Arachnoid cyst thiab nws cov kev kho mob

Arachnoid hlwv nruab nrab dej cawv cyst, i.e. tsim ntawm hlwb txha nqaj qaum kua.

Thawj, los yog muaj tseeb, arachnoid hlwv yog congenital formations. Secondary sij hawm tshwm sim nyob rau hauv myocardial meningitis, agenesis ntawm lub corpus callosum, Marfan syndrome, niaj phais rau lub paj hlwb. Txiv neej arachnoid hlwv tshwm sim plaub lub sij hawm ntau tshaj cov poj niam. Feem ntau lawv nyob rau hauv nruab nrab cranial fossa, tiam sis nws tseem tsis yooj yim dua arachnoid hlwv ntawm lub posterior cranial fossa.

Tej hlwv yog pom nyob rau hauv hais txog 4% ntawm cov pejxeem, muaj mob xwb tshwm sim nyob rau hauv 20% ntawm lawv, feem ntau nws yog vim txoj kev loj hlob ntawm ob gidrotsefalii.Chasto arachnoid hlwv yog asymptomatic. Yog hais tias lawv tshwm sim, feem ntau ua ntej 20 xyoo ntawm lub hnub nyoog, nws yuav tsum tau muab sau tseg tias thaum lub heev thiab qhov xwm muaj txawm ntawm cov tsos mob varied, nyob ntawm seb qhov luaj li cas thiab qhov chaw ntawm lub hlwv, uas ho complicates tus mob.

Arachnoid hlwv yuav tsum tau nrog los ntawm yam mob loj heev mob taub hau, ataxia, xeev siab thiab ntuav, hemiparesis, qaug dab peg, puas siab puas ntsws, thiab hais txog. Qhov tseem tsiag ntawv los ntawm predominance ntawm cerebral cov tsos mob, uas yog vim txoj kev loj hlob ntawm ob hydrocephalus, yam tsawg kawg - focal cov tsos mob. Arachnoid cyst laus nyob rau hauv cov leeg nrob qaum, tej zaum yuav muaj cov tsos mob yam ntxwv ntawm herniated disc.

Kom paub tias thiab ntau yam arachnoid hlwv nrog lwm yam formations feem ntau nqa tawm los ntawm hlau nphlaum resonance imaging, tej zaum nyob rau ntawm lub soj ntsuam qhia lwm yog vim li cas raws li "foundations".

Danger yog ib qho kev nce nyob rau hauv lub uas twb muaj lawm thiab cov emergence ntawm tshiab hlwv, yog li tus kws kho mob muaj kom to taub thiab nqa tawm cov tshem tawm ntawm lub hauv paus ua rau lawv tshwm sim. Rau qhov no nws yog tsim nyog los ua kev cai ib txhij txhua kev soj ntsuam ntawm tus neeg mob mus ntes plawv mob, cov kab mob autoimmune, kab mob.

Yog hais tias koj xav tias ib tug lub hlwb cyst nram qab no kev tshawb fawb yuav tsum tau nqa tawm:

• Sib Nqus resonance txoj kev kho;
• Doppler uas yuav ntes stenosis ntawm cov hlab ntsha uas nqa lub hlwb arterial cov ntshav. Vim cov tsis muaj ntshav mov yuav ua rau focal kev puas tsuaj ntawm lub hlwb tshuaj thiab cov tsos ntawm cov hlwv;
• Lub plawv Study. Txaus mov ntawm arterial ntshav mus rau lub hlwb yuav muab tau los los ntawm lub plawv atherosclerosis tsis meej, los yog lub cev tau hauj lwm ntawm lub siab los;
• cov ntshav mus kuaj rau cov roj cholesterol thiab txhaws. Los ntawm nce lub concentration ntawm cov roj cholesterol thiab ntshav tshwm sim occlusion ntawm cerebral cov hlab ntsha, thiab nyob rau hauv lub tom ntej tsim ntawm cov hlwv. Siv niaj hnub tshuaj, qhov teeb meem no yooj yim solved;
• qhov ntshav siab xyuas los mus txiav txim episodic ib ce, uas yog ib qho ua kom muaj mob stroke tshwm sim posleinsultnyh thiab cov hlwv;
• nyob rau hauv cov ntaub ntawv ntawm xav tias arachnoiditis, Cns, ntau yam sclerosis, nws yog tsim nyog los ua kev cai kuaj ntshav rau cov kab mob autoimmune thiab kab mob.

Yog paub arachnoid hlwv, kev kho mob tej zaum yuav tsis tsim nyog. Yog hais tias muaj yog ib tug kev hloov cyst ntau thiab tsawg pab nthuav nws cov ntau ces tshwm sim los ntawm nws lub xub ntiag, tus thawj yog cov kev kho mob ntawm tus kab mob uas tshwm sim los hlwv tsim.

Arachnoid hlwv kho kom sai yog hais tias tus nram qab no cov tsos mob:

• lub xub ntiag thiab kev vam meej ntawm qaug dab peg;
• ntaus cim nce nyob rau hauv tawg-hydrocephalic syndrome los yog focal cov tsos mob;
• lub xub ntiag ntawm cov hlwv uas nyuab los ntawm hemorrhage.

Tshem Tawm hlwb arachnoid hlwv tau siv endoscopic phais (kistotsisternostomii), excision ntawm cov hlwv (microneurosurgical hauj lwm), bypass haujlwm (kistoperitonealnogo bypass).