I-stroke echaphazela i-cerebellum yenye yezona zinto zincinci eziqhelekileyo zokubetha, okubalwa malunga ne-3% yazo yonke imivimbo. Iimpawu zokubetha kwe-cerebellar zicaca ukuba zinokudidaniswa nezinye izifo. Nangona kunjalo, izibetho ze-cerebellar ziyingozi kwaye zingabangela iingxaki ezinzulu ngenxa yendawo ekhethekileyo ye-cerebellum.
Ukuba wena okanye umntu obathandayo unomdlavuza we-cerebellar, unokufumana iimpendulo zemibuzo yakho apha.
Uqwalaselo lweCerebellum
I-cerebellum iyinxalenye yengqondo elawula ukulinganisela kunye nokulungelelaniswa komzimba kunye nokulungelelaniswa kwamehlo. I-cerebellum ifumaneka kumqolo ongaphantsi wengqondo kwaye inecala elingakwesobunxele nangesokhohlo, efana nebonakalayo. Icala ngalinye lilawula ukulungelelaniswa komzimba oseceleni kwelinye icala njenge-cerebellum.
Ulwaphulo lwe-cerebellar lwenzeka xa isitya segazi esibangela isahlulo se-cerebellum sivinjiwe okanye siphala, siphazamise ukunikezelwa kwegazi kummandla we-cerebellum.
I-cerebellum yincinci, kodwa ngenxa yokuba kuneemitha ezininzi zegazi ezinika isondlo segazi esisisigxina kwi-cerebellum, uhlangothi lwe-cerebellar luquka kuphela icandelo elinye okanye elinye icala le-cerebellum, ukuvelisa iimpawu ezichaphazela elinye icala lomzimba.
Imithambo yegazi efikelela kwi-cerebellum ibizwa ngokuba yi-artery cerebellar ephezulu, i-artery cerebellar artery, kunye ne-posterior low-cerebellar artery.
I-blood clot, ukuphuma kwamanzi okanye ukuphazamiseka kule mijelo yegazi kungabangela ukubetha kwe-cerebellar.
Iimpawu zeCerebellar Stroke
I-cerebellar stroke kaninzi ibonakalisa ukuxakeka, ukuphathwa kwentloko, isisongela kunye nokuhlanza. Ukongezelela, abantu abane-stroke bahamba nzima, baxakeke ngokubambisana, imibono emibini, ukuthuthumela nokuthetha ingxaki.
Izimpawu ezingenangqondo ezinjengezondlo ezinjengezotyhefu kunye neentloko ziqheleke kubantu abafumana unxephezelo lwe-cerebellar ngaphezu kombono ocacileyo okanye iingxaki zokusebenzisana. Ngako oko, abanye abantu abafumana isifo se-cerebellar basenokungayihoyi iimpawu, kwaye abanako ukufumana unyango emva kokuba iimpawu zibe nzima okanye ziqhubeke. Kwaye, uphando lubonisa ukuba nangona abantu abane-cerebellar strokes befumana unyango, banokungafumani kakuhle nge-migraine ikhanda okanye umkhuhlane wesisu kuba ukuhlanza kunye neentloko zibonakala ngaphezu kweengxaki ze-neurological.
Kukho iimpawu zesifo sokurhweba esingaba khona xa umntu enesifo sokutya, kwaye oku kunokukunceda oogqirha bakho bachaze ukubetha. Ezi zibandakanya ukubetha kweengalo okanye imilenze, ukuyikima komzimba, kunye nokubukeka kwamehlo xa behamba ukusuka kwesobunxele kuya kwesokudla. Nangona kunjalo, akubona bonke abantu abane-stereke ye-cerebellar enezibonakaliso-kuxhomekeke ekubeni lukhulu kangakanani ukubetha. kunye nendawo yayo ngqo kwindawo ye-cerebellum
Ubungakanani obuqhelekileyo ubuchopho be-CT ngokuqhelekileyo abubonakalisi ukubetha kwe-cerebellar ngenxa yendawo yokugcina i-cerebellum. Kuphantsi kwengqondo kwaye ikhuselwe yithambo, yenza kube nzima ukujonga ngeso lengqondo kwi-brain CT.
Ingqondo ye-MRI ingabonakalisa bhetele i-cerebellum, kodwa ngenxa yokuba i-MRI idinga ixesha elide ukugqiba, ayithathwa njengolukhuselekileyo ukuba unengxaki engxamisekileyo yengqondo ye-MRI ukuba ungaziphilisekiyo. Ezi zinto zonke zifaka isandla kwixesha elithile le-astroke ye-cerebellar.
Iingxaki zeCerebellar Stroke
I-cerebellar stroke ibangela iingxaki zoqhagamshelwano zomzimba, ngokubanzi kwicala elinye. Iingxaki zoqhagamshelwano olulodwa zodwa zingabangela ukuphazamiseka okukhulu kokuhamba. Ingxaki yombono kunye neengxaki zokuthetha, ukuthuthumela kunye nokunyakaza kwintlungu kungabangela ukubetha kwe-cerebellar.
Iingxaki ezincinci zexesha elifutshane zingabandakanya ukuvuvukala kwengqondo, ezinokubangela ukunyanzeliswa kwengqondo ngaphakathi kweckull, okungabangela umonakalo omkhulu kwi-cerebellum, i-brainstem okanye enye imimandla yengqondo.
Kwixesha elide, ukukhupha okanye ukuphuma kwegazi kunokuphazamisa ukuhamba okuqhelekileyo kwe-cerebrospinal fluid ejikeleze ingqondo kunye nomgudu, kubangele i-buildup of fluid, imeko ebizwa ngokuba yi-hydrocephalus. Le meko idinga ukuba kungenelele ixesha elide njenge- ventriculoperitoneal shunt placement .
Izinto Zengozi KwiCerebellar Stroke
I-blood clot, ukuphuma kwamanzi okanye ukuxhwalaza kungabangela ukushaywa kwe-cerebellar. Imiba yengozi yegazi elibangela ukuba i-cerebellar stroke ifane neemeko zobungozi kunoma yimuphi umlingo wesichakamiso kuyo nayiphi na inxalenye yengqondo. Ezi zibandakanya ukutshaya, uxinzelelo lwegazi , amafutha aphezulu kunye ne-cholesterol , isifo senhliziyo nesifo sikashukela. Imiba yengozi ye-cerebellar isifo esixinzelelekileyo siquka ingozi ephezulu yongcinezelo okanye i -brainurm . Yaye ingxakatho yentamo emva kwentamo ingalimaza imithana yegazi ehambisa i-cerebellum, ekhokelela kwi-ischemic okanye i-stroke ephazamisayo.
ILizwi
Ngokuqhelekileyo, i-cerebellar stroke idinga ukuvavanya ngokunyanisekileyo ukufumanisa ukuba kukho i-aneurysm yengqondo okanye nayiphi na isitya segazi esingaqhelekanga. Ukulawulwa ngokucophelela kokuphuma kwegazi kunye nokuvuvukala kuyimfuneko ukukhusela i-hydrocephalus. Umele ulindele ukubeka esweni esondeleyo kwiintsuku emva kokufumana isifo se-cerebellar, nangona iimpawu zakho zingabonakali kakhulu.
Uninzi lwabantu abanobuhlungu be-cerebellar buphucula, kodwa oku kungathatha ixesha. Iyeza lonyango lilitye lembombo lokuphucula, ngakumbi xa kufikelele ekubuyiseleni ukulinganisela nokufunda indlela yokuhamba ngokuphepha. Ngexesha elidlulileyo, ukuthuthumela kunye nokunyakaza kwamanzi kuya kuphucula. Umbono ombini ungabungozi obukhulu xa kufikelele ekuqhubeni kwaye kungabangela intloko, kodwa kuya kuphucula ixesha elide.
> Ukufunda okuqhubekayo:
> I-Suboccipital Decompressive Craniectomy yeCerebellar Infarction: UkuHlola okuSingqinisiso kunye no-Meta-Analysis, ii-Ayling OGS, i-Alotaibi NM, i-Wang JZ, i-Fatehi M, i-Ibrahim GM, i-Benavente O, i-Field TS, i-Gooderham PA, iMacdonald RL, i-World Neurosurg. Ngo-2017 uNgobi 2. i-pii: S1878-8750 (17) 31872-7. i-doi: 10.1016 / j.wneu.2017.10.144.