Yintoni iCerebral Hemorrhage

Yintoni iCerebral Hemorrhage?

I-cerebral hemorrhage ibhekiselele ekopheni okubangelwa kukugqabhuka kwemithambo yengqondo engasebenziyo kwi-parenchyma yobuchopho.Ibalelwa kwi-20% ukuya kwi-30% yazo zonke izibetho, kwaye ukufa kwinqanaba elibukhali yi-30% ukuya kwi-40%.

Inxulumene ikakhulu nezifo ze-cerebrovascular kubandakanya i-hyperlipidemia, isifo seswekile, uxinzelelo lwegazi, ukuguga kwemithambo, ukutshaya njalo njalo..Izigulana ezinokopha ebuchotsheni zihlala ziqala ngesiquphe ngenxa yemincili ngokwasemoyeni kunye namandla agqithisileyo, kwaye ukufa kwinqanaba lokuqala kuphezulu kakhulu.Ukwengeza,uninzi lwabasindileyo banokungasebenzi kakuhle kwemoto, ukuphazamiseka kwengqondo, intetho kunye nokuphazamiseka kokuginya kunye nezinye iziphumo.

Yintoni i-Etiology yeCerebral Hemorrhage?

Oonobangela abaqhelekileyoUxinzelelo lwegazi kunye ne-arteriosclerosis, i-microangioma okanye i-microangioma.Ezinye ziqukaUkungalungi kwe-cerebrovascular, i-meningeal arteriovenous malformation, isifo se-amyloid cerebrovascular, i-cystic hemangioma, i-intracranial thrombosis ye-venous, i-arteritis ethile, i-Fungal arteritis, isifo somoya womoya kunye nokwahluka kwe-arterial anatomical, vasculitis, i-tumor stroke., njl.

Kukho nabanye oonobangela abafana neemeko zegazi kuqukai-anticoagulation, i-antiplatelet okanye unyango lwe-thrombolytic, usulelo lwe-Haemophilus, i-leukemia, i-thrombocytopenia intracranial tumors, utywala kunye neziyobisi ezinovelwano.
Ukwengeza,amandla agqithisileyo, ukutshintsha kwemozulu, ukuzonwabisa okungenampilo (ukutshaya, ukusela utywala, ukutya okunetyuwa, ukutyeba kakhulu), ukuguquguquka koxinzelelo lwegazi, ukuphazamiseka ngokweemvakalelo, ukusebenza kakhulu, njl.

Ziziphi iimpawu zeCerebral Hemorrhage?

I-hypertension ye-intracerebral hemorrhage ngokuqhelekileyo iyenzeka kwiminyaka engama-50 ukuya kwe-70, nangaphezulu kwindoda.Kulula ukwenzeka ebusika nasentwasahlobo, kwaye ngokuqhelekileyo kwenzeka ngexesha lemisebenzi kunye nemincili yeemvakalelo.Ngokuqhelekileyo akukho silumkiso phambi kokuba ukopha kwaye phantse isiqingatha sezigulane sinokuba nentloko ebuhlungu kunye nokuhlanza.Uxinzelelo lwegazi luyenyuka kakhulu emva kokuphuma kwegazi kwaye iimpawu zeklinikhi zihlala zifikelela phezulu kwimizuzu okanye iiyure.Iimpawu zeklinikhi kunye neempawu ziyahluka ngokwendawo kunye nesixa sokopha.I-Hemiplegia ebangelwa yi-hemorrhage kwi-basal nucleus, i-thalamus kunye ne-capsule yangaphakathi yimpawu eziqhelekileyo eziqhelekileyo.Kusenokubakho iimeko ezimbalwa zokuxhuzula ezidla ngokujolisa.Kwaye izigulana eziqatha ziya kukhawuleza zijike zibe kukungazi okanye isiqaqa.

1. Ukungasebenzi kakuhle kweemoto kunye nentetho
Ukungasebenzi kweMotor ngokuqhelekileyo kubhekiselele kwi-hemiplegia kunye nokungasebenzi kakuhle kwentetho ubukhulu becala aphasia kunye nokungacaci.
2. Ukugabha
Phantse isiqingatha sezigulana ziya kugabha, kwaye oku kunokunxulunyaniswa nokunyuka koxinzelelo lwe-intracranial ngexesha le-cerebral hemorrhage, uhlaselo lwe-vertigo, kunye nokukhuthazwa kwegazi kwi-meninges.
3. Ukuphazamiseka kwengqondo
Ubuqhophololo okanye isiqaqa, kunye nesidanga sinxulumene nendawo, umthamo, kunye nesantya sokopha.Ukopha okukhulu ngexesha elifutshane kwindawo enzulu yobuchopho kunokwenzeka ukuba kubangele ukungazi.
4. Iimpawu zamehlo
Ukungalingani kobungakanani bomfundi ngokuqhelekileyo kwenzeka kwizigulane ezine-cerebral hernia ngenxa yokunyuka koxinzelelo lwe-intracranial;kusenokubakho i-hemianopia kunye nokungahambi kakuhle kwamehlo.Izigulane ezine-cerebral hemorrhage zihlala zijonge kwicala le-hemorrhage yengqondo kwisigaba esinzima (i-gaze paralysis).
5. Intloko kunye nesiyezi
Intloko ebuhlungu luphawu lokuqala lokopha ebuchotsheni, kwaye idla ngokuba kwicala elophayo.Xa uxinzelelo lwe-intracranial lukhula, intlungu inokukhula kwintloko yonke.Isiyezi sihlala sidityaniswa neentloko, ngakumbi kwi-cerebellum kunye ne-brainstem hemorrhage.