I-Cerebral Embolism: Iindidi, iimpawu, iiSequelae kunye noNobangela

Umxholo

• Olu hlobo lwesifo sinokubangela ukuphazamiseka okukhulu xa kungabonakali ngexesha.
• Yintoni iStrowuku?
• Umahluko phakathi kwe-thrombus kunye ne-embolus
• Kutheni le nto umonakalo wengqondo?
• Iimpawu
• Ezona ntlobo ziphambili ze-cerebral embolism
• 1. Isixhobo somoya
• 2. Ukudibanisa amathambo
• 3. Amafutha plunger
• 4. I-embolus yentliziyo
• Ukuphazamiseka okunxulumene noko kunye nokulandelelana
• Ukuphazamiseka kommiselo
• Ukuphazamiseka kolwimi
• Ukukhubazeka
• Iapraxia
• Iingxaki zememori kunye nama-amnesias

Olu hlobo lwesifo sinokubangela ukuphazamiseka okukhulu xa kungabonakali ngexesha.

Ukubethwa ngumbungu, okwaziwa ngokuba yi-cerebral embolism, yenye yeengxaki ezinkulu zempilo ezinokuthi zichaphazele ukusebenza kwengqondo. Luhlobo lokubetha okunokubangela ukonakala kwengqondo okungapheliyo, ukukhuthaza ikhoma, okanye ukukhokelela ngqo ekufeni.

Emva koko siza kubona ukuba kwenzeka njani kwi-cerebral embolism kwaye loluphi uhlobo lomonakalo kunye nokuphazamiseka okunokubangela.

Yintoni iStrowuku?

Ukudityaniswa kobuchopho luhlobo lwesifo sentliziyo, oko kukuthi, isifo semithambo apho ukuphazamiseka kwegazi kuphazanyiswa (kule meko, igazi elibaleka kwimithambo yengqondo), lisongela ngokungagungqiyo ukusinda kwemimandla yomzimba unkcenkceshelwe yiloo mbobo kunye neempembelelo zayo ngenxa yokunqongophala kweoksijini kwangoko. Ngale ndlela, imeko yokuxinana yenzekile echaphazela indawo ene-infarct okanye indawo yeschemic.

Ngokukodwa, yintoni eyahlula ubuchwephesha bobuchwephesha kwezinye iintlobo zestroke yindlela apho Ukupheliswa kokuhamba kwegazi kwindawo echaphazelekayo yenzeka. Kwesi sifo, umzimba uvimba umthambo wegazi okwexeshana okanye ngokusisigxina ude ususwe ngotyando.

Umahluko phakathi kwe-thrombus kunye ne-embolus

Into ephazamisayo evelisa ukubethelwa kobuchopho ngesiqhelo iqokobhe elenzeka ngenxa yokuncipha kwecandelo lomthambo wegazi. Kufuneka ithathelwe ingqalelo, nangona kunjalo, kwiingozi zeschemic lo mzimba uphazamisayo unokuba ziindidi ezimbini: nokuba yitrombus okanye imbumba.

Ukuba yi-thrombus, eli qhekeza alinakuze lishiye udonga lomthambo wegazi, kwaye liya kube likhule ngobukhulu apho. Ngakolunye uhlangothi, i-plunger ayinayo indawo echanekileyo kwinkqubo yokujikeleza kwegazi, kwaye nayo ingena kwimithambo yegazi ide "ifakwe" kwindawo enye kwaye uvelisa thrombosis.

Ke, ngelixa i-thrombus ichaphazela indawo yomzimba apho ikhula khona, umbungu unokuvela kwindawo ekude yomzimba kwaye ubangele iingxaki phantse naphina.

Ngokubhekisele kwi-cerebral embolism, yona ifumaneka ngaphakathi kwe-ischemias eyaziwa njengeengozi zomntwana, ngelixa infarcts eziveliswa yi-thrombi ziingozi ze-thrombotic.

Kutheni le nto umonakalo wengqondo?

Gcina ukhumbula ukuba ingqondo lelinye lawona malungu antsonkothileyo emzimbeni womntu, kodwa yenye yezona zinto zibuthathaka kwaye zifuna amandla.

Ngokungafaniyo nezinye izinto emzimbeni, ifuna ukuphuma kwegazi rhoqo ukuze iqhubeke nokusebenza; Ngokukodwa, zonke iigram ezili-100 zomcimbi wobuchopho kufuneka zifumane malunga ne-50 ml yonke imizuzu. yegazi elineoksijini efanelekileyo.

Ukuba esi sixa siwela ngaphantsi kwe-30 ml., Indawo ene-infarct ingenziwa ngenxa yokungabikho kweswekile kunye neoksijini. Kwimeko yokubethelwa kwengqondo ebuchotsheni, indawo enesifo okanye ischemic iiseli zeseli ezifileyo Ngokusisiseko iqulunqwe ii-neurons kunye ne-glia.

Iimpawu

Iimpawu eziphambili zexesha elide eziveliswa lolu hlobo lokuhlaselwa sischemic zinokwahluka kakhulu, kuba mininzi imisebenzi exhomekeke ekusebenzeni kakuhle kwengqondo. Nangona kunjalo, iimpawu zexesha elifutshane kulula ukuzibona ; Oku kulandelayo, nangona ubukho bunye bungathethi ukuba unobangela yile, kwaye akufuneki yenzeke ngexesha elinye:

Ezona ntlobo ziphambili ze-cerebral embolism

Ngaphandle kolwahlulo lweziganeko ze-ischemic ezahlula phakathi kweengozi ze-thrombotic kunye ne-embolic, le yokugqibela ikwazisa iindidi ezahlukeneyo ezisivumela ukuba siziqonde ngcono iimpawu zetyala ngalinye.

Ngokusisiseko, ezi ndidi zixhomekeka kwiimpawu zeplunger ezivelisa imeko yomngcipheko. Ke, Ezona ntlobo ziphambili zembumba yobuchopho ezi zilandelayo

1. Isixhobo somoya

Kule meko, Iplunger ngumbhobho womoya esebenza ngokuthintela ukudlula kwegazi.

2. Ukudibanisa amathambo

Kolu hlobo lwe-embolism, umzimba othintelayo uyinxalenye yesisu okanye amaqela eeseli zomhlaza.

3. Amafutha plunger

I-plunger yenziwe ngayo izinto ezinamanqatha eziqokelelene ukwenza ipleyiti kwisitya segazi, kwaye bendihambahamba emva kokuhamba kwindawo yayo yoqobo.

4. I-embolus yentliziyo

Kule hlobo lokubetha, i-embolus ihlwili legazi iye yatyeba kwaye yabe ikuku.

Ukuphazamiseka okunxulumene noko kunye nokulandelelana

Phakathi kwezona ndawo zixhaphakileyo ze-cerebral embolism zezi zilandelayo:

Ukuphazamiseka kommiselo

Abantu abaye bahlaselwa sistroke banokuba nobunzima obukhulu ekucinezeleni iimpembelelo, kulawulo lweempendulo ezintsonkothileyo, okanye ukubonisa indlela abaziva ngayo.

Ukuphazamiseka kolwimi

Ulwimi lusebenzisa uthungelwano lwee-neurons ngaphezulu kweendawo ezahlukeneyo zobuchopho, ke kulula ukuba ingozi yeschemic ichaphazele imisebenzi yebhayoloji eyigcinayo. Umzekelo, ukubonakala kwe- aphasias kuqhelekile.

Ukukhubazeka

I-Cerebral embolism inokubangela ukuba amalungu omzimba "aqhawulwe" kwingqondo, nto leyo ebangela ukuba imicu yemisipha ibashukumise bangasebenzi zii-motor neurons ezifikelela kubo.

Iapraxia

Iiapraxias ziziphazamiso esekwe kwi ubunzima bokulungelelanisa iintshukumo zokuzithandela.

Iingxaki zememori kunye nama-amnesias

IiAmnesias, zombini ukuphindaphinda kunye ne-anterograde, aziqhelekanga. Kungenzeka kwakhona ukuba inkumbulo yenkqubo iyancipha, inxulunyaniswa nobukrelekrele bomntu.