Cerebral atherosulinosis - zoopsa zazikulu ndi njira zochizira

ATherosulinosis ndi dongosolo lamasamba olimbitsa thupi lomwe limayamba chifukwa cha kudzikundikira kwa cholesterol amana pa makhoma.

Cerebral atherosulinosis (CA) kapena cerebrosulinosis imadziwika ndi kuwonongeka kwakutupa kwa mitsempha ya muubongo.

Madipoziti amawonekera chifukwa cha vuto la lipid ndi protein metabolism, momwe cholesterol yolumikizidwa ndi pentiki imamangirizidwa ndi makoma a mtima. Mwa iwo mumakhala kuchuluka kwachulukidwe ka minofu yolumikizana (sclerosis), mawonekedwe amchere wamchere.

Njira izi zimatsogolera kuti makoma amitsempha yamagazi amatayika, amakhalauma, magazi amachepa, kusokoneza kuyenda kwa magazi. Kuphwanya magazi komwe kumabweretsa ku ubongo kumabweretsa kuwonongeka kwakukulu.

Malingaliro a kakulidwe ka matenda

Matendawa ndi oopsa kwambiri chifukwa njira zake zamankhwala amakono sizimadziwika.

Pali malingaliro angapo opezeka ake:

• zovuta zatsopano za makoma a mitsempha;
• anapeza zovuta za choroid;
• zotupa zamatenda opatsirana;
• zokhudzana ndi zaka;
• kudzikundikira kwa lipoproteins.

Asayansi akuwona zina zomwe zimayambitsa matendawa, mwachitsanzo, kuphwanya kwa antioxidant dongosolo.

Popeza sizotheka kuthana ndi zomwe zimayambitsa matenda a ubongo.

Gulu

Zolemba zazing'ono za cholesterol zomwe zimapangidwa pamakoma poyamba sizimapangitsa kusintha kwakukulu m'thupi. Mafuta a cholesterol akapanda kuchepa, mapangidwe ake pamakoma amitsempha amakula ndikuyamba kukhudza kuthamanga kwa magazi.

Ngati m'mimba mwake muli ziwiya zopitilira theka, atherosulinosis imatchedwa stenosing.

Kugawa CA, pali magawo awiri a matendawa - nthawi yapitayo komanso gawo la mawonetsedwe azachipatala. Poyamba, palibe chizindikiro chodziwika bwino cha matendawa. Mitsempha, mavuto a vasomotor amapezeka m'thupi.

Mawonetsedwe azachipatala, nawonso, ali ndi magawo atatu:

1. Ischemic siteji - kufupika kwa mitsempha kumachitika, zomwe zimatsogolera kukuwonjezereka kwa kusintha kwa ubongo mu ubongo. Kukula kwa discirculatory encephalopathy, kumachitika magawo atatu.
2. Progressive vascular thrombosis ndi ya necrosis yaying'ono.
3. Gawo lachi sclerotic ndi kufa kwa zigawo zaubongo.

Malinga ndi kuchuluka kwazizindikiro komanso kukula kwa matendawa, matenda amisempha

1. Pang'onopang'ono kupita patsogolo - mawonekedwe amawonjezeka pang'onopang'ono, koma mosalekeza.
2. Kulowerera kwachilengedwe - Zizindikiro zimawonekera ndikusowa.
3. Pulogalamu ya pachimake - mawonetseredwe a CA amachitika mwachiwawa ndipo amagwira kwa nthawi yayitali.
4. Malignant cerebrosulinosis imabweretsa kulumala.

Atherosulinosis imakhudza mitsempha yonse yaubongo - kuyambira yayikulu mpaka yaying'ono.

Pathology amatanthauza matenda a kuzungulira kwa dongosolo. Khodi ya ICD 10 ndi I67.2.

Kanema pamatumbo amtsempha:

Zifukwa zazikulu

Ngakhale kuti sizinatheke kudziwa etiology ya CA, zinthu zomwe zikuthandizira pakukula kwa matendawa zimatha kuzindikirika.

Izi zikuphatikiza:

• moyo wongokhala, womwe umayambitsa kutsika komanso kuphwanya njira ya kagayidwe kazigawo ndi ziwalo;
• kusokonezeka kwa chiwindi - kuthekera kophatikizanso cholesterol ndi lipoprotein ndikuwongolera kagayidwe ka lipid;
• matenda a endocrine;
• kudya kosayenera ndi kuchuluka kwa mafuta ndi mchere, komanso kunenepa kwambiri;
• kusintha kokhudza thupi;
• kusuta fodya ndi kumwa mowa kwambiri;
• matenda ena am'mitsempha, makamaka mitsempha ya varicose;
• matenda a mahomoni mwa akazi (kuphatikizapo kusintha kwa kubereka);
• matenda oopsa

Nthawi zambiri, mbiri ya wodwala yemwe ali ndi CA imakhalanso ndi matenda ashuga. Mitundu yonse iwiri ya shuga ndi provocateurs owopsa a chitukuko cha ubongo.

Hypertension imakhala ndi chiopsezo chowonjezeka cha matenda a ubongo. Matenda awiri owopsa pamodzi amatha kupangitsa kuti magazi azisokonekera komanso kufa mwadzidzidzi.

Zotsatira za matendawa

Chizindikiro chowopsa cha CA ndi ubongo kapena vuto la ischemic. Awa ndi mutu wopweteka kwambiri wokhala ndi chizungulire, kufooka kwa malekezero, kusawona bwino komanso kumva.

Zizindikiro zimasiyana malinga ndi malo omwe ubongo wawonongeka. Kuwonongeka kwakukulu kwa carotid mtsempha wamagazi kumabweretsa ziwalo zolakwika za theka limodzi la thupi.

Ngati zotengera za gawo la mu ubongo zawonongeka, kukomoka kwa mawonekedwe, chizungulire komanso kutayika kwa magawo ndizotheka. Odwala samamva kukoma, nthawi zina sangameze.

Kuukira kumatha kupitilira mphindi zochepa mpaka masiku awiri. Nthawi zambiri, wodwala samakumbukira za nthawi ino. Zizindikiro zimatha pang'ono pang'ono, kusiya kufooka. Ngati vutoli litatha masiku opitilira awiri, chiopsezo chogundidwa chikuwonjezeka kwambiri.

Kulephera kwa oxygen kumadyetsa maselo muubongo kumayambitsa kugunda kwa mtima kapena sitiroko.

Hemorrhagic stroke ndi kupasuka kwa aneurysm ndi matenda am'mimba.

Odwala omwe ali ndi matenda oopsa amakhala pachiwopsezo chowonjezeka cha CA. Kupsinjika kwakukulu kumakhudza mkhalidwe wamakoma amitsempha yamagazi. Iwo akuonda komanso opunduka. Pakukakamizidwa kwambiri, cholesterol imakhazikika msanga pamakoma.

Matenda a shuga amakhalanso amachititsa kuti matenda ena asinthe. Kafukufuku akuwonetsa kuti odwala matenda ashuga, matendawa ndi ochulukirapo kuposa omwe alibe shuga.

Kukweza shuga kwamwazi, komanso mafuta m'thupi kumapangitsa kuti magazi a mitsempha ya ubongo ayambe kudwala komanso kuti mavuto azovuta azisintha.

Zizindikiro zamakhalidwe

Chizindikiro cha gawo loyambirira la CA ndichoperewera - mwa odwala ena chimawonetsedwa m'mawonekedwe ammutu, mwa ena - pamavuto amachitidwe.

Kuwonongeka pang'onopang'ono kwa maboma amitsempha yamaubongo kumabweretsa kudwala kochepa kwa magawo ena a ubongo ndikuchepa kwa magwiridwe awo. Nthawi zambiri zizindikiro za asthenia zimathandiza kuzindikira matendawa nthawi.

Zizindikiro za ubongo

1. Kuchepetsa kukumbukira kwakanthawi. Odwala kwathunthu samakumbukira zomwe zinachitika dzulo. Nthawi yomweyo, zochitika za ubwana zimakumbukiridwa mwatsatanetsatane.
2. Kutopa. Kutopa ngakhale kuchokera kuntchito yosavuta komanso yochepa. Ntchito zosavuta kwambiri zimatenga nthawi yambiri, nthawi zambiri zimalephera.
3. Kusintha kwamakhalidwe. Atherosulinosis imayambitsa kukwiya, chizolowezi chokhala ndi nkhawa, kukwiya komanso kusasangalatsa ena nthawi zambiri zimawonetsedwa.
4. Kulephera kulolera. Nthawi zambiri munthu sangayankhe mafunso osavuta, kuyiwala komwe akupita komanso chifukwa chake akupita.

Kutha kwa malingaliro kumachepa, malingaliro abwino ndi chidwi m'moyo zimatha.

Zizindikiro za matendawa:

• kuphwanya mgwirizano, zomwe nthawi zambiri zimafotokozedwa pakusintha kwa gait, kusatetezeka pakuyenda;
• kugwedezeka kwamalire am'mwamba, kuwonongeka kwa mota;
• thukuta kwambiri, hyperemia ya nkhope;
• mutu
• Hypersensitivity kwa mawu ndi kuwunika;
• kugona tulo usiku ndi usana.

Wodwala nthawi zambiri samamvetsetsa kuti akudwala. Kuwonetsera koyambirira kwa CA kumachitika chifukwa cha ukalamba, kutopa, kapena kupsinjika. Nthawi zina zizindikiro zoyambira zamatenda ndimazungulire.

Mutu ndiwosakhazikika mu chilengedwe, opezeka m'malo a occipital ndi kutsogolo.

M'maloto, kuukira kwa angina nthawi zina kumayamba, komwe kumawonetsa zotupa za m'matumbo a coronary ndi aorta.

Kanema pazomwe zimayambitsa matenda:

Njira Zodziwitsira

Magawo oyambilira a CA ndi ovuta kuzindikira ndi zizindikiro. Maphunziro a labotale ndi a hardware akufunika.

Zochititsidwa:

• kuyezetsa magazi kwa biochemistry ndi immunological;
• arterial angiography;
• Ultrasound yamitsempha yamatumbo;
• magazi a heestasiogram - kutsimikiza kwa coagulability;
• CT angiography
• kusanthula kwakukulu kwa magazi ndi mkodzo;
• MRI ya zombo.

Angiography ndi MRI amathandizira kudziwa kuphwanya kwa patency ndikuchepetsa mitsempha, kukhalapo kwa zolemba pamakoma. Maphunzirowa ndi othandiza kwambiri pozindikira matenda a ubongo.

Njira zochizira

Cerebral atherosulinosis sichitha kuchiritsidwa. Chithandizo cha mankhwalawa ndicholinga chokweza kukula kwake komanso kupewa zovuta.

Mankhwala

Magulu otsatirawa a mankhwala ndi omwe amaperekedwa:

• kukonza kufalikira kwa matenda a mtima ndi mtima;
• odana ndi yotupa;
• antiplatelet othandizira;
• calcium blockers;
• nootropic;
• ma multivitamin.

Kuwongolera kukhala bwino, othandizira othandizira amagwiritsidwa ntchito - kuchokera kumutu, mapiritsi ogona ndi ena.

Odwala omwe ali ndi matenda ashuga ayenera kukhala ndi shuga. Izi ndi gawo lina la chithandizo cha CA.

Mankhwala ambiri amafunikira kugwiritsidwa ntchito mosalekeza, ena amaikidwa mu maphunziro. Ngati kuwonongeka kwa mitsempha yaubongo kumayenda bwino, ndipo magazi amatuluka kwambiri, magazi amachitika.

Maziko a matenda matendawa ndi matenda a metabolism yamafuta. Kutumiza kwa cholesterol owonjezera kuchokera ku maselo kumachitika ndi lipoproteins, amatumizidwa ku gulu "labwino". Mafuta ochepa osalimba amachokera ku chiwindi, omwe ali ndi katundu wokulira kumakoma a mitsempha yamagazi, ndikupanga zolembera.

Kukula kwa otsika osalimba lipoproteins pa "zabwino" kumabweretsa atherosulinosis.

Gulu la mankhwala otchedwa statins amathandiza kukhazikika kwa mafuta kagayidwe. Komabe, njirayi sinakhazikike mthupi. Mankhwala ayenera kumwedwa mosalekeza.

Lipidograms ikuwonetsa kuti kutenga ma statins amatsitsa cholesterol yoyipa m'magazi ndikupanga thanzi lamankhwala. Zina zoyipa zomwe zimagwiritsidwa ntchito zimaphatikizapo zovuta zomwe zimakhala nazo.

Mutu, khungu chifuwa, kugona. Mankhwala amaperekedwa kokha kwa odwala omwe ali ndi hyperlipidemia.

Kanema kuchokera kwa Dr. Malysheva okhudza ma statins:

Ngati mulingo wa cholesterol sungasinthidwe, plasmapheresis ikhoza kulembedwa - kufotokozeredwa kwa magazi pamagazi. Imachitika mu zipatala pogwiritsa ntchito njira zosokoneza plasma kusefera kapena cryoapheresis.

Kupanikizika kwamphamvu kumapangitsa kupititsa patsogolo kwapang'onopang'ono mu CA, kotero, odwala omwe ali ndi matenda oopsa amakhala mankhwala osankhidwa omwe amalimbikitsa kupanikizika. Kuwunikira mosamala kuthamanga kwa magazi ndi gawo lofunikira la zamankhwala.

Njira zopangira opaleshoni

Kusowa kwa magazi kumatha kubweretsa gawo lina laubongo, chifukwa cha opaleshoniyo, gawo lina la chotengera lomwe lili ndi chidikizo limadulidwa. Ngati malowa ndi akulu, amatha kupangika ndi chida chopangira. Opaleshoni imayang'aniridwa pogwiritsa ntchito ma ultrasound a mitsempha ya muubongo.

Endarterectomy imachitika m'njira yotsekedwa. Mothandizidwa ndi zida za endoscopic, stent imasunthira kumtunda kwa chotchinga chotupa ndikuchikula.

Asanachitike kapena atachitidwa opaleshoni, chithandizo chapadera chimachitika.

Kanema wokhudza matendawa:

Njira za anthu

M'pofunika kugwiritsa ntchito wowerengeka azitsamba pambuyo kufunsa dokotala. Cerebrosulinosis ndi matenda oopsa, ndipo amatha kupita patsogolo mwachangu. Simuyenera kuwononga nthawi pa njira zomwe sizothandiza.

Kugwiritsa ntchito mafuta opendekera kumathandiza kukonza mitsempha yamagazi. Amatengedwa supuni 2 pa tsiku.

Zochizira ndi kupewa atherosulinosis ntchito:

• wokondedwa;
• yarrow;
• rosehip;
• sinamoni.

Zothandiza muzakudya zamasamba - anyezi, mbatata, karoti.

Ndalamazi zithandizira poyambira kuti zisawonongeke.

Moyo

Kusintha kwa machitidwe kumathandizira kuyimitsa kupitilira kwa atherosclerosis, komanso kupewa mawonekedwe ake.

Zoyambira zakudya ku CA

1. Madzi akumwa pafupifupi malita 1.5. Ubongo ndi 70-85% madzi. Chifukwa chake, kuchepa thupi kumakhala kovuta.
2. Mavitamini a gulu B, C, PP - amathandizanso minofu kusintha.
3. Kudya zopitilira zopitilira 2000-2500 patsiku.
4. Kuchepa kwa mchere.
5. Kudya zakudya zam'madzi, masamba ndi zipatso.
6. Mafuta osasamba osasankhidwa.

Ndikofunikira kukhala ndi shuga wabwinobwino.

Kuti muchepetse kukula kwa matendawo, masewera olimbitsa thupi ndi moyo wogwira ntchito umafunika. Mutha kusambira kapena yoga, kuyenda kwa Nordic, komwe sikumafuna ndalama zakuthupi.

Kuwonongeka kwa mayanjano amtundu kumabweretsa kupsinjika ndi kuwonongeka kwa malingaliro. Pali zovuta zowopsa za CA monga dementia ndi demilea.

Ngakhale kuti ndizosatheka kuchiritsa cerebrossteosis, njira yoyenera ndi kupewa zingathandize kuti izi ziziyenda bwino komanso kupewa zovuta zoopsa.