Liquorodynamic uropi zvinetso: zviratidzo, kurapwa

The inonyanya chichemo ndechokuti chiremba anogona kunzwa kubva varwere vavo - nemusoro. Her vanotsutsumwa vakuru nevana. Regai kuteerera hazvibviri. Zvikurukuru kana pane dzimwe zviratidzo. Cherechedzai zvinofanira kubhadharwa nevabereki vane musoro ari mwana uye maitiro ari mazamu, nekuti haagoni kutaura chinokurwadza. Zvichida ndicho migumisiro kuberekwa akaoma kana vachiberekwa abnormalities anogona kuwanikwa kubva pazera duku. Zvimwe liquorodynamic kutyorwa. Chii, chii hunhu chirwere ichi muna vana uye vakuru sei kurapa, funga zvakare.

Zvinorevei liquorodynamic kutyorwa

Doro - a cerebrospinal mvura kuti circulates nguva iri ventricles, likvoroprovodyaschih nzira uye subarachnoid inosvika uropi uye musana. CSF inoita basa rinokosha mune metabolic pezvakaitwa nechepakati tsinga, kutsigira homeostasis ari uropi, anosika mumwe kudzivirira zvemaziso wouropi.

Liquorodynamic zvirwere - mamiriro umo kutyorwa riparadzirwe cerebrospinal fluid kwayo kusunungurwa uye reuptake. pezvakaitwa aya yaidzorwa omumuviri, izvo dziri mune choroid plexus uropi ventricles generating mvura.

Mune zvinoitika mamiriro muviri Kuronga cerebrospinal mvura yaro kuvafurira yakatsiga.

Chii mashandiro kuti kutyorwa

Funga sei anogona kuva liquorodynamic pfungwa zvirwere:

1. Kwakawedzera nokukurumidza uye nevamwe rinodhaka vascular plexuses.
2. DZEMUNHU DZINODZORA mwero Absorção de Água ose CSF kubva subarachnoid nzvimbo yacho bindepinde nokuda vascular constriction likvroronosnyh akatamisa subarachnoid ropa kana anogumbura nezvirwere uropi membranes.
3. CSF kugadzirwa zvazvingava ipfupi mune chakaipa pakunyudutsa Absorção de Água.

Mwero Absorção de Água, idzidziso uye kusarudzwa CSF kunokanganisa:

• On nechepakati hemodynamics.
• Mamiriro ropa-uropi nokuidzivirira.

Kuzvimba muuropi kunowedzera vhoriyamu kwayo uye kwakawedzera intracranial kuvafurira. Somugumisiro - murombo wokufambisa uye blockage rwengarava ropa, iro zvinofamba doro. Nokuda kuunganidza mvura iri in vanogona kutanga haasaruri kutsakatika intracranial munyama, sezvo kwaizounza kukura hydrocephalus.

kupatsanura pakati kutyorwa

Liquorodynamic Zvirwere dzinoiswa muzvinhu zvinotevera:

1. Ko chirwere muitiro:

• Chisingaperi kosi.
• The chenjera danho.

2. zvokukura budiriro:

• Progressive. Intracranial kumanikidzwa kunowedzera, uye pathological pezvakaitwa vari kufambira mberi.
• Ndanyarara hangu. Intracranial kumanikidzwa akatsiga, asi uropi ventricles kuramba dilated.
• Subcompensated. A mukuru mukana nematambudziko. Kusagadzikana mamiriro. The kumanikidzwa anogona kusimuka zvikuru chero nguva.

3. izvo mhango uropi vemunyika doro:

• Intraventricular. The Urume rinoungana iri ventricular hurongwa uropi nokuda mhingaidzo yacho doro hurongwa.
• Subarachnoid. Liquorodynamic kutyorwa panze mhando kungaita kuti maronda ose uropi zvinoparadza.
• Hwakakanyiwa.

4. Zvichienderana kumanikidzwa cerebrospinal Urume:

• BP. Mamirire dzakakwirira intracranial kumanikidzwa. Yatyora water drainage pamusoro cerebrospinal mvura.
• Normotensive Danho. Intracranial kumanikidzwa romuzvarirwo, asi ventricular mhango inowedzerwa. Cho ichi ezvinhu zvinokonzerwa muuduku.
• Hypotension. Pashure pokuvhiyiwa zvakawandisa water drainage ose CSF kubva ventricular mhango.

Zvinokonzera vachiberekwa

Kune vachiberekwa anomalies, izvo zvinogona kuita kuti kukura liquorodynamic kutyorwa:

• Vaberekwe vakaremara vari utero kukura azvarwa.
• Agenesis of corpus callosum.
• Dandy-Walker syndrome.
• Arnold-Chiari syndrome.
• Encephalocele.
• Stenosis mugero wemapfupa chepuraimari kana yechipiri.
• Porentsefalicheskie cysts.

Zvinokonzera vawana

Liquorodynamic zvirwere zvinogona kutanga kukura kwavo pamusoro vawana zvikonzero:

• Spinal kukuvara uye pfungwa.
• Various zvirwere uye parasitic hunhu chirwere, rinobaya tsinga.
• Neoplasms mukati dehenya, iro rinofukidza cerebrospinal mvura mvura nzira.
• Thrombosis.
• Intrauterine hypoxia mumazuva maviri okutanga pashure pokuberekwa.
• Choroid plexus papilloma.

Zviratidzo liquorodynamic zvirwere nedzevakuru

Liquorodynamic uropi zvirwere nedzevakuru pamwe anotevera zviratidzo:

• Chakakomba nomusoro.
• Svoto uye kurutsa.
• Kuneta.
• Horizontal involuntary kufamba pamusoro eyeballs.
• Inosimudzira matauriro, tsandanyama kuomarara.
• Nokugwinha. Myoclonic pfari.
• kutaura nyonganyonga. Intellectual matambudziko.

Symptomatology kuti zvirwere zviri vacheche

Liquorodynamic zvirwere muvana pasi gore rimwe vane zvinotevera unhu:

• Kakawanda uye hune kurutsa.
• Zvisingatarisirwi anochemera pasina chikonzero pachena.
• Zvishoma vashoma fontanelle.
• Monotonous mucheme.
• Mwana lethargic, hope.
• Hope anetseka.
• gapping.

Nokufamba kwenguva, chirwere mberi uye kuwedzera raidudzwa zviratidzo liquorodynamic kutyorwa:

• Tremor chirebvu.
• Mbabvu twitching.
• Involuntary flinching.
• Kwakakanganiswa upenyu rutsigiro mabasa.
• Kuvhiringidzika zvomukati pasina chikonzero.
• Possible strabismus.

Nemaziso, uchaona kuti vascular mambure mumhino, mutsipa uye chipfuva. Kana kuchema kana kutamburira tsandanyama, zvinoramba zvichitowedzera kukosha raidudzwa.

Uyewo, iyo wetsinga anogona kuona zviratidzo zvakadai:

• Hemiplegia.
• Extensor hypertonicity.
• Meningeal zviratidzo.
• Rutivi rwomuviri uye paresis.
• Paraplegia.
• Chiratidzo Graefe.
• Chinjikira nystagmus.
• Neurodevelopmental urema.

Unofanira kugara vanoshanyira wevana. Pamabiko, chiremba anoyera Vhoriyamu musoro, uye nyaya zvokurwara achava oneka kuchinja. Saka, pangava kusiyana kukura dehenya:

• Nokukurumidza musoro kunowedzera.
• Rine mavhundukiro ayo elongated chimiro.
• Large uye zviduku fontanels kuzvimba uye pfura.
• Diverging vazvo nokuda yakakwirira intracranial kumanikidzwa.

izvi zvose tiri zviratidzo kuti chirwere hwapedyo liquorodynamic zvirwere zviri vacheche. Progressive hydrocephalus.

Zvinofanira kucherechedzwa kuti vacheche zvakaoma kuona liquorodynamic nematambudziko.

Signs liquorodynamic zvirwere muvana pashure gore

Yomwana dehenya pashure gore kare akaumba. Fontanels yakavharwa chose uye sutures ossified. Kana paine liquorodynamic zvinetso kuvana, pane zviratidzo yakawedzera intracranial kumanikidzwa.

Pangava zvichemo:

• Headache.
• Nokusakendenga.
• Kufunganya pasina chikonzero.
• Svoto.
• Kurutsa, izvo hariwanikwi mushure zororo.

Uye kunoratidzwa zviratidzo zvakadai:

• Vavhiringidzike gait, matauriro.
• Kune kuvhiringidzika Kufambisa nemafambiro.
• Falls chiratidzo.
• Chinjikira nystagmus.
• The "mudhori swinging musoro" achimhanya nyaya.

Uye kana uropi liquorodynamic kutyora mberi achava kuoneka kwakadaro zvarakasiya:

• Mwana haana kutaura.
• Shandisa mwero, nomusoro mitsara pasina kunzwisisa zvazvinoreva.
• Nguva dzose afare.
• Kunonoka kurara kukura.
• Anovandudza nokugwinha.
• Kufutisa.
• Disruptions kuti kwemakemikari anobudiswa hurongwa.
• The lag ari hwekudzidza.

Chirwere chirwere muvana

In vana kusvikira gore asati kazhinji chirwere chinotanga amai uye kuongorora kuunganidza mashoko nezvekuti nepamuviri uye pakusununguka. Next, kufungawo zvichemo uye zvaanorumbidza nevabereki. Ipapo Kuongorora mwana anoda unyanzvi akadai:

• Wetsinga.
• Ophthalmologist.

Kujekesa nechirwere vanofanira zvakaitika zvinotevera ongororo:

• US.
• Computed tomography.
• MR.
• Neurosonography.

Chirwere chirwere nedzevakuru

With nomusoro uye zviratidzo pamusoro apa dzinofanira kushanda kuti wetsinga. Nokuti chirwere rakanyatsorurama uye kunokwanisa kupa zvinotevera ongororo:

• Computed tomography.
• Angiography.
• Pneumoencephalography.
• Uropi Echo.
• MR.

Kana paine fungidziro pamusoro chirwere liquorodynamic kutyorwa anogona kunan'anura lumbar ponji pamwe CSF nevezera shanduko.

Kana diagnosing vakuru kunyatsoteerera runotikurudzira chirwere.

Treatment liquorodynamic kutyorwa

Kwokutanga maperembudzi dzakaonekwa, zvikuru mikana kudzorera vakarasika pfungwa chaitika. Type kurapwa vanosarudzwa kwakavakirwa kuvapo Kumwe kuchinja kunotanga kwezvirwere kuwanika uyewo murwere zera.

In pamberi yakawedzera intracranial kumanikidzwa, kazhinji mishonga diuretics: "Furosemide", "Diakarb". Antibacterial yomuchipatara inoshandiswa pakurapa zvirwere kwendangariro. Normalization pamusoro intracranial dzvinyiriro wayo kurapwa - Nde basa.

Nokuti Kubviswa edema uye anogumbura pezvakaitwa anoshandiswa glucocorticoid zvinodhaka "prednisolone", "Dexamethasone".

Uyewo kuderedza cerebral edema kushandisa mapoka steroid zvinodhaka. Zvakakodzera kubvisa chirwere.

Kamwe vanozivikanwa liquorodynamic zvinetso, kurapwa anofanira kuzviita pakarepo. Apfuudza kukabatanidzwa kurapa kuoneka nemigumisiro yakanaka. Izvi zvinonyanya kukosha mumakore kukura mwana. Huvandudzike kuoneka mberi psychomotor kukura.

Zvinogonekawo kuvhiya kurapwa. Inogona kupiwa zvinotevera nyaya:

• Drug kurapwa isashande.
• Liquorodynamic dambudziko.
• Occlusive hydrocephalus.

Kuvhiya kurapwa ari munyaya neimwe nyaya yoga nechirwere kwakavakirwa zera, zvechadenga Muviri chirwere. Kazhinji, pakuvhiya muuropi vanoedza kudzivisa, kudzivirira kukuvara utano uropi, uye kushandisa kunzwisisa kurapwa.

Zvinonyatsozivikanwa, kana asina kurapwa liquorodynamic chirwere zvirwere ari mwana mwero wokufa kwevanhu ndiko 50% kusvika 3 years, unoramba vakura 20-30% vana. Pashure pokuvhiyiwa, mwero wokufa kwevanhu ndiko 5-15% vana vanorwara.

Rufu inowedzera nokuda kunonoka kuongorora chirwere.

Prevention liquorodynamic kutyorwa

Matanho dzinosanganisira:

• Havana hanya ari antenatal kiriniki. Zvakakosha kunyoresa sezvo mangwanani sezvinobvira.
• Panguva Chaiyo kuziva miedzo intrauterine zvirwere zvavo kurapwa.

18-20-vhiki Ultrasound chinoratidza kukura fetus pfungwa uye mwana asati aberekwa mamiriro nezvinobata. In iri izwi tingaziva kuvapo kana kusavapo zvokurwara.

• Yakarurama kusarudza pakukurukura.
• Kugara zvichiongororwa pedyo wevana. Kuyera sekamufarenzi yeDehenya, kana pane kudiwa kuti vaite kudzidza fundus.
• Kana kwete nokukurumidza yakavharwa fontanelle, uye cranial ultrasonography zvinokosha kuona neurosurgeon.
• Kukurumidza kubviswa anomera izvo yakasvikawo cerebrospinal mvura mvura nzira.
• zvichiongororwa dzose nachiremba uye kuitisa zvidzidzo zvakafanira pashure kutambura uropi uye musana kukuvara.
• Early kurapwa kwezvirwere zvinotapuriranwa.
• Madzivirirwe vabatwe nezvirwere.
• Kurega kusvuta uye doro.
• Zvinokurudzirwa kupinda nokuda zvemitambo, kushingaira mararamiro.

chirwere Chero zviri nyore kudzivirira kana kuti kutora matanho ose yekuzvidzivirira zvirwere. Kana chirwere liquorodynamic kutyorwa, nokukurumidza ARV atanga, nani mikana kuti mwana akure zvakanaka.