Uhlobo Lokulimala Kwebongo Okubangelwa Umkhumbi Wegazi Ophuthumayo
Ukushaywa yisifo yisifo esibucayi esibangela ukuntuleka kwegazi ebuchosheni. Ezimweni eziningi, kubangelwa uma i-clot yegazi idala emthini ohlinzeka ubuchopho, isimo esivame ukubhekwa njengesifo socwaningo lwe- ischemic .
Kodwa-ke, kumaphesenti angama-10 amacala, ukushaywa komzimba kubangelwa uma isitsha segazi sisuka ngokuzumayo ebuchosheni. Ngaphandle kwe-oksijini eqhutshwa igazi, amangqamuzana obuchopho angafa ngokushesha futhi aholele ekulimazeni okungapheli kobuchopho.
Lolu hlobo lwe-stroke lubhekwa njengesifo sokushaya isifo esiwumhubhe noma isifo sokuqeda imithi.
Izimpawu Ze-Stroke Eyingozi
Uma i-hemorrhage ye-intrarebral ivela, ayigcini nje kuphela ukwehlisa ubuchopho bomoya-mpilo, ingabangela ukuvuvukala nokucindezela okukhulu kobuchopho ngokwayo. Izimpawu zingahluka kodwa ngokuvamile zihlanganisa:
- Inhloko ekhanda futhi ekhanda
- Ukuzivocavoca nokulahlekelwa kwesilinganiso
- Ubuthakathaka ebusweni, emlenzeni noma engalweni kolunye uhlangothi lomzimba
- I-nausea
- Ukuvota
- Ukudideka noma ukudideka
- Izinkinga ngokukhuluma noma ukugwinya
- Ukuzizwa
I-hemorrhage engeyona ingozi kakhulu yimbangela yokulimala ephakathi kwezinsuku ezingu-30 zokufa kwabantu phakathi kwamaphesenti angu-35 namaphesenti angu-52, ngokusho kocwaningo luka-2010 eStroke Magazine.
Izimbangela ze-Stroke eHemorrhagic
Ngenkathi i-hemorrhage engalawuleki ingase ivele ngenxa yokulimala okukhulu kwekhanda (njengokungenzeka kwenzeka engozini yemoto), izimbangela ezimbili ezivame kakhulu zihlobene nokungajwayelekile kwemithwalo yegazi ngokwabo.
Esinye isimo esinjalo siyaziwa ngokuthi i- aneurysm eyenzeka lapho isigaba somthambo sikhula ngendlela engavamile. Uma lokhu kwenzeka, izindonga zethempeli zingase ziqale ibhaluni bese ekugcineni ziphuka. I-Aneurysms ingaba yindlala (okusho ukuthi kwakukhona lapho kusukela ngesikhathi sokuzalwa) noma kubangelwa ukucindezeleka okungapheli (ukucindezeleka kwegazi).
Enye imbangela engavamile kakhulu yinkinga yokubeletha eyaziwa ngokuthi i- arteriovenous malformation (AVM) . I-AVM ibonakala ngokungabikho kwe- capillaries emkhatsini we-arteries nama-veins. Esikhundleni sokuxhuma ngokusebenzisa le nethiwekhi ye-branching yamanzi amancane, imishanguzo ethile kanye nemithanjeni izoxhuma ngokuqondile. Lokhu kwenzeka kakhulu ebuchosheni noma emgodleni.
Ngokuhamba kwesikhathi, izitsha ezingavamile zizoqala ukujula njengoba ukucindezelwa kwegazi kufaka uhlobo olwengeziwe kwisakhiwo sabo esesibuthakathaka kakade. Ngokudabukisayo, abangaphezu kwamaphesenti angama-50 abantu abanesifo se-AVM bazobhekana nesifo esibuhlungu.
Ngaphezu kwalokho, izinhlobo ezithile zomdlavuza womkhuhlane zingabangela ukubola kwesisu ngokungcolisa ubuqotho bomkhumbi bese ubuthakathaka kuze kube seqophelweni lokuqhuma.
Ukwelapha
Enye yezinyathelo zokuqala zokubhekana nesifo sokugaya isisu ukunciphisa ukucindezeleka kwegazi ngokushesha ngangokunokwenzeka. Izidakamizwa ezithathelwanayo ezingenakuqhathaniswa zijwayele ukusetshenziselwa lokhu, kanti imithi ingahle ibekwe ukuba iphikise noma yiliphi igazi elincane umuntu angase athathe.
Lapho lo muntu eqinisiwe, odokotela bazohlose ukukhomba umthombo wokuphuma kwegazi. Uma ukugaya isisu kuncane kakhulu, ukunakekelwa okusekela kungaba yilokho okudingekayo, okufaka phakathi i-hydration eqaphayo ne-IV ukuvimbela ukuvuvukala okungahambi kahle.
Ukuze uhlaselwe kanzima, kungase kudingeke ukuthi uhlinzekwe ukulungisa ukuphuka nokuyeka ukuphuma. Kwezinye izimo, ingasetshenziselwa ukunciphisa ingcindezi egazini eliqoqiwe. Lokhu kungadinga inqubo eyaziwa njenge- craniotomy lapho isigaba se-skull sisuswa okwesikhashana.
Ngokuvamile, ukuphulukiswa kwesifo sofuba kuyashesha futhi kudinga ukuhlala esibhedlela isikhathi eside. Kungase kudingeke futhi ukuhlinzwa emsebenzini, inkulumo, kanye nokwelapha ngokomzimba ukuze kuthuthukiswe amakhono emoto abhekene nokulimala komqondo.
Endabeni yesifo esincane, umuntu angakwazi ukubuyela ekhaya emasontweni ambalwa. Ezimweni ezimbi kakhulu, ukwelashwa kungase kuqhubeke futhi kudinga ukunakekelwa isikhathi eside uma imisebenzi yezimoto nezokuqonda ingaphumeleli kakhulu.
> Imithombo:
> American Heart Association. "Iyini Inqubo Ye-Arteriovenous Malformation (AVM)?" I-Dallas, eTexas; ibuyekeziwe ngo-Okthoba 2012.
> Hanley, D .; I-Awad, I .; UVespa, P. et al. "Isihlungu sengozi: Isingeniso." Isibungu. 2013; 44: S65-S66. I-DOI: 10.1161 / STROKEAHA.113.000856.
> Amandla, W. "Ukulimaza kwe-Intracerebral kanye ne-Head Trauma; Imiphumela Ejwayelekile kanye Nezinqubo Ezivamile Zokulimala." Isibungu. 2010; 41: S107-S110. I-DOI: 10.1161 / STROKEAHA.110.595058.