Ingabe ubhekene nokudideka noma izinguquko ekuziphatheni? Kungaba ngenxa ye-encephalopathy!

Ingabe wena noma othile oseduze nawe uke wabona ushintsho olukhulu endleleni acabanga noma aziphethe ngayo, wabe usucabanga ukuthi, "O, lo muntu wayengenjalo ngaphambili?" Mhlawumbe unenkinga yokukhumbula izinto, unenkinga yokugxilisa ingqondo, noma uzizwa udidekile nje. Lokhu kungaba izimpawu zeqembu lezimo ezibizwa ngokuthi i-encephalopathy, ezithinta ukusebenza kobuchopho. Ake sixoxe ngalokhu ngokuningiliziwe namuhla. Ngoba ukuqonda lesi simo kahle nokufuna iseluleko sezokwelapha ngokushesha uma kudingeka kubaluleke kakhulu empilweni yakho nakwabathandekayo bakho.

Kuyini i-Encephalopathy?

Kalula nje, i-encephalopathy yisimo lapho ubuchopho bungasebenzi kahle . Lesi akusona isifo esisodwa, kodwa igama elijwayelekile lezimo eziningana eziphazamisa ukusebenza kobuchopho ngenxa yezizathu ezahlukahlukene. Cabanga ngale ndlela: ubuchopho bethu bufana nekhompyutha eyinkimbinkimbi kakhulu. Lesi simo senzeka lapho kukhona okungahambi kahle kulesi simiso sekhompyutha.

Lokhu kungaphazamisa ukusebenza okuvamile kobuchopho. Lokhu kungaholela ekudidekeni, ekulahlekelweni yinkumbulo, kanye nokushintsha kokuziphatha nobuntu . Ezimweni ezimbi kakhulu, ukulahlekelwa ukwazi ngisho nokuquleka kungavela. Lokhu kungabangelwa izinto eziningi, okuhlanganisa ukutheleleka, ukuhlukumezeka, kanye nezimo zezokwelapha eziyisisekelo.

Okubaluleke kakhulu, uma lesi simo singelashwa ngokushesha, singasongela impilo noma sibangele ukulimala kobuchopho unomphela. Ngakho-ke uma wena noma othile omaziyo enalezi zimpawu, ikakhulukazi uma ezizwa "engafani nakuqala," bheka udokotela ngokushesha.

Yiziphi izinhlobo ze-encephalopathy?

Kunezinhlobo ezahlukene ze-encephalopathy, futhi izimbangela zazo nazo zihlukile. Ake sibheke izinhlobo eziyinhloko ezibonakala:

• I-Anoxic encephalopathy: Lokhu kwenzeka lapho ubuchopho buphelelwa umoya-mpilo ngokuzumayo. Isibonelo, uma ubuchopho bulahlekelwa umoya-mpilo ngenxa yokuthile okufana nokuma kwenhliziyo noma ukuminza, amangqamuzana obuchopho aqala ukonakala. Lesi simo sivame kakhulu kubantu abadala.
• I-encephalopathy ebuhlungu engapheli: Lokhu kubangelwa ukulimala kwekhanda okuphindaphindiwe isikhathi eside, njengakuma-boxer noma abantu abalimale ekhanda njalo.
• I-Hepatic encephalopathy: Lokhu kungenzeka kubantu abanesifo sesibindi esibi kakhulu. Ubuthi okufanele bususwe esibindini buyanqwabelana egazini futhi buthinte ubuchopho. Le ngozi iphezulu kubantu abanezimo ezifana ne-cirrhosis.
• I-encephalopathy enesifo somfutho wegazi ophezulu:Lesi simo singase senzeke uma umfutho wegazi ophezulu ungalawulwa. Uma umfutho wegazi uphakama kakhulu ngokuzumayo, ungathinta ubuchopho.
• I-hypoxic ischemic encephalopathy: Lesi yisimo esithinta izingane ezincane. Singenzeka uma ubuchopho bungatholi umoya-mpilo owanele ngesikhathi sokuzalwa noma ngemva kokuzalwa.
• I-Metabolic encephalopathy: Lokhu kubangelwa yisimo sezokwelapha esingaphansi esithinta i-metabolism yomzimba. Isibonelo, isimo esifana nesifo sikashukela esingalawulwa.
• I-toxic encephalopathy: Isimo esibangelwa ubuthi obungena emzimbeni. Lokhu kungabangelwa ezinye izidakamizwa zokuqeda ubuhlungu, amaphilisi okulala, imithi yengqondo, amanye ama-antibiotic, izidakamizwa ezidakayo, noma ezinye izidakamizwa ezidakayo.
• I-uremic encephalopathy: Lesi simo senzeka lapho ubuthi buqongelela egazini lapho izinso zingasebenzi kahle (isifo sezinso esingamahlalakhona). Singabangelwa futhi yimithi ethile, ukuphelelwa amanzi emzimbeni, izifo, kanye nokopha ngokweqile.
• I-Wernicke encephalopathy: Isimo esibangelwa ukuntuleka kwevithamini B1. Singabonakala kubantu abaphuza utshwala nalabo abahlushwa ukungondleki kahle.

Ngaphezu kwalokhu, kunezinhlobo ezingavamile njenge-'Hashimoto's encephalopathy'.

Ivame kangakanani i-encephalopathy?

Ezinye izimbangela ze-encephalopathy zivame kakhulu. Isibonelo, e-United States kuphela, abantu abangaba yingxenye yesigidi bangeniswa esibhedlela ngenxa yokuma kwenhliziyo minyaka yonke, kodwa abangaphansi kwengxenye bayasinda. Kulabo abasindayo, iningi labo lizoba nomonakalo othile wobuchopho (i-anoxic encephalopathy). I-encephalopathy enobuthi kanye ne-metabolic ivame kakhulu ezigulini ezilaliswe esibhedlela. I-hepatic encephalopathy yenzeka kubantu abangaphezu kwengxenye abane-cirrhosis yesibindi. Abantu abadakwayo basengozini yokuthola i-Wernicke encephalopathy.

Ziyini izimpawu ze-encephalopathy?

I-Encephalopathy ingashintsha indlela ocabanga futhi uzizwa ngayo. Uma umuntu omnakekelayo enalesi simo, ungase uzizwe sengathi “akaseyena umuntu ofanayo ayenguye” futhi ukuziphatha kwakhe kungase kubonakale “kungavamile kancane.” Izimpawu zingahluka kumuntu nomuntu, kodwa izimpawu ezivamile zifaka:

• Ukudideka, ukulahlekelwa ukwazi okucacile ngendawo okuzungezile, ubunzima bokugxilisa ingqondo. Njengokungathi awukwazi ukuthola ukuthi ukuphi noma ukuthi kwenzekani.
• Ukulahlekelwa yinkumbulo noma ukukhubazeka. Ungase ungazikhumbuli izenzakalo zakamuva, noma ungase ukhohlwe abantu noma izindawo ojwayelene nazo.
• Ukulala ngokweqile.Ungase uzizwe ukhathele futhi ulele ngaso sonke isikhathi.
• Izinguquko zokuziphatha. Lokhu kungafaka phakathi ukucasuka, ukucasuka, ukunganaki, noma ukucindezeleka.

Ngaphezu kwalokhu, kungase kuvele ezinye izimpawu:

• Ukubona noma ukuzwa izinto ezingekho ngempela (`Imibono Engabonakali`).
• Ukuzizwa sengathi imisipha yakho iyanyakaza, iyanyakaza, noma amehlo akho anyakaza ngokungazikhetheli ('ukunyakaza kwemisipha okungazikhetheli').
• Ukuquleka kwenzeka njengokungathi kukhona ukuquleka.
• Ubunzima bokuphefumula.
• Ukulahlekelwa ukwazi.
• Ezimweni ezimbi kakhulu, i-coma.

Uma wena noma othile omaziyo enesinye salezi zimpawu noma ngaphezulu, sicela ubone udokotela noma uye ekamelweni lezimo eziphuthumayo ngokushesha. Isikhathi sibaluleke kakhulu.

Yiziphi izimbangela ze-encephalopathy?

I-Encephalopathy inezimbangela eziningi. Esikhathini esiningi, lezi zimbangela azihlobene nezinguquko ezinkulu zesakhiwo ebuchosheni. Ezinye izimo zezokwelapha nazo zingabangela izimpawu ze-encephalopathy. Isibonelo:

• Ukutheleleka. Lokhu kungaba ukutheleleka kobuchopho uqobo (i-encephalitis), izembozo zobuchopho (i-meningitis), noma kwenye indawo emzimbeni.
• Isimila sobuchopho.
• Ukucindezeleka ebuchosheni ngaphakathi kogebhezi (ukucindezeleka kwangaphakathi kobuchopho).
• Ukulimala okukhulu ekhanda.
• Isimo esifana nesohlangothi.
• Ukuquleka okungalashwanga.
• Ukuntuleka kwamavithamini noma ukungondleki kahle.
• Akuvamile, izimo zokuzivikela komzimba noma izimo ze-mitochondrial .

Ngezinye izikhathi, imbangela ecacile ingase ingatholakali kuzo zonke izimo ze-encephalopathy.

Yiziphi izici eziyingozi ze-encephalopathy?

I-Encephalopathy ingathinta noma ubani wanoma yimuphi ubudala, kusukela ezinsaneni kuya kubantu abadala. Kodwa-ke, ivame kakhulu kumaqembu alandelayo:

• Abantu abaneminyaka engaphezu kwengu-65. Isizukulwane sethu esidala sidinga ukukhathazeka kakhulu ngalokhu.
• Labo ababhekane nokubeletha okunzima kakhulu.
• Abantu abalimele ekhanda.
• Abantu abanezimo zezokwelapha ezithinta izinhlelo eziningi zomzimba, njengesifo sezinso nesifo sesibindi.
• Abantu abasebenzisa izinhlobo eziningana zemithi ngesikhathi esisodwa.
• Abantu abayimilutha yezidakamizwa noma utshwala, noma labo abachayeke kumakhemikhali.

Yiziphi izinkinga ezingaba khona ngenxa ye-encephalopathy?

I-Encephalopathy ingadala izinkinga ezahlukahlukene, yingakho ukwelashwa okusheshayo kubalulekile.

• Ukulimala kobuchopho okungapheli kungaba nemiphumela yesikhathi eside ekuqondeni nasekusebenzeni ngokuzimela.
• Izinsana nezingane ezincane zingase zibe nokulibaziseka kokukhula, ukuthuthukiswa kwengqondo, noma izinkinga zokusebenza.
• Kungase kudingeke ukuthi uxhunywe kumshini wokuphefumula ngenxa yobunzima bokuphefumula kanye ne-coma.

Amanye amacala e-encephalopathy angaba yingozi empilweni , ngakho-ke kubalulekile ukuthatha isinyathelo ngokushesha nje lapho ubona izimpawu.

I-encephalopathy itholakala kanjani?

Udokotela uxilonga i-encephalopathy ngokulandela lezi zinyathelo:

• Ukuthola umlando wezokwelapha onemininingwane. Sizokubuza ngezifo zakho zangaphambilini kanye nemithi oyiphuzayo.
• Ukuhlolwa komzimba.
• Ukwenza ukuhlolwa kwezinzwa.
• Ukuhlolwa okukhethekile.

Udokotela uzokubuza imibuzo mayelana nezimpawu zakho kanye nomlando wezempilo. Kodwa-ke, ngenxa yokuthi i-encephalopathy ishintshe indlela ubuchopho bakho obusebenza ngayo, ungase ungakwazi ukuphendula le mibuzo ngokunembile. Ezimweni ezinjalo, ulwazi abanakekeli bakho, njengomndeni wakho nabangani, abalunikeza udokotela luwusizo kakhulu. Bangase babe yibo futhi abacela usizo egameni lakho. Uma usengozini yokuthola i-encephalopathy, kuwumqondo omuhle futhi ukugqoka isongo se-ID yezokwelapha.

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-encephalopathy?

Udokotela wakho angase akucele ukuhlolwa okuningana ukuze anqume ezinye izimo ezinezimpawu ezifanayo futhi athole imbangela yesimo sakho. Lokhu kuhlolwa kungafaka:

• Ukuhlolwa kwegazi.
• Ukuhlolwa kokubona ubuchopho, njenge-CT scan noma i-MRI (Magnetic Resonance Imaging), kufana nokuthatha izithombe zengaphakathi lobuchopho.
• Ukuhlolwa kwe-EEG (i-Electroencephalogram). Lokhu kuhlola ukusebenza kukagesi kobuchopho.
• Ukubhoboza i-lumbar (noma ukumpompa komgogodla). Lokhu kuhilela ukuthatha inani elincane loketshezi lomgogodla emgogodleni bese ulihlola.

Iphathwa kanjani i-encephalopathy?

Ukwelashwa kohlobo ngalunye lwe-encephalopathy kuncike embangela. Udokotela wakho uzoncoma uhlelo lokwelashwa olusekelwe ezimpawini zakho kanye nembangela. Ukwelashwa kungafaka:

• Ukunikeza imithi noma izithasiselo zokudla okunempilo.Isibonelo, izinto ezifana nama-antibiotic, imithi yokuvimbela ukuquleka, noma i-vitamin B1.
• Ukuphatha ezinye izimo zempilo eziyisisekelo.
• Ukuthatha izinyathelo zokusindisa impilo, njengokuxhuma emshinini wokuphefumula (`i-ventilator`) uma kudingeka.
• Ukuhlinzwa noma ukufakelwa isitho ( isib. ukufakelwa isibindi).

Uma ubuchopho bakho bonakaliswe yilesi simo, kungadingeka ukuthi wenze izindlela ezahlukene zokwelashwa ukuze ubuyele emisebenzini evamile yansuku zonke. Lokhu kufaka phakathi:

• Ukwelashwa ngokomzimba
• Ukwelashwa emsebenzini
• Ukwelashwa ngenkulumo
• Ukwelashwa kokuziphatha kwengqondo (`Ukwelashwa kokuziphatha kwengqondo - CBT`)

Ingabe ikhona imiphumela emibi yokwelashwa?

Yebo, njengazo zonke izindlela zokwelapha, lokhu kungaba nemiphumela emibi. Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho ngemiphumela emibi yokwelashwa okutholayo. Imiphumela emibi ingahluka kakhulu kusukela kokwelashwa okukodwa kuya kokunye. Ngesikhathi usesibhedlela, odokotela bakho bazokuqapha eduze futhi bakunike wena nabanakekeli bakho ulwazi olwengeziwe mayelana nemiphumela emibi okudingeka niyiqaphele ngesikhathi sokwelashwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Lokhu kuyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangathola ukwelashwa futhi balulame ngokuphelele ezinsukwini ezimbalwa. Abanye bangathatha isikhathi eside, mhlawumbe amasonto noma izinyanga, ukubuyela emisebenzini yabo yansuku zonke. Akuvamile, abanye abantu bangase bangalulami ngokuphelele. Kuya ngokuthi isimo sibucayi kangakanani kanye nomonakalo owenzeka ebuchosheni.

Iyini inhloso yalesi simo se-Encephalopathy?

Ayikho into ebizwa ngokuthi "ikhambi" le-encephalopathy. Kodwa-ke, ungaba ngcono ngokwelapha imbangela eyinhloko. Uma usheshe watholakala futhi welashwa, kulapho umbono wakho ungcono khona. Ungase uqale nokuzizwa "ubuyele esimweni esijwayelekile" ezinsukwini ezimbalwa zokwelashwa.

Kodwa-ke, ezinye izimo ze-encephalopathy zimbi kakhulu, zisongela ngisho nokuphila. Lesi simo singathinta unomphela ukusebenza kobuchopho. Kungadingeka uhlanganyele ezinhlelweni zokuvuselela ukuze ubuyele ekwenzeni imisebenzi yakho yansuku zonke. Ngezinye izikhathi, ngemva kwe-encephalopathy, kungadingeka wenze izinguquko noma uthole usizo ngezinto owawukwazi ukuzenza wedwa, njengokulungisa ukudla noma ukugcina imithi yakho ihlelekile.

Uma unesifo esingamahlalakhona, i-encephalopathy ingase ivele futhi esikhathini esizayo. Ngakho-ke, ukulandela uhlelo lokwelashwa olunikezwa udokotela wakho kuzokusiza ukuvimbela lokhu. I-encephalopathy ingaba yingozi empilweni, ngakho-ke bonana nodokotela ngokushesha nje lapho ubona izimpawu.

Ingabe i-encephalopathy ingavinjelwa?

Ayikho indlela yokuvimbela zonke izinhlobo ze-encephalopathy. Kodwa-ke, unganciphisa ingozi yakho ngokunakekela impilo yakho iyonke. Lokhu kuhlanganisa ukudla ukudla okunomsoco, ukuzivocavoca, nokuvikela ikhanda lakho ekulimaleni (isibonelo, ukugqoka isigqoko). Uma unezimo ezingaphansi ezingabangela i-encephalopathy, udokotela wakho angakusiza ukuthi uzilawule.

Kufanele ngimbone nini udokotela?

Uma wena noma umuntu omnakekelayo enezimpawu ze-encephalopathy, khuluma nodokotela noma uye egumbini lezimo eziphuthumayo ngokushesha. Uma unesifo esithile esingaqondakali, njengesifo sikashukela noma isifo sesibindi, futhi unezimpawu ze-encephalopathy, iya egumbini lezimo eziphuthumayo ngokushesha. I-encephalopathy ingaba yingozi empilweni, ngakho-ke uma usabela ngokushesha ezimpawini, umphumela uba ngcono.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela imibuzo efana nale:

• "Dokotela, hlobo luni lwe-encephalopathy olubangela lezi zimpawu?"
• "Ungincoma uhlobo luni lokwelashwa?"
• "Yimiphi imiphumela emibi yalezi zindlela zokwelapha?"
• "Ngingabhekana kanjani nezinye izimo zami zezokwelapha ukuze ngivimbele i-encephalopathy?"
• "Ingabe kuzodingeka ngihlanganyele ezinhlelweni zokwelapha noma zokuvuselela?"

Ekugcineni, khumbula lokhu...

Kungaba yinto eyesabekayo ukucabanga ukuthi ubuchopho bakho abusebenzi ngendlela obusebenza ngayo ngaphambili. Kuvamile kakhulu. Ubuchopho bethu bungathinteka yizinto eziningi, kusukela ekulimaleni ekhanda kuya ekuthelelekeni. Uma uzizwa sengathi "Angifani," sicela ufune iseluleko sezokwelapha. Uma usheshe welaphe i-encephalopathy, kulapho umphumela wakho uba ngcono khona. Udokotela wakho uzokujabulela ukuphendula noma yimiphi imibuzo ongase ube nayo mayelana nokwelashwa kwakho kanye nokunakekelwa kwakho kwesikhathi eside ngemva kwe-encephalopathy. Ngakho-ke qiniseka ukuthi ubuza imibuzo yakho.

I- Encephalopathy, isifo sobuchopho, ukudideka, ukulahlekelwa inkumbulo, ukusebenza kobuchopho, isimiso sezinzwa, ukulimala kobuchopho