Ubongo contusion: mavuto amene angakhalepo m'tsogolo

N'chiyani chingachititse ubongo contusion? Zotsatira Patapita zaka zingapo anatuluka, Adzaperekedwa pansipa. Ifenso kukuuzani zimene mmene choipa ichi, pali ndi zimene zizindikiro iwo yodziwika.

mfundo zofunika

Brain choipa, zotsatira zake za amene anasonyeza hereinafter, ndi zoopsa choipa cha nyumba anati thupi, amene anapanga pa ntchito mphamvu mawotchi. Malinga ndi malipoti a akatswiri, chifukwa cha kuvulala angakhudzidwe mwamtheradi m'madera onse a ubongo, koma ambiri a zotupa izi zimachitika mzati mazunzo, ndi kutsikira woyambira zosatha Lobe.

Zizindikiro kuvulala koteroko kumafuna zizindikiro vegetative ubongo ndi focal. kupirira kwawo ndi kuwuma zimadalira mphamvu amadza.

Kodi mwina kukathera ubongo contusion? Zotsatira atalandira kuvulala zimenezi nthawi chiyani osadzuka, ndipo musati zimapezeka. Komabe, nthawi zina, zoopsa nyumba ubongo akhoza kupanga munthu wolemala.

Choncho, mukhoza bwinobwino kudziŵika kuti choipa chingwe contusion ndi kusuntha chigaza ndi ubongo, pamene minofu kuonongeka zofunika zawo, i.e. matumba anapanga ena chiwonongeko cha nkhani imvi. M'menemo anati thupi waonongeka irreversibly.

zimayambitsa

Zimene mavuto a choipa ubongo kumeneko, ife kufotokoza pansipa.

Tikumbukenso kuti nyumba ya kuwonongeka kwa bongo angayambe pamene choipa chilichonse. Komabe, nthawi zambiri chotero kudwala ndi kwaiye chifukwa kuwonongeka galimoto kapena banal dontho la kutalika kwambiri.

Momwe izo ziliri?

Monga aumbike ubongo contusion (zotsatira za kuvulala kungakhale kwambiri kuti munthu wakukuwazwa tingakhale ndi chilema moyo)? malo a ntchito mphamvu mawotchi ukapezeka kuponya m'dera kuthamanga kwambiri chifukwa. Ichi ndi dera anapanga nyumba yaikulu kuwononga maselo mitsempha ndi mitsempha ya magazi. Pamene izi zimachitika mu zosiyana zone mbali protivoudara, amene amakhala ndi kuthamanga yafupika. Mwa njira, m'dera limeneli ndi chotupa kungakhale yaikulu kuposa malo a ntchito mphamvu.

Pambuyo kupweteka njira ubongo kukhala ubongo minofu kutupa ndi edema, komanso kusokoneza kotunga magazi. Izi kwambiri impairs alili ndipo amafuna kutumiza mwamsanga katswiri.

mitundu kuvulala

Mu mankhwala amakono amaona zoipa lagawidwa madigiri 3:

1. Wofatsa contusion ubongo (zotsatira sizikhala kwambiri).
2. Nuchoka zolimbitsa (zotupa angayambitse zotsatira zake, koma osati nthawi zonse).
3. Aakulu contusion ubongo (zotsatira zake zingakhale zoopsa).

Onse a mitundu imeneyi ndi zizindikiro zawo matenda ndi yodziwika ndi kusintha. Tiyeni tione iwo mwatsatanetsatane.

Easy ubongo contusion: zotsatira zoopsazo

yotupa uyu ali ndi madokotala ananena zawo zabwino achire komanso sikukutanthauza kuukira moyo wa wodwalayo. Iwo amakhala ndi:

• Imfa ya chikumbumtima, chisokonezo, kugona, wosakwiya anachita, kuiwala.
• Kusanza, chizungulire, kusintha kwa kagwiridwe ntchito mtima.
• Kuthamanga magazi, malungo pang'ono, nseru.
• Zizindikiro ubongo (nontransversal nystagmus, jitter eyeballs anisocoria, ayi pupillary kuwala, utachepa minofu kamvekedwe, anizorefleksiya).
• Zizindikiro Meningeal (kumangika kwa khosi minofu, zizindikiro Brudzinskogo Kernig).

Kutalika kwa zizindikiro zimenezi nthawi zambiri osati masabata oposa 3. Kuti madokotala ananena zawo kuti apeze bwino. Komabe, anthu zingakhale zovuta kusiyanitsa ubongo contusion wofatsa kwa concussion wake. Akuluakulu zotsatira za kuvulala ngati ali kwina.

Kufinya pafupifupi kulemera

choipa ichi amakhala ndi zotupa kwambiri ubongo minofu. Ndi pafupifupi nthawi zonse pamodzi ndi wovulala Chigaza, ndi kuchititsa subarachnoid kukha magazi. Zizindikiro zazikulu ubongo choipa cha digiri awa:

• Underestimation cha kukula kwa udindo wawo, imfa ya kutsitsimuka kwa maola 1-3, nkhani ya psychomotor mukubwadamuka.
• Amnesia (retrograde kongradnaya, anterograde).
• Kulankhula mutu, chizungulire kwambiri.
• Mobwerezabwereza kusanza, kuchuluka kugunda kwa mtima, kuthamanga magazi, kufupika kwa mpweya, nseru, ndi malungo.
• Akhakula zizindikiro focal ubongo (kusintha kamvekedwe myshsch, paresis, imfa ya kumverera mu nthambi, nthenda carpal ndi stopnye zizindikiro, strabismus, nkhope kukhota, mowiriza nystagmus, khunyu khunyu, kulankhula kuwonongeka).
• Meningeal zizindikiro.

Zizindikiro za kuvulala izi amapitirizabe kwa masabata angapo kwa miyezi iwiri. M'kupita kwa nthawi, zizindikiro ubongo pang'onopang'ono eroding. Komabe, kusintha kumene kunachitika yomweyo pambuyo zoipa, kungakhale sizingasinthe.

Zizindikiro ndi zotsatira za kuvulala aakulu ubongo

Aakulu zoopsa ubongo choipa amanyamula loopsa kwambiri moyo wa wodwalayo. Malinga ndi ziwerengero za 35-50% milandu onse kuvulala ubongo amapha. Odwala amene anali ndi choipa ofanana kwa nthawi yaitali kubwezeretsedwa (mwezi kuposa wina). Mwatsoka, ili si nthawi zonse ndondomeko chokwanira.

Izi kusalekerera choipa angadziwire zizindikiro zotsatirazi:

• Imfa ya chikumbumtima. Pankhaniyi, pangakhale chikomokere, pa kuchoka kumene wodwalayo yaitali kwambiri ndi maganizo asintha a mtundu wa zidzasintha kapena sopor.
• Kusakhazikika amene amapita ku zopweteka.
• Hyperthermia digiri 41, akhozanso kukopeka ndi pakutchulidwa a khunyu.
• Kulankhula chisokonezo kufalitsa dongosolo ndi kupuma. Pafupipafupi ndi kupuma mungoli ndi kuvulala kwa moti zingayambitse makina mpweya wabwino.
• Ubongo zizindikiro. Pali tsinde zizindikiro zomwe zikuonetsa kuti kugonjetsedwa kwa nyumba kwambiri ubongo. Pankhaniyi, wodwalayo yopapatiza kapena adziwane ndi ana a maso onse, pali anachita ofooka kuti kuwala, divergence ziwalo zithunzi za yopingasa kapena ofukula "akuyandama" eyeballs, Pomeza matenda, coarse nystagmus, chopinga wa bongo, ndi zizindikiro zina pathological. Patapita masiku angapo, zizindikiro zimapezeka ndiponso kuwonongeka kwa ena a ubongo. Zikuphatikizapo ziwalo mwadzidzidzi, imfa ya kulankhula, kusowa kumverera mu nthambi.
• Zizindikiro Meningeal chizindikiro.

Zotsatira za kuvulala ngati zikhoza kukhala zoopsa kwambiri. Ambiri zizindikiro ubongo ndi wochedwa zingawathandize amayambiranso. Pa kuchira wodwala akhoza kutenga miyezi isanu kapena kuposa. Nthawi zambiri galimoto waukali ndiponso mavuto a m'maganizo tapemphera kwa nthawi yaitali, ndipo nthawi zina mukhoza kukhala chifukwa cha kulumala.

Zotsatira waukulu zoipa ubongo

Kodi kungakhale kovuta ndi ubongo contusion? Zotsatira za kuvulala ngati ali mwachindunji amadalira mphamvu ya nkhonya ya. Pamene contusion wofatsa mavuto aakulu pafupifupi n'komwe.

zolimbitsa choipa ubongo amathanso zimaonekera tsoka ndi zina wodwala. Izi ndi zoona makamaka mu milandu pamene chigaza wovulala sadzafika nthawi imodzi ndi kukha mwazi subarachnoid. Komabe, tisaiwale kuti munthu wolakwiridwayo chofunika ndi mankhwala kwathunthu kuti zinthu ziwayendere bwino.

Nthawi zina, kuvulala uyu alibe pochitika popanda kusiya sanachite. zotsatira zake zikhoza kukhala zoopsa hydrocephalus, chokumbukira zoopsa arachnoiditis, chokumbukira zoopsa khunyu, encephalopathy, ndi matenda a vegetative-mtima dystonia.

Pankhani kuvulala kwambiri chifukwa cha ubongo, iyenera kuti madokotala ananena zawo koipa. Pafupifupi 30-50 kuvulala% takyh amapha.

The mavuto aakulu kwambiri

Pa chiphaso cha kuvulala ubongo katundu pakati pa opulumuka n'zokayikitsa mkulu wa zosayembekezereka ya mavuto otsatirawa:

• kutupa (chokumbukira zoopsa) wa meninges ndi (kakhosi, arachnoiditis, pachymeningitis);
• khunyu;
• manja (zoopsa) ubongo, i.e. kuchepa buku la minofu ubongo;
• zipsera mu nembanemba ndi zimakhala ubongo;
• hydrocephalus ndi matenda oopsa intracranial;
• cysts ndi cerebrospinal madzimadzi;
• porentsefaliya posttraumatic;
• liquorrhea pamaso pa chigaza wovulala.

Onse limati enawa matenda kayendedwe amene amachepetsa kuyenda ndi kudzikonda chisamaliro, komanso kuyan'anila za kuyenda, kulankhula, matenda okhudza ubongo, kupweteka kwa mutu pafupipafupi, utachepa nzeru, khunyu ndi chizungulire. Zikatero, odwala anatsimikiza chilema gulu chifukwa iwo anataya mphamvu zonse ntchito.

Matenda, mankhwala

Kuwonjezera Kupenda matenda, komanso zinthu zoipa, yofunika kwambiri matenda a CT masewero. M'kupita kwa akatswiri ngati kafukufuku amatha kuona kusintha pang'ono mu ubongo, komanso kusiyanitsa mikwingwirima yake ndi concussion, kudziwa mwamphamvu, chimatanthauza fractures a Chigaza ndi subarachnoid kukha magazi.

Chithandizo cha kuvulala ziyenera kuchitidwa kokha m'chipatala. Nthawi zambiri, pamene ngati chingwe chotupa ntchito mankhwala ndiwofatsa. Ngakhale nthawi zina wodwalayo angafunike opaleshoni. Muyezo waukulu kumene kumatsimikizira kuchuluka kwa makonzedwe a chithandizo cha kuchipatala mlingo wa kukula kwa zoipa.