Intracranial hematoma: zimayambitsa, matenda, chithandizo ndi zotsatirapo

Mutu - ndi chimodzi mwa zizindikiro ambiri mwa anthu akuluakulu. Pasanathe ambiri, akufotokozera ana. Mutu akhoza zokhudzana ndi matenda osiyanasiyana, komanso ndi kusintha kwa nyengo, kuthamanga mumlengalenga, nkhawa, ndi zina zotero. D. The chifukwa cha chizindikiro ichi ndi kawopsedwe iliyonse (matenda yotupa, poizoni, matenda), matenda a ubongo, zoopsa, migraine. Nthawi zambiri anthu samapereka tcheru kuti mutu, ndikuzolowera izo ndi kuganizira si owopsa. Izi siziri zoona. Nthawi zina, chizindikiro ichi ndi yaikulu kwambiri. Iwo angasonyeze Mwachitsanzo, monga kudwala intracranial hematoma. Nthawi zambiri amagwirizana ndi maonekedwe a choipa mutu. Koma pali zifukwa zina chitukuko.

Kodi intracranial hematoma?

Zizindikiro wapatsidwa ndi hematoma intracranial, anayamba chifukwa cha psinjika a ubongo ndi magazi. Palibe mankhwala kungachititse kuwononga kwambiri chapakati mantha dongosolo. Ngozi ya matenda ndi kuti zizindikiro za matenda zimachitika pang'onopang'ono.

Choncho, kodi hematoma mkati chigaza cha? Chifukwa zifukwa zosiyanasiyana mwina magazi kuchokera zotengera za mutu. Chifukwa ndi otchedwa yotupa mu meninges wa - hematoma. Mosiyana ndi magazi mu minofu zofewa ndi khungu, amasungunula pang'onopang'ono. chabe hematoma ang'onoang'ono mwina kutha paokha. Pa sing'anga ndi kukha magazi lalikulu opaleshoni.

Zimayambitsa Hematoma

Muyenera kudziwa kuti hematoma mu zipolopolo kapena nkhani ya ubongo kuoneka chifukwa cha matenda osiyana ndi kuvulala. Nthawi zambiri, kungathandize kuti apange a kukha mwazi kha pa pamalo molimba (simenti, makoma, ayezi), galimoto n'zimene. Mu ukalamba, chiopsezo intracranial zoopsa hematomas kwambiri. Ichi ndi chifukwa kufooka kwa mpanda chotengera ili ubongo ndi zikopa zake.

Koma nthawi zina, intracranial hematoma anapanga pakalibe kukhudzana ndi zoopsa. Ichi ndi chifukwa chotupa wa aneurysm Mitsempha. matenda amenewa angakhale mwina kobadwa nako (malformation) kapena kugula. aneurysm An aumbike mwa pakalibe zochizira matenda oopsa.

Wina wa zimayambitsa hematoma intracranial ndi kutupa kwa ubongo kapena zikopa zake. Kupangitsa kukha mwazi monga zotupa chosaopsa, ndi njira khansa.

Hematoma chitukuko kumathandiza oziziritsa mtima zotupa atherosclerotic, matenda kudwala a sitiroko kapena chosakhalitsa ischemic kuukira, matenda angioneurotic. Chiopsezo kukha magazi kwambiri chifukwa chitukuko okalamba, osuta, anthu ndi oopsa ndi kunenepa.

Zosiyanasiyana hematomas intracranial

Malinga kukula zimatulutsa yaing'ono, sing'anga ndi lalikulu hematoma. Monga kukha magazi intracranial ali m'magulu malinga otaya ndi kutanthauzira.

Small hematoma buku ndi zosakwana 50 ml. Nthawi zina, iwo kuthetsa paokha. Ngati kuchuluka kwa kukha mwazi ndi ku ml ya 50 mpaka 100, ndiye amatchedwa hematoma sekondale. Iwo amafuna chithandizo opaleshoni. Hematoma buku imene imafikira oposa 150 ml, kungachititse kuti imfa.

Njira matenda kusiyanitsa mitundu 3 magazi. Zizindikiro za pachimake intracranial hematoma wapezeka mwa masiku 3 kuchokera nthawi ya mapangidwe ake. Iwo amaonedwa owopsa. Subacute hematoma akuoneka mwa masabata 3. kuwonongeka Choncho kumachitika pang'onopang'ono. Matenda kukha mwazi ali anamva bwanji pambuyo masabata 3 kuchokera tsiku mapangidwe awo.

Kutanthauzira ndi mitundu zotsatirazi pathologies:

1. Epidural intracranial hematoma. Iwo anapangidwa ndi kuonongeka mtsempha wamagazi inali pakati padziko kunja kwa Dura ndi achigaza.
2. Subdural hematoma. Gwero la magazi ndi mitsempha kuti kulumikiza ubongo mankhwala ndi sinuses zolimba chipolopolo. Nthawi zambiri ndi subacute.
3. Intracerebral hematoma. magazi amenewa ndi oopsa kwambiri. Akufotokozera chifukwa cha impregnating thunthu la ubongo. magazi amenewa akhoza kuwononga chosachiritsika maselo mitsempha.
4. Intracranial hematoma pa tsinde ubongo. Mtundu wa kukha mwazi amapha.
5. Diapedetic hematoma. Yopangidwa chifukwa permeability kuchuluka kwa ziwiya oziziritsa magazi.

Malinga ndi kutanthauzira ndi gwero la hematomas matenda kukha mwazi angakhale osiyana. Choncho, osankhidwa njira mankhwala.

The matenda chithunzi cha kudwala ndi

Kodi kudziwa kuti anapanga intracranial hematoma? Zizindikiro za matenda zimatengera mtundu wa kukha magazi. Kotero, kuti zizindikiro za hematoma epidural monga anafotokoza mutu, kupweteka, mkhutu chikumbumtima ndipo kusinza. Pophunzira pupillary poyankha anisocoria kuwala taonera. Kenako anagwirizana ndi ziwalo za miyendo. Zizindikiro za hematomas intracranial wapezeka kwa maola kapena masiku pambuyo choipa wolumikizira. Ana, zizindikiro kukhala mofulumira.

Subdural hematoma amakhala ndi zotsatira chithunzi matenda:

• chimapambana mutu;
• kunyansidwa ndi kusanza, osati zinapatsa mpumulo;
• Zizindikiro meningeal;
• Nthawi zina amalembedwa khunyu.

Zizindikiro za kukha mwazi kwa muubongo ofanana. Mosiyana ndi zizindikiro za hematoma subdural, ululu chimakwirira mbali imodzi ya mutu, pali imfa ya chikumbumtima. Intracerebral kukha magazi nthawi zambiri kumayambitsa ziwalo za nthambi.

Diapedetic hematoma yodziwika ndi mutu zonse. Kupeza chovuta awo, ngati iwo ali ang'ono.

Matendawa hematoma mkati chigaza ndi

Mantha intracranial hematoma matenda pamaso pa onse, chifukwa nthawi zambiri anthu kuchipatala atalandira kuwonongeka. Chikhale chovuta kukha mwazi akuwuka pa maziko a matenda a mtima. Mwa njira matenda monga:

1. Yopangidwa tomography ubongo.
2. X-ray a Chigaza lapansi.
3. Maginito kumveka kulingalira.

Pakuti mutu matenda masiyanidwe ntchito ndi ziwiya Doppler ultrasound magazi, akugwirira, echoencephalography.

Njira zochepetsera matenda

Chithandizo cha hematomas intracranial unachitikira njira ndiwofatsa komanso kugwira ntchito. Popeza mavuto, ndi kukula yaing'ono ya kukha mwazi dokotala monga kuonera mmene wodwalayo. Wodwala mu nkhani iyi ayenera kukhala kuchipatala ndi zina bedi. Ngati hematoma si kuthetsa paokha, mankhwala kuti kuchepetsa kuthamanga intracranial. Komanso, kukhala symptomatic mankhwala. Mankhwala mankhwala "Ine" "Furosemide", "Ketonal".

kuchititsa opaleshoni

Nthawi zambiri ikusonyezera kuchotsa opaleshoni ya hematomas intracranial. Ilo liri mu achoke magazi. Chifukwa chaichi, ntchito mitundu zotsatirazi opaleshoni:

1. Osteoplastic trepanation. mankhwala amakhala ndi bowo laling'ono mu chigaza ndi kuchotsa magazi kuundana zida wapadera ndi chipangizo zingalowe m'malo a.
2. Stereotactic alowererepo. M'magazi kotengedwa M'mimbamo cranial ntchito cannula wapadera.
3. Puncture-kuchotsa hematoma chiyembekezo. Yankholo mu chiphunzitso cha catheter woonda.

njira amasankha mtengo opaleshoni neurosurgeon, malinga ndi kukula kwa kukha mwazi wa, comorbidities, ndi zaka mtima.

Intracranial hematoma: zotsatira za matendawa

Zotsatira za haematomas wotere zochitika matenda monga khunyu chokumbukira zoopsa, amnesia, mutu, ndi kufooka ambiri. Zizindikiro zimenezi zingachitike m'miyezi yochepa. Choncho, konzanso limatenga miyezi isanu ndi umodzi. Ngati nthawi wosachita kunja opaleshoni, hematoma kungachititse kuti ziwalo, ubongo kutupa ndi imfa.