Ukunyuka koxinzelelo lwangaphakathi

Ukonyuka koxinzelelo lwangaphakathi kukunyuka koxinzelelo ngaphakathi kolukakayi olunokubangela okanye lubangele ukulimala kwengqondo.

Ukonyuka koxinzelelo lwe-intracranial kunokubangelwa kukunyuka koxinzelelo lwe-cerebrospinal fluid. Olu lulwelo olujikeleze ingqondo kunye nomqolo womqolo. Ukonyuka koxinzelelo lwe-intracranial nako kunokubangelwa kukunyuka koxinzelelo ngaphakathi kwengqondo uqobo. Oku kunokubangelwa bubunzima (njengethumba), ukopha kwingqondo okanye ulwelo olujikeleze ingqondo, okanye ukudumba ngaphakathi kwengqondo ngokwalo.

Ukonyuka koxinzelelo lwangaphakathi yingxaki yezonyango esongela ubomi. Uxinzelelo lunokonakalisa ingqondo okanye intambo yomqolo ngokucinezela izakhiwo ezibalulekileyo kunye nokuthintela ukuhamba kwegazi kwingqondo.

Iimeko ezininzi zinokunyusa uxinzelelo lwangaphakathi. Izizathu eziqhelekileyo zibandakanya:

• Ukuqhekeka kwe-Aneurysm kunye ne-subarachnoid hemorrhage
• Ithumba lobuchopho
• Ukucaphuka kwe-Encephalitis kunye nokudumba, okanye ukudumba kwengqondo)
• Ukwenzakala entloko
• IHydrocephalus (ukwanda kolwelo olujikeleze ingqondo)
• Uxinzelelo lwegazi oluphezulu (ukopha kwingqondo kuxinzelelo lwegazi oluphezulu)
• I-intraventricular hemorrhage (ukopha kwiindawo ezigcwele ulwelo, okanye ii-ventricles, ngaphakathi kwengqondo)
• I-Meningitis (usulelo lweembrane ezigubungele ubuchopho kunye nentambo yomqolo)
• I-hematoma engaphantsi (ukuphuma kwegazi phakathi kwengubo yengqondo kunye nomgangatho wengqondo)
• I-hematoma ye-Epidural (ukopha phakathi ngaphakathi kwekhayi kunye nesembozo esingaphandle kwengqondo)
• Ukuhlutha
• Ukubetha

Iintsana:

• Ukozela
• Ukwahlula sutures kwikakayi
• Ukudumba kwendawo ethambileyo entloko (bulging fontanelle)
• Ukuhlanza

Abantwana abadala kunye nabantu abadala:

• Utshintsho kwindlela yokuziphatha
• Ukuhla kwesilumkiso
• Intloko ebuhlungu
• Ukuhamba
• Iimpawu zenkqubo yemithambo-luvo, kubandakanya ubuthathaka, ukuba ndindisholo, iingxaki zokuhamba kwamehlo, kunye nokubona kabini
• Ukuxhuzula
• Ukuhlanza

Umboneleli wezempilo uhlala esenza uxilongo ebhedini yesigulana kwigumbi likaxakeka okanye esibhedlele. Oogqirha abanonophelo lokuqala ngamanye amaxesha banokubona iimpawu zokuqala zokunyuka kwengcinezelo yokunganyangeki njengentloko, ukuxhuzula, okanye ezinye iingxaki zenkqubo yeemvakalelo.

Ukuvavanywa kwentloko ye-MRI okanye ye-CT kuhlala kuchonga unobangela woxinzelelo lwangaphakathi kunye nokuqinisekisa isifo.

Uxinzelelo lwe-intracranial lunokulinganiswa ngexesha lempompo yomgogodla (i-lumbar puncture). Inokulinganiswa ngokuthe ngqo ngokusebenzisa isixhobo esigrunjwe ngekakayi okanye ityhubhu (ityhubhu) efakwa kwindawo engenanto kwingqondo ebizwa ngokuba yi-ventricle.

Ukunyuka ngokukhawuleza koxinzelelo lwangaphakathi kukungxamiseka. Umntu uya kunyangwa kwigumbi labagula kakhulu esibhedlele. Iqela lokhathalelo lwempilo liza kulinganisa kwaye libeke esweni iimpawu zomntu zemithambo-luvo kunye nezibalulekileyo, kubandakanya iqondo lobushushu, ukubetha kwentliziyo, inqanaba lokuphefumla, kunye noxinzelelo lwegazi.

Unyango lunokubandakanya:

• Inkxaso yokuphefumla
• Ukutsalwa kwe-cerebrospinal fluid ukuya koxinzelelo olusezantsi kwingqondo
• Amayeza okunciphisa ukudumba
• Ukususwa kwenxalenye yokakayi, ngakumbi kwiintsuku ezimbini zokuqala zestroke esibandakanya ukudumba kwengqondo

Ukuba ithumba, ukopha, okanye enye ingxaki ibangele ukonyuka koxinzelelo lwangaphakathi, ezi ngxaki ziya kunyangwa.

Ukunyuka okungxamisekileyo koxinzelelo lwangaphakathi yinto enobuzaza kwaye ihlala isongela ubomi. Unyango olukhawulezileyo lubangela ukuba ube nembono engcono.

Ukuba uxinzelelo olonyukayo lutyhala kulwakhiwo lobuchopho kunye nemithambo yegazi, inokukhokelela kwiingxaki ezinzulu, ezisisigxina okanye nokufa.

Le meko ihlala ingenakuthintelwa. Ukuba unentloko eqhubekayo, ukungaboni kakuhle, utshintsho kwinqanaba lakho lokuphaphama, iingxaki zenkqubo ye-nervous, okanye ukuxhuzula, funa uncedo lwezonyango kwangoko.

I-ICP inyuswe; Uxinzelelo lwangaphakathi-lukhulisiwe; Uxinzelelo lwegazi ngaphakathi; Ukunyuka koxinzelelo lwangaphakathi; Ngequbuliso ukwanda koxinzelelo lwangaphakathi

• I-Ventriculoperitoneal shunt - ukukhutshwa

• I-hematoma engaphantsi
• Inkqubo ye-nervous central kunye ne-peripheral system

Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW. Ezingxamisekileyo okanye iimeko ezisongela ubomi. Ku: Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW, ii-eds. Isikhokelo sikaSeidel kuViwo loMzimba. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 26.

I-Beaumont A. I-Physiology ye-cerebrospinal fluid kunye noxinzelelo lwangaphakathi. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 52.

UKelly AM. Ukungxamiseka kwe-Neurology. Ku: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, ii-eds. Incwadi yezeMpilo yabantu abadala. Ngomhla we-4. IPhiladelphia, PA: Elsevier Churchill Livingstone; Ngo-2015: 386-427.