Zita rayo harisi chirwere chete. Subarachnoid homorrhage ndiko kubuda ropa kunowanikwa pakati pearchnoid uye zvinyoro zvishoma zveuropi. Chimwe chinhu chikuru chekuvhiringidzika kwepakati ichi chiri mukurumidza. Migumisiro yekuita ropa kunonyanya kusatarisika, saka kurapwa kunofanira kuitwa nokukurumidza zvikuru.
Kushungurudzika uye kusingatambudziki kwemaharachnoid hemorrhage
Zvichienderana nezvakava izvo zvinokonzera, kushaya ropa kunogona kuva:
- spontaneous;
- kunetsa.
Muchiitiko chekupedzisira, zvinhu zvose zvakajeka: kubuda ropa kunovhurwa semugumisiro weganiocerebral trauma, apo pane kukanganisa kumasvingo ematombo ari mumusoro. Kukuvara kwepanyama ndicho chikonzero chinonyanya kukonzerwa nekusawirirana kwepakati.
Kunokonzerwa nepaschnoid hemorrhage inotanga kuonekwa pakutanga pasina chikonzero. Asi chaizvoizvo, inokonzerwa nezvirwere zvakasiyana-siyana uye zvirwere zvinokanganisa kuvimbika kwemasvingo emidziyo yeropa. Chimwe chikonzero chinowanzokonzerwa nehutachiona hwemhepo inopisa ndeye aneurysm rupture. Zvinogona kuitika chero ipi zvayo, asi sezvinoratidzira zvinoratidzira, vanhu vepakati-kati vanowanzogadzirisa dambudziko racho.
Kuisa kune kuwanikwa kwemaharachnoid homorrhage, zvinhu zvinotarisa sezvi:
- zvirwere zveropa;
- vasculitis;
- kushungurudza doro, nicotine uye zvinodhaka;
- arterial hypertension;
- zvirwere zvinotapukira zveuropi;
- Chirwere chaNishimoto;
- matumbo emidziyo yeropa;
- fungal zvirwere;
- chikoro-cell anemia;
- stratified uye latticed form of aneurysm ;
- kutura kwehutu hwemidziyo yeropa;
- thromboses;
- vasculopathy;
- zvinyorwa zvemaprotini emamyloid mumidziyo.
Zviratidzo zvekuchengetwa kwemhepo kwemahara
Chiratidzo chakanyanya che subarachnoid hemorrhage chirwere chakakomba musoro, kurwisa kwacho dzimwe nguva kunogona kuguma nekurasikirwa kwenguva shoma yekuziva. Munhu wese akafanirwa kubuda ropa muhutano hwehuropi, sekumwe kutaura, kuti kurwadziwa uku kwaiva kwakasimba zvikuru muupenyu hwavo.
Mukuwedzera, kurwisana kunoenderana nezviratidzo zvinotevera:
- nausea;
- kurutsa;
- kunetseka ;
- sudden psychomotor agitation;
- photophobia;
- kutsamwa;
- strabismus;
- kurasikirwa kwenguva pfupi kwekunzwa;
- chizoro;
- bradycardia;
- kutonhora kwakawedzerwa;
- kuora mwoyo kwakagumburwa;
- kuipa kwekutaura;
- kukanganisa mukuyeuka.
Mushonga we subarachnoid hemorrhage
Zvakanakisisa kubata chirwere chemaharachnoid muchipatara. Panguva yekuporeswa, murwere anopiwa chirwere chakasimba chokuzorora. Nzira dzekurapa dzinosarudzwa zvichienderana nemafomu uye kuratidzwa kwechinetso.
Chinhu chisingaoneki chekurapa ndiyo hemostatic uye kubatana-kuvandudza zvinodhaka. Kana zvichidikanwa, mishonga inoderedza kushushikana, kudzorera mutsara uye kusunungura marwadzo emishonga inoshandiswa. Dzimwe nguva varwere vanofanira kutaurirana mazano ekurapa uye vanoita maitiro ekurapa.
Migumisiro ye-subarachnoid homorrhage
Kubuda ropa kunoonekwa sechinetso chakakomba chakakwana.
Zvinokonzerwa nezvinetso nemigumisiro zvinosanganisira:
- slurred speech;
- matambudziko nekubatana;
- kuwedzera kwematomu temazwi emakumbo;
- kuumbwa kwezvinonzi kunonoka kuora kweperesi - kushaya rutivi rwemaviri.