Pamwe wakambonzwa nezve "stroke," chirwere chinokonzera kuoma mitezo, handiti? Tese tinoziva kuti chinhu chakakomba zvikuru. Nhasi tichataura nezverudzi rwestroke rune njodzi yakafanana, asi pamwe rusingataurwi nezvarwo, rwaunofanira kuziva nezvarwo. Irworwo runonzi Pontine Stroke . Ichi chinhu chinokanganisa uropi. Usanetseke, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi Pontine Stroke?

Zvichitaurwa zviri nyore, chirwere chePontine Stroke kukanganisa kuyerera kweropa kuenda kuchikamu chakakosha cheuropi hwedu chinonzi "Pons" . Ingozvifunga, kune mitsipa inotakura ropa kuenda kunhengo dzese dzemuviri wedu, uye zvakafanana neuropi. Saka, kana tsinga inotakura ropa kuenda kuponi ikavharika, masero aripo haawane okisijeni nezvinovaka muviri. Ndipo panoitika chirwere ichi. Iyi imhando ye ischemic stroke , inova sitiroko umo mitsipa yeropa inovharika nechimwe chinhu chakaita seropa rakagwamba. Kuvharika uku kunogona kuitika kamwe kamwe, kana kuti kunogona kukura zvishoma nezvishoma nekufamba kwenguva.

Zvino ungave uchishamisika kuti "Pons" iyi chii. Ndiyo chikamu chikuru chebrainstem yedu. Brainstem yakaita senzvimbo yekudzora muviri wedu. Pons ine mabasa akakosha zvikuru. Pons inobatsira mukudzora kufema, mashandiro emhasuru dzechiso, kufamba kwemaziso, uye kuenzana.

Kurwara nechirwere chePontine idambudziko rehutano rinotyisidzira hupenyu, saka kurapwa nekukurumidza kwakakosha.

Izvi zvinonzi chimwe chinhu, ungave wakambozvinzwa:

• Kurohwa nepfungwa kana kuti brainstem infarction
• Kurohwa nechirwere chepfungwa kana kuti infarction

Chirwere chePontine Stroke chakajairika zvakadii?

Chirwere chestroke chirwere chinowanzoitika, asi kana tichienzanisa nedzimwe mhando dzestroke, chirwere chePontine Stroke hachina kunyanya kuwanda.

Kurohwa nePontine kunoumba 7% yekurohwa kweischemic pasi rose. Semuenzaniso, muUnited States chete, vanhu vanosvika 48,000 vanotambura nechirwere ichi gore rega rega. Saka, inhamba yakakosha, handiti?

Ndezvipi zviratidzo zvePontine Stroke?

Ichi ndicho chikamu chakakosha. Zviratidzo zvePontine Stroke zvinogona kusiyana zvishoma nezvimwe zviratidzo zvestroke zvatagara tichinzwa nezvazvo. Saka zvakakosha kuziva izvi.

Chirwere chePontine Stroke chinogona kukonzera chimwe kana kupfuura chezviratidzo zvinotevera:

• Kushaya simba kwemhasuru dziri kudivi rimwe remuviri (hemiparesis). Zvinonzwa sekunge gumbo rava kupera simba.
• Kushaya simba kana kurereka kwerutivi rumwe kana maviri echiso (facial nerve palsy). Dzimwe nguva muromo unogona kudhonzwa kudivi rimwe chete.
• Kunzwa kusingawanzoitiki kune rumwe rutivi rwechiso. Kunogona kunzwa sekunge kusanzwa kana kuti sekuti masvosve ari kufamba-famba.
• Kunzwa kusina kujairika kune rumwe rutivi rwemuviri (hemisensory loss).
• Kutadza kutaura, kukakama (dysarthria). Mashoko anoita seanovhiringika.
• Kuoma kwekumedza (dysphagia). Kuoma kwekumedza chikafu nechinwiwa.
• Kutadza kufema zvakanaka.
• Kutadza kugadzikana, kunetseka kufamba (ataxia). Sekunge une dzungu.
• Dzungu, kunzwa sekunge uri kutenderera wakakupoteredza (vertigo).
• Kurasikirwa nekunzwa.
• Kuchema kana kuseka kusingadzoreki (pseudobulbar affect). Ichi chiratidzo chinoshamisa, zvichireva kuti unogona kuchema usingasuwi kana kuseka usingafare.
• Kurasikirwa nemakumbo ese mana (quadriplegia).
• Kurasikirwa nepfungwa.

Zviratidzo zvine chekuita nemaziso nekuona zvinogona kusanganisira:

• Kuona kaviri, kunyanya kana wakatarisa parutivi (nekuda kwechirwere chechitanhatu chetsinga).
• Kufamba-famba kwemaziso nekukurumidza uye kusingadzoreki (nystagmus).
• Kusakwanisa kufambisa maziso ese ari maviri munzira imwe chete panguva imwe chete (conjugate gaze palsy).
• Matambudziko ekupenya.

Kana iwe kana mumwe munhu ari pedyo newe akasangana nezviratidzo izvi, unofanira kutsvaga rubatsiro rwechiremba nekukurumidza, sezvo Pontine Stroke chirwere chinotyisidzira hupenyu chinogona kukonzera kukuvara kusingagadzirisiki.

Kune mhando dzePontine Stroke here?

Ehe, kune mhando dzakasiyana dzePontine Stroke, zvichienderana nenzvimbo yeropa rinoyerera muzvikamu zvakasiyana zvepons. Zviratidzo zvinogona kusiyana zvishoma zvichienderana nerudzi rwega rwega, asi zviratidzo zvakawanda zvakajairika. Vanachiremba vanozvitumidza zvichienderana nenzvimbo yepons.

Semuyenzaniso:

• Kurohwa kwepakati pepontine: Izvi zvinoitika kana ropa rikamira kuyerera pakati pepons. Zviratidzo zvinowanzo sanganisira kushaya simba kune rumwe rutivi rwemuviri, kushaya simba kwetsandanyama dzemaziso, uye kutadza kufambisa maziso kubva kudivi kuenda kudivi (horizontal gaze palsy).
• Kurohwa kweparutivi: Izvi zvinoitika kune rumwe rutivi rwepons. Zviratidzo zvinogona kusanganisira kusanzwa zvakanaka kune rumwe rutivi rwemuviri (hemisensory loss) uye kurasikirwa nekuenzana (ataxia). Zvinogona kuitika kudivi rimwe chete kana kuviri.
• Caudal pontine stroke: Izvi zvinokanganisa musana wepons. Kuoma kwetsinga dzechiso, kurasikirwa nekunzwa, uye vertigo zviratidzo zvakajairika.

Chii chinokonzera Pontine Stroke?

Sezvatakambotaura, izvi zvinoitika kana ropa rinoenda kumaponi ravharika. Pane zvikonzero zviviri zvikuru zvekuvhara uku:

1. Chirwere chetsinga diki: Kana uine BP yakakwira kana chirwere cheshuga kwenguva yakareba, tsinga diki dzeropa dziri mupons dzinogona kukuvara. Nekufamba kwenguva, kufamba kweropa kunogona kudziviswa, uye pakupedzisira tsinga inogona kuvharika zvachose, zvichikonzera sitiroko. Ichi ndicho chikonzero chinowanzoitika.

2. Kuora kwetsinga huru: Kuora kwetsinga huru (atherosclerosis ) ndiko kuungana zvishoma nezvishoma kwemafuta (plaque) mukati metsinga dzeropa, zvichiita kuti dziome. Kana rudzi urwu rweplaque rwukaungana mutsinga huru dzinotakura ropa kuenda kuuropi (semuenzaniso, vertebral artery , basilar artery ), zvinogona kuvharira kufamba kweropa kuenda kutsinga diki dziri mupons.

Ndezvipi zvinhu zvinokonzera njodzi yePontine Stroke?

Zvinhu zvikuru zvinokonzera njodzi yePontine Stroke zvakafanana nezvezvimwe zvirwere zve ischemic stroke. Izvi zvinosanganisira high blood pressure uye chirwere cheshuga . Zvese izvi zvinogona kukuvadza mitsipa yeropa, kusanganisira mitsipa yeropa iri mupons.

Zvimwe zvinhu zvinokonzera njodzi ndeizvi:

• Kusvuta.
• Cholesterol yakakwira muropa.
• Kuva nenhoroondo yekare yechirwere chemwoyo chinonzi ischemic heart disease ( chirwere chemwoyo chinokonzerwa nekuvharika kwetsinga dzemwoyo).
• Mamiriro ekudzivirira ropa (hypercoagulable states).
• Kutapukira kweropa.

Kana uine chimwe chezvinhu izvi zvinokonzera njodzi, zvakakosha kuti ugare uchiona chiremba wako kuti uve nechokwadi chekuti chirongwa chekurapa chawakapihwa chiri kushanda nemazvo.

Chirwere chePontine Stroke chinoonekwa sei?

Kana uine zviratidzo zvestroke, unofanira kuenda kuchipatara nekukurumidza sezvinobvira (ETU) . Ikoko, chiremba achaita bvunzo dzakawanda kuti aongorore Pontine Stroke uye aongorore hutano hwako. Izvi zvinogona kusanganisira:

• Kuongorora BP yako uye kurova kwemoyo .
• Kuongorora kufema kwako (maitiro ekufema) .
• Kuongororwa kwemuviri uye nhoroondo yezvekurapa .
• Kuongororwa kwetsinga dzeropa. Izvi zvinogona kuona zviratidzo zvestroke uye kufungidzira kuti chikamu chipi cheuropi chakakanganiswa.
• Kuongororwa kwemifananidzo yeuropi.Semuenzaniso, CT scan uye/kana MRI scan . Miedzo iyi inogona kusimbisa kana sitiroko iri mumaponi.

Chiremba wako anogona kuraira mimwe miedzo yekutarisa zvimwe zvinhu zvine chekuita nehutano hwako, zvakaita sekuongororwa ropa uye EKG (ECG) .

Pontine Stroke inorapwa sei?

Chinangwa chikuru chekurapa Pontine Stroke ndechekudzorera ropa kuropa. Izvi zvinodaro nekuti kudzorera ropa nekukurumidza kunogona kudzivirira kukuvara zvachose kana kuderedza kuoma kwestroke. Zvakare, kana uine zviratidzo zvestroke, zvakakosha kuti uende kuchipatara nekukurumidza kuitira kuti uwane kurapwa nekukurumidza.

Kuti ropa ridzokere kuyerera, mhando yemushonga unonzi thrombolytics unowanzopihwa. Uyu unoshanda nekunyungudutsa ropa rakagwamba. Uyewo, kana paine kuvharika kwetsinga huru, kuvhiyiwa kunonzi mechanical thrombectomy kunogona kuitwa kubvisa ropa rakagwamba.

Zvimwe zvinangwa zvekurapa ndeizvi:

• Kudzivirira matambudziko. Chikwata chenyu chekurapa chichashandisa mamwe marapirwo kudzivirira kana kurapa matambudziko akasiyana-siyana.
• Kurapwa kwemigumisiro kana matambudziko etsinga.
• Kushandisa nzira dzekudzivirira imwe sitiroko , dzakadai semishonga, kuchinja zvekudya, uye kuwedzera kurovedza muviri.

Kugadziriswa kwePontine Stroke

Kurapwa kwechirwere ichi chinhu chakakosha pakupora kwevanhu vazhinji vakambobatwa nestroke. Zvichienderana nezviratidzo zvako, izvi zvinogona kutora nzira dzakasiyana-siyana:

• Kurapa nekutaura: Izvi zvinokubatsira kuti udzore hunyanzvi hwako hwemutauro nekutaura, uye kudzora tsandanyama dzinokubatsira kufema, kudya, kunwa, uye kumedza.
• Kurapa muviri: Izvi zvinogona kukubatsira kuti uvandudze kana kuti udzore kushandisa maoko nemakumbo. Zvinogonawo kubatsira nezvinhu zvakaita sematambudziko ekuenzanisa muviri uye kushaya simba kwetsandanyama.
• Kurapa Nemabasa: Izvi zvinodzidzisa uropi hwako kuti huite mabasa ezuva nezuva, akadai sekudya nemidziyo uye kupfeka.
• Kudzidziswazve kwekunzwa: Izvi zvinobatsira kudzidzirazve kana kukurudzira kunzwa kwako. Semuenzaniso, uchadzidziswa kuziva mhando dzakasiyana dzekubata, kudedera, kumanikidzwa, uye tembiricha.
• Kurapa kwepfungwa:Izvi zvinogona kubatsira kana uine matambudziko ekurangarira. Zvinogonawo kubatsira kana uchinetseka kuisa pfungwa dzako pamabasa awaimbokwanisa kuita.

Ndeipi fungidziro yevanhu vakambova nePontine Stroke?

Matarisiro ekupora kwemunhu akamborwara nePontine Stroke anoenderana nezvinhu zvakati wandei. Izvi zvinosanganisira:

• Ndeipi chikamu chemaponi chakakanganiswa nekurohwa?
• Kuoma kwekurohwa nestroke.
• Kukurumidza kwawakaita kurapwa.
• Hutano hwako hwese nezera rako.

Semuenzaniso, stroke dzinobata divi rimwe chete repons (unilateral) dzinowanzova nemigumisiro iri nani yekupora pane stroke dzinobata mativi ese (bilateral) uye ayo anobata kumashure kwepons (caudal).

Chikwata chenyu chezvekurapa chichakupai pfungwa yakanaka yekuti kupora kuchave sei mushure mePontine Stroke. Tsvagai rubatsiro kubva kushamwari dzenyu uye muvabvunze nezvemibvunzo kana zvinokunetsai.

Ndeipi migumisiro yenguva refu yePontine Stroke?

Kurwara nePontine Stroke kunogona kukonzera matambudziko akawanda kwenguva refu kana kuti echigarire. Izvi zvinodaro nekuti brainstem, iyo inosanganisira pons, ipfungwa inokosha ine mabasa akawanda akakosha. Njodzi yako yekurwara nechirwere ichi inoenderana nezvinhu zvakawanda, kusanganisira rudzi uye kuoma kwechirwere ichi.

Matambudziko anogona kusanganisira:

• Kukuvara kwehuropi zvachose.
• Kudyisa mwana nechubhu kunogona kudiwa nekuda kwedambudziko rekudya.
• Kurasikirwa nekudzora weti (kusagona kudzora weti), zvichireva kuti zvinoda kushandiswa kwecatheter yeweti.
• Kushaya simba kwetsandanyama kwenguva refu, zvichikonzera kudonha kakawanda.
• Kuora mwoyo mushure mekurohwa nestroke.
• Matambudziko anobva pakuzorora kwenguva refu pamubhedha, semuenzaniso, maronda epamubhedha uye deep vein thrombosis (DVT).
• Kuremara kwenguva refu.
• Chirwere cheLocked-in. Muizvi, haugone kudzora chimwe chinhu mumuviri wako kunze kwekufamba kwemaziso, asi unoziva.
• Pneumonia yekufema, kunyanya kuvanhu vane pseudobulbar palsy kana locked-in syndrome, inokonzerwa nechikafu kana chinwiwa chinopinda mumhepo.
• Rufu.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana iwe (kana mumwe munhu ari pedyo newe) wakambova nePontine Stroke, zvingabatsira kubvunza chiremba wako mibvunzo iyi:

• Rudzii rwePontine Stroke rwandakaita?
• Ndeapi mabasa ari muuropi nemumuviri akakanganiswa nekurohwa nestroke?
• Kupora kwangu kuchave sei? Matanho anotevera ekuchengetwa kwangu ndeapi?
• Ndedzipi nzira dzekugadzirisa dambudziko dzandinoda?
• Ndichakwanisa kuitei mumwedzi mishoma inotevera?
• Chii chandingatarisira mugore rimwe chete?
• Unyanzvi hupi hunodiwa nevanoda vangu kuti vanditarisire?
• Ndeapi mabasa nezvinhu zviripo kuti zvindibatsire ini nevadikanwi vangu?
• Ndezvipi zvinhu zvinondipa njodzi yekurwarazve nestroke?

Nzira yekudzivirira Pontine Stroke?

Pontine stroke haigoni kudzivirirwa nguva dzose. Zvisinei, unogona kushanda nachiremba wako kuti ugadzirise zvinhu zvinokonzera njodzi yestroke. Maitiro ekutarisira anogona kusanganisira:

• Dzora BP yako, uchivavarira kusvika pa140/90 mmHg kana pasi. Chiremba wako anogona kukukurudzira mishonga uye/kana kuchinja mashandiro uye kudya.
• Kurapa kwemafuta akawanda emuviri (dyslipidemia), semuenzaniso, kuwedzera kwekurovedza muviri, kuchinja kudya, uye/kana mishonga yestatin .
• Rapa chirwere cheshuga, uchivavarira kuchengetedza A1C iri pa7% kana pasi.
• Kurega kusvuta, izvo zvinogona kubatsirwa nekurapwa nekutaura uye kutsiva nicotine (NRT) .
• Kuchinja mararamiro ako ekudya, semuenzaniso, uchitevera kudya kweDASH kana kudya kweMediterranean .
• Ita maekisesaizi emuviri nguva dzose kwemaminitsi makumi mana pazuva, mazuva matatu kusvika mana pasvondo.
• Kuchengetedza kana kuwana huremu hwakanaka.
• Kana uine atrial fibrillation (Afib) (kurova kwemoyo kusina kurongeka), tora mishonga inoomesa ropa (anticoagulants) yakaita seaspirin kana warfarin .

Pakupedzisira, meseji yekuenda nayo kumba:

Chirwere chePontine Stroke chinogona kuchinja hupenyu hwako nekukasika. Saka, zvakakosha kuziva zviratidzo zvacho uye kuenda kuchipatara nekukurumidza kana iwe kana mumwe munhu waunoziva akasangana nazvo. Hupenyu mushure mekurohwa nestroke hunogona kuva hwakaoma zvechokwadi uye hunogona kuchinja nenzira dzausingafungidzire. Usakanganwa kutsvaga rutsigiro kubva kuchikwata chako chekurapa nevadikanwi vako panguva yerwendo rwako rwekupora. Yeuka, kutora matanho ekutanga uye kurapwa kwakakodzera kunogona kuita mutsauko mukuru.

'Kurohwa nePontine, brain stroke, zviratidzo zvestroke, kurapwa kwestroke, pons, brain stem, zvirwere zvetsinga, kutarisirwa kwekukurumidzira