Qhov sib txawv tseem ceeb ntawm kev mob ntshav qab zib intracerebral thiab subarachnoid hemorrhage yog tias intracerebral hemorrhage hais txog los ntshav rau hauv lub hlwb parenchyma thaum subarachnoid hemorrhage hais txog los ntshav rau hauv qhov chaw nruab nrab ntawm pia thiab arachnoid membranes.
Hemorrhage yog hais txog qhov mob los ntawm cov hlab ntsha puas lawm. Muaj ntau yam ua rau hemorrhages sab hauv thiab sab nraud tib neeg lub cev. Muaj tsib hom hemorrhages, suav nrog bruise lossis hematoma, hemothorax, intracranial hemorrhage, nosebleed, thiab petechiae. Cov tsos mob ntawm hemorrhages tuaj yeem tshwm sim los ntawm qhov nqaij me me mus rau qhov loj, xws li los ntshav hauv lub hlwb. Intracerebral hemorrhage thiab subarachnoid hemorrhage yog ob hom intracranial hemorrhages.
Dab tsi yog Intracerebral Hemorrhage?
Intracerebral hemorrhage yog ib hom hemorrhage uas ua rau los ntshav rau hauv lub hlwb parenchyma. Nws tseem hu ua intraparenchymal los ntshav. Cov ua rau tus mob no muaj xws li mob hlwb, aneurysms, arteriovenous malformation, thiab hlwb hlav. Qhov loj tshaj plaws txaus ntshai rau tus mob no yog ntshav siab thiab amyloidosis. Lwm yam kev pheej hmoo suav nrog kev haus dej cawv, cov roj cholesterol tsawg, ntshav thinners, thiab siv yeeb dawb.
Cov tsos mob ntawm tus mob no yog mob taub hau, ib leeg tsis muaj zog, ntuav, qaug dab peg, tsis nco qab, mob hauv caj dab, tingling lossis tuag tes tuag taw ntawm lub ntsej muag, caj npab, lossis ceg, xeev siab, ntuav, teeb meem nqos tau, teeb meem hauv kev pom, tsis meej pem, delirium, apathy, tsaug zog, thiab lethargy. Qee zaum, kub taub hau kuj yog ib qho mob tshwm sim. Cov tsos mob no feem ntau tshwm sim thaum lub sij hawm. Kev txawj lus tsis zoo, tsis pom kev, mob ntsws, qaug dab peg, o ntawm lub hlwb, kev paub tsis meej, kev nyuaj siab, thiab teeb meem kev xav yog qee yam teeb meem ntawm tus mob no.
Intracerebral hemorrhage tuaj yeem kuaj tau los ntawm kev kuaj lub cev, suav tomography angiography (CTA), sib nqus resonance angiography (MRA), thiab X-ray. Tsis tas li ntawd, cov kev kho mob rau kev mob ntshav qab zib intracerebral hemorrhage yog kev ua haujlwm ntawm cov ntshav txhaws, tswj ntshav siab kom txo tau cov ntshav, ntsuas thiab tswj ICP (siab ntawm cov ntaub so ntswg ntawm lub paj hlwb vim ntshav txhaws), thiab kev phais xws li craniotomy thiab stereotactic clot aspiration.
Subarachnoid Hemorrhage yog dab tsi?
Subarachnoid hemorrhage yog ib hom hemorrhage uas ua rau los ntshav rau hauv qhov chaw subarachnoid. Qhov chaw subarachnoid yog thaj chaw nruab nrab ntawm arachnoid membrane thiab pia teeb meem nyob ib puag ncig lub hlwb. Nws feem ntau tshwm sim los ntawm kev raug mob taub hau lossis feem ntau yog vim muaj kev puas tsuaj ntawm lub paj hlwb aneurysm. Cov kev pheej hmoo muaj xws li ntshav siab, haus luam yeeb, tsev neeg keeb kwm, cawv, thiab siv yeeb dawb. Cov tsos mob ntawm subarachnoid hemorrhage yog mob taub hau heev, mob caj dab lossis mob nraub qaum, xeev siab, ntuav, tsis ua haujlwm, tsis muaj zog tam sim ntawd, kiv taub hau, thiab qaug dab peg.
Ntxiv mus, subarachnoid hemorrhage yog kuaj los ntawm kev kuaj lub cev, CT scan, lumber puncture, MRI, X-ray, thiab electroencephalogram. Tsis tas li ntawd, kev kho mob rau subarachnoid hemorrhage yuav suav nrog tshuaj rau qaug dab peg, lub hlwb o thiab vasospasm (nimodipine), qhib kev phais (clipping lossis hlab ntsha bypass), endovascular phais (coiling, stenting / flow diversion), shunt phais, thiab sab nraud ventricular ntws (EVD).
Dab tsi zoo sib xws ntawm Intracerebral Hemorrhage thiab Subarachnoid Hemorrhage?
- Intracerebral hemorrhage thiab subarachnoid hemorrhage yog ob hom intracranial hemorrhages.
- Lawv tuaj yeem ua rau cov tsos mob zoo sib xws xws li mob taub hau, xeev siab, thiab ntuav.
- Ob leeg hemorrhages tuaj yeem tshwm sim vim qhov mob aneurysms.
- Lawv tuaj yeem kuaj tau los ntawm cov txheej txheem kev kos duab.
- Lawv raug kho los ntawm cov tshuaj tshwj xeeb thiab kev phais tshwj xeeb.
Qhov txawv ntawm Intracerebral Hemorrhage thiab Subarachnoid Hemorrhage yog dab tsi?
Intracerebral hemorrhage yog ib hom hemorrhage uas ua rau los ntshav mus rau hauv lub hlwb parenchyma, thaum subarachnoid hemorrhage yog ib hom hemorrhage uas ua rau los ntshav rau hauv qhov chaw ntawm pia thiab arachnoid daim nyias nyias. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm intracerebral hemorrhage thiab subarachnoid hemorrhage. Tsis tas li ntawd, intracerebral hemorrhage yog tshwm sim los ntawm lub hlwb raug mob, aneurysms, arteriovenous malformation, thiab hlwb hlav. Ntawm qhov tod tes, subarachnoid hemorrhage yog tshwm sim los ntawm kev raug mob taub hau lossis ruptured cerebral aneurysm.
Cov hauv qab no qhia txog qhov sib txawv ntawm cov hlab ntsha hauv lub hlwb thiab subarachnoid hemorrhage hauv daim ntawv tabular rau kev sib piv ntawm ib sab.
Summary – Intracerebral Hemorrhage vs Subarachnoid Hemorrhage
Intracerebral hemorrhage thiab subarachnoid hemorrhage yog ob yam sib txawv ntawm intracranial hemorrhages. Nyob rau hauv ib qho intracerebral hemorrhage, los ntshav tshwm sim rau hauv lub hlwb parenchyma vim lub hlwb raug mob, aneurysms, arteriovenous malformation, thiab hlwb hlav. Nyob rau hauv subarachnoid hemorrhage, los ntshav tshwm sim nyob rau hauv qhov chaw ntawm pia thiab arachnoid daim nyias nyias vim lub taub hau raug mob los yog ruptured cerebral aneurysm. Yog li, qhov no qhia txog qhov sib txawv ntawm cov hlab ntsha hauv lub hlwb thiab subarachnoid hemorrhage.
