Yintoni unesifo Encephalopathy? Oonobangela, iimpawu, unyango

ischemia yobuchopho, ukufa kwamalungu omzimba, isifo sentliziyo, kunye Encephalopathy iyaqwalaselwa ukuphazamiseka kakhulu. kaninzi ziyabulala. Phakathi inani elikhulu ezimbi zobuchopho bafanelwe ingqalelo Encephalopathy ekhethekileyo. Le iqela elikhulu izifo. Bona luphawulwa utshintsho sisiba mandundu kwi isicwili sobuchopho kwaye kungakhokelela ekubeni ukutyeshelwa imisebenzi yayo. Le umyalezo lwezifo ezahlukeneyo buyahluka, kunye nomfanekiso clinical. Enye iifom iqhelekileyo Encephalopathy unesifo. Iimpawu kunye nonyango leengxaki eza kuxutyushwa kweli nqaku.

Utshintsho kwi ingqondo kwisiqalo nomfutho

Nokuba ngexesha elinye-ukunyuka koxinzelelo lwegazi iba nefuthe elibi kwi imeko inyama luvo. Ususwe yezifo nenxaxheba ngokuthe zonke iimpahla ezincinane, kodwa kakhulu lugwayimbo ngamandla amalungu target. Ezi ziquka izintso, intliziyo nengqondo.

Ngexesha ukwanda ulinganisele uxinzelelo lwegazi enza indlela vasoconstriction yokhuselo, nto leyo ethintela ukuba ngokwaphula. Xa lwegazi ezinzileyo maleko dystrophy ngcembe sikhula i lwemithambo, hypertrophy. sayo semithambo ukuvala, ekhokelela ukunqongophala ioksijini esisigxina emzimbeni. Liphuhlisa ifomu unesifo kobuchopho, ekwabizwa ngokuba Encephalopathy kwegazi.

Ukunyuka ngokukhawuleza kwaye awasiwisayo uxinzelelo lwegazi bandiqumbise umonakalo esingxotyeni nemithambo yangaphakathi. spasm Strong of arterioles esikhundleni ukukhubazeka. Kwangaxeshanye isixando esisuka kweendonga imithambo yegazi. Esi simo kuthiwa Encephalopathy unesifo. Lubonakala luphuhliso ngokuthe ngcembe. Ngoko ke, ukuba kukho iimpawu isaziso ngexesha ufune iingcebiso zobugqirha, unako uphephe emibi.

Encephalopathy unesifo - ntoni na?

It is a imeko zophendlo lwezifo ukuvela kwi nezihlunu ingqondo ngenxa yokunyuka olungalawulwayo ziqhubeke uxinzelelo lwegazi. Ziziphi i parameters zithathwa engaqhelekanga? Lwegazi uthathwa ukuba ukwanda koxinzelelo lwegazi iSystolic phezu 140 mm HG. Art kunye ukuzala -. 90 mm HG. Art. Ngowe-1928, oosonzululwazi kunye Fishberg Oppenheimer uchaze iimpawu kunye Pathogenesis kwezifo ezifana unesifo Encephalopathy (ikhowudi ICD-10 - I-67.4).

Kubanga zokugula

Ukuze siqonde indlela umyalezo esi sifo, kuyimfuneko ukuba ukuqonda indlela yophuhliso lwayo. Enye iingxaki soxinzelelo lwegazi i Encephalopathy unesifo. Ngokutsho ICD-10, esi sifo enxulumene ezimbi kwenkqubo kwegazi. Zonke izizathu nokuxhuma elibukhali uxinzelelo lwegazi zingahlulwa zibe naso kwaye ziyafikelelwa. Oogqirha bathi umngcipheko lwegazi kunyuke nge izihlandlo ezininzi, ukuba nezizalwane umguli nokubandezeleka kulo disorder. Nangona kunjalo, uhlobo lale isifo eso ikakhulu phakathi kwabantu abatsha. Ebudaleni ikwandim, indima ephambili kuphuhliso lwegazi udlalwa izinto ezinxulumene yokuphila mntu. Ezi ziquka oku kulandelayo:

• wazo;
• cholesterol aphezulu;
• ukunxila;
• libanda, iziyobisi;
• ezinye izifo.

Kufuneka kuqatshelwe ukuba gqolo ukumnyanzela kunqabile inegalelo sifo. iimpahla lobuchopho ngokuthe ngcembe ukuqhelana kule meko. iincopho uxinzelelo ngesiquphe zigqalwa kuyingozi kakhulu. Ukuba angadala vasospasm kunye ischemia.

kubonakaliswa clinical

Ukwahlula iintlobo ezimbini khosi isifo. Acute unesifo Encephalopathy luphawulwa ukuphazamiseka ingathityazwa. Baya kuhamba emva isiqabu kokudumba kunye nokubuyiselwa lokuhamba kwegazi. Iimpawu Encephalopathy ezingapheliyo ekuqaleni onobulali kwaye zifumaneka kuphela ngexesha axilongwe. Progression kwezifo kunye motor, yovakalelo kunye abakhubazeke ngokwasengqondweni. Iinkcukacha ezingaphezulu malunga khosi yesi sifo ngobuwena nganye ezichazwe ngezantsi.

Ifom zale sifo

Acute unesifo Encephalopathy kuqala ezingxaki zangoku, kwaye amazinga uxinzelelo lwegazi ziyahluka. Izigulane zafumana ukwanda koxinzelelo kucingelwa ukuba zibaluleke kakhulu kumgangatho 180-190 mm HG. Art. Xa abantu baboniswa hypotension, le Ungeno lingaphantsi kancinci kwi 140/90 mm HG. Art.

Phakathi iimpawu eziphambili iintlobo zale sifo zezi zilandelayo:

• yintloko ebuhlungu eyendayo kwinxalenye Occipital;
• isicaphucaphu, ukugabha;
• ukulahleka ngesiquphe umbono;
• zesifo;
• paresis neuropathy engavezwanga;
• ngelixa ngokothuka.

Xa nibona ezi mpawu kufuneka bafune unyango olungxamisekileyo.

Ifom ezingapheliyo isifo

Chronic unesifo Encephalopathy senzeka kancinci. isigaba ngasinye lubonakala ngokuba umfanekiso othile clinical.

Xa kwisigaba sokuqala kukho iimpawu zesifo ephambili okunokuthi kubhidaniswe obubonakala nezinye izigulo. Ngokomzekelo, intloko ebuhlungu kakhulu lunokusolwa ntshikilelo, ndizama ukuyeka analgesics yazo yesiqhelo. Izigulane kwakhona ezikhala ndingekhoyo kwentliziyo, ikhalisa ezindlebeni, ubuthathaka umzimba uphela. iimpawu ezinjalo ukuziyela ingqalelo, ngakumbi ebudaleni. Ngenxa ehamba unesifo Encephalopathy ukuya kwinqanaba elilandelayo lophuhliso.

Kule yesibini ngoku iimpawu kuhlala injalo, kodwa mandundu kwaye zibe ucaca ngakumbi. Bona kunye ziimpawu ezinxulumene mood ngokwasengqondweni nangokweemvakalelo umntu (namdla, silale, ecaphuka msinya). Unesifo Encephalopathy 2 wanefuthe yokusebenza yabantu. Yena ngokukhawuleza udiniwe, wolahlekelwa izizathu, akwazi ukulungelelanisa imisebenzi yabo. Ngamanye amaxesha izifo ezinxulumene ezokuziphatha ngunobangela kokubonisana kwengqondo.

Kwinqanaba wesithathu nengxaki ekhoyo luvo zenziwa nzima. Xa izilonda Ingqondo focal ayikwazi ngaphandle ukuxhuzula. Kubantu abalupheleyo, unesifo Encephalopathy kudla kuphakamisa uphuhliso Parkinson engqondweni.

iimviwo Medical

Lokufunyaniswa sifo lwenziwa isekelwe phezu izikhalazo yesigulane, data imbali, iimpawu ngokubanzi. iziphumo iisaveyi lwangaphambili nazo kusetyenziswa. ubunzima diagnostic ukuze kulala into yokuba izenzo Encephalopathy efanayo nezinye izifo zonyango. Le yokugqibela ingaquka ithumba ebuchotsheni, istroke. Ngoko ke, ngaphambi kokuba ukuqeshwa unyango isigulane kufuneka bangenele uthotho lweemvavanyo:

• igazi nomchamo uvavanyo;
• MRI, CT scan ingqondo;
• echocardiography;
• electroencephalography.

Ngaphezu koko, kusenokufuneka babonane iingcali ngaphandle (cardiologist, internist, nephrologist, endocrinologist).

Izikhokelo zonyango

Ifom zale sifo kufuna esibhedlele ngoko nangoko. Isigulane uzimisele kwisebe unyango kakhulu, nto leyo rhoqo iliso yonke ebalulekileyo iparameters.

Ziziphi amayeza lalathelwe lokufunyaniswa "unesifo Encephalopathy"? Unyango liqala ekunciphiseni uxinzelelo lwegazi. Ukuze wenze oku, sebenzisa iziyobisi zilandelayo:

• "Diazoxide".
• "Hydralazine".
• "Nitroprusside."
• "Nitroglycerin".

"Diazoxide" liye ukusebenza kakhulu. Phantsi impembelelo nengcinezelo ayo equalized kwisithuba semizuzu emihlanu, kunye nefuthe amayeza iiyure ezi-6 ukuya kwi-18. Eli chiza alichaphazeli ezingqondweni yomguli yaye oko kubangela ukozela, nto leyo a inzuzo enkulu. Nangona kunjalo, ukusetyenziswa kwayo ukuze bandiqumbise uphuhliso tachycardia reflex, ngoko ke contraindicated kwizigulane kunye nesifo sentliziyo kobuchopho.

Ganglioplegic wasebenzisa bunjani wegazi a Encephalopathy unesifo. Eli qela lamachiza kuquka iimveliso zilandelayo:

• "Labetalol."
• "Pentolinium".
• "Phentolamine."
• "Trimetafan".

La machiza luphawulwa inyathelo ngokukhawuleza, kodwa uneziphumo ebezingalindelekanga ezininzi. Xa bekhulelwe, ukusetyenziswa kwazo engaqondanga ngokungqongqo, ngenxa yokuba kukho amathuba kwesisu.

Ifom ezingapheliyo zesi sifo, kwakunye yondele, ICD-10 I-67.4 khowudi. Encephalopathy unesifo uhlobo phambili kwinqanaba lokuqala na iimpawu ezifanayo, kodwa unyango thile ezahlukeneyo. Xa uhlobo ezingapheliyo esi sifo ngokudibene iziyobisi umfutho emiselweyo arhente pathways, iivithamini, nootropics. I kusetyenziswa kakhulu rhoqo "Trental" iziyobisi aspirin, "Dipyridamole". Xa ukuphazamiseka ezinzulu zokuziphatha, umthomalalisi kunye iindlela bucala ezisetyenziswayo. unyango abanolwazi ngexesha inceda ukwehlisa izinga progression kwezifo ezifana unesifo Encephalopathy.

ingaba iqela yokukhubazeka na lufakwa?

Lo ngumbuzo yendalo kuvela kwizigulana ezininzi, izalamane, xa umfanekiso kwezonyango sifo senzeka sisebenza ngokupheleleyo. Imeko jikelele isigulana kuguga, inkqubela yenkqubo zophendlo lwezifo kubonakala njengoko emohluthayo umntu iimpawu ezindala kunye nobomi ngokupheleleyo. Ukukhubazeka Encephalopathy kunokwenzeka, ingakumbi xa iqondo yesibini neyesithathu. Yena yabelwa isigqibo ikhomishini zonyango. nempilo yesigulane qualification azenziwanga kuphela ngokungqinelana ngembali yaso, kodwa kwiziphumo zoviwo kunye nocazululo functionality.

amanyathelo othintelo

Encephalopathy unesifo - yinto kuphazamiseka kakhulu ochaphazela umsebenzi yonke eziphilayo. Kuyenzeka ukuba sinokuqiniseka ukuba esi sifo kwingxaki nomfutho iyabophelela engekho unyango ezikumgangatho ophezulu. Ukubambelela imithetho elula of prophylaxis ukuthintela ukwenzeka kwayo.

Inyathelo lokuqala ukulawula parameters uxinzelelo lwegazi. Amaxesha amaninzi kunye yengcinezelo iingxaki zabantu mihla esinokubakho ngenxa yokuphila kwakhe. ukutya engafanelekanga, ntshikilelo rhoqo, ukungazilolongi, imikhwa emibi - Ekugqibeleni zonke ezi zinto kungakhokelela sifo. Ngoko ke iiklasi zemidlalo kunokwenzeka, ukutya kakuhle kunye nesimo sengqondo esihle kuya kusinceda sihlale imithambo yegazi enempilo ukuze ixesha elide.