Cerebral hypoxia

Hana ʻia ʻo Cerebral hypoxia ke lawa ʻole ka oxygen e kiʻi ana i ka lolo. Pono ka lolo i kahi lako mau o ka oxygen a me nā meaola e hana.

Hoʻopili ka Cerebral hypoxia i nā ʻāpana nui o ka lolo, i kapa ʻia ʻo hemispheres cerebral. Eia nō naʻe, hoʻohana pinepine ʻia ka huaʻōlelo e kuhikuhi i ka nele o ka lako o ka oxygen i ka lolo holoʻokoʻa.

I ka hypoxia cerebral, i kekahi manawa hoʻopau ʻia ka lako oxygen wale nō. Hiki ke kumu ʻia kēia e:

• Ka hanu ʻana i ka uahi (inhalation uahi), e like me ke ahi
• Lāʻau make kalapona
• Kāpena
• Nā maʻi e pale ai i ka neʻe ʻana (paralysis) o nā mākia hanu, e like me ka amyotrophic lateral sclerosis (ALS)
• Kiʻekiʻena kiʻekiʻe
• Puʻe ma (kaomi) ka windpipe (trachea)
• Malihini

I nā hihia ʻē aʻe, hoʻopau ʻia ka oxygen a me ka lako pono ponoola, i hoʻokumu ʻia e:

• Hopu ʻo Cardiac (ke kū ka puʻuwai i ka pauma ʻana)
• Cardiac arrhythmia (nā pilikia o ka puʻuwai puʻuwai)
• Nā pilikia o ka anesthesia laulā
• Malemo
• Ka hoʻohana pono ʻana i ka lāʻau
• Nā ʻeha i kahi keiki hānau hou i hana ʻia ma mua, i ka wā, a i ʻole ma hope koke o ka hānau ʻana, e like me ka lolo lolo
• Hahau
• Ke kaomi haʻahaʻa haʻahaʻa loa

Hoʻomaopopo loa nā pūnaewele lolo i ka nele o ka oxygen. Hoʻomaka ka make ʻana o kekahi o nā huna lolo ma mua o 5 mau minuke ma hope o ka nalo ʻana o kā lākou lako oxygen. A ʻo kahi hopena, hiki i ka lolo hypoxia ke kumu wikiwiki i ka lolo a i ʻole ka make.

ʻO nā ʻōuli o ka hypoxia cerebral māmā:

• Hoʻololi i ka nānā (inattitiveness)
• Hoʻoholo maikaʻi ʻole
• ʻOhana hoʻoneʻe

ʻO nā ʻōuli o ka hypoxia cerebral koʻikoʻi:

• Piha ʻike ʻole a unresponsiveness (koma)
• ʻAʻohe hanu
• ʻAʻohe pane o nā haumāna o ka maka i ka mālam

Cerebral hypoxia hiki ke ʻike pinepine ʻia ma muli o ka mōʻaukala o ke kanaka a me ka hoʻokolohua kino. Hana ʻia nā hoʻokolohua e hoʻoholo ai i ke kumu o ka hypoxia, a hiki pū paha:

• Angiogram o ka lolo
• Nā hoʻokolohua koko, me nā kinoea arterial a me nā pae kemika o ke koko
• CT scan o ke poʻo
• ʻO Echocardiogram, kahi e hoʻohana ai i ka ultrasound e ʻike i ka puʻuwai
• ʻO Electrocardiogram (ECG), kahi ana o ka hana uila o ka naʻau
• ʻO Electroencephalogram (EEG), kahi hoʻāʻo o nā nalu o ka lolo i hiki ke ʻike i ka hopu ʻana a hōʻike i ke ʻano o ka maikaʻi o nā hana o ka lolo.
• Hōʻike ʻia nā mana kūpono, kahi hoʻāʻo e hoʻoholo ana inā loaʻa kekahi mau manaʻo, e like me ka hihiʻo a me ka hoʻopā, i ka lolo
• Mākēneki resonance kiʻi (MRI) o ke poʻo

Inā koe wale ke koko a me ka hana o ka naʻau, ua make paha ka lolo.

ʻO Cerebral hypoxia kahi kūlana pilikia e pono ke mālama koke ʻia. ʻO ka wikiwiki o ka hoʻihoʻi ʻana o ka oxygen i ka lolo, ka haʻahaʻa o ka makaʻu no ka ʻeha o ka lolo a me ka make.

Pili ka mālama ʻana i ke kumu o ka hypoxia. ʻO ke kākoʻo ola maʻamau ka mea nui. Hoʻomaʻamaʻa ʻia:

• Kōkua hanu (mehana ea) a me ka oxygen
• Ke kāohi nei i ka helu o ka puʻuwai a me ke mele
• Nā wai, nā huahana koko, a i ʻole nā ​​lāʻau e hāpai i ke kahe o ke koko inā haʻahaʻa
• Nā lāʻau a i ʻole nā ​​anesthetics laulā e hoʻomaha ai ka hopu ʻana

I kekahi manawa hoʻomaʻalili ʻia ke kanaka me ka hypoxia cerebral e hoʻolōʻihi i ka hana o nā lolo a hoʻoliʻiliʻi i kā lākou pono no ka oxygen. Eia naʻe, ʻaʻole i hoʻokūpaʻa paʻa ʻia ka pōmaikaʻi o kēia lapaʻau.

Aia ka nānā i ka nui o ka ʻeha o ka lolo. Hoʻoholo ʻia kēia e ka lōʻihi o ka nele o ka lolo i ka oxygen, a inā paha ua hoʻopili ʻia ka meaʻai i ka lolo.

Inā nele ka lolo i ka oxygen no kahi manawa pōkole wale nō, hiki ke hoʻihoʻi ʻia kahi koma a loaʻa i ke kanaka kahi hoʻi piha a hapa paha o ka hana. Loaʻa i kekahi poʻe i nā hana he nui, akā loaʻa nā neʻe ʻole, e like me twitching a jerking, i kapa ʻia ʻo myoclonus. Kūleʻa ka hopu ʻana i kekahi manawa, a hoʻomau mau paha (kūlana epilepticus).

ʻO ka hapa nui o ka poʻe e hoʻōla hou ʻana ʻaʻole noʻonoʻo wale lākou. ʻO ka lōʻihi o ka ʻike ʻole o kahi kanaka, ʻo ke kiʻekiʻe o ka makaʻu no ka make a me ka make ʻana o ka lolo, a me ka haʻahaʻa o nā manawa o ke ola.

Hoʻopili nā pilikia o ka cerebral hypoxia i kahi ʻano vegetative hoʻolōʻihi. ʻO kēia ke kumu o ke ola o ke kanaka i nā hana maʻamau, e like me ka hanu ʻana, ke kahe o ke koko, ka hiamoe hiamoe, a me ka wehe ʻana o ka maka, akā ʻaʻole makaʻala ke kanaka a pane ʻole i ko lākou wahi. Make pinepine kēlā poʻe ma loko o hoʻokahi makahiki, ʻoiai e ola lōʻihi paha kekahi.

Pili ka lōʻihi o ke ola i ka nui o ka mālama e pale ai i nā pilikia ʻē aʻe. Pākuʻi ʻia paha nā pilikia nui:

• Wela Moe
• Nā clots i loko o nā uaua (thrombosis vein hohonu)
• Nā maʻi lepa (pulumonia)
• Kaʻai pono ʻole

ʻO Cerebral hypoxia kahi pilikia olakino. Kāhea koke iā 911 a i ʻole ka helu kūloko kūloko inā e nalowale ana kekahi a i ʻole he mau hōʻailona ʻē aʻe o ka cerox hypoxia.

Pili ka pale ʻana i ke kumu kikoʻī o hypoxia. Minamina, ʻaʻohe mea i manaʻo nui ʻia hypoxia. He mea paʻakikī kēia e pale aku ai.

Hiki ke hoola i ka Cardiopulmonary resuscitation (CPR), keu hoʻi ke hoʻomaka koke ʻia ia.

Encephalopathy Hypoxic; Anoxic encephalopathy

ʻO Fugate JE, Wijdicks EFM. Anoxic-ischemic encephalopathy. 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 83.

Greer DM, Bernat JL. ʻO Coma, ka ʻāina vegetative, a me ka make ʻana o ka lolo. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 376.

Lumb AB, Thomas C. Hypoxia. I: Lumb AB, Thomas C, hoʻoponopono. ʻO Nunn lāua ʻo Lumb's Applied Respiratory Physiology. 9th ed. Piladelapia, PA: Elsevier; 2021: chap 23.