Ukumisa ukuma

Ukumiswa komzimba kukuma okungaqhelekanga apho umntu elukhuni ngeengalo ezigotyiweyo, amanqindi abhijelweyo kunye nemilenze ebambe nkqo. Iingalo zigobele ngakumzimba kwaye izihlahla kunye neminwe igobile kwaye ibanjwe esifubeni.

Olu hlobo lokuposa luphawu lomonakalo omkhulu kwingqondo. Abantu abanale meko kufuneka bafumane unyango ngokukhawuleza.

Ukuqina kokuma luphawu lokonakaliswa kwendlela yemithambo-luvo embindini, ophakathi kwengqondo nomqolo. I-midbrain ilawula ukuhamba kweemoto. Nangona i-decorticate posture imbi, ihlala ingabalulekanga njengohlobo lwesimo esingaqhelekanga esibizwa ngokuba yi-defrebrate posture.

Ukuthunyelwa kunokwenzeka kwelinye okanye kumacala omabini omzimba.

Izizathu zokumiswa komzimba zibandakanya:

• Ukopha engqondweni nasiphi na isizathu
• Ithumba lobuchopho
• Ukubetha
• Ingxaki yobuchopho ngenxa yeziyobisi, ityhefu, okanye usulelo
• Ukonzakala kwengqondo ebuhlungu
• Ingxaki yobuchopho ngenxa yokusilela kwesibindi
• Ukonyusa uxinzelelo kwingqondo nangasiphi na isizathu
• Ithumba lobuchopho
• Usulelo, njengeReye syndrome

Ukuthunyelwa ngendlela engaqhelekanga kwalo naluphi na uhlobo kuhlala kwenzeka kwinqanaba lokuncipha. Nabani na onesimo esingaqhelekanga kufuneka ahlolwe ngoko nangoko ngumboneleli wezempilo kwaye anyangwe kwangoko esibhedlele.

Umntu uya kufumana unyango olungxamisekileyo. Oku kubandakanya ukufumana ityhubhu yokuphefumla kunye noncedo lokuphefumla. Umntu lowo uya kwamkelwa esibhedlele aze abekwe kwigumbi labagula kakhulu.

Emva kokuba imeko izinzile, umboneleli uya kufumana imbali yezonyango kumalungu osapho okanye kubahlobo kwaye kuya kwenziwa uvavanyo oluthe kratya lomzimba. Oku kuyakubandakanya ukuvavanywa ngononophelo kwengqondo kunye nenkqubo yovalo.

Imibuzo yembali yezonyango inokubandakanya:

• Ziqale nini iimpawu?
• Ngaba kukho ipatheni kwiziqendu?
• Ngaba ukuma komzimba kuhlala kufana?
• Ngaba ikhona imbali yokulimala entloko okanye ukusetyenziswa kweziyobisi?
• Zeziphi ezinye iimpawu ezenzeke ngaphambili okanye ngokuma okungaqhelekanga?

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi kunye nomchamo ukujonga ukubala kwegazi, isikrini kweziyobisi kunye nezinto ezinobuthi, kunye nokulinganisa iikhemikhali zomzimba kunye neeminerali
• I-angiography yeCerebral (idayi kunye nokufundwa kwe-x-ray yemithambo yegazi kwingqondo)
• I-MRI okanye i-CT scan yentloko
• I-EEG (ukuvavanywa kobushushu bengqondo)
• Uvavanyo lwe-Intracranial uxinzelelo (ICP)
• Ukugqobhoza i-Lumbar ukuqokelela ulwelo lwe-cerebrospinal

Imbonakalo ixhomekeke kwisizathu. Kunokubakho ukonzakala kwengqondo kunye nenkqubo yovalo kunye nokonakala kwengqondo okungapheliyo, oku kunokukhokelela ku:

• Coma
• Ukungakwazi ukunxibelelana
• Ukukhubazeka
• Ukuxhuzula

Ukuma ngokungaqhelekanga - ukumisa komzimba; Ukonzakala kwengqondo ebuhlungu-ukuma okumiselweyo

Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW. Inkqubo yeNeurologic. 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 23.

IHamati AI. Iingxaki ze-neurological zesifo se-systemic: abantwana. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 59.

UPapa L, Goldberg SA. Ukonzakala kwentloko. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 34.