Kunezindlela eziningi ezahlukene zokulimaza ubuchopho
Kunezinhlobo eziningana zokulimala kwengqondo ebuhlungu, kodwa zonke ziwela ezigabeni ezimbili kuphela: kuvaliwe noma kungena ngaphakathi. Ukulimala kwekhanda okuvaliwe kubhekiswa ukushaya ekhanda kanzima ngokwanele ukulimaza ubuchopho ngaphandle kokuwuthinta ngokuqondile. Lolu hlobo lokulimala kobuchopho olubuhlungu akudingeki luvele ngokuqondile, noma. Kungabanjwa ngama-shockwaves, njenge-explosion, noma ekungquzululeni kabi, njenge-syndrome ye-baby shaken.
Ukulimala okwephutha ebuchosheni kuvela ezintweni ezinjengezibhamu nezibhamu . Ukulimala okungenangqondo kwe-brain kungavamile kakhulu kunokulimala kwekhanda okuvaliwe nokunye okuqondile: Okungena ku-skull futhi kulimaza ngqo izicubu zobuchopho.
Ukulimala Okubuhlungu KwamaBrain Okuvaliwe
Ukulimala kwekhanda kuvaliwe kunzima kakhulu futhi kunezethulo eziningana ezihlukene (amaphethini wezibonakaliso nezimpawu). Lezi yizinhlobo ezahlukene zokulimala kokuchofoza ebuchosheni obuvaliwe:
- Izimpikiswano : Lezi yizona zinhlobo ezivame kakhulu zokulimala kwengqondo ebuhlungu. Akuyona into eyaziwa kakhulu ngokuthi izimpikiswano zisebenza kanjani. Ngenkathi izimpikiswano ngokuvamile zibhekwa njengezincane, ukuhlukumezeka okuningi kuhlanganiswe nethuba elengeziwe lemibandela yobuchopho kamuva ekuphileni.
- I-hematomas ye-epidural : Lezi yizihlobo ezibulalayo kakhulu zokulimala kwengqondo ebuhlungu. Ama-hématomas e-Epidural ayenzeka lapho igazi lihlanganisa phakathi kokumboza kanzima kobuchopho kanye ne-skull, ngokushesha kubeka ingcindezi ebuchosheni. Ekuqaleni, ngenxa yendlela abahlukunyezwa ngayo i-hematoma ye-epidural, kungase kube nzima ukutshela umehluko phakathi kwe-hematoma ye-epidural ne-concussion.
- I-hematomas engaphansi kwesigcawu : Ama-hematomas angaphansi kwamagama afana nezidakamizwa ze-epidural, kodwa ngokuvamile azibangela izinkinga ezibonakalayo zezinzwa ngokushesha noma ngokumangalisayo. Kulesi simo, igazi lihamba kancane kancane ngaphansi kokumboza kanzima kobuchopho, kuthatha isikhathi esiningi ukwakha ingcindezi. I-hematomas engaphansi kwesidlangalaleni ijwayele kakhulu kulabo abathatha igazi abanomzimba kanye nalabo abanesidakwa.
- I-aneurysm ye-cerebral: I-aneurysm ye-cerebral iyisithakathaka segazi esibuthakathaka ebuchosheni obungasakazeka ngokungalindelekile. Ama-Aneurysms angase aphule ngesikhathi sokucindezeleka noma ngengozi ekhanda, kodwa ngokuvamile ayikho indlela yokuthola ukuthi kungani i-aneurysm ihlukana. Lapho i-aneurysm ihlukana ngokuzenzekelayo, ivame ukubizwa ngokuthi yisifo sofuba .
Ukuhlukana kwezibonakaliso nezimpawu zohlobo ngalunye lokulimala kobuchopho obuhlungu kuyingozi. Ukuzibona akunakwenzeka ngaphandle kwemishini ekhethekile. Usizo lokuqala lufana nhlobo kuzo zonke izinhlobo zokulimala kwengqondo ebuhlungu.
> Imithombo:
> Ala-Seppälä H, et al. Amaphrofayili Okulimala, Ukuhlaziya Ukuzibandakanya Nokuzimela Kweziguli Eziphethe I-TBI Ukuya eMnyangweni Wezimo Eziphuthumayo. I-Brain Inj. 2016 Jun 13: 1-6. [I-Epub ngaphambi kokuphrinta]
> Huisman TA, iPoretti A. Trauma. I-Handb Clin Neurol . 2016; 136: 1199-220. i-doi: 10.1016 / B978-0-444-53486-6.00062-4.
> Esnault P, et al. Ukulimala Okungalungile Kwama-Brain Traumatic Injury: Isigameko, Izingozi Zezingozi, Nokuziphendukela Kwemvelo. J Neurosurg . 2016 Jul 29: 1-7. [I-Epub ngaphambi kokuphrinta]