Ọbara ọgbụgba n'okpuru afọ
Subgaleal hemorrhage nke amara dika subgaleal hematoma bu igba obara n'ime ezigbo ohere di na skull periosteum na scalp galea aponeurosis.
Mgbaàmà[dezie | dezie ebe o si]
Nchoputa ya na bu clinical, ya na fluctuant boggy mass n'etolite n'ebe scalp ya na superficial skin bruising. Nke Zara aza ga n'ebu obere obere n'elekere 12-72 ma nwaanyi mucha NWA ya, mana ufodu oge ana achoputa ya ozigbo nwaanyi muchara nwa ya. Uto nke hematoma subgaleal bụ ihe nzuzo, ebe ọ na-agbasa na calvaria dum ma nwee ike ọ gaghị amata ya ruo ọtụtụ awa ruo ụbọchị. Ọ bụrụ na ọbara zuru ezu na-agbakọta, enwere ike ịhụ mmiri a na-ahụ anya. Ndị ọrịa nwere ike ịmalite periorbital ecchymosis ("Anya raccoon"). [citation needed]
Ndị ọrịa na-arịa hematoma subgaleal nwere ike ịnwe Ọbara ọgbụgba n'ihi oke ọbara nke nwere ike ịla n'iyi n'ime oghere dị n'etiti periosteum okpokoro isi na galea aponeurosis, nke achọpụtara na ọ dị elu dị ka 20-40% nke ọbara nwa ọhụrụ na nyocha ụfọdụ.[1] Ọzịza ahụ nwere ike ime ka fontanel na cross cranial suture lines kpuchie, na-eme ka ọ dị iche na cephalohematoma, ebe ọbara na-ejide site na ọnọdụ ya. [2][3]
Ndị ọrịa na-arịa ọbara ọgbụgba n'okpuru afọ nwekwara ike ịnwe hyperbilirubinemia dị ịrịba ama n'ihi mmegharị nke ọbara ọgbụrụ. Nnyocha ụlọ nyocha nwere ike igosi mbelata hemoglobin na hematocrit n'ihi ọbara na-apụ n'ime oghere subgaleal, na nyocha coagulation nwere ike igosipụta coagulopathy. A kọọrọ na ọnwụ na-eme na 12-14% nke ndị na-arịa ya, n'ozuzu ya n'ihi nnukwu ọbara na-efu, mgbe mgbe na ọnọdụ nke coagulopathy na-enweghị mgbagha. Otú ọ dị, site na njirimara ngwa ngwa na ọgwụgwọ ngwa ngwa, amụma ahụ dị mma, ọ naghịkwa enwe mmetụta na-adịte aka.[4]
Ihe Ndị Na-akpata ya[dezie | dezie ebe o si]
Ihe ka ọtụtụ n'ime ụmụ ọhụrụ (90%) na-esite na itinye ikuku n'isi mgbe a na-amụ nwa (mụọ nwa na-enyere aka). Mmiri na-enyere aka na-agbaji akwara ndị na-ezipụ (ya bụ, njikọ dị n'etiti sinus dural na akwara akpụkpọ isi) na-eduga n'ịchịkọta ọbara n'okpuru aponeurosis nke uru akpụkpọ isi na elu na periosteum.[5]
Tụkwasị na nke a, hematoma subgaleal nwere ọtụtụ ugboro nke mmerụ ahụ isi (40%), dị ka ọbara ọgbụgba ma ọ bụ ọkpụkpụ isi. Ọbịbịa nke ihe ndị a anaghị ejikọta ya na oke ọbara ọgbụgba subgaleal. [citation needed]
Nchịkwa[dezie | dezie ebe o si]
Nchịkwa na-agụnye nlezianya nlekota anya n'ime ụbọchị iji chọpụta ọganihu na, ma ọ bụrụ na achọrọ, jikwaa nsogbu (dịka ọbara mgbali elu, hyperbilirubinemia na-enweghị mgbochi na jaundice site na mkpụrụ ndụ ọbara uhie). Oghere subgaleal nwere ike ijide ihe ruru 40% nke ọbara nwa ọhụrụ ma nwee ike ịkpata oke egwu na ọnwụ. Enwere ike ịchọ mmiri bolus ma ọ bụrụ na ọbara na-efu dị ukwuu ma onye ọrịa na-aghọ tachycardic. Mmịnye ọbara na phototherapy nwere ike ịdị mkpa. Enwere ike igosi nyocha maka coagulopathy. [citation needed]
- ↑ Bofill (2008). "Chapter 26: Operative Vaginal Delivery", in Ronald S. Gibbs: Danforth's Obstetrics and Gynecology, Tenth, Philadelphia: Lippincott Williams & Wilkins, 470. ISBN 978-0-7817-6937-2. Retrieved on 9 September 2022.
- ↑ Lee (2018). "The clinical characteristics and prognosis of subgaleal hemorrhage in newborn". Korean Journal of Pediatrics 61 (12): 387–391. DOI:10.3345/kjp.2018.06800. PMID 30304906.
- ↑ Rabelo (2017). "Traumatic brain lesions in newborns". Arquivos de Neuro-Psiquiatria 75 (3): 180–188. DOI:10.1590/0004-282X20170016. PMID 28355327.
- ↑ Kilani, R.A. (2006). "Neonatal subgaleal hematoma: presentation and outcome - Radiological findings and factors associated with mortality". American Journal of Perinatology 23 (1): 41–8. DOI:10.1055/s-2005-923438. PMID 16450272. Retrieved on 28 June 2019.
- ↑ AAP Textbook of Pediatrics