I-hemorrhage ye-subdural ichaza uhlobo lokuphuma kwegazi olubangela ukucasuka nokuxinzelelo kwingqondo. I-hemorrhage yesigxina esinikwa phantsi kwegama linikezelwa igama ngenxa yokuba lifumaneka kwingingqi ebizwa ngokuba yindawo ephantsi komhlaba. Isikhundla sendawo esecaleni yindawo ephakathi kwendawo yengqondo kunye nexesha elide, eliluhlu lweethambo ezikhuselekileyo phakathi kwengqondo kunye negazi.
Yintoni i-Dura?
Iimpawu zizinto ezi-3 zeethambo, i-arachnoid kunye ne-dura. Iingqungquthela zijikeleze ingqondo kunye nomtya womgca, ukubonelela umkhuseli wokukhusela. Kukho izondlo kunye nemithambo yegazi ehamba ngeendlela zokuthetha. Uhlobo oluthambileyo olubizwa ngokuba yi- cerebrospinal fluid , lubricates, lukhusela kwaye lunondla ingqondo kunye nomgudu womgudu. Amagama afaka i-cerebrospinal fluid ejikeleza ingqondo kunye nomgudu womgogodla.
Kwimihlathi e-3 yama-meninges, i-dura iyona nto iphezulu ukusuka kwingqondo ngokwayo kwaye isondele kwiphepha. Ixesha elide libuye likhulu kakhulu, liqine, kwaye likhuseleke kakhulu kumacandelo amathathu.
Yintoni Ebangelwa Imimiselo YesiXhosa?
I-hemorrhage engaphantsi kwesidalwa ingabangelwa yintlungu, intlungu okanye intsholongwane, nangona ingaba nayo ngaphandle kwesizathu esaziwayo. I-Blood thinners inokunyusa amathuba okwehla kwamanzi, ngokukodwa phakathi kwabo badala.
Xa i-subdural hemorrhage iyenzeka ngaphandle kwesizathu esicacileyo, ichazwa nje ngokuba ngumzimba wegazi.
Ziziphi iimpawu zeHemorrhage yeziNcinane?
Izidumbu zengxowankulu zingabangela iintlobo ezininzi zeempawu, kuxhomekeke kubukhulu bayo kunye nendawo ethile ngaphakathi kweckull.
Iimpawu zingabandakanya nayiphi na inhlanganisela yezi zinto zilandelayo:
- Iintloko - Eli liphawu oluqhelekileyo lwegazi eliphantsi kwegazi ngenxa yokuba uxinzelelo oluvela kwigazi engqondweni luyakubangela intlungu.
- Utywala
- Lethargy
- Ukulahlekelwa kwengqondo- Xa i-hemorrhage ephantsi komhlaba ikhulu, inokuphazamisa ukusebenza ngokuqhelekileyo kwengqondo.
- Ukuxinzelelo-Uxinzelelo olunzulu kwingqondo lungaphazamisa ingqondo yombane ngokuqhelekileyo, okubangelwa ukutshatyalaliswa.
- Ubuthathaka kwicala elinye lobuso, ingalo kunye / okanye umlenze- Ukucinezela kwelinye icala lobuchopho kunokuphazamisa amandla kwicala elincinane lomzimba.
- Umbono utshintsha
- Ukudideka
- Ukubola okanye ukufa-Lo ngumphumo ongaqhelekanga wegazi lomzimba. Xa igazi liseduze ne-brainstem, imisebenzi ebalulekileyo, njengokuphefumula, inokuphazamiseka.
Yintoni endimele ndiyilindele kwiHemorrhage?
I-hemorrhage ye-subdural ibangelwa ngokuphuma kwegazi.
Ukuphuma kwegazi kungenzeka ngokukhawuleza, kwaye kungenakuvelisa iimpawu ezinzima ngokukhawuleza. Ngokuhamba kwexesha, iimpawu zingaphuthuka ngokukhawuleza njengoko igazi livelisa ukunyuka kwengcinezelo kwingqondo evela ngaphandle.
Uninzi lwexesha, i-subdural hemorrhages incinci okanye iphakathi kunye nobukhulu kwaye ayiqhubeki ukuba idale iimpawu ezinzima. Igazi ngokwayo lingazicima. Uninzi lwabantu luya kuvela kwi-ecdural hemorrhage kunye nesisombululo sezimpawu ngaphandle kweyonyango yokungena.
Nangona kunjalo, i-hemorrhage yesigxina sinokuthi ikhulu ngokwaneleyo ukuxhatshaza ingqondo, kubangele iimpawu ezinkulu ze-neurological.
Ukuba i-hemorrhage yesigxina iquka amanani amaninzi egazi, inokubangela i-stroke, ngenxa yengcinezelo. Kwiimeko ezinzima, igazi lingabangela uxinzelelo olunzulu, olukhokelela ekulahlekelweni kolwazi, okanye nokufa xa igazi livelisa uxinzelelo kwiindawo ezibalulekileyo ze-brainstem ezilawula ukuphefumla nezinye iindlela zokusinda.
Iyiphi iHematoma engezantsi?
I-hematoma yesigxina iqoqo elikhulu legazi kwingingqi enye yengqondo. Ngokuqhelekileyo, i- hematoma yesigxina ibangelwa i-hemorrhage yesigxina.
Iyintoni na unyango lweHemorrhage yangaphandle?
Ukuba ukuphuma kwegazi kunomlinganiselo wokumodareyitha, kaninzi akukho nonyango olufunekayo.
Ngokuqhelekileyo, kucetyiswa ukuba ugweme umsebenzi onzima onokunyusa umngcipheko wexinzelelo lwentloko ngelixa igazi likhupha.
Ngamanye amaxesha, igazi kufuneka lisuswe kwinkqubo yokutyanda.
ILizwi
I-hemorrhage ye-subdural yinkinga ebalulekileyo yezokwelapha, nangona, abaninzi abantu bafumana ukuphucula kakuhle. Ukuba unesifo somzimba esingekho sidinga ukuhlinzwa, kungathatha inyanga ukuba ufumane ukufumana ngokupheleleyo. Ukuba unesifo somzimba esisemgangathweni esidinga ukungenelela ngophala, ungenakukwazi ukufumana ukufikelela ngokuzeleyo emva kweenyanga ezimbalwa emva kwenkqubo yakho.
Njengoko uphila, unokufumana ukukhathala, iintloko, okanye iimpawu ze-neurological ezikulindeleke ukuba ziphuculwe ngokuthe ngcembe.
> Umthombo:
> Ukufanekiswa kweeHematomas ezisezantsi, iCarroll JJ, i-Lavine SD, i-Meyers PM, i-Neurosurg iklinikhi N Am. 2017 kuMatshi; 28 (2): 179-203