, chirwere chinoshandiswa kuverenga chidimbu chakakosha chemazuva.

Contraindications for cavernoma

Ndinoda kuona kuti chirwere chakadai se cavernoma yeuropi hachibvumiri kurapwa kwemishonga yevanhu uye kuzvirapa. Sezvo izvi dzimwe nguva zvinowedzera dambudziko rekushaya ropa kana kuparara kwemidziyo yeropa.

Izvo hazvibvumirwi kuchinja chiremera ne physiotherapeutic maitiro, maseroji, nezvimwewo, izvo zvinoshandiswa, zvinoshandisa iyo yose nzira dzinosimudzira kupararira kweropa.

Inokurudzirwa kuita MRI neEEG nguva dzose kuti ione cavernoma. Mutengo wemasevisi akadaro ungave wakakwanira kune vamwe, zvisinei, umwe haafaniri, zvakare, achiyeuchidza kuti panguva iyo, utano hwakakosha.

Nezvekurapa

Cavernoma haina kukweretesa kuchiremba kurapwa. Kupindira kwokuvhiya kunokosha. Izvo zvinodiwa kubvisa tumarara. Zvisinei, izvi hazviiti nguva dzose zvichienderana nenzvimbo yayo. Uyewo, murwere angave akapikisana, kana asingatongopindi ne cavernoma. Basa iri munyaya iyi haritariswi, asi njodzi dzinoramba dziripo. Murwere anofanirwa kugara ari pasi pekutarirwa kweweurologist.

Kana murwere ane chirwere chekufa, anticonvulsants anobatwa. Zvisinei, munguva yemberi, varwere vakadaro vanokurudzirwa kuti vabvise nokukurumidza bundu racho.

Inotyisa zvikuru cavernomas, iyo iri munzvimbo dzakadzika dzehuropi uye haisi pasi pokubviswa kushandiswa. Chiito chikuru uye ruzivo mukurapa kwakadaro iScientific Research Institute yeNeurosurgery. Burdenko.

Hazvisi zvisizvo kuti vanachiremba vataure kuti kubviswa kwemarara kunoshandisa nzira dzakasiyana.

Apo operesi inokosha

Vanachiremba vanoomerera pakubvisa cavernoma kana:

• Chirwere chacho chinokonzera kuora mwoyo, kugumburwa.
• Icho haisi kure nemativi anokosha.
• Cavernoma inorayira neurological disorders uye inodzokorora kuora kwemvura.
• Tsvina yacho yakakura uye inowanikwa munzvimbo inoshanda inokosha.

Muchiitiko ichi, chiremba anofanira kufungisisa:

• Zera remurwere.
• Chimiro uye chiyero chemarara.
• Chikoro chechirwere uye zvirwere zvinokonzera.
• Kwenguva yakareba sei pakanga pane kuora kwemvura.

Kana bundu racho risingagoni kubviswa chirwere, kune dzimwe nzira dzemazuva ano dzokubvisa.

Nzira dzekubvisa cavernoma

Ngationgororei, ndeapi dzimwe nzira dzokubviswa kwe cavernoma yeuropi, kunze kwekuvhiya kwepanyama, kune:

• Radiosurgery. Gamma knife. Shandisa kumatomu akaoma-kusvika-kusvika. Dambudziko rekuvhara ropa harifaniri. Dumbu racho rinobviswa zvachose.
• Laser therapy. Shandisa apo paunenge uchibvisa mavharo. Nengozi shoma yekubuda ropa uye kupera.
• Cryotherapy. Shandisai nitrogen yega yega inoshandiswa neoplasms.

Zvose izvi zvinoshandiswa kubvisa cavernoma muScientific Research Institute yeNeurosurgery. Burdenko. Kuti uite izvi kana kuti iyo nzira mune imwe nyaya imwe neimwe, sarudzo inogadziriswa pakubvunzurudza kwezvehutano mushure mekuongorora kwakakwana murwere.

Kubva shure kwekuvhiyiwa

Mishonga yekudzorera inofanira kutanga sezvichibvira kuitira kuti tisabvisa munhu ane hurema. Dzimwe mabasa haigoni kudzorerwa.

Kudzoka mushure mekuvhiyiwa kunofanira kuitwa nevanyanzvi vane ruzivo. Kukurukurirana uye rubatsiro zvichadiwa:

• Chiremba.
• The psychologist.
• Chiremba LFK.
• Physiotherapist.
• Mutauriri wekutaura.
• Chemotherapist.
• Vadzidzisi veLFK.
• Vashandi vaduku.

Mumazuva ekushanda, iwe unofanira kuita MRI, uye wozodzokorora mushure memwedzi 4-6. Izvi zvichabatsira kuve nechokwadi chokuti brain cavernous angioma yakabviswa zvachose.

Iyo inowedzera hupamhi uye inobudirira nzira yekuvandudza ichave, nokukurumidza basa rakarasika richadzorerwa. Murwere mumwe nomumwe anoda chirongwa chekugadzirisa munhu oga. Pakutanga kwekutanga, makirasi ose anoitwa nenzira yekutsika, uye kana pasina matambudziko, unogona kuwedzera purogiramu.

Zviratidzo zvevarwere

Vanachiremba vanotaura kuti kubviswa kwe cavernoma nekufambira mberi kwayo kwemwedzi mitanhatu kune huwandu hwakanaka hwekutsvaga. Muchikamu makumi manomwe kubva muzana zvemaperembudzi inopera, 55 muzana yevarwere vane chirwere chekushaya chirwere chepachirwere chinopera kana kupera zvachose.

Kana chirwere chekufa chichigadzirwa nekuda kwe cavernoma kwenguva yakareba, ipapo kubudirira kwehutano kunoderedzwa.

Nokuda kwekubviswa kwe cavernoma, nzira yekurapa inoshandiswa pakurapa inowanzoshandiswa panguva iyi. Chinhu chikuru hachisi kupotsa nguva, ipapo mukana wekudzorera basa rakarasika uye kuderedza dambudziko rekushaya ropa kunowedzera.