Icho chinokonzera uropi ndiyo inzvimbo yehuropi iyo yemuviri uye inoshanda inobatanidza uropi kumutsara wesipinha. Kunyange zvazvo uropi hwehutachiona huri hukuru muhukuru, hunotakura neuroni inodzora kufamba, kunzwa, nekubatanidza chiso, meso, muromo, uye muviri.
Brainstem Stroke
Chirwere chepfungwa chinokonzera kuwanda kwemigumisiro, kusanganisira kushaya simba, kurasikirwa kwemanzwiro, maonero maviri, dambudziko richimedza nekuderedza kubatana.
Iko kune zvakasiyana-siyana zve brain brain syndromes. Aya syndromes anozivikanwa neunganidzwa yezviratidzo zvinofananidzwa nechimwe nzvimbo chinokanganisa utachiona. Brainstem syndromes inosanganisira Weber's syndrome (midbrain stroke), Wallenberg's syndrome (lateral medullary stroke), kutuka kwaOndine (medullary stroke), yakavharwa muurwere (central pontine stroke) nevamwe. Izvi zvinokonzerwa neuropiko zvishoma nokuti zvinokonzerwa neropa kana kupindira kweropa ruchiyerera mune rimwe duku rebazi reyeri muuropi.
Chimwe chinokonzerwa nehutachiona hwehutano hwakafanana ndeyekuti dzinoratidzwa nechezzinesi uye vertigo.
Iyo Brainstem Inoshungurudza Sei Chizuru
Brainstem zvinokonzera kukonzera zvikonzero zvezvikonzero zvakasiyana-siyana. Mamwe maitiro e brain brain anopesanidza kubatana pakati peuropi uye cerebellum. Iro cerebellum inodzora kushamwaridzana kwechiso nemuviri, uye apo cerebellar basa inopwanyika, mugumisiro wekusaenzana kwepanyama.
Brainstem zvinokanganisa zvinogona kupindira nekuenzanisa kwekufamba kweziso, zvichikonzera maonero maviri kana majirky (nystagmus) anoita kuti uve nechizoro.
Brainstem zvinokanganisa kunzwa kwekunzwa kana nehutano hwemitsipa inoputira iyo inobatsira kuchengetedza. Uye mamwe maitiro europiro anoita kuti kuderera kuwedzere, kunopesana nekwanisi yekuona chimiro chemuviri wako, chinounza rudzi rwechizivo.
Kurondedzera Utano
Kana iwe uchinzwa uchinetseka, zvinobatsira kana iwe ukwanisa kutsanangura kunyatsonzwa iwe manzwiro ako. Utsi hune shoko rine chinangwa chisina kujeka.
Saka zvinobatsira kunyatsofunga pamusoro uye kurondedzera manzwiro ako kana iwe unonzwa uchinetseka. Somuenzaniso, iwe uri musoro wechechi here? Unonzwa uchinetseka here? Kana ucheche wako huri kukukonzera kuti usuke, ingirozi inovandudza kana kuipa zvakanyanya mushure mokurutsa here?
Iwe unonzwa jita kana iwe uri chizoro here? Dzimwe nguva ucheche hunobatanidza nekunzwa kwekuzvidya mwoyo. Unonzwa uchinetseka here kana usati wadya?
Iwe une utera here kana uchinetseka paunenge uchizununguka? Iwe unonzwa wakasununguka kana kuvhara here? Kana unotaridzika kana kuonekwa kaviri? Unonzwa here kuti nyika iri kutenderera iwe? Izvi zvinoshandura zvinorondedzerwa se vertigo. Imwe mamiriro ezvinhu anowanzotsanangurwa sechezzinesi inzwi rekunzwa sokuti iwe uri kuparadzaniswa .
Zvingaitwa Nezveruzhinji
Utsi hune dambudziko rakajairika. Haisi yose ucheche zvinoreva kuti iwe une chirwere kana kuti iwe uri pangozi yekurohwa. Asi, dzimwe nguva, chizivi chinoratidza kuti chinetso chakakomba, chakadai sitiroko kana imwe hutano.
Kana uchinge uine zvinetso zvekare nechezuru, zvakakosha kuti iwe uite musangano kuti uone unyanzvi hwehutano.
Mamiriro ezvinhu mazhinji ehutano akasiyana anogona kukonzera ucheche, zvinogona kutora nguva kuti boka rako rekuchengetedza hutano rione chinokonzera dambudziko rako.
Kana iwe uchinge uine manzwiro akajeka uye akanyanyisa echezzinesi, iwe unofanirwa kupiwa kurapwa pakarepo.
Kunewo dzimwe dzisingawanzo uye dzisingawanzokonzera zvekurohwa uye chirwere, sezvinonzi roller coaster yakasimuka uye mhuka dzinocheka .
Zvaunofanira Kuita Nezve Brainstem Kushungurudza
Chirwere chepfungwa chinofanirwa kuonekwa sechirwere chekukurumidzira nekuti utachiona hutonga huzhinji hwezvinhu zvedu zvinokosha zvikuru-zvinotsigira hupenyu, zvakadai sekukwanisa kwedu kuramba tichifema nekuchengetedza mwoyo.
Pane mishonga yakawanda inowanikwa muuropi, asi kuti kurapwa uku kuve kwakanaka kunofanirwa kushandiswa munguva pfupi mushure mekunge zviratidzo zvatanga. Zvimwe zvekurapa kwechirwere zvinosanganisa zvinosanganisira tPA uye nzira inonzi intraarterial thrombolysis, iyo inoparadza ropa clot rinokonzera chirwere.
Kana uine chirwere chepfungwa, iwe uchangopedza nguva uchiwana kuongororwa uye kurapwa muchipatara, kuteverwa nenguva yekuvandudza munguva yekudzoka kwako. Stroke kudzivirira chikamu chinokosha chekudzikinura kwako nokuti iwe unoda kudzivisa kuva nechirwere chimwe apo iwe unopora kubva muuropi yako.
> Sources:
> Kurapa Zvakanaka uye Kutungamirirwa kweStroke Kutaura Muzuru kana Vertigo, Lee SH, Kim JS, Neurol Clin. 2015 Aug; 33 (3): 687-98