Nobuchopho Angioentsefalopatiya - yintoni na? Iimpawu, unyango kunye abane

Ngamanye amaxesha oogqirha lubonisa ukuxilongwa syndromic, umzekelo, angioentsefalopatiya ebuchotsheni. Yintoni na? Chronic kobuchopho. Hi ndlela leyi, abaliqela isifo eqhelekileyo, abantu nje abaqhelekileyo neze ingqalelo amagama ayo. Ngokufuthi eyenzeka abadala, ubuncinane - in ulutsha noqolileyo. Isifo kuthatha ixesha elide efihliweyo, yaye xa kuvela iimpawu, ukuba kakhulu ixesha lokuba athathe amanyathelo ngokukhawuleza.

lwezifo

Ngenxa izikhalazo nonspecific, ibonwa zeklinikhi utshintsho ezichongiweyo kwi umfanekiso ingqondo, ukuqokelela iinkcukacha zamanani kunzima. Ukuze othile ijaji angioentsefalopatii ubukho ingaba kwinani imivumbo. nyaka ngamnye eRashiya kukho malunga nesiqingatha sesigidi amatyala imeko ahlekise.

Iingcali ukugxininisa ukuba ixabiso elithile xa uzingela izifo dyscirculatory zobuchopho ukuphazamiseka kwengqondo, imisebenzi kwengqondo kunye rhoqo bezifo insufficiency yobuchopho kwegazi. Kodwa ke oku akuthethi ukubonisa umfanekiso lokwenyaniso yokwanda esi sifo.

umyalezo weimeyile

Ngezinto ukuphuhlisa angioentsefalopatiya ingqondo? Izinto ezibangela izifo ezingapheliyo igazi kwegazi ingqondo kunye, umzekelo, intliziyo okanye imiphunga - ngokufanayo. Igqi- etiological - ezimbini:
- yamafutha;
- ukunyuka koxinzelelo lwegazi.

kwenzeka ngaxeshanye ngokufuthi kunyanzelisa omnye komnye. Ngapha koko, umphumo igazi ebuchotsheni kunye nokubonelela nezinye izifo zentliziyo kunye semithambo, ezifana dysrhythmia kunye nokungaphumeleli intliziyo ezigulo ezondeleyo. Okubaluleke kakhulu ubukho malformations ezinemigca ebuchotsheni, entanyeni, okanye imikhumbi emikhulu. Abakwazi akuthethi ukuzibonakalisa ixesha elide de iza kuphuhlisa ezinye izifo zenkqubo yezemfundo. indima Secondary kwi kwamanani kwegazi ingqondo kudlala ucinezelo iinqanawa ezinkulu, kwakunye nokuhla elibukhali kwi koxinzelelo, ingakumbi abantu abadala.

izifo zokugcina nayo isizathu ngenxa apho asakhasayo angioentsefalopatiya ebuchotsheni. Yintoni na? Le meko, xa iiseli ngenxa inkqubo zophendlo lwezifo ukuqokelela izinto ezithile ngqo: iiprothini, amafutha kunye carbohydrate.

Kulo mzekelo amyloidosis abadala nemithambo kwenzeka, nto leyo ekhokelela utshintsho sisiba mandundu kwiindonga zabo. izifo Ezingokuqandusela nabo ubunzima ethile. Umzekelo, oluncinci - kunye makroantiopatii e seswekile kubangela ischemia ezingapheliyo lobuchopho. Kuba neziphumo ezifanayo ezikhokelela ukuphazamiseka kwenkqubo: samathambo, vasculitis, izifo igazi.

Njengomgaqo, khetha nayiphi na into umntu akunakwenzeka, ukuze isifo uthathwa polyetiological. Ugqirha watsalela ingqalelo phambi imiba ephambili, nabo bonke comorbidities ingqalelo yokuzikhethela.

Pathogenesis

Izifo ngasentla kunye neemeko bawaphikise ukuncipha ejikeleza kwi isicwili sobuchopho, kwaye, ngenxa yoko, yindlala yayo (yokunqongophala kwe-oksijini kunye glucose). Ekuqaleni, iinkqubo zophendlo lwezifo (iimpawu angioentsefalopatii ubuchopho) kuvela kuphela kwiinqanawa ezincinane. Ukuphuhlisa microangiopathy. Inani elikhulu ezincinane ochaphazelekayo ebangela ischemia umcimbi emhlophe ukumelana, kwakunye infarctions lacunar ezininzi. Indibaniselwano yezi meko ikhokelela ukuphazamiseka izakhiwo ebuchotsheni.

Ukuba imbangela angioentsefalopatii yamafutha ngoko advantageously kuchaphazeleka Umthambo buti. Oku kukhokelela ekubeni umgangatho igazi flow ebuchotsheni ixhomekeke hemodynamics zenkqubo yezemfundo. Kwimeko umfutho wegazi kwindawo yokuqala, ishemiziruyutsya perforating Umthambo ebuchotsheni.

Kutshanje, neurologists kunye neurosurgeons ezithathwa ukuphazamiseka ezingapheliyo yegazi ngeendlela ezimbini: uhlobo umonakalo zalapha yayo. Kwentamo okanye angioentsefalopatiya ehlasela walibonakalisa njengoko syndrome yobuchopho, nto leyo yahlulahlulwe leykoentsefalopatichesky kunye binsvangerovsky.

Kukho Kusekho angioentsefalopatiya ebuchotsheni focal. Yintoni na? Yeyona phambi luvo inyama ukwenza izikhewu ezininzi legazi. Xa yezonyango, Ukrainian lunee ntlobo eziqhelekileyo ngakumbi engumxube, ekubeni akunakwenzeka ukuba ukwaba nayiphi na inkqubo enye pathogenetic.

picture clinical

Ngelishwa, lo gqirha akasoloko ngexesha ukwenza isifo efana angioentsefalopatiya ebuchotsheni. Iimpawu non-ngqo kwaye yingozi kakhulu mhlawumbi abanezakhono okanye nomonde. Ngoko ke, sigcine, ukuba lability ngokweemvakalelo, nto leyo ezendeleyo abantu abakhulileyo kunye ngaphandle ezimbi, kwakunye ukulahlekelwa yinkumbulo ikhono lokufunda. Kunye, ezi mpawu ezintathu kukhokelela maladaptation lwezigulane kunye nokukhubazeka zabo.

Ukongeza, intloko ebuhlungu, isiyezi, sokunciphisa inkumbulo kunye nokulala, ingxolo ayinyani intloko, okanye unkenteza ezindlebeni, sinciphise umbono, ukutyhafa, nokudinwa kunokuba kubakho imiqondiso hayi nje into yokuba umntu luqhuba angioentsefalopatiya ebuchotsheni. Yintoni na loo nto ibe ngakumbi? Ubukho malformations semithambo, izifo ezahlukeneyo ezosulelayo, lwegazi, asthenic syndrome kunye nezinye nosology. Kwakhona, umzimba kanjeyana sa Imiqondiso ukudinwa olomeleleyo.

Kukho unxulumano phakathi inani lezikhalazo nobukhali yegazi Encephalopathy. Okuya uba mkhulu umsantsa ukubandezeleka inkumbulo, ingqalelo kunye nokucinga, kokukhona umntu uthi ngale gqirha. Ngoko ke, kwiimeko kakhulu, isigulana unokuqiniseka ukuba ungabinako ukuphazamisa.

isigaba

Kukho izigaba ezithathu angioentsefalopatii:

1. izikhalazo luluvo imemori ngumonakalo kunye nengqalelo kunye ziimpawu ezincinane focal: yehle pupillary reflex, ukuvela ikhaliphe non-ngamandla automatism ngomlomo. tshintsho luncinane of iqinelwa, ukungazithembi, ukuba nochuku.
2. Kule nyathelo, iimpawu luvo kunye nokunyuka crystallizes uphawu lubalaseleyo. Kusenokuba neengxaki extrapyramidal, pseudobulbar palsy, Ataxia, cranial nemithambo kwekhono. Meleleyo unesifo umsebenzi kwengqondo, kunciphise lithathelwe zobungcali kunye nezentlalo.
3. Izigulane kugcwele syndromes eziliqela. Siya- ukuphazamiseka rough iqinelwa, ukuphazamiseka cerebellar, isifo Parkinson ngayo, ukuphazamiseka amalungu zangasese. Kweli nqanaba, lo ukugxekwa uyolo lokonwabela zakhe imeko kunye nezikhalazo ayikwazi kuba konke konke. Izigulane baba bengenamandla njengabantwana, kuba ukuphuhlisa sengqondo esixhalabisayo.

iimpawu lwezempilo

Kukho inani syndromes eziyelelene angioentsefalopatiya ingqondo. Yintoni na? Le constellation kweempawu ezibonisa ekubulaleni wesakhiwo kwenkqubo luvo.

1. syndrome Vestibular. Izigulane zibonisa izikhalazo nesiyezi, nedumbe xa ehamba, zabona nystagmus kunye nokulungelelaniswa kakuhle. iklinikhi enjalo ibonisa umonakalo okanye litshitshiswe iphecana kwiCerebellum ebangwa-baphuma ngenxa yegazi flow reduced kwemithambo carotid lwangaphakathi.
2. kubonisa syndrome Pyramidal anda ikhaliphe imicu, kwakunye ukuvela reactions lwezidumbu, ngokufuthi azilingani. Ubukho paresis lubonisa ukuba imbali umntu waba stroke.
3. isifo Parkinson kaThixo luphawulwa iyalibala bentshukumo, ukuncipha yobuso, ngqongqo izihlunu apha emilenzeni. Izigulane badla bawe phantsi kuba andikwazi ukuyeka ngexesha ngenxa ukuhlukumeza ukuhamba. Konke oku kubonisa ukuba litshitshiswe luvo cortico-striatal kunye cortical le brainstem.
4. Pseudobulbar palsy kwenzeka xa ngokoyiswa kwindlela cortico-nuclear. Ogulayo ingxaki igwinya, kwakunye iziqephu iimvakalelo "nogonyamelo".
5. syndrome Psihorganichesky, ngokubanzi kukhatshwe ixhala-edakumbisayo ukuphazamiseka, kwekhono kwengqondo.

ekuxilongweni

Njengazo naziphi na ezinye izifo, luvo makaqokelele ngembali yobomi epheleleyo kunye nokugula ukujonga izinga yokuqhubela phambili iimpawu kunye nobukho zempilo comorbid. Emva koko ukuxilongwa ngokwasemzimbeni: ukubala izinga lentliziyo kunye Wayilinganisa uxinzelelo lwegazi, mamela intliziyo izandi, igazi flow kwi imithambo ezinkulu kwisiqingatha ongentla umzimba. Koko bachithe iimvavanyo luvo.

Isigaba esilandelayo - uxilongo elebhu. Oku kunceda ukucacisa unobangela angioentsefalopatii. Isigulane ucelwa ukuba anike phezu segazi, ngamachiza igazi kunye nocazululo coagulation igazi, amanqanaba iswekile yegazi. Emva koko hamba nge umfanekiso ubuchopho: Itomography ngekhompyutha (CT), iinkcukacha ngemagnethi livakale umfanekiso (MRI), electroencephalography (EEG). Konke oku kuvumela ukuba ukuqinisekisa inqanaba ejikeleza yobuchopho, nokuchonga iindawo ngezifo. Ngaba isebe abele electrocardiography (ECG) kunye ultrasound ukuqinisekisa sifo kwenkqubo sentliziyo.

Ubungqina obubonakalayo buxela ukuba esibhedlele

Akukho namnye protocol lonyango akuthethi kubonise imfuneko unyango esibhedlele lezigulane kwafunyaniswa ukuba angioentsefalopatiya ebuchotsheni. Unyango, abantu abane kunye nokuthintela le sifo, njengoko umthetho, kwenzeka qho kwesibhedlele. Ngaphandle iimeko xa sathi esisifo nzima decompensation ngezifo somatic okanye ukuphuhlisa istroke.

Neurologists bakholelwa ukuba nokususwa ngenkani zezigulane kwimeko yesiqhelo unokufumana kuphela kakhulu. Ngoko ke, kwinqanaba lokugqibela ekukhethwa ukuba wenziwe iivoti ekhaya kwaye hayi ukuba ukuthutha isigulane esibhedlele.

unyango

Le njongo yimpumelelo, kwafunyaniswa ukuba angioentsefalopatiya ingqondo, kufuneka uqale unyango msinyane kangangoko kunokwenzeka, ukuze sinciphise ukuqhubela phambili inkqubo yezifo. Ngaphezu koko, ukuqhuba nokuthintela kunye nokunyanga imivumbo ezimbi somatic.

Unyango sibhekiswe ekuphuculeni perfusion le isicwili sobuchopho ngokuthi ezichaphazela inkqubo sentliziyo, kwakunye ulungiso iimpawu rheological egazini. Oku kubonisa unyango yegazi kunye noxinzelelo lwegazi njengoko miba ephambili yophuhliso ischemia.

amayeza abantu

Ezinye izigulane abadala bakholelwa kufanele ukuba "ityhefu" pilisi, kwaye ukuba kuyimfuneko ukuba sijonge ezinye iindlela. Ngoko ke, ngumzali ukucinga ngazo angioentsefalopatiya ingqondo. amayeza emveli abamkelwa phakathi koogqirha, kuba evusa siba sibi iimpawu.

Iingcali bacebisa angakhetha zokuphucula ejikeleza Cerebral ukusebenzisa neengcambu yimadder kunye hellebore abaseAfrika, eziqwini Marsh cinquefoil, ibhalsam "Magic Trio", tincture begalikhi kunye cranberries kunye nangaphezulu. Ukusebenza kwezi potions kuyathandabuzeka kakhulu, ngoko ke kufuneka ubandakanywe imifuniselo ezinjalo. Kulungile ukuya kugqirha ofanelekileyo.