Ukopha subarachnoid

ukopha Subarachnoid kubhekwa a syndrome emtholampilo. Lokhu kubonakaliswa kuyoboniswa nguMbusi ezahlukene ukuzimela nosological futhi kubangelwa izici ezahlukene. Non Kwenhlekelele ukopha subarachnoid kubhekwa bemvelo okuvele libhekisela ezihlukahlukene oluhambisana unhlangothi.

Ngokuvamile, a syndrome senziwa semithambo useshonile ukudabuka. Ngokuvamile, aneurysms zenzeka base zobuchopho endaweni lwemithambo amagatsha.

Izinto eziyingozi ezingabangela i okubangela ukopha subarachnoid, zihlanganisa umfutho ophakeme wegazi, ikakhulukazi ephelezelwa iyehla iyenyuka nsuku zonke wegazi, ukubhema, nokukhandela imbeleko temlomo ngomlomo, ukusebenzisa uphuzo ngokweqile, ukusebenzisa i-cocaine. Phakathi nenkathi kokubeletha kanye ngesikhathi sokubeletha ngokuvamile kukhona kungenzeka ukubonakaliswa sifo emitholampilo. Kufanele kuqashelwe ukuthi eziseduze ezigulini uxilongwe ukopha subarachnoid, ngokuvamile othambekele kwavela useshonile.

Kuphethe ukwelapha isifo sokuvuvukala kwemithambo ngaphandle ukudabuka expediently ngesilinganiso esingamaphesenti amamilimitha angu ezingaphezu kweziyisikhombisa e sifo emitholampilo umlando, ebukhoneni aneurysms lingaze nezinye engcupheni.

Ngezinye kokuveza komunye umkhaya ezimbili amacala ukopha subarachnoid kuqala-degree isihlobo, amalungu aso kufanele ubambe MR angiography njengendlela ukuhlolwa.

I yezimbangela ezivame kakhulu nokuguqulwa syndrome ongakaphathelani aneurysms zihlanganisa amakhefu elincane imithambo intradural, isifo sokuvuvukala kwemithambo mycotic, immunodeficiency noma Umthambo ahlobene nezidakamizwa. Njengoba umkhuba ubonisa, tigameko amacala yansukuzonke ngephesenti elilodwa ngonyaka ka.

ukopha Subarachnoid ebuchosheni ngomshini evelela ukubonakaliswa izimpawu zokwelashwa. Ukuqinisekiswa uphethwe Kwenziwa esebenzisa CT. Lapho uqhuba CT akunakwenzeka ukufunda noma akunamthelela, aqokwe lumbar wokubhoboza (LP).

ukopha Subarachnoid. izimpawu

I ukubonakaliswa isici kakhulu lesi sifo zihlanganisa okungazelelwe noma ukuthuthukisa ngemizuzwana noma imizuzu yikhanda ezinzima. Ezimweni eziningi, iziguli kuqhathaniswa ngayo buhlungu ezicijileyo kakhulu ikhanda. Ngemva imizuzwana embalwa, cishe isigamu seziguli ulahlekelwe ukwazi lapho angesabi walulama ezimweni eziningi. Isithombe emitholampilo ingafaniswa nakwisyncope noma nokuquleka. Kufanele kuqashelwe ukuthi ekuthatheni isithuthwane ngokuvamile eba nenkinga yokopha subarachnoid, futhi kwezinye iziguli uwukubonakaliswa iziyaluyalu neurogenic we isigqi inhliziyo. I kwasendaweni we useshonile kungenziwa kubonakala ukukhanya noma omnene ebalulekile kusilela zezinzwa. Ngemva kwamahora ambalwa ngemuva subarachnoid ukopha kuvame kubonakala aqinile imisipha entanyeni.

Ezimweni omnene, iziguli zingase zibe nomuzwa wokuthi isicanucanu, ubuhlungu entanyeni, ngezinye izikhathi ngephutha okwatholakala a osteochondrosis wesibeletho. Okuvela okungazelelwe ubuhlungu phakathi izindwani ehlombe noma engxenyeni engezansi entanyeni kubonisa ukopha umgogodla.

Imiphumela yaloku kuhlola okungenhla kumele ahlukaniswe kusuka cerebral thrombosis emithambo yegazi, meningoencephalitis, migraine, sinusitis, unesifo sikashukela encephalopathy, degree oyingozi.

Yethula isikhala subarachnoid ka igazi ayikwazi ukutholwa CT ekupheleni kosuku, ngemva kwezinsuku ezinhlanu, akaphindanga ezitholakele kwesigamu amacala.

Ukuqinisekiswa uphethwe nokungethenjwa ngokuqondene subarachnoid ukopha useshonile kuhilela ukusetshenziswa angiography cerebral hlelo kanye nokulaliswa esibhedlela emnyangweni neurosurgical uzingela aneurysms. Uma ukuthola ezinzima ikhanda LP nakuma-CT wenza emavikini ekucala ezimbili lesi sifo, baqiniseka evamile, hagiography cerebral is ayizange inikezwe.