Ukucindezela kokugulisa ingculazi kuyinkomba ekhombisa amandla esenzo sogesi (cerebrospinal fluid) esithombeni sobuchopho. Ngokuvamile libubanzi kusukela ku-100 kuya ku-151 mm. Ukunyuka kwengcindezi engokwemvelo kuyimvelo yokukhubazeka eyenzeka lapho ukuphuma kwegazi noma uketshezi lwe-cerebrospinal kuphazamiseka futhi kuqoqa emgodleni we-cranium.
Izimbangela zokucindezela okwenyukayo okungekho emthethweni
Izizathu eziyinhloko zokunyuka kwengcindezi engezansi yilezi:
- ukutholakala kwe-volumetric ku-cranium (i-tumor, umzimba wangaphandle, i-hematoma);
- ubuthi nokudakwa;
- ukuphazamiseka kokusakaza kwe-cerebral;
- ukulimala kwezicubu zobuchopho (ukulimaza noma ukuncintisana );
- izinguquko zokuvuvukala embranini yobuchopho nge-meningitis, encephalitis noma ventriculitis;
- ukuthuthukiswa kobuchopho okungavamile (u-Arnold Chiari noma uDandy Walker);
- uketshezi okweqile emzimbeni, ngokuvamile ngenxa yalokho inani le-cerebrospinal fluid landa;
- i-meningitis.
Ukuvusa ukuvela kwe-pathology enjalo, i-migraines eqinile, isisindo esiningi nokudlula u-vitamin A.
Izimpawu zengcindezi eyandayo yokunyuka kwengane
Noma yiziphi izimbangela ezibangelwa ukunyuka kwengcindezi yokukhulelwa, izimpawu zalesi simo zihlala zifana njalo. Izimpawu zalesi sifo zihlanganisa:
- ukulala;
- ikhanda elibi kakhulu (ikakhulukazi livele ekuseni ngemva kokuvuka futhi linomuntu oqhumayo noma ocindezelayo);
- i-nausea eqinile;
- imemori ekhubazekile, ukucabanga nokuqaphela;
- ukuphakama okungazelelwe noma ukuwa kwegazi;
- umsindo ezindlebeni ;
- isiyezi;
- ukuthuthumela.
Indlela yokulinganisa ukucindezela okungahambi kahle?
Ukuze unqume ukuthi ingcindezi yakho yokugqoka ingaphezulu, ungasebenzisa izindlela ezifana nalezi:
- i-echoencephaloscopy;
- i-computer noma i-imaging resonance imaging;
- Ukuhlolwa kwesithombe se-fundus.
Kwezinye izimo, ukuthola ukuthi umuntu unesicindezelo esingenayo ingcindezi, ujojowe ngamakhemikhali engxenyeni yobuchopho noma isibonakaliso somgogodla womgogodla bese uxhuma manometer. Le divayisi isebenza ngokufana ne-mercury thermometer.
Ukwelashwa kwengcindezi eyandayo yokunyuka kwengane?
Ukucindezela okuqinile njalo ebuchosheni buphula ngokushesha imisebenzi yakhe. Ngenxa yalokhu, amakhono engqondo angancipha kakhulu, kanye nokulawulwa komsebenzi wezitho zangaphakathi ezihlukahlukene kuphazamiseka. Yingakho zonke iziguli zibekwe ukwelashwa okuyisimangaliso ngokwemithi. Ngenkinga yokunyuka kwengcindezi kufanele ithathe izidakamizwa ezinciphisa inani le-cerebrospinal fluid - iMannitol noma iGlycerol. Ezinye iziguli ziboniswa ukuphathwa kwe-loop diuretic Furosemide kanye ne-hormone izidakamizwa Dexamethasone. Uma ufuna ukusheshisa inqubo yokukhipha i-CSF noma ukuthuthukisa ukumiswa kwayo, udinga ukuphuza amaphilisi e-diuretic Lazex noma i-Diakarb.
Ukwelashwa ngokwemithi yokwanda kwengcindezi yokunyuka kwengane kufanele kuqalwe kuphela emva kokusungula imbangela eyabangela ukuthuthukiswa kwesifo. Ezimweni eziningi, ekuqedeni, ungakhohlwa ngalokhu kuphila. Ngesinye isikhathi kuzinzile konke
Kodwa yini okufanele yenziwe uma ukunyuka kwengcindezi engaphezulu kweqanda kubonakala ngemva kokuqala kwesisu, i-hematoma noma esinye isakhiwo? Kulokhu, ukuhlinzwa okuphuthumayo kufanele kwenziwe. Kuphela emva kokususwa kwemfundo yokuziphendulela kungabhubhisa lesi sifo. Ngokukhiqizwa ngokweqile kwe-cerebrospinal fluid, ukusebenza kwe-shunt kwenziwa. Basiza ukudala indlela eyengeziwe yokuphuza utshwala.