Oluhambisana Stroke: Izimbangela, Ngemiphumela

Oluhambisana unhlangothi kuyinto ukopha ebuchosheni izicubu yegazi cerebral, okuholela ukuphazamiseka igazi eligciniwe, ngisho ukuthuthukiswa edema shift zobuchopho.

Oluhambisana unhlangothi unezizathu eziningana sokuthuthukisa. Okuvame kakhulu, kuyimbangela eyinhloko nomfutho wegazi ophezulu lapho basuke elimala futhi ukuvuza igazi umfutho ophakeme isitsha izindonga ehlambulula ebuchosheni. ukopha yesibili ebonwe anomalies azalwa naso imithambo palsy, ezifana useshonile futhi ezingavamile.

It ucala kutfutfukisa oluhambisana unhlangothi ngokuzumayo, nge nokulahlekelwa ukwazi kuze kube ikhoma. Isikhumba iba umbala obomvu-bluish, izinga lokushisa emzimbeni antante 40 degrees, ukuphefumula kuba hoshozela uvame ephathwa inyumoniya futhi edema yamaphaphu. Kuboshwe umfundi enwetshiwe akasabeli ukukhanya, amehlo akho lihamba nemiyalezo, ikhanda waphendukela uhlangothi lesion. Ekuqaleni ikhaliphe isifo iphuzu ukwanda ngakolunye uhlangothi we ukopha chamber, Kamuva lahlangana incontinence.

izimpawu Focal of ukopha empandni ubuchopho livela nystagmus, nokuvaleka kwemigudu yokuphefumula nomsebenzi inhliziyo. Ukopha phakathi ventricles zobuchopho ukuthuthukisa amajaqamba, ithoni ongaphakeme ku flexors futhi extensors izandla nezinyawo. Uma une ubuhlungu esifundeni occipital, ukwephula nokudidiyela ukunyakaza, isicanucanu nokuhlanza kungenzeka esolwa ukopha esifundeni cerebellum.

On luhlolo kwegazi kwembula leukocytosis, lymphopenia, ushukela anda egazi noma omchamo, nitrogen asalile, ushintsho olukhulu kule ECHO EG Bheka rheovasography. Isimo iziguli uthathwa njengomgcini kunzima kakhulu, iziguli kaningi afe ngosuku lokuqala ngenxa nokwephula, kokucindezelwa yobuchopho ebalulekile, edema nezicubu necrosis.

Nakuba ngcono hemodynamics ezigulini eziye ngaba nesifo sohlangothi oluhambisana, baqale izinqubo zokululama ezingaba iminyaka. Luqala ngokunikela nokubuyiselwa ukunyakaza ezingalweni nasemilenzeni, eminweni ke encishisiwe imisipha ithoni, ikhaliphe futhi inkulumo.

Uma isiguli esolwa oluhambisana unhlangothi, ukwelashwa wenziwa esibhedlela okungenani amaviki amathathu. Ukuhlukanisa phakathi ukwelashwa ngoludala futhi kuhlinzwa. On yokuvuma isiguli kumele uphenywa udokotela ohlinza izinzwa afeze ukuhlolwa ezidingekayo, linqume ukwelashwa okufanele futhi ukufeza umphumela omuhle lesi sifo. ngaphansi ukwelashwa ngoludala kuphela siyenzeka lethality ku-50%, futhi ngemva imisebenzi neurosurgical umphumela enqabayo okungenani 25% eziguli.

Injongo eyinhloko yawo ekwelapheni kuhlinzwa kuyinto ukususwa esiphezulu amahlule nge umonakalo okuncane izicubu ingqondo. Izinkomba imisebenzi neurosurgical kuyinto ukopha phakathi ventricles ubuchopho kanye hematoma phezu 20 ml, okuyinto abangela ukufuduka zobuchopho. Kulezi zimo, ukuqhuba craniotomy evulekile, ngezinye izikhathi iphendukele lubhoboze, isifiso endoscopic amahlule noma ukuqhuba fibrinolysis wendawo.

Ukwephuza ekwelapheni oluhambisana unhlangothi, imiphumela zazo, ngempela enzima ukuphila nempilo iziguli kaningi esiholela ukukhubazeka unomphela iziguli.

Lapho unhlangothi kwenzeka nokwahlukana igazi nezicubu ubuchopho, okuholela ukuvuvukala, necrosis nokungakwazi zobuchopho ukusebenza. Ngemva unhlangothi, iziguli kungenzeka ukunyakaza neziyaluyalu, ukukhubazeka kanye paresis, kungase kube ukuhlukumeza yoqondayo yokukhuluma, zikhona nobunzima ezithile e nokubala, ngokubhala, ukufunda. Ekukhunjulwa umuntu ungenqaba iyini wabona, isiguli ngeke ukwazi pick up ipeni, spoon, ipuleti awuzwakali ekudleni.

Wephule singagwinyi lapho ukudla ungathola kuqhoqhoqho esikhundleni emphinjeni. Umuntu angathola i-balahlekelwe ikhono lokufunda izinto ezintsha, ahlupheke inkumbulo, ukucabanga, logic. Ekugcineni uqala zephule ukuziphatha kwezinye isiguli, bonisa ubudlova, ukucindezeleka, ukusabela kubambezela, abantu bangase bahleke noma bakhale ngaphandle kwesizathu, angagcina incontinence fecal futhi umchamo, eqinile, uhlamvu ejabhile, ikhanda ezingenziwanga sikhishiwe ngemva kokuthatha analgesics.