Ukucindezelwa kokuxoshwa yi-isilinganiso sobuchopho kanye ne-cerebral fluid (CSF). Ukunyuka komthamo we-cerebrospinal fluid esikhaleni sangaphakathi kubangela ukunyuka kwengcindezi yokungasebenzi, okubonakaliswa ukwephulwa kwesistimu yesisindo somuntu, ukusabela kwemifino, ukushintsha kwethambo lomzimba, njalo njalo.
Ngaphandle kweqiniso lokuthi ukubonakaliswa kwezinguquko ekucindezelekeni okungahambi kahle kungamnandi futhi kuphazamise impilo evamile, ukwanda kwalesi sibonakaliso kuvame ukukhombisa ukuthi kukhona isifo noma isifo. Izinguquko ekucindezelekeni kwengane ezinganeni zingaphazamisa ukuthuthukiswa kwengqondo yakhe, ngakho-ke uma kungabonakali okungajwayelekile, kufanele uthintane nodokotela ngokushesha bese uqala ukwelashwa okufanele.
Izimbangela zokunyuka kwengcindezi ekukhuliseni izingane
Ukwandiswa kwengcindezi yengane enganeni kungaba yesikhashana (ngenxa yomsindo ophansi we-atmospheric noma i-AR, isibonelo), futhi isikhathi eside (uma kwenzeka ngezizathu ezimbi).
Izimbangela zokuphazanyiswa kwesikhathi eside ebhalweni lwe-cerebrospinal fluid kanye ne-cerebral kungaba:
- i-craniocerebral trauma (ekubelethweni, ngokuvuna nokuwa);
- izifo (i-encephalitis ne-meningitis);
- i-pathology yezindonga zezimpahla, okuholela ekuphukeni ekuhambeni komswakama we-cerebrospinal kusuka ezitsheni kuya ebuchosheni nasemhlane;
- ukuvinjelwa kwendlela yokuphuma ye-cerebrospinal fluid (isb., emathunjini obuchopho);
- i-hypoxia;
- ukudakwa (ubuthi obuhlukahlukene);
- ukungakhweliseki kwesimiso sezinzwa (isizathu esivame ukunyuka kwengcindezi yokunyuka kwengane ezinganeni kuze kube unyaka).
Izimpawu zengcindezi ekhuphukayo yokungena ngaphansi kwezingane ezinganeni
Izimpawu zokucindezela okungekho emthethweni ezinganeni zifaka phakathi lezi zibonakaliso njenge:
- ikhanda;
- ubuhlungu ngemuva kwezisekelo zeso;
- imibuthano ngaphansi kwamehlo;
- ukuhlanganiswa kwezithombe ezibukwayo;
- ukwesaba;
- ukuhlanzeka nokuhlanza;
- inkumbulo empofu nokunciphisa ukuhlushwa.
Kanti futhi ukuthola ukuxilongwa kwengcindezi engaphezu kwengane engaphezu kwengane, ngaphezu kokuhlolwa kwengqondo, kungancoma i-MRI yobuchopho, ukuhlolwa kwe-fundus, i-radiography yamathambo e-skull, ukukhishwa kwe-lumbar.
Njengoba izingane ezingaphansi konyaka owodwa azikwazi ukwabelana ngokuhlangenwe nakho kwazo futhi zikhulume ngokuthi yiziphi ngempela abakhathazekile ngazo, ngaphezu kokuxilonga izinguquko ekucindezelweni ebuchosheni usebenzisa i-ultrasound (neurosonography) nge-fontanel engavumelekile. Izimpawu ezingekho ngqo zokucindezela ukunyuka kwengane ezinganeni ezingabantwana zihlanganisa ukukhuliswa kwemikhumbi ye-ventricles yobuchopho, evezwe ngesikhathi se-ultrasound, ukwanda kwe-septa yabo.
Izimpawu zengcindezi yokunyuka kwengane emndenini okhulelwe kungabikho ukucabanga okungenakwenzeka noma ukutholakala kwezifo ezincane. Ngokufanayo, ithoni engalingani yomzimba wengane, ukuphefumula kwakhe noma, ngokuphambene, i-hypertonicity, ingase ikhombise ukungavamile kokulinganisela kwamanzi kagesi.
Indlela yokulinganisa ukucindezela okungahambi kahle emntwaneni?
Kukhona indlela enembile yokulinganisa ukucindezela okungahambi kahle. Ngalesi sizathu, inaliti ekhethekile ene-manometer exhunywe kuyo ifakwe emigodini ye-skull noma umgogodla womgogodla. Kodwa ukulinganisa okuqondile kokucindezela okungahambi kahle ngenxa yenkimbinkimbi yenqubo futhi ingozi yokulimala kwe-neural ayisetshenzisiwe.
Ukwelashwa kwengcindezi yokungatholakali kwengane ezinganeni
Lapho ukwelashwa kwengcindezi yokungasebenzi, kubalulekile ukuqeda imbangela yokuphulwa kwayo. Njengokwelashwa okuphawulekayo,
Uma isizathu sisekungenakulinganisweni kwesimiso sezinzwa, ingane imisiwe amalungiselelo e-vitamin, izinqubo zomzimba, idamu lokuqinisa uhlaka lwamasipha, ukuthuthukisa ukujikeleza kwegazi emzimbeni wonke, uhambe emoyeni omusha.
Uma imbangela yokuphuma okubi kwe-cerebrospinal fluid evela emagcekeni kanye nezicubu zomzimba kuhlanganiswa nesisu noma i-hematoma, okuyisithiyo, kanti ukwelashwa okuhlinzekwa kunqunyelwe ukususwa kwabo. Ngokufanayo, ukuhlinzwa kusetshenziswe uma kukhona ukukhiqizwa okweqile kwamanzi kagesi. Kulesi simo, kwenziwa i-overpass, ukuze uketshezi oluthe xaxa kusuka ebuchosheni ngaphakathi kwebhubhisi luhanjiswe emgodini wesisu noma ngaphakathi kwenhliziyo.