Ukucindezelwa kwe-intracranial (ICP) yisilinganiso sokucindezela kwamathishu ebuchopho kanye nomswakama we-cerebrospinal okuyizintambo futhi ezizungezile ubuchopho nomgogodla. It isetshenziswa ukuqapha impilo yobuchopho ngemuva kokulimala. Ukunyuka kwengcindezi yokungathandani kwengculaza kungabangelwa ucubu lobuchopho , ukuphuma egazini elizungeze ubuchopho noma ukuvuvukala ngaphakathi kobuchopho.
Ukunyuka kwengcindezi yokungasebenzi kungesimweni esasongela impilo. Ukungaboni, kungabangela ukulimala komqondo noma ukulimala komgogodla ngokucindezela izinhlaka zobuchopho nokuvimbela ukugeleza kwegazi ebuchosheni.
Izimpawu ze-ICP ephakanyisiwe
Izimpawu zengcindezi ephakeme ye-intracranial ihlukahluka ngobudala. Izinsana zibonisa izimpawu ngokuhlanza noma ukulala. Bangase babonise ukuxhuma kwangaphandle ku-fontanelle, indawo epholile phezulu kwekhanda. I-ICP ezinsaneni zingase zibe uphawu lokuhlukumeza izingane, ikakhulukazi isisu se-baby syndrome. Kungaba futhi umphumela wokuhlukaniswa kwamapuleti we-bony akha i-skull eyaziwa ngokuthi i-sutures ehlukanisiwe ye-skull.
Izingane ezindala nezindala zingabonisa izimpawu ezifana nalezi:
- Izinguquko ekuziphatheni
- Izinwele
- I-Lethargy
- Ukuzizwa
- Ukushaya ngaphandle kwesiyaluyalu
- Nciphisa ukuqonda
- Ukungaqondakali kwemvelo - ukunyakaza kwelanga okungavamile, umbono ophindwe kabili, nokunganaki
Izimbangela
Ukucindezela okuphezulu okuphakanyisiwe kungenziwa ngokwehlukana noma ngokuhambisana nezinye izimo.
Eminye yezimbangela ezivame kakhulu zokucindezela okuphezulu okubandakanya ukuhlanganisa:
- Isisu senhliziyo
- I-Trauma
- Intracerebral hemorrhage
- Isihlungu sakwa-Ischemic
- I-Meningitis
- Hydrocephalus
- Intracranial hypertension
- I-airway evinjiwe
- Hypoventilation
- I-hypertension
- Ukuzizwa
- Ukuxhumana okuhlobene nezidakamizwa
- Ukuthutha
- I-Edema
- Encephalitis
Ukuxilongwa
Ukuxilongwa komfutho ophakeme wokucindezeleka ovame ukungena lapho kuvamise isiguli esiteshini esiphuthumayo noma esibhedlela.
Izimpawu zokuqala zingatholakala ngesikhathi sokuhlolwa kwezokwelapha njalo.
Ukuqinisekisa ukuxilongwa kokucindezelwa okuphezulu okukhipha imithi, i-CT scan noma i-MRI yekhanda ingenziwa. Kungase futhi kulinganiswe ngokuqhuba ukugqama kwe-lumbar yomgogodla, owaziwa nangokuthi umgogodla womgogodla , ukulinganisa ukucindezela ketshezi e-cerebrospinal.
Ukwelapha
Ukunyuka kwengcindezi yokungena emzimbeni kubhekwa njengesimo esiphuthumayo sezokwelapha esibucayi nesisongela ukuphila. Ukwelashwa kugxile ekunciphiseni ukucindezelwa. Iziguli zizophathwa ngeyunithi yokunakekela kakhulu (ICU) yesibhedlela.
Ukuphathwa kwezokwelapha kwezingcindezi eziphakeme ezithintekayo kuhlanganisa okulandelayo:
- Ukuzijabulisa
- Ukugeleza komthamo we-cerebrospinal
- Ukusekela ukuphefumula
- I-coma ekhishwe ngemithi
- I-Hypothermia
- I-craniectomy ehlukumezayo
Ukucindezeleka okuphakanyisiwe okukodwa kuyinkinga evamile ezigulini ezigula kakhulu. Ukulibaziseka ekwelashweni noma ukwehluleka ukunciphisa ukucindezela okungahambi kahle kungabangela ukulimala okwesikhashana noma okuqhubekayo kobuchopho, i-coma yesikhathi eside noma ukufa.
Ukuvimbela
Ngenkathi i-ICP ingakwazi ukuvinjelwa, ezinye zezimbangela zayo ezibangela ukulimala kwekhanda ngokuvamile ziyakwazi. Ukugqoka isigqoko sokuzivikela lapho udlala imidlalo yokuxhumana noma ugibele ibhayisikili, ubopha ibhande, uhamba esihlalweni semoto kude nedeshibhodi, futhi ukusebenzisa isihlalo sokuphepha kwengane kungavimbela ukulimala kwekhanda ukuba kungasongela ukuphila.
Ukususa i-clutter kusuka phansi nokuyigcina eyomile kuyosiza ukuvimbela ukuwa ekhaya-imbangela evamile yokulimala kwekhanda kulabo asebekhulile.