Ubuhlungu bekhanda buyinto evamile. Kunzima ukuthola umuntu ongakaze abe nekhanda okungenani kanye empilweni yakhe. Kodwa akuzona zonke izinhlungu zekhanda ezingelapheka ngokuthatha umuthi wokuqeda izinhlungu , ukulala kancane, nokuba ngcono. Ngezinye izikhathi, ikhanda lakho lingaba uphawu lwesimo esibucayi esidinga usizo oluphuthumayo lwezokwelapha . Esinye isimo esiyingozi esinjalo ukucindezela okukhulu ngaphakathi kwekhanda , noma njengoba sibiza ngokwezokwelapha, ukucindezela okukhulu kwe-Intracranial Pressure (ICP) . Kalula nje, lokhu ukucindezela ngokweqile ebuchosheni ngenxa yokuqongelela koketshezi ngale kwesikhala esilinganiselwe ngaphakathi kwekhanda lakho noma ngenxa yokuvuvukala kobuchopho.
Kungani ingcindezi engaphakathi kwekhanda ikhuphuka kanje?
Kungaba nezizathu eziningana zalokhu kwanda komfutho wegazi ongaphakathi kwekhanda. Ake sibone ukuthi ziyini.
Esinye sezizathu eziyinhloko ukulimala ekhanda noma ekhanda . Cabanga ukuthi uwe ebhayisikilini noma ushayeke kakhulu ekhanda endaweni ethile. Bese kuba khona ukuphuma kwegazi okuncane ngaphakathi ekhanda noma ukuvuvukala ebuchosheni. Ngaphezu kwalokho, igazi eliqoqanayo noma ukuvuvukala kugcwalisa isikhala ngaphakathi ekhanda bese kuqala ukucindezela izicubu zobuchopho. Lokhu kuyingozi kakhulu. Ngakho-ke, uma unenxeba ekhanda, ungacabangi ukuthi kuyinto encane, kodwa nakanjani bonana nodokotela bese uhlolwa. Ngoba ngezinye izikhathi izimpawu ze-ICP zivela ngemva kwesikhathi esithile sokulimala.
Isifo sohlangothi singenye imbangela enkulu yalokhu. Kwezinye izimo zesifo sohlangothi, umthambo wegazi ebuchosheni ungaqhuma. Leli gazi libe selinqwabelana ngaphakathi nangaphandle kobuchopho, okubangela ingcindezi. Uma ucabanga ukuthi unezimpawu zesifo sohlangothi, kufanele uye emnyangweni wezimo eziphuthumayo esibhedlela (ETU) ngokushesha .
Ngaphezu kwalezi zizathu ezimbili eziyinhloko, lesi simo singase senzeke ngenxa yezinye izici eziningana.
- Ukukhiqizwa ngokweqile koketshezi lwe-cerebrospinal: Lolu uketshezi oluvikelayo oluzungeze ubuchopho bethu kanye nomgogodla. Uma lokhu kwanda ngobuningi, ingcindezi iyakhula.
- I-Aneurysm : Lokhu kwenzeka lapho udonga lomthambo wegazi ebuchosheni luba buthakathaka futhi luvuvukala njengebhaluni. Uma luqhuma, igazi lizovuza lingene ebuchosheni.
- Isimila sobuchopho: Isimila esikhula ebuchosheni singabangela nokuthi isikhala esingaphakathi kwekhanda sehle futhi sandise ingcindezi.
- Ukutheleleka: Ukutheleleka okuthinta ubuchopho, isibonelo, izimo ezifana ne-encephalitis noma i-meningitis, kungabangela ubuchopho ukuba buvuvuke futhi kwandise ingcindezi.
- I-Hydrocephalus: Lokhu kuvame ukubizwa ngokuthi "amanzi ebuchosheni." Lokhu kuhilela nokuqongelela koketshezi lomgogodla.
- Umfutho wegazi ophakeme : Nakuba umfutho wegazi ophakeme wodwa ungavamile ukubangela lesi simo, ungaba nomthelela uma uhlanganiswa nezinye izimbangela.
Ziyini izimpawu zalokhu? Sikubona kanjani?
I-ICP ingaqala ngekhanda elibuhlungu. Leli khanda elibuhlungu lingavela ngokuzumayo futhi lingabekezeleleki. Noma, lingaqala kancane kancane bese liya ngokuya liba libi kakhulu. Kodwa-ke, njengoba ingcindezi ebuchosheni ikhula, ezinye izimpawu ngaphezu kwekhanda elibuhlungu zizoqala ukuvela. Lezi zimpawu zizokwazisa ukuthi lokhu akuyona ikhanda elibuhlungu elivamile.
Hlola lezi zimpawu ngaphezu kwekhanda elibuhlungu.
| Isibonakaliso | Incazelo |
|---|---|
| Umbono ofiphele | Izinto ezibonwa ngamehlo womabili ziyafiphala. Ungase uzibone zombili. Lokhu kungenxa yokuthi ingcindezi ebuchosheni ithinta imizwa exhumanisa amehlo nombono. |
| Ukuhlanza | Ungahlanza ngamandla ngokuzumayo ngaphandle kwesicanucanu. |
| Ubuthakathaka bomzimba | Ukuzwa sengathi isitho siyaphela amandla, kunzima ukuhamba nokunyakaza. |
| Ubunzima bokukhuluma | Amagama ayaphithana, futhi awukwazi ukusho lokho ofuna ukukusho. |
| Ukuncipha kokunaka/ukozela | Ngihlala ngizizwa ngilele futhi ngikhathele. Anginaki kakhulu okwenzekayo eduze kwami. |
| Izinguquko zokuziphatha | Zibonisa izinguquko zobuntu, njengokuthukuthela ngokuzumayo, ukucasuka, noma ukuthula kakhulu. |
Khumbula, uma unezinye zalezi zimpawu kanye nekhanda lakho elibuhlungu, ungalishayi indiva. Bonana nodokotela ngokushesha.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela ecabanga ukuthi une-ICP, uzokwenza izivivinyo eziningana ukuze athole ngokunembile lesi simo.
Ukuhlolwa komzimba
Okokuqala, udokotela uzokubuza nganoma yiziphi izingozi noma izifo zakamuva. Uzolinganisa umfutho wegazi lakho. Uzohlola amehlo akho ukuze abone ukuthi kukhona yini izinkinga ohlelweni lwakho lwezinzwa. Uzohlola nezinzwa zakho, ibhalansi , kanye nesimo sakho sengqondo.
Ukubhoboza Umgogodla / Ukubhoboza I-Lumbar
Kulesi sivivinyo, udokotela wakho ufaka inalithi encane emhlane wakho bese ethatha inani elincane loketshezi oluzungeze umgogodla wakho (uketshezi lwe-cerebrospinal). Ngokulinganisa ingcindezi yalolu ketshezi, bangathola umbono wengcindezi ezungeze ubuchopho bakho.
Ukuhlolwa kwe-CT noma i-MRI scan
Lezi yizinhlobo ezikhethekile zezithombe ezingabona ngokucacile ukuthi yini engaphakathi kobuchopho. I -CT scan noma i-MRI scan ingabonisa ngqo ukuthi kukhona umonakalo, ukuvuvukala, noma ukwakheka koketshezi ebuchosheni.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa okutholayo kuzoncika embangweni wokucindezela okukhulu ngaphakathi kogebhezi. Uma udokotela wakho esethole imbangela, uzokhetha ukwelashwa okukulungele.
- Imithi: Kunemithi enganciphisa ukuvuvukala ebuchosheni. Uma sekuvele ihlule legazi ngaphakathi ebuchosheni, kunganikezwa imithi yokulincibilikisa.
- Ukususwa koketshezi: Udokotela wakho angase afake okwesikhashana idivayisi ebizwa ngokuthi i-External Ventricular Drain (EVD) ekhanda lakho. Lokhu kuvumela uketshezi olungeziwe ngaphakathi kwekhanda lakho ukuthi luphume ngepayipi. Kodwa-ke, uma udinga ukususa uketshezi isikhathi eside, kungadingeka ukuthi kufakwe i-shunt . Leli yipayipi elifakwa emzimbeni wakho. Lokhu kuvumela uketshezi olungeziwe ebuchosheni bakho ukuthi luphume luye esiswini sakho ukuze lumuncwe umzimba wakho.
- Ukuhlinzwa:Ngezinye izikhathi kudingeka ukuhlinzwa ukuze kuncishiswe ingcindezi ebuchosheni. Lokhu kuhilela ukususa imbangela yengcindezi. Lokhu kuhilela ukulungisa inxeba, ukuvimba ukopha, noma ukususa isimila sobuchopho.
Ukuze noma yikuphi kwalokhu kwelashwa kuphumelele, kubalulekile ukuqala ukwelashwa ngokushesha okukhulu . Ukuhlehlisa ukunakekelwa kwezokwelapha kwandisa ingozi yokulimala kobuchopho unomphela.
Umlayezo Wokuya Nawe Ekhaya
- Ukwanda komfutho wegazi ongaphakathi kwekhanda (i-ICP) akuvamile. Kuyisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha .
- Uma unezimpawu ezifana nokungaboni kahle, ukuhlanza, ubunzima bokuhamba, ubunzima bokukhuluma, noma izinguquko ekuziphatheni kanye nobuhlungu bekhanda obukhulu, ungalibali.
- Uma ulimale ekhanda, ungakushayi indiva. Qiniseka ukuthi ubonana nodokotela.
- Uma usola ukuthi wena noma othile omaziyo une-ICP, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. Isikhathi sibaluleke kakhulu lapha.
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