Liquorodynamic ụbụrụ ọrịa: mgbaàmà, ọgwụgwọ

The kasị mkpesa bụ na dọkịta nwere ike ịnụ ha ọrịa - a isi ọwụwa. Ya mkpesa ma ndị okenye ma ụmụaka. Adịghị ntị ka ọ gaghị ekwe omume. Karịsịa ma ọ bụrụ na e nwere ndị ọzọ ihe mgbaàmà. Akpan akpan ntị ga-akwụ ụgwọ ndị nne na nna nke isi ọwụwa na nwa ahụ na ndị omume ara, n'ihi na ọ nwere ike na-ekwu na-ewute. Ikekwe ọ bụ mmetụta nke a siri ike ọmụmụ ma ọ bụ congenital abnormalities na ike ga-chọpụtara na nwata. Ma eleghị anya, ọ liquorodynamic imebi. Gịnị ka ọ bụ, ihe ndị e ji ọrịa a na ụmụaka na ndị okenye ma na-emeso, tụlee n'ihu.

Gịnị ka ọ pụtara liquorodynamic imebi

Mmanya - a cerebrospinal ọmụmụ na circulates mgbe niile na ventricles, likvoroprovodyaschih ụzọ na subarachnoid ohere nke ụbụrụ na ọgidigi azụ. CSF ekere òkè dị mkpa na metabolic Filiks ke Central ụjọ usoro, na nkwado nke homeostasis na ụbụrụ anụ ahụ, na-emepụta a ụfọdụ n'ibu nchedo nke ụbụrụ.

Liquorodynamic ọrịa - a ọnọdụ nke a mebiri nke mgbasa nke cerebrospinal ọmụmụ, ya ntọhapụ na reuptake. Ndị a Filiks na-usoro glands, nke na-emi odude ke choroid plexus nke ụbụrụ ventricles amụba mmiri mmiri.

Na nkịtị, ala nke ahụ mejupụtara nke cerebrospinal ọmụmụ na ya mgbali mụ.

Gịnị bụ usoro nke imebi

Tụlee otú pụrụ ịzụlite liquorodynamic ụbụrụ ọrịa:

1. Mụbara mmepụta ọsọ na-akpa iche mmanya vaskụla plexuses.
2. Slows ọnụego nke absorption nke CSF si subarachnoid ohere nke yitewere ruru vaskụla constriction likvroronosnyh bufee subarachnoid hemorrhage ma ọ bụ mkpali oria nke ụbụrụ membranes.
3. CSF mmepụta ọnụego na-ebelata na nkịtị usoro nke absorption.

Ọnụego nke absorption, Nwa na nhọrọ CSF emetụta:

• On Central hemodynamics.
• The ala nke ọbara-ụbụrụ mgbochi.

Mbufụt na ụbụrụ enwekwu ya olu na ụba intracranial nsogbu. N'ihi - ogbenye mgbasa ma na mkpọchi nke ọbara arịa, nke na-akpali na-aba n'anya. N'ihi na ìgwè ọmụmụ na cavities nwere ike ịmalite ele mmadụ anya n'ihu ikpochapu intracranial anụ ahụ, dị ka ọ ga-eduga mmepe nke hydrocephalus.

nhazi ọkwa nke imebi

Liquorodynamic ọrịa na-nkewa na-esonụ ebe:

1. Olee otú ọrịa usoro:

• -Adịghị ala ala N'ezie.
• The nnukwu-adọ.

2. nkebi nke development:

• Progressive. Intracranial mgbali na-abawanye, na-enweghị nchịkwa na Filiks na-enwe ọganihu.
• Ụgwọ atụrụ. Intracranial mgbali bụ anụ, ma ụbụrụ ventricles anọgide dilated.
• Subcompensated. A elu n'ihe ize ndụ nke ọdụdọ. Ejighị n'aka ala. The mgbali nwere ike ebili sharply na bụla.

3. nke uji eze nke ụbụrụ metụtara nanị akụkụ ụfọdụ na-aba n'anya:

• Intraventricular. The ọmụmụ accumulates na ventricular usoro nke ụbụrụ n'ihi ihe mgbochi nke na-aba n'anya usoro.
• Subarachnoid. Liquorodynamic imebi n'èzí ụdị pụrụ iduga na-ebibi ọnya nke ụbụrụ anụ ahụ.
• Weere.

4. Dabere na nrụgide nke cerebrospinal ọmụmụ:

• Ọbara mgbali. E ji mara elu intracranial nsogbu. Imebi outflow nke cerebrospinal ọmụmụ.
• Normotensive ogbo. Intracranial mgbali nkịtị, ma ventricular oghere a na ụba. E ji mara nke a ọnọdụ bụ Ọtụtụ na nwata.
• Hypotension. Mgbe ịwa ahụ ngafe outflow nke CSF si ventricular oghere.

Akpata congenital

E nwere congenital anomalies, nke nwere ike na-eme ka mmepe liquorodynamic imebi:

• Genetic ntụpọ na utero mmepe nke nwa ebu n'afọ.
• Agenesis nke corpus callosum.
• Dandy-Walker syndrome.
• Arnold-Chiari syndrome.
• Encephalocele.
• Stenosis akwedokt ụmị isi ma ọ bụ nke abụọ.
• Porentsefalicheskie cysts.

Akpata enwetara

Liquorodynamic ọrịa nwere ike na-amalite ha na mmepe na enwetara ihe mere:

• Ọkpụkpụ azụ mmerụ ahụ na ụbụrụ.
• Iche iche ọrịa na parasitic ọdịdị nke ọrịa, na-emetụta ụbụrụ.
• Neoplasms n'ime okpokoro isi, nke na-ekpuchi cerebrospinal ọmụmụ ụzọ.
• Thrombosis.
• Intrauterine hypoxia na mbụ na nke abụọ mgbe a mụsịrị nwa.
• Choroid plexus papilloma.

Mgbaàmà liquorodynamic ọrịa na ndị okenye na

Liquorodynamic ụbụrụ ọrịa na ndị okenye so na-esonụ mgbaàmà:

• Oké isi ọwụwa.
• Ọgbụgbọ na vomiting.
• Ike ọgwụgwụ.
• Kwụ ịsụ mmegharị nke eyeballs.
• Mụbara ụda, muscle isi.
• Ụfụ. Myoclonic ọdịdọ.
• okwu aghara. Ọgụgụ isi nsogbu.

Symptomatology nke ọrịa na ụmụ ọhụrụ

Liquorodynamic ọrịa na ụmụ n'okpuru otu afọ nwere ndị na-esonụ e ji mara:

• Ugboro na oké mmiri vomiting.
• Na-atụghị anya na-eti mkpu n'ihi na ọ dịghị ihe doro anya kpatara.
• Jiri tojuru fontanelle.
• Na-agbụ agbụ ákwá.
• Child lethargic, na-ero ụra.
• Ụra nsogbu n'obi.
• gapping.

N'ime oge ahụ, ọrịa wee na-enwe ọganihu ma na-ọzọ akpọ ịrịba ama liquorodynamic imebi:

• Tremor agba.
• aka na ụkwụ twitching.
• Ịsụ flinching.
• Akwusila ndụ support ọrụ.
• Na-enwe nsogbu ndị esịtidem akụkụ n'ihi na ọ dịghị ihe doro anya kpatara.
• Ekwe Omume strabismus.

Anya, ị ga-achọpụta na vaskụla net n'ime imi, olu na obi. Mgbe ákwá ma ọ bụ straining mọzụlụ, ọ na-aghọ ihe akpọ.

Ọzọkwa, ọkà mmụta ọrịa akwara nwere ike mara ndị dị otú ahụ ihe ịrịba ama:

• Hemiplegia.
• Mgbatị hypertonicity.
• Meningeal ịrịba ama.
• Mkpọnwụ na paresis.
• Paraplegia.
• Mgbaàmà Graefe.
• Kwụ nystagmus.
• Neurodevelopmental nkwarụ.

Ị ga mgbe niile gaa pediatrician. Na n'ikuku, a dọkịta ji olu nke na-isi, na ikpe nke daa ọrịa ga-kwesiri ngosi mgbanwe. Ya mere, nwere ike ịbụ ụfọdụ mgbanwe na mmepe nke okpokoro isi:

• Ngwa ngwa isi na-abawanye.
• Ọ nwere unnaturally elongated udi.
• Large na obere fontanels zaa, idakpimkpim.
• Diverging seams ruru elu intracranial nsogbu.

All ndị a bụ ihe ịrịba ama na syndrome amalite liquorodynamic ọrịa na ụmụ ọhụrụ. Progressive hydrocephalus.

Ọ ga-kwuru na na ụmụ ọhụrụ bụ ike ikpebi liquorodynamic ọdụdọ.

Ịrịba ama liquorodynamic ọrịa na ụmụ mgbe a afọ

The nwa okpokoro isi mgbe a afọ esesịn a kpụrụ. Fontanels kpamkpam mechiri na isi agịga Ma do ossified. Ọ bụrụ na e liquorodynamic ọrịa na ụmụ, e nwere ihe ịrịba ama nke mụbara intracranial nsogbu.

E nwere ike ịbụ mkpesa:

• Isi ọwụwa.
• Enweghị mmasị.
• Nchegbu na nkịtị.
• Ọgbụgbọ.
• Vomiting, nke na-adịghị ime mgbe enyemaka.

Na e ji dị otú ahụ ihe mgbaàmà:

• Esogbu gait, okwu.
• E nwere nsogbu na nchikota nke mmegharị.
• Falls ọhụụ.
• Kwụ nystagmus.
• The "bebi swinging isi" na-agba ọsọ ikpe.

Ma ọ bụrụ na ụbụrụ liquorodynamic mebiri ọganihu ga-kwesiri ngosi dị otú ahụ deviations:

• Child na-adịghị ekwu okwu.
• Jiri ọkọlọtọ, n'isi nkebi ahịrịokwu ahụ n'aghọtaghị ihe ha pụtara.
• Always na a ọma na ọnọdụ.
• Egbu oge mmekọahụ development.
• Amalite ụfụ.
• Ibu oké ibu.
• Disruptions na endocrine usoro.
• The lag na mmụta usoro.

Diagnosis nke ọrịa na ụmụ

Na ụmụaka ruo otu afọ tupu nchoputa mgbe amalite na a nne na a nnyocha e mere na-anakọta ozi banyere otú ime na ịmụ nwa. Ọzọ, n'ime akaụntụ mkpesa na kwuru nke nne na nna. Mgbe ahụ ule nke nwa kwesịrị dị otú ahụ ọkachamara:

• Ọkà mmụta ọrịa akwara.
• Ophthalmologist.

Iji dokwuo anya nchoputa ga-mkpa ruo ndị na-esonụ ọmụmụ:

• US.
• Agbakọrọ tomography.
• MR.
• Neurosonography.

Diagnosis nke ọrịa na ndị okenye na

Na isi ọwụwa na mgbaàmà akọwara n'elu ga-emetụta na ọkà mmụta ọrịa akwara. N'ihi na ihe ezi nchoputa na ọgwụgwọ nwere ike ekenye ndị na-esonụ ọmụmụ:

• Agbakọrọ tomography.
• Angiography.
• Pneumoencephalography.
• ụbụrụ ikwughachi.
• MR.

Ọ bụrụ na e a enyo nke syndrome liquorodynamic imebi nwere ike ikpo a lumbar mgbapu na CSF mgbali mgbanwe.

Mgbe Ịchọpụta Otú Nsogbu ndị okenye na-akwụ ihe anya kpatara ọrịa.

Ọgwụgwọ liquorodynamic imebi

The mbụ ọrịa a na-ahụrụ, na ihe Ohere iji weghachi furu efu ụbụrụ. Ụdị ọgwụgwọ na-ahọrọ dabeere na ọnụnọ nke enweghị nchịkwa mgbanwe nke ọrịa omume, nakwa dị ka ọrịa na-afọ.

Na ọnụnọ nke mụbara intracranial mgbali, na-emekarị nye iwu diuretics: "Furosemide", "Diakarb". Antibacterial mmadụ na-eji na ọgwụgwọ nke na-efe efe Filiks. Normalisation nke intracranial nsogbu na ya ọgwụgwọ - bụ isi ọrụ.

N'ihi na mwepụ nke edema na mkpali Filiks na-eji glucocorticoid ọgwụ ọjọọ "prednisolone", "Dexamethasone".

Ọzọkwa iji belata ọrịa ụbụrụ edema iji iche iche nke steroid ọgwụ ọjọọ. Ọ dị mkpa iji kpochapụ ihe kpatara nke a ọrịa.

Ozugbo mata liquorodynamic ọrịa, ọgwụgwọ a ga-ndinọ ozugbo. Mgbe-agafe jikọtara ọgwụ kwesiri ngosi ezi ihe. Nke a dị mkpa karịsịa n'oge mmepe nke nwa. Ọ mma kwesiri ngosi ọganihu psychomotor development.

Ọ dịkwa ike ịwa ahụ ọgwụgwọ. Ọ nwere ike na ndinọ na-esonụ mgbe:

• Drug ọgwụgwọ bụ adighi ike.
• Liquorodynamic nsogbu.
• Occlusive hydrocephalus.

Ịwa ahụ ọgwụgwọ a na-ewere na nke ọ bụla iche iche na ọrịa dabeere na afọ, e ji mara nke organism na ọrịa. N'ọnọdụ ka ukwuu, ịwa ahụ na ụbụrụ na-agbalị izere, iji gbochie mmebi ụbụrụ na anụ ahụ, ma na-eme mgbagwoju ọgwụgwọ.

Ọ maara nke ọma, ma ọ bụrụ na ọ bụghị mesoo liquorodynamic syndrome ọrịa na nwa enwe ọnụego bụ 50% ruo afọ 3, na-adị ndụ ruo okenye 20-30% nke ụmụ. Mgbe usiakidem, enwe, na ọnụego bụ 5-15% nke na-arịa ọrịa ụmụ.

Enwe na-abawanye ruru ka mbubreyo nchoputa.

Prevention liquorodynamic imebi

Mgbochi na-agụnye:

• Prenatal elekọta na antenatal n'ụlọ ọgwụ. Ọ dị mkpa ka aha ya dị ka n'oge dị ka o kwere omume.
• Bịara n'Ezi Oge nchọpụta nke intrauterine na-efe efe na ọgwụgwọ ha.

18-20-izu ultrasound na-egosi na mmepe nke nwa ebu n'afọ na ụbụrụ na ala mmanya nwa e bu n'afọ. Na nke a okwu anyị nwere ike ikpebi na ọnụnọ ma ọ bụ enweghị daa ọrịa.

• Nke ọma nke nnyefe.
• Ịgachi nlekota site a pediatrician. Odomo gbaa nke okpokoro isi, ma ọ bụrụ na e nwere mkpa na-ebu a na-amụ fundus.
• Ọ bụrụ na bụghị ozugbo emechi fontanelle, na cranial ultrasonography dị mkpa ịkpọ a neurosurgeon.
• Ozugbo mwepụ nke etuto ahụ nke cropped cerebrospinal ọmụmụ ụzọ.
• Ịgachi nlekota onye dọkịta na-eduzi ndị dị mkpa ọmụmụ mgbe ahụhụ ụbụrụ na ọgidigi azụ unan.
• Early ọgwụgwọ nke na-efe efe.
• Mgbochi na ọgwụgwọ nke ala ala ọrịa.
• Iji ịkwụsị ịṅụ sịga na-aba n'anya.
• Ọ na-atụ aro na-aga maka egwuregwu, ifịk ifịk si ebi ndụ.

Ọ bụla ọrịa mfe iji gbochie ma ọ bụ na-niile jikoro belata ihe ize ndụ nke ọrịa. Ọ bụrụ na a chọpụtara liquorodynamic imebi, na mee elu mee ọgwụ na-malitere, mma Ohere na a na nwa ga ịzụlite kwesịrị.