Uxinzelelo lwe-intracranial (ICP) ngumlinganiselo woxinzelelo lweengcambu zeengqondo kunye ne-cerebrospinal fluid e-cushions kwaye ijikeleze ingqondo kunye nomgudu womgudu. Isetyenziswe ukubeka iliso kwimpilo yengqondo emva kokulimala. Ukunyuka kweengcinezelo zengcinezelo kungabangelwa i- tumor ekhusheni , ukuphuma kwi-fluid ejikeleze ingqondo okanye ukuvuvukala ngaphakathi kwengqondo.
Ukunyuka kweengcinezelo zengcinezelo yimeko yezokwelapha ezisongela ubomi. Ukungathandabuzeki, kunokukhokelela kumonakalo wengqondo okanye umonakalo womgogodla ngokuqulunqa izakhiwo zeengqondo nokukhawulela ukuhamba kwegazi kwingqondo.
Iimpawu ze-ICP ephakamileyo
Iimpawu zoxinzelelo olusenyongweni oluphezulu luhluka ngobudala. Iintsana zibonisa iimpawu ngokuhlanza okanye ukulala. Bangabonisa ukuphuma kwangaphandle kwi-fontanelle, indawo epholileyo kwiphezulu yentloko. I-ICP kwiintsana zinokuba ngumqondiso wokuxhaphazwa kwabantwana, ingakumbi i-baby syndrome. Kwakhona kuba ngumphumo wokuhlukana kwamacwecwe e-bony afaka i-kagadi yaziwa ngokuba yi-sutures ehlukeneyo ye-kaga.
Abantwana abadala kunye nabantu abadala bangabonisa iimpawu ezifana nalezi:
- Utshintsho ku ziphatha
- Intloko
- Lethargy
- Ukuxhamla
- Ukutshabalalisa ngaphandle kwesicongconi
- Ukunciphisa ukuqonda
- Ukungaqhelekanga kwemvelo - ukunyuka kwamehlo okungaqhelekanga, umbono ombini, kunye ne-numbness
Izizathu
Uxinzelelo oluphezulu lwe-intracranial luya kwenzeka ngokwahlukileyo okanye luhlangene nezinye iimeko.
Ezinye zezona zizathu eziqhelekileyo zengcinezelo ephezulu ye-intracranial ziquka:
- Isisu sobumba
- I ngxaki
- Intracerebral hemorrhage
- Utyando lweShekemikhali
- Meningitis
- Hydrocephalus
- Intracranial hypertension
- Umoya okhuselekile
- Hypoventilation
- U xinzelelo
- Ukuxhamla
- Ulwalamano olunxulumene neziyobisi
- Iimpawu
- Edema
- Encephalitis
Ukuxilongwa
Uxilongo lwexinzelelo oluphezulu lwe-intracranial lwenziwa rhoqo xa isigulane sisegumbini longxamisekileyo okanye esibhedlele.
Iimpawu zokuqala zifumaneke ngexesha loviwo lwezonyango.
Ukuqinisekisa ukuxilongwa kwexinzelelo oluphezulu lwe-intracranial, i-CT scan okanye i-MRI yentloko ingenziwa. Kananjalo kunokulinganiswa ngokuqhuba ukugqitywa kwe-lumbar yomgudu, owaziwa njengopompo lomgcini , ukulinganisa uxinzelelo lwe-cerebrospinal fluid.
Unyango
Ukunyuswa kweengcinezelo ze-intracranial kubonwa njengento engxamisekileyo yingozi yezokwelapha. Utyando lujoliswe ekunciphiseni uxinzelelo. Izigulane ziza kunyangwa kwiyunithi yonyango enzulu (ICU) yesibhedlele.
Ulawulo lwezonyango loxinzelelo oluphezulu lwe-intracranial luquka oku kulandelayo:
- Ukuhlaliswa
- Utywala lwe-cerebrospinal fluid
- Inkxaso yokuphefumla
- Ukuxhaswa komzimba
- Hypothermia
- Decompressive craniectomy
Uxinzelelo oluphezulu lwe-intracranial luyinkxalabo eqhelekileyo kwizigulane ezigula kakhulu. Ukulibaziseka kwonyango okanye ukungaphumeleli ukunciphisa uxinzelelo olungenakunyango kungabangela ukuba umonakalo wexeshana okanye unomphela unobungozi, ubude bexesha elide okanye ukufa.
Thintelo
Nangona ii-ICP zingenakukhutshwa, ezinye zezizathu ezibangela ukulimala kwentloko kanakho. Ukugqoka isigqoko sokuzivikela xa udlala imidlalo yoqhagamshelwano okanye ugibela ibhayisikili, uhlamba ibhande, uhambisa isihlalo emotweni kude nedeshibhodi, kwaye ukusebenzisa isihlalo sokukhusela ukhuseleko kunokukhusela ukulimala kwentloko ukuba ungasongela ubomi.
Ukususa i-clutter ukusuka kwisitoreji nokuyigcina eyomileyo kuya kunceda ukukhusela ukuwa ekhaya-isizathu esifanayo sokwenyakala kwentloko kumdala.