I-hemorrhage ye-subdural ichaza uhlobo lokuphuma kwegazi olubangela ukucasuka nokucindezelwa ebuchosheni. I-hemorrhage ebizwa nge-subdural inikezwa lelo gama ngoba likhona esifundeni esibizwa ngokuthi indawo engaphansi komhlaba. Isikhala esingaphansi komhlaba yisikhala esivela phakathi kobuso bobuchopho nokugcina, okuyingqimba yezicubu ezivikelayo phakathi kobuchopho kanye ne-skull.
Iyini i-Dura?
I-meninges yizingxenye ezintathu zezicubu, i-pia, i-arachnoid ne-dura. Ama-meninges azungeze ubuchopho nomgogodla, okwenzela umkhumbi wokuvikela. Kukhona izakhi kanye nemithambo yegazi ehamba emadodeni. Uhlobo oluthambile olubizwa ngokuthi i- cerebrospinal fluid , lubricates, luvikela futhi luyondla ubuchopho nomgogodla. Ama-meninges agqugquzela uketshezi lwe-cerebrospinal ogeleza nxazonke zobuchopho nomgogodla.
Ezingxenyeni ezi-3 zama-meninges, i-dura iyona ephezulu kakhulu ebuchosheni ngokwayo futhi esiseduze ne-skull. Indawo yokugcina ibuye ibe nkulu kakhulu, inamandla kunazo zonke, futhi ivikela kakhulu izingqimba ezintathu.
Yini Ebangelwa Ukushisa Kwemvelo?
I-hemorrhage engaphansi kwe-subdural ingabangelwa ukuhlukunyezwa kwekhanda, isisu noma isifo, nakuba kungenzeka futhi ngaphandle kwesizathu esaziwayo. I-Blood thinners ingandisa amathuba okugaya igazi, ikakhulu kulabo asebekhulile.
Uma i-hemorrhage engaphansi kwe-subdural iyenzeka ngaphandle kwesizathu esicacile, ichazwa njengemvula yokuzibulala.
Ziyini Izimpawu Zemizimba Yomzimba?
Izifo ezincane ezingaphansi komhlaba zingabangela izimpawu ezihlukahlukene, kuye ngobukhulu bawo kanye nendawo ethile ngaphakathi kwe-skull.
Izimpawu zingafaka noma iyiphi inhlanganisela yalokhu okulandelayo:
- Izinsizwa-Lesi yisifo esivame kakhulu sesimiso semvelo esincane ngoba ingcindezi egazini ebuchosheni ingabangela ubuhlungu.
- Isizungu
- I-Lethargy
- Ukulahlekelwa ukuqonda- Uma i-hemorrhage engaphansi kwe-subdural inkulu, ingaphazamisa ukusebenza okuvamile kobuchopho.
- Ukuhlukunyezwa- Ukucindezela okujulile ebuchosheni kungaphazamisa umsebenzi ovamile womgogodla we-brain, okwenza kube nokuthunjwa.
- Ubuthakathaka ohlangothini olulodwa lobuso, ingalo kanye / noma umlenze- Ukucindezela ngakolunye uhlangothi lobuchopho kungaphazamisa amandla ohlangothini oluhlukile lomzimba.
- Umbono ushintsho
- Ukudideka
- Gwema noma ukufa- Lokhu kuyiphutha eliyinqaba ye-hemorrhage ye-subdural. Lapho igazi liseduze ne-brainstem, imisebenzi ebalulekile, njengokuphefumula, ingaphazamiseka.
Yini Engingayilindela Emzimbeni Wegazi?
I-hemorrhage ye-subdural ngokuvamile ibangelwa ukuphuma kwe-vein.
Ukuphuma kwegazi kungase kwenzeke kancane, futhi kungase kungabonakali izimpawu ezinzima ngokushesha. Ngokuhamba kwesikhathi, izimpawu zingase zikhule kancane kancane lapho igazi likhuphula kancane kancane ingcindezi ebuchosheni obuvela ngaphandle.
Esikhathini esiningi, ama-hemorrhages angaphansi kwe-subdural amancane noma aphakathi ngobukhulu futhi akaqhubeki ukudala izimpawu ezinzima. Igazi ngokwalo lingase lizivelele. Iningi labantu lilulameka ekudleni kwesifo sangasese kanye nesipiliyoni sesimiso sempawu ngaphandle kokungenelela kwezokwelapha.
Kodwa-ke, i-hemorrhage ye-subdural ingaba enkulu ngokwanele ukuze iphikisana nobuchopho, ebangela izimpawu ezibalulekile ze-neurological.
Uma i-hemorrhage ye-subdural ihilela inani eliningi legazi, lingabangela isifo, ngenxa yecindezelo. Ezimweni ezinzima, igazi lingabangela ukucindezeleka okukhulu, okuholela ekulahlekelweni kolwazi, noma ngisho nokufa uma igazi liveza ukucindezelwa ezingxenyeni ezibalulekile ze-brainstem ezilawula ukuphefumula nezinye izindlela zokusinda.
Iyini iHematoma engaphansi komhlaba?
I-hematoma ye- subdural iqoqo elikhulu legazi esifundeni esisodwa sobuchopho. Ngokujwayelekile, i- hematoma ye- subdural ibangelwa isifo se-subdural hemorrhage.
Iyini Ukwelashwa Kwemvelo Yomzimba?
Uma ukuphuma kwegazi kunomusa ukulinganisela, kaningi akukho ukwelashwa okudingekayo.
Ngokuvamile, kunconywa ukuba ugweme umsebenzi okhuthelayo ongakhuphula ingozi yokuhlukunyezwa kwekhanda ngenkathi igazi lihlanza.
Ngezinye izikhathi, igazi kufanele lisuswe ngenqubo yokuhlinzwa.
Izwi elivela
I-hemorrhage ye-subdural iyinkinga ebalulekile yezokwelapha, nakuba, iningi labantu lithola ukululama okuhle. Uma une-hemorrhage engaphansi kwesidlangalazi engadingi ukuhlinzwa, kungathatha izinyanga ukuze uthola ukutakula okuphelele. Uma ngabe une-hemorrhage engaphansi kwesidingo esidinga ukungenelela okuhlinzekwa, ungase ungaboni kahle ngokuphelele kuze kube izinyanga ezimbalwa ngemuva kwenqubo yakho.
Njengoba usuphulukisa, ungase uzwe ukukhathala, ikhanda, noma izimpawu zezinzwa okulindeleke ukuba zithuthuke kancane kancane.
> Umthombo:
> Ukucatshangelwa kwamaHematomas ase-Subdural, i-Carroll JJ, i-Lavine SD, i-Meyers PM, i-Neurosurg Clinic N Am. 2017 Mashi; 28 (2): 179-203