Sitiroko imadziwika kuti imayambitsa zolema za thupi ndi zamaganizo. Koma, kodi mumadziwa kuti nthawi zina, kupweteka kwapadera kungapangitse kuti luso lopangika la wopulumukayo lisinthe? Izi sizowoneka ngati zotsatira za matenda a stroke, koma pali nkhani zokwanira zokhudzana ndi opulumuka ndi kupweteka kwa ubongo zomwe zapatsidwa chidziwitso cha luso lojambula zomwe zimaonedwa ngati zenizeni komanso zotsimikizirika za kudwala kwa stroke.
Chodabwitsa kwambiri, sikuti ndizochitika zokha zowonjezera luso lojambula pambuyo pa kupwetekedwa, pali ndondomeko zowonjezera zomwe zimatchula za novo zamakono pambuyo pa kupwetekedwa. Pambuyo potsata mphamvu zapamwamba zimatanthawuza kuti taluso yatsopano yowonekera pambuyo pa kukwapulidwa, osati kungowonjezera kapena kusintha kwa mphatso zomwe zakhalapo kale.
Kodi Ndi Mphamvu Zotani Zomangamanga Zitha Kuchokera Pambuyo pa Stroke?
Zambiri mwa zolemba za de novo zamaluso pakati pa opulumuka pa ziwalo zimalongosola anthu omwe anayamba kuyamba kujambula ndi / kapena kujambula atagwidwa ndi stroke. Palibenso nkhani zomwe zimatsimikiziridwa za opulumuka odwala omwe amapanga mphatso zina zamakono, monga luso la nyimbo kapena zojambulajambula kapena luso lolemba.
Chochititsa chidwi n'chakuti pali zifukwa zambiri za anthu omwe ali ndi malingaliro othetsa malingaliro a malingaliro a novo zamaluso kusiyana ndi omwe ali opulumuka miyoyo yawo omwe amasonyeza kuti akupanga zowonongeka.
Koma ndi nkhani zomwe zinapulumuka ku stroke zomwe zawonetsa sayansi ya zachipatala ku dera la ubongo zomwe zikutheka kuti ndizofunikira kwa de novo zamakono. Malingaliro omwe afunidwa kuti asokoneze ubongo angayambitse ziphatso zamaluso angathenso kufotokozera chifukwa chomwe chilengedwe chimakhala chowonekera kwambiri chifukwa cha kugwidwa maganizo kwaumtima kuposa kupwetekedwa.
Kodi Mphamvu za Arnot Novo Zikuchitika Bwanji Powonongeka kwa Stroke?
N'zochititsa chidwi kuti opulumuka awiri a sitiroko omwe ali ndi luso lojambula posachedwapa akufotokozedwa m'madera osiyana ochokera m'mayiko osiyanasiyana. Anthu awiri opulumukawo anali ndi zilonda m'makina otsekemera. Khungu la ubongo ndilo gawo la cerebral cortex ndipo limadziwika kuti liziyang'anira chidziwitso ndi kudzizindikira.
Khungu lakumanzere la cortex ndi cerebral cortex yolondola ndi losiyana kwambiri. Anthu omwe ali ndi dzanja lamanja, mbali ya kumanzere ya ubongo wamtunduwu amachititsa kuti azidziwa bwino masamu ndi mawu, pomwe mbali yoyenera ya cerebral cortex imatha kulamulira luso la malo ndikutha kuzindikira zinthu zitatu. Odwala onse omwe anafotokozedwa m'nkhaniyi anali odzipereka.
Mmodzi wodwala, mayi wochokera ku France, anafotokozedwa mu 2010 mu Journal Pain . Madokotala ake akufotokoza kuti atachoka pamtunda, sizinangokhala zojambula zokhazokha, komabe anakakamizidwa kupenta. Chochititsa chidwi n'chakuti gulu lachipatala linalongosola chodabwitsa chimene mayiyo adafotokoza kuti anakumana ndi ululu pamene anajambula ndi "maonekedwe" ozizira, zomwe zimasonyeza kuti chojambula chake chinali chomangirizidwa kwambiri ndi kuvulala kwa ubongo.
Madokotala ku Sao Paulo, Brazil, ndi Boston, Massachusetts anafotokoza munthu wina wazaka 67, amene anali ndi matenda a stroke m'chaka cha 2009. Iye adapulumuka chiphaso cha saychemic chomwe chimakhudza dera lonse lamanzere la cerebral cortex, kuphatikizapo kumanzere mphalasitiki. Atafotokoza kuti anali munthu wogwira ntchito yomanga yemwe anali asanaphunzirepo kalikonse, kapena kuti anali ndi luso lojambulajambula, wopulumuka wodabwitsa uja anayamba kuyamba kujambula ndi kujambula pambuyo pake. Mwachidziwikiratu, adagwira dzanja lamanja asanamuphe, koma atagwidwa nkhanza, anayamba kugwiritsa ntchito dzanja lake lamanzere mmalo mwake.
Asayansi azachipatala amene amaphunzira zochitika zachilendo za mphatso zapamwamba pambuyo pa kupwetekedwa mtima amapereka zifukwa zingapo za luso latsopano luso lomwe lingatulukire miyoyo ya opulumuka ena omwe akudwala matendawa.
Tsatanetsataneyo ikukhudzana ndi insular cortex.
Ubongo wathu wathanzi umatilola kuti tizigwira ntchito moyenera mmagulu, pogwiritsa ntchito misonkhano yomwe anthu amavomereza yomwe imakhala yosagwirizana ndi zoyipa komanso zoyipa. Khungu lamkati limathandiza kwambiri kuti asamangidwe. Powonongeka, ndiye kusankhidwa koyambirira kwa umunthu waumunthu omwe kawirikawiri akutsutsidwa amaloledwa kutenga.
Akatswiri ena a m'maganizo amasonyeza kuti anthu onse (kapena ambiri) ali kale ndi luso lodziwika bwino lomwe lingadziteteze ndi kudziletsa komwe timaphunzira kuti tikwanitse kugwira ntchito mudziko lotukuka. Malingana ndi chiphunzitso ichi, kamodzi kokha kalotex yowonongeka, chilengedwe chokhazikitsidwa chokhazikitsidwa ndi zojambulajambula chimatulutsidwa ndikuloledwa kukula.
Akatswiri a sayansi ya zamoyo amanena kuti zilembo zamakono zingakhale 'kubisala' anthu abwino chifukwa cha zizindikiro zamphamvu zomwe zimatheka chifukwa cha ntchito za ubongo wathanzi, wathanzi. Izi zikhoza kufotokoza chifukwa chake pali mauthenga ambiri a anthu omwe ali ndi matenda a 'dementia' omwe mwadzidzidzi amayamba kulankhulana kudzera mujambula. Dementia, kuposa kupweteka kwapakati, imakhala ndi kusowa kwa kulepheretsa ndi khalidwe loyera lomwe lingakhale losayenera.
Kufotokozeranso kwina ndiko kuti ubongo woyenerera wamakono umapangitsa kuzindikira kwakukulu , mbali yofunikira yopanga zojambula ndi zojambula. Ndizodziwika bwino kuti atatha kupwetekedwa, opulumuka amapanga njira yotchedwa neuroplasticity, yomwe imachititsa kuti madera ena abwino a ubongo azigwira ntchito yowonjezera kuti athe kulipira madera ovulalawo. Anthu opulumuka odwala matendawa omwe amatha kukhala ndi luso lachilendo pambuyo poti sanagwiritse ntchito mankhwala osokoneza bongo amatha kukhala ndi ubongo wokhudzana ndi matenda okhudza ubongo.
Maluso Amaluso Pambuyo pa Stroke
Kawirikawiri, akatswiri ojambula amatha kutaya luso lawo ndi luso lawo kuti apange zojambula zamatsenga pambuyo pa kupwetekedwa. Gulu la madokotala ochokera ku Parma, Italy limalongosola kuchepa kwakukulu kwa tsatanetsatane, zovuta, ndi zowonjezereka za ntchito za ojambula ovomerezeka amene akhala ndi stroke. Ambiri mwa ojambula omwe ali ndi zikwapu zokhudzana ndi ubongo wamtundu woyenerera amatha kuwonetsa zozama zozama ndi zosaoneka bwino monga momwe zisanayambe kugunda.
Kukwapula kungachititse kusintha m'masomphenya, monga kutayika kwa masomphenya kapena kutayika kwa masomphenya . Omwe amapulumuka ndi matendawa omwe amasonyeza maluso atsopano kapena omwe ali ndi luso lojambula ndizosiyana kupatula lamulo.
> Zotsatira:
> Mazzucchi A, Sinforiani E, Boller F. Zozizira za ubongo ndi zojambula. Kupita patsogolo mu kafukufuku wa ubongo. 2013; 204: 71-98.
> Simis M, Bravo GL, Boggio PS, Devido M, Gagliardi RJ, Fregni F. Transcranial zowonongeka mwatsatanetsatane mwa mphamvu zamakono pambuyo pa kupweteka. Neuromodulation: Technology pa Neural Interface . 2013; 17 (5): 497-501. lembani: 10.1111 / ner.12140.
> Thomas-Anterion C, Creac'h C, Dionet E, et al. De novo ntchito yojambula pambuyo pa insular-sII ischemia. Ululu. 2010; 150 (1): 121-7.