
cavernus sinus

maanav sir key bheetar gufa sinus ack dural shiraparak sinus haye joe ack guha banaata haye jise paarshv seller dibbe kahaa jaataa haye joe khopadi kii asthaayi huddy aur sphenoid huddy seey ghiraa hotaa haye, joe cella turchica key paarshv mein hotaa haye.
sanrachana.
gufa sinus sir key dural shiraparak sinus mein seey ack haye. yeh nason kaa ack network haye joe ack guha mein baithata haye. yeh sphenoidal huddy aur petutory granthi key donon taraf baithata haye, ack vayask mein aakar mein lagbhag 1 × 2 semi. aantarik caroted dhamani, aur kapaal tantrikaaen iii, iv, v (shaakhaaen v1 aur v2) aur vi sabhi iss rakt seey bharey sthaan seey gujarate hain. guhaswaroop sinus key donon paksh antahsth sinus key madhyam seey ack dusare seey judey hue hain. gufa sinus dura matter kii aantarik aur baahari paraton key beach sthit haye.
shiraparak sambandh.
gufa sinus rakt praapt kartaa haih
rakt oopari aur nimnatar petrosal sinus key madhyam seey sinus chhodata haye aur saath hii khopadi key foramina (jyaadaatar foramen owell key madhyam seey) key madhyam seey utsarjak nason key madhyam seey chhodata haye. nimn netra nus, chehare kii gahari nus aur utsarjak nason key madhyam seey nason key dhamani jaal key saath bhee sambandh hain.
samagri.
rakt key alawa joe ack shiraparak sinus seey gujarta haye, kaee shaaririk sanrachanaaen, jinamen kuchh kapaal tantrikaaen aur unaki shaakhaaen bhee shamil hain, sinus seey gujarati hain.
dibbe kii baahari (paarshv) deewaar key bheetar sanrachanaaen behtar seey nimn takah
madhya rekha (madhya) deewaar seey gujarane vaali sanrachanaaenh
yeye nasein, cn vee2 key apavaad key saath, uchch kakshiya daraar key madhyam seey kakshiya sheersh mein pravesh karane key liye gufa sinus seey gujarati hain. trijemiya tantrika kaa adhikatam tantrika, vibhajan v2 sinus key nichale hisse seey hocker gujarta haye aur foramen rotandam key madhyam seey baahar nikalata haye. maxillary shakha sinus kii paarshv deewaar seey baahar kii or, lekin turant nikat seey gujarati haye.
optic tantrika gufa sinus key thheek oopar aur baahar sthit hoti haye, joe pratyek taraf petutory granthi key liye behtar aur paarshv hoti haye, aur optic nahar key madhyam seey kakshiya sheersh mein pravesh karati haye.
kaary.
shiraparak jall nikasi.
ack shiraparak sinus key roop mein, gufa sinus uchch aur nimn netra nason aur satahi cortical nason seey rakt praapt kartaa haye, aur pashch shiraaon key basiller jalika seey judaa hotaa haye. gufa sinus dou badey chainalon, behtar aur nimn petrosal sinus dwara bahati haye, antatah sigmoid sinus key madhyam seey aantarik jugular nus mein, joe emissory nus key saath paterigoid plexus mein bhee bahati haye.
naidaanik mahatva.
yeh shareer mein ekmatra shaaririk sthaan haye jisamen ack dhamani poori tarah seey ack shiraparak sanrachana key madhyam seey yatra karati haye. yadi aantarik caroted dhamani gufa sinus key bheetar toot jaati haye, tou ack "dhamani-paadap" banaaya jaataa haye (vishesh roop seey, ack caroted-paadap paadap). gufa sinus koo prabhaavit karane vaale ghaav alag-thalag nason yaa isake madhyam seey gujarane vaali sabhi nason koo prabhaavit curr sakate hain.
petutory granthi dou yugmit gufa sinus key beach sthit haye. ack asamanya roop seey badhata petutory adenoma, joe asthi cella turchica parr baithaa hotaa haye, cumm seey cumm pratirodh kii disha mein vistaarit hoga aur antatah gufa sinus parr aakraman karega. cavernus sinus syndrome inn tumours key badey paimaane parr prabhaav key parinamswarup hoe sakata haye aur netra-tantrika (auculomotor tantrika, trocklear tantrika aur abducence tantrika key sampeedan seey), netra samvedi haani (netra tantrika key sampeedan seey), aur adhikatam samvedi haani (maxillary tantrika key sampeedan seey) kaa kaaran bunn sakata haye. gufa sinus kaa ack poorna ghaav cnii, iv, aur vi koo baadhit kartaa haye, jisase kull netrarog hotaa haye, aamtaur parr ack nishchit, faila huaa putali key saath. see. aine. vee. (vee1 aur vee2 kii parivartaniya bhagidari) kii bhagidari seey trikoniya tantrika key inn vibhajanon mein samvedi haani hoti haye. horner syndrome caroted aucular sympatics kii bhagidari key kaaran bhee hoe sakata haye, lekin poori tarah seey teesari tantrika chot kii setting mein isaki sarahana karna mushkil hoe sakata haye.
oopari netra shira key madhyam seey chehare kii shira key saath isake connection key kaaran, chehare key khatare vaale kshetra key bheetar chehare kii baahari chot seey gufa sinus mein sankraman honah sambhav haye. chehare kii nus key thromboflibitis vaale rogiyon mein, thakke key tukade toot sakate hain aur gufa mein pravesh curr sakate hain, jisase ack gufa sinus thrombosis bunn jaataa haye. vahaan seey sankraman dural venus sinus mein fail sakata haye. chehare key ghaavon aur chehare kii nus dwara nikaale gaye kshetron mein munhaase fatane seey bhee sankraman hoe sakata haye.
cavernus sinus syndrome key sambhaavit karanon mein metastatic tumour, nasopharyngeal tumour kaa seedha vistaar, meningioma, petutory tumour yaa petutory apoplexy, intracovernus caroted dhamani key aneurism, caroted-cavernus fistula, cavernus sinus thrombosis, asseptic cavernus sinus thrombosis, idiopathic granulomatous roga (tolosa-hunt syndrome), aur kavak sankraman shamil hain. cavernus sinus syndrome ack chikitsa aapaat sthiti haye, jisamen sheeghra chikitsa dhyaan, nidan aur upchaar kii aavashyakta hoti haye.

