Cerebral arteriovenous kukanganisa

Cerebral arteriovenous malformation (AVM) kubatana kwakasarudzika pakati petsinga uye mutsinga muuropi izvo zvinowanzoitika usati waberekwa.

Chikonzero checebral AVM hachizivikanwe. An AVM inoitika apo tsinga dziri muuropi dzinobatana dzakananga kune tsinga dziri padyo pasina kuve neyakajairwa madiki midziyo (capillaries) pakati payo.

MaAVM anosiyana pakukura uye nenzvimbo muuropi.

Kuputika kweAVM kunoitika nekuda kwekumanikidza uye kukuvara kwetsinga yeropa. Izvi zvinobvumidza ropa kubuda (hemorrhage) kupinda muuropi kana matukisi akapoteredza uye kunoderedza kuyerera kweropa kuenda kuuropi.

Cerebral AVMs hazviwanzo. Kunyangwe mamiriro acho aripo pakuzvarwa, zviratidzo zvinogona kuitika chero zera. Kubvaruka kunoitika kazhinji muvanhu vane makore gumi nemashanu kusvika makumi maviri. Izvo zvinogona zvakare kuitika gare gare muhupenyu. Vamwe vanhu vane AVM vane zvakare aneurysms yehuropi.

Inenge hafu yevanhu vane maAVM, zviratidzo zvekutanga ndezvekurwara kunokonzerwa nekubuda ropa muuropi.

Zviratidzo zveAVM iri kubuda ropa ndezvi:

• Kuvhiringidzika
• Nzeve yeruzha / kurira (inonziwo pulsatile tinnitus)
• Musoro mune imwe kana zvimwe zvikamu zvemusoro, zvinogona kuita senge migraine
• Matambudziko kufamba
• Kufenda

Zviratidzo nekuda kwekumanikidza kune imwe nzvimbo yeuropi zvinosanganisira:

• Matambudziko ekuona
• Dzungu
• Tsvina kushaya simba munzvimbo yemuviri kana kumeso
• Chiveve munzvimbo yemuviri

Mutapi wako wezvehutano anozoongorora muviri. Iwe unozobvunzwa nezve ako zviratidzo, uine tarisiro kumatambudziko ako ehurongwa. Miedzo inogona kushandiswa kuongorora AVM inosanganisira:

• Uropi angiogram
• Computed tomography (CT) angiogram
• Musoro MRI
• Electroencephalogram (EEG)
• Musoro CT scan
• Magnetic resonance angiography (MRA)

Kutsvaga kurapwa kwakanyanya kweAVM iyo inowanikwa pamuyedzo wekufungidzira, asi isiri kukonzera chero zviratidzo, kunogona kuoma. Wako mupi achakurukura newe:

• Njodzi yekuti yako AVM ichatsemuka (kuputika). Kana izvi zvikaitika, panogona kuve nekukuvara kwehuropi zvachose.
• Ngozi yekukuvara kwehuropi kana uine imwe yekuvhiya yakanyorwa pazasi.

Mubatsiri wako anogona kukurukura zvinhu zvakasiyana zvinogona kuwedzera njodzi yekubuda ropa, kusanganisira:

• Nhumbu dzazvino kana dzakarongwa
• Zvinoita seAVM pamiyedzo yekufungidzira
• Kukura kweiyo AVM
• Zera rako
• Zviratidzo zvako

AVM inobuda ropa ndeyekurapa kwekukurumidzira. Chinangwa chekurapa ndechekudzivirira kumwe kunetsekana nekudzora kubuda ropa nekubatwa uye, kana zvichibvira, kubvisa iyo AVM.

Mishonga mitatu yekuvhiya inowanikwa. Mimwe mishonga inoshandiswa pamwechete.

Kuvhura huropi kuvhiya kunobvisa iko kusanzwanana kubatana. Kuvhiya kunoitwa kuburikidza nekuvhura kwakagadzirwa muhenya.

Embolization (endovascular kurapwa):

• Iyo catheter inotungamirwa kuburikidza nekucheka kudiki muguyo rako. Inopinda mutsinga yozopinda mutsinga dzeropa diki muuropi mako umo mune aneurysm.
• Chinhu chakaita seglue-chinopinda mukati memidziyo isina kujairika. Izvi zvinomisa kuyerera kweropa muAVM uye zvinoderedza njodzi yekubuda ropa. Iyi inogona kuve yekutanga sarudzo yemamwe marudzi emaAVM, kana kana kuvhiya kusingaitwe.

Stereotactic radiosurgery:

• Radiation inovavarira yakanangana nenzvimbo yeAVM. Izvi zvinokonzeresa kukuvara uye kuderera kweAVM uye kunoderedza njodzi yekubuda ropa.
• Iyo inonyanya kukosha kune maAVM madiki akadzika mukati mehuropi ayo akaoma kubvisa nekuvhiya.

Mishonga yekumisa kubatwa inotsanangurwa kana zvichidikanwa.

Vamwe vanhu, vane chiratidzo chekutanga kubuda ropa kwakanyanya, vanozofa.Vamwe vanogona kuve nekugumburwa zvachose uye huropi uye huta hurongwa matambudziko. MaAVM asingakonzere zviratidzo panguva iyo vanhu vanosvika yavo yekupedzisira makumi mana kana makumi mashanu emakore ane mukana wekugara wakatsiga, uye muzviitiko zvisingawanzo, zvinokonzeresa zviratidzo.

Zvinetso zvinogona kusanganisira:

• Kukuvara kwehuropi
• Intracerebral kubuda ropa
• Matambudziko emutauro
• Chinovavara chero chikamu chechiso kana chemuviri
• Kuramba uchitema musoro
• Kufenda
• Subarachnoid kubuda ropa
• Chiono chinoshanduka
• Mvura pane uropi (hydrocephalus)
• Kushaya simba muchikamu chemuviri

Zvinogona kuitika matambudziko ekuvhiya kwehuropi akavhurika anosanganisira:

• Kuzvimba kwehuropi
• Kubuda ropa
• Kufenda
• Kurohwa

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (se911) kana uine:

• Chiveve muzvikamu zvemuviri
• Kufenda
• Musoro wakanyanya
• Kusvipa
• Kushaya simba
• Zvimwe zviratidzo zveAVM yakaputika

Zvekare tsvaga kurapwa kwazvino kana iwe uine kekutanga-kubatwa, nekuti AVM inogona kunge iri iyo yekukonzeresa.

AVM - chepfungwa; Arteriovenous hemangioma; Kurohwa - AVM; Kurwara kweropa - AVM

• Kuvhiya kwehuropi - kubuda
• Kutemwa nemusoro - chii chekubvunza chiremba wako
• Stereotactic radiosurgery - kubuda

• Tsinga dzehuropi

Lazzaro MA, Zaidat OO. Nheyo dzehutachiona hwehutachiona. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits.

Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Neurosurgery. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 67.

Stapf C. Arteriovenous malformations uye zvimwe vascular anomalies. Mune: Grotta JC, Albers GW, Broderick JP, et al, eds. Stroke: Pathophysiology, Kuongorora, uye Management. 6th ed. Philadelphia, PA: Elsevier; 2016: chits.