Matenda oopsa a m'magazi: Zomwe zili, Zizindikiro ndi Chithandizo
Zamkati
- Zizindikiro zazikulu
- Momwe mungatsimikizire matendawa
- Zomwe zimayambitsa matenda oopsa amkati
- Momwe mankhwalawa amachitikira
Matenda oopsa a m'magazi ndi mawu azachipatala omwe amafotokoza kuwonjezeka kwa kupanikizika mkati mwa chigaza komanso kuzungulira msana, komwe sikungakhale ndi chifukwa chenicheni, kudziwika kuti idiopathic, kapena kuyambitsidwa ndi zoopsa kapena matenda monga chotupa chaubongo, kukha mwazi kwamkati, mantha Matenda apakhungu, sitiroko kapena zotsatira zoyipa za mankhwala ena.
Nthawi zambiri, kuthamanga kwapakati pa chigaza kumasiyana pakati pa 5 ndi 15 mmHg, koma pakadutsa kuthamanga kwa magazi kumakhala kopitilira muyeso uwu, chifukwa chake, pamavuto akulu kwambiri kumatha kuletsa magazi kulowa chigaza, osasiya mpweya wokwanira waubongo. .
Popeza ubongo ndi chiwalo chovuta kwambiri ndipo sichingalandidwe mpweya, matenda oopsa ayenera kuthandizidwa mwachangu kuchipatala ndipo nthawi zambiri kumakhala kofunika kukhala mchipatala masiku angapo.
Zizindikiro zazikulu
Zizindikiro za matenda oopsa amthupi zimatha kuphatikiza:
- Kulimbikira mutu;
- Sinthani mulingo wazidziwitso;
- Kusanza;
- Zosintha m'masomphenya, monga ophunzira otukuka, mawanga amdima, masomphenya awiri kapena kusawona bwino;
- Kulira khutu;
- Kufa ziwalo kapena mbali imodzi ya thupi;
- Ululu m'mapewa kapena m'khosi.
Nthawi zina pakhoza kukhala khungu kwakanthawi, momwe munthu amachititsidwa khungu nthawi zina masana. Kwa anthu ena, khungu ili limatha kukhala lokhalitsa, kutengera momwe kukakamizidwa kumakhudzira mitsempha ya optic.
Momwe mungatsimikizire matendawa
Matenda oopsa amkati amatha kukayikiridwa ndi dokotala kudzera zizindikiritsozo komanso ngati palibe zifukwa zina zomwe zingayambitse kusintha.
Komabe, nthawi zambiri kumakhala kofunikira kuyesa kangapo kuti mutsimikizire matendawa ndikuyesa kupeza chifukwa. Pachifukwa ichi, mayeso ofala kwambiri amaphatikizidwa ndi ma computed tomography, imaging resonance imaging kapena ngakhale lumbar punct. Ngati chifukwa sichingadziwike, matenda oopsa nthawi zambiri amatchedwa kuti idiopathic intracranial hypertension, zomwe zikutanthauza kuti alibe chifukwa chodziwika.
Zomwe zimayambitsa matenda oopsa amkati
Matenda oopsa a m'mimba nthawi zambiri amayamba chifukwa cha zomwe zimapangitsa kukula kwa ubongo kapena kuchuluka kwa madzi am'magazi. Chifukwa chake, zomwe zimayambitsa kwambiri ndi izi:
- Zoopsa za Cranioencephalic (TBI);
- Sitiroko;
- Chotupa cha ubongo;
- Matenda muubongo, monga meninjaitisi kapena encephalitis;
- Hydrocephalus.
Kuphatikiza apo, kusintha kulikonse m'mitsempha yomwe imanyamula magazi kupita nawo kuubongo kapena komwe kumalola kuti madzi amadzimadzi azizungulira kungayambitsenso kupanikizika.
Momwe mankhwalawa amachitikira
Chithandizo cha matenda oopsa omwe amapezeka mkati mwake chimachitika kuchipatala ndipo zimatengera zomwe zimayambitsa. Komabe, sizachilendo kupeza mankhwala kuphatikiza jakisoni wa corticosteroids, diuretics kapena barbiturates mumtsempha, womwe umachepetsa kuchuluka kwa madzimadzi mu chigaza ndikuchepetsa kupanikizika.
Kuphatikiza apo, tikulimbikitsidwa kuti munthuyo akhale atagona chagada ndipo nsana wawo utapendekekera 30º, kuti athandize ngalande yamadzi am'mubongo, komanso kupewa kuyendetsa mutu, chifukwa izi zimapangitsa kuti mitsempha ipanikizike.