I-edema ye-cerebral

I-Edema ingenzeka kuzo zonke izitho kanye nezinhlelo zomzimba wethu ngezizathu ezihlukahlukene. Esimweni sethu samanje, sizocabangela esinye sezimo ezisongela impilo - i-cerebral edema.

I-cerebral edema - izimbangela

Ukubonakala kwe-edema ye-cerebral kubonakala ngokunyuka kwengcindezi yokunyuka komzimba. Phakathi kwezimbangela zalokho okwenzekayo, okuvame kakhulu yi-craniocerebral trauma. Kodwa i-edema nayo ingenzeka ngenxa yezifo zesimiso sezinzwa eziphakathi, ukusabela kokugula, kanye nezifo ezithathelwanayo. Izimbangela ezivame kakhulu ze-cerebral edema:

• ukuhlukumezeka komshini wengqondo (ingxabano, ukulimala kwezicubu ze-cortex ye-cerebral);
• amagciwane, ukutheleleka kwama-bacterium (meningitis, encephalitis, toxoplasmosis);
• isisu sobuchopho obubi noma obunobunzima;
• izifo zesikhathi eside zesimiso sokuphefumula noma isimiso senhliziyo;
• ukwehla okubukhali ekuphakameni (ukugula kwentaba);
• i-hemorrhage (insizwa) engasebenzi.

Ngokumelene nesimiso sokulimala kwe-cortex ye-cerebral, kunomthelela onzima. Lokhu kubangela ukuphefumula okuncane kwe-oksijini emathisini ebuchopho. Ngakho ukuvuvukala kuyaqala. Kumele kuqashelwe ukuthi ngezinye izikhathi ukuphendula okunjalo kwengqondo kuthatha uhlamvu olusheshayo, futhi ngezinye izikhathi lukhula kancane ngaphandle kokubonakaliswa okukhethekile ezigabeni zokuqala.

Imiphumela ye-Cerebral edema - imiphumela

Ezimweni ze-edema encane ebusweni obangelwa ukugula kwezintaba noma ingxube encane ebuchosheni, noma uma kukhona i-edema ye-cerebral ngemuva kokuhlinzwa ngokuvulwa kwe-skull, asikho isidingo sokwelashwa okukhethekile. Lo mbuso uhamba ngokwawo ezinsukwini ezimbalwa noma ngisho namahora, awuthathi lutho olubi kakhulu lwe-CNS esikhathini esizayo. Yize kunjalo, ukuxilongwa kwezimo ezinjalo kusadingeka ukuze ungaphuthelwa ezinye izimpawu ezisongelayo. Imiphumela yezifo ezingathí sina ezihambisana ne-cerebral edema ingaba nomlingiswa ohlukile:

• ukuphazamiseka kwesistimu ye-musculoskeletal;
• ukulahlekelwa okuphelele noma okuncane kokuzwa, umbono, inkulumo;
• i-amnesia;
• umphumela obulalayo.

Kubalulekile ukukhumbula ukuthi ukunakekelwa kwezempilo okufanele ngesikhathi esifanele kunciphise yonke imiphumela ye-edema ye-cerebral. Ngisho nezimo ezinzima kunazo zonke, ezimweni eziningi, ziyabuyiselwa.

I-edema ye-cerebral ngokushaya

Ukulimaza ebuchosheni kuvimbela ukugeleza kwe-oxygen kwezinye izingxenye zesitho esiphezulu kunazo zonke zesistimu yezinzwa zomphakathi. Ngakho-ke, nge-stroke ye-cerebral, i-edema ye-cerebral ikhula ngokushesha futhi ivame ukuholela emiphumeleni engenakuguquka. Okokuqala kungenzeka ukubuyisela ukujikeleza kwegazi nokukhipha i-edema, amathuba amaningi okuvuselela umsebenzi wesistimu yezinzwa eziphakathi. Kanye nokuphazanyiswa komsebenzi wobuchopho, ukuwohloka komsebenzi wezinhlelo ze-cardiovascular and respiratory kwanda. Amahora ayisithupha ngemuva kwe-edema eyinhloko ehambisana nokuphazamiseka kwe-circulatory, i-edema yesibili (vasogenic) edema. Ibonakala ngokunciphisa ukujikeleza kwegazi ezintweni ezincane zobuchopho futhi kusongela ukufa okuphelele kwamangqamuzana obuchopho. Endabeni ye-cerebral edema nge-stroke, ukwelashwa kwe-ozone kuyindlela ephumelela kakhulu - ukuhlinzeka okusebenzayo kwamangqamuzana obuchopho nge-ozone.

Ukuvuvukala kobuchopho - izimpawu

Ngokuya ngobukhulu besifo esibangela ukuvuvukala, izimpawu zingachazwa noma zifihliwe. Ngezinye izikhathi uphawu olulodwa kuphela lwe-cerebral edema ukuhlanganiswa kwama-optic disc. Kungenziwa kunqunywe ngesikhathi kuhlolwa i-fundus. Izimpawu ezisetshenzisiwe ze-cerebral edema:

• ikhanda elibuhlungu eliphuthumayo, elibonakala liphazamisa;
• ukuhlanza;
• ukwanda kwezinga lokushayela ku-120-150 ukushaya ngomzuzu ngesikhathi sokuphumula;
• ukuphefumula okusheshayo;
• ukukhubazeka noma ukulahlekelwa ulwazi;
• ukukhubazeka kwenkulumo;
• ukuwohloka kombono;
• ukulahlekelwa ibhalansi;
• ukubopha kwemisipha yentamo;
• ukuxubha;
• ezimweni ezimbi - yeka ukuphefumula.

I-cerebral edema - ukwelashwa

Ukuxilongwa nokuhlonza izimbangela ze-edema ye-cerebral kwenza kube lula ukwenza ukwelashwa okulungile nokufika ngesikhathi. I-Edema ingenzeka kokubili endaweni, endaweni eyodwa, nakulo lonke ubuchopho. Ukuze unqume izinga, ubukhulu be-edema nokuphazanyiswa kwesistimu yezinzwa zomphakathi, i-MRI yobuchopho yenziwa, kanye nokuhlaziywa okuningiliziwe kwegazi kanye nomchamo ukuze kubone izimbangela zesifo somzimba. Ngaphezu kwalokho, kuye ngokuthi kusukela ebucayi besifo, yenza isinyathelo sezinyathelo zokuqeda i-edema futhi uphathe lesi sifo ngokwawo, okwenza ukuba:

1. Ukuxhumeka kudivayisi yokuhlinzeka nge-oksijeni yokufakelwa.
2. Ukungenelela kokuhlinzwa, okusiza ukuvuselela ngokushesha ukugeleza kwegazi, ukuqeda umoya we-oksijeni wendawo yengqondo.
3. Ukwelashwa kwezidakamizwa ezingathandabuzi okuhloswe ngazo ukuvamise ukusebenza komshini wokuphefumula, isimiso senhliziyo, ukungahlali kahle kwegazi, futhi, uma kunesidingo, ukuqedwa kokutheleleka.
4. Ukuncipha kokufakelwa ekushiseni komzimba.