Kuyini ukushaywa yi-Lacunar?
Ukushaywa yi-Lacunar kukhona ukushaywa okubangelwa ukufakwa kwegatsha elincane lomkhumbi wegazi omkhulu . Ngenxa yokuthi imithwalo yegazi ihlukanisa ebuchosheni, imivimbo ye-lacunar ivame ukuvela ezindaweni ezikude nobuchopho, lapho kunezinhlamvu eziningi ezinamanzi ezincane ezitholakala khona. Njengoba izindawo eziningi zobuchopho zenza umsebenzi olinganiselwe wemisebenzi yobuchopho, ukuqoqwa kwezibonakaliso zesifo esithile esinikezwe i-lacunar ngokuvamile kufinyelela ngaphakathi kwezigaba zezimpawu ezaziwa ukuthi zibangelwa umonakalo kulezi zindawo.
Zihlanganisa okulandelayo:
Izibhamu Zezimoto Ezihlanzekile
Izibhamu ezihamba phambili ziyindlela ejwayelekile kunazo zonke zokushaya, okubalwa ngaphezu kwama-50% kuwo wonke amacala. Odokotela basebenzisa leli gama lobuchwepheshe "i-motor hemiparesis ehlanzekile" ukuze bachaze izimoto ezihlanzekile. Igama elithi hemiparesis lisho ubuthakathaka ohlangothini olulodwa lomzimba.
Imivimbo yezimoto ezihlanzekile ngokuvamile ihlanganisa izingxenye ezilandelayo zobuchopho:
Zonke lezi zindawo ziqukethe amafayili ahlanganisa "i-cortex yobuchopho" endaweni yesimiso sezinzwa lapho imiyalo yokuqala ukunyakaza okuzithandela (ukuhamba, ukushaya unyawo lwakho) kuqala kuqala. Lezi zindawo zesimiso sezinzwa zivuselela imisipha yonke umzimba ukuze ihambe. Ezimweni eziningi, umphumela wemivimbo kulezi zindawo ulinganisa ukungakwazi ukuthi i-puppeteer yayiyoyithutha ingalo yomuthi ka-marionette uma intambo eyayixhuma kwisibambo sayo yaqedwa. Kulesi sibonelo, i-puppeteer imelela i-cortex yobuchopho, kuyilapho izintambo ezivumela i-puppeteer ukuba zihambise izingxenye zomzimba ze-marionette zimelela izindawo ezithintekile ku-stroke ehlanzekile yemoto.
Izimpawu Ze-Pure Motor Stunke YasePure
Ukushaywa kwezimoto ezihlanzekile kubangela ubuthakathaka obuthile noma obuphelele ebusweni, emlenzeni nasemlenzeni ohlangothini olulodwa lomzimba. Ubuthakathaka bungaba kunoma iyiphi yalezi zingxenye zodwa, noma ngokuhambisana nenye yezinye ezimbili. Ngokuvamile, imivimbo yezimoto ezihlanzekile ibangele ukuthi inhlanganisela yengalo nobukhulu bomlenze, ukugwema ubuso, noma inhlanganisela yengalo, umlenze nobuthakathaka bombuso.
Kodwa-ke, izimpawu zingenzeka nanoma iyiphi yalezi zingxenye zodwa.
Ngencazelo, ngemivimbo yezimoto ezihlanzekile akukho ukulahlekelwa kwemizwelo noma ikuphi emzimbeni, futhi akukho izimpawu zokubukwa noma zokukhuluma.
Iziphazamiso Ezihlanzekile Zase Lacunar
Njengoba igama labo lisho ukuthi, imivimbo ehlanzekile yomsindo i-strokes lapho izibonakaliso kuphela ziyizinto ezingavamile, njengokunganxibilika noma ukungajwayelekile okubuhlungu, izinga lokushisa noma ukucindezelwa (bheka ngezansi). Inqwaba yemivimbo ehlanzekile ye-lacunar iyathinta indawo yobuchopho ebizwa ngokuthi i-thalamus, indawo ehilelekile ekucubunguleni izinzwa ezivela kuwo wonke umzimba. Ukuzizwa okuthintekile ngesifo sohlangothi oluhlanzekile kufaka ukuthinta, ubuhlungu, izinga lokushisa, ukucindezela, umbono, ukuzwa, nokunambitha.
Izimpawu Ze-Stroke Ehlanzekile Eyisisindo Sokwahlulela
Amacala amaningi e-stroke ahlukumezayo angabikho noma angazwa ngendlela engavamile ebusweni, emlenzeni, emlenzeni nasezithombeni, kodwa ohlangothini olulodwa lomzimba. Nokho, ezimweni eziningi, izingxenye zomzimba ezahlukene ezifana neminwe, unyawo, noma umlomo ngakolunye uhlangothi zithinteka ekuzihlukaniseni. Uhlobo oluvamile lwe-lactave elimhlophe olubizwa ngokuthi i-lacunar isifo esibizwa ngokuthi i- Dejerine Roussy, noma i- Central Pain Syndrome .
I-Sensorimotor Stroke
Lolu hlobo lwe-lacunar stroke syndrome lubangelwa ukuvinjelwa komkhumbi ohlinzeka nge-thalamus kanye ne-capsule yangaphakathi yangaphakathi.
Izimpawu zeSensorimotor Stroke
Ngenxa yokuthi kokubili isisindo senhliziyo nobuchopho sithinteka yilolu hlobo lwesifo, izimpawu zalo zifaka kokubili ukulahlekelwa okuzwakalayo (umonakalo ku-thalamus) ne-hemiparesis noma i-hemiplegia (umonakalo we-capsule yangaphakathi). Kokubili ukuzwa okungaqondakali kanye nokuhamba okungavamile kuyabonakala kuhlangothi olufanayo lomzimba.
Ataxic Hemiparesis
Lolu hlobo lwe-stroke luvame ukubangelwa ukuntuleka kwegazi ukuya kwenye yezindawo ezilandelayo zobuchopho:
Izimpawu ze-Ataxic Hemiparesis
Iziphazamiso ze-Lacunar ezingxenyeni ezithile zalezi zindawo, ezingabangela nezimpawu ezihlanzekile zezimoto, zingabangela ukugubha nokuqina emlenzeni noma emlenzeni kolunye uhlangothi lomzimba.
Ngokuvamile, ukuzamazama (ataxia) kuyisimo esibuhlungu kakhulu kunokuba ubuthakathaka engalweni noma emlenzeni othintekayo. Ubuso abuvame ukuhileleka.
I-Dysarthria Clumsy-Hand Syndrome
Ngencazelo, i-clumsy-hand syndrome ye-dysarthria iyinhlanganisela yezimpawu ezibangelwa ukushaywa kwe-lacunar okuthinta ingxenye yangaphakathi ye-capsule yangaphakathi. Ezimweni zangempela zalesi sifo, abantu bahlupheka kokubili ukucindezeleka (ukukhuluma inkathazo) nesandla esiyinkimbinkimbi.
Izimpawu ze-Dysarthria Clumsy-Hand Syndrome
Njengoba igama libonisa, isici esivelele salesi sifo kuyisifo senkulumo okuthiwa i-dysarthria. Ngokuyinhloko, i-dysarthria ingachazwa njengokunzima ukumemezela noma ukwakha amagama ngenxa yokunyakaza okungenele kwemisipha ebhokisini lezwi, owaziwa nangokuthi i-larynx, ulimi, nezinye izidumbu emlonyeni.
Ngaphandle kwe-dysarthria, abantu abane-syndrome bayakhalaza ngokunyakaza kokuhamba kwesandla kolunye uhlangothi lomzimba. Ngokuvamile isandla esithintekile sinamandla amakhulu, kodwa abantu bakhononda ngobunzima ngokunyakaza okufana nokubhala, ukuhlanganisa i-shoelace, noma ukudlala upiyano.
Umthombo:
UJP Mohr, uDennis W. Choi, uJames C. Grotta, uBryce Weir, uPhillip A. Wolf Stroke: Ukuguquka Kwamathambo, Ukuxilongwa, nokuphathwa kweChurchill Livingstone; Umagazini we-4 (2004)
Ihlelwe nguHeidi Moawad MD