Pontine Stroke ni iki? Reka tubiganireho birambuye!

Ushobora kuba warumvise ibyerekeye "stroke," indwara itera ubumuga, si byo se? Twese tuzi ko ari ikintu gikomeye cyane. Uyu munsi tugiye kuvuga ku bwoko bw'indwara y'ubwonko buteje akaga, ariko wenda butavugwaho cyane, wagakwiye kumenya. Ibyo byitwa Pontine Stroke . Iki ni ikintu gikora ku bwonko. Ntugahangayike, tuzabivugaho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Mu by'ukuri, Pontine Stroke ni iki?

Mu magambo make, Pontine Stroke ni ukubangamira umuvuduko w'amaraso mu gice cy'ingenzi cyane cy'ubwonko bwacu cyitwa "Pons" . Tekereza gato, hari imitsi ijyana amaraso mu bice byose by'umubiri wacu, kandi ni ko bimeze no ku bwonko. Rero, iyo imitsi ijyana amaraso mu mitsi ifunganye, uturemangingo two muri iyo mitsi ntibona ogisijeni n'intungamubiri. Ni bwo iyi ndwara ibaho. Ubu ni ubwoko bwa ischemic stroke , ari bwo butera imitsi aho imitsi y'amaraso ifunganye n'ikintu kimeze nk'amaraso apfutse. Uku kuziba gushobora kubaho mu buryo butunguranye, cyangwa bigatera kwiyongera buhoro buhoro uko igihe kigenda.

Ubu ushobora kuba wibaza icyo iyi "Pons" ari cyo. Ni igice kinini cy'ubwonko bwacu. Ubwonko bumeze nk'icyumba cyo kugenzura umubiri wacu. Pons ifite kandi imirimo imwe n'imwe y'ingenzi cyane. Pons ifasha mu kugenzura guhumeka, imikorere y'imitsi yo mu maso, imyenge y'amaso, no kuringaniza.

Uburwayi bwa Pontine stroke ni ikibazo cyihutirwa cy’ubuvuzi gishyira ubuzima mu kaga, bityo ubuvuzi bwihuse ni ngombwa.

Ibi byitwa ikindi kintu, ushobora kuba warigeze kubyumva:

• Igitero cy'ubwonko cyangwa indwara yo mu bwonko
• Pons stroke cyangwa infarction

Indwara ya Pontine Stroke ikunze kugaragara gute?

Indwara ya stroke ni indwara ikunze kugaragara cyane, ariko ugereranyije n'ubundi bwoko bwa stroke, Pontine Stroke ntabwo ikunze kugaragara cyane.

Ibisebe bya Pontine bingana na 7% by'ibisebe byose bya ischemic ku isi. Urugero, muri Leta Zunze Ubumwe za Amerika honyine, abantu bagera ku 48.000 barwara iyi ndwara buri mwaka. Ubwo rero, uwo ni umubare munini, si byo se?

Ni ibihe bimenyetso by'indwara ya Pontine Stroke?

Iki ni cyo gice cy'ingenzi. Ibimenyetso bya Pontine Stroke bishobora gutandukana gato n'ibindi bimenyetso bya stroke twakunze kumva. Bityo rero ni ngombwa kubimenya.

Pontine Stroke ishobora gutera kimwe cyangwa byinshi muri ibi bikurikira:

• Intege nke z'imitsi yo ku ruhande rumwe rw'umubiri (hemiparesis). Bisa nkaho urugingo rugiye gucika intege.
• Intege nke cyangwa kunama k'uruhande rumwe cyangwa byombi rw'isura (facial nerve palsy). Hari igihe umunwa ushobora gukururwa uruhande rumwe.
• Ukumva utuntu tudasanzwe ku ruhande rumwe rw'isura. Bishobora kumvikana nk'aho umuntu atameze neza cyangwa nk'aho imboro zigendagenda.
• Ukumva ibintu bidasanzwe ku ruhande rumwe rw'umubiri (hemisensory loss).
• Kugorwa no kuvuga, kudahuzagurika (dysarthria). Amagambo asa n'aho ahindagurika.
• Kugorwa no kumira (dysphagia). Kugorwa no kumira ibiryo n'ibinyobwa.
• Kugorwa no guhumeka.
• Kubura uburinganire, kugorwa no kugenda (ataxia). Nk'aho umuntu azunguza umutwe.
• Kuzungera, kumva umeze nk'uzunguruka hirya no hino (vertigo).
• Kubura amatwi.
• Kurira cyangwa guseka mu buryo butunguranye (pseudobulbar affect). Iki ni ikimenyetso kidasanzwe, bivuze ko ushobora kurira utababaye cyangwa ngo useke utishimye.
• Kubura amaguru n'amaboko byose uko ari ane (quadriplegia).
• Gutakaza ubwenge.

Ibimenyetso bifitanye isano n'amaso n'amaso bishobora kandi kuba birimo:

• Kureba kabiri, cyane cyane iyo urebye ku ruhande (bitewe n'indwara ya gatandatu y'imitsi).
• Ingendo z'amaso zihuta kandi zitagenzurwa (nystagmus).
• Kudashobora kwimura amaso yombi mu cyerekezo kimwe icyarimwe (conjugate gaze palsy).
• Ibibazo byo guhumeka.

Niba wowe cyangwa umuntu wawe wa hafi ugaragaje kimwe muri ibi bimenyetso, ugomba kwihutira gushaka abaganga vuba kuko Pontine Stroke ari indwara ishobora gushyira ubuzima mu kaga ishobora guteza ingaruka zidasubirwaho.

Ese hari ubwoko bwa Pontine Stroke?

Yego, hari ubwoko butandukanye bwa Pontine Stroke, bitewe n'aho amaraso atembera mu bice bitandukanye bya pons. Ibimenyetso bishobora gutandukana gato bitewe na buri bwoko, ariko ibimenyetso byinshi birasanzwe. Abaganga babivuga bakurikije aho pons ziherereye.

Urugero:

• Igisebe cyo mu nda y'imbere: Ibi bibaho iyo amaraso ahagaze hagati mu nda y'imbere. Ibimenyetso bikunze kuba birimo intege nke ku ruhande rumwe rw'umubiri, intege nke z'imitsi y'amaso, no kunanirwa kwimura amaso kuva ku ruhande rumwe ujya ku rundi (horizontal gaze palsy).
• Gucika kw'inyuma y'inyuma: Ibi biba ku ruhande rumwe rw'inyuma. Ibimenyetso bishobora kuba birimo kubura ibinure ku rundi ruhande rw'umubiri (hemisensory loss) no kubura kuringaniza (ataxia). Bishobora kuba ku ruhande rumwe cyangwa ku rundi ruhande.
• Guhagarara kw'imitsi yo mu maso: Ibi bigira ingaruka ku mugongo w'inyuma y'inyuma. Kurwara imitsi yo mu maso, kubura amatwi no kuzungera ni ibimenyetso bisanzwe.

Ni iki gitera indwara ya Pontine Stroke?

Nkuko twabivuze mbere, ibi bibaho iyo amaraso anyura muri pons afunze. Hari impamvu ebyiri z'ingenzi zitera uku kuziba kw'amaraso:

1. Indwara y'imitsi mito: Iyo ufite umuvuduko ukabije w'amaraso cyangwa diyabete igihe kirekire, imitsi mito y'amaraso iri muri pons ishobora kwangirika. Uko igihe kigenda, amaraso ashobora kugabanuka, amaherezo umutsi ushobora kuziba burundu, bigatera indwara yo mu bwonko. Iyi ni yo mpamvu ikunze kugaragara.

2. Kurwara imitsi minini: Atherosclerosis ni ukwiyongera buhoro buhoro kw'ibinure (plaque) mu mitsi y'amaraso, bigatuma bikomera. Iyo ubwo bwoko bwa plaque bwikubira mu mitsi minini ijyana amaraso mu bwonko (urugero: umutsi wo mu bwonko , umutsi wa basilar ), bushobora kubuza amaraso gutembera mu mitsi mito iri mu mitsi.

Ni ibihe bintu bishobora gutera indwara ya Pontine Stroke?

Ibintu by'ingenzi bishobora gutera Pontine Stroke ni bimwe n'ibindi bitera ischemic stroke. Ni umuvuduko ukabije w'amaraso na diyabete . Ibi byombi bishobora kwangiza imiyoboro y'amaraso yawe, harimo n'imiyoboro y'amaraso iri mu gatuza.

Izindi mpamvu zishobora gutera ibyago ni izi:

• Kunywa itabi.
• Kolesteroli nyinshi mu maraso.
• Kuba warigeze kugira amateka y'indwara z'umutima ziterwa no kuziba kw'imitsi yo mu mutima (ischemic heart disease).
• Imiterere ishobora gufungana cyane.
• Imitsi y'amaraso mu mitsi.

Niba ufite kimwe muri ibi bintu bishobora gutera ibyago, ni ngombwa cyane kubonana na muganga wawe buri gihe kugira ngo umenye neza ko gahunda yo kuvura wahawe ikora neza.

Ni gute indwara ya Pontine Stroke ipimwa?

Niba ufite ibimenyetso bya stroke, ugomba kujya mu cyumba cy’ubutabazi bw’ibanze (ETU) vuba bishoboka. Aho ngaho, muganga azakora ibizamini byinshi kugira ngo amenye Pontine Stroke kandi arebe ubuzima bwawe. Ibi bishobora kuba birimo:

• Kugenzura umuvuduko w'amaraso yawe n'umuvuduko w'umutima .
• Gusuzuma uburyo uhumeka (uburyo bwo guhumeka) .
• Isuzuma ry'umubiri n'amateka y'ubuzima .
• Isuzuma ry'imitsi. Ibi bishobora kugaragaza ibimenyetso biranga indwara yo gucika intege no kumenya igice cy'ubwonko cyagizweho ingaruka.
• Ibipimo by'isuzuma ry'ubwonko.Urugero, gupima CT scan na/cyangwa MRI scan . Ibi bizamini bishobora kwemeza niba stroke iri muri pons.

Muganga wawe ashobora gutegeka ibindi bipimo kugira ngo arebe ibindi bintu bijyanye n'ubuzima bwawe, nko gupima amaraso no gupima ECG (ECG) .

Indwara ya Pontine Stroke ivurwa ite?

Intego y'ibanze yo kuvura Pontine Stroke ni ukugarura amaraso mu miyoboro y'amaraso. Ibi biterwa nuko gusubiza amaraso mu miyoboro y'amaraso vuba bishobora gukumira kwangirika burundu cyangwa byibuze kugabanya ubukana bw'imiyoboro y'amaraso. Nanone, niba ufite ibimenyetso by'imiyoboro y'amaraso, ni ngombwa kujya kwa muganga vuba bishoboka kugira ngo uhabwe ubuvuzi bwihuse.

Kugira ngo amaraso agaruke, ubwoko bw'imiti yitwa thrombolytics ikunze gutangwa. Iyi miti ikora mu gushonga kw'amaraso. Nanone, iyo hari ikibazo mu mitsi minini, kubagwa byitwa thrombectomy y'imitsi bishobora gukorwa kugira ngo amaraso akurweho.

Izindi ntego zo kuvura ni izi:

• Kwirinda ingorane. Itsinda ry'abaganga bawe rizakoresha ubundi buryo bwo kuvura kugira ngo hirindwe cyangwa havurwe ingorane zitandukanye.
• Gusubira mu buzima kugira ngo bivure ingaruka mbi cyangwa ingorane z'imitsi.
• Gukoresha ingamba zo kwirinda indi ndwara yo mu bwonko , nko gukoresha imiti, guhindura imirire, no kongera imyitozo ngororamubiri.

Kuvura indwara ya Pontine Stroke

Gusubira mu buzima ni igice cy'ingenzi cyo gukira ku bantu benshi barwaye indwara yo mu bwonko. Bitewe n'ibimenyetso ufite, ibi bishobora kugaragara mu buryo butandukanye:

• Ubuvuzi bwo kuvuga: Ibi bigufasha kugarura ubuhanga bwawe mu rurimi no mu kuvuga, no kugenzura imitsi igufasha guhumeka, kurya, kunywa no kumira.
• Ubuvuzi bw'umubiri: Ibi bishobora kugufasha kunoza cyangwa kongera gukoresha amaboko n'amaguru. Bishobora kandi gufasha mu bibazo nko kuringaniza imitsi no kunanirwa kw'imitsi.
• Ubuvuzi bw'akazi: Ubu butoza ubwonko bwawe kugufasha gukora imirimo ya buri munsi, nko kurya n'ibikoresho no kwambara.
• Gusubiramo ibyumviro: Ibi bifasha kongera gutoza cyangwa gukangura ibyumviro byawe. Urugero, uzatozwa kumenya ubwoko butandukanye bw'ibyumviro, imitingito, umuvuduko n'ubushyuhe.
• Ubuvuzi bwo mu mutwe:Ibi bishobora kugufasha niba ufite ibibazo byo kwibuka. Bishobora kandi kugufasha niba ugorwa no kwita ku mirimo washoboraga gukora mbere.

Ni iki giteganyijwe ku bantu barwaye Pontine Stroke?

Icyizere cyo gukira ku muntu wagize Pontine Stroke giterwa n'ibintu byinshi, birimo:

• Ni ikihe gice cya pons cyagizweho ingaruka n'indwara ya stroke?
• Uburemere bw'indwara yo gucika kw'imitsi.
• Uburyo wavuwe vuba.
• Ubuzima bwawe muri rusange n'imyaka yawe.

Urugero, stroke zigira ingaruka ku ruhande rumwe rw'inyuma (unilateral) muri rusange zigira ingaruka nziza zo gukira kurusha stroke zigira ingaruka ku mpande zombi (bilateral) n'izigira ingaruka ku mpande zombi (bilateral) n'izigira ingaruka ku mpande zombi (caudal).

Itsinda ry'abaganga bawe rizaguha igitekerezo cyiza cy'uko gukira bizaba bimeze nyuma yo kugira Pontine Stroke. Shaka ubufasha ku nshuti zawe kandi ubaze ibibazo cyangwa impungenge ushobora kuba ufite.

Ingaruka z'igihe kirekire za Pontine Stroke ni izihe?

Pontine Stroke ishobora gutera ingorane nyinshi z'igihe kirekire cyangwa zihoraho. Ibi biterwa nuko urwego rw'ubwonko, rurimo pons, ari ingenzi mu bwonko bufite imirimo myinshi y'ingenzi. Ingaruka zawe zo kugira ingorane ziterwa n'ibintu byinshi, harimo ubwoko n'uburemere bwa Pontine Stroke.

Ingorane zishobora kuba zirimo:

• Kwangirika k'ubwonko burundu.
• Gutanga ifunguro rya mu muyoboro bishobora kuba ngombwa bitewe n'ingorane zo kurya.
• Kubura uburyo bwo kugenzura inkari (kunanirwa kwihagarika inkari), bisaba gukoresha catheter y'inkari.
• Gucika intege kw'imitsi igihe kirekire, bigatera kugwa kenshi.
• Ihungabana rya nyuma yo gucika intege mu bwonko.
• Ingorane ziterwa no kuryama igihe kirekire ku buriri, urugero, ibisebe byo ku buriri no kugabanuka k'imitsi yo mu bwonko (DVT).
• Ubumuga bw'igihe kirekire.
• Indwara yo mu mubiri idakingiye. Muri ibi, ntushobora kugenzura ikindi kintu cyose mu mubiri wawe uretse imyitwarire y'amaso, ariko uba uzi ubwenge.
• Umusonga wo mu kirere, cyane cyane ku bantu bafite pseudobulbar palsy cyangwa locked-in syndrome, uterwa n'ibiryo cyangwa ibinyobwa byinjira mu nzira z'ubuhumekero.
• Urupfu.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Niba wowe (cyangwa umuntu wa hafi yawe) warigeze kugira Pontine Stroke, byaba byiza ubajije muganga wawe ibi bibazo:

• Ni ubuhe bwoko bwa Pontine Stroke narwaye?
• Ni iyihe mikorere mu bwonko no ku mubiri yagizweho ingaruka n'indwara yo gucika kw'imitsi?
• Ni gute nzakira? Ni izihe ntambwe zikurikiraho mu kundeba?
• Ni ubuhe buryo bwo kuvura indwara nkeneye?
• Ni iki nzashobora gukora mu mezi make ari imbere?
• Ni iki nshobora kwitega mu mwaka umwe?
• Ni ubuhe buhanga njye n'abakunzi banjye dukeneye kugira ngo twiteho?
• Ni izihe serivisi n'ibikoresho biboneka kugira ngo bimfashe njye n'abakunzi banjye?
• Ni ibihe bintu bishobora gutuma ngira indi ndwara yo mu bwonko?

Ni gute wakwirinda Pontine Stroke?

Pontine stroke ntishobora kwirindwa buri gihe. Ariko, ushobora gukorana na muganga wawe kugira ngo ucunge ibintu bishobora gutuma urwara stroke. Ingamba zo kuyirwanya zishobora kuba zirimo:

• Genzura umuvuduko w'amaraso yawe, ugamije kuba 140/90 mmHg cyangwa munsi yayo. Muganga wawe ashobora kukugira inama yo gufata imiti cyangwa guhindura ibikorwa n'imirire.
• Kuvura cholesterol nyinshi (dyslipidemia), urugero, kongera imyitozo ngororamubiri, guhindura imirire, cyangwa imiti ya statin .
• Kurwanya diyabete, ugamije gutuma A1C iguma kuri 7% cyangwa munsi yayo.
• Kureka kunywa itabi, bishobora gufashwa no kuvura hakoreshejwe uburyo bwo kuvuga no gusimbuza nikotine (NRT) .
• Guhindura gahunda yawe yo kurya, urugero, gukurikiza indyo ya DASH cyangwa indyo yo mu nyanja ya Mediterane .
• Kora imyitozo ngororamubiri isanzwe nibura iminota 40 ku munsi, iminsi itatu kugeza kuri ine mu cyumweru.
• Kugumana cyangwa kugera ku buremere bwiza.
• Niba ufite ikibazo cyo gutera kw'umutima mu buryo butunguranye (Afib) , fata imiti igabanya amaraso (anticoagulants) nka aspirine cyangwa warfarin .

Hanyuma, ubutumwa bwo kujyana mu rugo:

Indwara ya Pontine Stroke ishobora guhindura ubuzima bwawe mu kanya gato. Kubwibyo, ni ngombwa kumenya ibimenyetso byayo no kujya kwa muganga vuba bishoboka niba wowe cyangwa undi muntu uzi abibonye. Ubuzima nyuma ya stroke bushobora kugorana cyane kandi bushobora guhinduka mu buryo udashobora kwiyumvisha. Ntiwibagirwe gushaka ubufasha bw'abaganga bawe n'abakunzi bawe mu rugendo rwawe rwo gukira. Wibuke ko gufata ingamba hakiri kare no kuvurwa neza bishobora kugira ingaruka nziza.

"Pontine stroke, brain stroke, ibimenyetso bya stroke, stroke treatment, pons, brain stem, mental pathology, support durge