Head nā palapū: Mea Maluna. Head eha: symptoms, mua kōkua a me ka lapaʻau

Head eha, i ia lā okoa (a me ka make,) i kekahi o ka loa e like me ka aoao o ke kīnā o ke kino i ka opiopio, a waena makahiki i ka hopena o ka a. About hapalua o nā hihia o traumatic lolo eha. Wahi a ka 'ikepili helu, ma kahi o 25-30% o nā mea a pau nā palapū hoike no ka lolo ka pōʻino. Together, mau hihia hoike no ka oi ma mua o ka hapalua o ka make. Hope i loko o ka 'atikala o ka Mea Maluna o nā palapū, i ka hōʻikeʻano o kekahi o ia mau mea.

Overview

Traumatic lolo eha ua kapaia ka poino i ka puniu wale iwi a pahee'aʻaʻa. I ka la mahope, no ka laʻana, loaʻa nā meninges, nä olonä, ipu koko a me ka 'ē aʻe. Head nā palapū, ua māheleʻia i loko o kekahi mau pūʻulu. E kekahi o ia iā mākou i loko o noʻonoʻo au mamuli.

Mea Maluna o nā palapū

Poho paha e hamama. Ma keia hihia, e mea iki i aponeurosis a me ka ili. E like me ka lalo o kaʻeha i koe, e like me ka iwi a'aʻaʻa, a moe hou kaumaha. Penetrating trauma eha wehewehe aku dura. Me kekahi mau hihia i hiki ke manaoia otlikvorreya no i kekahi lahuikanaka i mokumokuia iwi i loko o ka kumu o ka iwipoo. Kānāwai a me nā paʻa poo eha. Ma keia hihia, o kaʻili i ke poino, a me ka fascia hoopaa mai ai i kona ano hoopono. Nō hoʻi, ma laila nō ke kēia mau pūʻulu.

• Tremors. Kēia trauma o ke poo, i ua ole wehewehe aku ma ka paakiki abnormalities ma o ka lolo. All hoikeana o ka moku'āina ma hope manawa (IeAUPIIe, IAa IO mau lā) nalo ma luna o lākou iho. A oi paakiki symptoms hoopaakiki mai, aia no he oi loa poʻo trauma me ka paha lolo ka pōʻino. I ka papa kuhikuhiE 'Oihana no ka auhau ana o ka moku'āina hana lōʻihi like puu hua palaoa (mai kekona i hola) a me ka hohonu moku'āina a laila waiho amnesia a me ka poho o ka ike paka i. Mawaena o ka ole-i ho'ākāka 'symptoms e e kaulana ka luaʻi, nausea, haunaele ma cardiac haʻawina, blanching o ka ili.
• Mīkini'opihia ipu ahi lolo poino, ea, haole kino, hematoma.
• Subarachnoid hemorrhage.
• Eiei? Axonal poino.

Ma ka hana pono, ka mea kākau i ka hailona o na hui. Hui, no ka laʻana, mīkini'opihia hiki hematoma a contusion contusion me subarachnoid hemorrhage a me ka mīkini'opihia, eiei? Poino a me ka ino, a me na mea e ae. poho pinepine ana me ka hopena o nā palapū i ka maka.

lolo contusion

Ua lŘlŘ ma luna o ke kāʻei kua o ka eha poo. Ka eha ole o ka 'aʻe' ana i ka pono o ka lolo waiwai ma ka kekahi kaupalena wahi. Nō kāu, ua māhele ia lŘlŘ ma ka welau o ka ikaika palapala noi. Eia naʻe, eia nā hihia ma ka loa akaka ma kaʻaoʻao (mai ka protivoudara) e ku pono ana. Ma ke kāʻei kua o kēia moku'āina collapses hapa o ka lolo'aʻaʻa, ipu koko, ka histological halepaahao makaukau na kaula paa a me mahope ho okumu o traumatic edema. I ka wahi o kēia mau lesions loli aʻe. No ka mea o ia ka poo 'eha i loko o ke keiki.

mehana

Oia ke poo eha wehewehe aku ma ka disconnecting ike paka no ka pōkole manawa - mai i kekahi mau na umi o nā minuke. Ma hope o kona paa i typical hoopii o ka nausea. Nō hoʻi, i ka hoʻomanawanuiʻeha a me kaʻona. Aia paha e ka luaʻi, ma kekahi hihia pinepine ae la oia. Ma kekahi manawa, aia no he lōpū bradycardia - ua hakumakuma na naau ana i ka 60, a emi mai ma mua o ka minuke. Ke hoomanawanui i e ka lehulehu, a me ka retro- anterograde amnesia - iaiyoe hoʻopilikia i loko o ka palapala o ka poho o ka hiki e hoola a me ka hōʻike hou o muaʻike hou. Ma hope o mehana poo eha ia tachycardia (mahuahua naau ana i 90 bpm. / Min). Kekahi nā mea maʻi e hoala mai i ka'aloʻahiʻa. Ma keia hihia i ke kino a me ka mahana ka hanu, IeAUPIIe, IAa IO noho ua hoʻololiʻia. Like no ka mea neurological symptoms, na symptoms i IeAUPIIe, IAa IO maʻalahi külana. No ka laʻana, he hoomanawanui i ka mahina nawaliwali, drowsiness, nystagmus clonic (biphasic rhythmic involuntary ka neʻe 'ana o na maka). Aia Ua hoi he uuku anisocoria, meningeal symptoms, pyramidal insufficiency. Mau symptoms pele regress ma 2-3 hebedoma ma hope o kekahi 'eha ke poʻo.

'Ano o nā aʻe'

Ma ke kāʻei kua o ka eha ua 'akomi i microscopically hoʻopilikia maoli structurally lolelua ka medulla. Ua hoike mai ai ia ia iho, e like me ka mau o kūloko nani, huahuaʻe cortical wahi, paha i loko o ka huipūʻana me ke kaupalena subarachnoid hemorrhage. Ia, ma ka huli, ua kena ae la ma rupture o na ipu pial. Subarachnoid hemorrhage ka wā koko komo iloko o ka arachnoid, a hohola ma luna o ka basal nāhāhā, na mawae, a kaha lolo. Ua hiki e kūloko a hoʻopiha i ka holoʻokoʻa kahua me ke kahua o ka clots. Ano e hoʻomōhala ana i he huʻi. Ke hoomanawanui Emo ole Kahalaopuna i ka "makani i ke poo", koke akaka photophobia, ka luaʻi, kaumaha loa headache. Loaʻa ka puana generalized convulsions. IeAUPIIe, IAa IO ua i pu ma lōlō keʻano. Naʻe, i ka pahiki meningeal symptoms. Ma kekahi, aole e ia i ka'ā'īʻoʻoleʻa nāʻiʻo (hiki ole i ka inclination o ka poo hoopa aku i ke ahonui o ka sternum chin) a kerning symptom (hiki ole straighten i ke kuli hoʻohei i loko o ka mea, a me ka uha mua Hip). Inā he mau hoailona o meningeal ae hookaawale ia lŘlŘ meninges e kapio ana i ke koko.

huahuaʻe lōpū

Keia poo eha wehewehe aku ma ka hooloihi ae i shutdown o ka ike paka i (kekahi mau hola). Ke hoomanawanui i ka na hiohiona amnesia. Aia i kekahi hoailona o ka eha poo kēia: loa headache, haʻi akula ka luaʻi, ka noʻonoʻo 'kāna hana. Loaʻa transient haunaele ma ka nui i hana '. Ma kekahi, ka mea hiki ke koho bradycardia a tachycardia, mahuahua puʻe, tachypnea (kokololio hanu pāpaʻu aoao me ka 'aʻe ana a me ka permeability), haʻahaʻa-papa kuni (ua mahuahua kino mahana i 37-37.9 DEG.). Pinepine nō i ke kumu a me ka iwi symptoms o dissociation o tendon reflexes a me Muscle leo,ʻeluaʻaoʻao pathological hoike ana. Ua lawa akaka mea nui symptoms. Kona ano ua kauoha ae la ia e ka IIeEeAIEUAA o ka eha. Loaʻa oculomotor a me ka pupillary kāna hana, olelo kāna hana, pā lonoaʻili, paresis o nāʻaoʻao a me ka 'ē aʻe. Mau symptoms na la ekolu, i elima pule, i nā Kaulu mai, e like me ka rula. Naʻe, i loko o kekahi mau hihia, i ho'ākāka 'ia ua hoola mai lōʻihi lawa ka lapaʻau kiʻi. I ka eha o ka lōpū oolea pinepine loaʻa fractures i loko o ka iwi o ka waihona ipu a me ka calvarium, nui subarachnoid hemorrhage. HI mea nui loli 'akomi i me ke olonā i inclusions a kiʻekiʻe-pa apŘ homogeneous lōpū māhuahua nuʻa. Ua hoʻopili like i ka hōʻemi iki kahe ana ke koko i loko o ka wahi o ka ino a me hemorrhagic impregnation o ka lolo'aʻaʻa ole loa hoʻololi iho.

Loa poo eha

Ma keia hihia, intracerebral hematoma malama i loko o nā frontal lobes i kaupalena 'koko nā hoʻohui like ma kekahi mau vascular lesions rupture. Kēiaʻano a he lua e he coagulated ke koko a me ka wai. Eha ma ka loa ua wehewehe aku e hooloihiia shutdown o ka ike paka i (kekahi mau pule). Pinepine i na hiohiona Hawaii excitation. Nō hoʻi i hāliu aku i kāna hana a nui oihana i loko o ke kino. Eia naʻe, ma ka like ana me ka awelika loa i loko o ke kaumaha, ka mea, ua nui hai. No ka laʻana, aia no he kāna hana o naehana hana ma ka 'aʻe o ka pāpana alahao a me ka'āina. Ke hoomanawanui Ua malama pyrexia, dominance o iniiaiie anei i neurological symptoms. Ma kekahi, hōʻike 'moni' ia kāna hana, e lana ana i ka neʻe 'ana o na maka, ptosis, a mydriasis, paresis nānā aku, decerebrate rigidity, ana, ulu a inhibition o reflexes, mucous membranes, ili, tendons, a no laila, ma luna o. Neurological symptoms ma ka loiloi mua wā (iloko o na hora mua 'ole lā) dominates ka mea nui hemispheric symptoms. Ke hoomanawanui i ka mahina lala paresis, subcortical kāna hana o ka Muscle leo, a no laila, ma luna o. Ma kekahi mau hihia, paha mea nui a me generalized ke kāʻili 'ana. Regression mea nui hoikeana ana lohi lawa. Ka pilikia ana o ia i ka eha poo? Nā hopena hiki e he nui. Pinepine ka mea, ua hoailono aku koena 'ole,ʻano nui i loko o ke kahua o ka noʻonoʻo' a me ka Hawaii.

nā hoailona HI

I loa eha i loko o ka hapakolu o na hihia i hoike mai ka mea nui lesions ma o ka lolo ma ke ano o ka ole-ʻaʻahu nuʻa mau mea e mahuahua ana pela. Ma keia hihia, he mea he alternation o cii. Anao? Aou wahi me ka kiʻekiʻe a me ka haahaa nuʻa. Ma ka loa loa ke ano o ka make kuhikuhi medulla a hiki hiki hohonu i loko o ka ventricular'ōnaehana a me subcortical nuclei. ʻano loina hōʻike he gradual emi i loko o ka hoailona iho la i wahi, kā lākou mau kuʻi nukeliu a me ka loli i loko o ka homogeneous nui. Ua hele mai me ka 8 a 10 hola ma hope o ka hana 'ia. Regression pathological kūpapakū hoopuni iho kanawai o ke kua'āina, e hoike ana i ke alo o ka ole-resorbed he paki clots a me'aʻaʻa i loko o ka pulakaumaka o ka hewa. Ma keia wahi, e lilo kŘpa a ravnoplotnymi a puni edematous lolo waiwai. I ka nalowale ma hope 30-40 lā. buke kanawai Hōʻike resorption a me ka ho okumu ana o ka kūpapakū kahi o ka mau o ka atrophy a cystic cavities.

Poino i ka posterior fossa hale a

Kēia lesion ua manaoia e ia i ka oi loa o nā mea a pau poo nā palapū. No ka moku'āina ua wehewehe aku ma ka kēia symptoms: kaumaha o ka ike paka i a me ka hui pu ana, o ke kumu, cerebellar, cerebral a me ka meningeal symptoms aie i kokololio mīkini'opihia a me kaʻona holo kāna hana.

Pākōlea ana ka wā eha

Nānā 'ole i ka loa o ka poino, i ka hoʻomanawanui ola mālama E e hoomakaukau ai. Ina o ka eha i ka luahi o ka poo e e kaʻi aku i ka haukapila me ka hikiwawe e loaa. No ka pololeiʻike, hōʻike i ka X-Ray a me ka HI. Ke hoomanawanui Pono ka moe koena. Kona lōʻihi like me ka mehana - 7-10 lā, a me ka awelika -. 14 lā. Ma ka hihia o ka loa traumatic lolo eha la au e laweiaʻe resuscitation. Ka mea, hoʻomaka like kakahiaka nui me ka mālama '-haukapila au, a hoomau iho la oia napoo-moku'āina ana. E normalize i ka hanu mea pono e hōʻoia i ka noa keʻa-aupuni i loko o ka luna naehana'āpana - kuu ia mai ka mucus, koko, luai. Ua hoʻolauna iā 'ka lewa leki uea, ua hana i ka tracheostomy ('aʻaʻa dissection a me ka trachea cannula mea hoʻonoho a ho okumu ana lua - stoma). Kekahi hoʻohana inhalation hoʻohana oxy-ea ukuhiia. Inā pono, pili me mechanical hoʻokomo ea.

Inc no ka concussion

Inā ka mea, ua nānā 'ana i ka hoʻomanawanui i ke poʻo' eha, i ka iapaau ana e e hana i loko o ka neurosurgical haukapila. I ka concussion hōʻike elima moe koena. I ka wa e kaawale aku o complications ka hoʻomanawanui i e hookuu i ka lā o ka 7-10. Ua ua ia ka outpatient lapaau, i ka lōʻihi like 'ole o ka a - i no 14 lā. Lapaʻau o lapaʻau no ka concussion ua nona ma stabilizing ka iaea ooieoeiiaeuiiai moku'āina o ka lolo, eha'ōnaehana, Kanikani'āʻula, uunu nui. Nō kāu, lapaʻauʻia hoakaka huahelu nā hypnotics, kiaha dala a me analgesics. Like analgesics hoʻohana ai 'e like me "Baralgin" "Pentalgin" maksigan "" sedalgin Reglan "a me kekahi poe e ae.' O ia hoʻi ke e hāʻawi no ka pōniuniu." "I na kiaha dala nā ka lapaʻauʻia me" Valocordin "" Corvalol " a me ka mea'ē aʻe i loaʻa ka phenobarbital. pili lāʻau lapaʻau infusions (motherwort, valerian).

Paipai like tranquilizers. Mau nā, no kekahi laʻana, nā na konohiki i "Rudotel", "Nozepam", "Phenazepam", "Sibazon", "elenium" a me na mea e ae. Ma waho aʻeo ia symptomatic lapaʻau i waeia Course metabolic a me vascular lapaʻau. Ua ka poʻea pau i ka oi kokololio a me ka piha hoihoi hou ia ana o ko lakou kupikipikio lolo hana, ua ālai 'likeʻole postkommotsionnye symptoms. Ka hoʻokohu 'tserebrotropnoy a vasotropic Inc i ia ma hope 5-7 lā ma hope o ka poino. Advantageously hoʻohui pū nootropic (ai ' "Pikamilon" "aminolone", etc.) a me ka vasotropic (na laau "Teonikol" stugeron "" Cavinton ")' o ia hoʻi, e lanakila asthenic hoike ana nā mea maʻi i hāʻawi wikamina eiiieaenu." Centrum "" Complivit "" . Vitrum "a me kekahi poe e ae paipai tonics: Schisandra hua extract Eleutherococcus, . ginseng kumu i mea e e hoʻomaopopo i ka Haalulu iho, aole ia e hōʻike i kekahi ke aloha lesion Inā loaʻa nō kekahi loli ma MRI paha HI scan NineManga.com, ia mea e pono ke kamailio e pili ana i ka nui koʻikoʻi. i loko o nā palapū - lolo eha.

operative uao

Mechanical nā palapū koiʻoki kino. ʻoki kino ua hōʻike ma ka hihia o ka ino e hoea me ka lolo'aʻaʻa. Nō kāu, ua ÿano nā palapū ana i loko o ke kino laau, a me ka wahi o ka frontal lobes. E like me keʻoki lāʻau lapaʻau ke kaʻina hana no ka lawelawe 'osteoplastic trepanation. Ke hana nei i ka hana i puka i loko o ka iwi, e komo i loko o ka lua, a detritus leaching pāʻoihana o ka paʻakai koloriside (0.9%).

Outlook

Mehana poino ana lā maikaʻi hoʻokūkū (no kaʻaeʻana i nā koi o ka hoʻomanawanui e pili ana i ka lapaau a me ka Inc). At lōpū ano ia mea pinepine hiki ke hoʻokō loa ke ola a me ka hoihoi hou ia ana o ka lawelawe a me ka hana hope o naʻia. Kekahi hoʻomanawanui iki mai i ka mahina meningitis a me ka hydrocephalus, me ka hoonaukiuki aku asthenia, vascular dysfunction,ʻeha, kāna hana o ka ōhumu, kūpaʻa a me ka 'ē aʻe neurological symptoms. E kū'ē i ka backdrop o ka nui eha i loko o 30-50% o na make ia lŘlŘ. Mawaena o na koena mea loa, he pono ole kīnā o ke kino, a nō ka papa kuhikuhiE kumu o ka noʻonoʻo 'kāna hana, maka olelo ana, a me ka Hawaii me na haunaele, ke kāʻili' ana. I ka hamama poo nā palapū i paha hoʻoʻino complications. Ma 'ana, ke kamepiula kiʻekiʻe o ka ulu i ka lolo abscess, ventriculitis, encephalitis, meningitis. No hoi paha liquorrhea ia ho i ka outflow o cerebrospinal loli (CSF) mai maoli paha lua i hanaʻia ma muli o ka likeʻole aʻe i loko o ka iwi o ka spine a me ka iwipoo. Hapalua o na fatalities ma ka hewa poʻo hoike no ka (RTA) he ulia pakalaki ma na alanui.