Ropa muuropi: zviratidzo, kurapwa, pamigumisiro uye fungidziro

Brain - ichi ndechimwe chezvinhu zvinokosha zvomukati ari munhu basa kwete chete mashandiro mafungiro, asi pamutemo zhinji pezvakaitwa mumuviri. Ropa wedzerai kuuropi kunechekuita basa rake, asi dzimwe nguva kunogona kuitika midziyo ropa atsamwira, izvo vanotozvikuvadza kunotungamirira kune vakawanda yokutyora mubasa zvose muviri enyika. Ropa muuropi, zviratidzo izvo dzinokurukurwa zvakadzama munyaya ino, runoonekwa chimwe chezvinhu ngozi upenyu hwevanhu mananara. Kuti tikurire acho, vanachiremba uye varwere vanofanira kushanda nesimba. The chinokosha ichi kuwana mangwanani kuonekwa zviratidzo uye zviratidzo, izvo angataura kuti uropi, izvo zvichida ndaona mapikicha zhinji kaviri Kumwe kuchinja kunotanga nokuda kweropa.

ropa muuropi anogona kuitika, nokuti chero nezvikonzero,

Most kazhinji chinhu unotokonya atsamwira ropa nhumbi uropi, ndiyo BP. Kazhinji, chakakomba weboka chirwere kunokonzera kusingarapiki kuchinja mumidziyo zvose pamuviri, asi vakawanda kunoita pasi kureva izvo zvokudya uropi. Ropa muuropi, zviratidzo risingagoni nguva dzose kukurumidza kuona ikoko uye mune dzimwe nguva, izvo zvinosanganisira:

• pakakoromoka kare chirwere pfungwa aneurysm;
• vascular abnormalities, akadai arteriovenous malforatsii;
• deposition pamusoro pamasvingo tsinga atypical amyloid mapuroteni;
• benign uye akaipa pfungwa anomera;
• dzose yaunodya zvinodhaka kuti vanotsigira ropa thinners.

Izvi zviitiko, izvo zvingakonzera atsamwira rwengarava ropa hwomunhu, kazhinji kuwanikwa varwere vari kukwegura. By hunhu kuchinja uye localization nharaunda sei uropi, idzo zvakajeka chaizvo kuoneka mapikicha akatorwa Diagnostics (MRI uropi), nyanzvi anogona kuona chikonzero ropa.

Ropa vachangoberekwa - kana zvinoitika?

Kana isu nezvazvo uropi chokubuda, kazhinji zvinoita munhu mukuru kana kuti murwere vakwegura. Zvisinei, mune zvimwe zviitiko, chiitiko ichi inogona kuonekwa achangozvarwa. A chinoratidza munhu chepfungwa ropa muvana anonzi kuti anogona zvakakuvadza zvikamu zvinoverengeka, somuenzaniso, lateral chepfungwa ventricle rayo nemakwati, kana subcortical pfumbu nyaya uye panguva imwe chete. The chikonzero chikuru ropa ari mwana anonzi preterm, kunyanya kana ari mudumbu pakuzvarwa akanga mavhiki asingasviki 32. Uyezve, vascular atsamwira zvinogona kuitika vhiki yokutanga pashure pokuberekwa mubasa renguva rokuti vana. Chikonzero chinoita izvi iri mai mukupera toxicosis, zvikanganiso zviri maitiro pakuzvarwa uye chirwere.

Kupatsanura pakati chepfungwa ropa ne nzvimbo

The World Health Organization (WHO) nhasi anosunungura 5 mhando sitiroko:

1. Intracerebral kana intracerebral ropa kana dzinokaroparuka midziyo dziri pakadzika akaturikidzana michena kana bvudzi nyaya, uye ropa yakadururirwa richienda kuuropi.
2. Subarachnoid, sezvamakaropafadzwa ruptured aneurysm kana midziyo akarova amyloidosis, ropa saka anopinda mhango, iyo izere cerebrospinal mvura.
3. Ventricular kana ventricular ropa kukanganisa lateral pfungwa ventricle.
4. Nhengo dzomuviri pane izvo vakamhanyira ropa anopinda nzvimbo pakati dehenya uye uropi.
5. Subdural, umo ropa runoyerera pasi rakaoma deko uropi.

Kuti dzibatsire munhu kuziva muviri mugove kwave kuchiita kuchinja Fani iyi sezvo ropa muuropi, zviratidzo nerimwe mhando zvine peculiarities zvavo, kunogona tarisei uye dzimwe chirwere nzira.

Ndezvipi kwokunze zviratidzo zvingaratidza uropi chokubuda

Nokuti marudzi ose hemorrhages inozivikanwa zvinotevera zviratidzo uye zviratidzo zvinoonekera pakutanga mumaminitsi mashomanana atsamwira rwengarava ropa:

• anotemwa nemusoro;
• kurasikirwa kana kuvhiringidzika;
• svoto uye kurutsa;
• spasmodic marwadzo zvimwe tsandanyama.

Imwe kana kupfuura chero zviratidzo akanyorwa mazita ichi, vanofanira kuona varwere uye nehama dzavo, kunyanya nyaya apo munhu ane chirwere kubva pamazita avo anogona kukonzera ropa muuropi. Zviratidzo kazhinji vanowanzoda kusimbisa, saka hapana chikonzero vakamirira kuzorodzwa murwere, uye zviri nani kuzodana amburenzi.

Zviratidzo uropi ropa muvana

The chikuru zviratidzo sitiroko vachangoberekwa havana akasiyana avo kuti varipo Varwere akura. Zvisinei, pane zvakawanda zviratidzo iyo munhu anogona kunzwisisa kuti mwana ruptured midziyo ropa muuropi. Kazhinji ichi zvinoonekwa nekusagona mwana kuti yakayamwa kufamba, akatsvuka pakati sclera maziso nokuda parumananzombe ropa mavari, uyewo kudzvinyirirwa mudzira hunenge. Kana pasina zviratidzo pachena kuti ropa muuropi zvokurwara kunogona kuitika munguva dzinouya nguva yakasimba kwazvo ikure dehenya ane mwana.

The zviratidzo ropa muuropi, zvichienderana panzvimbo yavo localization

Localization kuti hematoma muuropi kukanganisa zviratidzo. Saka, pane imwe ropa pakadzika zvikamu murwere tinganetseka zviratidzo zvakadai nokuvhunika kana kufema kusungwa, yakatsiga vachishandisa kutenderera eyeballs kune rimwe divi, hapana zvingaitwa vadzidzi kuti chiedza, zvinoderedza kuti tembiricha yomuviri, kwemwoyo kutadza, kuoma dzomuviri mumwe hafu muviri. Kazhinji, mamiriro rinowanika runowanzoitika kutanga akadai ropa muuropi - pakoma, umo murwere kushaya Kupindura kunorwadza kuitika.

Kana ropa anopinda pfumbu uye / kana chena nyaya uropi murwere nemamiriro kungaratidzwa kubudikidza kushaya dzidziso iri nzvimbo uye nekusagona rinoronga kufamba, tsandanyama simba, kunyanya kushungurudzika kana retardation, dzepanguva zvirwere. Ropa iri cerebellum, kazhinji kunokonzera kwakakomba occipital marwadzo, kurasikirwa pfungwa, yakatsauka kubva dzose nzvimbo musoro shure kana kuti parutivi, imwe nekusagona batanidza kufamba.

Kuwedzera pamusoro apa zviratidzo pavarwere vane chepfungwa ropa kunogona kuitika zviratidzo zvakadai deformation chiso nokuda kuoma tsandanyama dzechiso, kutadza kunyemwerera, kushaya coherent kutaura. Kana zviratidzo izvi zvakakosha nokukurumidza sezvinobvira kupa rubatsiro kutanga munhu uye tora naye kuchipatara kuti MRI uropi, iyo unogona kuisa mwero vascular maronda uye kuziva zvakakodzera kurapwa.

The kubuda ngozi zvikuru muuropi

Ngozi munhu chepfungwa ropa, riri pakuti nokuda discontinuities vascular nhengo dzomuviri yei vakarega zvinovaka muviri uye oxygen. Mukuwedzera, uropi pachena kune vaunganidza ropa, iro akakudzvinya nzvimbo dzayo. Zviri, kazhinji, inokonzera kusingarapiki zvinokonzerwa kuti kuchinja upenyu pashure sitiroko ari murwere Zvinotambudza pachake, sezvo zhinji mashandiro anoita muviri, kusanganisira pfungwa, chetsinga, uye dzimwe nekukasika. Uye yakareba murwere asina kukodzera kurapwa, shoma mukana kuti achapora napo.

Mabatirwo ropa muuropi

To musi, pane mbiri chete nzira kurapa uropi chokubuda. Treatment, asi, ayo nzira (zvomusejari kana dzokurapwa) kusarudzwa inobva chokwadi, apo muviri vemunyika hematoma, uyewo ukuru hwaro. The zvairatidza kuti kuvhiyiwa vari:

• guru (50 Rine mamiririta) Vhoriyamu ropa parumananzombe uropi;
• ropa, vemunyika mukati muuropi, kana ari lateral ventricle;
• rinorema romurwere ezvinhu.

The kwokugamuchirwa hwokushanda kunotemwa chete nokuda kupinda chiremba!

To musi, pane mhando anoverengeka maoparesheni, vachibvumira kubvisa ropa clot kubva uropi:

1. Craniotomy, rinoitwa pasi zvavo yokutindivadza. Rinoshandiswa zvikuru chepfungwa ropa. Chinodiwa kuti kunhaka iyi mhando wokuvhiya ndiko kushaya zvakakomba zvirwere zvomukati murwere.
2. Zvishoma invasive pokuvhiyiwa, musimboti randinogara mune chokwadi chokuti munguva nawo dehenya murwere ari nzvimbo localization yacho clot rinoshandisirwa hwomukova rimwe chete kuburikidza iyo anobudisa mushonga zvishoma nezvishoma kutaurwa Via chaiwo mhinduro, mumwe pokufa ropa clot. Wabvisa zvimedu rayo zvakare kuitwa kuburikidza buri ichi. Duration kurapwa anenge 2 mazuva, umo mugove mutsva mhinduro zvinokosha kudira ose 6 maawa.
3. Stereotactic kubvisa hematoma rinoitwa kushandisa chaiyo mudziyo, kuburikidza icho kuitwa Kuparadzwa ari thickened ropa runopiwa zvakananga nzvimbo lesion.

Consequences uye maonero

Ropa haisi nzira yakanakisisa kunokanganisa uropi. Photos of vanhu vakambova chirwere ichi chinogona kukonzera misodzi. Asi nokure kupfuura kuti vapone midziyo inogona kuparara, chete anenge 50% wevarwere. Migumisiro uropi ropa zvinoenderana sei guru hematoma raiva uye nokukurumidza sei murwere vakagamuchira rubatsiro. Upenyu mushure Shamhu kazhinji inoramba yakafanana kare. A yakawanda varwere vave vasingadzoreki kutaura uye zvakaratidzwa, chiveve maoko kana makumbo. Mumwe zvakakura matambudziko ose ropa kupinda uropi kuonekwa netsviyo.