Ubongo Herniation

Zvemukati

• Mhando dzehuropi herniation
• Zviratidzo zvehuropi herniation
• Zvinokonzera brain herniation
• Kurapa huropi herniation
• Matambudziko ehuropi herniation
• Maonero ehuropi herniation

Mhedziso

Uropi herniation, kana cerebral herniation, inoitika kana hura hwehuropi, ropa, uye cerebrospinal fluid (CSF) ichichinja kubva panzvimbo yavo yakajairika mukati mehenya. Mamiriro acho anowanzo kukonzerwa nekuzvimba kubva mukukuvara kwemusoro, sitiroko, kubuda ropa, kana bundu repfungwa. Uropi herniation ndeyekurapa kwekukurumidzira uye inoda kurapwa nekukurumidza. Inowanzo kuuraya kana ikasarapwa ipapo ipapo.

Mhando dzehuropi herniation

Uropi herniation inogona kuverengerwa nekwakachinja huturu huturu. Kune matatu makuru mhando dzehuropi herniation:

• Subfalcine. Uturu hwehutachiona hunofamba pasi pechidziro chinonzi falx cerebri iri pakati pehuropi. Tinyurosi dzehuropi dzinopedzisira dzasundidzirwa kuyambuka kune rimwe divi. Iyi ndiyo yakajairika mhando yehuropi herniation.
• Transtentorial herniation. Rudzi urwu rwehuropi herniation inogona kuputsika pasi kuita maviri marudzi:
  • Kudzikira transtentorial kana uncal. Iyo uncus, chikamu chemukati wenguva lobe, inochinjiswa pasi ichipinda munzvimbo inozivikanwa seye posterior fossa. Iyi ndiyo yechipiri mhando yakajairika yehuropi herniation.
  • Kukwira transtentorial herniation. Iyo cerebellum uye brainstem inokwira kumusoro kuburikidza ne notch mune membrane inonzi iyo tentorium cerebelli.
• Cerebellar tonsillar. Iyo cerebellar tonsils inodzika yakadzika kuburikidza ne foramen magnum, kuvhurwa kwechisikigo pazasi pehenya apo tambo yemuzongoza inosangana nehuropi.

Uropi herniation inogona zvakare kuitika kuburikidza negomba rakagadzirwa kare panguva yekuvhiyiwa.

Zviratidzo zvehuropi herniation

Uropi herniation inoonekwa seyakanyanya emergency. Zviratidzo nezviratidzo zvinogona kusanganisira:

• vakawedzeredzwa vadzidzi
• musoro
• kutsimwaira
• kunetseka kuisa pfungwa
• BP
• kurasikirwa kwekufungisisa
• pfari
• kumira zvisina kujairika, kufamba kwakasimba kwemuviri, uye nzvimbo dzisina kujairika dzemuviri
• kusungwa kwemoyo
• kurasikirwa kwekuziva
• coma

Zvinokonzera brain herniation

A brain herniation inowanzo kuve mugumisiro wekuzvimba muuropi. Iko kuzvimba kunoisa kumanikidza kumatumbu ehuropi (anonzi sekuwedzera kusagadzikana kushushikana), zvichikonzera kuti munyama umanikidzwe kure neyakajairika positon.

Izvo zvinowanzoitika zvikonzero zvehuropi herniation zvinosanganisira:

• kukuvara kwemusoro kunotungamira kune subdural hematoma (apo ropa rinoungana pamusoro pehuropi pasi pehenya) kana kuzvimba (cerebral edema)
• sitiroko
• uropi hemorrhage (kubuda ropa muuropi)
• bundu rebongo

Zvimwe zvikonzero zvekuwedzera kwekumanikidza mudehenya zvinosanganisira:

• abscess (kuunganidzwa kwepus) kubva kuhutachiona kana hutachiona hutachiona
• kuvaka kwemvura muuropi (hydrocephalus)
• kuvhiyiwa huropi
• kuremara muchimiro chehuropi chinonzi Chiari malformation

Vanhu vane mamota europi kana matambudziko emidziyo yeropa, senge aneurysm, vari panjodzi yepamusoro yekuve nehuropi herniation. Uye zvakare, chero chiitiko kana sarudzo yemararamiro inoisa iwe panjodzi yekukuvara musoro inogona zvakare kuwedzera njodzi yako yehuropi herniation.

Kurapa huropi herniation

Kurapa kunoitirwa kudzikamisa kuzvimba uye kumanikidza mukati mehuropi izvo zviri kukonzera kuti huropi hutange kubva kune imwe kamuri kuenda kune imwe. Kurapa kuchave kwakakodzera kuponesa hupenyu hwemunhu.

Kuti kuderedze kuzvimba uye kumanikidza, kurapwa kunogona kusanganisira:

• kuvhiya kubvisa bundu, hematoma (ropa clot), kana abscess
• kuvhiya kuisa drain inonzi ventriculostomy kuburikidza neburi mudehenya kubvisa zvinwiwa
• osmotic therapy kana diuretics (mishonga inobvisa mvura kubva mumuviri) kudhonza mvura kubva muuropi nyama, senge mannitol kana hypertonic saline
• corticosteroids yekudzora kuzvimba
• kuvhiya kubvisa chikamu chedehenya kuti iwedzere nzvimbo (craniectomy)

Ipo icho chikonzero chehuropi herniation chiri kugadziriswa, munhu ari kurapwa anogona zvakare kugamuchira:

• okisijeni
• chubhu yakaiswa munzira yavo yekubatsira kufema
• kunyaradza
• mishonga yekudzora pfari
• Mishonga inorwisa mabhakitiriya yekurapa bundu kana kudzivirira hutachiona

Uye zvakare, munhu ane huropi herniation inoda kuongororwa kwakapfuura kuburikidza nemiedzo yakadai se:

• X-ray yehenya uye mutsipa
• CT scan
• MRI scan
• kuongororwa ropa

Matambudziko ehuropi herniation

Kana ikasarapwa ipapo ipapo, kufamba kwemashuga ehuropi kunogona kukanganisa zvimiro zvakakosha mumuviri.

Matambudziko ehuropi herniation anosanganisira:

• kufa kwehuropi
• kufema kana kusungwa kwemoyo
• zvachose kukuvara kwehuropi
• coma
• rufu

Maonero ehuropi herniation

Maonero anoenderana nerudzi uye kuomarara kwekukuvara kwakonzera herniation uye kupi muhuropi herniation inoitika. Uropi herniation inogona kubvisa kupihwa kweropa kuuropi. Nechikonzero ichi, inogona kuuraya kana ikasarapwa nekukurumidza. Kunyangwe nekurapwa, herniation yeuropi inogona kutungamira kumatambudziko akakomba, ehupenyu husingaperi muuropi, kana kufa.

Uropi herniation inoonekwa sechiremba chimbichimbi. Iwe unofanirwa kufonera 911 kana kuenda kuimba yekukurumidzira nekukasira kana munhu ane kukuvara kwemusoro kana bundu repfungwa akasanyatso chenjera kana kusagadzikana, akabatwa nepfari, kana kushaya kuziva.