I-edema ye-cerebral yisimo esiyingozi kakhulu esingasungulwa ngenxa yokutheleleka, ukuphazanyiswa kwemithambo yegazi noma ukuhlukunyezwa.
Kwenzekani lapho ubuchopho buvuvukala?
Ukuqoqwa kwamanzi okweqile kumaseli obuchopho nomgogodla kubangela ukuvuvukala, okwandisa ukucindezeleka okungahambi kahle (ICP), futhi ivolumu yengqondo iyakhula.
Le nqubo iqala ngokushesha kakhulu - emahoreni okuqala ngemva kokulimala kwamangqamuzana obuchopho (ngenxa yokulimala, ukudakwa, ischemia, njll.) Esikhaleni se-intercellular, ukuhlungwa kwengxenye yetshezi ye-plasma yanda. I-edema yokuqala (i-cytotoxic) iqala ngenxa yesifo sokungcolisa umzimba endaweni engathintekile ebuchosheni. Ngemva kwamahora ayisithupha ngemuva kokulimala, isimo senziwa yi-edema enamandla, ebangelwa ukunciphisa ukugeleza kwegazi kanye ne-stasis yezikebhe ezincane. Njengomphumela we-edema, i-ICP iphakama, ebangela izimpawu ze-edema ye-cerebral.
I-edema ye-cerebral ibonakala kanjani?
Izibonakaliso zokuqala zobuchopho zivame ukukhula masinyane emva kokulimala kweseli. Ubukhulu buxhomeke kwizimbangela ze-edema - zizoxoxwa ngezansi.
Isiguli sigcinwa:
- ikhanda;
- isicanucanu, ukuhlanza;
- ukubopha kwentamo noma ubuhlungu;
- ukuphefumula okungalingani;
- isiyezi;
- ukukhubazeka okubukwayo;
- ukuphosa ememori;
- ukungalingani;
- ubunzima bokukhuluma;
- I-Stupor (yehla izinga lokuqonda);
- ukulahlekelwa kokuqonda;
- ukuxuba.
Ukuhlonza
Uma izimpawu zokuqala ze-cerebral edema zivela, udokotela kufanele abizwe ngokushesha.
Ukuze kutholakale ukuxilongwa, ukuhlolwa kwengqondo kuvame ukuqhutshwa, futhi umgogodla wekhanda uhlolwe. Ubungako nokuhlelwa kwendawo ye-edema kunqunywa ngombono wekhompyutha noma i-magnontic resonance imaging. Ukunquma izimbangela ezikhona ze-edema ye-cerebral, ukuhlolwa kwegazi kwenziwa.
Kungani ubuchopho buvuvukala?
Ukulimala kwamangqamuzana obuchopho obangela ukuvuvukala kungabangela izizathu eziningi.
- Ukulimala kwe-craniocerebral - ukulimala kwezakhiwo ezingenakunyakaziswa ngezindlela eziyimishini ngenxa yokuwa, ingozi, ukushaya. Njengomthetho, ukuhlukumezeka kuyinkimbinkimbi ngokulimaza kobuchopho ngamathambo esithambo.
- Izifo ezithathelwanayo ezibangelwa amagciwane, ama-virus noma ama-parasites (i-meningitis, i-encephalitis, i-toxoplasmosis) futhi eholela ekuvukeni kwezingqimba zobuchopho.
- I-absoment abscess - njengengcindezi yesinye isifo (isibhedlela, isibonelo), lesi sifo esiphuthumayo sivimbela ukuphuma kwamanzi okuphuma emathisini ebuchopho.
- Ukuzihlambalaza - nge-neoplasms ekhulayo, indawo yobuchopho ibambezelwa, okuholela ekwephuleni kwegazi futhi, ngenxa yalokho, ukuvuvukala.
Inombolo yezimbangela ze-edema ye-cerebral yiyona umehluko ekuphakameni. Ngakho-ke, lapho ukhuphuka ngaphezu kuka-1500 km ngaphezulu kwezinga elwandle, uhlobo olubi lokugula kwentaba oluhambisana ne-edema luvame ukubonwa.
I-Edema yobuchopho ngemva kokushaywa yisifo
Ngokuvamile, i-edema iqala ngenxa yesifo.
Nge-stroke ischemic, ukujikeleza kwegazi ebuchosheni kuphazanyiswa ngenxa yokwakhiwa kwe-thrombus. Njengoba engazange athole inani elidingekayo le-oksijeni, amaseli afa, futhi i-edema yobuchopho iqala.
Nge-stroke eyingozi, imithwalo yegazi yengqondo isonakalisiwe, futhi ukubola kwesisu okubangelwa yi-intrrhage kubangela ukwanda kwe-ICP. Isibangela sokushaywa kabuhlungu kulokhu kungase kube ukuhlukunyezwa kwekhanda, ukucindezelwa kwegazi eliphezulu, ukuthatha imithi ethile noma ukukhubazeka okungezansi.
Izinkinga nokuvimbela
Ngezinye izikhathi ukuvuvukala kobuchopho, izimpawu zazo ezishiyiwe esikhathini esidlule, kungakhumbuza ukuphazamiseka kokulala nokusebenza komsebenzi, ukukhanda ikhanda, ukungabikho kwengqondo, ukucindezeleka nokuphazanyiswa kwamakhono okuxhumana.
Ukuze uzivikele ebuchosheni be-cerebral, kufanele ugweme ukulimala - gqoka isigqoko sokuzivikela esivikelayo, faka amabhande akho esihlalo, qaphela izinyathelo lapho udlala imidlalo eyingozi. Ukukhuphuka ezintabeni, kubalulekile ukunikeza isikhathi somzimba wokungena kwemvelo. Kufanele futhi uqapha ukucindezeleka kwegazi bese uyeka ukubhema.