Matenda Liquorodynamic ubongo: zizindikiro, chithandizo

Amadandaula ambiri ndi dokotala sangathe kumva kuchokera kwa odwala awo - mutu. Iye akudandaula akulu ndi ana omwe. Musamvere kuti n'zosatheka. Makamaka ngati pali zizindikiro zina. chidwi ziperekedwe kwa makolo mutu mu mwana ndi khalidwe loyenera pa bere, chifukwa iye sanganene kuti ukuwawa. Mwina zotsatira za kubadwa kovuta kapena kuvutika kobadwa nako kuti angapezeke pa aang'ono. Mwinamwake liquorodynamic kuyan'anila. Ndi chiyani icho, kodi makhalidwe a matenda ana ndi akulu ndi mmene tiyenera kuchitira, tiganizire moposera.

Kodi zikutanthauza kuyan'anila liquorodynamic

Mowa - ndi cerebrospinal madzimadzi kuti amazungulira zonse mu ventricles ndi, likvoroprovodyaschih njira ndi danga subarachnoid a ubongo ndi msana. CSF amagwira ntchito yofunika kwambiri pa ndondomeko kagayidwe kachakudya mu chapakati mantha dongosolo amathandiza homeostasis mu minofu ubongo, ndi kutitengera zina makina chitetezo cha ubongo.

Liquorodynamic matenda - chikhalidwe chimene kuphwanya makope madzimadzi cerebrospinal, zotsatira ndi reuptake. njira izi malamulo zopangitsa, zomwe zili plexus choroid wa ventricles ubongo kupoletsa madzi.

M'chigawo zachibadwa za thupi zikuchokera madzimadzi cerebrospinal ndi kukakamiza khola.

Kodi limagwirira wa kuyan'anila

Taganizirani mmene angathe matenda ubongo liquorodynamic:

1. Kuchuluka kupanga liwiro ndi kusakonda mowa mtima plexuses.
2. Kubweza mlingo wa mayamwidwe CSF ku malo subarachnoid a alipo chifukwa mtima constriction likvroronosnyh anasamutsa subarachnoid kukha magazi kapena matenda yotupa wa nembanemba ubongo.
3. CSF mlingo kupanga yafupika mu ndondomeko ya nthaŵi mayamwidwe.

Mlingo wa mayamwidwe, chiphunzitso ndi kusankha CSF amakhudza:

• Pa hemodynamics chapakati.
• Boma la magazi ndi ubongo chotchinga.

Kutupa mu ubongo kumawonjezera voliyumu ake ndi kuchuluka intracranial kuthamanga. Chifukwa - osauka makope ndipo blockage Mitsempha, chimene chimatichititsa mowa. Chifukwa kudzikundikira madzimadzi mu cavities akhoza kuyamba tsankho ikutha intracranial zimakhala, monga kungabweretse chitukuko cha hydrocephalus.

gulu la kuyan'anila

matenda Liquorodynamic anawagawira pa mbali zotsatirazi:

1. Kodi ndondomeko matenda:

• Matenda Inde.
• The pachimake gawo.

2. magawo chitukuko:

• Progressive. Intracranial ukuwonjezeka kuthamanga, ndi njira pathological mukuyesetsa.
• Kulipidwa. Intracranial kuthamanga ndi okhazikika, koma ventricles ubongo kukhalabe dilated.
• Subcompensated. A chiopsezo mavuto. Wosakhazikika boma. Kuthamanga kukwera zikuchepa mu mphindi iliyonse.

3. zomwe M'mimbamo ya ubongo isanafalikire mowa:

• Intraventricular. madzimadzi amasonkhana dongosolo yamitsempha yamagazi ubongo chifukwa kutsekeka kwa dongosolo mowa.
• Subarachnoid. kuyan'anila Liquorodynamic panja mtundu kungachititse kuti zotupa owononga ubongo minofu.
• Osokonezeka.

4. Malinga ndi mavuto madzimadzi cerebrospinal:

• Oopsa. Khalidwe mkulu intracranial kuthamanga. Linaphwanya outflow wa madzimadzi cerebrospinal.
• Normotensive siteji. Intracranial kuthamanga yachibadwa, koma M'mimbamo yamitsempha yamagazi ndi kuchuluka. Khalidwe la chikhalidwe ichi ndi zambiri ana.
• Hypotension. Pambuyo pa opaleshoni ya outflow owonjezera CSF ku M'mimbamo ndi yamitsempha yamagazi.

Zimayambitsa kobadwa nako

Pali anomalies kobadwa nako, umene n'zotheka kuti kuyan'anila chitukuko liquorodynamic:

• Majini zopindika utero chitukuko cha mwana wosabadwayo.
• Agenesis wa corpus callosum.
• Zokoma-Walker syndrome.
• Arnold-Chiari syndrome.
• Encephalocele.
• Stenosis ngalande mafuta chachikulu kapena sekondale.
• Porentsefalicheskie cysts.

Zimayambitsa anapeza

matenda Liquorodynamic angayambe chitukuko pa zifukwa anapeza:

• Msana choipa ndi ubongo.
• matenda osiyanasiyana opatsirana ndi parasitic chikhalidwe cha matenda, zokhudza wamanjenje dongosolo.
• Neoplasms mkati Chigaza, amene kuphimba cerebrospinal madzimadzi njira.
• Thrombosis.
• Intrauterine hypoxia mu masiku awiri oyamba pambuyo pa kubadwa.
• Choroid plexus papilloma.

Zizindikiro liquorodynamic matenda akuluakulu

matenda Liquorodynamic ubongo akuluakulu limodzi ndi zizindikiro zotsatirazi:

• mutu kwambiri.
• Kunyansidwa ndi kusanza.
• Kutopa.
• Cham'mbali kayendedwe musanaganizire wa eyeballs lapansi.
• Kuchuluka kamvekedwe, minofu stiffness.
• Zopweteka. Myoclonic khunyu.
• kulankhula matenda. mavuto aluntha.

Symptomatology matenda makanda

matenda Liquorodynamic ana pansi chaka chimodzi ndi makhalidwe zotsatirazi:

• Pafupipafupi ndi mvula kusanza.
• Zosayembekezereka kulira popanda chifukwa chenicheni.
• M'mbuyo atachuluka fontanelle.
• Wonyong'onya maliro.
• Mwana lethargic, tulo.
• Kugona kusokonezedwa.
• gapping.

M'kupita kwa nthawi, matenda anapitiriza n'kukhala zizindikiro zambiri kutchulidwa kuyan'anila liquorodynamic:

• Kugwedeza chibwano.
• miyendo kukokana.
• Musanaganizire flinching.
• Akusokoneza moyo thandizo ntchito.
• Chisokonezo mu ziwalo popanda chifukwa chenicheni.
• N'zotheka strabismus.

Zowoneka, muona ukonde mtima mu mphuno, khosi ndi chifuwa. Pamene kulira kapena Yosefera minofu, kumakhaladi yapadera kwambiri.

Komanso, katswiriyu akhoza kuona zizindikiro amenewa:

• Hemiplegia.
• Extensor hypertonicity.
• Meningeal zizindikiro.
• Ziwalo ndi paresis.
• Paraplegia.
• Zizindikiro Graefe.
• Cham'mbali nystagmus.
• Neurodevelopmental chilema.

Muyenera ankakonda kukacheza ndi dokotala. Pa phwando, dokotala amaona buku la mutu, ndi nkhani ya kudwala adzakhala kusintha noticeable. Kotero, angakhale ena kusintha mu chitukuko cha chigaza ndi:

• Mwamsanga mutu ukuwonjezeka.
• Iwo ali mawonekedwe unnaturally elongated.
• Yaikuluikulu fontanels pathupi ndi throb.
• Diverging seams chifukwa intracranial kuthamanga.

zonsezi ndi zizindikiro zakuti syndrome akufotokozera matenda liquorodynamic makanda. Progressive hydrocephalus.

Tikumbukenso kuti makanda ndi kovuta kudziwa mavuto liquorodynamic.

Zizindikiro matenda liquorodynamic ana pakupita caka

Chigaza mwanayo pakupita caka kale anapanga. Fontanels kwathunthu anatseka ndipo sutures ossified. Ngati matenda kumeneko liquorodynamic ana, pali zizindikiro za kuthamanga intracranial.

Pangakhale madandaulo:

• Mutu.
• Mphwayi.
• Nkhawa popanda chifukwa.
• Nseru.
• Kusanza, amene zimachokeradi pambuyo mpumulo.

Ndipo amakhala ndi zizindikiro amenewa:

• Kutanganidwa gait, kulankhula.
• Pali chisokonezo mu mgwirizano kayendedwe.
• Falls masomphenya.
• Cham'mbali nystagmus.
• The "chidole ikulendewera mutu" akuthamanga choncho.

Ndipo ngati ubongo liquorodynamic kuphwanya patsogolo adzakhala noticeable zolakwika ngati:

• Mwana salankhulanso.
• Gwiritsani ntchito muyeso, analoweza mawu opanda kumvetsa tanthauzo lake.
• Nthawi zonse maganizo abwino.
• Anachedwa chitukuko kugonana.
• Mpatuko kupweteka.
• Kunenepa.
• Disruptions dongosolo endocrine.
• The kwanthawi mu kuphunzira.

Matenda a matenda ana

Ana mpaka chaka pamaso matenda zambiri akuyamba ndi mayi ndi kafukufuku deta mmene mimba ndi kubereka. Kenako, ganizirani madandaulo ndi kuzipenya wa makolo. Ndiye kuona mwana ayenera akatswiri amenewa:

• Katswiriyu.
• Maso.

Kulongosolerana matenda ayenera kupereka maphunziro zotsatirazi:

• US.
• Yopangidwa tomography.
• MR.
• Neurosonography.

Matenda a matenda akuluakulu

Ndi mutu ndi zizindikiro tafotokozazi ayenera kutsatira kuti katswiriyu ndi. Pakuti matenda olondola ndi mankhwala perekani maphunziro zotsatirazi:

• Yopangidwa tomography.
• Angiography.
• Pneumoencephalography.
• ubongo Echo.
• MR.

Ngati pali kukayikitsa matendawa kuyan'anila liquorodynamic mwina uzipereke lumbar puncture ndi kusintha CSF kuthamanga.

Pamene Kupeza Vuto akulu kumvetsera kwambiri matenda chachikulu.

Chithandizo kuyan'anila liquorodynamic

The kale nthendayo wapezeka, mwayi kwambiri kubwezeretsa otaika ubongo ntchito. Mtundu wa chithandizo amasankhidwa zochokera pamaso pa kusintha pathological wa zosayembekezereka matenda, komanso zaka wodwalayo.

Pamaso pa kuthamanga intracranial, kawirikawiri mankhwala okodzetsa: "Furosemide", "Diakarb". wothandizila antibacterial ntchito pa matenda a njira opatsirana. Normalization a kuthamanga intracranial ndi mankhwala ake - ndi ntchito yaikulu.

Pakuti kuchotsa edema ndi yotupa njira ntchito glucocorticoid mankhwala "prednisolone", "Dexamethasone".

Komanso kuchepetsa edema oziziritsa m'magulu mankhwala steroid. M'pofunika kuchotsa chimene chimayambitsa matenda.

Kamodzi matenda kuzindikiridwa liquorodynamic, mankhwala ayenera kuperekedwa nthawi yomweyo. Atayendetsa ophatikizana mankhwala noticeable zotsatira zabwino. Zimenezi n'zofunika kwambiri makamaka pa kukula kwa mwanayo. Bwino patsogolo noticeable mu chitukuko psychomotor.

N'zothekanso chithandizo opaleshoni. Iwo angathe kuperekedwa milandu zotsatirazi:

• mankhwala ndi operewera.
• Liquorodynamic mavuto.
• Occlusive hydrocephalus.

Opaleshoni chithandizo imatengedwa pa nkhani iliyonse payokha ndi matenda zochokera zaka, makhalidwe a chamoyo ndi matenda. Nthawi zambiri, opaleshoni ubongo kupewa, kuteteza kuwonongeka kwa wathanzi ubongo minofu, ndi kugwiritsa ntchito zovuta mankhwala.

Izo ziri zodziwika bwino, ngati si ankachitira liquorodynamic syndrome matenda a mwana amafa ndi 50% mpaka zaka 3 umapulumuka kukhala wachikulire 20-30% ya ana. Pambuyo pa opaleshoni, ndi amafa ndi 5-15% ya ana odwala.

ukuwonjezeka imfa chifukwa matenda mochedwa.

Kuteteza kuyan'anila liquorodynamic

zodzitetezera monga:

• kuchipatala kuti akalandire chithandizo kuchipatala antenatal. Nkofunika kuti akalembetse mwamsanga.
• Panthawi yake kudziwika matenda intrauterine ndi mankhwala.

18-20-sabata ultrasound limasonyeza chitukuko cha ubongo yoopsa ndi boma mowa mwana. Mu mawu tingadziwire kukhalapo kapena kusapezeka kwa kudwala.

• Kusankha olondola a yobereka.
• Zonse polojekiti ndi dokotala wa ana. Kuyeza circumference a Chigaza, ngati pali kufunika kuti achite kafukufuku wa fundus lapansi.
• Ngati ayi mwamsanga anatseka fontanelle, ndi cranial ultrasonography pamafunika kukaonana ndi neurosurgeon.
• Mwamsanga kuchotsa zotupa amene cropped cerebrospinal madzimadzi njira.
• Zonse polojekiti ndi dokotala ndiponso kuchititsa maphunziro kofunika pambuyo akuvutika ubongo ndi msana kuvulala.
• chithandizo mwamsanga matenda opatsirana.
• Kupewa ndi chithandizo cha matenda aakulu.
• Kusiya kusuta ndiponso kumwa mowa.
• Ndi bwino kupita chifukwa masewera, yogwira moyo.

matenda aliwonse ndi kosavuta kupewa kapena kukhwimitsa zonse kuchepetsa kufala kwa matenda. Ngati matenda kuyan'anila liquorodynamic, mwamsanga mankhwala ali anayamba bwino mwayi kuti mwana bwinobwino.