Nws lub npe tsis yog ib hom kab mob xwb. Subarachnoid hemorrhage yog cov ntshav uas tshwm sim ntawm arachnoid thiab lub paj hlwb ntawm lub paj hlwb. Lub ntsiab lus tseem ceeb ntawm cov kev ntxub ntxaug no yog nyob ntawm qhov kev kub ntxhov. Lub txiaj ntsim ntawm hemorrhage yog feem ntau unpredictable, yog li kev kho mob yuav tsum tau ua sai heev.
Kev puas tsuaj thiab cov tsis muaj teeb meem subarachnoid hemorrhage
Nyob ntawm seb yog vim li cas thiaj ua rau, hemorrhages tej zaum yuav:
- tshwm sim;
- kev puas ntsoog.
Nyob rau hauv cov ntaub ntawv ntawm yav tas, txhua yam yog tseeb: qhov los ntshav yog qhib raws li ib tug ntawm craniocerebral raug mob, thaum muaj kev puas tsuaj rau phab ntsa ntawm cov hlab ntsha nyob hauv lub taub hau. Kev puas tsuaj yog ib qho ua rau mob plab heev tshaj plaws.
Tus mob subarachnoid hemorrhage tshwm sim thaum xub thawj siab tsis tas ua. Tab sis qhov tseeb, nws yog tshwm sim los ntawm ntau yam kab mob thiab pathologies uas cuam tshuam rau lub meej mom ntawm phab ntsa ntawm cov hlab ntsha. Ib qho ua rau mob ntsws (hemorrhage) yog ib qho kev ua kom tsis muaj zog. Nws tuaj yeem tshwm sim thaum muaj hnub nyoog, tab sis raws li kev xyaum qhia, cov neeg laus muaj hnub nyoog zoo dua rau qhov teeb meem.
Predisposing mus rau discovery ntawm subarachnoid hemorrhage, yam tseem ceeb zoo li no:
- cov kab mob ntshav;
- vasculitis;
- kev tsim txom ntawm cawv, nicotine thiab tshuaj yeeb dawb;
- arterial hypertension;
- kis kab mob ntawm lub hlwb;
- Nishimoto tus mob;
- qog ntawm cov hlab ntsha;
- fungal kab mob;
- sickle-cell anemia;
- stratified thiab latticed daim ntawv ntawm aneurysm ;
- lom cov mob ntawm cov hlab ntsha;
- ntsws muaj zog;
- vasculopathy;
- tso ntawm amyloid proteins hauv cov hlab ntsha.
Cov tsos mob ntawm subarachnoid hemorrhage
Lub ntsiab lus tseem ceeb ntawm subarachnoid hemorrhage yog lub hauv siab mob taub hau, qhov kev tawm tsam uas muaj peev xwm qee zaum tseem ua rau lub sij hawm luv luv tsis nco qab. Txhua tus neeg uas tau los ntshav hauv lub vas sab ntawm lub hlwb, raws li ib daim ntawv thov, tias qhov mob no yog qhov zoo tshaj plaws hauv lawv lub neej.
Tsis tas li ntawd, qhov kev raug mob yog nrog cov tsos mob li nram qab no:
- xeev siab;
- ntuav;
- kev sib ceg ;
- cia li ploj zuj zus ntawm psychomotor;
- photophobia;
- txob taus;
- strabismus;
- ib ntus ntawm kev rhiab heev;
- kiv taub hau;
- bradycardia;
- kev kub hnyiab nce;
- mob qaug dab peg;
- hais lus xiam oob qhab;
- failures nco.
Kev kho mob ntawm subarachnoid hemorrhage
Nws yog qhov zoo tshaj rau kev kho mob subarachnoid hemorrhage hauv tsev kho mob. Thaum lub sijhawm rov qab los, tus neeg mob tau txais ib lub txaj pw nruj. Txoj kev kho mob yog xaiv raws li daim ntawv thiab qhov teeb meem ntawm qhov teeb meem.
Ib qho ua ke ntawm kev kho mob yog kev hemostatic thiab coagulation-kev kho cov tshuaj. Yog tias tsim nyog, cov tshuaj kom txo tau qhov siab, rov qab ua kom cov hlab ntsha thiab siv lub siab ntawm cov hlab ntsha. Qee lub sij hawm cov neeg mob yuav tsum tau siv cov kev qhia hais lus kho mob thiab xyaum kev kho lub cev.
Qhov tshwm sim ntawm subarachnoid hemorrhage
Qhov ntshav no yog suav tias yog teeb meem loj txaus.
Tej teeb meem thiab qhov yuav tshwm sim muaj xws li:
- tham lus;
- teeb meem nrog kev sib koom tes;
- ntau ntxiv cov leeg mob ntawm cov nquag;
- qhov tsim ntawm thiaj li hu qeeb cerebral infarctions - ib nrab tuag ntawm cov ntaub so ntswg.