I-stroke ehilela i-cerebellum ingenye yezinhlobo ezivame kakhulu zokushaywa yisifo, okubalwa cishe okungu-3% kuwo wonke ama-stroke. Izimpawu zokuhlukunyezwa kwe-cerebellar azicacile kangangokuthi zingadideka nezinye izifo. Noma kunjalo, ukushaywa kwe-cerebellar kuyingozi kakhulu futhi kungabangela izinkinga ezinkulu ngenxa yendawo ehlukile ye-cerebellum.
Uma wena noma othandekayo uye waba nesifo socerebellar, ungathola izimpendulo zemibuzo yakho lapha.
Sibutsetelo Cerebellum
I-cerebellum iyingxenye yobuchopho obulawula ukulinganisela nokubambisana komzimba nokuxhumanisa ukuhamba kwamehlo. I-cerebellum itholakala emuva kwengqondo engezansi futhi inehlangothini lesokudla nelwesobunxele, olufana nokubukeka okufanayo. Uhlangothi ngalunye lulawula ukuhlanganiswa komzimba ohlangothini olufanayo njenge-cerebellum.
I-cerebelllar isifo lapho kwenzeka isitsha segazi esiholela engxenyeni ye-cerebellum ivinjiwe noma iphuma, iphazamise ukunikezwa kwegazi esifundeni se-cerebellum.
I-cerebellum encane, kodwa ngoba kunezindlela eziningi zegazi ezinikeza igazi elicebile nge-cerebellum, ukushaywa kwe-cerebellar ngokuvamile kuhilela ingxenye eyodwa kuphela noma ingxenye eyodwa ye-cerebellum, okuveza izimpawu ezithinta uhlangothi olulodwa lomzimba.
Izitsha zegazi ezifinyelela ku-cerebellum zibizwa ngokuthi i-artery cerebellar ephezulu, umthambo we-cerebellar wangaphansi, kanye nomshini we-cerebellar ongaphansi ophansi.
I-clot yegazi, ukuphuma noma ukuhlukumeza kule mithini yegazi kungabangela ukushaywa kwe-cerebellar.
Izimpawu Ze-Cerebellar Stroke
Ukushaywa kwesifo se-cerebellar ngokuvamile kubonisa ukuzondeka, ikhanda, isicashu kanye nokuhlanza. Ukwengeza, abantu abane-stereke cerebellar bangase babe nobunzima bokuhamba, inkathazo ngokubambisana, umbono ophindwe kabili, ukuthuthumela nokukhuluma ngezinkinga.
Izimpawu ezingavamile zezinzwa ezinjengesizungu kanye nekhanda zivame kakhulu kubantu abanobuhlungu bokubhebhethekisa kunezinkinga ezibonakalayo noma izinkinga zokuxhumana. Ngakho-ke, abanye abantu abanobuhlungu be-cerebellar bangalahleka ekuqaleni izimpawu, futhi bangase bangatholi usizo lwezokwelapha kuze kube yilapho izimpawu ziba nzima noma ziphikelela. Futhi, ucwaningo lubonisa ukuthi ngisho nalapho abantu abanezinkinga ze-cerebellar bethola usizo lwezokwelashwa, bangase bahlolwe kabi nge-headaches ye-migraine noma isisu somkhuhlane ngoba ukuhlanza nokukhanda ikhanda kubonakala kakhulu kunenkinga yezinzwa.
Kunezibonakaliso ezithile zokushaywa uphawu lokuthengisa ezingase zikhona uma othile enesifo sofuba, futhi lokhu kungasiza odokotela bakho ukuthi babone ukushaywa komzimba. Lokhu kufaka hlangana ukugwedwa kweengalo namlenze, ukuthuthumela komzimba okuqakathekileko nokubukeka kwamehlo lapho behamba ukusuka kwesobunxele kuya kwesokudla. Kodwa-ke, akuwona wonke umuntu onesifo socerebellar esinemibonakaliso- kuncike ekutheni i-stroke ikhulu kangakanani. futhi indawo yayo ngqo ngaphakathi kwe-cerebellum
Ubuchopho obuvamile obucwaninga i-CT ngokuvamile abuvezi ukushaywa kwe-cerebellar ngenxa yendawo ye-cerebellum. Iphansi ebuchosheni futhi ivikelwe ngethambo, okwenze kube nzima ukubona ngeso lengqondo ebuchosheni obujwayelekile CT.
I-MRI yobuchopho ingaba ngcono kangcono i-cerebellum, kodwa ngoba i-MRI idinga isikhathi eside ukuqedela, ngokuvamile akubhekwa njengokuphephile ukuba ne-MRI ebuchosheni obuphuthumayo uma ungaziphephile ngokweqile. Lezi zinto zifaka isandla ekuhloleni kwesifo se-cerebellar ngezikhathi ezithile.
Izinkinga ze-Cerebellar Stroke
I-cerebellar stroke ibangela izinkinga zokuxhumana zomzimba, ngokuvamile ohlangothini olulodwa. Izinkinga zomxhumanisi oyedwa zingabangela ukukhubazeka okuphawulekayo kokuhamba. Izinkinga ezimbili zombono nezenkulumo, ukuzamazama nokunyakaza okungahle kwenzeke kungabangela ukushaywa kwe-cerebellar.
Izinkinga ezinzima zesikhashana zingabandakanya ukuvuvukala kobuchopho, okungaholela ekucindezelweni kobuchopho ngaphakathi kwegazi, okungabangela umonakalo owengeziwe ku-cerebellum, i-brainstem noma ezinye izifunda zobuchopho.
Esikhathini eside, ukuphuma kwegazi noma ukuphuma ngokweqile kungaphazamisa ukugeleza okujwayelekile kwe-cerebrospinal fluid ezungeze ubuchopho nomgogodla, okwenza umthamo wetshezi, isimo esibizwa ngokuthi i-hydrocephalus. Lesi simo ngokuvamile sidinga ukungenelela isikhathi eside njengokwakhiwa kwe-ventriculoperitoneal shunt .
Izingozi Ze-Cerebellar Stroke
I-clot yegazi, ukuphuma kwegazi noma ukuhlukunyezwa kungabangela ukushaywa kwe-cerebellar. Izinto ezibangelwa ingozi yegazi elibangela ukushaywa kwe-cerebellar kufana nezici zokubeka ingozi kunoma yikuphi ukushaywa kwe-ischemic kunoma iyiphi ingxenye yobuchopho. Lokhu kuhlanganisa ukubhema, ukushisa komfutho wegazi , amafutha aphezulu kanye nama-cholesterol , isifo senhliziyo nesifo sikashukela. Izifo ezibangelwa ukushaywa kwesifo se-cerebellar zihlanganisa ukucindezeleka okukhulu ngokweqile noma ukuchotshozwa kwengqondo ebuchosheni . Futhi ukuhlukunyezwa kwentamo ngemuva kwentamo kungalimaza imithwalo yegazi enikezela i-cerebellum, eholele ku-ischemic noma isifo esiyingozi.
Izwi elivela
Ngokujwayelekile, ukushaywa kwe-cerebellar kudinga ukuhlolwa ngokucophelela ukuze kunqume ukuthi kune-aneurysm yobuchopho yini noma yisiphi isitsha segazi esingavamile esingabangela esinye isifo. Ukuphathwa ngokucophelela kokuphuma kwegazi nokuvuvukala kuyadingeka ukuvimbela i-hydrocephalus. Kufanele ulindele ukuqapha kwezempilo okusheshayo ezinsukwini ngemuva kokuthola isifo socerebellar, ngisho noma izimpawu zakho zingabonakali kakhulu.
Iningi labantu abathola ukushaywa kwe-cerebellar ngcono, kodwa lokhu kungathatha isikhathi. Ukwelashwa ngokomzimba kuyigumbi elingundoqo lokubuyisela, ikakhulu uma kuziwa ekubuyiseleni izinga lokufunda nokufunda indlela yokuhamba ngokuphepha. Ngokuhamba kwesikhathi, ukuthuthumela nokunyakaza kwemithi kungathuthuka. Umbono ophindwe kabili ungaba yingozi enkulu uma kuziwa ekushayela futhi kungabangela izinhlungu, kodwa kungenzeka ukuthi uthuthuke kancane kancane.
> Ukufunda okuqhubekayo:
> I-Crboectomy ye-Suboccipital Decompressive ye-Cerebellar Infarction: Ukubuyekezwa Okuhlelekile kanye ne-Meta-Analysis, i-Ayling OGS, i-Alotaibi NM, i-Wang JZ, i-Fatehi M, i-Ibrahim GM, i-Benavente O, i-Field TS, i-Gooderham PA, iMacdonald RL, i-World Neurosurg. 2017 Nov 2. pii: S1878-8750 (17) 31872-7. doi: 10.1016 / j.wneu.2017.10.144.