Kwiingcambu zengqondo zininzi zemithambo yegazi, kunye nomonakalo kunye nokuqhekeka kwawo okubunjwa yi-hematomas. Le ngxaki inokuyingozi ubomi bomntu kwaye iphazamise ukusebenza okuqhelekileyo kunye nomsebenzi wazo zonke iinkqubo zomzimba, ngoko kufuna ukunikwa kweyeza kwangoko.
I-Hematoma yengqondo - iimpawu kunye neentlobo
Ukukhuselwa kwequmrhu eliphambili emzimbeni womntu lenziwa ngendlela ekhethekileyo yotywala ebizwa ngokuba yotywala. Ngoxinzelelo lwamajoni, le nto ayinako ukubonelela ngokuchanekileyo kunye nokulimala kweempahla. Inokuthi ibe kwindawo yangaphakathi ngaphakathi kwengqondo kunye nakummandla phakathi kweengqayi kunye nezicubu ezinotshontsho. Ngaloo ndlela, kukho i-intrarebral, epidural and subdural hematoma yengqondo. Uhlobo lokuqala lwesifo segazi lubonakala ngokugqithiswa kweempahla ngqo kwiqumrhu ngokwayo, okubandakanya umonakalo kumcimbi omhlophe nokuphazanyiswa komsebenzi we-neurons. Uhlobo lwesibini luchaphazela indawo phakathi kwegobolondo eqinile yelungu kunye namathambo enkayi. Okwesithathu yindawo yokudibanisa phakathi kwezinto ezisengqondweni kunye nengubo. Ngaloo ndlela, ifomu lokugqibela lihlelwa lulandelayo:
- I-Acute - umfanekiso weklinikhi uvakaliswa ngokucacileyo emva kokuxhwaleka.
- I-Subacute - iimpawu zikhula emva kweeyure eziliqela.
- I-hematoma engapheliyo yengqondo yengqondo - ukubonakaliswa komonakalo kubonakala emva kweeveki, kwaye emva kweenyanga emva kokufumana ukulimala.
Symptomatology of pathology:
- ubuthathaka nokunciphisa ukusebenza kwemoto yesigamu somzimba;
- intloko ;
- ukungcola;
- ukudideka kwengqondo;
- ukukhathala okungapheliyo , ukulala;
- isicefe
- ukuphulwa kwezixhobo zokuthetha;
- Umbono wehla
- ubukhulu obuhlukeneyo babafundi.
I-intracerebral, i-hematoma kunye ne-subdural hematoma yengqondo
Ukungabikho kwezi zimpawu ezingentla kunye nesimo esiqhelekileyo sempilo yexhoba akuthethi ukuba isifo asikwazi ukuphathwa. Ngaphandle kweyeza, i-hematoma ingakhokelela kwiimeko ezinzima:
- ngqondweni;
- i-atony;
- zixhala;
- ubuthongo obunzima;
- coma.
Ukongezelela koko, eso sifo sibangela ukuphazamiseka kwengqondo, kubangele ekuphuhliseni ukudandatheka, ukuphazamiseka kwengcinga kunye nokucinga, ukwandisa ukucasula kunye nobudlova.
Ukunyangwa kwe-hematoma yengqondo
Ngokuxhomekeka kubukhulu beethambo ezinobungozi kunye nobukho bobuqhophololo, kusetyenziswa iyeza zonyango kunye neendlela zokucoca.
Iimpawu ezincinci zeempawu zonyango ziphathwa ngokuthatha ama-anticoagulants, igazi elincinci, i-horticone ye-corticosteroid kunye ne-diuretics. Olu bunzima bamayeza luvumela ukuba kuphunyezwe ngokukhawuleza inkqubo yokuvuvukala, ukususa ubuqhophololo nokukhawuleza ukulungiswa kwee-clots zegazi.
Umonakalo omkhulu udinga ukusebenza. Yenziwa ngeendlela ezimbini. Ngokuqokelela okubonakalayo kwendawo esetyenziswayo yombane kwindawo enye, iyanconywa ngomgodi omncinci kwikhanga. Ubungakanani obukhulu besikhombiso sithetha i-trepanation kunye nokupheliswa ngokupheleleyo kweengcezu zonke ukuphepha
Ukususwa kwengqondo yehematoma - iziphumo
Njengomthetho, ukuqhutyelwa ngongenelelo olwenziwe ngophengathanga akukhokelela kwimiphumo engathintekiyo.
Ukubuyiselwa kwenzeka kwiintsuku ezi-2 ukuya kwe-4, ngexesha apho unyango olwenzelwe iziyobisi ezichasayo kunye ne-corticosteroids zenziwa. Emva kokukhutshwa, kuyimfuneko ukutyelela ugqirha oya kwiinyanga ezimbalwa ukulungiselela iimviwo zokukhusela kunye neemvavanyo zelabhoratri.