I-Intracerebral hemorrhage (ICH) luhlobo olusongela ubomi lwe-stroke olubandakanya ukopha ngaphakathi kwezicubu zobuchopho. Iziganeko ezinje ngoxinzelelo lwegazi zibeka uxinzelelo oluphezulu kwimithambo encinci ebonelela ngegazi kunye neoksijini kwingqondo. Uxinzelelo oluninzi lwe-arterial lwenza ukuba le mithambo iphule kwaye ekugqibeleni ibhloke ukunikezelwa kwegazi, kukhokelela ekonakaleni kweseli.

Ukubetha okufana ne-intercerebral hemorrhage (ICH) kuvela xa ingqondo ingafumani sibonelelo saneleyo segazi kunye neoksijini, enokuziswa yi intlungu, xi nzelelo or i-clot formation formations. Oku yi engxamisekileyo yezobisi efuna ukuphathwa ngokukhawuleza enokubandakanya amayeza, utyando, okanye ungenelelo olulula ukunciphisa uxinzelelo lwegazi; nangona kunjalo, ifuthe loxinzelelo lwegazi-ukuthoba kwe-hemorrhage ye-intercerebral ayaziwa ngokupheleleyo.

Uphononongo kwi-Hemorrhage ye-Intercerebral (ICH)

Uphononongo luka-Anderson, uC. Et. al. (2013) kuvavanywe ukusebenza kongenelelo lwe-Intercerebral Hemorrhage (ICH) ngokunciphisa ngokukhawuleza uxinzelelo lwegazi apho ibandakanyeka kubemi kunye nakwimpawu zeklinikhi. Kwelinye icala, ubungqongqo bokubetha kwabo kwavavanywa Glasgow Coma Scale (GCS) kwaye i Izikolo zeSizwe zeStroke Scale (NIHSS) Isiseko esirekhodiweyo, kwiiyure ezingama-24 nangeentsuku ezisi-7 okanye ngexesha lokuphuma kwabo esibhedlele.

Ngexesha lokuvavanywa kwedatha yokwandlalela, ukuskena kwe-CT kwengqondo okanye i-MRI kwenziwa ukuze kuqinisekiswe ukubetha okungqinelana nobuchule obuqhelekileyo bendlela. Ngaphaya koko, ngeentsuku ezingama-28 okanye ngeentsuku ezingama-90, abaguli balandelwa ngomnxeba okanye ngomntu ngabasebenzi abaqeqeshiweyo bendawo abangazazi izabelo zeqela. Abo baguli abangakwazanga ukufumana unyango olucingelwayo okanye abangakwazanga ukulandela ngqo izikhokelo balandelwa ngokupheleleyo, kunye nolwazi lwabo lubandakanyiwe kuphando 'ngokweenjongo zokunyanga'.

Yintoni eqinisekisiweyo ngexesha lophononongo kwi-Intercerebral Hemorrhage (ICH)

Kwisifundo, abaphandi babele izigulana ezingama-2839 ezinembali yokuchaphazeleka kwegazi ngaphakathi kwiiyure ezi-6 ezidlulileyo kwaye babephakamisa uxinzelelo lwegazi. Baye bakhetha ukufumana unyango olunzulu ukunciphisa uxinzelelo lwegazi ngenjongo yokwehlisa inqanaba le-systolic le- <140 mmHg ngaphakathi kweyure eli-1 okanye unyango olucebisayo olunconywayo olunenjongo yenqanaba le-systolic le- <180 mmHg.

Isiphumo sokuqala sasikukufa okanye ukukhubazeka okukhulu, okwakuchazwa njengenqaku lesi-3 ukuya kwele-6 kwinqanaba lokuHlela kwinqanaba (inqanaba le-0 alibonisi zimpawu, inqaku lesi-5 libonisa ukukhubazeka okukhulu, kunye nenqaku le-6 libonisa ukufa) Iintsuku ezingama-90. Uhlalutyo oluchaziweyo kwangaphambili lwenqaku lokuHlela kwinqanaba lenziwe kunye nenqanaba leziganeko ezimbi zathelekiswa phakathi kwamaqela amabini. Phakathi kwabathathi-nxaxheba abangama-2794 ekunokuthi kumiselwe isiphumo sokuqala, abangama-719 kwabathathi-nxaxheba be-1382 (52.0%) bafumana unyango olunzima, xa kuthelekiswa ne-785 ye-1412 (55.6%) abafumana unyango olunconyelwe sisikhokelo.

Ukusweleka kwakungu-11.9% kwiqela elifumana unyango olunzima kunye ne-12.0% kwiqela elifumana unyango olunconyelwe sisikhokelo. Iziganeko ezimbi ezingezizo zabulala kakhulu zenzeka nge-23.3% kunye ne-23.6% yezigulana kula maqela mabini, ngokwahlukeneyo.

Ekugqibeleni, kwizigulane ezine isisu somzimba, ukunciphisa kakhulu uxinzelelo lwegazi alusebenzi ngempumelelo ukunciphisa umyinge wesiphumo sokuqala sokusweleka okanye ukukhubazeka kakhulu. Nangona kunjalo, uhlalutyo lwamanani amanqaku e-Rankin eguqulweyo abonisa iziphumo eziphuculweyo zomsebenzi kunye nokwehliswa okukhulu koxinzelelo lwegazi.

QHUBEKA FUNDA UFUNDO LWE:

UCraig S. Anderson, MD, Ph.D., Emma Heeley, Ph.D., Yining Huang, MD, Jiguang Wang, MD, uChristian Stapf, MD, uCandice Delcourt, MD, Richard Lindley, MD, Thompson Robinson, MD, UPablo Lavados, MD, MPH, Bruce Neal, MD, Ph.D., Jun Hata, MD, Ph.D., Hisatomi Arima, MD, Ph.D., et al.

 

FUNDA KUNYE:

Uxinzelelo lwegazi: Inkcazo entsha yeNzululwazi yokuVavanywa kwabantu

 

Ngaba uxinzelelo lwegazi olusezantsi luya kunciphisa umngcipheko wezifo zentliziyo nezintso okanye ukubetha?

 

I-Cincinnati Prehospital Stroke Scale. Indima yayo kwiCandelo likaxakeka

 

Umngcipheko ophezulu wokubetha kwamagqala aneengxaki zempilo yengqondo

 

Isisu siyingxaki kubantu abanomsebenzi omude wokuyeka iiyure

 

IAbulensi yokuqala yaseOstreliya - Umda omtsha wokusindisa ubomi