ʻO wai nā pūʻulu pilikia nui no ka hemorrhage cerebral?
Pehea ke alo a me ka mālama pono?
I kēia mau lā, ma muli o ka wikiwiki o ke ola, he mea nui nā pilikia mai ka hana, ka ʻohana, ka pilikanaka, a me nā mea ʻē aʻe. Hoʻopili pinepine ʻia kā mākou mau pilikia olakino, ʻoiai ʻo ka cerebral hemorrhage, ma ke ʻano he maʻi hikiwawe a koʻikoʻi, ke hoʻoweliweli mālie nei i ka maikaʻi o ke ola o nā hui kikoʻī.
ʻO ka Cerebral hemorrhage e pili ana i ke kahe koko mua ʻole i loko o ka ʻiʻo o ka lolo, ʻike ʻia hoʻi he hemorrhage cerebral spontaneous, helu no 20% -30% o nā maʻi cerebrovascular acute. Aia ka nui o ka make ma waena o 30% -40%, a ma waena o ka poʻe i pakele, ʻike ka hapa nui i nā pae like ʻole o ka sequelae e like me ka hōʻino ʻana i ka kaʻa, ka naʻau impairment, ka paʻakikī o ka ʻōlelo, ka ʻai ʻana, a pēlā aku.
ʻO ka heluna "makaʻala ʻulaʻula" no ka hemorrhage cerebral.
1. ʻO nā maʻi me ka hypertension.
ʻO ke kiʻekiʻe kiʻekiʻe o ka wā lōʻihi ke kumu kumu ma hope o ka hemorrhage cerebral. ʻO ka piʻi ʻana o ke koko e hoʻoikaika mau ana i nā kīʻaha koko o ka lolo, e hiki ai ke haki a me ke koko.
2.ʻO nā kānaka waena a me nā ʻelemakule.
Ke piʻi aʻe ka makahiki, piʻi ka degere o ka paʻakikī vascular, a ke emi nei ka elasticity o nā paia moku koko. Ke loaʻa nā loli nui o ke kahe koko, lilo ia i mea maʻalahi loa e hoʻoulu i ka hemorrhage cerebral.
3.ʻO nā maʻi me ka maʻi diabetes a me nā lipid koko kiʻekiʻe.
He kiʻekiʻe ka viscosity koko o kēlā poʻe, no laila hiki iā lākou ke hoʻokumu i ka thrombus. Eia kekahi, ʻoi aku ka nui o nā maʻi maʻi diabetes i ka maʻi microvascular, e hoʻokiʻekiʻe aʻe i ka hopena o ka hemorrhage cerebral.
4.ʻO nā kānaka me nā mea ʻino o ka ulu ʻana o ka vascular congenital.
Ma muli o nā paia ʻoi aku ka lahilahi o nā kīʻaha koko hou i hana ʻia i loko o nā malformations vascular, hiki iā lākou ke haki a hoʻoulu i ka hemorrhage intracranial, ʻoi aku hoʻi i nā manawa o ke koko kiʻekiʻe a i ʻole ka hauʻoli o ka naʻau.
5.ʻO nā poʻe me nā ʻano nohona maikaʻi ʻole.
ʻO nā kumu e like me ka puhi paka, ka inu ʻawaʻawa nui, ka hana nui, ka ʻai ʻole ʻana, ka noho sedentary lōʻihi, a me nā mea ʻē aʻe.
Nā ʻano lapaʻau no ka hemorrhage cerebral
●Lapaʻau kuʻuna
Pono e koho ʻia ka lāʻau lapaʻau maikaʻi loa no nā maʻi hemorrhage cerebral ma muli o nā kūlana pākahi. Loaʻa i ka poʻe maʻi me ke koko liʻiliʻi ke mālama piha. Eia nō naʻe, no nā poʻe maʻi me ke koko haʻahaʻa a koʻikoʻi a i ʻole ke koko ma nā wahi kikoʻī, hiki ke ʻoi aku ka paʻakikī o ka mālama ʻana a makemake paha i nā ala conservative a i ʻole kaʻoki ʻana. Hoʻopili ʻia ke ʻoki craniotomy kuʻuna me ka ʻeha nui, ka hoʻihoʻi lohi ma hope o ka hoʻōla ʻana, a me ka pilikia o ka pōʻino mau i nā ala neural i ka wā o ka ʻoki ʻana, e hōʻemi ana i ka hiki ke hoʻihoʻi ʻia ka hana ma hope o ka hana.
● ʻO ka pahu a me ka hoʻoheheʻe ʻana i alakaʻi ʻia e stereootactic
Ke hoʻohālikelike ʻia me ka hana craniotomy kuʻuna, hāʻawi ʻia ke kāʻei stereotactic i kōkua ʻia e robot i kēia mau mea pono:
1.Minimal invasive
ʻO ka hui pū ʻana i nā lima robotic me ka hoʻokele probe e hāʻawi i ka paʻa a me ka maʻalahi, me nā ʻoki liʻiliʻi liʻiliʻi e like me ka liʻiliʻi o 2 millimeters.
2.Ka pololei
ʻO ka pololei o ka hoʻonohonoho ʻana a hiki i ka 0.5 millimeters, a ʻo ka hoʻohui ʻana o ka ʻike ʻike ʻekolu-dimensional a me ka ʻenehana fusion kiʻi multimodal e hōʻemi nui i nā hewa hana.
3.Palekana
Hiki i ka lolo stereotactic surgical robot ke hana hou i nā hale lolo a me nā kīʻaha koko, e hāʻawi ana i ka hōʻoia palekana ma o ka hoʻomaʻamaʻa ʻana i ka hoʻolālā kūpono o nā ala puncture ʻoki a pale i nā moku lolo koʻikoʻi a me nā wahi hana.
4.ʻOi aku ka pōkole o ke kaʻina hana
Hoʻomaʻamaʻa ka ʻenehana stereotactic lolo robotic i ka paʻakikī, e hōʻemi nui i ka lōʻihi o ke kaʻina hana ma kahi o 30 mau minuke.
5.ʻOi aku ka laulā o nā noi
Ma muli o ka maʻalahi o ka hana, ka hoʻohana wikiwiki ʻana, a me ka liʻiliʻi o ka hōʻeha hōʻeha, kūpono loa ia i nā poʻe maʻi ʻelemakule, kiʻekiʻe kiʻekiʻe, a me nā maʻi nāwaliwali.