Enye inkinga yomdlavuza womqondo iphuma ngaphakathi ebuchosheni (ebizwa ngokuthi i-hemorrhage engasebenzi) engabangela isifo.
Ake sifinyelele emininingwaneni engxenyeni ephathelene nobuhlungu bobuchopho kanye nama-hemorrhages angasebenzi. Ngale ndlela, uma wena noma othandekayo uye wabhekana nesifo somdlavuza osuka emdlalweni, ungaqiniseka ukuthi uzizwa ukhululekile ukwazi izinto eziyisisekelo nokuthi yini ongayilindela.
Izinhlobo Zezikhwehlela Zezinhliziyo
Kunezinhlobo ezimbili eziyinhloko zamathumba ezichopho , futhi noma eyodwa ingaqala ukuphuma kwegazi.
Ubunzima bokuqala be- Brain: Uhlobo olulodwa lubizwa ngokuthi i-tumor eyinhloko yobuchopho ngoba ivela ngaphakathi kwezicubu zobuchopho. Izibonelo zamathumba ezicathulo eziyinhloko zihlanganisa izicubu ze-pituitary, i-gliomas (ngokuvamile izikhumba ezikhula ngokusheshayo) kanye nama-meningiomas, ngokuvamile akhula kancane futhi anesineke-ngakho akayona umdlavuza.
I-Metastatic Brain Tumor: Izicubu ze-Metastatic zingumdlavuza oqala endaweni eyodwa yomzimba (njengamaphaphu, isifuba, noma izinso) futhi isakaze kwenye ingxenye yomzimba.
Kuyafaneleka ukuphawula ukuthi umdlavuza osakaze ebuchosheni awubizwa ngokuthi umdlavuza womqondo. Kunalokho, ibizwa ngegama lendawo lapho lowo mdlavuza waqala khona. Isibonelo, uma umdlavuza usuka emaphashini futhi usakazeka ebuchosheni, ubizwa ngokuthi umdlavuza wamaphaphu wesimetra noma ikakhulukazi, umdlavuza wamaphaphu oye waqhathaniswa nobuchopho.
Ubunzima bokubhamba kwe-Brain Tumor
Ukukhipha isisu okuvela esihlakalweni sobuchopho esiyinhloko empeleni kungumcimbi ongajwayelekile, ukubalwa kwamaphesenti amancane azo zonke izimbangela zegazi lokungena emzimbeni.
Izimbangela ezivame ukwanda kwe-intrarebral hemorrhage zihlanganisa ukuphakama kwengcindezi ephakeme yegazi, i-angiopathy yama-amyloid , ukuhlukunyezwa kwekhanda, nokusetshenziswa kwezidakamizwa ezingekho emthethweni (ngokuvamile i-amphetamines ne-cocaine)
Noma kunjalo, ukuthambekela kwe-tumor ebuchosheni ukuguquka kuncike ezimeni zesisu. Ngokwesibonelo, izicubu ze-pituitary zijwayele ukuphuma kwegazi kanti i- meningiomas ayivami ukudala igazi.
Ngaphezu kwalokho, i-metastase yobuchopho evela kwamanye amagciwane efana nomdlavuza wezinso noma i-melanoma ijwayele ukuphuma ngegazi. Ehlangothini le-flip, ama-metastase ebuchosheni emdlavuza webele ngokuvamile awaphuzi.
Izimpawu Ze-Stroke Eyingozi Ebangelwa Ubuhlungu Bobunzima
Izimpawu zesifo esiwumshayabhuqe esibangelwa yi-intrarebral hemorrhage zihlukile ezimpawu ezijwayelekile zokushaywa yisifo . Lokhu kungenxa yokuthi imivimbo eminingi yenzeka ngenxa yokungafihli ngokungazelelwe kokugeleza kwegazi esifundeni sobuchopho, okubangela ukuthi izimpawu zokuphazamiseka zikhule ngokuzumayo. Ngokuphambene, izicubu ebuchosheni zikhula kancane zibe izicubu zobuchopho, ngakho-ke izimpawu zesifo sohlangothi zikhula kancane kancane, ngaphezulu kwezinsuku, amasonto, noma izinyanga.
Izimpawu eziqondile zokuphuma kwegazi ebuchosheni bobuchopho zixhomeke ezintweni eziningana. Okubaluleke nakakhulu, inani legazi elifaka izicubu zobuchopho lithatha ukuthi izimpawu ziyoba ezincane noma ezincane. Izimpawu ze-tumor yegazi ephuma egazini zixhomeke nokuthi ukuphuma kwegazi kwenzeka kuphi ngoba ukuphuma kwegazi esifundeni esisodwa ebuchosheni kubangela izimpawu ze-neurological ezihlukile kulabo abangelwa ukuphuma kwegazi kwesinye isifunda. Ngakho-ke, izibonakaliso zokuphuma kwegazi ebuchosheni zingahle zivela emakhanda alula aphile ekufeni kokukhubazeka.
Noma kunjalo, izimpawu ezivame kakhulu zesifo socansi esilaphayo zihlanganisa:
- Ubuthakathaka buso kanye / noma ingalo, kanye / noma umlenze kolunye uhlangothi lomzimba
- Ubumbano ebusweni, kanye / noma ingalo, kanye / noma umlenze kolunye uhlangothi lomzimba
- Ukungakwazi ukuqonda ulimi olukhulunywe noma ukungakwazi ukukhuluma
- Ukungakwazi noma ubunzima ukubhala noma ukufunda
- I-vertigo kanye / noma nge-nausea noma ukuhlanza
- Inhloko ekhanda noma umbono ophindwe kabili
- Izinguquko embonweni noma ekulahlekeni kombono
- Ukuhlukunyezwa noma ukucindezeleka
Ukuxilongwa
Ukuhlwitha okuvela ebuchosheni bobuchopho kuvame ukutholakala nge-CT scan. Ngenkinga yokucwaninga kwe-CT, indawo yokugaya ngokuvamile ibonakala njengendawo emhlophe ebomvu, ngokungafani nokubukeka kwempunga kwezicubu ezivamile zobuchopho.
Ngaphezu kwalokho, igazi elisebuchosheni livame ukuzungeza indawo emnyama, emele ukuvuvukala kobuchopho.
Ukulimala okuningi nokulimala ebuchosheni, kuhlanganise nokushaywa komzimba kanye nezicubu zomqondo, kubangele ukuvuvukala, futhi kuyimidwebo nobukhulu bokuvuvukala okusiza odokotela ukuba banqume ukuthi ukuphuma kwegazi kungumphumela wesifo sobuchopho noma umphumela wesinye isimo, njengekhanda ukuhlukunyezwa noma isitsha segazi esigazini.
Ngokuvamile, uma kukhona ukusola ukuthi ukuphuma kwegazi kubangelwa ucubu lobuchopho, ukuhlolwa okulandelayo ngokuvamile kuyisimo se-MRI sobuchopho, kanye nomjovo wezinto ezihlukile ezibizwa ngokuthi i-gadolinium. Lezi zinto ezihlukisanayo zisiza ukuhlukanisa phakathi kwezicubu zomzimba zobuchopho, izindawo zegazi, kanye nezindawo zomzimba wesifo somdlavuza.
Ukwelapha
Ngokuvamile, ukwelashwa kokuphuma kwegazi ebuchosheni obubangelwa ucubu lobuchopho buxhomeke enani legazi kanye nezimpawu ezibangela. Ukwelashwa okujwayelekile ukukhipha kokubili igazi ne-tumor ngesikhathi esifanayo. Kodwa-ke, ngezinye izikhathi, uma inani legazi lincane kakhulu, futhi izimpawu zomuntu zincane (isibonelo, ikhanda), ukuhlinzwa kungenzeki ngokushesha.
Ngokuvamile, uma kuphephile ukulinda amasonto ambalwa ngaphambi kokuhlinzwa, ezinye izivivinyo zingenziwa ukuze kusize ukuvela umsuka wengqondo (kungakhathaliseki ukuthi iyinhloko noma imetastatic). Uma-ke, uma kunomdlavuza kwenye indawo emzimbeni, i-oncologist inganquma ukuthi imilaphi yezokwelapha iyadingeka yini noma cha, njenge-radiation kanye ne-chemotherapy.
Izwi elivela
Uma wena noma othandekayo enesifo socansi esibangelwa yisisu, kuzodingeka ulandele eduze kakhulu nethimba lezokwelapha, kuhlanganise ne-oncologist, i-neurologist, ne-neurosurgeon. Ngenkathi ukululama kungase kuphuze futhi kuphazamise, kokubili ngokomzimba nangokwengqondo, ngokusekelwa okuqinile kwabathandekayo kanye neqembu lakho lokunakekelwa kwezempilo, ungayithola.
> Imithombo:
> Caplan LR. (2017). Sibutsetelo kokuhlola kwesifo sohlangothi. I-Kasner SE, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Hainline C et al. Isethulo sengokwemvelo ye-hemianopia ne-prosopagnosia engaziwa nge-cerebral amyloid-inflammation ehlobene ne-angiopathy. J Neuroophthalmol . 2017 Mar; 37 (1): 48-52.
> Lee EQ, Wen PY. (2017). Ukwelashwa nokuvimbela i-thromboembolism enezinyosi ezigulini ezinama-brain tumors. I-Leung LLK, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.