{"id":62619,"date":"2020-06-08T10:48:27","date_gmt":"2020-06-08T10:48:27","guid":{"rendered":"https:\/\/www.humanitas.net\/?post_type=disease&#038;p=62619"},"modified":"2020-10-29T11:08:15","modified_gmt":"2020-10-29T11:08:15","slug":"pseudotumor-cerebri","status":"publish","type":"disease","link":"https:\/\/www.humanitas.net\/sl\/diseases\/pseudotumor-cerebri\/","title":{"rendered":"Pseudotumor cerebri"},"content":{"rendered":"<h2>Opredelitev<\/h2>\n<p>Pseudotumor cerebri, imenovan tudi idiopatska intrakranialna hipertenzija, je stanje, ki se pojavi, ko se tlak v notranjosti lobanje pove\u010da zaradi kopi\u010denja ali slabe absorpcije mo\u017egansko hrbteni\u010dne teko\u010dine. Pogoj se pojavlja najpogosteje pri \u017eenskah kot pri mo\u0161kih, zlasti pri \u017eenskah, ki imajo prekomerno telesno te\u017eo in bodo kmalu vstopile v menopavzo.<\/p>\n<p>Pseudotumor cerebri lahko povzro\u010di otekanje vidnega \u017eivca zaradi nenehnega stiskanja na lobanji, kar ima za posledico slepoto.<\/p>\n<p>Mo\u017enosti zdravljenja obi\u010dajno vklju\u010dujejo zdravila, ki pomagajo zmanj\u0161ati pritisk in oteklino, v huj\u0161ih primerih pa je potrebna operacija.<\/p>\n<p>&nbsp;<\/p>\n<h2>Simptomi<\/h2>\n<p>Znaki in simptomi pseudotumor cerebri lahko vklju\u010dujejo:<\/p>\n<ul>\n<li>Glavobol<\/li>\n<li>Zamegljen ali dvojni vid<\/li>\n<li>Navzea in bruhanje<\/li>\n<li>Omoti\u010dnost<\/li>\n<li>Zvok v u\u0161esih<\/li>\n<li>Slepota<\/li>\n<li>Te\u017eave pri gledanju \/ premikanju o\u010di vstran<\/li>\n<li>Vidimo utripajo\u010do svetlobo<\/li>\n<li>Bole\u010dine v vratu, ramenih ali hrbtu<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Simptomi<\/h2>\n<p>Znaki in simptomi pseudotumor cerebri lahko vklju\u010dujejo:<\/p>\n<ul>\n<li>Glavobol<\/li>\n<li>Zamegljen ali dvojni vid<\/li>\n<li>Slabost in bruhanje<\/li>\n<li>Omoti\u010dnost<\/li>\n<li>Zvok v u\u0161esih<\/li>\n<li>Slepota<\/li>\n<li>Te\u017eave pri gledanju \/ premikanju o\u010di vstran<\/li>\n<\/ul>\n<p>Medtem ko to\u010den vzrok psevdotumorskih cerebri pri ve\u010dini posameznikov ni znan, raziskave ka\u017eejo na povezavo s funkcijo cerebrospinalne teko\u010dine.<\/p>\n<p>Mo\u017egani in hrbtenja\u010da so obdani s cerebrospinalno teko\u010dino, ki pomaga za\u0161\u010dititi vitalna tkiva pred mo\u017enimi po\u0161kodbami. Teko\u010dina nastaja v mo\u017eganih in jo absorbira krvni obtok. \u010ce pride do pove\u010dane koli\u010dine cerebrospinalne teko\u010dine, lahko ta postopek absorbira pritisk na lobanjo in povzro\u010di oteklino. To pa lahko vodi do resnih zapletov v zvezi z vidnim \u017eivcem in lahko povzro\u010di slepoto.<\/p>\n<p>Bole\u010dine v vratu, ramenih ali hrbtu<\/p>\n<h2>Dejavniki tveganja<\/h2>\n<p>Ve\u010d dejavnikov in pogojev, ki lahko pove\u010dajo tveganje za nastanek psevdotumorskih cerebri, vklju\u010duje:<\/p>\n<ul>\n<li>Addisonova bolezen<\/li>\n<li>Anemija<\/li>\n<li>Behcetov sindrom<\/li>\n<li>Prekomerna te\u017ea<\/li>\n<li>Bolezni strjevanja krvi<\/li>\n<li>Nekatera zdravila (vitamin A, tetraciklin)<\/li>\n<li>Kroni\u010dno odpoved ledvic<\/li>\n<li>Cushingova bolezen<\/li>\n<li>Rastni hormon<\/li>\n<li>Lupus<\/li>\n<li>Nose\u010dnost<\/li>\n<li>Spalna apneja<\/li>\n<li>Nederaktivne paratiroidne \u017eleze<\/li>\n<li>Uremija<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Zapleti<\/h2>\n<p>Mo\u017een zaplet, ki se lahko pojavi pri nekaterih posameznikih, ki trpijo zaradi psevdotumorskih cerebri, je poslab\u0161anje vida, kar lahko s\u010dasoma privede do slepote. Tudi \u010de se simptomi razre\u0161ijo, se lahko ponovijo mesece ali celo leta kasneje.<\/p>\n<p>&nbsp;<\/p>\n<h2>Zdravljenje<\/h2>\n<p>Zdravljenje s psevdotumorjem cerebri se osredoto\u010da na izbolj\u0161anje simptomov in prepre\u010devanje poslab\u0161anja vida. Zdravnik lahko priporo\u010di naslednje mo\u017enosti zdravljenja:<\/p>\n<p>Jemanje dolo\u010denih zdravil za la\u017eje nadziranje in izbolj\u0161anje simptomov:<\/p>\n<p>Zdravila proti glavkomu: zdravila, ki se uporabljajo za zmanj\u0161anje proizvodnje cerebrospinalne teko\u010dine. Mo\u017eni ne\u017eeleni u\u010dinki so lahko utrujenost, razburjen \u017eelodec, mravljin\u010denje prstov, prstov na nogah in ustih ter ledvi\u010dni kamni.<\/p>\n<p>&nbsp;<\/p>\n<p>Diuretiki: Zdravila, ki se uporabljajo za zmanj\u0161anje kopi\u010denja odve\u010dne teko\u010dine s pove\u010danjem potrebe po uriniranju.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Zdravila za migreno: Zdravila, ki se uporabljajo za laj\u0161anje mo\u010dnih glavobolov, povezanih s psevdotumornimi cerebri.<\/p>\n<p>&nbsp;<\/p>\n<p>Izguba te\u017ee:<\/p>\n<ul>\n<li>&#8211; Po programih za huj\u0161anje<\/li>\n<li>&#8211; Na operaciji \u017eelodca<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Opraviti nekatere kirur\u0161ke posege:<\/p>\n<p>Fenestracija opti\u010dnega \u017eivca: kirur\u0161ki postopek, ki se uporablja za ubla\u017eitev pritiska na opti\u010dni \u017eivec, tako da odve\u010dna teko\u010dina mo\u017eganov uhaja. V ve\u010dini primerov je kon\u010dna posledica uspe\u0161na stabilizacija izgube vida.<\/p>\n<p>&nbsp;<\/p>\n<p>Prehod spinalne teko\u010dine: kirur\u0161ki poseg, ki vklju\u010duje ubla\u017eitev pritiska odve\u010dne cerebrospinalne teko\u010dine z odvajanjem teko\u010dine iz spodnje hrbtenice v trebu\u0161no votlino z uporabo dolge cevi (shunt). Simptomi se lahko izbolj\u0161ajo pri nekaterih posameznikih, ki so podvr\u017eeni temu postopku, vendar se v nekaterih primerih shundi lahko zama\u0161ijo in pogosto zahtevajo dodatne operacije, da prepre\u010dijo nadaljnje zaplete in ubla\u017eijo pritisk.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"author":11,"featured_media":0,"template":"","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.7.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pseudotumor cerebri - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.humanitas.net\/sl\/diseases\/pseudotumor-cerebri\/\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pseudotumor cerebri - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Opredelitev Pseudotumor cerebri, imenovan tudi idiopatska intrakranialna hipertenzija, je stanje, ki se pojavi, ko se tlak v notranjosti lobanje pove\u010da zaradi kopi\u010denja ali slabe absorpcije mo\u017egansko hrbteni\u010dne teko\u010dine. 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