Mụbara intracranial nrụgide

Mmetụta intracranial na-abawanye bụ ịrị elu na nrụgide dị n'ime okpokoro isi nke nwere ike ịpụta ma ọ bụ kpatara mmerụ ahụ ụbụrụ.

Pressureba ụba nke intracranial nwere ike ịbụ n'ihi ịrị elu nke nrụgide nke mmiri cerebrospinal. Nke a bụ mmiri gbara ụbụrụ na ọgidigi azụ gbara gburugburu. Ba ụba na nrụgide intracranial nwekwara ike ịbụ n'ihi ịrị elu nrụgide n'ime ụbụrụ n'onwe ya. Nke a nwere ike kpatara site na oke (dị ka akpụ), ọbara ọgbụgba n'ime ụbụrụ ma ọ bụ mmiri gburugburu ụbụrụ, ma ọ bụ ọzịza n'ime ụbụrụ n'onwe ya.

Increasebawanye na nrụgide intracranial bụ nsogbu ahụike siri ike ma na-eyi ndụ egwu. Nrụgide ahụ nwere ike imebi ụbụrụ ma ọ bụ ọkpụkpụ azụ site na ịpị ihe owuwu ndị dị mkpa yana site na ịmachi ọbara n'ime ụbụrụ.

Ọtụtụ ọnọdụ nwere ike ime ka nrụgide intracranial dịkwuo elu. Ihe kpatara ya gụnyere:

• Mgbapu nke Aneurysm na ọbara ọgbụgba nke subarachnoid
• Ọrịa ụbụrụ
• Encephalitis iyatesịt na ọzịza, ma ọ bụ mbufụt, nke ụbụrụ)
• Isi mmerụ
• Hydrocephalus (ụba mmiri gburugburu ụbụrụ)
• Ọbara ọgbụgba ụbụrụ ụbụrụ (ọbara ọgbụgba na ụbụrụ site na ọbara mgbali elu)
• Ọbara ọgbụgba (ọbara ọgbụgba n'ime ebe jupụtara mmiri, ma ọ bụ ventricles, n'ime ụbụrụ)
• Meningitis (oria nke membranes ekpuchi ụbụrụ na ọgidigi azụ)
• Subdural hematoma (ọbara ọgbụgba n'etiti mkpuchi nke ụbụrụ na elu nke ụbụrụ)
• Epidural hematoma (ọbara ọgbụgba n'etiti ime okpokoro isi na mpụta nke ụbụrụ)
• Ọdịdọ
• Ọkụ

Antsmụaka:

• Ụra
• Ekewapụrụ iche na okpokoro isi
• Bulging nke adụ ntụpọ n'elu isi (bulging fontanelle)
• Akpịrị

Ermụaka ndị okenye na ndị okenye:

• Omume gbanwere
• Mbelata anya
• Isi ọwụwa
• Ike ọgwụgwụ
• Mgbaàmà nke usoro nhụjuanya, gụnyere adịghị ike, ụfụ, nsogbu mmegharị anya, na ọhụụ abụọ
• Ọdịdọ
• Akpịrị

Onye na-ahụ maka ahụike na-emekarị nyocha ahụ n'akụkụ akwa onye ọrịa na ụlọ mberede ma ọ bụ ụlọ ọgwụ. Ndị dọkịta na-ahụ maka nlekọta mgbe ụfọdụ nwere ike ịhụ mgbaàmà oge mbụ nke nrụgide intracranial na-abawanye dị ka isi ọwụwa, ọdịdọ, ma ọ bụ nsogbu usoro ụjọ ndị ọzọ.

MRI ma ọ bụ CT scan nke isi nwere ike ịchọpụta ihe kpatara ụba intracranial ma gosipụta nchoputa ahụ.

Enwere ike ịtụ nrụgide intracranial n'oge ọkpọ azụ (mgbapụta lumbar). Enwere ike tụọ ya ozugbo site na iji ngwaọrụ ejiri gbapuo okpokoro isi ma ọ bụ ọkpọkọ (catheter) nke etinyere n'ime oghere dị na ụbụrụ a na-akpọ ventricle.

Mberede ịba ụba intracranial bụ ihe mberede. A ga-agwọ onye ahụ na ngalaba nlekọta kpụ ọkụ n’ọnụ nke ụlọ ọgwụ. Ndị ọrụ ahụike ga-enyocha ma nyochaa akara akwara ozi na nke dị mkpa nke onye ahụ, gụnyere ọnọdụ okpomọkụ, usu ahụ, iku ume, na ọbara mgbali.

Ọgwụgwọ nwere ike ịgụnye:

• Nkwado iku ume
• Gbapu mmiri nke cerebrospinal iji belata nrụgide na ụbụrụ
• Ọgwụ iji belata ọzịza
• Mwepụ nke okpokoro isi, karịsịa na ụbọchị abụọ mbụ nke ọrịa strok nke gụnyere ụbụrụ ụbụrụ

Ọ bụrụ na akpụ, ọbara ọgbụgba, ma ọ bụ nsogbu ọzọ kpatara mmụba nke nrụgide intracranial, a ga-agwọ nsogbu ndị a.

Mberede ịba ụba intracranial bụ ọnọdụ dị njọ ma na-eyi ndụ egwu. Usoro ọgwụgwọ ozugbo na-arụpụta ezi echiche.

Ọ bụrụ na nrụgide ahụ na-arịwanye elu na-eme ka akụkụ ụbụrụ dị mkpa na akwara ọbara, ọ nwere ike ibute nsogbu siri ike, na-adịgide adịgide ma ọ bụ ọbụna ọnwụ.

Ọnọdụ a enweghị ike igbochi ya. Ọ bụrụ na ị nwere isi ọwụwa, ọhụụ na-adịghị ahụkebe, mgbanwe n'ọkwa nke ịmụrụ anya, nsogbu sistemụ ụjọ, ma ọ bụ ihe ọdịdọ, chọọ enyemaka ahụike ozugbo.

ICP - zụlitere; Intracranial mgbali - welitere; Intracranial ọbara mgbali; Nnukwu ụba nrụgide intracranial; Na mberede ụba intracranial mgbali

• Ventriculoperitoneal shunt - igbapu

• Subdural hematoma
• Usoro nhụjuanya nke etiti na usoro ụjọ nke elu

Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Mberede ma ọ bụ ọnọdụ egwu ndụ. Na: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Nduzi Seidel maka Nnyocha Ahụhụ. Agba nke 9. Philadelphia, PA: Elsevier; 2019: isi 26.

Beaumont A. Physiology nke cerebrospinal ọmụmụ na intracranial mgbali. Na: Winn HR, ed. Youmans na ịwa ahụ na-agwọ ọrịa Winn. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 52.

Kelly AB Neurology mberede. Na: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, eds. Akwụkwọ ọgụgụ nke okenye okenye ọgwụ. Agba nke anọ. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: 386-427.