Uxinzelelo lwangaphakathi lwe-Intracranial: Yintoni, Iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili kunye neempawu
• Indlela yokuqinisekisa ukuxilongwa
• Yintoni ebangela uxinzelelo lwegazi ngaphakathi ngaphakathi
• Unyango lwenziwa njani

Uxinzelelo lwegazi lwangaphakathi ligama lezonyango elichaza ukwanda koxinzelelo ngaphakathi kukakayi kunye nomjelo womnqonqo, onokuthi ungabinaso isizathu esithile, saziwa njenge-idiopathic, okanye sibangelwe kukhathazeka okanye zizifo ezinjenge-tumor yengqondo, ukuphuma kwegazi ngaphakathi, uvalo usulelo lwenkqubo, ukubetha okanye icala lesiphumo samachiza athile.

Ngokwesiqhelo, uxinzelelo oluqhelekileyo ngaphakathi kukakayi luyahluka phakathi kwe-5 kunye ne-15 mmHg, kodwa kwi-hypertension yangaphakathi ingaphezulu kweli xabiso kwaye, ke, kwiimeko ezinzima kakhulu inokuthintela igazi ukuba lingene kukhakhayi, lingashiyi oxygenation eyaneleyo yengqondo. .

Kuba ingqondo lilungu elibuthathaka kakhulu kwaye ayinakuhluthwa ioksijini, uxinzelelo lwegazi kufuneka lunyangwe ngokukhawuleza esibhedlele kwaye kuhlala kufanelekile ukuba uhlale esibhedlele iintsuku ezimbalwa.

Iimpawu eziphambili kunye neempawu

Iimpawu kunye neempawu zoxinzelelo lwexinzelelo lwe-intracranial zingabandakanya:

• Intloko eqhubekayo;
• Guqula kwinqanaba lokuqonda;
• Ukuphalaza;
• Utshintsho kumbono, njengabafundi abaxubileyo, amabala amnyama, umbono ophindwe kabini okanye ukungaboni kakuhle;
• Ukukhala endlebeni;
• Ukukhubazeka kwelungu okanye elinye icala lomzimba;
• Ubuhlungu emagxeni okanye entanyeni.

Ngamanye amaxesha kunokubakho ubumfama bokwexeshana, apho umntu athe wamfamekisa ngamaxesha athile emini. Kwabanye abantu, obu bumfama bunokuba sisigxina, kuxhomekeke kwindlela uxinzelelo oluchaphazela ngayo i-optic nerve.

Indlela yokuqinisekisa ukuxilongwa

Uxinzelelo lwangaphakathi lwe-Intracranial lunokukrokrelwa ngugqirha kuphela ngeempawu kwaye xa kungekho ezinye izizathu ezinokubangela utshintsho.

Nangona kunjalo, kuhlala kufanelekile ukwenza uvavanyo oluninzi ukuqinisekisa isifo kwaye uzame ukufumana unobangela. Kule nto, ezona mviwo zixhaphakileyo zibandakanya i-computed tomography, imaging resonance imaging okanye i-lumbar puncture. Xa unobangela ungenakuchongwa, uxinzelelo lwegazi luhlala luchazwa njenge-idiopathic intracranial hypertension, oko kuthetha ukuba ayinaso isizathu esaziwayo.

Yintoni ebangela uxinzelelo lwegazi ngaphakathi ngaphakathi

Uxinzelelo lwangaphakathi lwe-Intracranial luhlala lubangelwa yimeko ebangela ukwanda kubungakanani bengqondo okanye isixa sobushushu bengqondo. Ke, oonobangela abaqhelekileyo zezi:

• I-Cranioencephalic trauma (TBI);
• Ukubetha;
• Ithumba lobuchopho;
• Usulelo kwingqondo, njenge-meningitis okanye i-encephalitis;
• IHydrocephalus.

Ukongeza, naluphi na utshintsho kwimithambo ehambisa igazi ukuya kwingqondo okanye evumela ukuba ulwelo lobuchopho lujikeleze kunokubangela uxinzelelo olonyukayo.

Unyango lwenziwa njani

Unyango lwe-intracranial hypertension luhlala luqhutywa esibhedlele kwaye luxhomekeke kwisizathu sayo. Nangona kunjalo, kuqhelekile ukuba unyango lubandakanye inaliti ye-corticosteroids, i-diuretics okanye i-barbiturates kwi-vein, eyanciphisa inani lolwelo kwikakayi kunye nokunciphisa uxinzelelo.

Ukongeza, kuyacetyiswa ukuba umntu aqhubeke elele ngomqolo kwaye imiqolo ijonge kwi-30º, ukuququzelela ukuhambisa ulwelo lobuchopho, kunye nokuthintela ukuhambisa intloko, njengoko oku kunyusa uxinzelelo emithanjeni.