Tanthauzo la Cerebral Infarction
Cerebral infarction imatchedwanso ischemic stroke.Matendawa amayamba chifukwa cha matenda osiyanasiyana a m'dera magazi mu minofu yaubongo, zomwe zimatsogolera ku ubongo wa ischemia ndi anoxia necrosis, ndiyeno kuperewera kwa minyewa yamitsempha.
Malinga ndi matenda osiyanasiyana, infarction ya ubongo imagawidwa m'magulu akuluakulu monga cerebral thrombosis, cerebral embolism ndi lacunar infarction.Pakati pawo, cerebral thrombosis ndi mtundu wofala kwambiri wa infarction ya ubongo, yomwe imawerengera pafupifupi 60% ya matenda onse a ubongo, kotero otchedwa "cerebral infarction" amatanthauza thrombosis ya ubongo.
Kodi Pathogeny ya Cerebral Infarction ndi chiyani?
1. Arteriosclerosis: thrombus imapangidwa pamaziko a atherosclerotic plaque mu khoma la mitsempha.
2. Cardiogenic cerebral thrombosis: Odwala ndi atrial fibrillation amatha kupanga thrombosis, ndipo thrombus imalowa mu ubongo kuti itseke mitsempha ya ubongo, kuchititsa kuti ubongo uwonongeke.
3. Zomwe zimateteza chitetezo cha mthupi: Kusatetezedwa bwino kumayambitsa matenda a arteritis.
4. Matenda opatsirana: leptospirosis, chifuwa chachikulu, ndi chindoko, zomwe zingayambitse kutupa kwa mitsempha ya magazi, zomwe zimayambitsa matenda a ubongo.
5. magazi matenda: polycythemia, thrombocytosis, intravascular coagulation, etc. sachedwa thrombosis.
6. Kobadwa nako kakulidwe kachilendo: dysplasia wa minofu ulusi.
7. Kuwonongeka ndi kuphulika kwa intima ya mtsempha wamagazi, kotero kuti magazi alowe mu khoma la mitsempha ya magazi ndikupanga njira yopapatiza.
8. Ena: mankhwala, zotupa, mafuta emboli, mpweya emboli, etc.
Kodi Zizindikiro za Cerebral Infarction Ndi Chiyani?
1. Zizindikiro zodziwika:mutu, chizungulire, vertigo, nseru, kusanza, motor ndi/kapena sensory aphasia komanso ngakhale chikomokere.
2. Zizindikiro za mitsempha ya muubongo:maso amayang'ana mbali ya zilonda, neurofacial paralysis ndi lingual paralysis, pseudobulbar paralysis, kuphatikizapo kutsamwitsidwa ndi kumwa komanso kuvutika kumeza.
3. Zizindikiro zathupi:Limb hemiplegia kapena mild hemiplegia, kuchepa kwa thupi, kuyenda kosakhazikika, kufooka kwa miyendo, kusadziletsa, etc.
4. Kwambiri ubongo edema, kuchuluka intracranial anzawo, ndipo ngakhale ubongo chophukacho ndi chikomokere.vertebral-basilar artery system embolism nthawi zambiri imayambitsa chikomokere, ndipo nthawi zina, kuwonongeka kumatha kukhala kotheka pambuyo pokhazikika komanso kuwongolera, ndipo pali kuthekera kwakukulu kwa kubwereza kwa infarction kapena kukha magazi kwachiwiri.
Nthawi yotumiza: Apr-20-2020