Xanuunada maskaxda Liquorodynamic: calaamadaha, daaweynta

Cabashada ugu badan waa in dhakhtar ku maqli karaa bukaan - madax xanuun. Her caban dadka waaweyn iyo carruurta. Ha fiiro gaar ah u ma suurtowdo. Gaar ahaan haddii ay jiraan calaamado kale. fiiro gaar ah waa in la siiyo waalidka madax in ilmaha iyo dhaqanka ee naaska, maxaa yeelay, isagu ma dhihi karo in ay i dhaawaceysaa. Waxaa laga yaabaa in ay tahay saamaynta dhalashada adag ama aan caadi ahayn ee lagu dhasho ee laga heli karo da'da hore. Malaha waxaa liquorodynamic xadgudubyada. waa maxay, waa maxay astaamaha cudurkan ee carruurta iyo dadka waaweyn iyo sida loo daweeyo, sii fikiro.

Maxay ka dhigan tahay xadgudubyada liquorodynamic

Gudiida - dareeraha ah lafdhabarka in wareegtaa si joogto ah in intraventricular ah, likvoroprovodyaschih waddooyinkiisa iyo meel subarachnoid oo ka mid ah maskaxda iyo xangulada. CSF door muhiim ah in geeddi socodka dheefshiidka in habka dhexe ee neerfayaasha, oo lagu taageerayo homeostasis in unugyada maskaxda, iyo waxay abuurtaa a ilaalinta gaar ah si farsamaysan ee maskaxda.

xanuunada Liquorodynamic - xaalad taas oo xadgudub ku ah wareegga ah ee dareeraha lafdhabarka, ay sii daayo iyo reuptake. Nidaamkan waa mid yihiin nidaaminaya qanjidhada, kaasoo ku yaala ee plexus choroid of intraventricular maskaxda guud dareere ah.

In xaaladda caadiga ah ee Halabuurka jirka ah ee dareeraha ah lafdhabarka iyo xasilloon cadaadiska ay.

Waa maxay hab ay xadgudubyo

Fiirso sida loo horumariyo karaa xanuunada maskaxda liquorodynamic:

1. La kordhiyo xawaaraha wax soo saarka iyo la takooro plexuses vascular khamriga.
2. Gaabisaa heerka of nuugista CSF ka bannaan ee subarachnoid of xirmi ah ay sabab u tahay Cidhiidh vascular likvroronosnyh wareejiyo hemorrhage subarachnoid ama cudurada bararka xuubka maskaxda.
3. Heerka wax soo saarka CSF waa la dhimay ee geedi socodka caadiga ah ee nuugista.

Heerka nuugista, samaynta iyo CSF xulashada saameeyaa:

• On hemodynamics dhexe.
• Dawladdu waxay of jidaar dhiig-maskaxda.

Caabuq ku yimaada maskaxda ee kordhisaa mugga iyo cadaadiska intracranial kordhay. Sidaas darteed - wareegga dhiigga oo xun iyo xannibaad marinnada dhiigga, taas oo guuro khamriga. Sababo la raasamaal ah dheecaan oo ku jira godadka ku bilaabi kartaa dabar unugyada intracranial qayb ahaan, maadaama ay keeni karto in ay horumarinta yiraahdo hydrocephalus.

dirka xadgudubyada

xanuunada Liquorodynamic waxa lagu tilmaamay in meelaha soo socda:

1. Sidee waa hab cudurka:

• Dabcan Chronic.
• wajiga ba'an The.

2. Heerarka horumarinta:

• Progressive. korodhka cadaadiska Intracranial, iyo geedi socodka bahal yihiin horumar.
• Magdhow. cadaadiska Intracranial waa mid deggan, laakiin intraventricular maskaxda weli la'egayah.
• Subcompensated. khatarta A sare ee dhibaatooyinka. gobolka degganayn. Cadaadiska laga yaabaa kici maratay daqiiqad kasta.

3. In taas oo saabka of khamriga maskaxda kooban ee:

• Gudeheeda. dheecaanka ururayaa in nidaamka ventricular ee maskaxda ay sabab u xirma nidaamka khamriga ah.
• Subarachnoid. xadgudubyada Liquorodynamic nooca dibadda waxay keeni kartaa in lesions burbur ah unugyada maskaxda.
• Isku qasan.

4. Iyadoo ku xiran cadaadiska ah ee dareeraha lafdhabarka:

• Hypertension. cadaadiska intracranial sare sifo. Xadgudbay dheecaanka of dheecaan lafdhabarka.
• stage Normotensive. cadaadiska Intracranial waa caadi, laakiin saabka ventricular u korodho. Caan ku xaaladan inta badan waa in carruurnimada.
• Hypotension. Ka dib markii qaliin dheecaanka dheeraadka ah ee CSF ka saabka ventricular.

Sababaha lagu dhasho

Waxaa jira cillado lagu dhasho, kuwaas oo ka qayb laga yaabaa in xadgudubyada horumarinta liquorodynamic:

• cilladaha hiddo horumarinta utero dhiciska.
• Iskaanka of callosum gulkroppshormon ah.
• Dandy-Walker syndrome.
• Arnold-Chiari syndrome.
• Encephalocele.
• Stenosis dhuuxa biyomareenka hoose ama sare.
• fiix Porentsefalicheskie.

Sababaha helay

xanuunada Liquorodynamic bilaabi karaan horumarinta on sababaha helay:

• dhaawac lafdhabarta iyo maskaxda.
• cudurro kala duwan faafa iyo dabeecadda dulinka cudurka, saameeya habka dareemayaasha jirka.
• Neoplasms ka dhex dhaca qalfoofka, taas oo ku daboolaan waddada lafdhabarka dheecaanka.
• Thrombosis.
• hypoxia intrauterine in labadii maalmood ee ugu horreeya dhalashada ka dib.
• papilloma plexus Choroid.

Astaamaha liquorodynamic xanuunada dadka waaweyn

xanuunada maskaxda Liquorodynamic in dadka waaweyn ee ku weheliyay calaamadaha soo socda:

• madax xanuun aad u daran.
• Lalabo iyo matag.
• Daal.
• Horizontal dhaqdhaqaaq aan ikhtiyaarka lahayn ah jallo ah.
• midab la kordhiyo, murqaha.
• Gariir. qalal Myoclonic.
• disorder hadalka. Dhibaatooyinka Intellectual.

Symptomatology ee xanuunada carruurta

xanuunada Liquorodynamic in carruurta ka yar hal sano leedahay sifooyinka soo socda:

• matag soo noqnoqda iyo mudda.
• Lama filaan ah kaga qaylinaya sabab la'aan.
• Hakin yari- baxda.
• oo baroorta, sugeysayna.
• Child itaal darnaadaa, hurdo.
• Hurdo.
• gapping.

Waqti ka, cudurka sii waday in ay horumar oo ay noqoto calaamooyin ka fahmayaan xadgudubyada liquorodynamic:

• garka gariirka.
• addimada shimbirka.
• bedellan aan ikhtiyaarka lahayn.
• hawlaha taageerada nolosha carqaladeeyey.
• Rabshadaha ee xubnaha gudaha sabab la'aan.
• strabismus macquulka ah.

Arag, waxaad arki doontaa shabaqa vascular sanka, qoorta iyo laabta. Marka qaylinaya ama dhaawacaysa murqaha, waxa uu noqonayaa mid ka badan fahmayaan.

Sidoo kale, neurologist waxaa laga yaabaa in la ogaado calaamooyinkan oo kale:

• Qalal.
• hypertonicity Extensor.
• calaamadaha Meningeal.
• Curyaannimo iyo paresis.
• Paraplegia.
• Calaamadaha Graefe.
• nystagmus Horizontal.
• naafada Neurodevelopmental.

Waa in aad si joogto ah u booqdaan dhakhtarka carruurta. At soo dhaweynta, dhakhtar cabiraya mugga of madaxa, iyo in ay dhacdo cudurada noqon doono isbedelka la dareemi karo. Sidaas, waxaa laga yaabaa in qaar ka mid ah kala duwanaansho horumarinta dhaladii:

• Si dhakhso ah madaxa kor u.
• Waxay leedahay qaab dabiiciga elongated.
• fontanels waaweyn iyo kuwo yaryar barari iyo boodboodid.
• Diverging dun ay sabab u tahay cadaadiska sare intracranial.

Kuwan oo dhammu waa calaamado in syndrome isbeddesho xanuunada liquorodynamic ee dhallaanka. yiraahdo hydrocephalus Progressive.

Waa in la ogaadaa in carruurta waa adag tahay in la ogaado dhibaatooyinka liquorodynamic.

Calaamadaha cudurada liquorodynamic carruurta sanad ka dib

dhakada ilmaha sannad ka dib markii horey ayaa loo sameeyay. Fontanels gebi ahaanba la xiray iyo tolay ossified. Haddii ay jiraan xanuunada liquorodynamic carruurta, waxaa jira calaamado cadaadis intracranial kordhay.

Waxaa laga yaabaa in cabashooyinka:

• Madax xanuun.
• Arxandarro.
• Walaaca sababla'aan.
• Lalabbo.
• Matag, taas ma dhici karto ka dib markii gargaarka.

Oo waxaa lagu gartaa astaamo sida:

• wiiqmin jeediya, hadalka.
• Waxaa jira rabshooyin in isuduwidda ee dhaqdhaqaaqa.
• aragtida Falls.
• nystagmus Horizontal.
• The "madaxa Escuardo caruusada" ordaya kiiska.

Oo haddii maskaxda horumarka xadgudub liquorodynamic noqon doonaa leexashooyinkaasi dareemi sida:

• Ilmaha aan la hadlayo.
• Isticmaal caadiga ah, weedho xafiday aan fahmo macnahooda.
• Had iyo jeer in niyadda wanaagsan.
• Dib u horumarinta galmada.
• Horumarisa gariir.
• Cayilka.
• Khalkhal nidaamka hormoonada jidhka ah.
• walise in geedi socodka waxbarashada.

Cilad cudurka carruurta

In carruurta ilaa hal sano ka hor inta cudurka inta badan ku bilaabmaa hooyo iyo sahan si ay u ururiyaan macluumaad ku saabsan sida uurka iyo dhalmada. Next, tixgeliyaan cabashooyinka iyo aragtida waalidiinta. Markaas baaritaanka ilmuhu u baahan yahay ku takhasusay sida:

• Neerfaha.
• Indhaha.

Si loo xaqiijiyo cudurka u baahan doontaa inaad ku gudubto daraasaadka soo socda:

• US.
• raajito loogu xisaabiyaa.
• MR.
• Neurosonography.

Cilad cudurka ee dadka waaweyn

Iyada oo madax xanuun iyo calaamadaha kor lagu sharaxay waa in lagu dabaqaa neurologist ah. Waayo, ogaanshaha badan oo sax ah iyo daaweynta ku wareejin kartid daraasaadka soo socda:

• raajito loogu xisaabiyaa.
• ANGIOGRAFI.
• Pneumoencephalography.
• maskaxda ECHO.
• MR.

Haddii uu jiro shaki ah syndrome xadgudubyada liquorodynamic xil laga yaabaa in dalool lumbar la isbedelka cadaadiska CSF ah.

Marka dadka waaweyn ogaado lacag bixisid si aad cudurka sababaya fiiro dheeraad ah.

Daaweynta xadgudubyada liquorodynamic

The hore cudurka la ogaado, fursadaha dheeraad ah si loo soo celiyo shaqada maskaxda lumay. Nooca daaweynta waxaa lagu soo xulay oo ku salaysan joogitaanka isbeddel bahal of dhacdo cudur, iyo sidoo kale da'da bukaanka.

In joogitaanka cadaadis intracranial kordhay, sida caadiga ah kuu qori diuretics: "Furosemide", "Diakarb". wakiilada bakteeriyada loo isticmaalo in lagu daaweeyo geedi socodka faafa. Caadi cadaadis intracranial iyo sida loo daweeyo - waa hawsha ugu muhiimsan.

Waayo, ka saarida geedi socodka bararka iyo bararka waxaa loo isticmaalaa daroogada glucocorticoid "prednisolone", "Dexamethasone".

Sidoo kale si loo yareeyo bararka ee cerebral la isticmaalayo kooxaha daroogada steroid. lagama maarmaan u tahay in la baabi'iyo sababta cudur.

Marka xanuunada liquorodynamic aqoonsaday, daaweynta waa in isla markiiba ay maamusho. Ka dib markii marayay therapy isku daro natiijo wanaagsan dareemi. Tani waxay si gaar ah muhiim inta lagu guda jiro horumarinta ilmaha. Waxaa hagaajinaysaa horumarka dareemi horumarinta psychomotor.

Waxaa sidoo kale daaweynta qalliin suurto gal. Waxaa loo qaadan karaa arrimaha soo socda:

• daaweynta daroogada waa natiijo la'aan.
• dhibaatada Liquorodynamic.
• yiraahdo hydrocephalus Occlusive.

daaweynta Qalliinka waxaa loo arkaa in kiis walba si gooni gooni ah la cudurka ku saleysan da'da, sifooyinka ah u shaqeeyo iyo cudurka. Xaaladaha intooda badan, qaliin maskaxda isku dayaan in ay ka fogaadaan, si looga hortago in dhaawac unugyada maskaxda oo caafimaad qaba, iyo codsan daaweyn caafimaad oo adag.

Waxa si fiican loo yaqaan, haddii aan la daaweyn xanuunada syndrome liquorodynamic in heerka dhimashada carruurta waa 50% ilaa 3 sano, waaqsado ugu gudbaan 20-30% carruurta. Qalliinka ka dib, heerka dhimashada ee waa 5-15% carruurta jiran.

Dhimashada korodhka ay sabab u tahay cudurka daahay.

Ka hortagga xadgudubyada liquorodynamic

tallaabooyinka ka hortagga waxaa ka mid ah:

• Daryeelka dhalmada ka hor ee xarunta xannaanada hooyooyinka. Waa muhiim in la iska diiwaan sida ugu dhaqsaha badan.
• ogaado waqtigii of cudurada intrauterine iyo sida loo daweeyo.

ultrasound 18-20 todobaadkii muujinaysaa horumarka maskaxda uurjiifka iyo ilmaha aan weli dhalan khamriga gobolka. In xilli aan go'aan ka gaari kara joogitaanka ama maqnaanshaha of cudurada.

• Doorashada saxda ah ee dhalmada.
• la socodka joogtada ah by dhakhtarka carruurta. Cabirka goobada ee dhaladii, haddii ay jirto baahi ah si ay u fuliyaan daraasad of fundus ah.
• Haddii aan dhakhso loo xiray yari-, iyo ultrasonography cranial waa lagama maarmaan in la tasho qofkale oo a.
• saarista dhakhso ah burooyinka oo jaray waddo cerebrospinal.
• la socodka joogtada ah dhakhtar iyo qaban daraasaadka lagama maarmaan ka dib markii dhaawac maskaxda iyo xangulada.
• daawaynta hore ee cudurada faafa.
• Ka-hortagga iyo daaweynta cudurrada raaga.
• Si loo siiyo sigaarka iyo khamriga.
• Waxaa lagu talinayaa inaad gashaan, waayo, sports, hab nololeed firfircoon.

cudur kasta waa u fududahay in ay ka hortagaan ama ay qaadaan dhammaan tallaabooyinka si loo yareeyo khatarta ka mid ah cudurka. Haddii xadgudubyada liquorodynamic cudurka, daaweynta ah si degdeg ah loo bilaabo, si fiican fursadaha in ilmaha si caadi ah u horumariyaan doonaa.