Contusion ubuchopho: baziphendulele ezinokuvela kwixesha elizayo

Yintoni enokubangela contusion ingqondo? Effects emva kweminyaka embalwa kuvelile, uya thaca ngezantsi. Siya ndithi kuwe ngento ubungakanani nale nkxwaleko noku, kukho yaye yintoni mpawu ukuba ebonakala.

ulwazi olusisiseko

Brain kukwenzakala, imiphumo eboniswe apha, kuba kukwenzakala ebuhlungu izakhiwo omzimba, oluthi luqokelelane ngexesha zokusetyenziswa kwemikhosi ngoomatshini yathi. Ngokutsho iingxelo leengcali, ngenxa yokulimala banokuchaphazeleka ngokupheleleyo zonke iindawo ingqondo, kodwa uninzi lwezi izitshanguba kwenzeka esibondeni ngokungqalileyo, kunye nomhlehlo ophezu asezantsi Uhlobo Lokuqala temporal.

Iimpawu ezinjalo ukulimala amiliswe ukusuka indibaniselwano iimpawu kwezityalo yengqondo kunye focal. ukuzingisa kwabo nobukhali kuxhomekeke amandla igalelo.

Yintoni ungagcina contusion ingqondo? badla musa kuvela iziphumo emva kokufumana ukulimala ezinjalo, yaye musa azibonakalisa. Noko ke, kwezinye iimeko, izakhiwo ingqondo traumatic zingenza umntu zikhubaziwe.

Ngenxa yoko, oko ngokukhuselekileyo makuqatshelwe ukuba ukwenzakala intambo contusion yi cinca-cinci ku, yaba lukakayi, ingqondo, apho inyama yonakele ezisisiseko zabo, ngamanye nepokotho kwasekwa ezinye ukutshatyalaliswa mbandela hina. Lapho wathi umzimba itshabalele lisenza.

oonobangela

Malunga yintoni imiphumo yenzakala kanobom ebuchotsheni apho, siya uchaze ngezantsi.

Kufuneka kuqatshelwe ukuba izakhiwo umonakalo zobuchopho nga kwenzeka xa Nakuphi na ukwenzakala. Noko ke, edla ngezifo loo eyenziwe ngenxa kukuwa ngemoto okanye drop banal ukusuka babengabafo abade.

Njani na?

Njengokuba kubhaliwe abunjwe contusion ingqondo (imiphumo iingozi kuba kakhulu kangangokuba umntu owenzakeleyo nga ahlale sokukhubazeka ebomini)? Isiza yesenzo amandla ngomatshini kuvela kwindawo strike apho uxinzelelo inyuswe. Le ndawo izakhiwo zaseprayimari wabumba ukonakalisa iiseli zemithambo-luvo kunye imithambo yegazi. Xa oku kwenzeka kwindawo protivoudara icala, nto leyo luphawulwa xi lifinyele. Hi ndlela leyi, kule ndawo ke sisilonda esidumbileyoesingaphakathi ibe ngaphezulu kulo ndawo lwesicelo yomkhosi.

Emva ukulimala iinkqubo ebuchotsheni zobuchopho inyama ukudumba kunye nokudumba, kwakunye eziphazamisana igazi. Oku kakhulu ezehlisa imeko yomguli yaye ifuna ukuthunyelwa ezikhawulezileyo yincutshe.

imihlobo ukulimala

Xa yesilungu iqwalasela wokwenzakala yahlulwe degrees 3:

1. contusion mnene yobuchopho (iziphumo azikho kakhulu kangangokuba).
2. Ukukhubazeka eliphakathi (izitshanguba kunokubangela imiphumo, kodwa akubi njalo).
3. contusion ezimandundu zobuchopho (imiphumo inokuba yintlekele).

Zonke ezi fom iimpawu zabo lwezonyango kunye luphawulwa Outlook ezahlukeneyo. Makhe sihlolisise ngokweenkcukacha ezingakumbi.

Easy contusion ubuchopho: imiphumo trauma

Le ilimaze unalo ALS ilungileyo sokubuyisela kunye akubonakalisi isoyikiso kubomi lomguli. Lubonakala ngu:

• Ukulahleka osezingqondweni, ukudideka, ukozela, basabela kade, bakhohlwe.
• Ukugabha, isiyezi, utshintsho umsebenzi entliziyweni.
• Ukwanda uxinzelelo lwegazi, ngumkhuhlane kancinane, isicaphucaphu.
• Iimpawu luvo (nystagmus nontransversal, jitter amehlo anisocoria, akukho impendulo pupillary ekukhanyeni, sinciphise kwezihlunu, anizorefleksiya).
• Iimpawu Meningeal (ukuqina kwentamo izihlunu, iimpawu Brudzinskogo Kernig).

Ubude kwezi mpawu basoloko kwiiveki ngaphezulu kwe-3. I-ALS ngokuba ukuchacha intle. Noko ke, abo kunokuba nzima kakhulu ukwahlula contusion kwengqondo ezolileyo evela yokulimala yakhe. imiphumela emibi yokwenzakala enjalo bengekho.

avareji ubunzima ukulinyazwa

Le wokwenzakala luphawulwa izibhaxu ngakumbi isicwili sobuchopho. It phantse lonke ukudityaniswa ukwaphuka lukakayi, ebangela legazi subarachnoid. Iimpawu eziphambili yokwenzakala ingqondo esi sidanga zezi:

• Underestimation ye ubunzulu ubume babo, ilahleko osezingqondweni iiyure 1-3, iziqephu lengqondo ukuphazamiseka.
• Kunesifo (retrograde kongradnaya, anterograde).
• yintloko Elibonakaliswe, isiyezi kakhulu.
• ukugabha-phindo, ukunyuka kweqondo intliziyo, ukwanda koxinzelelo lwegazi, ukuphelelwa umoya, isicaphucaphu, kunye nomkhuhlane.
• Iimpawu focal Elihle luvo (utshintsho ithoni myshsch, paresis, ilahleko koluvo kwi imilenze, carpal kunye stopnye iimpawu ezingaqhelekanga, strabismus, ubugqwetha yobuso, nystagmus zidityaniswe, sokuwa, intetho impairment).
• iimpawu Meningeal.

Iimpawu yale ukwenzakala iqhubeka ukusuka kwiiveki eziliqela ukuya kwiinyanga ezimbini. Ekuhambeni kwexesha, iimpawu luvo ngokuthe ibulale. Nangona kunjalo, inani lotshintsho ezenzeka ngoko nangoko emva kokuba ukwenzakala, kusenokuba vuhlayiseki.

Iimpawu kunye neziphumo yokulimala kwengqondo

Ezimandundu nokulimala engqondweni traumatic uphethe ingxaki enkulu ubomi umguli. Ngokutsho manani, malunga 35-50% yazo zonke iimeko nokulimala kobuchopho ziyabulala. Izigulane ziye yokwenzakala efanayo ixesha elide nawo abuyiselwe (kwenyanga ngaphezu kwesinye). Ngelishwa, oku akusoloko inkqubo lugqityiwe.

Obubungqongo kukwenzakala ukuqaphela ezi mpawu zilandelayo:

• Ukulahleka lokuqonda. Kulo mzekelo, kusenokubakho isiqaqa, maxa niqhawule apho isigulana elide kakhulu ezingqondweni oluguqulweyo lohlobo ubambe okanye sopor.
• Ukuphazamiseka leyo ingena yombono.
• Komzimba ukuze degrees 41, nto leyo sikhatshwe kukuvela ukuxhuzula.
• ezibangelwa ichazwe kwindlela kwegazi kunye nokuphefumla. Ziyanda kwaye isingqi nokuphefumla iphazamisekile ku kangangokuba oko kunokubangela umoya ngomatshini.
• iimpawu-luvo. Kukho iimpawu Isiqu ezibonisa ngokoyiswa kwezakhiwo zobuchopho enzonzobila. Kulo mzekelo, yomguli emxinwa okanye banzi abafundi zamehlo zombini, kukho indlela obuthathaka ekukhanyeni, lo divergence amalungu olubonakalayo lwe tye okanye nkqo "ezidadayo" amehlo, yokuginya yokudla, nystagmus erhabaxa, inhibition of ikhaliphe, kunye nezinye iimpawu zophendlo lwezifo. kwiintsuku ezimbalwa kamva, iimpawu azibonakali kunye umonakalo kwezinye iindawo ebuchotsheni. Ezi ziquka ukukhubazeka ngesiquphe, ukungabi intetho, ukungabikho koluvo kwi imilenze.
• imiqondiso Meningeal kwaphawula.

Imiphumo iingozi ezinjalo kunokuba enkulu kakhulu. Uninzi Iimpawu luvo icotha kakhulu Azifumaneki umva. Ngokululama yomguli ingathatha iinyanga ezintandathu okanye ngaphezulu. Amaxesha amaninzi motor rough nokuphazamiseka engqondweni qhubeka ixesha elide, kwaye kwezinye iimeko na ukuba imzisele yokukhubazeka.

Iziphumo eziphambili ukwenzakala ebuchotsheni

Yintoni abe nethala contusion ingqondo? Imiphumo yokwenzakala ezinjalo zixhomekeke ngqo kwi ngamandla igalelo. Xa contusion iingxaki ezingephi kakhulu phantse ze sebenzisa.

ngcathu kukwenzakala ubuchopho kwakhona ziboniswe bayahlelwa ngakumbi isigulane. Oku kuyinyaniso ingakumbi kwiimeko xa ngokwaphulwa ukakayi lungenzeki ngaxeshanye legazi subarachnoid. Nakuba kunjalo, kufanele kuqatshelwe ukuba ixhoba efunekayo kwanonyango ngokupheleleyo ukuba ayaphumelela.

Kwezinye iimeko, oku ukwenzakala ayilwamkeli ngaphandle kokushiya, azafunyanelwa ndawo. nemiphumela ingaba hydrocephalus esibuhlungu, arachnoiditis post-traumatic, sokuwa post-traumatic, Encephalopathy, kwaye syndrome of DYSTONIA kwezityalo nemithambo.

Ngokumalunga kukwenzakala elinzima zobuchopho, it has abane embi. Malunga ne ne30-50 ukwenzakala% takyh ziyabulala.

Emibi kakhulu

Emva kokufumana yokwenzakala kwengqondo enzima phakathi abasindileyo amathuba eliphezulu elivela iingxaki zilandelayo:

• ukudumba (post-traumatic) of the meninges (meningitis, arachnoiditis, pachymeningitis);
• sokuwa;
• yoma (traumatic) ebuchotsheni, ngamanye ukwehla umthamo isicwili sobuchopho;
• amanxeba kwi inwebu kunye nezihlunu ingqondo;
• hydrocephalus ne wegazi intracranial;
• cysts kuba cerebrospinal fluid;
• posttraumatic porentsefaliya;
• liquorrhea phambi a zaphuka yokakayi.

Zonke ezi ithi kuvela iingxaki intshukumo ethintela intshukumo kunye self-care, kwakunye sanctions ulungelelwaniso, intetho, iingxaki zempilo yengqondo, ikhanda njalo, sinciphise nobukrelekrele, ukugula kunye nesiyezi. Kwiimeko ezinjalo, izigulane wagqiba iqela yokukhubazeka ngenxa yokuba balahlekelwe bonke ukukwazi ukusebenza.

Diagnosis, unyango

Ukongezelela kuxilonga, kwakunye iimeko wokwenzakala, indima ebalulekileyo lokufunyaniswa CT idlala. Iikhosi Iingcali zophando loo bayakwazi ukubona utshintsho incinane ebuchotsheni, kwakunye ukuba umahluko ukugruzuka bakhe mala, ukuchonga elihlabayo, ukuchaza indlela kwamathambo, yaba lukakayi, legazi subarachnoid.

Unyango yokwenzakala ezinjalo kufuneka kwenziwe kuphela xa esibhedlele. Kwiimeko ezininzi, xa loo sisilonda esidumbileyoesingaphakathi nomtya isicelo unyango endala. Nangona ngamanye amaxesha isigulane basenokufuna kutyando. Isibaluli egqiba isixa amalungiselelo unyango liqondo sandla wokwenzakala.