Cerebral hemorrhage: zviratidzo, zvinokonzera uye zvinokwanisika sequelae

Zvemukati

• Zviratidzo zvikuru
• Ko cerebral hemorrhage inosiya sequelae here?
• Zvinokonzera kuora kweropa
• Maitiro ekuongororwa kunoitwa
• Kurapa sei
• Mhando huru dzehuropi kubuda ropa
• 1. Intraparenchymal kana intracerebral hemorrhage
• 2. Intraventricular kubuda ropa
• 3. Subarachnoid kubuda ropa
• 4. Subdural hemorrhage
• 5. Epidural kubuda ropa

Cerebral hemorrhage rudzi rwe stroke (sitiroko), inonziwo sitiroko, umo kubuda ropa kunoitika kwakatenderedza kana mukati mehuropi nekuda kwekutsemuka kweropa tsinga, kazhinji tsinga iri muuropi. Dzidza zvakawanda nezve hemorrhagic sitiroko.

Icho chiitiko chakakomba, chinowanzo kukonzerwa nekurohwa mumusoro, izvo zvinogona kutungamira munhu kuenda kunzvimbo yekusaziva kwakadzama, mukuwedzera pakunzwa kusvotwa, kurutsa, kudzikira kwemwoyo uye kurasikirwa kwekudzikama.

Iko kuongororwa kunoitwa nekufungidzira bvunzo, senge computed tomography, magnetic resonance uye angiography ine kana pasina musiyano. Mune zvimwe zviitiko, chiremba anogona zvakare kukumbira kubvaruka kwechiuno.

Kurapa kwehuropi kubuda ropa kazhinji kunovhiyiwa, uye kunovavarira kubvisa ropa uye kugwamba kudzikisira kumanikidza mukati mehuropi kunokonzerwa nekubuda ropa.

Zviratidzo zvikuru

Zviratidzo zvehuropi kubuda ropa zvinoenderana nehukuru hwekubuda ropa uye zvinowanzo kuve:

• Yakanyanya uye kamwe-kamwe misoro inogona kugara kwemazuva;
• Unhu kana kugwinha mune chero chikamu chemuviri;
• Kusvipa;
• Kurasikirwa kwechiyero;
• Kudedera mumaoko;
• Yakadzikira kurova kwemoyo;
• Generalized kushaya simba;
• Kuzvimba kwechikamu cheiyo optic nerve, iyo inogona kukonzeresa murima kuona kwemasekondi mashoma, yakaderera munda wekuona kana hupofu;

Mune mamwe mamiriro akaomesesa, panogona zvakare kuve nekukurumidza kubatwa nepfari kana kurasikirwa kukuru uye kwenguva refu kwekuziva uko munhu asingakwanise kupindura kune zvinokonzeresa.

Ko cerebral hemorrhage inosiya sequelae here?

Mushure mekubuda ropa, vamwe vanhu vanogona kunge vaine sequelae, senge kunetsekana kutaura, kumedza, kufamba, kuita zviitiko zvezuva nezuva kana vanogona kuoma mitezo.

Pangosvika zviratidzo zvekutanga zvekubuda kweropa muuropi, unofanirwa kuenda kuna chiremba nekukurumidza kuitira kuti kurapwa kutange, sezvo kuoma kweiyo sequelae kunoenderana nedanho rekubuda ropa.

Nzira yakanakisa yekudzivirira kuitika kweuropi kubuda ropa uye, zvichidaro, sequelae yayo, kuita zviitiko zvemuviri uye nekudya zvine hutano uye zvine mwero, zvakaderera mumafuta nemunyu.

Zvinokonzera kuora kweropa

Chikonzero chikuru chehuropi kubuda ropa kushungurudzika kwemusoro, asi kuchine mamwe mamiriro anogona kufarira kubuda ropa, senge:

• Kumanikidza kukuru;
• Mageneti zvinhu;
• Kunwa doro;
• Kushandisa zvinodhaka, zvakadai sekodineine uye amphetamine;
• Amyloid angiopathy, kunova kuzvimba kwemidziyo midiki muuropi;
• Zvirwere zveropa, senge thrombocythemia uye hemophilia, izvo zvinodzivisa kugwamba;
• Kushandiswa kweanticoagulants, sezvo zvichitadzisa kugwamba, izvo zvinogona kufarira kubuda ropa;
• Mamota ehuropi.

Chimwe chinowanzoitika chikonzero chehuropi kubuda ropa aneurysm, inova iyo kuwedzera mukati meropa reropa. Kuwedzeredza uku kunokonzera madziro echikepe ichi kutetepa uye kusimba, uye chinogona kutyoka chero nguva, nekubuda ropa.

Chiratidzo chinowanzozivikanwa cheineurysm musoro. Vamwe vanhu vanotaura vachinzwa kupisa, sekunge paine imwe mhando yekudonha. Dzidza zvakawanda nezvezviratidzo uye kurapwa kweuropi aneurysm.

Maitiro ekuongororwa kunoitwa

Iko kuongororwa kunoitwa nemiedzo yekufungidzira, senge magnetic resonance, computed tomography uye angiography ine kana pasina musiyano.

Magnetic resonance imaging inobvumidza kuona kweedema kutenderedza ronda uye, nekudaro, zvinokwanisika kuziva mwero wechironda. Computed tomography, kune rimwe divi, yakakosha kuitira kuti chiremba atarise kuti abuda ropa here uye, nekudaro, kusiyanisa sitiroko yekubuda ropa kubva pasiroko yeschemic. Ona chii chinokonzera sitiroko uye maitiro ekuzvidzivirira.

Angiography ndiyo bvunzo yekuongorora iyo inobatsira kuona mukati meiyo tsinga yeropa, uye chimiro, kuvapo kwekusanzwisisika uye kuongororwa kweaneurysm, semuenzaniso, inogona kuongororwa. Nzwisisa kuti zvinoitwa sei uye chii chinonzi angiography.

Vamwe vanhu vane cerebral hemorrhage, zvisinei, vanoratidza zvakajairika mhedzisiro paMRI kana computed tomography. Naizvozvo, chiremba anogona kukumbira kuti aite lumbar puncture, kunova kubviswa kwecebrospinal fluid kubva muchiuno bone, kuti aongorore CSF, nekuti mucerebral hemorrhage mune ropa muCSF.

Kurapa sei

Kurapa kwehuropi kubuda ropa kunowanzoitwa nekuvhiya kubvisa ropa uye kugwamba uye kudzikisira kumanikidza mukati mehuropi kunokonzerwa nekubuda ropa.

Pamusoro pekuvhiyiwa, kurapwa nemishonga yekudzora BP, kufenda uye hutachiona hunogona kuratidzirwa nachiremba. Muzviitiko zvakakomba zvakanyanya, kuwedzerwa ropa kunogona kuratidzwawo.

Kuvandudza hupenyu hwehupenyu mushure mekubuda ropa muuropi uye kudzivirira kukuvara zvakakosha kuenda kune wepanyama murapi kana webasa murapi. Ona kuti kupora kwakadii mushure mekurohwa.

Mhando huru dzehuropi kubuda ropa

Ropa rakawandisa rinoshatisa hura hwehuropi uye rinotungamira mukuumbwa kweedema, kunova kuunganidzwa kwemvura. Ropa rakawandisa uye zvinwiwa zvinowedzera kumanikidza kumatumbu ehuropi, zvinoderedza kutenderera kweropa kuburikidza nehurongwa hwetsinga uye zvinokonzeresa maseru ehuropi. Cerebral hemorrhage inogona kusarudzwa zvichienderana nenzvimbo inowanikwa mu:

1. Intraparenchymal kana intracerebral hemorrhage

Rudzi urwu rwekubuda ropa runowanzoitika kune vakwegura uye ndipo panobuda ropa mukati meuropi. Ndiyo mhando yakakomba, asi zvakare yakajairika muhuwandu. Inowanzoitika nekuda kwemamota, kusagadzikana kwecoagulation uye nemidziyo yakaipa

2. Intraventricular kubuda ropa

Intraventricular hemorrhage inoitika mu cerebral ventricles, ayo ari maburi muuropi umo kugadzirwa kwecebrospinal fluid kunoitika. Rudzi urwu rwekubuda ropa kazhinji kunoitika mukuzvarwa vasati vazvarwa, mumaawa makumi mana nemasere mushure mekuzvarwa, uye ndiani anga aine zvinetswa pakuzvarwa, senge yekufema kushungurudzika chirwere, umo mwana anozvarwa aine mapapu asina kusimba, kuwedzerwa kweropa uye kuputsika kwemapapu, uko chinetso chekufema umo musina kukwana mhepo nzira. Dzidza zvakawanda nezve kupunzika kwemapapu.

3. Subarachnoid kubuda ropa

Kubuda ropa uku kunowanzoitika nekuda kwekuputika kweaneurysm, asi zvinogona zvakare kuve mugumisiro wekurohwa, uye kunoonekwa nekubuda ropa munzvimbo iri pakati pezvikamu zviviri zvemamenji, arachnoid uye zvakare mater.

Iyo yekugara mater, arachnoid uye zvakare mater ndiwo ari mamhedzisiro materu emameninges, ayo ari membrane anoteedzana uye anochengetedza epakati tsinga system. Subarachnoid hemorrhage inowanzoitika muvanhu vari pakati pemakore makumi maviri nemakumi mana ekuberekwa.

4. Subdural hemorrhage

Subdural hemorrhage inoitika munzvimbo pakati pekugara uye arachnoid materu emamenji uye ndiyo inowanzoitika mhedzisiro yekutambudzika.

5. Epidural kubuda ropa

Uku kubuda ropa kunoitika pakati pekugara uye dehenya uye kunowanzoitika kuvana nevechiri kuyaruka semhedzisiro yekutsemuka kwedehenya.