Kusokonezeka kwa magazi chifukwa cha ma pathologies osiyanasiyana, makamaka matenda a shuga, kumabweretsa kuwonongeka kwa ubongo. Zovuta za matendawa ndizosintha kapangidwe kazinthu zazing'onoting'ono.
Kodi microangiopathy ndi kukhalapo kwa gliosis ndi chiyani? Ichi ndi chotupa cha zotumphukira zamitsempha yamagazi ndi ma capillaries, limodzi ndi kukula kwa makoma amitsempha, kutsekeka kwa lumen, ndipo kenako kuwonjezeka kwa kutsekeka kwa makoma mpaka kugwa.
Mitundu ya matenda
Microangiopathy syndrome ndi chizindikiro cha matenda ambiri ndipo angayambitse thrombosis, hyalinosis ndi minofu necrotization.
Pali kuphwanya kwamitsempha yamagazi chifukwa chosakwanira kudya glucose komanso oksijeni, kuchepa kwa magazi kuthamanga kwamitsempha ya ubongo.
Njala ya okosijeni imakhudza kugwira ntchito kwa ziwalo zamkati, imayambitsa kuwonongeka kwa mawonekedwe, imakhudza impso, imayambitsa kufa kwa maselo am'mitsempha ndipo imakhudza ntchito ya ubongo. Popanda chithandizo cha panthawi yake, kukula kwa aimpso, kugunda kwa mtima ndi sitiroko ndikotheka, ndipo imfa siyiyikidwa pambali.
Pali mitundu ingapo ya microangiopathy:
- Matenda a shuga. Amayamba chifukwa cha shuga wambiri m'madzi a m'magazi. Izi zimabweretsa kuwonongeka kwa ma capillaries ndi ziwiya zazing'ono zomwe zimapereka magazi ku ziwalo zamkati. Mothandizidwa ndi glucose, makoma am'mimba amachepa, kuunikira kwa ziwiya kumachepa ndikukula kwa maselo amasokonezeka. Odwala amakhala ndi chiwopsezo chowonjezeka komanso kutupa kwambiri.
- Cerebral. Kusintha kwa atherosulinotic m'mitsempha yamagazi ndi matenda oopsa, omwe amakhala mwa okalamba, kumayambitsa kusowa kwaubongo kwa nthawi yayitali, komwe ma capillaries amawonongeka. The pathological mkhalidwe ndizovuta kuzindikira ndipo imatha kupangitsa kukhalapo kwa lacunar infarction, ischemia ndi encephalopathy.
- Hypertonic. Kusokonezeka kwazungulira kumachitika motsutsana ndi maziko akukulunga kwa nthawi yayitali.
- Lenticular. Imapezeka kawirikawiri paubwana ndipo imakhala yokhudza magazi, osati matenda odziyimira pawokha. Pakusachedwa kwachitukuko, sipafunikira chithandizo chilichonse, koma imafunikira kuwunika nthawi zonse.
Zomwe zimapangitsa kuti maselo azisinthe
The pathogenesis ya microangiopathy syndrome ndi kusintha kwachilengedwe m'magulu a mtima makoma ndi kachulukidwe ka magazi.
Mitsempha yapakati yomwe imadyetsa nthambi yaubongo mu ziwiya zing'onozing'ono ndi ma capillaries, omwe amapanga njira yozungulira yozungulira yomwe imayang'anira chakudya chamthupi. Chifukwa cha kusayenda bwino kwa magazi, machitidwe onse amthupi amakhudzidwa.
Microangiopathy ya ubongo imafalikira motsutsana ndi maziko a matenda a shuga, zotupa za oncological ndi matenda ena a ziwalo zamkati, komanso m'malo otere:
- Supombosis. Kufalikira kwa zotupa zam'mimba ndizovala zamagazi.
- Hyalinosis. Kuphwanya njira ya mapuloteni kagayidwe, komwe kumayambitsa kuwonongeka kwa makoma a mtima chifukwa cha kuyika kwa hyaline pa iwo.
- Endothelial kukanikakumabweretsa misempha.
- Matenda a mtimazikupangitsa kuchuluka kwa mtima makoma. Zotsatira zake, zombozo ndizowonongeka ndipo plasma imasiya makoma.
- Necrosis. Njira yachilengedwe yomwe minyewa yathupi imatsika ndikufa.
Zotsatirazi zimayambitsa microangiopathy syndrome:
- chinthu cha m'badwo - matenda amapezeka nthawi zambiri mukalamba;
- kuvulala kumutu;
- kupsinjika kwakuthupi;
- matenda a impso
- endocrine mavuto a chakudya kagayidwe;
- mowa ndi chikonga;
- matenda opatsirana ndi ma virus;
- kubadwa mwabadwa;
- matenda a magazi;
- atherosulinosis;
- poizoni thupi ndi poyizoni ndi mankhwala;
- matenda oopsa
Zizindikiro zamakhalidwe
Chizindikiro cha matenda am'matumbo chimatengera matenda omwe amakhalanso amodzi komanso kuwonongeka kwa kuwonongeka kwa zotumphukira ndi ma circulatory system. Poyamba, odwala samadzimva kuwonetsedwa kosasangalatsa.
M'tsogolomu, zizindikiro zotchulidwa, zomwe zimatha kudziwonetsa ngati:
- mphuno ndi m'mimba;
- kusokonezeka mu mgwirizano ndi malire;
- kufooka ndi kupweteka m'malo otsika
; - masinthidwe a gait;
- kuwonongeka kwamawonekedwe;
- kusowa tulo
- kusokonezeka kwa kukumbukira;
- kuchepa kwa tactile ndi kukoma kumverera;
- kupweteketsa mutu;
- kuyabwa ndi khungu la malekezero;
- kusamva kwa makutu;
- chizungulire ndi kuchepa kwa magwiridwe;
- mawonekedwe a tinnitus.
;Ngati microangiopathy imayendera limodzi ndi matenda a impso, ndiye kuti zizindikiro zotsatirazi zimawonekera:
- kutupa kwambiri;
- kupweteka kwa lumbar;
- mawonekedwe a magazi mkodzo.
Maonekedwe a hematomas ndi mikwingwirima ndi khalidwe, magazi mu meninges angayambe. Mbali yachilendo ya microangiopathy ndi matenda owoneka osapweteka omwe sangathe kupumula ndi analgesics.
Pathology nthawi zambiri imayambitsa kusokonezeka kwa magazi ndikupanga kulephera kwa impso.
Mtundu wa thrombotic wa microangiopathy syndrome umawonedwa mwa odwala omwe ali ndi zotupa za oncological ndi matenda oopsa, mwa amayi apakati ndi ana, ndipo amadziwika ndi kupezeka kwakanthawi kwa zizindikiro zomwe zimasintha mwamphamvu chilimwe. Supombocytopenic purpura imayendera limodzi ndi kufalikira pafupipafupi ndi zizindikiro zamatenda.
Njira Zodziwitsira
Kuzindikira matendawa kumayamba ndikusunga chidziwitso, komwe kumayang'ana zaka za wodwalayo, madandaulo ake, matenda akale ndi ena.
Gawo lotsatira lidzakhala kusankha kukonzekera kwa magazi, kuyezetsa magazi ndi kuphunzira pazomwe zimachitika.
Kuunikiridwa kumapangidwa ndi mtima wam'magazi, kuchuluka kwa kupezeka kwawo, kupezeka kwa kuchulukana, ndipo kapangidwe ka magazi kamaphunziridwa.
Kuti mumvetse bwino za matenda, kafukufukuyu amachitika:
- dopplerography;
- electroencephalography;
- compress tomography;
- MRI
- ngati ndi kotheka, onanani ndi a ophthalmologist.
CT ndi MRI zimathandizira kuzindikira kuyang'ana kwa gliosis, kuwunika kukula kwa mitsempha yamagazi ndi ma capillaries, ndikuwona malo omwe akuwonjezeka m'mitsempha.
Chithandizo ndi matenda am'mimba
Microangiopathy syndrome imafuna chithandizo chovuta.
Kuchiza kumaphatikiza kumwa mankhwala ngati awa:
- antihypoxants - mankhwala omwe amachotsa zisonyezo za kuperewera kwa mpweya waubongo (Emoxipin);
- mankhwala othandizira kuthana ndi mavuto;
- Mankhwala a Nootropic omwe amasinthitsa ubongo wama cell cell (Cerebrolysin, Piracetam);
- othandizira obwezeretsa magazi (nicotinic acid);
- ma statins omwe amachepetsa zomwe zimakhala ndi lipid cell (Simvastatin, Atorvastatin);
- mankhwala ochepetsa shuga, ngati matendawa akula motsutsana ndi maziko a matenda ashuga;
- mavitamini ovomerezeka omwe ali ndi lipoic acid, selenium, mavitamini a B ndi vitamini E;
- painkiller kuti athetse ululu;
- angioprotectors, kubwezeretsa makhoma amitsempha yamagazi.
Ndikofunikira kuti muchepetse kupita patsogolo kwa kusintha kwa mitsempha m'matumbo, momwe zakudya zimasinthidwira. Muchepetse kugwiritsa ntchito zakudya zanyama kawiri pa sabata, osapatula mbale zokhazika ndi mafuta.
Kugwiritsa ntchito physiotherapy kumawonetsa zotsatira zabwino: plasmophoresis, electrophoresis, matope omata. Ngati zotupa zikhale zofunikira, ndiye kuti ntchito yomwe idakonzedwa idayikidwa kuti ibwezeretse makoma a mtima ndi mafupa am'mimba.
Ponena za matendawa, matendawo ndi ovuta kuchiza, makamaka kwa okalamba omwe akuvutika ndi matenda oopsa. Magawo akhazikitsidwa a microangiopathy popanda chithandizo choyenera amatha kupha.
Ndikotheka kuchepetsa chiopsezo cha zovuta zamagazi poona njira zopewera:
- siyani chikumbumtima chamankhwala osokoneza bongo;
- kupatula kupsinjika kwakuthupi ndi kwamalingaliro;
- kutsatira zakudya zoletsedwa, chakudya chamafuta ndi mchere;
- samalira zolimbitsa thupi.
Nkhani ya kanema yokhudza matenda a matenda a mtima
Matenda owopsa amafunika kuti azindikire nthawi yake komanso kulandira chithandizo mwadzidzidzi. Kutembenukira kwa dokotala pamene zizindikiro zoyambirira za matendawo ziwoneka zimapangitsa kuti matendawo athe kuyambiranso kukhala abwino komanso kupewa zomwe sizingachitike.
