Subarachnoid kubuda ropa

Subarachnoid hemorrhage iri kubuda ropa munzvimbo iri pakati pehuropi uye nhete dzakaonda dzinovhara uropi. Iyi nzvimbo inonzi subarachnoid space. Subarachnoid kubuda ropa ndeyechimbichimbi uye nekukurumidza kurapwa kunodiwa.

Subarachnoid hemorrhage inogona kukonzerwa ne:

• Kubuda ropa kubva kune tangle yemitsipa yeropa inonzi arteriovenous malformation (AVM)
• Kubuda ropa kusagadzikana
• Kubuda ropa kubva muuropi aneurysm (nzvimbo isina kusimba mumadziro eropa tsinga inokonzeresa iro reropa reropa kuti ribude kana bharumu kunze)
• Kukuvara kwemusoro
• Chisingazivikanwe chikonzero (idiopathic)
• Kushandiswa kweropa rinoonda

Subarachnoid hemorrhage inokonzerwa nekukuvara inowanzoonekwa kune vanhu vakuru vakadonha nekurova misoro. Pakati pevechidiki, yakanyanya kukuvara inotungamira kune subarachnoid hemorrhage kupwanya mota.

Ngozi dzinosanganisira:

• Isina kuvharika aneurysm muuropi uye mimwe mitsipa yeropa
• Fibromuscular dysplasia (FMD) uye zvimwe zvinokanganisa matishu
• Kuwedzera kweropa
• Nhoroondo ye polycystic chirwere cheitsvo
• Kusvuta
• Kushandisa zvinodhaka zvisiri pamutemo zvakaita secocaine uye methamphetamine
• Kushandiswa kwevanocheka ropa senge warfarin

Nhoroondo yakasimba yemhuri yeaneurysms inogona zvakare kuwedzera njodzi yako.

Chiratidzo chikuru musoro wakakomba uyo unotanga pakarepo (unowanzozonzi kutinhira kwemusoro). Inowanzo kuve yakaipa padyo nekuseri kwemusoro. Vanhu vazhinji vanowanzoitsanangura se "yakanyanya kutemwa nemusoro zvachose" uye kusiyana nechero imwe mhando yekurwadziwa nemusoro. Musoro unogona kutanga mushure mekubuda kana kubvarura kunzwa mumusoro.

Zvimwe zviratidzo:

• Kupera kwekuziva uye kusvinura
• Kusagadzikana kwemaziso muchiedza chakajeka (photophobia)
• Maitiro uye hunhu hunoshanduka, kusanganisira kuvhiringidzika uye kusagadzikana
• Tsandanyama aches (kunyanya kurwadziwa kwemutsipa uye kurwadziwa kwepafudzi)
• Kusvotwa uye kurutsa
• Chiveve mune chimwe chikamu chemuviri
• Kufenda
• Mutsipa wakaoma
• Matambudziko ekuona, kusanganisira kuona kwakapetwa, mavara asingaone, kana kurasikirwa kwemaonero kwechinguva muziso rimwe

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi:

• Eyelid ichinyura
• Musiyano wevadzidzi
• Kungoerekana kwaomesa musana nemutsipa, nekupinza musana (opisthotonos; haina kujairika)

Zviratidzo zvinosanganisira:

• Kuongorora kwepanyama kunogona kuratidza mutsipa wakaoma.
• Uropi uye hunyanzvi bvunzo bvunzo dzinogona kuratidza zviratidzo zvekuderera kwetsinga uye huropi hunoshanda (focal neurologic deficit)
• Kuongorora kwemaziso kunogona kuratidza kuderera kwekufamba kwemaziso. Chiratidzo chekukuvara kune iyo cranial tsinga (mune yakaoma kesi, hapana matambudziko anogona kuoneka pane weziso bvunzo).

Kana chiremba wako achifunga kuti une subarachnoid hemorrhage, musoro CT scan (isina musiyano dhayi) ichaitwa ipapo ipapo. Mune zvimwe zviitiko, iyo scan yakajairika, kunyanya kana paingova neropa shoma. Kana iyo CT scan yakajairika, iyo lumbar puncture (musana tambo) inogona kuitwa.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Cerebral angiography yemidzi yeropa yeuropi
• CT scan angiography (uchishandisa musiyano dhayi)
• Transcranial Doppler ultrasound, kutarisa kuyerera kweropa mutsinga dzeuropi
• Magnetic resonance imaging (MRI) uye magnetic resonance angiography (MRA) (pano neapo)

Zvinangwa zvekurapa ndezvekuti:

• Ponesa hupenyu hwako
• Gadzirisa chinokonzera kubuda ropa
• Deredza zviratidzo
• Dzivirira matambudziko akadai sekusingaperi uropi kukuvara (sitiroko)

Kuvhiya kunogona kuitwa ku:

• Bvisa kuunganidzwa kukuru kweropa kana kubvisa kumanikidza kuuropi kana kubuda ropa kuri nekuda kwekukuvara
• Gadzirisa aneurysm kana kubuda kweropa kukonzerwa nekuparara kweaneurysm

Kana munhu achirwara zvakanyanya, kuvhiyiwa kunogona kumirira kusvikira munhu anyatsogadzikana.

Kuvhiya kunogona kusanganisira:

• Craniotomy (kucheka gomba mudehenya) uye aneurysm kutema, kuvhara aneurysm
• Endovascular coiling: kuisa makoiri mune aneurysm uye stents muropa reropa kuti ubate ma coils anoderedza njodzi yekuwedzera kubuda ropa

Kana pasina aneurysm inowanikwa, munhu wacho anofanira kunyatso tariswa neboka rezvehutano uye angangoda mimwe miedzo yekufungidzira.

Kurapa kwekoma kana kudzikira kwekusvinura kunosanganisira:

• Kudhonza chubhu yakaiswa muuropi kuti ibvise kumanikidzwa
• Rutsigiro rwehupenyu
• Nzira dzekudzivirira iyo yemhepo
• Position inokosha

Munhu anoziva anogona kuda kunge ari pazororo rakaomarara. Munhu wacho anoudzwa kuti adzivise zviitiko zvinogona kuwedzera kumanikidza mukati memusoro, kusanganisira:

• Kukotama
• Kutwasuka
• Kamwe kamwe kuchinja chinzvimbo

Kurapa kunogona zvakare kusanganisira:

• Mishonga inopihwa kuburikidza nemutsetse we IV kudzora BP
• Mushonga wekudzivirira tsinga
• Painkillers uye anti-kunetseka mishonga yekudzora musoro uye kudzikisa kumanikidza mu dehenya
• Mishonga yekudzivirira kana kurapa pfari
• Stool softeners kana laxatives kudzivirira kumanikidza panguva yekufamba kwematumbu
• Mishonga yekudzivirira pfari

Akanaka sei munhu ane subarachnoid hemorrhage inoenderana nezvinoverengeka zvinhu zvakasiyana, zvinosanganisira:

• Nzvimbo uye huwandu hwekubuda ropa
• Matambudziko

Kukwegura uye zvimwe zviratidzo zvakakomba zvinogona kutungamira kune hurombo mhedzisiro.

Vanhu vanogona kupora zvachose mushure mekurapwa. Asi vamwe vanhu vanofa, kunyangwe nekurapwa.

Kudzokorora kubuda ropa ndiko kunetsa kwakanyanya. Kana cerebral aneurysm ikabuda ropa kechipiri, tarisiro yacho yakaipa zvakanyanya.

Shanduko mukuziva uye kusvinura nekuda kwesarachnoid hemorrhage inogona kuwedzera uye inotungamira mukuoma kana kufa.

Zvimwe zvinetso zvinosanganisira:

• Matambudziko ekuvhiyiwa
• Mishonga mhedzisiro
• Kufenda
• Kurohwa

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (yakadai sa911) kana iwe kana mumwe munhu waunoziva ane zviratidzo zve subarachnoid hemorrhage.

Aya anotevera matanho anogona kubatsira kudzivirira subarachnoid hemorrhage:

• Kurega kusvuta
• Kurapa BP
• Kuziva uye kubudirira kurapa aneurysm
• Kwete kushandisa zvinodhaka

Hemorrhage - subarachnoid; Subarachnoid kubuda ropa

• Kutemwa nemusoro - chii chekubvunza chiremba wako

Mayer SA. Hemorrhagic cerebrovascular chirwere. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 408.

Szeder V, Tateshima S, Duckwiler GR. Intracranial aneurysms uye subarachnoid hemorrhage. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 67.