Ukukhathazeka Okuvamile Ngokulandela Ukwelashwa Ukuvimbela Ukushaywa Isisu
I-cerebral hyperperfusion syndrome (CHS) iyinkimbinkimbi engavamile engenzeka ngemva kokuhlinzwa inqubo ebizwa ngokuthi i-carotid arterial revascularization. Inhloso ye-revascularization ukuvimbela ukushaywa okubangelwa ukunciphisa umthambo we-carotid (isitsha segazi esithwala igazi okwenziwe umoya ophethwe yi-oxygen).
Igama elithi hyperperfusion lisetshenziselwa ukuchaza ukunyuka kwengcindezi yegazi ekhulayo okuyisici se-syndrome.
Uma kungaphathwa kahle, i-CHS ingaholela ekuvupheni kobuchopho obukhulu (i-edema), ukuphuma kwegazi, ngisho nokufa.
Indlela i-CHS eyenzeka ngayo
I-carotid artery stenosis ibonakala ngokunciphisa umthambo, okwenza kancane kancane ukugeleza kwegazi ne-oxygen kuya ebuchosheni.
Ngokungafani nesifo esiwumhubhe , okwenzeka lapho umkhumbi uhlakazeka, lolu hlobo lwesifo lubhekwa njengesi- ischemic , okusho ukuthi ubuchopho bunqunywe umoya-mpilo ngenxa yokuvinjelwa noma ukuvinjelwa kwegazi.
Uma kutholakala, odokotela bavame ukwenza enye yezinqubo ezimbili ezihloswe ukuqinisekisa ukunikezwa kwegazi kungaphazamiseki:
- I-Endarterectomy , inqubo esetshenziselwa ukususa noma yikuphi ukuvinjelwa kusuka ngaphakathi komkhumbi
- Ukugxila , ukungena kwe-tube mesh ukugcina isitsha segazi sivulekile
Nakuba izinkambiso zombili ziphumelela ekwelapheni i-stenosis ye-arterial, ngezinye izikhathi zingasebenza kakhulu. Uma ukugeleza kwegazi kuvela ngokuzumayo futhi kuvuselelwe ngokugcwele, inethiwekhi yezitsha ezincane nama-capillary angeke ukwazi ukubhekana nakho, ikakhulukazi uma zihlangene futhi zizinzima ngokwabo.
Ukuqhuma okungazelelwe kwegazi kungabangela i-spike enkulu ekucindezelekeni okungaphazamisa izicubu ezinamapulangwe, okubangelwa ukuvuza nokuvuvukala kwendawo. Kwezinye izimo, imithwalo yegazi ingaphula ngokuphelele, okwenza kube nesifo esibi kakhulu-into kanye nokuhlinzwa okuhloswe ngakho ukuvimbela.
Izingozi Zengozi Ezihlobene Ne-CHS
Kulezi zinqubo ezimbili, i-carotid endarterectomy ibhekwa njengendlela ejwayelekile yegolide yokuphatha isifo se-stenosis.
Ingozi yokushaywa yisisu ngokulandela i-endarterectomy kucatshangwa ukuthi ibe ngamaphesenti angamahlanu futhi ngokuvamile ibangelwa lapho ucezu lwe-plaque eliphefumulayo luphela ngesikhathi sokuhlinzwa futhi luvimbela isitsha kwenye ingxenye yengqondo.
Ngisho noma inqubo iphuma ngaphandle kwe-hitch, noma yikuphi okuphakathi kwamaphesenti ayisishiyagalolunye nesishiyagalolunye weziguli kuzothola i-hyperperfusion. Konke okukhulunywe, okungaphansi kwamaphesenti amathathu kwe-carotid endarterectomies kubangelwa yi-CHS enezimpawu.
Izimpawu ze-CHS
Izimpawu ze-CHS zingase zenzeke kubantu abathola ukwanda kwamaphesenti angaphezu kuka-100 ekugezeni kwegazi kuya ebuchosheni obulandela ukuhlinzwa. Zingahle zihambe ngobukhulu kusukela emnene nasezinsukwini ezimbalwa zengozini yokufaka impilo futhi zibandakanye:
- Izinwele
- I-nausea
- Ukuvota
- Isizungu
- Ukuphelelwa amandla
- Umbono ophundlekile
- Ukuzizwa
- Isibungu
- I-Coma
Kuncike lapho ukuqhuma noma ukuphuma kwegazi kwenzeka, noma yikuphi inani lezinye izimpawu zezinzwa ezingakhula, kuhlanganise nokulahlekelwa inkumbulo, ukukhubazeka kwenkulumo, ukungafaki ukuphefumula, nezinkinga zemoto.
Ukuvimbela i-CHS
Isici esikhulu kunazo zonke esisodwa se-CHS isifo somfutho we-postoperative. Ngakho-ke, kubalulekile ukuthi noma ubani ophethe i-endarterectomy ahlolwe ngokucophelela ukuze abone inkinga ekuqaleni. Izinketho zokucabangela zihlanganisa i- Dcpleral transcranial , ifomu le-ultrasound elilinganisa ukuvinjelwa kwegazi ebuchosheni.
Ekugcineni, ukungenelela kokuqala kanye nokulawulwa kwengcindezi yegazi kuyingxenye yokuphatha noma ukunciphisa noma yiziphi izimpawu ze-CHS.
> Umthombo:
> Lieb, M .; Shah, U .; ne-Hines, G. "I-cerebral hyperperfusion syndrome ngemuva kokungenelela kwe-carotid: ukubuyekezwa." Ukubukezwa Kwezinhliziyo. 2012: 20 (2): 84-9.