Subdural yokopha: iintlobo kunye neziphumo

Ubuchopho yenziwe amaqokobhe ezininzi. Eyona ngamandla kwezi ongaphandle. Ngenxa yesi sizathu, sidla ngokuba oluqinileyo. Lidla ezahlukeneyo ukonzakala entloko kukhokelela isenzeko ukopha phakathi ulusu engaphandle kunye ebuchotsheni. Kulo mzekelo, ixhoba ene "legazi subdural." Yiyo le ngezifo eza kuxutyushwa kwinqaku yanamhlanje.

Indlela of umonakalo Ukwakheka

Ukuvela ukopha subdural ngokuqhelekileyo lwandulelwe trauma. Le ndawo ukopha baseka hematoma, nto leyo likhula ngokukhawuleza. Zayo lizisa ezingayingozi inyama uchaphazelekayo lobuchopho, ezahluke uvakalelo sesichengeni ezinjalo. Le ngenxa yezi nkqubo xa kukuvela ukungaqheleki luvo. ukopha Kuku badla kukhokelela ekufeni.

Ngokwahlukeneyo kuyimfuneko ukuqwalasela hematoma ezigulo ezondeleyo subdural. Oku kwenzeka ukuba Ukopha wangaphambili ixesha lokuba shwaka. Hematoma ehlanganiswa iqokobhe yayo, nto leyo kuhlasela imithambo yegazi. Ngokuchasene nentsukaphi imeko engazinzanga idatha izinto isoloko iimvaba, nto leyo ekhuthaza kucingwe ezimashakeleyo. Oogqirha ziye zibhaliwe kwiimeko ezininzi hematoma omkhulu akhiwa yile hlobo.

Unganqakraza kwigama izibakala uchazwe apha ngasentla kokuba kuchazwe ukuba subdural ubuchopho ukopha kubangelwa ngumonakalo cortical kunye olujikeleza crazy. Kwiimeko ezinqabe kakhulu, esi sifo kwakhokelwa yaphula umthambo ka Galen okanye iqela ezincinane ezinxulumene nayo.

Kubanga zokugula

Izinto ezibangela legazi subdural kakhulu ezahlukahlukeneyo. Phakathi kwabo, aziwayo kakhulu zezi zilandelayo:

1. iingozi zeemoto (wabetha "inomzimba" okanye dashboard). Iqela risk iquka abakhweli kwisihlalo ongaphambili musa ukusebenzisa amabhanti.
2. Ukuwa phezu kwentloko icicles kunye neebhloko womkhenkce ngexesha lasebusika.
3. ukulimala Sports.
4. ukulimala imveliso zokungathotyelwa kwemimiselo yokhuseleko.
5. ukulwa Domestic.

Ezi zizathu zihlelwa esibuhlungu. Kubalulekile ukuqonda ukuba hematoma senzeka kwezi meko ngcembe. I-inqanawa enkulu zonakeleyo, Ukopha olunzulu ngakumbi yaye ngokukhawuleza wabonakalaliswa umfanekiso lwezonyango iimpawu.

Yobeka phi kophulwa kwenzeka ngokuchasene kwimvelaphi ezimbi cerebrovascular. Ezi kufuneka ibandakanye lwegazi kunye umfutho kwemithambo. Kwezinye iimeko ngenxa kukuvela anticoagulants hematoma ulwamkelo. Ezi zinto zibangela ukopha nontraumatic subdural.

izimiso yokuhlelwa

Kuchazwe kwinqaku ngezifo lokuhlela isantya iimpawu eziphambili. Kukho iintlobo ezintathu ukopha:

• olunamandla;
• subacute;
• ezigulo ezondeleyo.

Cinga emela ngasinye kwezi zilandelayo:

1. yokopha Acute subdural iphuhlise kwiintsuku 1-2 ukususela kumhla yokwenzakala. Oyena nobangela iphambili hematoma ithathwa linciphe kwaye bamchukumisa ebuchotsheni.
2. Xa uhlobo subacute kufunyenwe umonakalo phambi kokuba iimpawu wokuqala kudlule iintsuku ezi-4 ukuya kwiiveki eziliqela. effect traumatic ayikho namandla angako. Ukuvuleka isitya ochaphazelekayo ayikho inkulu, ngoko ukopha okungephi.
3. Imihla zokubonisa iintlobo esingapheliyo ziyahluka ukusuka kwiiveki ezimbini ukuya iinyanga eziliqela okanye iminyaka. Ukuba sicinga ukwenzakala njenge ezibanga uphuhliso hematoma, kule meko zidlala indima yesibini. Kwiimeko ezininzi, ezi fom ezingapheliyo lwe ukopha na ngenxa yezifo cerebrovascular.

Ifom ethile yokuhlukunyezwa limisela iimpawu eziphambili.

picture clinical

yokopha Subdural luphawulwa iimpawu kunye alternation ngqo izigaba ezininzi.

Ngoko nangoko emva kokuba impembelelo traumatic umntu ulahlekelwa sezingqondweni. Loo kophulwa kubangelwa impendulo umzimba ukuba buhlungu esibukhali kwaye ngesiquphe, noxinezeleko factor. Isigulane uza ebomini aze aqalise ukukhalaza yobuthathaka kunye karhulumente ngokothuka. Kwezinye iimeko, umfanekiso lwezonyango yi zincediswe kunesifo retrograde - yinkumbulo elifutshane elide kwiziganeko owandulela yokwenzakala.

Isigaba sesibini iphawulwa uziva ngcono. Asinguye wonke umntu emva kokufumana umonakalo ingqalelo kwimpilo-ntle ukuya kwagqirha. Ezo indiva impilo yabo kunokukhokelela kukwenzakala kakhulu. Sithetha ngeemeko apho ixhoba ufumana emva ivili le moto, okanye iyaqhubeka ukusebenza.

Isigaba sesithathu ezimiselwe ukubonakala ingqondo, focal kunye neempawu meningeal. Ezi fom ziya kuxoxwa ngezantsi.

Palsy, meningeal kunye neempawu focal

Uhlobo wobuchopho ziquka ezo ukuphazamiseka ezinokwenzeka kunye nezinye izifo. Nangona kunjalo, imbonakalo yazo lubonisa kanobom ebuchotsheni kakhulu. Okokuqala, amaxhoba kukho yintloko eyomeleleyo. Umntu nenkolo lingenandaba yonke into eyenzekayo. Lo mfanekiso kwezonyango kudla zincediswe nokudideka ixesha nesithuba - in a ubunzima nomonde zinazo kwenkcazo umhla, indawo. Headache livela kanye ngexesha wokwenzakala, ngoko luyancipha ukhule kwelona esitsha kwisigaba sesithathu.

Ngu obubonakala meningeal sifo sibangelwa ebonisa iimpawu umonakalo meninges. Phakathi kwazo kukho ezi:

• intloko ebuhlungu;
• ukugabha leyo ayibangelwa ngokutya ukutya;
• iimpawo ezithile meningeal.

Ezi mpawu zidla iqatshelwe nezinye izifo. Ukuba iimpawu palsy abangekhoyo okanye nobulali, lokufunyaniswa "legazi subdural zobuchopho 'ayixhaswanga.

Iimpawu Focal thaca mydriasis ngomoya omnye, lo gama kakhulu kuncitshiswa indlela yayo ku ukukhanya. Ngamanye amaxesha oogqirha abachaphazelekayo ulungise wobuthongo - ngokudandatheka lokuqonda. Kwiimeko kuyingozi kakhulu, ukuba khokhoma.

Ingakumbi izifo ebantwaneni

yokopha Subdural kwiintsana asinto ingaqhelekanga. Kuyinto ngenxa intracranial trauma wokuzalwa yaye malunga ne-40% ye ukungaqheleki intrapartum. Esinye sezizathu eziphambili ngenxa inqaku lakhe yezonyango oku kulandelayo:

• iziqhamo enkulu ;
• isicelo intracavitary of forceps;
• quick kunye nokunikezelwa fast;
• Foot / breech ntetho.

Eko iingxaki zezempilo umntwana ngokulula kakhulu. Zonke ikhaliphe unconditioned nosana bedandathekile. Yena akanako uthabathe incum, ukuba imginye. Ucinezelo le hematoma stem ingqondo Uxhokonxwa abafundi inimba, ukuxhuzula. Ezi mpawu kuthi kwiintsuku ezintathu zokuqala emva kokuzalwa.

iindlela isifo

Emva Nakuphi na ukwenzakala ebuchotsheni traumatic kufuneka afune uncedo abaqeqeshiweyo. Musa esichengeni impilo ngoyaba imiqondiso sokuqala legazi. Pathology Uxilongo lusekelwe kwimbali ukuthatha uvavanyo nomonde. Ugqirha kubalulekile ukuba wazi zonke iinkcukacha malunga uhlobo ukonzakala, indlela ukubonakala iimpawu zonyango.

Ulwazi kakhulu epheleleyo malunga zalapha ekhaya kwabo hematoma zingafumaneka emva CT scan. Akukho kangako ulwazi uthathwa MRI. Ukuba ukrokrela ukopha traumatic subdural Akuvunyelwe ngokungqongqo ukuphumeza i empontshwa. Le nkqubo ithetha ezinye ulwelo fluid ngokusebenzisa inaliti okhethekileyo. imiphumo yaso ingaba vuhlayiseki.

iinketho zonyango

Emva kokuqinisekisa lokufunyaniswa isigulane esibhedlele ngoko nangoko. yokopha Subdural - a ngezifo kakhulu. Ngoko ke, kuyimfuneko ukuba uqale unyango ngoko nangoko. Kuphela kule meko sinako ukuthemba abantu abane kakuhle.

Ukuphelisa ukutyeshelwa ukusetyenziswa amakhambi zotyando kunye ngendeb '. Le ndlela yokugqibela kusetyenziswa xa ubungakanani encinane hematoma, ukungabikho mbutho phambili. Izigulane emiselweyo iziyobisi kunye namanyathelo anti-edematous, iziyobisi zokuphucula ejikeleza Cerebral futhi umzimba. Kwakhona ziboniswa ukungenisa iivithamini kunye analgesics. unyango olunjalo kuyacetyiswa kwizigulane abadala abaye kokufunyaniswa legazi etsolo subdural, nontraumatic.

iimeko ezininzi izifo ukuba utyando. Ngexesha ukusebenza yokuvula le ikhutshwa ukakayi (trepanation) ilandelwe ngokususa igazi extravasated. Inyathelo lokugqibela ukuhlanjwa lweHo- saline, ukubuyiselwa isidima cranium nokufakela yokuhambisa amanzi okhethekileyo.

Ke ukuba izigulane abaselula, bazama ukuba ukunyanga ngamayeza. Ukungabikho nemiba esihle isizathu sokuba umsebenzi.

Imiphumela abane ukwenzela ukufumana kwakhona kwemali

Okuvela legazi yobuchopho sikhatshwa ukubana kunye ukuphula iziseko zayo esiqwini. Uphuhliso Isifo ludla ngokwenziwa sizoku lwisana yokwenzakala kakhulu le lukakayi, ALS kwiimeko ezingaginyisi mathe. Nakuba kunjalo, isiphumo sokugqibela kuxhomekeke kwixesha unyango kugqirha kwaye akhethe unyango ekunene. Ukuba ixhoba akwazi ukusebenza kwisithuba seeyure ezi-6 emva kokonzakala, ukuchacha kwenzeka ngo-80% yamatyala. Ukongeza, uqikelelo kuchaphazela ubudala yesigulane, ubukho ukuphazamiseka somatic kunye nomthamo hematoma.

Nzima nemiphumela ukopha subdural ayonto kuFeliks. Ngokuqhelekileyo, izigulane wafunyaniswa usisiqhwala, okanye afe.