Ubururu hwekunyengera, hunonzi edema, ndeimwe yezvengozi zvenguva pfupi dambudziko rekurohwa.
Kurwisa kukuru , kunyanya, kunogona kukonzera kukura kukuru kunogona kuwedzera kukura, zvichiita kuti zvive nemigumisiro yakakomba, kusanganisira kukanganisa kwakakomba kweuropi, hurumende yekusateerera kana kunyange rufu.
Sitiroko Inokonzera Sei Ubongo hweErs?
Kana chirwere chikaitika, kukanganisa kweropa kunopinda kuuropi kunokonzera ruzhinji rwezviitiko zvinotungamirira kukuvadzwa kwehupi.
Pakati pemigumisiro yekukuvadza kweuropi, nguva yenguva pfupi yokuputika mukati maro kumativi ose kunogona kugara kwamaawa nemazuva.
Iko huru yekurohwa, iyo inonyanya kukoshesa edema inobatanidza.
Semuenzaniso, apo mudziyo mukuru unokonzera kukanganiswa kweropa kuburikidza nepakati pepamusoro weperesi yemaari , inenge idivi rose reuropi rinogona kuraswa neropa, zvichiita kuti rive nerufu uye kupfugama kwehafu yeuropi .
Nemhaka yokuti uropi hwakavharwa nemasvingo akaoma ehenya rebony, kudzivirira uku kunokonzera kuwedzera mukudzvinyirira, kunotsanangurwa sekuwedzerwa kwezvisina kukonzerwa nechisimba (ICP.) Kuwedzerwa kweCIP zvinokonzera munzvimbo yakakura yehupombwe hwehupi. Mukuwedzera pakushanda kwepanyama mupfungwa, huwandu hwe ICP hunovhiringidzawo nekubuda kweropa.
Izvo yakawedzera ICP inotungamirira kune zvimwe zvinokanganisa kunze kwekutanga kukanganisa kunokonzerwa nekurohwa. Kana kutuka kuchikonzera kukuvadza kunzvimbo huru dzeuropi, zvinogona kuguma nekufambira mberi nokukurumidza kuuropi kufa .
Dzimwe nguva, nzira yakanakisisa yekugadzirisa iyo yakaipa ICP yakawedzera kuburikidza nekuvhiya kunoponesa upenyu kunonzi hemicraniectomy.
Chii chinonzi hemicraniectomy?
A hemicraniectomy ndiyo imwe yenzira dzakanakisisa dzekudzivirira kubwinya kukuru kwehuropi. Iyi nzira yekuvhiya, iyo inoitwa muimba yekushandira pasi peanesthesia, inosanganisira kubvisa kwekanguva chikamu chedehenya (dzimwe nguva kusvika kune imwe hafu kana kupfuura) kuitira kuti kubvumira uropi hwakaputika kuwedzere kupfuura kwepamusoro peiyo skull bone, pasina kukonzera humwe hukuru muhutano hwemhepo.
Chikamu chetenda rehenya nenyama yakabviswa inowanzochengeterwa kusvikira edema ichigadziriswa, panguva iyo inogona kuderedzwa panzvimbo yayo yekutanga kuchengetedza uropi.
Ko chirwere chakakura chikuru chinogona kurapwa ne hemicraniectomy here?
Kunyange zvazvo vanachiremba vazhinji vachirudzira hemicraniectomy muzviitiko zvehupombwe hwakakomba humwe, vamwe vanofunga kuti pasinei nekubatsirwa kwemuitiro uyu maererano nekusingaperi, hemicraniectomy hairevi kuti kudzorerwa kunobatsira kwehupenyu hwehupenyu hwemunhu wese anopona.
Kune mamwe marapirwo ehupi ehupema, kunyange zvazvo pasina kune akajeka sehemicraniectomy. Kana mudiwa wako aine chirwere chakakura neodema yakaoma, chisarudzo chekuenderera mberi ne hemicraneictomy kuti uone kuti chinomanikidzwa chinobva pane zvimwe zvinhu, kusanganisira kudikanwa kwako mudiwa wako, uye kana utano hwemudiwa wako hukwanisa kutsungirira zviitiko zvekuvhiya.
Ndiani anosarudza kana mudiwa wangu awana hemicraniectomy?
Dzimwe nguva, hemicraniectomy inzira inokurumidzira, pane imwe nguva ingangodaro isina nguva shoma yekufunga pamusoro pezvakanaka uye zvinopera zvekuita.
Kazhinji, munhu anenge apona chirwere chinoda hemicraniectomy haana kunyatsoziva kuti anogona kukwanisa kuronga chirongwa chekuita nesangano restroke.
Kunze kwekuti hemicraniectomy yakaitwa nokukurumidza, pfungwa yemhuri pamusoro pekuti kana kwete iyo nzira inofanira kuitwa inotorwa mukufungisisa kukuru. Chisarudzo chekuti kana munhu anenge apona chirwere chepachirwere anofanira kuwanikwa hemicraniectomy inowanzosvika mushure mokunge njodzi uye zvibatsiro zvekuvhiyiwa zvataurwa zvakanyanya kumhuri, uye mushure mokunge mhuri ichibvuma kuenda mberi nenzira iyo.
Ndinofanira kubvumirana ne hemicraniectomy kune mudiwa wangu here?
Kana iwe unotarisana nechido chekupa rubatsiro rwezvehutano rwehumicraniectomy kune umwe munhu waunoziva, zvingabatsira kubvunza boka rezvechiremba pamusoro pezvinhu zvinotevera kuti ubatsire kuita sarudzo yako:
- Chii chingaita kuti mudiwa wako awane huro hunobatsira hunoita kana hemicraniectomy ichiitwa?
- Kana chirwere ichi chiri kuitwa uye mudiwa wako anorarama pachirwere, pane mukana unobatsira here kuti achakwanisa kudya kana kufema pane zvake? Kana zvisina kudaro, akambotaura here manzwiro ake nezvekunyanya kuvimba ne tube tubeings uye / kana mechanical ventilation?
- Mudiwa wangu ane hupenyu huri izvo zvinotsanangura zvinopindira zvaanozogona kuzvitsungirira pasi pemamiriro ezvinhu chaiwo?
Shoko Rinobva
Kurwadza kunogona kuita mhedziso yenguva pfupi inoda kukurumidza kupindira mune zvekurapa. Vakawanda vanorwara nechirwere vanoona kurapwa kwakakura mushure mokuti hemicraniectomy inobviswa kuderedza dema. Kudzoka mushure memhemicraniectomy kunotora nguva uye kushivirira. Kuvandudza kunogona kuwedzera kwenguva refu, saka zvinokosha kuti uwane ruzivo rwakawanda sezvaungagona pamusoro pekugadzirisa hurongwa kuitira kuti iwe ubatsire mudiwa wako kuburikidza nechikamu chekuporesa mushure mekurohwa.
> Sources:
> Infarct volume inofanotaura chigumisiro mushure mekudengenyeka kwehemicraniectomy kune zvinorwadza zvinokonzerwa nehemispheric stroke .Hecht N, Neugebauer H, Fiss I, Pinczolits A, Vajkoczy P, Jüttler E, Woitzik J, J Cereb Blood Flow Metab. 2017 Jan 1: 271678X17718693