Arachnoid chotupa ndi mankhwala ake

cysts Arachnoid akuimira mowa chotupa, i.e. mapangidwe madzimadzi cerebrospinal.

Zapulaimale zoona, arachnoid cysts ndi kobadwa nako formations. zotsatira Secondary angabuke meninjaitisi m'mnyewa wamtima, agenesis wa corpus callosum, syndrome Marfan, kulandira opaleshoni ubongo. Amuna arachnoid cysts zimachitika kanayi zambiri kuposa akazi. Nthawi zambiri zili pakati cranial fossa, komanso si zachilendo arachnoid cysts wa zapambuyo cranial fossa.

cysts oterowo amapezeka za 4% ya anthu, ndi zizindikiro zokha kuwonekera 20% ya iwo, nthawi zambiri ndi chifukwa cha chitukuko cha gidrotsefalii.Chasto sekondale cysts arachnoid ndi asymptomatic. Ngati zidzachitika, nthawi zambiri pamaso zaka 20, tisaiwale kuti pamene zovuta ndipo ngakhale chikhalidwe cha zizindikiro zosiyanasiyana, malinga ndi kukula ndi malo cysts, amene kwambiri complicates matenda.

cysts Arachnoid akhozanso kukopeka ndi mutu kwambiri, ataxia, kunyansidwa ndi kusanza, hemiparesis, khunyu, matenda okhudza ubongo, ndi zina zotero. Kwambiri yodziwika ndi predominance zizindikiro oziziritsa, ndilo chifukwa chitukuko cha hydrocephalus sekondale, osachepera - zizindikiro focal. Arachnoid chotupa isanafalikire mu chingwe msana, mwina ali ndi zizindikiro khalidwe la chimbale herniated.

Kudziwika ndi zosiyanasiyana arachnoid cysts ndi zina formations ambiri ikuchitika ndi kulingalira maginito malumikizidwe, nthawi zina amaona chifukwa kuti "anapeza".

Ngozi ndi kuwonjezeka mu wogwila zikamera wa cysts watsopano, kotero dokotala ayenera kumvetsa ndi kuchita kuwonongedwa kwa zimayambitsa asayembekezere. Pakuti ichi m'pofunika kuchita bwinobwino wodwalayo kuti azindikire matenda magazi matenda autoimmune, matenda.

Ngati mukukayikira ndi ubongo chotupa maphunziro awa ayenera kuti azitsatiridwa:

• Maginito kumveka mankhwala;
• Doppler kuti angazindikire stenosis Mitsempha kuti kunyamula ubongo wolumikizira magazi. Chifukwa chosowa kotunga magazi zikhoza kuwonongedwa focal ubongo chinthu ndi maonekedwe a cysts;
• Mtima Phunziro. kotunga kuchepa magazi wolumikizira ku ubongo bwino zimayamba ndi mtima mungoli matenda, kapena kugwira ntchito yachibadwa za mtima;
• atayezetsa kwa mafuta m'thupi ndi clotting. Ndi kuwonjezera ndende ya mafuta m'thupi ndi magazi clotting amapezeka occlusion ziwiya oziziritsa magazi, ndipo mu mapangidwe wotsatira wa cysts. Kugwiritsa ntchito mankhwala amakono, vutoli mosavuta anathana;
• zonse magazi polojekiti kudziwa episodic akuluakulu, amene chifukwa wamba sitiroko yatsoka posleinsultnyh ndi cysts;
• zinachitikira arachnoiditis amaganiziridwa, CNS, ofoola ziwalo, m'pofunika kuchita MAGAZI matenda autoimmune ndi matenda.

Ngati wapezeka cysts arachnoid, chithandizo sizingakhale zofunika. Ngati pali kusintha zamitundu chotupa azipereka mawonetseredwe zosiyanasiyana chifukwa cha kukhalapo kwake, woyamba ndi mankhwala a matenda amene anachititsa cysts kukhala.

Arachnoid cysts ankachitira mwamsanga ngati zizindikiro zotsatirazi:

• pamaso ndipo Kukula kwa khunyu;
• Amowabu kuwonjezeka oopsa-hydrocephalic matenda kapena zizindikiro focal;
• pamaso pa cysts kuti ndizovuta ndi kukha magazi.

Kuchotsa ubongo arachnoid cysts anachita ntchito opaleshoni endoscopic (kistotsisternostomii), excision wa cysts (microneurosurgical ntchito), ntchito kulambalala (kistoperitonealnogo kulambalala).