Chinthu chimodzi cha khansara ya ubongo imatuluka mkati mwa ubongo (wotchedwa kusakomoka kwa magazi) zomwe zingayambitse kupwetekedwa.
Tiyeni tifufuze muzithunzithunzi za ubongo ndi ubongo. Mwanjira imeneyi, ngati inu kapena wokondedwa wanu mwapezeka ndi kutaya magazi kuchokera ku khansa, mungathe kumverera momasuka kuti mudziwe zofunikira ndi zomwe muyenera kuyembekezera.
Mitundu Yopopera Ubongo
Pali mitundu iwiri ikuluikulu ya zotupa za ubongo , ndipo imodzi ikhoza kukhala ndi magazi.
Matenda Oyamba Amtima Ubongo: Mtundu umodzi umatchedwa kuti ubongo woyamba wa ubongo chifukwa umachokera mkati mwa minofu ya ubongo. Zitsanzo za zotupa za ubongo zoyambirira zimaphatikizapo zotupa zamatenda, zilonda zam'mimba (makamaka ziphuphu zofulumira mofulumira) ndi meningiomas, zomwe nthawi zambiri zimakula pang'onopang'ono komanso zimakhala zosautsa.
Matenda a Mitsempha ya Metastatic : Matenda a Metastatic ndi khansa omwe amayamba m'dera limodzi la thupi (monga mapapo, m'mawere, kapena impso) ndi kufalikira kumbali ina ya thupi.
Ndizoyenera kuzindikira kuti khansara yomwe yafalikira ku ubongo sinatchedwa khansa ya ubongo. M'malo mwake, amatchedwa ndi dzina la malo omwe khansarayo inayamba. Mwachitsanzo, ngati khansara imayambira m'mapapo ndikufalikira ku ubongo, imatchedwa kansa ya m'mapapo ya mitsempha kapena makamaka kansa ya m'mapapo yomwe imakhala yochuluka kwa ubongo.
Kuwoneka kwa kubisa kwa ubongo wa ubongo
Kuchetsa kuchokera ku chifuwa chachikulu cha ubongo ndizochitika zosawerengeka, kuwerengera pang'ono pokhaponse pazifukwa zomwe zimayambitsa kutaya magazi m'mimba.
Zowonjezereka zambiri zomwe zimachititsa kuti thupi lizizira kwambiri m'mimba zimaphatikizapo kuthamanga kwa magazi, kuthamanga kwa magazi, kupwetekedwa mtima, komanso kugwiritsa ntchito mankhwala osokoneza bongo (nthawi zambiri amphetamines ndi cocaine)
Komabe, chizoloŵezi cha ubongo wa chizolowezi chomwa magazi chimadalira chikhalidwe cha chotupacho. Mwachitsanzo, zotupa zamatenda zimayamba kutuluka m'magazi koma meningiomas sizimayambitsa magazi.
Kuwonjezera pamenepo, metastases ya ubongo kuchokera ku khansa zina monga khansa ya impso kapena khansa ya khansa imakhala yotuluka mwazi wokha. Pa mbali imodzi, ubongo wa mitsempha ya khansa ya m'mawere nthawi zambiri sumawuluka.
Zizindikiro za kupweteka kwapachimake komwe kumayambitsa matenda a ubongo
Zizindikiro za stroke zomwe zimayambitsa kutaya magazi m'thupi zimasiyana ndi zizindikiro zowonongeka . Ichi ndi chifukwa chakuti zikwapu zambiri zimachitika chifukwa cha kutuluka kwa magazi mwadzidzidzi ku dera la ubongo, zomwe zimayambitsa zizindikiro za matenda kuti ziphuphuke mwadzidzidzi. Mosiyana ndi zimenezi, zotupa mu ubongo zimakula pang'onopang'ono kukhala minofu ya ubongo, kotero zizindikiro zowonongeka zimakula pang'ono pang'onopang'ono, masiku, masabata, kapena miyezi.
Zizindikiro zenizeni za kutuluka magazi kuchokera ku chifuwa cha ubongo zimadalira zifukwa zingapo. Chofunika koposa, kuchuluka kwa magazi omwe alowa mu ubongo kumapangitsa kuti zizindikiro zikhale zochepa kapena zazikulu. Zizindikiro za vuto la ubongo wa ubongo zimadaliranso komwe magazi amachokera chifukwa kutaya mwazi m'madera amodzi mu ubongo kumayambitsa zizindikiro zamaganizo zosiyana ndi zomwe zimayambitsa kukhetsa magazi m'madera ena. Motero, zizindikiro za kutuluka m'mphuno mu ubongo zimatha kuchokera ku mutu wophweka mpaka ku ziwalo zowonongeka.
Ngakhale zili choncho, zizindikiro zowopsa kwambiri za ubongo wa ubongo ndizo:
- Kufooka kwa nkhope ndi / kapena mkono, ndi / kapena mwendo kumbali imodzi ya thupi
- Kuwoneka pamaso, ndi / kapena mkono, ndi / kapena mwendo kumbali imodzi ya thupi
- Kulephera kumvetsa chinenero choyankhula kapena kusakhoza kulankhula
- Kulephera kapena kulemba kulemba kapena kuwerenga
- Vertigo ndi / kapena ndi popanda kapena kusanza kapena kusanza
- Mutu waukulu kapena masomphenya awiri
- Kusintha kwa masomphenya kapena kutayika kwa masomphenya
- Kugunda kapena kugwedezeka
Kudziwa
Kuchetsa kuchokera ku chifuwa cha ubongo nthawi zambiri kumapezeka ndi CT. Pokhala ndi kansa ya ubongo ya CT, malo omwe amachotsa magazi ambiri amawoneka ngati malo oyera, mosiyana ndi maonekedwe a ubongo.
Kuphatikizanso apo, magazi mu ubongo nthawi zambiri amazunguliridwa ndi malo akuda, omwe amaimira ubweya wa ubongo.
Kuvulala kwakukulu ndi kuwonongeka kwa ubongo, kuphatikizapo strokes ndi zotupa za ubongo, zimapangitsa kutupa, ndipo ndi mawonekedwe ndi kukula kwa kutupa komwe kumathandiza madokotala kudziwa ngati kutuluka kwa magazi ndi chifukwa cha chotupa cha ubongo kapena chifukwa cha vuto lina, monga mutu kusokonezeka maganizo kapena chotengera magazi.
Kawirikawiri, ngati pali kukayikira kuti kutuluka kwa magazi kumayambitsa chifuwa cha ubongo, yesero lotsatirali kaŵirikaŵiri ndi MRI ya ubongo, pamodzi ndi jekeseni wa zinthu zosiyana monga gadolinium. Zithunzi zosiyanazi zimathandiza kumapanga pakati pa minofu ya ubongo, m'magazi, ndi m'magazi a khansa.
Chithandizo
Kachilendo, chithandizo cha magazi mu ubongo chifukwa chotupa ubongo chimadalira kuchuluka kwa magazi ndi zizindikiro zomwe zimayambitsa. Chithandizo choyenera ndicho kuchotsa magazi ndi chotupa panthawi yomweyo. Komabe, nthawi zina, pamene kuchuluka kwa magazi kuli kochepa kwambiri, ndipo zizindikiro za munthuyo ndizochepa (mwachitsanzo, mutu), opaleshoni ikhoza kuchitika nthawi yomweyo.
Kawirikawiri, ngati ndibwino kudikirira masabata angapo musanachite opaleshoni, mayesero ena angathe kuchitidwa kuti athandizire kutsimikizira kuti chiyambi cha ubongo ndi chiyani. Kenaka, ngati pali khansa kwinakwake m'thupi, oncologist amatha kusankha ngati mankhwala ena a khansa kapena ayi, monga radiation ndi chemotherapy.
Mawu Ochokera
Ngati inu kapena wokondedwa wanu mwakhala ndi ubongo wa ubongo wochitidwa ndi chotupa, muyenera kumayendera limodzi ndi gulu lachipatala, kuphatikizapo a oncologist, a neurologist, ndi neurosurgeon. Ngakhale kuti kuchiza kungakhale kochedwa komanso kolemetsa, mwakuthupi ndi m'maganizo, ndi chithandizo cholimba kuchokera kwa okondedwa anu ndi gulu lanu la thanzi, mukhoza kutero.
> Zotsatira:
> Caplan LR. (2017). Chidule cha kuunika kwa stroke. Kasner SE, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Hainline C et al. Kuwonetsera kwachiwerewere kwa azimayi omwe sakudziwika kuti ndi a hemianopia ndi prosopagnosia mu kutupa kwa chiwalo cha amiloid. J Neuroophthalmol . 2017 Mar; 37 (1): 48-52.
> Lee EQ, Wen PY. (2017). Kuchiza ndi kupewa matenda oopsa a odwala omwe ali ndi ziwalo za ubongo. Leung LLK, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.