I-cerebral edema

I-Edema inokuvela kuzo zonke izitho kunye neendlela zomzimba wethu ngezizathu ezahlukeneyo. Kwimpahla yethu yanamhlanje, siya kuqwalasela enye yeemeko ezisongela ubomi - i-edema ye-cerebral.

I-edema ye-cerebral - ibangela

Ukubonakala kwe-edema ye-cerebral ibonakala ngokunyuka kwengcinezelo. Phakathi kwezinto ezibangela ukuba kwenzeke, iindawo eziqhelekileyo ziyi-craniocebral trauma. Kodwa i-edema nayo ingenzeka ngenxa yezifo zesistim se-central nervous, ukuphazamiseka komzimba kunye nezifo ezithathelwanayo. Izizathu eziqhelekileyo ze-edema ye-cerebral:

• ukuxakeka kwengqondo kwengqondo (ingxubusho, umonakalo kwizicubu ze-cortex ye-cerebral);
• intsholongwane, iintsholongwane zebhakteria (i-meningitis, i-encephalitis, i-toxoplasmosis);
• ubuhlungu besisu;
• Izifo zexesha elide zendlela yokuphefumula okanye inkqubo ye-cardiovascular system;
• ukuhla okubukhali ekuphakameni (ukugula kweentaba);
• i-hemorrhage (i-stroke).

Ngokuchasene nemvelaphi yomonakalo kwi-cortex ye-cerebral, kukho ukusasazwa okunzima. Oku kubangela ukunikezelwa kwe-oksijini engapheliyo kwiingcuba zeengqondo. Ngoko ukuvuvukala kuqhubeka. Kufuneka kuqatshelwe ukuba ukuphendula okunjalo kwengqondo ngamanye amaxesha kuthwala umlingana okhawuleza, kwaye ngamanye amaxesha ukhula ngokukhawuleza ngaphandle kwembonakalo ekhethekileyo kwinqanaba lokuqala.

Imiphumo ye-cerebral edema

Kwiimeko ze-edema encinci ye-cerebral ebangelwa ukugula kweentaba okanye ingqungquthela encinci yengqondo, okanye xa kukho i-edema ye-cerebral emva kokuhlinzwa ngokuvulwa kwegazi, akukho mfuneko yonyango olulodwa. Eli lizwe lihamba ngokwaso kwiintsuku ezimbalwa okanye kwiiyure, alithwali naluphi na uphulaphulo olunzulu lwe-CNS kwixesha elizayo. Nangona, ukuxilongwa kwiimeko ezinjalo kusekuyimfuneko ukuze ungaphutheli ezinye iimpawu zokuphazamiseka. Imiphumo yezifo ezinzulu ezihamba ne-cerebral edema ingaba nomntu ohlukileyo:

• ukuphazamiseka kwenkqubo ye-musculoskelet;
• ukulahlekelwa okanye ukulahlekelwa ngenye indlela yokuva, umbono, intetho;
• amnesia;
• iziphumo ezibulalayo.

Kubalulekile ukukhumbula ukuba ukunakekelwa kwonyango olufanelekileyo ngexesha elifanelekileyo linciphisa yonke imiphumo ye-edema ye-cerebral. Kwaye nawona maxesha anzima kuninzi, kwiimeko ezininzi, zibuyiselwa.

I-edema ye-cerebral ngo-stroke

Ukuphazamiseka kwintsholongwane engqondweni kukukhusela ukuhamba kwe-oksijeni kwezinye iindawo zezona ziqumrhu eziphambili kwinkqubo yesantya. Ngoko ke, ngesifo sobungozi, i-edema ye-cerebral ikhula ngokukhawuleza kwaye ihlala ikhokelela kwimiphumo engapheliyo. Ekuqaleni kunokwenzeka ukubuyisela ukujikeleza kwegazi kunye nokususa i-edema, amathuba amaninzi okubuyisela umonakalo womsebenzi wesiseko senzwa. Kanye kunye nokuphazamiseka komsebenzi wengqondo, ukunyuka komsebenzi weenkqubo zomoya kunye neentsholongwane zonyuka. Iiyure ezithandathu emva kokuba i-edema ephambili ehambelana neziphazamiso zentshukumo, i-edema yesibini (vasogenic) i-edema ivela. Ibonakala ngokunciphisa ukujikeleza kwegazi kwiinqanawa ezincinci zengqondo kwaye zisongela ukufa ngokupheleleyo kweeseli zengqondo. Kwimeko ye-edema ye-cerebral nge-stroke, unyango lwe-ozone lusetyenziso olunempumelelo-olusebenzayo lweeseli zobuchopho kunye ne-ozone.

Ukuvuvukala kwengqondo - iimpawu

Ngokuxhomekeke kubukhulu besifo esibangela ukuvuvukala, iimpawu zingachazwa okanye zifihliwe. Ngamanye amaxesha uphawu oluphela kuphela lwe-edema ye-cerebral kukudibanisa kwama-optic disc. Inokumiselwa ngexesha loviwo lwe-fundus. Iimpawu ezibonakalisiweyo ze-edema ye-cerebral:

• intloko yomsindo ephazamiseka ngokukhawuleza, ebonakala ingaphazamisi;
• ukuhlanza;
• ukwanda kwinqanaba lokutsalana ukuya kwi-120-150 ibhokhwe ngomzuzu ngokuphumla;
• ukuphefumula ngokukhawuleza;
• ukuphazamiseka okanye ukulahleka kwengqondo;
• ukungalungi kwentetho;
• ukuwohloka kombono;
• ukulahlekelwa kwemali;
• ukugungqa kwentamo yentamo;
• zixhala;
• kwiimeko ezinzima --yeka ukuphefumla.

I-cerebral edema - unyango

Ukuxilonga kunye nokuchongwa kwezizathu ze-edema ye-cerebral kwenza kube lula ukwenza unyango oluchanekileyo kunye nexesha elifanelekileyo. I-Edema inokuvela zombini, kwindawo enye, nakulo lonke ubuchopho. Ukugqiba iqondo, ubungakanani be-edema kunye nokuphazamiseka kwenkqubo ye-nervous central, i-MRI yengqondo, kunye nokuhlalutya ngokubanzi kwegazi kunye nomchamo ukufumanisa izizathu zesimo sokugula. Ngaphezulu, kuxhomekeka ngenxa yobunzima besifo, yenza isicwangciso semilinganiselo yokuphelisa i-edema kwaye uyiphathe isifo ngokwayo, esabangela ukuba:

1. Ukuqhagamshela kwisixhobo sokubonelela ngeoksijini.
2. Ingenelelo lokuphanda, elinceda ukukhawuleza kwakhona ukuhamba kwegazi, ukuphelisa i-oksijini yindlala yendawo yengqondo.
3. Ulwaphulo lwezonyango olungenakudla ngokujoliswe ekumiseleni umsebenzi wendlela yokuphefumula, inkqubo ye-cardiovascular, ukungabikho kokungafihli kwegazi, kwaye, ukuba kuyimfuneko, ukupheliswa kosulelo.
4. Ukunciphisa ukufakelwa komzimba kwiqondo lokushisa lomzimba.