Asang'ambe amazindikira boma (maso chikomokere): Zizindikiro ndi Njira Chithandizo

A chikhalidwe yodziwika ndi imfa ya ntchito chidziwitso ndi mphwayi wathunthu, amene anauka chifukwa cha kuvutika mu kotekisi oziziritsa, wotchedwa boma asang'ambe sadziwa. akuti anali anadzetsa mankhwala mu 1940 ndi German zamaganizo E. Kretschmer.

zifukwa

Nthawi zambiri akudzuka chikomokere (ndi dzina lachiwiri la malipoti a m'nkhaniyi matenda) zikadzatha chaukali zoopsa choipa ubongo. Nthawi zambiri, monga matenda pathological akufotokozera chifukwa cha hypoxia poizoni, kagayidwe kachakudya, mtima, matenda ndi matenda ena ubongo. Iwo anaona kuti matenda amawapeza 14% ya odwala yaitali zoopsa chikomokere. Asang'ambe amazindikira boma la mwanayo zambiri zimachitika pambuyo meningoencephalitis, kuwatsitsimula, kuvulala craniocerebral. Mu matenda angathe mosathamanga kwa miyezi 2-3 kapena zaka. Odwala amene ali chikomokere kwa amene sanali zoopsa, monga chikhalidwe amagwirizana ndi kuwonongeka structural kuti ndi ganglia woyambira ndi kotekisi ndi kuteteza wachibale wa tsinde ubongo.

chithunzi matenda

Zizindikiro za matenda kumaonekera pokhapokha mtima mwa chikomokere. Mu nthawi imeneyi yafupika maso. Monga ulamuliro, diso la munthu, omwe amawapeza apallic, lotseguka syndrome. Iye mosavuta atembenuza iwo, koma tione si kukonza. zochita aliyense maganizo ndipo palibe kulankhula. Contact ndi munthu woteroyo sizingatheke ngati malamulo wapakamwa iwo anazindikira. Zikavuta kwambiri, wodwalayo chigonere, akupanga kayendedwe wachisokonezo ya nthambi. Nthawi zambiri odwala kudwala izi zimachitika ziwalo, paresis, hyperkinesis, oculomotor chisokonezo. Ichi ndi chifukwa chakuti mu Zikavuta matenda chimafikira kulepheretsa ndi nyumba subcortical ubongo. Pankhaniyi, odwala mayankho kwa mitundu yosiyanasiyana ya zikuchitika, nthawi zambiri - ululu mu mawonekedwe a kufuula phokoso munthu kapena magulu mwadzidzidzi. Nthawi zina zikhoza kukhala chiwonetsero cha kumvetsa bongo m'kamwa. Wodwala amatsegula pakamwa pake, pamene tipemphela kwa munthu akutsutsa timitengo lirime lake. Choncho ntchito yonse vegetative monga Pomeza, mtima, kupuma, wakuyamwa, ndowe ndi mkodzo excretion kusungidwa. A aima khalidwe la munthu ndi matenda a "boma asang'ambe amazindikira" - manja clenched mu zibakera, mapazi ali plantar flexion. Amimichno nkhope, nthawizina pali yawning. Mu bondo ndipo chigongono mafupa komanso ali chimaonekadi pang'ono flexion. Odwala amene ali akudzuka chikomokere amalimbikira kusintha nthawi ya maso ndi tulo, osati malinga ndi nthawi ya tsiku.

diagnostics Integrated

Asang'ambe boma sadziwa (maso chikomokere) ndi wapezeka pamaziko a mbali khalidwe. Komanso, kugwiritsa ntchito akupanga matenda kudwala kuphunzira mitsempha zotumphukira ndi zazikulu ndi mitsempha ya chiwindi, mutu, miyendo ndi impso. Komanso, ziwiya ka magazi anagwira capillaroscopy chamoyo ECG kuphimba kusintha ischemic mu mnofu mtima. An kufufuza ubongo (electroencephalogram), ndi chikhalidwe cha kusinthasintha mtima kwa maganizo ndi thupi, komanso ubongo ndi somatic anayendera.

mbali khalidwe

Akugwirira mu masabata oyambirira angapo, anafotokoza amalembedwa kusintha zowombetsa mkota. Ndiyeno miyezi iwiri ndi itatu kusungidwa predominance tetaaktivnosti. Patapita miyezi sikisi, pali ntchito Alpha (otsika-index). Chifukwa cha maphunziro ndi yopangidwa tomography anaulula ubongo manja, komanso kukula kwa ventricles lapansi.

Asang'ambe amazindikira boma. chithandizo

Mu Zikavuta kwambiri kusonyeza kuwatsitsimula. Njira ntchito zachipatala anatsimikiza ndi peculiarities wa chipatala, etiology wa chisokonezo ndi boma ambiri wodwala.

Kuwatsitsimula ndi odwala mwakayakaya

Malangizo waukulu amachitira chikhalidwe pathological ndi matenda ntchito mtima ndi kupuma, kuthamanga kwa magazi homeostasis, hemodynamics (ubongo ndi okwana), edema odana oziziritsa ndi hypoxia. A mwambo wofunika kwambiri kusamalira wodwalayo. Pewani tilting mutu, lilime. Nthawi kusintha m'thupi lake udindo (koposa zonse - kumbali), kuti achite chimbudzi m'mphuno tsiku, bronchial machubu ndi pakamwa. Mu dipatimenti ya odwala mwakayakaya oyang'anira zizindikiro zofunika la dziko la thupi. Izi magazi, kugunda kwa mtima, akugwirira, thupi kutentha, ECG, voliyumu ndi mlingo kupuma, komanso mpweya asidi ndipo ataimirira magazi. Pamene asonyeza chintchito kupuma anagwira intubation msanga komanso makina mpweya (mkangano ndi humidified mpweya). Kuonjezera katundu wa magazi njira plasma-m'malo zimapezeka m'nsinga. chochitika ndi m'manja mwa zoipazi venous.

Kupewa matenda

Odwala amene nthawi yaitali ali chikomokere, kupewa chitukuko cha matenda zinkafuna resuscitative miyeso mwakayakaya. zinthu izi monga kukondoweza kwa ntchito mtima, makina mpweya wabwino, kukhala magazi. Komanso, tikulimbikitsidwa kugwiritsa ntchito mankhwala mphamvu kagayidwe ubongo ndi atsogolere kufala kwa zikhumbo. zofunika kwambiri chisamaliro wabwinobwino ndi choyenera, ndi zina - parenteral zakudya. Muyeneranso ntchito zosiyanasiyana wothandizila symptomatic ndi mavitamini.

unamwino

Kudya bwino anachita kupyolera woonda percutaneous gastrostomy chubu m'malo mwa chubu. Choncho monga yomalizira pambuyo ntchito yaitali, kumawonjezera kwambiri chiopsezo Reflux kukhumba, zilonda ndi sinusitis. Iwo ayenera nthawi kuwunika kulemera kwa wodwalayo. Pa kudyetsa wa thupi mtima adzaukitsidwa digiri 50-60. Chakudya ayenera kukhala ndi mapuloteni, mavitamini ndi mchere, komanso zimalimbikitsa mafuta zidulo. Milingo - 35 kcal / kg pa tsiku. Kulowa mu matumbo akulimbikitsidwa kugwiritsa ntchito mankhwala ofewetsa tuvi m'kamwa, koma osati maulendo atatu pa mlungu, komanso suppositories thumbo. Ngati odwala anatuluka m'mimba, muyenera nthawi kumupatsa 'moyo' yoghurts ndi nthawi kukayendera, ngati chakudya mu stagnation m'mimba. Kusintha matumbo ntchito ayenera m'gulu la zakudya zakudya zokhala yambiri CHIKWANGWANI.

Odwala matenda amenewa kukuonetsedwa massotherapy. Mu ena malo mankhwala kwa anthu amene ali m'maŵa chikomokere, msonkhano wapadera kukhazikitsa pulogalamu. Pamafunikanso Mipikisano kukhudza thupi ndi mankhwala mankhwala, komanso chiwerengero cha njira zina zomwe kukunda boma asang'ambe sadziwa.

kaonedwe

Mwatsoka, nthawi zambiri chokhwima zotsatira za matendawa. Komabe, n'zothekanso regredientnoe matenda, mpaka kuchira pafupifupi wathunthu wa ntchito. Pamaso pa njira mwapang'onopang'ono atrophic kuti amakonda zimachitika anthu okalamba, kungakhale boma la chinthu chimodzimodzi decerebrate, yodziwika ndi maonekedwe a omangana ndi zizindikiro zina zosasangalatsa.