I-Cerebral Embolism: Izinhlobo, Izimpawu, Ama-Sequelae Nezimbangela

-Delile

• Lolu hlobo lwesifo sohlangothi lungaholela ezinkingeni ezinkulu uma lungatholakali ngesikhathi.
• Yini isifo sohlangothi?
• Umehluko phakathi kwe-thrombus ne-embolus
• Kungani ubuchopho bulimaza?
• Izimpawu
• Izinhlobo eziyinhloko ze-embolism yobuchopho
• 1. I-air plunger
• 2. Umbungu wezicubu
• 3. Amafutha plunger
• 4. Umbungu wenhliziyo
• Izinkinga ezihlanganisiwe kanye ne-sequelae
• Izinkinga zokulawulwa kwemizwelo
• Izinkinga zolimi
• Ukukhubazeka
• I-Apraxia
• Izinkinga zememori nama-amnesias

Lolu hlobo lwesifo sohlangothi lungaholela ezinkingeni ezinkulu uma lungatholakali ngesikhathi.

I-Embolic stroke, eyaziwa nangokuthi i-cerebral embolism, kungenye yezinkinga ezinkulu zempilo ezingenzeka ezithinta ukusebenza kobuchopho. Luhlobo lwesifo sohlangothi olungadala ukulimala kobuchopho unomphela, lubangele ikhoma, noma luholele ekufeni ngqo.

Okulandelayo sizobona ukuthi ukubumbana kobuchopho kwenzeka kanjani nokuthi hlobo luni lomonakalo nokuphazamiseka okungakubangela.

Yini isifo sohlangothi?

I-embolism yobuchopho uhlobo lokuhlaselwa yinhliziyo, okungukuthi, isifo semithambo lapho ukuphazamiseka kwegazi kuphazanyiswa khona (kulokhu, igazi eligijima emithanjeni yobuchopho), okubeka engcupheni enkulu ukusinda kwezifunda zomzimba oniselwa ngenkasa leyo kanye nemiphumela yayo ngenxa yokungabi khona komoya-mpilo osheshayo. Ngale ndlela, kwenzeka isimo sokuxinwa esithinta indawo ene-infarctar noma ischemic.

Ngokuqondile, okuhlukanisa ubumbano lobuchopho kwezinye izinhlobo zohlangothi kuyindlela ukumiswa kokugeleza kwegazi endaweni ethintekile kwenzeka. Kulesi sifo, umzimba uvimba umthambo wegazi isikhathi esithile noma unomphela uze ususwe ngokuhlinzwa.

Umehluko phakathi kwe-thrombus ne-embolus

Into evimbelayo ekhiqiza ukubumbana kobuchopho imvamisa iyindlala eyenzeka ngenxa yokuncipha kwengxenye yomthambo wegazi. Kumele kubhekwe nokho, ukuthi ezingozini ze-ischemic lo mzimba ovimbelayo ungaba ngezinhlobo ezimbili: kungaba i-thrombus noma i-embolus.

Uma iyi-thrombus, leli hlwili ngeke lishiye udonga lomthambo wegazi, futhi lizobe likhule ngosayizi lapho. Ngakolunye uhlangothi, i-plunger ayinaso isikhundla esinqunyiwe ohlelweni lokujikeleza kwegazi, nayo ihamba ngemithambo yegazi ize "ishumekwe" endaweni eyodwa futhi ikhiqiza i-thrombosis.

Ngakho-ke, ngenkathi i-thrombus ithinta ingxenye yomzimba lapho ikhula khona, umbungu ungavela endaweni ekude yomzimba futhi ubangele izinkinga cishe noma kuphi.

Mayelana ne-cerebral embolism, it itholakala ngaphakathi kwama-ischemias aziwa njengezingozi ze-embolic, kuyilapho ukuqhuma okukhiqizwa yi-thrombi kuyizingozi ze-thrombotic.

Kungani ubuchopho bulimaza?

Khumbula ukuthi ubuchopho bungesinye sezitho eziyinkimbinkimbi kakhulu emzimbeni womuntu, kepha futhi singesinye sezinto ezibucayi futhi ezifuna amandla.

Ngokungafani nezinye izakhiwo emzimbeni, idinga ukugeleza kwegazi njalo ukuze iqhubeke nokusebenza; Ngokuqondile, njalo amagremu ayi-100 endaba yobuchopho adinga ukuthola cishe ama-50 ml njalo ngeminithi. yegazi elinomoya-mpilo.

Uma leli nani liwela ngaphansi kuka-30 ml., Indawo ene-infarct ingakhiqizwa ngenxa yokushoda kweglucose ne-oxygen. Endabeni yokubumbana kobuchopho, indawo ene-infarcted noma ischemic izicubu zeseli ezifile ngokuyisisekelo yakhiwe ama-neurons ne-glia.

Izimpawu

Izimpawu eziyinhloko zesikhathi eside ezikhiqizwa yilolu hlobo lokuhlaselwa kweschemic zingahluka kakhulu, ngoba kunemisebenzi eminingi encike ekusebenzeni okufanele kobuchopho. Noma kunjalo, izimpawu zesikhathi esifushane kulula ukuzibona ; Lokhu okulandelayo, noma ukuba khona kwento eyodwa akusho ukuthi imbangela yile, futhi akudingeki zenzeke ngasikhathi sinye:

Izinhlobo eziyinhloko ze-embolism yobuchopho

Ngaphandle kokuhlukaniswa kwemicimbi ye-ischemic ehlukanisa phakathi kwezingozi ze-thrombotic kanye ne-embolic, lezi zokugcina futhi ziveza izigaba ezingaphansi ezahlukahlukene ezisivumela ukuthi siziqonde kangcono izici zecala ngalinye.

Ngokuyisisekelo, lezi zigaba zincike kuzici zeplunger ezikhiqiza isimo sengozi. Ngakho-ke, izinhlobo eziyinhloko zokubumbana kobuchopho okulandelayo.

1. I-air plunger

Kulezi zimo, i-plunger iyi-bubble yomoya lokho kusebenza ngokuvimbela ukudlula kwegazi.

2. Umbungu wezicubu

Kulolu hlobo lwe-embolism, umzimba ovimbelayo uyingxenye yesimila noma amaqembu amaseli womdlavuza.

3. Amafutha plunger

I-plunger yenziwe ngayo okunamafutha okuqoqekile kwakha uqweqwe esitsheni segazi, futhi ubelokhu ehamba ngokujikeleza kwegazi ngemuva kokuqaqeka endaweni ebikuyo ekuqaleni.

4. Umbungu wenhliziyo

Kulolu hlobo lokushaywa unhlangothi, umbungu ngu ihlwili legazi lokho sekukhulu futhi kuyikhekhe.

Izinkinga ezihlanganisiwe kanye ne-sequelae

Phakathi kokulandelana okuvame kakhulu kokubumbana kobuchopho kukhona okulandelayo:

Izinkinga zokulawulwa kwemizwelo

Abantu abake baba nesifo sohlangothi bangaba nobunzima obukhulu bokucindezela izinkanuko, ukulawula izimpendulo zemizwa eziyinkimbinkimbi, noma ukuveza indlela abazizwa ngayo.

Izinkinga zolimi

Ulimi lusebenzisa amanethiwekhi we-neurons asakazeka ezingxenyeni ezahlukahlukene zobuchopho, ngakho-ke kulula ngengozi ye-ischemic ukuthinta imisebenzi yemvelo eyigcinayo. Isibonelo, ukuvela kwe-aphasias kujwayelekile.

Ukukhubazeka

I-Cerebral embolism ingadala ukuthi izingxenye zomzimba "zinqanyulwe" ebuchosheni, okudala ukuthi imicu yemisipha ebashukumisela ukuthi ingavuselelwa ama-motor neurons afinyelela kuyo.

I-Apraxia

Ama-apraxias yizinkinga ezisuselwa ku- ubunzima bokuxhumanisa ukunyakaza okuzithandela.

Izinkinga zememori nama-amnesias

Ama-Amnesia, womabili abhalwa kabusha futhi anterograde, akuvamile. Kungenzeka futhi ukuthi inkumbulo yenqubo iyancipha, ixhunyaniswe nobuhlakani bomuntu.