Ciwon fossa na baya

Ciwon baya na fossa wani nau'in ciwan kwakwalwa ne wanda ke ciki ko kusa da ƙashin kan.

Fossa na baya karamin fili ne a cikin kwanyar, wanda aka samo a kusa da ƙwalwar kwakwalwa da cerebellum. Cerebellum wani ɓangare ne na ƙwaƙwalwar da ke da alhakin daidaitawa da haɗin kai. Emwaƙwalwar ƙwaƙwalwa tana da alhakin sarrafa muhimman ayyukan jiki, kamar numfashi.

Idan ƙari ya girma a yankin fossa na baya, zai iya toshe magudanan ruwan ɗari kuma ya haifar da ƙarin matsi a kan kwakwalwa da lakar kashin baya.

Mafi yawan ciwukan da ke bayan fossa sune cututtukan kwakwalwa na farko. Suna farawa a cikin kwakwalwa, maimakon yadawa daga wani wuri a cikin jiki.

Ciwon ƙwayar fossa na baya ba shi da sanannun sanadi ko abubuwan haɗari.

Kwayar cutar tana faruwa da wuri tare da ciwan fossa na baya kuma yana iya haɗawa da:

• Bacci
• Ciwon kai
• Rashin daidaituwa
• Ciwan
• Tafiya mara daidaituwa (ataxia)
• Amai

Kwayar cututtuka daga cututtukan fossa na baya kuma suna faruwa yayin da ciwon ya lalata tsarin gida, kamar jijiyoyin ƙwarji. Kwayar cututtukan cututtukan jijiyoyin jiki sun hada da:

• Dananan yara
• Matsalar idanu
• Fuskantar tsoka
• Rashin ji
• Rashin ji a wani sashi na fuska
• Matsalolin ɗanɗano
• Rashin kwanciyar hankali lokacin tafiya
• Matsalar hangen nesa

Ganewar asali ya dogara ne akan cikakken tarihin likita da gwajin jiki, sannan gwaje-gwaje na hoto. Hanya mafi kyau don duban fossa na baya shine tare da hoton MRI. Binciken CT bashi da amfani don ganin wannan yanki na kwakwalwa a mafi yawan lokuta.

Za a iya amfani da hanyoyin da ke tafe don cire wani nama daga ƙari don taimakawa wajen ganewar asali:

• Bude tiyata a kwakwalwa, wanda ake kira 'craniotomy' ta baya
• Stereotactic nazarin halittu

Ana cire mafi yawan ciwan fossa na baya tare da tiyata, koda kuwa ba su da cutar kansa. Akwai iyakantaccen sarari a cikin fossa ta baya, kuma ƙari zai iya sauƙaƙe a kan kyawawan sifofi idan ya girma.

Hakanan ya danganta da nau'ikan da girman girman kumburin, ana kuma iya amfani da maganin haskakawa bayan tiyata.

Kuna iya sauƙaƙa damuwar rashin lafiya ta hanyar shiga ƙungiyar tallafi waɗanda membobinta ke raba abubuwan gogewa da matsaloli iri ɗaya.

Kyakkyawan hangen nesa ya dogara da gano kansar da wuri. Jimillar toshewar ruwa na kashin baya na iya zama barazanar rai. Idan aka samo kumburi da wuri, tiyata na iya haifar da rayuwa na dogon lokaci.

Matsaloli na iya haɗawa da:

• Ciwon jijiyoyin jiki
• Farida
• Hydrocephalus
• Pressureara matsa lamba intracranial

Kira mai ba da sabis na kiwon lafiya idan kuna da ciwon kai na yau da kullun wanda ke faruwa tare da tashin hankali, amai, ko canje-canje na gani.

Ratwayoyin ƙwaƙwalwar ƙwaƙwalwa; Brainstem glioma; Cerebellar ƙari

Arriaga MA, Brackmann DE. Neoplasms na fossa na baya. A cikin: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 179.

Dorsey JF, Salinas RD, Dang M, et al. Ciwon daji na tsarin kulawa na tsakiya. A cikin: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff na Clinical Oncology. Na 6 ed. Philadelphia, PA: Elsevier; 2020: babi na 63.

Zaky W, Ater JL, Khatua S. Ciwon ƙwayar ƙuruciya a lokacin ƙuruciya. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 524.