Ese ni iki Pseudotumor Cerebri? Ibimenyetso, Impamvu, n'Ubuvuzi

Pseudotumor cerebri ni uburwayi aho igitutu cyiyongera mu mutwe, gikora ibimenyetso bya kanseri y'ubwonko nubwo nta kanseri y'ubwonko iba ihari. Izina ubwarwo risobanura "kanseri y'ubwonko y'ikinyoma," kandi nubwo bishobora gutera ubwoba iyo ufite ibimenyetso, ni uburwayi bushobora kuvurwa kandi bugakira neza iyo bamenyekanye hakiri kare.

Icyo gitutu cyiyongereye kigira ingaruka ku mazi akikije ubwonko na mu mugozi w'umugongo, yitwa cerebrospinal fluid. Tekereza ko ari nk'amazi menshi mu gikombe gifunze - igitutu ntaho kigenda, ibyo bishobora gutera umutwe, ibibazo by'amaso, n'ibindi bimenyetso bidutera impungenge tuzasuzuma hamwe.

Ni ibihe bimenyetso bya pseudotumor cerebri?

Ikimenyetso cy'ingenzi ni umutwe ukomeye utandukanye n'umutwe usanzwe. Uwo mutwe ukunda kwiyongera iyo uri kuryama, ugihuka, cyangwa ugakora imbaraga, kandi ushobora guherekezwa n'umutima mubi no kuruka.

Guhinduka kw'amaso ni ikindi kimenyetso cy'ibanze kidakwiye kwirengagizwa. Ushobora kubona amaso adafunguye neza, amaso abiri, cyangwa igihe gito amaso akabura burundu ibya sekondes. Bamwe bagira n'ijwi ryumvikana mu matwi rihuye n'umutima wabo.

Dore ibimenyetso by'ingenzi byo kwitondera:

• Umutwe ukomeye wiyongera iyo uri kuryama
• Amaso adafunguye neza cyangwa abiri
• Igihe gito amaso akabura (amasegonda)
• Umurava no kuruka
• Ijwi ryumvikana mu matwi (tinnitus)
• Kubabara mu ijosi no mu bitugu
• Kuzenguruka cyangwa ibibazo byo kubura uko umubiri uhagaze

Ibimenyetso bidafite akamaro cyane birimo ibibazo byo kwibuka, guhuzagurika, no guhinduka kw'imitekerereze. Bamwe babona ko amaso yabo yo kubona ibintu biri kure adafunguye neza, cyangwa bagira ibibazo byo kubona ibintu biri ku mpande z'amaso yabo. Ibyo bimenyetso biva mu gitutu cyiyongereye kigira ingaruka ku mikorere y'ubwonko n'imitsi y'amaso.

Ese ni iki gitera pseudotumor cerebri?

Mu bihe byinshi, abaganga ntibashobora kumenya impamvu nyayo, ibyo bita pseudotumor cerebri idiopathic. Ariko, hari ibintu byinshi bishobora gutera ubu burwayi cyangwa kubugiraho ingaruka.

Imiti imwe izwiho gutera ubu burwayi, cyane cyane imiti imwe irwanya udukoko, imiti igabanya amaraso, n'imiti yuzuza vitamine A iyo ifashwe mu bwinshi. Guhinduka kwa hormone na byo bigira uruhare runini, ibyo bisobanura impamvu ubu burwayi bukunze kugaragara mu bagore bari mu myaka yo kubyara.

Dore impamvu n'ibintu by'ingenzi bibitera:

• Imiti imwe (antibiyotike za tetracycline, imiti igabanya amaraso, vitamine A nyinshi)
• Guhinduka kwa hormone (gutwita, kudakira neza, imiti igabanya hormone)
• Kwiyongera mu ibiro cyangwa umubyibuho ukabije
• Apnea yo kuryama cyangwa ibindi bibazo byo guhumeka
• Indwara z'impyiko cyangwa imikorere mibi y'impyiko
• Indwara ziterwa n'umubiri ubwawo nka lupus
• Indwara z'amaraso zigira ingaruka ku mikorere y'uturemangingo dutukura tw'amaraso

Impamvu zidafite akamaro cyane zirimo indwara zimwe z'ubwonko, amaraso ahambiriye mu nzira yo gukuraho amazi mu bwonko, cyangwa kanseri zibangamira imikorere isanzwe y'amazi. Rimwe na rimwe, guhagarika imiti ya steroide yafashwe igihe kirekire bishobora gutera ubu burwayi. Gusobanukirwa izi mpamvu bishobora gufasha muganga wawe kumenya uburyo bwiza bwo kuvura hakurikijwe uko uhagaze.

Ni ryari ukwiye kujya kwa muganga kubera pseudotumor cerebri?

Ukwiye gushaka ubufasha bw'abaganga ako kanya iyo ufite umutwe ukomeye utunguranye, utandukanye n'uwari usanzwe ufite. Ibi ni ingenzi cyane iyo umutwe uherekejwe no guhinduka kw'amaso, umutima mubi, cyangwa iryo jwi ryumvikana mu matwi.

Ntugategereze iyo ubona ibibazo by'amaso, nubwo byaba bito ubanza. Guhinduka kw'amaso bishobora kwihuta muri ubu burwayi, kandi kuvurwa hakiri kare ni ingenzi mu gukumira kwangirika burundu kw'imitsi y'amaso.

Jya mu bitaro byihuse iyo ubona amaso adafunguye neza, umutwe ukomeye ufite umuriro, cyangwa umutwe wiyongera cyane iyo uhinduye imyanya. Ibyo bishobora kugaragaza ikibazo cy'ubuzima gisaba ubufasha bw'ihuse.

Ni ibihe bintu byongera ibyago bya pseudotumor cerebri?

Abagore bari hagati y'imyaka 20 na 40 bafite ibyago byinshi, cyane cyane abaremereye cyangwa baherutse kwiyongera ibiro. Ubu burwayi bukunze kugaragara mu bagore kurusha abagabo inshuro zigera kuri 8, bitewe ahanini n'ingaruka za hormone.

Kuremerewa cyane byongera ibyago byawe, kandi kwiyongera mu ibiro vuba bishobora rimwe na rimwe gutera ubu burwayi. Ubu buhunganirane ntibwumvikana neza, ariko bishobora kuba bifitanye isano n'uburyo ibiro byinshi bigira ingaruka ku rugero rwa hormone n'uburinganire bw'amazi mu mubiri wawe.

Ibindi bintu byongera ibyago birimo:

• Kuba umugore uri mu myaka yo kubyara
• Umubyibuho ukabije cyangwa kwiyongera mu ibiro vuba
• Apnea yo kuryama cyangwa ibindi bibazo byo kuryama
• Polycystic ovary syndrome (PCOS)
• Kunywa imiti imwe igihe kirekire
• Kugira indwara z'impyiko
• Gutwita vuba cyangwa guhinduka kwa hormone

Kugira ibyo bintu byongera ibyago ntibisobanura ko uzabona pseudotumor cerebri, ariko kubimenya bishobora kugufasha kumenya ibimenyetso hakiri kare. Niba ufite ibintu byinshi byongera ibyago, birakwiye kubiganiraho n'umuganga wawe mu buvuzi busanzwe.

Ni ibihe bibazo bishobora guterwa na pseudotumor cerebri?

Ikibazo gikomeye ni ukubura amaso burundu, ibyo bishobora kubaho iyo ubu burwayi budavuwe vuba. Igitutu cyiyongereye gishobora kwangiza imitsi y'amaso, bigatera ibintu utabona cyangwa kubura amaso burundu mu bihe bikomeye.

Ibibazo by'amaso ubusanzwe bitangira nk'ibintu by'igihe gito ariko bishobora kuba iby'igihe kirekire niba igitutu gikomeza kwiyongera. Niyo mpamvu kuvurwa hakiri kare ni ingenzi mu kurinda amaso yawe mu gihe kirekire.

Ibibazo bishobora guterwa na pseudotumor cerebri birimo:

• Kubura amaso burundu cyangwa ibintu utabona
• Umutwe ukomeye wa buri munsi
• Kwibagirwa imitsi y'amaso (papilledema)
• Kubura kumva cyangwa tinnitus idakira
• Ibibazo byo kwibuka no gutekereza
• Ikiniga cyangwa guhangayika biturutse ku bimenyetso bidakira

Ibibazo bidafite akamaro cyane birimo ibibazo by'ububabare budakira n'akaga ko gukora imirimo ya buri munsi bitewe n'ibimenyetso bidakira. Bamwe bagira ijwi ryumvikana mu matwi ribagiraho ingaruka. Inkuru nziza ni uko, hakoreshejwe ubuvuzi bukwiye, ibyinshi muri ibyo bibazo bishobora gukumirwa cyangwa kugabanuka.

Ese pseudotumor cerebri ishobora gukumirwa?

Nubwo udashobora gukumira ibintu byose bya pseudotumor cerebri, kugira ibiro bikwiye ni imwe mu nzira zikomeye zo kugabanya ibyago byawe. Kugabanya ibiro buhoro buhoro bishobora kugira akamaro cyane niba uremereye.

Kwitondera imiti izwiho gutera ubu burwayi na byo ni ingenzi. Iteganyekirwa buri gihe ingaruka mbi, cyane cyane niba unywa imiti irwanya udukoko, imiti igabanya amaraso, cyangwa imiti yuzuza vitamine.

Uburyo bwo gukumira burimo:

• Kugira ibiro bikwiye binyuze mu mirire myiza n'imyitozo ngororamubiri
• Kwirinda imiti yuzuza vitamine A nyinshi keretse iyo yatanzwe na muganga
• Kuvura apnea yo kuryama niba uyifite
• Kwitondera buri gihe niba ufite ibintu byongera ibyago
• Kuganira ku ngaruka z'imiti n'umuganga wawe
• Kuvura indwara ziriho nka PCOS cyangwa indwara z'impyiko

Niba ufite ibintu byinshi byongera ibyago, kujya kwa muganga buri gihe bishobora gufasha kumenya ibimenyetso hakiri kare mbere y'uko biba bikomeye. Kuvura indwara nka apnea yo kuryama cyangwa guhuzagurika kwa hormone bishobora kugabanya ibyago byawe.

Ese pseudotumor cerebri imenyekanwa gute?

Kumenya ubu burwayi ubusanzwe bitangira harebwe amateka y'ubuzima n'isuzuma rusange, harimo isuzuma ry'amaso ryimbitse. Muganga wawe azashaka gukuraho izindi mpamvu zishobora gutera igitutu mu bwonko, cyane cyane kanseri y'ubwonko.

MRI cyangwa CT scan y'ubwonko ni ubusanzwe isuzuma rya mbere ry'amashusho rikorewe. Ibyo bisuzuma bifasha gukuraho izindi mpamvu zishoboka mu gihe ureba ibimenyetso by'igitutu cyiyongereye, nko kubyimbagira hafi y'imitsi y'amaso.

Isuzuma nyaryo ni ubusanzwe lumbar puncture (spinal tap), aho amazi make ya cerebrospinal fluid akurwa mu mugongo. Icyo gikorwa gifite intego ebyiri: kipima igitutu cy'amazi ya spinal fluid kandi gishobora guhita kigabanya ibimenyetso.

Ibisuzuma by'inyongera bishobora kuba harimo isuzuma ry'amaso kugira ngo harebwe ibintu utabona n'isuzumwa ry'inyuma y'amaso kugira ngo harebwe kubyimbagira. Ibizamini by'amaraso bishobora gukorwa kugira ngo harebwe indwara ziriho zishobora gutera ibyo bimenyetso.

Ese pseudotumor cerebri ivurwa gute?

Ubuvuzi bugamije kugabanya igitutu mu mutwe no gukumira kubura amaso. Ubuvuzi bwa mbere busanzwe ni imiti yitwa acetazolamide, ifasha kugabanya umusaruro wa cerebrospinal fluid.

Kugabanya ibiro bikunze gusabwa nk'igice cy'uburyo bwo kuvura, cyane cyane niba uremereye. Kugabanya ibiro bike bya 5-10% bishobora kunoza cyane ibimenyetso no kugabanya igitutu.

Uburyo bwo kuvura burimo:

• Acetazolamide (Diamox) kugabanya umusaruro w'amazi
• Topiramate, ishobora gufasha mu gitutu no kugabanya ibiro
• Furosemide cyangwa indi miti ikura amazi mu mubiri mu bihe bimwe na bimwe
• Corticosteroids kugira ngo bigabanye ibibazo mu gihe gito mu bihe bikomeye
• Lumbar punctures zisubirwamo niba imiti idakora
• Uburyo bwo kubaga nko gushyiraho imiyoboro cyangwa optic nerve fenestration mu bihe bikomeye

Muganga wawe azakurikirana uko ugendera hakoreshejwe isuzuma ry'amaso n'ipimwa ry'igitutu. Niba imiti idakora neza, uburyo bwo kubaga bushobora gukora inzira zindi zo gukuraho amazi y'umurengera.

Uko wakwitwara mu rugo mu gihe cy'ubuvuzi

Kwita ku bimenyetso bya buri munsi mu gihe ubuvuzi bugikora ni igice cy'ingenzi cyo gukira. Guhindura imibereho bishobora gufasha kugabanya uburemere bw'umutwe no kugutera amahoro.

Ryama ufite umutwe hejuru ukoresheje ibyuma byinshi kugira ngo ugabanye umutwe wa mugitondo. Abantu benshi basanga kugumisha umutwe hejuru y'umutima, ndetse no mu kiruhuko, bishobora gufasha kugabanya ibimenyetso bifitanye isano n'igitutu.

Uburyo bwo kwitwara mu rugo burimo:

• Kuryama ufite umutwe hejuru ukoresheje ibyuma 2-3
• Kwirinda ibikorwa byiyongera igitutu (gutwara ibiremereye, gukora imbaraga)
• Kunywa amazi ahagije ariko udatakaza amazi menshi
• Kurya indyo ifite umunyu muke kugira ngo ugabanye amazi y'umubyibuho
• Kunywa imiti yatanzwe nk'uko byategetswe
• Gukora imyitozo yo kugabanya umunaniro
• Kwitondera ibimenyetso byawe no kubimenyesha muganga wawe

Kuvura ububabare bishobora kuba harimo gushyira ibintu bikonjesha ku mutwe no mu ijosi, gukora imyitozo yo kuruhuka, no kugira igihe cyo kuryama gihamye. Irinde caffeine na alcool, kuko bishobora rimwe na rimwe kongera umutwe cyangwa kubangamira imiti yawe.

Uko wakwitegura gusura muganga wawe

Mbere yo kujya kwa muganga, andika ibimenyetso byawe byose mu byumweru byibuze kimwe. Andika igihe umutwe ubayeho, uburemere bwawo, icyawukiza cyangwa icyawongerera, n'ihindagurika ry'amaso ubonye.

Zana urutonde rwuzuye rw'imiti yose, imiti yuzuza, na vitamine unywa, harimo n'ingano. Ibyo bintu ni ingenzi kuko imiti imwe ishobora gutera cyangwa kongera pseudotumor cerebri.

Tegura urutonde rw'ibibazo ku bimenyetso byawe, uburyo bwo kuvura, n'icyo witeze mu gihe cyo gukira. Ntukabe ikibazo cyo kubabaza ibyo guhindura imibereho bishobora gufasha cyangwa ibikorwa ukwiye kwirinda.

Tekereza kuzana umuntu wo mu muryango wawe cyangwa incuti kugira ngo aguhe gufata amakuru y'ingenzi, cyane cyane niba ufite ibibazo byo kwibuka cyangwa umutwe ukomeye bigutera kugorana kwibanda mu gihe cy'ubuvuzi.

Icyo ugomba kumenya kuri pseudotumor cerebri

Pseudotumor cerebri ni uburwayi bukomeye ariko bushobora kuvurwa, busaba ubufasha bw'abaganga vuba, cyane cyane iyo hari guhinduka kw'amaso. Ibanga ryo kuvurwa neza ni ukumenya uburwayi hakiri kare no gukurikirana neza ubuvuzi hamwe n'itsinda ry'abaganga.

Abantu benshi bafite pseudotumor cerebri bashobora kwitega kunoza cyane hakoreshejwe ubuvuzi bukwiye, nubwo bishobora gufata amezi kugira ngo babone umusaruro wuzuye. Ubu burwayi bushobora gusubira, bityo gukurikirana buri gihe ni ingenzi nubwo ibimenyetso byakira.

Wibuke ko kurinda amaso yawe ari ingenzi cyane. Ntugategereze gushaka ubufasha bw'abaganga niba ufite umutwe ukomeye ufite guhinduka kw'amaso, kandi ukore ubuvuzi bwawe buri gihe nubwo utangiye gukira.

Ibibazo byakunda kubazwa kuri pseudotumor cerebri

Ese pseudotumor cerebri ishobora gukira yonyine?

Nubwo bimwe mu bimenyetso bito bishobora gukira bitavuwe, pseudotumor cerebri isaba ubuvuzi kugira ngo ikumirwe kubura amaso burundu. Ibyago byo kwangirika kw'imitsi y'amaso ni byinshi cyane kugira ngo utegereze urebe niba ibimenyetso bigenda byonyine. Kuvurwa hakiri kare biguha amahirwe menshi yo gukira neza nta ngaruka zirambye.

Ese pseudotumor cerebri ni kimwe na kanseri y'ubwonko?

Oya, pseudotumor cerebri ntabwo ifite kanseri nubwo itera ibimenyetso bisa. Izina risobanura "kanseri y'ubwonko y'ikinyoma" kuko ihuza ibimenyetso bya kanseri y'ubwonko binyuze mu gitutu cyiyongereye aho kuba ukwaguka kw'uturemangingo. Amashusho y'ubwonko ashobora gutandukanya ubu burwayi, niyo mpamvu MRI cyangwa CT scan ari ingenzi mu kumenya uburwayi.

Ese nzakenera kubagwa kubera pseudotumor cerebri?

Abantu benshi bafite pseudotumor cerebri bagira icyizere mu miti kandi ntibakenera kubagwa. Uburyo bwo kubaga nko gushyiraho imiyoboro cyangwa optic nerve fenestration ubusanzwe bukoreshwa mu bihe bikomeye bitakira neza imiti, cyangwa iyo kubura amaso biri kwihuta nubwo bavurwa. Muganga wawe azagerageza uburyo butari ubw'ubuganga mbere.

Ese gutwita bishobora gutera pseudotumor cerebri?

Yego, gutwita bishobora gutera pseudotumor cerebri bitewe no guhinduka kwa hormone, kwiyongera mu ibiro, no kwiyongera kw'amaraso. Ariko, kugira ubu burwayi ntibisobanura ko udashobora gutwita neza. Niba ufite pseudotumor cerebri kandi uteganya gutwita, korana na neurologist na obstetrician kugira ngo ubu burwayi buvurwe neza.

Ese ubuvuzi bwa pseudotumor cerebri buramara igihe kingana iki?

Igihe cy'ubuvuzi gitandukanye cyane ukurikije umuntu, ariko abantu benshi bakenera imiti mu mezi cyangwa imyaka myinshi. Bamwe bashobora gukenera ubuvuzi bw'igihe kirekire kugira ngo bakumire gusubira. Inkuru nziza ni uko abantu benshi babona kunoza ibimenyetso mu byumweru bike nyuma yo gutangira ubuvuzi, nubwo gukira burundu bishobora gutinda. Muganga wawe azakurikirana uko ugendera kandi agahindura ubuvuzi uko bikenewe.