Musana ponji

Cerebrospinal ponji kunosanganisira kutungamirira chaiyo tsono munzvimbo subarachnoid nzvimbo yacho musana. Rinoshandiswa kuti chirwere kana kuti yokurapwa zvinangwa.

musana ponji inoitwa chaiyo mumarabhoritari apo akayera CSF kufurirwa uye kusarudza patency vose magwanza muviri. Kunoitawo rokuongorora kuvapo uye kusimba ropa, sitiroko hunhu kutsanangura, ziva anogumbura pezvakaitwa muuropi membranes, cerebrospinal mvura ziva kuchinja kuitika zvirwere zviri nechepakati tsinga. CSF nevezera ukoshi inotungamirira kwemamiriro chinoratidza izvi cerebral mvura. Uyewo musana ponji inoshandiswa kusuma zvinodhaka zvakasiyana-siyana uye radiopaque zvinhu uye radiopharmaceuticals mhepo panguva myelography, cisternography, pneumoencephalography.

For kuchirapa zvinangwa, kumonyanisa yakafanana rinoitwa kuti dzosa kana ropa mvura purulent hunhu, nokuti Pakusuma antiseptics, mishonga inorwisa mabhakitiriya. Ivo inoshandiswa kwazvo zvirwere purulent-anogumbura musana uye pfungwa.

Spinal ponji kunoitwa pakati spinous dzinotsanagura rwechitatu norwechina lumbar vertebra. Panguva iyoyo kutevedza mitemo antiseptics: ganda ikarapwa pamwe ayodhini mhinduro, ipapo kutsakatisa kuti jekiseni nzvimbo nedoro. Uyewo akatakurwa yokutindivadza, nokuti iro rinoshandiswa novocaine mhinduro. Chete ipapo akasuma tsono ponji, iyo wanamatira kumagumo stylet. Pashure yokubayiwa zvinyama akanzwa chairwo kukundikana chinoratidza izvozvo anopinda nhengo dzomuviri nzvimbo. Zvadaro, mukuru mandrel chinobviswa uye nechokwadi pashure rinodhaka. Pasi nemitemo evanhu yakachengeteka.

Ponji of musana aine zvinotevera zvairatidza: vaingoerekana ropa iri subarachnoid nzvimbo nokuda atsamwira ane aneurysm, meningoencephalitis, yomumuzongoza, myelitis, arahnomielity, cysticercosis, ehinokkokoz, neurosyphilis, liquorrhea, zvinorwadza kukuvara uropi. Ichava anoshandawo pakatanga inorwisa mabhakitiriya ari tuberculous yomumuzongoza, purulent meningoencephalitis. Dzimwe pakuvhiya uropi musana ponji inoshandiswa kuderedza intracranial kumanikidzwa ezvinhu, nyore kuwana nyanyisa anomera.

Kana hombe idzodzo nechepakati tsinga vanoshingaira nzira inoshandiswa nokungwaririra, sezvo bundu apo achidzikisa kufurirwa dzingasiyana chinzvimbo chacho uye hombe kanganisa occipital kana tentorial buri. Kana comatose inoti anoshandawo munhu ponji pamusoro musana. Migumisiro yacho maitiro zvakaipa kunogona kuva nengozi, kunyanya mune pathological ezvinhu asingazivikanwi etiology.

Other yematambudziko nzira iyi: meningismus, iyo inoratidza wakafukidza zviratidzo, kutemwa uye kusagadzikana mune rezasi shure, kurutsa, kuda kurutsa. Gomba inopfurwa pashure kuchinja, anogona kuramba akazaruka kwenguva refu, zvichiguma hypotension zvingaitika. Akadzokorora musana ponji kukonzera kuti musana kudyara holestatom gwara. Asi kuomesa kupfuura ngozi ndiyo kukanganisa pamusoro brainstem. ponji akadaro kungaguma rufu. Pakazosvika nhamba yematambudziko zviri wechipiri chete kune ponji pakati mumwongo zvakaipira vari kukura kupererwa, osteomyelitis. Saka, kuomerera mitemo hwatakazvarwa munguva chirwere kushandiswa izvi.