Intracranial hematoma: zvinokonzera, chirwere, kurapwa uye migumisiro

Headache - chimwe chezvinhu zvakafanana zviratidzo zviri yevagari vemo vakura. Zvishoma kacho, zvinoita vana. Headache anogona chokuita nezvirwere zvakasiyana-siyana, pamwe shanduko mamiriro okunze, mumhepo kumanikidzwa, kushushikana, uye zvichingodaro. D. The chinokonzera chiratidzo ichi ndicho chinhu toxicity (anogumbura zvirwere, chepfu, chirwere), chetsinga zvirwere, kunotevera, migraine. Vanhu vasingawanzotauri kuteerera nemusoro, kutanga kushandiswa nayo uye kufunga hazvina ngozi. Ichi hachisi chokwadi. Mune mamwe mamiriro ezvinhu, chiratidzo ichi chakakomba zvikuru. Rinogona dzinoratidza Somuenzaniso, dzakadai zvokurwara intracranial hematoma. Kazhinji Rinobatanidzwa ne nezve kukuvara musoro. Asi pane zvimwe zvikonzero zvayo kukura.

Chii intracranial hematoma?

Zviratidzo simuka kana ane intracranial hematoma, yakatanga somugumisiro compression uropi neropa. No kurapwa zvinogona zvakakomba kukuvara epfungwa. Ngozi chirwere kuti zviratidzo chirwere kuitika zvishoma nezvishoma.

Saka, chii chiri hematoma mukati dehenya? Nokuda kwezvikonzero zvakasiyana-siyana zvinogona kuva ropa kubva midziyo musoro. Zvinoguma Yaunoti mbundishire ari meninges - hematoma. Kusiyana ropa iri nyoro zvinyama uye paganda, urwa zvishoma nezvishoma. chete chiduku hematoma anogona kunyangarika hwavo. At svikiro uye hemorrhages huru zvinoda kuvhiyiwa.

Zvinokonzera Hematoma

Unofanira kuziva kuti hematoma iri anoshongwa kana nyaya uropi kuoneka migumisiro zvirwere zvakasiyana uye kukuvara. Kazhinji, kutungamirira kukudziri- ropa gwa pamusoro dzakaoma hukawanika (uriri, masvingo, chando), kubonderana kwemotokari. Pakukwegura, mukana intracranial dzechimwe hematomas zvikurusa. Izvi imhaka nekuneta ngarava masvingo, riri muuropi uye ayo membranes.

Asi mune zvimwe zviitiko, intracranial hematoma yakaumbwa tisina wakapona chokupfeka. Izvi imhaka atsamwira pamusoro aneurysm rwengarava ropa. chirwere kwakadaro vangava vachiberekwa (malformation) kana vawana. An aneurysm chakaumbwa kusavapo nokurapa neBP.

Another zvezvinokonzera intracranial hematoma ari mumatenhere uropi kana ayo membranes. Kuti kukonzera ropa sezvo benign namamota, uye kenza kwendangariro.

Hematoma budiriro kunoitawo chepfungwa vascular atherosclerotic maronda, kutapuriranwa zvokurwara sitiroko kana zvinopfuura ischemic kurwisa, angioneurotic zvirwere. Ngozi ropa ichiwedzerwa kukura mune vakwegura, vanosvuta, vanhu vane BP uye kufutisa.

Mhando dzakasiyana-siyana intracranial hematomas

Zvichienderana saizi yavo, emit diki, svikiro uye guru hematoma. Sezvo intracranial hemorrhages dzinoiswa maererano chekubuda uye localization.

Small hematoma vhoriyamu idukusa 50 Rine mamiririta. Mune zvimwe zviitiko, ivo kugadzirisa voga. Kana yakawanda ropa kubva 50 kusvika 100 ml, zvino inonzi hematoma yechipiri. Ivo zvinoda kuvhiya kurapwa. Hematoma vhoriyamu iyo rinosvika Rine mamiririta anopfuura 150, zvingaita kuti rufu.

The kunotoda kosi kusiyanisa 3 marudzi hemorrhages. Zviratidzo chenjera intracranial hematoma dzakaonekwa mukati 3 Mazuva kubvira panguva yaro inotungamirwa. Ivo vanonzi zvikuru ngozi. Subacute hematoma pachena mukati 3 mavhiki. Saka kudzikira kunoitika zvishoma nezvishoma. Chirwere ropa vari akanzwa pashure 3 mavhiki kubva musi inotungamirwa yavo.

Localization ndiyo mhando anotevera pamusoro pathologies:

1. Nhengo dzomuviri intracranial hematoma. It akaumba kana kukuvaradzwa tsinga iri pakati rokunze pose reDhura uye dehenya.
2. Subdural hematoma. Panobva ropa vari mutsinga kuti kubatanidza pfungwa chete zvakaoma deko sinuses. Kakawanda iri subacute.
3. Intracerebral hematoma. ropa kwakadaro kune ngozi chaizvo. Inokudziridza somugumisiro impregnating pafuma uropi. ropa kwakadaro kunogona kukonzera kusingarapiki kwazvinoita masero etsinga.
4. Intracranial hematoma uropi hunde. Izvi mhando ropa zvinouraya.
5. Diapedetic hematoma. Kunotangwa nokuda wakawedzera permeability rimwe chepfungwa tsinga.

Zvichienderana localization uye anokonzera kurapwa ropa hematomas zvingave zvakasiyana. Saizvozvowo, musanangurwa kurapwa nzira.

The kunotoda Mufananidzo zvokurwara

Sei kuona kuti akaumba intracranial hematoma? Zviratidzo zvirwere kunoenderana mhando ropa. Saka, kuti zviratidzo nhengo dzomuviri hematoma zvinosanganisira akaratidza nemusoro, kugwinha, havachanyatsogoni kuziva uye hope. Ndichiverenga pupillary apindure chiedza anisocoria yakati. Gare gare kuoma maoko nemakumbo. Zviratidzo intracranial hematomas dzakaonekwa kwemaawa kana mazuva pashure arterial kukuvara. In vana, zviratidzo kuva nokukurumidza.

Subdural hematoma kunoratidzwa zvinotevera zvekuchipatara mufananidzo:

• rikunde nomusoro;
• kuda kurutsa uye kurutsa, kwete kuunza rusununguko;
• meningeal zviratidzo;
• dzimwe nguva anozivikanwa pfari.

Zviratidzo chepfungwa ropa akafanana. Kusiyana zviratidzo subdural hematoma, marwadzo rinotaura rumwe musoro, pane kurasikirwa chavanoziva. Intracerebral ropa kazhinji kunotungamirira kuoma maoko nemakumbo.

Diapedetic hematoma dzinoratidzwa kugara nomusoro. Ziva zvavo chakaoma, sezvo ivo vari diki.

Chirwere hematoma mukati dehenya

Zvinorwadza intracranial hematoma chirwere pamberi zvose, nokuti kakawanda vanhu kwachiremba mushure pakugamuchira kukuvara. Zvakaoma kuziva ropa yomuka pamusoro yaitwa zvemwoyo chirwere. By dzokudzidzisa nechirwere dzinosanganisira:

1. Computed tomography wouropi.
2. Maekisirei yacho dehenya.
3. Magnetic resonance kuri.

For differential chirwere nomusoro anoshanda nemidziyo Doppler Ultrasound ropa, eeg, echoencephalography.

Nzira kurapa chirwere

Mabatirwo intracranial hematomas wakaitwa kuchinja uye kushanda nzira. Pasina yematambudziko, uye duku kukura ropa chiremba kungoona ezvinhu murwere. Murwere uyu nyaya vanofanira kuva kuchipatara uye pamubhedha zororo. Kana hematoma haarambi kugadzirisa voga, akarayira mishonga kuti kuderedza intracranial kumanikidzwa. Uyewo, kuva symptomatic kurapa. Taurira zvinodhaka "Ini" "Furosemide", "Ketonal".

kuitisa kuvhiya

Muzviitiko zvizhinji kunoenzanisirwa kuvhiya kubviswa intracranial hematomas. Zviri muropa kubvisa. Nokuti chinangwa ichi, kuita zvinotevera mhando kuvhiyiwa:

1. Osteoplastic trepanation. The chigadzirwa kunoratidzwa buri duku iri dehenya nokubvisa ropa clots chinokosha maturusi uye Vacuum mudziyo.
2. Stereotactic kupindira. Ropa zvinobva cranial mhango uchishandisa chaiyo cannula.
3. Ponji-kubvisa hematoma chido. It iri yokuti munhu mutete anobudisa mushonga zvishoma nezvishoma.

Nzira anosarudza mumwe neurosurgeon pokuvhiyiwa, zvichienderana kukura ropa, comorbidities, uye anoshivirira zera.

Intracranial hematoma: migumisiro chirwere

Migumisiro haematomas vakadaro zvekuchipatara mananara sezvo post-yaizoitika nezvipusha, kukanganwa, nomusoro, uye mukuru novutera. Zviratidzo izvi zvinogona kuitika mukati mishomanana. Naizvozvo, kuti vapore zvinotora inenge mwedzi mitanhatu. Kana nguva haarambi kunze pokuvhiyiwa, hematoma kungaita kuti muviri, pfungwa kuzvimba uye rufu.