Ukuvuvukala kwebongo, okubizwa ngokuba yi-edema, yenye yeengozi ezifutshane ezifutshane zexesha elifutshane.
Izibetho ezinkulu , ngokukodwa, zingabangela ukuvuvukala okukhulu okunokugqithisa ngokukhawuleza, okukhokelela kwimiphumo emibi, kuquka ukulimala kwengqondo, isimo esingapheliyo sokungaphenduli okanye nokufa.
I-Stroke Yenza njani i-Edema yobomi?
Xa kuphazamiseka isifo, ukuphazamiseka kwegazi kumbindi kubangela uchungechunge lweziganeko ezibangele ukulimala kwengqondo.
Phakathi kweempembelelo zokulimala kwengqondo, ixesha elincinane lokuvuvukala kwi-stroke lingadlulela iiyure ukuya kwiintsuku.
Eyona nkulu i-stroke, ebaluleke kakhulu i-edema edibeneyo.
Ngokomzekelo, xa isithintelo esikhulu sesitya sichaphazela ukuhamba kwegazi kwi- artery central central artery , phantse ihlangothi lonke lobuchopho lingahluthwa igazi, kubangele ukufa nokuvuvukala malunga nesiqingatha sobuchopho .
Ngenxa yokuba ingqondo igqitywe ngodonga oluqinileyo lwe-bony skull, ukukhukhumeza kukukhokelela ekunyuseni kwengcinezelo, echazwe njengenyuka ekunyanzelekeni kwengcinezelo (ICP.) Iziphumo ze-ICP ziyanda kwindawo ephakamileyo yomonakalo wengqondo. Ukongezelela ekunyanzelekeni komzimba kwingqondo, i-ICP eyandayo iphazamisa ukuhamba kwegazi.
Ukwanda kwe-ICP kukhokelela kumonakalo owongezelelekileyo ngaphaya komonakalo wokuqala obangelwa yintlungu. Ukuba ukuvuvukala kubangela ukulimala kwiindawo ezinkulu zobuchopho, kunokubangela ukuqhubela phambili ngokukhawuleza ekufeni kwengqondo .
Ngamanye amaxesha, indlela engcono yokukhupha i-ICP eyingozi yenziwa ngophando olusindisa ubomi olubizwa ngokuba yi-hemicraniectomy.
Yintoni i-hemicraniectomy?
I-hemicraniectomy yenye yezona ndlela eziphambili zokukhupha ukukhukhumeza kwengqondo. Le nkqubo yokuhlinzwa, eyenziwa eklasini yokusebenza phantsi kwe-aneshesia, iquka ukususa okwesikhashana isahluko skull (ngamanye amaxesha ukuya kwisiqingatha okanye ngaphezulu) ukwenzela ukuba uvumele ingqondo ekhubekileyo ukuba yandise ngaphaya kwemida yegazi, ngaphandle kokubangela ukuphakama kweengqondo.
Inxalenye yechambo lekhane elisuswe ligcinwa kuze kube yilapho i-edema isisombululo, apho iyakunqunywa khona kwisimo sayo sokuqala ukukhusela ingqondo.
Ngaba yonke imivimbo emikhulu iya kunyangwa nge-hemicraniectomy?
Nangona oogqirha abaninzi bekhuthaza i-hemicraniectomy kwiimeko zokukhukhuma kwengqondo, abanye banomuvo wokuthi nangona izibonelelo ezibonakalisiwe zalo mgaqo ngokusinda, i-hemicraniectomy ayiqinisekisi nto yokubuyisela umgangatho wobomi kuzo zonke izilwanyana ezisindayo.
Kukho ezinye izibonelelo zengqondo ye-brain, nangona akukho nanye ichanekile njenge-hemicraniectomy. Ukuba umntu obathandayo uye waba ne-stroke enkulu kunye ne-edema enzima, isigqibo malunga nokuba kuqhutywe i-hemicraneictomy ukuxhaswa kwengcinezelo kusekelwe kwizinto ezininzi, kubandakanywa ukuba umthande wakho umthandayo, nokuba ingaba impilo yakho ukunyamezela ingozi yokuhlinzwa.
Ngubani osenza isigqibo sokuba ngaba umhlobo wam uya kufumana i-hemicraniectomy?
Ngamanye amaxesha, i-hemicraniectomy yinkqubo yokukhawuleza, kwimeko apho kunokuthi kube nexesha elincinci lokuziphendulela malunga nenzuzo kunye neqhinga le nkqubo.
Ngokuqhelekileyo, umsindisi osindayo ofuna i-hemicraniectomy akaqapheli ngokwaneleyo ukuba akwazi ukuxoxa ngesicwangciso senzo kunye neqela le-stroke.
Ngaphandle kokuba i-hemicraniectomy iqhutywe ngokukhawuleza, uluvo lwentsapho malunga nokuba ingaba le nkqubo ayifanelekanga yenziwe ingqalelo. Isigqibo malunga nokuba usaphila i-stroke kufuneka ufumane i-hemicraniectomy ngokuqhelekileyo kufinyelelwe emva kokuba izingozi kunye neenzuzo zonyango ziye zaziswa ngokucacileyo kwintsapho, kwaye emva kokuba intsapho iyavuma ukuqhubeka nenkqubo.
Ngaba kufuneka ndivumelane ne-hemicraniectomy kumthandwa wam?
Ukuba ubhekene nesidingo sokubonelela ngempilo ye-hemicraniectomy kumntu owaziyo, kunokuba luncedo ukucela iqela lezokwelapha malunga nale miba elandelayo ukunceda wenze isigqibo sakho:
- Ubunjani ukuba umthandi wakho uya kubuya asebenze ngengqondo ebonakalayo xa i-hemicraniectomy yenziwa?
- Ukuba utyando lwenziwa kunye nomthandane wakho ehlala esichengeni, ngaba kukho ithuba elinenjongo lokuba uya kukwazi ukutya okanye ukuphefumla kwakhe? Ukuba akunjalo, ngaba wakha ukuvakalisa iimvakalelo zakhe ngokuxhomekeka ngokupheleleyo kwi-tube feedings kunye / okanye ukutshintsha umoya?
- Ngaba umthandwa wam unomdla ophilileyo ochaza ukuba ungenelela ukuthini ukunyamezela phantsi kweemeko ezikhoyo?
ILizwi
Ukuphazamiseka kunokubangela imiphumo emfutshane emfutshane efuna ukungenelela kwonyango oluphuthumayo. Abaninzi abasindileyo bafumana ukuphulukana ngokuphawulekayo emva kokuba i-hemicraniectomy iyenziwa ukunciphisa i-edema. Ukubuyiswa emva kwe-hemicraniectomy kuthatha ixesha kunye nomonde. Ukubuyiselwa kwimizimba ingasilula, ngoko kubalulekile ukuba ufumane ulwazi oluninzi njengoko unako malunga nenkqubo yokubuyisela ukuze uncede umntu wakho omthandayo ngokusebenzisa isigaba sokuphilisa emva kokuphazamiseka.
> Imithombo:
> Umthamo ongaqhelekanga uqikelela isiphumo emva kokudumala kwe-hemicraniectomy yesifo esibuhlungu besifo sofuba .Heech N, Neugebauer H, Fiss I, i-Pinczolits A, Vajkoczy P, iJüttler E, i-Woitzik J, i-J Cereb i-Blood Flow Metab. 2017 Jan 1: 271678X17718693