spinal cord trauma (TRM) spinal cord trauma yog ib qho kev raug mob uas raug rau cov nqaij mos thiab yuav encompass tus txha nqaj qaum. Lub intensity ntawm qhov puas tsuaj yuav sib txawv me ntsis rau tag nrho cov spinal cord seem. Nws hais los ntawm ntau yam, seb ncaj qha los yog indirect.
Directs muaj tsawg kawg nkaus thiab yog them rau daim ntawv thov zog ntawm tus taw tes uas raug mob tshwm sim.
Indirect yam yog tshwm sim los ntawm cov uas tsis muaj sawv ntog los yog lub mos txwv tej yam. Qhov no nws yuav tau hais tag nrho thiab ib feem.
Tag nrho yog thaum nws tshwm sim nyob rau hauv lub tsev me nyuam vertebrae yuav ua tau ib disconnect ntawm lub paj hlwb thiab lub cev. Ntawm no sensitivity yog poob lawm, mobility thiab cov senses.
Ib feem yog thaum lawv muaj generated hauv lub dorsal vertebrae cuam tshuam dab tsi los ntawm qhov chaw ntawm tej yam rau sab extremities.
Yog hais tias tus txha nqaj qaum muaj ib tug deviation abnormal deviation, yuav raug kho los ntawm kev phais.
Thaum muaj ib tug ntim ntim ntawm cov kua dej lining tus txha nqaj qaum, yuav raug tshem tawm ntawm laminectomy.
Index
Kev kuaj mob ntawm tus kab mob spinal cord trauma
Tus mob no yuav tsum tau kho kom zoo heev. Tus neeg mob polytraumatized yog analyzed los undergoing ib radiological kev tshuaj ntsuam. Yuav tsum tau txhaj tshuaj tiv thaiv tus txha nqaj qaum (tom qab ntawd), hauv siab thiab pelvis.
Yog tsis muaj pov thawj ntawm cov pob txha raug mob yog manifested los ntawm cov duab xoo hluav taws xob, CT scan los yog magnetic resonance imaging, Nws yuav ces yuav txiav txim tau los ntawm neurological examination. Continuous evaluations ntawm ib-teev intervals yuav tsum tau analyze lub caijnyoog twg neurological: Reflexes, rua, rhiab, tswj, thiab lwm yam.
- Tsheb sib tsoo los yog tsausmuag tej yam.
- Tom qab torsion.
- abnormal ua pa.
- Poob sphincter tswj.
- ntog.
- Yog hais tias rhiab thiab muaj peev xwm hauv qab qhov kev raug mob yog nyom.
- Hypotension thiab txo hauv plawv tus nqi.
Ua kom muaj tus txha nqaj qaum
Tsheb sib tsoo
Nyob rau hauv tsheb sib tsoo, kev raug mob rau tus txha nqaj qaum yog ib hom, caj dab. Thaum ib lub tsheb hits, Cia li hloov hauv speed exerting rog rau cov neeg nyob tib yam, ua whiplash. Cov kev raug mob no yuav ceev nrooj reflected hauv lub spinal cord..
ntog
Slips thiab ntog yuav ntau yam los ntawm ib tug bruise rau ib sab nraum qab fracture uas yuav coj mob thiab tej zaum yuav tau muab hlais tawm lawm..
Kev raug mob
Lawv kuj yog ib tug mob spinal cord trauma..
Ib tumor hauv lub spinal cord
Cov tumors tej zaum yuav intramedullary keeb kwm, extramedullary thiab extradural (Ntawm cov meninge thiab cov pob txha ntawm tus txha nqaj qaum).
Qhov yuav tshwm sim ntawm tus txha nqaj qaum cord trauma rau lwm lub nruab nrog cev
Cardiovascular lawv. Chiv, ntshav siab tshwm sim, uas yuav tom qab tsim rau hypotension thiab brachycardia.
respiratory. Nws yog ib qho rau tus neeg mob raug kev txom nyem los ntawm respiratory tsis ua hauj lwm. Yog hais tias muaj cov lesion tshwm sim nyob rau sab sauv ntawm lub cev nqaij, Yuav ua rau lub vertebrae ntawm C3 rau C6 thiab yuav ua rau asynchronous ua pa.
Genitourinary lawv. Koom tes nrog lub txiv kab ntxwv ntawm lub tsheb ciav hlau tract, muaj ntau yam kab mob uas yuav kis tau. Renal insufficiency, Lub raum yuav tsis tau lim cov toxins uas tau raug hydronephrosis. Muaj siab ulcers.
spinal cord trauma
Ib qho tam sim ntawd thiab tsim nyog immobilization yuav yog thawj kauj ruam tseem ceeb tshaj plaws, Qhov no yuav tsum tau ua los ntawm tib qhov chaw uas cov kev huam yuaj tshwm sim. Nrog qhov kev ntsuas no peb tswj kom tsis txhob raug mob theem nrab, Li no tus neeg mob yuav muaj sij hawm ntau dua nyob rau hauv nws rov qab.
Tus neeg mob yuav tsum muaj ventilation thiab oxygenation.
Tus kws kho mob yuav tau xyuas cov lesion zoo heev, yog o los sis liab liab. Qhov no thiaj li yuav tiv thaiv tau ib tug sib sib zog nqus thrombosis.
Thaum ntxov ntawm physiotherapy los tiv thaiv ob leeg stiffness los yog deformity thiab pab considerably txo cov nqaij ntshiv.
Nyob rau hauv rooj plaub ntawm tumor hauv lub marrow, Yuav raug tshem tawm ntawm phais. Nyob rau hauv koj rov qab yog tsis muaj sensation, Muaj ob peb tus neeg mob uas tus neeg mob yeej tsis recovers tias rhiab.
Cov tshuaj uas muaj steroid hormones ntawm cov corticosteroid hom tshuaj no pom zoo, yuav txo tau qhov mob ntawm tus txha nqaj qaum.
Thaum xaus, txoj kev kho yuav yog nyob ntawm seb cov lesion, surgical los yog kev kho mob.
Surgical txheej txheem nyob rau hauv rooj plaub ntawm MRT
txha nqaj qaum. Yog hais tias qhov kev raug mob no me ntsis thiab tshwm sim thaum thawj ob lub tsev me vertebrae nws yuav kho tau los yog mob orthopedic txoj kev xws li mob khees-xaws ncauj tsev menyuam. Nyob rau hauv rooj plaub ntawm kev raug mob loj, surgical kho yuav tau ris tawm, Qhov twg wiring los yog phaj thiab screws yuav muab tso rau.
Thoracic spine. Thaum lub trauma yog nyob rau theem ntawm lub hauv siab, Phais yuav tsum tau thov kom sai li sai tau uas cov pob txha yuav tsum tau realigned, extract cov pob txha fragments los yog fuse tawg vertebrae.
Thaj av ntawd Lumbar. Phais hauv cheeb tsam no yuav tsum tau ua nrog tus neeg mob pw tsaug zog hauv cov nyhuv ntawm anesthesia. Lub hom phiaj ntawm phais yog tshem cov pob txha uas yuav ua rau siab rau lub paj hlwb, Nyob rau hauv rooj plaub no ua ib compression ntawm tus txha nqaj qaum ntawm lub lumbar theem.
txheeb cais
Txheeb cais qhia tias cov pejxeem feem ntau cuam tshuam dab tsi rau hom kev trauma ntau yam los ntawm 15 mus rau 30 xyoo thiab laus tshaj ntawd 65 Xyoos.
Yog hais tias tus txha nqaj qaum cord trauma tsis raug kuaj thaum lub sij hawm, tej zaum yuav irreversible thiab permanent raug mob.