Okufanele Ukwazi Ngezigubhu Zezinsipho

Uma wena noma othandekayo utshelwe ukuthi ube nomgogodla ongapheli, cishe cishe awukwazi ukuthi yini ongayilindela. Iningi labantu alikaze lizwe ngomgogodla ongakafiki ngaphambili. Nakuba iningi lomvimbo liphazamisa ubuchopho, kunezinhlangothi ezithinta intambo yomgogodla, futhi kuthiwa yi-spinal cord ephazamisayo noma ephawulisayo.

Sibutsetelo

Umgogodla ubeka i-akhawunti kuphela amaphesenti angu-1 azo zonke izinhlangothi.

Izimbangela kanye nemiphumela yomgogodla ohluphayo uhlukile. Lokho abafana nakho konke ukulimala komgogodla okubangelwa ukungabi nokuphuma kwegazi kuya emthonjeni womgogodla noma esifundeni somgogodla. Imiphumela yomsindo womgogodla ohlukumezekile uxhomeke endaweni ye-infarct ngaphakathi kwentambo yomgogodla, ukuthi ukulimala okunzima kangakanani, futhi nokuthi ngabe umgogodla we-spinal uphathwa ngokuphuthumayo ngokushesha.

Kuyini Ukushaywa Kwegciwane Lase-Spinal Cord?

Umgogodla, njengengxenye yonke yomzimba, udinga ukuthola igazi ukuze uthole oksijini nezakhi. I-oxygen nezakhi zenza umgogodla usebenze futhi uphile. Kukhona imithwalo yegazi, ebizwa ngokuthi yi-artery artery, ehambisa igazi-ocebile, elinomsoco ocebile entanjeni yomgogodla. Uma igazi ligeleza ngeyodwa noma ngaphezulu emithanjeni yomgogodla iphazamiseka, khona-ke isifunda somgogodla ovame ukuthola igazi kulowo mkhumbi wegazi uhlupheka. Lona isifo sokugaya umgogodla, ngokuvamile esibizwa nge-spinal infarct.

Iyini intambo yomgogodla?

Intambo yakho yomgogodla ifakwe ngaphakathi komgogodla wakho (umgogodla.) Intambo yakho yomgogodla isiteshi esithintwayo esixhuma imiyalezo phakathi kwezingxenye ezahlukene zomzimba wakho nobuchopho bakho. Uma ufuna ukuhambisa enye yemisipha yakho, ubuchopho bakho buthumela imilayezo ngokusebenzisa intambo yakho yomgogodla bese usebenzisa izinzwa ezilawula leyo misipha, futhi ekugcineni zifike emisipha yakho, ukuze imisipha yakho ihambe.

Ngokufanayo, uma uzizwa unomsindo engxenyeni yomzimba wakho, izinzwa ezisesikhumba sakho zithumela imilayezo ngocingo lwakho lomgogodla ebuchosheni bakho ukuze ukwazi ukuqaphela imizwa yomzimba wakho.

Noma yimuphi umonakalo ovela kumgogodla ongagcwele umgogodla ungathinta ikhono lomgogodla lokusebenza njengesiteshi esiseqophelweni sokudlulisa, ukuphazamisa ukuzwa kwakho noma ukunyakaza kwakho kwemisipha, noma kokubili.

Yimiphi imiphumela yomgogodla we-spinal infarct?

Uma ngabe unomgogodla ongapheliyo, ungahle ube nemiphumela engapheli yezinzwa njengomphumela. Imiphumela ethile ixhomeke endaweni yokugaya komgogodla nokuthi ilukhuni kanjani.

Indawo ye-spinal infarct ichazwa ngokusho kokuphakama nokujula komgogodla. Isigaba esisodwa sendawo yomgogodla sisekelwe 'ezingeni eliphezulu nangaphansi' kwentambo yomgogodla, echazwa njengezinga lomgogodla. Esinye isici sendawo yomgogodla incike ekutheni 'ukuphuma noma ukuphuma' komgogodla ukulimala kungukuthi, okuchazwe njengendlela yomgogodla.

Izinga le-Cord Umgogodla

Izinga lomgogodla lichaza ukuthi ubukhulu bomgogodla buphakeme kangakanani noma buphansi, kanti ukuphakama komgogodla kungaphezulu, kubi kakhulu umonakalo. Lokhu kusho ukuthi uma umgogodla we-umgogodla kwenzeka eduze kwentanyeni, ezingeni lomgogodla womlomo wesibeletho, inkinga eholele izoba nomthelela emisebenzini yomzimba engaphansi nangenhla.

Uma umgogodla ongena emgogodla uvela emaphakathini aphansi nangaphansi, ngemuva kwezintambo zomgogodla we-thoracic ne-lumbar, ukusebenza komzimba emilenzeni nasezingxenyeni eziphansi zomzimba kuyothinteka, hhayi imisebenzi yomzimba ezandleni nasezingenhla izingxenye zomzimba.

I-Tract Tract

Umthambo womgogodla uhlotshaniswa ngendlela efana ne-tube yendilinga eqinile, nakuba akuyona isiyingi esiphelele, futhi asiqine ngokuphelele. Izingxenye zomthambo womgogodla oseduze nangemuva kwemisebenzi yokulawula umzimba njengokuzwa, kanye nezingxenye zomgogodla oseduze nendawo yangaphakathi yemisebenzi yokulawula umzimba njengokuhamba.

Futhi, ohlangothini lwesobunxele lwezintambo zomgogodla ulawula isigamu nje somzwelo nokuhamba komzimba, kanti uhlangothi lwesokudla lomgogodla lulawula isigamu sozwela nokuhamba komzimba.

Umsebenzi othize wesigaba ngaphakathi komgogodla uvame ukubizwa ngokuthi ipheshana. I-infinct yomgogodla inemiphumela ehlukile kuye ngokuthi yiliphi ipheshana elalimala futhi ukuthi ngabe i-infarct ithinte uhlangothi olungakwesokudla komgogodla noma ohlangothini lwesobunxele lomthambo womgogodla, noma kokubili. Amanye ama-infinct infarts abangela inkinga ngokuzwa, ezinye zidala inkinga ngamandla emisipha, ezinye zithinta uhlangothi olungakwesokudla futhi ezinye zithinta ohlangothini lwesobunxele. Iningi lezinhlayiya zomgogodla lidala inhlanganisela yalezi zinkinga ngoba umgogodla ongena emgodini uvame ukulimaza ngaphezu komunye umgogodla womgogodla ngesikhathi.

Ukwelapha

Ukwelashwa kwentambo yomgogodla ongaphelele kungabandakanya abaqaphi begazi uma i-clot yegazi iyimbangela yomgogodla ongapheli. Ezinye izinketho zokwelapha ezintsha zomgogodla ongapheli zihlanganisa abanamandla abanomzimba wegazi, njengezicubu ze-plasminogen activator (TPA) , kodwa kunezici ezimbalwa zezifundo zesayensi ezichaza ukuphumelela kwe-TPA esimweni se-spinal infarct. Uma odokotela bakho benquma ukuniphatha nge-TPA ephuthumayo ngenxa yokungena komgogodla, lokhu kuyisinqumo okumelwe senziwe masinyane ukuze sikhulise ukusebenza kahle nokunciphisa izinkinga eziyingozi, njengokungena kwegazi.

Ngezinye izikhathi, ukuphuma kwegazi kuyimbangela yomgogodla ongaphili. Ezimweni ezinjalo, ngokuvamile kubangelwa umcibisholo wegazi wesisu, futhi ukuhlinzwa kungaboniswa, ngezinye izikhathi ngokuphuthumayo.

Isibikezelo

Izindaba ezimbi ukuthi intambo yomgogodla ehlulekayo ngokuvamile iholela emiphumeleni emibi kakhulu. Kunezizathu ezimbalwa zalokhu:

Esinye sezimbangela ezingathí sina zomgogodla ophuthumayo, ukuhlukunyezwa kwesisu, isifo esiyingozi futhi esongela ukuphila okudala ukuphaphazeka okusheshayo nokunzima nokulahlekelwa igazi. Izimbangela eziningana zezimbangela zomgogodla ezingapheli zihlobene nokuhlukunyezwa okukhulu kanye nezinye izifo ezinkulu, okwenza ukuthi ukulwa nomgogodla kungabhubhi kanye nesinye isifo esenza ukuba intambo yomgogodla ithinte inselele enkulu yokukhuphuka.

Esinye isizathu sokuthi intambo yomgogodla igaxa ngokuvamile iholela emiphumeleni embi ukuthi umonakalo wendlala yomgogodla kunzima kakhulu ukuphulukisa. Kuyinto engavamile ukungenelela kwezokwelapha ukuze 'ubuyisele' noma yimuphi umsebenzi olahlekile kusuka emgogodini ongapheli. Esikhathini esiningi, ukungenelela kwezokwelapha ukulimala komgogodla kuyindlela yokuvimbela umonakalo owengeziwe, hhayi ukubuyisela noma ukulungisa umonakalo wendlala yomgogodla.

Ucwaningo olusha lokuthola ukwelashwa kwezifo ezingelapheki njengokulimala komgogodla kuhlanganisa ucwaningo lwe-neuroplasticity, elungisa izinzwa ezonakalisiwe, nokucwaninga nge- stem cell therapy , ebeka esikhundleni sezinzwa ezilimazayo.

Izimbangela

Kunezimbangela eziningana zezimbangela zomgogodla ongapheli. Le nkinga ayibangelwa yizifo zenhliziyo kanye ne-atherosclerosis, okuyizinto ezivame ukudala ukungasebenzi emcimbini. Umthambo womgogodla ongaphelele ungabangela ukuphuma kwegazi noma i-blood clots kwesinye sezimpawu zegazi zesisu, ikakhulukazi i-aorta yesisu. Ukuhlukumezeka okukhulu emzimbeni kunganciphisa ukugeleza kwegazi emthonjeni womgogodla, okwenza intambo yomgogodla ingabikho. Ezinye izimbangela zezintambo zomgogodla ezingenayo zihlanganisa izifo, umdlavuza, izifo zegazi kanye nesifo sokuzibulala noma isifo sokuvuvukala. Uma wena noma othandekayo uye waba nomgogodla ongapheli, odokotela bakho bazosebenza ngokushesha ukuze bathole imbangela futhi baphathe imbangela ngokushesha.

Ukubhekana

Ukuphila emva komgogodla ongagqwali kungadinga ukulungiswa kokuphila okujulile. Uma wena noma othandekayo wakho engenakho ukukhubazeka okukhulu ngenxa yomgogodla ongapheli, khona-ke ingxenye eyinhloko yokutakula ihilela ukuphathwa kwezokwelapha imbangela yokugwinya komgogodla. Uma unokukhubazeka okukhulu, ukwelapha okwenziwe ngokomzimba kanye nokwelashwa komsebenzi kungakusiza ukwandise amakhono akho futhi ufunde ukuthi ungagcina kanjani umzimba wakho unempilo futhi uphephile ngangokunokwenzeka. I-United Spinal Association kanye noChristopher noDana Reeve Foundation yizinhlangano ezimbalwa ezizinikele ekuhlinzekeni izinsiza kanye nokusiza abantu abaphila ngokulimala komgogodla.

> Imithombo:

> Koch M, Sepp D, Prothmann S, Poppert H, Seifert CL. I-thrombolysis yesistimu ku-syndrome yangaphakathi yomgogodla ongaphakathi: yini okufanele icatshangelwe ?. J Thromb Thrombolysis . 2016; 41 (3): 511-3.

> Lee J, Lim YM, Kim KK. Icala lomgogodla we-infarction elibangelwa i-polycythemia vera. Umgogodla. 2015; 53 Ukusekela 1: S19-21.

> Munyon CN, Hart DJ. Isifo se-Vascular somgogodla. I-neurologist . 2015; 19 (5): 121-7.

> Rabinstein AA. I-myelopathies yama-vascular. I-Continuum (Minneap Minn) . 2015; 21 (1 Spinal Cord Disorders): 67-83.

> Rigney L >, Cappelen-smith C, Sebire D, Beran RG, Cordato D. Intambo yomgogodla ongenalutho > ischemic > syndrome. J Clin Neurosci. 2015; 22 (10): 1544-9.