Masifunde ngeWallenberg Syndrome, eyenzeka xa ukuhamba kwegazi ukuya ebuchotsheni kuncipha.

Ngaba wakha weva ngemeko ebizwa ngokuba yiWallenberg Syndrome? Eli gama lisenokuvakala litsha kuwe. Kodwa yimeko yemithambo-luvo enokwenzeka xa kukho ukuvaleka kokunikezelwa kwegazi engqondweni, ingakumbi istroke okanye ihlwili legazi, okunciphisa ukuhamba kwegazi ukuya kwisiseko sobuchopho . Khawucinge nje, kuthekani ukuba ngequbuliso unengxaki yokuginya, isiyezi, okanye amehlo akho aqala ukuhamba ngokukhawuleza? Ezi ziimpawu oza kuzibona kweli tyala.

Ngoko ke yintoni iWallenberg Syndrome?

Ngamafutshane, iWallenberg Syndrome yimeko eyenzeka xa ukuhanjiswa kwegazi kwindawo ethile ye-brainstem, inxalenye esecaleni ye-medulla oblongata, kuphazamiseka. Oku kunokubangelwa kukuvaleka komthambo wegazi othwala igazi ukuya engqondweni obizwa ngokuba yi-posterior inferior cerebellar artery (PICA). Ngamanye amaxesha ugqirha wakho unokubiza ngokuba yi-lateral medullary syndrome okanye i-posterior inferior cerebellar artery syndrome, kuba umonakalo ukho kwezo ndawo.

Xa le meko isenzeka, iimpawu ezinje ngobunzima bokuginya, ukurhawuzelela, ukuthimla rhoqo, ukulahlekelwa yincasa, iintshukumo zamehlo ezikhawulezayo (nystagmus), ukubona kabini, ukulahlekelwa yibhalansi, isiyezi kunye nemvakalelo yokujikeleza (vertigo), kunye nentlungu okanye ukungaziva mnandi kusenokubakho. Khawuthelekelele ukuba bekuya kuba nzima kangakanani ukuhamba ukuba yonke into oyibonayo ibonakala ngathi ithambekile kwaye awukwazi ukugcina ibhalansi yakho ngokufanelekileyo.

Eyona nto ibalulekileyo kukufumanisa unobangela wale meko uze uyinyange ngokukhawuleza . Le yindlela onokufumana ngayo iziphumo ezilungileyo kwaye unciphise umngcipheko weengxaki.

Ixhaphake kangakanani le meko?

Enyanisweni, iWallenberg Syndrome yeyona meko ixhaphakileyo ebonwa emva kwestroke, ebangelwa kukungabikho kwegazi eliya ngasemva kwengqondo. Uphando lufumanise ukuba amatyala amatsha angaphezu kwama-60,000 axelwa minyaka le eMelika kuphela. Oku kuthetha ukuba le ayisiyongxaki ingaqhelekanga.

Zithini iimpawu zeWallenberg Syndrome?

Sele sithethe ngale nto kancinci ngaphambili, kodwa ukuba siyijonga ngeenkcukacha ezithe vetshe, ezi mpawu zinokwahluka kancinci kumntu nomntu, kuxhomekeke kwindawo yengqondo eyonakeleyo.

• Ubunzima bokuginya: Usenokungakwazi ukuginya nokuba kuncinci ukutya okanye amanzi. Ngamanye amaxesha, ukutya okutyayo kunokungena nakwi-windpipe yakho.
• Ukurhawuzela kwelizwi: Ilizwi liyatshintsha xa lithetha, libe lirhawuzela.
• Ukuchama rhoqo: Usenokuchama rhoqo okungenakwenzeka ukuba uyeke.
• Ukulahlekelwa yincasa: Incasa yokutya iyalahleka.
• Iintshukumo zamehlo ezikhawulezayo nezingenanjongo (nystagmus):Amehlo am aqala ukuhamba ngokukhawuleza, enyuka ehla, ebonakala ngathi akanalawulo.
• Ukubona izinto ezimbini ngaxeshanye: Ukubona izinto ezimbini ngaxeshanye.
• Iingxaki zokulinganisela nokulungelelanisa: Ubunzima bokugcina ulungelelwano xa uhamba, ukungakwazi ukulungelelanisa amalungu kakuhle.
• Ukudinwa kunye nesiyezi: Ukuziva ngathi intloko yakho iyajikeleza kwaye izinto ezikungqongileyo ziyajikeleza.
• Intlungu okanye ukungaziva: Usenokuva iintlungu, ukungaziva, okanye ukuphelelwa luvakalelo lobushushu okanye lokubanda, ingakumbi kwelinye icala lobuso bakho, ngelixa elinye icala liqhelekile.

Khawucinge nje, awunakuva nto kwicala lasekunene lobuso bakho, kodwa icala lasekhohlo liqhelekile. Ezi ziimpawu ozibonayo kweli tyala.

Ezi mpawu zinokwanda kancinci kancinci emva kweeyure ezimbalwa okanye iintsuku.

Yintoni ebangela oku?

Isizathu esiphambili sistroke se-brainstem . Oku kungaba:

• Ngenxa yomonakalo kwinxalenye esecaleni ye-medulla oblongata kwisiqu sobuchopho bethu.
• Ngenxa yokuvaleka kokuhamba kwegazi kwi-posterior inferior cerebellar artery (PICA), ethwala igazi ukuya kwi-cerebellum okanye kwi-vertebral artery kwi-brainstem.

Ezi zezona zizathu ziphambili. Nangona kunjalo, kunokubakho ezinye izizathu ezingaqhelekanga:

• Ukuqhekeka kwemithambo yomqolo: Oku kukukrazuka eludongeni lwemithambo yomqolo emikhulu ethwala igazi liye engqondweni.
• Ukukhubazeka kwemithambo yegazi: Oku kunzima ngakumbi. Ngamafutshane, kukudibana okungaqhelekanga kwemithambo yegazi (imithambo yegazi kunye nemithambo yegazi) engqondweni.
• Ukwenzakala entloko : Ukwenzakala okukhulu entloko.
• I-Multiple sclerosis: Esi sesinye isifo esichaphazela inkqubo yemithambo-luvo.

Ngubani osengozini enkulu yokuphuhlisa oku?

Abanye abantu banamathuba amaninzi okuba neWallenberg Syndrome. Makhe sijonge ukuba bangoobani:

• Abantu abatshayayo okanye abasebenzisa iimveliso zecuba.
• Abantu abanoxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Abantu abanesifo seswekile.

Ukongeza kwezi, abantu abaneengxaki zezicubu ezidityanisiweyo nabo banokuba semngciphekweni. Umzekelo:

• Isifo sikaMarfan
• isifo sika-Ehlers-Danlos
• I-dysplasia ye-fibromuscular

Ezi ziimeko ezingaqhelekanga.

Zeziphi iingxaki ezinokubangela oku?

Imeko ebizwa ngokuba yiWallenberg Syndrome inokubangela utshintsho oluhlala luhleli emva kwestroke. Ezi ziquka:

• Ubunzima bokuhamba: Usenokungakwazi ukuhamba kakuhle, kwaye unokufuna ukusebenzisa isixhobo sokuncedisa ukuhamba.
• Iintlungu ezingapheliyo: Kusenokufuneka uphile neentlungu eziqhubekayo.
• Isifo sokuwa: Oku kuthetha iimeko ezifana nokuwa.
• Ubunzima bokufunda: Kunokuba nzima ukufunda nokukhumbula izinto ezintsha.

Uyibona njani le nto?

Ugqirha uxilonga le meko ngovavanyo lomzimba, uvavanyo lwemithambo-luvo, kunye nezinye iimvavanyo ezikhethekileyo .

Ugqirha uza kuqala ajonge ukuba iimpawu zakho zichaphazela icala elinye lomzimba wakho kuphela. Umzekelo, ukuba awukwazi ukunambitha kwicala lasekunene lolwimi lwakho, ugqirha usenokucinga ukuba icala lasekhohlo lesiqu sobuchopho bakho lonakele. Oku kungenxa yokuba ingqondo yethu isebenza njengesipili. Icala lasekunene lobuchopho lilawula icala lasekhohlo lomzimba, kwaye icala lasekhohlo lilawula icala lasekunene lomzimba. Uyayazi?

Ukuqinisekisa ukuxilongwa, ugqirha angenza iimvavanyo ezifana nezi:

• Iskeni ye-MRI (Magnetic Resonance Imaging): Oku kungathatha imifanekiso eneenkcukacha zobuchopho.
• I-Angiogram: Olu vavanyo lujonga imeko yemithambo yegazi.

Ngamanye amaxesha, uvavanyo lwegazi okanye i-electrocardiogram (ECG) yokujonga isigqi sentliziyo inokwenziwa ukuze kuthintelwe ezinye iimeko ezineempawu ezifanayo.

Iphathwa njani?

Xa unyanga i-Wallenberg syndrome, ingqwalasela yokuqala kukususa ukuvaleka kwegazi eliya kwi-brainstem. Ukuba i-stroke yimbangela, ugqirha wakho angakunika unyango olunye okanye ngaphezulu kwezi:

• I-tissue plasminogen activator (tPA): Eli liyeza elifakwa ngemithambo (IV) elinikwa ukunyibilikisa amahlwili egazi.
• Isithinteli sokugabha igazi okanye isithinteli segazi: Sithintela ukwakheka kwamahlwili egazi angakumbi.
• Ukususwa kweThrombectomy: Ngamanye amaxesha kufakwa i-catheter ukuze kususwe ihlwili legazi.

Emva kokunyanga ukuvaleka, uya kuqala ukulawula iimpawu kunye neengxaki . Oku kungabandakanya izinto ezinje:

• Ukufakwa nokusetyenziswa kombhobho wokutyisa: Oku kuyimfuneko ukuba kunzima ukuginya.
• Ukunxiba iilensi ezikhethekileyo (iiprism) zeengxaki zokubona.
• Unyango lokuthetha: Ukunceda ekuthetheni nasekuginyeni iingxaki.
• Unyango lomzimba: Yakha kwakhona intshukumo yomzimba kunye nokulinganisela.
• Unyango lomsebenzi: Uqeqesho lokwenza imisebenzi yemihla ngemihla ngokuzimela.

Loluphi uhlobo lwamayeza olunikwayo ngenxa yoku?

Ukuba unentlungu engapheliyo kunye neWallenberg Syndrome, ugqirha wakho unokukunika iyeza elibizwa ngokuba yigabapentin . Nangona eli liyeza lokuxhuzula, linokunceda nakwiintlungu zemithambo-luvo.

Ukuba sele usebenzisa amanye amayeza okanye izongezo, kubalulekile ukuthetha nogqirha wakho ngaphambi kokuba uqale amayeza amatsha. Angakunika iingcebiso malunga nemiphumo emibi enokubakho yaloo mayeza.

Ngaba ikho indlela epheleleyo yokunyanga oku?

Ngelishwa, okwangoku akukho nyango lweWallenberg Syndrome. Nangona kunjalo, ukuba uyazibona iimpawu zokuqala zestroke kwaye uqale unyango kwangethuba , unganciphisa kakhulu umngcipheko weengxaki. Ngonyango, unokulawula iimpawu zakho kwaye uzame ukubuyisela ubomi bakho kwimeko eqhelekileyo.

Injani imeko-bume? (Imeko-bume)

Ugqirha wakho angakunika ulwazi oluchanekileyo malunga noku, njengoko oku kwahluka kumntu nomntu. Kuxhomekeke kwizinto ezininzi, njengommandla wesiseko sobuchopho owonakeleyo kunye nobukhulu bomonakalo.

Abanye abantu banokufumana ukuncipha kweempawu kwiiveki okanye kwiinyanga ezimbalwa baze baqale ukuvakalelwa ngendlela ababevakalelwa ngayo ngaphambi kwestroke. Nangona kunjalo, istroke inokubangela umonakalo osisigxina kunye notshintsho lwemithambo-luvo oluchaphazela ubomi bemihla ngemihla. Kodwa ungakhathazeki, kukho unyango olunokukunceda ujongane nezi meko zasemva kwestroke kwaye ulungelelanise nendlela entsha yokuphila.

Ngaba iWallenberg Syndrome ingathintelwa?

Nangona kungenakwenzeka ukuthintela ngokupheleleyo yonke imeko, unganciphisa umngcipheko wakho ngokwenza ezi zinto:

• Ukuba uyatshaya, yeka, okanye uphephe ukusebenzisa iimveliso zecuba.
• Ukulawula ezinye iimeko zempilo ezingabonakaliyo (umz., uxinzelelo lwegazi oluphezulu, isifo seswekile) kakuhle.
• Ukutya ukutya okunesondlo esifanelekileyo kunye nokwenza umthambo rhoqo .

Ufanele uye nini kugqirha?

Ukuba wena okanye umntu omthandayo ngequbuliso nifumana iimpawu zestroke, fowunela u-911 ngoko nangoko okanye uye kwicandelo likaxakeka lesibhedlele esikufutshane.

Iimpawu zestroke zingabandakanya:

• Ubunzima bokuthetha okanye ukuginya.
• Iingxaki ngokulinganisela kunye nokulungelelanisa.
• Utshintsho kwiimvakalelo, njengokungaziva mnandi kunye nobuthathaka kwelinye icala lomzimba.
• I-Vertigo kunye nesiyezi.
• Utshintsho kwimbono.

Ukuba ubona uphawu olufana nolu , ukwenza izinto ngokukhawuleza ngaphandle kokuchitha ixesha kunokusindisa ubomi.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho le mibuzo ukuze uqonde ngcono le meko:

• Kutheni ndafumana iWallenberg Syndrome?
• Luhlobo luni lonyango olucetyiswayo?
• Ngaba unyango lunokubangela iziphumo ebezingalindelekanga?
• Ngaba kuya kubakho iingxaki ezihlala ixesha elide?
• Ithini ingqikelelo yam?

I-Wallenberg Syndrome ichaphazela wonke umntu ngokwahlukileyo, njengoko umonakalo obangelwe sistroke ungaqikelelwa. Inokuba ngamava othusayo kakhulu kuwe nakusapho lwakho. Nangona ezinye iimpawu zinokuphela kwiinyanga ezimbalwa, ngamanye amaxesha iingxaki ziyavela. Ezi zinokuchaphazela indlela oziva ngayo kunye nendlela oqhuba ngayo imisebenzi yakho yemihla ngemihla.

Eyona nto ibalulekileyo kukufowunela iinkonzo zongxamiseko ngokukhawuleza nje ukuba uqaphela iimpawu zestroke. Ngale ndlela, ugqirha wakho unokuxilonga ngokukhawuleza iWallenberg Syndrome kunye nesizathu sayo, aze aqalise unyango ukuthintela umonakalo ongakumbi.

Ukuba unemibuzo okanye iinkxalabo malunga nemeko yakho, ngugqirha wakho kuphela onokukunika ulwazi oluchanekileyo noluhlaziyiweyo. Nguye onokukunceda ulawule iimpawu zakho.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ngokwezinto esithethe ngazo, nazi izinto eziphambili ekufuneka uzikhumbule:

• I-Wallenberg Syndrome yimeko enzima yemithambo-luvo ebangelwa kukuncipha kokuhamba kwegazi ukuya kwi-brainstem (idla ngokubangelwa kukufa kwestroke).
• Iimpawu zingabandakanya ubunzima bokuginya, isiyezi, iintshukumo zamehlo ezizenzekelayo, utshintsho kwilizwi, kunye nokungaziva mnandi kwelinye icala lomzimba .
• Ukuba ufumana iimpawu zestroke (ubunzima bokuthetha, ukulahlekelwa zingqondo kwelinye icala lomzimba, isiyezi ngequbuliso) , kubalulekile ukuba ufune ukulaliswa esibhedlele ngoko nangoko.
• Unyango lwangethuba lunokunciphisa iingxaki kwaye lukhokelele kwinqanaba elithile lokuchacha . Nangona kungekho nyango lupheleleyo, kukho unyango kunye neendlela zokubuyisela ubomi esimeni esifanelekileyo ezinokuphucula umgangatho wobomi.
• Umngcipheko wale meko ungancitshiswa ngezinto ezifana nokuphepha ukutshaya, ukulawula uxinzelelo lwegazi oluphezulu, kunye nesifo seswekile .

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

Isifo saseWallenberg , istroke, i-brainstem, isiyezi, ubunzima bokuginya, isifo semithambo-luvo, inqaku lezonyango laseSinhala, istroke, istroke ye-brainstem, i-Wallenberg syndrome