Qhov kev tsis txaus siab tshaj plaws uas tus kws kho mob hnov los ntawm nws cov neeg mob yog mob taub hau. Ob tus neeg laus thiab menyuam yaus yws txog nws. Nws tsis yooj yim sua kom tsis quav ntsej qhov no. Tshwj xeeb yog tias muaj lwm yam tsos mob. Cov niam txiv yuav tsum tau saib xyuas tshwj xeeb rau tus menyuam mob taub hau thiab tus cwj pwm ntawm tus menyuam, vim nws tsis tuaj yeem hais tias nws mob. Tej zaum cov no yog qhov tshwm sim ntawm kev yug me nyuam nyuaj lossis congenital anomalies, uas tuaj yeem pom thaum muaj hnub nyoog ntxov. Tej zaum nws yog liquorodynamic mob. Dab tsi yog nws, dab tsi yog yam ntxwv ntawm tus kab mob no hauv cov menyuam yaus thiab cov neeg laus thiab yuav kho li cas, peb yuav xav txog ntxiv.
Dab tsi yog liquorodynamic cuam tshuam txhais tau
CSF yog cov kua dej cerebrospinal uas niaj hnub ncig hauv lub ventricles, CSF txoj hauv kev thiab hauv qhov chaw subarachnoid ntawm lub hlwb thiab qaum qaum. Caw ua lub luag haujlwm tseem ceeb hauv cov txheej txheem metabolic nyob rau hauv lub hauv nruab nrab lub paj hlwb, tswj homeostasis nyob rau hauv lub hlwb cov ntaub so ntswg, thiab kuj tsim ib tug tej yam kev tiv thaiv rau lub hlwb.
Cov cawv tsis zoo yog cov xwm txheej uas ua rau cov kua dej cerebrospinal tsis zoo,Nws excretion thiab reabsorption. Cov txheej txheem no yog tswj hwm los ntawm cov qog uas nyob hauv choroid plexuses ntawm lub ventricles ntawm lub hlwb, uas tsim cov kua dej.
Nyob rau hauv lub cev ib txwm muaj, cov kua cerebrospinal thiab nws lub siab ruaj khov.
Yuav ua li cas yog kev ua txhaum cai
Cia peb xav txog yuav ua li cas CSF-dynamic mob ntawm lub hlwb tuaj yeem txhim kho:
- Tus nqi ntawm kev tsim khoom thiab tso tawm CSF los ntawm cov hlab ntsha plexuses nce.
- Tus nqi ntawm CSF nqus los ntawm qhov chaw subarachnoid qeeb qeeb vim qhov sib tshooj ntawm qhov nqaim ntawm cov hlab ntsha ntawm cov dej cawv vim yog subarachnoid hemorrhages lossis inflammatory kab mob ntawm lub hlwb.
- Kev tsim tawm CSF tsawg zuj zus thaum lub sijhawm nqus ib txwm.
Tus nqi ntawm kev nqus, tsim khoom thiab tso tawm CSF cuam tshuam:
- Ntawm lub xeev ntawm cerebral hemodynamics.
- Hematoencephalic barrier condition.
Cov txheej txheem inflammatory hauv lub hlwb ua rau muaj kev nce hauv nws qhov ntim thiab nce hauv intracranial siab. Raws li qhov tshwm sim - kev ua txhaum ntawm cov ntshav ncig thiab txhaws ntawm cov hlab ntsha los ntawm cov kua cerebrospinal txav. Vim muaj cov kua dej ntau hauv cov kab noj hniav, qee qhov kev tuag ntawm cov ntaub so ntswg intracranial yuav pib, thiab qhov no yuav ua rau muaj kev loj hlob ntawm hydrocephalus.
Kev cais ntawm kev ua txhaum cai
Liquorodynamic ntshawv siab yog cais nyob rau hauv cov nram no:
Yuav ua li cas cov txheej txheem pathological mus:
Chronic.
2. Kev loj hlob theem:
- Txhob Cia Siab. Intracranial siab tau loj hlob, thiab cov txheej txheem pathological tau nce zuj zus.
- Nyiaj pab. Intracranial siab yog ruaj khov, tab sis lub paj hlwb ventricles tseem dilated.
- Subcompensated. Kev phom sij loj heev ntawm kev kub ntxhov. Lub xeev tsis ruaj khov. Lub siab tuaj yeem nce siab txhua lub sijhawm.
3. Nyob rau hauv dab tsi kab noj hniav ntawm lub hlwb yog CSF localized:
- Intraventricular. Cov kua dej accumulates nyob rau hauv lub ventricular system ntawm lub paj hlwb vim muaj kev cuam tshuam ntawm CSF system.
- Subarachnoid. Liquorodynamic mob ntawm hom sab nraud tuaj yeem ua rau puas tsuaj ntawm cov ntaub so ntswg ntawm lub hlwb.
- Mixed.
4. Nyob ntawm CSF siab:
- Hypertension. Cov yam ntxwv los ntawm kev kub siab intracranial. Kev tawm ntawm cov kua cerebrospinal cuam tshuam.
- Normotensive stage. Lub intracranial siab yog ib txwm, tab sis lub ventricular kab noj hniav yog loj. Tus mob no feem ntau tshwm sim thaum menyuam yaus.
- Hypotension. Tom qab kev phais, ntau dhau ntawm CSF los ntawm cov kab noj hniav ntawm ventricles.
Congenital cause
Muaj qhov tsis txaus ntseeg uas tuaj yeem ua rau muaj kev cuam tshuam ntawm liquorodynamic:
- Kev mob caj ces hauv kev loj hlob ntawm fetal.
- Agenesis of the corpus callosum.
- YDandy-Walker syndrome.
- Arnold-Chiari syndrome.
- Encephalocele.
- Stenosisaqueduct ntawm lub hlwb thawj lossis theem nrab.
- Porencephalic cysts.
Yog vim li cas thiaj tau
Cov kab mob Liquorodynamic tuaj yeem pib tsim rau vim li cas:
- Kev raug mob ntawm tus txha caj qaum thiab lub hlwb.
- Ntau yam kab mob sib kis thiab kab mob parasitic cuam tshuam rau lub paj hlwb.
- Neoplasms hauv pob txha taub hau uas thaiv CSF txoj hauv kev.
- Intrauterine hypoxia thawj ob hnub tom qab yug me nyuam.
- papillomas ntawm choroid plexus.
Cov tsos mob ntawm CSF mob hauv cov neeg laus
Liquorodynamic mob ntawm lub hlwb hauv cov neeg laus muaj nrog cov tsos mob hauv qab no:
- mob taub hau.
- Ntaus thiab ntuav.
- Nyob.
- Kab rov tav involuntary txav ntawm lub qhov muag.
- Ntse suab nrov, leeg txhav.
- Txhawj xeeb. Myoclonic qaug dab peg.
- Speech disorder. Teeb meem kev txawj ntse.
Symptomatic disorders in me nyuam mos
Liquorodynamic ntshawv siab hauv cov menyuam yaus hnub nyoog qis dua ib xyoos muaj cov tsos mob hauv qab no:
- -nquag thiab profuse regurgitation.
- Tseem quaj quaj tsis muaj laj thawj.
- Slow overgrowth of the fontanel.
- Monotone quaj.
- Me nyuam tsaug zog, tsaug zog.
- Nyob tsaug zog.
- Kev sib cais.
Sijhawm dhau mus, tus kabmob kis mus ntau dua, thiab cov tsos mob ntawm liquorodynamic tsis meej tau tshwm sim:
- Nkauj tshee tshee.
- Twitching libs.
- Ntxhais kev xav tsis thoob.
- Kev txhawb nqa lub neej cuam tshuam.
- Irregularities in the function of internal organs for tsis meej vim li cas.
- Possible strabismus.
Pom koj tuaj yeem pom cov hlab ntsha hauv lub qhov ntswg, caj dab, hauv siab. Thaum quaj los yog tensing cov leeg, nws yuav ua tau ntau pronounced.
Tsis tas li, tus kws kho mob hlwb yuav nco ntsoov cov cim hauv qab no:
- Hemiplegia.
- Extensor hypertonicity.
- meningeal signs.
- Paralysis thiab paresis.
- Paraplegia.
- Grefe's symptom.
- kab rov tav nystagmus.
- Lagging qab hauv kev txhim kho psychomotor.
Koj yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua. Thaum lub sij hawm teem, tus kws kho mob ntsuas lub ntim ntawm lub taub hau, thiab yog hais tias tus pathology tshwm sim, cov kev hloov yuav pom. Yog li, tej zaum yuav muaj qhov sib txawv hauv kev txhim kho pob txha taub hau:
- Lub taub hau loj hlob sai.
- Nws muaj qhov tsis zoo li qub.
- Cov fontanelles loj thiab me swell thiab pulsate.
- Sutures tuaj sib nrug vim muaj kev kub siab intracranial.
Tag nrho cov no yog cov cim qhia tias tus mob liquorodynamic mob hauv tus menyuam tab tom tsim. Hydrocephalus nce zuj zus.
Kuv xav kom nco ntsoov tias nws nyuaj rau txheeb xyuas qhov teeb meem CSF hauv cov menyuam mos.
Cov tsos mob ntawm liquorodynamic mob hauv cov menyuam yaus tom qab ib xyoos
Tom qab ib xyoos, tus menyuam pob txha taub hau twb tsim lawm. Cov fontanelles raug kaw tag, thiab cov sutures yog ossified. Yog tias muaj cov kab mob CSF hauv tus menyuam yaus, muaj cov cim qhia tias muaj zog intracranial.
Tej zaum yuav muaj kev tsis txaus siab li no:
- Headache.
- Apathy.
- Txhob txhawj vim tsis muaj laj thawj.
- Nausea.
- ntuav yam tsis tau nyem.
Thiab cov cim hauv qab no kuj yog yam ntxwv:
- Nkauj kho siab, hais lus.
- Muaj kev ua txhaum hauv kev sib koom tes ntawm kev txav.
- Kev pom kev poob.
- kab rov tav nystagmus.
- Nyob rau hauv qhov tsis quav ntsej ntawm "bobbing menyuam roj hmab lub taub hau".
Thiab kuj, yog tias liquorodynamic teeb meem ntawm lub hlwb kev vam meej, cov kev sib txawv hauv qab no yuav pom tau:
- Me nyuam hais lus tsis zoo.
- Siv tus qauv, kawm cov lus tsis nkag siab lawv lub ntsiab.
- Nyob zoo ib tsoom phooj ywg.
- Ntev puberty.
- A convulsive syndrome tsim.
- Kev rog.
- Kev cuam tshuam hauv endocrine system.
- Lagging qab nyob rau hauv txoj kev kawm.
Kev kuaj mob ntawm cov menyuam yaus
Hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, kev kuaj mob feem ntau pib nrog kev soj ntsuam ntawm leej niam thiab sau cov ntaub ntawv hais txog kev xeeb tub thiab kev yug menyuam mus li cas. Tsis tas li ntawd, cov kev tsis txaus siab thiab kev soj ntsuam ntawm cov niam txiv raug coj mus rau hauv tus account. Tom qab ntawd tus menyuam yuav tsum tau kuaj xyuas los ntawm cov kws tshaj lij:
- Neurologist.
- kws kho qhov muag.
Kev qhia kom meejKev kuaj mob, koj yuav tsum tau ua cov kev sim hauv qab no:
- YUltrasound.
- Computed tomography.
- MRI.
- Neurosonography.
Kev kuaj mob ntawm cov neeg laus
Nrog mob taub hau thiab cov tsos mob tau piav qhia saum toj no, koj yuav tsum mus ntsib kws kho mob hlwb. Txhawm rau kom paub meej qhov kev kuaj mob thiab sau ntawv kho mob, cov kev tshawb fawb hauv qab no yuav raug sau tseg:
- Computed tomography.
- Angiography.
- Pneumoencephalography.
- Echo ntawm lub hlwb.
- MRI.
Yog tias muaj qhov tsis txaus ntseeg ntawm tus mob ntawm CSF mob, lub lumbar puncture nrog kev hloov pauv hauv CSF siab tuaj yeem raug tshuaj.
Thaum kuaj pom cov neeg laus, kev saib xyuas ntau yog them rau tus kab mob hauv qab.
Kev kho mob CSF mob
Thaum kuaj pom tus kab mob ua ntej, qhov yuav ua rau nws rov qab ua haujlwm ploj lawm. Hom kev kho mob raug xaiv raws li qhov muaj kev hloov pauv pathological nyob rau hauv chav kawm ntawm tus kab mob, nrog rau lub hnub nyoog ntawm tus neeg mob.
Nyob rau hauv lub xub ntiag ntawm nce intracranial siab, raws li txoj cai, diuretics yog muab tshuaj: Furosemide, Diacarb. Cov tshuaj tua kab mob yog siv los kho cov txheej txheem sib kis. Normalization ntawm intracranial siab thiab nws txoj kev kho mob yog lub luag haujlwm tseem ceeb.
txhawm rau txo qhov o thiab mob, siv tshuaj glucocorticoid: Prednisolone, Dexamethasone.
Tsis tas li, cov tshuaj steroids yog siv los txo cov paj hlwb edema. Yuav tsum tshem tawm qhov ua rau tus kab mob no.
Raws li tau tshwm simliquorodynamic ntshawv siab, kev kho mob yuav tsum tau muab tam sim ntawd. Tom qab kev kho mob nyuaj, cov txiaj ntsig zoo yog pom tau. Qhov no tseem ceeb tshwj xeeb tshaj yog thaum lub sij hawm kev loj hlob ntawm tus me nyuam. Kev hais lus tau txhim kho, kev nce qib hauv psychomotor kev loj hlob yog pom tau.
Kev phais mob kuj ua tau. Nws tuaj yeem muab rau hauv cov xwm txheej hauv qab no:
- Tshuaj tsis muaj txiaj ntsig.
- Liquorodynamic teebmeem.
- Occlusive hydrocephalus.
Kev kho phais yog txiav txim siab rau txhua kis ntawm tus kabmob sib cais, suav nrog lub hnub nyoog, tus yam ntxwv ntawm lub cev thiab lub sijhawm ntawm tus kabmob. Feem ntau, kev phais lub hlwb raug zam kom tsis txhob ua rau lub hlwb noj qab haus huv, thiab siv tshuaj kho mob nyuaj.
Nws paub tias yog tias tus mob liquorodynamic tsis zoo hauv tus menyuam tsis kho, kev tuag yog 50% txog 3 xyoos, 20-30% ntawm cov menyuam muaj sia nyob mus txog rau cov neeg laus. Tom qab kev phais, kev tuag yog 5-15% ntawm cov menyuam muaj mob.
Kev tuag tau nce ntxiv vim kev kuaj mob qeeb.
Kev Tiv Thaiv Kab Mob CSF
ntsuas kev tiv thaiv suav nrog:
- Kev soj ntsuam cev xeeb tub hauv tsev kho mob antenatal. Nws yog ib qho tseem ceeb heev rau kev tso npe kom sai li sai tau.
- tshawb pom lub sijhawm ntawm cov kab mob hauv lub cev thiab kho lawv.
Thaum lub lim tiam 18-20th, ultrasound qhia txog kev loj hlob ntawm lub hlwb hauv plab thiab lub xeev ntawm cov kua cerebrospinal ntawm tus menyuam hauv plab. Lub sijhawm no, koj tuaj yeem txiav txim siab qhov muaj lossis tsis muaj pathologies.
- xaiv qhov xa khoom raug.
- Kev tshuaj xyuas tsis tu ncua nrog tus kws kho menyuam yaus. Kev ntsuas qhov ncig ntawm lub pob txha taub hau, yog tias xav tau kev kuaj xyuas ntawm cov nyiaj.
- Yog tias lub fontanel tsis kaw rau lub sijhawm, nws yuav tsum tau ua haujlwm neurosonography thiab sab laj tus kws kho mob neurosurgeon.
- Kev tshem tawm raws sijhawm ntawm neoplasms uas nres CSF txoj hauv kev.
- Kev tshuaj xyuas tsis tu ncua nrog tus kws kho mob thiab ua cov kev tshawb fawb tsim nyog tom qab raug mob ntawm lub hlwb thiab qaum qaum.
- kev kho mob raws sijhawm.
- Kev tiv thaiv thiab kho cov kab mob ntev.
- Kev haus luam yeeb thiab cawv.
- Pom zoo ua si kis las, ua lub neej nquag.
Txhua yam kab mob yooj yim dua los tiv thaiv lossis ua txhua yam kev ntsuas kom txo qis kev pheej hmoo ntawm kev tsim kab mob. Yog tias qhov mob liquorodynamic tau kuaj pom, ces qhov kev kho ua ntej pib, qhov ntau dua qhov uas tus menyuam yuav loj hlob ib txwm.
