I-edema ye-cerebral yimeko enzulu kakhulu yengxaki enokuthi ikhule ngenxa yokusuleleka, ukuphazanyiswa kwemithwalo yegazi okanye intlungu.
Kwenzeka ntoni xa ubuchopho buvuvuka?
Ukuqokelelwa kwamanzi okugqithiseleyo kwiseli yengqondo kunye nomgudu wokugubha umkhuhlane kubangela ukuvuvukala, okwandisa uxinzelelo lwangaphakathi (ICP), kwaye umthamo wengqondo uvakala.
Inkqubo ikhula ngokukhawuleza - kwiiyure zokuqala emva kokulimala kwiseli yengqondo (ngenxa yentlekele, ukuxhala, i-ischemia, njl njl.) Kwisithuba se-intercellular, ukuhlanjululwa kwengxenye yamanzi eplasma kwanda. I-edema yokuqala (i-cytotoxic) ivela ngenxa yengxaki yokuxhatshazwa kwendawo echaphazelekayo yengqondo. Kwiiyure ezithandathu emva kokulimala, imeko iqhutywe yi-edema enesifo, esibangelwa ukunciphisa ukuhamba kwegazi kunye ne-stasis yeempahla ezincinci. Ngenxa ye-edema, i-ICP iphakama, ebangela iimpawu ze-edema ye-cerebral.
I-edema ye-cerebral ibonakala njani?
Impawu zokuqala ze-brain edema zikhula ngokukhawuleza emva kokulimala kweseli. Ubunzima buxhomekeke kwizizathu ze-edema - ziya kuxutyushwa ngezantsi.
Isigulane siyaphawula:
- intloko;
- isicupunu, ukuhlanza;
- ukugubha kwentamo okanye intlungu;
- ukuphefumula;
- ukungcola;
- ukungabonakali;
- ukudibanisa kwimemori;
- ukungalingani;
- ubunzima bokuthetha;
- I-Stupor (ukunciphisa izinga lokuqonda);
- ukulahlekelwa kwengqondo;
- zixhala.
Diagnostics
Xa kuvela iimpawu zokuqala ze-edema ye-cerebral, ugqirha kufuneka ubizwa ngokukhawuleza.
Ukuze ufumane ukuxilongwa, uvavanyo lwe-neurological udlalwa rhoqo, kwaye i-throater-head head is tested. Ubungakanani kunye nokwakhiwa kwendawo ye-edema kugqitywa yikhompyutheni okanye i-imagination resonance magnetic. Ukuchonga izizathu ezinokwenzeka ze-edema ye-cerebral, ukuhlolwa kwegazi kwenziwa.
Kutheni iqondo likhukhulayo?
Ukulimala kwiseli yengqondo kubangela ukuvuvukala kunokubangelwa zizizathu ezininzi.
- Ukulimala kwe-Craniocerebral - umonakalo kwizakhiwo ezingenakunyulwa ngamanyathelo ngenxa yokuwa, ingozi, isifo. Njengomthetho, ukuxhwaleka kulukhuni ngokuxhatshazwa kwengqondo kunye neziqhekeza zethambo.
- Izifo ezithintekayo ezibangelwa zizibhaktheriya, iintsholongwane okanye iipasasites (i-meningitis, i-encephalitis, i-toxoplasmosis) kwaye iholele ekuvukeleni kweembrane zengqondo.
- I-absomity abscess - njengengxaki yesinye isifo (umthambo, umzekelo), le ntsholongwane ekhuselekileyo inqanda ukuphuma kwe-fluid kwi-tissue yengqondo.
- Ukuxhamla - ngokunyuka kwama-neoplasms, indawo yengqondo ixiliswe, ekhokelela ekuphuculeni ukujikeleza kwegazi kwaye, ngenxa yoko, ukuvuvukala.
Inani lezinto ezibangela i-edema ye-cerebral ngummahluko ekuphakameni. Ngoko, xa ukhuphuka ngaphezu kwe-1500 km ngaphezulu kwinqanaba lolwandle, uhlobo olubi lwesifo seentaba oluhamba kunye ne-edema luvame ukugcinwa.
I-Edema yengqondo emva kwesifo
Ngokuqhelekileyo, i-edema iyavela ngenxa yesifo.
Nge-stroke ye-ischemic, ukujikeleza kwegazi kwingqondo kuphazamiseka ngenxa yokubunjwa kwe-thrombus. Xa engayifumana isixa-mali esifanelekileyo se-oksijeni, iiseli ziyafa, kwaye i-edema yengqondo iyaqhubeka.
Ngenxa yesifo esiqhekezayo, imithwalo yegazi yengqondo iwonakaliswe, kwaye i-hemorrhage ye-intracranial inokubangela ukwanda kwe-ICP. Isizathu sokubetha kweso sizathu sinokuba sisifo senhliziyo, uxinzelelo lwegazi oluphezulu, ukuthatha amayeza athile okanye ukungasebenzi komntwana.
Iingxaki kunye nokukhusela
Ngamanye amaxesha ukuvuvukala kwengqondo, iimpawu ezishiye kwixesha elidlulileyo, zingakhumbuza ukuphazamiseka kokulala kunye nomsebenzi wemoto, intloko, ukungabikho kwengqondo, ukudandatheka kunye nokuphazanyiswa kwamakhono okuthetha.
Ukuzikhusela kwi-edema ye-cerebral, kufuneka uphephe ukulimala - gqoba isigqoko sokuzivikela, gcina izibhanti zakho zokuhlala, uqaphele xa uqhelisa imidlalo embi kakhulu. Ukunyuka ezintabeni, kuyimfuneko ukunika ithuba lomzimba wokunyanzelisa. Kufuneka ujonge kwakhona uxinzelelo lwegazi kwaye uyeke ukutshaya.