Thrombosis pakohu cavernous: tohumate, te tātaritanga, maimoatanga

Thrombosis pakohu cavernous ko te pakohu cavernous occlusion thrombus, kei nei i i te turanga o te angaanga i runga i ngā taha e rua o te turcica Tira to tetahi.

Ko te mahi o te pakohu cavernous ko te matamua venous i te rohe o nga turanga kanohi me te roro, me te te ture o te tohatoha kaka.

Ko te tino onge tenei māuiuitanga, engari ka taea e meinga ngaahi nunua mamafa. Hoki uaua kitea Thrombosis o te sigmoid me pakohu hake.

Ko te take o te mate

kia puta Thrombosis pakohu cavernous mō ngā take. Ki ia auroro:

• mate hopuhopu i puta i roto i te puka whakapeka i roto i te maxillary sinuses, taringa, niho, ihu me te korokoro;
• te aroaro o te whētuki cranial;
• mate autoimmune (pūnahanaha erythematosus lupus, kaikōiwi);
• tukanga hemostasis pathological e e haere tahi e nui haere hanganga o thrombi (aroaro politsetemii);
• iaia me te mate cardiac (kino ngakau rere pūroto, ngakau manawataki ngangau et al.);
• mate huka mellitus;
• materoto;
• mai te whanautanga o te tamaiti.

clots toto he āhua hopuhopu, me te noninfectious. I tēnei wā, atu tohua takenga kore-hopuhopu. Ko e tika ana ki te whakamahi auau o paturopi e ārai pōauautanga nui tenei. I roto i tenei take, ko te reira tikanga ki te korero o te puka idiopathic o Thrombosis venous.

tohutanga o te mate

He aha e nga tohu o taua mate rite Thrombosis pakohu cavernous? Hauora ko reira tino uaua. I te tahi taime he uaua te mate ki te kitea i roto i te tīmatanga o nga wāhanga, no te mea maha e mau tohu i roto i te āhua me te he rite ki tohu o ētahi atu mate.

I roto i nga tohu matua o te mate kia miramira:

• te aroaro o pāhoahoa kaha;
• whakapairuaki me te ruaki;
• mate me te whakama;
• coma;
• takanga o hukihuki.
• mamae i roto i te kaki i flexion i roto i te aronga whakamua;
• kirika;
• te aroaro o exophthalmos (protrusion o te 'Afio mua aru e te displacement i roto i te ahunga).
• ophthalmoplegia whanaketanga (pāpāngia o te uaua kanohi i roto i te mate o te raru ko e whakahaere nekehanga o te kanohi);
• takanga o te edema i roto i te faatae te me kamo;
• heke haere kite;
• diplopia;
• mamae me te cyanosis turanga, rae me te ihu o te turanga;
• mate o te tūtohutanga o te karere kanohi;
• thrombophlebitis uaua kanohi.

āhuatanga Thrombosis pakohu cavernous e te iti pāmahana māka, asthenia, ongo'i he mamae i roto i uaua me hononga. I roto i te take o clots toto e kore e puta āhua hopuhopu taua tohu.

tohu kaka puta tohu meningeal. Ki te whanaketanga o te mate whakanuia ana ärai paepae. I roto i ngā take kino, kia taka te manawanui ki te pōroa.

Ko te ahua o te tohu kino i whakapataritari CSF matamua, nui haere pēhanga intracranial, hua o edema haaparuparu, e ai te mutunga arahi ki te mate o te manawanui.

Tātarihia te

Ka rite ki whakakitea Thrombosis pakohu cavernous? hāngai ana tātaritanga te i runga i tikanga rerekē o te whakamātautau. tangohia hoki ki pūkete amuamu o te manawanui, me te hītori hauora.

Migraine, mo te tauira, kua he maha o ngā āhuatanga:

• Haamata te ume nei a āta riro mau tonu. riro ātete ki te mamae te tauturu mamae.
• Mamae hë e mahi tinana, me te i roto i te tūranga te maungārongo. Tenei faaiteraa o te ānini fokotuu e pakohu tangata Thrombosis feathery.
• A, no te aki i runga i te wāhi amuamu Greenstein manawanui o te mamae. He Kei te puku me nga turanga kanohi kua ngawha o te 'Afio.

tūroro katoa ki tohumate neurological āhua rite hiahiatia he haerenga ki te tari o te ophthalmologist.

I roto i te fundus taea te kitea te aroaro o te tortuosity o oko, pupuhi o te kōpae whatu.

Mai i rangahau taiwhanga o ngā tikanga e whakamahia ana mō te tātaritanga:

• Kia hia ngā toto oti.
• kohinga o toto mo te ahurea mō te sterility.
• whakahaere coagulation,
• tohu whakatau D-dimer
• Tātaritanga o wai cerebrospinal.

Peheé rangahau whakarato ha faingamālie ki te tautuhi i lesion hopuhopu, me te disorders hemostatic.

Me kï Mai tikanga mauhaa:

• opacification i te CT;
• atahanga te kōwarotanga autō;
• angiography kaka.

Basics therapy

Thrombosis pakohu cavernous, me te te sigmoid me hake, rapu utu huarahi noa te maimoatanga. Ka taea e therapy e momo, me te hāparapara. tohua te mehua muri te hoki mate mahue.

Methods o maimoatanga hauora

Ka rite ki tāmau Thrombosis pakohu cavernous? Treatment tikanga momo e whai ana i te maha o ngā whāinga:

• detoxification;
• te whawhai ki te hanganga o clots toto;
• whakakorenga o edema roro;
• herea te tukanga mate;
• therapy neuroprotective.

whakamahia detoxification me te therapy paturopi te ki reira he Thrombosis o take hopuhopu. whakarato detoxification te whai wāhi ki te whakakore me te kawe matū paitini. Hoki tenei whakaaro e whakamahia e whaowhia otinga isotonic konutai pūhaumāota, "reopoligljukin" "gemodez".

I muri i te kohinga o toto mo te ahurea whakaritea paturopi. E ai ki nga kaitūtohu tātari ki te whānui o te mahi. I roto i te whakarara, kia whakaritea paturopi mo te tanga o mate anaerobic ( "Metronidazole").

Hei whakahoki krovobrascheniya noa e tango i te katinga. Ki tenei mutunga, he therapy heparin. whakaritea atu anticoagulants tika, e kua tangohia hoki e toru nga marama.

I muri e tūtohu te akoranga mō ngā tūroro te whiwhi māngai antiplatelet pērā i "ahipirini", "Dipyridamole" "Clopidogrel".

I roto i ngā take kino, whakakorea te whanaketanga o haaparuparu tukanga mate edema e Diuretics.

whakahaere therapy Neuroprotective te i roto i te wā whakaora. Kei te whakahaere te reira e te tikanga o āpiha e whakatairanga vasodilatation me te tikanga neurometabolic.

wawaotanga operative

whakaaturia te mahi hāparapara i roto i te take te wahi kihai i tuku i nga tikanga momo te hua tika. E te pakohu cavernous ko reira tino uaua ki te huarahi e tika ana ki tona wāhi kikokiko. Na reira, ko te mahi Ko tā te whakatuwheratanga o sinuses me rerenga parukore tuatahi arotahi hopuhopu.

pōauautanga taea

Thrombosis pakohu cavernous (pikitia o tūroro mate i tenei mate e te aroaro i roto i tenei tuhinga) e taea arahi ki pōauautanga nui. kawea te mua ngā tukanga tātaritanga me te therapy tīmataria i waho, iti iho te tupono o pōauautanga.

E wehea fifi ki wawe, me te mutunga o.

O te mutunga kia tuhia ai:

• mate o te acuity ataata;
• paresis o abducens ;
• te aroaro o te ptosis (Hawaiki o te rau tau);
• whanaketanga o te arachnoiditis;
• hypopituitarism;
• anisocoria.

Early:

• edema roro;
• hukihuki wāhanga;
• infarction kaka.

E mea pinepine, arata'i Thrombosis pakohu cavernous ki te manawanui:

• matapo katoa.
• patunga (mate circulatory whakapeka i roto i te roro, e maha whakaoho hauātanga me te mate);
• rangirua o taumahinga o te repe pineal e te kawenga mō te inhibition o tuku taiki tupu;
• tērā tukanga whanaketanga puku;
• disorders o te whanaketanga fakasekisualé, me te whanonga.

E kitea taua pōauautanga i roto i pā ana ki te toru o te wā.

āraihia

I roto i te tikanga ki te karo i mate rite te mate kia whai etahi āraihia ki te āwhina te ārai i te whanaketanga o te mate:

• maimoatanga wā o ngā tukanga inflammatory i roto i te tinana;
• pipiki ki te āhua noho hauora;
• whai wāhi wā ki te tangata mohio i roto i mate e puta i roto i te ma'i, a haere tahi e te huringa hanganga o nga taiepa oko, me te ahua o te hyperviscosity.

waitohunga

Waitohunga o te mate, ko te tika ti'aturi i runga i te tātaritanga wā, me te maimoatanga. Ko te mua whakapumautia te aroaro o te mate, ka tīmata maimoatanga te, te pai nga tūponotanga o te ora.

Methods o maimoatanga, te rongoā hou wāhi reira taea ki nui whakaiti i te tahuti nei i tenei paepae mate. Figure ko 20%. A tawhio noa 10% o ngā take o te Thrombosis hohokitanga i roto i te tau kotahi i muri i te maimoatanga.

mutunga

Thrombosis pakohu cavernous, nga tohu o e kua whakaahuatia i roto i tenei tuhinga, ko te mate tino nui. He uaua ki te hamani i te mate.

I roto i te nuinga o te wā, te māuiuitanga meinga hauātanga o te manawanui, a maha mutu i roto i te mate. Na reira, ko te mea nui ki te wā ngā tukanga tātaritanga me te maimoatanga.