Струс мозку: симптоми, діагностика та лікування – Хвороби і лікування – Здоров’я – MEN’s LIFE

Струс мозку: симптоми, діагностика та лікування – Хвороби і лікування – Здоров’я – MEN’s LIFE

Струс мозку: симптоми, діагностика та лікування

Будь-яке струс мозку – це вже черепно-мозкова травма. Зазвичай струс мозку легкого ступеня не викликає занепокоєння. У кращому випадку, відлежавшись пару днів, трудоголік мчить на роботу. На пропозицію відвідати лікаря призводить laquo; вагомі доводи на кшталт того, що «у мене навіть шишки немає». Через півроку знесилити герой приповзає до невропатолога зі скаргами на моторошну головний біль, дратівливість і погану пам’ять, нез’ясовні непритомність, а в особливих випадках – і напади епілепсії. Виною тому спайкові процеси в корі головного мозку – вони перешкоджають рівномірному потоку крові і доставці кисню. Поширене ускладнення – гіпертензійного синдром. Все це, можливо, доведеться лікувати роками. Найшкідливіше наслідок травми – людина перетворюється на «барометр» і реагує на будь-які природні коливання, мучиться від перепадів тиску. Щоб не доводити справу до сумного фіналу – до лікаря при перших же симптомах струсу.

Симптоми легкого струсу:

– сильний забій голови або шиї (удар «детонує» з шийних хребців в голову);

– короткочасна – кілька секунд – втрата свідомості, часто бувають струсу і без втрати свідомості;

– ефект «іскр з очей»;

– запаморочення, посилюються при повороті голови і нахилах;

– ефект «старої кіноплівки» перед очима.

Через три – чотири дні може здатися, що все пройшло, але це враження оманливе. Повноцінна реабілітація – 2 – 3 тижні, а іноді, якщо окуліст знайде на очному дні функціональні зміни, і довше. При струси не буває «золотої середини».

При струси середньої тяжкості людина може втратити свідомість. Можливі блювота, потемніння в очах. Через нестачу кисню в мозку у людини з’являється «п’яна» хода. Необхідні термінова госпіталізація і постільний режим на 2 – 3 тижні. Треба стежити за тим, щоб перший час потерпілий перебував у затемненій кімнаті.

Симптоми струсу середньої тяжкості:

Ті ж, що і при легкому струсі мозку. А ще:

– шишки і підшкірні гематоми. Ушкоджену судину, який прийняв удар на себе, погано переганяє кров, наповнюється нею і сильно роздувається – такі «кров’яні гусениці» легко виявити;

– роздратування через яскравого світла, шуму, телевізора;

– непритомність при вставанні;

– галюцинації та марення, незрозумілі страхи.

Важке струс? В реанімацію!

Без самодіяльності – тільки в реанімацію! Якщо затягнути, почнуться незворотні процеси, мозок поступово буде вмирати. Великий ризик інвалідності. У 95% випадків пацієнт знаходиться в реанімації не менше доби. Процес відновлення – від трьох місяців.

Які треба пройти обстеження?

Рентген шийного відділу хребта і черепа, щоб виключити переломи і тріщини в черепі, зсув шийних хребців. Щоб переконатися, що у вас закрита, а не відкрита травма, яка загрожує привести до крововиливу в мозок та інсульту.

Енцефалографи і ехоенцефалоскопію – ці важкі для процедури покажуть, чи немає в судинах головного мозку «замаскованих» вогнищ уражень.

У серйозних випадках необхідна комп’ютерна томографія – вона досконально обстежує самі «потаємні» куточки головного мозку.

Перевірити очне дно. Окуліст – єдиний фахівець, який може «підглянути», як поводяться судини і диск зорового нерва – чи немає крововиливів і підступної пластинчастої гематоми.

Лікування струсу головного мозку

Основне лікування струсу головного мозку – це постільний режим, який необхідно дотримуватися потерпілому протягом 3-5 днів. Також бажано обмежити читання, прослуховування музики і перегляд телевізора. Лікарська терапія СГМ не є обов’язковою, однак для якнайшвидшого відновлення працездатності потерпілим рекомендують приймати диакарб з аспаркамом, мексидол, судинні, легкі болезаспокійливі і седативні засоби.

При лікуванні струсу мозку загальний стан потерпілих звичайно швидко нормалізується протягом першого, рідше – другого тижня після травми.

Важливо!

У перші дні після струсу дуже хочеться спати – людина постійно перебуває в напівдрімоті. Це нормально – так стомлений мозок подає сигнали, що пора відпочити.

Факт

Легкий струс мозку – лідер за кількістю серед закритих черепно-мозкових травм.

35% випадків, перенесених на ногах, призводять до таких же ускладнень, що і важкі форми струсу.

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