Kūlana Decorticate

ʻO ka post decorticate kahi kūleʻa maʻamau kahi i ʻoʻoleʻa ai ke kanaka me nā lima pio, nā puʻupuʻu paʻa, a me nā wāwae i kū pololei. Kūlou nā lima i ke kino a kūlou nā pūlima a me nā manamana lima a paʻa i ka umauma.

ʻO kēia ʻano o ke kau ʻana he hōʻailona ia o ka hōʻino nui ma ka lolo. ʻO ka poʻe i loaʻa kēia ʻano pono e loaʻa koke ka lāʻau lapaʻau.

ʻO Decorticate posture kahi hōʻailona o ka hōʻino ʻana i ke ala nerve i ka midbrain, aia ma waena o ka lolo a me ka iwi kuamoo. Hoʻopili ka midbrain i ka neʻe ʻana o ka motika. ʻOiai koʻikoʻi ka kūlana decorticate, ʻaʻole ia he koʻikoʻi ma ke ʻano he ʻano kūlana ʻē aʻe i kapa ʻia he decerebrate posture.

Kū paha ka posturing ma kekahi a i ʻole ʻelua ʻaoʻao o ke kino.

Nā kumu o ka post decorticate i:

• Kahe i ka lolo mai nā kumu āpau
• Tumo koʻokoʻo lolo
• Hahau
• Ka pilikia o ka lolo ma muli o nā lāʻau, lāʻau make, a maʻi paha
• ʻO ka hōʻeha lolo lolo
• Pilikia ka lolo ma muli o ke kō ʻole o ke ake
• Hoʻonui i ka kaomi i ka lolo mai nā kumu āpau
• Tumo lolo
• ʻO ka maʻi, e like me Reye syndrome

Kū pinepine ka posturing maʻamau o kēlā me kēia ʻano me kahi pae hoʻemi o ka makaʻala. ʻO kēlā me kēia mea i loaʻa kahi kūlana kūpono ʻole e nānā koke ʻia e kahi mea mālama ola a mālama koke ʻia i kahi haukapila.

E loaʻa i ke kanaka ka lāʻau lapaʻau pilikia. Pākuʻi ʻia kēia i ka loaʻa ʻana o kahi ʻōpū hanu a me ke kōkua hanu. E hoʻokomo ʻia ke kanaka i ka haukapila a waiho ʻia i loko o ka keʻena mālama maʻi nui.

Ma hope o ka paʻa o ke ʻano, e loaʻa i ka mea hāʻawi i kahi mōʻaukala olakino mai nā lālā o ka ʻohana a i ʻole nā ​​hoaaloha a e hana ʻia kahi hoʻokolokolo kino kikoʻī. E hoʻopili kēia i ka nānā pono ʻana i ka lolo a me nā ʻōnaehana.

E komo pū paha nā nīnau mōʻaukala olakino:

• I ka manawa hea i hoʻomaka ai nā ʻōuli?
• Aia kekahi hiʻohiʻona i nā ʻāpana?
• Kūlike mau ke ʻano o ke kino?
• Aia kekahi moʻolelo o ka hōʻeha poʻo a hoʻohana paha i ka lāʻau.
• He aha nā ʻōuli ʻē aʻe i hana ʻia ma mua a i ʻole me ka kau ʻana i nā kino?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO nā hoʻāʻo ʻana o ke koko a me ka mimi e nānā i ka helu o ke koko, ka paku no nā lāʻau a me nā mea ʻona, a ana i ke kino a me nā minelala
• Cerebral angiography (kahi kala a me ka hoʻopaʻa uila x o nā kīʻaha koko i ka lolo)
• MRI a i ʻole CT scan o ke poʻo
• EEG (hoʻāʻo nalu lolo)
• Nānā kaomi Intracranial (ICP)
• Lumbar puncture e hōʻiliʻili i ka wai o ka cerebrospinal

Aia ke kuanaʻike i ke kumu. Aia paha he ʻeha o ka lolo a me nā ʻōnaehana a me nā ʻino o ka lolo paʻa, i hiki ke alakaʻi iā:

• Koma
• Hiki ʻole ke kamaʻilio
• Pālolo
• Ka hopu ʻana i nā maʻi

Ke kuʻi maʻamau - decorticate posture; ʻO ka hōʻeha lolo lolo - decorticate posture

ʻO Ball JW, Nā maʻi JE, Flynn JA, Solomon BS, Stewart RW. ʻŌnaehana Neurologic. I: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, hua. Ke alakaʻi a Seidel i ka hoʻokolokolo kino. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 23.

Hamati AI. Nā pilikia Neurological o ka maʻi ʻōnaehana: keiki. 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 59.

Papa L, Goldberg SA. Trauma poʻo. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 34.