Kuchinja kwechipatara mumasvingo emaropa, kukanganisa kwavo uye kuderedzwa kunowedzera kunowanzokonzera chirwere chakanyanya. Hemorrhage muuropi imamiriro ezvinhu akaipisisa, kufa kune mushure mekunge zvinopfuura 40% yehuwandu hwemhosva. Nokudaro, zvakakosha kuziva chirwere chechirwere zvakanyanya sezvinobvira uye kutsvaka rubatsiro.
Zvinokonzera kuora kwekushaya ropa
Chimwe chinonyanya kukonzera kuputika kwemitsipa yeropa chirwere chakanyanya kuipa uye dambudziko rehutachiona. Mune mamwe mamiriro ezvinhu, zvinotevera zvinokonzera kushungurudzika zvinowanikwa:
- atherosclerosis;
- kuchinja muhutano hwemidziyo yeropa muuropi nekuda kwekuvhiringidza zvirongwa;
- ropa pathology;
- beriberi;
- inxication yakaoma;
- ischemia yemwoyo;
- kenza yeuropi;
- kukanganisa kwemagetsi kuhenya;
- hemorrhagic diathesis;
- encephalitis;
- aneurysm vascular;
- chirwere cheshuga mellitus;
- kuora kwemamyloid yemidzi yeropa.
Muzviitiko zvisingawanzoitiki, hazvibviri kugadzirisa chinonyatsokonzera.
Zviratidzo zvekuvhara ropa kuuropi
Chirongwa chemakiriniki chechiitiko chiri mubvunzo chinoenderana nemamiriro ezvinhu akadai sehukuru hwekuvhiringidza kwenyama, dhipatimendi umo mudziyo wakaputika, chiyero icho chidimbu chemvura chinopinda.
Zviratidzo zvinowanzoitika pakuparara kwemhepo muuropi:
- kuora mwoyo kwekuziva;
- ane simba uye ane musoro musoro;
- kunetseka;
- kurutsa.
Kana chirwere chechirwere chinokonzera chirwere ichi chakakanganisa cerebellum, zviratidzo zvinotevera zvinonzwika:
- kunomanikidzwa kutenderera kubva kumusoro kune rumwe rutivi;
- miosis;
- kukanganisa kwomuviri wekupema;
- kukanganisa kwekubatanidzwa kwekutama (ataxia);
- chizoro;
- kurwadziwa kwakanyanya mu nape yemutsipa.
Apo gorofu nemuchena nyaya yeuropi yakanganisa, inonzi:
- asteroognosis;
- kushungurudzika kunogumburwa;
- kuderera kwematomu tone;
- anosognosia;
- hemiplegia;
- kuwedzerwa kwekugadzikana kwenheyo yenheyo;
- kuora kwekutarisa munzvimbo;
- pathological traps;
- abulia.
Apo kupisa kwemvura kunowanikwa munzvimbo dzakadzika dzechirongwa, pane kliniki yakadaro:
- bradycardia ;
- kurasikirwa kwekuziva;
- hyperthermia;
- kwete pupillary kugadzirisa kuchiedza;
- kudzvinyirirwa nehemodynamic;
- kupera simba;
- kurutsa;
- kupera kwemafungiro;
- hemiplegia.
Kunyanya kuora ropa mukati meuropi kunotungamirira ku coma, kazhinji yakadzika, iyo yakaoma zvikuru kubvisa murwere. Mushure mekunyanya kunetseka, njodzi yehupenyu hunoparadza inowedzera (ne30-35%).
Migumisiro yekurova kwechirwere kana kuwedzera kwehutachiona hwekushaya ropa
Inonyanya kuipa ndiyo mwedzi mishoma yapfuura mushure mekurwiswa, kunyanya kana munhu akaurayiwa akawira mu coma. Iyo yakareba iri munharaunda iyi, iyo yakaipisisa zvinetso zvakanyanya ndeizvi:
- kuora mitezo kwemisungo yechiso uye rurimi;
- kurasikirwa kwekunzwisisika nemakumbo kana hafu yemuviri;
- dambudziko rekutaura;
- kupera kwakanyanya muzvioni zvinoonekwa;
- kuputsa kwepfungwa.
Mukuwedzera, mamwe mwedzi gumi nemaviri mushure mekurwadziwa kwechirwere, kukonzerwazve kwemvura kunokwanisika, izvo zvinogona kuwedzera mamiriro ezvinhu kana kuwedzera mukana wekufa.
Zvakakosha kuziva kuti kunyange panguva yekuvandudza (mwedzi 24-36), migumisiro yakaipa inogona kuonekwa, kunyanya maererano nemishumo inoshanda uye senzwi.
Kurapa kwechirwere chekushaya ropa
Therapy ine zvikamu zvakasiyana-siyana:
- Kurongedza kweropa reropa kuburikidza ne hypotensive uye zvinodhaka zvinodhaka.
- Kubviswa kwehutano syndrome ne analgesics, kwete-steroidal anti-inflammatory drugs.
- Kudzivirira kwekudzivirira (dexamethasone, osmotic diuretics).
- Kusimbiswa kwemadziro edzimba, kutengesa kwemapilisiri kuburikidza ne hemostatics.
- Kudzorerwa kweuropi kushandiswa kushandisa nootropics.
Mushure mekusimudzira kwemamiriro emurwere, kugadziriswa, kuchengetwa kwehurumende yebasa nekuzorora, kururamiswa kwekudya kunokosha zvikuru.
Muzviitiko zvisingawanzoitiki, kupindira kweropa rezveuropiyuta kunorayirwa kuti ibvise futi yeropa, inonzi hematoma.