Ukuvuvukala kwesibindi, okubizwa ngokuthi i-edema, kungenye yezingozi zesikhashana esisheshayo zesifo sohlangothi.
Imivimbo emikhulu , ikakhulukazi, ingabangela ukuvuvukala okuphawulekayo okungaqhubeki kakhulu, okuholela emiphumeleni enzima, kuhlanganise nokulimala komqondo, isimo esingapheli sokungaphenduli noma ngisho nokufa.
I-Stroke Yenza Kanjani I-Brain Edema?
Uma kuphazamiseka, ukuphazamiseka kwegazi kugeleza ebuchosheni kubangela uchungechunge lwezenzakalo eziholela ekulimazeni kobuchopho.
Phakathi kwemiphumela yokulimala kobuchopho, isikhathi sesikhashana sokuvuvukala ngaphakathi kweso siphepho singase sihlale amahora kuya kwezinsuku.
I-stroke enkulu, okubaluleke nakakhulu i-edema ehlobene.
Isibonelo, lapho umkhumbi omkhulu we-stroke uthinta ukugeleza kwegazi phakathi komsombuluko oyinhloko we-cerebral artery , cishe uhlangothi lonke lobuchopho lungase lubekelwe igazi, lubangele ukufa nokuvuvukala cishe kwengxenye yobuchopho .
Ngenxa yokuthi ubuchopho buboshelwe yizindonga ezinzima ze-bony skull, lokhu kuvuvukala kuholela ekukhuphukeni kwengcindezi, echazwe njengokunyuka kwengcindezi yokungena emzimbeni (i-ICP.) Imiphumela eyengeziwe ye-ICP endaweni ekhulisiwe yokulimala komqondo. Ngaphandle kokucindezela ngokomzimba ebuchosheni, i-ICP eyanda iphazamisa nokugeleza kwegazi.
Ukwanda kwe-ICP kuholela emonakalweni owengeziwe ngaphandle komonakalo wokuqala owabangelwa isifo. Uma ukuvuvukala kubangela ukulimala ezindaweni ezinkulu zobuchopho, kungaholela ekuthuthukeni okusheshayo ekufeni kwengqondo .
Ngesinye isikhathi, indlela engcono kakhulu yokunciphisa i-ICP eyingozi ikhuphuka ngokuhlinzwa okulondoloza ukuphila okubizwa ngokuthi i-hemicraniectomy.
Iyini i-hemicraniectomy?
I-hemicraniectomy ingenye yezindlela eziphumelela kakhulu zokukhulula ukukhukhumeza okukhulu kobuchopho. Le nqubo yokuhlinzwa, eyenziwa ekamelweni lokusebenza ngaphansi kwe-anesthesia, ihlanganisa ukususa okwesikhashana ingxenye ye-skull (ngezinye izikhathi kuze kube yingxenye eyodwa noma ngaphezulu) ukuze kuvunyelwe ubuchopho obuvuvukale ukuba bukhule ngaphesheya kwengubo ye-skull, ngaphandle kokubangela ukuphakama okuqhubekayo ekucindezelweni kobuchopho.
Ingxenye yethambo le-skull elisuswe ngokujwayelekile ligcinwa kuze kube yilapho i-edema ixazulula, lapho ikwazi ukubuyiswa khona endaweni yayo yasekuqaleni ukuvikela ubuchopho.
Ingabe zonke izilonda ezinkulu kufanele ziphathwe nge-hemicraniectomy?
Nakuba odokotela abaningi bekhuthaza i-hemicraniectomy lapho kwenzeka ukukhukhumeza okukhulu kobuchopho, abanye banomuzwa wokuthi naphezu kwezinzuzo eziqinisekisiwe zale nqubo ngokusinda, i-hemicraniectomy ayiqinisekisi ukuthi kubuyiselwa izinga lokuphila kwaso sonke isilondolozi esithile.
Kunezinye izindlela zokwelapha i-edema yobuchopho, nakuba kungekho okunye okucacile njenge-hemicraniectomy. Uma othandekayo wakho ehlaselwe isifo esikhulu nge-edema enzima, isinqumo sokuthi uzoqhubeka yini ne-hemicraneictomy ukuxoshwa kwengcindezi isekelwe ezintweni eziningana, kubandakanya ukuthi umthande wakho othandekile kangakanani, nokuthi ngabe impilo yakho ethandekayo iyakwazi ukubekezelela izingozi zokuhlinzwa.
Ubani owenza ukuthi ngabe othandekayo wami uzothola i-hemicraniectomy?
Ngezinye izikhathi, i-hemicraniectomy yinkambiso yokuphuthumayo, lapho kungase kube khona isikhathi esincane sokuzibophezela mayelana nenzuzo nenzuzo yenqubo.
Ngokuvamile, umsindisi osindayo odinga i-hemicraniectomy akaqaphile ngokwanele ukuze akwazi ukuxoxa ngesiteleka sethimba neqembu le-stroke.
Ngaphandle kokuba i-hemicraniectomy yenziwe ngokuphuthumayo, umbono womndeni mayelana nokuthi ngabe inqubo kufanele yenziwe noma cha kufanele ithathwe ngokucophelela. Isinqumo sokuthi isifo esithinta isifo sofuba kufanele sibhekane ne-hemicraniectomy sivame ukufinyelelwa ngemuva kokuba izingozi nezinzuzo zokuhlinzekwa ziye zaziswa kahle emndenini, futhi ngemuva kokuba umndeni uvumelane ukuqhubeka nenqubo.
Ngabe kufanele ngivumelane ne-hemicraniectomy kumuntu othandekayo wami?
Uma ubhekene nesidingo sokunikeza imvume yezokwelapha kwe-hemicraniectomy kumuntu owaziyo, kungase kube usizo ukucela ithimba lezokwelapha ngalezi zindaba ezilandelayo ukusiza ukwenza isinqumo sakho:
- Iyini amathuba okuthi othandekayo wakho uzothola ukusebenza kobuchopho okunenjongo uma kwenziwa i-hemicraniectomy?
- Uma ukuhlinzekwa kwenziwa futhi othandekayo wakho esinda kulesi sigameko, ingabe kukhona ithuba elihle lokuthi uzokwazi ukudla noma ukuphefumula eyakhe? Uma kungenjalo, ingabe uke wakhulume imizwa yakhe ngokuthembela ngokugcwele kwipayipi yokudla kanye / noma umoya wokuphuza umoya?
- Ingabe othandekayo wami unentshisekelo ephilayo echaza ukuthi yiziphi izinyathelo angathanda ukuzibekezelela ngaphansi kwezimo zamanje?
Izwi elivela
Ukushaya isifo kungabangela imiphumela yesikhashana esidinga usizo oluphuthumayo kwezokwelapha. Abasindile abaningi abahlukunyezwayo baphuthuma ngokuphawulekayo ngemuva kokuba i-hemicraniectomy yenzelwe ukunciphisa i-edema. Ukubuyiswa ngemuva kwe-hemicraniectomy kuthatha isikhathi nesineke. Ukuvuselelwa kungasetshenziswa isikhathi eside, ngakho-ke kubalulekile ukuthi uthole ulwazi oluningi ngangokunokwenzeka mayelana nenqubo yokutakula ukuze ukwazi ukusiza othandekayo wakho ngesigaba sokuphulukisa ngemuva kokushaya.
> Imithombo:
> Izindleko ezingenakulinganiswa zibikezela umphumela ngemuva kwe-hemicraniectomy eyinkimbinkimbi ye-hemicraniectomy eyingozi ye-hemispheric stroke .IHecht N, Neugebauer H, Fiss I, Pinczolits A, Vajkoczy P, Jüttler E, Woitzik J, J Cereb Blood Flow Metab. 2017 Jan 1: 271678X17718693