Umfutho wegazi ophezulu we-Intracranial: Kuyini, Izimpawu kanye nokwelashwa

-Delile

• Izimpawu nezimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yini ebangela umfutho wegazi ophakeme ngaphakathi
• Yelashwa kanjani

Umfutho wegazi ophezulu we-Intracranial yigama lezokwelapha elichaza ukwanda kwengcindezi ngaphakathi kogebhezi nxazonke zomgogodla, okungenzeka kungabi nasizathu esithile, esaziwa njenge-idiopathic, noma okubangelwa ukuhlukumezeka noma izifo ezifana nesimila sobuchopho, ukuphuma kwegazi okungaphakathi, uvalo ukutheleleka kohlelo, isifo sohlangothi noma imiphumela eseceleni yezinye izidakamizwa.

Imvamisa, ingcindezi ejwayelekile ngaphakathi kogebhezi iyehluka phakathi kuka-5 no-15 mmHg, kepha uma umfutho wegazi ophakeme ungaphezu kwaleli nani, ngakho-ke, ezimweni ezinzima kakhulu ingavimbela igazi ukuthi lingene kugebhezi, kungashiyi oxygenation eyanele yobuchopho. .

Njengoba ubuchopho buyisitho esibucayi kakhulu futhi bungephucwe umoya-mpilo, umfutho wegazi ophakeme kufanele welashwe ngokushesha okukhulu esibhedlela futhi imvamisa kuyadingeka ukuhlala esibhedlela izinsuku ezimbalwa.

Izimpawu nezimpawu eziyinhloko

Izimpawu nezimpawu ze-hypertension engasebenzi ngaphakathi zingafaka:

• Ikhanda eliqhubekayo;
• Shintsha ezingeni ukwazi;
• Ukuhlanza;
• Izinguquko kumbono, njengabafundi abahlanjululiwe, izindawo ezimnyama, umbono ophindwe kabili noma ophuphuthekile;
• Ukukhala endlebeni;
• Ukukhubazeka kwesitho noma uhlangothi olulodwa lomzimba;
• Ubuhlungu emahlombe noma entanyeni.

Kwezinye izimo kungahle kube nobumpumputhe besikhashana, lapho umuntu ephuphuthekiswa khona ngezikhathi ezithile zosuku. Kwabanye abantu, lobu bumpumputhe bungahlala unomphela, kuya ngokuthi ingcindezi iyithinta kanjani imizwa ye-optic.

Ungakuqinisekisa kanjani ukuxilongwa

Umfutho wegazi ophezulu we-Intracranial ungasolwa ngudokotela kuphela ngezimpawu nangezikhathi ezingekho ezinye izimbangela ezingadala ushintsho.

Kodwa-ke, kuyadingeka ukwenza izivivinyo eziningana ukuqinisekisa ukuxilongwa bese uzama ukuthola imbangela. Ngalokhu, izivivinyo ezivame kakhulu zifaka i-computed tomography, imaging resonance imaging noma i-lumbar puncture. Lapho kungatholakali imbangela, umfutho wegazi ophezulu uvame ukuchazwa ngokuthi yi-idiopathic intracranial hypertension, okusho ukuthi ayinayo imbangela eyaziwayo.

Yini ebangela umfutho wegazi ophakeme ngaphakathi

Umfutho wegazi ophezulu we-Intracranial uvame ukubangelwa yisimo esidala ukwanda ngosayizi wobuchopho noma inani loketshezi lobuchopho. Ngakho-ke, izimbangela ezivame kakhulu yilezi:

• Ukuhlukumezeka kwe-Cranioencephalic (TBI);
• Unhlangothi;
• Isigaxa sobuchopho;
• Ukutheleleka ebuchosheni, njenge-meningitis noma i-encephalitis;
• IHydrocephalus.

Ngaphezu kwalokho, noma yiluphi ushintsho ezitsheni ezihambisa igazi ebuchosheni noma oluvumela uketshezi lobuchopho ukuba lujikeleze nakho kungadala ingcindezi eyengeziwe.

Yelashwa kanjani

Ukwelashwa komfutho wegazi ophakeme ngaphakathi kuvame ukwenziwa esibhedlela futhi kuya ngesizathu saso. Kodwa-ke, kujwayelekile ukuthi ukwelashwa kufake umjovo we-corticosteroids, i-diuretics noma i-barbiturates emthanjeni, okwehlisa inani loketshezi kugebhezi futhi kunciphise ingcindezi.

Ngaphezu kwalokho, kunconywa ukuthi umuntu aqhubeke elele ngomhlane futhi nemihlane yabo itshekiswe ku-30º, ukwenza lula ukugeleza koketshezi lobuchopho, kanye nokugwema ukuhambisa ikhanda, ngoba lokhu kwandisa ingcindezi emithanjeni.