Hematoma subdural maʻi

ʻO ka hematoma subdural maʻamau he hōʻuluʻulu "ʻelemakule" o ke koko a me nā huahana wāwahi koko ma waena o ka ʻili o ka lolo a me ka uhi waho loa (ka dura). Hoʻomaka ka pae mau o ka hematoma subdural i mau pule ma hope o ke kahe mua.

Kūkulu kahi hematoma subdural i ka wā e haehae ai nā veins i ka haehae a hoʻokahe ke koko. ʻO kēia nā veins liʻiliʻi e holo ma waena o ka dura a me ka ʻili o ka lolo. ʻO ka hopena kēia o ka hōʻeha poʻo.

A laila hōʻiliʻili ʻia ke koko ma luna o ka ʻili o ka lolo. I kahi hōʻiliʻili subdural maʻamau, kahe kahe o ke koko mai nā veins i ka hala ʻana o ka manawa, a i ʻole he hemorrhage wikiwiki e waiho wale iā ia iho.

ʻOi aku ka maʻamau o ka hematoma subdural i ka poʻe mākua ma muli o ka shrinkage o ka lolo maʻamau i kū me ka ʻelemakule. Hoʻonui a hoʻonāwaliwali kēia shrinkage i nā veins bridging. E haki paha kēia mau uaua i nā mākua makua, ʻoiai ma hope o ka hōʻeha poʻo poʻo iki. ʻAʻole paha ʻoe a ʻo kou ʻohana e hoʻomanaʻo i kahi ʻeha e hiki ke wehewehe iā ia.

Nā pilikia me:

• Ka hoʻohana wā ʻawa lōʻihi
• Hoʻohana lōʻihi o ka aspirin, nā lāʻau anti-inflammatory e like me ibuprofen, a i ʻole ka lāʻau hoʻomāliʻi koko (anticoagulant) e like me warfarin
• Nā maʻi e alakaʻi ai i ka hōʻemi ʻana i ke kāpili ʻana o ke koko
• Poino poʻo poʻo
• ʻElemakule

I kekahi mau hihia, ʻaʻohe paha ʻōuli. Eia nō naʻe, kaukaʻi ʻia i ka nui o ka hematoma a ma kahi e kaomi ai i ka lolo, hiki i kekahi o nā ʻōuli keu aʻe.

• Huikau a koma paha
• Hoʻomanaʻo hōʻemi
• Pilikia i ka ʻōlelo ʻana a me ka ale ʻana paha
• Hele pilikia
• Hiamoe
• ʻEha poʻo
• Ka hopu ʻana i nā maʻi
• Nāwaliwali a i ʻole numbness o nā lima, nā wāwae, ke alo

E nīnau kāu mea mālama ola e pili ana i kāu mōʻaukala. E hoʻopili ka hoʻokolohua kino i kahi nānā pono o kou lolo a me kou ʻōnaehana no nā pilikia me:

• Kaulike
• Hoʻohui
• Nā hana noʻonoʻo
• Manaʻo Manaʻo
• Ikaika
• Hele wāwae

Inā loaʻa kekahi kānalua no ka hematoma, kahi hōʻike kiʻi, e like me CT a MRI paha, e hana ʻia ka scan.

ʻO ka pahuhopu o ka mālama ʻana e kaohi i nā ʻōuli a hōʻemi a pale i ka hōʻino mau ʻana i ka lolo. Hiki ke hoʻohana ʻia nā lāʻau i ke kaohi a pale ʻana i ke kau ʻana.

Pono paha ke ʻoki. Pākuʻi paha kēia i ke kalai ʻana i nā lua liʻiliʻi i ka iwi poʻo e hoʻonā i ke kaomi a ʻae i ke kahe o ke koko a me nā wai. Pono e hemo ʻia nā hematomas nui a i ʻole nā ​​huʻa koko paʻa ma o ka wehe nui ʻana i ka iwi poʻo (craniotomy).

Hematomas ʻaʻole kumu o nā hōʻailona ʻaʻole koi ʻia i ka lāʻau. Hoʻi pinepine nā hematomas subdural ma hope o ka hoʻokahe ʻia ʻana. No laila, ʻoi aku ka maikaʻi o ka waiho ʻana iā lākou i kekahi manawa ke ʻole lākou e hoʻokumu i nā hōʻailona.

ʻO nā hematomas subdural Chronic e kumu i nā ʻōuli ʻaʻole maʻamau e hoʻōla iā lākou iho i ka manawa. Koi pinepine lākou i ke kahakaha, keu hoʻi ke loaʻa nā pilikia neurologic, ka hopu ʻana, a me nā poʻo hina mau.

Komo pū nā pilikia:

• Poino lolo paʻa
• Nā ʻōuli hoʻomau mau, e like me ka hopohopo, huikau, paʻakikī e hoʻolohe, pākī, ʻeha poʻo, a me ka nalo ʻana o ka hoʻomanaʻo
• Ka hopu ʻana i nā maʻi

E kāhea koke aku i kāu mea hāʻawi inā ʻo ʻoe a ʻohana paha kahi hōʻailona o ka hematoma subdural maʻi mau. ʻO kahi laʻana, inā ʻike ʻoe i nā ʻōuli o ka huikau, nāwaliwali, a i ʻole ka helu ʻana o nā pule a mau mahina paha ma hope o ka hōʻeha poʻo i kahi makua makua, e hoʻopili koke aku i ka mea hāʻawi.

Lawe i ke kanaka i ka lumi pilikia a kāhea paha iā 911 a i ʻole ka helu kūloko kūloko inā ke kanaka:

• Loaʻa nā haʻalulu (hopu)
• ʻAʻole makaʻala (nalowale ka ʻike)

Hōʻalo i nā hōʻeha poʻo ma ka hoʻohana ʻana i nā kāʻei noho, paikikala a me nā mahiole mokokaikala, a me nā pāpale paʻakikī ke kūpono.

Subdural hemorrhage - maʻi mau; Subdural hematoma - mau; Hydoma Subdural

Chari A, Kolias AG, Borg N, Hutchinson PJ, Santarius T. Hoʻolālā olakino a me ka hoʻokele ʻana o nā hematomas subdural maʻi mau. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 34.

ʻO Stippler M. Craniocerebral trauma. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 62.