Kunyanya kushamwaridzana inongova chiratidzo chinoratidza simba rechiito che cerebrospinal fluid (cerebrospinal fluid) pamakumbo europi. Kazhinji iyo iri mumatsetse kubva pa100 kusvika ku151 mm. Kuwedzerwa kushamwaridzana kunokonzerwa nehutachiona hunoitika apo kubuda kweropa kana cerebrospinal fluid kunotambudzwa uye inounganidza mumumvuri wekranium.
Zvinokonzerwa nekuwedzera kusagadzikana kwechisimba
Zvimwe zvikonzero zvinokosha zvekuwedzera kushandiswa kwezvinetso ndezvi:
- kuvapo kwechido chokugadzira mu cranium (tumarara, mutorwa kunze, hematoma);
- chepfu uye kudhakwa;
- kushungurudzika kwekushandiswa kwemakumbo;
- dambudziko rekurokurwa kwehuputi (kukuvadza kana kugunun'una );
- kuvhiringidzika kuchinja mu membrane yeuropi ne meningitis, encephalitis kana ventriculitis;
- uropi hunobudirira hutsika (Arnold Chiari kana Dandy Walker);
- kuwedzera kwemvura mumutumbi, kazhinji semugumisiro wehuwandu hwechirebrospinal fluid inowedzera;
- meningitis.
Kukuvadza kubuda kwechirwere chakadaro, simba migraines, kuwedzera kwakanyanya uye kuwedzera kwevhitamini A.
Zviratidzo zvekuwedzera kusagadzikana kwechisimba
Chero zvikonzero zvinokonzera kuonekwa kwekuwedzera kusagadzikana, zviratidzo zvechiitiko ichi nguva dzose zvakafanana. Zviratidzo zvechirwere ichi zvinosanganisira:
- kugona;
- misoro yakanyanya (inonyanya kuitika mumangwanani mushure mekunge ichimuka uye ine bundu rinoputika)
- severe nausea;
- kukanganwa mupfungwa, kufunga uye kutarisa;
- kubuda kamwe kamwe kana kuwira kwesimba reropa;
- ruzha munzeve ;
- chizoro;
- sweating.
Nzira yekuenzanisa sei kusamanikidzwa kwepfungwa?
Kuti uone kana kushandiswa kwako kusina kukwira, iwe unogona kushandisa nzira dzakadai se:
- echoencephaloscopy;
- kombiyuta kana magnetic resonance imaging;
- kuongorora mufananidzo we fundus.
Mune zvimwe zviitiko, kuti uone kuti munhu ane chiremera chinokonzerwa nei, anojowa ne catheter mumakumbo europi kana kuti lumen yemugero wepelinha uye kuunganidza manometer. Ichi chigadzirwa chinoshanda nenzira yakafanana neyakashambadza ye mercury thermometer.
Kurapa kwekuwedzera kwechisimba kudzvinyirira?
Nguva dzose kusimba kwakasimba kwouropi kunokurumidza kuputsa mabasa ake. Nokuda kweizvi, unyanzvi hwepfungwa hunogona kuderera zvikuru, pamwe nekugadzirisa kwebasa rezvikamu zvakasiyana-siyana zvemukati zvinotambudzwa. Ndicho chikonzero nei varwere vose vanorayirwa maitiro ekurapa zviratidzo. Nekuwedzera kwekumanikidzwa kwepfungwa kunofanirwa kutora zvinodhaka zvinoderedza chiyero cheperebrospinal fluid - Mannitol kana Glycerol. Vamwe varwere vanoratidzwa kutungamira kwe loop diuretic Furosemide uye hormone drug Dexamethasone. Kana iwe uchida kukurumidza kushandiswa kwekubvisa CSF kana kuvandudza kushandiswa kwayo, unoda kunwa mahwendefa e dioustic Lazex kana Diakarb.
Medicamental kurapwa kwekuwedzera kusamanikidzwa kwekurwisana kunofanira kutanga apo mushure mokugadzira chikonzero chakakonzera kukura kwechirwere. Muzviitiko zvizhinji, kuibvisa, iwe unogona kukanganwa nezvehutano huno. Dzimwe nguva dzinosimbiswa zvachose
Asi chii chaunofanira kuita kana kuwedzerwa kusagadzikana kwechisimba kwakaonekwa mushure mokutanga kwechirwere, hematoma kana chimwe chigadzirwa? Munyaya iyi, chirwere chinokurumidza chinofanira kuitwa. Chete mushure mokubviswa kwechikoro chekudzivirira kunogona kubvisa chirwere ichi. Nekuwedzerwa kwakanyanya kweperebrospinal fluid, shunt maitiro anoitwa. Vanobatsira kuvaka imwe nzira yekubuda kwezvinwiwa.