Iyini I-Cerebral Hemorrhage

Iyini I-Cerebral Hemorrhage?

I-cerebral hemorrhage isho ukopha okubangelwa ukuqhekeka kwemithambo engahlubuki ku-parenchyma yobuchopho.Ibalelwa ku-20% kuya ku-30% wayo yonke imivimbo, kanti ukufa kwabantu abasesigabeni esibucayi kungu-30% kuya ku-40%.

Ihlobene kakhulu nezifo ze-cerebrovascular kuhlanganise hyperlipidemia, isifo sikashukela, umfutho wegazi ophakeme, ukuguga kwemithambo, ukubhema nokunye..Iziguli ezinokopha ebuchosheni zivame ukuqala ngokuzumayo ngenxa yenjabulo engokomzwelo namandla amakhulu, kanti ukufa kusenesikhathi kuphezulu kakhulu.Ngaphezu kwalokho,iningi labasindile linokungasebenzi kahle kwezimoto, ukukhubazeka kwengqondo, iziyaluyalu zokukhuluma nokugwinya nokunye okulandelanayo.

Iyini I-Etiology Ye-Cerebral Hemorrhage?

Izimbangela ezijwayelekile ziyiumfutho wegazi ophakeme nge-arteriosclerosis, i-microangioma noma i-microangioma.Ezinye zihlanganisaI-cerebrovascular malformation, i-meningeal arteriovenous malformation, isifo se-amyloid cerebrovascular, i-cystic hemangioma, i-intracranial thrombosis ye-venous, i-arteritis ethize, i-Fungal arteritis, isifo se-moyamoya kanye nokuhluka kwe-arterial anatomical, i-vasculitis, i-tumor stroke., njll.

Kukhona nezinye izimbangela ezifana nezici zegazi ezihlanganisai-anticoagulation, i-antiplatelet noma i-thrombolytic therapy, ukutheleleka kwe-Haemophilus, i-leukemia, i-thrombocytopenia intracranial tumors, ukuphuza utshwala nezidakamizwa ezizwelayo.
Ngaphezu kwalokho,amandla amaningi, ukuguquka kwesimo sezulu, izinto ongazilibazisa ngazo okungenampilo (ukubhema, ukudakwa, ukudla okunosawoti omningi, ukukhuluphala ngokweqile), ukushintshashintsha komfutho wegazi, ukuphazamiseka kwemizwelo, ukusebenza ngokweqile, njll. kungase futhi kube yizici ezibangelwa ukopha ebuchosheni.

Ziyini Izimpawu Zokuwopha Kwe-Cerebral?

I-hypertensive intracerebral hemorrhage ivame ukwenzeka eminyakeni engama-50 kuya kwengama-70, nangaphezulu kwabesilisa.Kulula ukwenzeka ebusika nasentwasahlobo, futhi ngokuvamile kwenzeka phakathi nemisebenzi kanye nenjabulo engokomzwelo.Ngokuvamile asikho isixwayiso ngaphambi kokopha futhi cishe ingxenye yeziguli izoba nekhanda elibuhlungu elibuhlungu kanye nokuhlanza.Umfutho wegazi ukhuphuka kakhulu ngemva kokopha futhi izimpawu zomtholampilo ngokuvamile zifinyelela inani eliphakeme ngemizuzu noma amahora.Izimpawu zomtholampilo nezimpawu ziyahlukahluka kuye ngendawo kanye nenani lokopha.I-Hemiplegia ebangelwa ukopha ku-basal nucleus, i-thalamus kanye ne-capsule yangaphakathi kuwuphawu oluvamile lwasekuqaleni.Kungase futhi kube nezimo ezimbalwa zesithuthwane ezivame ukugxila.Futhi iziguli ezinzima zizophenduka ngokushesha zibe ukuquleka noma ukuquleka.

1. Ukungasebenzi kahle kwezimoto nokukhuluma
Ukungasebenzi kahle kwezimoto ngokuvamile kubhekisela ku-hemiplegia futhi ukungasebenzi kahle kwenkulumo ikakhulukazi i-aphasia nokungaqondakali.
2. Ukuphalaza
Cishe ingxenye yeziguli izophalaza, futhi lokhu kungase kuhlotshaniswe nomfutho ophakeme wokungena enhliziyweni ngesikhathi sokuphuma kwegazi ebuchosheni, ukuhlaselwa yi-vertigo, kanye nokukhuthazwa kwegazi kwezitho zobuchopho.
3. I-Consciousness Disorder
I-Lethargy noma i-coma, kanye nedigri ihlobene nendawo, ivolumu, nesivinini sokopha.Ukopha okukhulu ngesikhathi esifushane engxenyeni ejulile yobuchopho kungenzeka kubangele ukuquleka.
4. Izimpawu zamehlo
Ubukhulu bomfundi obungalingani ngokuvamile buvela ezigulini ezine-cerebral hernia ngenxa yokwanda kwengcindezi ye-intracranial;kungase futhi kube ne-hemianopia kanye nokunyakaza kwamehlo okukhubazekile.Iziguli ezinokopha ebuchosheni zivame ukubheka ohlangothini lokopha kobuchopho esigabeni esibucayi (ukukhubazeka kwamehlo).
5. Ikhanda elibuhlungu nesiyezi
Ubuhlungu bekhanda uphawu lokuqala lokopha ebuchosheni, futhi kuvame ukuba sehlangothini lokopha.Lapho ingcindezi ye-intracranial ikhuphuka, ubuhlungu bungakhula ekhanda lonke.Isiyezi sivame ukuhlotshaniswa nekhanda elibuhlungu, ikakhulukazi ku-cerebellum kanye ne-brainstem hemorrhage.