Cerebral Embolism: Mitundu, Zizindikiro, Sequelae Ndi Zomwe Zimayambitsa

Zamkati

• Sitiroko yamtunduwu imatha kubweretsa zovuta zazikulu ngati singapezeke munthawi yake.
• Kodi sitiroko ndi chiyani?
• Kusiyanitsa pakati pa thrombus ndi embolus
• Chifukwa chiyani ubongo umawonongeka?
• Zizindikiro
• Mitundu yayikulu ya embolism yaubongo
• 1. Chida cha mpweya
• 2. Matenda ophatikizika
• 3. Wodzaza mafuta
• 4. Embolus yamtima
• Matenda ogwirizana ndi sequelae
• Kusokonezeka kwamalamulo okhudzidwa
• Mavuto azilankhulo
• Kufa ziwalo
• Apraxia
• Mavuto okumbukira ndi ma amnesias

Sitiroko yamtunduwu imatha kubweretsa zovuta zazikulu ngati singapezeke munthawi yake.

Embolic stroke, yomwe imadziwikanso kuti ubongo wa embolism, Ndi imodzi mwamavuto akulu azaumoyo omwe angachitike okhudza kugwira ntchito kwa ubongo. Ndi mtundu wa sitiroko womwe ungayambitse kuwonongeka kwa ubongo kwamuyaya, kukomoka, kapena kuyambitsa kufa.

Kenako tiwona momwe kuphatikizika kwaubongo kumachitikira komanso kuwonongeka ndi zovuta zomwe zingayambitse.

Kodi sitiroko ndi chiyani?

Kuphatikizika kwaubongo ndi mtundu wa matenda a mtima, ndiye kuti, matenda amitsempha momwe kusokonekera kwa magazi kumasokonekera (pamenepa, magazi omwe amayenda kudzera mumitsempha yaubongo), ndikuwononga kwambiri kupulumuka kwa zigawo zamthupi zomwe zimathiriridwa ndi ngalandeyo ndi zotulukapo zake chifukwa chakuchepa kwa mpweya. Mwanjira imeneyi, vuto la kubanika kumachitika lomwe limakhudza dera la infarctar kapena ischemic.

Makamaka, chomwe chimasiyanitsa embolism yaubongo ndi mitundu ina ya sitiroko ndi momwe kutha kwa magazi kudera lomwe lakhudzidwa zimachitika. Mu matendawa, thupi limatseka chotengera chamagazi kwakanthawi kapena kosatha mpaka kuchotsedwa mwa opaleshoni.

Kusiyanitsa pakati pa thrombus ndi embolus

Choletsa chomwe chimatulutsa ubongo wa embolism nthawi zambiri chimakhala chotsekemera chomwe chimachitika chifukwa chakuchepa kwa gawo lamitsempha yamagazi. Ziyeneranso kukumbukiridwa, komabe, pangozi zamatsenga thupi loletsa ili limatha kukhala la mitundu iwiri: thrombus kapena embolus.

Ngati ndi thrombus, khungu ili silidzasiya khoma la mtsempha wamagazi, ndipo likhala likukula kukula pamenepo. Mbali inayi, plunger ilibe malo okhazikika mu circulatory system, ndipo imadutsa m'mitsempha yamagazi mpaka "itaphatikizidwa" pamalo amodzi ndikupanga thrombosis.

Chifukwa chake, pomwe thrombus imakhudza gawo lathupi lomwe limakulirako, mimbayo imatha kubwera kuchokera kutali kwakuthupi ndikupangitsa mavuto kulikonse.

Ponena za embolism yaubongo, izo amapezeka mkati mwa ischemias yotchedwa ngozi zoyipa, pomwe infarcts yopangidwa ndi thrombi ndi ngozi za thrombotic.

Chifukwa chiyani ubongo umawonongeka?

Kumbukirani kuti ubongo ndi chimodzi mwazinthu zovuta kwambiri m'thupi la munthu, komanso chimodzi mwazinthu zosalimba kwambiri komanso zofuna mphamvu zambiri.

Mosiyana ndi ziwalo zina m'thupi, imafunikira magazi nthawi zonse kuti agwire ntchito; Makamaka, magalamu 100 aliwonse aubongo amafunika kulandira pafupifupi 50 ml mphindi iliyonse. magazi oyenera okosijeni.

Ngati ndalamazo zigwera pansi pa 30 ml., Malo omwe ali ndi vuto atha kupangika chifukwa chakuchepa kwa glucose ndi oxygen. Pankhani ya embolism yaubongo, malo am'mimba kapena amisempha ndi minofu yakufa opangidwa ndi ma neuron ndi glia.

Zizindikiro

Zizindikiro zazikulu zakanthawi yayitali zopangidwa ndi mtundu uwu wa ischemic attack zitha kukhala zosiyanasiyana, popeza pali ntchito zambiri zomwe zimadalira magwiridwe antchito aubongo. Komabe, zizindikiro zazifupi ndizosavuta kuzindikira ; Izi ndi izi, ngakhale kupezeka kwa chimodzi sichikutanthauza kuti choyambitsa ndi ichi, ndipo sikuyenera kuchitika nthawi imodzi:

Mitundu yayikulu ya embolism yaubongo

Kupatula magawidwe azinthu zosokoneza bongo zomwe zimasiyanitsa ngozi zoyipa ndi zoyipa, zomalizazi zimaperekanso magawo ang'onoang'ono omwe amatilola kuti timvetsetse mawonekedwe amtundu uliwonse.

Kwenikweni, maguluwa amatengera mawonekedwe a plunger yomwe imabweretsa zoopsa. Chifukwa chake, mitundu yayikulu ya embolism yaubongo ndi awa.

1. Chida cha mpweya

Zikatero, plunger ndi mpweya wowuma zomwe zimagwira ntchito popewera magazi.

2. Matenda ophatikizika

Mumtundu woterewu, thupi lomwe limatsekera ndi gawo la chotupa kapena magulu am'magazi a khansa.

3. Wodzaza mafuta

Chodulira chidapangidwa mafuta omwe amapezeka kuti apange chipika mumtsuko wamagazi, ndipo wakhala akuyenda mozungulira atasunthika pamalo ake apachiyambi.

4. Embolus yamtima

Mwa mtundu uwu wamatenda, embolus ndi magazi atsekemera amene wakhala wandiweyani ndi pasty.

Matenda ogwirizana ndi sequelae

Zina mwazomwe zimafala kwambiri pamatumbo ndi izi:

Kusokonezeka kwamalamulo okhudzidwa

Anthu omwe adachitapo sitiroko atha kukhala ndi vuto lalikulu kupondereza zikhumbo, kuwongolera mayankho ovuta, kapena kufotokoza momwe akumvera.

Mavuto azilankhulo

Chilankhulo chimagwiritsa ntchito ma neuron kufalikira pamagawo osiyanasiyana aubongo, motero ndikosavuta kuti ngozi yama ischemic ikhudze ntchito zomwe zimasunga. Mwachitsanzo, mawonekedwe a aphasias ndiofala.

Kufa ziwalo

Kuphatikizika kwaubongo kumatha kupangitsa ziwalo zina za thupi kuti "zisalumikirane" kuchokera kuubongo, zomwe zimapangitsa kuti ulusi waminyewa womwe umawasunthira kuti asayendetsedwe ndi ma motor neurons omwe amafikira.

Apraxia

Apraxias ndi zovuta zochokera pa Zovuta kugwirizanitsa mayendedwe odzifunira.

Mavuto okumbukira ndi ma amnesias

Amnesias, onse obwezerezedwanso ndi anterograde, siwachilendo. Zikhozanso kuchitika kuti kukumbukira kwamachitidwe kumachepa, kulumikizidwa ndi luntha la munthuyo.