Ukuhlinzwa Okuthuthukisiwe Kwe-Brain Haemorrhage eBhubaneswar
Imithambo yegazi ebuchosheni kwesinye isikhathi iyavuza noma iqhume, okubangele a ukopha ebuchosheni. Lesi simo esiyingozi siholela ekopheni ngaphakathi kwezicubu zobuchopho noma phakathi kobuchopho nogebhezi. Ucwaningo lukhombisa ukopha kobuchopho kwenza cishe u-13% wayo yonke imivimbo. Igazi eliqoqiwe noma i-hematoma ye-intracranial ibeka ingcindezi kuzicubu zobuchopho, okuholela ekhanda elibuhlungu, ukudideka, isiyezi, noma ukulahlekelwa ukwazi. Lesi simo esibulalayo sidinga ukungenelela kwezokwelapha ngokushesha ukuvimbela ukulimala okukhulu kobuchopho noma izinkinga.
Yiziphi Izinhlobo Zokopha Ebuchosheni?
Ukopha kobuchopho kwenzeka ezindaweni ezimbili eziyinhloko: isikhala phakathi kogebhezi lwekhanda nezicubu zobuchopho kanye nasekujuleni kwezicubu zobuchopho. Isigaba sokuqala sinezinhlobo ezintathu ezihlukene:
- I-Epidural Haemorrhage: Kuvela phakathi kogebhezi lwekhanda ne-dura mater (ungqimba oluvikelayo lwangaphandle). Lolu hlobo luvamise ukuphumela ekuqhekekeni kogebhezi lwekhanda futhi lungathinta ukopha kwe-arterial noma i-venous.
- I-Subdural Haemorrhage: Ikhula phakathi kwe-dura mater kanye nongqimba lwe-membrane oluphakathi. Imithambo yegazi exhuma ubuchopho nogebhezi inganwebeka noma idabuke, okuholela kulesi simo.
- I-Subarachnoid Haemorrhage: Yakha phakathi kwezingqimba ezivikelayo ezimaphakathi nezingaphakathi. Ukuhlukumezeka noma ukuphuka kwe-aneurysm kungabangela lolu hlobo.
Izicubu zobuchopho ngokwazo zingahlangabezana nezinye izinhlobo ezimbili:
- I-Intracerebral Haemorrhage: Ithinta i-lobes, i-brainstem, nezifunda ze-cerebellum. imivimbo ngokuvamile abangela lolu hlobo.
- I-Intraventricular Haemorrhage: Ikhula kuma-ventricles obuchopho lapho ukukhiqizwa koketshezi lwe-cerebrospinal kwenzeka.
Odokotela Abahlinza Kakhulu Be-Brain Haemorrhages eNdiya
Yini Ebangela Ukopha Kobuchopho?
Umfutho wegazi ohlala uphezulu udala ingozi enkulu, ikakhulukazi uma ungakutholi ukwelashwa. Izindonga zemithambo yegazi ziba buthakathaka ngaphansi kwengcindezi eqhubekayo futhi zingase ziqhume. Izinkinga zemithambo yegazi yizici ezibalulekile, futhi, okuhlanganisa:
- Aneurysms - amaqhuqhuva afana nebhaluni emithanjeni engaqhuma
- I-Arteriovenous malformations (AVM) - ikhona kusukela ekuzalweni
- I-amyloid angiopathy - sikuqaphele lokhu ikakhulukazi kubantu abadala asebekhulile
- Ukuphazamiseka kwegazi - kuhlanganise i-haemophilia kanye ne-sickle cell anemia
- Izimo zesibindi - ukwandisa izingozi zokopha jikelele
- Izimila zobuchopho - kwandisa amathuba okuba sengozini yokopha
Izimpawu Zokuwopha Kobuchopho
Ukuqaphela ngokushesha izimpawu zokopha ebuchosheni kudlala indima ebalulekile emiphumeleni yokwelashwa. Lezi zimpawu zivame ukuvela ngokuzumayo futhi zingaba zimbi ngokuhamba kwesikhathi.
Izimpawu ezivame kakhulu zokuxwayisa zihlanganisa:
- Ikhanda elibuhlungu elingazelelwe, elivame ukuchazwa ngokuthi 'ikhanda elidumayo'
- Ubuthakathaka noma ukuba ndikindiki okuthinta uhlangothi olulodwa lomzimba
- Inkulumo emisiwe nokudideka
- Ukushintsha kokubona noma ukuzwela ekukhanyeni
- Ibhalansi kanye nezinkinga zokuxhumanisa
- I-nausea kanye nokuhlanza
- ukuquleka kubantu abangenawo umlando wangaphambilini
- Intamo eqinile kanye nobunzima bokugwinya
Ukuhlolwa Kokuxilonga Kokopha Kobuchopho
- I-CT Scans: I-Brain CT scans iyithuluzi lokuxilonga elithembeke kakhulu elibonisa igazi elibukhali libonakala likhanya kakhulu kunezicubu zobuchopho. Amaqembu ezokwelapha avame ukusebenzisa udayi wokuqhathanisa ngesikhathi sokuhlolwa kwe-CT ukuze athole umbono ongcono wemithambo yegazi. Le ndlela, ebizwa nge-CT angiography (CTA), iveza indawo kanye nobukhulu obuqondile bendawo yokopha.
- Izikena ze-MRI: Ubuchwepheshe be-MRI buhlinzeka ngemininingwane yokuxilonga ethuthukisiwe. Ucwaningo lubonisa ukuthi i-MRI isebenza kangcono kune-CT scans ukuze ibone ukopha okuncane nokukhomba indawo yakhona ngqo. Zombili lezi zindlela zibalulekile, kodwa i-MRI iphumelela kakhulu ekutholeni okungavamile ngaphansi, ikakhulukazi ngamathumba okusolakala ukuthi kukhona.
- I-Angiography: Odokotela baphendukela ku-cerebral angiography ngezimo eziyinkimbinkimbi. Inqubo ihlanganisa ukuxhuma i-catheter ngemithambo yegazi iye ebuchosheni kuyilapho udayi okhethekile wembula izinkinga ngaphansi kwesithombe se-X-ray. Le ndlela ibaluleka uma izikena ezijwayelekile zinganikezi imiphumela ecacile.
Ikhithi yamathuluzi yokuxilonga ihlanganisa:
- I-Electroencephalogram yokuhlola umsebenzi wobuchopho
- Gcwalisa inani legazi ukuze ubuyekeze izinkinga zokopha
- Ukukhishwa kwe-Lumbar ukuthola igazi oketshezini lomgogodla
Ukwelashwa Kokopha Ubuchopho
- Ukuphathwa Kwezimo Eziphuthumayo: Okubalulekile okuyinhloko ukulawula umfutho wegazi nokulawula ukucindezeleka ngaphakathi kogebhezi. Odokotela bangasebenzisa ukwelapha komoyampilo, uketshezi lwe-IV, kanye nemithi ephuthumayo.
- Imithi: Odokotela banikeza imithi yomfutho wegazi lapho umfutho wegazi we-systolic wesiguli uphakathi kuka-150 no-220 mmHg. Odokotela baphinde banikeze iziguli zabo:
- Imithi ye-antiseizure ukuvimbela ukudlikizela
- Corticosteroids ukunciphisa ukuvuvukala kobuchopho
- Ukudambisa izinhlungu ukuphatha ikhanda
- Izinto zokuthambisa indle ukuvimbela ubunzima
- Imithi yokulwa nokukhathazeka ukugcina iziguli zizolile
- Ukuhlinzwa: Izimo ezinzima zidinga ukuhlinzwa. Izinketho zokuhlinzwa zihlanganisa:
- I-Craniotomy: Vula ukuhlinzwa kobuchopho ukuze umise ukopha, ukhiphe ihlule, futhi ukhulule ingcindezi.
- Ukuhlinzwa Okuncane Kancane: Kusebenzisa i-catheter noma i-endoscope ukuze kukhishwe ihlule ezimweni ezikhethiwe.
- I-Craniectomy: Kubandakanya ukubhoboza ugebhezi ukuze unciphise ingcindezi
- Izinqubo zokudonsa amanzi: Ngezinye izikhathi, odokotela bafaka i-catheter edonsa uketshezi oluningi.
Kungani Khetha Izibhedlela ZOKUNAKEKELA Ngenqubo Yokuphuma Kwegazi Lobuchopho?
Izibhedlela ze-CARE eBhubaneswar zihamba phambili ekwelapheni izimo zokopha ebuchosheni. Ucwaningo luqinisekisa ukuthi amayunithi akhethekile e-stroke asiza iziguli ukuthi ziphile kangcono futhi andise namathuba azo okubuyela ekhaya.
Ukusabela okusheshayo nokunakekelwa kochwepheshe kuchaza amandla ayisisekelo esibhedlela. Amandla esibhedlela ahlanganisa:
- Iyunithi ye-stroke ezinikele enokunakekelwa kwezimo eziphuthumayo ubusuku nemini
- Ithimba le-multidisciplinary lama-neurointensivists
- Izikhungo zokuxilonga ezithuthukile nezihlinzayo
- Izinsizakalo zokuvuselela ezinemininingwane
- Izinqubo zokunakekelwa kwangemva kokuhlinzwa komuntu siqu
HyderabadIzibhedlela ze-CARE, eBanjara Hills I-CARE Outpatient Centre, e-Banjara Hills CARE Izibhedlela, HITEC City CARE Hospitals, Nampally Izibhedlela zaseGurunanak CARE, Musheerabad I-CARE Hospitals Outpatient Centre, i-HITEC City CARE Hospitals, Malakpet
Raipur
Bhubaneshwar
Visakhapatnam
Nagpur
esilengayo
Chh. Sambhajinagar
Imitholampilo Nezikhungo Zezokwelapha
