Mamiriro ekunyengera

Kumira kwakashata chimiro chisina kujairika chinosanganisira maoko nemakumbo zvakabatwa zvakatwasuka, zvigunwe zvichinongedzerwa pasi, uye musoro nemutsipa zvichisimudzwa kumashure. Tsinga dzakasungwa uye dzakabatwa zvakaomarara. Iyi mhando yekumisikidza kazhinji zvinoreva kuti kwave nekukuvara kwakanyanya kuuropi.

Kukuvara kwakakomba kuuropi ndicho chikonzero chinowanzoitika chesagadzikana mamiriro.

Opisthotonos (yakanyanya mhasuru spasm yemutsipa uye kumashure) inogona kuitika mune zvakakomba zviitiko zvekusagadzikana mamiriro.

Dhecerebrate mamiriro anogona kuitika kune rimwe divi, pamativi ese, kana mumaoko chete. Inogona kuchinjika nerumwe rudzi rwechimiro chisina kujairika chinonzi decorticate mamiriro. Munhu anogona zvakare kuve neyakagadziriswa mamiriro kune rimwe divi remuviri uye nekudzikisira mamiriro kune rimwe divi.

Zvinokonzera kusagadzikana mamiriro zvinosanganisira:

• Kubuda ropa muuropi kubva pane chero chikonzero
• Brain stem bundu
• Kurohwa
• Dambudziko rehuropi nekuda kwemishonga isiri pamutemo, chepfu, kana hutachiona
• Kushungurudzika kwepfungwa kukuvara
• Dambudziko rehuropi nekuda kwekutadza kwechiropa
• Kuwedzera kumanikidzwa muuropi kubva kune chero chikonzero
• Bundu rebongo
• Zvirwere, zvakadai se meningitis
• Reye syndrome (kukuvara kwehuropi kamwe kamwe uye matambudziko echiropa anokanganisa vana)

Mamiriro ezvinhu ane chekuita nererebrabure posture anoda kurapwa ipapo ipapo muchipatara.

Kumisikidza kusarongeka kwemhando ipi neipi kazhinji kunoitika nehuremu hwesvinu. Chero ani zvake ane chimiro chisina kujairika anofanira kuongororwa ipapo ipapo nemupi wezvehutano.

Munhu wacho achada kurapwa nechimbichimbi ipapo. Izvi zvinosanganisira rubatsiro rwekufema uye kuiswa kwepombi yekufema. Munhu wacho angangobvumirwa kuenda kuchipatara oiswa mukutarisirwa.

Kana munhu achinge agadzikana, mupi achawana yakazara nhoroondo yezvokurapa kubva kunhengo dzemhuri kana shamwari uye oita kunyatsoongorora kwomuviri. Izvi zvinosanganisira kunyatsoongorora kwehuropi nehurongwa hwemitsipa.

Nhengo dzemhuri dzichabvunzwa mibvunzo nezve nhoroondo yemunhu yekurapa, inosanganisira:

• Zviratidzo zvakatanga rini?
• Iko kune maitiro kune zvikamu?
• Muviri unomira nguva dzose wakafanana here?
• Kune here chero nhoroondo yekukuvara kwemusoro kana imwe mamiriro?
• Ndezvipi zvimwe zviratidzo zvakauya pamberi kana neasina kujairika mamiriro?

Miedzo inogona kusanganisira:

• Ropa uye weti kuongororwa kuti uone kuwanda kweropa, screen yemishonga uye chepfu zvinhu, uye kuyera makemikari emuviri uye zvicherwa
• Cerebral angiography (dhayi uye x-ray kudzidza yemidziyo yeropa muuropi)
• CT kana MRI yemusoro
• EEG (kuyedzwa kweuropi wave)
• Intracranial kumanikidza (ICP) kuongorora
• Lumbar kubaya kutora cerebrospinal fluid

Maonero anoenderana nechikonzero. Panogona kuve nehuropi uye huta hurongwa kukuvara uye kusingaperi kwehuropi kukuvara, izvo zvinogona kutungamira ku:

• Coma
• Kusakwanisa kutaura
• Kuoma mitezo
• Kufenda

Opisthotonos - kudzikisira mamiriro; Kusagadzikana kwekumira - kudzikisira mamiriro; Kunetseka kwekukuvara kwehuropi - kusadzora mamiriro; Kududzira mamiriro - kudzikisira mamiriro

Bhora JW, Dhayi JE, Flynn JA, Solomon BS, Stewart RW. Neurologic maitiro. Mune: Bhora JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Nhungamiro yaSeidel kuPhysical Examination. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 23.

Hamati AI. Neurological zvinetso zve systemic chirwere: vana. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 59.

Jackimczyk KC. Akachinja mamiriro epfungwa uye coma. Mune: Markovchick VJ, Pons PT, Bakes KM, Buchanan JA, eds. Emergency Medicine Zvakavanzika. 6th ed. Philadelphia, PA: Elsevier; 2016: chits.

Woischneck D, Skalej M, Firsching R, Kapapa T. Decerebrate vachimisikidza zvichitevera kukuvara kwehuropi kwakakuvadza: Kuwanikwa kweMRI uye kukosha kwavo kwekuongorora. Kliniki Radiol. 2015; 70 (3): 278-285. PMID: 25527191 www.ncbi.nlm.nih.gov/pubmed/25527191.