Kawirikawiri mutu: zimayambitsa, chikhalidwe cha ululu, zomwe dokotala kuthana

Mutu - ndi chimodzi mwa madandaulo ambiri kwa anthu ofuna thandizo kwa akatswiri. Izo zikusonyeza kuti ena njira mu thupi linaphwanya. Mutu ingayambe ndi kutopa, kumwa mankhwala, zoopsa, matenda aakulu. Ngati chizindikiro ichi zambiri umapweteka, musachinyalanyaze izo. A nthawi zofunika kwambiri kuona katswiri ndi kuphunzira pa zimene mutu tsiku lililonse.

wolumikizira oopsa

Mutu likhoza kulumikizidwa ndi matenda oopsa. Ndi chikhalidwe cha dongosolo mtima, matenda yodziwika ndi kulimbikira kuthamanga kwa magazi (chidule - BP) aakulu a 140/90 mamilimita Hg. Art. ndi pamwamba. Oopsa kumakhudza pafupifupi 20-30% ya akulu. Ndi zaka, mlingo ukuwonjezeka. Kwinakwake 50% ya anthu pa zaka 60 zakubadwa amatchedwa matenda aakulu.

Anthu ndi oopsa, kuthamanga okwera, mutu maola oyambirira. Location ululu kutanthauzira - occipital dera. Tikumbukenso kuti ululu akhoza sanalembedwepo pa kuwonjezereka wofatsa kapena zolimbitsa kuthamanga. Iwo nthawizonse kokha pamene likutuluka mofulumira magazi kuposa 200/120 mamilimita Hg. Art.

hypotension

Ngati inu zambiri mutu, zifukwa zimene angagone? yankho limodzi la funso limeneli - ndi wolumikizira hypotension. Ichi ndi mkhalidwe umene magazi a 90/60 mamilimita Hg. Art. ndi zochepa. Iwo amakhala ndi mutu. Zimakhala kuzimiririka, kumanga, akuphulikira kapena kugunda. Malo kutanthauzira kwake - fronto-parietal kapena fronto-zosatha dera. Ngati hypotension komanso zizindikiro zotsatirazi:

• kufooka;
• sluggishness m'mawa, kusinza;
• chizungulire;
• maganizo Kusakhazikika;
• kudziwa nyengo;
• pallor;
• palpitations ndi kupuma movutikira pa yaikulu.

Akatswiri analenga gulu la wolumikizira hypotension. Kusiyanitsa pachimake ndi aakulu zosiyanasiyana. iwowa amakhala wogawanika, nawonso, pa thupi la, pulayimale ndi sekondale. Pachimake hypotension - kuchepa lakuthwa magazi. Chotero chikhalidwe kumachitika pamene magazi imfa, pachimake m'mnyewa wamtima infarction.

Low kuthamanga, mutu ... zizindikiro izi ndinazindikira nthawi zina anthu athanzi mwamtheradi. Chitsanzo adzatumikira othamanga. Iwo amayenda mochedwerako magazi anaona ndi masewera olimbitsa zonse. Mbali imeneyi ndi yankho dziphunzitsiranso za thupi, ndi muyeso chitetezo. Mtundu wa hypotension amatchedwa thupi.

Mitundu yaikulu ndi matenda palokha. Si chifukwa cha kuvutika aliyense sanalembedwepo ndi maziko a matenda alipo. Madokotala kuona chachikulu hypotension mbali zosiyanasiyana za malo vasomotor matenda gwero lachisokonezo kwa ubongo. Koma mitundu sekondale zimawonedwa matenda osiyanasiyana (mwachitsanzo, mtima insufficiency, kuvulala ubongo, arrhythmias).

subarachnoid kukha mwazi

The akakufunsani mwadzidzidzi kapena ululu occipital akhoza yodziwika ndi kukha mwazi subarachnoid. Kudzikonda (chidule - SAH) akatswiri akuimira kudzikundikira magazi M'mimbamo pakati pa Mater zofewa ndi arachnoid. Magazi kumachitika mwadzidzidzi chifukwa wolumikizira chotupa kapena aneurysm kulandira zoopsa choipa ubongo.

Anthu omwe adakumana subarachnoid kukha mwazi ananena kuti iwo anali ululu odziwa anali wamphamvu kwambiri kuposa anthu amene adziwa mu miyoyo yawo. Zizindikiro zina za SAH monga nseru, kusanza, imfa ya chikumbumtima. Kukha mwazi anthu akufunika thandizo chithandizo. Ichi ndi chikhalidwe zoopsa kwambiri zimene zingachititse kuti imfa kapena kulumala kwambiri.

intracerebral kukha mwazi

Akakufunsani kapena m'dera ululu kungakhale chizindikiro cha kukha mwazi kwa muubongo. Uwu ndi mwazi kulowa ubongo mankhwala. Magazi kumachitika pa yopuma kusinthidwa mpanda wa ziwiya oziziritsa magazi kapena mwa diapedesis (zinthu linanena bungwe ziwiya magazi kuphwanya permeability awo ndi tonus).

Amene angayang'ane chikhalidwe ichi oopsa? Nthawi zambiri, magazi akupezeka anthu zaka pakati ndi akale chifukwa atherosclerosis oziziritsa, matenda oopsa. Kodi zambiri zokayikitsa chifukwa matenda a magazi, kusintha yotupa mu zotengera ubongo. Kukha mwazi muubongo nthawi zina amapezeka achinyamata. Ambiri chifukwa - kugwiritsa ntchito mankhwala osokoneza bongo.

Brain Education

Ngati nthawi zambiri mutu, kodi zifukwa? Zosasangalatsa chizindikiro zikhoza zosiyanasiyana formations ubongo (mikwingwirima, zotupa, abscesses). ululu ndi zambiri akakufunsani. Nthawi zina amapezeka kumene isanafalikire buku mapangidwe. Mu magawo oyambirira a matenda izo zimapangitsa lokha anamva m'mawa ndi lofooka. Monga matenda ili m'kati chikhalidwe cha ululu zimasiyanasiyana. Kumakhaladi zonse ndi mphamvu. Zizindikiro ena amene amasonyeza kupezeka kwa zotupa misa, monga:

• kusanza, kunachitika popanda nseru;
• matenda maonekedwe oculomotor;
• kuwonongeka kwa chikumbukiro;
• Khalidwe kusinthidwa ndi zina.

Dziwani kuti ululu nthawi zina kumachitika pamene inu mapendekeredwe mutu wako, kutsokomola, Yosefera, zofuna kukhetsa thukuta. Chizindikiro chimenechi zingakhale khalidwe la zotupa zapambuyo fossa. Mavuto amene amapezeka mu zinthu izi, ndipo nthaŵi yochepa, angayambe popanda kudwala intracranial.

Kutupa m'njira za m'mphuno paranasal

Ngati nthawi zambiri mutu mu mphumi, kumverera kwa kulemera padziko mphuno, ndi sinusitis. Mawu amenewa amanena za kutupa nembanemba mucous mwake chimodzi kapena zingapo sinuses paranasal. Sinusitis zikuchitika monga vuto la chimfine, chimfine, matenda opatsirana. Zoyambitsa kutupa mabakiteriya ndi tizilombo tina.

The ululu ndiponso azikhala sinusitis si zizindikiro zokha. Zizindikiro zina za matenda:

• m'mphuno kuchulukana;
• malungo;
• purulent m'mphuno kumaliseche;
• ululu m'dera prostukivanii anakhudzidwa nkusani.

The pachimake njingayo-kutsekedwa khungu

Mawu akuti "khungu" amatanthauza matenda diso, yomwe ndi chofuna kuchita umboni monga kulera kuthamanga intraocular. Pali mitundu iwiri ya matenda. Mmodzi wa iwo akutchedwa njingayo-kutsekedwa khungu. Kumachitika chifukwa funsani pakati maukonde trabecular ndi Iris. Pamene matendawa amakhala ovuta outflow wa madzimadzi intraocular kwa diso, kugwira ntchito kwa meshwork trabecular wathyoka. Chifukwa, limatuluka kuthamanga intraocular.

Pachimake njingayo-kutsekedwa khungu - ichi ndi chinachake imene mutu tsiku lililonse kwa anthu ena. Mu matenda anthu amadandaula kuwawa mu diso, masomphenya a magulu yowala padziko kuwala, amaona masomphenya. kuthamanga Intraocular chimaonekera kutsimikiza kapena ulamuliro-kutsekedwa khungu.

Mantha ubongo choipa (TBI)

Pamene kawirikawiri zimayambitsa kupweteka kwa mutu angathe zopezera kuleza TBI. Ululu amazunza kwa nthawi yaitali. chikhalidwe - kuzimiririka, akakufunsani ndi kukula pa yaikulu. Childs, chizindikiro ichi limodzi ndi kuwonongeka kwa zinthu, kuchepa chidwi, kugona osauka, chizungulire, kutopa ndi matenda psycho-maganizo.

Nthawi zina, pali zizindikiro zokayikitsa ngati kuchuluka kwa mutu, tulo, chisokonezo, kusintha kukula mwana, ndi asymmetry ya bongo. Sangadziwe zotsatira za zoopsa ubongo choipa ndi zizindikiro za aakulu subdural hematoma.

Mavuto-mtundu mutu

Mavuto mutu, zizindikiro ndi chithandizo cha matenda - nkhani apakhungu kwambiri masiku ano. Kodi zikutanthauzanji mfundo lotchedwa? Izi mtundu wamba mutu chachikulu. Pa nthawi ino umatchedwa mosiyana. Akatswiri ntchito yatsopano akuti - mavuto mutu.

Chizindikiro chimenechi angayambe pa m'badwo uliwonse. Iye imayamba kuoneka zambiri patatha zaka 25. voteji Ululu yodziwika mwamphamvu zolimbitsa. Pafupifupi onse milandu, ndi amgwirizano, koma malo kutanthauzira ake ali kanthawi, mazunzo ndi occipital dera. Kupweteka amakhala ndi compressing kwenikweni. Chimakhala zambiri kwa mphindi zingapo kwa masiku angapo. Kusanza si anati. Nthawi zina pali nseru, photophobia bwino.

Mavuto mutu, zizindikiro ndi mankhwala amene amadziwa za 20% ya anthu a dziko lathuli, ali etiology osiyana. Zimayambitsa kupweteka zosiyana:

• anagunda mu mavuto;
• chosokoneza a dongosolo tulo;
• chakudya osasamba;
• mopambanitsa kapena otsika kwambiri yozungulira kutentha;
• matenda m'thupi;
• mtolo kwambiri pa diso ndi ena.

Ululu pamene mukumwa mankhwala

Ngati nthawi zambiri mutu, zifukwa angakhale kuti mankhwala atengedwa. Chifukwa chizindikiro chowawa mankhwala zotsatirazi:

• vasodilators (kashiamu muzikangana, ku feteleza, Curantylum);
• anticonvulsants;
• corticosteroids;
• nonsteroidal odana ndi yotupa;
• zamadzimadzi-kutsitsa;
• mankhwala;
• estrogens;
• antibacterial.

Pitani ku katswiri

Ngati mutu nthawi anazunzidwa, ndiye muyenera chithandizo. Kumbuyo chizindikiro ichi sakuona matenda, moyo pachiswe. Ngati nthawi zambiri mutu, dokotala angakuthandizeni? Choyamba muyenera yokumana ndi dokotala ndi kumuuza za vuto. Nkofunika kuti akupereka zofunika zonse katswiri zambiri, chifukwa mphamvu ya mankhwala zimatengera.

Choncho, pa phwando ziziuzidwa:

• imene mutu isanafalikire kuwawa;
• nthawi ya tsiku zimapangitsa lokha anamva;
• pamene ululu zayamba kwa nthawi yoyamba (mwachitsanzo, masiku angapo apitawo);
• pamene kupweteka kumverera ndi maximized;
• aliyense zizindikiro zina Muzisamala ndi anati kwa mutu;
• analandira pali mankhwala aliwonse;
• mochuluka bwanji kuukira ululu kuchitika kwa tsiku;
• Kodi pali matenda aliwonse.

Kwenikweni ayenera kufotokoza maganizo awo za zimenezo, chifukwa cha zimene ululu zingachitike. masabata mwina zochepa (miyezi, zaka) zapitazo zoopsa kapena kuwomba kwa mutu chinapezeka. Izi ndi zofunika kwambiri zimene zingakuthandizeni kudziwa chifukwa cha akutulukira katswiri mutu.

Dokotala, popeza anamvetsera madandaulo onse, adzaika mayesero zofunika (MAGAZI, X-ray, CT mapanga sikani, etc ..). Madokotala kupereka malangizo kwa katswiri zofunika (monga audiologist pamaso pa matenda kugwirizana ndi khutu, pakhosi, mphuno, mutu, ndi katswiriyu kulamulira kapena kutsimikizira matenda okhudzana wamanjenje dongosolo), potsiriza tione chifukwa chake wodwala zambiri zimawawa mutu.

Zifukwa (zoyenera kuchita, ife tafotokozazi), zikamera zizindikiro zimenezi, monga momwe tikuonera bwino pamwamba, ndi zosiyana. Koma mwachidule, iwo Dziwani kuti 5% odwala kufunafuna madokotala madandaulo a mutu, kuwululidwa matenda aakulu. Ngakhale izi, si koyenera kukana kukonza ulendo katswiri. adokotala tikupeza chimayambitsa ululu ndi kupereka malangizo okhudza mmene mungakhalire tichotse chizindikiro wopweteka.