Maʻi pale trapped kanaka: symptoms, lapaʻau, prognosis

Maʻi pale trapped kanaka - keia mea he pohihihi keia neurological kāna hana, i mea he piha lōlō o nā mea a pau, no ka naau nāʻiʻo. E noho pū wale nō nā nāʻiʻo kuleana no ka maka ka neʻe 'ana. Hoʻomanawanui iki mai i keia pathology noho ike, nae, nele i ka hiki i ka hoʻoneʻe (koe nae na maka) a olelo (aphonia). Cognitive kuleana pili i ua IeAUPIIe, IAa IO i loli. Ke hoomanawanui Ua hiki ke kamaʻilio ma ka maka, a me na lihilihi blinking. 'Aʻe' ia lŘlŘ aie i ka mea hōʻemi o na pons - hapa o ka lolo kumu, oia hoi o nā aʻalolo olona, i ka i kuleana no ka pū i hiki 'ike i nā hakina lolo. No ka mea e like me ka mea pio i loko o kona kino iho i ka hoomanawanui, pathology kapaia "maʻi pale trapped ke kanaka."

Na hoailona a me symptoms

People ma psevdokome (o ka lua o ka inoa o ka 'aʻe' ana), IeAUPIIe, IAa IO mea,ʻaʻole hiki iā consciously nau, ke ale wale iho, ha, olelo aku paha neʻe. Ke hiki e hoʻoneʻe ua waiho wale ia ma na lihilihi a me ka'ōnohi a poʻopoʻo ka, e kauoha ana e hoomanawanui i hiki ke hana vertical maka ka neʻe 'ana. I ka Ia manawa i ka neʻeʻana i loko o ka papamoe pelane (mai kēlā me kēiaʻaoʻao ma kahi o ka mai a me ka i) i hiki ole. People ma psevdokome bedridden, a ihola ia e kaukaʻi ma caregivers a me ka lapaau. I loko nō o ka physical lōlō, cognitive hana o ka lolo noho pū.

Hoʻomanawanui iki mai i kaʻike, a "trapped kanaka maʻi pale" Ua oo kaʻike i nā mea a pau i ka hanaia a puni. Ka mea, ke ike a me ka lohe, a hoomau i ka kama'āina i ke kino i ka hiamoe pōʻaiapuni a me ka hou. Palapala Ua hiki Via maka ka hele 'ole blinking; pinepine hoʻohana 'ia e nā lima kolohe' ana. People ma psevdokome maopopo nö iä ia o ka manaʻo nui o nā mea a pau i ka mea i hai mai ai heluhelu.

Ka loa mau loli mea initially i loko o ka coma. A laila, hoʻi hou iā ia ike paka, akā, ua maʻi lōlō nā mea maʻi, a incapable oʻeleu ola.

kumu

Inā 'oe e hoihoi maʻi pale trapped ke kanaka, he kauka hana kūikawā ana ma ka neurology ke hai aku e pili ana i na kumu o keia kulana. Loa pinepine, ka mea ia lŘlŘ ka hoʻopiʻi e pōʻinoʻia i nā pons - waho pūnaewele o ka nui neural alahele hele ma waena o nā hemispheres o ka lolo, spinal kaula a me ka cerebellum. Me keiaʻike, he mea haʻahaʻa o ka Hawaii nā aʻalolo olona, e holo ana mai ke oho mea i loko o ka lolo ma ka spinal kaula i na nāʻiʻo. Maoli o ka pōʻino a me ka brainstem-oaio? A i pāʻani i ke kī kūlana i loko o ka hana o ka lehalehu t nāʻiʻo a me ka articulation o ka olelo.

Poino i na pons, me ka hoonaukiuki aku maʻi pale laka kanaka, i ka iapaau ana o ka i ua ho'ākāka 'ia ma lalo kānāwai ma muli o ka infarction paha hemorrhage. Ma pohihihi keia hihia psevdokoma hiki ke kena ae la ma ke poo trauma.

lapaʻau '

E like me ka neurologist hiki loa pololei e hōʻike anaʻoe iāʻoe iho trapped kanaka maʻi pale, ua pinepine lawe mai i loko o ka lapaʻau 'okoʻaʻike. E differentiate ka pathology o ka helu o nā kāna hana me ka like symptoms, hoʻomaka kuikawa haʻawina. Pela, nakinaki iho la i ua noʻonoʻo MRI -ʻume mākenēki resonance kiʻi, i mea hiki ke hōʻike poino pons, a me kaʻume mākenēki resonance angiography - ka maikai ano no kaʻimiʻana i ke koko clots ma na arteries o ka lolo kumu. Eia hou, i kēia mau haʻawina he hoʻonui i ka ka loaʻaʻana o nā lolo nā palapū.

Electroencephalogram, o ke ano o ana i ka pou hana o ka lolo, hiki hooiaio mea maʻamau lolo ha awina, a me ka malama ana o ka hiamoe kalapona i loko o nā mea maʻi me kaʻike, o ka "maʻi pale trapped ke kanaka."

lapaʻau

Kekahi hana e ke kuhikuhi nona ma ke kāpaeʻana i nā kumu o ka maʻi. No ka laʻana, no kona wehe 'ana o ke koko clot (thrombus) i loko o ka basilar artery ma intraarterial thrombolytic Inc hiki e lawe mai ma ka mua eono hola ma hope o ka typical symptoms.

Pinepine, i loko o ka mahina kakahiaka psevdokomy nā mea maʻi Pono kūikawā lako a pan e hōʻoia 'ana hanu. Ma ka hapanui o na, hana i ka tracheotomy - e komo ai o ka trachea, laila, i loko o ka airway şarkı ua hookomoia e i pololei ke ea i ka ia maʻiʻaʻai.

Ai ana, a me ka inu hiki ole ia ma ka waha, e like me ka mea hiki i naehana nā mea palahēhē aie i ka spillage o kaʻai i loko o nā maʻiʻaʻai kahi o ka'ōpū. No laila, ka mea i pono, e lawe mai i kekahi hana - gastrostomy, ma i artificially hua mai la i loko o ka lumen o ka'ōpū no ka hoʻokomo 'ia' ana o ka ai a me ka wai ma ke Tube.

Hoʻokaʻaʻike

He mea nui ia i 'āwīwī i hiki, e imi i ka'ōnaehana e kamaʻilio me nāʻia. Caregivers no ka poe mai, e like me ka pono me hoahanau a me nā hoa e ho'āʻo i ka e hui 'e like me ka hikiwawe e loaa, i ka manawa e aʻo e pili ana i na pono o ka hoomanawanui hoʻopaʻaʻia i ka moe. Eia naʻe, i kaʻike, "maʻi pale trapped kanaka" loa loaa ole ia kēla: keia kulana hiki ole ke ola, koe ma kekahi mau hihia, ma manawa, kanaka ke kiʻekiʻe o kuai i ka 'auhau, e emi i ka lehalehu t nāʻiʻo. enehana Hoikehonua, ua ulu loa koke - ia mea he hiki i ka wa kńnaka i invented i ka lolouila iaoia o pü me ka poʻe poe i haule ma ka pseudocompact.

No ka computerization iʻaʻole i loaʻa i ke ano o ka holomua i loko o kēlā me kēia hihia, e hoʻomōhala kona'ōnaehana iho o ka hui 'ana me ka hoʻomanawanui. Paipai e hoʻomaka me ka mea ano: no ka laʻana, he nana-i, e manao apono a me ka 'ae' ana, nana mai oe ia - hoa pāonioni a me ka hōʻole. Ma keia wahi, e like me ka maʻi pale trapped kanaka, hoʻopulapula kaʻina kānāwaiʻuʻuku akā, i nā 'ōlelo ma ka hiki ke hoʻohana' oi Ka Uluwehi O Ke nā loina pū i hiki ma ka maka ka neʻe 'ana. I ka hoʻohana 'ana o ka Hawaiʻi i hiki; pinepine hoahanau hāʻawi vowels a consonants i loko o ka hookaawale kia ao, a kali a hiki i ka hoʻomanawanui "i kapa aku ai" e nana mua kolamu a wale laila - he mau palapala. Ua ua ike ia kanaka, hoʻowahāwahā i ka psevdokome, kakau iho la oia pela no ka poem.

ola ma

Ua pono e hoomanao i ka maʻi pale ua paʻa kanaka - mea i loko o kekahi hihia i ka hoʻopaʻi. Me ka kupono malama ma ka hoahanau, hoa a haukapila limahana a me kona mea e like oaoieei-kākoʻo mai o ka hoomanawanui, a hiki i ka mea iʻike, ke alakai i ka kohu kūpono ola.