Karhulumente abazi kancinane (isiqaqa siphaphile): Iimpawu kunye Indlela Treatment

Yimeko esibonakala ilahleko lomsebenzi yokuqonda kunye ukungakhathali ngokupheleleyo, ezivele ngenxa ezingaqhelekanga kwi neuron, ebizwa zikarhulumente kancinane abazi. Lo gama yaziswa amayeza ngo-1940 ngu zengqondo waseJamani E. Kretschmer.

izizathu

Amaninzi namalanga isiqaqa (oko ke wesibini igama ingxelo kweli nqaku esi sifo) lwenzeka emva yokulimala ebuchotsheni esibuhlungu. Ngokufuthi, isifo zophendlo lwezifo ezifana nesifo ngenxa hypoxia, ityhefu, pathways sentliziyo, esosulelayo kunye nezinye izilonda ebuchotsheni. Oku waphawula ukuba isifo eso ngo-14% ezigulane afe isiqaqa elide esibuhlungu. isimo kancinane abazi umntwana kakhulu ukuba kwenzeka emva meningoencephalitis, bazamile, ukonzakala craniocerebral. Kulo ingaqala ngokucotha ngokwaneleyo iinyanga 2-3 okanye iminyaka. Xa izigulane abakulo isiqaqa ngenxa imvelaphi non-traumatic, ngathi imeko lu dityanisiwe umonakalo ukuya kwi ganglia carcinomas uphinde uthinte kunye nokulondolozwa relative izikhondo ebuchotsheni.

picture clinical

Iimpawu zesi sifo zibonakala kuphela emva kokuba isigulane ngaphandle isiqaqa. Kweli xesha kuyehla uphaphama. Njengoko umthetho, iliso ebantwini, nto leyo banesifo apallic, vula syndrome. Yena ngokulula phendula kubo, kodwa jonga akuthethi ukuzilungisa. Naziphi basabele yaye akukho intetho. Uqhagamshelwano nge umntu onjalo akwenzeki, njengoko imiyalelo yomlomo yokuba ziqondeka. Kwiimeko kakhulu ngakumbi, isigulana ngumlwelwe, wenza intshukumo umbhodamo le imilenze. Ngokufuthi izigulane nalo ngezifo kwenzeka ngamandla, paresis, ukuphazamiseka hyperkinesis, oculomotor. Oku kungenxa yokuba kwiimeko ezinzima wezifo inabela ekunqandeni kunye nezakhiwo ebuchotsheni subcortical. Kulo mzekelo, ebaphethe iimpendulo iintlobo ezahlukeneyo ziyakhuthazeka, kaninzi - iintlungu ngohlobo eduma izandi ngamnye okanye iintshukumo ngesiquphe. Kwezinye iimeko kusenokuba kukho sisibonakaliso ebambe okanye ingqondo ngomlomo. Isigulane evula umlomo wakhe, kwaye xa efika umntu izinto yeentsasa ngaphandle ulwimi lwakhe. Ngaloo ndlela yonke imisebenzi kwezityalo ezifana yokuginya, intliziyo, yokuphefumla, owanyayo, endleni kunye nomchamo zinomgutyulo igcinwe. A pose uphawu umntu une "karhulumente kancinane abazi" - izandla ndibambe zibe nokumntlitha, iinyawo plantar flexion. Amimichno ubuso, ngamanye amaxesha kukho yawning. In kwedolo engqinibeni amalungu kwakhona flexion ngokuphawulekayo incinane. Izigulane e uvuka isiqaqa isaqhubeka ukutshintsha ixesha uphaphama nokulala, kodwa kuxhomekeke ixesha losuku.

uxilongo Integrated

Kancinane karhulumente abazi (isiqaqa siphaphile) ibanjiwe ngokusekelwe iimpawu isici. Kwakhona, ukusebenzisa ukufunda ngezifo diagnostic cuke of imithambo peripheral kunye ezinkulu imithambo wesibindi, intloko, imilenze kunye nezintso. Ukongeza, imithambo yegazi bamthwala capillaroscopy ephilayo ECG ukuhluza utshintsho kobuchopho kwi imisipha entliziyweni. Uvavanyo yobuchopho (electroencephalogram), kunye nemeko bhetyebhetye semithambo noxinzelelo ngokweemvakalelo emzimbeni, kwakunye uhlolo-luvo kunye somatic.

yeempawu ezibonakalayo

I-EEG kwiiveki zokuqala ezimbalwa, ochazwa zimakishwe utshintsho ngokubanzi. Kwaye ngoko iinyanga ezimbini ukuya kwezintathu egciniweyo tetaaktivnosti kwayo. Kwiinyanga ezintandathu kamva, kukho umsebenzi alpha (ephantsi-index). Ngenxa olwenziwa Itomography ayinakubalwa kutyhilwa yoma ingqondo, kwakunye ukwandiswa ventricles.

karhulumente kancinane abazi. unyango

Kwiimeko ezininzi kakhulu ebonisa yokurhaxwa. Iindlela umsebenzi yezonyango emiselwe awohluke ekliniki, umyalezo we sigulo kunye nemeko ngokubanzi isigulane.

Ngokumphefumlela labagula kakhulu

Eyona ndlela iphambili zokunyanga imeko zophendlo lwezifo kukuba bunjani umsebenzi ezesifuba yokuphefumla, homeostasis uxinzelelo lwegazi, hemodynamics (ingqondo kunye total), nokudumba anti-Cerebral kunye hypoxia. A isiganeko kubaluleke kakhulu yokhathalelo nomonde. Kuphephe tilting intloko, ulwimi. Ngamaxesha athile ukutshintsha indawo emzimbeni wakhe (best zonke - kwicala), ukuze enze yangasese ngeempumlo ngemihla, iityhubhu inyumoniya kunye nomlomo. Xa isebe labagula ijonga ngokwezalathi ezibalulekileyo zemeko lomzimba. Eli uxinzelelo lwegazi, izinga intliziyo, EEG, ubushushu bomzimba, ECG, umthamo kunye nezinga zokuphefumla, kwakunye iigesi igazi acid imile. Xa eveza nomthwalo zemiphunga bamthwala ekumfakeni engxamisekileyo kunye yomatshini (shushu nomoya humidified). Ukuphucula iimpawu igazi izisombululo plasma-kufakwe zifumaneka yegazi. Isiganeko iphantsi kolawulo xi lwemithambo.

Yokuthintela isigulo

Izigulane na ixesha elide isiqaqa, ukuthintela ukunwenwa kwesi sifo amanyathelo resuscitative olunzulu ezifunekayo. Le misebenzi iquka ukukhuthazwa umsebenzi kwentliziyo, yomatshini, nokugcina uxinzelelo lwegazi. Ukongeza, kucetyiswa ukuba usebenzise iziyobisi isebenze ukutya ingqondo kunye nokuququzelela ukudluliswa neemvakalelo. care kubaluleke kakhulu eqhelekileyo efanelekileyo, kwaye kwezinye iimeko - isondlo parenteral. Kufuneka kwakhona basebenzisa iindidi ngeendidi arhente kwangumqondiso kunye neevithamini.

Nursing

Ukondla kungcono kwenziwa a gastrostomy percutaneous obhityileyo ityhubhu kunokuba kumbhobho. Ngoko ke njengento yokugqibela emva kokuba ukusetyenziswa elide, kwandisa kakhulu umngcipheko reflux Eskom, nangezilonda, sinusitis. Kufuneka umana ukubeka iliso ubunzima yesigulane. Xa zisitya komzimba umguli ukuba kuvuselwa degrees 50-60. Ukutya kufuneka ibe iiprothini, iivithamini kunye neeminerali, kwakunye fatty ifumile. Calorie - 35 kcal / kg ngosuku. Ukuba bayikhuphe wamathumbu Kucetyiswa ukuba basebenzise laxatives ngomlomo, kodwa hayi izihlandlo ezingaphezu kwama-kathathu ngeveki, kwakunye suppositories efakwa. Ukuba isigulane iye yavela urhudo, kufuneka athile ungamniki yoghurts 'siphila' yaye kumaxesha ngamaxesha ukujonga, ingaba ikhona na ukutya kokoma esuswini. Ukuphucula umsebenzi kwesisu kufuneka zibandakanywe ekutyeni ukutya equlathe izixa ezikhulu ifayibha.

Izigulane nala ukuphazamiseka kuboniswa massotherapy. Kwezinye amaziko zonyango kubantu aba bakulo isiqaqa uyichitha, yabamba inkqubo yokubuyisela ekhethekileyo. Oku kuquka a lochukumiso, uthomalaliso ngokwasemzimbeni zonyango, kwakunye nenani ezinye iindlela zokoyisa urhulumente kancinane abazi.

Outlook

Ngelishwa, kwiimeko ezininzi, iziphumo ezibi zesi sifo. Nangona kunjalo, oku kwakhona regredientnoe kunokwenzeka ngenxa yokugula, ukuya recovery phantse ngokupheleleyo umsebenzi. Phambi iinkqubo atrophic awazenzayo bakholisa ukuba kwenzeka kubantu abadala, inokuba imo ngqongqo decerebrate, luphawulwa inkangeleko amahlaba kunye nezinye iimpawu ezingemnandi.