An Introduction
Kune maviri makuru emhando dzekurohwa . Pakupedzisira, zvose zviri dambudziko rinoratidzirwa neropa risingazokwanisi kuenda kwazvinofanira. Mune chirwere cheschemicic, ropa harifaniri kupfurikidza nemubhadharo wakavharidzirwa, uye masero europi anofa nekushayikwa kwe okisijeni.
Chii Chinonzi Intracerebral Hemorrhage?
Mukurwadziwa kwehemorrhagic, ropa rinodurura kubva mumapurisa akaparara zvakananga muhuputi hwemapfupa panzvimbo pekuyerera mumidziyo yeropa. Apo arteri inoputika muuropi, ropa rinokonzera utachiona hwemakumbo kunze kwokuti rinorwisana nenzvimbo mukati mehenya.
Somugumisiro, utachiona hwehupi hunovhiringidzika uye hunogona kufa. Kana uropi hwehuputi hwakasununguka zvakanyanya, kuparadzwa kusingaperi uye rufu zvinogona kuguma.
Chii Chinokonzera Intracerebral Hemorrhage?
Chimwe chikonzero chinowanzovhiringidzika chekudzivirira kwepachivande ndiko kushungurudzika ; zvisinei, dzimwe nguva kuora kwemvura kunongoita sokuti kunoitika pachako pachako.
Chikonzero chinonyanya kukosha chepontrarebral hemorrhage ine kukwirira kweropa ( hypertension ). Nguva refu chirwere chepamusoro cheropa chinogona kuderedza masvingo emagetsi, kunyanya mukati muuropi umo midziyo miduku inotanga kubva kune mishonga yakakura. Kana kuwedzerwa kukuru kuchikwira kune avo vasina simba remadziro emadziro, arteri inogona kuputika.
Hazvisiwowo zvisingashamisi kuti chirwere chinonzi ischemic chipindure kuva nzvimbo yekubuda ropa. Izvi zvinonzi humorrhagic kutendeuka. Chirwere cheschemic chinouraya uropi hutachiona, uye hutachiona hwemuviri hwehuputi hwakaoma kupfuura hupenyu hwehupfungwa. Izvi zvinosanganisira masvingo emamwe mitsipa yeropa, iyo inowanzobva yapera.
Sezvo ischemic stroke inowanzobatwa neropa vanyoro, mishonga inobatsirawo kuti ipe intracerebral hemorrhage.
Nepo kuwedzerwa kweropa kunonyanya kukonzera kukanganisa intracerebral hemorrhage zvachose, chikonzero chikuru chekubuda ropa chinokasiyana nezera. Mune vakwegura, chirwere chinonzi cerebral amyloid angiopathy chinogona kutungamirira ku intracerebral hemorrhage.
Mune chirwere ichi, mapuroteni asina kukwana anonzi amyloid anovaka mumasvingo emiropa. Izvi zvinoita kuti mishonga yeropa ive isina simba uye nyore nyore kuputsika. Kusiyana nehuwandu hwehutachiona hwepracrerabral hemorrhage, iyo inogara ichiitika mukati mukati meuropi, amyloid angiopathy inowanzokonzera kubuda ropa pamucheto weuropi. Mune vana, congenital vascular zvisiri izvo ndizvo zvinowanzokonzera zvinokanganisa intracerebral hemorrhage. Nenzira yakanaka, izvi hazvina kujairika.
Zvimwe zvipo zvinokonzera kushaya ropa zvinosanganisira:
- brain tumors
- vasculitis
- septic embolism
- moyamoya
- cocaine uye amphetamine
- zvirwere zvakadai sa herpes simplex encephalitis
- ropa rinopisa mishonga
- kukanganisika kwekubuda ropa
Ndezvipi zviratidzo zveIntracerebral Hemorrhage?
Mumwe munhu ane intrarebral hemorrhage angave ane zviratidzo zvehutano zvakadai sekushaya simba, kusunga, kana kushaya simba, zvakadai sechirwere cheschemic. Izvo zviratidzo zvepfungwa zvinotarisa pane nzvimbo yeropa. Mukuwedzera, ropa rinogona kutungamirira kuwedzera kukurira muhenya, iyo inotungamirira kumusoro wepamusoro, kushungurudza, kusuruvara, nekuderedza pfungwa .
Nokuti hutachiona hunopesana nekudzvinyirira neropa, zviratidzo zvepererabral hemorrhage zvinowedzera kuipa kupfuura maminitsi nemaawa.
Izvi zvinopesana ne subarachnoid hemorrhage, iyo inoitika kamwe kamwe.
Intracerebral Hemorrhage Inoonekwa Sei?
Mukuwedzera pakuongorora murwere, vanachiremba vachada kurongedza zvakananga computed tomography ( CT ) scan yemusoro. Ropa idzva rinotaridzika zvakajeka pa CT scan.
Ndeapi Mishonga yeIntracerebral Hemorrhage?
Nenguva iyo intracerebral hemorrhage inoratidzwa, imwe nzvimbo yekukuvara ichave yatoitwa. Chinonyanya kukosha chichagadzirisa kubuda ropa kubva pakuwana chero chakaipa. Dambudziko reRopa rinofanira kunge rakanyatsogadziriswa. Kana pane ropa rakaperera mumurwere wehurwere, mishonga inogona kupiwa kuti ishandurwe nayo.
Nhanho inotevera ndeyokudzivirira chero migumisiro yemigumisiro kubva mukudengenyeka kwemvura, zvakadai sekuwedzera kuwedzera kwechisimba. Kuti ave nechokwadi chokuti murwere anonyatsochengetwa, varwere vakawanda vane chirwere chekushaya ropa chinotapurirwa kunotamirwa kuCU neurological .
Ndeipi Mukana Wekuwanazve Kubva muIntracerebral Hemorrhage?
Pakati pe30 kusvika ku50 muzana yevanhu vane intracerebral hemorrhage havazopona kupfuura gore. Nzvimbo uye ukuru hwekubuda ropa, pamwe nezera, hutano nehutano hwekuziva kweakabatwa, zvose zvinopinda mukana wekupona. Kana uyo akabatwa aine mishonga inopedza ropa, zvinoguma zvingangova zvakanyanya.
Zvakaoma kutaura kuti kazhinji vanhu vane intracerebral hemorrhage vanodzokera kune hutano hwakanaka hwekuzvimirira kushanda. Vamwe vanhu vanotenda kuti sezvo ropa rinoparadzanisa utano hwehuropi pane kunyatsopamba iyo oxygen, vanhu vanopukunyuka chirwere chinopisa simba vanogona kunge vane zvibereko zvakanaka kana vachienzanisa nevanhu vane ischemic stroke yehukuru hwakafanana. Zvisinei, zvakaoma kuva nechokwadi. Ikozvino kuongororwa kwechiitiko chakanaka chakanaka mushure mokunge intracerebral hemorrhage iri kubva 12 kusvika 39 muzana. Mamwe mashoko anonyatsodiwa.
Sources:
Allan H. Ropper, Daryl R. Gress, Michael. Diringer, Deborah M. Green, Stephan A. Mayer, Thomas P. Bleck, Neurological uye Neurosurgical Care Intensive, Nyaya yechina, Lippicott Williams & Wilkins, 2004
Sacco S, Marini C, Toni D, Olivieri L, Carolei A. Kusangana uye kupona kwemakore gumi ekushaya ropa mukati mevanhu mubhuku revanhu. Stroke. 2009; 40 (2): 394.
van Asch CJ, Luitse MJ, Rinkel GJ, van der Tweel I, Algra A, Klijn CJ. Kuitika, kukanganisa kukwidza, uye kushanda kwehutachiona hwehutachiona nekufamba kwenguva, maererano nezera, zvepabonde, uye dzemadzinza: kuongorora kwakarongeka uye meta-analysis. Lancet Neurol. 2010; 9 (2): 167.