Kodi Cerebral Hemorrhage ndi chiyani

Kodi Cerebral Hemorrhage N'chiyani?

Cerebral hemorrhage imatanthawuza kutuluka kwa magazi komwe kumachitika chifukwa cha kusweka kwa mitsempha mu ubongo parenchyma.Imawerengera 20% mpaka 30% ya zikwapu zonse, ndipo kufa kwa pachimake ndi 30% mpaka 40%.

Zimagwirizana kwambiri ndi matenda a cerebrovascular kuphatikiza hyperlipidemia, shuga, matenda oopsa, ukalamba wamtima, kusuta ndi zina zotero..Odwala omwe ali ndi vuto lotaya magazi muubongo nthawi zambiri amayamba mwadzidzidzi chifukwa cha chisangalalo chamalingaliro ndi mphamvu yochulukirapo, ndipo kufa koyambirira kumakhala kokwera kwambiri.Kuphatikiza apo,opulumuka ambiri ali ndi vuto la magalimoto, kulephera kuzindikira, kulankhula ndi kumeza ndi zina zotsatila.

Kodi Etiology ya Cerebral Hemorrhage ndi Chiyani?

Zomwe zimayambitsa ndizomatenda oopsa ndi atherosulinosis, microangioma kapena microangioma.Ena akuphatikizapocerebrovascular malformation, meningeal arteriovenous malformation, amyloid cerebrovascular disease, cystic hemangioma, intracranial venous thrombosis, specific arteritis, fungal arteritis, matenda a moyamoya ndi arterial anatomical variation, vasculitis, chotupa sitiroko., ndi zina.

Palinso zifukwa zina monga magazi kuphatikizapoanticoagulation, antiplatelet kapena thrombolytic therapy, matenda a Haemophilus, leukemia, thrombocytopenia intracranial zotupa, uchidakwa ndi mankhwala achifundo..
Kuphatikiza apo,mphamvu mopitirira muyeso, kusintha kwa nyengo, zokonda zosayenera (kusuta, uchidakwa, zakudya zamchere, kunenepa kwambiri), kusinthasintha kwa magazi, kusokonezeka maganizo, kugwira ntchito mopitirira muyeso., ndi zina zotero zikhoza kukhala zifukwa zomwe zimayambitsa kutaya magazi muubongo.

Kodi Zizindikiro za Cerebral Hemorrhage ndi Chiyani?

Hypertensive intracerebral hemorrhage nthawi zambiri imapezeka muzaka zapakati pa 50 mpaka 70, ndipo zambiri mwa amuna.Ndizosavuta kuchitika m'nyengo yozizira ndi masika, ndipo nthawi zambiri zimachitika panthawi ya ntchito komanso chisangalalo chamaganizo.Nthawi zambiri palibe chenjezo lisanatuluke magazi ndipo pafupifupi theka la odwala amakhala ndi mutu waukulu komanso masanzi.Kuthamanga kwa magazi kumakwera kwambiri pambuyo pa kutuluka kwa magazi ndipo zizindikiro zachipatala nthawi zambiri zimafika pachimake pakapita mphindi kapena maola.Zizindikiro zachipatala ndi zizindikiro zimasiyana malinga ndi malo komanso kuchuluka kwa magazi.Hemiplegia yoyambitsidwa ndi kutuluka kwa magazi mu basal nucleus, thalamus ndi kapisozi wamkati ndi chizindikiro chofala choyambirira.Pakhoza kukhalanso zochitika zingapo za khunyu zomwe nthawi zambiri zimakhala zokhazikika.Ndipo odwala kwambiri amatha kukomoka kapena kukomoka.

1. Kusokonekera kwa magalimoto ndi kulankhula
Kusagwira bwino kwa magalimoto kumatanthawuza hemiplegia ndipo vuto la kulankhula ndi aphasia ndi kusamveka bwino.
2. Kusanza
Pafupifupi theka la odwalawo amatha kusanza, ndipo izi zitha kukhala zokhudzana ndi kuthamanga kwa magazi muubongo, kukomoka, komanso kukondoweza kwamagazi a meninges.
3. Kusokonezeka kwa Chidziwitso
Lethargy kapena chikomokere, ndipo digiriyi imakhudzana ndi malo, kuchuluka kwake, komanso kuthamanga kwa magazi.Kutaya magazi kwakukulu m'kanthawi kochepa mkatikati mwa ubongo kumakhala kosavuta kuchititsa chikomokere.
4. Zizindikiro za maso
Osafanana wophunzira kukula zambiri zimachitika odwala matenda chophukacho chifukwa cha kuchuluka intracranial kuthamanga;pangakhalenso hemianopia ndi kusokonezeka kwa maso.Odwala omwe ali ndi vuto lotaya magazi muubongo nthawi zambiri amayang'ana mbali yakutaya magazi muubongo mu gawo lachimake (kuyang'ana ziwalo).
5. Mutu ndi chizungulire
Kupweteka kwa mutu ndi chizindikiro choyamba cha kutaya magazi muubongo, ndipo nthawi zambiri kumakhala mbali ya magazi.Kuthamanga kwa intracranial kumawonjezeka, ululu ukhoza kufika kumutu wonse.Chizungulire nthawi zambiri chimagwirizana ndi mutu, makamaka mu cerebellum ndi brainstem hemorrhage.