Kulimbirana Kawirikawiri Kuchita Opaleshoni Kuti Pewedwe Sitiroko
Matenda a Cerebral hyperperfusion (CHS) ndi vuto lalikulu limene lingathe kuchitika pambuyo pochita opaleshoni yotchedwa carotid arterial revascularization. Cholinga cha revascularization ndikuteteza kukwapulidwa kumeneku chifukwa cha kuperewera kwa mitsempha ya carotid (mwazi wa magazi umene umanyamula magazi okosijeni ku ubongo).
Mawu akuti hyperperfusion amagwiritsidwa ntchito pofotokoza kuwonjezeka kwa magazi omwe amachititsa kuti thupi liziyenda bwino.
Ngati simukuchiritsidwa bwino, CHS ikhoza kuchititsa kutupa kwa ubongo (edema), kutuluka magazi, komanso imfa.
Momwe CHS imachitikira
Mitsempha ya mkati ya staroti imakhala ndi kupopera kwa mitsempha, yomwe imachepetsa kuphulika kwa magazi ndi mpweya ku ubongo.
Mosiyana ndi kupweteka kwa magazi , komwe kumachitika pamene chotengera chikutha, mtundu uwu wa stroke umatengedwa kuti ndi waschemic , kutanthauza kuti ubongo umachotsedwa mpweya chifukwa choletsedwa kapena kutsekedwa kwa magazi.
Ngati atapezeka, madokotala nthawi zambiri amachita chimodzi mwa njira ziwiri zomwe zimathandiza kuti magazi asasokonezedwe:
- Endarterectomy , ndondomeko yogwiritsira ntchito kuchotsa chombo chilichonse m'chombo
- Kuwongolera , kulowetsa kwa matope kuti chitetezo cha magazi chitsegulidwe
Ngakhale njira ziwirizi zimagwira ntchito pochiza matenda osokoneza bongo, nthawi zina zimakhala zothandiza kwambiri. Pamene kutuluka mwazi mwadzidzidzi ndi kubwezeretsedwa kwathunthu, maukonde a zida zing'onozing'ono ndi ma capillaries sangathe kupirira, makamaka ngati adzipeputsa ndikudzipweteka okha.
Kuthamanga kwadzidzidzi kwadzidzidzi kungayambitse kupweteka kwakukulu komwe kungasokoneze minofu yambiri, kuchititsa kuphulika ndi kutupa kwadzidzidzi. Nthaŵi zina, mitsempha ya magazi imatha kupasuka kwathunthu, kuchititsa kupwetekedwa kwakukulu-chinthu chomwe opaleshoniyo inkafunika kuteteza.
Zinthu Zowopsa Zogwirizana ndi CHS
Pa njira ziwirizi, carotid endarterectomy imatengedwa ngati golide njira yothetsera kupweteka kwa matenda.
Kuopsa kwa kupwetekedwa ndi matendawa kumakhala pafupifupi 5 peresenti ndipo kawirikawiri kumayambitsa pamene chomera chimatha panthawi ya opaleshoni ndipo imatseka chotengera mbali ina ya ubongo.
Ngakhale ngati njirayi ikutha popanda kugunda, palipakati paliponse pakati pa asanu ndi anayi ndi 14 peresenti ya odwala omwe angakumane ndi hyperperfusion. Zonse zanenedwa, osachepera atatu peresenti ya carotid endarterectomies zimabweretsa chizindikiro cha CHS.
Zizindikiro za CHS
Zizindikiro za CHS zimakhala zovuta kuchitika mwa anthu omwe amakula kwambiri kuposa 100 peresenti kuwonjezeka kwa magazi kupita ku ubongo pambuyo pa opaleshoni. Zitha kukhala zovuta kuchokera ku zofatsa ndi zosakhalitsa zomwe zingawopsyeze moyo ndikuphatikizapo:
- Mutu
- Nausea
- Kuthamanga
- Chizungulire
- Kufooka
- Masomphenya obisika
- Kugonjetsa
- Sitiroko
- Coma
Malingana ndi kumene kutupa kapena kutuluka kwa magazi kumapezeka, zizindikiro zina za ubongo zingapangidwe, kuphatikizapo kukumbukira kukumbukira, kufooka kwa mawu, kupuma kwa mpweya, ndi mavuto a magalimoto.
Kupewa CHS
Chinthu chachikulu chomwe chimayambitsa chiopsezo cha CHS ndi postoperative yapamphamvu yapamwamba. Ndikofunika kuti aliyense amene ali ndi endarterectomy ayang'anire mosamala kuti adziwe vutoli mofulumira. Zosankha zojambula zimakhala ndi Doppler yotchedwa transcranial , mtundu wa ultrasound umene umayendera kuchuluka kwa magazi kudzera mu ubongo.
Potsirizira pake, kuthandizira mofulumira ndi kuthamanga kwa magazi ndizofunikira pakuyang'anira kapena kuchepetsa zizindikiro zirizonse za CHS.
> Chitsime:
> Lieb, M .; Shah, U .; ndi Hines, G. "Matenda a ubongo wa cerebral hyperperfusion mutatha kutero: kubwereza." Kukambirana Kwambiri. 2012: 20 (2): 84-9.