Iyini i-Intracranial Venous Malformations? Izimpawu, Izimbangela, & Ukwelashwa

I-Intracranial venous malformations yizigxobo zezinsimbi ezingajwayelekile ezingaphakathi ebuchosheni bakho ezaqala ngendlela engajwayelekile ngesikhathi sokuthuthukiswa. Lezi zinsimbi ezixubile zivela kusukela ekuzalweni kodwa zivame ukungaphawulwa iminyaka noma ngisho nemashumi eminyaka.

Zicabange njengendlela eyahlukile endleleni yemizimba yegazi ebuchosheni bakho. Ngesikhathi abantu abaningi benesinsimbi esihlelile esikhipha igazi ebuchosheni, ungaba nendawo lapho izinsimbi zihlangana ndawonye ngendlela engajwayelekile. Izindaba ezinhle ukuthi abantu abaningi baphila impilo yabo yonke bengazi ukuthi banayo, futhi uma zitholakala, kukhona ukwelashwa okuphumelelayo okutholakala.

Iyini i-intracranial venous malformation?

I-Intracranial venous malformation yiqoqo lezinsimbi ezingajwayelekile ebuchosheni bakho ezihlangana ndawonye esikhundleni sokulandela iphethini evamile yokwehlukaniswa. Lezi zinkinga zithuthukiswa ngesikhathi sokukhula kwesisu lapho izinsimbi zakho zegazi zikhiqizwa.

Izinsimbi kulezi zinkinga zivame ukukhula futhi zingase zikhiphe ezinzindeni ezingajwayelekile. Ngokungafani nezinsimbi zegazi ezingaphakathi ebuchosheni ezinomumo wehlahla, i-venous malformations ingabonakala njengokuxubana noma iwebhu. Zibhekwa njengezinkinga zokuthuthukiswa kunokuba yizifo ozibamba noma ozithuthukisa ngokuhamba kwesikhathi.

Lezi zinkinga azivamile, zithinta abantu abacishe babe ngu-2-3 ngabantu abangu-100,000. Zingase zenzeke kuphi na ebuchosheni, nakuba ezinye izindawo zivame kakhulu kunabanye. Abantu abaningi abanazo abazange baphathe noma iyiphi impumelelo futhi bayazithola kuphela ngesikhathi sokuhlolwa kwe-brain imaging ngezizathu ezingahambelani.

Ziyini izimpawu ze-intracranial venous malformations?

Abantu abaningi abanazo i-venous malformations abazange baphathe noma iyiphi impumelelo nhlobo. Uma izimpawu zivele, zingase zihluke kakhulu kuye ngobukhulu nendawo yale nkinga ebuchosheni bakho.

Nawa amaphuzu ongawaphatha, kusukela kwavamile kakhulu kuya kwaleyo engavamile:

• Ubuhlungu bekhanda: Ngokuvamile kuchazwa njengobunzima, ubuhlungu obuhlungu obuningi bukhula ngokuhamba kwesikhathi noma bube khona njalo
• Ukuhlushwa yi-Seizures: Kungaba kusukela ezingxenyeni ezimfushane zokubuka noma ukudideka kuya ekuhlushweni okubonakalayo
• Ukuntuleka kokusebenza kwezinzwa: Ubuthakathaka, ukungabi namandla, noma ukuhluleka kokukhuluma, ukubona, noma ukuhambisana
• Ukushintsha kwengqondo: Izinkinga zememori, ukuhluleka ukugxila, noma ukushintsha kwemizamo yokucabanga
• Izinkinga zokulinganisela: Ukukhungatheka, ukungazinzi, noma izinkinga zokulinganisela

Ezimweni ezingavamile, izimpawu ezinzima kakhulu zingase zivele uma ukungabi nalungile kukhulu kubangela ukuphuma kwegazi noma kuchaphazela kakhulu ukugeleza kwegazi. Lezi zingafaka ubuhlungu bekhanda obukhulu ngokuzumayo, ukulahlekelwa yikwazi, noma ukuqala okusheshayo kwezinkinga zezinzwa. Noma kunjalo, kubalulekile ukwazi ukuthi ukungabi nalungile kwezinzwa kuvame ukuba nethuba elincane lokuphuma kwegazi uma kuqhathaniswa nezinye izinhlobo zokungabi nalungile kwezinzwa ezingqondweni.

Izimpawu zivame ukuvela kancane kancane, kungakho ngezinye izikhathi zibhekwa njengezinye izimbangela njengokucindezeleka noma ukuguga. Uma ubhekene nezimpawu zezinzwa eziqhubekayo, kufanele ukhulume nodokotela wakho.

Imiphi imihlobo yokungabi nalungile kwezinzwa ezingqondweni?

Ukungabi nalungile kwezinzwa ezingqondweni kuhlukaniswe ngokuyinhloko ngezinhlobo ezimbili eziyinhloko ngokwendlela ezivela ngayo nendlela ezisebenza ngayo. Ukuqonda lezi zinhlobo kusiza odokotela ukuthi banqume indlela engcono kakhulu yokulandelela nokuphatha.

Uhlobo oluvamile kakhulu yi-developmental venous anomaly (DVA), ebizwa nangokuthi i-venous angioma. Lezi zimelela cishe u-95% wazo zonke izinhlobo zokungabi nalungile kwezinzwa. I-DVA ngokuvamile ibonakala njengokuqoqwa kwezinzwa ezincane ezigeleza ziye esinye isinye esikhulu, ngokuvamile kuchazwa njengokubukeka njenge-“caput medusae” noma iphethini efana ne-umbrella ku-imaging.

Uhlobo lwesibili yi-malformation yangempela ye-venous, elingavamile kakhulu. Lezi zihilela ukuxhumana okungajwayelekile phakathi kwezinsimbi futhi ngezinye izikhathi zingahlotshaniswa nezinye izinkinga ze-vascular. Ama-malformation angeempela e-venous angaba nezingozi eziphakeme kakhulu zezinkinga uma kuqhathaniswa nama-DVA.

Abanye ochwepheshe nabo bayabona i-malformations ehlanganisiwe ehlanganisa ukungapheleli kwe-venous nezinye izinkinga ze-vascular, njenge-cavernous malformations. Lezi zilonda ezihlangene zingadinga ukulandelelwa ngokucophelela kakhulu nezindlela zokwelapha ezikhethekile.

Yini ebangela ama-malformations e-venous intracranial?

Ama-malformations e-venous intracranial athuthukiswa phakathi nokuthuthukiswa kwesisu uma uhlelo lwezinsimbi zegazi zengqondo yakho lusakhiwa. Kwenzeka ngenxa yokwahluka kwendlela uhlelo lwakho lwe-venous oluthuthukiswa ngayo esiswini, ngokuvamile phakathi namasonto angu-4 no-8 okukhulelwa.

Phakathi nokuthuthukiswa okuvamile, uhlelo lwe-venous lengqondo yakho lwakhiwa ngendlela eqondakalayo ngezinsimbi ezihlukaniswe njengomuthi. Kuma-malformations e-venous, le nqubo iya ngendlela ehlukile kancane, idala izindlela zokukhipha ezihlukile ezihlanganisene ndawonye kunokuba zisabalale ngokujwayelekile.

Izici ezicacile zaleli bhubhane lokuthuthukiswa aziphelelanga ekuqondeni. Ngokungafani nezinye izimo zezokwelapha, ama-malformations e-venous awabangelwa yi:

• Ukutheleleka ngesikhathi sokukhulelwa
• Imithi noma izinto
• Ukulimala noma ukulimala
• Izici zesitayela sokuphila
• Ukuvezwa komkhathi

Izigameko eziningi zibonakala zingenangqondo, okusho ukuthi zenzeka ngokungahleliwe ngaphandle kwephethini yomlando womndeni ocacile. Noma kunjalo, abacwaningi baqhubeka becwaninga ukuthi ngabe izici ze-genetic zingadlala indima kwezinye izimo. Into ebalulekile okumele uyiqonde ukuthi uma une-malformation ye-venous, akuyona into owenzile noma awenzanga wena noma abazali bakho ngesikhathi sokukhulelwa.

Nini okufanele ubona udokotela ngama-malformations e-venous intracranial?

Kufanele ufunuke usizo lokuwelapha uma uhlushwa yizimpawu zezinzwa ezihlala njalo noma eziya zibuhlungu, ikakhulu uma zintsha noma zihlukile kunanoma yini obuke uhlushwa yiyo ngaphambili. Ukuxilongwa kwasekuqaleni kungasiza ekutholeni imbangela futhi kunikeze ukuthula kwengqondo.

Cabanga ngokuqoka isikhathi sokubona udokotela wakho uma uqaphela lokhu okulandelayo:

• Ubuhlungu bokhanda obuhlala njalo obuya bube buhlungu noma obuguquka ngendlela
• Noma iyiphi inhlobo yokuhlupheka, ngisho noma isikhashana
• Ubuthakathaka obusha, ukungabi namandla, noma ukukhahlela ebusweni, ezingalweni, noma emilenzeni
• Ukushintsha embonweni wakho, inkulumo, noma ukuxhumanisa
• Izinkinga zokukhumbula noma ubunzima bokuhlala ugxile obuthinta impilo yakho yansuku zonke

Kufanele ufunuke ukunakekelwa okusheshayo kwezimo eziphuthumayo uma uhlushwa yizimpawu ezibuhlungu neziqubukele, ezifana nalezi:

• Ubuhlungu bokhanda obukhulu kunabo bonke empilweni yakho
• Ukulahlekelwa ngokungazelelwe koqapheleo
• Ubuthakathaka obukhulu noma ukungakwazi ukuhamba ngokungazelelwe
• Ubunzima obukhulu bokukhuluma noma ukuqonda inkulumo ngokungazelelwe
• Ukushintsha okukhulu embonweni ngokungazelelwe

Nakuba lezi zimpawu ezibuhlungu zingezona ezivamile ngezifo ze-venous malformations, zidinga ukuxilongwa okusheshayo ukuze kuvinjwe ukuphuma kwegazi noma ezinye izinkinga ezingathi sína. Khumbula, abantu abaningi abane-venous malformations ababi nezimo eziphuthumayo, kodwa kubalulekile ukwazi ukuthi nini kufanele ufunuke usizo.

Iyini imizamo yokusabela kwe-intracranial venous malformations?

Njengoba i-venous malformations iyizinkinga zokuthuthukiswa ezakha phakathi nokuthuthukiswa kwesisu, izimo eziyingozi ezivamile azisebenzi ngendlela efanayo njengoba zenza ezifweni ezithuthuka ngokuhamba kwesikhathi. Noma kunjalo, kunezinto ezithile ezingase zithinte ukutholakala kwazo noma izimpawu zazo.

Into ebaluleke kakhulu iwukuzalwa nje ngokuguquguquka kokuthuthukiswa okwenza lezi zifo. Lokhu kwenzeka ngokungahleliwe ezimweni eziningi, kulimaza abantu bazo zonke izizinda ngokulinganayo. Alikho ubufakazi obuqinile bokuthi umlando womndeni uyakwandisa ingozi yakho kakhulu, nakuba kunezimo zomndeni ezingavamile okuye kwabikwa.

Izici ezingase zikwenze kube lula ukuthola i-venous malformation zihlanganisa:

• Ubudala: Zivame ukuxilongwa kubantu abadala abaphakathi kweminyaka engama-20-50 uma izimpawu zivele noma ngesikhathi sokwenza i-imaging ngezizathu ezingezona lezo
• Ubulili: Zivame kakhulu kubesifazane, yize umehluko umuncane
• Ezinye izimo zezokwelapha: Zitholakala ngezinye izikhathi ngesikhathi sokwenza i-imaging yezinhlungu zikhanda, ukuhlushwa yizicubu, noma ezinye izinkinga zezinzwa
• Umlando womndeni we-vascular malformations: Ngokungavamile, kungase kube khona i-genetic component

Kubalulekile ukuqonda ukuthi ukuba ne-venous malformation akusho ukuthi wenze into engafanele noma ukuthi abazali bakho babe bekuvimba. Lezi yizinguquko nje zendlela imithambo yegazi ehlukahlukene ngayo, kufana nendlela abantu abanawo ngokwemvelo imibala ehlukene yamehlo noma ubude.

Ziyini izinhlanganisela ezingase zenzeke ze-intracranial venous malformations?

Iningi labantu abanayo i-venous malformations alihlangabezani nezinhlanganisela ezinkulu. Noma kunjalo, kuwusizo ukuqonda ukuthi yiziphi izinketho ezikhona ukuze ukwazi ukwaziswa ngesimo sakho futhi wazi ukuthi yini okufanele uyilinde.

Izinhlanganisela ezivame kakhulu, uma zenzeka, zivame ukuba zingezinzima futhi ziphatheka kalula:

• Izinhlungu zikhanda eziqhubekayo: Kungadingeka ukuphathwa kwemithi noma ukulungiswa kwendlela yokuphila
• Ukuhlushwa yizicubu: Ngokuvamile kulawulwa kahle ngemithi yokulwa nezicubu uma zivele
• Izimpawu zezinzwa eziqhubekayo: Ukushintsha kancane kancane kwemisebenzi okungase kudinge ukulandelelwa

Izinhlanganisela ezingavamile kodwa ezinzima kakhulu zingabandakanya:

• Ukuphuza igazi (ukopha): Kuyinto engavamile kakhulu ngezifo ze-venous malformations ezingezona ezinye, kuvame kakhulu uma kuhlanganiswe nezinye izifo ze-vascular
• Ukuphakama kokucindezela ebuchosheni: Kungahle kwenzeke uma i-malformation ithonya ukukhipha okujwayelekile kwelaphu le-brain
• I-Thrombosis: Ama-blood clots ngaphakathi kwe-malformation, nakuba lokhu kungavamile

Izinkinga ezingavamile zivame kakhulu uma i-venous malformation yakho ihlanganiswe nezinye izinhlobo zezifo ze-vascular, njenge-cavernous malformations. Iqembu lakho lokunakekelwa kwezempilo lizokusiza ukuthi uqonde isimo sakho esithile kanye nezinga lokungabaza. Abantu abaningi abane-venous malformations baphila impilo evamile ngaphandle kokubhekana nanoma yiziphi lezi zinkinga.

Kungenzeka kanjani ukuvimbela i-intracranial venous malformations?

Njengoba i-venous malformations iyizifo zokuthuthukiswa ezakha ngesikhathi sokuqala kokukhula komntwana, azikwazi ukuvinjelwa ngokushintsha indlela yokuphila noma ukungenelela kwezokwelapha. Ziyinto nje ehlukile endleleni imithambo yegazi yengqondo yakho eyaqala ngaphambi kokuzalwa.

Nokho, uma une-venous malformation, ungathatha izinyathelo zokunciphisa ingozi yezinkinga nokuphatha impilo yakho yonke yengqondo:

• Landela uhlelo lwakho lokwelashwa: Thatha imithi njengoba kulotshiwe futhi ube khona emihlanganweni yokulandelela njalo
• Gcina impilo enhle yonke: Ukuzivocavoca okujwayelekile, ukudla okunempilo, nokulala okwanele kusekela impilo yengqondo
• Phatha ezinye izimo: Lawula ukucindezeleka kwegazi eliphezulu, isifo sikashukela, nezinye izinkinga zempilo ezihlasela imithambo yegazi
• Gwema izinto ezibangela ukubamba: Uma unezinkinga zokubamba, thola futhi ugweme izinto ezibangela ukubamba, njengokulahlekelwa ubuthongo noma ukucindezeleka
• Hlala unolwazi: Funda ngesimo sakho esithile futhi ugcine ukuxhumana okuvulekile neqembu lakho lokunakekelwa kwezempilo

Nakuba ungakwazi ukuvimba ukwakheka okungalungile, lezi zindlela zingakusiza ugcine ikhwalithi yempilo engcono kakhulu futhi zinciphisa amathuba okukhula noma okubi kwezimpawu ngokuhamba kwesikhathi.

Ikhonjiswa kanjani ukwakheka okungalungile kwezinsimbi zegazi ezingaphakathi kwengqondo?

Ukuthola ukwakheka okungalungile kwezinsimbi zegazi kuvame ukubandakanya izifundo zokubonisa izithombe zengqondo ezingabonisa izindlela ezingalungile zezinsimbi zegazi. Abantu abaningi bathola ukuthi banalezi zinto ezingalungile ngokungezona izizathu, njengokuhlunguluka kwekhanda noma izinkinga zezokwelapha ezingahambi kahle.

Inqubo yokuxilonga ivame ukuqala ngodokotela wakho othatha umlando wezokwelapha onemininingwane futhi enze ukuhlolwa kwezinzwa. Bayokubuza ngezimpawu zakho, ukuthi zaqala nini, nokuthi zishintshe kanjani ngokuhamba kwesikhathi. Ukuhlolwa komzimba kusiza ekuhloleni umsebenzi wakho wezinzwa futhi kungakunikeza izinkomba ngendawo yanoma yikuphi ukungalungi.

Izivivinyo eziyinhloko zokubonisa izithombe ezisetshenziswayo ekuxilongeni zihlanganisa:

• MRI (Magnetic Resonance Imaging): Uvivinyo oluvamile nolunemininingwane, olukhombisa ubukhulu kanye nezindlela zokuhamba kwegazi
• I-CT scan: Ingase isetshenziswe ekuqaleni, ikakhulukazi ezimweni eziphuthumayo
• I-MR venography: I-MRI ekhethekile egxila ngokukhethekile emiphini kanye nokukhipha igazi
• I-Cerebral angiography: Uvivinyo olunemininingwane kakhulu, olusebenzisa umbala wokuphambuka ukuze kubonakale izinsimbi zegazi, oluvame ukugcinelwa izimo eziyinkimbinkimbi

Udokotela wakho angase futhi a-odele ukuhlolwa okuengeziwe ukuze kuqothulwe ezinye izimo noma ukuhlola umthelela wokwakheka okungalungile emsebenzini wengqondo yakho. Izivivinyo ezithile ezinconywayo ziyoba ngokwezimpawu zakho kanye nezici zokwakheka kwakho okungalungile okubonwe ekuboniseni izithombe ekuqaleni.

Iyini ukwelashwa kokwakheka okungalungile kwezinsimbi zegazi ezingaphakathi kwengqondo?

Ukwelashwa kwe-venous malformations kuyahlukahluka kakhulu futhi kuncike ezimpahleni zakho ezithile, ubukhulu nendawo ye-malformation, nokuhle kwezempilo yakho jikelele. Abantu abaningi abadingi ukwelashwa ngaphandle kokulandelela njalo.

Kwabantu abangenayo izimpahlanzima, indlela evamile iwukubheka nje ngokuqapha ngezithombe njalo ukuqinisekisa ukuthi i-malformation ihlala iqinile. Le ndlela yokugcina ivame ukunconywa ngoba izingozi zokungenelela zingadlula izinzuzo ze-malformations ezingenazo izimpahlanzima.

Uma kukhona izimpahlanzima, izinketho zokwelapha zingafaka:

• Ukuphathwa kwemithi: Imithi yokuthambisa ukuvuvukala kwezinzwa ze-seizures, imithi yokunciphisa ubuhlungu ngenxa yezinhlungu zikhanda, noma ezinye izindlela zokwelapha ezithile zezimpahlanzima
• Ukushintsha indlela yokuphila: Ukuphathwa kwengcindezi, ukulala okwanele, nokugwema izinto ezibangela izimpahlanzima
• Ukuqapha njalo: Izithombe njalo ukuqapha noma yikuphi ukuguquka ngokuhamba kwesikhathi

Ukuhlinzwa akunconywa kakhulu kwe-venous malformations ezihlanzekile ngoba lezi zi-vessels zivame ukusebenza njengezindlela ezibalulekile zokukhipha igazi elisuka emathisini ebuhlungwini. Ukususa kungabangela izinkinga eziningi kunenzuzo. Noma kunjalo, ukuhlinzwa kungacatshangelwa ezimweni ezingavamile lapho:

• I-malformation ibangela izimpahlanzima ezinkulu, ezisongela ukuphila
• Kukhona ukuphuma kwegazi okudinga ukungenelela
• Kukhona ezinye izinkinga ze-vascular ezidinga ukwelashwa

Iqembu lakho lezempilo lizohlangana nawe ukuze lenze uhlelo lokwelapha olufanele isimo sakho esithile, licabangele izimpahlanzima zakho, indlela yokuphila, kanye nezifiso zakho siqu.

Indlela yokuphatha i-intracranial venous malformations ekhaya?

Ukuphatha i-venous malformation ekhaya kugxile ekuqondeni impilo yakho jikelele, ukuqapha ukuguquka, nokulandela izincomo zonyango wakho. Abantu abaningi bangaphila impilo evamile ngokwenza izinguquko ezilula.

Amasu sayo okuqondisa kwansuku zonke afaka ukulondoloza amasiko ahlala njalo asekelayo impilo yengqondo. Thola ubuthongo obukhulu ebusuku ngalunye, ngokufanele amahora angu-7-9, njengoba ukushoda kokulala kungabangela ukubamba iqhaza kubantu abanomkhuba wokubamba iqhaza. Ukuzivocavoca okuvamile, okulinganiselwe kungasiza ekuthuthukiseni ukujikeleza kwengqondo futhi kungasiza ekuphatheni izinhlungu zikhanda.

Uma ubona izimpawu, gcina iphepha lokuqopha elula elubhala phansi:

• Lapho izimpawu zivele khona nokuthi zihlala isikhathi esingakanani
• Lokho obukwenza lapho izimpawu ziqala khona
• Ubunzima bezimpawu ngesikali esingu-1-10
• Okusisiza ekuqedeni izimpawu zakho
• Noma yiziphi izici ezingaba khona ozibonayo

Ukuphathwa kwengcindezi kubaluleke kakhulu, njengoba ingcindezi ingenza izimpawu eziningi zezinzwa zibe zimbi. Cabanga ngezindlela zokupumula njengokuphefumula okujulile, ukucamngca, noma i-yoga ebushelelezi. Hlala uthambile futhi ugcine isimiso sokudla esiqondile, njengoba kokubili ukushoda kwamanzi nokwehla kweswekile egazini kungabangela izinhlungu zikhanda.

Yazi ukuthi nini kufanele uxhumane nodokotela wakho. Shaya ucingo uma ubona izimpawu ezintsha, izimpawu ezikhona zibe zimbi kakhulu, noma uhlangabezana nanoma yiziphi izinguquko eziqubukele phambili emisebenzini yakho yezinzwa. Ukuqonda kahle isisekelo sakho kusiza ekuqondeni ukuthi yini eguqukayo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi uthola okuningi ngesikhathi sakho nodokotela wakho. Qala ngokuqoqa wonke amarekhodi ezempilo afanele, kufaka phakathi noma yiziphi izifundo zokuthola izithombe zangaphambili, imiphumela yokuhlolwa kwelebhu, nemibiko evela kwabanye ochwepheshe obukewe.

Dala isikhathi esiphelele sezimo ngaphambi kokuhambela kwakho. Bhala phansi ukuthi izimpawu zakho zaqala nini, indlela eziguqukile ngayo ngokuhamba kwesikhathi, nokuthi yini ezenza zibe ngcono noma zimbi. Faka imininingwane ecacile mayelana nezingqikithi zezinhlungu zikhanda, noma iyiphi imisebenzi yokubamba iqhaza, noma izinguquko zezinzwa ozibonile.

Lungiselela uhlu lwemibuzo okumele uyibuze udokotela wakho:

• Ngiluhlobo luni lwe-venous malformation enayo, futhi itholakala kuphi?
• Ziyini izinketho zami zokwelashwa, futhi yini oyikhuthazayo?
• Kufanele ngibe ne-follow-up imaging kangakanani?
• Ingabe kunemisebenzi okufanele ngiyigweme noma ngiyishintshe?
• Yiziphi izimpawu ezifanele zingenze ngifune ukunakekelwa okusheshayo?
• Lokhu kusimo kungathi luthinta kanjani impilo yami yesikhathi eside?

Letha uhlu oluphelele lwamathuluzi, izithasiselo, namavithamini owathathayo, kufaka phakathi imithamo. Uma une-inshorensi, letha ikhadi lakho le-inshorensi nanoma yimaphi amaphepha okudlulisela. Cabanga ngokuletha umngani othembekile noma ilungu lomndeni elingakusiza ukuba ukhumbule ulwazi olubalulekile oluxoxwe ngesikhathi sokuqokwa.

Unganqikazi ukucela ukucaciswa uma ungaqondi lutho. Umhlinzeki wakho wezinsizakalo zezempilo ufuna ukuqinisekisa ukuthi ulwazi ngokugcwele ngesimo sakho futhi ukhululekile ngohlelo lwakho lokwelashwa.

Iyini into ebaluleke kakhulu mayelana ne-intracranial venous malformations?

Into ebaluleke kakhulu okufanele uyiqonde mayelana ne-intracranial venous malformations ukuthi ngokuvamile ziguquko zokuthuthukiswa ezingenangozi abantu abaningi abahlala nabo ngaphandle kokwazi. Nakuba ukuxilongwa kungase kuzwakale kukhulu ekuqaleni, abantu abaningi abanezi-malformations bahlala impilo evamile, enempilo ngokuphelele.

Lezi malformations zikhona kusukela ekuzalweni futhi zimelela indlela ehlukile yokuthuthukiswa kwezitho zegazi ezingqondweni yakho ngesikhathi sokukhula kwesisu. Aziyona iziphumu, umdlavuza, noma izifo ezithuthukayo ezizobe ziba zimbi ngokuhamba kwesikhathi. Abantu abaningi abazange babe naziphi izimpawu, futhi lapho izimpawu ziveleka, ngokuvamile ziphatheka kalula ngokunakekelwa okufanele kwezokwelapha.

Ukuze uhlale kahle ne-venous malformation, kubalulekile ukuhlala unolwazi, ugcine ukuxhumana njalo neqembu lakho lokunakekelwa kwezempilo, futhi ulandele izeluleko zabo zokubeka amehlo nokwelashwa. Abantu abaningi badinga ukungenelela okuncane ngaphandle kokuhlola okuqhubekayo nokuphathwa kwezimpawu uma kudingeka.

Khumbula ukuthi ulwazi lwezokwelapha mayelana nokuphazamiseka kwezinsimbi zegazi luyaqhubeka luthuthuka, futhi izindlela zokwelapha ziyaqhubeka ziyinkimbinkimbi futhi ziqondene nomuntu ngamunye. Iqembu lakho lokunakekelwa kwezempilo yilona ithuluzi elihle kakhulu lokuqonda isimo sakho esithile nokwenza izinqumo ezinolwazi mayelana nokunakekelwa kwakho.

Imibuzo evame ukubuzwa mayelana nokuphazamiseka kwezinsimbi zegazi ezingaphakathi kwengqondo

Ingabe ukuphazamiseka kwezinsimbi zegazi ezingaphakathi kwengqondo kungakhula noma kuguquke ngokuhamba kwesikhathi?

Ukuphazamiseka kwezinsimbi zegazi okuhlanzekile kuvame ukuhlala kuqina ngobukhulu phakathi nokuphila kwakho njengoba kuyizinkinga zokuthuthukiswa ezaqala ngaphambi kokuzalwa. Noma kunjalo, ngezinye izikhathi kungabonakala kakhulu njengoba ukhula ngenxa yokuguquka kwezicubu ze-brain ezizungezile noma izindlela zokugeleza kwegazi. Ukubhekwa njalo ngezithombe kusiza ekuqapheleni noma yikuphi ukuguquka, yize ukukhula okukhulu kungavamile. Uma kwenzeka ukuguquka, kuvame ukuba kuya kancane futhi akudingeki kubonise inkinga.

Kuphephile yini ukuzivocavoca une-intracranial venous malformation?

Abantu abaningi abanokuphazamiseka kwezinsimbi zegazi bangazivocavoca ngokuphepha futhi bakhuthazwa ukuba baqhubeke nokuphila okusebenzayo. Ukuzivocavoca okuvamile, okulinganiselwe empeleni kusekela impilo yonke yengqondo nokugeleza kwegazi. Noma kunjalo, kufanele uxoxe ngesimo sakho esithile nodokotela wakho, ikakhulukazi uma unezimpawu ezifana nokuhlushwa yizigwegwe. Bangase bancoma ukugwema imisebenzi engozi enkulu uma uthanda ukuhlushwa yizigwegwe, kodwa lokhu kuyahluka ngokuya ngesimo ngasinye somuntu.

Ingabe ukukhulelwa kungathinta ukuphazamiseka kwezinsimbi zegazi ezingaphakathi kwengqondo?

Ukukhulelwa ngokuvamile akwandisi kakhulu ingozi yezinkinga ezivela ekuphazamisekeni kwezinsimbi zegazi, yize ukuguquka kwamahomoni nokwanda komthamo wegazi ngesikhathi sokukhulelwa kungathinta izimpawu ngezinye izikhathi. Uma uhlela ukukhulelwa noma usekhulelwe, xoxa nalokhu nodokotela wakho wezinzwa nodokotela wakho wokubeletha. Bangasebenzisana ndawonye ukuqinisekisa ukuthi uthola ukubhekwa okufanele futhi uhlengahlengise noma yimiphi imithi ngokuphepha ngesikhathi sokukhulelwa.

Ngizodinga ukuhlinzwa yini ngenxa yomdlavuza wami we-venous?

Ukuhlinzwa akunconywa njalo ngenxa ye-venous malformations ezihlanzekile ngoba lezi zi-vessels zivame ukusebenza njengezindlela ezibalulekile zokukhipha igazi ezihlukanisweni ezinempilo zebongo. Abantu abaningi baphathwa ngokubhekwa nokuthola imithi yezimpawu uma kudingeka. Ukuhlinzwa kuvame ukucatshangelwa kuphela ezimweni ezingavamile lapho i-malformation ibangela izimpawu ezinkulu, ezisongela ukuphila noma uma kunezinye izinkinga ze-vascular ezihambisana nezidinga ukwelashwa.

Kufanele ngihlolwe kangakanani ngezithombe?

Ukuqhelelana kokuhlolwa ngezithombe kuyahluka kuye ngezimpawu zakho, izici ze-malformation yakho, nezincomo zonyango lwakho. Abantu abaningi abane-malformations ezizinzile, ezingena zimpawu bangadinga ukuhlolwa ngezithombe kuphela eminyakeni embalwa noma lapho izimpawu zishintsha. Labo abanezinkinga noma ukukhathazeka okuthile bangadinga ukubhekwa njalo ekuqaleni. Udokotela wakho uzokwenza uhlelo lokubhekwa olufanele isimo sakho.