Ukwelashwa Kokufaneleka/Ukubanjwa e-Hyderabad, India
Ukulingana kuchazwa njengokuphazamiseka okungalawuleki ebuchosheni. Lokhu kungase kuphinde kuholele ekushintsheni ukuziphatha nemizwa. Ngokuvamile zihlala kusukela kumasekhondi angu-30 kuya emaminithini amabili. Ukulingana okuhlala isikhathi eside kuyisimo esiphuthumayo sezokwelapha. Izikhathi eziningana imbangela yokulingana ayaziwa kodwa kungase kube ngenxa yokushaywa unhlangothi, ukulimala ekhanda, noma yikuphi ukugula. Iningi lokulingana lingalawuleka kodwa okunye kunomthelela omkhulu ezimpilweni zabo zansuku zonke.
Izimbangela
Ukuqunjelwa kungenzeka ngenxa yezizathu ezahlukahlukene, kufaka phakathi:
- I-Aneurysms.
- Izimila zobuchopho, kuhlanganise nomdlavuza.
- I-cerebral hypoxia, ukuntuleka komoya-mpilo ebuchosheni.
- Ukungqubuzana okukhulu nokulimala kobuchopho okubuhlungu.
- Izimo zobuchopho eziwohlokayo njengesifo i-Alzheimer's noma ukuwohloka komqondo we-frontotemporal.
- Ukusetshenziswa kwezidakamizwa, okuhlanganisa izidakamizwa notshwala (kokubili imithi kadokotela nezidakamizwa zokuzijabulisa), kanye ne-caffeine.
- Ukuhoxa ezidakamizweni noma otshwaleni.
- I-Eclampsia, yisimo kubantu abakhulelwe lapho umfutho wegazi ophakeme ungaholela ekubanjweni.
- Ukungalingani kwe-Electrolyte, ikakhulukazi amazinga aphansi e-sodium (hyponatremia), i-calcium, noma i-magnesium.
- Imfiva, ikakhulukazi ephezulu.
- Ukuzwela ekukhanyeni okuxhophayo noma okulokozayo.
Izimpawu
Izimpawu zokulinganisa zingaba mnene noma zibe nzima nakakhulu. Lokhu kuhlanganisa ukudideka kwesikhashana, ukupela ukugqolozela, ukwesaba, ukukhathazeka, ukunyakazisa okungalawuleki kwezingalo nemilenze, nokulahlekelwa ukwazi. Kwezinye izimo, umsuka walesi simo awubonwa. Kungaba ngenxa yokushisa okukhulu, ukulimala, noma ukugula.
Izinhlobo Zokulingana
Ukulingana kuhlukaniswa ikakhulukazi ngezinhlobo ezimbili ezinkulu- Ukulingana kwe-Focal ekuqaleni kanye nokulinganisa Okujwayelekile Kokuqala.
- Ukuqala kokugxila kuyalingana bangela ukusebenza kukagesi okungavamile endaweni eyodwa yobuchopho. Lokhu kungaba ngokuqaphela noma ngaphandle kokwazi. Okunye ukubandakanyeka kulolu hlobo lokulingana kukhona ukulahlekelwa ukwazi futhi umuntu uzoqhubeka egqolozele esikhaleni ngaphandle kokuphendula. I-focal ilingana ngaphandle kokulahlekelwa ukwazi ishintsha imizwa futhi kuba noshintsho endleleni izinto ezibukeka ngayo. iphunga, ukunambitha noma umsindo. Umuntu uzobe esazi kodwa kungase kube nokugedla kwesitho somzimba.
- Ukuqala okujwayelekile kufanelana iqala nhlangothi zombili zobuchopho. Ukulingana okujwayelekile kokuqala kuhlukaniswa futhi ku-tonic clonic, ukungabikho kanye ne-atonic.
- I-Tonic-clonic isho ukuqina kwemisipha. Kuzoba namajerk ezingalweni nasemilenzeni. Ngokuvamile umuntu uzolahlekelwa ukwazi ezinhlotsheni ezinjalo zokulingana
- ukungabi ukulingana kuhlala imizuzwana embalwa. Babangela isenzo esicwayizayo.
- I-Atonic iyalingana yilezo lapho imisipha ngokuzumayo izoxhuga futhi ikhanda lingase livume futhi liwele phansi. Lokhu kuzohlala cishe imizuzwana engu-15.
Amanye ama-fit akwaziwa njengoba aqala ngokuzumayo futhi akekho ongahlaziya ukuthi ngabe aqale kanjani. Lezi zaziwa njengezilingana ezingaziwa.
Izici zengozi
Ezinye zezinto eziyingozi ezihilelekile kulokhu yilezi;
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Izingane ezisanda kuzalwa ezizalwa zincane ngokweminyaka yazo.
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Izingane zingalingana ngisho nasenyangeni yazo yokuqala.
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Bazalwa benezindawo ezingavamile ebuchosheni.
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Ngezinye izikhathi kungase kube nokopha ebuchosheni.
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Ukuntula umoya-mpilo otholakala ebuchosheni.
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Kuholela ekushayweni kohlangothi okuholela ekuvimbeni kwemithambo.
Sifo
Kwesinye isikhathi odokotela bazothola kunzima ukwazi izinhlobo zokulingana. Uzokweluleka ngokuhlolwa okuthile ukuze azi uhlobo olunembile lokulingana ukuze kunikezwe imithi efanele ezosebenza ngempumelelo.
Udokotela uzohlola umlando wezokwelapha ogcwele ukuze azi imbangela eqondile. Izimpawu zingase zibe ukuphazamiseka kokulala noma ukuhlolwa okungokwengqondo okudlulele.
Udokotela uzokweluleka ngokuhlolwa kwelebhu njengokuhlolwa kwegazi, ompompi bomgogodla kanye nokuhlolwa kwe-toxicology okwenziwa ikakhulukazi ukuhlola izidakamizwa nobuthi. Ukuhlolwa okufana ne-electroencephalograms kungasiza udokotela ukuthi azi uhlobo lokulingana okuzobasiza ukuthi baqale Ukwelapha Isithuthwane e-Hyderabad. I-CT kanye ne-MRI scan nayo yenziwa ukuze kwaziwe isithombe esiqondile sobuchopho.
Ukwelashwa
Ukwelashwa kokuquleka kuncike ekutheni kungani kwenzeka. Uma ukuquleka kubangelwe okuthile okuqondile, ukwelashwa kugxila kuleso sizathu. Ngokuquleka okuhlobene nesifo sokuwa, uhlobo lokuquleka, ukuthi kwenzeka kaningi kangakanani, kanye nendlela umuntu asabela ngayo ekwelashweni okuhlukahlukene kuqondisa indlela yokwelapha ekhethiwe.
Izindlela zokwelapha ezingase zibe khona zokuquleka ezihambisana nesifo sokuwa zihlanganisa:
- Imithi: Ngokuvamile umugqa wokuqala wokwelashwa, imithi ehlukahlukene ingamisa ukuquleka njengoba kwenzeka noma ikuvimbele ukuthi kungenzeki njalo. Imithi ye-Intravenous (IV) ingase isetshenziselwe ukubhekana nokuquleka ngesikhathi sangempela, kuyilapho imithi yansuku zonke ihlose ukunciphisa ukuvela kokuquleka ngokuhamba kwesikhathi.
- Ukuhlinzwa kwesithuthwane: Ezimweni lapho imithi ibonakala ingasebenzi, ukuhlinzwa kungase kucatshangelwe. Lokhu kuhlanganisa ukususa noma ukunqamula indawo eyinkinga yobuchopho. Abahlinzeki bezempilo bangase batuse ukuhlinzwa kwesithuthwane uma ukuquleka kuqhubeka naphezu kokuzama imishanguzo emibili ehlukene elwa nokuquleka ngemithamo enconyiwe.
- Izinguquko zokudla: Ukudla okune-carb ephansi noma i-ketogenic kunamandla okumisa ngokuphelele noma ukunciphisa imvamisa yokuquleka kwesithuthwane, ikakhulukazi uma imithi ingasebenzi. Kwabanye abantu, lokhu kudla kungasebenza njengenye indlela uma ukuhlinzwa kungeyona inketho esebenzayo.
- Ukuvuselela ubuchopho: Lokhu kwelashwa kuhilela ukufakwa kwedivayisi ebuchosheni, ukuletha amandla kagesi athambile ukuze aphazamise futhi amise umsebenzi kagesi obangela ukuquleka. Izinhlobo ezimbili ezitholakalayo zokuvuselela ubuchopho ukuvuselela ubuchopho okujulile kanye ne-neurostimulation esabelayo.
- I-Vagal nerve stimulation: Ngokuvuselela ngogesi i-vagus noma i-vagal nerve, exhuma ngqo ebuchosheni, lokhu kwelashwa kungasiza ukwehlisa imvamisa yokuquleka. Lokhu kuhilela ukukhuthazwa ohlangothini lwesobunxele lwe-vagus nerve (10th cranial nerve).
Imithi
Lokhu kubandakanya ikakhulukazi imithi efana nemithi elwa nokuqina. Inhloso enkulu ukuthola umuthi ongcono kakhulu onganqanda ukwenzeka. Odokotela bazokwenza konke okusemandleni ukuthola umuthi ongcono kakhulu uma kucatshangelwa isimo kanye nemvamisa yokulingana, ubudala nezinye izici eziningi. Ngokucabangela zonke izici odokotela bazokunikeza umuthi ongcono kakhulu kuwe.
Ukuhlinzwa nezinye izindlela zokwelapha
Ukuhlinzwa kunconywa kuphela uma imithi ingakwazi ukunqanda isimo. Phakathi nenqubo, odokotela abahlinzayo bayothola indawo ebuchosheni lapho kuhlangana khona futhi basuse. Ukuhlinzwa kuzoba yindlela yokwelapha engcono kakhulu kulowo muntu onama-fit aqala endaweni efanayo. Enye indlela engcono kakhulu futhi elula engalandelwa iwukwelapha ngokudla. Ukudla kufanele kulandelwe, kunamafutha amaningi kanye nama-carbohydrate aphansi. Lolu hlobo lokudla olubizwa ngokuthi i-ketogenic diet lungasiza ekulawuleni ukulingana.
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
