Intracranial mgbali nlekota

Nnyocha intracranial (ICP) na-eji ngwaọrụ etinye n'ime isi. Nyochaa na-achọpụta nrụgide dị n'ime okpokoro isi ma zipụ nha na ngwaọrụ ndekọ.

Enwere ụzọ atọ iji nyochaa ICP. ICP bụ nrụgide dị okpokoro isi.

INTRAVENTRICULAR CATHETER

Igwe intraventricular bụ usoro nlezianya kachasị mma.

Inserttinye ihe intraventricular catheter, a gbapuru onu site na okpokoro isi. A na-etinye catheter site na ụbụrụ n'ime ụbụrụ ventralle. Mpaghara ụbụrụ a nwere mkpụrụ ndụ ụbụrụ (CSF). CSF bụ mmiri mmiri na-echebe ụbụrụ na ụbụrụ.

Enwere ike iji ya na intraventricular catheter iji kpoo mmiri site na catheter.

Katidere ahụ nwere ike isi ike ịbanye ebe mgbe nrụgide intracranial dị elu.

SUBDURAL SCREW (BOLT)

A na-eji usoro a ma ọ bụrụ na nlekota oru kwesịrị ime ozugbo. A na-etinye ihe nkedo n'ime oghere site na olulu e gwuru n'isi. A na-etinye ya na akpụkpọ ahụ nke na-echebe ụbụrụ na eriri afọ (dura mater). Nke a na - enyere ihe mmetụta aka ịdekọ site n'ime oghere dị n'okpuru.

EPIDURAL SENSOR

A na-etinye ihe mmetụta epidural n'etiti okpokoro isi na anụ ahụ dural. A na-etinye epidural ihe mmetụta n’oghere a gbapuru n’elu okpokoro isi. Usoro a pere mpe karịa usoro ndị ọzọ, mana ọ nweghị ike iwepu CSF karịrị.

A ga-agbanye ọgwụ Lidocaine ma ọ bụ ọgwụ anesteti ọzọ na saịtị ebe a ga-egbutu ya. O yikarịrị ka ị ga-enweta ọgwụ mgbochi iji nyere gị aka izu ike.

• Nke mbụ, a na-akpụ ntutu na antiseptik ma kpochaa ya.
• Mgbe ebe ahụ kpọnwụrụ, a na-eme ịwa ahụ. A na-adọghachi akpụkpọ ahụ ruo mgbe a ga-ahụ okpokoro isi.
• Mgbe ahụ, a na-eji egwu egwu agbaji ọkpụkpụ.

Ọtụtụ oge, a na-eme usoro a mgbe mmadụ nọ n'ụlọ ọgwụ kpụ ọkụ n'ọnụ n'ụlọ ọgwụ. Ọ bụrụ na ị mụ anya wee mara, onye na-ahụ maka ahụike ga-akọwa usoro yana ọghọm ya. Will ga-abịanye aka na akwụkwọ ikike.

Ọ bụrụ na emebere usoro ahụ site na iji nhụjuanya n'ozuzu, ị ga-ehi ụra na enweghị ihe mgbu. Mgbe ị tetara, nsogbu ị na-atụnwụ ahụ na-ahụkarị. Ga-enwe ụfọdụ ahụ erughị ala site na ịkpụ mere na okpokoro isi gị.

Ọ bụrụ na emebere usoro ahụ n'okpuru ọgwụ mgbochi ọrịa mpaghara, ị ga-eteta. A ga-agbanye ọgwụ ogwu si na ebe a ga-egbutu ya. Nke a ga-adị gị ka ịpị isi n’isi gị, dị ka nsị a aụ. I nwere ike inwe mmetụta na-adọrọ adọrọ ka a na-ebipụ akpụkpọ ahụ ma laghachi azụ. Ga-anụ ụda mkpọpu ala ka ọ na-agbaji okpokoro isi. Ogologo oge nke a ga - adabere n'ụdị ụdị egwu eji eme ihe. Ga-enwekwa mmetụ dị ka dọkịta na-awa ahụ na-adọtị anụ ahụ ọnụ mgbe emechara ya.

Onye na-eweta gị nwere ike inye gị ọgwụ nro dị nro iji belata nkasi obi gị. Will gaghị enweta ọgwụ ndị na-egbu mgbu siri ike, n'ihi na onye na-eweta gị ga-achọ ịlele maka akara ngosi nke ụbụrụ.

Ule a na-emekarị iji tụọ ICP. Enwere ike ịme ya mgbe enwere oke isi ọnya ma ọ bụ ọrịa ụbụrụ / ụjọ usoro. Enwere ike ịme ya mgbe a wachara gị ahụ iji wepu akpụ ma ọ bụ mezie mmebi nke arịa ọbara ma ọ bụrụ na dọkịta na-awa ahụ na-echegbu onwe ya banyere ọzịza ụbụrụ.

Enwere ike ịgwọ ICP dị elu site n'iwepu CSF site na catheter. Enwere ike ịgwọ ya site na:

• Gbanwe ntọala ventilator maka ndị nọ na iku ume
• Inye ọgwụ ụfọdụ site na akwara (intravenously)

Dị ka ọ dị, ICP sitere na 1 ruo 20 mm Hg.

Gwa onye na - enye gị ọrụ gbasara ihe nyocha gị pụtara.

ICP dị elu pụtara na sistem ụjọ na anụ ahụ arịa ọbara na-enwe nrụgide. Ọ bụrụ na agwọghị ya, nke a nwere ike ibute mmebi na-adịgide adịgide. N'ọnọdụ ụfọdụ, ọ na-eyi ndụ egwu.

Ize ndụ site na usoro ahụ nwere ike ịgụnye:

• Ọbara ọgbụgba
• Ọkpụkpụ ụbụrụ ma ọ bụ mmerụ ahụ site na ụba nrụgide
• Mmebi nke ụbụrụ
• Enweghi ike ịchọta ebe ikuku na ebe catheter
• Ofufe Ọrịa
• Ihe ize ndụ nke ọgwụ nchịkwa

Nyocha ICP; Nyocha CSF

• Intracranial mgbali nlekota

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Rabinstein AA, Fugate JE. Ofkpụrụ nke nlekọta neurointensive. Na: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 55.

Robba C. Nlekọta nrụgide intracranial. Na: Prabhakar H, ed. Neuromonitoring Usoro. Nke 1 ed. Philadelphia, PA: Elsevier; 2018: isi 1.