Kodi Stroke ya Lacunar ndi yotani?
Kukwapula kwapachika ndi matenda omwe amabwera chifukwa cha kusungidwa kwa nthambi yaing'ono yamadzi. Chifukwa cha momwe mitsempha ya magazi imagawanika mu ubongo, zikwapuzi zimapezeka m'madera omwe ali kutali ndi ubongo, kumene nthambi zambiri zazing'ono zamagazi zimapezeka. Monga momwe malo ambiri a ubongo amachitira ntchito yochepa ya ubongo, kusonkhanitsa kwa zizindikiro za kupwetekedwa kwapadera kumeneku kumakhala m'gulu limodzi la zizindikiro zomwe zimadziwika kuti zimawonongeka m'maderawa.
Zina mwa izi ndi izi:
Maselo Opanda Mafunde Oyera
Mipikisano yoyera ndiyo njira yowonjezereka yowonongeka, yomwe imabweretsa milandu yoposa 50%. Madokotala amagwiritsira ntchito mawu akuti "pure motor hemiparesis" pofotokoza zoyenda zoyendetsa galimoto. Liwu lakuti hemiparesis limatanthauza kufooka pambali imodzi ya thupi.
Mipikisano yoyera imaphatikizapo mbali zina za ubongo:
Zonsezi zili ndi ma fiber omwe amagwirizanitsa "brain cortex" m'dera la mitsempha kumene malamulo oti ayambe kusuntha (kuyenda, kupondaponda phazi) poyamba kumayambira. Madera awa a dongosolo la mitsempha amatsegula minofu yonse mthupi kuti isunthe. Kawirikawiri, zotsatira za zikwapu m'maderawa zikufanizitsa kusatheka kumene munthu wogwiritsira ntchito mankhwala amatha kusuntha dzanja la matabwa la marionette ngati chingwe chomwe chinagwirizanitsa ndi chida chake chinadulidwa. Mu chitsanzo ichi, puppeteer imayimira ubongo wa ubongo, pomwe zingwe zomwe zimalola kuti puppeteer zisunthe ziwalo za thupi za marionette zikuimira malo omwe akukhudzidwa ndi mpweya woyera womwe ulipo.
Zizindikiro za Stroke Yoyenerera ya Magalimoto
Kukwapula koyendetsa bwino kumayambitsa zofooka zazing'ono kapena zoperewera pamaso, mkono ndi mwendo mbali imodzi ya thupi. Kufooka kukhoza kukhala mu gawo limodzi la izi, kapena kuphatikiza ndi zina mwa zina ziwiri. Kawirikawiri, zikwapu zoyera zimapangitsa kuti manja ndi kufooka kwa miyendo, kuphatikiza nkhope, kapena kuphatikiza manja, mwendo, ndi kufooka kwa nkhope.
Komabe, zizindikiro zikhoza kuchitika pa gawo limodzi mwa magawo okhawo.
Mwakutanthauzira, pamagalimoto oyendera moto palibe kutayika kwa kumverera kulikonse m'thupi, ndipo palibe zizindikiro zoonekera kapena zamalankhula.
Mauko Oyera Opangidwa ndi Lacunar Oyera
Monga dzina lawo limatanthawuzira, zizindikiro zokhazokha ndizokwapulidwa kumene zizindikiro zokha zimakhala zovuta, monga kupweteka kapena kusamvetseka kwa ululu, kutentha kapena kupanikizidwa (onani m'munsimu). Mbalame zambiri zowonongeka zimakhudza malo a ubongo otchedwa thalamus, malo omwe amagwiritsidwa ntchito kwambiri pokonza thupi lonse. Zomwe zimakhudzidwa ndi kupwetekedwa kwapadera kumaphatikizapo kukhudza, kupweteka, kutentha, kupanikizika, masomphenya, kumva, ndi kulawa.
Zizindikiro za Sitiroko Yoyera Yoperewera ya Lacunar
Mavuto ambiri omwe amachititsa kuti thupi likhale lopweteka, limakhala lopanda kanthu kapena lachilendo pamaso, mkono, mwendo ndi thora, koma kumbali imodzi ya thupi. Nthawi zambiri, mbali zosiyanasiyana za thupi monga zala, phazi, kapena pakamwa pambali zimakhudzidwa paokha. Mtundu wodziwika bwino wotchedwa lacunar stroke umatchedwa Dejerine Roussy, kapena Central Pain Syndrome .
Sensorimotor Lacarar Stroke
Matenda oterewa amachokera ku chotchinga cha chotengera chimene chimapatsa thalamus komanso pafupi ndi kapule mkati mwake.
Zizindikiro za Sensorimotor Stroke
Chifukwa chakuti mpweya wamtunduwu umakhudzidwa ndi matendawa, zizindikiro zake zimaphatikizapo kutaya mwadzidzidzi (kuwonongeka kwa thalamus) ndi hemiparesis kapena hemiplegia (kuwonongeka kwa mkati mwa capsule). Zomwe zimakhala zovuta komanso zoyendetsa galimoto zimamveka pambali imodzi ya thupi.
Ataxic Hemiparesis
Mtundu woterewu umayamba chifukwa cha kusowa kwa magazi ku mbali imodzi ya ubongo:
Zizindikiro za Ataxic Hemiparesis
Kukwapula kwachilombo m'madera ena a madera amenewa, komwe kungayambitsenso kuyendetsa bwino magalimoto, kungayambitse kupunduka ndi kufooka m'manja kapena mwendo kumbali imodzi ya thupi.
Kawirikawiri, kugwedezeka (ataxia) ndi chizindikiro chosautsa kwambiri kuposa kufooka kwa mkono kapena mwendo. Nthaŵi zambiri nkhopeyo siimakhudzidwa.
Dysarthria-Wopweteka Kwambiri
Mwa kutanthauzira, matenda a dysarthria clumsy-hand syndrome ndi kuphatikizapo zizindikiro za kupweteka kwa lacunar kumakhudza gawo la mkati mwa mkati capsule. Muzochitika zenizeni za matendawa, anthu amavutika ndi dysarthria (kuyankhula zovuta) ndi dzanja lopweteka.
Zizindikiro za Dysarthria Mankhwala Ovuta Kwambiri
Monga dzina limatanthawuzira, chinthu chodziwika kwambiri cha matendawa ndi matenda osokoneza bongo omwe amatchedwa dysarthria. Kawirikawiri, dysarthria ikhoza kutanthauzidwa kukhala kovuta kulengeza kapena kupanga mawu chifukwa cha kusinthasintha kochepa kwa minofu mu bokosi la mawu, lomwe limatchedwanso kuti larynx, lilime, ndi minofu ina pakamwa.
Kuwonjezera pa dysarthria, anthu omwe ali ndi matendawa akudandaula za kusuntha kwa manja pa mbali imodzi ya thupi. Kawirikawiri dzanja lokhudzidwa liri ndi mphamvu, koma anthu amadandaula ndi mavuto ndi kuyenda bwino monga kulemba, kumanga nsapato, kapena kusewera piyano.
Chitsime:
JP Mohr, Dennis W. Choi, James C. Grotta, Bryce Weir, Phillip A. Wolf Stroke: Kutupa, Kuzindikira, ndi Utsogoleri Churchill Livingstone; 4th edition (2004)
Kusinthidwa ndi Heidi Moawad MD