I-Pseudotumor cerebri syndrome

I-Pseudotumor cerebri syndrome yisimo lapho ingcindezi engaphakathi kogebhezi yanda khona. Ubuchopho buthinteka ngendlela isimo esibonakala siyiyo, kodwa kungenjalo, isimila.

Lesi simo sivela kaningi kwabesifazane kunabesilisa, ikakhulukazi kwabesifazane abakhuluphele abasebancane abaneminyaka engama-20 kuya kwengama-40 ubudala. Akuvamile ezinganeni kodwa kungenzeka ezinganeni. Ngaphambi kokuthomba, kwenzeka ngokulinganayo kubafana namantombazane.

Imbangela ayaziwa.

Imithi ethile ingakhuphula ubungozi bokuba nalesi simo. Le mithi ihlanganisa:

• Amiodarone
• Amaphilisi okulawula inzalo afana ne-levonorgestrel (Norplant)
• ICyclosporine
• ICytarabine
• Ozokusebenzisa
• Isotretinoin
• I-Levothyroxine (izingane)
• I-lithium carbonate
• I-Minocycline
• Nalidixic acid
• I-Nitrofurantoin
• Phenytoin
• Ama-steroid (ukuqala noma ukuwavimba)
• Ama-antibiotic weSulfa
• I-Tamoxifen
• I-Tetracycline
• Izidakamizwa ezithile eziqukethe i-Vitamin A, njenge-cis-retinoic acid (Accutane)

Izici ezilandelayo nazo zihlobene nalesi simo:

• I-Down syndrome
• Isifo se-Behcet
• Ukwehluleka kwezinso okungamahlalakhona
• Izinkinga ze-Endocrine (hormone) ezifana nesifo i-Addison, isifo seCushing, i-hypoparathyroidism, i-polycystic ovary syndrome
• Ukulandela ukwelashwa (ukufakwa embolization) kwe-arteriovenous malformation
• Izifo ezithathelwanayo njenge-HIV / AIDS, isifo seLyme, kulandela ingxibongo ezinganeni
• Ukushoda kwe-iron anemia
• Ukukhuluphala ngokweqile
• I-apnea yokulala evimbela
• Ukukhulelwa
• I-Sarcoidosis (ukuvuvukala kwama-lymph node, amaphaphu, isibindi, amehlo, isikhumba, noma ezinye izicubu)
• Uhlelo lwe-lupus erythematosis
• I-Turner syndrome

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ukuphathwa yikhanda, ukushaywa yikhanda, nsuku zonke, ngokungajwayelekile nokubi ekuseni
• Ubuhlungu bentamo
• Ukubona okufiphele
• Umsindo oduma ezindlebeni (tinnitus)
• Isiyezi
• Umbono ophindwe kabili (idiplopia)
• Isicanucanu, ukuhlanza
• Izinkinga zombono njengokukhanyisa noma ukulahleka kombono
• Ubuhlungu obuphansi emuva, obukhanyisa imilenze yomibili

Ukuphathwa yikhanda kungaba kubi kakhulu ngesikhathi somzimba, ikakhulukazi uma uqinisa imisipha yesisu ngesikhathi ukhwehlela noma uhlunga.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Izimpawu zalesi simo zifaka:

• Ukuqothula i-fontanelle yangaphakathi ezinganeni
• Ukukhulisa usayizi wekhanda
• Ukuvuvukala kwemizwa ye-optic ngemuva kweso (papilledema)
• Ukujika kwangaphakathi kwamehlo ngasekhaleni (i-cranial yesithupha, noma yehlisa, ukukhubazeka kwemizwa)

Noma kunengcindezi eyengeziwe kugebhezi, alukho ushintsho ekuqapheni.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kweFunduscopic
• I-CT scan yekhanda
• Ukuhlolwa kwamehlo, kufaka phakathi ukuhlolwa kwensimu ebonakalayo
• I-MRI yekhanda ene-MR venography
• Ukubhoboza i-Lumbar (umpompi womgogodla)

Ukuxilongwa kwenziwa lapho kukhishwa ezinye izimo zezempilo. Lokhu kufaka phakathi izimo ezingadala ingcindezi enkulu kugebhezi, njenge:

• IHydrocephalus
• Isimila
• I-venous sinus thrombosis

Ukwelashwa kuhloselwe imbangela ye-pseudotumor. Inhloso enkulu yokwelashwa ukugcina umbono nokunciphisa ukuqina kwekhanda.

Ukubhoboza i-lumbar (umpompi womgogodla) kungasiza ukukhulula ingcindezi ebuchosheni futhi kuvimbele izinkinga zombono. Ukuphindaphinda ama-lumbar punctures kuyasiza kwabesifazane abakhulelwe ukuze baphoqelele ukuhlinzwa kuze kube ngemuva kokubeletha.

Ezinye izindlela zokwelashwa zingafaka:

• Ukuvinjelwa kwamanzi noma usawoti
• Imithi efana ne-corticosteroids, i-acetazolamide, i-furosemide, ne-topiramate
• Izinqubo zokuthulisa ukukhulula ingcindezi ekwakhiweni koketshezi lomgogodla
• Ukuhlinzwa ukukhipha ingcindezi emthanjeni we-optic
• Ukwehla kwesisindo
• Ukwelashwa kwesifo esiyimbangela, njenge-vitamin A ukweqisa ngokweqile

Abantu bazodinga ukuthi baqashwe ngeso lokhozi umbono wabo. Kungaba nokulahleka kombono, kwesinye isikhathi okuhlala unomphela. Ukulandelelwa kwe-MRI noma i-CT scan kungenziwa ukukhipha izinkinga ezinjengezicubu noma i-hydrocephalus (i-buildup of fluid ngaphakathi kogebhezi).

Kwezinye izimo, ingcindezi engaphakathi ebuchosheni ihlala iphakeme iminyaka eminingi. Izimpawu zingabuya kwabanye abantu. Inani elincane labantu linezimpawu eziya ngokuya ziba zimbi futhi ziholele ekungaboni.

Isimo kwesinye isikhathi siyanyamalala sodwa zingakapheli izinyanga eziyisithupha. Izimpawu zingabuya kwabanye abantu. Inani elincane labantu linezimpawu eziya ngokuya ziba zimbi futhi ziholele ekungaboni.

Ukulahleka kombono kuyinkinga enkulu yalesi simo.

Shayela umhlinzeki wakho uma wena noma ingane yakho unezinye zezimpawu ezibalwe ngenhla.

Umfutho wegazi ophakeme we-Idiopathic intracranial; Umfutho wegazi ophakeme we-Benign

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

UMiller NR. I-Pseudotumor cerebri. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 164.

IRosenberg GA. I-edema yobuchopho nokuphazamiseka kokujikeleza kwe-cerebrospinal fluid. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 88.

UVarma R, uWilliams SD. Neurology. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier, 2018: isahluko 16.