Matambudziko eSAH uye Madzinza Anotarisira Sei
Subarachnoid Hemorrhage (SAH) chirwere chinotyisa uye chingave chinopisa upenyu umo ropa rinoputika kubva mune ariti muuropi uye rinoputira mu- cerebrospinal fluid (CSF).
Chero bedzi chikamu chetatu chevarwere vane SAH vane "zvakanaka" kana mushure mekurapa. Sezvo izvi zvisina kukwana, sarachnoid hemorrhage inogona kubvisa kukonzera kweimwe matambudziko.
Kuti uchengetedze pane izvi zvinowedzera zvinetso, varwere ve-subarachnoid hemorrhage vanoongororwa munhengo huru yekuchengetedza mushure mokunge vapinda muchipatara.
Pane zvipingamupinyi zvina zvakakura kune hutachiona hwemhepo. Izvo zvinetso ndezve vasospasm, hydrocephalus, kugumburwa, uye kugadzirisa.
Vasospasm Mushure meChrischnoid Hemorrhage
Izwi vasospasm rinoreva kuti midzi yeropa muuropi "inopisa" uye inonyorera pasi, kuderedza uye dzimwe nguva kunyange kudzivisa ropa kuderera kune zvikamu zveuropi. Mugumisiro unonzi stroke.
Vasospasm inowanzoitika mazuva manomwe kusvika gumi mushure mekutanga ropa. Nokuti vasospasm zvakaoma kurapa kana zvichiitika, kusimbiswa kwekuchengetwa kwechipatara ndiko kudzivirira. Iropa rinodhaka remishonga nimodipine rakaratidzwa kuti kuderedze mukana wekusava nemugumisiro mushure mevasospasm (kunyange zvisingaoneki kuderedza ngozi yekuvandudza vasospasm pakutanga). Ropa rakawandisa mumutumbi rave richiratidzwa kuti ribatane nehuwandu hwevasospasm, uye saka murwere anopiwa mvura yakakwana ne IV kuitira kuti ropa rirambe riri mune imwe nyika (kwete kunyanya, kwete zvishoma).
Imwezve dzimwe nzira dzekuedza dzekudzivirira vasospasm dzinosanganisira kupa mishonga yemitemo .
Vanhu vane SAH vanonyatsocherechedza zviratidzo zvevasospasm nekudzokororwa kwakaitwa neurological exam. Kana pane kuwedzera kukurumidza kuongororwa mhinduro, zvinogona kureva Vasospasm iri kuitika. Kushandisa nzira dzakadai sekuchirapa Doppler kunogonawo kutaura kuti mumwe munhu ari kukura vasospasm.
Mukutaura kwekurapa vasospasm, ropa rinopfuurirwa zvakanyanya (rinokonzerwa nehutachiona) kunze kwevarwere vane dambudziko rekuwedzera kwehutano kana zvimwe zvinetso zvemoyo izvo zvinopesana nehuyu urongwa.
Kana vasospasm ichienderera mberi pasinei nehutachiona hwehutachiona, dzimwe nzira dzisingakanganisi, dzakadai seangioplasty (kuzarura ropa mumudziyo nekateta yakatsetseka kuburikidza nemidziyo yeropa) kana kushandisa katheter kuti injore mishonga zvakananga panzvimbo yakamanikana, inogona kuedzwa.
Hydrocephalus Mushure mekudzivirira kweHerorchnoid Hemorrhage
Dzimwe nguva ropa rinenge richibva mumvura inokonzerwa neropa rinogona kuiswa mune imwe yezvinhu zvakakosha zvekuderedza nzvimbo dze cerebrospinal fluid (CSF). Kazhinji, CSF inobudiswa mumhepo yeuropi. Iyo inofamba ichienda kuburikidza nemashoma mashoma anozivikanwa seforamina. Kana aya mazaruriro akavharwa, CSF ichiri kubudiswa asi haina nzvimbo yekuenda nayo. Mugumisiro wekuwedzera kwekumanikidzwa mukati mevhirikiri yeuropi, iyo inozivikanwa se hydrocephalus. Kuwedzera kunopararira kune uropi nehenya.
Kuwedzerwa kushamwaridzana kunokonzera kunogona kukonzera kuderedza pfungwa uye coma. Kana isina kusiyiwa, uropi hunogona kukwidzwa mumatunhu akaoma semuvhuro uri pasi pedehenya, zvichiguma nekufa.
Kuti udzivise kupesana kwekuvaka-up, neurosurgeons inogona kuita kuputika kwemazimbe kana kuti nzvimbo inopinda mukati mehenya kuti ibudise kunze kweCFF.
Seizure Mushure meStrachchnoid Hemorrhage
Ropa rinogona kutsamwisa cerebral cortex uye zvinoguma nokubvuta . Zvisinei, chidiki chete muzana yevarwere vane SAH vanoenderera mberi kuve nechirwere chepfungwa ( chirwere chekudzivirira). Vanachiremba vanogona kufunga nezvekudzivirira kupesana nevanopedza epileptics munguva pfupi yenguva mushure mekushaya ropa. Asi kwenguva yakareba kupikisa kushandiswa kwehuputi hakurudzirwi (pamwe nezvimwe zvakasiyana zvinoenderana nemunhu pangozi yega), nekuda kwezvipingamupinyi zvemigumisiro.
Kudzokororazve shure kweSwachnoid Hemorrhage
Mushure meSAH, mukana wekudzokazve inenge 3 kusvika ku13 muzana mukati maawa makumi maviri okutanga, maererano neshoko ra2012 muStroke .
Kakawanda kuongororwa neurological and periodic head CT inoongorora, kunyanya munguva iyo nguva pfupi mushure mekutanga kubuda ropa, kunogona kubatsira kuongorora zvakare kana ichiitika.
Kuchengetedza kubudazve ropa, aneurysms yakanyanya-panjodzi muuropi yakasimbiswa kubva. Izvi zvinogona kuitwa kuburikidza uchishandisa chimiro chezvokudya zvekuvhiya kuti zvigadzire aneurysm kubva kune imwe yose yeriti, kana nekusungira catheter kuburikidza nemishonga kusvika kune aneurysm uye kuisa masimbi emucheka kana kuti seti sealant kuti chisimbise aneurysm. Nzira ipi iri nani ndiyo chisarudzo chakaoma chinopesana kubva kumunhu kusvika kune mumwe munhu uye chinoda kukurukurirana zvakanyatsonaka neboka rezvehutano.
Pasi Pasi
Kunyange zvazvo zvipingamupinyi zvina zvakakosha zve subarachnoid hemorrhage zvingaita sezvakawandisa, zvinosuruvarisa, pane zvimwe zvingangova nengozi dzinobva pakuva nechirwere chakakomba chinoda kubatsirwa mune imwe nhengo huru yekuchengetedza. Mvura yakadzika yepakumbo yemakumbo, hyponatremia uye chipatara-yakawana zvirwere inofanirawo kuchengetedzwa. Kuponesa ropa rokutanga kunongova chikamu chematambudziko e-subarachnoid hemorrhage. Kuponesa vamwe vose kunoda kushamwaridzana kwakasimba neboka reongororo dzezvokurapa.
Sources:
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Buczacki, SJ, Kirkpatrick, PJ, Seeley, HM, & Hutchinson, PJ (2004). Kurapa kwekupedzisira kunotevera kuvhiyiwa pachena kune aneurysmal subarachnoid haemorrhage. J ournal yeNeurology, Neurosurgery, & Psychiatry , 75: 1620.
Connolly, ES et al. (2012). Mirayiridzo yehutungamiri hwe aneurysmal subarachnoid hemorrhage: chirevo chevashandi vezvehutano kubva kune rimwe boka rakanyora ranyora reStroke Council, American Heart Association. Stroke, 43 (6): 1711-37.
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ZVINOKUDZIDZA: Mashoko ari panzvimbo ino ndeongangwa dzekudzidzisa chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti aongororwe uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chechiremba .