Zvishoma vanoziva mamiriro (akamuka chaanoziva): Zviratidzo neMarapirwo Nzira

A chirwere hwokuratidza kurasikirwa zvishande basa uye kwakakwana hanya, izvo akasimuka somugumisiro abnormalities mu cerebral cortex, rinonzi zvishoma vanoziva mamiriro. Izwi akanga chakaunzwa mushonga muna 1940 na chiremba wepfungwa wokuGermany E. Kretschmer.

zvikonzero

Kakawanda wakasvinura chaanoziva (ndiro zita nhau wechipiri munyaya ino chirwere) rinowanika pashure wakaomarara zvinorwadza kukuvara uropi. Kazhinji, yakadaro pathological rebipolar kukura somugumisiro hypoxia, chepfu, metabolic, zvemwoyo, chirwere uye dzimwe pfungwa maronda. It akaona kuti hosha iri chirwere muna 14% wevarwere mu kwenguva refu zvinorwadza pakoma. Zvishoma vanoziva mamiriro mwana unganyanya kuitikira pashure meningoencephalitis, nokumutswa, makuvaro craniocerebral. In chirwere ichi angatanga zvishoma nezvishoma zvokuti 2-3 kwemwedzi kana kunyange kwemakore. Varwere vari asina chaanoziva pamusoro asiri dzechimwe mavambo, kufanana ezvinhu Rinobatanidzwa STRUCTURAL kukuvara ari basal ganglia uye cortex ne hama pakuchengetedza uropi hunde.

zvekuchipatara mufananidzo

Zviratidzo chirwere ichi kuva pachena chete pashure murwere kubva pakoma. In iyi ipfupi takamuka. Kazhinji, ziso kwevanhu, icho chirwere apallic, yakazaruka syndrome. Iye nyore tenderera navo, asi tarirai asingadi kugadzira. Chero mupfungwa siyana uye hapana kutaura. Contact nemunhu akadaro hazvibviri, sezvo mirayiro kutukana vasina kunzwisisa. Muzviitiko zvakaipisisa, murwere ari akangorara, anoita kunyongana kwaiva kumaruwa kufamba maoko nemakumbo. Kazhinji varwere zvokurwara ichi kuitika muviri, paresis, hyperkinesis, oculomotor nenyonganiso. Izvi imhaka yokuti mune kwazvo nyaya chirwere kunosvika chokumisa uye subcortical pfungwa ezvirevo. Muchiitiko chino, varwere zvinogoneka dzekukurira akasiyana siyana mikana yakawanda yokukurudzira, kazhinji - marwadzo muchimiro vachidanidzira nomumwe ruzha kana kamwe kufamba. Mune zvimwe zviitiko pangava nokuratidzwa rwakabata kana nomumukanwa hunenge. Murwere anovhura muromo wake, uye kana kusvika munhu akaramba tsotso kubva rurimi rwake. Saka zvose vegetative mabasa akadai pakuparadza, mwoyo, afemeruke, anomwa, mutsvina yadzo uye weti excretion zvakachengetwa. A maitiro Makogon womunhu ane chirwere kuti "zvishoma vanoziva mamiriro" - maoko vakarumanisa kupinda nezvibhakera, tsoka dziri plantar flexion. Amimichno chiso, dzimwe nguva pane yawning. In ibvi uye kugokora majoini vari zvinooneka zvishomanana flexion. Varwere vari wakasvinura chaanoziva zvikaramba kushandura nguva takamuka uye hope, kwete zvichienderana nenguva zuva.

Integrated Diagnostics

Zvishoma vanoziva mamiriro (akamuka chaanoziva) iri dzakaonekwa pachishandiswa noruzhinji zvinhu. Uyewo, kushandisa ultrasonic chirwere zvokurwara kudzidza peripheral uye zvikuru mutsinga uye arteries kuti chiropa, musoro, maoko nemakumbo uye neitsvo. Uyezve, midziyo duku ropa vakatakura capillaroscopy muviri ECG achivhara ischemic kuchinja mwoyo tsandanyama. An kunyatsoongorora uropi (electroencephalogram), uye mamiriro vascular anochinjika kuti mupfungwa nomumuviri, uyewo chetsinga uye somatic kuongorora.

mamirire zvinhu

The eeg muvhiki dzokutanga shoma, akaratidza akacherekedza generalized chinja. Zvino maviri kusvika mitatu kuchengetwa predominance tetaaktivnosti. Mwedzi mitanhatu gare gare, pane Alpha basa (yakaderera-indekisi). Somugumisiro zvidzidzo kubudikidza computed tomography kwakaratidza uropi atrophy, uyewo rokuwedzera ventricles.

Zvishoma vanoziva mamiriro. mabatiro

In wakakura zvikuru kacho kuratidza nokumutswa. Nzira dzokurapa basa pakutsvaga peculiarities kuti kiriniki, etiology pamusoro rebipolar mukuru mamiriro murwere.

Nokumutswa uye yevanorwara zvikuru

The chikuru zvataurwa ichitarisira pathological ezvinhu kuti normalize cardiac basa uye afemeruke, BP homeostasis, hemodynamics (uropi uye nhamba), Anti-chepfungwa edema uye hypoxia. A chiitiko chinokosha zvikuru kuti murwere hanya. Dzivisa tilting musoro, rurimi. Nguva nenguva kushandura murwere muviri nzvimbo (zvakanakisisa zvose - kurutivi), kuti vaite chimbuzi nasal nezuva, Árbol sepombi uye muromo. WeDhipatimendi yevanorwara zvikuru monitors zviratidzi zvinokosha mamiriro muviri. Iri BP, kwemwoyo, eeg, muviri tembiricha, ECG, vhoriyamu uye respiratoria, uyewo asidhi uye akamira ropa magasi. Kana akaratidza netambo kufema vakatakura rokukurumidzira intubation uye zvokuimba kufefetedza (nenharo uye humidified mhepo). Kuvandudza ehupfumi ropa plasma-dzinomiririra mhinduro dzinowanikwa nomutsinga. The Chiitiko iri pasi kudzorwa venous kumanikidzwa.

Kudzivirira chirwere

Varwere vari kwenguva refu ari pakoma, kudzivirira kukura chirwere ichi zvaida ndichibvunza resuscitative matanho. Zviitwa izvi zvinosanganisira kweiyi cardiac basa, zvokuimba kufefetedza, kuramba BP. Uyezve, Zvinokurudzirwa kushandisa zvinodhaka simba uropi muviri uye aivabatsira nokupfuuridzirwa nomunhu. Zvikuru zvinoitika kutarisirwa uye zvakakodzera, uye mune zvimwe zviitiko - parenteral kudya kunovaka. Unofanirawo kushandisa dzakasiyana-siyana symptomatic nevamiririri uye mavhitaminzi.

ukoti

Kudyisa yakanakisisa kuitwa kuburikidza nhete percutaneous gastrostomy chubhu pane kuburikidza kumicheto. Saka sezvo chokupedzisira pashure kushandiswa nguva refu, inowedzera zvikuru ngozi reflux chido, maronda uye sinusitis. Zvinofanira nguva nenguva akuteerere uremu murwere. Panguva zvokudya murwere muviri kuti vamutsirwe 50-60 inegumi. Food vanofanira ane mapuroteni, mavhitaminzi, uye zvicherwa, uyewo nomuti mafuta acids. Macalorie - vanenge 35 kcal / makirogiramu pazuva. Kuti vasina bowel inokurudzirwa kushandisa nemumuromo laxatives, asi kwete kupfuura katatu pavhiki, uyewo rectal suppositories. Kana murwere yakabuda manyoka, unofanira nguva nenguva kumupa 'mhenyu' yoghurts uye panguva nenguva aongorore, kana chero zvokudya mudumbu kurega kunotanga. Kuti uvandudze bowel basa anofanirwa kuverengerwa mukati zvokudya zvekudya ine yakawanda faibha.

Varwere zvinetso izvi zvinoratidzwa massotherapy. Mune dzimwe kurapwa nzvimbo vanhu vari kutsinzina pakoma, akabata vapore purogiramu inokosha. Anosanganisira multi-kubata, muviri uye zvokurapa kurapa, uyewo zvimwe nzira iyo rokukunda zvishoma vanoziva mamiriro.

mataridzikiro

Zvinosuruvarisa kazhinji, mudzivisi Zvaizobuda chirwere. Zvisinei, zvingadarowo regredientnoe urwere, kusvikira kuzoita basa anenge wakakwana. In pamberi mberi atrophic pezvakaitwa kuti zvinoodza kuitika mune vanhu vakwegura, kungava mamiriro decerebrate Rigidity, dzinoratidzwa chitarisiko chinyamunhari chinorwadza uye mamwe mamiriro zviratidzo.