Ubuchopho contusion: ngemiphumela engase iphakame Ngokuzayo

Yini engabangela ubuchopho contusion? Imiphumela kamuva eminyakeni embalwa sekukhona, izokwethulwa ngezansi. Siphinde ngikuxoxele ukuthi ubungako balokhu ukulimala, kukhona futhi yini izimpawu basuke ebonakala.

ulwazi oluyisisekelo

Brain ukulimala, ngemiphumela ezikhonjiswe lapha, kuyinto ukulimala ebuhlungu takhiwo wathi umzimba, imiswe phakathi isicelo force mechanical okuyinto. Ngokusho imibiko wezazi, ngenxa yokulimala okungenzeka bahlukunyezwe ngokuphelele zonke izingxenye zobuchopho, kodwa iningi lazo izilonda zenzeka isigxobo engaphelele, futhi aphansi basal Lobe yesikhashana.

yakheke Izimpawu ukulimala enjalo kusukela inhlanganisela zimpawu vegetative ubuchopho kanye eqondile. ukuphikelela yabo nobukhali kuncike emandleni umthelela.

Yini bangase bagcine ubuchopho contusion? Imiphumela ngemuva kokuthola ukulimala enjalo ngokuvamile musa kuphakama, futhi musa ubonise ngokwabo. Nokho, kwezinye izimo, kuhlasimulise izakhiwo ubuchopho ungenza umuntu zikhutshaziwe.

Ngakho, kungashiwo ngokuphepha kuqashelwe ukuthi ukulimala intambo contusion kuyinto ukushintshashintsha kogebhezi nobuchopho, lapho izicubu ezonakele eziyisisekelo zabo, isb emaphaketheni kwakhiwa ezinye ukubhujiswa empunga ndaba. Kulokhu wathi umzimba libhujiswa itjhuguluko engekhe yalungiseka.

izimbangela

Mayelana yini imiphumela yokungaphenduki nokulimala engqondweni lapho, thina uchaze ngezansi.

Kufanele kuqashelwe ukuthi takhiwo ukulimala kobuchopho kungenzeka uma noma yikuphi ukulimala. Nokho, ngokuvamile i-pathology ezinjalo ekhiqizwa ngenxa engozini yemoto noma iconsi banal usuka endaweni ephakeme kakhulu.

Kangakanani?

Njengoba yakheke ke ubuchopho contusion (imiphumela yokulimala kungaba nzima kakhulu kangangokuba kwakungasekho umuntu olimele ingaqhubeka okwesikhathi ukukhubazeka esaphila)? Isayithi yesenzo force mechanical kuphakama isiteleka endaweni lapho ingcindezi luyanda. Lena indawo kwakhiwa izakhiwo eziyinhloko kulimaze ezinzwa kakhulu futhi imithambo yegazi. Lapho lokhu kwenzeka ngo-okuphambene ohlangothini protivoudara wokuhambela amagatsha, okwakuhlanganisa libhekene ingcindezi encishisiwe. By the way, kule ndawo le lesion kungenzeka indaba eningi kakhulu kunezinye endaweni yesicelo bebutho.

Ngemva kokulimala izinqubo ubuchopho ukuthuthukisa ingqondo izicubu ukuvuvukala futhi edema, kanye ukuphazamisa igazi eligciniwe. Lokhu kakhulu kuthuntubeza ikhono lomuntu isimo lesiguli futhi kudinga yokudluliselwa esiphuthumayo kuchwepheshe.

izinhlobonhlobo ukulimala

Ngo inqubo yokwelapha yesimanje ibheka ukulimala sehlukaniswe 3 degrees:

1. contusion Ezintsha yobuchopho (imiphumela akuzona olukhulu kangaka).
2. Ukulimaza ngokulinganisela (izilonda kungadala yesinqumo sayo, kodwa ngaso sonke isikhathi).
3. contusion Sinzima yobuchopho (imiphumela ingase ibe mibi kakhulu).

Konke lokhu amafomu unezici zabo emitholampilo zinezikhathi izinto ngendlela ehlukile. Ake sixoxe ngazo ngokuningiliziwe.

Easy ubuchopho contusion: imithelela ukuhlukumezeka

Lokhu yayiyolimaza has onalesi sifo kangcono yokutakula futhi ayimeleli usongo ekuphileni isiguli. It libhekene:

• Nokulahlekelwa ukwazi, ukudideka, ukozela, ukuphendula kancane, ukukhohlwa.
• Ukuhlanza, isiyezi, izinguquko inhliziyo umsebenzi.
• igazi Ukwandiswa ingcindezi, ngumkhuhlane okuncane, isicanucanu.
• izimpawu zokungasebenzi kahle kwemizwa (nystagmus nontransversal, jitter zamehlo anisocoria, ayikho impendulo pupillary nokukhanya, kwehle imisipha ithoni, anizorefleksiya).
• izimpawu Meningeal (imisipha ukungezwani entanyeni, izimpawu Brudzinskogo Kernig).

Isikhathi lezi zimpawu ngokuvamile hhayi amasonto angaphezu 3. Onalesi sifo ukutakula sisihle. Nokho, labo kungaba nzima kakhulu ukuhlukanisa ubuchopho contusion omnene kusukela ukuxukuzeka yakhe. imiphumela emibi lokho kulimala bengekho.

Alimazayo isisindo isilinganiso

Lokhu ukulimala libhekene izilonda ezimbi kakhulu izicubu ingqondo. It is cishe njalo kuhlangene ukwa Yekhanda, okubangela ukopha subarachnoid. Izimpawu eyinhloko okulimala ebuchosheni lokhu degree yilezi:

• Underestimation yesisindo isimo sabo siqu, nokulahlekelwa ukwazi amahora 1-3, ngezigameko lengqondo ukuyaluza.
• Amnesia (retrograde kongradnaya, anterograde).
• bekhanda Sikuveze, isiyezi ezinzima.
• ukuhlanza ephindiwe, kwenhliziyo, kukhuphuke blood pressure, iphika, isicanucanu futhi ngikhishwe imfiva.
• Rough izimpawu zokungasebenzi kahle kwemizwa ebalulekile (ushintsho ithoni myshsch, paresis, ukulahlekelwa ukuzwa ezingalweni nasemilenzeni, carpal futhi stopnye normal izimpawu, strabismus, ukuhlanekezela ebusweni, nystagmus nokuguqulwa, zesifo sokuwa, inkulumo ukungakhuli).
• izimpawu Meningeal.

Izimpawu zalesi ukulimala iqhubeka kusuka amasonto ambalwa kuya ezinyangeni ezimbili. Ngokuhamba kwesikhathi, izimpawu zokungasebenzi kahle kwemizwa kancane kancane zicekela phansi. Nokho, izinguquko eziningi ezenzeka ngokushesha ngemva ukulimala, kungase kube engelapheki.

Izimpawu kanye nemiphumela ezinzima ukulimala ebuchosheni

Sinzima kuhlasimulise okulimala ebuchosheni ithwala ibe usongo olukhulu empilweni isiguli. Ngokwezibalo, mayelana 35-50% azo zonke amacala ukulimala ebuchosheni ziyabulala. Iziguli waba ukulimala efanayo isikhathi eside zibuyiselwe (wenyanga eyodwa). Ngeshwa, akunjalo ngaso sonke isikhathi loluhlelo seluphelile.

Lokhu kobukhulu ukulimala ukuqaphela zimpawu ezilandelayo:

• Nokulahlekelwa ukwazi. Kulokhu, kungase kube ikhoma, at the ophumayo kusukela lapho isiguli lide kakhulu ukwazi ezishintshwe lohlobo emangalisa noma sopor.
• Ukuyaluza okuyinto ingena Ukudlikizela.
• Komzimba ukuze 41 degrees, okuyinto kungase kuhambisane okuvela nokuquleka.
• thuthuva uboniswe Uhlelo kwegazi nokuphefumula kwezimila. Imvamisa futhi isigqi ukuphefumula iphazamisekile kuze kube sezingeni lokuba ukuthi kungabangela ukupholisa lokukhanda.
• izimpawu zokungasebenzi kahle kwemizwa. Kukhona stem izimpawu ezibonisa kokunqotshwa izakhiwo ubuchopho ngokujulile. Kulokhu, lesiguli ewumngcingo noma ivuleke kakhudlwana abafundi kokubili amehlo, khona kuyindlela yemvelo yokusabela lapho ezibuthakathaka ukukhanya, kwehlukana kwezitho okubonakalayo enezingqimba noma mpo "ezintantayo" zamehlo, ukugwinya neziyaluyalu, nystagmus indawo, okusithiyayo of ingqondo, kanye nezinye izimpawu sokugembula. Ezinsukwini ezimbalwa kamuva, izimpawu azibonakali futhi umonakalo kwezinye izindawo zobuchopho. Lezi zihlanganisa ukukhubazeka okungazelelwe, ukulahlekelwa yokukhuluma, ukungabi ukuzwa ezingalweni nasemilenzeni.
• izimpawu Meningeal kumakwe.

Imiphumela ukulimala enjalo ingase ibe mibi kakhulu. Iningi izimpawu zokungasebenzi kahle kwemizwa uyephuza kakhulu letihambisana abaphindela. On ekululameni kwesiguli kungathatha izinyanga eziyisithupha noma ngaphezulu. Ngokuvamile motor anolaka nokuphazamiseka engqondweni iqhubeka isikhathi eside, futhi kwezinye izimo, zingaba imbangela ukukhubazeka.

Imiphumela esemqoka ye nokulimala engqondweni

Yini ingenza umuntu abe nethala ubuchopho contusion? Imiphumela ukulimala enjalo encike ngqo kwi amandla buhlungu. Lapho contusion yezinkinga ezinzima omnene cishe ze sebenzisa.

ngokulinganisela okulimala ebuchosheni ingaphinda ziboniswe isiphetho okwengeziwe isiguli. Lokhu kuyiqiniso ezimweni ikakhulukazi uma ukwa skull ingekho kanyekanye ne ukopha subarachnoid. Nokho, kufanele kuphawulwe ukuthi isisulu kudingeka yokwelapha okuphelele umphumela omuhle.

Kwezinye izimo, lokhu ukulimala aluphumeleli ngaphandle kokushiya nokuncane. imiphumela yayo kungaba iphimbo esibuhlungu, arachnoiditis ukucindezeleka kwangemva kwenhlekelele, isithuthwane ukucindezeleka kwangemva kwenhlekelele, encephalopathy, futhi lesi sifo of dystonia vegetative-semithambo.

Ngokuphathelene ukulimala esindayo zobuchopho, it has Izibikezelo embi kakhulu. Cishe 30-50 ukulimala% takyh ziyabulala.

Emibi kakhulu

Ekwamukelweni esindayo okulimala ebuchosheni phakathi abasindile kuyinto awokuthi okuvela nezinkinga ezilandelayo:

• ukuvuvukala (ukucindezeleka kwangemva kwenhlekelele) we meninges (meningitis, arachnoiditis, pachymeningitis);
• isithuthwane;
• yoma (kuhlasimulise) zobuchopho, isb ukwehla ivolumu ijwabu ingqondo;
• izibazi e nolwelwesi nezicubu zobuchopho;
• iphimbo kanye nomfutho wegazi ophezulu intracranial;
• izinhlumba kukhona cerebrospinal fluid;
• porentsefaliya posttraumatic;
• liquorrhea ebukhoneni ophukayo Yekhanda.

Konke lokhu uthi avele ukunyakaza iziyaluyalu athiya ukunyakaza futhi Ukuzinakekela, kanye ukwephulwa ukubambisana, inkulumo, izinkinga zempilo yengqondo, ngiphathwa ikhanda njalo kwehle ukukhalipha, ukuquleka nesiyezi. Ezimweni ezinjalo, iziguli kunqunywa iqembu ukukhubazeka ngoba balahlekelwa ikhono emsebenzini.

Sifo, ukwelashwa

Ngaphezu luhlolo zokwelapha, kanye ngezimo eziphathelene nokulimala, indima ebalulekile sitholakele CT udlala. Ngokuhamba Ochwepheshe cwaningo bayakwazi ukubona izinguquko kancane ebuchosheni, kanye ukuhlukanisa nemihuzuko yakhe futhi ukuxukuzeka, ukukhomba kanzima ukuchaza waphuka Yekhanda futhi ukopha subarachnoid.

Ukwelashwa yokulimala ezifana kufanele kwenziwe kuphela esibhedlela. Ezimweni eziningi, lapho lesion intambo enjalo isebenza yokwelapha olandelanayo. Nakuba ngezinye izikhathi isiguli kungase kudingeke ekuhlinzeni. Umbandela main ukuthi inquma inani nokuhlinzekwa ukwelashwa okuhle degree of kobukhulu ukulimala.