Ake sifunde nge-Wallenberg Syndrome, eyenzeka lapho ukugeleza kwegazi ebuchosheni kwehla.

Wake wezwa ngesimo esibizwa ngokuthi i-Wallenberg Syndrome? Igama lingase lizwakale lisha kuwe. Kodwa yisimo sezinzwa esingaba khona uma kukhona ukuvaleka kwegazi eliya ebuchosheni, ikakhulukazi isifo sohlangothi noma ukugoba kwegazi, okunciphisa ukugeleza kwegazi eliya ebuchosheni . Cabanga nje, kuthiwani uma ngokuzumayo uba nobunzima bokugwinya, isiyezi, noma amehlo akho eqala ukunyakaza ngokushesha? Lezi yizimpawu ozozibona kulokhu.

Ngakho-ke iyini i-Wallenberg Syndrome?

Kalula nje, i-Wallenberg Syndrome yisimo esenzeka lapho ukunikezwa kwegazi engxenyeni ethile ye-brainstem, ingxenye eseceleni ye-medulla oblongata, kuphazamiseka. Lokhu kungabangelwa ukuvaleka komthambo wegazi othwala igazi uye ebuchosheni obizwa ngokuthi i-posterior inferior cerebellar artery (PICA). Ngezinye izikhathi udokotela wakho angase akubize nangokuthi i-lateral medullary syndrome noma i-posterior inferior cerebellar artery syndrome, ngoba umonakalo ukhona kulezo zindawo.

Uma lesi simo sesivele, kungase kube nezimpawu ezinjengobunzima bokugwinya, ukuhosha, ukuthimula njalo, ukulahlekelwa ukunambitha, ukunyakaza kwamehlo okusheshayo (i-nystagmus), ukubona kabili, ukulahlekelwa ibhalansi, isiyezi kanye nomuzwa wokujikeleza (i-vertigo), kanye nobuhlungu noma ukuba ndikindiki kungase kube khona. Cabanga ukuthi kungaba nzima kangakanani ukuhamba uma konke okubonile kubonakala sengathi kutshekile futhi ungakwazi ukugcina ibhalansi yakho kahle.

Into ebaluleke kakhulu ukuthola imbangela yalesi simo bese uselapha ngokushesha okukhulu . Lena yindlela ongathola ngayo imiphumela emihle kakhulu futhi unciphise ingozi yezinkinga.

Sivame kangakanani lesi simo?

Eqinisweni, i-Wallenberg Syndrome yisimo esivame kakhulu ukubonakala ngemva kokuhlaselwa yisifo sohlangothi, esibangelwa ukuntuleka kwegazi eliya ngemuva kobuchopho. Ucwaningo luthole ukuthi kubikwa amacala amasha angaphezu kuka-60,000 minyaka yonke e-United States kuphela. Lokhu kusho ukuthi lesi akusona isimo esingavamile.

Ziyini izimpawu ze-Wallenberg Syndrome?

Sesikhulume ngalokhu kancane ngaphambili, kodwa uma sikubheka ngemininingwane ethe xaxa, lezi zimpawu zingahluka kancane kumuntu nomuntu, kuye ngendawo yobuchopho eyonakele.

• Ubunzima bokugwinya: Ungase ungakwazi ukugwinya ngisho nokudla okuncane noma amanzi. Ngezinye izikhathi, ukudla okudlayo kungangena ngisho nasemphinjeni wakho.
• Ukuhosha kwezwi: Izwi liyashintsha lapho likhuluma, libe nomsindo.
• Ukuchama njalo: Ungase uchame njalo okungenakwenzeka ukuyeka.
• Ukulahlekelwa ukunambitheka: Ukunambitheka kokudla kuyalahleka.
• Ukunyakaza kwamehlo okusheshayo nokungahleliwe (i-nystagmus):Amehlo ami aqala ukuhamba ngokushesha emuva naphambili, phezulu naphansi, kubonakala sengathi akanawo amandla okulawula.
• Ukubona izinto ezimbili ngesikhathi esisodwa: Ukubona izinto ezimbili ngesikhathi esisodwa.
• Izinkinga ngokulinganisela nokuxhumana: Ubunzima bokugcina ibhalansi ngenkathi uhamba, ukungakwazi ukuhlanganisa kahle imilenze.
• Ukuzungeza kanye nesiyezi: Ukuzizwa sengathi ikhanda lakho liyazungeza futhi izinto ezikuzungezile ziyazungeza.
• Ubuhlungu noma ukuba ndindindi: Ungase uzwe ubuhlungu, ukuba ndindindi, noma ukulahlekelwa umuzwa wokushisa noma ukubanda, ikakhulukazi ohlangothini olulodwa lobuso bakho, kanti olunye uhlangothi luvamile.

Cabanga nje, awukwazi ukuzwa lutho ohlangothini lwesokudla lobuso bakho, kodwa uhlangothi lwesobunxele lujwayelekile. Lezi yizimpawu ozibonayo kulokhu.

Lezi zimpawu zingase zikhule kancane kancane ngemva kwamahora ambalwa noma ngisho nezinsuku.

Yini ebangela lokhu?

Imbangela eyinhloko isifo sohlangothi esibangelwa yi-brainstem . Lokhu kungaba:

• Ngenxa yomonakalo engxenyeni eseceleni ye-medulla oblongata esiqwini sethu sobuchopho.
• Ngenxa yokuvaleka kokugeleza kwegazi emthanjeni we-posterior inferior cerebellar (PICA), othwala igazi uye e-cerebellum noma emthanjeni we-vertebral esiqwini sobuchopho.

Lezi yizizathu eziyinhloko. Kodwa-ke, kungase kube nezinye izizathu eziningana ezingavamile:

• Ukuhlukaniswa kwemithambo yomgogodla: Lokhu kuwukudabuka odongeni lomthambo omkhulu othwala igazi liye ebuchosheni.
• Ukukhubazeka kwemithambo yegazi: Lokhu kuyinkimbinkimbi kakhulu. Kalula nje, kungukuxinana okungavamile kwemithambo yegazi (imithambo yegazi nemithambo yegazi) ebuchosheni.
• Ukulimala ekhanda : Ukulimala okukhulu ekhanda.
• I-Multiple sclerosis: Lesi esinye isifo esithinta isimiso sezinzwa.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Abanye abantu banamathuba amaningi okuthola i-Wallenberg Syndrome. Ake sibheke ukuthi bangobani:

• Abantu ababhemayo noma abasebenzisa imikhiqizo kagwayi.
• Abantu abanomfutho wegazi ophakeme (umfutho wegazi ophakeme).
• Abantu abanesifo sikashukela.

Ngaphezu kwalokhu, abantu abanezinkinga zezicubu ezixhumene nabo bangaba sengozini. Isibonelo:

• I-Marfan syndrome
• I-Ehlers-Danlos syndrome
• I-dysplasia ye-fibromuscular

Lezi yizimo ezingavamile.

Yiziphi izinkinga ezingabangelwa yilokhu?

Isimo esibizwa ngokuthi i-Wallenberg Syndrome singabangela izinguquko ezithile ezihlala njalo ngemva kokuhlaselwa yisifo sohlangothi. Lokhu kufaka phakathi:

• Ubunzima bokuhamba: Ungase ungakwazi ukuhamba kahle, futhi kungase kudingeke usebenzise i-walking aid.
• Ubuhlungu obungapheli: Kungase kudingeke uphile nobuhlungu obuqhubekayo.
• Isifo Sokuxhuzula: Lokhu kusho izimo ezifana nokuxhuzula.
• Ubunzima bokufunda: Kungaba nzima ukufunda nokukhumbula izinto ezintsha.

Ukubona kanjani lokhu?

Udokotela uxilonga lesi simo ngokuhlolwa ngokomzimba, ukuhlolwa kwezinzwa, kanye nezinye izivivinyo eziningana ezikhethekile .

Udokotela uzoqala ahlole ukuze abone ukuthi izimpawu zakho zithinta uhlangothi olulodwa lomzimba wakho kuphela. Isibonelo, uma ungakwazi ukunambitha ohlangothini lwesokudla lolimi lwakho, udokotela angase acabange ukuthi uhlangothi lwesobunxele lomgogodla wobuchopho bakho lonakele. Lokhu kungenxa yokuthi ubuchopho bethu busebenza njengesibuko. Uhlangothi lwesokudla lobuchopho lulawula uhlangothi lwesobunxele lomzimba, kanti uhlangothi lwesobunxele lulawula uhlangothi lwesokudla lomzimba. Uyaqonda?

Ukuqinisekisa ukuxilongwa, udokotela angenza izivivinyo ezifana nalezi:

• Iskeni se-MRI (Magnetic Resonance Imaging): Lokhu kungathatha izithombe ezinemininingwane zobuchopho.
• I-Angiogram: Lokhu kuhlola kuhlola isimo semithambo yegazi.

Ngezinye izikhathi, ukuhlolwa kwegazi noma i-electrocardiogram (ECG) yokuhlola isigqi senhliziyo kungenziwa ukuze kunqunywe ezinye izimo ezinezimpawu ezifanayo.

Iphathwa kanjani?

Uma welapha i-Wallenberg syndrome, ukugxila kokuqala kukususa ukuvaleka kwegazi eliya ebuchosheni. Uma isifo sohlangothi siyimbangela, udokotela wakho angakunikeza ngokushesha eyodwa noma ngaphezulu yalezi zindlela zokwelapha:

• I-tissue plasminogen activator (tPA): Lona umuthi ofakwa ngemithambo yegazi (IV) onikezwa ukuncibilikisa amahlule egazi.
• Isithambisi sokuwa kwegazi noma isinciphisi segazi: Vimbela ukwakheka kwamahlule egazi engeziwe.
• Ukususwa kwe-Thrombectomy: Ngezinye izikhathi kufakwa i-catheter ukuze kususwe ihlule legazi.

Ngemva kokwelapha ukuvaleka, uzobe usuqala ukulawula izimpawu nezinkinga . Lokhu kungafaka izinto ezifana nalezi:

• Ukufakwa kanye nokusetshenziswa kwepayipi lokuncelisa: Lokhu kuyadingeka uma kunzima ukugwinya.
• Ukugqoka amalensi akhethekile (ama-prism) ezinkinga zokubona.
• Ukwelashwa kwenkulumo: Kwezinkinga zokukhuluma nokugwinya.
• Ukwelashwa ngokomzimba: Yakha kabusha ukunyakaza komzimba kanye nokulinganisela.
• Ukwelashwa Komsebenzi: Ukuqeqeshwa ukwenza imisebenzi yansuku zonke ngokuzimela.

Hlobo luni lwemithi olunikezwayo ngalokhu?

Uma unezinhlungu ezingapheli kanye ne-Wallenberg Syndrome, udokotela wakho angase akunike umuthi obizwa ngokuthi i-gabapentin . Nakuba empeleni lo umuthi wesifo sokuwa, ungasiza futhi ngobuhlungu bezinzwa.

Uma usuvele uthatha eminye imithi noma izithasiselo, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuqala umuthi omusha. Angakweluleka ngemiphumela emibi engaba khona yaleyo mithi.

Ingabe ikhona ikhambi eliphelele lalokhu?

Ngeshwa, okwamanje ayikho ikhambi le-Wallenberg Syndrome. Kodwa-ke, uma ubona izimpawu zokuqala zesifo sohlangothi bese uqala ukwelashwa kusenesikhathi , unganciphisa kakhulu ingozi yezinkinga. Ngokwelashwa, ungalawula izimpawu zakho bese uzama ukubuyisela impilo yakho esimweni esijwayelekile.

Unjani umbono? (Umbono)

Udokotela wakho angakunikeza ulwazi olunembile kakhulu ngalokhu, njengoba lokhu kuyahlukahluka kumuntu nomuntu. Kuncike ezintweni eziningi, njengendawo yobuchopho eyonakele kanye nobukhulu bomonakalo.

Abanye abantu bangase bazizwe benciphile izimpawu zingakapheli amasonto noma izinyanga ezimbalwa bese beqala ukuzizwa njengoba babenjalo ngaphambi kwesifo sohlangothi. Kodwa-ke, isifo sohlangothi singadala nomonakalo ohlala njalo kanye nezinguquko zezinzwa ezithinta impilo yansuku zonke. Kodwa ungakhathazeki, kunezindlela zokwelapha ezingakusiza ukuthi ubhekane nalezi zimo zangemva kwesifo sohlangothi futhi ujwayele indlela entsha yokuphila.

Ingabe i-Wallenberg Syndrome ingavinjelwa?

Nakuba kungenakwenzeka ukuvimbela ngokuphelele zonke izimo, unganciphisa ingozi yakho ngokwenza lezi zinto:

• Uma ubhema, yeka, noma ugwema ukusebenzisa imikhiqizo kagwayi.
• Ukuphatha kahle ezinye izimo zempilo eziyisisekelo (isib. umfutho wegazi ophakeme, isifo sikashukela).
• Ukudla ukudla okunempilo nokuzivocavoca umzimba njalo .

Kufanele ubonane nini nodokotela?

Uma wena noma othandekayo wakho nizwa izimpawu zesifo sohlangothi ngokuzumayo, shayela u-911 ngokushesha noma uye emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze.

Izimpawu zesifo sohlangothi zingafaka:

• Ubunzima bokukhuluma noma ukugwinya.
• Izinkinga ngokulinganisela nokuxhumana.
• Izinguquko zemizwa, njengokungazweli kanye nobuthakathaka ohlangothini olulodwa lomzimba.
• I-Vertigo kanye nesiyezi.
• Izinguquko embonweni.

Uma ubona uphawu olufana nalolu , ukwenza ngokushesha ngaphandle kokuchitha isikhathi kungasindisa impilo.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho le mibuzo ukuze uthole ukuqonda okungcono ngalesi simo:

• Kungani ngathola i-Wallenberg Syndrome?
• Hlobo luni lokwelashwa olunconywayo?
• Ingabe ukwelashwa kungaba nemiphumela emibi?
• Ingabe kuzoba nezinkinga zesikhathi eside?
• Iyini iphrojekthi yami?

I-Wallenberg Syndrome ithinta wonke umuntu ngendlela ehlukile, njengoba umonakalo obangelwa yisifo sohlangothi ungabikezelwa. Kungaba yinto eyesabekayo kakhulu kuwe nomndeni wakho. Nakuba ezinye izimpawu zingase ziphele ezinyangeni ezimbalwa, ngezinye izikhathi izinkinga ziyavela. Lokhu kungathinta indlela ozizwa ngayo nendlela owenza ngayo imisebenzi yakho yansuku zonke.

Into ebaluleke kakhulu ukushayela ucingo izinsizakalo eziphuthumayo ngokushesha nje lapho ubona izimpawu zesifo sohlangothi. Ngale ndlela, udokotela wakho angakwazi ukuthola ngokushesha i-Wallenberg Syndrome kanye nembangela yayo, bese eqala ukwelashwa ukuvimbela umonakalo owengeziwe.

Uma unemibuzo noma ukukhathazeka ngesimo sakho, udokotela wakho kuphela ongakunikeza ulwazi olunembile nolusesikhathini. Angakusiza ukuthi uphathe izimpawu zakho.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto eziyinhloko okudingeka uzikhumbule:

• I-Wallenberg Syndrome yisimo esibi sezinzwa esibangelwa ukwehla kokugeleza kwegazi kuya esiqwini sobuchopho (ngokuvamile okubangelwa yisifo sohlangothi).
• Izimpawu zingase zihlanganise ubunzima bokugwinya, isiyezi, ukunyakaza kwamehlo okungahleliwe, izinguquko zezwi, kanye nokungazweli kolunye uhlangothi lomzimba .
• Uma uzwa izimpawu zesifo sohlangothi (ubunzima bokukhuluma, ukulahlekelwa ukwazi ohlangothini olulodwa lomzimba, isiyezi esingazelelwe) , kubalulekile ukufuna ukulaliswa esibhedlela ngokushesha.
• Ukwelashwa kusenesikhathi kunganciphisa izinkinga futhi kuholele ekululameni okuthile . Nakuba kungekho ukwelashwa okuphelele, kunezindlela zokwelapha kanye nezindlela zokuvuselela ezingathuthukisa ikhwalithi yokuphila.
• Ingozi yalesi simo ingancishiswa ngezinto ezifana nokugwema ukubhema, ukulawula umfutho wegazi ophakeme kanye nesifo sikashukela .

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

I- Wallenberg syndrome, isifo sohlangothi, i-brainstem, isiyezi, ubunzima bokugwinya, ukuphazamiseka kwezinzwa, isihloko sezokwelapha saseSinhala, isifo sohlangothi, isifo sohlangothi, i-brainstem syndrome