Nthawi zambiri ubongo ukuganiza sikofunika kupatula ngati pali mbendera zofiira zilipo
Chifukwa cha kuyesedwa kwa mutu kumapiri, kujambula kwa ubongo sikudzalamulidwa. Dokotala akhoza kungodziwa kuti ali ndi matenda a mutu kapena migraine pogwiritsa ntchito mbiri yachipatala ya munthu, zizindikiro, ndi kuunika kwake.
Koma nthawi zina, malingaliro a ubongo (mwachitsanzo, MRI ya ubongo kapena CT scan ya ubongo) amafunika kuti azindikire mozama, nthawi zina kuopseza moyo, zimayambitsa mutu.
Pano pali zitsanzo za dokotala yemwe angakonzekere kujambula mutu wako.
Chovuta Kwambiri pa Moyo Wanu (aka Thunderclap Kumutu)
"Mutu woipitsitsa wa moyo wanu," kapena mutu wa bingu, umakhala woopsa chifukwa cha kutaya kwa thupi (ubongo mu ubongo) ndipo kumafuna kutulukira kwachangu.
Ngati kanthana kake ka ubongo ndi yachilendo, ndipo dokotala wanu akadali ndi nkhawa yokhudzana ndi kuchepa kwa magazi, kugwiritsidwa ntchito kwapopu (kugwiritsira ntchito pamphepete).
Maginito resonance angiography ( MRA ), ndi / kapena venography ( MRV ) imagwiritsidwanso kawirikawiri kuti athetsetse vuto lililonse la chotengera cha magazi mu ubongo.
Kumutu kwa mkuntho kungakhalenso chizindikiro cha zinthu zina zovuta monga matenda oopsa omwe amachititsa kuti munthu asamavutike kwambiri .
Mutu Wopweteka Mwadzidzidzi Pamodzi Pamutu
Kupweteka kwa mutu kamodzi kokha, makamaka ngati kupweteka kumatuluka m'khosi, kumapweteka chifukwa cha carotid kapena vertebral artery dissection.
Izi ndizozidzidzimutsa zachipatala ndipo zimafuna MRI yatsopano ya ubongo ndi CTA kapena MRA ya mutu ndi khosi (mayesero awa akuyang'ana mitsempha ya magazi mu ubongo).
Mutu waukulu mu Mimba kapena Pambuyo ya Postpartum
Ngakhale kuti mutu umakhala wamba pa nthawi yomwe ali ndi mimba ndipo ambiri sali oopsa, mutu waukulu umalimbikitsa kuganizira za ubongo.
Chifukwa cha matenda aakulu, monga pituitary apoplexy kapena reversible cerebral vascular syndrome, (pamene mitsempha ya ubongo imatha), kutenga mimba ndi chinthu choopsa.
Palinso zovuta zina zachipatala zomwe dokotala ayenera kuziganizira pamene mkazi ali ndi mutu waukulu pakati pa mimba, kuphatikizapo kupweteka kapena kupweteka kwa ubongo.
Mutu mwa Anthu Amene Ali ndi Matenda Otetezedwa Otetezeka
Anthu omwe ali ndi mbiri ya HIV / Edzi kapena shuga, anthu omwe amagwiritsa ntchito mankhwala a khansa, kapena anthu omwe amatenga nthawi yayitali (monga prednisone) ali ndi mphamvu yoziteteza ku chitetezo cha thupi, zomwe zikutanthauza kuti akhoza kukhala ndi vuto lolimbana ndi matenda.
Zomwe zimadetsa nkhaŵa za mutu wa anthu omwe ali ndi vuto lokhala ndi chitetezo cha m'thupi ndi awa:
- kupuma kwa ubongo
- meningitis
- khansa ya ubongo kapena msana
Chotupa cha ubongo ndi matenda mu ubongo (monga abscess) akhoza kuwonetsedwa ndi MRI ya ubongo.
Mutu mwa Anthu Achikulire Oposa 50 Ndi Cell Yakupha Yopangika Arteritis
Magulu akuluakulu otchedwa arteritis -kupha kutupa kwa mitsempha yambiri yazitali ndi yaying'ono, yomwe imakhala nthambi zamtundu wamtundu wamtundu wina (chimbudzi chachikulu mumtambo mwanu).
Izi zimatulutsa zizindikiro zosiyanasiyana, makamaka makamaka mutu watsopano (nthawi zambiri khungu limatha kukhala labwino, koma osati nthawi zonse), kupweteka kwa nsagwada pamene kudya, ndipo nthawi zina masomphenya amasintha.
Anthu ena amakhalanso ndi malungo ndikumva bwino ndi kusowa kwa njala komanso thupi lachilengedwe.
Kuphatikiza pa kuyesa magazi kwa erythrocyte sedimentation (ESR), chidziwitso cha mchitidwe wamakono ndi MRI yopambana kwambiri nthawi zambiri amalamulidwa kuti atsimikizidwe kuti ali ndi matenda.
Mutu Watsopano Kapena Mchitidwe Wopweteka
Mutu umene uli ndi vuto loipa lopangika la ubongo, pofuna kutulutsa magazi mu ubongo (mwachitsanzo, subdural hematoma), kapena chotupa.
Mutu watsopano, makamaka kwa munthu yemwe ali ndi mbiri ya khansa kapena kachilombo ka HIV, amafunikanso kulingalira, popeza pali chiopsezo cha khansa kufalikira ku ubongo kapena matenda a ubongo.
Mutu Wowonjezera Zizindikilo Zina kapena Zizindikiro
Nthawi zina ndizo zizindikiro zomwe zimagwirizanitsa ndi mutu wanu zomwe zimapangitsa kuti munthu asamaganizire mozama-ndipo izi zikhoza kukhala CT kapena MRI kapena zonsezi. Zizindikilozi kapena zizindikirozi zikuphatikizapo:
- zizindikiro za ubongo (mwachitsanzo, kufooka kapena kupweteka kumbali imodzi ya thupi, masomphenya ophwanyika, kapena chisokonezo)
- kuuma kwa khosi, malungo kapena zizindikiro zina zonse monga thupi
- mutu umene umayambitsa chifuwa, kuchita masewera olimbitsa thupi, kugonana
- kupeza kwa papilledema pa kuunika kwa thupi (pamene optic mu diso lanu ikukula chifukwa cha kuwonjezeka kwa ubongo)
Mawu Ochokera
Ndikofunika kukumbukira kuti nthawi zambiri, kuganiza kwa ubongo sikusonyezedwa chifukwa cha kupweteka mutu kapena matenda a migraine. Ammutu ambiri amangoti-amangokhala mutu, vuto lachipatala.
Izi zikunenedwa, ndikofunika kuona dokotala kuti ayambe kupenda mutu. Zingakhale zovuta kusiyanitsa zomwe ziri zoyipa ndi zomwe sizomwe-nthawizina ndizochepa zochepa zachipatala zomwe adokotala amapeza kuti chipatala chikudziwika.
> Chitsime:
> Hainer BL, Matheson EM. Njira yopitilira mutu pakati pa akuluakulu. Am Phys Physician . 2013 May 15; 87 (10): 682-87.