Kutha kwadzidzidzi

Kukhazikika kwazinthu ndikumakhazikika modabwitsa komwe munthu amakhala wolimba ndi manja opindika, wokuta zibakera, ndi miyendo yolunjika. Manjawo akuyang'ana mthupi mozungulira ndipo manja ndi zala ndizopindika ndikugwira pachifuwa.

Mtundu woterewu ndi chizindikiro cha kuwonongeka kwakukulu muubongo. Anthu omwe ali ndi vutoli ayenera kupita kuchipatala nthawi yomweyo.

Kukhazikika kwa mawonekedwe ndi chizindikiro cha kuwonongeka kwa mitsempha ya midbrain, yomwe ili pakati pa ubongo ndi msana. Pakatikatikati kamayendetsa magalimoto. Ngakhale maimidwe a decorticate amakhala owopsa, nthawi zambiri samakhala owopsa ngati mawonekedwe abwinobwino otchedwa defrebrate kaimidwe.

Kukhazikika kumatha kuchitika mbali imodzi kapena mbali zonse ziwiri za thupi.

Zomwe zimayambitsa kukhazikika kwapadera ndi izi:

• Kutuluka magazi muubongo pazifukwa zilizonse
• Chotupa cha ubongo
• Sitiroko
• Vuto laubongo chifukwa cha mankhwala osokoneza bongo, poyizoni, kapena matenda
• Zovulala muubongo
• Vuto laubongo chifukwa cha kulephera kwa chiwindi
• Kuwonjezeka kwapanikizika muubongo pazifukwa zilizonse
• Chotupa chaubongo
• Matenda, monga Reye syndrome

Kukhazikika kwachilendo kwamtundu uliwonse nthawi zambiri kumachitika ndikuchepetsa. Aliyense amene ali ndi vuto losavomerezeka ayenera kumufufuza nthawi yomweyo ndi wothandizira zaumoyo ndikuchiritsidwa nthawi yomweyo kuchipatala.

Munthuyo adzalandira chithandizo chadzidzidzi. Izi zimaphatikizapo kupeza chubu chopumira komanso kuthandizidwa kupuma. Munthuyo akhoza kumugoneka m'chipatala ndi kumuika m'chipinda cha anthu odwala mwakayakaya.

Vutoli litakhazikika, woperekayo amalandila mbiri ya zamankhwala kuchokera kwa abale ake kapena abwenzi ndikuwunika mozama. Izi ziphatikiza kuwunika mosamala ubongo ndi dongosolo lamanjenje.

Mafunso a mbiri yakale azachipatala atha kuphatikizira:

• Zizindikiro zidayamba liti?
• Kodi pali dongosolo ku magawo?
• Kodi mawonekedwe amthupi nthawi zonse amakhala ofanana?
• Kodi pali mbiri yakale yovulala pamutu kapena kugwiritsa ntchito mankhwala osokoneza bongo?
• Ndi zisonyezo zina ziti zomwe zidachitika kale kapena modabwitsa?

Mayeso omwe angachitike ndi awa:

• Kuyesa magazi ndi mkodzo kuti muwone kuchuluka kwa magazi, kuwunika mankhwala osokoneza bongo ndi zinthu zowopsa, komanso kuyeza mankhwala amthupi ndi mchere
• Cerebral angiography (utoto ndi kafukufuku wa x-ray wamitsempha yamagazi muubongo)
• MRI kapena CT scan pamutu
• EEG (kuyesa kwamafunde aubongo)
• Kuwunika kwa intracranial pressure (ICP)
• Lumbar kuboola kuti atenge madzi amadzimadzi

Maganizo amadalira choyambitsa. Pakhoza kukhala kuvulala kwa ubongo ndi mitsempha ndi kuwonongeka kosatha kwaubongo, komwe kumatha kubweretsa:

• Coma
• Kulephera kulankhulana
• Kufa ziwalo
• Kugwidwa

Kukhazikika kwachilendo - kukhazikika kwamachitidwe; Zowopsa kuvulala kwaubongo - kuwonongeka kwa mawonekedwe

Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Dongosolo Neurologic. Mu: Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Upangiri wa Seidel ku Kuyesa Thupi. 9th ed. Philadelphia, PA: Elsevier; 2019: chaputala 23.

Hamati AI. Mavuto amitsempha yama systemic matenda: ana. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 59.

Abambo L, Goldberg SA. Kusokonezeka mutu. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 34.