Pontine Stroke kye ki? Ka tukyogereko mu bujjuvu!

Oboolyawo owulidde ku "stroke," embeera ereeta okusannyalala, nedda? Ffenna tukimanyi nti kintu kya maanyi nnyo. Leero tugenda kwogera ku kika kya stroke eky’akabi kyenkanyi, naye mpozzi nga tekiyogerwako nnyo, ky’osaanidde okumanya. Ekyo kiyitibwa Pontine Stroke . Kino kintu ekikosa obwongo. Tofaayo, kino tujja kukyogerako mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

Ddala Pontine Stroke kye ki?

Mu ngeri ennyangu, Pontine Stroke kwe kutaataaganya okutambula kw'omusaayi mu kitundu ekikulu ennyo eky'obwongo bwaffe ekiyitibwa "Pons" . Lowooza ku kino, waliwo emisuwa egitwala omusaayi mu buli kitundu ky’omubiri gwaffe, era bwe kityo bwe kiri ne ku bwongo. Kale, singa omusuwa ogutwala omusaayi okutuuka mu pons guzibikira, obutoffaali obuli eyo tebufuna oxygen na biriisa. Awo embeera eno w’ebaawo. Kino kika kya ischemic stroke , nga kino kibeera stroke omusuwa mwe guzibikira ekintu ekiringa okuzimba omusaayi. Okuzibikira kuno kuyinza okubaawo mu bwangu, oba kuyinza okukula mpolampola okumala ekiseera.

Kati oyinza okuba nga weebuuza "Pons" ono kye ki. Kye kitundu ekisinga obunene ku kikolo ky'obwongo bwaffe . Ekikolo ky’obwongo kiringa ekisenge ekifuga omubiri gwaffe. Pons nayo erina emirimu emikulu ennyo. Pons eyamba mu kufuga okussa, okukola kw’ebinywa bya ffeesi, okutambula kw’amaaso, n’okutebenkeza.

Pontine stroke mbeera ya mangu ey’obujjanjabi eyinza okutta omuntu, n’olwekyo obujjanjabi obw’amangu kyetaagisa.

Kino kiyitibwa ekintu ekirala, oyinza okuba nga wali owuliddeko:

• Okusannyalala kw’ekikolo ky’obwongo oba okusannyalala
• Pons stroke oba okusannyalala kw’omubiri

Pontine Stroke ya bulijjo etya?

Stroke bulwadde bwa bulijjo nnyo, naye bw’ogeraageranya n’ebika bya stroke ebirala, Pontine Stroke tebutera kubaawo katono.

Pontine strokes zikola ebitundu nga 7% ku ischemic strokes zonna mu nsi yonna. Ng’ekyokulabirako, mu Amerika yokka, abantu nga 48,000 be batawaanyizibwa embeera eno buli mwaka. Kale, ogwo muwendo gwa maanyi, nedda?

Bubonero ki obulaga nti omuntu alina obulwadde bwa Pontine Stroke?

Kino kye kitundu ekikulu. Obubonero bwa Pontine Stroke buyinza okuba obw’enjawulo katono ku bubonero obulala obw’okusannyalala bwe tutera okuwulira. Kale kirungi okubeera nga okimanyi ku kino.

Obulwadde bwa Pontine Stroke buyinza okuleeta obubonero bumu oba obusingawo ku buno wammanga:

• Obunafu bw’ebinywa ku ludda olumu olw’omubiri (hemiparesis). Kiwulira ng’ekitundu ky’omubiri kigenda kizirika.
• Okunafuwa oba okugwa kw’oludda olumu oba zombi eza ffeesi (facial nerve palsy). Oluusi akamwa kayinza okusimbulwa ku ludda olumu.
• Okuwulira okutali kwa bulijjo ku ludda olumu olwa ffeesi. Kiyinza okuwulira ng’okuzirika oba ng’enseenene zitambula.
• Okuwulira okutali kwa bulijjo ku ludda olumu olw’omubiri (hemisensory loss).
• Okukaluubirirwa okwogera, okusiwuuka empisa (dysarthria). Ebigambo birabika nga bitabuddwatabuddwa.
• Okukaluubirirwa okumira (dysphagia). Okukaluubirirwa okumira emmere n’ebyokunywa.
• Okukaluubirirwa okussa.
• Okubulwa bbalansi, okukaluubirirwa okutambula (ataxia). Nga alinga aziyira.
• Okuziyira, okuwulira ng’okwetoloola (vertigo).
• Okubulwa okuwulira.
• Okukaaba oba okuseka okutafugibwa (pseudobulbar affect). Kano kabonero ka ngeri eyeewuunyisa, ekitegeeza nti osobola okukaaba nga towulira nnaku oba okuseka nga towulira ssanyu.
• Okufiirwa ebitundu by’omubiri byonna ebina (quadriplegia).
• Okufiirwa okutegeera.

Obubonero obukwata ku maaso n’okulaba era buyinza okuli:

• Okulaba emirundi ebiri naddala ng’otunudde ku bbali (olw’okusannyalala kw’obusimu obw’omukaaga).
• Entambula z’amaaso ez’amangu, ezitafugibwa (nystagmus).
• Obutasobola kutambuza maaso gombi mu kkubo lye limu mu kiseera kye kimu (conjugate gaze palsy).
• Ebizibu by’okuzibula amaaso.

Singa ggwe oba omuntu ali ku lusegere lwo afuna obubonero buno bwonna, olina okugenda mu ddwaaliro mu bwangu awatali kulwa, kubanga Pontine Stroke mbeera eri obulamu bw’omuntu mu matigga era eyinza okuleeta obulabe obutakyuka.

Waliwo ebika bya Pontine Stroke?

Yee, waliwo ebika bya Pontine Stroke ebiwerako, okusinziira ku kifo omusaayi we gukulukuta okugenda mu bitundu eby’enjawulo ebya pons. Obubonero buyinza okwawukana katono okusinziira ku buli kika, naye obubonero bungi butera okulabika. Abasawo bazituuma amannya okusinziira ku kifo pons we ziri.

Okugeza nga:

• Medial pontine stroke: Kino kibaawo ng’omusaayi guyimiridde wakati mu pons. Obubonero butera okuba obunafu ku ludda olumu olw’omubiri, obunafu bw’ebinywa by’amaaso, n’obutasobola kutambuza maaso okuva ku ludda olumu okudda ku lulala (horizontal gaze palsy).
• Lateral pontine stroke: Kino kibaawo ku ludda olumu olwa pons. Obubonero buyinza okuli okuziyira ku ludda olulala olw’omubiri (okufiirwa obusimu obuyitibwa hemisensory loss) n’okubulwa bbalansi (ataxia). Kiyinza okuba eky’oludda olumu oba olw’enjuyi zombi.
• Caudal pontine stroke: Kino kikosa omugongo gwa pons. Okusannyalala kw’obusimu mu maaso, okubulwa amatu, n’okuwuguka bubonero obutera okulabika.

Kiki ekivaako obulwadde bwa Pontine Stroke?

Nga bwe twagambye emabegako, kino kibaawo ng’omusaayi ogugenda mu pons guzibiddwa. Waliwo ensonga bbiri enkulu eziviirako okuzibikira kuno:

1. Obulwadde bw’emisuwa emitono: Bw’oba ​​olina puleesa oba sukaali okumala ebbanga, emisuwa emitono mu pons giyinza okwonooneka. Ekiseera bwe kigenda kiyitawo, omusaayi guyinza okuziyizibwa, era okukkakkana ng’omusuwa guzibikira ddala, ne guvaako okusannyalala. Kino kye kisinga okuvaako.

2. Obulwadde bw’emisuwa eminene: Obulwadde bw’emisuwa kwe kuzimba amasavu (plaque) mpolampola munda mu misuwa, ne gikaluba. Ekika ky’ekikuta kino bwe kizimba mu misuwa eminene egitwala omusaayi mu bwongo (e.g., omusuwa gw’omugongo , omusuwa gwa basilar ), kiyinza okuziyiza omusaayi okutambula mu misuwa emitono mu pons.

Biki ebiyinza okuvaako obulwadde bwa Pontine Stroke?

Ensonga enkulu ez’obulabe eri Pontine Stroke ze zimu n’ezo ezikwata ku stroke endala eziyitibwa ischemic stroke. Zino ze puleesa ne ssukaali . Embeera zino zombi zisobola okwonoona emisuwa gyo omuli n’emisuwa mu pons.

Ebirala ebiyinza okuleeta akabi bye bino:

• Okunywa sigala.
• Kolesterol omungi mu musaayi.
• Okubeera n’ebyafaayo by’obulwadde bw’omutima obuyitibwa ischemic heart disease ( obulwadde bw’omutima obuva ku kuzibikira emisuwa mu mutima).
• Embeera eziyitibwa hypercoagulable states.
• Obulwadde bw’emisuwa.

Bw’oba ​​olina ekimu ku bintu bino eby’obulabe, kikulu nnyo okulaba omusawo wo buli kiseera okukakasa nti enteekateeka y’obujjanjabi gy’oweereddwa ekola bulungi.

Obulwadde bwa Pontine Stroke buzuulibwa atya?

Bw’oba ​​olina obubonero bw’okusannyalala, olina okugenda mu kisenge ky’abalwadde ab’amangu (ETU) amangu ddala nga bwe kisoboka. Eyo omusawo ajja kukola ebigezo ebiwerako okuzuula obulwadde bwa Pontine Stroke n’okukebera obulamu bwo. Mu bino biyinza okuli:

• Okukebera puleesa yo n'okukuba kw'omutima .
• Okukebera okussa kwo (enkola y’okussa) .
• Okukeberebwa omubiri n'ebyafaayo by'obusawo .
• Okukeberebwa kw’obusimu. Kino kiyinza okuzuula obubonero obw’engeri y’okusannyalala n’okubalirira ekitundu ky’obwongo ekikoseddwa.
• Okukebera okukuba ebifaananyi ku bwongo.Ng’ekyokulabirako, okukebera CT ne/oba MRI . Ebigezo bino bisobola okukakasa oba stroke eri mu pons.

Omusawo ayinza okulagira okukeberebwa ebirala okukebera ebintu ebirala ebikwata ku bulamu bwo, gamba ng’okukeberebwa omusaayi n’okukeberebwa EKG (ECG) .

Obulwadde bwa Pontine Stroke bujjanjabwa atya?

Ekigendererwa ekikulu eky’obujjanjabi bw’obulwadde bwa Pontine Stroke kwe kuzzaawo omusaayi okutambula mu pons. Kino kiri bwe kityo kubanga okuzzaawo omusaayi mu bwangu kiyinza okuziyiza okwonooneka okw’olubeerera oba waakiri okukendeeza ku buzibu bw’okusannyalala. Nate bw’oba ​​olina obubonero bw’okusannyalala, kyetaagisa okutuuka amangu mu ddwaaliro osobole okufuna obujjanjabi obw’amangu.

Okusobola okuddamu okutambula kw’omusaayi, ekika ky’eddagala eriyitibwa thrombolytics litera okuweebwa. Bino bikola nga bisaanuusa ekizimba ky’omusaayi. Ate era singa wabaawo okuzibikira mu musuwa omunene, okulongoosa okuyitibwa mechanical thrombectomy kuyinza okukolebwa okuggyamu omusaayi oguzimba.

Ebigendererwa ebirala eby’obujjanjabi bye bino:

• Okuziyiza ebizibu ebivaamu. Ttiimu yo ey’abasawo ejja kukozesa obujjanjabi obulala okuziyiza oba okujjanjaba ebizibu eby’enjawulo.
• Okuddaabiriza okujjanjaba ebizibu oba ebizibu ebiva mu nkola y’obusimu.
• Okukozesa obukodyo okuziyiza okusannyalala okulala , gamba ng’eddagala, okukyusa mu mmere, n’okwongera okukola emirimu gy’omubiri.

Okuddaabiriza obulwadde bwa Pontine Sstroke

Okuddaabiriza kitundu kikulu nnyo mu kudda engulu eri abantu bangi ababadde bafunye obulwadde bwa ssukaali. Okusinziira ku bubonero bwo, kino kiyinza okubeera mu ngeri nnyingi:

• Obujjanjabi bw’okwogera: Kino kikuyamba okuddamu okufuna olulimi n’obukugu mu kwogera, n’okufuga ebinywa ebikuyamba okussa, okulya, okunywa n’okumira.
• Obujjanjabi bw’omubiri: Kino kiyinza okukuyamba okulongoosa oba okuddamu okukozesa emikono n’amagulu. Era kiyinza okuyamba ku bintu ng’obuzibu mu bbalansi n’okunafuwa kw’ebinywa.
• Occupational therapy: Kino kiddamu okutendeka obwongo bwo okukuyamba okukola emirimu egya bulijjo, gamba ng’okulya n’ebikozesebwa n’okwambala.
• Okuddamu okusomesa obusimu: Kino kiyamba okuddamu okutendeka oba okusitula obusimu bwo. Ng’ekyokulabirako, ojja kutendekebwa okumanya ebika by’okukwata, okukankana, okunyigirizibwa n’ebbugumu eby’enjawulo.
• Obujjanjabi obw’okutegeera:Kino kiyinza okukuyamba singa oba olina obuzibu mu kujjukira. Era kiyinza okuyamba singa oba okaluubirirwa okussa essira ku mirimu gye wali osobola okukola.

Prognosis ki eri abantu ababadde n’obulwadde bwa Pontine Stroke?

Endowooza y’okuwona eri omuntu abadde n’obulwadde bwa Pontine Stroke esinziira ku bintu ebiwerako. Mu bino mulimu:

• Kitundu ki ekya pons ekyakosebwa stroke?
• Obuzibu bw’okusannyalala.
• Engeri gye wafuna obujjanjabi mu bwangu.
• Obulamu bwo okutwalira awamu n’emyaka gyo.

Okugeza, okusannyalala okukosa oludda lumu lwokka olwa pons (oludda olumu) okutwalira awamu kulina ebivaamu ebirungi mu kudda engulu okusinga stroke ezikwata enjuyi zombi (bilateral) n’ezo ezikosa emabega wa pons (caudal).

Ttiimu yo ey’abasawo ejja kukuwa endowooza ennungi ku ngeri okuwona gye kunaaba oluvannyuma lw’okulwala Pontine Stroke. Funa obuyambi okuva mu mikwano gyo era obabuuze ku bibuuzo byonna oba ebikweraliikiriza by’oyinza okuba nabyo.

Biki ebiva mu Pontine Stroke okumala ebbanga eddene?

Pontine Stroke esobola okuleeta ebizibu ebiwerako eby’ekiseera ekiwanvu oba eby’olubeerera. Kino kiri bwe kityo kubanga ekikolo ky’obwongo omuli ne pons, nsengekera y’obwongo enkulu era erimu emirimu mingi emikulu. Obulabe bwo obw’okufuna ebizibu businziira ku bintu bingi omuli ekika n’obuzibu bwa Pontine Stroke.

Ebizibu ebiyinza okuvaamu biyinza okuli:

• Okwonooneka kw’obwongo okw’olubeerera.
• Okuliisa mu ttanka kiyinza okwetaagisa olw’okukaluubirirwa okulya.
• Okufiirwa okufuga omusulo (obutakwata musulo), nga kyetaagisa okukozesa ekyuma ekifulumya omusulo.
• Okunafuwa kw’ebinywa okumala ebbanga eddene, ekivaako okugwa ennyo.
• Okwennyamira oluvannyuma lw’okusannyalala.
• Ebizibu ebiva mu kuwummula ku kitanda okumala ebbanga, okugeza, ebiwundu by’ebitanda n’okuzimba emisuwa emiwanvu (DVT).
• Obulemu obw’ekiseera ekiwanvu.
• Obulwadde bwa Locked-in syndrome. Mu kino, tosobola kufuga kintu kirala kyonna mu mubiri gwo okuggyako okutambula kw’amaaso, naye ng’omanyi.
• Aspiration pneumonia naddala mu bantu abalina obulwadde bwa pseudobulbar palsy oba locked-in syndrome buva ku mmere oba ebyokunywa ebiyingira mu kkubo ly’empewo.
• Okufa.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’oba ​​ggwe (oba omuntu akuli ku lusegere) obadde n’obulwadde bwa Pontine Stroke, kiyinza okuba eky’omugaso okubuuza omusawo wo ebibuuzo bino:

• Pontine Stroke ya kika ki gye nnalina?
• Mirimu ki mu bwongo n’omubiri egyakosebwa olw’okusannyalala?
• Okuwona kwange kunaaba kutya? Mitendera ki egiddako mu kulabirira kwange?
• Enkola ki ez‟okuddaabiriza ze nneetaaga?
• Kiki kye nja kusobola okukola mu myezi egijja?
• Kiki kye nsuubira mu mwaka gumu?
• Obukugu ki abaagalwa bange n’abaagalwa bange be twetaaga okundabirira?
• Mpeereza ki n‟ebikozesebwa ebisobola okunnyamba n‟abaagalwa bange?
• Biki ebindeetera okulwala obulwadde bwa stroke obulala?

Oziyiza otya obulwadde bwa Pontine Stroke?

Pontine stroke bulijjo tesobola kuziyizibwa. Wabula osobola okukolagana n’omusawo wo okuddukanya ensonga z’okulwala okusannyalala. Enkola z’okuddukanya emirimu ziyinza okuli:

• Fuga puleesa yo, ng’oluubirira mmHg 140/90 oba wansi. Omusawo ayinza okukuwa amagezi okukozesa eddagala ne/oba okukyusa mu mirimu n’endya.
• Obujjanjabi bwa kolesterol omungi (dyslipidemia), okugeza, okweyongera okukola emirimu gy’omubiri, enkyukakyuka mu mmere, ne/oba eddagala lya statin .
• Dukanya obulwadde bwa sukaali, ng’aluubirira okukuuma A1C ku bitundu 7% oba wansi.
• Okulekera awo okunywa sigala, ekiyinza okuyambibwako obujjanjabi obw’okwogera n’obujjanjabi obukyusa nicotine (NRT) .
• Okukola enkyukakyuka mu nteekateeka yo ey’okulya, okugeza, okugoberera endya ya DASH oba emmere ya Mediterranean .
• Weenyigira mu kukola emirimu gy’omubiri buli kiseera okumala eddakiika ezitakka wansi wa 40 olunaku, ennaku ssatu oba nnya mu wiiki.
• Okukuuma oba okutuuka ku buzito obulungi.
• Bw’oba ​​olina obulwadde bw’okusannyalala kw’emisuwa (Afib) (omutima ogutakuba bulungi), mira eddagala erikendeeza omusaayi (ebiziyiza okuzimba omusaayi) nga aspirin oba warfarin .

N’ekisembayo, obubaka obutwala awaka:

Pontine Stroke esobola okukyusa obulamu bwo mu kaseera katono. N’olwekyo kyetaagisa okumanya obubonero bwayo n’okugenda mu ddwaaliro amangu ddala nga ggwe oba omuntu gw’omanyi abufuna. Obulamu oluvannyuma lw’okusannyalala buyinza okuba obw’okusoomoozebwa mu butuufu era busobola okukyuka mu ngeri gy’otoyinza kulowooza. Tewerabira okunoonya obuwagizi okuva mu ttiimu yo ey’abasawo n’abaagalwa bo mu lugendo lwo olw’okuwona. Jjukira nti okukola amangu n’obujjanjabi obutuufu bisobola okuleeta enjawulo nnene.

`Pontine stroke, okusannyalala kw’obwongo, obubonero bwa stroke, obujjanjabi bwa stroke, pons, ekikolo ky’obwongo, endwadde z’obusimu, okulabirira mu bwangu