Uhlobo loBungozi boBongo obangelwa yiVessel Blood
Isibetho sisifo esibalulekileyo sonyango esibangele ukungabikho kwegazi kwingqondo. Kwiimeko ezininzi, kubangelwa ukuba i-clot yegazi ibumba kwi-artery eyenza ingqondo, imeko ebizwa ngokuba yi- stroke .
Nangona kunjalo, malunga neepesenti ezili-10 zamatyala, i-stroke ibangelwa xa isitya segazi siphuphuma ngokukhawuleza kwingqondo. Ngaphandle kwe-oksijini eqhutywe ngegazi, iisenti zeengqondo ziya kufa ngokukhawuleza kwaye zikhokelela ekuphazamisekeni kwengqondo.
Olu hlobo lwesisu lubhekiswa njengoluhlungu oluneqhwaba okanye isifo somzimba.
Iimpawu zeHlrosh Hemorrhagic
Xa i-intrarebral hemorrhage iyenzeka, ayigcini nje ukuyeka ingqondo ye-oksijeni, inokubangela ukukhukhumeza okukhulu nokuxinzelela kwengqondo ngokwayo. Iimpawu ziyahluka kodwa ziquka:
- Ngokukhawuleza kunye nentloko
- Utywala kunye nokulahlekelwa kwemali
- Ubuthathaka ebusweni, emlenzeni, nangengalo kwelinye icala lomzimba
- I sizathu
- Ukuvutha
- Ukudideka okanye ukuphazamiseka
- Iingxaki ngokuthetha okanye ukugwinya
- Ukuxhamla
Ingozi engeyiyo ingxaki yomsindo we-intrarebral hemorrhage isiganeko esibhubhisayo esinomhla wokufa kweentsuku ezingama-30 phakathi kwama-35 ekhulwini kunye nama-52 ekhulwini, ngokutsho kovavanyo luka-2010 kwi-Stroke Magazine.
Iimbangela zeHlrosh Hemorrhagic
Nangona i-hemorrhage engenayo i-intracranial ingabangela ngenxa yokulimala koluhlungu kakhulu (njengokuba kunokuthi kwenzeke engozini yemoto), ezibini izizathu eziqhelekileyo zihambelana nokungaqhelekanga kwemithambo yegazi ngokwabo.
Enye imeko enjalo iyaziwa ngokuba ne- aneurysm eyenzekayo xa icandelo lomtshini lenziwe ngokungaqhelekanga. Xa oko kwenzeka, iindonga zetyitha ziya kuqala kwibhaluni kwaye ekugqibeleni ziphule. I-Aneurysms ingaba yintsapho (ithetha ukuba kwakukho ukusukela ngexesha lokuzalwa) okanye kubangelwa yingozi yengozi ephezulu (uxinzelelo lwegazi oluphezulu).
Esinye isizathu esingaqhelekanga sisifo esingumntwana esaziwa njenge- malter arteriovenous (AVM) . I-AVM ibonakaliswa ngokungabikho kwamaplasilla phakathi kwemibhobho kunye neethambo. Esikhundleni sokudibanisa kule ntanethi ye-branching yamanzi amancinci, iirribhethi ezithile kunye neemvini ziya kudibanisa ngqo. Oku kuninzi kuvela kwingqondo okanye emthonjeni.
Ngokuhamba kwexesha, iinqanawa ezingavumelekanga ziya kuqala ukuhlaziya njengoko uxinzelelo lwegazi lubeka uxinzelelo olongezelelweyo kwisakhiwo sabo esele sinobuthathaka. Ngokudabukisayo, abangaphezu kwama-50 ekhulwini abantu abane-AVM baya kuhlaselwa sisifo esibuhlungu.
Ukongezelela, iintlobo ezithile zomhlaza womkhuhlane zingabangela ukubola kwesisu ngokunciphisa ingqibelelo yesakhiwo senqanawa kwaye ibuthathaka.
Unyango
Enye yezinyathelo zokuqala ukujongana nesifo sokunyuka kwesisu kukunciphisa uxinzelelo lwegazi ngokukhawuleza. Izidakamizwa ezingasondelanga ukusetyenziswa kwamachiza ziya kusetyenziswa ngokuqhelekileyo oku, ngelixa amayeza enokumiselwa ukuba amelane nabani na abagcini begazi abangayithatha.
Xa umntu sele ezinzile, oogqirha baya kujolisa ukuphawula umthombo wegazi. Ukuba ukubola kwegazi kuyinto encinci, ukunakekelwa kokuncedisa kunokuba yiyo yonke into efunekayo, kubandakanywa i-hydration ejongene ne-IV ukukhusela ukuvuvukala kwe-intracranial.
Ukubethelwa kancinci, kunokufuneka ukuba utyando lulungiswe ukulungiswa nokuyeka ukuphuma kwegazi. Kwezinye iimeko, ingasetyenziselwa ukunciphisa uxinzelelo kwigazi eliqokelelwayo. Oku kungadinga inkqubo eyaziwa ngokuba yi- craniotomy apho icandelo lekhanga likhishwa okwesikhashana.
Ukuthetha ngokuqhelekileyo, ukuphulukana nesifo esibuhlungu kuncipha kwaye kufuna ukuhlala esibhedlele ixesha elide. Ukusebenza kwintsebenzo, intetho kunye nokunyangwa kwonyango kuyafuneka ukuba kuphuculwe izakhono zezithuthi ezichaphazelekayo ngomonakalo wengqondo.
Kwimeko yesibetho esincinci, umntu unokukwazi ukubuyela ekhaya kwiiveki ezimbalwa. Kwiimeko ezinzima kakhulu, unyango lunokuqhubeka kwaye lufuna unonophelo lwexesha elide ukuba imisebenzi yemoto neyengqiqo yenzeke kakhulu.
> Imithombo:
> American Heart Association. "Yintoni i-Arteriovenous Malformation (AVM)?" EDallas, eTexas; hlaziywa ngoOktobha 2012.
> Hanley, D .; Awad, I; Vespa, P. et al. "Isibilini esiyingozi: Isingeniso." Stroke. 2013; 44: S65-S66. INGXELO: 10.1161 / STROKEAHA.113.000856.
> Amandla, W. "I-Intracerebral Hemorrhage kunye neNtloko yexinzelelo; Iimpawu eziqhelekileyo kunye neendlela eziqhelekileyo zokulimala." Stroke. 2010; 41: S107-S110. INGXELO: 10.1161 / STROKEAHA.110.595058.