Isifo sohlangothi esithinta ingxenye encane yobuchopho bakho? (Isifo sohlangothi se-cerebellar) Ake sifunde ngaso.

Wake wazizwa unesiyezi, ungazinzile ezinyaweni zakho, noma ungakhulumi kahle ngokuzumayo? Ngezinye izikhathi sicabanga ukuthi lezi yizinto ezivamile, kodwa ngezinye izikhathi zingaba izimpawu zesifo sohlangothi lwe-cerebellar . Ungakhathazeki, sizoxoxa ngalokhu namuhla.

Kuyini i-cerebellar stroke?

Kalula nje, i-cerebellar stroke iyi-stroke ethinta i-cerebellum, ingxenye yobuchopho bethu. Abanye abantu bayibiza nangokuthi ``Cerebellum Stroke'' ngamafuphi.

Cabanga ngakho, i-cerebellum iyingxenye ebalulekile yobuchopho etholakala ngemuva kwekhanda lethu, eduze kwalapho intambo yomgogodla ixhuma khona nobuchopho. Le ngxenye encane isisiza ukuhamba, ukugijima, ukuphatha amalungu ethu, ukugcina ibhalansi yomzimba wethu, ukufunda ukunyakaza okusha, ngisho nezinqubo ezithile zokucabanga. Ngakho-ke, uma kwenzeka isifo sohlangothi esilimaza le cerebellum, la makhono angathinteka unomphela.

Isifo sohlangothi lwe-cerebellar senzeka lapho umthambo wegazi ohambisa igazi ku-cerebellum uvalwa yi-blood clot , noma lapho lowo mthambo uqhuma futhi wopha .

Ziyini izimpawu zesifo sohlangothi lwe-cerebellar?

Izimpawu zesifo sohlangothi lwe-cerebellar zingahluka kancane kuye ngembangela. Kodwa-ke, ezinye zezimpawu ezivame kakhulu zifaka:

• Ukuzizwa sengathi ulahlekelwa ukulawula umzimba wakho, ukukhubeka (i-Ataxia): Ukukhubeka lapho uhamba, njengomuntu odakiwe, kanye nobunzima bokulawula izitho zakho zomzimba.
• Ukuthuthumela: Ukuthuthumela okungalawuleki kwezandla nemilenze.
• Ubunzima bokuhamba: Awukwazi ukuhamba kahle.
• Isiyezi noma i-Vertigo: Kungase kuzwakale sengathi yonke into ekuzungezile iyajikeleza.
• Ikhanda elibuhlungu: Kungase kube khona ikhanda elibuhlungu kakhulu.
• Umbono ofiphele: Ukungakwazi ukubona kahle.
• Ukunyakaza kwamehlo okusheshayo nokungalawuleki (i-Nystagmus).
• Ukudideka noma ukukhungatheka.
• Ubuthakathaka bobuso nomzimba ohlangothini olulodwa lomzimba (i-Hemiparesis) noma ukukhubazeka (i-Hemiplegia).
• Ukulahlekelwa ukulawula imisipha kolunye uhlangothi lobuso.
• Ukulahlekelwa noma ukukhubazeka okungazelelwe kwezinzwa zethu (ukubona, ukuzwa, ukuhogela, ukunambitha, ukuthinta).
• Ukungakhulumi kahle kwamagama ngesikhathi ukhuluma, okufana nokungingiza (i-Dysarthria).

Okubalulekile: Ezinye izimpawu zesifo sohlangothi lwe-cerebellar, njengesiyezi, ikhanda elibuhlungu, kanye nokulahlekelwa ibhalansi, zingase zibonakale njengezinto esingazinaki kalula. Kodwa-ke,Ungazinaki lezi zimpawu, ikakhulukazi uma zivela ngokuzumayo.

Enye into ukuthi uhlangothi olulodwa lwe-cerebellum yethu lulawula olunye uhlangothi lomzimba. Lokhu kusho ukuthi uma uhlangothi lwesobunxele lwe-cerebellum lonakaliswe yisifo sohlangothi, uzozwa izimpawu ohlangothini lwesokudla. Uma uhlangothi lwesokudla lonakele, izimpawu zizovela ohlangothini lwesobunxele.

Yiziphi izimpawu eziyisixwayiso zesifo sohlangothi lwe-cerebellar?

Manje sesiyazi ukuthi isifo sohlangothi lwe-cerebellar singavela nezimpawu ezahlukahlukene. Ukuze uqaphele izimpawu eziyisixwayiso zesifo sohlangothi kuwe noma kothandekayo wakho, khumbula isifinyezo esithi `BE FAST` . Lokhu kubaluleke kakhulu:

• B - Ibhalansi: Bheka ukuthi ulahlekelwa yini ibhalansi yakho ngokuzumayo futhi uzizwe sengathi uzowa.
• E - Amehlo: Bheka ukulahlekelwa umbono ngokuzumayo, ukubona okufiphele, noma noma yiziphi izinguquko kwelinye noma zombili iso.
• F - Ubuso: Zama ukumamatheka. Bheka ukuthi uhlangothi olulodwa noma zombili zobuso zibonakala zigobile yini.
• A - Izingalo: Phakamisa izingalo zombili. Uma une-stroke, ungase ungakwazi ukuphakamisa ingalo eyodwa, noma ingase ibe buthakathaka kakhulu bese iwela phansi.
• S - Inkulumo: Hlola ukuthi inkulumo ayicacile yini, kunzima ukukhetha amagama, noma ukungingiza.
• T - Isikhathi: Isikhathi sibaluleke kakhulu! Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa usizo ngokushesha (shayela i-ambulensi). Uma kungenzeka, qaphela isikhathi sokuqala kwezimpawu ngokubheka iwashi noma ucingo lwakho. Ukutshela udokotela ukuthi izimpawu zakho ziqale nini kungabasiza banqume ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.

Kuyini ukuhlaselwa kwe-Ischemic okufushane (i-TIA)?

Ukuhlaselwa kwe-ischemic okuhamba kancane (i-TIA), ngezinye izikhathi okubizwa ngokuthi "i-mini-stroke," kufana ne-stroke, kodwa imiphumela yako ingeyesikhashana. Izimpawu zivame ukuphela zingakapheli amahora ambalwa. Kodwa-ke, zivame ukuba yizimpawu ezixwayisayo zokuthi i-stroke egcwele isiphetho isizokwenzeka. Umuntu oke waba ne-TIA udinga ukwelashwa okuphuthumayo ngokushesha okukhulu. Shayela u-911 ngokushesha.

Ziyini izimbangela zesifo sohlangothi lwe-cerebellar?

Kunezinhlobo ezimbili ze-cerebellar stroke, futhi izimbangela zazo zihlukile.

1. I-Ischemic Strokes: Lokhu kwenzeka lapho ihlule legazi livimba umthambo wegazi ku-cerebellum. Izimo zempilo ezandisa ingozi yokuqhekeka kwegazi zifaka:

• Umfutho wegazi ophezulu (i-Hypertension)
• Amazinga aphezulu e-cholesterol egazini (i-Hyperlipidemia)
• I-atherosclerosis / ukuqina kwezindonga zemithambo yegazi
• Izinkinga zokugoba
• I-fibrillation ye-atrial (ikakhulukazi uma ibangelwa yi-sleep apnea)
• Ukulimala kwemithambo yegazi ngenxa yokulimala, njengokulimala ekhanda noma ingozi yemoto.
• Izinkinga zenhliziyo ezizalwa nazo (isb., i-Atrial Septal Defect, i-Ventricular Septal Defect)

2. Ukushaywa yigazi: Lokhu kubangelwa umthambo wegazi osebuchosheni ophuka noma odabukayo . Lokhu kungabangelwa yilokhu:

• Umfutho wegazi ophakeme (umfutho wegazi ophakeme) (ikakhulukazi uma ungalawulwa, uphezulu kakhulu noma uma uqhubeka isikhathi eside).
• Izimila zobuchopho
• Ama-aneurysms obuchopho
• Isifo sikaMoyamoya (nanoma yisiphi esinye isimo esenza imithambo yegazi ebuchosheni ibe buthaka).

Yiziphi izinto ezibangela ingozi?

Noma ubani angaba nesifo sohlangothi. Kodwa-ke, ingozi yakho iphakeme kancane uma unalezi zinto:

• Uma ubhema noma usebenzisa ezinye izinhlobo zikagwayi noma i-nicotine (isb. i-vaping).
• Uma uneminyaka engaphezu kwengu-65 ubudala.
• Uma ungumuntu omnyama (ngenxa yezici ezithile zofuzo kanye nezenhlalo).
• Uma usebenzisa izidakamizwa ukuze uzijabulise noma ngaphandle kwencwadi kadokotela.

Ezinye izimo zempilo zingandisa nengozi yokushaywa yisifo sohlangothi:

• Umfutho wegazi ophezulu (i-Hypertension)
• Amazinga aphezulu e-cholesterol egazini (i-Hyperlipidemia)
• Isifo Sikashukela (i-Diabetes Mellitus)
• Ukuphefumula komoya ngesikhathi sokulala
• I-Covid-19 (i-COVID-19) kanye nezinye izifo.
• Inkinga yokusebenzisa utshwala.

Itholakala kanjani i-Cerebellar Stroke?

Udokotela uxilonga isifo sohlangothi lwe-cerebellar ngokuhlolwa ngokomzimba , ukuhlolwa kwezinzwa, kanye nokunye ukuhlolwa okukhethekile . Uma uyiswa ekamelweni lezimo eziphuthumayo (ETU) , odokotela balapho bangaxilonga lokhu.

Ukuqinisekisa ukuthi uke waba nesifo sohlangothi, udokotela wakho uzosebenzisa izivivinyo ezifana nalezi:

• Ukuskena kwe-CT
• Ukuskena kwe-MRI (i-MRI)
• I-Electrocardiogram (EKG)
• I-Electroencephalogram (EEG)
• Ukuhlolwa kwegazi

Yiziphi izindlela zokwelapha isifo sohlangothi lwe-cerebellar?

Uhlobo lokwelashwa oludingayo luzoncika kuhlobo luni lwesifo sohlangothi lwe-cerebellar onaso. Odokotela bazozama ukubuyisela ukugeleza kwegazi okuvamile ebuchosheni bakho ngokushesha okukhulu.Kungaleso sikhathi kuphela lapho ingozi yokulimala kobuchopho okungapheli kanye nokufa ingancishiswa khona.

• Uma isifo sohlangothi sibangelwa yi-ischemic: Odokotela bazozama ukuphula noma ukuncibilikisa ihlule. Ungase unikezwe imithi ye-thrombolytic . I-Tissue Plasminogen Activator (tPA) noma i-Tenecteplase (TNK-tPA) eminye yemithi esetshenziswa kakhulu. Ungase futhi udinge ukuhlinzwa ukuze kuhlukaniswe ihlule (i-mechanical thrombectomy) . Ungase futhi unikezwe imithi yokulawula umfutho wegazi lakho.

• Uma isifo sohlangothi sibangela ukopha: Odokotela bazozama ukuvimba ukopha ebuchosheni bakho. Bangase bakunike imithi yokulawula ukopha nokulawula umfutho wegazi lakho. Bangase futhi benze ukuhlinzwa ukuze banciphise umfutho wegazi ngaphakathi ebuchosheni.

Odokotela bazochaza ukuthi yiziphi izindlela zokwelapha ezifanele wena nokuthi yini ongayilindela kulezi zindlela zokwelapha.

Ukuvuselelwa Ngemva Kokushaywa Yisifo Senhliziyo

Ukwelashwa kwesifo sohlangothi kuyingxenye ebaluleke kakhulu yokwelashwa kwesifo sohlangothi. Udinga ukuvuselelwa ukuze kukusize uvumelane nezinguquko ebuchosheni bakho nasemzimbeni ngemva kwesifo sohlangothi. Lokhu kungase kuhilele inhlanganisela yalokhu okulandelayo:

• Ukwelashwa ngokomzimba: Qinisa imisipha, uthuthukise ibhalansi, futhi ubuyisele ukusebenzisa izingalo nemilenze.
• Ukwelapha ngenkulumo: Ukubuyisela noma ukuthuthukisa amakhono olimi nokukhuluma, kanye nokulawula imisipha ekusiza ukuthi ukhulume, uphefumule, udle, futhi ugwinye.
• Ukuvuselelwa kwengqondo: Thuthukisa inkumbulo, ukunaka, kanye namanye amakhono engqondo.
• Ukwelashwa Komsebenzi: Kukusiza ukuthi wenze imisebenzi yansuku zonke ngokuphephile, ikakhulukazi imisebenzi edinga ukunyakaza komzimba okuhle.

Yimaphi amathuba okusinda ekushayweni yi-cerebellar?

Kunzima kochwepheshe ukunikeza izinga eliqondile lokusinda kwesifo sohlangothi lwe-cerebellar. Noma yisiphi isifo sohlangothi singabulala, sibangele ukukhubazeka okungapheli, futhi sithinte ukuthi uphila isikhathi esingakanani (isikhathi sokuphila). Akukho sikhathi esijwayelekile sokululama noma umbono ofanele wonke umuntu.

Nakuba ukushaywa yisifo sohlangothi ngokuvamile kunemiphumela engcono kunesifo sohlangothi esihambisana nokopha , lokho akusho ukuthi uzolulama kalula, ngokushesha, noma kangcono uma unohlobo olulodwa. Umzimba womuntu wonke usabela ngendlela ehlukile kusifo sohlangothi.

Ingabe isifo sohlangothi lwe-cerebellar singalapheka ngokuphelele?

Lokho ongakulindela (ukubikezela) ngemva kokuhlaselwa yisifo sohlangothi lwe-cerebellar kuncike ezintweni eziningana:

• Indlela othole ukwelashwa ngokushesha ngayo.
• Uhlobo luni lwesifo sohlangothi owake waluthola?
• Impilo yakho iyonke.
• iminyaka yakho.

Ukululama okuphelele kuyahlukahluka kuye ngomuntu nomuntu. Ungase ukwazi ukubuyisa ngokugcwele ukusebenza kobuchopho bakho bokuqala kanye namakhono okunyakaza. Lokhu kuvame ukuthatha izinyanga eziningana. Kodwa-ke, ungase ube nemiphumela yesikhathi eside, njengezinhlobo ezintsha noma ezahlukene zokukhubazeka.

Udokotela wakho uzokutshela ukuthi yini ongayilindela. Bazokusiza ukuthi ubeke imigomo yokululama kanye nokulindela okufanele isimo sakho sempilo esiyingqayizivele kanye neqiniso.

Ingabe i-Cerebellum Stroke ingavinjelwa?

Ukugcina impilo enhle iyonke kuyindlela engcono kakhulu yokunciphisa ingozi yakho yesifo sohlangothi lwe-cerebellar. Ngokuvamile, zama ukwenza lezi zinto:

• Lawula umfutho wegazi lakho, amazinga e-cholesterol, nanoma yiziphi izimo zempilo ongase ube nazo.
• Uma ubhema, yeka.
• Yidla ukudla okunempilo futhi ugcine isisindo esinempilo.
• Vivinya umzimba njalo.
• Lala kahle.

Bona udokotela njalo ngonyaka (noma njengoba udokotela wakho encoma). Izimo eziningi ezingabangela ukushaywa yisifo sohlangothi zikhula ngokuhamba kwesikhathi. Ezinye zingase zingabangeli ngisho nezimpawu. Isibonelo, abantu abaningi abanomfutho wegazi ophakeme noma i-cholesterol ephezulu abazizwa lutho kuze kube yilapho bexilongwa. Udokotela wakho angakusiza ukuthi ubambe futhi uphathe noma yiziphi izimpawu eziyisixwayiso ngaphambi kokuba zandise ingozi yakho yokushaywa yisifo sohlangothi.

Ngingazinakekela kanjani ngemva kokuhlaselwa yisifo sohlangothi?

Ukululama nokulungisa ngemva kokuhlaselwa yisifo sohlangothi kungaba umsebenzi onzima. Uma wena nodokotela wakho seniqedile uhlelo lokwelashwa, lulandeleni eduze ngangokunokwenzeka. Ngokuvamile, kufanele wenze okulandelayo:

• Phuza imithi yakho ngendlela efanele: Ukuthatha imithi yakho ngesikhathi esifanele njengoba kuyalelwe udokotela wakho kuzosiza umzimba wakho ukuthi ululame.
• Yiya emtholampilo wakho wokwelapha kanye neminye imithi yokwelapha: Tshela abelaphi bakho uma uzizwa ungaphephile noma ungakhululekile. Ukwelashwa kungaba nzima, kodwa akudingeki ube nobuhlungu noma ukungakhululeki ngaso sonke isikhathi.
• Cabanga ngempilo yakho yengqondo: Ukucindezeleka nokukhathazeka kuvamile ngemva kokuhlaselwa yisifo sohlangothi. Ukuzizwa udabuke noma ukhungathekile akukwenzi ube buthakathaka noma uphelelwe yithemba. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba. Uma uzizwa ukhungathekile ngesikhathi sokululama kwakho, khuluma nodokotela wakho noma umeluleki wezempilo yengqondo .

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Uma uzizwa sengathi unezimpawu zokuhlaselwa yisifo sohlangothi futhiShayela u-911 ngokushesha. Esinye isifo sohlangothi cishe singabulala noma sibangele izinkinga ezinkulu. Ungalibali ukufuna usizo.

Abantu abake baba nesifo sohlangothi basengozini enkulu yezinye izinkinga ezinkulu, njenge:

• Isifo senhliziyo
• Ukuquleka
• Inyumoniya
• Ukuqhekeka kwegazi emthanjeni ojulile (i-Deep Vein Thrombosis - DVT)
• I-Pulmonary Embolism

Uma ubona izimpawu zanoma yiziphi zalezi zinkinga, kufanele ushayele ucingo ngokushesha ezikhungweni zezimo eziphuthumayo noma uye egumbini lezimo eziphuthumayo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungase ufune ukubuza udokotela wakho imibuzo efana nale:

• Hlobo luni lwesifo sohlangothi enganginaso?
• Hlobo luni lwemithi engiyidingayo, futhi ngiyithatha kanjani?
• Yiziphi izindlela zokuvuselela engizidingayo?
• Iyini ingozi yami yokuba nesifo sohlangothi futhi esikhathini esizayo?

I-Cerebellar Stroke ngezinye izikhathi ingadala izimpawu okulula ukuzikhohlwa. Kodwa akekho owazi umzimba wakho kangcono kunawe. Uma uzizwa noma yini engavamile, engavamile, noma ucabanga ukuthi une-stroke, funa usizo oluphuthumayo ngokushesha. Uma odokotela besheshe baxilonge futhi belapha i-cerebellar stroke, kulapho umphumela uba ngcono khona.

Okokugcina, into okufanele icatshangelwe.

Lokhu kungase kubonakale kuyinto evamile, kodwa zivuze ngayo yonke intuthuko encane oyenzayo ngesikhathi sokululama kwakho. Ukululama kuza ngezindlela eziningi, futhi ufanele ukugubha ngayinye. Odokotela bakho kanye nabelaphi bazokusiza ukufeza imigomo yakho yokululama.

` isifo sohlangothi lwe-cerebellar, isifo sohlangothi lwe-cerebellar, isifo sohlangothi lobuchopho, izimpawu zohlangothi, SHESHA, ukwelashwa kwesifo sohlangothi, ukuvimbela isifo sohlangothi