Liquorodynamic sokuphazamiseka okuthile ebuchosheni: izimpawu, ukwelashwa

Isikhalazo ezivamile ukuthi udokotela ungezwa kusuka iziguli zabo - ikhanda. Wakhe akhononde kokubili abadala kanye nezingane. Musa unake akunakwenzeka. Ikakhulukazi uma kukhona nezinye izimpawu. Ngokukhethekile kufanele ikhokhwe abazali ubuhlungu bekhanda kule ngane futhi ukuziphatha ebeleni, ngoba asikwazi ukuthi libuhlungu. Mhlawumbe kungenxa imithelela ukuzalwa nzima noma kwezinso azalwa naso engatholakala out zisencane. Mhlawumbe-ke liquorodynamic ukuphulwa. Kuyini, iziphi izici yalesi sifo ezinganeni nakubantu abadala ngayo futhi sibaphathe ngayo, ukuwucabangela ngokwengeziwe.

Kusho ukuthini ukwephulwa liquorodynamic

Liquor - a cerebrospinal fluid ukuthi ukhiphela njalo ku ventricles, likvoroprovodyaschih izindlela futhi isikhala subarachnoid zobuchopho nomgogodla. CSF udlala indima ebalulekile izinqubo umzimba e isimiso sezinzwa esiyinhloko, ekusekeleni homeostasis ku izicubu ubuchopho, futhi kwakha ezithile Ukuvikelwa mechanical ubuchopho.

iziyaluyalu Liquorodynamic - isimo lapho ukunikezwa kwe-kunyatheliswa cerebrospinal fluid, ikhishwe futhi reuptake. Lezi zinqubo ihanjiswa nezindlala, okuyinto zitholakala plexus choroid we ventricles ubuchopho odala ketshezi.

Esimweni esejwayelekile sokuqanjwa komzimba cerebrospinal fluid kanye umfutho esitebeleni.

Iyini indlela ukwephulwa

Cabanga ungakwazi kanjani ukuthuthukisa liquorodynamic sokuphazamiseka okuthile ebuchosheni:

1. Ukwandiswa isivinini ukukhiqizwa futhi ukuzihlalela oludakayo semithambo plexuses.
2. Siyehla isibalo sabantu ukumuncwa CSF isuke endaweni subarachnoid we ukugqagqana ngenxa constriction semithambo likvroronosnyh idluliselwe ukopha subarachnoid noma Izifo ukuvuvukala we ulwelwesi ingqondo.
3. CSF ukukhiqizwa isilinganiso kuyehla e ngenqubo evamile ukumuncwa.

Izinga ukumuncwa, ekwakhiweni Ukukhetha CSF kuthinta:

• On hemodynamics emaphakathi.
• Isimo umgoqo gazi ebuchosheni.

Ukuvuvukala ebuchosheni kwandisa umthamo yayo futhi ngakhula ingcindezi intracranial. Ngenxa yalokho - kahle kwegazi futhi ukuvaleka imithambo yegazi, esishukumisela oludakayo. Ngenxa ekuqongeleleni uketshezi izimbotshana usungaqala ngokwengxenye yokuqothulwa kwezicubu intracranial, njengoba uzoholela ekutheni ukuthuthukiswa iphimbo.

Ukwahlukaniswa ukwephulwa

iziyaluyalu Liquorodynamic ihlukaniswa ezindaweni ezilandelayo:

1. Indlela le nqubo sifo:

• Yiqiniso Okungalapheki.
• Isigaba oyingozi.

2. Izigaba ukuthuthukiswa:

• Progressive. Intracranial ingcindezi ukwanda, futhi izinqubo sokugembula ayathuthuka.
• Inzuzo. ingcindezi Intracranial uqinile, kodwa ventricles kobuchopho osuke usuvulekile.
• Subcompensated. A engozini okusezingeni eliphezulu ezihluzekile ngesikhathi sezinhlekelele. esingamanga kahle. Ingcindezi ongama likhanya yisiphi isikhathi.

3. ngalo ingaphakathi zobuchopho yenziwe yaba yasendaweni yotshwala:

• Intraventricular. Uketshezi aqoqana uhlelo ventricular zobuchopho ngenxa ukuvimbela uhlelo oludakayo.
• Subarachnoid. ukwephulwa Liquorodynamic uhlobo ongaphandle kungaholela izilonda elimazayo kwezicubu ingqondo.
• Mixed.

4. Kuye yokucindezela cerebrospinal fluid:

• Umfutho ophakeme wegazi. Isici ophezulu intracranial. Wephule outflow ka cerebrospinal fluid.
• isigaba Normotensive. ingcindezi Intracranial kuyinto evamile, kodwa ingaphakathi ventricular luyanda. Isici kulesi simo ngokuvamile kakhulu ebuntwaneni.
• Hypotension. Ngemva kokuhlinzwa outflow okweqa CSF kusuka ngaphakathi komgodi ventricular.

Izimbangela azalwa naso

Kukhona anomalies azalwa naso, okungase neqhaza yokuphula ukuthuthukiswa liquorodynamic:

• Ukuphazamiseka kwezakhi zofuzo ekuthuthukisweni utero umbungu.
• Agenesis we callosum Corpus.
• Dandy-Walker syndrome.
• Arnold-Chiari syndrome.
• Encephalocele.
• Stenosis kunomsele umnkantsha samabanga aphansi noma.
• Porentsefalicheskie izinhlumba.

Izimbangela atholwe

iziyaluyalu Liquorodynamic usungaqala ukuthuthukiswa yabo ezizathwini atholwe:

• Ukulimala umgogodla kanye nobuchopho.
• yizifo ezihlukahlukene ezithathelwanayo nemvelo yisinanakazana ukutheleleka, ezithinta isimiso sezinzwa.
• Neoplasms ngaphakathi ugebhezi, ezihlanganisa cerebrospinal endleleni uketshezi.
• Thrombosis.
• hypoxia Intrauterine ezinsukwini ezimbili zokuqala ngemva kokuzalwa.
• Choroid plexus papilloma.

Izimpawu liquorodynamic iziyaluyalu e abadala

Liquorodynamic iziyaluyalu ebuchosheni abadala ephelezelwa zimpawu ezilandelayo:

• izinhlungu zekhanda ezinamandla.
• Ukucanuzela kwenhliziyo nokuhlanza.
• Ukukhathala.
• Ovundlile ukunyakaza okungalindelekile we zamehlo.
• ithoni yanda, imisipha ukuqina.
• Ngibanjwe. ukuquleka Myoclonic.
• inkulumo sifo. izinkinga Intellectual.

Symptomatology kuphazamiseka ezinsaneni

iziyaluyalu Liquorodynamic e izingane ezingaphansi konyaka abe nezici elandelayo:

• Ukuhlanza njalo futhi ezinkulu.
• Okungalindelekile ukukhala okukhulu ngaphandle kwesizathu.
• Yehlisa fontanelle yene.
• nilile okuyisidina.
• Ingane ucobekile, bayozela.
• Ukulala siyabhubha.
• gapping.

Ngokuhamba kwesikhathi, lesi sifo kwaqhubeka kuthuthuka futhi babe ukwephulwa liquorodynamic izimpawu evelele:

• kwesilevu liqhaqhazela.
• nemilenze ukudikiza.
• flinching okungalindelekile.
• Iphazamiseke ukuphila ukweseka imisebenzi.
• Ukuphazamiseka kwezitho zangaphakathi ngaphandle kwesizathu.
• strabismus ezingenzeka.

Ngokubukeka, uzophawula inetha semithambo ku ekhaleni, entanyeni nasesifubeni. Lapho ukukhala noma behlupheka imisipha, kuba evelele.

Futhi, isazi sezinzwa sase-kungase uqaphele izimpawu ezifana:

• Hemiplegia.
• Extensor hypertonicity.
• izimpawu Meningeal.
• Ukukhubazeka kanye paresis.
• Paraplegia.
• Uphawu Graefe.
• nystagmus evundlile.
• ukukhubazeka Neurodevelopmental.

Kufanele ayevame ukuvakashela udokotela wezingane. Ngesikhathi reception, udokotela kulinganisa umthamo ikhanda, futhi esimweni zokugula kuyoba izinguquko lubonakale. Ngakho, kungase kube phakathi ukwahluka ekuthuthukiseni Yekhanda:

• Ngokushesha ikhanda iyakhula.
• It has ukuma ngendlela ephambene neyemvelo side.
• fontanels ezinkulu nezincane sikhukhumale ntshentshetha.
• Diverging ezivuzayo ngenxa ophezulu intracranial.

Zonke lezi izimpawu ukuthi syndrome iziyaluyalu liquorodynamic in izinsana. iphimbo Progressive.

Kufanele kuqashelwe ukuthi ezinsaneni kunzima ukunquma zinhlekelele liquorodynamic.

Izimpawu iziyaluyalu liquorodynamic ezinganeni ngemuva konyaka

skull wengane ngemva konyaka isivele kwakhiwa. Fontanels ivaliwe ngokuphelele futhi sutures ossified. Uma kukhona iziyaluyalu liquorodynamic ezinganeni, zikhona izimpawu waqinisa intracranial.

Kungase kube izikhalazo:

• Ubuhlungu bekhanda.
• Nokunganakwa.
• Ukukhathazeka ngaphandle kwesizathu.
• Isicanucanu.
• Ukuhlanza, okungadingi okuyokwenzeka ngemva impumuzo.

Futhi libhekene izimpawu ezifana:

• Gait Disturbed, inkulumo.
• Kukhona abahluphayo nokudidiyela ukunyakaza.
• Falls umbono.
• nystagmus evundlile.
• I "unodoli liyaphambuka ikhanda" egijima icala.

Futhi uma ubuchopho liquorodynamic ukwephulwa intuthuko kuyoba obonakalayo ngeziphambeko ezifana:

• Ingane alikhulumi.
• Sebenzisa, imishwana ngekhanda ngaphandle kokuqonda ukuthi asho ukuthini.
• Njalo ajabule.
• Ibambezelekile ukuthuthukiswa ngokobulili.
• Utfutfukisa Ukudlikizela.
• Ukukhuluphala.
• Ukuphazamiseka ohlelweni endocrine.
• I-lag enqubeni yokufunda.

Ukuxilongwa sifo izingane

Ezinganeni unyaka ngaphambi komdlavuza ngokuvamile iqala umama ucwaningo ukuqoqa ulwazi mayelana nendlela nokukhulelwa kanye nokubeletha. Ngokulandelayo, acabangele izikhalazo futhi kugcinwa abazali. Khona-ke ukuhlolwa ingane idinga Ochwepheshe enjalo:

• Neurologist.
• Udokotela wezifo zamehlo.

Ukuze sicacise uphethwe uzodinga kudlule izifundo ezilandelayo:

• US.
• computed tomography.
• MR.
• Neurosonography.

Ukuxilongwa sifo abadala

Nge ikhanda kanye nezimpawu ezichazwe ngenhla kufanele zisebenze udokotela wezinzwa. Ukuze ukusazi ngokunembile isifo esikuphethe esengeziwe nokuzelapha ngendlela bangakwazi ukunikeza izifundo ezilandelayo:

• computed tomography.
• Angiography.
• Pneumoencephalography.
• ubuchopho ECHO.
• MR.

Uma kukhona izinsolo sifo ukwephulwa liquorodynamic angaqoka wokubhoboza lumbar nge CSF ingcindezi ushintsho.

Lapho abadala ekuxilongweni ngonanzelelo sifo ecashile.

Ukwelashwa ukwephulwa liquorodynamic

I ngaphambili lesi sifo lutholwa, amathuba ngaphezulu ukubuyisela elahlekile ubuchopho umsebenzi. Uhlobo ukwelashwa akhethiwe esekelwe khona izinguquko sokugembula yesifo nesenzakalo, kanye yobudala lesiguli.

Ephambi kwezinduna waqinisa intracranial, ngokuvamile linqume isisu: "Furosemide", "Diakarb". ejenti elwa namagciwane esetshenziswa ekwelashweni izinqubo ezithathelwanayo. Kokulinganisa yokucindezelwa intracranial kanye nokwelashwa yayo - kuyinto umsebenzi oyinhloko.

Ukuze kususwe edema kanye ukuvuvukala izinqubo ezisetshenziswayo glucocorticoid izidakamizwa "prednisolone", "Dexamethasone".

Futhi ukuze unciphise edema cerebral usebenzisa amaqembu izidakamizwa steroid. Kuyadingeka ukuba kuqedwe imbangela yesifo.

Uma ezikhonjwe iziyaluyalu liquorodynamic, ukwelashwa kufanele sinikezwe ngokushesha. Ngemva kokudlulisa yokwelapha kuhlanganiswe lubonakale imiphumela emihle. Lokhu kubalulekile ikakhulukazi ngesikhathi ukukhula komntwana. Ithuthukisa intuthuko obonakalayo ekuthuthukisweni lengqondo.

Kungenzeka futhi ukwelashwa kuhlinzwa. Ingasatshenziswa kulezi zimo ezilandelayo:

• ukwelashwa izidakamizwa ayizwakali.
• Inkinga Liquorodynamic.
• iphimbo Occlusive.

ukwelashwa Steel kubhekwa esimweni ngasinye eceleni nalesi sifo sisuselwe eminyakeni, izici umzimba kanye nezifo. Ezimweni eziningi, ukuhlinzwa kobuchopho uzame ukugwema, ukuze kugwemeke umonakalo izicubu ubuchopho enempilo, futhi zisebenza ukwelashwa eziyinkimbinkimbi wezokwelapha.

Kuyaziwa, uma singelashwa liquorodynamic syndrome iziyaluyalu umntwana bebeletha 50% kuze kube iminyaka engu-3, uyasinda ebudaleni 20-30% izingane. Ngemva kokuhlinzwa, izinga lokufa kuyinto 5-15% bezingane abagulayo.

Nokufa inyuka ngenxa ukuxilongwa sekwephuzile.

Prevention ukwephulwa liquorodynamic

Izinyathelo zihlanganisa:

• ukunakekelwa okufanele kwangaphambi kokubeletha e emtholampilo. Kubalulekile ukubhalisa kusenesikhathi.
• Ukuthola esifike intrauterine izifo kanye nokwelashwa kwazo.

isonto 18-20 ultrasound ikhombisa ukuthuthukiswa zobuchopho fetus isimo oludakayo umntwana ongakazalwa. Ethemini le sikwazi ukucacisa khona noma ukungabi khona egunjini lokuhlolwa kwezifo.

• Uzokhetha kwezidingo.
• zokuqapha njalo kudokotela wezingane. Ukulinganisa selilonke Yekhanda, uma kukhona isidingo afeze Ukutadisha fundus.
• Uma kungenjalo ngokushesha ivaliwe fontanelle, futhi ultrasonography cranial kuyadingeka ukuze uxhumane udokotela ohlinza izinzwa.
• ukususwa Yazisa izimila okuyinto ukunqampunwa cerebrospinal endleleni uketshezi.
• zokuqapha njalo udokotela futhi baqhube izifundo ezidingekayo ngemuva kokulimala asebuchosheni nomgogodla.
• Ukwelashwa kusenesikhathi yezifo ezithathelwanayo.
• Nokwelashwa kwezinkinga nezifo ezingamahlala khona.
• Ukuyeka ukubhema kanye notshwala.
• Kunconywa ukuba ahambe ngoba ezemidlalo, indlela yokuphila asebenzayo.

Noma yimuphi sifo kulula ukuze kuvinjelwe noma ukuthatha zonke izinyathelo zokunciphisa ingozi yesifo. Uma kutholakala ukuthi uphethwe yini ukwephulwa liquorodynamic, imishanguzo ngokushesha waqala, le amathuba kangcono ukuthi ingane izoqonda ukuthi ngendlela evamile.