Ngokungafani nokuqhekeka okanye ukubola, i-hematoma engaphantsi kwezinto ingabangela ingozi ebomini. Isizathu kukuba sisekuhlakeni phakathi kwe-arachnoid kunye negobolondo elukhuni yengqondo kwaye ngezinye iinkalo kunokubangela ukuba idibanise. Yintoni eyenziwe ngolu hlobo, ngokuqinisekileyo unokucinga.
Izizathu kunye neendlela zokuphuhlisa i-hematoma yesigxina yengqondo
Isizathu esona sizathu sokwakhiwa kwama-hematomas angaphantsi kwesigxina yi-craniocerebral trauma. Ngaphezu koko, ngokuqhelekileyo kubonakala ukusuka kwicala eliphambene nendawo yokuvuthela. Iinqwelo zendawo kwindawo yokulimala ziphukile, kwaye iqala ukubola .
Ubukhulu beempawu ze-hematomas eziphantsi komhlaba, njengommiselo, ziyamangalisa - zifikelela kwi-150 ml. Ngenxa yobungakanani be-hematomas engaphantsi kweyona nto inkulu kunexesha eliqhelekileyo, igazi likhululeke ngokukhululekile ngaphezu kwendawo yokukhulula. Ngamanye amaxesha ugalelo lwegazi eligaqambileyo lingafikelela kwisiqingatha sentimitha.
Iingqungquthela akusona sizathu esisodwa sokwakhiwa kwama-hemomas. Iimemorrhage zikwaqala kwakhona kwimvelaphi yezinto ezilandelayo:
- isifo sesibindi;
- ukulawulwa kwezidakamizwa ze-anticoagulant rhoqo;
- izifo zegazi;
- izifo;
- iingxaki zeengxaki;
- ukuphuhlisa ixesha elide lokuxinzeleleka kwengozi;
- izifo ezinobungozi kunye nezibi.
Iintlobo kunye neendlela zokonyango kweempawu ze-hematomas eziphantsi kweengqondo
Iingcali zichonge ezintathu iintlobo eziphambili ze-hemomas:
- ngxaki;
- bukhali;
- engapheliyo.
Ngokuxhomekeke ekuhlelweni, imbonakalo yengxaki ingahluka. Kodwa zikhona iimpawu ezinjalo apho zonke iintlobo zeempawu ze-hemomas ezidityanisiweyo kunye ezingenasiphazamiso zingabonakaliswa. Ezi ziquka oku kulandelayo:
- intloko;
- ukulahlekelwa kwengqondo;
- ingxolo ezindlebeni ;
- kunyusa uxinzelelo lwegazi;
- isicefe
- ukuhlanza;
- coma;
- ukuphazamiseka emsebenzini we-device vestibular;
- ingxaki yombono.
Xa uchonga le mpawu, awukwazi ukulibazisa ngokutyelela kwingcali. Ukuxilongwa kwe-hematoma yesigxina kungenziwa ngoviwo olubanzi, kubandakanywa ne-computer kunye ne-imagination magnontic resonance, kunye nenani leemvavanyo ezizodwa.
Unyango lwe-acute, subacute okanye olungapheliyo we-tomography tomography iyimfuneko kuphela. Unyango olulondolozo lwengqondo alubandakanyi le ngxaki.
Izindlela ezigqwesileyo zokuphelisa i-hematoma zi-resection kunye ne-bone-plastic trepanation. Kwixesha lokusebenza, lonke igazi elikhenkcelayo kwisithuba esingaphantsi komhlaba lucocwe kakuhle, kwaye ngokukhawuleza
Kungekudala, inkqubo yokususa i-endoscopic ye-hematomas iqala ukufumana ukuthandwa. Iqulethe ekukhutseni igazi elingaphezu kwelixa elincinane.
Iziphumo ze-hematoma engapheliyo yengqondo
Ukuphila nge-hematoma yesigxina kuyingozi kakhulu. Le ngxaki ibhekene nemiphumo engathandeki kakhulu, enokuthi igwenywe ngoncedo olufike ngexesha.
Ngenxa yokuba izigulane ezininzi zilahla iimpawu ze-hematoma engezantsi, izinga lokufa kulo mlilo lihlala liphezulu. Ukongezelela, abantu abangazange bamkele unyango ngexesha lomngcipheko bekhubazeka ubomi. Kubalulekile ukukhumbula ukuba ukufuduka kunye nokunyanzelana kwengqondo kunye ne-hematoma kwenzeka ngokukhawuleza. Ngoko ke, amathuba okuba umsebenzi wengqondo ungaphazamiseka kakhulu.