Ukubonakala komuntu omusha emhlabeni kuyinkimbinkimbi, inesibopho futhi ayinakulinganiswa. Ngeshwa, akuyona njalo ukubeletha okuqhubekayo ngokujwayelekile, kwenzeka ukuthi ingane njengomphumela ithola amaphutha okuzalwa. Ukushona kwesisu ebuchosheni ezinsana kuyisifo esibuhlungu kakhulu sokubeletha kwesistimu yezinzwa eziphakathi. Kungabuka ikakhulukazi ngenxa yokulimala ekhanda lezingane ezisanda kuzalwa, ngenxa yalokho imithwalo yegazi ebuchosheni idabukile.
Okudingekayo okulandelayo:
- ukungafani phakathi kobukhulu bekhanda lomntwana kanye nomsele wokuzalwa;
- ukukhulelwa ngaphambi kwesikhathi noma ngaphambi kwesikhathi;
- ukulethwa okusheshayo noma okuphuthumayo;
- ukukhulelwa okukhulu (ukutheleleka kwe-intrauterine, hypoxia);
- ukungenelela okungalungile okwenziwe nge-obstetric /
Izinhlobo ze-cerebral hemorrhages enganeni
Kuncike lapho imithwalo yegazi iphihliwe khona, ukubola kwesibindi kwe-cerebral kumntwana kuhlukaniswe ngokuthi:
1. I- epidural - phakathi kwamathambo okugcina amancane nama-cranial . Kwenzeke umonakalo emathanjeni egumbini le-cranial.
Inkambo ye-epidural hemorrhages ihluke ngokuba khona kwesikhathi sokuthula (amahora angu-3-6), ngemva kwalokho kukhona isifo sokucindezeleka kwengqondo (amahora angu-6 kuya ku-12), ingane isheshe ibe yimbi futhi iwele ngemuva kokuphela kwezinsuku ezimbili noma ezintathu.
Izimpawu ze-epidural hemorrhage:
- umfundi uphuthukile ohlangothini olonakele;
- ukuhlushwa;
- ukuxubha;
- izinga lentliziyo elincane;
- ukwehliswa kwengcindezi yegazi.
2. I- Subdural - emkhatsini wama-harding and softing meninges . Zitholakale emisebenzini esheshayo noma ehlala isikhathi eside nengane enkulu kakhulu, ngenxa yomonakalo ku-skull kanye nokuthutha kwamapuleti ayo. Imiphumela ixhomeke ekutheni baxilongwa ngokushesha futhi baqala ukwelashwa.
3. I- Subarachnoid - esikhaleni phakathi kwezinto eziphathelene nobuchopho kanye nelinye ilanga . Zenzeke ngesikhathi sokusebenza isikhathi eside, lapho kwenziwa ukungenelela kwe-obstetric. Ngokuvame ukwenzeka ezinsana ezingakabiphi. Ngalolu hlobo lwegazi, kukhona ukuvuvukala kwezingqimba zobuchopho, obangelwa imikhiqizo yokuchithwa kwegazi okubekiwe kuwo.
Kubonakala ngokushesha ngemva kokubeletha, noma ezinsukwini ezimbalwa.
Izimpawu zokwehla kwesimiso esinqunyiwe ezinsana ezisanda kuzalwa:
- ukukhathazeka okujwayelekile;
- eside elele ngamehlo avulekile;
- ukukhala;
- ukuphawula noma ukukhuluma okukhathazayo;
- ukuxubha;
- ukunyakaza okusheshayo ekuphenduleni ukucasuka kancane;
- ukuphazamiseka kokulala;
- i-strabismus;
- ukwanda kwesikhala sekhanda ngenxa yokungafani kwamathambo amakhulu;
- ukungezwani kwemisipha yocingo.
Imiphumela enohlobo lokumisa isisu ngokuvamile ayibalulekile.
4. Ukulimaza okwenziwe ebuchosheni kanye ne-ventricles . Kukhona i-thicket yezinto zonke ezinganeni ezingaphambi kwesikhathi ngoba izitsha ezibunzini zazo azikakhiwa ngokwanele futhi zibuthakathaka kakhulu.
Ezinganeni, izinhlobo eziningana zokugaya kwamakhemikhali angakwazi ukuhlanganiswa, kepha phakathi kwezimpawu eziningi ngokuvamile zilawula izimpawu zenye yezinhlobo, kuye ngokuthi ubuhlungu bomonakalo bobuchopho buba bunzima kangakanani.
Ukwelashwa kwama-cerebral hemorrhages ebusweni
Kumntwana, oye waba nesifo senhliziyo ebuchosheni, kubalulekile ukudala umgomo okhululekile - ukumvikela emisindweni ephakeme nokukhanyisa okukhulu, ukuzama ukumphazamisa kancane ngangokunokwenzeka ngenkathi ushintsha izingubo, ukuqapha izinga lokushisa komzimba - ungapheli futhi ungadli ngokweqile. Yondla ingane yakho kaningi nge-probe, ngoba ukusondzela umsebenzi omningi kakhulu kuye.
Imiphumela ye-cerebral hemorrhage ezinsana zingase zihluke, konke kuxhomeke kohlobo lwayo, ubunzima, ukutholakala kwezifo ezivumelanako. Kungaba khona kokubili ngaphandle kokulandelela, ngakho-ke ulethe imiphumela emibi ngesimo se-hydrocephalus noma i-cerebral palsy.