ʻO Hematoma Subdural Chronic

Anter

• Nā kumu a me nā kumu pilikia
• Nā ʻōuli o ka hematoma subdural maʻi mau
• ʻIke i ka hematoma subdural maʻi
• Nā koho lapaʻau no ka hematoma subdural maʻi
• Nānā wā lōʻihi no ka hematoma subdural maʻi
• Pehea e pale ai i ka hematoma subdural maʻi

Hematoma subdural maʻi

ʻO kahi hematoma subdural maʻamau (SDH) kahi hōʻiliʻili o ke koko ma luna o ka lolo, ma lalo o ka uhi waho o ka lolo (dura).

Hoʻomaka ka hoʻomaka ʻana e hana i kekahi mau lā a i ʻole mau pule ma hope o ka hoʻomaka mua ʻana o ke kahe ʻana o ke kahe. ʻO ka hoʻokahe pinepine ma muli o ka hōʻeha poʻo.

ʻAʻole hana mau kahi SDH mau i nā ʻōuli. Ke hana ia, koi ia i ka lāʻau ʻokiʻoki.

Nā kumu a me nā kumu pilikia

ʻO ka trauma nui a liʻiliʻi paha i ka lolo mai kahi ʻeha poʻo ke kumu maʻamau o kahi SDH mau. I nā hihia maʻamau, hiki i kekahi ke hana ma muli o nā kumu ʻike ʻole ʻia, pili ʻole i ka ʻeha.

ʻO ke kahe ʻana o ke koko e alakaʻi i kahi SDH mau i loko o nā veins liʻiliʻi aia ma waena o ka lolo a me ka dura. Ke haki lākou, kulu ke koko i kahi manawa lōʻihi a hana i kahi ʻōpala. Hoʻokomo ka hāwele i ka hoʻonui i ka kaomi i kou lolo

Inā 60 kou mau makahiki a ʻoi paha, ʻoi aku kou kiʻekiʻe o ka makaʻu no kēia ʻano hematoma. Kūleʻa ka ʻili o ka lolo ma ke ʻano he ʻāpana o ke kaʻina ʻelemakule maʻamau. Hoʻonui a hoʻonāwaliwali i nā veins, no laila ʻo kahi poʻo ʻeha liʻiliʻi paha e kumu i kahi SDH mau.

ʻO ka inu nui no kekahi mau makahiki he mea ʻē aʻe e hoʻonui i kou makaʻu no ka SDH mau. ʻO nā kumu ʻē aʻe e pili ana i ka hoʻohana ʻana i nā lāʻau hoʻoliʻiliʻi koko, aspirin, a me nā lāʻau anti-inflammatory no ka manawa lōʻihi.

Nā ʻōuli o ka hematoma subdural maʻi mau

Nā ʻōuli o kēia ʻano:

• ʻeha poʻo
• nausea
• ka luaʻi
• pilikia hele wāwae
• hoʻomanaʻo hoʻomanaʻo ʻole
• nā pilikia me ka hihiʻo
• ka hopu ʻana
• pilikia me ka ʻōlelo
• pilikia i ka ale ʻana
• huikau
• maka palupalu a palupalu paha, nā lima, a me nā wāwae
• lethargy
• nāwaliwali a palal paha
• koma

ʻO nā ʻōuli kikoʻī e hōʻike ʻia i ka wahi a me ka nui o kāu hematoma. Kū pinepine kekahi mau ʻōuli ma mua o kekahi. Hiki i ka 80 pākēneka o ka poʻe me kēia ʻano hematoma i loaʻa i ka headache.

Inā nui kou kāʻei, hiki i ka nalowale o ka hiki ke neʻe (paralysis). E lilo paha ʻoe i mea noʻonoʻo ʻole a pahee i kahi koma. ʻO kahi SDH mau e kau ana i ke kaomi koʻikoʻi ma ka lolo hiki ke hōʻeha i ka lolo paʻa a hiki i ka make.

Inā ʻoe a i ʻole kekahi mea āu e ʻike nei e hōʻike nei i nā ʻōuli o kēia ʻano, he mea nui e ʻimi koke i ke kōkua lapaʻau. ʻO ka poʻe i loaʻa i ka hopu a i ʻole lilo i ka ʻike pono e pono i ka mālama ulia pōpilikia.

ʻIke i ka hematoma subdural maʻi

E alakaʻi ana kāu kauka i kahi hoʻokolohua kino e nānā i nā hōʻailona o ka hōʻino ʻana i kāu ʻōnaehana hopohopo, e like me:

• kūlike ʻilihune
• nā pilikia hele wāwae
• hoʻohaʻahaʻa manaʻo
• paʻakikī paona

Inā manaʻo kāu kauka he SDH mau kou, pono ʻoe e hana hou i ka hoʻāʻo. ʻO nā ʻōuli o kēia ʻano e like me nā ʻōuli o kekahi mau maʻi ʻē aʻe a me nā maʻi e hoʻopili i ka lolo, e like me:

• lualua
• lesioni
• encephalitis
• hahau ʻana

ʻO nā hoʻāʻo e like me ke kiʻi ʻana o ka resonance magnet (MRI) a me ka tomography i helu ʻia (CT) hiki ke alakaʻi i kahi ʻike pololei.

Hoʻohana kahi MRI i nā nalu lekiō a me kahi māla uila e hana i nā kiʻi o kāu mau lālā. Hoʻohana kahi CT scan i mau kukuna X e hana i nā kiʻi ʻāpana o nā iwi a me nā hale palupalu i kou kino.

Nā koho lapaʻau no ka hematoma subdural maʻi

E kau ana kāu kauka i ka pale ʻana i kou lolo mai ka pōʻino mau loa a me ka hana maʻalahi ʻana i nā ʻōuli. Hiki i nā lāʻau anticonvulsant ke kōkua i ka hōʻemi ʻana i ka nui o ka hopu ʻana a i ʻole ka hōʻoki ʻana iā lākou mai ka hanana ʻia. ʻO nā lāʻau i ʻike ʻia ma ke ʻano he corticosteroids hoʻomaha i ka mumū a hoʻohana ʻia i kekahi manawa e hōʻoluʻolu i ka pehu i ka lolo.

Hiki ke mālama ʻia i ka SDH maʻi. Hoʻopili ke kaʻina hana i ka hana ʻana i nā puka liʻiliʻi i ka iwi poʻo i hiki i ke koko ke kahe i waho. Hoʻopau kēia i ke kaomi ma ka lolo.

Inā loaʻa iā ʻoe kahi kapa nui a manoanoa paha, hiki i kāu kauka ke lawe aku i kahi manawa o kahi iwi poʻo liʻiliʻi a lawe i waho o ka pūpū. Kapa ʻia kēia kaʻina hana he craniotomy.

Nānā wā lōʻihi no ka hematoma subdural maʻi

Inā loaʻa iā ʻoe nā hōʻailona e pili ana i kahi SDH mau, pono paha ʻoe i kahi ʻoki. He kūleʻa ka hopena o ka wehe ʻoki kino ʻana no 80 a 90 pakeneka o ka poʻe. I kekahi mau hihia, e hoʻi ka hematoma ma hope o ke kaha ʻana a pono e hemo hou.

Pehea e pale ai i ka hematoma subdural maʻi

Hiki iā ʻoe ke pale i kou poʻo a hoʻēmi i kou makaʻu i ka SDH mau ma nā ʻano like ʻole.

E komo i kahi mahiole i ka wā e holo ana i ke paikikala a i ʻole ke kaʻa uila. E hoʻopaʻa mau i kou kāʻei noho i loko o ke kaʻa e hōʻemi i kou makaʻeha o kahi poʻo poʻo i ka wā o kahi ulia.

Inā ʻoe e hana i kahi hana weliweli e like me ke kūkulu ʻana, komo i ka pāpale paʻakikī a hoʻohana i nā pono palekana.

Inā ʻoi aku ʻoe i ka makahiki 60, e hoʻohana i ke akahele i kāu hana i kēlā me kēia lā e pale i ka hāʻule.