Poino i kekahi kanaka ka poo paha poʻo eha

Ka loa pinepine kumu o ke kīnā o ke kino a hiki i ka make (ma 1%) i ke poʻo o nā palapū, a ho i 25% o ka huina helu o nā palapū. Loa pinepine traumatic hopena i hooleiiaʻi mawaho kanaka (oi ma mua o 70% o nā mōhai) ma lalo o ka makahiki o kanalima makahiki. Penei, traumatic lolo eha (TBI) ho i ka pōʻino, ua make kanaka poʻo, me kona lolo, meninges, nā aʻalolo a me nā ipu koko.

Ma lapaau, e maopopo ma waena o nā ano o ka lolo eha:

1. Palekana. Wehewehe aku ma ka wa e kaawale aku o ka lolo lesions, e like me kona iwi, e like me ka mea, aohe poino i ka puniu wale uhi, no laila, i ka maʻiʻaʻai kaʻina mea hiki ole.

2. Open. TBI Ua komo ai poino i ka lolo a me meninges o ka lolo ma muli o ka luku uhi cranium. Keia ke hoala mai i ka make māinoino o ka anal o ka maʻiʻaʻai e hiki i meningitis ulu, lolo abscess paha encephalitis. Penei, e wehe ae craniocerebral trauma hiki ke hoʻouna i ka hihia o ka anal i loko o ka paa iwi e uhi ana i ka iwipoo iwi lolo.

Ke'ōlelo mai, no ka mea, i kēia 'ano o ka eha nā:

1. concussion, contusion a mīkini'opihia o ka lolo. Ua lŘlŘ ka wā malaila mea he paʻa hematoma i i hana ma muli o ke kūmūmū ikaika trauma, a ua hele pu ma ka lolo eha. I ka Ia manawa, aia no na eha ma ke poo, a ua huli ae, lethargy, ili pinepine i haikea. I ka manawa o ka hewa i kekahi kanaka ke lilo aku ike paka i.

2. Fracture o ka iwi poʻo kumu a me ka hale. Oia nā palapū i hoopili a me ka hamama, penetrating a me ka 'ole-penetrating. Shards o ka puniu wale no ke oOeEIAOO i ka lolo, a hoʻopilikia maoli kona oihana a pau. I ka fractures o ka puniu wale waihona ipu, he mea i ka pilikia o ka lolo poino, kona membranes a me nā aʻalolo. Ma keia hihia maʻiʻaʻai ke komo i loko o ka lolo ma nā moʻolelo, nasal a auricular lua. E like me ka no o ia nā palapū kekahi kanaka ka hoao ana i kaʻeha ma ka fracture, ma laila i e na hoailona o ka concussion, ia pinepine nalo, hoʻopōʻino naʻau mämä a me ka hanu, ihu a me ka pepeiao e kahe ana ke koko, ma kekahi hihia, a me ka cerebrospinal loli.

More ma mua o 80% o nā kanaka me ka eha nui o ka puniu wale no, a me ka lolo he mea hypoxia, a hiki alakai i ka make. Loa pinepine keia kŰia ka hoʻomaopop 'ana i loko o kanaka me epilepsy paʻapū, hypotension paha hypoxemia.

Ke kumu nui no ia i kŰia like me ka craniocerebral trauma a he ulia pakalaki i keʻenaʻoihana nā palapū, e like me Falls, a kui mai.

Ma kekahi kanaka, ma ka 'aʻe o ka lolo integral' ole o ka lolo hoʻololi i kona kuleana pili i hoʻonāwaliwali ma hope o kekahi manawa, e stabilized ka mea, no laila, i ke kanaka ua ho'ōla mai kēlā. Other kanaka i traumatic lolo poino, a i ka haunaele o ka lolo papa a me nā aʻalolo'aʻaʻa i kāhea i ke kūpono 'ana o ke pathology o ka autonomic a me ka noʻonoʻo' oihana o ka lolo.

Inā loaʻa nō ke poʻo o nā palapū pono hoʻomaka X-Ray e hooholo i ke alo o na mawae a me fractures o ka iwipoo iwi. I ka wa e kaawale aku o na hoailona o ka poho medulla'aʻaʻa diagnosed ma ka hewa poo. Inā loaʻa nāʻeha i ke poo lawelawe antibiotics a me analgesics, ma kekahi hihia, Hoʻokolohua-blockers paha diuretics. I ka concussion i, ka mea paipai hana maikaʻiʻole i loko o ka haukapila, a me ka loa hihia, ua waihoia lakou i ka hoʻomanawanui i loko o kaʻoki lāʻau lapaʻau a trauma pa alima.

Aia He He lolo eha? Lapaʻau manao nona ma ka lolo mai ka maʻiʻaʻai ka pale 'ana a me ka pau ana ka hana kūpono' ana o ke complications. Ma hope o mua kōkua, i kauoha mai ai ka hoʻokō Inc e ke hoʻokō 'vydorovleniya ahonui.

Mākou ke i aku nei au i ka poo ino o ka loa a pau mawaena o nā mea a pau o ka hiki nā palapū o ke kino o ke kanaka, i ka mea ia manawa, ia mea he pinepine kumu o ka make.