Eiei? Axonal poino: Symptoms, na hoailona a me kaʻike,

cranial trauma ke alakai i ka 'inoʻino loa i ka lolo, oho mea. Lakou, ma ka huli, hiki i ke ana o ka loa a me ka pinepine irreversible maʻi e olelo hooweliweli aku kanaka ola. Next, e noonoo i kekahi o kēia mau hopena - eiei? Axonal poino, i ia mea, ma mua o ka pilikia ana o ia o ka moku'āina.

Overview

Mua mākou pono, e haawi aku i ka manawa pōkole Mea Maluna o na kuʻina o ka iwipoo nā palapū.

• Maʻalahi. I keia ino, ua pu ma ka hōʻemi iki ino, a me ka concussion.
• Ka. Ma keia hihia, ke degere o nā palapū wehewehe aku i lōpū.
• Kaumaha. Ma keia ke kahua, ka'ōpā pū a me ka eiei? Axonal lolo eha. Eha ana ua hoʻokomoʻia ka inertial külana.

hōʻikeʻano

Eiei? Axonal eha (WCT) o ka papakaukau luku keʻano o ka hanaʻana o nā aʻalolo keena me ka predominant uuku hemorrhages. E like me ka lapaʻau, pathological pulakaumaka ua hanaʻia ma luna o ka mokuna o ko poʻo, a keʻokeʻo mea. Eiei? Axonal eha (WCT) me ka nui loa ho'ēmi i kā i ka pono o ke ola a me ka noʻonoʻo 'aayoaeuiinoe o ka nāna. Ke hoomanawanui i ka wa, i lana ai, hiki ke noʻonoʻo loa. Kēia meaʻano nui ku pono i ka oiaio ia aia no he nui hoʻoweliweli 'ana i kona ola. I ka eha ia lŘlŘ i pēpē, nani e hoʻomōhala ai, aia no he subdural hygroma. Pilikia CSF outflow mai ka ventricular ciia, pinepine 'akomi i kaumaha ana fracture. Mauʻike manaʻo i hoʻomaka ai ma mua ulu eiei? Axonal lolo ka pōʻino. Nā palapū i IeAUPIIe, IAa IO kaumaha loa ia i ka ole ana ma na hihia a pau ia mea hiki, e hoihoi i ke kahiko kino ha awina. Ka luahi Ua kākaʻikahi, e like me ka hana pono E hoike mai, ka mea hoi i kona mua maʻamau moku'āina. Ma hope o ka 'inikua lapaʻau a me ka hoʻopulapulaʻana o nā mea maʻi me ka eiei? Axonal lolo nā palapū Pono e ike i kou kauka mau. Ka nānā 'ana i pono e ka pāʻana kino kulana, a kakahiaka nui ka loaʻaʻana o ka mea hōʻemi.

Eiei? Axonal poino: symptoms, me na hoailona,ʻike,

Pehea e holo ai i ka pathological ke ano? He nui lolo eha, eiei? Axonal poino i ka nui, ai ukali ia e hooloihi ae i coma. Keia ano ia lŘlŘ ma ka manawa o ka hewa i ka iwipoo. Eia hou, aia no he nui loli ma ka Muscle leo. Eiei? Axonal eha maʻi pale pū meningeal a me ka hoikeana loa anei i. Ua Ua Ua he pahikakiwi oi emi i loko o ka puʻuwai a me ka'opi. Ke hoʻomanawanui nōʻoe, i ka hana o nā mea a pau i manaʻo poʻina nalu. Coma hiki e loa ai lōʻihi, lapaʻau prognosis i loko o ia ke kulana, e like me ka rula, mea,ʻaʻole loa maikaʻi. Aia ka he manawa kūpono i ke ahonui i make, a me ka hoopaa ana ike paka i. Ma kekahi ha i, ke hoʻomanawanui hooponopono iho i ke kiʻi mai o ka coma, akā, ma hope o ka manawa i lawa lōʻihi o ka manawa. Unconsciousness hiki hope 2-3 pule. Coma hiki e ukali ia e loli ma ka cerebral hemispheres o ka lolo i hana '. Ma keia hihia, i ka hoʻomanawanui i ke ano eha.

vegetative moku'āina

Eiei? Axonal eha o ka lolo wehewehe aku ma ka kokololio loli i loko o ka lapaʻau kiʻi. No laila, coma hiki ke hele i loko o ka vegetative ana paha pākali hoʻolele. Clinically, eiei? Axonal lolo poino hoike ia ma kekahi aoao. Oiai kekahi'ē aʻe 'ē aʻe ka hōʻike' ana i ka māmā holo i lawa ke kiekie. Vegetative moku'āina ua wehewehe aku ma ka iaea ooieoeiiaeuiiai disconnection i loko o ka wahi o ka cerebral hemispheres. Ua hiki hoomau ana no kekahi mau mahina. Ma ka vegetative moku'āina, eia na hoailona o ka iaea ooieoeiiaeuiiai hoʻopilikia i subcortical-anei i nā hale o ka lolo. Kāna hana i loko o nui keʻano o ka hanaʻana hoʻonāukiukiʻana mai o ka helehelena bulbar, pupillary a me nā 'ano like ka hōʻike' ana. I ka hoʻololi Muscle leo pozdnotonicheskie i hoʻomaka ai, a e hoʻohoka aiiay pane. Mau nā, ma ka nui, ioiinyony cramps i loko o ka luna, a malalo lala, mahuahua ka ikaika hawewe o ka neʻe 'ana o kona poo kulou iho la me ka, lima me ka haalulu, luna' kulou o ke kino. I haiia ae maluna,, ka lapaʻau hoikeana ĸokoĸa ana nä pane loa koke. No ka hora, no kekahi laʻana, e ka mahina okoa pathological reflexes. Ma nä loli ma vegetative moku'āina nā mea maʻi i Konakele. Dyskinesia, ataxic ana, 'he mau olelo a me ka noʻonoʻo' kāna hana. Mawaena o ka la mahope, e pono ke kūʻai 'ana i kumumanaʻo aspontannost, amnesia, pono exhaustion.

Ka hou papa o ka pathological kaʻina

Eiei? Axonal lolo eha okoa Logical hoʻololi mai i ka coma loa i loko o ka paakiki vegetative moku'āina transient. Kēia Ua hōʻikeʻia e hou hoikeana, a i ole nei ma mua. No ka laʻana, i ka hoʻomanawanui i unduly kālele ana kilohi flicker a pane koke i mawaho stimuli. Inā ka vegetative moku'āina mau no ka lōʻihi manawa, e hōʻike hou na hoailona o ka maʻi. Ma kekahi, he mea malnutrition carpal Muscle fibrillation lala nāʻiʻo. Ma keia hihia, aia mea he kokololio holomua paroxysmal Hawaii. Ka mea, imua o tachycardia, flushing, hypertension, a me nā'āno'ē symptoms. A laila ia mea hōʻemi. Eiei? Axonal eha ua manawa pu ma ka Muscle oolea, discoordination, gipomimiya, oligofaziey, bradykinesia, discoordination, ataxia. He pinepine no ka hoʻomanawanui i ka headaches. Hoʻomaka e hoʻoikaika i emetic maʻi pale, he mau hihia me ka k'ki io o ke poo a me ka uha mua hoʻopaneʻei ka palena manawa, he mea'ā'īʻoʻoleʻa nāʻiʻo. He nui nā mea maʻi wehewehe aku hyperthermia (cortical hahau ana i ka malamaia, mai ka pono oi mahuahua ma ka wela) ptyalism, mahuahua sweating. Pela, ua hiki ke manao nei makou eiei? Axonal ino hoʻonāukiukiʻana mai o irreversible pathological keʻano o ka hanaʻana i loko o ke kino.

ka ninaninau ana i ke ahonui

Eiei? Axonal eha ua 'akomi i wale nō ma ka mea o HI, a MRI. Kēia mau 'ana i kūpono ae i ke ao pilikia makapō kilo o ka'āno'ē mahuahua ma ke kino hyperemia paha edema no ka mīkini'opihia o na ventricles. Kākau a me nā ano hoomainoino symptoms. Me ke kōkua o ke HI 'Oihana i ka manawa e loiloi i ka lapaʻau kiʻi, a e i tentative kēla no ka wā e hiki mai. MRI hōʻike i nā hoʻololi pathological, hoʻonāukiuki akula ma ka helehelena a nui kahe ana ke koko e pili ana i eiei? Axonal poino. Loa o ka pathological ana me ka nānā 'i ma luna o ke kumu oʻume mākenēki resonance tomographicʻikepili. Nā hualoaʻa ae, e koho i ka pono ai Inc no ka hoʻomanawanui. Pololeiʻike, ma ke kulanui i lumbar puncture. Kēia ke kaʻina hana no ka loa nui no ke kakahiaka nui ka loaʻaʻana o subarachnoid hemorrhage. Me keia puncture paipai predominance kiʻekiʻe intracranial puʻe. Kēia kaʻina hana ua contraindicated i loko o nā mea maʻi me ka intracranial ka leo keʻano o ka hanaʻana i ka mea lolo dislocation.

HI hualoaʻa ma ka huʻi au

Eiei? Axonal lolo poino wehewehe aku ma ka hiohiona mahuahua ma ka hui, a lōpū ka leo. Nō hoʻi, ke kapu ua mālama, a ma kekahi mau hihia piha mīkini'opihia III a me ke kīloi paʻewa ventricles, nāhāhā convexital kumu a me ka subarachnoid hakahaka. Loli ma ka'aʻaʻa nuʻa, e like me ka rula, i normodensitivnym ano, akā, hiki ke malama māhuahua a emi. Ma keʻokeʻo mea, kino callosum, kumu a me ka subcortical nā hale i loaʻa pinepine liʻiliʻi mea nui hemorrhages. Eʻoluʻolu, e makaala i ka HI kiʻi o ka hoʻomanawanui ke noho i loko o ka makahiki laulā o nā hae. ʻano o nā mea maʻi i hōʻike i ka eiei? Axonal poino o ka lolo, wehewehe aku ma ka hooulu ana o atrophic kaʻina. Ma kekahi, ka mea, ua kaulana ventriculomegaly,? Anoe? Convexital basal a me subarachnoid hakahaka. Ma hope manawa ma hope o eha (ma hope o ma kahi o 3-4 pule) ua pinepine malama hoʻomāhuahua o cerebrospinal loli i loko o ka frontal wahi, interhemispheric māwae (i loko o kona anterior wahi i pau). Ua hiki ke eliminated i loko o ka papa o ka noaaeeecaoee o ka noʻonoʻo 'a me ka neurological kūlana. Kēia meaʻauhau'ēʻaʻe hoike o ka loaa ka leo ma hope lolo ka pōʻino. Traumatic lolo eha i na keiki hou pinepine a me ka maikaʻi ma mua o nā mākua e hāʻawi aku i loko o Inc.

Hoʻoholo 'ana o ka HI

E like me ke kumu hoʻohālike hiki e'ōlelo koʻikoʻi akula e hoʻoponopono i ke alo a kaawale o intracranial hypertension. Inā HI Ua ole ana pahu kumu a me ka ventricle, a me keia hoike ana mai o ko lākou mīkini'opihia nui o ke kiʻekiʻe pahiki ICH. Kēia paha e muli o kona kulana kupono mea hoʻonohoʻimi intracranial puʻe a me kona mahope e hooponopono. Inā ke HI He pono hiki CSF outflow'āpana, oi loa o ka ventricle a me nā luawai, ICP, loa paha i loko o ka lua. Ua mea olelo lealea i na ana pahuna ma kona ka ho'ēmiʻana, e e pono no ka mea nāna. E hoomanawanui i hōʻike he nui osmotic homeostasis kāna hana, kena ae la ia e kekahi iniiaiie paha haumāna poino anei, a hypothalamic-pituitary hale. Ma nā mea maʻi me ka lōpū hyperosmolar moku'āina malama hou ano nā haumāna, a me nā'ōlelo loa pinepine ka make ia lŘlŘ.

pathogenesis

Macroscopic ninaninau hōʻike ole'aʻaʻa luku loli ma ka basal a mawaho surfaces. I ka Ia manawa i loko o ka keʻokeʻo mea , ua mau mea o ka hohonu lesions. Ka mea, hiki ke 'akomi i kekahi i nā hemorrhages ma kekahi wahi o ka lolo. Ua ae no hoi e hookolokolo aku la ia histologically. Ua hiki ke huai ae i ke alo o ka "axonal kala." Mau kumu lakou mau mea o ka discontinuity i loko o ke aʻalolo a hāʻule pahū wale. Eia hou kekahi, histological ninaninau hōʻike loli nā paukūʻolokaʻa luku ano me ka pukaʻana varicose thickenings. A mahina ma hope o ka nalowaleʻana o nā kala ino a me ka hoʻonuiʻana o macrophages i loko o ka hoanoeia ciia. Hou nā loli ana i loko o ka myelin wahi, mau pathological keʻano o ka hanaʻana i loko o neurons o kaʻike ākea māhele o ka'emi ko kahua. I hoʻomōhala i ke aʻalolo a me ka spinal kaula olona.

Lapaʻau: Overview

E hoomanawanui i ka poe i hoike mai eiei? Axonal poino, lapaʻau ua ia i ka luna 'ia mai nā' mau ki ina hana like. I ka pau, e hoomanawanui i pono e hoʻomaka hooloihi ae i mechanical e hoʻokomo ea (hoʻokomo ea) lōpū hyperventilation 'ano paha i loko. Ia multimodality Inc ec i ka hoʻohana 'ana o vasoactive ai' a me nootropics, malama ana kumupaʻa ma metabolic keʻano o ka hanaʻana ma kaʻimi (enteral) a me ka parenteral kino. ua IeAUPIIe, IAa IO ole iaʻoki lāʻau lapaʻau 'uao no ka mea,ʻaʻohe kūpapakū, i mea e e wehe. ʻoki lāʻau lapaʻau manipulation e pono ai ka loaʻaʻana o nā abnormalities i holopono nō ka hoʻolako 'kiʻekiʻe puʻe ma o ka lolo a me kona eiiiiiaiou. Aie i ka mea hiki wale mai kiʻekiʻe o extracranial complications (pulmonary a me ka pyoinflammatory, kaʻoi loa) pū i loko o ka pākōlea papa o antibacterial ai 'a me ka immunocorrecting hanana.

Ke noaia pākōlea uao ai '

Nā mea maʻi me ka eiei? Axonal lolo eha hospitalized i loko o ka haukapila. Ke kukuluia'na o ka luna 'o ana o ka pākōlea a me ka rehabilitative ano. Ma ke ano, i ka nui, e nā:

• Ventilator e malama i ka pilina paʻa hoohana ia ana o ka ÷ naehana hanu nenoaiu.
• Tube e ai ana.
• Mālama nui malama lapaau.
• Malama maʻamau loli a me ka electrolyte koena.
• Ma kekahi mau hihia, o ka hoʻohana 'ana o neurotransmitters, ka biogenic stimulants.
• Pākōlea kino, ka paepaeʻana i ka resumption o ka maʻamau functioning o na lala, i ka Kāohiʻana o ka maʻi o na ami.
• Olelo Inc kau no ka leo ha awina noaaeeecaoee.

Ma hope o hana pono ole i ka hoopoina koke ana o ke ola au ma hope o hooloihi ae i hospitalization. E stabilize ka Central ko mākou hopohopo'ōnaehana, ka lolo compensate noʻole haʻawina, hōʻeleu i ka uuku o ka hoʻopulapula e ia i ke kauoha o ka vascular a me neuroprotective konohiki. Ua hiki no hoi koi i ka hoʻohana 'ana o biogenic stimulants, ai' ka hoohuoi ana'aʻaʻa pūnao, a, e like me nāʻikepili, neurotransmitters ( 'o ia hoʻi "Madopar", "L-Dopa," "Lake" a me na mea e ae), a me ka anticholinesterase ai'. Inā DAP mea ole e pono no i ka hookohu o hormonal Inc.

Outlook

Ka pahiki o ka hoolaia nā mea maʻi me WCT, e hilinaʻi ma ka nui o ke poho i axons, i ke alo o ka edema, i ka manawa kūpono o ka hui i ka pathological keʻano o ka hanaʻana extracranial. Ma ka hooko ana mai i ka hoʻokō luna 'pākōlea uao ai' i ka manawa pōkole au maikaʻi hoʻokūkū Ua oi paha. Me ka hoomau loa-manawa coma maoli i ka pilikia o complications. I ka holo ana ka mea maoli i ka likelihood o adverse nā haumāna, niioaaonoaaiii, hoemiia a me ka manawa kūpono o ke ola. Like nui o ka hohonu a me ka coma. Ke kaumaha ia mea, o ka loa o ka hoʻokūkū. Ke poʻo kumu a mea hiki ke noʻonoʻo i ka manawa kūpono o ka piha a hapa loaa o nalowale ka noʻonoʻo 'oihana i loko o ka regression o neurological kāna hana, a hiki i ka manawa o ke poho ma ka hoʻomanawanui ma hope o ka lōʻihi coma hana vegetative kūlana me ka loihi, mai kekahi mau pule i ka mahina. O kŰia ke hōʻike i ka likelihood o reversibility a me ka uku neurotransmitter a me ka mall kāna hana i underlie paakiki ka haunaele o iaea ooieoeiiaeuiiai haʻawina i loko o ka lolo ma hope o eiei? Axonal poino.