Cudurka 'Pseudotumor cerebri syndrome'

Cudurka 'Pseudotumor cerebri syndrome' waa xaalad uu ku sii kordhayo cadaadiska gudaha qalfoofka. Maskaxda waxaa loo saameeyaa qaab xaalada u muuqato inay tahay, laakiin aan ahayn, buro.

Xaaladda ayaa badanaa ku dhacda dumarka marka loo eego ragga, gaar ahaan dumarka da'da yar ee buuran ee jira 20 ilaa 40 sano. Waa ku yar tahay dhallaanka laakiin wuxuu ku dhici karaa carruurta. Qaangaarnimada ka hor, waxay si isku mid ah ugu dhacdaa wiilasha iyo gabdhaha.

Sababta lama oga.

Daawooyinka qaarkood waxay kordhin karaan halista ah inuu ku dhaco xaaladan. Daawooyinkaas waxaa ka mid ah:

• Amiodarone
• Kiniiniyada ka hortagga uurka sida levonorgestrel (Norplant)
• Cyclosporine
• Cytarabine
• Hormoonka koritaanka
• Isotretinoin
• Levothyroxine (carruurta)
• Kaarboonka lithium
• Minocycline
• Niddiidka aashitada
• Nitrofurantoin
• Phenytoin
• Steroids (bilaabista ama joojinta)
• Antibiyootikada Sulfa
• Tamoxifen
• Tetracycline
• Daawooyinka qaarkood oo ay kujiraan Faytamiin A, sida cis-retinoic acid (Accutane)

Waxyaabaha soo socda ayaa sidoo kale la xiriira xaaladdan:

• Cilladda Down syndrome-ka
• Cudurka Behcet
• Kelyo la'aan joogto ah
• Cilladaha Endocrine (hormone) sida cudurka Addison, Cudurka Cushing, hypoparathyroidism, polycystic ovary syndrome
• Daawaynta kadib (embolization) cillad arteriovenous ah
• Cudurada faafa sida HIV / AIDS, Lyme disease, ka dib busbuska carruurta
• Dhiig yaraanta birta
• Cayilka
• Cunto xannibista hurdada
• Uurka
• Sarcoidosis (caabuq ku dhaca qanjidhada qanjidhada, sambabaha, beerka, indhaha, maqaarka, ama unugyada kale)
• Nidaamka lupus erythematosis
• Cudurka Turner

Calaamadaha waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Madax xanuun, garaacid, maalin kasta, aan caadi ahayn oo subaxda ka sii xun
• Qoor xanuun
• Aragga oo xumaaday
• Dhawaaqa buuqa ee dhegaha (tinnitus)
• Dawakhaad
• Aragti laba jibbaaran (diplopia)
• Lalabbo, matagid
• Dhibaatooyinka aragga sida dhalaalka ama xitaa luminta aragga
• Xanuunka dhabarka oo hooseeya, oo ku fidaya labada lugood

Madax-xanuunku way ka sii dari karaan inta lagu jiro jimicsiga jirka, gaar ahaan marka aad adkeyso murqaha caloosha inta aad qufacayso ama murugsan tahay.

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Calaamadaha xaaladan waxaa ka mid ah:

• Kordhinta sawirka hore ee dhallaanka
• Kordhinta cabirka madaxa
• Barar ku dhaca dareemaha indhaha ee dhabarka isha (papilledema)
• Indhaha u rogitaanka xagga sanka (lixaad, ama liidasho, curyaannimo dareemayaal)

In kasta oo uu jiro cadaadis ku sii kordhaya qalfoofka, ma jiro wax isbeddel ah oo ku yimaada feejignaanta.

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Imtixaanka Funduscopic
• Baadhitaanka CT ee madaxa
• Imtixaanka indhaha, oo ay ku jiraan baaritaanka muuqaalka muuqaalka
• MRI madaxa oo leh muuqaal muuqaal ah MR
• Daloolida lumbar (laf-dhabarka)

Ogaanshaha cudurka waxaa la sameeyaa marka xaaladaha caafimaad ee kale la diido. Kuwaas waxaa ka mid ah xaalado sababi kara cadaadis ku soo kordha dhakada, sida:

• Hydrocephalus
• Buro
• Xinjirowga sanbabka dhiigga

Daaweyntu waxay ku wajahan tahay sababta pseudotumor. Ujeedada ugu weyn ee daaweynta waa in la ilaaliyo aragtida lana yareeyo darnaanta madax-xanuun.

Dalool lumbar (laf dhabarta) ayaa kaa caawin kara yareynta cadaadiska maskaxda iyo ka hortagga dhibaatooyinka aragga. Ku soo celi duleellada lumbar ayaa waxtar u leh haweenka uurka leh si dib loogu dhigo qalliinka illaa dhalmada ka dib.

Daaweynta kale waxaa ka mid noqon kara:

• Xaddidaadda dareeraha ama milixda
• Daawooyinka sida corticosteroids, acetazolamide, furosemide, iyo topiramate
• Nidaamyada foorarsiga si loo yareeyo cadaadiska ka yimaada dheecaanka laf-dhabarka
• Qalliin si looga yareeyo cadaadiska ku dhaca dareemaha indhaha
• Miisaanka oo yaraada
• Daaweynta cudurka salka ku haya, sida fitamiin A xad dhaafka ah

Dadku waxay u baahan doonaan in si dhow loola socdo aragtidooda. Waxa jiri kara araga oo lumiya, taas oo mararka qaarkood joogto ah. La socoshada MRI ama CT scans ayaa laga yaabaa in la sameeyo si meesha looga saaro dhibaatooyinka sida burooyinka ama hydrocephalus (dheecaanka ku dhaca gudaha dhakada).

Xaaladaha qaarkood, cadaadiska ku jira maskaxda ayaa sii sarreeya sannado badan. Calaamadaha ayaa ku soo laaban kara dadka qaarkood. Tiro yar oo dad ah ayaa leh astaamo si tartiib tartiib ah uga sii daraya una horseedaya indho la'aan.

Xaaladda ayaa mararka qaarkood keligeed iska baxda 6 bilood gudahood. Calaamadaha ayaa ku soo laaban kara dadka qaarkood. Tiro yar oo dad ah ayaa leh astaamo si tartiib tartiib ah uga sii dara oo u horseeda indho la'aan.

Aragga oo yaraada ayaa dhibaato weyn ku ah xaaladdan.

Wac daryeel bixiyahaaga haddii adiga ama ilmahaagu aad qabtid mid ka mid ah calaamadaha kor lagu soo sheegay.

Dhiig karka maskaxda ku dhaca ee loo yaqaan Idiopathic intracranial hypertension; Dhiig karka maskaxda ku jira

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan

Miller NR. Pseudotumor cerebri. Gudaha: Winn HR, ed. Youmans iyo Qalliinka neerfaha ee Winn. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 164.

Rosenberg GA. Bararka maskaxda iyo ciladaha wareegga dareeraha maskaxda. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 88.

Varma R, Williams SD. Neerfaha. Gudaha: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli iyo Davis ’Atlas ee Cilad-garaaca Jirka ee Carruurta. 7aad ed. Philadelphia, PA: Elsevier, 2018: cutubka 16.