Odee: Gregory Harris
OfbọChị Okike: 10 Onwa Epurel 2021
DatebọChị Mmelite: 4 Novemba 2024
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Ọkpụkpụ okpokoro isi bụ mgbaji ọkpụkpụ ma ọ bụ nkwụsị na ọkpụkpụ cranial (okpokoro isi).

Ọkpụkpụ okpokoro isi nwere ike ime na isi ọnya. Okpokoro isi na-enye nchebe dị mma maka ụbụrụ. Agbanyeghị, oke mmetụta ma ọ bụ ịfụfụ nwere ike ime ka okpokoro isi ahụ gbajie. O nwere ike ijikọta ya na mgbagha ma ọ bụ mmerụ ọzọ na ụbụrụ.

Canbụrụ nwere ike imetụta ụbụrụ ya ozugbo site na mmebi nke anụ ahụ ụjọ na ọbara ọgbụgba. Bleedingbụrụ nwekwara ike imetụta ọbara ọgbụgba n'okpuru okpokoro isi. Nke a nwere ike mpikota onu ihe na-akpata ụbụrụ anụ ahụ (subdural ma ọ bụ epidural hematoma).

Mgbaji dị mfe bụ nkwụsị nke ọkpụkpụ n'emebighị akpụkpọ ahụ.

Ọkpụkpụ okpokoro isi na-agbaji bụ okpukpu n'ọkpụkpụ ọkpụkpụ yiri nke dị gịrịgịrị, na-enweghị ịgbawa, ịda mba, ma ọ bụ ịkpụkpụ ọkpụkpụ.

Ọkpụkpụ okpokoro isi dara mbà bụ okpukpu ọkpụkpụ (ma ọ bụ "okpokoro isi" nke okpokoro isi) na ịda mbà n'obi nke ọkpụkpụ na ụbụrụ.

Ihe mgbaji ọkpụkpụ na-agụnye nkwụsị, ma ọ bụ ọnwụ nke, akpụkpọ na ịkpụkpụ ọkpụkpụ.

Ihe kpatara mgbaji ọkpụkpụ nwere ike ịgụnye:


  • Isi trauma
  • Da, ihe mberede ụgbọala, iti ihe, na egwuregwu

Mgbaàmà nwere ike ịgụnye:

  • Ọbara ọbara site na ọnya, ntị, imi, ma ọ bụ gburugburu anya
  • Bruising n'azụ ntị ma ọ bụ n'okpuru anya
  • Mgbanwe nke ụmụ akwụkwọ (nha enweghị aha, ọ naghị emegharị na ọkụ)
  • Mgbagha
  • Ọdụdọ (ọdịdọ)
  • Ihe isi ike na nguzozi
  • Ingbapu mmiri dị ọcha ma ọ bụ ọbara si na ntị ma ọ bụ imi
  • Ụra
  • Isi ọwụwa
  • Enweghi uche (anabataghi)
  • Ọgbọ na ọgbụgbọ
  • Erughị ala, mgbakasi
  • Okwu na-adịghị mma
  • Igba olu
  • Ọzịza
  • Mgbaghara anya

N'ọnọdụ ụfọdụ, naanị ihe mgbaàmà nwere ike ịbụ ngọngọ n'isi. Ọkpụkpụ ma ọ bụ ọnya nwere ike iwe ihe dị ka awa 24 iji tolite.

Mee usoro ndị a ma ọ bụrụ na ịchọrọ na mmadụ nwere mgbaji ọkpụkpụ:

  1. Lelee ụzọ ikuku, iku ume, na mgbasa. Ọ bụrụ na ọ dị mkpa, malite ịnapụta iku ume na CPR.
  2. Zere ịkwaga onye ahụ (belụsọ na ọ dị oke mkpa) ruo mgbe enyemaka ahụike ga-abịarute. Mee ka mmadụ kpọọ 911 (ma ọ bụ nọmba mberede mpaghara) maka enyemaka ahụike.
  3. Ọ bụrụ na a ga-akpali onye ahụ, kpachara anya mee ka isi na olu ya kwụsi ike. Debe aka gi na isi isi abuo n’okpuru ubu. Ekwela ka isi ya gbagọọ agbago ma ọ bụ azụ, ma ọ bụ tụgharịa ma ọ bụ tụgharịa.
  4. Jiri nlezianya nyochaa saịtị mmerụ ahụ, mana ejirila ihe mba ọzọ nyochaa na ma ọ bụ gburugburu saịtị ahụ. O nwere ike isi ike ịmata ma okpokoro isi a na-agbaji ma ọ bụ na-ada mbà (dented) na saịtị nke mmerụ ahụ.
  5. Ọ bụrụ na ọbara ọgbụgba, tinye akwa siri ike na akwa dị ọcha n’ebe sara mbara iji chịkwaa nfufu ọbara.
  6. Ọ bụrụ na ọbara esiri gị ike, ewepụla akwa mbụ. Kama, tinyekwuo akwa n'elu, ma gaa n'ihu na-arụgide nrụgide.
  7. Ọ bụrụ na onye ahụ na-agbọ agbọ, kwụsie ike n’isi na n’olu, ma jiri nwayọ tụgharịa onye ahụ aja n’akụkụ iji gbochie ọnya na agbọ.
  8. Ọ bụrụ na onye ahụ maara ma na-ahụ otu n'ime mgbaàmà ndị edepụtara na mbụ, buga na ebe nlekọta ahụike mberede kacha nso (ọbụlagodi na onye ahụ echeghị na enyemaka ahụike dị mkpa).

Soro usoro ndị a:


  • AK NOTPUGH the onye ahụ ọ gwụla ma ọ dị mkpa. Isi ọnya nwere ike jikọta ya na ọnyá spain.
  • Ewepụkwala ihe na-apụta.
  • Ekwela ka onye ah u na-emega ah physical u.
  • Echefula ilegide onye ahụ anya ruo mgbe enyemaka ahụike ga-abịa.
  • Ekwela ka onye ah u ogwu ob ula tupu i gwa dọkịta okwu.
  • AKW NOTR the onye ahụ naanị ya, ọ bụrụgodị na o nweghị nsogbu doro anya.

Onye nlekọta ahụike ga-eme nyocha anụ ahụ. A ga-enyocha usoro ụjọ nke onye ahụ. Enwere ike inwe mgbanwe na ogo nwata akwụkwọ nke onye ahụ, ikike iche echiche, nhazi, na mmeghari echiche.

Ule nke enwere ike ime gunyere:

  • Ule ọbara na mmamịrị
  • EEG (ule ụbụrụ ụbụrụ) nwere ike ịdị mkpa ma ọ bụrụ na ọdịdọ dị
  • Isi CT (kọmputa kọmputa) nyocha
  • MRI (ima ima ima ihe nke ima) nke ụbụrụ
  • X-ụzarị

Nweta enyemaka ahụike ozugbo:

  • Enwere nsogbu iku ume ma ọ bụ mgbasa.
  • Direct nrụgide anaghị akwụsị ọbara ọgbụgba si imi, ntị, ma ọ bụ ọnya.
  • E nwere drainage nke doro anya ọmụmụ si imi ma ọ bụ ntị.
  • Enwere ihu ọzịza, ọbara ọgbụgba, ma ọ bụ nchihịa.
  • Enwere ihe si na okpokoro isi pụta.
  • Onye ahụ amaghị ama, na-enwe ahụ mkpọnwụ, nwee ọtụtụ mmerụ ahụ, ọ dị ka ọ nọ na nsogbu ọ bụla, ma ọ bụ na ọ nweghị ike iche echiche nke ọma.

Ọbụghị ọnya niile nke isi ka enwere ike igbochi. Ihe ndị a dị mfe ga-enyere gị na nwa gị aka ịnwe nsogbu:


  1. Jiri akụrụngwa nchekwa oge niile mgbe ị na-eme ihe nwere ike ibute isi. Ndị a gụnyere belt oche, okpu igwe ma ọ bụ okpu ọgba tum tum, na okpu siri ike.
  2. Mụta ma soro ndụmọdụ gbasara ịnyịnya ígwè.
  3. A drinkụla ma anya ụgbọala. Ekwela ka onye mmanya na-aba n'anya ma ọ bụ onye mmanya na-egbu ya drivenụọ gị.

Basilar okpokoro isi; Okpokoro isi okpukpu; Linear okpokoro isi mgbaji ọkpụkpụ

  • Okpokoro isi nke ndị okenye
  • Ọkpụkpụ okpokoro isi
  • Ọkpụkpụ okpokoro isi
  • Ihe ịrịba ama nke agha - n’azụ ntị
  • Ọkpụkpụ okpokoro isi nke ụmụ ọhụrụ

Bazarian JJ, Ling GSF na-bụ mmadu. Ọkpụkpụ ụbụrụ na-emerụ ahụ na ọnya ụbụrụ. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 371.

Papa L, Goldberg SA. Isi trauma. Na: Mgbidi RM, Hockberger RS, Gausche-Hill M, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier; 2018: isi 34.

Roskind CG, Pryor HI, Klein BL. Nnukwu nlekọta nke ọtụtụ trauma. Na: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Nduzi, PA Onye ozo; 2020: isi nke 82.

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