Kuwonjezeka kwachisokonezo

Kuponderezana ndi chizindikiro chomwe chimasonyeza mphamvu ya cerebrospinal fluid (cerebrospinal fluid) m'magulu a ubongo. Kawirikawiri zimakhala zosiyana kuyambira 100 mpaka 151 mm. Kuwonjezeka kwa mankhwala osokoneza bongo ndi matenda omwe amapezeka pamene kutuluka kwa magazi kapena kasupe wamadzimadzi kumasokonezeka ndipo kumaphatikizapo phokoso la cranium.

Zifukwa za kuwonjezeka kwapopeni

Zifukwa zikuluzikulu zowonjezera kuthamangitsidwa ndi:

• Kukhalapo kwa chiwombankhanga mu crane (chotupa, thupi lachilendo, hematoma);
• poizoni ndi mowa;
• kusokonezeka kwa ubongo;
• kupweteka kwa ubongo m'mimba (kuvulaza kapena kuvomereza );
• Kusinthasintha pamphuno ya ubongo ndi meningitis, encephalitis kapena ventriculitis;
• malingaliro opititsa patsogolo ubongo (Arnold Chiari kapena Dandy Walker);
• mchere wambiri mu thupi, kawirikawiri monga chifukwa cha kuchuluka kwa cerebrospinal fluid;
• meningitis.

Kuchotsa kutuluka kwa matenda otere, amphamvu a migraines, kulemera kwakukulu ndi mavitamini owonjezera.

Zizindikilo za kuwonjezeka kwachisokonezo

Zomwe zimayambitsa kuwonjezeka kwazitsulo zosavuta, zizindikiro za matendawa ndizofanana. Zizindikiro za matendawa ndi awa:

• kugona;
• Mutu waukulu (makamaka umapezeka mmawa mwamsanga mutangomuka ndipo uli ndi chiphuphu kapena kupondereza);
• chisokonezo chachikulu;
• kulephera kukumbukira, kulingalira ndi kusamala;
• kuwuka kwadzidzidzi kapena kugwa kwa magazi;
• phokoso m'makutu ;
• chizungulire;
• thukuta.

Kodi mungatani kuti muyese kupanikizika?

Kuti mudziwe ngati kuthamanga kwanu kuli pamwamba, mungagwiritse ntchito njira monga:

• echoencephaloscopy;
• makanema a maginito kapena maginito;
• Kufufuza chithunzi cha fundus.

Nthaŵi zina, kuti mudziwe chomwe munthu ali ndi vuto la mankhwala osokoneza bongo, amalowetsedwa ndi catheter m'magulu a ubongo kapena lumen wa ngalande ya msana ndi kulumikiza manometer. Chipangizochi chimagwira ntchito mofanana ndi mankhwala otentha a mercury.

Chithandizo cha kupanikizika kowonjezereka?

Kupanikiza kwamphamvu nthawi zonse pa ubongo kumaphwanya mofulumira ntchito zake. Chifukwa cha ichi, luso la nzeru lingachepe kwambiri, komanso kuwonetsetsa ntchito za ziwalo zosiyanasiyana za mkati kumasokonezeka. Ndicho chifukwa chake odwala onse amapatsidwa mankhwala opatsirana pogwiritsa ntchito mankhwala. Powonjezereka kwa mankhwala osokoneza bongo ayenera kumwa mankhwala omwe amachepetsa kuchuluka kwa cerebrospinal fluid - Mannitol kapena Glycerol. Odwala ena amasonyezedwa kuti kayendedwe kake ka diurotic Furosemide ndi mankhwala a hormone Dexamethasone. Ngati mukufuna kupititsa patsogolo kuchotsa CSF kapena kukweza kuyamwa kwake, muyenera kumwa mapiritsi a diuretic Lazex kapena Diakarb.

Medicamental chithandizo cha kuwonjezereka kwa mankhwala osayenera kuyenera kuyambitsidwa kokha pokhazikitsa chifukwa chomwe chinayambitsa chitukuko cha matendawa. Nthawi zambiri, kuthetsa izo, mukhoza kuiwala za matendawa. Nthawi zina zimakhazikika Mkhalidwe wa wodwalayo ukhoza kupindula pokhapokha ngati mwadzidzidzi amatha kupuma kapena kupanikizika. Izi ndi njira zomwe zingachepetse mphamvu ya cerebrospinal fluid mu phaga.

Koma chofunika kuchita chiani pamene kuwonjezeka kwa mankhwala osokoneza bongo kukuwonekera pambuyo poyamba kutuluka, chotupa kapena hematoma? Pankhaniyi, opaleshoni yofulumira iyenera kuchitidwa. Pokhapokha atachotsedwa maphunziro apamwamba angathe kuchotsa matendawa. Ndi kupanga kwambiri cerebrospinal fluid, ntchito shunt amachita. Amathandizira kupanga njira yowonjezeretsera zakumwa zoledzeretsa.