Yuav ua li cas kom paub qhov nce intracranial siab thiab tsis poob rau hauv coma

2024 Tus sau: Malcolm Clapton | [email protected]. Kawg hloov kho: 2023-12-17 03:58

Lub neej hacker tau sau 10 cov tsos mob uas koj yuav tsum tau khiav mus rau tus kws kho mob.

Nce Intracranial hypertension Intracranial siab, los yog kub siab, yog ib yam mob uas ib yam dab tsi yog nias rau ntawm lub paj hlwb. Piv txwv li, qhov no tshwm sim yog tias ib tug neeg tsim cov kua cerebrospinal ntau, cov qog nqaij hlav hauv hlwb, los yog cov ntshav ntau nyob rau ntawd. Thiab lub cranium tsis tuaj yeem ncab. Yog li ntawd, lub siab nce, Intracranial Pressure (ICP) ntawm Cov Saib Xyuas ua ntau dua 20-25 mm Hg thiab ua rau cov tsos mob tsis zoo.

Tab sis nws yuav tsum nco ntsoov tias cov cim qhia ntawm lub siab intracranial siab yog nonspecific thiab tuaj yeem qhia cov kab mob sib txawv kiag li. Yog li ntawd, tsis txhob ntshai yog tias koj pom cov kev hloov pauv hauv koj tus kheej. Nws yog qhov zoo dua los qhia tus kws kho mob lossis kws kho mob hlwb txog lawv, thiab tus kws kho mob twb txiav txim siab ua dab tsi. Nws yog ib qho tsim nyog them sai sai rau cov tsos mob zoo li no.

1. Mob taub hau

Qhov no yog qhov mob taub hau feem ntau tshwm sim los ntawm kev hloov pauv idiopathic hauv CSF siab kos npe ntawm intracranial siab. Lub malaise tuaj yeem tshwm sim nws tus kheej hauv ntau txoj hauv kev Mob taub hau hauv Idiopathic Intracranial Hypertension: Kev Tshawb Nrhiav Los ntawm Idiopathic Intracranial Hypertension Treatment Trial. Feem ntau nws zoo li migraine: muaj pulsations nyob rau hauv lub taub hau thiab qhov muag tsis pom kev, tsis hnov lus deteriorates. Tab sis tsis zoo li migraines, qhov mob thiab xuav hauv pob ntseg tshwm sim synchronously. Hauv lwm qhov xwm txheej, mob taub hau yog nyem, nias, maj mam zuj zus, tshwj xeeb tshaj yog nrog kev tawm dag zog lub cev, txham lossis hnoos.

Cov tshuaj tua kab mob hauv khw muag khoom feem ntau tsis pab Headache tswj cov tsos mob no.

2. Ntsws

Intracranial hypertension tuaj yeem ua rau kev ua haujlwm txawv txav hauv hlwb hlwb. Lawv pib xa hluav taws xob impulses uas ua rau qaug dab peg, nce intracranial siab. Qee lub sij hawm nws yog ib qho mob hnyav, mob nqaij leeg, xws li hauv ceg lossis caj npab. Thiab qee zaum nws yog qhov pom kev twitching ntawm limb. Hauv qhov xwm txheej hnyav, ib tus neeg txawm poob tsis nco qab, thiab qaug dab peg zoo li kev tawm tsam ntawm qaug dab peg.

3. pw tsaug zog

Kev xav kom pw tsaug zog uas tshwm sim thaum nruab hnub tsis yog ib txwm cuam tshuam nrog nce intracranial siab. Yog tias koj nyob tsis tu ncua, pw tsawg dua 7 teev hauv ib hnub, lossis nkees heev, ces kev tsaug zog yog qhov tshwm sim ntawm qhov tsis txaus.

Tab sis yog tias koj tsaug zog 7-8 teev thiab tseem xav pw tsaug zog thaum nruab hnub, thiab tseem pom lwm cov tsos mob ntawm koj tus kheej, ces koj yuav tsum mus ntsib kws kho mob.

4. ntuav

Yog hais tias ib tug neeg muaj kab mob plab los yog raug lom nrog ib yam dab tsi, ces ua ntej pib ntuav nws pom tau tias tsis tshua muaj ua rau emesis xeev siab, thiab muaj qaub ncaug ntau hauv qhov ncauj. Tab sis nrog nce intracranial siab, gag reflex tshwm sim dheev, yam tsis muaj kev xav ua ntej. Thiab cov tsos mob no tuaj yeem rov qab tau ntau zaus ntawm ntau lub sijhawm ntawm hnub.

5. Ntshai

Nrog rau intracranial hypertension, qee qhov ntawm lub hlwb uas yog lub luag haujlwm rau lub cev rhiab heev ntawm lub cev tsis ua haujlwm zoo. Yog li ntawd, ib tug neeg yuav muaj zog intracranial siab loog loog nyob rau hauv cov ceg, ntsej muag, los yog lwm qhov chaw. Nws tag nrho nyob ntawm seb cov paj hlwb puas cuam tshuam.

6. Paresis thiab cov leeg tsis muaj zog

Yog hais tias, vim muaj zog intracranial siab, cov hlab ntsha endings muaj zog compressed thiab impulse conduction cuam tshuam, ces nqaij contraction zuj zus. Piv txwv li, ib tug neeg muaj qhov tsis muaj zog ntawm nws txhais tes thiab nws tsis tuaj yeem tsa nws saum lub xub pwg nyom lossis nyem ib yam khoom. Hauv qhov mob hnyav, tus ceg ceg feem ntau yog tuag tes tuag taw. Qhov no feem ntau tshwm sim nrog cerebral hemorrhage thiab tsim ntawm hematoma Intracranial hematoma.

7. Kev tsis pom kev

Qhov nce intracranial siab tuaj yeem ua rau lub paj hlwb. Yog li, cov teeb meem tsis pom kev tshwm sim, nce intracranial siab. Piv txwv li, ob lub zeem muag thiab qhov muag tsaus nti, qee zaum cov duab ua tsis pom, pom qhov muag plooj, thiab qee tus neeg txawm pom tias nws nyuaj rau dov lawv lub qhov muag. Thaum hnoos los yog txham, cov tsos mob no feem ntau tshwm sim los ntawm Intracranial hypertension.

8. Hloov qhov loj ntawm cov menyuam kawm ntawv

Hauv ib tus neeg noj qab haus huv, cov menyuam kawm ntawv hnov mob nrog Cov Lus Teb anisocoria nyob rau hauv cov menyuam kawm ntawv lub teeb thiab tsaus ntuj reflex mus rau qib ntawm illumination tib lub sijhawm. Lawv nqaim yog tias muaj qhov kaj ntau, thiab nthuav dav hauv qhov tsaus ntuj. Txawm hais tias koj ci lub teeb nyem rau ntawm ib lub qhov muag, tus menyuam kawm ntawv ntawm lwm qhov tseem yuav me me tam sim ntawd. Tab sis qee zaum, nrog kev nce siab hauv intracranial, cov tshuaj tiv thaiv rau lub teeb yog ncua, vim qhov tseeb tias cov hlab ntsha optic yog pinched. Qee lub sij hawm tus mob yog li tsis quav ntsej tias cov menyuam kawm ntawv muaj qhov sib txawv tas li. Nws hu ua Anisocoria Anisocoria.

9. Kev chim siab

Yog hais tias ib tug neeg ib txwm muaj kev sib npaug, zoo, tab sis tsis muaj laj thawj vim li cas thiaj li ua rau khaus. Increased intracranial siab, txhoj puab heev, tej zaum nce intracranial siab yog liam. Tab sis yuav tsum muaj lwm yam tsos mob thiab.

10. Tsis nco qab

Lub siab surge nyob rau hauv lub cranial kab noj hniav, tshwj xeeb tshaj yog ib tug tam sim ntawd, tuaj yeem ua rau tsis nco qab. Qhov no yog qhov teeb meem nrog Intracranial hypertension, xws li mob stroke, lub taub hau raug mob, lossis lub hlwb abscess. Hauv qhov xwm txheej hnyav, ib tus neeg txawm poob rau hauv coma.

Yuav ua li cas nrog nce intracranial siab

Raws li peb tau hais los saum toj no, yog tias ob peb yam tsos mob tshwm sim, nws yog qhov zoo dua mus ntsib kws kho mob. Nws yuav txiav txim siab dab tsi coj mus rau qhov nce hauv intracranial siab. Txhawm rau ua qhov no, tus kws kho mob yuav xa koj mus rau kev kuaj mob. Nws tuaj yeem ua rau nce intracranial siab:

• Tshawb xyuas cov leeg nqaij reflexes.
• Kev tshuaj xyuas cov menyuam kawm ntawv thiab kawm txog lawv cov lus teb rau lub teeb.
• CT lossis MRI ntawm lub hlwb.
• Lumbar puncture. Ua li no, ib qho me me puncture yog ua nyob rau hauv tus txha nraub qaum thiab lub siab ntawm cov kua dej uas ntws tawm ntawm qhov ntawd yog ntsuas.
• Kev ntsuas qhov siab ntawm lub ventricles ntawm lub hlwb. Ib txoj kev uas tsis tshua muaj heev nyob rau hauv uas ib tug tshwj xeeb ntsuas ntaus ntawv yog tso ncaj qha mus rau hauv lub hlwb los ntawm ib tug qhov nyob rau hauv lub pob txha taub hau.

Tom qab tus kws kho mob tshwj xeeb kuaj mob, nws yuav sau ntawv kho mob.