Isimo se-Decerebrate

Isimo se-Decerebrate ukuma komzimba okungajwayelekile okubandakanya izingalo nemilenze ebanjwe iqonde, izinzwane zikhonjwe phansi, nekhanda nentamo kubuyiselwa emuva. Imisipha iyaqina futhi ibanjwe ngokuqinile. Lolu hlobo lokuthumela ngokuvamile lisho ukuthi kube nomonakalo omkhulu ebuchosheni.

Ukulimala kanzima ebuchosheni kuyimbangela ejwayelekile yokuma okungajwayelekile.

I-Opisthotonos (ukuqhuma kwemisipha okunzima entanyeni nasemhlane) kungenzeka ezimweni ezinzima zokuma okungahambi kahle.

Isimo se-Decerebrate singenzeka ngakolunye uhlangothi, ezinhlangothini zombili, noma ezingalweni nje. Kungashintshashintsha nolunye uhlobo lokuma okungajwayelekile okubizwa ngokuthi ukuma kwe-decorticate. Umuntu futhi angaba nokuma okuwohlokayo ngakolunye uhlangothi lomzimba bese ehlehlisa ukuma kolunye uhlangothi.

Izimbangela zesimo sokuphambuka zifaka:

• Ukopha ebuchosheni nganoma yisiphi isizathu
• Isigaxa sobuchopho
• Unhlangothi
• Inkinga yobuchopho ngenxa yezidakamizwa ezingekho emthethweni, ubuthi, noma ukutheleleka
• Ukulimala kwengqondo okubuhlungu
• Inkinga yobuchopho ngenxa yokwehluleka kwesibindi
• Ingcindezi eyengeziwe ebuchosheni nganoma yisiphi isizathu
• Isigaxa sobuchopho
• Ukutheleleka, njenge-meningitis
• I-Reye syndrome (ukulimala okungazelelwe kobuchopho nezinkinga zokusebenza kwesibindi ezithinta izingane)

Izimo ezihlobene nokuma okungajwayelekile zidinga ukwelashwa ngokushesha esibhedlela.

Ukuma okungajwayelekile kwanoma yiluphi uhlobo ngokuvamile kwenzeka ngezinga elincishisiwe lokuqapha. Noma ngubani onesimo esingajwayelekile kufanele ahlolwe ngaso leso sikhathi ngumhlinzeki wezempilo.

Umuntu uzodinga ukwelashwa okuphuthumayo ngokushesha. Lokhu kufaka phakathi usizo lokuphefumula nokubekwa kweshubhu lokuphefumula. Umuntu kungenzeka angeniswe esibhedlela bese efakwa egumbini labagula kakhulu.

Lapho umuntu esezinzile, umhlinzeki uzothola umlando ophelele wezokwelapha kumalungu omndeni noma kubangani bese enza ukuhlolwa okuphelele ngokwengeziwe komzimba. Lokhu kuzobandakanya ukuhlolwa ngokucophelela kobuchopho kanye nesistimu yezinzwa.

Amalungu omndeni azobuzwa imibuzo ngomlando wezempilo womuntu, kufaka phakathi:

• Zaqala nini izimpawu?
• Ingabe kukhona iphethini eziwombeni?
• Ngabe umzimba omile uhlale ufana?
• Ingabe ukhona umlando wokulimala ekhanda noma esinye isimo?
• Yiziphi ezinye izimpawu ezafika ngaphambi noma ngokuma okungajwayelekile?

Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi nomchamo ukuhlola ukubalwa kwegazi, ukuhlolwa kwezidakamizwa nezinto ezinobuthi, nokukala amakhemikhali omzimba namaminerali
• I-Cerebral angiography (ukutadisha i-x-ray ngemithambo yegazi ebuchosheni)
• I-CT noma i-MRI yekhanda
• I-EEG (ukuhlolwa kwegagasi lobuchopho)
• Ukuqapha kwe-Intracranial pressure (ICP)
• Ukubhoboza i-Lumbar ukuqoqa uketshezi lwe-cerebrospinal

Umbono uncike embangela. Kungahle kube nokulimala kohlelo lobuchopho nolwezinzwa kanye nokulimala kwengqondo okungapheli, okungaholela ku:

• I-Coma
• Ukungakwazi ukuxhumana
• Ukukhubazeka
• Ukuquleka

I-Opisthotonos - isimo esinqabile; Ukuma okungajwayelekile - ukuma okungajwayelekile; Ukulimala kwengqondo okuhlukumezayo - ukuma okungahambi kahle; Ukuma kwe-decorticate - ukuma okweqile

I-Ball JW, i-Dains JE, i-Flynn JA, i-Solomon BS, i-Stewart RW. Uhlelo lwe-Neurologic. Ku: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, ama-eds. Umhlahlandlela kaSeidel Wokuhlolwa Komzimba. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 23.

IHamati AI. Izinkinga ze-neurological zesifo se-systemic: izingane. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 59.

UJackimczyk KC. Isimo sengqondo esishintshile nekhoma. Ku: Markovchick VJ, Pons PT, Bakes KM, Buchanan JA, eds. Izimfihlo Zezimo Eziphuthumayo. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 13.

I-Woischneck D, i-Skalej M, i-Firsching R, i-Kapapa T. I-Decerebrate ihlehlisa ukulandela ukulimala kwengqondo okubuhlungu: Ukutholakala kwe-MRI nenani labo lokuxilonga. I-Clin Radiol. 2015; 70 (3): 278-285. I-PMID: 25527191 www.ncbi.nlm.nih.gov/pubmed/25527191.