Intracranial pressure (ICP) inokonzerwa nekudzvinyirira kwehutachi tissue uye cerebrospinal fluid iyo inokonzera uye inopoteredza uropi nemutsipa wepelinha. Inoshandiswa kuongorora hutano hwehuropi mushure mekukuvara. Kuwedzera kwekumanikidzika kunogona kukonzerwa nechirwere cheuropi , kubuda mukati memvura inenge yakakomberedza uropi kana kuvhara mukati meuropi.
Kuwedzera kwekumanikidzika kusinganzwisisiki kune chirwere chinotyisa chinotyisa. Isingafungi, inogona kukonzera kukuvadza kwehuropi kana mutsara wemugunha kukuvadza kuburikidza nekugadzirisa zvirongwa zvehupi nekudzivirira kubuda kweropa kuuropi.
Zviratidzo zveIndaneti Yakakwirira
Zviratidzo zvekumanikidzirwa kwepamusoro kunopesana nezera. Vana vacheche vanozviratidza zviratidzo nekurutsa kana kurara. Zvinogona kuratidza kubuda kwekunze mumapuraneti, nzvimbo yakanyorova kumusoro kwepamusoro. ICP mucheche inogona kuva chiratidzo chekushungurudzwa kwevana, kunyanya kuzununguswa mwana syndrome. Iyo inogonawo kuva mugumisiro wekuparadzaniswa kwebonylate mapepa anoumba dhehenya rinowanziwo separati sutures yakaparadzana.
Vana vakwegura nevakuru vanogona kuratidza zviratidzo zvakadai se:
- Kuchinja maitiro
- Headache
- Lethargy
- Kugumburwa
- Kudzora pasina nenyuchi
- Deredzai mukuziva
- Neurological zvisiri izvo - kufamba kwemaziso kusinganzwisisiki, maonero maviri, uye kupera
Zvinokonzera
Kukwirira kusingawaniki kunogona kuitika zvakasiyana kana kusanganiswa nemamwe mamiriro.
Zvimwe zvezvikonzero zvinowanzoitika zvekumanikidzirwa kwepamusoro zvinosanganisira:
- Uturu hwebongo
- Trauma
- Intracerebral hemorrhage
- Ischemic stroke
- Meningitis
- Hydrocephalus
- Intracranial hypertension
- Chengetedzwa nemhepo
- Hypoventilation
- Hypertension
- Kugumburwa
- Kubatana kwakabatanidzwa nemishonga
- Musoro
- Edema
- Encephalitis
Kuziva
Kuongororwa kwekumanikidzika kwepamusoro kunowanzoitwa apo murwere ari muimba yekukurumidzira kana muchipatara.
Zviratidzo zvekutanga zvinogona kuongororwa panguva yekuongororwa kwechiremba nguva dzose.
Kuti kusimbise kuongororwa kwekumanikidzirwa kwepamusoro kwekumanikidza, CT scan kana MRI yemusoro inogona kuitwa. Inogonawo kuyerwa nekuitisa kuvhara kwemukati, iyo inozivikanwawo sepepinal pipe , kuti ienzane nekudzvinyirira kweperesipinal fluid.
Kurapa
Kuwedzera kwekumanikidzika kusinganzwisisi kunofungidzirwa kuva chirwere chakakomba uye chinotyisa chinotyisa. Mishonga inonyanya kuderedza kudzvinyirira. Varwere vachabata muchengeti rekuchengetedza (ICU) rechipatara.
Kurapa kwekurapa kwekumanikidzirwa kwepamusoro kwechisimba kunosanganisira zvinotevera:
- Sedation
- Kuronga kwe cerebrospinal fluid
- Tsitsiro yekufema
- Mutevedzeri wemakemikari
- Hypothermia
- Decompressive craniectomy
Kuwedzera kwekusimbirirwa kwepfungwa inowanzobatanidza nevarwere vanorwara zvikuru. Kuzononoka pakurapwa kana kukundikana kuderedza kusagadzikana kwechisimba kungakonzera kukanganisa kwekanguva kana kwekupedzisira kwehuropi, kwenguva yakareba coma kana kufa.
Kudzivirira
Kunyange zvazvo ICP isingagoni kudzivirirwa, zvimwe zvezvikonzero zvayo zvinokonzera kukuvara kwepamusoro kazhinji zvinogona. Kupfeka ngowani yekudzivirira paunenge uchitamba mitambo yepamitambo kana kutasva bhasikoro, uchikanda bhanhire rechigaro, uchifambisa chigaro mumotokari iri kure nedashboard, uye kushandisa chigaro chekuchengetedza mwana kunogona kudzivirira kukuvadzwa kwepamusoro kubva pakuisa upenyu pangozi.
Kubvisa shutter kubva pasi uye kuvachengeta zvakaoma kunobatsira kudzivirira kuwira pamusha-chinokonzera kukanganisa musoro kune vakwegura.