Ola kino, Maʻi a me nā kūlana
Subdural hemorrhage: ano a me ka hopena
Ka lolo Ua i mai o kekahi mau leho. Ka loa waiwai nui o kēia mau mea mawaho. No keia kumu ka mea, ua i kapaia paa. Muli o kona kulana pinepine kekahi poo nā palapū alakai i ka hanana o ke kahe ana ke koko ma waena o ka pāʻili, a me ka lolo. Ma keia hihia, no ka luahi ua diagnosed "subdural hemorrhage." He keia pathology e e kūkākūkā i kēia lā i ka 'atikala.
Keʻano papa hana o ka ho okumu poho
Ka muli o ka subdural hemorrhage ua ana mua ma ka trauma. Ke kahe ana ke koko paena i hana i kekahi hematoma, i ua hikiwawe loa e ulu ana. Ua hoi poses kekahi ikehu hoʻoweliweli 'ana i ka loli ana o'aʻaʻa o ka lolo, a oko ka pā lonoaʻili i ka waiū. Ke no ia mau hopena o kēia mau keʻano o ka hanaʻana o ka hanana o neurological abnormalities. Papakaukau kahe ana ke koko pinepine alakai i ka make.
Kaawale ia mea e pono e noonoo i ka maʻi subdural hematoma. Ua lŘlŘ ina ka mua hemorrhage ole he manawa e nalo. ua uhiʻia kona mau iwi, a hiki lākou lā na moku koko Hematoma. E kū'ē i ke kāʻei kua o ka lolelua ka moku'āina o nā ikepili hehee wale, he pinepine moku hoʻi iaʻu, i ka paipai 'ana regrowth o ka pōʻino, ua make. Kauka i ua kākau hihia lehulehu o kanaka nunui hematoma i hanaʻia ma kēiaʻano.
Hoakaka ana i nā kūʻiʻo hooku iho la ia ma luna o ka mea hiki ke olelo ia subdural lolo hemorrhage ua kena ae la ma ka poho i ka cortical a me ka Kamehameha moku. Ma pohihihi keia hihia, i ka maʻi ua ma mua ma ka 'aʻe' ana i ke aa koko o Galen a pae o arteries pili me ia.
pathology hookomo ana i
Nā kumu o ka subdural hemorrhage muli o kona kulana like. Iwaena o lakou, i ka loa, he pono ole i na kēia:
- Car he ulia pakalaki (ku i ka "torpedo" a dashboard). Ke kamepiula pūʻulu kikowaena mua noho ohua poe e ole hoʻohana noho mau hipuu.
- Ke haule ma ke poo o icicles a me ka hau ālai 'ia ma ke kau hoʻoilo.
- Sports nā palapū.
- Head nā palapū i? Iecaianoaaiiuo me ka 'ole-kaʻaeʻana me ka maluhia rula.
- Wahi lulu popilikia kaua.
Mau kumu i hoʻolaha like traumatic. He nui no ka maopopo i ka hematoma e hoʻomōhala ana i loko o kēia mau hihia i nā. O ka poino moku nui, ka oi, pili hemorrhage a koke hoikeia'ku auanei i ka ano lapaʻau kiʻi.
Loa emi i ka 'aʻe' ia lŘlŘ ku ei ke kāʻei kua o cerebrovascular pathologies. Kēia e nā hypertension a me ka arterial aneurysm. Ma kekahi manawa aie i ka hanana o ke hematoma? Eaia anticoagulants. Kēia mau kumumea i ka subdural hemorrhage nontraumatic.
nā loina o ka Mea Maluna
I ho'ākāka 'ia i loko o ka pauku pathology e classify i ka mämä holo o ka iniiaiie symptoms. He ekolu ano o ka hemorrhage:
- huʻi;
- subacute;
- maʻi.
E noonoo oe i ka ho i kela a me keia o na kēia:
- Huʻi subdural hemorrhage e hoʻomōhala ana i loko o 1-2 lā, mai ka lā o ka hewa. I ka papa kuhikuhiE kumu o ka hematoma ua manaʻo kaumaha a me ka walaau ole ia ma o ka lolo.
- Ma subacute ano o ka loaa ana o ka poino ma mua o ka mua symptoms hiki ke hele mai 4 lā a hiki i kekahi mau pule. Traumatic ai mea ole, no ka ikaika. Ke caliber o ka hoʻohuli ai i nā moku mea,ʻaʻole mea nui, no laila, he hōʻemi iki kahe ana ke koko.
- Hoʻouna 'hoike ana mai o ka maʻi pepa lauwili mai elua pule a hiki i kekahi mau mahina a hiki makahiki. Inā mākou e noonoo i ka poino, e like me ke kāhea me ka hooulu ana o ka hematoma, ma keia hihia ia Radio he kūlana kiʻekiʻe. Ma ka hapanui o na hihia, ka maʻi palapala o hemorrhage o ka hopena o cerebrovascular ka maʻi.
Ke mau ano o ka 'aʻe' e hoʻoholo i ka iniiaiie symptoms.
lapaʻau kiʻi
Subdural hemorrhage ua wehewehe aku ma symptoms me kūlike loa alternation o kekahi mau kūlana.
Koke ma hope o ka traumatic hopena ke kanaka haalele i ike. Oia ka 'aʻe' ua kena ae la ma ke kino o ka pane ana i ka pahikaua a me ka kokeʻeha, ka stress ololi. Ke hoomanawanui hele mai i ke ola, a hoʻomaka e hoʻopiʻi o ka nawaliwali, a me ka pōniuniu wale moku'āina. Ma kekahi mau hihia, o ka lapaʻau kiʻi ua complemented e retrograde amnesia - pōkole-makahiki iaiyoe kahe ma luna o nā hanana mua o ka poino.
Ka lua o ka pae Ua wehewehe aku ma ka manao ana maikaʻi. I na kanaka ma hope o ka loaa poho lehulehu i ka punawai-i e kipa i kekahi kauka. Oia malama ole i ko lakou mau ola no ke kino, i oi mea poino. Mākou e kamaʻilio e pili ana i wahi, i hiki i kahi o ka luahi loaʻa ma ke kua o ka huila o ke kaʻa, ai mau i ka hana.
Ke kolu o ka pae nānā 'ana i keʻano o ka lolo, a me ka mea nui meningeal symptoms. Kēia mau 'ano apau loa e e kūkā mai ma lalo nei.
Cerebral, meningeal a me ka mea nui symptoms
Ka waeʻano o ka lolo nā mau kāna hana i hiki ke hana i kekahi'ē aʻe kāna hana. Eia naʻe, i ko lakou helehelena paipai nō mea lolo eha. Mua, i loko o nā mōhai mea he ikaika headache. A kanaka ke lilo apathetic a me ka indifferent i ka mea a pau e hele ana ma luna o. Ka lapaʻau kiʻi Ua pinepine complemented ma disorientation i ka manawa a me ka makahiki - i loko o ka hoʻomanawanui ka pilikia a me ka ho'ākāka 'ana o ka lā, wahi. Headache mea akaka koke aku i ka manawa o ka poino, alaila, hoʻonāwaliwali a ulu me ka hou pinepine i loko o ke kolu o ka pae.
Ma meningeal hoikeana o ka maʻi hiki e wahi e hoike ana i na hoailona o ka poino i na meninges. I waena o ia mea:
- headache;
- ka luaʻi i ua ole, kena ae la ia e ai ana i ka ai;
- maikaʻi meningeal hoailona.
Mau symptoms i pinepine malama i loko o nā kāna hana. Inā ka cerebral symptoms ma kahi e paha mehana, i kaʻike, o "subdural hemorrhage o ka lolo" ua i kākoʻo.
Mea nui symptoms hōʻike unilateral mydriasis, oiai dramatically hoemi kona naoh i ka malamalama. I kekahi manawa, i ka loli ana o kauka koho, nanea ana - loa kaumaha o ka ike paka i. Ma pakahi aku la ia mea hoopii, coma.
No maʻi i loko o na keiki
Subdural hemorrhage i na kamalii uuku mea ole uncommon. He Heʻilihune o intracranial hanau trauma a me ka mea o ka hola 40% o ka intrapartum abnormalities. Mawaena o ke kumu nui no o kona 'inikua leo o kēia:
- nui ka hua ;
- intracavitary palapala noi o forceps;
- ka poe ola, a me ka hoʻokēʻai haawi;
- Wāwae / breech hōʻike.
Kēia ola pilikia i loko o ke keiki nui wale. All kamaiki unconditioned reflexes e kaumaha ana. He mea e hiki ke lawe i ka umauma, a hiki i ke ale wale iho. Mīkini'opihia o ka lolo kumu hematoma hoʻonāukiukiʻana mai o dilated na haumana, ke kāʻili 'ana. Mau symptoms ana i loko o ka muaʻekolu lā ma hope o ka hanau ana.
ki ina hana like o kaʻike,
Ma hope o kekahi traumatic lolo poino e imi palapala hōʻoia no kōkua. Mai aa aku i ke ola kino, a kāpae'ōlelo i ka loiloi mua hoailona o ka hemorrhage. Pathologyʻike, ua nānā 'ana i moolelo ana a me ka hoʻomanawanui, ana manaʻo. Ke kauka mea nui i ka ike i ka 'ike e pili ana i ke ano o ka poino, i ka mea o ka helehelena o ka lapaʻau symptoms.
hiki ke loaa ma hope o kekahi HI scan NineManga.com ka loa piha 'ike e pili ana i ka IIeEeAIEUAA o ka hematoma. No emi informative ua noʻonoʻo MRI. Inā e manaʻo ai he traumatic subdural hemorrhage ua pololei papaia e lawe mai i ka lumbar puncture. Kēia kaʻina hana hoʻohuʻu He mea hōʻikeʻikeʻuʻuku o cerebrospinal loli ma ke kupaianaha kuikele. Kona hopena hiki e irreversible.
lapaʻau koho
Ma hope e hookupaa aku ana i kaʻike, o ka hoʻomanawanui hospitalized koke. Subdural hemorrhage - he nui pathology. Nolaila, ia mea pono e hoʻomaka lapaau koke. Wale i keia hihia ia mea hiki ke manaolana no ka maikaʻi prognosis.
E hoʻopau aʻe 'ana o ka pono o keʻoki lāʻau lapaʻau a me ka makeʻe kulana therapies. Ka hope AOAIAaOO Ua hoʻohana 'ia ma ka hihia o ka poe liilii, hematoma nui, i ka wa e kaawale aku o ka pelapela Holomua. E hoomanawanui i hoakaka ia ai 'me ka Anati-edematous hana, ai' no ka hoʻomaikaʻi cerebral holo a me ka pūnao. Nō hoʻi e hōʻike 'ia o kaʻai ana o nā wikamina a me analgesics. Oia lapaʻau ua paipai i ka poʻeʻelemākule e hoomanawanui i ka poe i ua diagnosed huʻi subdural hemorrhage, nontraumatic.
Ka hapanui o na hihia o ka maʻi i eʻoki kino. I loko o ka puka hana ua lawe iwi poʻo (trepanation) hahai ma ka wehe 'ana i extravasated koko. Ka hope mua o ka holoi ana o ka lua me ka Saline, hoihoi hou ia ana o ka pono o ka cranium a me ka hāpai kūikawā nōkahea.
Like no ka mea opiopio nā mea maʻi, ka mea, e ho'āʻo i ka pono me ka lapaʻauʻia. I ka wa e kaawale aku o ka maikaʻiʻano o ke kumu no ka hana.
Hopena a me ka prognosis no ke ola
Ka hanana o hemorrhage o ka lolo ua pu ma ka pohupani hale a me kaʻaihue o kona anei i nā hale. Maʻi ulu ana e wahi e kū'ē i ka backdrop o loa nā palapū o ka puniu wale no, a me ka prognosis i loko o ka hapanui hihia noho lakou malaila. Naʻe, i ka hopena hope hilinaʻi nui ma ka manawa o ka lapaau ana i ka kauka, a, e koho i ka iapaau ana akau. Inā ka luahi ke hana i loko o 6 na hora hope hewa, ke ola ia lŘlŘ i loko o 80% o ka hihia. Eia hou, ke kēla loli i ke ahonui o ka makahiki, i ke alo o somatic kāna hana a me ka hematoma ka leo.
Huikau ma subdural hemorrhage hopena mea ole ka loa maikaʻi. Nō kāu, e hoomanawanui i me diagnosed mumuku paha e make.
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