Ukuphazamiseka kwengqondo Liquorodynamic: iimpawu, unyango

Isikhalazo iqhelekileyo kukuba ugqirha yiva izigulane zabo - ebuhlungu. Her ukukhalaza abantu abadala kunye nabantwana. Musa Nikela ingqalelo akunakwenzeka. Ingakumbi xa kukho nezinye iimpawu. ingqalelo ekhethekileyo kufuneka ihlawulwe kubazali yintloko umntwana kunye nokuziphatha ebeleni, kuba akakwazi ukuba kubuhlungu. Mhlawumbi imithelela ukuzalwa enzima okanye ukungaqheleki iziphene ukuba sendlela ukufumana phandle besebancinane. Mhlawumbi liquorodynamic ukunyhashwa. Yintoni na, yintoni na iimpawu kwesi sifo abantwana kunye nabantu abadala kunye nendlela yokuphatha, cinga ngakumbi.

Kuthetha ukuthini zolwaphulo liquorodynamic

YoTywala - ulwelo fluid ukuba atyhutyhela rhoqo kwi ventricles, likvoroprovodyaschih iindlela kunye nendawo subarachnoid zobuchopho kwaye umnqonqo. CSF ludlala indima ebalulekileyo kwiinkqubo pathways kwinkqubo luvo, ukuxhasa homeostasis kwi isicwili sobuchopho, kwaye idala ukhuseleko ethile ngomatshini zobuchopho.

izifo Liquorodynamic - yimeko apho yaphula Ukubolekisa ulwelo lwe-cerebrospinal, ukukhululwa kunye reuptake. Ezi nkqubo zilawulwa namadlala, apho ibekwe plexus choroid le ventricles ebuchotsheni odala ulwelo.

Xa imeko eqhelekileyo umzimba ukwakhiwa ulwelo lwe-cerebrospinal kunye ube ingcinezelo.

Yintoni indlela kwephulwa

Cinga njani ukuphuhlisa ukuphazamiseka kwengqondo liquorodynamic:

1. isantya ekwandiseni imveliso Ozahlulayo utywala plexuses yegazi.
2. Kubamba izinga ukufunxeka CSF ukusuka isithuba subarachnoid ye ezifanayo ngenxa constriction nemithambo likvroronosnyh kwiCEMIS legazi subarachnoid okanye izifo ukudumba lweenwebu ebuchotsheni.
3. izinga lemveliso CSF kuyehla kwinkqubo eqhelekileyo ukufunxeka.

Izinga edalwayo, ekwakhiweni CSF yokukhetha kuchaphazela:

• On hemodynamics central.
• Isimo njengomqobo segazi lobuchopho.

Ukudumba ebuchotsheni kwandisa umthamo wayo kunye noxinzelelo intracranial. Ngenxa yoko - kwegazi kunye ukuvaleka kwemithambo, leyo enambuzelayo utywala. Ngenxa nokwanda kolwelo kwi nemingxuma kungaqala ziphele izicwili inxenye intracranial, njengoko kuya kukhokelela kuphuhliso hydrocephalus.

ngezigaba zokuphula

izifo Liquorodynamic zihlelwa kwezi nkalo zilandelayo:

1. Njani na inkqubo sifo:

• ikhondo Chronic.
• Isigaba esikhulu.

2. izigaba zophuhliso:

• Nokuqhubekayo. landisa Intracranial, kunye neenkqubo zophendlo lwezifo bayaqhubeka.
• Ingahlawulwa. uxinzelelo Intracranial uqinile, kodwa ventricles ebuchotsheni zisahleli inimba.
• Subcompensated. A basengozini enkulu yokuba iingxaki. isimo ezingazinzanga. Uxinzelelo kungenzeka kuvuka zawo nangawuphi na umzuzu.

3. apho em- utywala yobuchopho lendawo:

• Intraventricular. Kulwelo oluhlala kwinkqubo ventricular lobuchopho ngenxa nezithintelo kwinkqubo lotywala.
• Subarachnoid. ephule Liquorodynamic uhlobo yangaphandle kunokukhokelela izilonda etshabalalisayo isicwili sobuchopho.
• Mixed.

4. Kuxhomekeka xi ulwelo fluid:

• Kwegazi. koxinzelelo uphawu intracranial ophezulu. Yayikukwaphula nencindi ulwelo fluid.
• sigaba Normotensive. uxinzelelo Intracranial eziqhelekileyo, kodwa kwisisu ventricular inyuswe. Uphawu le meko ngokufuthi ebuntwaneni.
• Hypotension. Emva kotyando yayikukuphuphuma ezingaphezu CSF ukusuka kwisisu ventricular.

Izinto ezibangela bekhubazekile

Kukho mgaqweni iziphene, nto leyo negalelo kuphuhliso liquorodynamic kwephulwa:

• Iziphene zemfuzo kuphuhliso Esibelekweni yosana olungekazalwa.
• Agenesis le I-corpus.
• Neyo-Walker syndrome.
• Arnold-Chiari syndrome.
• Encephalocele.
• Stenosis umsele lomongo lokuqala okanye lesibini.
• cysts Porentsefalicheskie.

Oonobangela ezifunyenwe

izifo Liquorodynamic aqale uphuhliso lwabo ngezizathu ozifumeneyo:

• ukwenzakala nomqolo nobuchopho.
• izifo ezahlukeneyo ezosulelayo kunye nohlobo ekumfimfitheni zosulelo, echaphazela luvo.
• Neoplasms ngaphakathi lukakayi, leyo egubungela indlela kulwelo lwe- cerebrospinal.
• Thrombosis.
• hypoxia intrauterine kwiintsuku ezimbini zokuqala emva kokuzalwa.
• plexus papilloma Choroid.

Iimpawu izifo liquorodynamic kubantu abadala

ukuphazamiseka ebuchotsheni Liquorodynamic abadala kunye nezi mpawu zilandelayo:

• intloko ebuhlungu engapheliyo.
• Isicaphucaphu kunye nokugabha.
• Ukukhathala.
• Tye iintshukumo ngokuzenzekelayo le amehlo.
• ithoni Ukwanda, izihlunu ukuqina.
• Yombono. zesifo Myoclonic.
• nentetho engekho mgaqweni. iingxaki Intellectual.

Symptomatology ukuphazamiseka kwiintsana

izifo Liquorodynamic kubantwana abangaphantsi konyaka omnye abe neempawu zilandelayo:

• ukugabha rhoqo kunye enkulu.
• Engalindelekanga bakhale ngaphandle kwesizathu.
• Slow fontanelle yene.
• sililo obungabangeli mdla.
• Child ecubhukile, wozela.
• Sleep kuphazanyiswa.
• gapping.

Ekuhambeni kwexesha, esi sifo waqhubeka inkqubela yaye babe imiqondiso ucaca ngakumbi ephule liquorodynamic:

• chin lafa.
• nemilenze twitching.
• flinching ngokuzenzekelayo.
• imisebenzi iphazamisekile inkxaso yobomi.
• Yokuphazamiseka izibilini ngaphandle kwesizathu.
• strabismus kunokwenzeka.

Ngokweliso, uya kuqaphela umnatha nemithambo empumlo, entanyeni kunye nesifuba. Xa ukukhala okanye wonke izihlunu, kuba ucaca ngakumbi.

Kwakhona, i-luvo unakho uqaphele ezi zinto:

• Hemiplegia.
• Extensor hypertonicity.
• imiqondiso Meningeal.
• Ukukhubazeka kunye paresis.
• Onokukhubazeka.
• Uphawu Graefe.
• nystagmus Horizontal.
• ukukhubazeka Neurodevelopmental.

Kufuneka uye wezifo rhoqo. Enkhubyeni wa vukati, ugqirha umlinganiselo umthamo entloko, yaye kwimeko leengxaki kuya kubakho utshintsho buqapheleke. Ngoko ke, kusenokuba ukwahlukahlukana kuphuhliso yokakayi:

• Khawuleza intloko ukunyuka.
• It has imilo ngokuchasene nemvelo evuthelweyo.
• fontanels ezinkulu nezincinane adumbe kunye kunjani.
• ezivuzayo yehlukana ngenxa koxinzelelo oluphezulu intracranial.

Zonke ezi ziimpawu ukuba syndrome ukuphazamiseka liquorodynamic kwiintsana. hydrocephalus okuqhubekayo.

Kufuneka kuqatshelwe ukuba kwiintsana kunzima ukumisela abahoyele liquorodynamic.

Iimpawu izifo liquorodynamic abantwana emva konyaka

skull womntwana emva konyaka sele kwasekwa. Fontanels zivalekile kunye sutures ossified. Ukuba ukuphazamiseka kukho liquorodynamic ebantwaneni, kukho iimpawu zokwanda koxinzelelo intracranial.

Kusenokubakho kubekho izikhalazo:

• Intloko ebuhlungu.
• Ukunganaki.
• Ixhala ngaphandle kwesizathu.
• Isicaphucaphu.
• Ukugabha, engaquki kwenzeka emva kokuba isiqabu.

Kwaye luphawulwa iimpawu ezifana:

• iqinelwa waphazamiseka, intetho.
• Kukho yokuphazamiseka lulungelelaniso iintshukumo.
• umbono Falls.
• nystagmus Horizontal.
• I "Intloko doll wagalela" ityala isebenza.

Ke ukuba ingqondo liquorodynamic inkqubela ukungathobeli iya kuba nokuphambuka obonakalayo ezifana:

• Umntwana nje ukuthetha.
• Sebenzisa, amabinzana umgangatho ngentloko ngaphandle nokuqonda intsingiselo yawo.
• Soloko kwi mood elungileyo.
• Ukulibaziseka uphuhliso ngokwesondo.
• Phuhlisa yombono.
• Ukutyeba.
• Nokuphazamisa inkqubo yonyango.
• Le lag kwinkqubo yokufunda.

Lokufunyaniswa kwesifo ebantwaneni

Xa abantwana ukuya kunyaka phambi kokuxilongwa kucala umama uphando ukuqokelela ulwazi malunga nendlela ekhulelwe naxa ezala. Okulandelayo, ithathele ingqalelo izikhalazo kunye imigqaliselo yabazali. Ke uviwo lo mntwana kufuneka iingcali ezifana:

• Luvo.
• Wezifo zamehlo.

Ukucacisa Uxilongo kuya kufuneka ukuba baphumelele izifundo zilandelayo:

• US.
• Itomography ngekhompyutha.
• MR.
• Neurosonography.

Lokufunyaniswa sifo abadala

Kunye yintloko kunye mpawu zichazwe ngasentla kufuneka isicelo luvo. Ukuze ukuxilongwa ngakumbi yaye nonyango lunakho ukwabela izifundo zilandelayo:

• Itomography ngekhompyutha.
• Angiography.
• Pneumoencephalography.
• nobuchopho Echo.
• MR.

Ukuba kukho urhano le syndrome ukunyhashwa liquorodynamic eya kumisela i empontshwa notshintsho xi CSF.

Xa abadala ekuxilongweni ukunikela ingqalelo engakumbi sifo ngxabano.

Treatment ephule liquorodynamic

I ngaphambili esi sifo elibhaqiweyo, amathuba angaphezulu ukubuyisela nokusebenza kwengqondo elahlekileyo. Uhlobo lwe zonyango ezikhethiweyo zisekelwe ubukho utshintsho zophendlo lwezifo ingenzeka izifo, kwakunye nobudala yesigulane.

Phambi ukwanda koxinzelelo intracranial, ngokuqhelekileyo amisele womchamo: "Furosemide", "Diakarb". arhente Antibacterial isetyenziswa kunyango kweenkqubo esosulelayo. Ukuzinza xi intracranial kunye nonyango wayo - ngumsebenzi ophambili.

Kuba ukususwa iinkqubo nokudumba kunye ukudumba zisetyenziswa iziyobisi glucocorticoid "prednisolone", "Dexamethasone".

Kwakhona ukunciphisa nokudumba yobuchopho kusetyenziswa amaqela iziyobisi steroid. Kuyimfuneko ukuphelisa unobangela sisifo.

Xa izifo liquorodynamic ezichongiweyo, unyango kufuneka ufakwe ngoko nangoko. Emva kokuphumelela uthomalaliso edityaniswe iziphumo buqapheleke emihle. Oku kubaluleke ngokukodwa ngexesha kuphuhliso umntwana. Iphucula inkqubela olubonakalayo kuphuhliso lengqondo.

Kwakhona unyango kunokwenzeka yotyando. Inokubuyiselwa kuqhutywa kwezi meko zilandelayo:

• unyango isiyobisi nokungaphumeleli kwawo.
• crisis Liquorodynamic.
• hydrocephalus Occlusive.

unyango Surgical ngazo kwimeko nganye ngokwahlukeneyo kunye nesifo esekelwe kubudala, iimpawu eziphilayo kwesi sifo. Kwiimeko ezininzi, utyando ebuchotsheni bazame ukuphepha, ukuthintela umonakalo isicwili sobuchopho esempilweni, kwaye isicelo unyango zonyango ezintsonkothileyo.

Yinto eyaziwayo, ukuba azifumananga kunyangwa ukuphazamiseka syndrome liquorodynamic kweqondo lokusweleka umntwana yi-50% ukuya kwiminyaka-3, uyasinda ebudaleni 20-30% yabantwana. Emva kotyando, izinga lokusweleka yi 5-15% abantwana abagulayo.

nokunyuka lokusweleka ngenxa isifo emva kwexesha.

Prevention ephule liquorodynamic

amanyathelo othintelo ziquka:

• ukunakekelwa okufanele kwikliniki kokubeleka. Kubalulekile ukuba babhalise kwangethuba kangangoko kunokwenzeka.
• Ukuba isigulo kwangethuba zosulelo intrauterine kunye nonyango lwabo.

ngeveki-18-20 ultrasound ibonisa uphuhliso ingqondo ezingekazalwa kunye umntwana ongekazalwa lotywala karhulumente. Kule kota sikwazi ubukho okanye ukungabikho ngezifo.

• Ukhetho oluchanekileyo lwe-delivery.
• esweni rhoqo yi wabantwana. Ukulinganisa achazwe apha ye lukakayi, xa kukho imfuneko ukwenza isifundo fundus.
• Ukuba akukho ngokukhawuleza ivaliwe fontanelle, kwaye ultrasonography cranial kuyimfuneko ukuba adibane neurosurgeon.
• nokususwa ngokukhawuleza yamathumba leyo isikiwe indlela kulwelo lwe- cerebrospinal.
• esweni rhoqo ngugqirha baqhube izifundo eziyimfuneko emva nokulimala kobuchopho kwaye umnqonqo.
• unyango kwangoko lwezifo ezosulelayo.
• Uthintelo kunye nonyango lwezifo ezingapheliyo.
• Ukuyeka ukutshaya kunye notywala.
• Kuyanconywa ukuba baya kungena ngokuba ezemidlalo, yokuphila esebenzayo.

Nasiphi na isifo kulula ukunqanda okanye athathe onke amanyathelo okunciphisa ubungozi sifo. Ukuba unesifo ukunyhashwa liquorodynamic, uthomalaliso ngokukhawuleza iqale, bhetele amathuba ukuba umntwana uza kukhula kakuhle.