Isisu kunye neentlungu zingabuthaniswa ngenxa ye-lacunar engathandabuzekiyo (i- stroke ) kwingingqi yengqondo ebizwa ngokuba yi-thalamus. Lo mbandela obalulekileyo usebenza njengesitishi esele sithunyelwe ngolwazi lwenkohliso evela kuwo wonke umzimba. Ngokuqhelekileyo, isifo esinjalo se-lacunar sithe ngqo kwiindawo ze-thalamus ezifumana ulwazi malunga neentlungu, ukushisa, ukuthintela, ukuphazamiseka kwengqondo kunye noxinzelelo oluvela kuwo wonke umzimba.
Xa i-stroke ibangela intlungu ngenxa yomonakalo kule mimandla, abantu bathi bathathaka kwi-Dejerine-Roussy syndrome. I-syndrome ngamanye amaxesha ibizwa ngokuba yi-thalamic syndrome, okanye i-sypsy syndrome (i-CPS).
Ngokombutho we-American Stroke Association, akukho zibalo eziqinileyo zolu hlobo lwentlungu elandela ukubetha. Uphando lwabonisa ukuba iipesenti ezilisithoba zabaphenduli babenentlungu yesifo esiphakathi. Abo bahluphekayo bavame ukuxoshwa njengokwenza okanye ukunyusa intlungu.
Iimpawu zeProroke-Impuced Pain
Iimpawu ze-Dejerine-Roussy syndrome ziquka ezi zilandelayo:
- Iintlungu ezingachazwanga zivela kwelinye icala lomzimba
- Uvakalelo olungaqhelekanga lwentlungu kwi-stimulus eqhelekileyo, efana nokubetha kancinci kwesikhumba
- Imizwa yokulinganisa ukusuka kwelinye icala lomzimba
- Imiva yokunyuka ngokweqile kwelinye icala lomzimba
- Imvakalelo engavumelekanga yokutshisa okanye yokubandisa kwelinye icala lomzimba
Ngamanye amaxesha i-syndrome ihamba nobuthathaka ebusweni, ingalo, kunye / okanye umlenze kwelinye icala lomzimba, oqala ngokukhawuleza emva kokubetha.
Ubuthathaka ngokuqhelekileyo buhamba ngokuhamba kwesikhathi, kodwa zonke ezinye iimpawu zinokusisigxina.
Iimpawu zengqondo ze-Dejerine-Roussy syndrome ziqala ngokukhawuleza emva kokuphazamiseka okanye zifike ngokukhawuleza kwiiveki ezilandelayo, okanye iinyanga.
Unyango lweDejerine-Roussy Syndrome
Ukufumana unyango lwe-Dejerine-Roussy syndrome kubandakanya ukuxhatshazwa kweengxaki, eziqhelekileyo ezingabizi, zikhuselekile kwaye ziyasebenza; i-anticonpasants ; kunye neeyeza ezinjenge-ibuprofen.
Kwiimeko ezinzima, abantu banikezwa ngamachiza ezinzima ezinjenge- morphine kunye ne-methadone. Abanye abantu banokuzuza ngokugqoka ifowuni njengompu we-morphine. Ukufumana i-regimen yesigqibo samayeza kunokuthatha ixesha.
Izinketho zokuphanda zikhona kodwa i-neurosurgery kufuneka ibe yinto yokugqibela yokugqibela. Ugqirha lubandakanya ukukhupha kwengqondo ejulile , apho i-electrode ifakwa kwaye ithumela ukuvuselela kwiimvumi zentlungu. Ukuvuselelwa kwengqondo ejulileyo kusetyenziswa ukunciphisa ukuqonda komntu intlungu.
Kubalulekile ukufumana ugqirha ofanelekileyo. Ezinye izigulane zifumana umdlalo omhle kwi-neurologist yazo yokuqala. Abanye kufuneka baphumelele kwiindawo ezininzi zokuqeshwa ngaphambi kokuba bafumane umntu oqonda intlungu yabo kwaye aqale ukuhlola iindlela ezahlukeneyo zokwelapha.
Imithombo:
American Stroke Association. Ukugqitywa kwi-Pain Pain Never Goes away; I-Stroke Connection Magazine; Septemba / Oktobha 2003 (Ukuhlaziywa kwezesayensi yokugqibela ngoMatshi 2013).
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).