Yintoni i-Lacunar Stroke?
Izibetho ze-Lacunar zizibetho ezibangelwa kukungena kwegatsha elincinci lomkhumbi wegazi omkhulu . Ngenxa yendlela indlela imivenge yegazi ehlula ngayo ingqondo, i-lacunar isifo sithatha kwiindawo ezikude nommandla wengqondo, apho amaninzi amanqanawa e-blood vessels atholakala khona. Njengokuba ezininzi iingingqi zengqondo zenza umlinganiselo omiselweyo wemisebenzi yengqondo, ukuqoqwa kweempawu zesifo esivunyelwe i-lacunar ngokuqhelekileyo ziwela phakathi kweentlobo zeempawu eziyaziwayo ezibangelwa umonakalo kule mimandla.
Ziquka ezi zilandelayo:
Iinqwelo zeMoto eziPhezulu
Imivimbo yeemoto ezinobungoko yindlela eqhelekileyo yokubetha, i-accounting engaphezu kwama-50% kuwo onke amacala. Oogqirha basebenzisa igama elithi "i-motor hemiparesis ecacileyo" ukuchaza iimoto ezizodwa. Igama elithi hemiparesis lithetha ubuthathaka kwelinye icala lomzimba.
Iimoto ezinqabileyo zihlala ziquka ezi ndawo zilandelayo zengqondo:
Zonke ezi ndawo ziqulethe iifayili ezidibanisa "i-cortex yengqondo" kwindawo yenkqubo yesifo apho imiyalelo yokuqalisa ukuhamba ngokuzithandela (ukuhamba, ukuthatha unyawo lwakho) kuqala kuqala. Le mimandla yenkqubo ye-nervous ivuselela imisipha yonke umzimba ukuba ihambe. Kwiimeko ezininzi, umphumo wezibetha kule mimandla ulinganisa ukungakwazi ukuba umpopoti uza kuhambisa ingalo yomthi we-marionette ukuba umtya owuxhumene nesibambiso sawo unqunywe. Kulo mzekelo, i-puppeteer imele i-cortex yengqondo, ngelixa iimbambo ezivumela ukuba i-puppeteer ihambise izidumbu zomzimba ze-marionette zimela iindawo ezichaphazelekayo kwi-motor pur lacunar.
Izibonakaliso ze-Stroke yePhethiloli yasePort
Iimpawu zokuhamba ezinobungqina ezinobangela ubuthakathaka obuthathaka okanye obupheleleyo ebusweni, ingalo nomlenze kwelinye icala lomzimba. Ubuthakathaka lunokuba yiyiphi na yalezi zodwa zodwa, okanye zidibene nenye yezinye ezimbini. Ngokuqhelekileyo, iinqwelo zomoya ezimsulwa zibangela ukudibanisa kwengalo kunye nobuthakathaka bomlenze, ukubeka ubuso, okanye ukudibanisa ingalo, umlenze kunye nobuthathaka obusweni.
Nangona kunjalo, iimpawu zingenzeka nakweyiphi na yalezi zodwa zodwa.
Ngenkcazo, kwiimoto ezizenzekelayo ezingenanto akukho ukulahlekelwa kwintlungu kuyo yonke indawo emzimbeni, kwaye akukho zibonakaliso zokubonakala okanye zokuthetha.
Izibetho ezinqwenelekayo zeLacunar
Njengoko igama labo lithetha ukuba, iimpawu ezinqamlekileyo zintlungu ezityhutyhayo apho iimpawu zodwa zizintlu ezingaqhelekanga, ezinjenge-numbness okanye ukungaqhelekanga kwintlungu, ubushushu okanye uxinzelelo (jonga ngezantsi). Ubuninzi bezinto ezinqabileyo ezinqabileyo zithinta indawo yengqondo ebizwa ngokuba yi-thalamus, indawo ebandakanyekayo ekusebenziseni iingqondo ezivela kuwo wonke umzimba. Iimvakalelo ezichaphazelekayo nge-stroke ye-sensory ecocekileyo ziquka ukuthintela, intlungu, ubushushu, uxinzelelo, umbono, ukuva, kunye neengcamango.
Iimpawu zeScroke eQinisekile
Uninzi lweziganeko zentsholongwane ebonakalayo engabikhoyo okanye ukungavumelekanga kwinto ebusweni, ingalo, umlenze kunye ne-thorax, kodwa kuphela kwicala elinye lomzimba. Kwiimeko ezininzi, kunjalo, iinxalenye zomzimba ezahlukeneyo ezifana neminwe, unyawo, okanye umlomo kwicala elinye lichaphazelekayo. Uhlobo oluqhelekileyo lwe-purity lacunar isifo esibizwa ngokuba yiDejerine Roussy, okanye iCentral Pain Syndrome .
I-Sensorimotor i-Lacunar Stroke
Olu hlobo lwe-lacunar isifo se-stroke sisiphumo sokukhutshwa kwesitya esinika i-thalamus kunye ne-capsule yangaphakathi.
Iimpawu zeSensorimotor Stroke
Ngenxa yokuba zombini inzululwazi kunye nommandla wendawo yengqondo echaphazelekayo ngolu hlobo lwesifo, iimpawu zalo ziquka ukulahleka kwemvakalelo (umonakalo kwi-thalamus) kunye ne-hemiparesis okanye i-hemiplegia (umonakalo kwi-capsule yangaphakathi). Bobabini i-sensory ne-motor engafanelekanga zivezwa kwicala elinye lomzimba.
Ataxic Hemiparesis
Olu hlobo lwe-stroke ludla ngokubangelwa ukungabikho kokuhamba kwegazi ukuya kwenye yezi ndawo zilandelayo zengqondo:
Iimpawu zeAtaxic Hemiparesis
Izibetha ze-Lacunar kwiindawo ezithile zezo ndawo, ezinokubangela ukuba iimpawu ezinqwenelekayo zeemoto zenzeke, zingabangela ukuzingca kunye nobuthakathaka entolongeni nasemlenzeni kwelinye icala lomzimba.
Ngokuqhelekileyo, ukuzithiba (ataxia) kuyimpawu ebandezelekileyo kunokuba ubuthathaka kwisandla okanye umlenze ochaphazelekayo. Ubuso abuqhelekanga kubandakanyeka.
I-Dysarthria Clumsy-Hand Syndrome
Ngenkcazo, i-dysarthria clumsy-hand syndrome idibaniso yeempawu ezibangelwa i-lacunar isifo esichaphazelekayo esichaphazela isahluko sangaphakathi se-capsule yangaphakathi. Kwiimeko zinyani zesi sifo, abantu bahlupheka kokubili i- dysarthria (ingxaki yokuthetha) kunye nesandla esinzima.
Iimpawu zeDysarthria Clumsy-Hand Syndrome
Njengoko igama lithetha, into evelele yale syndrome yintlungu yokuthetha ebizwa ngokuthi i-dysarthria. Ngokona buninzi, i-dysarthria inokuchazwa njengengxaki yokumemezela okanye ukwakha amagama ngenxa yokunyuka kweemeko zebhokisi yezwi, eyaziwa nangokuthi i-larynx, ulwimi kunye nezinye izihlunu emlonyeni.
Ngaphandle kwe-dysarthria, abantu abanesi sifo bakhononda ngokunyuka kwamanyathelo ezandla kwelinye icala lomzimba. Ngokuqhelekileyo isandla esithintekileyo sinamandla, kodwa abantu bakhononda ngobunzima bokunyakaza okufana nokubhala, ukudibanisa i-shoelace, okanye ukudlala ipiyano.
Umthombo:
JP Mohr, uDennis W. Choi, uJames C. Grotta, uBryce Weir, uPhillip A. Wolf Stroke: I-Pathophysiology, i-Diagnosis, kunye noLawulo uChurchill Livingstone; Umqulu we-4 (2004)
Ulungiswe nguHeidi Moawad MD