Ukuphazamiseka kwesifo sengqondo

I-tractraal hemorrhage okanye i-stroke ephazamisayo yengqondo yintlupheko yemithambo yegazi kwiisiski eziluhlaza. Ngenxa yoko, kukho ukuvuvukala, kwaye emva kokunciphisa indawo ezithile zeengqondo, ukuyeka ukusebenza kwazo.

Iimbangela zesifo esibuhlungu

Izinto eziphambili ezibangela ukubola kwegazi:

• ukuphazamiseka kwegazi, umzekelo, i-hemophilia;
• isifo soxinzelelo;
• aneerysm ye-cerebral;
• ukungabikho komzimba we-vascular anomalies;
• i-blood pressure (i-symptomatic);
• ukugqithiseleka kwamagunya e-thrombolytic.

Kubalulekile ukuphawula ukuba ngezinye iimeko izibangela zokukhubazeka aziwazanga, ukuphazamiseka kungenzeka kumntu onempilo ngokupheleleyo ngenxa yokunyusa, ukukhathazeka ngokomzimba okanye ngokomzwelo.

Iimpawu zokubethelwa kwesifo esibi

Kubalulekile ukuqaphela ukutshatyalaliswa kwasekuqaleni, ngenxa yokuba ixesha lokuqaliswa kweyeza kunokwenzeka ukuphepha iingxaki ezinzima nokunciphisa ixesha lokubuyisela. Imiqondiso ephambili:

• izifo zengqondo;
• intloko;
• buthathaka;
• ukunciphisa ububele kwimida kunye neminwe.

Eminye imbonakalo yekliniki:

• ukudideka kwengqondo;
• ukulahlekelwa kwamandla okuthetha ngokuqhelekileyo;
• ukunciphisa ubuqhetseba obubonakalayo;
• ukuphazamiseka komsebenzi wemoto okanye ukukhubazeka (okupheleleyo okanye okuyingxenye).

Ukunyangwa kwesifo esibuhlungu

Ukuvutha kwamanzi kudinga ukunakekelwa kwezibhedlele. Amanyathelo okunyanga:

• ukuphumla kombhede;
• ukuqaliswa kwezidakamizwa ezichasene nezidakamizwa ukuzinzisa uxinzelelo lwegazi;
• ukusetyenziswa kwezidyoliyo;
• ukusetyenziswa kwamadrenoblock;
• ukuqaliswa kweetyuwa;
• ukunyuka kwamanzi kunye ne-antibiotics yenani le-cephalosporins.

Ufanele uqale unyango kwiiyure zokuqala ezi-3 ukuya ku-6 emva kokuhlaselwa, njengoko oku kuya kukunceda ukuyeka ukubola kwegazi, lumkise ukuphuhliswa kwenkqubo yokuvuvukala nokufa kwezicubu ezithambileyo zobuchopho.

Ukuxela emva kokuphazamiseka kwesifo sengqondo

Ngelishwa, ngaphezu kwesigamu sezigulane zifa ngenxa yomonakalo omkhulu kwiisishu zobuchopho. Phantse i-15% yabasindileyo bafa ngenxa yokuphindaphinda kokuhlaselwa.

Ukuba imeko yesigulane igxininiswe, kufuneka kuthathwe amanyathelo amanyathelo okukhusela i-stroke elandelayo. Ukongezelela, kufuneka unyango lokuvuselela ukulungelelanisa imisebenzi yengqondo kunye nenkqubo yesifo, kunye nomsebenzi wemoto.