Ukushaywa isisu nobuhlungu kungabuthana ndawonye ngenxa ye-lacunar infarct ( isifo ) esifundeni sobuchopho esibizwa ngokuthi i-thalamus. Le ndawo ebalulekile isebenza njengesiteshi esithunyelwayo solwazi lwezinzwa kusuka kuwo wonke umzimba. Ngokujwayelekile, isifo esinjalo se-lacunar sithe ngqo ezindaweni ze-thalamus ezithola ulwazi mayelana nobuhlungu, izinga lokushisa, ukuthinta, ukuzwakala kwesibindi, nokucindezelwa okuvela kuwo wonke umzimba.
Uma isifo siholela ebuhlungu ngenxa yomonakalo kulezi zindawo, abantu kuthiwa bahlushwa yi-Dejerine-Roussy syndrome. I-syndrome nayo ngezinye izikhathi ibizwa ngokuthi i-thalamic syndrome, noma i-central central syndrome (CPS).
Ngokusho kwe-American Stroke Association, azikho izibalo eziqinile zalolu hlobo lobuhlungu olulandelayo. Ucwaningo lubonise ukuthi amaphesenti ayisishiyagalolunye abaphendulile babenesifo esibuhlungu esibuhlungu. Labo abahluphekayo bavame ukuxoshwa njengokwenza noma ukunyusa ubuhlungu babo.
Izimpawu Zokuhlunguphazwa Nge-Stroke-Pain
Izimpawu zeDejerine-Roussy syndrome zihlanganisa okulandelayo:
- Ubuhlungu obungalindelekile buvela ohlangothini olulodwa lomzimba
- Ukuzwa okungavamile kokubuhlungu kuya ekuvuthweni okuvamile, okufana nokushaya kabuhlungu esikhumbeni
- Imizwa yokulinganisa evela kolunye uhlangothi lomzimba
- Imizwa yesisindo ngokweqile kolunye uhlangothi lomzimba
- Imizwa engavamile yokushisa nokubandayo ngakolunye uhlangothi lomzimba
Ngezinye izikhathi i-syndrome ihambisana nobuthakathaka ebusweni, ingalo, kanye / noma umlenze ohlangothini olulodwa lomzimba, oluqala ngokushesha ngemva kokushaywa yisifo.
Lokhu buthakathaka kuvame ukuhamba ngokuhamba kwesikhathi, kodwa zonke ezinye izimpawu zingase zihlale unomphela.
Izimpawu ezizwakalayo ze-Dejerine-Roussy syndrome zingaqala ngokushesha ngemva kokushaya noma zihambe kancane kancane emavikini alandelayo, noma izinyanga.
Ukwelashwa kwe-Dejerine-Roussy Syndrome
Imithi etholakalayo ye-Dejerine-Roussy syndrome ihlanganisa izidakamizwa zokucindezeleka, okuvame ukuba zishibhile, ziphephile futhi ziphumelele; ama-anticonvulsants ; kanye nemithi ye-analgesic efana ne-ibuprofen.
Ezimweni ezimbi, abantu banikezwa imithi ebuhlungu efana no- morphine ne-methadone. Abanye abantu bazuza ngisho nangokugqoka idivayisi njengepomphine. Ukuthola imithi yokwelapha efanele kungathatha isikhathi.
Izinketho zokuhlinzwa nazo zikhona kepha ubuchopho kufanele bube yinto yokugcina ephelele. Ukuhlinzwa kuhlanganisa ukukhushulwa kobuchopho obujulile , lapho i-electrode isetshenziselwa khona futhi ithumela ukugqugquzela ama-receptor ebuhlungu. Ukukhushulwa kobuchopho obujulile kusetshenziselwa ukunciphisa umbono womuntu wobuhlungu.
Kubalulekile ukuthola udokotela ofanele. Ezinye iziguli zithola umdlalo omuhle ekuvakaseleni kwabo kwegazi lokuqala. Abanye kumele baphumelele eminye imisebenzi ngaphambi kokuba bathole lowo oqonda ubuhlungu babo futhi baqale ukuhlola izindlela ezahlukene zokwelapha.
Imithombo:
I-American Stroke Association. Ikhishwe kusukela lapho ubuhlungu obungasoze buya khona; I-Stroke Connection Magazine; September / Okthoba 2003 (Isibuyekezo sokugcina sesayensi ngoMashi 2013).
UJP Mohr, uDennis W. Choi, uJames C. Grotta, uBryce Weir, uPhillip A. Wolf Stroke: Ukuguquka Kwamathambo, Ukuxilongwa, nokuphathwa kweChurchill Livingstone; Umagazini we-4 (2004).