Kuwedzera kwekumanikidza kushushikana

Kuwedzera kwekumanikidza kusimba ndiko kusimuka kwekumanikidza mukati mehenya iro rinogona kukonzeresa kana kukonzera kukuvara kwehuropi.

Kuwedzera kwekumanikidza kwekumanikidza kunogona kuve nekuda kwekukwira kwekumanikidza kweiyo cerebrospinal fluid. Urwu ndirwo rwunotenderedza uropi nemuzongoza. Kuwedzera kwekumanikidza kwekumanikidza kunogona zvakare kuve nekuda kwekukwira kwekumanikidza mukati mehuropi pachahwo. Izvi zvinogona kukonzerwa nehukuru (senge bundu), kubuda ropa muuropi kana kuyerera kwakatenderedza uropi, kana kuzvimba mukati mehuropi pachahwo.

Kuwedzera kwekumanikidza kushushikana idambudziko rakakomba uye rinotyisidzira hupenyu. Iko kumanikidza kunogona kukuvadza huropi kana musana wesipinha nekutsikirira pazvinhu zvakakosha uye nekudzivirira kuyerera kweropa kupinda muuropi.

Mamiriro mazhinji anogona kuwedzera kusagadzikana kwekumanikidza. Zvinowanzoitika zvinosanganisira:

• Aneurysm kuputika uye subarachnoid hemorrhage
• Bundu rebongo
• Encephalitis kutsamwa uye kuzvimba, kana kuzvimba, kwehuropi)
• Kukuvara kwemusoro
• Hydrocephalus (yakawedzera mvura yakatenderedza uropi)
• Hypertensiveuropi hemorrhage (kubuda ropa muuropi kubva pakukwira kweropa)
• Intraventricular hemorrhage (kubuda ropa munzvimbo dzakazara mvura, kana ma ventricles, mukati meuropi)
• Meningitis (hutachiona hwenzvimbo dzinofukidza uropi uye musana)
• Subdural hematoma (kubuda ropa pakati pekuvhara kwehuropi uye nepamusoro pehuropi)
• Epidural hematoma (kubuda ropa pakati pemukati mehenya uye chifukidziro chekunze chehuropi)
• Kufenda
• Kurohwa

Vacheche:

• Kukotsira
• Yakaparadzaniswa suture padehenya
• Kubhururuka kwenzvimbo yakapfava pamusoro pemusoro (bulging fontanelle)
• Kusvipa

Vana vakura nevakuru:

• Maitiro anochinja
• Kuderedza kusvinura
• Kutemwa nemusoro
• Lethargy
• Kutya system zviratidzo, zvinosanganisira kushaya simba, kupera simba, matambudziko eziso rekufamba, uye kuona kwakapetwa
• Kufenda
• Kusvipa

Anopa hutano anowanzo gadzira kuongororwa pamubhedha wemurwere mune yekukurumidzira kamuri kana chipatara. Vanotarisira vekutanga varapi dzimwe nguva vanoona zviratidzo zvekutanga zvekuwedzera kwekumanikidza kwakadai senge kutemwa nemusoro, kufenda, kana mamwe matambudziko etsinga.

Iyo MRI kana CT scan yemusoro inogona kazhinji kuona iyo chikonzero chekuwedzera kwekusagadzikana kwekumanikidza uye kusimbisa kuongororwa.

Kumanikidzwa kwemukati kunogona kuyerwa panguva yepombi yemuzongoza (lumbar puncture). Inogona zvakare kuyerwa zvakananga nekushandisa mudziyo unocherwa kuburikidza nedehenya kana chubhu (catheter) inoiswa munzvimbo ine mhango muuropi inonzi ventricle.

Kamwe kamwe kuwedzera kwekumanikidza kumanikidza kuri kwekukurumidzira. Munhu wacho acharapwa munzvimbo yevanotarisirwa zvakanyanya muchipatara. Bato rezvehutano rinoyera nekutarisa zviratidzo zvemunhu zveurouro uye zvakakosha, zvinosanganisira tembiricha, kupomba, mwero wekufema, uye BP.

Kurapa kunogona kusanganisira:

• Kufema rutsigiro
• Kudonhedza cerebrospinal fluid kudzikisa kumanikidza muuropi
• Mishonga yekudzikisa kuzvimba
• Kubviswa kwechikamu chedehenya, kunyanya mumazuva maviri ekutanga eshoko rinosanganisira kuzvimba kwehuropi

Kana bundu, kubuda ropa, kana rimwe dambudziko rakakonzera kuwedzera kwekumanikidza kwekumanikidza, matambudziko aya anorapwa.

Kamwe kamwe kuwedzera kwekumanikidza kushushikana kwakakomba uye kazhinji kutyisidzira hupenyu. Kukurumidza kurapwa kunoguma nechitarisiko chiri nani.

Kana iko kuwedzera kwekumanikidza kuchisundira pane zvakakosha zvivakwa zvehuropi nemidziyo yeropa, zvinogona kutungamira kumatambudziko akakomba, anogara nekusingaperi kana kutofa.

Iyi mamiriro kazhinji haigone kudzivirirwa. Kana iwe uchiramba uchirwadziwa nemusoro, kusaona zvakanaka, shanduko padanho rako rekusvinura, matambudziko etsinga, kana kubatwa, tsvaga rubatsiro rwechiremba ipapo ipapo.

ICP - yakasimudzwa; Kumanikidzwa kwemukati - kwakasimudzwa; Intracranial neBP; Zvakanyanya kuwedzera kusagadzikana kwekumanikidza; Kamwe kamwe kwakawedzera kusagadzikana kwekumanikidza

• Ventriculoperitoneal shunt - kubuda

• Subdural hematoma
• Central nervous system uye yekumusoro tsinga system

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Beaumont A. Physiology yeiyo cerebrospinal fluid uye kusagadzikana kwekumanikidza. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 52.

Kelly AM. Neurology emergency. Muna: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, eds. Chinyorwa cheVakuru Emergency Medicine. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: 386-427.