Dot quy vo mach mau nao tai Dak Lak la tinh trang cap cuu than kinh nguy hiem, xay ra khi mot mach mau trong nao bi vo, khien mau chay vao nhu mo nao hoac cac khoang bao quanh nao. Tinh trang xuat huyet nay co the lam ton thuong te bao than kinh, tang ap luc noi so, gay hon me, liet, suy ho hap va de doa tinh mang trong thoi gian ngan.

Khac voi dot quy thieu mau nao do tac mach, dot quy vo mach mau nao thuoc nhom dot quy xuat huyet nao. Nguoi benh can duoc dua den co so y te co kha nang cap cuu, chan doan hinh anh va dieu tri than kinh cang som cang tot. Viec cham tre co the lam tang nguy co ton thuong nao khong hoi phuc.

Xem them: Thien Hanh Hospital

Dot quy vo mach mau nao la gi?

Dot quy vo mach mau nao xay ra khi thanh mach mau trong nao bi ton thuong va khong chiu duoc ap luc dong mau, dan den rach hoac vo. Mau thoat ra ngoai long mach co the:

Chay truc tiep vao mo nao, gay xuat huyet nao.

Chay vao khoang duoi nhen, gay xuat huyet duoi nhen.

Tao thanh khoi mau tu chen ep mo nao.

Lam tang ap luc trong hop so.

Gay phu nao, thieu oxy nao va ton thuong cac vung than kinh quan trong.

Muc do nguy hiem phu thuoc vao vi tri mach mau bi vo, kich thuoc o xuat huyet, toc do chay mau, tinh trang y thuc, tuoi va benh ly nen cua nguoi benh.

Tim hieu them: Benh Vien Thien Hanh BMT

Nguyen nhan gay vo mach mau nao

Tang huyet ap keo dai

Tang huyet ap la mot trong nhung nguyen nhan thuong gap nhat cua xuat huyet nao. Khi huyet ap cao trong thoi gian dai, thanh cac mach mau nho trong nao co the bi thoai hoa, yeu di va de vo.

Nguy co cang cao neu nguoi benh:

Khong kiem soat huyet ap thuong xuyen.

Tu y ngung thuoc huyet ap.

Uong nhieu ruou bia.

Thuong xuyen mat ngu, cang thang.

An man, it van dong.

Co benh than hoac dai thao duong di kem.

Tim hieu them: Benh Vien Thien Hanh Daklak

Phinh dong mach nao

Phinh dong mach nao la tinh trang mot doan thanh mach bi yeu va phinh ra nhu tui nho. Khi tui phinh vo, mau co the chay vao khoang duoi nhen, gay dau dau du doi va nguy hiem den tinh mang.

Phinh dong mach nao co the ton tai ma khong gay trieu chung. Mot so nguoi chi phat hien khi tinh co chup mach nao hoac khi tui phinh da vo.

Di dang dong tinh mach nao

Di dang dong tinh mach nao la bat thuong trong cau truc mach mau, khi dong mach va tinh mach noi voi nhau khong theo he thong mach binh thuong. Cac mach mau bat thuong nay co the chiu ap luc lon va bi vo.

Tinh trang nay co the gap o nguoi tre, tham chi khong co tien su tang huyet ap.

Roi loan dong mau

Nhung nguoi co benh ly roi loan dong mau hoac dang su dung thuoc chong dong co the tang nguy co chay mau. Nguy co nay phu thuoc vao loai thuoc, lieu dung, chuc nang gan than va tinh trang kiem soat dong mau.

Nguoi benh khong nen tu y ngung thuoc chong dong hoac thuoc chong ket tap tieu cau. Neu co dau hieu dot quy, can thong bao ro cho nhan vien y te ve tat ca thuoc dang su dung.

Chan thuong vung dau

Chan thuong so nao, tai nan giao thong, te nga hoac va dap manh co the lam ton thuong mach mau va gay chay mau trong nao. O nguoi lon tuoi, nguy co xuat huyet sau chan thuong co the tang do nao bi teo, thanh mach yeu hoac dang dung thuoc anh huong den dong mau.

U nao hoac ton thuong mach mau

Mot so khoi u nao, ton thuong mach mau hoac benh ly viem mach co the lam mach mau yeu va de chay mau. Nhung truong hop nay can duoc chan doan bang hinh anh hoc chuyen sau.

Su dung chat kich thich

Mot so chat kich thich co the lam huyet ap tang dot ngot, co that mach mau hoac gay roi loan nhip tim, tu do lam tang nguy co xuat huyet nao. Viec su dung ruou bia qua muc cung co the gop phan lam huyet ap mat kiem soat va anh huong den kha nang dong mau.

Dau hieu nhan biet dot quy vo mach mau nao

Dot quy xuat huyet nao co the khoi phat dot ngot. Cac dau hieu thuong gap gom:

Dau dau du doi bat thuong

Nguoi benh co the xuat hien con dau dau dot ngot, du doi, khac han nhung lan dau dau truoc day. Dac biet, xuat huyet duoi nhen thuong gay cam giac dau dau nhu “set danh”, dau du doi dat muc cao nhat trong thoi gian rat ngan.

Tuy nhien, khong phai moi truong hop xuat huyet nao deu co dau dau ro ret.

Roi loan y thuc

Nguoi benh co the:

Lo mo.

Goi hoi dap ung cham.

Mat dinh huong.

Ngat xiu.

Co giat.

Hon me.

Roi loan y thuc thuong la dau hieu nghiem trong, can cap cuu ngay.

Meo mieng, yeu hoac liet tay chan

Mot ben mat co the bi meo, mot ben tay hoac chan yeu dot ngot. Nguoi benh co the khong dung vung, di lai kho khan hoac khong the nang tay.

Noi kho, noi ngong hoac khong hieu loi noi

Nguoi benh co the noi khong ro, khong dien dat duoc cau, khong hieu loi nguoi khac hoac dot nhien mat kha nang giao tiep.

Non oi

Non co the xuat hien do ap luc noi so tang hoac ton thuong cac vung nao lien quan den thang bang va phan xa non. Neu non di kem dau dau du doi, chong mat, roi loan y thuc hoac yeu liet, can nghi den tinh trang cap cuu than kinh.

Co giat

Co giat co the xay ra khi mau kich thich mo nao. Day la dau hieu can duoc xu tri y te, dac biet neu con co giat keo dai, tai dien hoac nguoi benh khong tinh lai sau con.

Roi loan thi giac va thang bang

Nguoi benh co the nhin mo, nhin doi, mat thang bang, chong mat du doi hoac khong the phoi hop dong tac binh thuong.

Cach nhan biet nhanh dau hieu dot quy

Co the su dung quy tac FAST de nhan biet dau hieu dot quy:

F – Face: Yeu cau nguoi benh cuoi, quan sat xem co meo mieng hay khong.

A – Arm: Yeu cau nguoi benh gio hai tay, xem mot ben co bi roi xuong hay yeu hon khong.

S – Speech: Yeu cau noi mot cau don gian, kiem tra kha nang phat am va hieu loi.

T – Time: Goi cap cuu va dua nguoi benh den benh vien ngay.

Doi voi dot quy vo mach mau nao, ngoai FAST, can dac biet luu y dau dau du doi dot ngot, non oi, co giat va roi loan y thuc.

Can lam gi khi nghi ngo vo mach mau nao?

Goi cap cuu ngay

Khi xuat hien cac dau hieu nghi ngo, can goi cap cuu hoac dua nguoi benh den benh vien co kha nang chan doan va dieu tri dot quy. Khong nen cho nguoi benh tu hoi phuc.

Ghi nho thoi diem khoi phat

Can xac dinh:

Nguoi benh bat dau co trieu chung luc may gio.

Lan cuoi cung nguoi benh con hoan toan binh thuong la khi nao.

Trieu chung xuat hien dot ngot hay tang dan.

Nguoi benh co bi te nga hoac chan thuong dau truoc do khong.

Thong tin nay giup bac si lua chon phuong an chan doan va dieu tri phu hop.

Dat nguoi benh nam an toan

Neu nguoi benh con tinh, nen cho nam nghi, dau hoi nang neu khong co chong chi dinh va noi long quan ao. Neu nguoi benh non hoac lo mo, can nghieng dau sang mot ben de han che nguy co sac.

Khong tu y cho an uong

Khong nen cho nguoi benh an, uong nuoc, uong sua hoac uong thuoc vi co the bi roi loan nuot, dan den sac vao phoi. Neu can dung thuoc, phai thuc hien theo huong dan cua nhan vien y te.

Khong tu y dung aspirin hoac thuoc chong dong

Trong truong hop nghi ngo dot quy, dac biet khi chua biet la tac mach hay vo mach, viec tu y dung aspirin, thuoc chong dong hoac thuoc “tan mau” co the lam tinh trang chay mau nang hon.

Khong cao gio, giac hoi hoac cham cuu

Cac phuong phap nay khong the lam ngung chay mau trong nao va co the lam cham thoi gian dua nguoi benh den benh vien. Thoi gian tri hoan cang lau, nguy co ton thuong nao cang lon.

Chan doan dot quy vo mach mau nao

Chup CT nao

Chup CT nao khong tiem thuoc can quang thuong la phuong phap quan trong de phat hien mau chay trong nao, xac dinh vi tri va kich thuoc o xuat huyet.

CT co the giup bac si danh gia:

Xuat huyet trong nhu mo nao.

Mau trong nao that.

Mau duoi nhen.

Phu nao.

Nao ung thuy.

Tinh trang chen ep hoac lech duong giua.

Chup CT mach mau hoac MRI

Tuy truong hop, bac si co the chi dinh chup CT mach mau, MRI hoac MRA de tim nguyen nhan nhu phinh dong mach, di dang dong tinh mach hoac ton thuong mach mau khac.

Xet nghiem mau

Mot so xet nghiem co the duoc thuc hien de danh gia:

Cong thuc mau.

Chuc nang dong mau.

Duong huyet.

Dien giai.

Chuc nang gan than.

Nhom mau khi can truyen mau.

Nong do thuoc chong dong trong truong hop phu hop.

Theo doi huyet ap va cac chi so sinh ton

Nguoi benh can duoc theo doi huyet ap, nhip tim, nhip tho, do bao hoa oxy, nhiet do va muc do y thuc. Nhung thay doi bat thuong co the bao hieu tinh trang xuat huyet tien trien hoac tang ap luc noi so.

Dieu tri dot quy vo mach mau nao

Dieu tri phu thuoc vao vi tri chay mau, kich thuoc o mau tu, nguyen nhan, muc do y thuc va tinh trang toan than.

On dinh ho hap va tuan hoan

Trong giai doan cap cuu, bac si co the can:

Dam bao duong tho.

Ho tro ho hap neu nguoi benh giam y thuc.

Kiem soat huyet ap theo muc tieu phu hop.

Dieu chinh duong huyet va dien giai.

Theo doi dau hieu tang ap luc noi so.

Dieu tri sot, co giat hoac roi loan nhip tim neu co.

Kiem soat huyet ap

Huyet ap can duoc kiem soat can than. Ha huyet ap qua nhanh co the lam giam tuoi mau nao, trong khi huyet ap qua cao co the lam chay mau tiep dien.

Muc tieu huyet ap se duoc bac si quyet dinh dua tren tinh trang nguoi benh, vi tri xuat huyet, muc do chay mau va cac benh ly di kem.

Dieu chinh roi loan dong mau

Neu nguoi benh dang dung thuoc chong dong hoac co roi loan dong mau, bac si co the chi dinh cac bien phap dao nguoc tac dung thuoc hoac dieu chinh dong mau. Nguoi nha can cung cap chinh xac ten thuoc, lieu dung va thoi diem su dung gan nhat.

Dieu tri tang ap luc noi so

Khi co phu nao, mau tu lon hoac nao ung thuy, nguoi benh co the can duoc theo doi tai khoa hoi suc than kinh. Mot so bien phap dieu tri co the bao gom:

Nang dau giuong theo chi dinh.

Kiem soat thong khi.

Dieu chinh dich va dien giai.

Su dung thuoc lam giam ap luc noi so trong truong hop phu hop.

Dan luu nao that neu co nao ung thuy.

Phau thuat giai ap khi co chi dinh.

Phau thuat lay mau tu

Mot so o mau tu co the can phau thuat de lay mau, giam chen ep nao hoac kiem soat nguyen nhan chay mau. Khong phai moi truong hop xuat huyet nao deu can phau thuat; quyet dinh phu thuoc vao vi tri, kich thuoc, tinh trang y thuc va nguy co phau thuat.

Can thiep mach mau nao

Neu nguyen nhan la phinh dong mach nao, bac si co the can nhac:

Nut tui phinh bang coil.

Dat stent ho tro trong truong hop phu hop.

Kep co tui phinh bang phau thuat.

Neu nguyen nhan la di dang dong tinh mach, phuong an dieu tri co the bao gom can thiep noi mach, phau thuat hoac xa phau tuy cau truc ton thuong.

Dot quy vo mach mau nao co nguy hiem khong?

Day la tinh trang co nguy co tu vong va de lai di chung cao. Mot so bien chung co the gap gom:

Hon me keo dai.

Liet nua nguoi hoac liet tu chi.

Roi loan ngon ngu.

Suy giam tri nho va kha nang tap trung.

Roi loan nuot, de sac.

Co giat.

Nao ung thuy.

Phu nao va tang ap luc noi so.

Viem phoi do sac.

Nhiem trung benh vien.

Huyet khoi tinh mach sau.

Roi loan cam xuc, tram cam hoac thay doi hanh vi.

Kha nang hoi phuc cua nguoi benh phu thuoc vao muc do ton thuong ban dau, thoi gian cap cuu, vi tri xuat huyet, tuoi, benh nen va qua trinh phuc hoi chuc nang.

Phuc hoi chuc nang sau xuat huyet nao

Sau giai doan cap tinh, nguoi benh co the can phuc hoi chuc nang lau dai. Chuong trinh dieu tri co the bao gom:

Vat ly tri lieu

Giup cai thien suc co, kha nang giu thang bang, van dong va phong ngua co rut khop.

Hoat dong tri lieu

Ho tro nguoi benh tap lai cac hoat dong sinh hoat nhu an uong, mac quan ao, ve sinh ca nhan va su dung dung cu ho tro.

Ngon ngu tri lieu

Duoc chi dinh khi nguoi benh bi noi kho, mat ngon ngu hoac roi loan nuot. Nguoi benh can duoc danh gia kha nang nuot truoc khi an uong bang duong mieng.

Ho tro tam ly va nhan thuc

Mot so nguoi benh co the gap tram cam, lo au, mat ngu, giam tri nho hoac thay doi tinh cach. Gia dinh nen kien nhan, dong hanh va trao doi voi bac si khi cac trieu chung keo dai.

Theo doi dinh duong

Nguoi benh co roi loan nuot co the can thay doi do dac cua thuc an hoac su dung phuong an nuoi duong phu hop. Khong nen tu cho an thuc an dac hoac nuoc loang neu nguoi benh co dau hieu sac.

Cach phong ngua dot quy vo mach mau nao

Kiem soat huyet ap

Nen do huyet ap dinh ky, dung thuoc dung chi dinh va khong tu y ngung thuoc khi thay huyet ap da on dinh. Nguoi co tang huyet ap can tai kham de dieu chinh phac do khi can.

Dieu tri cac benh ly nen

Can kiem soat tot:

Dai thao duong.

Roi loan mo mau.

Benh than.

Benh tim mach.

Roi loan dong mau.

Cac benh ly mach mau nao da duoc phat hien.

Han che muoi va ruou bia

Nen giam thuc pham qua man, thuc an che bien san, do chien nhieu dau mo va han che ruou bia. Khong nen uong ruou voi luong lon trong thoi gian ngan.

Khong hut thuoc

Thuoc la lam ton thuong thanh mach, thuc day xo vua va lam tang nguy co benh tim mach, dot quy.

Duy tri van dong phu hop

Nguoi truong thanh nen duy tri hoat dong the chat deu dan theo kha nang. Nguoi da co benh tim mach hoac benh ly than kinh can hoi y kien bac si truoc khi bat dau chuong trinh tap luyen cuong do cao.

Giu can nang hop ly

Thua can, beo phi co the lam tang nguy co tang huyet ap, dai thao duong va roi loan mo mau. Giam can nen thuc hien tu tu, ket hop an uong can bang va van dong.

Kham khi co trieu chung canh bao

Nhung con dau dau bat thuong, ngat, co giat, roi loan thi giac, yeu tay chan thoang qua hoac roi loan ngon ngu can duoc tham kham, dac biet neu tai dien.

Tam soat phinh mach hoac di dang mach mau khi co chi dinh

Khong phai ai cung can chup mach nao tam soat. Tuy nhien, nguoi co tien su gia dinh phinh dong mach nao, tung xuat huyet duoi nhen hoac co yeu to nguy co dac biet co the duoc bac si tu van kiem tra chuyen sau.

Khi nao can dua nguoi benh den benh vien ngay?

Can cap cuu ngay neu xuat hien mot trong cac dau hieu:

Dau dau du doi dot ngot.

Meo mieng, yeu hoac liet mot ben co the.

Noi kho, noi ngong hoac khong hieu loi.

Mat thang bang dot ngot.

Nhin doi hoac mat thi luc.

Non oi kem dau dau du doi.

Co giat.

Lo mo, ngat hoac hon me.

Trieu chung xuat hien sau chan thuong dau.

Nguoi benh dang dung thuoc chong dong va co dau hieu than kinh bat thuong.

Khong nen cho trieu chung tu het, khong tu dieu tri tai nha va khong dua nguoi benh di bang xe may neu tinh trang y thuc hoac van dong bi anh huong nghiem trong.

Tham kham dot quy vo mach mau nao tai Dak Lak

Khi co dau hieu nghi ngo dot quy vo mach mau nao, nguoi benh can duoc dua den co so y te co kha nang cap cuu 24/7, thuc hien chan doan hinh anh than kinh va phoi hop dieu tri hoi suc, noi than kinh, ngoai than kinh hoac can thiep mach khi can.

Benh vien da khoa Thien Hanh hospital la mot dia chi y te tai Dak Lak ma nguoi dan co the tim hieu khi can tham kham cac van de than kinh, tim mach hoac cap cuu. Trong truong hop nghi ngo dot quy, gia dinh nen lien he truc tiep voi benh vien hoac he thong cap cuu de xac nhan kha nang tiep nhan, chup CT/MRI, theo doi dot quy va phuong an chuyen tuyen neu nguoi benh can can thiep chuyen sau.

Viec lua chon co so y te can dua tren tinh trang thuc te cua nguoi benh. Neu co dau hieu hon me, suy ho hap, xuat huyet lon hoac can phau thuat, nguoi benh phai duoc van chuyen bang phuong tien cap cuu va co nhan vien y te theo doi.

Cau hoi thuong gap

Dot quy vo mach mau nao co giong tai bien mach mau nao khong?

Trong cach goi thong thuong, “tai bien mach mau nao” thuong duoc dung de chi dot quy. Tuy nhien, dot quy bao gom ca the thieu mau nao do tac mach va the xuat huyet do vo mach. Hai the nay co cach dieu tri khac nhau nen can chup nao de xac dinh.

Co the dung thuoc ha huyet ap tai nha khi nghi ngo xuat huyet nao khong?

Khong nen tu y dung thuoc hoac co ha huyet ap nhanh tai nha. Nguoi benh can duoc danh gia tai co so y te vi muc tieu huyet ap phu thuoc vao loai dot quy va tinh trang cu the.

Dau dau du doi co chac chan la vo mach mau nao khong?

Khong phai moi con dau dau du doi deu do xuat huyet nao. Tuy nhien, dau dau dot ngot, du doi bat thuong, dac biet di kem non oi, cung gay, ngat, co giat hoac yeu liet, la dau hieu can cap cuu va chup nao de loai tru nguyen nhan nguy hiem.

Nguoi tre co the bi vo mach mau nao khong?

Co. Nguoi tre van co the xuat huyet nao do di dang dong tinh mach, phinh dong mach, roi loan dong mau, chan thuong hoac su dung chat kich thich. Vi vay, khong nen chu quan chi vi tuoi con tre.

Sau xuat huyet nao co the hoi phuc hoan toan khong?

Kha nang hoi phuc tuy thuoc vao muc do ton thuong va thoi gian dieu tri. Mot so nguoi co the hoi phuc tot, trong khi nguoi khac can phuc hoi chuc nang lau dai hoac con di chung van dong, ngon ngu, nhan thuc. Can thiep som va tap luyen dung huong dan co the cai thien kha nang doc lap trong sinh hoat.

Ket luan

Dot quy vo mach mau nao tai Dak Lak la tinh trang cap cuu nghiem trong, co the dien tien nhanh va gay ton thuong nao khong hoi phuc. Nhung dau hieu nhu dau dau du doi dot ngot, yeu liet, meo mieng, noi kho, non oi, co giat hoac roi loan y thuc can duoc xu tri khan cap.

Nguoi dan nen goi cap cuu, ghi nho thoi diem khoi phat, khong tu y cho nguoi benh an uong hoac dung thuoc chong dong, dong thoi dua nguoi benh den co so y te co kha nang chan doan va dieu tri dot quy. Ben canh cap cuu kip thoi, kiem soat huyet ap, dieu tri benh nen, khong hut thuoc, han che ruou bia va duy tri loi song lanh manh la nhung bien phap quan trong giup giam nguy co dot quy vo mach mau nao.