Ukuma kwe-decorticate

Ukuma kwe-decorticate ukuma okungajwayelekile lapho umuntu eqina khona ngezingalo ezigoqiwe, izibhakela ezihlanganisiwe, nemilenze ebanjwe iqonde. Izingalo zigobile zibheke emzimbeni futhi izihlakala neminwe kugobile kubanjwe esifubeni.

Lolu hlobo lokumiswa luyisibonakaliso somonakalo omkhulu ebuchosheni. Abantu abanalesi simo kufanele bathole ukwelashwa ngokushesha.

Ukuma kwe-decorticate kuyisibonakaliso sokulimala kwendlela yezinzwa ebuchosheni obuphakathi, obuphakathi kobuchopho nentambo yomgogodla. I-midbrain ilawula ukuhamba kwezimoto. Yize ukuma kwe-decorticate kuyinto engathi sína, imvamisa ayibi kangako njengohlobo lokuma okungajwayelekile okubizwa ngokuthi yi-defrebrate posture.

Ukuma kungahle kwenzeke ohlangothini olulodwa noma zombili zomzimba.

Izimbangela zokuma kwe-decorticate zifaka:

• Ukopha ebuchosheni nganoma yisiphi isizathu
• Isigaxa sobuchopho
• Unhlangothi
• Inkinga yobuchopho ngenxa yezidakamizwa, ubuthi, noma ukutheleleka
• Ukulimala kwengqondo okubuhlungu
• Inkinga yobuchopho ngenxa yokwehluleka kwesibindi
• Ingcindezi eyengeziwe ebuchosheni nganoma yisiphi isizathu
• Isigaxa sobuchopho
• Ukutheleleka, njenge-Reye syndrome

Ukuma okungajwayelekile kwanoma yiluphi uhlobo ngokuvamile kwenzeka ngezinga elincishisiwe lokuqapha. Noma ngubani onesimo esingajwayelekile kufanele ahlolwe ngaso leso sikhathi ngumhlinzeki wezokunakekelwa kwezempilo bese elashwa khona lapho esibhedlela.

Umuntu uzothola ukwelashwa okuphuthumayo. Lokhu kufaka phakathi ukuthola ishubhu lokuphefumula nosizo lokuphefumula. Umuntu kungenzeka angeniswe esibhedlela bese efakwa egumbini labagula kakhulu.

Ngemuva kokuthi isimo sizinzile, umhlinzeki uzothola umlando wezokwelapha kumalungu omndeni noma kubangani bese kwenziwa ukuhlolwa okuningiliziwe komzimba. Lokhu kuzobandakanya ukuhlolwa ngokucophelela kobuchopho kanye nesistimu yezinzwa.

Imibuzo yomlando wezokwelapha ingafaka:

• Zaqala nini izimpawu?
• Ingabe kukhona iphethini eziwombeni?
• Ingabe ukuma komzimba kuhlala kufana?
• Ingabe ukhona umlando wokulimala ekhanda noma ukusetshenziswa kwezidakamizwa?
• Yiziphi ezinye izimpawu ezenzeke ngaphambi kokuma okungajwayelekile?

Ukuhlolwa okungenziwa kufaka phakathi:

• 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-MRI noma i-CT scan 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

Ukuma okungavamile - ukuqeda ukuma; Ukulimala kwengqondo okuhlukumezayo - ukuqeda ukuma

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.

UPapa L, Goldberg SA. Ukuhlukumezeka ekhanda. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 34.