Intracerebral hemorrhage (ICH) rudzi rwunotyisidzira hupenyu sitiroko iyo inosanganisira kubuda ropa mukati mehuropi matishu. Zviitiko zvakaita sehypertension zvinoisa kumanikidza kwakanyanya pane tsinga diki dzinopa ropa neoksijeni kuuropi. Kudzvinyirira kwakawanda arterial kunoita kuti tsinga idzi dzitsemuke uye dzinopedzisira dzavhara ropa, zvichikonzera kukuvara kwesero.

Kurova senge kwepfungwa inodzidzisa mweya (hemorrhea hemorrhage (ICH)) kumuka kana huropi husina kuwana huwandu hwakakwana hweropa uye oksijeni, iyo inogona kuunzwa head trauma, hypertension or ropa clot formations. Ichi chi chirwere chinokurumidzira chinoda kushandiswa pakarepo izvo zvinogona kusanganisira mishonga, kuvhiyiwa, kana kupindira nyore kuti uderedze ropa; zvisinei, mhedzisiro yekumanikidzwa kweropa-kuderera kune iyocee hemorrhage hainyatso kuzivikanwa.

Chidzidzo pane iyo Intercerebral Hemorrhage (ICH)

Kuongororwa kwaAnderson, C. et. al. (2013) yakaongorora mashandiro ekupindira kweIntercerebral Hemorrhage (ICH) kuburikidza nekudzikira nekukurumidza kweropa uko kwaisanganisira huwandu hwevatori vechikamu uye zvipatara. Kune rimwe divi, kuomarara kwesitiroko yavo kwakaongororwa kuburikidza Glasgow Coma Scale (GCS) uye National Institutes of Health Stroke Scale (NIHSS) rekodhi yekutanga, kumaawa makumi maviri nemana uye pamazuva manomwe kana panguva yekubva kwavo kuchipatara.

Munguva yekuongororwa kwedhata rekutanga, CT scan yeuropi kana MRI yakaitwa kuitira kuti isimbise sitiroko inoenderana neiyo iripo tsika. Kupfuurirazve, pamazuva makumi masere nemasere kana mazuva makumi mapfumbamwe, varwere vaiteverwa-kana nefoni kana ne-munhu nevashandi veko vakadzidziswa vasingazive zvekugoverwa kweboka. Vaya varwere vakatadza kugamuchira kurapwa kwavanofungidzirwa kana kuti vakatadza kutevedzera nhungamiro vakateedzeredzwa zvakazara, pamwe neruzivo rwavo rwakaiswa mukuferefetwa sekureva kwechinangwa chekurapa.

Izvo zvakave zvakasimbiswa panguva yekudzidza pane iyo Intercerebral Hemorrhage (ICH)

Muchidzidzo ichi, vaongorori vaive vagadza varwere mazana maviri nemakumi masere nemakumi mapfumbamwe nemapfumbamwe vaive nenhoroondo yekuzvimba kweropa mukati meawa matanhatu apfuura uye vaive vakwidza systolic BP. Ivo vakasarudzwa kuti vagamuchire kurapwa kwakasimba kudzikisa yavo yeropa nechinangwa chekudzikisa iyo systolic level ye <2839 mmHg mukati me6 awa kana gwara-rinokurudzirwa kurapwa nechinangwa cheiyo systolic chikamu che <140 mmHg.

Mhedzisiro yacho yaive kufa kana kuremara kukuru, iyo yakatsanangurwa seyero ye3 kusvika ku6 pane yakagadziridzwa Rankin muyero (chiyero che0 chinoratidza hapana zviratidzo, mucherechedzo we5 unoratidza kuremara kwakanyanya, uye chiyero che6 chinoratidza kufa) pa. Mazuva makumi mapfumbamwe. Kufanorongerwa kutsanangurwa kwekuongororwa kweiyo yakagadziridzwa nzvimbo yeChinzvimbo yakaitwawo pamwe neiyo yezviitiko zvakakomba zviitiko zvakaenzaniswa pakati pemapoka maviri. Pakati peavo 90 vatori vechikamu avo mugumo unogona kugadzwa, 2794 ye719 vatori vechikamu (1382%) vachigamuchira kurapwa kwakanyanya, zvichienzaniswa 52.0 ye785 (1412%) vachigamuchira gwara-rinokurudzirwa kurapwa, vaive nepamugumo chiitiko.).

Kufa kwakange kuri 11.9% muboka iri kugamuchira kurapwa kwakasimba uye 12.0% muboka iri kugamuchira kurapwa-inokurudzirwa kurapwa. Zviitiko zvisiri-kufa zvakakomba zvakaitika mu23.3% uye 23.6% yevarwere vari mumapoka maviri aya, zvichiteerana.

Mukupedzisa, mune varwere vane kushaya mbichana hemorrhage, kuderedza kwakanyanya kweropa hakuna kushanda zvakanyanya kuderedza mwero wekutanga kufa kana kuremara zvakanyanya. Nekudaro, kuongorora kwekuongororwa kwezvikamu zvakagadziriswa zveRainin zvakaratidza kuvandudzwa kwezvibodzwa zvinoshanda nekudzikiswa kwakanyanya kweropa.

RAMBA UCHIVERENGA CHIDZIDZO CHE:

Craig S. Anderson, MD, Ph.D., Emma Heeley, Ph.D., Yining Huang, MD, Jiguang Wang, MD, Christian Stapf, MD, Candice Delcourt, MD, Richard Lindley, MD, Thompson Robinson, MD, Pablo Lavados, MD, MPH, Bruce Neal, MD, Ph.D., Jun Hata, MD, Ph.D., Hisatomi Arima, MD, Ph.D., et al., YeIINEREC2 Investigator

 

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