Hemorrhagic Sitiroko: Zoyambitsa, Zotsatira

Hemorrhagic sitiroko ndi kukha magazi mu ubongo minofu ziwiya oziziritsa magazi, imbaenda kusokonezeka kwa kotunga magazi, ndipo ngakhale kukula kwa edema kusintha kosangalatsa ubongo.

Hemorrhagic sitiroko ali ndi zifukwa zingapo chitukuko. Ambiri, ndi wochititsa oopsa pamene iwo utaphulika ndi kutayikira magazi kuchokera kuthamanga makoma chotengera ndi kupatulira mu ubongo. kukha mwazi Secondary anati mu anomalies kobadwa nako ziwiya oziziritsa, monga aneurysm komanso yosowa kwambiri.

Umayamba kukhala hemorrhagic sitiroko mwadzidzidzi, ndi imfa ya kutsitsimuka kwa chikomokere. Khungu amakhala red-bluish mtundu, kutentha thupi limatuluka digiri 40, kupuma amakhala mawu zambiri akulowa chibayo ndi edema m'mapapo mwanga. Kamwana anawonjezera Kodi samva kuwala, maso anu ikuyenda mosintha, mutu anatembenukira kwa mbali ina ya chotupa cha. Pa chiyambi cha matenda mfundo kuwonjezeka bongo mbali ina ya kukha mwazi chipinda, kenako anagwirizana ndi incontinence.

Zizindikiro mogwirizana a kukha magazi mu ubongo tsinde limapezeka nystagmus, kulephera kupuma ndipo ntchito mtima. Kukha magazi mu ubongo ventricles kukhala omangana, kamvekedwe otsika mu flexors ndi extensors mapazi manja. Ngati muli ndi ululu m'dera occipital, siudzalandilidwa ngathi lamulo la mgwirizano kayendedwe, kunyansidwa ndi kusanza akhoza amaganiziridwa magazi m'chigawo cha cerebellum lapansi.

Kuzionetsetsa wa magazi anapeza leukocytosis, lymphopenia, kuchuluka shuga magazi ndi mkodzo, yotsalira asafe, kusintha yaikulu Echo EG akugwirira rheovasography. Chikhalidwe cha odwala amaonedwa kuti ndi yovuta kwambiri, odwala zambiri kufa pa tsiku loyamba chifukwa cha kuswa, psinjika ubongo zofunika, edema ndi minofu necrosis.

Ngakhale kuwongolera hemodynamics odwala amene anali hemorrhagic sitiroko, anayamba njira wolakwayo kuti akhoza mzaka. Imayamba ndi kubwezeretsa kayendedwe mu nthambi, zala, ndiye yafupika minofu kamvekedwe, bongo ndi kulankhula.

Ngati wodwala amaganiziridwa hemorrhagic sitiroko, mankhwala ikuchitika m'chipatala kwa masabata osachepera atatu. Kusiyanitsa chithandizo ndiwofatsa komanso opaleshoni. Pa chikuonetseratu wodwala ayenera kuyezedwa ndi neurosurgeon kuti achite mayeso koyenera, mankhwala chithandizo chokwanira komanso limakhala ndi zotsatira zabwino za matendawa. Only pansi chithandizo ndiwofatsa zimawonedwa lethality 50%, ndipo pambuyo ntchito neurosurgical chokhwima zotsatira zake zimakhala osachepera 25% odwala.

Cholinga chachikulu cha mankhwala opaleshoni ndi pazipita kuchotsa magazi kuundana ndi kuwonongeka kwenikweni kwa ubongo minofu. Zikuonetsa kuti ntchito neurosurgical ndi kukha magazi mu ventricles ubongo ndi hematoma pa 20 ml, amene amayambitsa kusamutsidwa ubongo. Mu milandu, kuti kuchititsa craniotomy lotseguka, nthawi zina amatsatira puncture, endoscopic chiyembekezo cha magazi kuundana kapena khalidwe fibrinolysis m'deralo.

Kuchedwa mankhwala a hemorrhagic sitiroko, zotsatira za omwe, olemera kwambiri pa moyo ndi thanzi la odwala zambiri kumayambitsa chilema odwala.

Pamene sitiroko amapezeka azingokhala magazi minofu ubongo, imbaenda kutupa, necrosis ndi kulephera kwa ubongo ntchito. Pambuyo sitiroko ndi, odwala akhoza kukhala matenda kayendedwe, ziwalo ndi paresis, pangakhale kuphwanya kumvetsa malankhulidwe pali mavuto ochuluka, kulemba, kuwerenga. Pamaso munthu safuna kuona zimene anaona, wodwalayo sangathe kukatenga cholembera, supuni, mbale wa msuzi kumeneko.

Linaphwanya Pomeza pamene chakudya akhoza kulowa trachea m'malo kholingo. Munthu akhoza kutaya luso kuphunzira zinthu zatsopano, kuvutika kukumbukira, maganizo, logic. Pomaliza akuyamba kuswa khalidwe la mtima, kusonyeza waukali, maganizo, zimene kubweza pansi, anthu kuseka kapena kulira popanda chifukwa, angathe fecal incontinence ndi mkodzo, wamphamvu, kugunda khalidwe, mutu kuti si kuchotsedwa atakhala analgesics.