I-Ischemia yengqondo kwiintsana ezingama-60%, kwaye ngokweminye imithombo ukuya kwi-80% yomonakalo wonke kwinkqubo yesantya ephakathi. Ipesenti enkulu yokukhubazeka ibangelwa yimimiselo engqongileyo yokusingqongileyo, kunye nezifo zabasetyhini ngexesha lokukhulelwa, ukubonakaliswa kwe-pathology of pregnancy, kwaye, ngokukodwa ngokukodwa, ngokuphuhliswa okukhulu kwezobuchwepheshe bokubeletha kunye nokuphuhliswa kokuhlaziywa kwamhlanje. Abo bantwana ababethatywayo bafumana ithuba lokuphila. Kodwa oku akuzange kubakhulule ekuvelweni kwezilonda zepolorganic, i-cerebral dysfunctions kwinkqubo yesantya ephakathi okanye ukuphazamiseka kweemoto eziphene (ubhubhane lwe-cerebral palsy).
Yintoni ubuchopho bentliziyo?
I-encephalopathy ye-Hypoxic-enchemism is inxalenye ezimbini: i-hypoxia kunye ne-ischemia.
- I-Hypoxia ingabangelwa ukungena ngokwaneleyo kwe-oksijini kwintsana ngexesha lokukhulelwa (ukungavumelekanga kweendawo eziphambene nokuphulwa kwegazi kuyo, intambo yentambo yokungena okanye ukukhulelwa kwe-iron anemia kumama) okanye neentsholongwane zokuphefumula emva kokubeleka.
- I-Iskemia ibonakalisa njengokuphulwa kwenkqubo ye-cardiovascular system. Ngokuqhelekileyo oku kuyenzeka xa kukho i-hypotension ye-post -atal, ukuphuhliswa kwe-acidosis, ukusilela kwe-electrolytes.
Inkqubo eyinkqubo yokonakalisa kwiiseli zesistim se-nervous is launched. Into engathandekiyo kule meko kukuba le nkqubo inokulibaziseka ngexesha. Ingqungquthela ye-hypoxia okanye i-ischemia kwiintsana ezisemva kusemva, kwaye ukuqaliswa kweenguqulelo zentsholongwane sele zenziwe. Ukongezelela, umntwana akaqulunqwa ngokupheleleyo kwiinkqubo zokuhlawulela i-long-term maintenance of flow flow blood. Ngokukhawuleza, ukuphazamiseka kwenzeka, okukhokelela kwi-edema ye-cerebral kunye necrosis elandelayo okanye i-apoptosis yeeseli. Imiphumo ingaba yinto engalindelekanga.
Unyango lwe-ischemia
Ukunciphisa imiphumo, ngo-2005, i-protocol yamukelwa ukuba incede abantwana abasandul 'ukuzalwa ngengqondo ye-brainchemical "Imigaqo yokuzinzisa iintsana emva kokuba i-asphyxia". Ngokuxhomekeke kwinqanaba le-cerebral ischemia, ii-regimens zonyango ezahlukeneyo zinikezelwa.
Ukuxhalabisa okanye uxinzelelo lwe-CNS ngumpawu kwi-ischemia yesantya sokuqala seentsana kwaye ayisapheli iintsuku ezingama-5-7. Kwinqanaba eliphakathi - ngaphezulu kweentsuku ezingama-7 ngokunamathela ekuthinjeni, ukuthintela ingozi yegazi kunye nezitho zangaphakathi. Iqondo elibi likhokelela ekukhohliseni kunye ne-coma.