Hemorrhagic MKpọnwụ: akpatara, Pụta

Hemorrhagic ọrịa strok bụ hemorrhage na ụbụrụ anụ ahụ nke ọrịa ụbụrụ ọbara arịa, nke na-eduga-emeghasịkwa nke ọbara esenyịn, na ọbụna mmepe nke edema a mgbanwe nke ụbụrụ.

Hemorrhagic strok nwere ọtụtụ ihe mere maka mmepe. Kacha nkịtị, bụ onye bụ isi na-akpata ọbara mgbali mgbe ha na-ruptured na leakage ọbara si elu nsogbu arịa mgbidi na thinning na ụbụrụ. Secondary hemorrhage hụrụ congenital anomalies nke ụbụrụ arịa, dị ka aneurysm na obere.

Ọ na-amalite ịzụlite hemorrhagic ọrịa strok na mberede, na ọnwụ nke nsụhọ ruo amaghị onwe ya. The akpụkpọ aghọ red-bluish agba, ahu okpomọkụ adahade 40 degrees, iku ume na-aghọ keolu mgbaka mgbe enyekwara oyi baa na akpa ume edema. Nwa akwụkwọ akp anaghị eme ka ìhè, anya gị na-akpụ akpụ na-enweghị usoro, isi chigharịkwuuru ndị na-abụghị n'akụkụ nke lesion. Ná mmalite nke ọrịa uche na-abawanye na-aghọ nkọ na-abụghị n'akụkụ nke ulo hemorrhage, mesịrị sonyere site incontinence.

Baịbụl hiwere isi n'ebe mgbaàmà nke hemorrhage na ụbụrụ azuokokoosisi egosi nystagmus, akụkụ okuku ume na odida na gbasara obi ọrụ. Ọbara ọgbụgba n'ime ventricles nke ụbụrụ ịzụlite cramps, ala ụda na flexors na extensors nke aka n'ụkwụ. Ọ bụrụ na ị nwere ihe mgbu na occipital mpaghara, ịda iwu nke nchikota nke mmegharị, ọgbụgbọ na vomiting nwere ike-enyo enyo na-agba ọbara na mpaghara nke cerebellum.

On nnyocha ọbara kpugheere leukocytosis, lymphopenia, mụbara ọbara sugar na mmamịrị, mmapụta nitrogen, a isi mgbanwe ke ikwughachi EG Lee rheovasography. The ọnọdụ nke ndị ọrịa na-ahuta ka nnọọ ike, ọrịa na-anwụ, n'ụbọchị mbụ n'ihi na oké njọ imebi, mkpakọ nke mkpa ụbụrụ, edema na anụ ahụ necrosis.

Mgbe rụọ hemodynamics na ọrịa ndị na-nwere a hemorrhagic ọrịa strok, na-amalite na mgbake Filiks na pụrụ ịdịgide ruo ọtụtụ afọ. Ọ na-amalite na mweghachi nke mmegharị ke aka na ụkwụ, na mkpịsị aka, mgbe belata muscle ụda, na-aghọ nkọ na-ekwu okwu.

Ọ bụrụ na onye ọrịa na-enyo enyo na hemorrhagic ọrịa strok, ọgwụgwọ a rụrụ na a ọgwụ n'ihi na ọ dịkarịa ala izu atọ. Ọdịiche dị n'etiti mgbanwe na ịwa ahụ ọgwụgwọ. On mbanye ọrịa ga-atụle site na a neurosurgeon na-ebu ndị dị mkpa ule, nye iwu ka ezigbo ọgwụgwọ na iji nweta a mma pụta nke ọrịa. Naanị n'okpuru mgbanwe ọgwụgwọ a hụrụ lethality 50%, na mgbe neurosurgical arụmọrụ oghom pụta bụ na ọ dịghị ihe ọzọ 25% nke ọrịa.

Ebumnobi bụ isi nke ịwa ahụ ọgwụgwọ bụ kacha mwepụ egbochi mkpụkọ nke ọbara na di ntakiri mmebi ụbụrụ anụ ahụ. Egosi maka neurosurgical arụmọrụ bụ hemorrhage n'ime ụbụrụ ventricles na hematoma n'elu 20 ml, nke ime ka Ndahie nke ụbụrụ. Na ndị a, na-eduzi ihe na-emeghe craniotomy, mgbe ụfọdụ, na-amalite ịmapusị, endoscopic ọchịchọ egbochi mkpụkọ nke ọbara ma ọ bụ na-eduzi obodo fibrinolysis.

Igbu oge na ọgwụgwọ nke hemorrhagic ọrịa strok, na-esi nke nke, nnọọ arọ maka ndụ na ike nke ọrịa na-akpatakarị nkwarụ nke ọrịa.

Mgbe ọrịa strok emee disintegration ọbara na ụbụrụ anụ ahụ, nke na-eduga ná mbufụt, necrosis na enweghi nke ụbụrụ na-arụ ọrụ. Mgbe a ọrịa strok, ọrịa nwere ike ije ọrịa, mkpọnwụ na paresis, e nwere ike a mebiri nke nghọta nke okwu, e nwere ndị ụfọdụ ihe isi ike na-agụta, ede, na-agụ. Sight mmadụ nwere ike jụ aghọta ihe ọ hụrụ, onye ọrịa ga-enwe ike iji bulie a pen, a ngaji, a efere nke ofe e.

Imebi ilo mgbe nri nwere ike inwe n'ime oghere eji ekunye ume kama nke na nkọlọ. A onye nwere ike ida ike ịmụta ihe ọhụrụ, na-ata ahụhụ na ebe nchekwa, na-eche, ọ dịghị mma. N'ikpeazụ-amalite imebi omume nke onye ọrịa, na-egosi ime ihe ike, ịda mbà n'obi, mmeghachi omume slows ala, ndị mmadụ pụrụ ịchị ọchị ma ọ bụ na-eti mkpu n'ihi na ọ dịghị ihe mere, nwere ike ịzụlite Nsị incontinence na mmamịrị, ike, pulsating agwa, isi ọwụwa na-adịghị wepụrụ mgbe na-ewere analgesics.