Unhlangothi kabuhlungu: nemiphumela, amathuba okusinda, onalesi sifo

Kunzima overestimate ukubaluleka izihloko, ukhanyisa ke, yini yilesi sifo esesabekayo njengoba unhlangothi kabuhlungu, nemiphumela. Amathuba okusinda ayikwazi kubhekwe okusezingeni eliphezulu lapho kokutshelwa ngokukhubazeka kwengane. Kodwa ngisho noma uphathe ukugwema ukufa, efana ukulimala kobuchopho oyingqayizivele ezithinta ukuphila kwesiguli. Ngakho-ke kuyadingeka ukwazi ukuthi zokugula enikeziwe iziphi izimpawu zaso.

Yini okufanele kuqondwe unhlangothi kabuhlungu

Le nkinga kungachazwa njengendlela sina ngokwanele ngoba kuthinta ingqondo. Lesi sifo kuyinto evamile futhi iqala zonke kwande kubantu oseqinile, kuyilapho izifo ngaphambilini enjalo ngokuyinhloko eqoshiwe phakathi izakhamuzi, sekuyisikhathi eside yayigubha iminyaka engu yesihlanu.

Kuyaphawuleka ukuthi kuphela khona udokotela abaqeqeshiwe futhi ukufinyelela emithini kudingeka, kunengqondo ukukhuluma mayelana nokwelashwa ngempumelelo izifo ezifana olunzulu ubuchopho unhlangothi. Imiphumela sifo ukuba abangaphezu kuka-sina, futhi uma ungenawo ukunikeza usizo ngesikhathi esifanele, futhi kungenzeka ukufa. Ngakho unganqikazi uma enezimpawu ukopha ebuchosheni.

unhlangothi ischemic

Eqinisweni, kokutshelwa ngokukhubazeka kwengane kungaba izinkomba ezimbili eziyinhloko. Lena unhlangothi ischemic futhi oluhambisana (ngezinga ezimbi kakhulu yokulimala).

Ekuqaleni kuwufanele ngokuthinta ifomu nobumnene, is phetho ukuvaleka imithambo palsy. Kule nqubo, ukufa amangqamuzana obuchopho kwenzeka ngenxa yokushodelwa umoya, okuyinto ukwenza kanye igazi. Lesi sifo ithuthuka ngokushesha bunohlamvu olunzulu (Umthambo isifo kwenzeka noma lonke iqembu izitsha).

Kanjalo-stroke ischemic angase abe izinhlobo eziningana:

- lacunarity. It kuholela ekwakhekeni kwezikhala (voids) ebuchosheni.

- Mikrookklyuzivny. Kulokhu kukhona indlela ukwephulwa esihlinzeka elilungile ukugeleza kwegazi (hemostasis).

- cardioembolic. Umthambo Occluded, kodwa kancane.

- Hemodynamic. uhlobo enjalo unhlangothi kungabangela gxuma okungazelelwe blood pressure. Lapho umfutho wegazi kuyehla kakhulu, kukhona ukuvaleka imithambo, nakho lisikisela outflow abukhali kwegazi.

- Stem. Lokhu uphethwe luyasetshenziswa ukuthola ubuchopho stem lesion. Lena uhlobo oluvame kakhulu washaywa unhlangothi kabuhlungu, ngoba kulokhu izikhungo esibalulekile kwenzeka ukuhlulwa. isimo esinjalo, ezimweni eziningi uphela ukufa kwenzeka ngokuphazima kweso.

- Aterotrombichesky. Kulokhu, umthamo wegazi ogciniwe thuthuva kubangele kungenxa ihlule legazi ukuthi alishiye odongeni isitsha, noma ngenxa isifo sokuqina kwemithambo yegazi.

Njengoba singabona, olubanzi ubuchopho unhlangothi Izibikezelo ikude eliduduzayo kusukela degree yokulimala liphezulu kakhulu.

ifomu oluhambisana

Ukuze lolu hlobo unhlangothi libhekene isici esiyingozi ezifana ukopha ebuchosheni. Kulokhu, kukhona zimo ezimbili:

- unhlangothi intracerebral, okuyinto kwabangelwa ukukhululwa ngokuzumayo ingcindezi. Uma sisheshe satholakala ikakhulu kubantu asebekhulile.

- ebanzi subarachnoid ubuchopho ukopha unhlangothi. Kulokhu sikhuluma breaking Umthambo. umphumela okunjalo ngokuvamile ekulezo abakhuluphele noma abaqhuba imikhuba emibi.

izizathu

Njengoba kushiwo ngenhla, kuyehla kube unhlangothi ezinkulu ezenzeka ukuvaleka noma ukudabuka imithambo cerebral iqembu noma Umthambo ezinkulu. Lokhu kusikisela ukuthi yimaphi zici ukuthi ibe nomphumela ongemuhle ku imithambo yegazi kanye isimo ngokukhethekile, kungaba kubhekwe njengendlela imbangela ukopha.

Ngaphezu kwakho konke, kuyafaneleka ukunaka zinsongo, njengoba atheroma nalabo amahlule ezingaba yakha kuso. Lokho ngokuvamile kubangela olubanzi ubuchopho unhlangothi. Izimbangela zingcwecwe ezinjalo - udaba ehlukile, kodwa engozini ngokuvamile uthole labo abaqotho isisindo okweqile.

Ngokuvamile iziyaluyalu kwegazi ebuchosheni kungaba umphumela ezinye izifo emzimbeni. Ngakho, iqembu ingozi kuhlanganisa nabantu ukuxilongwa ezilandelayo:

- umfutho wegazi ophakeme, ikakhulukazi sesimeni sokunganakwa;

- zokugula benhliziyo, njengoba uma kudala izimo emboli futhi thrombi (azalwa naso kanye zamehlo aluthola, fibrillation atrial, ama-valve inhliziyo, okuyizinto wokufakelwa);

- asymptomatic carotid atherosclerotic stenosis;

- ngenxa yokukhuluphala yokuphila kancane esebenzayo;

- sikashukela (igazi fluidity liwohloka, akhiwa thrombi);

- ukuqina kwemithambo yegazi cerebral , high blood cholesterol;

- lezivakashi kuhlasela ischemic emlandweni.

symptomatology

Ukuze benze ngokushesha unhlangothi kubalulekile ukwazi izimpawu ezisemqoka. Lokhu kuzosiza ukunquma isimo isiguli kweqiniso futhi ngokushesha shayela i-ambulense.

izimpawu isihloko kubalulekile ukufunda ngaphambi ukubhekana yini ebangela imithelela unhlangothi kabuhlungu. Amathuba zokuziphilisa Endabeni yesiguli oluthile encike ngqo kwi usizo lwezokwelapha zizonikezwa uma ngendlela esifike ngesikhathi.

Kubalulekile wazi yokuthi kukhona izimpawu ezihambisana, okuyizinto izimpawu zesifo sohlangothi okukhulu. Bangase babonakale phambi ukopha kwenzeka uqobo. Ngezinye izikhathi lezi zimpawu wazizwa emavikini phambi yokukhuphuka yenkinga. Izimpawu ezilandelayo akunakubangelwa kuye:

- ubuhlungu bekhanda;

- isiyezi;

- short-term ukukhohlwa;

- blackout ngesikhathi ukunyakaza kungazelelwe;

- ukulahlekelwa okwesikhashana orientation emkhathini.

Le nkinga olunzulu ubuchopho unhlangothi, izimpawu zingase zibe uhlobo ukuhluka kuleli cala baye bahlatshwa umxhwele lemiqulu emikhulu impahla. Babukeka kanje:

- ukozela;

- ubuhlungu bekhanda;

- umkhuhlane;

- nokulahlekelwa ukwazi (ngisho ikhoma kungenzeka);

- inkulumo kuba incoherent;

- kukhona ukukhohlwa;

- ukujuluka;

- Ukudlikizela;

- umuzwa ukoma emlonyeni;

- sizibona ukushisa okungazelelwe;

- ubuhlungu endaweni iso;

- isiguli iyeke baqonde ukuthi kwenzekani kuye futhi lapho akhona, kodwa uhlala ngesikhathi esifanayo e ukwazi (isimo stupefaction).

Indlela ngokushesha aqaphele unhlangothi

Ngaphezu izimpawu ngenhla, zikhona izindlela eziningana ezingasiza ukuxilonga nesimo umuntu ingqondo lishaywa ngenxa ukudabuka noma ukuvaleka imithambo yegazi.

Ukuze wenze lokhu, landela izinyathelo ezilula:

- Zama ukukhuluma nomuntu. Uma kukhona ukwehluleka kulenkhulumo kanye nesineke Awukwazi ukuphendula ngokushesha imibuto lelula, kubalulekile ukuba ushayele inombolo ephuthumayo.

- Kuyadingeka ukubuza ukumamatheka at izinsolo ku olunzulu ubuchopho unhlangothi. Imiphumela ukopha noma ukuntuleka komoya-mpilo kungenziwa owabonakaliswa thuthuva kulingisa - omunye amakhona umlomo ngesikhathi ngomzamo smile eliyocwila.

- Enye indlela uphethwe okusheshayo isimo - ukuzama ukukhulisa izandla zombili phezulu. Uma igazi eligciniwe ukuthi kuphazamisekile, ikhanda lalo kanye Synchronicity ukunyakaza ngeke - ngesandla esisodwa ingaphansi kunamanye.

Ngokuvamile, kungcono waphinda ukuphendula ngokuphelele, kunokuba uvumele unhlangothi kabuhlungu. Imiphumela (isithombe ngenhla ngokucacile ubonisa esibonelweni ukulimala kobuchopho) kungenzeka ezinzima kakhulu.

Yini ungalindela ngemva kokushaywa unhlangothi

Okokuqala kuyafaneleka ukuthi alulame ngokugcwele akunakwenzeka ukuba kwenzeke unesifo ezinzima ezifana. Lokhu kuchazwe iqiniso lokuthi ngemva kokushaywa unhlangothi enjalo kungukuphula imisebenzi ehlukahlukene ezibalulekile. Ukuhlola izihloko ezifana olunzulu unhlangothi, imiphumela, amathuba okusinda kanye nokwenzeka nokuvuselelwa, kuyafaneleka ukunaka kwalobu bunzima, okuyinto kuwumphumela ukulimala kobuchopho:

- Ukwephulwa yokukhuluma. Labo abasinda isimo esibi kangaka, kunzima kakhulu ukwenza ngisho imisho kakhulu elula.

- Amnesia. Kulokhu sikhuluma hhayi ukukwazi ukukhumbula imininingwane ehlukahlukene ephathelene nempilo yansuku zonke, ngaphezu kwalokho, abantu abaningi bathi umbono Imininingwane luyindida kakhulu.

- kwamehlo okuhlushwa, motor amakhono kanye nokudidiyela kwenkulumo.

- Ukukhubazeka kwesigamu ebusweni, emikhawulweni, futhi kwezinye izimo, ukulahlekelwa okuphelele motor umsebenzi.

Uma ngendlela esifike nezinto zokwelapha zezinga eliphezulu, cishe ingxenye eyodwa kwezintathu izimo, imiphumela idatha unhlangothi kabuhlungu lungabuyiselwa ukuze afinyelele eqophelweni lapho isiguli uzokwazi siphile ukuphila okwanelisayo.

Coma ngenxa yokushaywa unhlangothi

Lona omunye imiphumela enzima kakhulu, okungase kokunqotshwa ubuchopho. Njalo wahle ikhoma kwenzeka ngenxa ukudabuka wesikebhe ezinkulu-cerebral palsy, futhi ngemva subarachnoid omkhulu noma ukopha intracerebral. Kuleli zinga isiguli ilahlekelwa ukwazi evuka.

The eside ikhoma, esinamandla ngendlela, ezinkulu ezingaphezu ke bekulimele izinzwa. Kulokhu, i olunzulu ubuchopho unhlangothi ngemva imithelela ikhoma kungaba obaluleke kakhulu, ngoba ngesikhathi lutho ebuchosheni phansi kakhulu, izinguquko engelapheki.

Kwenzekani ngesikhathi equlekile

Kuleli zinga, isiguli akakwazi nokusabela ezintweni ezahlukene. Kulokhu, ingqondo lesiguli akazange ukuzibonakalisa: abafundi musa basabela ukukhanya ayisesemikhulu, futhi ubuhlungu nayo zibangele noma iyiphi ukusabela.

Kwezinye izimo, ikhono sokuzikhulula ngokuzithandela ukuchama. Ikhaliphe kuphela ezisaqhubeka ngesikhathi equlekile - a ukugwinya nokuphefumula kanzima. Uma ikhoma kwaba umphumela unhlangothi oluhambisana, ezimweni eziningi, abantu bayafa ngaphakathi kwezinsuku ezingu-1-2, ngu isizathu ka edema palsy.

Ngokuvamile, ingozi yokufa luyanda khona lezi zinto ezilandelayo:

- inqubo fixed befa amangqamuzana obuchopho;

- engu-isiguli idlula uphawu kweminyaka engu-70;

- esitho zibe eqoshiwe izinsuku ezingaphezu kwezingu-2-3;

- ayikho impendulo ekwelashweni, ubuhlungu ukuphendula endaweni nomsindo;

- ikhoma ziye zenzeka phakathi sohlangothi.

Ukuze wenze Izibikezelo esinembile, odokotela bavame ukusebenzisa ikhomphyutha futhi magnetic resonance tomography. Ukuhlolwa kwegazi Ungase futhi kakhulu kusize phakathi nenkathi zokuxilonga.

Brain unhlangothi kabuhlungu: ukwelashwa

Into yokuqala ukuthi kungenziwa esibhedlela ngemuva nesineke sithunyelwe, kuba aphansi blood pressure, ukuxhuma isiguli ukuba ngomshini futhi ukwandisa ukugeleza kwegazi. Ngaphezu kwalokho, kubalulekile ukuba usizo olunjalo ubekade yokuqala amahora amathathu emva unhlangothi iphutha.

Ukubuyisela inqubo yenzeka kahle ngangokunokwenzeka, kubalulekile ukubeka esigulini ngesimiso isikhungo nokuvuselelwa. Inkambo kakhulu ekululameni ingahlala kusuka enyangeni eyodwa kuya eminyakeni emibili. Lokho okunjalo olunzulu ubuchopho unhlangothi nemiphumela. Uphenyo izihlobo eziningi zeziguli abangenwa yilo isifo, waqinisekisa iqiniso lokuthi kubalulekile uvula isikhathi eside ukuvuselelwa kanye ukunakekelwa nesineke. indlela kuphela ukufeza ukubuya ukuphila okuvamile.

izinyathelo eziphuthumayo

ukwelashwa okuphuthumayo ingaqondiswa ku-Oqondisa ukushaya kwenhliziyo nokuphefumula kwezimila, neutralization ubuchopho edema, ukuzinza wegazi, ekwelapheni Ukudlikizela, zokunqoba homeostasis neziyaluyalu, imfiva, ukuhlanza, kanye nezinye izimpawu ukuthi kukhona sokugembula. Kulokhu, inqubo yokuthola ukuba umahluko.

Uma une ukubhekana inomvimbo ischemic, ngokuvamile kwenziwa yokwelapha thrombolytic, nemithi esetshenziswa mncane igazi. Kwezinye izimo, uma ungakwazi ukopha asebenzayo eningi ebuchosheni, i operation ingqondo.

Ukuvuselelwa kungenzeka futhi ekhaya, kodwa zonke izenzo kumele kube ngokuhambisana udokotela. Ngokuphathelene nenqubo okumelwe yenziwe phakathi nalesi sikhathi, nakhu uhlu kubo:

- Reflexology;

- kazibuthe;

- kagesi;

- massage.

zokuvimbela

Kubalulekile ngeke akukhohlwe mayelana nezenzo ezinethonya ukukhalima, kusukela okuphindaphindiwe okulimala ebuchosheni ayisakwazi ushiye amathuba yokutakula. Ukuvimbela sokuchuma okunjalo, kubalulekile ukuba balandele izimiso proven:

- umsebenzi njalo;

- inani okungenani ezimweni ezicindezelayo;

- ayenqaba ephelele imikhuba emibi;

- Ukusetshenziswa njalo izidakamizwa ngokumelene umfutho wegazi ophakeme, lapho udokotela ezibhalise;

- ekudleni kwesokudla ngaphandle ukudla okunamafutha elimazayo;

- ukulawula isisindo okweqile.

isiphetho

Njengoba ubona, uma kunenkinga ezifana unhlangothi kabuhlungu, imiphumela, amathuba okusinda futhi projection sisonke ayikwazi elixutshwe. Okuningi kuxhomeke ekutheni ngokushesha kangakanani usizo olufanelekile yezokwelapha zizonikezwa, kanye nezinye izinto eziningi (isimo sempilo, njengoba enjalo, ubudala, njll).