Ukulimala kwekhanda

Okuqukethwe okuqinisekisiwe

Ukulimala ekhanda kuyimbangela evame kakhulu yokufa kwabantu abangaphansi kweminyaka engama-40. Ezimweni ezingama-70%, imbangela ukulimala kwengqondo.

Amagama ambalwa mayelana nokulimala ekhanda ...

Okuyingozi kakhulu ebuchosheni ukulimala ekhanda okudala ukusheshisa noma ukubambezeleka ekunyakazeni kwekhanda, njengezingozi zomgwaqo. Uma kwenzeka ukulimala, ugebhezi luhamba luye ngakumandla, ngokushesha kunokuqukethwe kwalo, ubuchopho. Lokhu kubambezeleka kubangela ukungqubuzana nokulimala ebuchosheni hhayi kuphela lapho amandla asetshenziswa khona ngokuqondile, kodwa futhi nezicubu ezitholakala ngakolunye uhlangothi, lapho kwakhiwa khona ingcindezi embi.

Degree futhi ubukhulu ukulimala kobuchopho akubangelwa njalo ubukhulu bokulimala. Kungaba kuncane uma kuqhathaniswa, isb. ukuwa embhedeni, futhi kuholele ku-hematoma enkulu nokufa kwesiguli. Izingozi zomgwaqo ezibukeka ngendlela emangalisayo, lapho imoto ibhujiswe khona ngokuphelele, ingaphela kuphela ngemihuzuko ye-epidermis kanye nekhanda elibuhlungu lesikhashana.

Izimpawu zokulimala ekhanda

Imiphumela yokulimala ekhanda ingase ihlanganise:

1. ukulimala kwekhanda,
2. ukuphuka kwamathambo ogebhezi,
3. ukungqubuzana,
4. ukuphazamiseka kwengqondo,
5. i-hematoma ye-intracranial.

Isinqumo esibaluleke kakhulu sobukhulu bokulimala ukulahlekelwa ukwazi okwenzeka ngokushesha ngemva kokulimala kanye nobude bakho. Ukulahlekelwa ukwazi okuthatha isikhathi esingaphezu kwamahora angu-6 kuyisimiso esivumela ukuhlonzwa kokuhlukumezeka okukhulu kobuchopho, ngezinga lokufa elingama-50%. Olunye uphawu lokulimala olubalulekile ekuhloleni ukuqina kwalo amnesia yomcimbi ngokwawo kanye nesikhathi esedlule (ukubuyisela emuva amnesia). Ngemva kwenkathi yokuquleka, ukudideka kwenzeka, okungukuthi ukuphazamiseka kokuma mayelana nesikhathi, indawo ngisho nokwakho, okuhambisana nokuyaluza, ukukhathazeka nokukhohlisa.

Umphumela omubi kakhulu wokulimala ekhanda uwukuthi ingxubevange or i-hematoma ngaphakathi kwezicubu ezingaphezulu zekhanda. Ukulimala okubonakala esikhumbeni kuvame ukuhambisana nobuhlungu nesiyezi, isikhathi esincike kakhulu ekuphenduleni kwengqondo ekulimaleni. Zingase zihlale amahora noma izinsuku, futhi ezimweni ezingavamile, kuze kube amasonto ambalwa. Ukuhlolwa kwezinzwa akubonisi zimpawu zokulimala kobuchopho.

Izifo ezimbi kakhulu nezihlala isikhathi eside zenzeka uma kwenzeka ukuphuka kwamathambo ogebhezi. Lokhu kuphuka kungaba kuphela ukuphuka okulandelanayo noma ukuhlukana okuhlukene okuhambisana nokugudluzwa kwezingcezu zamathambo kungene ngaphakathi kogebhezi. Ngokucabangela ukuthi isikhumba esimbozayo sidabukile noma cha, ama-fractures ahlukaniswa abe avulekile futhi avaliwe. Vula ama-fracturelapho kukhona ukuphumula ekuqhubekeni kwezicubu, kudinga ukungenelela okusheshayo kokuhlinzwa ngenxa yokuthi kungenzeka ukutheleleka nge-intracranial.

Njengomphumela womphumela ngamunye osohlwini lokulimala ekhanda, kungase kube nokululama okuphelele, ukuphikelela kwezimpawu ezisele zezinzwa noma lokho okubizwa ngokuthi. I-subjective post-traumatic syndrome. Leli gama lihlanganisa ukuphikelela kwesikhathi eside kwekhanda elibuhlungu nezinye izimpawu ezifana nalezi:

1. isiyezi,
2. ukuphazamiseka kokugxilisa ingqondo nokunaka,
3. ukukhubazeka kwenkumbulo,
4. ubuthakathaka obujwayelekile.

Azikho izimpawu zokulimala kobuchopho ezibonwa ekuhlolweni kwemizwa noma ekuhlolweni okwengeziwe okuphindaphindiwe.

Ukulimala ekhanda - izinkinga

Phakathi kwezinkinga eziningi ezingenzeka ngemva kokulimala ekhanda isithuthwane sangemva kokuhlukumezeka. Ukuquleka okuhlobene nokulimala okuhlobene nokulimala kungenzeka ngokushesha ngemva kokulimala noma ngokuhamba kwesikhathi, kuze kufike eminyakeni emibili ngemva kokulimala. Isifo sokuwa sivame ukukhula ngemva kokulimala ngokulimala kwezicubu zobuchopho, ikakhulukazi ngemva kokuphuka okuvulekile nokulimala ebuchosheni, kancane kancane ngemva kokunye ukulimala okuncane. Imvamisa kubonakaliswa uchungechunge lokuquleka okukhulu noma ukuquleka okugxile endaweni ethile yokulimala okubuhlungu. Akuvamile kakhulu, lokhu ukuhlaselwa kokulahlekelwa ukwazi isikhathi esifushane, okuthiwa ukuquleka okuncane.

Ezigulini ezinokuphuka okuvulekile ngokulimala kobuchopho, kunenkomba yokuthi ukwelashwa kwe-prophylactic ye-epilepsyngaphambi kokuba kuvele ukuquleka. Kuzo zonke ezinye izimo, ukwelashwa akuqalwa kuze kube yilapho senzeke okokuqala.

Okunye, okungekuhle, umphumela wekwephuzile kokulimala kungase kube ubuwula, ukukhula ngokushesha uma kuqhathaniswa ngemva kokuquleka okubanzi noma okuningi noma i-hematoma, noma kancane, ngisho nangemva kokulimala okuncane kobuchopho. Imvamisa, kuwukuwohloka komqondo ozinzile ngaphandle kokuthambekela kokukhula ngokuhamba kwesikhathi. Izimpawu zokungasebenzi kahle komqondo kanye nokuziphatha kwesiguli akuhlukile kwezinye izinhlobo zokuwohloka komqondo.

Imiphumela yokulimala ingase ivele ngokushesha ngemva kwayo noma ngokubambezeleka okuthile. Kunoma yikuphi ukulahlekelwa ukwazi, ngisho nesikhashana, kulandela ukulimala, isiguli sidinga ukubhekwa. Ukubonisana nodokotela wezinzwa kuyadingeka esimweni sokwanda kwekhanda, isicanucanu, ukuhlanza kanye nesiyezi.

Uphawu oluphazamisa kakhulu ukwanda okuphindaphindiwe kokuphazamiseka kokuqaphela nokubonakala kwezimpawu zemizwa, njenge:

1. ptosis
2. i-paresis yesitho,
3. ukuphazamiseka kwenkulumo,
4. amaphutha emkhakheni wokubona,
5. ukuvuleka komfundi kwelinye iso.

Iziguli kufanele zilaliswe esibhedlela ngokushesha futhi ezimweni eziningi zihlinzwe. Ijubane lokuqaphela izimpawu eziphazamisayo nokuthutha esibhedlela linquma impilo yesiguli kanye nobukhulu bemiphumela ephuzile yokulimala.

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