Kududzira mamiriro

Kuzvidzora kwekumira chimiro chisina kujairika umo munhu akaomarara nemaoko akakotama, akakomba zvibhakera, uye makumbo akatwasanudzwa akatwasuka. Maoko akakotamiswa akatarisana nemuviri uye mawoko neminwe zvakakotama uye zvakabatirwa pachipfuva.

Mhando iyi yekumisikidza chiratidzo chekukuvara kwakanyanya muuropi. Vanhu vane chirwere ichi vanofanirwa kurapwa nekukasika.

Kudonhedza mamiriro ndiko chiratidzo chekukuvara kwenzira munzira yepakati, iri pakati pehuropi uye musana. Midbrain inodzora kufamba kwemotokari. Kunyangwe kuora mwoyo kwakakomba kwakakomba, kazhinji hakusi kwakakomba semhando yekumira zvisina kujairika kunodaidzwa kunzi kusagadzikana.

Iko kumisikidza kunogona kuitika kune rimwe kana maviri mativi emuviri.

Zvinokonzera kudzikisira mamiriro zvinosanganisira:

• Kubuda ropa muuropi kubva pane chero chikonzero
• Brain stem bundu
• Kurohwa
• Dambudziko rehuropi nekuda kwemishonga, chepfu, kana hutachiona
• Kushungurudzika kwepfungwa kukuvara
• Dambudziko rehuropi nekuda kwekutadza kwechiropa
• Kuwedzera kumanikidzwa muuropi kubva kune chero chikonzero
• Bundu rebongo
• Utachiona, hwakadai seReye syndrome

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

Munhu wacho anowana kurapwa kwekukurumidzira. Izvi zvinosanganisira kuwana chubhu yekufema uye rubatsiro rwekufema. Munhu wacho anogona kunge achigamuchirwa muchipatara oiswa muchipatara chevanonyanya kutarisirwa.

Mushure mekunge mamiriro acho agadzikana, mupi achawana nhoroondo yezvekurapa kubva kunhengo dzemhuri kana shamwari uye kuongororwa kwakadzama kwemuviri kunozoitwa. Izvi zvinosanganisira kunyatsoongorora kwehuropi nehurongwa hwemitsipa.

Chiremba nhoroondo mibvunzo inogona kusanganisira:

• Zviratidzo zvakatanga rini?
• Iko kune maitiro kune zvikamu?
• Chimiro chemuviri chinogara chakafanana here?
• Kune here chero nhoroondo yekukuvara kwemusoro kana kushandisa zvinodhaka?
• Ndezvipi zvimwe zviratidzo zvakaitika pamberi kana neasina kujairika mamiriro?

Miedzo inogona kuitwa inosanganisira:

• 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)
• MRI kana CT scan 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

Kusagadzikana kwekumira - kudzikisira mamiriro; Inotambudza kukuvara kwehuropi - decorticate 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.

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.