I-brainstem yindawo yobuchopho obusebenza ngokomzimba nangokomsebenzi ebuchosheni. Ngenkathi i-brainstem iyingcosana ngobukhulu, ithwala ama-neurons alawula ukunyakaza, ukuzwa, nokubambisana ubuso, amehlo, umlomo nomzimba.
I-Brainstem Stroke
I-brainstem stroke ibangela imiphumela eminingi, kufaka phakathi ubuthakathaka, ukulahleka kwemicabango, umbono ophindwe kabili, inkinga yokugwinya nokunciphisa ukusebenzisana.
Kunezinhlobo ezihlukahlukene ze-brainstem syndromes. Lawa ma-syndromes abonakala ngeqoqo lezimpawu ezihambelana nendawo ethize yokulimala komqondo. Ama-syndromes e-Brainstem afaka isifo sika-Weber (ukushaya kwesibindi), i- Wallenberg's syndrome (i-lateral medullary stroke), isiqalekiso sika-Ondine (ukushaya kwesifo somzimba ), ivalwe ku-syndrome (i-pontine attack stroke) nezinye. Lezi ziphazamiso ze-brainstem zincane kakhulu ngoba zibangelwa ukuphuma noma ukuphazanyiswa kokugeleza kwegazi egatsheni elincane kakhulu lomthambo ebuchosheni.
Umphumela owodwa wokuthi izinhlungu eziningi zobuchopho be-brainstem zifana nalokho ukuthi zibhekene nokuzondwa kanye ne-vertigo.
Yeka ukuthi i-Brainstem ishaya kanjani isizathu sokuzivocavoca
Ukushaywa kwe-Brainstem kubangele ukuzondla ngezizathu ezihlukahlukene. Ezinye iziphazamiso ze-brainstem ziphazamisa ukuxhumana phakathi kobuchopho kanye ne-cerebellum. I-cerebellum ilawula ukusebenzisana kobuso nomzimba, futhi uma umsebenzi we-cerebellar uphazamiseka, umphumela ukungalingani ngokomzimba.
Ukushaywa kwe-Brainstem kungaphazamisa ukulinganisa kokunyakaza kweso, kubangele imibono kabili noma ukunyakaza okujerky (nystagmus) okufaka isandla esihlokweni.
Ukushaywa kwe-Brainstem kungaphazamisa ukuzwa komzwelo noma umsebenzi wezinzwa ezisiza ukugcina ibhalansi. Futhi ezinye izingxabano ze-brainstem ziveza ukunciphisa ukuzwa, ziphazamise ikhono lokuzwa isimo somzimba wakho, okuveza uhlobo losizi.
Ukuchaza ukuzondwa
Uma uzizwa uhlaziyekile, kuyasiza uma ungakwazi ukuchaza kahle indlela ozizwa ngayo. Ukuzondwa yizwi elinencazelo engacacile.
Ngakho-ke kuyasiza ukucabangela ngokuqondile futhi uchaze ukuzwa kwakho lapho uzizwa uhlaziyekile. Isibonelo, ingabe unamakhanda? Ingabe uzizwa futhi uhlaselwa? Uma ukuzondeka kwakho empeleni kubangela ukuba uhlanza, ingabe isizungu sithuthuka noma sibi nakakhulu uma usuhlanza?
Ingabe uzizwa ujutter uma unesizungu? Ngezinye izikhathi ugozi luhlotshaniswa nomuzwa wokukhathazeka. Ingabe uzizwa uhlaziyekile uma ungadli?
Ingabe unobuthakathaka noma unobunzima lapho uthola udizizi? Ingabe uzizwa ulinganisiwe noma ugoqa? Noma ingabe ubona umbono obonayo noma kabili? Ingabe unomuzwa wokuthi umhlaba ujikeleza nxazonke? Le nzwa yokuhlunga ichazwa njenge-vertigo. Esinye isimo esivame ukuchazwa njengesizungu kungumqondo wokuzwa sengathi uhlukanisiwe .
Okufanele Ukwenze Ngezivivinyo
Ukuzondeka kuyinkinga evamile. Akuyona yonke imimoya esho ukuthi une-stroke noma ngabe usengozini yokushaywa yisifo. Kodwa, ngezinye izikhathi, isiyezi siyisibonakaliso senkinga enkulu, njengesihlungu noma esinye isimo sezempilo.
Uma unenkinga ephindaphindiwe ngesizungu, kubalulekile kuwe ukwenza i-aphoyintimenti ukuze ubone ochwepheshe bezempilo.
Izimo eziningi zempilo ezihlukene zingabangela isizungu, kungathatha okwesikhashana ithimba lakho lokunakekelwa kwezempilo ukuthola imbangela yokuzondeka kwakho.
Uma unemizwelo engazelelwe futhi eyedlulele yosizi, kufanele uthole usizo lwezokwelapha ngokushesha.
Kukhona nezinye izimbangela ezingavamile nezingavamile zokushaywa nesisu, njengama- roller coaster ukugibela nokulunywa kwesilwane .
Okufanele Ukwenze Nge-Brainstem Stroke
I- brainstem stroke kufanele iphathwe njengesimo esiphuthumayo sezokwelapha ngoba ubuchopho be-brainstem bulawula imisebenzi eminingi ebaluleke kakhulu yokusekela impilo, njengokwazi kwethu ukugcina ukuphefumula njalo nokugcina umsebenzi wenhliziyo.
Kunezindlela eziningana zokwelapha ezitholakalayo ezithombeni ze-brainstem, kodwa ukuze lezi zindlela zisebenze kahle kumele ziqaliswe esikhathini esifushane ngemuva kokuba izimpawu ziqale. Ezinye zezokwelapha eziphuthumayo ze-stroke zihlanganisa i- TPA kanye nenqubo ebizwa ngokuthi i-intraarterial thrombolysis, echitha i-clot yegazi ephethwe isifo.
Uma uke wahlaselwa yi-brainstem, cishe uzochitha isikhathi esithile ukuthola izivivinyo kanye nokwelashwa esibhedlela, kulandela isikhathi sokuvuselelwa ngesikhathi uthola kabusha. Ukuvimbela isisu kuyisici esibalulekile sokutakula kwakho ngoba uzofuna ukugwema ukuba nesinye isifo njengoba ululameka ebuchosheni bakho be-brainstem.
> Imithombo:
> Ukuxilongwa Okumangalisayo Nokuphathwa Kwe-Stroke Ukuletha Isizungu noma Vertigo, Lee SH, Kim JS, Umtholampilo we-Neurol. 2015 Aug; 33 (3): 687-98