I pā tōu mahunga? Me ako tātou mō te toto i roto i te angaanga (Subdural Hematoma)

Ina pā te mahunga ki tētahi wāhi, ka whakaaro pinepine tātou, "Āe, he puku iti noa iho, ā, kāore he aha," tika? Engari i ētahi wā, ina koa ka pā te mahunga ki te mahunga, kāore tātou e kite i te kino i roto i tō tātou angaanga. Koinā te wā ka puta he mate tino morearea, tae atu ki te mate. Ka kiia tēnei he Hematoma Subdural . I te kīanga māmā, koinei te wā ka kohia te toto i roto i te mahunga, huri noa i te roro. Me kōrero tika tātou mō tēnei, he māmā noa iho.

He aha te Hematoma Subdural?

Ko te hematoma subdural he toto e puta ana i roto i te roro. He kohinga toto tēnei i waenganui i ngā paparanga kiriuhi e tiaki ana i te roro. He maha ngā wā ka puta tēnei i te whara o te upoko.

Whakaarohia tō tātou roro he taonga utu nui. He rite ki te urunga ngā hipoki e karapoti ana i taua taonga hei tiaki i a ia. Waihoki, e toru ngā paparanga matua o ngā kiriuhi hei tiaki i tō tātou roro. Ka karangatia ēnei e tātou ko '(meninges)'.

• Dura mater: Koinei te paparanga o waho rawa, kaha hoki i raro i te angaanga.
• Arachnoid mater: Koinei te paparanga o waenganui, angiangi e rite ana ki te tukutuku pungawerewere.
• Pia mater: Koinei te paparanga o roto rawa e piri ana ki te roro tonu.

Ka puta he hematoma subdural ina pā te whiunga ki te upoko ka pakaru tetahi oko toto iti i waenganui i ēnei paparanga. Kātahi ka kohia te toto mai i te oko toto kua pakaru ki te wāhi i waenganui i te dura mater o waho me te arachnoid mater o roto. Ko tēnei huihuinga toto, ka hanga he toto totoka, ka kiia he hematoma subdural. He mate kino tēnei e taka ana ki raro i te wāhanga o te Whara Roro Traumatic (TBI).

He aha ngā momo matua o te Hematoma Subdural?

Ka whakarōpūhia tēnei āhuatanga e ngā tākuta i runga i te tere o te tīmatanga o ngā tohu, te nui o te toto, me te whānuitanga o te kino o te roro. He mea tino nui tēnei whakarōpūtanga hei whakatau i te maimoatanga.

He aha ngā tohu o tēnei mate?

Tērā pea ka puta tonu mai ngā tohu i muri i te whara o te upoko, ka puta rānei i roto i te wā. Kei te momo i kōrerotia i runga ake nei.

Ngā tohu e kitea whānuitia ana

• He ānini roa, he nui hoki: He tino kino tēnei i te momo `(Acute)`.
• Whakapairuaki me te ruaki: Te ruaki kāore he take.
• Te Uaua ki te Kōrero (Dysarthria): Kāore e mārama te kōrero, ā, me te mea kei te ngunguru.
• Ngā huringa tirohanga: Te tirohanga pōuri, te tirohanga takirua.
• Whatiwhati: Te āhua nei kei te hurihuri tōu mahunga.
• Te uaua ki te hikoi me te ngaro o te taurite: Te wiri i te wā e hikoi ana.
• Ngoikore i tetahi taha o te tinana: Ka ngoikore, ka ngoikore rānei te ringa, te waewae rānei.

Ka kitea ngā tohu i roto i te momo mate pūmau

• Te ngaronga o te mahara: Te warewaretanga ki ngā kaupapa o nā tata nei.
• Pōhēhētanga: Kāore e taea e koe te mōhio kei hea koe, me te wā rānei.
• Ngā huringa whanonga: Te riri ohorere me te ohooho.

Mō ngā pēpi nohinohiKi te tupu tēnei, ka nui haere pea tō rātou angaanga i te mea ka kohia te toto nā te mea he ngohengohe tonu.

Ngā tohu ka puta pea ina tino kino te mate

I te mea ka nui haere te toto i roto i te mahunga, ka piki ake hoki te pēhanga, ka kaha ake ngā tohu.

• Pararutiki
• Ngā mate hopuhopu
• Te uaua ki te manawa
• Ngaronga o te māramatanga
• Koma

He aha ngā tino take o te Subdural Hematoma?

I te nuinga o te wā, ka puta tēnei āhuatanga i te whara o te upoko. Hei tauira:

• Te paheke, te hinga i roto i te wharepaku, me te tukinga o te mahunga.
• Te whara o te upoko i roto i te aituā pahikara, te motuka wira-toru, te motuka rānei.
• Te patu i tō mahunga i a koe e takaro ana i ngā hākinakina pēnei i te whutupaoro, te whutupōro rānei.
• Ngā whara o te upoko nā te whakaekenga.

Ko wai kei te mōrearea nui ake?

Ahakoa ka taea e te tangata katoa te pāngia e tēnei mate i muri i tētahi aituā, he nui ake te mōrearea o ētahi tāngata.

• Tau: He nui ake te mōrearea o te hunga neke atu i te 65 tau te pakeke me ngā tamariki nohinohi . I a tātou e pakeke haere ana, ka pakupaku noa iho ō tātou roro. Ka hangaia he āputa iti i waenganui i te angaanga me te roro. Ka taea e tēnei te totoro i ngā uaua toto ngawari e anga atu ana ki te roro. Ahakoa he hinganga iti noa iho, ka ngawari te pakaru me te toto o ēnei uaua totoro. Nā te mea kāore i te kaha ngā uaua kaki o ngā tamariki nohinohi, ka puta tēnei āhuatanga ina tino kaha te ruirui (shake baby syndrome) .
• Ngā tāngata e tango ana i ngā rongoā whakangawari toto: Ko ngā rongoā pēnei i ngā rongoā ārai toto, e whakamahia ana hei rongoā i ngā mate pēnei i te mate ngakau me te whiu, ka whakahaere i te toto totoka. Mēnā ka pā te mahunga o te tangata e tango ana i ēnei rongoā, ka haere tonu te toto, ā, kāore e mutu.
• Ētahi āhuatanga hauora: Ko te hunga whai mate e whakararu ana i te toto totoka, pērā i te hemophilia, he nui ake te mōrearea.
• Te inu nui i te waipiro: Ka kino pea te ate ki te inu nui i te waipiro mō te wā roa. Ka whakaputa te ate i ngā pūmua e hiahiatia ana mō te toto totoka. Ina pakaru te ate, ka mutu te whakaputa i aua pūmua, ka piki ake te mōrearea o te toto.

Me pēhea te kitenga a te tākuta i tēnei?

Ina haere koe ki te hōhipera me te whara o te upoko, ka tirotirohia koe e te tākuta me te āta tirotiro. Ka pātai atu ia ki a koe i ngā pātai pēnei i:

• He aha ngā tohu e pāngia ana e koe?
• Nā te aha, ā, nō hea koe i pā ai ki tōu matenga?
• He aha atu ngā mate kei a koe?
• He aha ngā rongoā e whakamahia ana e koe?

Kātahi, ki te whakapaetia he hematoma subdural, ka whakaritea he matawai upoko.

• Matawai CT (Matawai Tomography Rorohiko): Ka taea e tēnei te tango pikitia tere o roto o te upoko hei tirotiro mēnā he toto. He maha ngā wā ka mahia tēnei i roto i te āhuatanga ohorere.
• Matawai MRI (Matawai Whakaahua Āhua-Mate): Ka taea e tēnei te tango pikitia mārama ake, taipitopito ake. Ka āwhina tēnei ki te whakatau i te nui o te toto me tōna roa.

Me pēhea te rongoā?

Mēnā he āhuatanga ohorere, ka whakaū tuatahi ngā tākuta o te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera i tō manawa me tō toto toto. Kātahi ka whakatauhia te maimoatanga i runga i te nui o te toto me te kaha o ō tohu.

• Pokanga: Mena he nui te toto totoka, ā, he kino rawa ngā tohu, me pokanga te nuinga o te wā. Ka mahia tēnei e te taote pokanga roro .
• Craniotomy: Ko te tango wā poto i tētahi wāhanga iti o te angaanga hei tango katoa i te toto toto kua kohia ki roto. Ko te nuinga o tēnei pokanga ka mahia mō ngā hematomas whakapeka.
• Ngā kōhao pupuhi: Ko te mahi ko te hanga i tētahi, i ētahi rānei kōhao iti rawa ki te angaanga, te whakauru i tētahi ngongo angiangi mā roto, me te āta tango i te toto. Ko tēnei tikanga te mea e whakamahia whānuitia ana mō ngā hematoma mau tonu.

• Tirotiro me te kore pokanga: I ētahi wā, ki te mea he iti rawa te toto totoka, ā, kāore he tohu, kāore e hiahiatia he pokanga. Ka puritia koe e te tākuta ki te hōhipera hei tirotiro māu. Ka hoatu e rātou he rongoā ki a koe, ā, ka mahia he matawai anō kia kite ai mēnā ka memeha te toto totoka.

Kia pēhea te roa e ora ai?

He rerekē te roa o te wā e ora ai i tēnei mate i ia tangata, i ia tangata. Ka ora katoa ētahi i roto i ētahi wiki. Engari ko ētahi tāngata, inā koa ko te hunga he nui te whara o te roro, kāore pea e ora katoa.

Mena kei te mau tonu ō raruraru mahara, ō ngoikore rānei i muri i te pokanga, me whai whakaora pea koe.

• Ngā kaiwhakaora tinana: Āwhina ki ngā mahi pēnei i te hikoi me te pupuri i te taurite.
• Ngā kaiwhakaora mahi: Whakangungu anō i ngā tāngata ki te mahi i ngā mahi o ia rā me te kore e mahi takitahi (pēnei i te kakahu, te kai).
• Ngā tohunga mate kōrero-reo: Whakaorahia ngā raruraru kōrero, horomia rānei.

He raruraru kei te pā mai i tēnei mate?

Ki te kore e rongoatia, ka taea e ngā toto toto nui te arahi ki te koma, tae atu ki te mate. Hei tāpiri, ka puta pea ēnei raruraru.

• He hernia o te roro: He āhuatanga tēnei e tino piki haere ai te pēhanga i roto i te roro, ā, ka pupuhi ētahi wāhanga o te roro i waho o tōna tūranga noa. He tino morearea tēnei.
• Te toto anō: He mōrearea kei te toto anō i muri i te pokanga, inā koa mō te hunga kaumātua.
• Ngā mate haurangi: Ka pāngia pea ētahi tāngata e ngā mate haurangi ahakoa kua rongoatia, kua ora ake rānei.