He aha te Pseudotumor Cerebri? Tohutohu, Take, me te Maimoatanga

Ko te pseudotumor cerebri tētahi āhuatanga e hanga ai te pehanga i roto i tō angaanga, ā, e rite ana ki ngā tohu o te mate pūngāwerewere roro, ahakoa kāore he pūngāwerewere kei reira. Ko te ingoa e kī ana, "te pūngāwerewere roro teka," ā, ahakoa ka raru pea koe ina pā ana ki ngā tohu, he āhuatanga taea te whakahaere e whakautu pai ana ki te maimoatanga ina kitea wawe.

Ko tēnei pehanga nui e pā ana ki te wai e karapotia ana tō roro me tō tūpuna, e kiia nei ko te wai cerebrospinal. Whakaarohia he nui rawa te wai kei roto i te ipu kati – kāore he wāhi hei haere atu te pehanga, ā, ka puta mai ai ngā mamae o te mahunga, ngā raruraru o te tirohanga, me ētahi atu tohu āwangawanga ka tūhura tahi tātou.

He aha ngā tohu o te pseudotumor cerebri?

Ko te tohu tino noa ko ngā mamae nui o te mahunga e rerekē ana i ō mamae noa o te mahunga. Ko ēnei mamae o te mahunga e kaha ake ana i te wā e takoto ana koe, e hū ana, e ngāka ana rānei, ā, ka haere tahi pea rātou me te mōrearea me te ruaki.

Ko ngā huringa o te tirohanga tētahi atu tohu whakatūpato matua e kore e tika kia warewarehia. Ka kite pea koe i te tirohanga mōrearea, te tirohanga rua, te poto rānei o ngā wā e pōuri katoa ana tō tirohanga mō ngā hēkona torutoru. Ko ētahi atu tangata e kite ana i te tangi pupuhi, pupuhi rānei i roto i ō ratou taringa e rite ana ki te tukituki o tō ratou ngakau.

Koinei ngā tohu matua hei titiro atu:

• Ngā mamae nui o te mahunga e kaha ake ana i te wā e takoto ana
• Tirohanga mōrearea, rua rānei
• Ngā wā poto o te ngaro o te tirohanga (e roa ana ngā hēkona)
• Mōrearea me te ruaki
• Ngā tangi pupuhi i roto i ngā taringa (tinnitus)
• Te mamae o te kaki me te pokohiwi
• Te wiri, te raruraru rānei o te taurite

Ko ngā tohu iti ake te noa e whai ake nei: ngā raruraru māhara, te whakapohehe, me ngā huringa ngākau. Ko ētahi tangata e kite ana kua iti haere tō rātou tirohanga taha, kāore rānei e taea te kite i ngā mea i waho o ngā kokonga o ō rātou kanohi. Ka puta mai ēnei tohu nā te pānga o te pehanga nui ki te mahi o tō roro me ngā uaua tirohanga.

He aha ngā take o te pseudotumor cerebri?

I te nuinga o ngā wā, kāore e taea e ngā tākuta te tohu i te take tika, e kiia nei ko te pseudotumor cerebri idiopathic. Heoi, ko ētahi atu mea ka taea te whakaoho i tēnei āhuatanga, te whakaputa rānei i te tupu ake.

Ko ētahi rongoā e mohiotia ana ko ngā mea whakaoho, ina koa etahi rongoā mate huaketo, ngā kaiwhakaheke toto, me ngā taapiri hua A ina inuhia i ngā rā nui. Ko ngā huringa homoni e tino pā ana hoki, e whakamārama ana i te āhuatanga o te āhuatanga i roto i ngā wāhine e whānau tamariki ana.

Koinei ngā take me ngā mea whakaoho matua:

• Ētahi rongoā (ngā rongoā mate huaketo tetracycline, ngā kaiwhakaheke toto, te hua A nui)
• Ngā huringa homoni (hapu, ngā koretake o te menehune, te rongoā whakakapi homoni)
• Te nui o te taumaha, te momona rānei
• Te moe apnea, ētahi atu mate manawa rānei
• Te mate whatukuhu, te kore mahi whatukuhu rānei
• Ngā āhuatanga autoimmune penei i te lupus
• Ngā mate toto e pā ana ki te whakaputa toto whero

Ko ngā take onge e whai ake nei: ētahi mate roro, ngā toto i roto i te pūnaha whakaheke o te roro, ngā pūngāwerewere rānei e aukati ana i te rere o te wai noa. I etahi wa, ko te tango atu i te whakamahinga roa o te steroid ka taea te whakaoho i te āhuatanga. Ko te mārama ki ēnei take pea ka āwhina i tō tākuta ki te whakatau i te huarahi maimoatanga pai mō tō āhuatanga motuhake.

Nōhea te haere ki te tākuta mō te pseudotumor cerebri?

Me rapu wawe koe i te tiaki hauora mena ka pā ki a koe ngā mamae ohorere, nui o te mahunga e rerekē ana i ngā mea katoa i pā ki a koe i mua. He mea nui tenei, ina koa ki te haere tahi ngā mamae o te mahunga me ngā huringa o te tirohanga, te mōrearea, te tangi pupuhi rānei i roto i ō taringa.

Kaua e tatari mena ka kite koe i ētahi raruraru o te tirohanga, ahakoa he iti noa iho i te tīmatanga. Ka taea e ngā huringa o te tirohanga te tere haere me tēnei āhuatanga, ā, he mea nui te maimoatanga wawe hei aukati i te kino pumau ki ō uaua tirohanga.

Haere ki te ruma urupare mena ka pā ki a koe te ngaro ohorere o te tirohanga, ngā mamae nui o te mahunga me te kirika, ngā mamae rānei o te mahunga e kaha ake ana ina huri koe i ō tūnga. Ka taea e ēnei te tohu i te āwangawanga hauora e hiahia ana ki te tiaki wawe.

He aha ngā take morearea mō te pseudotumor cerebri?

Ko ngā wāhine i waenga i ngā tau 20 me te 40 te tino morearea, ina koa rātou e taumaha rawa ana, kua nui ake rānei te taumaha. Ko te āhuatanga e waru wā te noa ake i roto i ngā wāhine i ngā tāne, nā te pānga o ngā homoni.

Ko te taumaha nui e whakapiki nui ana i tō morearea, ā, ka taea e te nui o te taumaha te whakaoho i te āhuatanga. Kāore i tino mārama tēnei hononga, engari ka hono pea ki te āhua o te taumaha nui e pā ana ki ngā taumata homoni me te taurite wai i roto i tō tinana.

Ko ētahi atu take morearea e whai ake nei:

• He wahine kei te tau whānau tamariki
• Te momona, te nui o te taumaha hou rānei
• Te moe apnea, ētahi atu mate moe rānei
• Te mate polycystic ovary syndrome (PCOS)
• Te tango i ētahi rongoā roa
• Te mate whatukuhu
• Te hapu hou, ngā huringa homoni rānei

Ko te whai i ēnei take morearea kāore e kī ka tupu pono te pseudotumor cerebri ki a koe, engari ko te mōhio ki a rātou ka āwhina i a koe ki te mohio wawe ki ngā tohu. Mena he maha ngā take morearea kei a koe, he mea tika te kōrero ki tō kaiwhakarato hauora i ngā wā tirotiro noa.

He aha ngā raruraru pea o te pseudotumor cerebri?

Ko te raruraru tino nui ko te ngaro o te tirohanga pumau, ka taea te puta mena kaore e maimoatia wawe te āhuatanga. Ka taea e te pehanga nui te kino ki ō uaua tirohanga, ā, ka puta mai ai ngā waahi pōuri, te ngaro katoa rānei o te tirohanga i ngā take kino.

Ko ngā raruraru o te tirohanga e tīmata ana hei wā poto, engari ka taea te pumau mena ka mau tonu te pehanga ki te hanga. Koinei te take i tino nui ai te taumata o te whakatau me te maimoatanga hei tiaki i tō tirohanga mo te wa roa.

Ko ngā raruraru pea e whai ake nei:

• Te ngaro o te tirohanga pumau, ngā waahi pōuri rānei
• Ngā mamae o te mahunga i ngā rā katoa
• Te kino o te uaua tirohanga (papilledema)
• Te ngaro o te rongonga, te tinnitus pumau rānei
• Ngā raruraru māhara me te arotahi
• Te pouri, te manukanuka rānei mai i ngā tohu roa

Ko ngā raruraru iti ake te noa e whai ake nei: ngā mate mamae roa, te uaua ki te mahi i ngā mahi o ia rā nā te mau tonu o ngā tohu. Ko ētahi tangata e whanake ana i te tangi pumau i roto i ō rātou taringa e pā ana ki tō rātou kounga o te ora. Ko te rongo pai, me te maimoatanga tika, ka taea te aukati, te whakaiti rānei i te nuinga o ēnei raruraru.

Me pēhea te aukati i te pseudotumor cerebri?

Ahakoa kāore e taea e koe te aukati i ngā take katoa o te pseudotumor cerebri, ko te pupuri i te taumaha hauora tētahi o ngā huarahi tino whai hua hei whakaiti i tō morearea. Ka taea te tino awhina te ngaro o te taumaha haere mā te whakahaere, ina koa ki te taumaha rawa koe.

He mea nui te tupato ki ngā rongoā e mohiotia ana e whakaoho ana i te āhuatanga. Kōrero tonu ki tō kaiwhakarato hauora mō ngā pānga pea, ina koa ki te tango koe i ngā rongoā mate huaketo, ngā kaiwhakaheke toto, ngā taapiri hua rānei.

Ko ngā rautaki aukati e whai ake nei:

• Te pupuri i te taumaha hauora mā te kai tōtika me te whakakori tinana
• Te karo i ngā taapiri hua A nui, ki te kore e tohua
• Te whakahaere i te moe apnea mena kei a koe
• Te tirotiro tonu mena he take morearea kei a koe
• Te kōrero mō ngā morearea rongoā ki tō kaiwhakarato hauora
• Te whakahaere i ngā āhuatanga taketake penei i te PCOS, te mate whatukuhu rānei

Mena he maha ngā take morearea kei a koe, ka taea e ngā tirotiro noa ki tō kaiwhakarato hauora te awhina i te kite i ngā tohu wawe i mua i te kaha o ngā tohu. Ko te whakahaere i ngā āhuatanga penei i te moe apnea, ngā koretake homoni rānei ka taea te whakaiti i tō morearea.

Me pēhea te whakatau i te pseudotumor cerebri?

Ko te whakatau e tīmata ana i te hītori hauora me te whakamātautau tinana, tae atu ki te whakamātautau kanohi taipitopito. Ka hiahia tō tākuta ki te whakakore i ētahi atu take o te nui o te pehanga roro, ina koa ngā pūngāwerewere roro pono.

Ko te MRI, te CT scan rānei o tō roro te whakamātautau whakaahua tuatahi e mahia ana. Ka āwhina ēnei whakamātautau ki te whakakore i ētahi atu take pea i te titiro atu ki ngā tohu o te nui o te pehanga, penei i te pupuhi i ngā uaua tirohanga.

Ko te whakamātautau tino tika ko te lumbar puncture (spinal tap) i te nuinga o ngā wā, kei reira te tango iti o te wai cerebrospinal mai i tō tua raro. E rua ngā take o tēnei mahi: e ine ana i te pehanga o tō wai tuaka, ā, ka taea te hoatu i te whakaora tohu wawe.

Ko ētahi atu whakamātautau pea e whai ake nei: te whakamātautau mara tirohanga hei tirotiro i ngā waahi pōuri, te fundoscopy rānei hei tirotiro i te tua o ō kanohi mō te pupuhi. Ka tono pea ngā whakamātautau toto hei tirotiro i ngā āhuatanga taketake e taea ana te whai wāhi ki ō tohu.

He aha te maimoatanga mō te pseudotumor cerebri?

Ko te maimoatanga e aro ana ki te whakaiti i te pehanga i roto i tō angaanga, te aukati rānei i te ngaro o te tirohanga. Ko te maimoatanga tuatahi tino noa ko te rongoā e kiia nei ko te acetazolamide, e āwhina ana ki te whakaiti i te whakaputa o te wai cerebrospinal.

Ko te ngaro o te taumaha e tūtohutia ana hei wāhanga o te mahere maimoatanga, ina koa ki te taumaha rawa koe. Ahakoa te iti o te ngaro o te taumaha o te 5-10% ka taea te whakapai ake i ngā tohu me te whakaiti i te pehanga.

Ko ngā whiringa maimoatanga e whai ake nei:

• Acetazolamide (Diamox) hei whakaiti i te whakaputa wai
• Topiramate, ka taea te āwhina ki te pehanga me te ngaro o te taumaha
• Furosemide, ētahi atu diuretics rānei i ētahi wā
• Corticosteroids mō te whakaora poto i ngā take kino
• Ngā lumbar punctures anō mena kaore ngā rongoā e whai hua
• Ngā whiringa pokanga penei i te shunting, te optic nerve fenestration rānei mō ngā take kino

Ka tirotiro tata atu tō tākuta i tō ahunga whakamua me ngā whakamātautau kanohi noa me ngā ine pehanga. Mena kaore ngā rongoā e whakahaere tika ana i ō tohu, ka taea e ngā mahi pokanga te hanga i ngā huarahi whakaheke atu mō te wai nui.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā e maimoatia ana?

Ko te whakahaere i ngā tohu o ia rā i te wā e kaha ana tō maimoatanga he wāhanga nui o tō ora ake. Ka taea e ngā whakarerekētanga noa o te oranga te āwhina i te whakaiti i te kaha o te mamae o te mahunga me te whakaora i a koe.

Moe me tō mahunga e whakatō ai ki runga i ngā urunga taapiri hei āwhina i te whakaiti i ngā mamae o te mahunga i te ata. Ko te nuinga o ngā tangata e kite ana ko te pupuri i ō ratou mahunga teitei atu i ō ratou ngakau, ahakoa i te wā e okioki ana, ka taea te hoatu i te whakaora mai i ngā tohu e pā ana ki te pehanga.

Ko ngā rautaki whakahaere kāinga e whai ake nei:

• Te moe me tō mahunga e whakatō ai ki runga i ngā urunga 2-3
• Te karo i ngā mahi e whakapiki ana i te pehanga (te kawe i ngā mea taimaha, te ngāka)
• Te pupuri i te wai, engari kaua e nui rawa te wai
• Te whai i te kai iti te tote hei whakaiti i te pupuri wai
• Te tango i ngā rongoā kua tohua kia rite ki te aratohu
• Te whakamahi i ngā tikanga whakahaere ahotea
• Te tirotiro i ō tohu me te whakaatu i ngā huringa ki tō tākuta

Ko te whakahaere mamae pea e whai ake nei: te whakamahi i ngā putea makariri ki tō mahunga me tō kaki, te whakamahi i ngā tikanga whakamahinga, te pupuri rānei i ngā kaupapa moe noa. Kaua e inu i te caffeine me te waipiro, na te mea ka taea e ēnei te whakaiti i ngā mamae o te mahunga, te whakakore rānei i ō rongoā.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, pupuri i te puka tohu taipitopito mo te wiki kotahi noa iho. Tuhia te wā e puta mai ai ngā mamae o te mahunga, tō kaha, he aha te mea e pai ake ai, te kino ake rānei, me ētahi atu huringa o te tirohanga e pā ana ki a koe.

Kawe mai i te rārangi katoa o ngā rongoā, ngā taapiri, me ngā hua katoa e tangohia ana e koe, tae atu ki ngā rā nui. He mea nui tēnei mōhiohio, na te mea ka taea e ētahi rongoā te whakaoho, te whakaiti rānei i te pseudotumor cerebri.

Whakaritea he rārangi o ngā pātai mō ō tohu, ngā whiringa maimoatanga, me te aha e tatari ana koe i te wā e ora ake ana. Kaua e whakaroa te uiui mō ngā huringa oranga e āwhina pea, ngā mahi rānei me karo e koe.

Whakaarohia te kawe mai i tētahi mema whānau, hoa rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio nui, ina koa ki te pā ana koe ki ngā raruraru māhara, ngā mamae nui rānei o te mahunga e uaua ai te aro i te wā o te hui.

He aha te mea nui mō te pseudotumor cerebri?

Ko te pseudotumor cerebri he āhuatanga nui engari ka taea te whakaora e hiahia ana ki te tiaki hauora wawe, ina koa ina pā ana ki ngā huringa o te tirohanga. Ko te ki o te maimoatanga angitu ko te whakatau wawe me te tiaki whai muri tonu me tō rōpū hauora.

Ko te nuinga o ngā tangata e whai pseudotumor cerebri ana ka tumanako ki te whakapai ake nui me te maimoatanga tika, ahakoa pea ka roa ngā marama kia kite i ngā hua katoa. Ka taea te hoki mai te āhuatanga, no reira he mea nui te tirotiro tonu ahakoa ka pai ake ngā tohu.

Kia mahara ko te tiaki i tō tirohanga te mea nui. Kaua e whakaroa te rapu i te tiaki hauora mena ka pā ki a koe ngā mamae nui o te mahunga me ngā huringa o te tirohanga, ā, whai tonu i tō mahere maimoatanga ahakoa ka tīmata koe ki te pai ake.

Ngā pātai e ui pinepinetia ana mō te pseudotumor cerebri

Ka taea te ngaro ake te pseudotumor cerebri?

Ahakoa ka taea e ētahi take iti te whakapai ake kaore he maimoatanga, ko te pseudotumor cerebri e hiahia ana ki te whakauru hauora hei aukati i te ngaro o te tirohanga pumau. He nui rawa te morearea o te kino o te uaua tirohanga ki te tatari me te kite mena ka ngaro ngā tohu. Ko te maimoatanga wawe ka hoatu ki a koe te tupono pai rawa atu o te ora katoa kaore he raruraru pumau.

He rite te pseudotumor cerebri ki te pūngāwerewere roro?

Kāore, kāore te pseudotumor cerebri e whai pūngāwerewere pono ahakoa te puta mai o ngā tohu rite. Ko te ingoa e kī ana "te pūngāwerewere roro teka" na te mea e rite ana ki ngā tohu pūngāwerewere roro mā te nui o te pehanga, kāore i te tipu pūtau rerekē. Ka taea e te whakaahua roro te wehewehe i waenga i ngā āhuatanga e rua, koinei te take i tino nui ai ngā MRI, ngā CT scan rānei mō te whakatau tika.

Me pokanga ahau mō te pseudotumor cerebri?

Ko te nuinga o ngā tangata e whai pseudotumor cerebri ana e whakautu pai ana ki ngā rongoā, kāore hoki e hiahia ki te pokanga. Ko ngā whiringa pokanga penei i te shunting, te optic nerve fenestration rānei e penapena ana mō ngā take kino kaore e pai ake me te rongoā, te haere rānei o te ngaro o te tirohanga ahakoa te maimoatanga. Ka whakamātau tō tākuta i ngā whiringa kore-pokanga i mua.

Ka taea e te hapu te whakaoho i te pseudotumor cerebri?

Ae, ka taea e te hapu te whakaoho i te pseudotumor cerebri nā ngā huringa homoni, te nui o te taumaha, me te nui o te toto. Heoi, ko te whai i te āhuatanga kāore e kī kaore e taea e koe te whai hapu hauora. Mena he pseudotumor cerebri kei a koe, kei te whakaaro rānei koe ki te hapu, mahi tata ki tō neurologist me tō obstetrician hei whakahaere i te āhuatanga kia ora.

E hia te roa o te maimoatanga mō te pseudotumor cerebri?

Ko te roa o te maimoatanga e rerekē ana i te tangata ki te tangata, engari ko te nuinga o ngā tangata e hiahia ana ki te rongoā mo ngā marama maha ki ngā tau. Ko ētahi pea e hiahia ana ki te maimoatanga roa hei aukati i te hoki mai. Ko te rongo pai, ko te nuinga o ngā tangata e kite ana i te whakapai ake o ngā tohu i roto i ngā wiki i muri i te tīmatanga o te maimoatanga, ahakoa pea ka roa ake te whakatau katoa. Ka tirotiro atu tō tākuta i tō ahunga whakamua me te whakarereke i te maimoatanga kia rite ki te hiahia.