Ukubetha kunokuchaphazela nayiphi na indawo kwingqondo. I-brainstro stroke ihlala encinane ngobukhulu kodwa ingabangela iimpawu ezinkulu.
I-brainstem ingummandla wengqondo osebenza ngokusemgangathweni nasekusebenziseni umsebenzi ophezulu wengqondo kunye nomzimba wonke. Kwakhona liziko lokulawula kwimisebenzi emininzi yokugcina ubomi, njengokuphefumula kunye nentliziyo.
I-brainstem, njengoko iboniswe kwisithombiso esingentla, ifumaneke ngaphakathi kwengqondo kwaye iqhubela phambili ekhanda, apho ikhonkwane kunye nempumputhe ihlangana khona.
I-brainstro stroke yimbangela yokuphazamiseka kwegazi ngaphakathi kwemithambo encinci emva kwentamo kunye nengqondo, njengetyeri ye-basilar, isitya sokunene okanye sesobunxele esingaphantsi komgca we-cerebellar okanye i-artébral artery. Iimbangela ze-brainstroke isifo esifana nezobangela izibetha kwezinye iindawo zengqondo.
Iimpawu
I-brainstro stroke ingabangela uluhlu lweempawu. Ingabangela ubuthathaka okanye ukulahlekelwa kwintlupheko kwicala lomzimba ojongene necandelo elonakalisiweyo le-brainstem. Ingabangela imboniselo emibini kuba ukulawulwa kweempawu zamehlo kufumaneke kwi-brainstem. Xa iliso elinye lingakwazi ukuhamba kunye nelinye iliso eliqhelekileyo-ukungabikho komanyathelo ohambelanayo kuvelisa imbono yeemifanekiso ezimbini. I-brainstro stroke ivame ukudibaniswa nabafundi abangafani .
Ukuxakeka okanye ukuvalelwa kwezinto eziqhelekileyo kufana ne-brainstro stroke ngenxa yokuba umlinganiselo wokulinganisela ugcinwa kwi-brainstem. Amandla omzimba angasifanelanga kunye nomlomo angenza enye yeenkopheko zenze i-droop okanye enye icala lomlomo . Ingabangela ingxaki yokugwinya , intetho edibeneyo okanye inokwenza ulwimi lujolise kwicala elinye.
Kungabangela ubuthathaka bamahlombe, ngokuqhelekileyo kubonakaliswe njengokuba akunako ukunyanzelisa amahlombe.
Enye yeempawu ezahlula i-brainstro stroke kwi-corrox ye-cerebral iyingozi kwi-faction sensation. Xa i-brainstro stroke ikhiqiza ubuncwane bobunzima buso, ubuso bunqamle kwicala elinye. Oku kuhambelani nokubetha kwe-cortex ye-cerebral, ebangela intsalelo yecala kwicala elincinane lobuso. Le ngenye yeenkcukacha ezenza ukuba i-neurologist isebenzise ukuxilonga i-brainstem stroke.
Kwezinye iimeko, i-brainstro stroke ingabangela i-hiccups.
Kwakhona kungabangela ukulahlekelwa kwengqondo ngenxa yendima yengqondo ye-brainstem ekulawuleni ukuphefumula kunye nentliziyo.
I-Brainstem Stroke Syndromes
Ezinye i-brainstro stroke syndromes ziquka iqoqo leempawu ezibonakala zingenakulinganiswa ezivela kunye ngenxa yokuba ulawulo lwazo luhlala kwiindawo ezincinci ze-brainstem ezabelana ngegazi elifanayo.
Isiqalekiso sika-Ondine - sithinta ukuphefumula ngokuzithandela ngenxa yesilonda se-medulla esezantsi
I-Webers syndrome-isifo sobumbano esibangela ukuba ubuthathaka becala lomzimba luhlangene nobuthakathaka bejwabuzele kunye nobuthathaka bokuhamba kwamehlo kwicala elinye
Ukuvalelwa kwi-syndrome -yinto ephazamisayo echaphazela iipon kunye neziphumo ekuphelelweni okupheleleyo kunye nokungakwazi ukuthetha, ngokuqonda okusemgangathweni kunye nokukwazi ukuhambisa amehlo. Ingabangela ukuba ityuwa engavumelekanga kunye ne-balance balance .
I-Wallenberg syndrome, ebizwa ngokuba yi-latal medullary syndrome -characteristically causessensity defectory of face kwicala elifanayo njengoluhlu kunye nokusilela komzimba kwicala eliphambene noluhlu, njengalo mzekelo.
Ukuxilongwa
Ukuxilongwa kweentlobo zesifo sengqondo kufuna ukuqonda okubanzi kunye namava anesifo segazi. Ukubetha kweBrainstem kaninzi akubonakali kwi-brain CT okanye kwi-MRI yengqondo njengemivimbo kwezinye iindawo zobuchopho.
I-brainstem iyinto encinci kwaye iyanzima ukuyijonga ngeso lengqondo ngenxa yethambo elikufuphi legazi kunye nengxenye ephezulu yomgudu. Ngokuqhelekileyo i-brainstro stroke ibonakalisa iziphumo zonyango ezifunyanisiweyo ezifunyenwe ngophando lweklinikhi kwaye kungathatha iintsuku ukuya kwiiveki ukuba utshintsho luvele kwiinkalo zengcamango-ukusebenzisana nokuhlolwa klinikhi.
Prognosis
Njengokuba kuqhutywe kwezinye iindawo zengqondo, ukugxekwa kwe-brainstro stroke kuyahluka. Iimpawu ze-stroke zivame ukufikelela ubunzima obukhulu kwiiyure kunye neentsuku emva kokuqala kokuqala kwesifo ngaphambi kokuqala ukuphilisa . Ukunyamekela ngononophelo kunye nokunyamekela unyango kunokunceda ukwandisa ukuhlaziya nokunciphisa ukukhubazeka emva kokuphazamiseka kwengqondo.
Imithombo
UMartin Samuels noDavid Feske, i-Office Practice ye-Neurology, i-2 ye-Edition, uChurchill Livingston, 2003
UWalter G. Bradley DM FRCP, uRobert B. Daroff MD, uGerald M Fenichel MD, uJoseph Jankovic MD, i-Neurology kwi-Clinical Practice, i-4 th Edition, i-Butterworth-Heinemann, 2003