{"id":72843,"date":"2020-11-03T15:16:59","date_gmt":"2020-11-03T15:16:59","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/intrakranialni-hematom\/"},"modified":"2025-01-13T03:18:09","modified_gmt":"2025-01-13T03:18:09","slug":"intrakranialni-hematom","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sl\/diseases\/intrakranialni-hematom\/","title":{"rendered":"Intrakranialni hematom"},"content":{"rendered":"<h2 id=\"opredelitev\">Opredelitev<\/h2>\n<p>Ko krvna \u017eila znotraj mo\u017eganov ali med mo\u017egani in lobanjo po\u010di, nastane intrakranialni hematom. Hematom (zbiranje krvi) stisne mo\u017egansko tkivo. Ta pogoj se lahko zgodi, ko teko\u010dina okoli mo\u017eganov ne more absorbirati sile nenadnega udarca ali hitrega zaustavljanja. Mo\u017egani lahko prisilno drsijo proti notranji steni lobanje in tako postanejo modrice. Nekatere po\u0161kodbe glave, na primer pretres mo\u017eganov, so lahko manj\u0161e, vendar je intrakranialni hematom nevarno stanje, ki pogosto zahteva takoj\u0161nje zdravljenje. Obi\u010dajno je potreben operativni poseg, da odstranimo hematom.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"simptomi\">Simptomi<\/h2>\n<p>Simptomi intrakranialnega hematoma se lahko pojavijo takoj po udarcu v glavo ali pa se poka\u017eejo po nekaj tednih ali celo dlje. Obstaja obdobje, ki se imenuje lucidni interval, ko se \u010dlovek po po\u0161kodbi glave zdi v redu, s\u010dasoma pa se pritisk na mo\u017egane pove\u010da, zato se pojavijo naslednji znaki in simptomi:<\/p>\n<ul>\n<li>Zmedenost in slabost<\/li>\n<li>Glavobol, ki se stopnjuje<\/li>\n<li>Zmeda<\/li>\n<li>Nejasen govor<\/li>\n<li>Izguba zavesti, ki napreduje<\/li>\n<li>Zvi\u0161an krvni tlak<\/li>\n<\/ul>\n<p>Ko se raven krvi, ki napolni mo\u017egane ali prostor med mo\u017egani in lobanjo, pove\u010duje, se ka\u017ee ve\u010d simptomov:<\/p>\n<ul>\n<li>Nezavest<\/li>\n<li>Epilepti\u010dni napadi<\/li>\n<li>Apatija<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"vzroki\">Vzroki<\/h2>\n<p>Najpogostej\u0161i vzroki intrakranialne krvavitve, to je krvavitev, so skoraj vse vrste nesre\u010d, padcev in \u0161portnih po\u0161kodb, pri katerih lahko \u010dlovek udari v glavo. Resna po\u0161kodba se lahko zgodi, tudi \u010de ni odprte rane, modrice ali katerega koli vidnega znaka.<\/p>\n<p>Hematom se lahko pojavi kot: subduralni, epiduralni ali intraparenhimski<\/p>\n<p>Subduralni hematom se zgodi, ko se krvne \u017eile, ve\u010dinoma vene, razcepijo med mo\u017egani in oddaljeno od treh membranskih plasti, ki pokrivajo mo\u017egane (dura mater). Nato iz uhajajo\u010de krvi nastane hematom, ki stisne mo\u017egansko tkivo. \u010ce se hematom postopoma pove\u010da, se pojavi upad zavesti, ki lahko povzro\u010di smrt.<\/p>\n<p>Obstajajo tri vrste subduralnega hematoma:<\/p>\n<ul>\n<li>Akutna &#8211; najnevarnej\u0161a vrsta, ki jo obi\u010dajno povzro\u010di huda po\u0161kodba glave in simptomi, so vidni takoj.<\/li>\n<li>Subakutni simptomi se razvijejo skozi \u010das (dni ali tedne po po\u0161kodbi)<\/li>\n<li>Kroni\u010dni rezultat manj hude po\u0161kodbe glave, ki povzro\u010da veliko po\u010dasnej\u0161e krvavitve in simptomi se lahko poka\u017eejo po tednih (bolnik se morda ne spomni po\u0161kodbe)<\/li>\n<li>Da ne bi pri\u0161lo do trajnih po\u0161kodb mo\u017eganov, je potrebna zgodnja zdravni\u0161ka pomo\u010d pri vseh treh vrstah subduralnega hematoma.<\/li>\n<li>Epiduralni hematom ali ekstraduralni hematom je vrsta hematoma, ki se pojavi, ko se arterija razcepi med zunanjo povr\u0161ino dura mater in lobanjo. Nato kri pu\u0161\u010da med maternico in lobanjo in tvori maso, ki stisne mo\u017egansko tkivo. Ve\u010dina ljudi po travmi postane zaspana in komatozno prestra\u0161ena. Vendar nekateri ostanejo nezavestni. \u010ce se ne zahteva hitro zdravljenje, je epiduralni hematom lahko smrtonosen.<\/li>\n<li>Intraparenhimski hematom, znan tudi kot intracerebralni hematom, se zgodi, ko se v mo\u017eganih oblikujejo krvni bazeni. Lahko se zgodi, da se po hudi travmi glave pojavi ve\u010d nevarnih intraparenhimskih hematomov. Travma, ki jo povzro\u010di tovrstni hematom, pogosto povzro\u010di raztrgane aksone v beli snovi mo\u017eganov. Aksoni so odgovorni za prena\u0161anje elektri\u010dnih impulzov, to je sporo\u010dil iz nevronov do mo\u017eganov do preostalega telesa. \u010ce se ta povezava prekine, se lahko zgodi resna po\u0161kodba mo\u017eganov.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2 id=\"zdravljenje\">Zdravljenje<\/h2>\n<p>V\u010dasih so hematomi zelo majhni in ne povzro\u010dajo nobenih znakov ali simptomov. \u010ce bolnik nima operacij za odstranjevanje tako majhnega hematoma, mora stanje natan\u010dno spremljati morebitne nevrolo\u0161ke spremembe, spremljati intrakranialni tlak in opraviti ve\u010d CT preiskav, saj se simptomi lahko pojavijo ali poslab\u0161ajo celo tedne po po\u0161kodbi .<\/p>\n<p>Vendar zdravljenje hematoma obi\u010dajno razume operativni poseg. Vrsta operacije se lahko razlikuje. Od zna\u010dilnosti hematoma je odvisno, kak\u0161en operativni poseg bo bolnik opravil. Mo\u017enosti so lahko:<\/p>\n<ul>\n<li>Kirur\u0161ka drena\u017ea (nastane luknja v lobanji in teko\u010dina se odstrani s sesanjem)<\/li>\n<li>Kraniotomija (odprt je del lobanje, da bi odvzeli kri)<\/li>\n<li>Po operaciji zdravljenje z zdravili nadaljuje do enega leta za nadzor in prepre\u010devanje posttravmatskih napadov. \u010ce pa se napadi nadaljujejo, bo potrebna dolgotrajna terapija.<\/li>\n<\/ul>\n<p>Nekateri pogoji se lahko po operaciji \u0161e nekaj \u010dasa:<\/p>\n<ul>\n<li>Te\u017eave s spanjem<\/li>\n<li>Te\u017eave z koncentracijo in polno pozornostjo<\/li>\n<li>Glavoboli<\/li>\n<li>Anksioznost<\/li>\n<li>Amnezija<\/li>\n<\/ul>\n<p>\u010ce ima bolnik tudi po zdravljenju nevrolo\u0161ke te\u017eave, je treba upo\u0161tevati poklicno in fizikalno terapijo.<\/p>\n<p>&nbsp;<\/p>\n<h2 id=\"preventiva\">Preventiva<\/h2>\n<p>Pacient, ki trpi zaradi te vrste bolezni, lahko naredi nekaj, da se za\u0161\u010diti sam:<\/p>\n<ul>\n<li>Med delom nosite \u010delado, \u010de je verjetno, da se bo zgodila po\u0161kodba glave<\/li>\n<li>Med vo\u017enjo zapenjajte varnostni pas<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-72843","disease","type-disease","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Intrakranialni hematom - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sl_SI\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Intrakranialni hematom - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Opredelitev Ko krvna \u017eila znotraj mo\u017eganov ali med mo\u017egani in lobanjo po\u010di, nastane intrakranialni hematom. 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Hematom (zbiranje krvi) stisne mo\u017egansko tkivo. Ta pogoj se lahko zgodi, ko teko\u010dina okoli mo\u017eganov ne more absorbirati sile nenadnega udarca ali hitrega zaustavljanja. Mo\u017egani lahko prisilno drsijo proti notranji steni lobanje in tako postanejo modrice. 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