ImpiloIzifo nemibandela

Ukopha ebuchosheni: izimpawu, ukwelashwa, imiphumela futhi Izibikezelo

Brain - lokhu ingenye izitho ebaluleke kakhulu umuntu uphathiswe hhayi kuphela umsebenzi ukucabanga, kodwa izinqubo eziningi zokulawula emzimbeni. Igazi eligciniwe ukuba namathonya ubuchopho umsebenti wakhe, kodwa kwezinye izimo kungenzeka imithambo yegazi ukudabuka, okuyinto nakanjani kuholela ukwephulwa eminingi emsebenzini zonke zomzimba. Ukopha ebuchosheni, izimpawu zazo kuxoxwa ngokuningiliziwe kulesi sihloko, ubhekwa ayingozi kakhulu ekuphileni komuntu imihlola. Ukuze unqobe nemiphumela yako, odokotela kanye neziguli ukuba basebenze kanzima. Iphuzu eliyinhloko kule ukuthola kusenesikhathi izimpawu zesifo, okuyinto bangase basikisele ukuba izikhandle zazisa ubuchopho, cishe kubonakala izithombe eziningi sibhekana nezinguquko sokugembula ngenxa kwegazi igazi.

ukopha ebuchosheni kungenzeka, ngoba noma ngabe yisiphi isizathu,

Ngokuvamile isici ingqondo ukudabuka wegazi izitsha ubuchopho, kuyinto nomfutho wegazi ophezulu. Ngokuvamile, Yiqiniso ezinzima zalesi sifo kubangela izinguquko ezingenakuhlehliswa zonke izitsha emzimbeni, kodwa iningi Athinteka owabeka okungukuthi labo okuyinto ukondla izicubu ingqondo. Ukopha zobuchopho, izimpawu zazo akukwazi njalo sisheshe ukubona lapho futhi kwamanye amacala, ezinye zazo yilezi:

  • igebe ngaphambilini kutholakala ukuthi uphethwe yini ubuchopho useshonile;
  • kwezinso semithambo, ezifana arteriovenous malforatsii;
  • sebethule phezu Imithambo yegazi atypical amyloid amaprotheni;
  • ingozi nesibulalayo izimila ebuchosheni;
  • engayitholi njalo izidakamizwa ekhuthaza igazi thinners.

Lesi senzakalo, okungase kubangele ukudabuka yegazi e ubuchopho bomuntu, avame atholakala iziguli ukuguga. Ngu uhlobo izinguquko kanye kwasendaweni ezindaweni ezithintekile zobuchopho, okuyizinto ngempela kuyabonakala ezithombeni ezithwetshulwe nge ukuhlola (MRI ubuchopho), ochwepheshe kutholakale imbangela yokushona ukopha.

Ukopha e izinsana - uma kwenzeka?

Uma sikhuluma haemorrhage ubuchopho, ngokuvamile kubonakala omdala noma isiguli abadala. Nokho, kwezinye izimo, lokhu mkhuba kungabonakala nasemkhakheni usana. Isici esivelele sesimiso ukopha cerebral ezinganeni kubhekwa ukuthi kungenzeka lilimele izigaba eziningana, isibonelo, i-lateral ventricle cerebral nebhalsamu namagxolo yayo, noma subcortical grey ndaba futhi ngesikhathi esifanayo. Isizathu esikhulu ukopha ingane kubhekwa preterm, ikakhulukazi uma ingane ekhulayo ngesikhathi sokuzalwa kwaba isikhathi esingaphansi kwamasonto 32. Ngaphezu kwalokho, ukudabuka semithambo kungenzeka ngesonto lokuqala emva kokuzalwa ezinganeni umnyuziki eside. Isizathu salokhu mkhuba itholakala unina toxicosis ngasekupheleni, amaphutha ukuziphatha lokuzalwa ukutheleleka.

Ukwahlukanisa ukopha cerebral ngendawo

I-World Health Organization (WHO) namuhla kudedela 5 izinhlobo ngesishayo

  1. ukopha Intracerebral noma intracerebral lapho izitsha ekuqhumeni zitholakala ezingqimbeni ezijulile ndaba omhlophe noma mpunga, bese kuthululwe igazi yokuphila ezindaweni eziphakathi nezwe zobuchopho.
  2. Subarachnoid, lapho isifo sokuvuvukala kwemithambo ezambiwa noma izitsha wamshaya amyloidosis, igazi ngaleyo ndlela ingena ngaphakathi komgodi, okuyinto ugcwele cerebrospinal fluid.
  3. Ventricular noma ventricular ukopha ezithinta lateral ubuchopho ventricle.
  4. Epidural lapho kusakazwe igazi lingena isikhala phakathi kogebhezi nobuchopho.
  5. Subdural, lapho igazi ageleza ngaphansi kanzima igobolondo ingqondo.

Ukuze umuntu ukuthi akwazi ukuthi iyiphi umzimba ingxenye uye washintsha kule mkhuba njengoba ukopha ebuchosheni, izimpawu ngayinye zilwane ezithinta izici zabo, kungaba scan kanye nezinye izindlela zokuxilonga.

Yiziphi izimpawu zangaphandle kungase kubonise haemorrhage ingqondo

Kuzo zonke izinhlobo nokopha libhekene izimpawu ezilandelayo nezimpawu avele imizuzu embalwa yokuqala emva ukudabuka yegazi:

  • ubuhlungu bekhanda;
  • ukulahlekelwa noma ukudideka;
  • isicanucanu nokuhlanza;
  • ukusikwa spasmodic imisipha ethile.

Isithombe esisodwa noma ngaphezulu kwanoma iyiphi izimpawu ezibalwe kulolu hlu, kufanele wazise iziguli kanye nezihlobo zabo, ikakhulukazi esimweni lapho umuntu isifo kusukela uhlu lezo ingadala ukopha ebuchosheni. Izimpawu ngokuvamile bathambekele ukuqinisa, ngakho abasiboni isidingo e elinde impumuzo esiguli, futhi kungcono ukubiza i-ambulensi.

Izimpawu nenkinga yokopha ebuchosheni ezinganeni

Izimpawu eyinhloko unhlangothi izinsana akazange zihlukile ukuthi zikhona iziguli omdala. Nokho, zikhona izimpawu eziningana eyenza umuntu angakwazi ukuqonda ukuthi ingane elimala imithambo yegazi ebuchosheni. Ngokuvamile lokhu kubonakala ukungakwazi ingane ukwenza ukunyakaza abancela, ububomvu samehlo sclera ngenxa yegazi sibhajwe kubo, kanye nokucindezelwa ikhaliphe umsipha. Uma izimpawu ezisobala ukopha ebuchosheni zokugula singenzeka esikhathini kamuva zokukhula sinamandla ngokungajwayelekile Yekhanda ingane.

Izimpawu ukopha ebuchosheni, kuye ngokuthi indawo yabo kwasendaweni

Kwasendaweni hematoma ebuchosheni futhi kuthinte izimpawu. Ngakho, ngo-ukopha ezingxenyeni ezijulile isiguli ingase ibe nezimpawu ezifana ukwephulwa noma ukuboshwa zokuphefumula, umjikelezo esitebeleni we zamehlo nganxanye Akwenzekanga lutho kwebafundzi, baphendukele ekukhanyeni, nokwehlisa izinga lokushisa lomzimba, kwenhliziyo ukwehluleka, ukukhubazeka yezingalo nemilenze elilodwa kwesigamu emzimbeni. Kaningi, isimo livela ejwayelekile kwanoma yiliphi isu ezifana ukopha ebuchosheni - ikhoma, lapho ukungabi lesiguli yempendulo ezintweni ezibuhlungu.

Lapho igazi lingena empunga kanye / noma ndaba ezimhlophe zobuchopho isimo lesiguli ungaboniswa ngokungabi orientation emkhathini nokungakwazi nokuxhumanisa ukunyakaza, ukuba buthakathaka kwezicubu, ukuyaluza ngokweqile noma retardation, iziyaluyalu reflex. Ukopha ku cerebellum, ngokuvamile kubangela ezinzima occipital ubuhlungu, nokulahlekelwa ukwazi, ukuphambuka kusuka ngendlela ejwayelekile ikhanda emuva noma ohlangothini, i ukungakwazi nokuxhumanisa ukunyakaza.

Ngaphezu izimpawu ngenhla in iziguli ukopha cerebral kungenzeka izimpawu ezifana ukusonteka ebusweni ngenxa ukukhubazeka we izicubu ezithile ebusweni, ukungakwazi smile, ukungabi inkulumo ngalokulingene. Lapho lezi zimpawu kubalulekile ngokushesha ngangokunokwenzeka ukunikeza usizo lokuqala umuntu amthathe esibhedlela i-MRI zobuchopho, ngawo ungasetha degree of izilonda semithambo futhi ukucacisa ukwelashwa okufanele.

Eyingozi kakhulu ukopha ebuchosheni

Izingozi ezibangelwa ukopha palsy, itholakala lokuthi ukuthi ngenxa unokungaxhumani semithambo isitho kwezicubu ingabe wayeka nomsoco kanye nomoya-mpilo. Ngaphezu kwalokho, ubuchopho obala igazi zanqwabelana, okuyinto ekucindezela amasayithi yayo. Kuyinto, ezimweni eziningi, kubangela imiphumela engelapheki ukuthi okuguqula ukuphila ngemva unhlangothi emzabalazweni lesiguli naye, njengoba imisebenzi eminingi emzimbeni, kuhlanganise engqondo, izinzwa, kanye nokunye ukwephulwa. Futhi isikhathi eside isiguli ngaphandle ukwelashwa okufanele, ithuba kancane ukuthi uyakusinda ngangokunokwenzeka.

Ukwelashwa nokuvikelwa ukopha ebuchosheni

Kuze kube manje, kukhona izindlela ezimbili kuphela ukuba aphathe ubuchopho haemorrhage ukuphi. Ukwelashwa, kodwa kunalokho, indlela yalo (kuhlinzwa noma zokwelapha) akhethiwe kusekelwe eqinisweni, lapho isidumbu itholakala hematoma, kanye lingakanani. I izinkomba ukuhlinzwa yilezi:

  • ezinkulu (50 ml) ivolumu wegazi babambeke izicubu ingqondo;
  • ukopha, owenziwe waba owasendaweni ngaphakathi ebuchosheni, noma i-ventricle lateral;
  • isimo nesineke esindayo sika.

I bakwazi yokusebenza kunqunywa kuphela udokotela ukuba khona!

Kuze kube manje, kukhona izinhlobo eziningana izinqubo zokuhlinza, ngokuvumela ukususa ihlule legazi yobuchopho:

  1. Craniotomy, wenziwa ngaphansi izinzwa jikelele. It is lisetshenziswe ukopha olubanzi palsy. Okudingeka tekubamba lolu hlobo lokuhlinzwa ukungabi izifo ezibucayi izibilini isiguli.
  2. Kancane ukuhlinzwa okukhulu, ngokuyisisekelo esakhiwa ngo yokuthi phakathi kuyo ugebhezi isiguli endaweni kwasendaweni we ihlule sisetshenziswa Ozivula kuphela okuyothi ngalo ipayipi yethulwa nge isixazululo ekhethekile, a ekuhlakazekeni ihlule legazi. Extract izindengezi zayo nalo eyenziwa ngale mbobo. Ubude besikhathi sokwelashwa imayelana 2 izinsuku, ngesikhathi lapho ingxenye entsha yesixazululo kuyadingeka ukuze uthele njalo emahoreni 6.
  3. Stereotactic ekususeni hematoma wenziwa usebenzisa idivayisi ekhethekile, okuyothi ngalo isixazululo sokuqeda igazi uqweqwe ilethwa ngqo kuyo lesion.

Imiphumela nasesimweni sengqondo

Ukopha kakhulu ezingasehlela akuyona indlela engcono Lithinta ubuchopho. Izithombe zabantu abaye lesi sifo kungabangela izinyembezi. Kodwa embi kakhulu kunendlala ukuthi ukuze basinde izitsha ungakwazi ukudabuka, cishe ngo-50% eziguli. Imiphumela nenkinga yokopha ebuchosheni kuxhomeke endleleni hematoma esikhulu futhi ngokushesha kangakanani isiguli wathola usizo. Life after unhlangothi akuvamile ayiguquki njengakuqala. Kuningi iziguli ziye kahle inkulumo futhi umbono, ukuba ndikindiki ezandleni noma ezinyaweni. Omunye eziyingozi kakhulu ukopha phakathi ubuchopho ubhekwa isithuthwane.

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