Induced hypertension tau niaj hnub siv los khocov neeg mob uas muaj cov tsos mob vasospasm hauv kev cia siab tias nws yuav txhim kho cerebral perfusion thiab tiv thaiv cerebral ischaemia thiab infarction. Txawm li cas los xij, cov ntaub ntawv pov thawj muaj nyob hauv kev kho mob tsis tuaj yeem hais txog seb puas muaj ntshav siab ua kom lub hlwb perfusion.
Puas vasospasm ua rau ntshav siab?
Vasoconstriction txo qhov ntim lossis qhov chaw hauv cov hlab ntsha cuam tshuam. Thaum cov hlab ntsha ntim qis, cov ntshav ntws kuj txo. Nyob rau tib lub sijhawm, qhov kev tawm tsam lossis lub zog ntawm cov ntshav ntws tawm. Qhov no ua rau muaj ntshav siab.
Dab tsi tuaj yeem ua rau cerebral vasospasm?
Cov yam ntxwv iatrogenic uas tuaj yeem ua rau muaj kev pheej hmoo ntawm cerebral vasospasm suav nrog ncua sijhawm ntawm subarachnoid clot los ntawm cov tshuaj antifibrinolytic, hypotension, kev kho tsis tsim nyog ntawm hyponatremia, hypovolemia, hyperthermia thiab nce intracranial siab..
Cov tsos mob ntawm cerebral vasospasm yog dab tsi?
Cov neeg mob uas tau ntsib lub paj hlwb vasospasm feem ntau kuj muaj cov tsos mob zoo li mob stroke:
- loog lossis qaug zog ntawm lub ntsej muag, caj npab lossis ceg, tshwj xeeb tshaj yog ntawm ib sab ntawm lub cev.
- Kev tsis meej pem.
- hais lus siab.
- Teeb meem pom hauv ib lossis ob lub qhov muag.
- Kev nyuaj siab.
- kiv taub hau, poob ntawm kev sib npaug lossis kev sib koom tes.
Triple H kho mob stroke yog dab tsi?
Kev sib xyaw ua ke ntawm kev mob ntshav siab, hypervolemia, thiab hemodilution(triple-H therapy) feem ntau yog siv los tiv thaiv thiab kho cerebral vasospasm tom qab aneurysmal subarachnoid hemorrhage (SAH).
