Subarachnoid kukha mwazi

Subarachnoid kukha mwazi imatengedwa ndi matenda matenda. Zinaonekera mwa ufulu osiyana nosological ndi chifukwa cha zinthu zosiyanasiyana. Non-zoopsa subarachnoid kukha mwazi imatengedwa chikhalidwe padera ndi amatanthauza zosiyanasiyana hemorrhagic sitiroko.

Nthawi zambiri, matenda ndi amayamba ndi mtima aneurysm chophukacho. Childs, aneurysms zimachitika m'munsi mwa ubongo pa malo wolumikizira nthambi.

Zifukwa kuchititsa subarachnoid kukha mwazi monga matenda oopsa, makamaka limodzi ndi kusinthasintha tsiku magazi, kusuta, m'kamwa kulera pakamwa, uchidakwa, mankhwala ozunguza bongo ntchito. Pa nthawi akalandire chithandizo ndi pobereka zambiri pali kuthekera chiwonetsero cha matenda matenda. Tikumbukenso kuti achibale a odwala amene ali ndi matenda a kukha mwazi subarachnoid, nthawi zambiri sachedwa zikamera wa aneurysm lapansi.

Pogwira mankhwalawa aneurysm popanda chotupa expediently pa mlingo wa millimeters zoposa zisanu ndi ziwiri mu syndrome matenda a mbiri, ndi pamaso pa aneurysms symptomatic ndi zinthu zina chiopsezo.

Pa kuwulula m'banja lina anthu awiri a subarachnoid kukha magazi a m'nthawi ya digiri wachibale, mamembala ake ayenera kugwira MR angiography monga kuyezetsa magazi a.

The zimakonda syndrome mowiriza sichingabweretse aneurysms monga yopuma yaing'ono mitsempha intradural, mycotic aneurysm, immunodeficiency kapena mtsempha wamagazi mankhwala okhudzana. Monga mmene kumapeto, kufala kwa milandu kobwereza peresenti wina pa chaka.

Subarachnoid kukha magazi mu ubongo anapezeka ndi kusiyanitsa mawonetseredwe a zizindikiro matenda. Umboni matenda ikuchitika mwa CT. Pochititsa CT sizingatheke kuphunzira kapena alibe zotsatira, woikidwa ndi lumbar puncture (LP).

Subarachnoid kukha magazi. zizindikiro

Mawonetseredwe kwambiri khalidwe la matenda ndi monga mwadzidzidzi kapena kukhala masekondi kapena mphindi kwambiri mutu. Nthawi zambiri, odwala poyerekeza ndi nkhonya lakuthwa kumutu. Pambuyo masekondi angapo, pafupifupi theka odwala kutaya chikumbumtima chimene zokha anachira nthawi zambiri. Chithunzi matenda angayerekezedwe ndi syncope kapena khunyu. Tikumbukenso kuti kulanda a khunyu nthawi zambiri akufotokozera mu kukha mwazi subarachnoid, ndi odwala ena mawu a matenda neurogenic wa kayendedwe mtima. The kutanthauzira kwa aneurysm akhoza kuwala kapena wofatsa focal ubongo kuchepekedwa. Patapita maola angapo pambuyo subarachnoid kukha mwazi umatchulidwatchulidwa ouma m'minofu khosi.

Nthawi wofatsa, odwala amaganiza nseru, kupweteka khosi, chimene nthawi zina molakwika matenda monga osteochondrosis khomo lachiberekero. Nthawi za mwadzidzidzi ululu pakati pa masamba phewa kapena gawo m'munsi mwa khosi likusonyeza kukha mwazi msana.

matenda ayenera siyanitsa oziziritsa thrombosis venous, meningoencephalitis, migraine, sinusitis, hypertensive encephalopathy, digiri pachimake.

Pano mu danga subarachnoid wa magazi sangakhoze wapezeka ndi CT kumapeto kwa tsiku, atapita masiku asanu, iye alibe wapezeka mu theka la milandu.

Umboni wa matenda ndi kukayikirana kugwirizana ndi subarachnoid kukha mwazi aneurysm zimaphatikizapo kugwiritsa ntchito angiography oziziritsa ndi hospitalization mu dipatimenti neurosurgical mu kupeza aneurysms. Ngati kudziwika aakulu mutu LP ndi CT anapangidwa mu masabata awiri oyambirira a matenda, ndi zabwinobwino mwamtheradi, hagiography oziziritsa si anapatsidwa.