Intracranial kumanikidza kuongorora

Intracranial kumanikidza (ICP) kuongorora kunoshandisa chishandiso chakaiswa mukati memusoro. Iyo yekutarisa inonzwa kumanikidza mukati mehenya uye inotumira zviyero kune yekurekodha chishandiso.

Pane nzira nhatu dzekutarisa ICP. ICP ndiko kumanikidzwa mu dehenya.

KAPATI INTRAVENTRICULAR

Iyo intraventricular catheter ndiyo chaiyo nzira yekutarisa.

Kuisa catheter ye intraventricular, gomba rinocherwa kuburikidza nehenya. Iyo catheter inoiswa kuburikidza nehuropi mukati meiyo lateral ventricle. Iyi nzvimbo yehuropi ine cerebrospinal fluid (CSF). CSF imvura inodzivirira uropi uye musana.

Iyo catheter ye intraventricular inogona zvakare kushandiswa kudurura fluid kunze kuburikidza ne catheter.

Iyo catheter inogona kunge yakaoma kupinda munzvimbo kana kumanikidza kwekumanikidza kukwirira.

SUBDURAL Screw (BOLT)

Iyi nzira inoshandiswa kana kuongorora kuchida kuitwa ipapo ipapo. Buri sikuruu inoiswa kuburikidza negomba rakaboorwa mu dehenya. Inoiswa kuburikidza neiyo membrane inodzivirira uropi uye musana (dura mater). Izvi zvinobvumira iyo sensor kuti inyore kubva mukati meiyo subdural space.

EPIDURAL SENSOR

Epidural sensor inoiswa pakati pedehenya uye dural tishu. Iyo epidural sensor inoiswa kuburikidza negomba rakaboorwa muhenya. Maitiro aya haanyanyo kuvhiringidza kupfuura dzimwe nzira, asi haigone kubvisa yakawandisa CSF.

Lidocaine kana imwe anesthetic yemuno ichajowa saiti kunochekereswa. Iwe unozonyanya kuwana sedative kuti ikubatsire kuzorora.

• Kutanga nzvimbo inogerwa nekucheneswa neantiseptic.
• Mushure mekunge nzvimbo yacho yaoma, kucheka kwekuvhiya kunoitwa. Ganda rinodhonzwa kumashure kusvikira dehenya raonekwa.
• Chibhorani chinobva chashandiswa kucheka nepfupa.

Kazhinji yenguva, maitiro aya anoitwa kana munhu ari muchipatara chevanotarisirwa zvakanyanya. Kana iwe wakamuka uye uchiziva, wako mupi wezvehutano anopa tsananguro maitiro uye njodzi. Iwe uchafanirwa kusaina fomu yemvumo.

Kana maitiro acho akaitwa uchishandisa general anesthesia, unenge wakarara uye usina kurwadziwa. Paunomuka, iwe unozonzwa zvakajairika mhedzisiro mhedzisiro yeanesthesia. Iwe zvakare uchave nekumwe kusagadzikana kubva pakucheka kwakaitwa mu dehenya rako.

Kana maitiro acho akaitwa pasi peanesthesia yemuno, iwe unenge wakamuka. Unobaya mushonga unobaiwa jekiseni kunzvimbo ichatemwa. Izvi zvinonzwa kunge kubaya pamusoro wako, sekurumwa nenyuchi. Iwe unogona kunzwa kukweva kwekunzwa apo ganda rinotemwa uye rinodhonzwa kumashure. Iwe unozonzwa ruzha rwekuboora sezvo runocheka kuburikidza nedehenya. Nguva yenguva inotora inoenderana nemhando yekuboora iyo inoshandiswa. Iwe zvakare uchanzwa kukweva sezvo chiremba anovhiya ganda richidzoka pamwechete mushure mekuita.

Wako anokupa anogona kukupa iwe marwadzo ekurapa mishonga kuti usanyanya kusagadzikana. Iwe haugone kuwana yakasimba marwadzo mishonga, nekuti mupi wako anozoda kutarisa zviratidzo zvekushanda kwehuropi.

Bvunzo iyi inowanzoitwa kuyera ICP. Izvo zvinogona kuitwa kana paine zvakanyanya kukuvara kwemusoro kana huropi / huta hwehurwere chirwere. Izvo zvinogona zvakare kuitwa mushure mekuvhiyiwa kubvisa bundu kana kugadzirisa kukanganisa kune ropa reropa kana chiremba anovhiya achinetseka nezvekuzvimba kwehuropi.

Yakakwira ICP inogona kurapwa nekudonhedza CSF kuburikidza necatheter. Inogona zvakare kurapwa ne:

• Kuchinja magadzirirwo emhepo kune vanhu vari pamushonga wekufema
• Kupa mimwe mishonga kuburikidza netsinga (intravenously)

Kazhinji, iyo ICP inotangira pane 1 kusvika 20 mm Hg.

Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Yakakwira ICP inoreva kuti ese masisitimu etsinga uye eropa tsinga zvinyama zviri pasi pekumanikidzwa. Kana ikasarapwa, izvi zvinogona kukonzera kukuvara zvachose. Mune zvimwe zviitiko, zvinogona kutyisidzira hupenyu.

Njodzi dzinobva pane maitiro dzinogona kusanganisira:

• Kubuda ropa
• Brain herniation kana kukuvara kubva mukuwedzera kumanikidza
• Kukuvadza kune huropi tishu
• Kusakwanisa kuwana iyo ventricle uye nzvimbo catheter
• Utachiona
• Ngozi dzeanesthesia yakajairika

ICP kuongorora; CSF kumanikidza kuongorora

• Intracranial kumanikidza kuongorora

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Oddo M, Vincent JL. Intracranial kumanikidza kuongorora. Mune: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Chinyorwa cheCritical Care. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko E20.

Rabinstein AA, Fugate JE. Nheyo dzekuchengetedza neurointensive. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 55.

Robba C. Intracranial kumanikidza kuongorora. Mune: Prabhakar H, ed. Neuromonitoring Matekiniki. 1st ed. Philadelphia, PA: Elsevier; 2018: chits. 1.