Pseudotumor cerebri ciwo

Ciwon Pseudotumor cerebri wani yanayi ne wanda matsawar cikin kwanyar ta ƙaru. Iswayar tana taɓawa ta yadda yanayin ya bayyana, amma ba, ƙari ba.

Halin yakan fi faruwa ga mata fiye da maza, musamman a cikin mata masu kiba ‘yan shekara 20 zuwa 40. Yana da wuya a jarirai amma zai iya faruwa a cikin yara. Kafin balaga, yana faruwa daidai a cikin yara maza da mata.

Ba a san musabbabin hakan ba.

Wasu magunguna na iya ƙara haɗarin haɓaka wannan yanayin. Wadannan magunguna sun hada da:

• Amiodarone
• Magungunan hana haihuwa kamar levonorgestrel (Norplant)
• Cyclosporine
• Cytarabine
• Ci gaban hormone
• Isotretinoin
• Levothyroxine (yara)
• Girman lithium
• Minocycline
• Nalidixic acid
• Nitrofurantoin
• Phenytoin
• Steroids (farawa ko dakatar da su)
• Magungunan Sulfa
• Tamoxifen
• Tetracycline
• Wasu magunguna da ke ɗauke da Vitamin A, kamar cis-retinoic acid (Accutane)

Abubuwan da ke gaba suna da alaƙa da wannan yanayin:

• Rashin ciwo
• Behcet cuta
• Rashin ciwon koda
• Endocrine (hormone) cuta kamar Addison cuta, Cushing cuta, hypoparathyroidism, polycystic ovary ciwo
• Biye da jiyya (embolization) na mummunan ci gaba
• Cututtuka masu saurin kamuwa da cutar kanjamau / HIV / AIDS, cututtukan Lyme, masu biyo bayan cutar kaza a yara
• Karancin karancin baƙin ƙarfe
• Kiba
• Barcin barcin mai cutarwa
• Ciki
• Sarcoidosis (kumburi na ƙwayoyin lymph, huhu, hanta, idanu, fata, ko wasu kyallen takarda)
• Tsarin lupus erythematosis
• Ciwon Turner

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Ciwon kai, bugawa, yau da kullun, rashin tsari da mafi muni da safe
• Abun ciki
• Duban gani
• Zara sauti a cikin kunnuwa (tinnitus)
• Dizziness
• Gani biyu (diplopia)
• Tashin zuciya, amai
• Matsalar hangen nesa kamar walƙiya ko ma rashin gani
• Backananan ciwon baya, radiating tare da ƙafafu biyu

Ciwon kai na iya yin muni yayin aikin jiki, musamman lokacin da ka matse jijiyoyin ciki yayin tari ko wahala.

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki. Alamomin wannan halin sun hada da:

• Bulging gaban yara a cikin jarirai
• Sizeara girman kai
• Kumburin jijiyoyin gani a bayan ido (papilledema)
• Juyawar ido daga ciki zuwa hanci (na shida, ko karkatarwa, ciwon jijiya)

Kodayake akwai karin matsi a kwanyar, babu wani canji a cikin faɗakarwa.

Gwajin da za a iya yi sun hada da:

• Binciken jari-hujja
• CT scan na kai
• Gwajin ido, gami da gwajin filin gani
• MRI na kai tare da zane-zane na MR
• Lumbar huda (kashin baya)

Ana yin binciken asali yayin da aka hana wasu yanayin kiwon lafiya. Waɗannan sun haɗa da yanayin da zai iya haifar da ƙarin matsi a kwanyar, kamar:

• Hydrocephalus
• Tumor
• Venous sinus thrombosis

Ana amfani da magani don dalilin pseudotumor. Babban burin jiyya shine adana gani da rage tsananin ciwon kai.

Hutun lumbar (ƙwanƙwasa kashin baya) na iya taimakawa rage matsin lamba a cikin kwakwalwa kuma ya hana matsalolin gani. Maimaita hujin na lumbar na taimaka wa mata masu ciki domin jinkirta tiyata har zuwa lokacin haihuwa.

Sauran jiyya na iya haɗawa da:

• Fara ruwa ko ƙuntatawa na gishiri
• Magunguna kamar su corticosteroids, acetazolamide, furosemide, da topiramate
• Hanyoyin shinge don taimakawa matsa lamba daga haɓaka ruwa na kashin baya
• Tiyata don taimakawa matsa lamba akan jijiyar gani
• Rage nauyi
• Jiyya na cutar da ke haifar da cutar, kamar su yawan kwayar bitamin A

Mutane zasu buƙaci sanya ido sosai akan hangen nesa. Za a iya samun asarar hangen nesa, wanda wani lokaci har abada. Za a iya yin binciken MRI ko CT na gaba don kawar da matsaloli kamar ciwace-ciwacen ƙwayoyi ko hydrocephalus (haɓaka ruwa a cikin kwanyar).

A wasu lokuta, matsin da ke cikin kwakwalwa na ci gaba har tsawon shekaru. Kwayar cutar na iya dawowa cikin wasu mutane. Smallananan mutane suna da alamun bayyanar cututtuka waɗanda sannu a hankali ke ƙara muni da haifar da makanta.

Yanayin wani lokacin yakan ɓace da kansa cikin watanni 6. Kwayar cutar na iya dawowa cikin wasu mutane. Numberananan mutane suna da alamun bayyanar cututtuka waɗanda sannu a hankali ke ƙara muni da haifar da makanta.

Rashin hangen nesa babbar matsala ce ta wannan yanayin.

Kirawo mai ba da sabis idan ku ko yaranku suna da alamun alamun da aka lissafa a sama.

Idiopathic intracranial hauhawar jini; Rawanin jini na ciki mara kyau

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Miller NR. Matsakaicin cin abinci. A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 164.

Rosenberg GA. Mawaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 88.

Varma R, Williams SD. Neurology. A cikin: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli da Davis 'Atlas na Ciwon Lafiyar Jiki na Yara. 7th ed. Philadelphia, PA: Elsevier, 2018: babi na 16.