Isifo esingapheliyo seHematoma

Umxholo

• Oonobangela kunye nemingcipheko
• Iimpawu ze-hematoma engapheliyo yangaphambi kwendalo
• Ukuchonga isifo esinganyangekiyo sehematoma
• Izinketho zonyango lwe-hematoma engapheliyo
• Imbonakalo yexesha elide ye-hematoma engaphantsi kwesifo
• Ungayikhusela njani ihemmatoma engapheliyo yangaphantsi

Isifo esinganyangekiyo sehematoma

I-hematoma engapheliyo yangaphantsi kwe-subdural (SDH) yingqokelela yegazi kumphezulu wobuchopho, phantsi kwesembozo sangaphandle sobuchopho (ixesha elide).

Ihlala iqala ukwenza iintsuku ezininzi okanye iiveki emva kokuphuma kwegazi ekuqaleni. Ukopha kuqhele ukubangelwa kukonzakala kwentloko.

I-SDH engapheliyo ayisoloko ivelisa iimpawu. Xa isenza njalo, ifuna unyango.

Oonobangela kunye nemingcipheko

Ingxaki enkulu okanye encinci yokwenzakala kwengqondo yokwenzakala entloko sesona sizathu siphambili se-SDH engapheliyo. Kwiimeko ezinqabileyo, enye inokubumba ngenxa yezizathu ezingaziwayo, ezingahambelani nokwenzakala.

Ukopha okukhokelela kwi-SDH engapheliyo kwenzeka kwimithambo encinci ebekwe phakathi kobuso bengqondo kunye nokuhlala. Xa zisaphuka, igazi liyavuza ixesha elide lize lenze ihlwili. Ihlwili libeka uxinzelelo olwandayo kwingqondo yakho.

Ukuba uneminyaka engama-60 ubudala okanye ngaphezulu, unomngcipheko ophezulu kulolu hlobo lwe-hematoma. Izicubu zobuchopho ziyancipha njengenxalenye yenkqubo yokuguga eqhelekileyo. Ukuncipha kuyolula kwaye kuyenze buthathaka imithambo, kungoko nokwenzakala okuncinci entloko kunokubangela i-SDH engapheliyo.

Ukusela kakhulu iminyaka eliqela yenye into eyonyusa umngcipheko we-SDH engapheliyo. Ezinye izinto zibandakanya ukusebenzisa amayeza okucoca igazi, iasprini, kunye neyeza zokuthintela ukudumba ixesha elide.

Iimpawu ze-hematoma engapheliyo yangaphambi kwendalo

Iimpawu zale meko zibandakanya:

• intloko ebuhlungu
• isicaphucaphu
• ukugabha
• ingxaki yokuhamba
• imemori ephazamisekileyo
• iingxaki ngombono
• ukuxhuzula
• ingxaki yokuthetha
• ingxaki yokuginya
• ukudideka
• ubuso obungenamandla okanye obuthathaka, iingalo, okanye imilenze
• ukungakhathali
• ubuthathaka okanye ukukhubazeka
• ikhoma

Iimpawu ezichanekileyo ezibonakala zixhomekeke kwindawo kunye nobukhulu behemmatoma yakho. Ezinye iimpawu zenzeka rhoqo kunabanye. Ukufikelela kwiipesenti ezingama-80 zabantu abanolu hlobo lwe-hematoma baneentloko.

Ukuba iqokobhe lakho likhulu, ukulahleka kwamandla okuhamba (ukukhubazeka) kunokwenzeka. Unokuba ungazi nto kwaye ungene kwi-coma. I-SDH engapheliyo ebeka uxinzelelo olukhulu kwingqondo kunokubangela ukonakala kwengqondo okungapheliyo kunye nokufa.

Ukuba wena okanye umntu omaziyo ubonakalisa iimpawu zale meko, kubalulekile ukuba ufune uncedo olukhawulezileyo lonyango. Abantu abanokuxhuzula okanye abalahlekileyo bafuna ukhathalelo olungxamisekileyo.

Ukuchonga isifo esinganyangekiyo sehematoma

Ugqirha wakho uya kuqhuba uvavanyo lomzimba ukukhangela iimpawu zomonakalo kwinkqubo yakho yeemvakalelo, kubandakanya:

• ukulungelelaniswa okungalunganga
• iingxaki zokuhamba
• ukukhubazeka kwengqondo
• ubunzima bokulinganisa

Ukuba ugqirha ukrokrela ukuba une-SDH enganyangekiyo, kuyakufuneka uphinde uvavanywe. Iimpawu zale meko zinje ngeempawu zokuphazamiseka kunye nezigulo ezichaphazela ingqondo, ezinje:

• Isifo sengqondo esiyingozi
• izilonda
• encephalitis
• imivumbo

Uvavanyo olunjenge-imagination yamagnetic resonance (MRI) kunye nekhompyuter ye-tomography (CT) inokukhokelela kuxilongo oluchanekileyo.

I-MRI isebenzisa amaza erediyo kunye nomazibuthe ukuvelisa imifanekiso yamalungu akho. Iskena se-CT sisebenzisa ii-X-reyi ezininzi ukwenza imifanekiso enamacandelo emathambo kunye nolwakhiwo oluthambileyo emzimbeni wakho.

Izinketho zonyango lwe-hematoma engapheliyo

Ugqirha wakho uya kugxila ekukhuseleni ingqondo yakho kumonakalo osisigxina kunye nokwenza ukuba kube lula ukulawula iimpawu. Amachiza e-anticonvulsant anokunceda ekunciphiseni ubungqongqo okanye ayeke ukuba ingenzeki. Iziyobisi ezaziwa ngokuba yi-corticosteroids zikhupha ukudumba kwaye ngamanye amaxesha zisetyenziselwa ukunciphisa ukudumba engqondweni.

I-SDH enganyangekiyo inokunyangwa ngokuhlinzwa. Inkqubo ibandakanya ukwenza imingxunya emincinci kukhakhayi ukuze igazi liphume. Oku kususa uxinzelelo kwingqondo.

Ukuba uneqhwa elikhulu okanye elingqingqwa, ugqirha wakho angalisusa ixhoba lekhakhwe okwethutyana kwaye alikhuphe. Le nkqubo ibizwa ngokuba yi-craniotomy.

Imbonakalo yexesha elide ye-hematoma engaphantsi kwesifo

Ukuba unempawu ezinxulumene ne-SDH engapheliyo, kuya kufuneka utyando. Isiphumo sokususwa kotyando siphumelele iipesenti ezingama-80 ukuya kuma-90 zabantu. Kwezinye iimeko, i-hematoma iya kubuya emva kokuhlinzwa kwaye kufuneka isuswe kwakhona.

Ungayikhusela njani ihemmatoma engapheliyo yangaphantsi

Ungayikhusela intloko yakho kwaye unciphise umngcipheko we-SDH engapheliyo ngeendlela ezininzi.

Thwala isigcina-ntloko xa ukhwele ibhayisekile okanye isithuthuthu. Soloko ubophe ibhanti yakho emotweni ukunciphisa umngcipheko wokulimala entloko ngexesha lengozi.

Ukuba usebenza kwindawo enobungozi efana nolwakhiwo, nxiba umnqwazi onzima kwaye usebenzise izixhobo zokhuseleko.

Ukuba ungaphezulu kweminyaka engama-60, sebenzisa ulumkiso ngakumbi kwimisebenzi yakho yemihla ngemihla ukunqanda ukuwa.