Matenda a subdural hematoma

Matenda osachiritsika a hematoma ndi gulu "lakale" lamagazi ndi kuwonongeka kwa magazi pakati pamutu ndi chophimba chake chakunja (nthawi yayitali). Matenda osachiritsika a hematoma amayamba milungu ingapo kutuluka koyamba magazi.

A subdural hematoma imayamba mukamatseka mitsempha ndikung'ambika ndi magazi. Awa ndi mitsempha yaying'ono yomwe imayenda pakati pa nthawiyo ndi pamwamba paubongo. Izi nthawi zambiri zimakhala chifukwa chovulala pamutu.

Magulu amwazi amatuluka pamwamba paubongo. M'magulu osanjikiza am'magazi, magazi amatuluka m'mitsempha pang'onopang'ono pakapita nthawi, kapena kukha magazi mwachangu kumatsalira kuti kukonzeke pakokha.

Subdural hematoma imafala kwambiri kwa achikulire chifukwa cha kuchepa kwaubongo komwe kumachitika ndi ukalamba. Kuchepetsa uku kumatambasula ndikufooketsa mitsempha yolumikizana. Mitsempha imeneyi imatha kusweka mwa achikulire, ngakhale atavulala pang'ono pamutu. Inu kapena banja lanu simukumbukira kuvulala kulikonse komwe kungafotokozere izi.

Zowopsa ndi izi:

• Kumwa mowa kwambiri kwa nthawi yayitali
• Kugwiritsa ntchito aspirin kwakanthawi, mankhwala oletsa kutupa monga ibuprofen, kapena mankhwala ochepetsa magazi (anticoagulant) monga warfarin
• Matenda omwe amatsogolera ku kuchepa kwa magazi
• Kuvulala pamutu
• Ukalamba

Nthawi zina, sipangakhale zizindikiro. Komabe, kutengera kukula kwa hematoma komanso komwe imakanikiza muubongo, izi zingachitike:

• Kusokonezeka kapena kukomoka
• Kuchepetsa kukumbukira
• Kuvuta kulankhula kapena kumeza
• Kuvuta kuyenda
• Kusinza
• Mutu
• Kugwidwa
• Kufooka kapena kufooka kwa manja, miyendo, nkhope

Wothandizira zaumoyo wanu adzafunsa za mbiri yanu yazachipatala. Kuyeza kwakuthupi kudzaphatikizapo kuwunika mosamala ubongo wanu ndi dongosolo lamanjenje pamavuto anu:

• Kusamala
• Kukonzekera
• Ntchito zamaganizidwe
• Kutengeka
• Mphamvu
• Kuyenda

Ngati pali kukayikira kulikonse kwa hematoma, kuyesa kulingalira, monga CT kapena MRI, scan kudzachitika.

Cholinga cha chithandizo ndikuwongolera zizindikilo ndikuchepetsa kapena kupewa kuwonongeka kwakanthawi kwa ubongo. Mankhwala amatha kugwiritsidwa ntchito poletsa kapena kupewa kugwidwa.

Kuchita opaleshoni kungafunike. Izi zitha kuphatikizira kuboola mabowo ang'ono mumutu kuti athetse kuthamanga ndikulola magazi ndi madzi kuti atuluke. Matenda akuluakulu am'magazi kapena magazi olimba amafunika kuchotsedwa pamitsempha ikuluikulu (craniotomy).

Ma hematomas omwe samayambitsa zizindikilo mwina sangafunike chithandizo. Matenda a subdural hematomas nthawi zambiri amabwerera pambuyo pokhetsedwa. Chifukwa chake, nthawi zina kumakhala bwino kuwasiya okha pokhapokha ngati akuyambitsa zizindikiro.

Matenda a subdural hematomas omwe amayambitsa zizindikilo nthawi zambiri samadzichiritsa okha pakapita nthawi. Nthawi zambiri amafunika kuchitidwa opaleshoni, makamaka pakakhala mavuto amitsempha, khunyu, kapena kupweteka mutu.

Zovuta zingaphatikizepo:

• Kuwonongeka kwamuyaya kwa ubongo
• Zizindikiro zosalekeza, monga kuda nkhawa, kusokonezeka, kuvuta kumvetsera, chizungulire, kupweteka mutu, komanso kukumbukira kukumbukira
• Kugwidwa

Lumikizanani ndi omwe amakupatsani nthawi yomweyo ngati inu kapena wachibale wanu muli ndi matenda a subdural hematoma. Mwachitsanzo, ngati muwona zizindikiro zosokonezeka, zofooka, kapena dzanzi masabata kapena miyezi ingapo atavulala mutu kwa wachikulire, kambiranani ndi wothandizirayo nthawi yomweyo.

Tengani munthuyo kuchipinda chodzidzimutsa kapena itanani 911 kapena nambala yadzidzidzi yakomweko ngati munthuyo:

• Ali ndi zopweteka (kugwidwa)
• Sakhala tcheru (sazindikira)

Pewani kuvulala pamutu pogwiritsa ntchito malamba, njinga ndi zipewa zamoto, ndi zipewa zolimba pakafunika.

Kukha mwazi wachilendo - matenda; Subdural hematoma - matenda; Hygroma yachilengedwe

Chari A, Kolias AG, Borg N, Hutchinson PJ, Santarius T. Zoyang'anira zamankhwala ndi opaleshoni zamatenda am'mapapo am'mimba. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 34.

Stippler M. Craniocerebral zoopsa. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 62.