Brain herniation

Brain herniation iko kuchinjisa kwehuropi matishu kubva kune imwe nzvimbo muuropi kuenda kune imwe kuburikidza kwakasiyana mafuru uye kuvhurika.

Brain herniation inoitika kana chimwe chinhu chiri mukati mehenya chinoburitsa kumanikidza kunoita matinji ehuropi. Izvi zvinowanzo kuve mhedzisiro yekuzvimba kwehuropi kana kubuda ropa kubva mukukuvara kwemusoro, sitiroko, kana bundu repfungwa.

Brain herniation inogona kunge iri mhedzisiro yemamota muuropi, kusanganisira:

• Metastatic brain tumarara
• Chikuru chepfungwa bundu

Herniation yeuropi inogona zvakare kukonzerwa nezvimwe zvinhu zvinotungamira mukuwedzera kumanikidza mukati mehenya, kusanganisira:

• Kuunganidzwa kwepus uye zvimwe zvinhu muuropi, kazhinji kubva kubhakitiriya kana fungal hutachiona (abscess)
• Kubuda ropa muuropi (hemorrhage)
• Kuvaka kwemvura mukati mehenya iyo inotungamira kuhuropi kuzvimba (hydrocephalus)
• Kurohwa kunokonzera kuzvimba kwehuropi
• Kuzvimba mushure mekurapwa nemwaranzi
• Kukanganisa mukuumbwa kwehuropi, senge mamiriro anonzi Arnold-Chiari malformation

Brain herniation inogona kuitika:

• Kubva kune rimwe divi kuenda kudivi kana pasi, pasi, kana kuyambuka membrane yakaoma kunge tendeamu kana falx
• Kubudikidza nekuvhurwa kwemapfupa echisikigo pazasi pehenya iri inonzi foramen magnum
• Kuburikidza nekuvhura kwakagadzirwa panguva yekuvhiyiwa kwepfungwa

Zviratidzo nezviratidzo zvinogona kusanganisira:

• Kuwedzera kweropa
• Irregular kana inononoka kupomba
• Musoro wakanyanya
• Kushaya simba
• Cardiac kusungwa (no pulse)
• Kurasika kwekuziva, koma
• Kurasikirwa kweese brainstem Reflexes (kubhenekera, kubvaruka, uye vadzidzi vanoita kune mwenje)
• Kufuridzira kusungwa (hapana kufema)
• Wide (dilated) vadzidzi uye hapana kufamba mune rimwe kana ese maziso

Uropi uye huta hurongwa kuongorora kunoratidza shanduko mukusvinura Zvichienderana nekuomarara kweiyo herniation uye chikamu chehuropi icho chiri kumanikidzwa kuenda, pachave nematambudziko neiyo imwe kana dzakawanda dzakanangana nehuropi pfungwa uye tsinga mabasa.

Miedzo inogona kusanganisira:

• X-ray yehenya uye mutsipa
• CT scan yemusoro
• MRI scan yemusoro
• Kuongororwa kweropa kana bhomba kana chirwere chekubuda ropa chikafungidzirwa

Brain herniation ndeyekurapa kwekukurumidzira. Chinangwa chekurapa kuponesa hupenyu hwemunhu.

Kubatsira kudzoreredza kana kudzivirira huropi herniation, timu yezvokurapa inobata kuwedzera kuzvimba uye kumanikidza muuropi. Kurapa kunogona kusanganisira:

• Kuisa dhurena muuropi kubatsira kubvisa cerebrospinal fluid (CSF)
• Mishonga yekudzora kuzvimba, kunyanya kana paine bundu muuropi
• Mishonga inoderedza kuzvimba kwehuropi, senge mannitol, saline, kana mamwe diuretics
• Kuisa chubhu mumhepo (endotracheal intubation) uye kuwedzera iyo yekufema mwero kudzikisa iwo mazinga ekabhoni dhayokisaidhi (CO₂muropa
• Kubvisa ropa kana kugwamba kweropa kana vari kukwidza kumanikidza mukati mehenya uye zvichikonzera herniation
• Kubvisa chikamu chedehenya kupa huropi imwe nzvimbo

Vanhu vane huro herniation vane kukuvara kwakakomba kwehuropi. Vanogona kunge vatove nemukana wakaderera wekudzoka nekuda kwekukuvara kwakakonzera herniation. Kana herniation ikaitika, zvinowedzera kudzikisira mukana wekupora.

Maonero anosiyana, zvichienderana nekuti uropi huripo huripo kupi. Pasina kurapwa, kufa kungangoitika.

Panogona kuve nekukuvara kune zvikamu zvehuropi zvinodzora kufema uye kuyerera kweropa. Izvi zvinogona kukurumidza kutungamira kurufu kana kufa kwehuropi.

Zvinetso zvinogona kusanganisira:

• Kufa kwehuropi
• Permanent uye yakakosha matambudziko eurourologic

Fonera 911 kana iyo yemunzvimbo yekukurumidzira nhamba kana kuendesa munhu wacho kuchipatara emergency room kana vakawana kuderera kwekusvinura kana zvimwe zviratidzo, kunyanya kana pakave nekukuvara kwemusoro kana kana munhu wacho aine bundu reuropi kana dambudziko rerutsinga reropa.

Kukurumidza kurapwa kwekuwedzera kusagadzikana kusagadzikana uye kusagadzikana kwakanangana kunogona kudzora njodzi yehuropi herniation.

Herniation chirwere; Transtentorial herniation; Uncal herniation; Subfalcine herniation; Tonsillar herniation; Herniation - uropi

• Kukuvara kwehuropi - kubuda

• Ubongo
• Brain hernia

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.

Papa L, Goldberg SA. Kushungurudzika kwemusoro. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 34.

Stippler M. Craniocerebral kushungurudzika. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 62.