kefalaio 23 (meros 4) Flashcards Preview

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Flashcards in kefalaio 23 (meros 4) Deck (45)
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1

triti sixnotita thanatou ston ditiko kosmo

aee(kardiagkeiaka ,ca)

2

aee sixnotera..

stous andres ,anw 55

3

i endokrania piesi pia piesi avksanei

tin fleviki

4

aee

80% isxaimika, 20% aimoragika(12%endoegkefaliki aimoragia,8% eksagkeiwsi ston ip xoro epomenos iparaxnoeidi aimoragia)

5

se vlavi prosthias egkefalikis exoume(aimatwnei esw epifaneia egk imisfairiou ews parakentro lovio elegxei katw akro kai akrateies):

paralisi kai diataraxi en to vathei aisthitikotitas tou antiplevrou katw akrou,akrateia ourwn(paralisi periferikou tmimatos katw akrou,provlima sto paxi entero ,alla kai piramidiki sindromi )

6

mesi egkefaliki,anion kladoi(einai floiwdeis,metwpiaio kai vregmatiko) :

perioxi broca kai+ kinitikotita kai aisthitikotita twn antiplevrwn :prosopou kai anw akrou

7

mesi egkefaliki kation kladoi(floiwdeis ,

perioxi wernicke + agnwsies kai apraksies,optiki aktinovolia(omoplevri katw tetartokikliki anopsia)

8

mesi egkefaliki ,diatitrainontes kladoi (vasika gagglia kai esw kapsa epomenws den exoume imianopsia afasia kai aisthitikes diataraxes)

antiplevri imipligia(katw meros prosopou,omotimi prosvoli anw kai katw akrou(arxika xalari paralisi kai argotera spastiki)

9

se monoplevri okseia stenwsi esw karotidas exoume

apofraksi ofthalmikis aririas omoplevra(thamvos orasis-amavrosis fugax) kai inteplevri adinamia kai aimwdia logo isxaimias mesis kai prosthias egkefalikis=> xiasti optikopiramidiki sindromi

10

pote exoume locked in syndrome

se isxaimia vasikis artirias ,giati afti nevrwnei tin gefira ,pio panw leitourgei to kino kinitiko

11

vlavi sto stelexos exoume... sindromi

epalasousa (vlavi egkefalikwn sizigiwn omoplevra kai kinitikwn i aisthitikwn diataraxwn antiplevra)

12

isxaimia mesegkefalou

prosvoli koinou kinitikou,apoklinwn stravismos

13

isxaimia opisthias katw paregkefalidikis-->isxaimia promiki(sindromo wallenberg pou einai epalasousa)

kai isxaimia aithousiaou =>peristrofikos iligkos naytia emetoi,dislitourgeia 9 10 c.n

14

isxaimia paregkefalidas

zali nautia emetos nistagmos ,paregkefalidiki ataksia ,kai apo oidima tis piesi sti gefira

15

ct gia isxaimiko aee poso xrono thelei na fanei

48 h(ipopikni perioxi me safi oria)

16

likofotiki perioxi

i perioxi pou ardevete apo dio artiries ,afti tou isxaimikou kai apo kapoia alli giafto ta kittara tis ipoleitourgoun

17

mri isxaimikou aee

se liges wres t2 avksimeni entasi ,t1 meiwmeni

18

antimetwpisi okseias egkefalikis isxaimias

anapnevstiki leitourgeia ,kardiaki leitourgeia ,artiriaki piesi (oxi apotomi meiwsi),amesi antimetwpisi piretou ,isizigio igrwn(xorigisi isotonwn dialeimatwn) ,oxi dialimata glykozis giati avksnoun to galaktiko kai zwtika

19

epiplokes okseos isxaimikou ee

piretos ,limwkseis (pnevmonon kai ouropoitikou) , katakliseis ,iperglykaimia(apo ekrisi kortizolis kai katexolamines) ,en to vathei flevothromvwsi,miokardiopatheia

20

nevrikos kindinos okseos isxaimikou ee

na egkoleasei logo avksimenou egkefalikou oidimatos(diaskinidiaka),epipedo sinidisis,metaptwsi isaimikou kai aimoragiko

21

defterogeni prolipsi (isxaimikou aee) (dld aftoi pou to pathan na min ksanapathoun deftero)

antiaimopetaliaka opws aspirini klopidogreli tiklopidini

22

pws onomazontai oi perioxes pou aimatwnountai apo telikous kladous artiriwn

methories zwnes

23

epiplokes aimoragikou aee apo riksi anevrismatos

idrokefalos logo flegmonodou antidrasis,agkeiosispasmos(4-12d) , epanemfanisi riksis

24

antimetwpisi agkeiosispasmou aimoragikou aee

nimodipini(ca channel blocker)

25

antimetwpisi egkefalikou anevrismatos

xeirourgeio kai klinostatismos gia 4w

26

prognwsi iparaxnoeidous aimoragias

30% paithanoun prwto 24 kai 40% paithanoun tin prwti evdomada

27

aimatwsi egkefalou apo poious kladous

2/3 karotidiko kai 1/3 spondilavasiko (15% tis kardiakis p)

28

thromvwsi kai emvoli pou na kanei estiaki egkefaliki isxaimia kanei i _

athirwmatiki nosos twn megalwn agkeiwn (koini kai esw karotida)

29

tipoi isxaimikwn aee

parodiko(24H prili apokatastasi),anastrepsimo(>24h pliri apokatastasi) ,ekselissomeno (epidinwsi kata tis prwtes meres),egkatestimeno( monimo nevrologiko eleimma)

30

pathogenesi isxaimikwn

meiwnete to o2 kai i glikozi ,epomenos meiwnete to atp ,exoume anaerovia glikolisi kai paragwgi galaktikou oksews (metavoliki oksewsi) ,diataraxi isoropias stin antalagi iontwn (mpainei na ca) apeleftherwsi litikwn enzimwn kai eleftherwn rizwn me kittariko thanato