I-cerebral ischemia ezinsana

I-cerebral ischemia (i-hypocic-ischemic encephalopathy) iyinkinga yokugula kokukhulelwa nokubeletha, okubangelwa ukuzalwa kwe-oksijeni yindlala yengqondo. Lesi sifo sivame ukutholakala, kodwa ngokuvamile lapho umntwana ezalwa ingane ayikwazi ukuhluka nganoma iyiphi indlela kusuka ezinganeni eziphilile. Futhi emva kwesikhathi esifushane, lesi sifo siqala ukuzibonakalisa.

Izinto ezingabangela i-cerebral ischemia ezinsana

• iminyaka yowesifazane ekubelethweni ingaphezu kuka-35;
• ukuchithwa kwe-placental ngaphambi kwesikhathi;
• ngaphambi kwesikhashana noma, ngokulandelana, ukulethwa kwesikhashana;
• i-preeclampsia;
• ukwephulwa kwesimiso senhliziyo yesisu;
• i-turbidity ye-amniotic fluid;
• ukuzala okuningi;
• ukugula okungapheli noma okunzima komama ngesikhathi sokukhulelwa.

Izimpawu nezibonakaliso ze-encephalopathy ezinganeni ezisanda kuzalwa

• i-syndrome ye-excitability eyanda - ingane ilele ubuthongo obungenalutho futhi engajulile, uvame ukukhala ngokungenasizathu, ukuqhuma futhi njalo esimweni esijabulisayo;
• i-hydrocephalic syndrome - ingane ikhuphuka ebonakalayo ngobukhulu bekhanda kanye nefonti enkulu enkulu;
• i-convulsive syndrome - ukubonakaliswa kwezimo ezihluphayo;
• i-syndrome yokucindezelwa - ukucwiliswa kokugwinya nokuncelisa kunciphisa, ukwehliswa kwethambo lomzimba, ukubonakala kwe-strabismus no-asymmetry ebusweni kungenzeka. Ingane iba buthule futhi ingasebenzi;
• i-comatose syndrome yisimo esibucayi somntwana, lapho kungekho khona ukucabangela kokuncelisa nokugwinya, futhi akukho nokuphendula okubangelwa ubuhlungu obungaphandle. Kulesi simo, ingane iyanciphise ukucindezelwa kwegazi, kanye nokuphefumula nokugulisa.

I-cerebral ischemia ezinsana - ukwelashwa

Kuye ngezibonakaliso nemiphumela yokuhlolwa, amazinga amathathu okuqina kwe-cerebral ischemia yobuchopho ezinsana ahlukile.

1. Idijithi elula - ukwelashwa kwenziwa esibhedlela sokubeletha, futhi emva kokuphuma kudingekile ukugcina i-neurologist. Kulesi simo, ingane ibhalwe injabulo ngokweqile noma, ngokuphambene, ukucindezelwa phakathi nesonto lokuqala lokuphila.
2. Izinga elilinganiselwe - hhayi ukuphuma esigodini sokubeletha, ukwelashwa kwengane kwenziwa esibhedlela. Le degree of gravity libhekene nokukhubazeka okwesikhathi eside kwesistimu yomswakama oyinhloko wengane, ehambisana nokubonakaliswa kwesikhashana kokuqothulwa.
3. Isiqu esibucayi - ngokushesha ngemva kokubeletha ingane ifakwa enyunithi yokunakekela kakhulu. Isimo somntwana sibonakala ukucindezeleka, senza injabulo, ukuxubana kanye ne-coma.

Njengokwelashwa esigabeni sokuqala sesifo, izifundo eziningana zokusikhipha umzimba ziyokwanela, ngaphandle kokusebenzisa noma yimiphi imithi. Ukwelashwa kwezinga elibi kakhulu le-cerebral ischemia ezinsana ezisanda kuzalwa kungenzeka kuphela ezincomo eziqinile zedokotela. Ngokuvamile lezi zijova, amakhandlela, kanye nokusikhipha imithi kanye ne-electrophoresis nge-papaverine.

I-cerebral ischemia ezinsana - imiphumela

Imithi yesimanje ikuvumela ukuba ugweme izinkinga zalesi sifo. Kodwa njengoba imiphumela ye-cerebral ischemia ezinsana ingaba nzima kakhulu, lesi sifo kufanele sitholakale futhi siphulukiswe ngokushesha ngangokunokwenzeka. Ingxenye eyinhloko yezingane eziye zahlushwa i-cerebral ischemia, zikhona izimpawu ezimbalwa - ukukhathala okusheshayo, inkumbulo empofu, ukukhulelwa kwe-febrile, i-hyperactive syndrome. Umphumela oyingozi kunazo zonke yalesi sifo ezinsaneni i-cerebral palsy (i-cerebral palsy) ne-epilepsy. Isibikezelo se-cerebral ischemia ezisanda kuzalwa sinqunywa ngesilinganiso sobukhulu besifo kanye nokuphumelela kwezinyathelo zokuvuselela ezibekiwe ngumntwana wezinzwa zezingane.