I-Cerebral Infarction

Iyini i-Cerebral Infarction?

I-cerebral infarction yaziwa nangokuthi ischemic stroke, kuwukubhujiswa kwezicubu zobuchopho ezihambisanayo ngemva kokuvaleka komthambo wobuchopho, okungase kuhambisane nokopha.I-pathogenesis i-thrombosis noma i-embolism, futhi izimpawu ziyahlukahluka ngemithambo yegazi ehilelekile.I-cerebral infarction ibalelwa ku-70% - 80% wazo zonke izimo zokushaywa unhlangothi.

Iyini i-Etiology ye-Cerebral Infarction?

I-cerebral infarction ibangelwa ukwehla noma ukuma kokugeleza kwegazi kungazelelwe emithanjeni yegazi yendawo yezicubu zobuchopho, okuholela ku-ischemia yezicubu zobuchopho kanye ne-hypoxia endaweni yokuhlinzeka ngegazi, okuholela ku-necrosis yezicubu zobuchopho nokuthamba, okuhambisana nezimpawu nezimpawu zomtholampilo. izingxenye ezihambisanayo, njenge-hemiplegia, aphasia, nezinye izimpawu zokushoda kwezinzwa.

Izici eziyinhloko

Umfutho wegazi ophezulu, isifo senhliziyo, isifo sikashukela, ukukhuluphala ngokweqile, i-hyperlipidemia, ukudla amafutha, nomlando womndeni.Kuvame kakhulu kubantu abaneminyaka ephakathi kanye nabadala abaneminyaka engu-45-70.

Yiziphi izimpawu zomtholampilo ze-Cerebral Infarction?

Izimpawu zomtholampilo ze-cerebral infarction ziyinkimbinkimbi, zihlobene nendawo yokulimala kobuchopho, ubukhulu bemikhumbi ye-cerebral ischemic, ubunzima be-ischemia, kungakhathaliseki ukuthi zikhona ezinye izifo ngaphambi kokuqala, nokuthi ngabe kunezifo ezihlobene nezinye izitho ezibalulekile. .Kwezinye izimo ezithambile, kungase kungabi nazimpawu nhlobo, okungukuthi, i-asymptomatic cerebral infarction Yiqiniso, kungase kube khona ukukhubazeka kwemilenze okuphindaphindiwe noma i-vertigo, okungukuthi, ukuhlasela kwe-ischemic yesikhashana.Kwezinye izimo ezinzima, ngeke kube nokukhubazeka kwezitho kuphela, kodwa ngisho ne-coma eyingozi noma ukufa.

Uma izilonda zithinta i-cerebral cortex, kungase kube nokushaywa kwesithuthwane esigabeni esibucayi sesifo se-cerebrovascular.Ngokuvamile, izehlakalo eziphakeme kakhulu zingakapheli usuku olungu-1 ngemva kwesifo, kuyilapho izifo ze-cerebrovascular ezinesithuthwane njengoba ukwenzeka kokuqala zingavamile.

Indlela yokwelapha i-Cerebral Infarction?

Ukwelashwa kwalesi sifo kufanele kuqaphele ukwelashwa kwe-hypertension, ikakhulukazi ezigulini ezine-lacunar infarction emlandweni wabo wezokwelapha.

(1) Isikhathi Esibucayi

a) Thuthukisa ukujikeleza kwegazi endaweni ye-cerebral ischemia futhi ukhuthaze ukubuyiswa komsebenzi wezinzwa ngokushesha ngangokunokwenzeka.

b) Ukuqeda i-cerebral edema, iziguli ezinezindawo ezinkulu neziqinile ze-infarct zingasebenzisa ama-dehydrating agents noma ama-diuretics.

c) I-dextran enesisindo esiphansi ingasetshenziswa ukuthuthukisa i-microcirculation nokunciphisa i-viscosity yegazi.

d) Igazi elixutshiwe

f) I-Thrombolysis: i-streptokinase ne-urokinase.

g) I-Anticoagulation: sebenzisa i-Heparin noma i-Dicoumarin ukuvimbela ukuvuleka kwe-thrombus kanye ne-thrombosis entsha.

h) Ukunwetshwa kwemithambo yegazi: Ngokuvamile kunenkolelo yokuthi umphumela wama-vasodilator awuzinzile.Ezigulini ezinzima ezinomfutho okhuphukile we-intracranial, kwesinye isikhathi kungase kubhebhethekise isimo, ngakho-ke, akunconywa futhi ukuthi kusetshenziswe ekuqaleni.

(2) Isikhathi Sokubuyisela

Qhubeka nokuqinisa ukuqeqeshwa kokusebenza kwezitho ezikhubazekile kanye nokusebenza kwenkulumo.Izidakamizwa kufanele zisetshenziswe kanye nokwelashwa ngokomzimba kanye ne-acupuncture.