Kutupa kwa ubongo, wotchedwa edema, ndi imodzi mwa ngozi zochepa zapakati pafupipafupi.
Kukwapula kwakukulu , makamaka, kumayambitsa kutupa kwakukulu komwe kungapitirire kuwonjezereka, kumabweretsa mavuto aakulu, kuphatikizapo kuwonongeka kwa ubongo, kukhala osasamala kapena imfa.
Kodi Stroke Imapangitsa Bwanji Ubongo Waumtima?
Pamene kupwetekedwa kumachitika, kusokonezeka kwa magazi kumapita ku ubongo kumayambitsa zochitika zosiyanasiyana zomwe zimachititsa ubongo kuvulala.
Zina mwa zotsatira za kuvulala kwa ubongo, nthawi yokhala ndi ubweya wa phokoso pafupi ndi mliriwu amatha kukhala maola kwa masiku.
Kukula kwakukulu, ndikofunika kwambiri ku edema.
Mwachitsanzo, pamene sitima yaikulu imasokoneza magazi kudzera m'katikatikati mwa ubongo , pafupifupi mbali yonse ya ubongo imatha kukhala ndi magazi, zomwe zimapangitsa kuti thupi likhale losafa komanso kutupa pafupifupi theka la ubongo .
Chifukwa ubongo uli pafupi ndi makoma olimba a chigaza chodzitetezera, kutupa uku kumabweretsa kuwonjezeka kwa kupsyinjika, komwe kukufotokozedwa ngati kuwonjezeka kwa vuto la intracranial (ICP.) Kuchulukitsa ICP kumakhala malo owonjezeka a ubongo. Kuwonjezera pa kuumiriza thupi pamtima, kuwonjezeka kwa ICP kumathandizanso kuti magazi aziyenda.
Kuwonjezeka kwa ICP kumabweretsa mavuto owonjezereka kuposa chiwonongeko choyamba chimene chachitika chifukwa cha stroke. Ngati kutupa kumavulaza mbali zazikulu za ubongo, kungachititse kuti munthu apite patsogolo mofulumira ku ubongo .
Nthawi zina, njira yabwino yothetsera vuto loopsa la ICP ndi kupaleshoni yopulumutsa moyo yotchedwa hemicraniectomy.
Kodi hemicraniectomy ndi chiyani?
Hemicraniectomy ndi imodzi mwa njira zabwino kwambiri zothetsera kutupa kwa ubongo. Njira yopaleshoniyi, yomwe imagwiritsidwa ntchito m'chipinda chogwiritsira ntchito, imatulutsa kagawo kamodzi kokha (nthawi zina mpaka theka kapena kuposerapo) pofuna kulola ubongo wotupa kuti uwonjezeke pamtunda wa fupa la fupa, popanda kupititsa patsogolo kukwera kwa ubongo.
Chigawo cha fupa la fupa chomwe chachotsedwa chimakhala chosungidwa mpaka edema ikasinthidwa, panthawi yomwe ikhoza kubwereranso ku malo ake oyambirira kuteteza ubongo.
Kodi kupwetekedwa kwakukulu kulikonse kungapangidwe ndi hemicraniectomy?
Ngakhale kuti madokotala ambiri amalimbikitsa hemicraniectomy pakakhala kutupa kwa ubongo, ena amaganiza kuti ngakhale kuti zitsimikizirika zapindula mwa njirayi ponena za kupulumuka, hemicraniectomy sikutsimikiziranso kubwezeretsa kwabwino kwa umoyo wa moyo kwa wopulumuka aliyense.
Palinso mankhwala ena a ubongo, ngakhale kuti palibe omwe ali otsimikizika monga hemicraniectomy. Ngati wokondedwa wanu wakhudzidwa kwambiri ndi edema yaikulu, chisankho chofuna kupitiliza ndi hemicraneictomy kuti chichotsereni vutoli chimachokera pa zinthu zingapo, kuphatikizapo momwe wokondedwa wanu alili, komanso ngati thanzi la wokondedwa wanu limatha kulekerera zoopsa za opaleshoni.
Ndani amasankha ngati wokondedwa wanga adzalandira hemicraniectomy?
Nthaŵi zina, hemicraniectomy ndi njira yofulumira, panthawiyi pangakhale nthawi yochepa yopangira zokhudzana ndi ubwino ndi zoyipa za njirayi.
Kawirikawiri, munthu amene akudwala matenda a stroke amene amafunikira hemicraniectomy sakhala wokhoza mokwanira kuti akambirane ndondomeko yake ndi timu ya stroke.
Pokhapokha ngati hemicraniectomy ikuchitika mofulumira, maganizo a banja pokhapokha ngati ayi kapena ayi ayenela kuchitidwa mozama. Kusankha ngati wopulumuka pa stroke ayenera kukhala ndi hemicraniectomy kawirikawiri amafikira pambuyo powopsya ndi phindu la opaleshoni yafotokozedwa bwino kwa banja, ndipo banja likatha kuvomereza.
Kodi ndivomereze hemicraniectomy kwa wokondedwa wanga?
Ngati mukufunikira kupereka chithandizo chachipatala kwa hemicraniectomy kwa munthu amene mumamudziwa, zingakhale zothandiza kufunsa gulu lachipatala mafunso otsatirawa kuti muthandize kupanga chisankho chanu:
- Kodi mwinamwake wokondedwa wanu ati adzapulumutse ubongo wogwira ntchito ngati hemicraniectomy ikuchitidwa?
- Ngati opaleshoni ikuchitidwa ndipo wokondedwa wanu apulumuka pa stroke, kodi pali mwayi wapadera kuti atha kudya kapena kupuma payekha? Ngati sichoncho, kodi iye anenapo momwe akumvera podalira chubu feedings ndi / kapena mechanical ventilation?
- Kodi wokondedwa wanga ali ndi chifuniro chofuna moyo chomwe chimalongosola zomwe angakonde kulolerana pansi pano?
Mawu Ochokera
Mliriwu ukhoza kuwononga zotsatira zochepa zomwe zimafuna thandizo lachipatala mwamsanga. Anthu ambiri opulumuka ku stroke amachiritsidwa kwambiri atapangika hemicraniectomy kuti athe kuchepetsa edema. Kuchetsa pambuyo pa hemicraniectomy kumatenga nthawi ndi kuleza mtima. Kukonzekera kungakhale kotalika, choncho nkofunika kuti mudziwe zambiri momwe mungathere pokonza njira kuti muthandize wokondedwa wanu kupyolera mu machiritso pambuyo pa kupwetekedwa.
> Zotsatira:
> Mawu osaneneka akulosera zotsatirapo pambuyo pa kupweteketsa mtima kwa mankhwala osokoneza bongo chifukwa cha kupwetekedwa kwapachirombo koopsa .Hepatt N, Neugebauer H, Fiss I, Pinczolits A, Vajkoczy P, Jüttler E, Woitzik J, J Cereb Blood Flow Metab. 2017 Jan 1: 271678X17718693