Ukopha ebuchosheni ngayo lapho usana: Izimbangela Nemiphumela

Ukopha ku ubuchopho kuzalwa, owaziwa nangokuthi ukopha intracranial, ngenxa ukudabuka yegazi ngaphakathi ugebhezi. Lokhu kungaba ngenxa yokushodelwa umoya futhi bone ukusonteka ngesikhathi sokubeletha. Ukopha ebuchosheni ijwayeleke kakhulu phakathi ababelethwa kungakafiki isikhathi, lapho kukhona ischemia - enganele ukugeleza kwegazi ebuchosheni hypoxia - ukwehla, umoyampilo egazini.

izinsana Iningi nge ukopha intracranial engazizwa izimpawu. Kodwa lesi simo kungaholela namandla, abantu abaningi abasinaki futhi izinkinga nge yokudla. Kuye lapho ebuchosheni Wopha kule osanda kuzalwa, it is labizwa zibe izinhlobo eziningana.

• ukopha Subarachnoid kwenzeka esikhaleni phakathi ulwelwesi arachnoid ezithambile ukumboza ingqondo. Kuyinto ifomu evamile ebangela ukopha intracranial futhi ngokuvamile kwenzeka izinsana umnyuziki eside. Lapho subarachnoid ukopha ingane ngezinsuku zokuqala ezimbalwa ekuphileni kungase kudingeke nokuquleka ngezikhathi ezithile. Khona-ke, isimo sibuyela kwesejwayelekile.
• ukopha Subdural kwenzeka phakathi amagobolondo yangaphandle futhi kwangaphakathi zobuchopho ngenxa ukulimala ekhanda. Okwamanje, kuba impela ezingavamile ngenxa yokuthuthukiswa ngezinga amasu ukulethwa. Uma kukhona ukopha subdural ebuchosheni ezinsaneni, imiphumela ingase ibe mibi. Ukopha kungaholela osindayo phezu ebuchosheni, okungase kuholele ekubeni uthunyelelwe amazinga aphezulu bilirubin egazini noma kubangele ukuthuthukiswa izifo zezinzwa.
• ukopha Intraventricular ebuchosheni ngayo lapho usana kwenzeka eku- cerebrospinal izimbotshana eligcwele uketshezi yobuchopho (i-ventricles). Ngokuvamile kwenzeka abantwana nisebancane kakhulu ngenxa nokungathuthuki zobuchopho. Kwengozi ukopha abanjalo bangabaphostoli izinsana abazalwa ngaphambi kwamasonto angu-32 okukhulelwa. Njengoba ingqondo namanje ekuthuthukiseni preterm izinsana kufanele ukukhuthazela okukhulu, ukopha ngokuvamile kukholelwa ezinsukwini zokuqala ezintathu zokuphila futhi akabubangeli izinkinga okwalandela. ukopha Okuningi ezinzima, okuholela ukugcwaliswa ephelele ventricles ngegazi, kungabangela ukulimala "grey ndaba", okuyinto lihlotshaniswa yezinkinga ezifana izinkinga cerebral palsy futhi kokuziphatha.

Ukopha ebuchosheni we olusanda kuzalwa ngomshini ultrasound. Zonke izinsana ne ukopha intracranial, kumele zithole ukunakekelwa ethuthukisiwe, kanye nokwelashwa ehlanganisa uketshezi emthanjeni nezinye izinqubo ukuze silondoloze imisebenzi umzimba, kuze kube yilapho esepholile. Lapho subdural yokwelapha ukopha kumele kukhiqize ohlinzayo. Ngokunakekela efanele kanye nokwelashwa ukopha intracranial akakubangeli izinkinga zesikhathi eside. Nakuba imiphumela ixhomeke ezicini eziningi, kuhlanganise ngobucayi isifo, kube sezingeni ukulimala ebuchosheni, nezinye zezifo namagciwane litholakale ingane. Ukuze Usana kokuba ukopha ebuchosheni, esikhathini esizayo kungaba ukuthuthuka ngokusemandleni abo uma esiphezulu, abazali kufanele wamnika isimo esivumayo eminyakeni yokuqala yokuphila.