Ischemia Cerebral 2 degrees kwiintsana: iimpawu kunye nonyango. Cerebral ischemia 2 degrees sosana: neziphumo

Ubuchopho - lelona candelo iphambili emzimbeni. Ukususela ukusebenza yayo ixhomekeke ukusebenza kwazo zonke iinkqubo omzimba, imeko jikelele kunye nomgangatho wobomi. Ngophuhliso ezimbi ezithile zobuchopho iqala ubunzima ngenxa yokunqongophala kwe-oksijini, leyo kunokukhokelela kwintlekele. Esinye isifo okunjalo ischemia yobuchopho xa kubelekwa degrees-2, imiphumo inokuba yingozi xa ngaba uthathe inyathelo elikhawulezileyo kwaye uqale unyango. Makhe sijonge ukuba yintoni pathology elinikiweyo kwaye ndiya ayibulale.

Ingcamango ischemia yobuchopho

Asingabo bonke kucacile igama sifo ngokuthi "ischemia yobuchopho degrees 2 sosana." Ukuba oku ukuze achaze ugqirha kwaye khetha i amaqhinga zonyango. Le ngezifo yimeko apho palsy yaphazamiseka igazi. Xa iintsana ezisanda kuzalwa, lo ngezifo njengoko sisifo ecacileyo, wafunyaniswa kungeyonto ayenza rhoqo.

Amaninzi, usana kwafunyaniswa ukuba "Encephalopathy kobuchopho", apho ilahleko kweeseli zengqondo kwenzeka ngenxa yokuba ubonelelo egazini, okt yokunqongophala kwe-oksijini.

Ukuba une "ischemia yobuchopho xa kubelekwa degrees-2, 'sibaphathe njani le ngezifo emiselwe yi igqirha khona ngokuxhomekeke imeko umzimba kunye nezifo ezinxulumene.

Izinto ezibangela ischemia

Le leengxaki ngo kuzalwa bakwazi ukuphuhlisa ngenxa yezizathu ezininzi:

1. Ukuba flow igazi placental uphazanyiswe ngexesha yokumitha.
2. Emva kokuzalwa wokubandezeleka yokuphefumla uyalandelwa.
3. lokubandezeleka syndrome sokuphefumla.
4. inyumoniya naso.
5. nokuthandwa ukubanjwa sokuphefumla.
6. Mgomo.
7. malformations bekhubazekile.

Enoba siyintoni na isizathu, ebuchotsheni ischemia izidanga 2 imiphumo kuzalwa kuba enkulu, ukuba abathanga uqale unyango ngexesha.

ngezifo komntwana

Ekunye igazi ngomzimba olwenziwe yi-oksijini. Kubalulekile ukuba eqhelekileyo yokusebenza onke amalungu. Ngenxa yokungabikho kwemali kwegazi ngokutsha ngokwenzeka kwindawo yokuqala ukufumana igazi ioksijini eninzi intliziyo nengqondo. Kubonakala ukuba ezinye iinkqubo umbutho baqalise nokusilela.

Ukuba ixesha awayiboni ezingaqhelekanga kunye ukuphelisa unobangela esamcaphukisayo oko, ekubeni kungekho oksijini kuya kuqalisa ukuba nefuthe elibi ngobume iiseli zemithambo-luvo - beqala kufa. Nokuphuhlisa ischemia yobuchopho xa kubelekwa degrees-2, iziphumo zixhomekeke yengxinano nengcinezelo imeko kunye quick response zoogqirha. I-ALS umntwana iya kuxhomekeka kwinani iiseli kwabafileyo. Ukuba kukho ukopha ebuchotsheni, ngoko amathuba sokubuyisela kunye nokusinda uncipha kakhulu.

mandundu

izinto ezihamba ukuze kukhuthazwe uphuhliso ischemia, iziinxalenye ngokweendidi ezintathu:

1. Ukuhamba zabasebenzi. ingozi uyanda sifo ukuba:

• kwakukho ukopha ngexesha yokumitha usana okanye ngexesha zabasebenzi;
• likaxakeka Uqhaqho;
• fever koomama;
• sokuzalwa kwesikhumba;
• baby ubunzima ukukhanya;
• fluid fifi;
• wona ngaphambi ngumkhaya;
• .Imisebenzi ekhawulezileyo.

2. imeko kamama kunokubangela ischemia umntwana, ingakumbi xa:

• umama elizayo enesifo iingxaki luvo;
• kukho leengxaki kwinkqubo yonyango;
• ukukhulelwa kwiminyaka kamva;
• ubukho iimeko ezondeleyo unina.

3. ukukhulelwa nayo kubaluleke kakhulu: ukuba kukho pre-eclampsia okanye eclampsia, kukho onke amathuba ukwenzela uphuhliso izifo ezifana ischemia yobuchopho 2 degrees sosana. Iziphumo inokuba nomahluko.

Le mibandela, akukho siqinisekiso 100% sokuphuhlisa ngezifo. Nkqu izifo intrauterine akusoloko iphele nesibakala sokuba emva kokuzalwa yokuphuhlisa ischaemia yobuchopho, imiphumo lupheliswe ukuba ngezifo kwaye onke amanyathelo athathiweyo ngexesha elibhaqiweyo.

wenza njani isifo

Le ngezifo unezinga ezahlukileyo ukubonakaliswa. ischemia ezimandundu ebuchotsheni elithile 2 iimpawu lweentsana, kwaye unyango kufuneka ngoko nangoko. Le nto kufuneka ukulumkisa amagqirha aze umama:

• kwezihlunu Ukuncipha.
• hluleka esikhulu ukuphefumla.
• Poor ikhaliphe imicu libonakalalisiwe.
• Silale Moro reflex.

Qaphela ezi syndromes zilandelayo:

1. hyperexcitability syndrome, esizibonakalisa ekhala kungekho sizathu, kwaye angonwabi ubuthongo umphezulu, WinCE.
2. Hydrocephalic syndrome abonakala kukwanda ubukhulu intloko kunye fontanelle enkulu.
3. Kukho ukuphazamiseka convulsive.
4. Ukuba kukho ischemia yobuchopho degrees 2 ukudandatheka lweentsana syndrome kunciphisa i owanyayo kunye nokusabela yokuginya ukuba buthathaka kwezihlunu, kunokubangela strabismus.
5. Le syndrome kakhulu - a comatose. Ukuba nawuphi na umqathango itakane nzima, ikhaliphe ndingekho, akukho ukusabela kwizinto ezingaphandle, uxinzelelo ephantsi, kukho ukuphefumla iingxaki.

Xa yokunqongophala kwe-oksijini emngciphekweni ubomi itakane

Ukuba ngezifo yi-1 degree, ngoko ke kuthathwa usuleleko emiphungeni, yaye oogqirha ukuhlola imeko Usana ngamanqaku Apgar kwi iibhola 6-7. Owavisa oko iqondo excitation e-nervous system, ukuba umntwana ezelwe kwikota kunye nengcinezelo njengokuzalwa. Le meko zingenzeka iintsuku 5-7.

ischemia Cerebral degrees 2 imiphumo lweentsana embi ngakumbi, angavela unditsho lwezonyango, ukubanjwa yokuphefumla, kwakudada iintshukumo ezingalweni. Ukuba siphatha iimvavanyo elebhu, ezitshangubeni bekubona parenchyma ingqondo, ukuhamba kwegazi kakuhle.

Ukuba kukho ixesha elide ukuphazamiseka intshukumo, imnyama, igwinya kakuhle, kufuneka ngoko nangoko kubuzisa luvo.

Ezimandundu kunokukhokelela isiqaqa, nto leyo eyingozi ubomi wosana olo. Iimpawu Ukukhulisa kwandisa umngcipheko hydrocephalus.

Njani ukuba unesifo

Phantse kusoloko ibonakalisa ischemia yobuchopho iqala ngoko nangoko emva kokuzalwa. Ukuba sifo unezinga ezolileyo, iimpawu angaya ngokwabo, kodwa uhlobo kakhulu adalwa kancinane iimpawu zazo, kodwa kuphela okwethutyana uze kwaqala kwakhona, unamandla ahlaziyiweyo. Ngoko ke, xa ischemia ekurhaneleka kufuneka kwenziwe iintlobo ngeentlobo iinkqubo zokuxilonga, zibandakanya:

1. Uviwo umntwana ubukho ingqondo kunye yovavanyo Apgar.
2. Gqibezela wegazi.
3. MRI, ukuba uceba ukongamela okanye kakhulu. Olu phando kunceda ukuqwalasela ubume ingqondo ukuze kufunyaniswe ngobungakanani ilahleko zabo.
4. US - ikuvumela uzingela nokudumba yobuchopho , okanye isiza legazi.
5. Electroencephalogram - compulsorily kwenziwa kwiintsana kunye nesifo kakhulu.

Ukuba uceba isifo, "ischemia ebuchotsheni xa kuzalwa degrees 2", unyango aya kulungiselelwa emva lonke uphando.

Eyona eziphambili iinjongo zonyango lwe ischemia

Ukuba uphethwe kuqinisekiswa emva kokuba onke uphando, ngoko ukuqala siganeko ukwenzela ukugcina ubushushu yesiqhelo, ukufuma, ukukhuselwa ezenzeka ngaphandle.

Therapy e neonates kufuneka babe ndlongo kangako. It has ezi njongo zilandelayo:

• Ukuqhuba umoya ezaneleyo.
• Ukulondoloza hemodynamics.
• Umsebenzi wokufumana esweni rhoqo ngohlahlelo iparameters nemvelo.
• Ukusebenzisa ukuvimbela ukuxhuzula.

therapy ischemia ebuchotsheni yenziwa apho

Siye safumanisa ukuba esi sifo onomlinganiselo eziliqela nezahlukileyo kwi ubungqongqo. Unyango luya kuxhomekeka ngokupheleleyo iimpawu.

1. Ukuba kukho unxulumano kancinane, kuba nangoku kule maternity oogqirha ewadi ngokuthatha amanyathelo ayimfuneko kunye ukumisela nosana. Kamva, kucetyiswa ukuba atyelele luvo uze ufumane iingcebiso eziyimfuneko. Amaninzi Kucetyiswa yokuthanjiswa kunye nokuthotyelwa bemini.
2. ischemia Cerebral degrees 2 usana, ukuba sele kufunyenwe, kufuna unyango esibhedlele yaye iqhubeka oko esibhedlele kuba iimpawu kakhulu ngakumbi.
3. Xa umntwana kakhulu emva kokuzalwa obekwe ngoko nangoko labagula kakhulu.

Iindlela ischemia okunyangayo

Le ngezifo luphawulwa yi kukuba akukho unyango, njengoko iiseli abafileyo Ingqondo ayikwazi ukuba indawo iphila kuye. Kodwa nokuqeshwa kwangethuba unyango noncedo ikuvumela ukuba uyeke ukuqhubela phambili kwesifo kwaye inika ithuba lokuba kwisimo.

Ukuba ngezifo sinobuzaza, kunokuthi kubonwe ngoko nangoko emva kokuzalwa. Kwiimeko ezinjalo, thatha le ilandelayo:

1. Ukwenza yokuphefumla ngumntu, nto leyo eya kunceda ukubuyisela ukuphefumla kulogo. Emva koko, lo esweni rhoqo imeko wosana.
2. Ifuna therapy yesondlo intliziyo ukuthintela ukuphazamiseka intliziyo rhythm kumisela 'Dopamine, "" Dobutamine ".
3. "Phenobarbital" yaye "Phenytoin" kuya kunceda ukuthintela amahlaba.
4. Enye iindlela ezintsha emzimbeni. Kukholelwa ukuba lunciphisa izinga weseli kobuchopho ukufa. Kodwa kuyimfuneko ukuba sifeze kuphela phantsi kweliso zonyango. Ukuba ukwehlisa lobushushu lwenziwa yi izidanga ezimbalwa, umntwana ngokuthe esotha.

Ukuba sifo isidanga inobulali, kwanele ukuba ukuthatha amayeza ukuphucula igazi ebuchotsheni kwaye kuthintela umonakalo ongaphezulu neuronal.

Kunye nokoyikiswa hydrocephalus amisele "Furosemide," "mannitol".

2 no-3, iqondo kwezifo usabise nemiphumela emibi kakhulu, ngoko kubalulekile ukuba athathe onke amanyathelo kwaye amisele unyango eya kuthintela uphuhliso yeengxaki kobuchopho. Baya ngazo njengokuba inobulali, ezifana ingqalelo ngakumbi kakhulu disorder kunye, kude sengqondo esixhalabisayo kunye nokukhubazeka.

uluvo Komarovsky malunghana na isifo

Ukuba kukho ischemia yobuchopho degrees 2 kubelekwa, Komorowski wathi nothomalaliso isiyobisi sisiphumo wokunikela, kodwa akufani wonke ulindele. Kubaluleke kakhulu kwisigaba etsolo yaye xa kukho ukungakhuseleki kwi inkalo umonakalo kwi ingqondo, kodwa ngokuqhelekileyo uchonge ngezifo kamva, xa ingqondo iqala ukuya sokubuyisa ixesha ekuphulukenwe ekuthiwa njalo-. Ngelo xesha, kuya kuba yokuthanjiswa ngempumelelo ngakumbi physiotherapy ukunceda inkqubo yokubuyisa ixesha ekuphulukenwe ebuchotsheni. UGqr Komorowski ukholelwa ukuba bonke wabonakala luvo kwi neonates sizibandakanya Ukungakhuli wobuchopho ngokuthe ngcembe ababhubhayo ukuba akukho ezimbi kakhulu ezingapheliyo.

Imiphumo of ischemia yobuchopho

Okwangoku, yeza kwinqanaba zophuhliso evumela ukuba ukunqanda imiphumela emibi ischemia yobuchopho, kodwa komqathango wokuba uxilongo yachongwa ngexesha elifanelekileyo. kids abaninzi abaye baba isifo, kukho ukudinwa, ukungahlaliseki, iingxaki inkumbulo, leyo zingachaphazela indlela isikolo. Nokuba kukho (ukuba unesifo ischemia palsy xa kuzalwa degrees 2) neziphumo, oomama iimpendulo sicebisa ukuba ungakwazi ukujamelana nawo, ukuba babuyele kugqirha kwaye bachitha kwi amalungiselelo ayimfuneko.

Ngoncedo lwabo, ungenza kakhulu kuchaphazela umsebenzi ngokugqithisileyo umntwana, ukuphucula inkumbulo yakhe nengqalelo, ngokulandelelana, ukusebenza esikolweni nayo iphuculwe. Kubaluleke kakhulu ukufumana oyingcali ofanelekileyo oya kunceda ukumelana iimpawu ezihamba.

Iziphumo ngokuqatha ischemia lengqondo yimeko abanedumbe lengqondo kunye ukuxhuzula. Kodwa oku kudla ngokwenzeka kwiimeko ezininzi kakhulu kunye isifo emva kwexesha.

Bangenza ntoni na abazali umntwana wabo

Nokuba a 2 degree leengxaki ayikho isivakalisi. Emva kwikhondo unyango ngamachiza iqala sokubuyisa ixesha ekuphulukenwe nalo. Ngeli xesha, abazali badlala indima ebalulekileyo, ngokufuthi axhomekeke ngendlela kakhulu kuya kuba neziphumo sifo. Kuphuhliso usana yaba eqhelekileyo, abazali kufuneka:

• Ukuze lokuxoxa umntwana rhoqo luvo.
• Ukunika imithi wakho umntwana, ezo kuchaziwe ngugqirha.
• Ngokusondeleyo iliso uphuhliso lengqondo, ukuze babone ngexesha ezinxaxhileyo.
• Ngokungqongqo ulandele iingcebiso phantsi kolawulo bemini.
• Ukuba ucaphuka umntwana, ukuqinisekisa isicwangciso yaso yoxolo, ukuphelisa imithombo ingxolo.
• Okunye rhoqo phandle.
• Kwathi izifundo umyalezo.
• Zibandakanye ne usana lwakho, imisebenzi ezinzima ukuncoma ugqirha.

Naziphi na iingxaki luvo ingasombululwa, ngenxa yokuba inkqubo yomntwana luvo ayakhekanga ngokupheleleyo, kuba kakhulu bhetyebhetye yaye nako ukuzifumana, ngoko asinako ukunikela up. Nokuba unesifo "ischemia yobuchopho 2 izidanga neziphumo kuzalwa 'ukuze kube emibi. Nokunonophela nokunika uthando lwabazali, yaye, ke, uncedo koogqirha, qiniseka ukuba enze ummangaliso, yaye umntwana akayi kuqhubeka kunye noontanga babo.