Iko mukati memapapuke chirwere chiri chirwere chiduku chinogona kukonzera kusava nesimba kwakanyanya kune rumwe rutivi rwemuviri. Iko mukati capsule inharaunda muuropi, uye chirwere chinokanganisa mukati memapukse chinoita kuti zviratidzo zviratidzo.
Chii chinonzi Internal Capsule?
Iyo mukati capsule inotsanangura nzvimbo yakadzika muuropi iyo inoshanda senzira yekukurukurirana.
Iyo mukati capsule inobvumira kukurukurirana pakati penzvimbo dze cerebral cortex , uye nzvimbo dze brain brain . Izvi zvinobatanidzwa zvinokwanisika nemakwara emukati capsule zvakakosha pakufambisa muviri uye kunzwisisa kwemashoko anonzwa.
Basa guru remukati capsule riri kushanda senzvimbo yekudzorera zvakare yemotokari yemuviri. Izvi zvinoreva kuti mukati-capsule inodikanwa nokuda kwebasa, gumbo, trunk uye chiso chekufamba. Rutivi rworudyi rwemukati capsule runopindira zviratidzo zvemagetsi nokuda kwekufambisa kweruboshwe rwemuviri uye rutivi rworuboshwe rwemukati capsule runopindira zviratidzo zvemitsipa nokuda kwekufambisa kwerudyi rwemuviri.
Nepo mukati memasopule inonyanyobatanidzwa mukufambisa, inoshandawo sechitima chekudzoka kwekunzwa kune rumwe rutivi rwemuviri.
Iyo mukati capsule inorondedzerwa se "nyaya chena" nekuda kwekuoneka kwayo pasi pe microscope.
Iyo mukati capsule inowanzonziwo se subcortical nzvimbo yeuropi nokuti iri pasi pecherebral cortex.
Zviratidzo uye Kuongororwa
Iko mukati memapapuke inokonzera kukanganisa simba, kushaya simba, kupera kwegumbo kana kushaya simba, kunotsanangurwa se hemiparesis kana hemiplegia. Iwe unogona kunge uine simba rakasara munzvimbo yakakanganiswa (hemiparesis,) kana iwe ungasakwanise kuifambisa zvachose (hemiplegia.) Iko mukati memapapule kushungurudza kunogona kuchinja chiso, zvichiita kuti zvive nyore kutsva, kumedza kana kutaura zvakananga.
Iyo mukati capsule inzira inobatanidza mitsipa iyo inodzora manzwiro ako pamwe chete nemotokari yako, mukati memapupe sitiroko inogona kuita kuti iwe urasike zvimwe kana zvose zvinonzwa mukati memakumbo akabatwa, gumbo kana chiso.
Nemhaka yekuti nzira dzakawanda dzinokosha dzinomhanya mukati memapapule, mukati mediki mukati memapukisi mukati memubhedha kunogona kukonzera kukundikana kwakanyanya kana kurasikirwa kwekunzwa.
Kana iwe wakanga uine mukati-capsule stroke, inogona kutaridzirwa muuropi MRI kana uropi CT scan munguva pfupi mushure mekurohwa. Zvisinei, nokuti mukati memapapuse shamroke zviduku, dzimwe nguva hazviratidzi pachena muchidzidzo chekufungidzira kweuropi, kunyange kana ichiita zviratidzo zvakakomba.
Zvinokonzera
Iko mukati memapurisa inokonzerwa nekupererwa kweropa mukati- kati kemumakumbo arteri (MCA) kana imwe yematavi awo maduku.
Kazhinji, inchemic internal capsule stroke inokonzerwa neropa rekuvhara ropa rinobva kune imwe nzvimbo mumuviri uye rinodzivirira rimwe remashizha maduku e MCA. Inogonawo kukonzerwa nehutachiona ropa rinoputika mukati meimwe yamuviri mishonga inopa oxygen-rich blood ku mukati capsule. Chirwere chemuviri kana chirwere cheporoke chinowanzoitika kana chirwere chisina kunaka kana chirwere chemwoyo chinowedzera mushure memakore ekurohwa kwepfungwa .
Uropi aneurysm kana chirwere chinoputika chinogona kukanganisa mukati memapule, kunyange izvi hazvisi zvikonzero zvinowanzoitika zvekati mukati memapule sitiroko.
Mhedzisiro
Iyo yakawanda yehumukati yepapsule stroke haisi kuuraya, uye vanhu vazhinji vanoona kuwedzerwa kwehutano. Kazhinji yenguva, mukati memapapule shamhu haisi kukonzera kupfugama kwakanyanya kana kukanganisa kunosangana nemarwadzo kune dzimwe nzvimbo dzeuropi.
Mushure mokuputika mukati memapapu, iwe unogona kuramba uine utera hwechimwe chikamu chemuviri wako, uye iwe unogona kunge uine humwe hutano hwekuvandudza nehutano hwepanyama uye kugadzirisa kurwisa, kunyange zvazvo kupora kunowirirana pakati pomupukunyutsi mumwechete uye mumwe.
Kazhinji, mushure mekurohwa kwekati mukati memapapule, unofanirwa kutarisira kuva nechirwere chekurapa kuti uone kana une chirwere chepfungwa. Kana kuongororwa uku kunoratidza maitiro ehutachiona hwehutachiona, zvakadai sechirwere chepfungwa , chirwere cheshuga, hypertension kana chirwere cheropa , ungada kuchinja zvimwe mararamiro ako kana kutanga mishonga mitsva.
Shoko Rinobva
Mukati wepispusta chirwere chinowanzoonekwa sechirwere chiduku. Mukati capsule shamroke kazhinji haisi kutungamirira kuhupenyu hunotyisa. Zvisinei, iyo inokosha inyevero zviratidzo zvekurohwa zvinokonzerwa nehutachiona. Kuchengetedza sitiroko njodzi zvinokonzera nemishonga kana mararamiro ehupenyu zvinoderedza zvakaderedza ngozi yekurohwa.
> Kwakabva:
> Kuchengetedza nzvimbo uye kugadzirisa zvinokonzerwa nechirwere chechiremba chiduku, Biesbroek JM, Weaver NA, Biessels GJ, Clin Sci (Lond). 2017 Apr 25