Kukhazikika kwachinyengo

Kukhazikika kwamphulupulu ndimakhalidwe abwinobwino omwe amakhudza mikono ndi miyendo molunjika, zala zikulozeredwa pansi, mutu ndi khosi zikubwezeredwa kumbuyo. Minofu imamangirizidwa ndikugwiranso mwamphamvu. Mtundu woterewu nthawi zambiri umatanthawuza kuti pakhala kuwonongeka kwakukulu kwa ubongo.

Kuvulala kwakukulu kwa ubongo ndiye komwe kumapangitsa kuti munthu akhale wosakhazikika.

Opisthotonos (kupsinjika kwamphamvu kwa khosi ndi kumbuyo) kumatha kuchitika pakavuta kwambiri.

Kukhazikika kwachinyengo kumatha kuchitika mbali imodzi, mbali zonse ziwiri, kapena m'manja mokha. Itha kusinthasintha ndi mtundu wina wamakhalidwe abwinobwino otchedwa decorticate kaimidwe. Munthu amathanso kukhala ndi mawonekedwe owoneka bwino mbali imodzi ya thupi ndikusokoneza mawonekedwe mbali inayo.

Zomwe zimayambitsa kusakhazikika ndizo:

• Kutuluka magazi muubongo pazifukwa zilizonse
• Chotupa cha ubongo
• Sitiroko
• Vuto laubongo chifukwa cha mankhwala osokoneza bongo, poyizoni, kapena matenda
• Zovulala muubongo
• Vuto laubongo chifukwa cha kulephera kwa chiwindi
• Kuwonjezeka kwapanikizika muubongo pazifukwa zilizonse
• Chotupa chaubongo
• Matenda, monga meninjaitisi
• Matenda a Reye (kuwonongeka kwaubongo mwadzidzidzi komanso zovuta zamagwiridwe a chiwindi zomwe zimakhudza ana)

Zinthu zokhudzana ndi kusakhazikika pamafunika kuthandizidwa nthawi yomweyo kuchipatala.

Kukhazikika kwachilendo kwamtundu uliwonse nthawi zambiri kumachitika ndikuchepetsa. Aliyense amene ali ndi vuto losavomerezeka ayenera kumufufuza nthawi yomweyo ndi wothandizira zaumoyo.

Munthuyo adzafunika thandizo lachangu nthawi yomweyo. Izi zimaphatikizapo kuthandizira kupuma komanso kuyika kwa chubu chopumira. Munthuyo atha kulowetsedwa kuchipatala ndikuikidwa m'manja mosamalitsa.

Munthuyo atakhazikika, woperekayo amalandila mbiri yonse yazachipatala kuchokera kwa abale ake kapena abwenzi ndipo amamuyesa mokwanira. Izi ziphatikiza kuwunika mosamala ubongo ndi dongosolo lamanjenje.

Achibale adzafunsidwa mafunso okhudzana ndi mbiri ya zamankhwala, kuphatikizapo:

• Zizindikiro zidayamba liti?
• Kodi pali dongosolo ku magawo?
• Kodi thupi lokhazikika nthawi zonse limafanana?
• Kodi pali mbiri yakale yovulala pamutu kapena vuto lina?
• Ndi zisonyezo zina ziti zomwe zidabwera kale kapena zododometsa?

Mayeso atha kuphatikiza:

• Kuyesa magazi ndi mkodzo kuti muwone kuchuluka kwa magazi, kuwunika mankhwala osokoneza bongo ndi zinthu zowopsa, komanso kuyeza mankhwala amthupi ndi mchere
• Cerebral angiography (kupaka utoto ndi x-ray zamitsempha yamagazi muubongo)
• CT kapena MRI yamutu
• EEG (kuyesa kwamafunde aubongo)
• Kuwunika kwa intracranial pressure (ICP)
• Lumbar kuboola kuti atenge madzi amadzimadzi

Maganizo amadalira choyambitsa. Pakhoza kukhala kuvulala kwa ubongo ndi mitsempha ndi kuwonongeka kosatha kwaubongo, komwe kumatha kubweretsa:

• Coma
• Kulephera kulankhulana
• Kufa ziwalo
• Kugwidwa

Opisthotonos - kusakhazikika; Kukhazikika kwachilendo - kusakhazikika; Zowopsa kuvulala kwaubongo - kusakhazikika; Kutha kwachisokonezo - kusokoneza mawonekedwe

Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Dongosolo Neurologic. Mu: Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Upangiri wa Seidel ku Kuyesa Thupi. 9th ed. Philadelphia, PA: Elsevier; 2019: chaputala 23.

Hamati AI. Mavuto amitsempha yama systemic matenda: ana. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 59.

Zowonjezera KC. Kusintha kwa malingaliro ndi chikomokere. Mu: Markovchick VJ, Pons PT, Bakes KM, Buchanan JA, olemba. Zinsinsi Zamankhwala Odzidzimutsa. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 13.

Woischneck D, Skalej M, Firsching R, Kapapa T. Decerebrate atakhala pambuyo povulala kwaubongo: Kupeza kwa MRI ndi kuzindikira kwawo. Kachilombo ka Clin. 2015; 70 (3): 278-285. PMID: 25527191 www.ncbi.nlm.nih.gov/pubmed/25527191.