I-brainstem ingummandla wengqondo osebenza ngokusemgangathweni kunye nokusebenza ngokucokisekileyo kwengqondo kumgca wesipelini. Nangona i-brainstem ingancinci ngobukhulu, ihamba ne-neurons elawula ukunyakaza, ukuvakalelwa, nokulungelelana ubuso, amehlo, umlomo kunye nomzimba.
Brainstem Stroke
I-brainstro stroke ibangela iziphumo ezininzi, kubandakanya ubuthathaka, ukulahlekelwa yintliziyo, umbono obini, inkathazo yokugwinya nokunciphisa ukusebenzisana.
Kukho iintlobo ezahlukeneyo ze-brainstem syndromes. Ezi syndromes zibonakaliswe ngqokelela yeempawu ezihambelana nommandla othile we-brainstem umonakalo. I-Brainstem syndromes ifaka i- Weber's syndrome (i-midbrain stroke), i- Wallenberg's syndrome (i-stroke ye-medallary stroke), isiqalekiso sika-Ondine (i-stroke), ivalwe kwi-syndrome (i-central pontine stroke) kunye nabanye. Ezi zixhobo zengqondo zincinci kakhulu kuba zibangelwa ukuphuma okanye ukuphazamiseka kokuhamba kwegazi kwisebe elincinci kakhulu lomthambo kwiingqondo.
Esinye isiphumo esona sisifo sengqondo sisisifana ngokufanayo kukuba zibonakaliswa ngethambo lokungcola kunye ne-vertigo.
Indlela i-Brainstem iphazamisa ngayo isizathu sokuxhamla
Izibilini zeBrainstem zibangelwa ukuzondla ngezizathu ezahlukeneyo. Ezinye iingxaki zengqondo ziphazamisa ukudibanisa phakathi kwengqondo kunye ne-cerebellum. I-cerebellum ilawula ukusebenzisana kobuso kunye nomzimba, kwaye xa umsebenzi we-cerebellar uphazamiseka, umphumo ungalingani ngokomzimba.
Imivimbo yeBrainstem ingaphazamisa ukulingana kwentshukumo yamehlo, kubangela imbonakalo emibini okanye ukunyakaza okunyanzelekileyo (nystagmus) okufaka isandla kwisisu.
Izibilini zeBrainstem zingaphazamisa ukuvakalelwa kwintshukumo okanye kunye nemisebenzi yamathambo e-vestibular anceda ukugcina imali. Kwaye ezinye iintlobo zesifo sengqondo zivelisa ukunciphisa, ziphazamise ukukwazi ukujonga isikhundla somzimba wakho, ovelisa uhlobo lwezondlo.
Ukuchaza utywala
Ukuba uziva udiza, kuyincedo ukuba unokuchaza ngokuthe ngqo indlela ozivakalelwa ngayo. Ukuzondwa yizwi elinentsingiselo engacacanga.
Ngoko kuyakunceda ukuba ucinge ngokuthe ngqo kwaye uchaze iimvakalelo zakho xa uziva udizzy. Ngokomzekelo, ngaba ukhona umqolo? Ngaba uziva kwaye unxanxiswe? Ukuba ukuzondwa kwakho kukubangela ukuba uhlanza, ingaba utywala luyaphucula okanye luyingozi ngakumbi emva kokuba uhlanza?
Ngaba uziva unobungozi xa udizzy? Ngamanye amaxesha utywala lunxulumene nesifo sokuxhalabisa. Ngaba uziva udiza xa ungadli?
Ngaba unobuthakathaka okanye unobunzima xa ufumana i-dizzy? Ngaba uzive ukhululekile okanye udidekile? Okanye ngaba ubona umbono ogqamile okanye obini? Ngaba unesivakalelo sokuba ihlabathi lijikeleze kuwe? Le ntshukumo ejikelezayo ichazwa njenge-vertigo. Enye imeko esoloko ichazwa njengesizululunge ingqondo yokuziva ngathi ukwahlukana .
Yintoni oyenzayo malunga neNzululwazi
Ukuxakeka koxinzelelo kuyinkinga eqhelekileyo. Hayi konke ukungcola kuthetha ukuba une-stroke okanye nokuba usengozini yokubetha. Sekunjalo, ngezinye izihlandlo, ukuzondloba ngumqondiso weengxaki ezinzulu, ezifana nesifo okanye isinye isimo sempilo.
Ukuba uneengxaki eziphindaphindiweyo kunye noxinzelelo, kubalulekile ukuba wenze i-aphoyintimenti ukuze ubone uqeqesho lwezempilo.
Iimeko ezininzi zempilo ezahlukileyo zingabangela ukungcola, kungathatha ixesha elithile ukuba iqela lakho lokunakekelwa kwempilo libone isizathu sokungcola kwakho.
Ukuba unesivakalelo esiphuthumayo kunye nexhala, kufuneka ufumane unyango ngokukhawuleza.
Kukho nezinye izinto ezinqabileyo ezingavamile kunye ezingavamile zokubethelwa kwesisu kunye nesisu, ezifana nokukhwela kwinqwelo kunye nokulunywa kwezilwanyana .
Yintoni ongayenza Ngomdlavuza weBrainstem
I- brainstro stroke kufuneka iphathwe njengengoxakeko yonyango ngenxa yokuba i-brainstem ilawula imisebenzi yethu ebaluleke kakhulu ebomini, njengokwazi kwethu ukuphefumula nokugcina intliziyo.
Kukho unyango oluninzi olukhoyo kwi-brainstem strokes, kodwa kulezi zonyango ukuba zisebenze zimele ziphunyezwe ngexesha elifutshane emva kokuba iimpawu ziqale. Ezinye zezophulo zengxakeko zongxamiseko ziquka i- TPA kunye nenkqubo ebizwa ngokuba yi-intraarterial thrombolysis, echitha i-clot yegazi ejongene nesifo.
Ukuba unesifo seengqondo, uya kuchitha ixesha elithile uvavanywa unyango esibhedlele, ulandelwe ixesha lokuvuselela ngexesha lokubuyiselwa kwakho. Uthintelo lwe-stroke luyingxenye ebalulekileyo yokuphulukana kwakho ngenxa yokuba uya kufuna ukuphepha ukuba ube nesinye isifo xa usuka kwi-brainstro stroke yakho.
> Imithombo:
> Ukuxilongwa ngokuchanekileyo kunye noLawulo lweStroke Ukuhambisa isisu okanye iVergo, uLee SH, uKim JS, iKlinikhi ye-Neurol. Agasti ka-2015; 33 (3): 687-98