Msana mantha: asilikali a chitukuko, zizindikiro, ndi makhalidwe chithandizo

Msana mantha - chodabwitsa mu ubongo, amene amayambitsidwa ndi zotsatira zoopsa pa msana ndi kuwonongeka kwa chingwe msana. Iwo yafotokozedwera chopinga lakuthwa malo ndi reflex pa chingwe msana m'munsimu zifukwa. Amapanga kupatsidwa ulemu wa bongo chotupa pamwamba limasonyeza kuti awasungira innervation. Motero, pali kuchepetsa kuthamanga kwa magazi, kusowa dermographism, komanso kusokonezeka kwa ziwalo m'chiuno.

limagwirira chitukuko

A nkhonya olimba thupi, kugwa kuchokera kumwamba, ndi ngozi zapamsewu - zonsezi zingachititse msana mantha. Ndipo limagwirira wa chitukuko adzakhala milandu onse chimodzimodzi. Ambiri amayambana ndi wovulala msana, monga msana choipa si malo a choipa, komanso m'madera wosweka magazi ndi lymph otaya. Ndi limeneli, ndipo akhoza kubwezeretsedwa mu njira yake.

Nature imapereka limagwirira amateteza zimakhala zisaonongeke kwambiri. Iwo kwagona kuti ntchito ya maselo mitsempha imathetsa pansipa malo kuvulazidwa, kotero zinkakhala m'dera ndi pa zina ndi akuchira msanga. Kufala kwa zikhumbo za mitsempha pamodzi njira mabasi nthawi kusinthika.

diagnostics

Chikadzangotha choipa sangathe mtima, ndi msana anatomical kapena chikhalidwe zinchito. mantha msana wofanana ndi reversibility za ndondomeko ndi kubwezeretsa zonse kapena tsankho ntchito. Mlingo msana kuvulala amapanga chizindikiro, amene limachititsa oterewa malo enieni cha kuwonongeka focal. Kuti tichite zimenezi, muyenera kudziwa gawo lowermost wa chingwe msana kuti ndi amene innervation yachibadwa. Zingatenge nthawi zina, koma ambiri a ubongo Kupenda adzasonyeza ndi pafupifupi dera chotupa cha.

Umuuze kutumiza wodwala pa neuroimaging (CT kapena Kujambula) molondola kudziwa mmene chidwi zigawo dokotala.

Khama la tilinazo ndi galimoto ntchito

Pofuna kudziwa mlingo ndi mlingo wa chiwonongeko katswiriyu amayankha imalandira ndi galimoto ntchito ya nthambi wodwala pa mlingo waukulu. Mfundo zisanu - ichi milingo zachilendo ndipo ziro - kupanda wathunthu wa anachita.

Minofu ankafufuza symmetrically ndipo iwonso ku torso ndi malekezero. Zotsatira zonse zakambidwa mwachidule, ndipo amasonyeza pafupifupi okwana mphambu kwa munthu tilinazo ndi galimoto malo. kafukufuku ayenera kuti azitsatiridwa kangapo pa nthawi yonse imene anakhala ku chipatala mme- mphamvu ya ntchito kuchira. Mwachitsanzo, ngati mwezi kuchokera pa chiyambi cha mankhwala wodwala wonse ziyenera a galimoto ntchito ya nthambi m'munsi adzakhala Pamwamba mfundo khumi kuti iye ali ku mapeto a chaka, mosakayikira kuyenda.

Kuchuluka kwa chiwonongeko

Zizindikiro za mantha msana mwachindunji amadalira mlingo wa chiwonongeko.

Ngati choipa anali pa mlingo wa vertebrae khomo lachiberekero, tidzapeza immobilization wa malekezero chapamwamba ndipo m'munsi. Anazunzidwa kupuma ndi ntchito mtima. Odwala amakakamizidwa kuti akhale pa kupuma ndi kuti iwo akhale chisamaliro nthawi zonse.

Kugonjetsedwa pa mlingo wa m'munsi khomo lachiberekero msana gawo akuzisunga ntchito wabwinobwino wa malekezero chapamwamba. Koma ngati pa nthawi yomweyo anakhudzidwa ndi thoracic vertebrae, wodwalayo akadali ndi mavuto ndi kupuma ndiponso kugunda kwa mtima. Kuwonongeka kwa m'michombo a kuyambitsa msana mantha ndi immobilization a minofu ya kumbuyo ndi m'munsi malekezero, komanso kusokoneza mafupa a chiuno cha mtundu akuchedwa.

Amaona kuti munthu yabwino kwambiri pa choipa msana pa mlingo wa zigawo za lumbosacral. Msana mantha mu nkhani iyi ndi kuphwanya magulu a nthambi m'munsi pokhalabe tilinazo wa.

nthawi ya matenda

Matendawa pang'ono kapena kwathunthu kusintha, choncho patangopita miyezi yochepa zoopsa, odwala kumva bwino, iwo kubwerera ntchito otaika. Pali magawo anayi a mantha msana.

1. pachimake nthawi, amene kumatenga kwa masiku atatu pambuyo zoipa. Iwo amakhala ndi anasiya zikhumbo mitsempha tiwonjezere kuwonongeka kaya kusalekerera zoipa.

2. Subacute nthawi amatenga mwezi wathunthu. Panthawi imeneyi, ayambe nyumba zowonongeka msana, maonekedwe a minofu yovulazidwa pa malo kuvulazidwa, normalization wa magazi ndi limfottoka.

3. Nthawi wogwirizira ukhoza mpaka miyezi isanu ndi umodzi. Pa nthawi imeneyi, pakati zikhumbo mantha braking ikutha paliponse yekha mu chipatala sizingasinthe kusintha ubongo.

4. malemu nyengo, zomwe zingatenge zaka zingapo pambuyo zoipa. Izi ayambe pang'onopang'ono ntchito anataya. Koma pa ndime ndi Mwina mphamvu zabwino, n'zothekanso amamuyambitsa timabala ya msana mankhwala pa malo kuvulazidwa ndi aggravation zizindikiro ubongo.

Kuti madokotala ndi odwala ndi zothandiza kukumbukira kuti ngakhale pang'ono za kusintha mu sabata loyamba ndi zoipa prognostic chizindikiro ndi zingasonyeze kuti ntchito otaika ndi kubwezeretsedwa. Ndipotu, ngati sabata loyamba panali ena kusintha, ndiye mwayi wa achire zonse.

Kutalika kwa matenda

Osati anthu msana mantha. Maphunziro Akakhalidwe Kazolengedwa, m'lingaliro wodziika mawu, zimatsimikiza kuti boma la nyama n'zothekanso. Mwachitsanzo, chule, pamafunika kuti maminiti asanu, agalu - mlungu umodzi, ndi anyani amakakamizidwa kupirira mavuto mwezi. Anthu pa mndandanda angathe komaliza. Ali ndi nthawi pazipita msana mantha - miyezi iwiri.

Ngati msana choipa amakhalabe anatomically bwinobwino, ndiye patapita kanthawi bongo ndi kubwezeretsedwa. Izi zidalira pa mmene wodwalayo mankhwala ndi kukhulupirira nokha.

machenjerero achire

Mwamsanga wovulalayo afika ku chipatala kumene adzatha kupereka thandizo Katswiri, m'pamenenso kuti achire. Komanso chofunika kwambiri ndi thandizo komanso thiransipoti. Kuloza wodwala ayenera mosamala, kusuntha yekha pa bolodi okhwima kapena bolodi, kuti kukulitsa zoipa.

Kuchitira msana mantha chiyambi bwino ndi immobilization msana. Ndiye ankachita zinthu zingapo opaleshoni kuti decompress chingwe msana, vertebrae zidutswa kuchotsa minofu necrotic ndi matupi yachilendo. Kenako, dokotala pulasitiki zimapangitsa anataya fupa mapangidwe.

mankhwala ndiwofatsa ndi ntchito corticosteroids monga "Dexamethasone" kapena "prednisolone" ndi relaxants pakati akuchita minofu - "Mydocalm" "Sirdalud" "baclofen". Choyamba matenda zowawa, kutupa, kutupa m'malo olumikizirana mafupa. A thandizo chachiwiri kuthetsa katundu pa msana.

Popeza mtima ndi kuyenda kwa nthawi yaitali, ndiye ayenera kupewa bedsores, kutikitirako mafizo kupuma kokoka kuteteza chibayo.

mwayi kuchira

Complete kulephera kuyenda kungasokoneze pa psyche odwala. Anthu maganizo odikira chifukwa chakuti zamoyo zonse kumangidwanso kwa bedi kapena njinga ndipo azidalira pa banja ndi abwenzi. Pa mfundo imeneyi, nkofunika kuti pafupi ndi munthu amene, ngakhale zonse, ndi kukhulupirira mu kupambana njira.

Kawirikawiri pambuyo akuvutika woyenerera thandizo msanga afika pa mapazi ake. The Zikavuta kwambiri zimachitika odwala ndi kuvulala kwa khomo lachiberekero ndi thoracic odwala msana. Pankhaniyi, mkulu chiopsezo imfa kupuma kapena mtima. Ngati thandizo kuchipatala inaperekedwa molakwika kapena mtsogolo, chikhalidwe cha mantha msana akhoza mzaka.

Msana mantha - ndi kusintha msana chotupa kuti asalowe maganizo a anthu mu thupi n'kupuma. Izi zidalira pa zikhalidwe za kuvulala, mlingo wa choipa ndi thandizo kulemba.