{"id":977,"date":"2024-04-15T15:14:12","date_gmt":"2024-04-15T13:14:12","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=977"},"modified":"2024-08-01T15:07:30","modified_gmt":"2024-08-01T13:07:30","slug":"complicatiile-traumatismelor-craniocerebrale","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/complicatiile-traumatismelor-craniocerebrale\/","title":{"rendered":"Care sunt complica\u021biile traumatismelor craniocerebrale?"},"content":{"rendered":"\n<h2>Care sunt complica\u021biile traumatismelor craniocerebrale?<\/h2>\n<p>Pentru unii pacien\u021bi, traumatismul cranian reprezint\u0103 debutul unei boli care dureaz\u0103 toat\u0103 via\u021ba. Mul\u021bi dintre cei care au suferit un traumatism prezint\u0103 sechele, chiar \u0219i cei cu traumatisme craniene u\u0219oare.<\/p>\n<p>Pe scurt, complica\u021biile traumatismelor craniocerebrale pot fi clasificate \u00een:<\/p>\n<ul>\n<li>tulbur\u0103rile cognitive;<\/li>\n<li>deficien\u021be motorii, perceptuale ori senzoriale, de comunicare \u0219i de limbaj sau func\u021bionale;<\/li>\n<li>epilepsie traumatic\u0103;<\/li>\n<li>alte probleme;<\/li>\n<\/ul>\n<p>Aceste tulbur\u0103ri care apar \u00een urma traumatismelor craniene au un impact semnificativ asupra calit\u0103\u021bii vie\u021bii pacien\u021bilor. S\u0103 le dezvolt\u0103m pe fiecare \u00een parte.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-978 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC.jpeg\" alt=\"\" width=\"700\" height=\"495\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC.jpeg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC-300x212.jpeg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC-1024x724.jpeg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC-768x543.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC-1536x1086.jpeg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC-120x86.jpeg 120w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC-750x530.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Consecintele-TCC-1140x806.jpeg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<h3>Tulbur\u0103rile cognitive<\/h3>\n<ul>\n<li>Com\u0103<\/li>\n<li>Confuzie<\/li>\n<li>Scurtarea aten\u021biei<\/li>\n<li>Probleme de memorie \u0219i amnezie<\/li>\n<li>Deficien\u021be \u00een rezolvarea problemelor<\/li>\n<li>Probleme cu judecat\u0103<\/li>\n<li>Incapacitatea de a \u00een\u021belege concepte abstracte<\/li>\n<li>Pierderea sim\u021bului timpului \u0219i al spa\u021biului<\/li>\n<li>Sc\u0103derea con\u0219tiin\u021bei de sine \u0219i a celorlal\u021bi<\/li>\n<li>Incapacitatea de a accepta mai mult dec\u00e2t comenzi cu unul sau doi pa\u0219i \u00een acela\u0219i timp<\/li>\n<\/ul>\n<h3>Deficien\u021be motorii<\/h3>\n<ul>\n<li>Paralizie sau sl\u0103biciune<\/li>\n<li>Spasticitate<\/li>\n<li>Probleme de chilibru<\/li>\n<li>Sc\u0103derea rezisten\u021bei<\/li>\n<li>Incapacitatea de a planifica mi\u0219c\u0103rile motorii<\/li>\n<li>Tremur\u0103turi<\/li>\n<li>Probleme de \u00eenghi\u021bire<\/li>\n<li>Coordonare deficitar\u0103<\/li>\n<\/ul>\n<h3>Deficien\u021be perceptuale sau senzoriale<\/h3>\n<ul>\n<li>Modific\u0103ri ale auzului, vederii, gustului, mirosului \u0219i atingerii<\/li>\n<li>Pierderea senza\u021biei sau senza\u021bia accentuat\u0103 a unor p\u0103r\u021bi ale corpului<\/li>\n<li>Neglijarea p\u0103r\u021bii st\u00e2ngi sau drepte<\/li>\n<li>Dificultate \u00een a \u00een\u021belege unde se afl\u0103 membrele \u00een raport cu corpul<\/li>\n<li>Probleme de vedere, inclusiv vedere dubl\u0103, lipsa acuit\u0103\u021bii vizuale sau o gam\u0103 limitat\u0103 de vedere<\/li>\n<\/ul>\n<h3>Deficien\u021be de comunicare \u0219i de limbaj<\/h3>\n<ul>\n<li>Dificult\u0103\u021bi de vorbire \u0219i de \u00een\u021belegere a vorbirii (afazie)<\/li>\n<li>Dificultatea de a alege cuvintele potrivite pentru a le rosti (afazie)<\/li>\n<li>Dificult\u0103\u021bi de citire (alexie) sau de scriere (agrafie)<\/li>\n<li>Dificultatea de a efectua ac\u021biuni foarte comune, cum ar fi sp\u0103latul pe din\u021bi<\/li>\n<li>Vorbire lent\u0103, ezitant\u0103 \u0219i vocabular diminuat<\/li>\n<li>Dificultate \u00een a forma propozi\u021bii cu sens<\/li>\n<li>Probleme \u00een identificarea obiectelor \u0219i a func\u021biei acestora<\/li>\n<li>Probleme cu cititul, scrisul \u0219i capacitatea de a lucra cu numere<\/li>\n<\/ul>\n<h3>Deficien\u021be func\u021bionale<\/h3>\n<ul>\n<li>Capacitate afectat\u0103 \u00een activit\u0103\u021bile de zi cu zi (ex. \u00eembr\u0103catul \u0219i m\u00e2ncatul)<\/li>\n<li>Probleme cu organizarea, cump\u0103r\u0103turile sau plata facturilor<\/li>\n<li>Incapacitatea de a conduce o ma\u0219in\u0103 sau de a folosi utilaje<\/li>\n<li>Dificult\u0103\u021bi sociale, rela\u021bii interpersonale dificile<\/li>\n<\/ul>\n<h3>Epilepsie traumatic\u0103<\/h3>\n<p>Epilepsia poate ap\u0103rea \u00een cazul unei leziuni cerebrale, dar mai frecvent \u00een cazul leziunilor grave sau penetrante. Majoritatea crizelor apar imediat dup\u0103 leziune sau \u00een primul an, dar este posibil ca epilepsia s\u0103 apar\u0103 \u0219i ani mai t\u00e2rziu. Epilepsia include at\u00e2t crize majore sau generalizate, c\u00e2t \u0219i crize minore sau par\u021biale. Aceste deficite determin\u0103 o dependen\u021b\u0103 social\u0103 a bolnavilor, chiar \u00een absen\u021ba unor dizabilit\u0103\u021bi fizice, afect\u00e2nd capacitatea de munc\u0103, rela\u021biile familiale, activit\u0103\u021bile zilnice.<\/p>\n<h3>Alte probleme<\/h3>\n<ul>\n<li>Oboseal\u0103<\/li>\n<li>Modific\u0103ri ale somnului \u0219i ale obiceiurilor alimentare<\/li>\n<li>Ame\u021beli<\/li>\n<li>Dureri de cap<\/li>\n<li>Pierderea controlului asupra intestinelor \u0219i a vezicii urinare<\/li>\n<li>Schimb\u0103ri de personalitate sau psihiatrice<\/li>\n<li>Apatie<\/li>\n<li>Sc\u0103derea motiva\u021biei<\/li>\n<li>Labilitate emo\u021bional\u0103<\/li>\n<li>Iritabilitate<\/li>\n<li>Anxietate \u0219i depresie<\/li>\n<li>Dezinhibi\u021bie, inclusiv crize de temperament, agresivitate, toleran\u021b\u0103 sc\u0103zut\u0103 la frustrare \u0219i comportament sexual inadecvat<\/li>\n<\/ul>\n<p>De aceea, este vital s\u0103 merge\u021bi la controale medicale regulate. Tulbur\u0103rile neurologice se pot reflecta prin schimb\u0103ri \u00een comportamentul oculomotor, urm\u0103rirea ocular\u0103 devenind un instrument eficient pentru diagnosticare \u0219i monitorizare. Institutul RoNeuro utilizeaz\u0103 un sistem Tobii TX300 pentru a evalua aceste mi\u0219c\u0103ri oculare. Pentru mai multe informa\u021bii despre aplica\u021biile acestei tehnologii v\u0103 invit\u0103m s\u0103 urm\u0103ri\u021bi interviul video cu dr. Emanuel \u0218tef\u0103nescu, coordonatorul departamentului de eyetracking.<\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/U5ArYC4JAKg?si=zEvr9pIzrN5K7X1p\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p><strong>A\u021bi suferit un traumatism cranio-cerebral? <\/strong>Programa\u021bi-v\u0103 acum pentru evaluare la un medic neurolog contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Cum trat\u0103m \u0219i gestion\u0103m traumatismele craniocerebrale?<\/h2>\n<p>Detectarea \u0219i gestionarea <strong>traumatismelor craniocerebrale (TCC)<\/strong> este de maxim\u0103 importan\u021b\u0103, deoarece acestea pot afecta \u00een mod semnificativ s\u0103n\u0103tatea fizic\u0103 \u0219i psihic\u0103 \u0219i calitatea vie\u021bii pacien\u021bilor. \u00cen fiecare zi, \u00een \u00eentreaga lume, mii de persoane se confrunt\u0103 cu TCC. Aceste leziuni pot fi rezultatul unui accident rutier, unui accident sportiv sau a altor cauze, iar consecin\u021bele lor pot fi devastatoare \u0219i pe termen lung. TCC pot ap\u0103rea la orice v\u00e2rst\u0103.<\/p>\n<p>Pentru mai multe informa\u021bii despre impactul mondial, cauzele, clasificarea, grupele mai expuse la risc \u0219i despre TCC pediatric, vizita\u021b <a href=\"https:\/\/roneuro.ro\/blog\/ce-sunt-traumatismele-craniocerebrale\/\">acest articol<\/a>.<\/p>\n<h2>De ce este important\u0103 o abordare multidisciplinar\u0103 pentru gestionarea TCC?<\/h2>\n<p>Un management adecvat presupune existen\u021ba unor echipe multidisciplinare care s\u0103 evalueze complet pacien\u021bii \u0219i care s\u0103 asigure un tratament individualizat de recuperare neuropsihologic\u0103.<\/p>\n<p>Astfel, <a href=\"https:\/\/roneuro.ro\/echipa.html\"><strong>colectivul Institutului RoNeuro<\/strong><\/a> ofer\u0103 aten\u021bia \u0219i asisten\u021ba necesar\u0103 pacien\u021bilor cu traumatisme cranio-cerebrale. Speciali\u0219tii no\u0219tri includ:<\/p>\n<ul>\n<li>medici neurologi<\/li>\n<li>psihologi<\/li>\n<li>medici psihiatri<\/li>\n<li>kinetoterapeu\u021bi<\/li>\n<li>asistente medicale.<\/li>\n<\/ul>\n<p style=\"text-align: left;\"><strong>Stimularea magnetic\u0103 transcranian\u0103 (TMS)<\/strong> poate avea efecte benefice \u00een gestionarea problemelor post-TCC. Pentru mai multe informa\u021bii, vizita\u021bi interviul cu expertul RoNeuro,<strong> medic primar Nicoleta Jemna:<\/strong><\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/iEOxikHVWsM?si=n8aQDqhdXtDBpsux\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>Rolul NADH \u00een gestionarea afectiunilor post-TCC<\/h2>\n<p><strong>NADH<\/strong> este un supliment alimentar eficient \u0219i sigur. Cunoscut de asemenea drept Coenzima-1, <strong>NADH<\/strong> este forma biologic\u0103 a hidrogenului care reac\u021bioneaz\u0103 cu oxigenul din celule rezult\u00e2nd energie.<\/p>\n<p><img decoding=\"async\" class=\"wp-image-943 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson.jpeg\" alt=\"Suplimente alimentare boala Parkinson\" width=\"350\" height=\"206\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson.jpeg 1273w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-300x177.jpeg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-1024x603.jpeg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-768x452.jpeg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-750x442.jpeg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/04\/Suplimente-alimentare-boala-Parkinson-1140x672.jpeg 1140w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/p>\n<p>Deoarece depresia \u0219i tulbur\u0103rile de memorie \u0219i aten\u021bie pot ap\u0103rea dup\u0103 TCC, NADH poate fi un ajutor \u00een gestionarea acestora. Pentru mai multe informa\u021bii despre <strong>NADH<\/strong>, accesa\u021bi acest <a href=\"https:\/\/nadhrapid.ro\/\" target=\"_blank\" rel=\"noopener\">link<\/a>.<\/p>\n<h2>Concluzii<\/h2>\n<p>Traumatismele craniocerebrale pot avea consecin\u021be devastatoare asupra pacien\u021bilor \u0219i a familiilor lor. De la pierderea temporar\u0103 a func\u021biilor cognitive \u0219i motorii p\u00e2n\u0103 la schimb\u0103ri permanente ale personalit\u0103\u021bii \u0219i st\u0103rii emo\u021bionale, impactul este vast \u0219i adesea dificil de gestionat. Investi\u021bia \u00een cercetare este esen\u021bial\u0103 pentru dezvoltarea de interven\u021bii mai eficiente \u0219i pentru \u00eembun\u0103t\u0103\u021birea accesului la servicii medicale specializate \u00een TCC. Preven\u021bia, inclusiv educa\u021bia public\u0103 despre siguran\u021ba rutier\u0103, sportiv\u0103 \u0219i \u00een mediile de lucru, pot reduce semnificativ inciden\u021ba TCC. Prin con\u0219tientizare crescut\u0103, tratament adecvat \u0219i sprijin comunitar, putem oferi o \u0219ans\u0103 mai bun\u0103 de recuperare \u0219i reintegrare social\u0103 pentru pacien\u021bi.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Care sunt complica\u021biile traumatismelor craniocerebrale? Pentru unii pacien\u021bi, traumatismul cranian reprezint\u0103 debutul unei boli care dureaz\u0103 toat\u0103 via\u021ba. Mul\u021bi dintre cei care au suferit un traumatism prezint\u0103 sechele, chiar \u0219i cei cu traumatisme craniene u\u0219oare. Pe scurt, complica\u021biile traumatismelor craniocerebrale pot fi clasificate \u00een: tulbur\u0103rile cognitive; deficien\u021be motorii, perceptuale ori senzoriale, de comunicare \u0219i de [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":985,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0","post_calculate_word_method":"str_word_count"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0","format":"standard"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":{"view_counter_number":"0","share_counter_number":"0","like_counter_number":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[6],"tags":[],"class_list":["post-977","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/977","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=977"}],"version-history":[{"count":8,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/977\/revisions"}],"predecessor-version":[{"id":1126,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/977\/revisions\/1126"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/985"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=977"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=977"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=977"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}