He aha te Hematoma Wairangi? Tohutohu, Take, me te Maimoatanga

Ko te hematoma wairangi he kohinga toto e hanga ana i roto i tō angaanga, te nuinga i muri i te whara o te upoko. Whakaarohia he toto e puta ana i waenganui i tō roro me ngā paparanga tiaki kei te taha o reira, kei roto rānei i te kiko roro anō.

Ka puta tēnei āhuatanga ina pakaru ngā oko toto kei roto, kei te taha rānei o tō roro, ka puta ai te kohinga toto ki ngā wāhi kaore e tika. Ka taea e te toto kua mau te pehi i te kiko roro, koia te take i nui ai te tiaki hauora tere.

He aha ngā tohu o te hematoma wairangi?

Ka rerekē ngā tohu, kei te wāhi e puta ana te toto, me te tere o te kohinga toto. Ka kite etahi i ngā tohu i te wa tonu, kaore etahi e kite i ngā raruraru mo ngā haora, aha atu rānei nga rā i muri i te whara.

Ko ēnei ngā tohu tino noa ka kitea e koe:

• Te mamae o te upoko ka kino haere
• Te ruaki me te ruaki
• Te whakapohehe, te raruraru rānei ki te whakaaro mārama
• Te moe, te ngaro rānei o te mohio
• Te ngoikore i tetahi taha o tō tinana
• Te raruraru korero, te kōrero rānei kua pakaru
• Te huringa o te tirohanga, te tirohanga rānei kua mōrearea
• Ngā hopu
• Te ngaro o te whakahaere, te toenga rānei

Ko te mea e awangawanga ana mo tēnei āhuatanga ko te puta mai o ngā tohu i te wa roa. Ka pai pea koe i te tuatahi i muri i te whara o te upoko, ka puta mai ngā raruraru i muri i ngā haora, i ngā rā rānei i te whakapiki haere o te pehanga i roto i tō roro.

He aha ngā momo hematoma wairangi?

E toru ngā momo matua o te hematoma wairangi, a ka whakarōpūtia rātou i runga i te wāhi e puta ana te toto e pā ana ki ngā paparanga tiaki kei te taha o tō roro.

He rerekē ngā āhuatanga o ia momo, me ngā wa mo te whanaketanga o ngā tohu:

Hematoma Epidural

Ka puta tēnei momo i waenganui i tō angaanga me te kiri pūtau pakari e hipoki ana i tō roro, e kiia nei ko te dura mater. Ka puta te nuinga ina pakaru te angaanga i te uaua, ina koa i te wāhi temepara.

He tino whakawehi ngā hematoma epidural, no te mea ka pā atu koe ki te mea e kiia ana e ngā tākuta he "wā mārama." Ko te tikanga tenei ka ngaro pea tō mohio mō te wa poto, ka oho ake ka pai te ahua, ka kino haere noa i te whakapiki haere o te toto.

Hematoma Subdural

Ka whanake ngā hematoma subdural i waenganui i te dura mater me te roro anō. Ka taea e ēnei te tino (ka puta i roto i ngā haora), te subacute (ka puta i roto i ngā rā), te roa rānei (ka puta i roto i ngā wiki, i ngā marama rānei).

He maha ake ngā hematoma subdural roa i roto i ngā kaumātua, no te mea ka taea e te whakaiti o te roro e pā ana ki te pakeke te whakawehi i ngā oko toto ki te pakaru, ahakoa he iti ngā whara.

Hematoma Intracerebral

Ko tēnei momo te toto tika ki roto i te kiko roro. Ka taea te puta mai i te whara kino, te puta mai rānei i te koretake, pēnei i te toto teitei, i ngā raru rānei o te oko toto.

Ka puta tonu ngā tohu o te hematoma intracerebral, no te mea ka pakaru tika te toto i te kiko roro, ka hanga i te pehanga i roto i te roro anō.

He aha ngā take o te hematoma wairangi?

Ko te nuinga o ngā hematoma wairangi ka puta mai i te whara o te upoko, engari ka rerekē te take motuhake, kei te momo, me ō āhuatanga motuhake.

Ko ēnei ngā take tino noa:

• Ngā aituā waka
• Ngā hinga, ina koa i roto i ngā kaumātua me ngā tamariki iti
• Ngā whara e pā ana ki te hākinakina
• Ngā whakaeke tinana, te tutu rānei
• Ngā aituā pahikara, motopaika rānei

Heoi, ka taea e etahi hematoma te puta mai kaore he whara marama, ina koa i roto i ētahi rōpū o te iwi. Ka taea e ngā kaumātua te whanake i ngā hematoma subdural mai i ngā pupuhi iti rawa, no te mea kua whakaititia o roro ki te pakeke, ka whakawehi i ngā oko toto ki te pakaru.

Ko ēnei ngā take kaore i te noa, engari he mea nui:

• Ngā aneurysms roro kua pakaru
• Ngā malformations arteriovenous (ngā hononga oko toto koretake)
• Ngā mate toto
• Ngā rongoā whakaiti toto
• Ngā mate pukupuku roro
• Te toto teitei

Mēnā kei te inu koe i ngā rongoā whakaiti toto pēnei i te warfarin, te aspirin rānei, ahakoa he iti ngā whara o te upoko ka puta he toto nui, no te mea kaore tō toto e mau penei i te tikanga.

Nōhea te haere ki te tākuta mō te hematoma wairangi?

Me rapu koe i te tiaki hauora tere inaianei mēnā kua whara te upoko o koe, o tetahi tangata rānei e mohio ana koe, ka puta mai ngā tohu e awangawanga ana. Kaua e tatari kia pai ake ngā tohu.

Karangahia te 111, haere rānei ki te rūma urupare inaianei mēnā ka kitea e koe:

• Te ngaro o te mohio, ahakoa he poto noa iho
• Te mamae o te upoko nui, te kino haere rānei
• Te ruaki anō
• Te whakapohehe, te kore rānei o te aronga
• Ngā hopu
• Te ngoikore, te ngenge rānei i tetahi taha o te tinana
• Te raruraru korero, te mārama rānei i te kōrero
• Ngā raruraru tirohanga
• Te raruraru noho oho

Kia mahara ka taea e ngā tohu te whanake i te wa roa i roto i ngā haora, i ngā rā rānei. Ahakoa i pai koe i te wa tonu i muri i te whara o te upoko, kia tupato ki ngā huringa o te ahua, o te mahi rānei.

He mea nui hoki te rapu i te tiaki hauora mēnā he kaumātua koe kua hinga, kua pa te upoko, ahakoa he iti te pānga. Ka whakawehi ngā huringa e pā ana ki te pakeke ki te toto whakaroa.

He aha ngā take morearea mō te hematoma wairangi?

Ka taea e ētahi take te whakapiki i tō tūponotanga ki te whanake i te hematoma wairangi, te whakawehi rānei i a koe ki ngā raruraru nui mēnā ka puta tētahi.

Ko ngā take morearea e pā ana ki te pakeke ko te tino tamariki, te pakeke ake rānei i te 65. He angaanga angiangi, he roro e whanake ana ngā pēpi me ngā tamariki, engari he roro e whakaititia ana ngā kaumātua, ka taea te whakawehi i ngā oko toto ki te pakaru.

Ko ēnei ngā take morearea nui:

• Te tango i ngā rongoā whakaiti toto pēnei i te warfarin, te heparin, te aspirin rānei
• Te whai i ngā mate toto pēnei i te hemophilia
• Te inu waipiro roa, ka taea te pā ki te mau toto
• Ngā whara o mua o te upoko, te pokanga roro rānei
• Te whakauru ki ngā mahi morearea, ki ngā hākinakina hononga rānei
• Te toto teitei kaore i te pai te whakahaere
• Ngā raru oko toto i roto i te roro

Mēnā kei a koe tētahi o ēnei take morearea, he mea nui rawa te tiaki kia kaua e whara te upoko, me te rapu i te tiaki hauora tere mēnā ka pa te upoko.

He aha ngā raruraru pea o te hematoma wairangi?

Ka taea e ngā hematoma wairangi te arahi ki ngā raruraru nui mēnā kaore i te tiaki tere, no te mea ko te toto e kohia ana e pehi ana i te kiko roro.

Ko te āwangawanga tino tere ko te whakapiki i te pehanga o te wairangi, ka taea te pehi i ngā hanganga roro nui, te whakakore rānei i te mahi roro noa. Ka taea e tēnei pehanga te arahi ki te herniation roro, kei reira ngā wāhanga o te roro e neke ana, e pehi ana i ētahi atu wāhi nui.

Ko ēnei ngā raruraru noa:

• Te kino o te roro mau tonu e pā ana ki te mahara, te kōrero, te nekehanga rānei
• Ngā mate hopu ka hiahia pea ki ngā rongoā roa
• Te pararaihi, te ngoikore rānei i tetahi taha o te tinana
• Ngā raruraru kōrero me te reo
• Ngā raruraru tirohanga, te matapo rānei
• Te ngoikore hinengaro e pā ana ki te whakaaro me te mahara
• Ngā huringa o te ahua, ngā raruraru whanonga rānei
• Te coma, te āhua ora roa rānei

I roto i ngā take onge, ina koa ki ngā hematoma nui, ki te tiaki whakaroa rānei, ka taea e ngā hematoma wairangi te mate. Ko te kino o ngā raruraru e whakawhirinaki ana ki te rahi me te wāhi o te hematoma, te tere o te whanake, me te tere o te tiaki.

Heoi, me te mohiotanga tere me te tiaki tika, ka taea e te tini o te iwi te ora pai mai i ngā hematoma wairangi, ina koa ngā mea iti ka mau wawe.

Me pēhea te aukati i te hematoma wairangi?

Ahakoa kaore e taea e koe te aukati i ngā whara katoa o te upoko, ka taea e koe te whakaiti nui i tō tūponotanga ki ngā hematoma wairangi mā te tango i ngā whakaritenga haumaru noa i roto i ō mahi o ia rā.

Ko ngā rautaki aukati tino whai hua e aro ana ki te karo i te whara o te upoko i te tuatahi:

• Me mau tonu te whitiki nohoanga ina e taraiwa ana, ina e eke ana rānei i te waka
• Whakamahia ngā potae tika ina e pahikara ana, e eke motopaika ana, e takaro ana rānei i ngā hākinakina hononga
• Kia haumaru tō kāinga mā te tango i ngā tūponotanga haere, te whakapai ake rānei i te mārama
• Whakatūria ngā papa hopu i roto i ngā ruma kaukau, ngā papa ringa rānei i runga i ngā kaupae
• Kaua e inu nui te waipiro, ka whakapiki ake i te tūponotanga hinga
• Kia pai te whakahaere i tō toto teitei mēnā kei a koe te toto teitei
• Whai i ngā tohutohu a tō tākuta mehemea kei te inu koe i ngā rongoā whakaiti toto

Mō ngā kaumātua, ka nui ake te hiranga o te aukati hinga. Ka taea tenei te tirotiro kanohi me te whakarongo, te arotake i ngā rongoā ka taea te whakaputa i te māuiui, te noho mahi tinana rānei kia mau te toenga me te kaha.

Mēnā kei te whakauru koe ki ngā hākinakina, ki ngā mahi whakangahau rānei me te tūponotanga whara o te upoko, kia mohio koe kei te whakamahi koe i ngā taputapu tiaki tika, kei te whai rānei koe i ngā aratohu haumaru.

Me pēhea te whakatau i te hematoma wairangi?

Ko te whakatau i te hematoma wairangi ka tīmata mā tō tākuta e ui ki ō tohu, ki ngā whara o te upoko hou rānei, ahakoa he iti. Ka mahi hoki rātou i te whakamātau neurology kia tirotirohia tō āhua hinengaro, ngā whakautu, me te mahi roro.

Ko te huarahi tino pono ki te whakatau i te hematoma wairangi ko te whakamahi i ngā rangahau whakaahua roro. Ka tono pea tō tākuta i tētahi, i ētahi rānei o ēnei whakamātautau:

• CT (computed tomography) scan - te whakamātautau tuatahi tino noa, no te mea he tere, he ngāwari ki te whakamahi i roto i ngā rūma urupare
• MRI (magnetic resonance imaging) - ka homai ngā whakaahua taipitopito ake, ka taea te kite i ngā toto iti
• CT angiography - ka whakamahi i te tae whakakā mehemea ka whakapaehia he take oko toto

He tino whai hua ngā CT scans i roto i ngā āhuatanga urupare, no te mea ka taea te whakaatu tere i te putanga, te rahi, me te wāhi o te toto. Ka āwhina ngā whakaahua i tō rōpū hauora ki te whakatau i te huarahi pai o te maimoatanga.

I etahi wā, ka tono pea tō tākuta i ngā whakamātautau toto kia tirotirohia tō mahi mau toto, ina koa mēnā kei te inu koe i ngā rongoā whakaiti toto, kei te whai rānei koe i te mate toto.

He aha te maimoatanga mō te hematoma wairangi?

Ko te maimoatanga mō te hematoma wairangi e whakawhirinaki ana ki ētahi take, tae atu ki te rahi me te wāhi o te toto, te tere o te whanake, me ō tohu katoa.

Ka taea te whakahaere i ngā hematoma iti kaore e whakaputa i te pehanga nui mā te tirotiro ata i te hōhipera. Ka titiro tō rōpū hauora ki ngā huringa o ō tohu, ka whakahoki i ngā rangahau whakaahua kia kore ai e kino haere te toto.

Ka hiahiatia te maimoatanga pokanga mō ngā hematoma nui ake, mēnā rānei ngā tohu e whakaatu ana i te whakapiki o te pehanga:

• Craniotomy - te whakatuwhera i tetahi wāhanga o te angaanga kia tangohia tika te hematoma
• Burr hole drainage - te keri i ngā rua iti i roto i te angaanga kia tukuna atu ngā kohinga wai
• Craniectomy - te tango i tetahi wāhanga o te angaanga mō te wa poto kia whakaitihia te pehanga

Ko te whiriwhiri o te tukanga pokanga e whakawhirinaki ana ki te momo me te wāhi o tō hematoma. Ko ngā hematoma epidural te nuinga e hiahia ana ki te pokanga tere, no te mea ka taea te whanake tere, te whakaputa rānei i te pehanga mate.

Ka taea e ngā maimoatanga atu te whakauru i ngā rongoā hei whakahaere i te pupuhi o te roro, te aukati i ngā hopu, te whakahaere rānei i te toto teitei. Mēnā kei te inu koe i ngā rongoā whakaiti toto, ka hiahia pea tō tākuta ki te whakakore i ō hua kia mutu ai te toto.

Me pēhea te whakahaere i te ora i te kāinga i muri i te maimoatanga?

Ko te ora mai i te hematoma wairangi he tukanga wa roa te nuinga, e hiahia ana ki te manawanui me te aro nui ki ngā tohu a tō tinana. Ka homai e tō rōpū hauora ngā tohutohu motuhake e whakawhirinaki ana ki tō āhuatanga motuhake.

I te wa o tō wā ora tuatahi, me mahi koe i ngā mea i te wa roa, me te karo i ngā mahi ka taea te whakawehi i tetahi atu whara o te upoko:

• Okioki kia rite ki te hiahia o tō tinana, tae atu ki te moe nui
• Kaua e taraiwa kia tukuna mai e tō tākuta
• Kaua e inu waipiro me ngā raau taero whakangahau, ka taea te whakakore i te ora
• Tangohia ngā rongoā kia rite ki te tohutohu
• Whakahokia haeretia ngā mahi noa kia whakaaetia e tō rōpū hauora
• Haere ki ngā hui whai muri katoa me ngā rangahau whakaahua

Kia tupato ki ngā tohu whakatūpato ka taea te whakaatu i ngā raruraru, pēnei i te mamae o te upoko e kino haere ana, te whakapohehe nui ake, te ngoikore hou, ngā hopu rānei. Mēnā ka puta tētahi o ēnei, whakapiri atu ki tō tākuta tonu, haere rānei ki te rūma urupare.

He maha ngā tangata e whai hua ana i ngā ratonga whakaora i te wa e ora ana, tae atu ki te rongoā tinana, te rongoā mahi, te rongoā kōrero rānei, e whakawhirinaki ana ki ngā mahi roro i pā.

Me pēhea te whakarite mō tō hui tākuta?

Mēnā kei te kite koe i tetahi tākuta mō te hematoma wairangi pea, mō te tiaki whai muri rānei, ko te whakarite pai ka āwhina i a koe ki te whiwhi i te hua nui mai i tō haerenga.

I mua i tō hui, tuhia ngā mōhiohio nui mō ō tohu me tō hītori hauora:

• Nōhea me te pēhea te whara o te upoko
• Te whakaahuatanga taipitopito o ō tohu me te wā i tīmata ai rātou
• Ngā rongoā katoa kei te tangohia e koe inaianei, tae atu ki ngā rongoā kore-tohutohu me ngā taapiri
• Tō hītori hauora, ina koa ngā whara o te upoko o mua, te pokanga roro rānei
• Ngā pūrongo e hiahia ana koe ki te ui ki tō tākuta

Kawea mai tetahi ki a koe mēnā ka taea, ina koa mēnā kei te pāngia koe e ngā raruraru mahara, te whakapohehe rānei. Ka taea e rātou te awhina i te whakarato i ngā mōhiohio, te mahara rānei i ngā kōrero nui mai i tō kōrero ki te tākuta.

Kaua e whakaroa ki te ui i ngā pūrongo mō tō whakatau, ngā whiringa maimoatanga, te wa e tumanakohia ana te ora, ngā herenga rānei ki ō mahi. Ko te mārama ki tō āhuatanga ka āwhina i a koe ki te whakauru tika ki tō tiaki.

He aha te mea nui mō te hematoma wairangi?

Ko ngā hematoma wairangi he āhuatanga hauora nui e hiahia ana ki te tiaki tere, engari me te maimoatanga tika, ka taea e te tini o te iwi te ora pai. Ko te mea nui rawa kia mahara ko ngā tohu ka taea te whanake i te wa roa i muri i te whara o te upoko, na reira kaua e wareware ki ngā tohu whakatūpato ahakoa i pai koe i te tuatahi.

Ko te aukati mā ngā whakaritenga haumaru pēnei i te mau i ngā whitiki nohoanga me ngā potae ka taea te whakaiti nui i tō tūponotanga. Mēnā ka pā te upoko, ina koa mēnā kei te pakeke koe, kei te inu rongoā whakaiti toto rānei, kei te whai rānei koe i ētahi atu take morearea, kaua e whakaroa ki te rapu i te aromatawai hauora.

Ko te ora he mea taea te nuinga me te maimoatanga tika, ahakoa pea ka roa te wa me te whakaora. Ko te mea nui ko te kite i ngā tohu wawe me te whiwhi i te tiaki hauora e hiahia ana koe i te wā e hiahia ana koe.

Ngā pūrongo e ui pinepinetia ana mō te hematoma wairangi

Ka taea te whai hematoma wairangi kaore e mohiotia?

Ae, ina koa ki ngā hematoma subdural roa, ka taea e ngā tohu te whanake i te wa roa, ka pohehetia rātou hei pakeketanga noa, ki ētahi atu āhuatanga rānei. Ka taea e ētahi te whai toto iti kaore e puta mai ngā tohu marama i te wa tonu. Koia te take i nui ai te tirotiro i a koe i muri i tetahi whara o te upoko, ahakoa he iti te ahua.

Nōhea i muri i te whara o te upoko ka taea te whanake i te hematoma wairangi?

Ka rerekē te wā e whakawhirinaki ana ki te momo. Ko ngā hematoma epidural te nuinga e puta ana i roto i ngā haora, engari ka taea e ngā hematoma subdural te puta mai i ngā rā, wiki, marama rānei i muri i te whara. He tino awangawanga ngā hematoma subdural roa, no te mea kaore pea ngā tohu e puta mai kia tae rawa ki ngā wiki i muri i te pupuhi iti ki te upoko.

He mate pukupuku roro katoa te take o te mate pukupuku roro?

Kāo, ahakoa ko te whara te take tino noa, ka taea hoki e ngā hematoma te puta mai i ngā oko toto kua pakaru nā te toto teitei, ngā aneurysms, ngā malformations oko toto rānei, ngā mate toto rānei. Ka whanake etahi i te koretake kaore he whara marama, ina koa mēnā kei a rātou ngā raruraru oko toto, kei te inu rongoā whakaiti toto rānei.

He aha te rerekētanga i waenganui i te concussion me te hematoma wairangi?

Ko te concussion he whakakore wa poto o te mahi roro kaore he kino hanganga, engari ko te hematoma wairangi he toto, he kohinga toto. Ka taea e koe te whai i ngā āhuatanga e rua i te wa kotahi. Ko ngā tohu concussion te nuinga e pai ake ana i roto i ngā rā ki ngā wiki, engari ko ngā tohu hematoma te nuinga e kino haere ana kaore he maimoatanga nā te whakapiki haere o te pehanga.

Ka taea e ngā hematoma wairangi te ora ake?

Ka taea e ngā hematoma iti rawa te whakahoki mai i te wa roa, engari e hiahia ana tenei ki te tirotiro hauora ata. Ko ngā hematoma nui ake te nuinga e hiahia ana ki te pokanga, no te mea kaore e taea e te tinana te tango i te toto e kohia ana kia tere rawa kia kaua e kino te roro. Ka whakatau tō tākuta mēnā he tirotiro, he maimoatanga mahi rānei e tika ana e whakawhirinaki ana ki te rahi, te wāhi, me ō tohu.