Ukushaya kwesifo se-capsule yangaphakathi yisifo esincane esingabangela ubuthakathaka obuningi ohlangothini olulodwa lomzimba. I-capsule yangaphakathi yisifunda esibuchosheni, futhi isifo esithinta i-capsule yangaphakathi kubangela izimpawu zobuningi.
Iyini i-Capsule yangaphakathi?
I-capsule yangaphakathi ichaza isifunda esijulile ebuchosheni esisebenza njengendlela yokuxhumana.
I-capsule yangaphakathi ivumela ukuxhumana phakathi kwezindawo ze- cortex ye- cerebral , nezindawo ze- brainstem . Lezi zixhumanisi ezenziwa yizintambo ze-capsule zangaphakathi ziyadingeka ukuze kuqhutshwe umzimba nokuqonda ulwazi oluthile.
Umsebenzi omkhulu we-capsule yangaphakathi usebenza njengesiteshi esithunyelwayo somsebenzi womzimba womzimba. Lokhu kusho ukuthi i-capsule yangaphakathi iyadingeka ngengalo, umlenze, i-trunk nokuhamba komuntu. Uhlangothi olungakwesokudla lwe-capsule yangaphakathi ludlulisela izibonakaliso zesisindo sokunyakaza kwesokunxele somzimba futhi uhlangothi lwesobunxele lwe-capsule yangaphakathi ludlulisela izignali zamagundane ukuhamba kwesokudla komzimba.
Ngenkathi i-capsule yangaphakathi ihileleke ngokuyinhloko ekuhambeni, iphinde isebenze njengesiteshi esithintekayo sokuzwa kwesinye isikhathi somzimba.
I-capsule yangaphakathi ichazwa ngokuthi 'indaba emhlophe' ngenxa yokubonakala kwayo ngaphansi kwe-microscope.
I-capsule yangaphakathi iphinde ibhekiswe njengendawo engaphansi kwengqondo ngoba itholakala ngaphansi kwe-cortex ye-cerebral.
Izimpawu nokuxilongwa
Ukushaywa kwe-capsule yangaphakathi kungabangela ubuthakathaka bombono, ubuthakathaka besandla, ubuthakathaka bomlenze noma ubuthakathaka bonyawo, okuchazwe ngokuthi i-hemiparesis noma i-hemiplegia. Ungase ube namandla athile asele endaweni ethintekile (hemiparesis,) noma ungase ungakwazi ukuwuhambisa nhlobo (hemiplegia.) Ukushaywa kwangaphakathi kwe-capsule kungathinta ubuso, okwenze kube nzima ukuhlafuna, ukugwinya noma ukukhuluma ngokucacile.
I-capsule yangaphakathi kuyindlela yokuxhuma izinzwa ezilawula ukuzwa kwakho kanye nomsebenzi wakho wezimoto, ukushaywa kwe-capsule yangaphakathi kungabangela ukuba ulahlekelwe okuthile noma yonke inzwa engalweni, umlenze noma ubuso obathintekayo.
Ngenxa yokuthi izindlela eziningi ezibalulekile zigijima ngaphakathi kwe-capsule yangaphakathi, ukushaywa kwe-capsule yangaphakathi kuncane kungabangela ubuthakathaka obunzima noma ukulahlekelwa okuzwakalayo.
Uma ngabe une-stroke yangaphakathi ye-capsule, ngokuvamile ingabonwa nge- MRI ebuchosheni noma ebuchosheni be-CT ngesikhashana ngemva kokushaywa yisifo. Kodwa-ke, ngoba ukushaywa kwangaphakathi kwe-capsule kuncane, ngezinye izikhathi akubonakali ngokucacile ekuhloleni kwe-imaging yobuchopho, ngisho nalapho bangela izimpawu ezijulile.
Izimbangela
I-stroke yangaphakathi ye-capsule ibangelwa ukuphazanyiswa kokunikezwa kwegazi phakathi kwe-artery cerebral (MCA) noma enye yamagatsha awo amancane.
Ngokuvamile, ukushaywa kwe- capsule yangaphakathi kwe - ischemic kubangelwa i-clobo yegazi embolic evela kwenye indawo emzimbeni futhi ivimbela elinye lamagatsha amancane e-MCA. Kungase kubangelwe negazi le-thrombotic clot elithuthuka ngaphakathi komunye wemifudlana encane ehlinzeka igazi eliphethwe oksijini ngaphakathi kwe-capsule yangaphakathi. Ukushaywa komzimba noma ukushaywa yisifo sofuba ngokuvamile kwenzeka lapho izifo zesifo sofuba noma isifo senhliziyo ziqala ngemva kweminyaka eminingi yokubhekana nezinhlekelele .
I- aneurysm ebuchosheni noma isifo esibi kakhulu singathinta i-capsule yangaphakathi, nakuba lezi akuzona izimbangela ezivamile zengozi ye-capsule yangaphakathi.
Umphumela
Iningi lezinhlangothi zangaphakathi ze-capsule azibulali, futhi iningi labantu lihlangabezana nokuthola okuthile. Esikhathini esiningi, ukushaywa kwe-capsule yangaphakathi akubanga imbangela yokuvuvukala noma ukuqubuka okukhulu okuhlobene nokushaywa kwamanye amazwe ezindaweni zobuchopho.
Ngemuva kokushaywa kwe-capsule yangaphakathi, ungase uqhubeke uthola ubuthakathaka ohlangothini olulodwa lomzimba wakho, futhi cishe uzothola izinga elithile lokwenza ngcono ngezokwelapha kanye nokuvuselelwa kwesisu, nakuba ukutakula kuyashintsha phakathi komuntu oyedwa osinde ngesinye nesinye.
Ngokuvamile, ngemuva kokushaya kwesifo se-capsule yangaphakathi, kufanele ulindele ukuba ube nokuhlolwa kwezokwelapha ukuze ubone ukuthi unayo yini izifo eziyingozi zokuhlaselwa. Uma lokhu kuhlola kuveza izifo eziyingozi, ezifana nesifo senhliziyo , isifo sikashukela, umfutho wegazi ophakeme noma isifo segazi , kungase kudingeke wenze izinguquko ezithile endleleni yakho yokuphila noma uqale imishanguzo emisha.
Izwi elivela
I-stroke yangaphakathi ye-capsule ivame ukubhekwa njenge-stroke encane. Ukushaywa kwe-capsule yangaphakathi akuvamile ukuholela emiphumeleni yokusongela impilo. Kodwa-ke, yizibonakaliso ezibalulekile eziyisixwayiso zezici zokulimala. Ukulawula izimo eziyingozi zokulimaza ngemishanguzo noma izinguquko zendlela yokuphila kunciphisa kakhulu ingozi yokushaywa yisifo.
> Umthombo:
> Umthelela wendawo kanye nomthelela wokucatshangelwa kwesifo se-cerebral isitshalo esincane, uBeesbroek JM, Weaver NA, Biessels GJ, Clin Sci (Lond). 2017 Apr 25