Sengoli: William Ramirez
Letsatsi La Creation: 22 September 2021
Ntlafatsa Letsatsi: 13 November 2024
Anonim
12-10-12 video03new relazione STEFANO PROFILI
Video: 12-10-12 video03new relazione STEFANO PROFILI

Ho tsoa mali ka tlasa methapo ho tsoa mali sebakeng se lipakeng tsa boko le lisele tse tšesaane tse koahelang boko. Sebaka sena se bitsoa sebaka sa subarachnoid. Ho tsoa mali ka tlasa koloi ke boemo ba tšohanyetso mme ho hlokahala tlhokomelo ea bongaka kapele.

Ho tsoa mali ka tlas'a metsi ho ka bakoa ke:

  • Ho tsoa mali ho tsoa mokokotlong oa methapo ea mali e bitsoang arteriovenous malformation (AVM)
  • Bothata ba ho tsoa mali
  • Ho tsoa mali ho tsoa ho aneurysm ea bokong (sebaka se fokolang leboteng la sejana sa mali se etsang hore methapo ea mali e thunye kapa balune e tsoe)
  • Kotsi ea hlooho
  • Lebaka le sa tsejoeng (idiopathic)
  • Ts'ebeliso ea litlolo tsa mali

Ho tsoa mali ka tlas'a metsi ho bakoang ke ho lemala hangata ho bonoa ho batho ba baholo ba oeleng mme ba otlile lihlooho. Har'a bacha, kotsi e tloaelehileng haholo e lebisang ho hemorrhage e ka tlase ke lefu la koloi.

Likotsi li kenyelletsa:

  • Aneurysm e sa senyehang bokong le methapo e meng ea mali
  • Fibromuscular dysplasia (FMD) le mathata a mang a sebetsang a lisele
  • Khatello ea mali e phahameng
  • Nalane ea lefu la liphio tsa polycystic
  • Ho tsuba
  • Ts'ebeliso ea lithethefatsi tse seng molaong joalo ka cocaine le methamphetamine
  • Ts'ebeliso ea litlolo tsa mali tse kang warfarin

Nalane e matla ea lelapa ea li-aneurysms le eona e ka eketsa kotsi ea hau.


Letšoao le ka sehloohong ke hlooho e bohloko e qalang ka tšohanyetso (hangata e bitsoang ho opeloa ke hlooho). Hangata e mpe ho feta pela hlooho. Batho ba bangata hangata ba e hlalosa e le "hlooho e bohloko ka ho fetesisa" mme ho fapana le mofuta o fe kapa o fe oa bohloko ba hlooho. Hlooho e ka qala kamora ho phatloha kapa ho phatloha maikutlo hloohong.

Matšoao a mang:

  • Ho fokotseha le ho falimeha
  • Matšoenyeho a mahlo ka leseli le khanyang (photophobia)
  • Ho fetoha ha maikutlo le botho, ho kenyelletsa pherekano le ho teneha kapele
  • Mahlaba a mesifa (haholo bohloko ba molala le mahetla)
  • Ho nyekeloa le ho hlatsa
  • Ho ba lerootho karolong ea 'mele
  • Inkela ka mahahapa
  • Molala o thata
  • Mathata a pono, ho kenyeletsoa pono e habeli, matheba a foufetseng, kapa ho lahleheloa ke pono ka nakoana leihlong le le leng

Matšoao a mang a ka hlahang ka lefu lena:

  • Mahlo a theoha
  • Phapang ea boholo ba baithuti
  • Ho thatafala ha mokokotlo le molala ka tšohanyetso, ka mokokotlo oa mokokotlo (opisthotonos; e sa tloaelehang haholo)

Lipontšo li kenyelletsa:


  • Tlhahlobo ea 'mele e ka bontša molala o thata.
  • Tlhahlobo ea tsamaiso ea boko le methapo e ka bonts'a matšoao a ho fokotseha ha methapo le ts'ebetso ea boko (focal defic neurologic deficit).
  • Tlhahlobo ea mahlo e ka bontša ho sisinyeha ha mahlo ho fokotsehileng. Letšoao la tšenyo ea methapo ea pelo (maemong a thata, ha ho na mathata a ka bonoang tlhahlobong ea mahlo).

Haeba ngaka ea hau e nahana hore u na le tšollo ea mali ea "subarachnoid", hlooho ea CT scan (ntle le dae e fapaneng) e tla etsoa hang hang. Maemong a mang, scan e tloaelehile, haholo haeba ho bile le mali a manyane feela. Haeba CT scan e tloaelehile, ho ka etsoa lumbar punct (spinal tap).

Liteko tse ling tse ka etsoang li kenyelletsa:

  • Cerebral angiography ea methapo ea mali ea boko
  • CT scan angiography (ho sebelisa dae e fapaneng)
  • Transcranial Doppler ultrasound, ho sheba phallo ea mali methapong ea boko
  • Litšoantšo tsa Magnetic resonance (MRI) le magnetic resonance angiography (MRA) (ka linako tse ling)

Morero oa kalafo ke ho:

  • Boloka bophelo ba hao
  • Lokisa sesosa sa ho tsoa mali
  • Fokotsa matšoao
  • Thibela mathata a kang ts'enyo e sa feleng ea boko (stroke)

Ho buuoa ho ka etsoa ho:


  • Tlosa likoleke tse kholo tsa mali kapa u imolle khatello bokong haeba phallo ea mali e bakoa ke kotsi
  • Lokisa aneurysm haeba tšollo ea mali e bakoa ke ho phatloha ha aneurysm

Haeba motho a kula haholo, opereishene e ka tlameha ho ema ho fihlela motho a tsitsitse.

Ho buuoa ho ka kenyelletsa:

  • Craniotomy (ho seha lesoba ka lehata) le ho phunyeletsa aneurysm, ho koala aneurysm
  • Li-coil tsa endovascular: ho kenya li-coil ka har'a aneurysm le stents ka har'a sejana sa mali ho koala likhoele ho fokotsa menyetla ea ho tsoa mali hape

Haeba ho se na aneurysm e fumanoang, motho o lokela ho shebeloa ka hloko ke sehlopha sa tlhokomelo ea bophelo mme a ka hloka liteko tse ling tsa ho nka litšoantšo.

Kalafo ea ho akheha kapa ho fokotsa ho falimeha e kenyelletsa:

  • Phala ea metsi e kenngoang bokong ho imolla khatello
  • Ts'ehetso ea bophelo
  • Mekhoa ea ho sireletsa tsela ea moea
  • Boemo bo ikhethang

Motho ea nang le tsebo a ka hloka ho robala betheng ka thata. Motho o tla bolelloa hore a qobe lintho tse ka eketsang khatello kahare ho hlooho, ho kenyelletsa:

  • Ho koba
  • Ho otloloha
  • Boemo bo fetohang ka tšohanyetso

Kalafo e ka kenyelletsa:

  • Meriana e fanoang ka mola oa IV ho laola khatello ea mali
  • Meriana ea ho thibela methapo ea methapo
  • Meriana e kokobetsang bohloko le e loantšang matšoenyeho ho kokobetsa hlooho le ho fokotsa khatello ea lehata
  • Meriana ea ho thibela kapa ho phekola ho oa
  • Lintho tse nolofatsang setuloana kapa li-laxative ho thibela ho tsitsipana nakong ea ho tsamaea ha mala
  • Meriana ea ho thibela ho oela

Hore na motho ea nang le hemorrhage ea subarachnoid o sebetsa hantle hakae ho latela lintlha tse fapaneng tse kenyeletsang:

  • Sebaka le bongata ba ho tsoa mali
  • Mathata

Botsofali le matšoao a matla li ka lebisa ho litholoana tse futsanehileng.

Batho ba ka fola ka botlalo kamora kalafo. Empa batho ba bang baa shoa, le ka kalafo.

Ho tsoa mali khafetsa ke bothata bo tebileng ka ho fetisisa. Haeba aneurysm ea boko e tsoa mali ka lekhetlo la bobeli, pono e ba mpe le ho feta.

Liphetoho tsebong le tlhokomelong ka lebaka la tšollo ea mali ea "subarachnoid" e ka mpefala mme ea lebisa ho coma kapa lefu.

Mathata a mang a kenyelletsa:

  • Mathata a ho buuoa
  • Litla-morao tsa meriana
  • Ho oa
  • Leqeba

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba uena kapa motho e mong eo u mo tsebang a e-na le matšoao a ho tsoa mali ka tlas'a metsi.

Mehato e latelang e ka thusa ho thibela tšollo ea mali ea subarachnoid:

  • Ho emisa ho tsuba
  • Ho phekola khatello e phahameng ea mali
  • Ho khetholla le ho sebetsana ka katleho le aneurysm
  • Ho se sebelise lithethefatsi tse seng molaong

Ho tsoa mali - subarachnoid; Ho tsoa mali ka tlas'a metsi

  • Hlooho - seo u lokelang ho se botsa ngaka ea hau

Mayer SA. Lefu la hemorrhagic cerebrovascular. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 408.

Szeder V, Tateshima S, Duckwiler GR. Ho ba le li-aneurysms tsa pelo le ho tsoa mali kahara subarachnoid. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 67.

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