Matenda Osiyanasiyana a Hematoma

Zamkati

• Zomwe zimayambitsa komanso zoopsa
• Zizindikiro za hematoma ya subdural
• Kuzindikira matenda a hematoma osachiritsika
• Njira zamankhwala zochizira matenda opatsirana a hematoma
• Kuwona kwakanthawi kwakanthawi kwakanthawi kochepa kwa hematoma
• Momwe mungapewere matenda opatsirana a hematoma

Matenda a subdural hematoma

A chronic subdural hematoma (SDH) ndi gulu lamagazi pamtunda, pansi pa chophimba chakunja cha ubongo (dura).

Nthawi zambiri amayamba kupanga patatha masiku angapo kapena milungu ingapo magazi akuyamba. Kutuluka magazi nthawi zambiri kumachitika chifukwa chovulala pamutu.

SDH yosalekeza sikuti nthawi zonse imatulutsa zizindikilo. Ikatero, imafunikira chithandizo chamankhwala.

Zomwe zimayambitsa komanso zoopsa

Vuto lalikulu kapena laling'ono kuubongo kuchokera kuvulala kumutu ndichomwe chimayambitsa matenda a SDH. Nthawi zambiri, munthu amatha kupanga chifukwa cha zifukwa zosadziwika, zosagwirizana ndi kuvulala.

Magazi omwe amatsogolera ku SDH yanthawi yayitali amapezeka m'mitsempha yaying'ono yomwe ili pakati pa ubongo ndi nthawi. Akaphwanya, magazi amatuluka nthawi yayitali ndikupanga magazi. Chotsekacho chimakakamiza kwambiri ubongo wanu.

Ngati muli ndi zaka 60 kapena kupitilira apo, muli pachiwopsezo chachikulu cha hematoma yamtunduwu. Minofu yaubongo imafota ngati gawo la ukalamba. Kutsika kumatambasula ndikufooketsa mitsempha, kotero ngakhale kuvulala pang'ono pamutu kumatha kuyambitsa matenda a SDH.

Kumwa mowa mwauchidakwa kwazaka zingapo ndichinthu chinanso chomwe chimakulitsa chiopsezo cha SDH. Zinthu zina zimaphatikizapo kugwiritsa ntchito mankhwala ochepetsa magazi, aspirin, ndi mankhwala oletsa kutupa kwa nthawi yayitali.

Zizindikiro za hematoma ya subdural

Zizindikiro za matendawa ndi monga:

• kupweteka mutu
• nseru
• kusanza
• kuyenda movutikira
• kukumbukira kukumbukira
• mavuto ndi masomphenya
• kugwidwa
• vuto ndi kuyankhula
• vuto kumeza
• chisokonezo
• dzanzi kapena kufooka nkhope, mikono, kapena miyendo
• ulesi
• kufooka kapena kufooka
• chikomokere

Zizindikiro zenizeni zomwe zimawoneka zimadalira komwe kuli hematoma yanu komanso kukula kwake. Zizindikiro zina zimachitika pafupipafupi kuposa zina. Kufikira 80 peresenti ya anthu omwe ali ndi hematoma yamtunduwu amadwala mutu.

Ngati chofunda chanu ndi chachikulu, kutha kusuntha (ziwalo) kumatha kuchitika. Muthanso kukomoka ndikumakomoka. SDH yosalekeza yomwe imayika kupanikizika kwakukulu muubongo imatha kuwononga ubongo kwamuyaya ngakhale kufa.

Ngati inu kapena munthu wina yemwe mumamudziwa akuwonetsa zizindikilo za vutoli, ndikofunikira kupeza thandizo lachipatala mwachangu. Anthu omwe ali ndi khunyu kapena otaya chidziwitso amafunikira chithandizo chadzidzidzi.

Kuzindikira matenda a hematoma osachiritsika

Dokotala wanu adzayesa mayeso kuti awone ngati pali kuwonongeka kwamitsempha yanu, kuphatikiza:

• kusagwirizana bwino
• mavuto kuyenda
• kuwonongeka kwamaganizidwe
• zovuta kugwirizanitsa

Ngati dokotala akukayikira kuti muli ndi SDH yosatha, muyenera kuyesedwanso. Zizindikiro za vutoli zili ngati zizindikiro za zovuta zina zingapo zomwe zimakhudza ubongo, monga:

• matenda amisala
• zotupa
• encephalitis
• kukwapula

Kuyesa ngati kujambula kwa maginito (MRI) ndi computed tomography (CT) kumatha kudzetsa matenda olondola.

MRI imagwiritsa ntchito mawailesi ndi maginito kutulutsa zithunzi za ziwalo zanu. CT scan imagwiritsa ntchito ma X-ray angapo kuti apange zithunzi zamafupa ndi zofewa mthupi lanu.

Njira zamankhwala zochizira matenda opatsirana a hematoma

Dokotala wanu aziteteza ubongo wanu kuti usawonongeke nthawi zonse ndikupangitsa kuti zizivuta kusamalira. Mankhwala osokoneza bongo amathandizira kuchepetsa kukomoka kapena kuwaletsa kuti asachitike. Mankhwala omwe amadziwika kuti corticosteroids amachepetsa kutupa ndipo nthawi zina amagwiritsidwa ntchito kuti achepetse kutupa muubongo.

Matenda a SDH amatha kuchiritsidwa opaleshoni. Njirayi imaphatikizapo kupanga timabowo tating'onoting'ono mumutu kuti magazi atuluke. Izi zimachotsa kukakamiza kwa ubongo.

Ngati muli ndi chovala chachikulu kapena chokulirapo, dokotala wanu akhoza kuchotsa kachigaza ndi kuchotsa chovalacho. Njirayi imatchedwa craniotomy.

Kuwona kwakanthawi kwakanthawi kwakanthawi kochepa kwa hematoma

Ngati muli ndi zizindikiro zokhudzana ndi SDH yanthawi yayitali, mungafunike kuchitidwa opaleshoni. Zotsatira zakuchotsa opaleshoni ndizabwino kwa anthu 80 mpaka 90 peresenti. Nthawi zina, hematoma imabweranso pambuyo pa opaleshoni ndipo imayenera kuchotsedwa.

Momwe mungapewere matenda opatsirana a hematoma

Mutha kuteteza mutu wanu ndikuchepetsa chiopsezo chanu chokhala ndi SDH yayikulu m'njira zingapo.

Valani chisoti mukamakwera njinga kapena njinga yamoto. Nthawi zonse mangani lamba wanu m'galimoto kuti muchepetse chiopsezo chovulala pamutu pangozi.

Ngati mumagwira ntchito yoopsa monga zomangamanga, valani chipewa cholimba ndikugwiritsa ntchito zida zachitetezo.

Ngati muli ndi zaka zopitilira 60, samalani pazomwe mumachita tsiku ndi tsiku kuti mupewe kugwa.