Innovative Brain Recovery Therapies

Kukurumidza kukurumidza kwemusoro, kwakafanana nekurohwa kwekamwe kamwe kumusoro, kunogona kukonzera kukanganisa kwehuropi. Kukurumidza kukanganiswa kwemusoro pamusoro pechinhu chisingazununguki kana kuerekana kamwe kamwe chikonzero chinowanzokonzera kukuvara kwehuropi. Kana matishu ehuropi ari kudivi rekukanganisa kana kuti mhiri kwakapesana nedehenya rakaomarara uye rakabudikira, rinowanzo kukuvara. Kukuvara-kuderedza kukuvara dzimwe nguva kunonzi kukuvara kwe-coup-contrecoup.

Clinical Manifestations

Post-concussion syndrome inoreva mamiriro ezvinhu apo munhu anonzwa kurasikirwa nepfungwa kwenguva pfupi mushure mekurohwa, kazhinji kupora mukati memaminitsi makumi matatu. Pakuzotangazve kuziva, murwere angasayeuke mamiriro ekukuvara kana zviitiko zvakatangira ipapo. Zviratidzo zvinogona kusanganisira kutemwa nemusoro, kusvotwa, dzungu, kushatirwa, kusagadzikana mupfungwa, kushaya chivimbo, kuvhiringika, uye autonomic nervous system zviratidzo zvakadai sekupenya, kudikitira kutonhora, kuderera kweropa, kurova zvishoma, uye kufema kwakadzika.

Coma inokonzerwa nekukuvara kwehuropi inogona kusiyana nekufamba kwenguva, kubva kupfupi kusvika kwenguva refu. Munguva yekupora kubva pakoma kusvika pakuziva, varwere vanogona kuwana nguva yekukotsira, kuvhiringidzika, uye delirium. Chiyero chekuziva chinochinja-chinja, dzimwe nguva dzichireruka uye dzimwe dzichirema.

Delirium inowanzoitika kubva mukushanduka kwekubuda mukoma kana kurara. Mune zvimwe zviitiko, maitiro anoratidzwa panguva yedelirium angaratidza basa rekare remurwere. Varwere vazhinji vanogona kuratidza kuramba, kushushikana, uye kusabatira pamwe, nepo vamwe vachiwedzera hasha. Zviratidzo zvinogona kusanganisira kufungidzira kunotyisa, uye mumatambudziko akaoma, varwere vanogona kusangana nekuvhiringidzika kwakanyanya uye kunyange kuratidza maitiro echisimba echisimba. Delirium inogona kuperekedzwa nedzimwe nyika dzakashandurwa dzekuziva, senge kuvhiringika uye senge zviroto.

Traumatic amnesia syndrome inokonzerwa nekukuvara kwemusoro inoratidzwa nekugadzira pamusana pekukanganwa, uye varwere vanowanzova nyore kuvhiringidzika. Nguva yaro ipfupi kana ichienzaniswa nedoro amnestic syndrome.

Subdural hematoma inokonzerwa nekukuvara kwemusoro inogona kuitika nekukurumidza mushure mekukuvadzwa, kazhinji ichiratidzira nemusoro uye kurara. Dzimwe nguva, panogona kunge paine kunakidzwa kwemota, uye inenge hafu yevarwere inoratidza papilledema. Hunhu hwechisingaperi subdural hematoma zvinosanganisira kurara, kugomara, kukanganisa ndangariro, uye mumatambudziko akaomarara, yakazara dementia zviratidzo. Vamwe varwere vanogona kunge vakawedzera zvishoma nezvishoma cerebrospinal fluid pressure, kuwedzera kweprotein quantitation, uye kuonekwa kweyero.

X-ray firimu firimu

Sarudza kutsemuka, dehenya sutures kupatsanurwa, intracranial air accumulation, intracranial yekunze miviri.

CT Scan

Nzira inokosha zvikuru, iyo inogona kuratidza kuvapo uye chiyero che hematomas, contusions, uye edema, pamwe nekutsemuka, pneumocephalus, etc. Kana zvichidiwa, maitiro akawanda ane simba anogona kuitwa kutevera kuchinja kwemamiriro acho ezvinhu. Nekudaro, panogona kunge paine pseudoshadows uye kufungidzira kwakashata munzvimbo yeposterior fossa.

MRI

Kunyangwe isingawanzo shandiswa muchikamu cheacute, inofanirwa kutariswa mumamiriro ezvinhu apo maronda ari mumashure mefossa anoonekwa zvisina kunaka paCT. Inopa mifananidzo iri nani yezvimiro zvemukati zvinyoro zvinyoro zvichienzaniswa neCT uye inogona kushandiswa mushure mekunge mamiriro acho agadzikana kuti aongorore huwandu hwekukuvara uye kufungidzira kufungidzira.

Lumbar Puncture

Inogona kuyera intracranial pressure uye kuongorora cerebrospinal fluid. Kana intracranial hemorrhage ichiperekedzwa ne subbarachnoid hemorrhage, lumbar puncture inogona kuburitsa ropa cerebrospinal fluid uye zvakare yakakosha nzira yekurapa.

Cerebral Angiography

Inoshandiswa zvishoma kazhinji mukuongororwa kwecranial trauma, asi inofanirwa kushandiswa nekukurumidza kana vascular pathology ichifungidzirwa. Kana pasina CT scanner, inogona kuona kuvapo kwehematoma inobva pavascular morphology.

Dzimwe Nzira Dzekuongorora

Ultrasound, electroencephalography (EEG), radionuclide imaging, nedzimwe nzira hadzina kukosha uye hadziwanzo shandiswa zvakananga pakuongorora kukuvara kwecranial uye uropi.

Zvichienderana nenhoroondo yekukuvara kwemurwere, pamwe nekunyatsoongorora muviri wese uye hurongwa hwetsinga, kuongororwa kwecranial trauma kunogona kuve nyore kusimbiswa. Ongororo dzambotaurwa dzinogona kuitwa kuti dzisimbise chirwere ichi.

Matambudziko

Kukuvara kwehuropi kunowanzokonzera zvidimbu zvakasiyana-siyana zvechigarire chinokanganisa kushanda. Izvi zvinonyanya kuenderana nekuti kukuvara kwacho kunowanikwa kune imwe nzvimbo yehuropi (yakatarisana) kana yakapararira (yakapararira). Nzvimbo dzakasiyana dzekukuvara kwehuropi dzinogona kukonzera zviratidzo zvakasiyana, zvichibatsira vanachiremba pakusarudza nzvimbo yekukuvara. Zviratidzo zvakanangana zvinosanganisira kusagadzikana mukufamba, kunzwa, kutaura, kuona, uye kunzwa, nepo kukuvara kwehuropi kwakapararira kunowanzo kukanganisa ndangariro, kurara, kana kutungamirira mukuvhiringidzika uye coma.

Kukuvara kwakanyanya muuropi dzimwe nguva kunogona kukonzera amnesia, uko varwere vasingakwanisi kuyeuka zviitiko zvisati zvaitika kana mushure mekurasikirwa nekuziva, kunyange zvazvo avo vanotangazve kuziva mukati mevhiki vanowanzowana ndangariro. Kumwe kukuvara kwehuropi, kunyangwe zvinyoro, zvinogona kukonzera post-traumatic syndrome, uko varwere vanonzwa misoro nekukanganisika kwendangariro kwenguva yakati rebei.

Kukuvara kwakanyanya kwehuropi kunogona kukonzera kutambanudza, kumonyoroka, kana kubvaruka kwetsinga, tsinga dzeropa, uye mamwe matishu mukati mehuropi. Kukuvadza kune neural pathways kana kubuda ropa uye kuzvimba kunogona kuitika. Intracranial kubuda ropa uye kuzvimba kwehuropi kunokonzera kuwedzera kwehuwandu hwemukati wemukati, asi dehenya pacharo harigone kuwedzera zvinoenderana. Nekuda kweizvozvo, intracranial pressure inokwira, ichiwedzera kukuvadza uropi. Kuwedzera intracranial pressure inosundidzira huropi pasi, ichimanikidza uropi hwepamusoro matishu uye uropi hunoita mazaru anosanganisirwa. Iyi mamiriro anonzi brain herniation. Iyo cerebellum uye brainstem zvinogona kusimuka kuburikidza nemazaru ari pazasi pedehenya. Sezvo brainstem ichiita basa rakakosha mukuchengetedza kufema uye kurova kwemoyo, herniation yehuropi inogona kuuraya.