Ingaba ingqondo yakho ayifumani ioksijini eyaneleyo? (I-Cerebral Hypoxia)

Ngamanye amaxesha ebomini bethu, izinto ezingenakucingelwa ziyenzeka, akunjalo? Izinto ezifana nokuziva unesizungu ngequbuliso, ukungakwazi ukugxila, okanye ukubona umntu etyhafile aze awe. Ezinye zezi zinto zisenokufihlwa ngasemva kwengxaki enkulu yempilo. I-Cerebral Hypoxia yenye yeemeko ezinjalo ezifuna ingqwalaselo ekhawulezileyo. Ngamafutshane, oku kuthetha ukuba ingqondo yethu ayifumani umlinganiselo weoksijini ofunekayo. Ekubeni oku kunokuba yingozi ebomini, masithethe ngokunzulu ngale nto namhlanje.

Yintoni i-Cerebral Hypoxia?

Ngamafutshane, yinto esiyibiza ngokuba yi- (Cerebral Hypoxia) xa ingqondo yakho ingafumani ioksijini eyaneleyo. Cinga ngayo, njengayo yonke inxalenye yomzimba wethu, ingqondo nayo ifuna ioksijini ukuze isebenze. Le oksijini ithwalwa yigazi ukuya engqondweni. Ngoko ke, ukuba awukwazi ukuphefumla kakuhle, okanye ukuba ukuhamba kwegazi ukuya engqondweni kuyema ngesizathu esithile, ingqondo ifumana ioksijini encinci. Ngaphandle kweoksijini, inkqubo yethu yemithambo-luvo ayinakusebenza kakuhle. Kulapho izinto ezifana nokuphefumla, ukuhamba, ukuthetha, nokubona ziphazamiseka khona.

Ngamanye amaxesha oogqirha bakubiza oku ngokuthi "ukulimala kwe-hypoxia-anoxia." ' I-Hypoxia ithetha ukwehla kancinci kwe-oksijini. Kodwa "i-anoxia" ithetha ukuba ingqondo ayifumani i-oksijini kwaphela. Nangona kunjalo, zombini ziyingozi, kuba ingqondo sisitho esibuthathaka kakhulu.

Zithini iimpawu zoku?

Iimpawu ziyahluka ngokuxhomekeke kubude bexesha ingqondo engayifumani ioksijini ngalo. Khumbula, iiseli zengqondo ziqala ukufa kwimizuzu embalwa emva kokungafumani ioksijini. Ngoko ke kubalulekile ukukuqonda oku ngokukhawuleza.

Iimpawu zokuqala ezibonakalayo

Kwizigaba zokuqala zesifo, ungabona iimpawu ezinjalo:

• Ukuziva ungalungelelananga, ungakwazi ukuhamba kakuhle ('Ataxia'). Khawuthelekelele ulahlekelwa ngamandla ngaxeshanye kukulawula amalungu akho omzimba.
• Ukuziva ngathi intloko yakho iyajikeleza, iyajikeleza kwaye iyajikeleza.
• Ndizive ndonwabile kakhulu ngequbuliso ngaphandle kwesizathu. Oku kuyamangalisa kancinci, akunjalo? Kodwa oku kungaba luphawu.
• Ukwanda kwesantya sokuphefumla, kodwa ukuphefumla okungenzulu (`Tachypnea`).
• Amanye amalungu omzimba awaziva mnandi, kwaye kuvakala ngathi ziimbovane ziyabaleka.
• Kunzima ukugcina ingqondo yakho igxile kwaye usebenze.

Iimpawu ezinzima ezibonakala kamva

Xa imeko iba mandundu ngakumbi, iimpawu ezifana nezi:

• Ukungazoli, ukuphazamiseka.
• Ukudideka, ukulahlekelwa zingqondo. Ukungazi apho ukhoyo okanye wenza ntoni.
• Ukutshintsha kombala oluhlaza okwesibhakabhaka kolusu, imilebe, kunye neenzipho ('iCyanosis'). Oku kwenzeka xa kungekho oxygen yaneleyo egazini.
• Ukozela, ubunzima bokuvuka.
• Ukushukuma kwemisipha ngequbuliso (`Myoclonus`).
• Ukuba nesifo sokuwa kuthetha ukuba unesifo sokuwa.

Ukuba le meko iba mandundu , ukulahleka kwengqondo okanye nokuba yi-coma kusenokubakho. Masithembe ukuba oko akuyi kwenzeka.

Kutheni oku (i-Cerebral Hypoxia) kwenzeka? Zithini izizathu?

Zininzi izizathu zoku. Kumazwe afana neMelika, imbangela ephambili kukuma kwentliziyo emva kokuhlaselwa yintliziyo . Nangona kunjalo, le meko inokwenzeka nangaliphi na ixesha xa ukunikezelwa kweoksijini engqondweni kuphazamiseka. Cinga ngezinto ezinje:

• Ukuba une-anemia enzima, apho kukho iiseli ezibomvu zegazi ezimbalwa kakhulu egazini, oku kungenxa yokuba ezi seli zibomvu zithwala ioksijini.
• Ukwehla okukhulu koxinzelelo lwegazi (`i-systemic hypotension` okanye 'uxinzelelo lwegazi oluphantsi`). Oku kunciphisa inani legazi elimpontshwayo liye engqondweni.
• Imeko apho izicwili zomzimba zingenayo ioksijini (i-systemic hypoxia).

Nazi ezinye izizathu:

• Ityhefu ye-carbon monoxide inokwenzeka ngokuphefumla igesi ye-carbon monoxide okanye umsi ovela emlilweni. Oku kunokwenzeka ukuba kukho umlilo endlwini okanye ingxaki ngombhobho wokukhupha umoya wesithuthi.
• Ukukrwitshwa, ukukrwitshwa, kunye nezinye iintlobo zeengozi ezithintela ukuphefumla. Njengaxa umntwana omncinci ehlafuna ithoyizi aze akrwitshwe, okanye xa umntu etshona.
• Ukufakelwa kombane.
• Ukulimala entloko, oko kukuthi, ukwenzakala okukhulu entloko, ingakumbi ukwenzakala engqondweni okubuhlungu.
• Ukuhlaselwa yintliziyo.
• Nokuba uya kutshona uze usinde (`Uphantse ukutshona`).
• Ukusebenzisa iziyobisi ngokugqithisileyo okanye ukusebenzisa kakubi amayeza asetyenziswa ekuphefumleni.
• Ukuba ukuxhuzula kuyaqhubeka.
• Ukulahlekelwa ligazi kakhulu okanye ukopha. Ukuba wenzakele kakhulu, njengakwingozi.
• Iingxaki ezenzeka ngexesha lotyando (`Iingxaki zotyando`) okanye i-anesthesia (`iingxaki ze-anesthesia`).
• Istroke.

Zeziphi iingxaki eziyingozi ezinokubangela oku?

Owu, oku kuyadanisa ukutsho, kodwa izinto ezimbi kakhulu ezinokwenzeka ngenxa ye-`(Cerebral Hypoxia)` zezi:

• Ukungakhuli kakuhle. Oku kuthetha ukulala ubuthongo obunzulu, ungaqondi nto.
• Ukufa kwengqondo. Emva koku, akukho kuphinda kulunge.
• Ngelishwa, nokufa kunokwenzeka.

"Yiyo loo nto sithi le yingxamiseko, kwaye ukuba ubona nophawu oluncinci, kufuneka ubone ugqirha ngoko nangoko."

Oogqirha bayixilonga njani le nto?

Ukuba unale mpawu, ugqirha uza kuqala ahlole ubungakanani bokuhamba kwegazi okunciphileyo ukuya engqondweni. Oku kungabandakanya iimvavanyo ezifana nezi:

• I-Angiography: Oku kujonga ukuba akukho zithintelo kwimithambo yegazi.
• I-CT scan okanye i-MRI scan. Ezi zithatha imifanekiso yangaphakathi kwengqondo ukuze kuhlolwe ukuba akukho stroke na, ukopha ngaphakathi kwengqondo, ukudumba kwengqondo, okanye omnye umonakalo.
• Uvavanyo lwe-EEG (i-Electroencephalogram - i-EEG). Olu vavanyo luvavanya umsebenzi wombane wengqondo.
• Uvavanyo lwezinto ezinokwenzeka ezivuselelweyo. Olu vavanyo luvavanya indlela ingqondo esabela ngayo kwiimvakalelo ezifana nokuchukumisa.

Luluphi unyango lwale nto?

Oogqirha baqala unyango ngokufumanisa ukuba yintoni unobangela baze emva koko banyange loo nto ukuze kubuyiselwe ukuhamba kweoksijini engqondweni. Umzekelo, ukuba unengxaki yokuphefumla, ungasebenzisa umatshini (`umoya womoya`) ukukunceda uphefumle. Okanye ungasebenzisa unyango olunceda ukuhamba kwegazi okuneoksijini ukuya engqondweni.

Unyango luxhomekeke kwimeko yesigulana kunye nesizathu sokunqongophala kweoksijini. Eyona nto iphambili kukubuyisela ukunikezelwa kweoksijini engqondweni ngokukhawuleza.

Kuza kuthatha ixesha elingakanani ukuba umntu aphile kule meko? (Outlook)

Oku kuyahluka kumntu nomntu. Ngokubanzi, iziphumo zixhomekeke kwizinto ezifana nezi:

• Ixesha elingakanani ingqondo ingenayo ioksijini. Khumbula, ukonakala kwengqondo kuqala kwimizuzu emine emva kokuba ingenayo ioksijini. Ngoko ke, okukhona ingqondo ingenayo ioksijini ixesha elide, kokukhona amathuba okonakala kwengqondo esanda.
• Isizathu soku kukuba , umzekelo, olunye uphando lubonise ukuba abantu abaninzi abafumana "i-cerebral hypoxia" emva kokuhlaselwa yintliziyo baneengxaki ezinkulu ngamandla abo okucinga (''cognition'').
• Ukuba imeko ibangele ukuba umntu angabi naso isiqabu, i-coma ihlale ixesha elingakanani. Umzekelo, ezinye izifundo zibonisa ukuba abantu abaphuma kwi-coma kwiiveki ezingaphantsi kwezine baneengxaki ezimbalwa zexesha elide kunabo bahlala kwi-coma ixesha elide.

Ngoko ke, le yinto enzima kakhulu. Abanye abantu bayaphola ngokukhawuleza, abanye bathatha ixesha elide, kwaye ngelishwa abanye benzakala ngonaphakade.

Ngaba i-hypoxia yobuchopho ingathintelwa?

Ngelishwa, asinakukwazi ukuthintela zonke iimeko ze-cerebral hypoxia ezibangelwa ziingozi ezifana nokuminza nokufuthaniselana. Nangona kunjalo, singathabatha amanyathelo okunciphisa umngcipheko weengozi ezinjalo.

Ukuze uzikhusele kwiingozi, yenza ezi zinto zilandelayo:

• Faka izixhobo zokuvavanyela umsi kunye nezixhobo zokuvavanyela i-carbon monoxide ekhayeni lakho kwaye uzijonge rhoqo ukuqinisekisa ukuba zisebenza kakuhle.
• Qinisekisa ukuba wonke umntu unxiba amabhanti esihlalo nanini na xa esemotweni.
• Sebenzisa iivesti zokusindisa xa ungena emanzini, qubha kuphela kwiindawo apho kukho abahlanguli bobomi, kwaye ujonge abantwana abancinci, nokuba bakwigumbi lokuhlambela.
• Nxiba izigcina-ntloko xa udlala imidlalo echaphazela kakhulu, ukukhwela ibhayisekile, utyibiliza ekhephini, okanye udlala izicathulo zekhephu.

Nciphisa umngcipheko weengxaki zempilo:

Izifo ezinje ngokuma kwentliziyo, ukuhlaselwa yintliziyo, kunye nestroke nazo ziyandisa umngcipheko we-cerebral hypoxia. Nangona zingenakuthintelwa ngokupheleleyo, kukho izinto onokuzenza ukunciphisa umngcipheko wakho:

• Phucula indlela ophila ngayo. Ukuzilolonga imihla ngemihla nokutya ukutya okunempilo, okufana nokutya kwaseMedithera okanye ukutya kwe-DASH, kunokunciphisa umngcipheko wakho wokuhlaselwa sisifo sentliziyo kunye nestroke.
• Qaphela umngcipheko wakho wokuba nesifo sentliziyo (`ukuhlaselwa yintliziyo`). Thetha nogqirha wakho malunga neengxaki zakho kunye nembali yentsapho yakho yesifo sentliziyo. Ugqirha wakho unokuvavanya umngcipheko wakho aze a-odole iimvavanyo ezifana ne- EKG (`Electrocardiogram - EKG`) okanye uphando lwe-EP (`Electrophysiology - EP`) .
• Ziphephe iindlela zokuphila eziyingozi. Izinto ezinje ngokutshaya nokusebenzisa icuba, ukusebenzisa iziyobisi, kunye nokusebenzisa utywala ngokugqithisileyo ziyandisa umngcipheko wesifo sentliziyo kunye nesifo sohlangothi.
• Lawula iimeko zempilo ezisisiseko ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, i-hyperlipidemia, kunye nokutyeba kakhulu, nto leyo ekwandisa umngcipheko wokuhlaselwa sisifo sentliziyo kunye nestroke.
• Fumana uhlolo lwezonyango rhoqo. Bona ugqirha wakho wosapho ubuncinane kanye ngonyaka ukuze uhlolwe ngokupheleleyo. Ngale ndlela, ukuba kukho naziphi na iimpawu ezandisa umngcipheko we-`(Cerebral Hypoxia)`, ungazichonga kwangethuba.

Ndingazinyamekela njani? (Ukuzinyamekela)

Emva kokungabikho kwengqondo ecocekileyo, unokuba nobunzima bokuthetha, ukuhamba, okanye ukulawula iintshukumo zomzimba wakho. Ukuba oku kuyenzeka, unokufuna uncedo lwezonyango, olufana nonyango lomzimba okanye unyango lokuthetha . Kungathatha iinyanga ukuba uphile ngokupheleleyo. Ngoko ke, yiba nomonde kwaye uthathe inxaxheba kunyango.

Ilungu losapho lwam linengxaki enzima (i-Cerebral Hypoxia). Ndingamnceda njani?

I-Severe `(Cerebral Hypoxia)` yimeko enzima enokuba yingozi ebomini. Ngamanye amaxesha inokukhokelela kwi-coma, enokuhlala iiveki ezininzi, okanye kwimeko yokungaphenduli `kwimeko yokungakhuli`.Ingadluliselwa. Nangona kunjalo, ngenxa yokuba ilungu losapho lwakho lingekho zingqondweni, baya kufuna unyango oluqhubekayo esibhedlele okanye kwiziko lokubuyisela kwimeko yesiqhelo. Kunokuba nzima kakhulu ukuba amalungu osapho ahlale eqinile engqondweni ngeli xesha. Nangona kunjalo, eyona nto ingcono onokuyenza kukuthetha noogqirha rhoqo kwaye ubanike inkxaso abayidingayo.

Ndifanele ndifune nini ingcebiso kagqirha ngoko nangoko?

I-Cerebral Hypoxia yimeko engxamisekileyo yezonyango. Ukuba uneempawu - nokuba zibonakala zingenabungozi, ezifana nesiyezi okanye ukudideka - fowunela i-911 ngoko nangoko, cela umntu akubize, kwaye uye kwigumbi likaxakeka esibhedlele ngoko nangoko. Ukuba kukho umntu okwindawo okuyo obonisa ezi mpawu, oko kuthetha ukuba:

• Ukulahlekelwa yingqondo.
• Ukuxhuzula.
• Ukuphefumla kancinci, ubunzima bokuphefumla.
• Ukuba ubonisa iimpawu zokuhlaselwa yintliziyo okanye isifo sohlangothi (umz., iintlungu eziqatha esifubeni, intetho engacacanga, ukugoba kwelinye icala lobuso).

Ngexesha elinje, kufuneka sithathe amanyathelo ngoko nangoko, ngaphandle kokulibazisa umzuzwana!

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba uyachacha kwi-Cerebral Hypoxia, ungathanda ukuzibuza le mibuzo:

• "Uyazi ukuba kutheni oku kwenzeke kum, gqirha?"
• "Ingaba oku kungenzeka kwakhona?"
• "Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yoku?"

Ukuba ilungu losapho okanye umntu omthandayo une-cerebral hypoxia kwaye akakwazi ukuthetha, ungambuza le mibuzo:

• "Ingakanani ingozi yobuchopho?"
• "Zithini iziphumo ebezingalindelekanga ezinokubakho?"
• "Ngaba kukho amayeza anokunceda ukunciphisa iimpawu zelungu lam losapho?"
• "Imeko yakhe iza kuba njani ekuhambeni kwexesha?"

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Cerebral Hypoxia inokwenzeka nakubani na, kwaye inokutshintsha ubomi kwaye ide ibeke ubomi esichengeni. Nangona kungekho ndlela yokuyithintela ngokupheleleyo, kukho iindlela zokunciphisa umngcipheko wakho. Iqala ngokunyamekela impilo yakho iyonke. Umzekelo, ukuba une-high blood pressure, ukuyifumana inyango ngokufanelekileyo kunokunciphisa umngcipheko wakho wokuba nesifo sentliziyo okanye istroke kunye nokuphuhlisa i-cerebral hypoxia. Ngoko ke, thetha nogqirha wakho rhoqo kwaye ulawule impilo yakho. Loo ntetho inokukunceda uphephe i-cerebral hypoxia kunye nezinye iimeko ezinzulu. Musa ukoyika, eyona nto ibalulekileyo kukwazi kwaye uhlale ukhuselekile.

Ukungabikho komoya -mpilo engqondweni, ukunqongophala komoya-mpilo engqondweni, ukungabikho komoya-mpilo engqondweni, umonakalo engqondweni, unyango olungxamisekileyo, ukuphefumla kancinci, ukuhlaselwa yintliziyo, isifo sohlangothi