درمان آنوریسم مغزی

درمان آنوریسم مغزی : به بروز تورم در یکی از رگ های خونی مغز ، آنوریسم مغزی می گویند که مانند توتی آویزان از ساقه می باشد.

برای تشخیص بیماری آنوریسم مغزی سی تی اسکن مغزی انجام خواهد شد و در برخی مورد خاص و مشکوک ، متخصص مغز و اعصاب به بررسی مایع مغزی نخاعی می پردازد و چنانچه مشکوک به ضایعه عروقی مغزی شد ، اقدامات بعدی نظیر سی تی اسکن و آنژیوگرافی انجام خواهد شد.

روش درمان آنوریسم مغزی

درمان آنوریسم مغزی به دو روش قابل انجام می باشد.

  • روش اندوواسکولار

روش ادوواسکولار ، بدون عمل جراحی باز و ضرورت باز کردن جمجمه ، از طریق کاتر و مواد مخصوص وارد شریان می شود و پس از یافتن آنوریسم ، با تزریق مواد خاص یا بالون ، موجب مسدود کردن ضایعه عروقی می شود.

  • روش عمل جراحی باز

در روش جراحی باز ابتدا ضایعه عروقی را پیدا کرده و از طریق کلیپس های مخصوص آنوریسم بسته می شود.

انتخاب روش مناسب برای جراحی به عهده بهترین متخصص مغز و اعصاب می باشد و هر کدام دارای فواید و عوارض خاص خود می باشند.

چنانچه متخصص مغز و اعصاب ، پس از بررسی آنوریسم متوجه اندازه بیش از ۳ میلی متر شد ، این آنوریسم حتما باید تحت درمان قرار گیرد. در صورتی که بار اول نتیجه آنژیوگرافی در فرد منفی بود ، به سی تی آنژیوگرافی انجام شود و چنانچه جواب منفی بود ، بعد از دو هفته مجددا آنژیوگرافی انجام دهید.

 

درمان آنوریسم مغزی

زمان جراحی آنوریسم مغزی

جراحی باید هرچه زودتر انجام گردد و تنها در صورتی که حال عمومی بیمار مساعد نباشد و بیمار در کما باشد ، پس از به هوش آمدن بیمار جراحی انجام خواهد شد.

عوامل خطر ساز آنوریسم مغزی

  • چاقی
  • فشار خون بالا
  • سابقه حمله قبلی
  • استعمال دخانیات
  • سن بیشتر از ۶۰ سال
  • سابقه خانوادگی ابتلا به تصلب شرایین

چگونه پیشگیری از آنوریسم مغزی

  1. تغییر در شیوه و رژیم غذایی ، موجب پیشگیری از بروز آنوریسم مغزی می شود.
  2. از استعمال سیگار خودداری نمایید.
  3. به طور منظم ورزش کنید.
  4. چربی را در حد متعادل در رژیم غذایی خود داشته باشید.
  5. از خوردن هرگونه مشروبات الکلی و غیر مجاز امتناع کنید.
  6. کنترل فشار خون بالا

عوارض آنوریسم مغزی سکته مغزی و پاره شدن آنوریسم می باشد.

علایم پارگی آنوریسم مغزی

  • سر درد شدید
  • از دست دادن هوشیاری
  • درد شدید و تند و تیز در قفسه سینه ، شکم یا پا

خطر پارگی آنوریسم مغزی را جدی بگیرید ، چرا که در صورت درمان نشدن آن خطر مرگ وجود دارد.

 

 

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