Ngokungafani nokulimala okuvamile noma ukubola, i-subdural hematoma ingaba ingozi enkulu empilweni. Isizathu ukuthi sitholakala kugebe phakathi kwe-arachnoid kanye negobolondo elinzima lobuchopho futhi ngesikhathi esithile singabangela ukuba lufake. Yini ehambisana nalesi simo, ngokuqinisekile ungacabanga.
Izimbangela nezinqubo zokuthuthukiswa kwe-hematoma ye-subdural yengqondo
Isizathu esiyinhloko sokwakhiwa kwama-hematomas angaphansi kwe-subdural isifo se-craniocerebral. Ngaphezu kwalokho, kuvame ukuvela ohlangothini oluphambene nalokhu kushaya. Izitsha endaweni yokulimala ziphukile, futhi ukuqala kwesimiso kuqala.
Ubukhulu be-hematomas engaphansi kwe-subdural, njengomthetho, buhlaba umxhwele - bafinyelela ku-150 ml. Ngenxa yokuthi ubukhulu be-hematoma engaphansi komhlaba bukhulu kakhulu kunokujwayelekile, igazi landa ngokukhululekile phezu kwendawo mahhala. Ngesinye isikhathi ungqimba wegazi eligobile lingakwazi ukufinyelela kumamentimitha angu-50.
Ukudumaza akusona isizathu esisodwa sokwakheka kwama-hematomas angaphansi kwe-subdural. Ukulimaza kungabuye kuqale ngemuva kwezici ezilandelayo:
- isifo sesibindi;
- ukuphathwa njalo kwezidakamizwa ze-anticoagulant;
- izifo zegazi;
- izifo ezizimele;
- izinkinga zezinzwa;
- ukuthuthukisa isikhathi eside somfutho wegazi ophezulu;
- i-neoplasms enobungozi neyingozi.
Izinhlobo kanye nezindlela zokwelapha ama-hematomas angaphansi komhlaba
Ochwepheshe baqaphela izinhlobo ezintathu eziyinhloko zama-hemomas ezincane:
- subacute;
- bukhali;
- okungapheliyo.
Kuye ngezigaba, ukubonakaliswa kwenkinga kungahluka. Kodwa kunezibonakaliso ezinjalo lapho zonke izinhlobo ze-hemomas ezingezansi ezibuhlungu nezingezona ezibuhlungu zingabonakala. Lokhu kufaka lokhu okulandelayo:
- ikhanda;
- ukulahlekelwa kokuqonda;
- umsindo ezindlebeni ;
- ukwanda kwengcindezi yegazi;
- isicasuli;
- ukuhlanza;
- i-coma;
- ukuphazanyiswa emsebenzini wezingubo zokugqoka;
- ukuphazamiseka kombono.
Uma uthola lezi zimpawu, awukwazi ukulibazisa ngokuvakashela ochwepheshe. Ukuxilongwa kwe-hematoma ye-subdural kungenziwa ngokusebenzisa ukuhlolwa okuphelele, kufaka phakathi i-computer ne-magnetic resonance imaging, kanye nokuhlolwa okukhethekile.
Ukwelashwa kwe-tomography e-acute, e-subacute noma engapheli kuyadingeka kuphela ukuhlinzwa. Ukwelashwa kokugcinwa kwemvelo akubandakanyi le nkinga.
Izindlela eziphumelela kakhulu zokuqeda i-hematoma yi-resection kanye ne-bone-plastic trepanation. Esikhathini sokusebenza, lonke igazi elidlulela endaweni engaphansi komhlaba lihlanjululwa ngokuphelele, futhi ngokushesha
Muva nje, inqubo yokukhishwa kwe-hemomomas endoscopic iqala ukuthola ukuthandwa. Ihlanganisa ekukhipheni igazi elingaphezu kweqanda elincane.
Imiphumela ye-hematoma engapheli yengqondo ye-subdural
Ukuphila nge-hematoma ye-subdural kuyingozi kakhulu. Le nkinga ibhekene nemiphumela engathandeki kakhulu, engagwenywa nge ukwelashwa okufika ngesikhathi.
Ngenxa yokuthi iziguli eziningi zishaya indiva izimpawu ze-hematoma ye-subdural, izinga lokufa kulokhu kuhlasela kuhlale liphakeme kakhulu. Ngaphezu kwalokho, abantu abangazange bathole ukwelashwa ngesikhathi sengozini bekhutshazwa impilo. Kubalulekile ukukhumbula ukuthi ukufuduka nokucindezeleka kobuchopho nge-hematoma kwenzeka ngokushesha kakhulu. Ngakho-ke, amathuba okuba umsebenzi wobuchopho ungaphazamiseka kakhulu.