Amayambitsa ndi kuchiza matenda amadzimadzi a m'magazi

Mapilogalamu amasokoneza kufalikira kwa ubongo

Cerebral atherosulinosis ndi mtundu wa matenda amtundu kapena matenda a atherosulinosis omwe matenda a cerebrovasas amachitika. Njira yolondola ya njira zamankhwala amuzolengedwa ndikofunikira kwambiri kwa iye, komabe, ndi matendawa amasokonezeka, omwe amawonongera zovuta zonse. Mawonekedwe a chithokomiro amadziwika ndi chifukwa choti mapangidwe ake amisempha amawonongeka mu mitsempha yaubongo, zomwe zimayambitsa kuphwanya kwa mitsempha yamagazi. Zotsatira zake, kumenyedwa kumatha kuchitika, ndipo izi zitha kupha.

Kuzindikira koteroko kumapangidwa kwa khumi peresenti ya anthu padziko lapansi, koma awa ndi milandu yokha. Kuchokera ku sitiroko yokha kapena zotsatira zake ku Russia kokha, mpaka anthu 500,000 amafa chaka chilichonse. Poona izi, muyenera kuganizira kwambiri za matendawo komanso chithandizo chake. Komabe, choyamba tiona zomwe zimayambitsa chitukuko chake, komanso ngati atherosulinosis ya mawonekedwe awa imagawidwa m'magulu ena.

Ndikosavuta kutchula zifukwa zapadera zomwe zimakhudza ndendende ziwiya za mu ubongo. Ngati pachitika zinthu zodzutsa nkhawa, zimawonjezera mwayi woti cholesterol iziyikidwa mu membala wamkati. Ndizoyenera kuganizira kuti zolembera zokhala ndi sclerotic zakhala zikukula kwa zaka makumi awiri. Panthawi imeneyi, amachoka pagawo lokhala ndi mafuta ochepa mpaka gawo lakapangidwe, lomwe limadutsa kuwala kwa chotupa. Nthawi yonseyi, zinthu zotsatirazi ndizothandiza:

• kumwa kwambiri mowa ndi kusuta fodya, chifukwa utsi wa fodya umakhudza kwambiri magawo a misempha yamagazi.

Khalidwe losayenera ndiyo chifukwa chachikulu cha atherosulinosis.

Gulu

Cerebral atherosulinosis imatha kutchulidwa m'njira zosiyanasiyana, kutengera mitundu ya chithandizo, mitundu yamankhwala ndi zina. Tidzayang'ana pazinthu zingapo. Choyamba, timasiyanitsa magawo atatu a matendawa.

1. Gawo loyamba limadziwika ndi zovuta za vasomotor, pomwe zizindikiro sizokhazikika.
2. Pa gawo lachiwiri, kusintha kwamphamvu m'matumbo kumachitika, ndipo zizindikirazo zimakhazikika.
3. Gawo lachitatu limaphatikizapo kusintha kwa organic m'mitsempha yamagazi. Chifukwa chamikwingwirima mobwerezabwereza, zotupa za necrotic nthawi zambiri zimachitika m'malo osiyanasiyana a ubongo. Zizindikiro zakulephera kwa ubongo zimadziwika.

Cerebral atherosulinosis ya mitsempha yamitsempha yamagazi imasiyana pakatundu.

Zombo zapamadzi

Cerebral posterior artery.

Mutha kusiyanitsa mitundu ingapo ya matendawa.

1. Njira yowongolera imadziwika ndi mavuto amisala, omwe amawonjezereka kapena kuchepa.
2. Kupita pang'onopang'ono: Zizindikiro zoyipa zimayamba kukula.
3. Pachimake maphunziro: matenda amisala kumachitika nthawi, nthawi yayitali.
4. Njira yoyipayo imadziwika ndi ma stroko obwereza, chifukwa cha momwe Dementia yakuya imakulira.

Progressive atherosulinosis ikhoza kukhala maziko operekera wodwala ndi gulu lolumala, makamaka ngati sitiroko lachitika. Ndikofunikira kudziwa kuti njira zina zochiritsira zimalimbikitsa kuti munthu ataye ntchito kwakanthawi, zomwe ziyenera kuzindikiridwa ndi dokotala pakafunsidwa za vuto la kulumala.

Zizindikiro za matendawa

Zizindikiro za matenda a m'matumbo a arteryosulinosis sizikuwoneka kwenikweni kumayambiriro kwa matendawa, chifukwa chake njira yodziwitsira matenda ndi yovuta. Kuphatikiza apo, zizindikiro zowonetsera zimatha kusokonezeka ndi matenda ena. Ngakhale izi, tikuwunikiranso zizindikiritso zomwe zingawonedwe ndikupanga matendawa:

Kugona koipa, kupweteka mutu komanso kusokonezeka kwa chikumbumtima ndi chizindikiro chachikulu cha matendawa.

Njira zochizira

Antiplatelet mankhwala. Imagwiritsidwa ntchito makamaka pokhudzana ndi atherosulinotic stenosis yamitsempha yamagazi. Chitsanzo cha mankhwala osokoneza bongo: clopidogrel ndi acetylsalicylic acid. Mankhwalawa amachepetsa kuthekera kwa ischemic stroke. Musanalembe gulu la mankhwalawa, ndikofunikira kuti muphunzire za hemostasis, popeza mutenga acetylsalicylic acid, kuphatikiza kwa zinthu zopangidwa m'magazi kumawonjezereka mwa odwala ena.

Kuchiza matenda atherosulinosis kumatanthauzanso kukhalabe ndi moyo wathanzi ndikuchotsa zizolowezi zomwe zili pachiwopsezo.

• Kutsatira zakudya. Izi zikutanthauza kusiya nyama yamafuta, confectionery, shuga, uchi, mafuta amkaka, komanso zakudya zonse zomwe zingakulitse cholesterol.
• Kusiya kusuta fodya komanso mowa.
• Chitani masewera olimbitsa thupi pafupipafupi.
• Kuphatikiza koyenera kwa ntchito ndikupuma.

Musaganize kuti mutha kuchita popanda kulandira chithandizo chamankhwala panthawi yake. Kusapezekapo kwake kungatenge moyo kapena kumabweretsa zotsatira zomwe zimasautsa kwambiri. Chifukwa chake, ndi zizindikiro zoyambirira, muyenera kuthamangira kwa dokotala ndikusintha moyo wanu, womwe uyenera kuwonetsa chisamaliro chaumoyo wanu, makamaka zombo zanu.

Timalimbikitsanso kuwerenga

Cerebral atherosulinosis

Caka ciliconse, matenda opatsirana a ubongo amapezeka oposa 10% ya anthu padziko lapansi. Anthu azaka zopitilira 50 amatenga matendawa mosavuta, komabe matendawa amayamba kuchepa.

Izi zimachitika makamaka chifukwa cha njira yamakono, zakudya komanso chilengedwe. Cerebral atherosulinosis imakhala ndi gawo lotsogola pakati pazinthu zomwe zimayambitsa kugwedezeka kwa ubongo. Tsoka ilo, gawo limodzi mwa magawo atatu a opulumuka sitiroko atha kuvutikanso ndi vuto lopusitsali.

Kwa nthawi yayitali, matenda amtundu wa m'mimba sangadziwonetse mwanjira iliyonse kapena kudzisintha ngati matenda ena. Chifukwa chake, nthawi zambiri matenda a ubongo amadziwika kuti ali kale ndi magawo ena, pamene kuli kovuta kale kuchita bwino.

Zizindikiro za Cerebral Atherosulinosis

Cerebral atherosulinosis imapangitsa matenda a ischemia ndi kusokonezeka kwa ntchito: kukumbukira, kutsika, kuchepa, luntha limakulanso, ndipo mavuto amisala amatha.

Zizindikiro zoyambirira za matenda a ubongo omwe anganene kuti kupezeka kwa matendawa ndi:

• Mutu - umatuluka chifukwa chakuchepetsa kwa lumen ya chotengera ndi zolembera zamatumbo, chifukwa cha izi, kusokonekera kwa magazi kumachitika ndipo pali kusowa kwa mpweya muubongo

chikhalidwe cha mutu chimakhala chosakhazikika, kupweteka, nthawi zambiri chimachitika pambuyo poti katundu m'mutu ndipo pang'onopang'ono mutu umayamba kukhazikika

kusokonezeka kwa tulo, nthawi zambiri kugona tulo usiku ndi kugona tulo masana

mikhalidwe imasinthasintha

Pang'onopang'ono, zizindikirazi zimawonjezeka ndipo atsopano amaphatikizanso:

kupsinjika kwakukulu kungaoneke

tinnitus amawoneka

maluso ovuta a mota

gait yosakhazikika imawoneka

kuvutika kukumbukira zochitika zamasiku ano, zokumbukira zosungidwa zochitika zakutali

Nthawi ndi nthawi, zovuta zomwe zimatchedwa kuti ubongo zimachitika. Panthawi imeneyi, mutu wovuta ungawonekere, kufooka mkono ndi mwendo mbali imodzi, kupenya kumatha kufooka, ndipo kuyankhula kumatha kukhala kusokonezeka. Zizindikiro zofananira za matenda a ubongo chotengera kuchokera mu 1 mpaka masiku awiri, kenako pang'onopang'ono zimayambiranso. Poterepa, akuti izi ndikuphwanya kwa kanthawi kofalitsa ubongo.

Ngati zizindikirozi zimapitirira masiku opitilira 2, ndiye kuti zikuwonetsa kale kugundidwa kwa ubongo, ndipo mu nkhani iyi, chithandizo chamankhwala ndi kuchipatala chikufunika.

Ischemic stroke imasiyanitsidwa pamene lumen ya chitseko chatsekedwa ndi thrombus kapena cholembera cha atherosselotic ndipo magazi amawongolera ku ubongo asokonezeka, kukomoka kwa hemorrhagic - kukhulupirika kwa khoma lamitsempha kumasokonezeka komanso kukha mwazi kumachitika muubongo. Zonsezi ndi zowopsa pamoyo ndipo zimafunikira kuchipatala.

Cerebral atherosulinosis imayambitsa mapangidwe

Cerebral atherosulinosis imachitika chifukwa cha kuwonongeka kwa makoma a ziwiya zaubongo ndi zolembedwa za atherosulinotic.

Mankhwala amakono amakhulupirira kuti chomwe chimayambitsa kukula kwa matendawa ndi kusokonezeka kwapambuyo kwa chiwindi, kuthekera kwake pakupanga mphamvu yapamwamba kwambiri ya lipoproteins (HDL), amatchedwanso cholesterol yabwino. HDL ili ndi anti-sclerotic katundu, imapereka kutanuka ndi mphamvu ku makoma amitsempha yamagazi.

Komabe, HDL nthawi yamatenda othandizira chakudya amawonongeka, ndipo kapangidwe ka HDL kamagwera pachiwindi. Malingana ngati chiwindi chikugwirizana ndi ntchitoyi, palibe mavuto m'thupi, koma chiwindi chikayamba kulephera, thupi limayamba kupanga maselo am'mimba osachokeranso ku HDL, koma kuchokera ku LDL ndi VLDL - lipoproteins yotsika komanso yotsika kwambiri. Ndizokulirapo ndipo makoma azombo zochokera kwa iwo amayamba kuzizirira.

Kuphatikiza apo, zomwe zimayambitsa chitukuko cha matenda a ubongo:

• zakudya zamafuta ambiri

kumwa mowa wambiri

pafupipafupi neuropsychiatric nkhawa

Komanso, zovuta pantchito, kukalamba kwathunthu kwa thupi komanso kuchepa kwa ziwalo ndi machitidwe, zovuta zachilengedwe zimathandizira kukulitsa matenda a ubongo.

Chithandizo cha matenda a ubongo

Chithandizo cha matenda a mtima chotupa ndi chovuta kwambiri ndipo ziyenera kuchitika pokhapokha ngati mwawunika mozama komanso mosamala. Pambuyo pake, adotolo adzalembera mankhwala othandizira, omwe azikhala ndi cholinga chofuna kuchepetsa kuchepa kwa matenda a m'matumbo, kukonza magazi, komanso kupewa kutulutsa zovuta zingapo.

Kuti muthandizire bwino matenda a matenda a ubongo, ndikofunikira kuthana ndi zinthu zonse zomwe zitha kuchititsa kuti vutoli likule ndikuthandizira kukulitsa zovuta:

magazi akulu mtima

zizolowezi zoipa: Kusuta fodya, kuledzera

kuthetsa kapena kuchepetsa kupanikizika kwa mitsempha ya neuropsychic

Chithandizo cha mankhwala adokotala. zimatengera gawo la matendawa.

Chifukwa chake, magawo oyambira, matenda atherosulinosis amatha kuthandizidwa ndimankhwala omwe amatulutsa kuthamanga kwa magazi, kuchepetsa cholesterol yamagazi. Komabe, chinthu chachikulu pakadali pano ndi njira yolondola, kudya moyenera, kudya mokwanira komanso mafuta ochepa a nyama, kusiya masewera olimbitsa thupi ndikukana kapena kuchepetsa mowa ndi kusuta ndudu.

Ngati siteji yapezeka, pakakhala kusintha kwina kwakukulu mu ziwiya zaubongo ndipo mkhalidwe wazonse waumoyo umakhudzidwa kwambiri, ndiye kuti mankhwala omwe amasintha hemodynamics, kuwonjezera magazi, mankhwala omwe amasokoneza magazi kuwonda, magazi ochepa, antioxidant mankhwala, lecithin , mankhwala okhala ndi ayodini.

Pamalo pamene atherosselotic plaque kapena thrombus 70% kapena kuposerapo atatseka lumen ya chotengera, ngati thrombus kapena zolengeza ziyamba kugwa, ndiye kuti chithandizo chokhazikika sichitha kugawidwanso ndi. Monga lamulo, panthawiyi, odwala amawonetsedwa chithandizo chamankhwala opangira opaleshoni, momwe ma thrombus kapena malo okha, komanso gawo la chotengera chowonongeka, amachotsedwa, ndikutsatira ndi ma prosthetics a chotengera ichi.

Mavuto a matenda a m'matumbo

Kwa matenda onse am'mitsempha a muubongo, chotsatira choopsa ndikutukuka kwa magazi.

Pafupifupi zovuta zonsezi zamagazi ndizowopsa paumoyo komanso moyo wa wodwalayo, chifukwa chake muyenera kukumbukira izi ndikusamala chidwi ndi kadyedwe, chithandizo ndi kupewa.

• Ndi matenda atherosulinosis akuluakulu, pamene lumen ya ziwiya zimachepetsedwa, mpweya wa minyewa ya minyewa ya ubongo umachitika. Ndipo, monga mukudziwa, minofu ya mu ubongo imazindikira kwambiri kuchepa kwa mpweya. Ndikamadwala matenda a okosijeni kwa nthawi yayitali, mphindi yovuta imadza pamene kusokonezeka kwa magazi kutuluka kwina kwa gawo laubongo ndikusowa kwa oxygen m'maselowo kumakhala kofunika kwambiri, ndiye kuti pamakhala kubaya kwamphamvu.

Chotupa chikang'ambika ndi cholembera cha atherosselotic kapena chopindika, kumangika hemorrhagic stroke (intracerebral hemorrhage).

Pangozi ya cerebrovascular, pakakhala zovuta - kupsinjika kwa m'mimba komwe kumachitika masinthidwe a ubongo.

Kupewa matenda a ubongo

Tanthauzo la kupewa ndikuwongolera zaka komanso chiyembekezo cha moyo, komanso kuletsa kukula kwa zovuta.

Pali prophlaxis yoyamba ndi yachiwiri ya ubongo ya ubongo.

Kupewera koyambirira ndikofunikira kuti muchepetse zinthu zomwe zimapangitsa kuti thanzi lanu lisamayende bwino komanso zokhudzana ndi zoopsa:

Cholinga cha kupewa kwachiwiri kwa matenda atherosulinosis ndikuletsa kulekanitsidwa kwa zoletsa za atherosulin, kupewa parietal thrombosis, kuteteza kupitirira kwa matendawa, kuchepetsa zovuta zomwe zilipo komanso kupewa kutenganso matendawa.

Zakudya za matenda a ubongo

Zakudya za ubongo atherosulinosis ziyenera kukhala ndi cholinga chogwiritsira ntchito metabolism yamafuta ndikulimbitsa makoma amitsempha yamagazi. Zinthu zothandiza zomwe zimabwera ndi chakudya ziyenera kuthandiza kuchotsa cholesterol m'thupi, kupewa kutulutsa kwake pamakoma amitsempha yamagazi.

Momwe mungadyere bwino ndi matenda a mtima:

• Ndikofunikira kuchepetsa zopatsa mphamvu za calorie muzakudya za tsiku ndi tsiku, ziyenera kukhala zopatsa mphamvu zopezeka 2000-2500

Kukana kuchokera wokazinga, mchere, wamafuta

Chepetsani kuchuluka kwa mchere - konzekerani chakudya osanenapo mchere, ndi mchere wotsiriza

Chitani chidwi ndi mafuta azomera

Ndikofunikira kudya nyama zopanda nyama, nsomba zam'nyanja

Idyani zamkaka zamafuta ochepa

Kuchulukitsa zipatso ndi ndiwo zamasamba

Onjezani nyemba, ma biringanya ku menyu - thandizani kutsika mafuta m'thupi komanso kusintha kagayidwe

Tirigu, mtedza, chiwindi - muli lecithin

Imwani zam'madzi kangapo pa sabata

Idyani zakudya zokhala ndi mavitamini C, A, E - ma citruse, mchiuno, rose currants, ma greens

Zakudya zabwino kwambiri zaphika kapena zophika

Imwani madzi ambiri - mpaka malita 1.5 patsiku, izi zimalepheretsa magazi kuundana

Mwambiri, chinthu chachikulu chokumbukira ndikuti mumphamvu za munthu aliyense kukhazikitsa moyo wake komanso ndi njira yoyenera, palibe atherosclerosis ya chithokomiro.

Zinthu zachitukuko

Zofunikira kwambiri pakukula kwa mitsempha ya mitsempha ya m'magazi ndi hyperlipidemia (kuchuluka kwa lipids (mafuta) m'magazi, makamaka cholesterol), matenda oopsa kwambiri, kusuta, shuga, kunenepa kwambiri, komanso kusachita masewera olimbitsa thupi.

Zimatsimikiziridwa kuti kukonza izi zomwe zimayambitsa ngozi kumachepetsa mwayi wokhala ndi vuto la ubongo.

Cerebral atherosulinosis

Matendawa amatuluka mosiyanasiyana.

Kupsinjika kwa Mutu Kuwonongeka kwam'mutu Mavuto a kukumbukira Matenda osokoneza bongo Amakhala ofooka miyendo

Kodi chifukwa chiyani matenda oopsa a chithokomiro cha matenda oopsa amatha?

Kuwonetsedwa kowopsa kwambiri kwa matenda amisempha yam'madzi am'mimba ndiko sitiroko, komwe kumabweretsa kulumala ndipo nthawi zambiri kumwalira.

Kusiyanitsa mikwingwirima ya ischemic ndi hemorrhagic.

Kuseka kwachiwawa kapena kulira

Kufotokozera kwa matenda a m'magazi a mitsempha

Atherosulinosis ndi matenda, omwe tanthauzo lake ndi kupangika kwa zolembedwa za atherosclerotic, zopangidwa makamaka ndi lipids (mafuta) ndi calcium. Ndipo pamakhala njira yotupa m'makoma a ziwiya zamagetsi. Kulowetsedwa kwa kutupa ndi concomitant fibrosis ndendende maziko a mapangidwe a atherosulinosis.

Zotsatira zamasinthidwe am'madzi, chotengera chimachepa, kayendedwe kabwino ka magazi kamasokonezeka. Chifukwa chakuti maselo amanjenje amayenda kwambiri ndi hypoxia (kusowa kwa mpweya), atherosulinosis yamitsempha yamitsempha imatha kuyambitsa matenda amitsempha. Makamaka, kusowa kwa kukumbukira kwa okalamba kumatha kuchitika.

Posachedwa, adayamba kugwiritsa ntchito lingaliro monga kuchepa kwa mitsempha, ndikuwonetsa kuti kusintha kwa mitsempha kumachitika chifukwa cha kuchepa kwa magazi kudzera m'mitsempha ya ubongo. Komabe, vuto losautsa kwambiri la atherosulinosis ndi vuto lachiwopsezo la ischemic.

Atherosulinosis ndi gawo limodzi mwa njira zomwe zimakhudzanso mitsempha ina mthupi la munthu. Ndizofunikira kudziwa kuti m'malo opitilira 90%, kuchepa kwamitsempha ya carotid ndi mitsempha ya mitsempha imayamba motsutsana ndi maziko a kuwonongeka kwa mtima wamatenda a atherosulin.

Kodi matenda amtundu wa m'mimba ndi chiyani?

Cerebral atherosulinosis imayendera limodzi ndi kuphwanya kwamphamvu kwa matenda osokoneza bongo. Mosiyana ndi atherosclerosis wamba, omwe amakhudza mitsempha yonse yaubongo, matenda amtunduwu amakhudza mizere yayikulu yokha yamagazi:

• chotupa chamkati
• mitsempha yotchedwa carotid
• mtsempha wamagazi wamkati,
• chotupa cham'mimba
• Mitsempha ya thunthu la brachiocephalic,
• mitsempha ya sing'anga yotalikirana yoyenda mbali yakumtunda ya meninge.

Zilonda zazing'ono zimawonekera mkati mwa sitimazo, zomwe "zimasindikizidwa" ndi ma cholesterol amana. Mothandizidwa ndi machitidwe osiyanasiyana, samaleka kukula kukula, kuphatikizana. Nthawi zambiri, mapangidwe a atherosulinotic plaque amaphatikizidwa ndi mawonekedwe a calcium ndi fibrin zanyumba pazitseko zamitsempha yamagazi, chifukwa cha momwe makoma awo amachepera komanso samatha kuyankha mokwanira kusintha kwa magazi.

Popanda chithandizo, ma cholesterol plaque amaphatikizana, ndikutseka makhoma amkati mwa mitsempha ndi wosanjikiza wosalekeza, chifukwa chomwe m'mimba mwake wamkati umachepa, stenosis imachitika. Amakhulupirira kuti kupendekera kwa lumen kwa mitsempha ya magazi ndi 70% ndi chizindikiro cha gawo lotsiriza, lakufa kwa matenda a ubongo. Potere, kuwonjezera pa kuchepa kwakukulu kwa magazi kupita ku minyewa yaubongo, pali chiopsezo chogawanika kwa gawo lina la cholesterol plaque. Iwo, kutsekereza kuunikira kwa nthambi zazing'ono zamitsempha, kumayambitsa ischemia ya minofu yaubongo ndi necrosis yawo. Nthawi zina, chotengera chotsekedwa ndi cholesterol chimatambasulidwa ndikumangidwanso, kukha mwazi kumachitika.

Ndikofunika kukumbukira kuti ubongo wa atherosulinosis ndi matenda omwe poyamba sangayambitse kusasangalala kwenikweni. Ilibe zizindikiro zenizeni mpaka tsoka la ubongo litachitika. Pathology nthawi zambiri imawonetsedwa ndikuwonekeratu mwadzidzidzi patatha zaka 10-20 pakupita patsogolo kwaulesi. Mtundu uwu wa atherosulinosis umayambitsa kufa mu 30% ya okalamba.

Dziwani matenda amitsempha

Kuti mudziwe kuchuluka kwa kufupika kwa mitsempha ndi kupeza zotupa za atherosulinotic, ziyenera kuchitidwa carotid ultrasound ndi transcranial carotid ultrasound. Njirazi ndizomwe zimawunikira ziwiya zamafuta. Ndiwosasokoneza, otetezeka kwathunthu komanso osapweteka kwa anthu.

Tsoka ilo, kwa achikulire ena, makamaka okalamba, transcranial Doppler ultrasound scanning ya mitsempha yowunikira imayesedwa.

Zikatero, zitha kuchitidwa angio CT (computed tomographic angiography) kapena angio MR (maginito a resonance angiography). Maphunzirowa amapereka zithunzithunzi zapamwamba komanso kuwunika kozungulira kwamitsempha mu ubongo komanso ma vertebrae. Komabe, arteriography chifukwa cha chiwopsezo chachikulu cha zovuta zimachitika pokhapokha ngati mayeso ena sangalole kuyesa kuchuluka kwa arterial stenosis.

Magnetic resonance imaging ya mutuochitidwa ndi njira yakale, amalola kuzindikira kusintha muubongo komwe kukadachitika kale chifukwa cha matenda amtundu wam'mimba pambuyo pakuchita sitiroko (mwachitsanzo, kuwukira kwa stroko).

Kuti adziwe ngati wodwala ali ndi dyslipidemia, dokotala amatha kumuuza zoyenerakuyezetsa magazikuphatikizapo wamba ndi zamankhwala amodzi. Chimalimbikitsidwa mbiri ya lipidZizindikiro zake zimakulolani kudziwa cholesterol yathunthu, HDL, LDL ndi triglycerides.

Mavuto ndi zotsatira za matenda a ubongo

Kusintha kwa atherosulinotic mu minofu ya muubongo kungayambitse zovuta zingapo. Makamaka, mavuto a kukumbukira omwe afotokozedwa pamwambapa nthawi zambiri amabuka. Zotsatira zoyipa kwambiri za matenda osokoneza bongo a mtsempha wamagazi ogwidwa ndi chotupa ndi ischemic stroke. Izi, zimatha kuyambitsa kuphwanya kwakanthawi chifukwa cha mbali ya manja, malankhulidwe ndi malingaliro.

Odwala omwe ali ndi stroke, matenda ovutika maganizo amakhala ponseponse kuposa ena onse. Nthawi zina, chifukwa cha ischemia, kusowa kwa magazi ndi kufa kwa wodwalayo kumachitika.

Zotsatira za kuchepa kwa mitsempha ya mtima:

• Kulephera kudziwa zatsopano.
• Mavuto ndi zochitika za tsiku ndi tsiku.

Odwala awa alibe chithandizo. Amatha kulira kwanthawi yayitali, komanso kusiya nyumba ndikuyenda mozungulira popanda thandizo, osakumbukira njira yakunyumba.

Kupewa

Njira zodzitetezera ziyenera kukhala ndi cholinga chodzisinthira, kudya moyenerera komanso kukana zizolowezi zoyipa.

Popeza, kupewa matenda amtundu wa m'matumbo ndiosavuta kuposa kuchitira.

Njira zofunikira kwambiri zodzitetezera:

1. Siyani kusuta ndikuchepetsa zakumwa zoledzeretsa, zomwe zimawononga kwambiri ziwiya zamafuta ndikuthandizira njira za atherosselotic mwa iwo.
2. Pang'onopang'ono sinthani ku pulogalamu yoyenera yazakudya. Musamamwe zakudya zopweteka ndipo musankhe njira zophikira monga kutumiza, kuwira, kuwotcha.
3. Musaiwale za kuwopsa kwa shuga. Ndikofunikira kuti muchepetse kugwiritsidwa ntchito kwa confectionery, mikate yoyera, mashuga a shuga.
4. Osakana kuchita masewera olimbitsa thupi komanso kukhala phee. Kuchita zolimbitsa thupi pafupipafupi, kuchita masewera olimbitsa thupi sikuti kumangowonjezera kuchepa thupi, komanso kumachepetsa mphamvu yamanjenje.
5. Yesetsani kupewa kupsinjika. Anthu, makamaka oganiza bwino, ayenera kudzipereka modzikakamiza pazovuta zopanda mikangano ndi kupsinjika kwa malingaliro komwe kumayambitsa kuthamanga kwa magazi komanso chiopsezo chosafunikira cha stroke.

Kukana zizolowezi zoipa

Zomwe zimachitika

Kusintha kwa atherosulinotic m'matombo kulibe zifukwa zomveka. Nthawi zambiri, kuyika kwa cholesterol ndi polyetiological, ndiye kuti, zimachitika pamene zifukwa zingapo zophatikizira zimaphatikizidwa:

1. Kupangitsa kuwonongeka kwa khoma lamitsempha ndikuwoneka kuwonongeka kwa iwo - kusuta, uchidakwa, kugwiritsa ntchito mankhwala ena kapena poyizoni ndi mankhwala. Izi zimaphatikizapo kusowa kwa mavitamini ndi michere, komanso matenda oopsa, kusokonezeka kwa metabolic ndi matenda a shuga.
2. Kupangitsa kuchuluka kwambiri kwa cholesterol m'magazi - kugwiritsa ntchito mafuta ambiri, matenda a chiwindi, momwe mumakhala kuchuluka kwa mafuta a cholesterol, komanso vuto la lipid metabolism.
3. Amayambitsa mavuto ndi ntchito ya mtima ndi mitsempha yamagazi - kupsinjika, kusowa kochita zolimbitsa thupi.

Chiwopsezo chowonjezeka cha matenda a ubongo chotupa cha m'magazi chiri mwa anthu okalamba. Chifukwa cha kuwonongeka kwachilengedwe kwa thupi kapena zizolowezi zoyipa zazitali, zimakhala ndi ma pathologies osiyanasiyana a mtima.

Malinga ndi ziwerengero, abambo amatha kuvutika ndi matenda am'matumbo (65 mwa 100). Zaka za odwala ambiri zimakhala zaka 50 kapena kuposerapo.

Mbiri ya moyo

Kutengera ndi njira zonse zodzitetezera, kufikira kwa dokotala ndi kulandira chithandizo, matendawo amayambitsidwa bwino.

Zakudya zoyenera, kuchita masewera olimbitsa thupi komanso kukana zizolowezi zowonongeka ndizofunikira kwambiri popewa matenda a ubongo komanso matenda ena ambiri, zovuta zawo, ndi sitepe yopita ku thanzi.

Malingaliro a kakulidwe ka matenda

Matendawa ndi oopsa kwambiri chifukwa njira zake zamankhwala amakono sizimadziwika.

Pali malingaliro angapo opezeka ake:

• zovuta zatsopano za makoma amitsempha,
• anapeza zovuta za choroid,
• zotupa zamatenda opatsirana,
• matumbo okhudzana ndi zaka
• kudzikundikira kwa lipoproteins.

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

Popeza sizotheka kuthana ndi zomwe zimayambitsa cerebrossteosis, chithandizo chake chimafuna kugwiritsa ntchito pafupipafupi mankhwala omwe amathandizira kagayidwe ka mafuta komanso kusintha magazi.

Zifukwa zazikulu

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

Izi zikuphatikiza:

• moyo wongokhala, wotsogola ndi kuphwanya njira za kagayidwe kachakudya mu ziwalo ndi minofu.
• kusokonezeka kwa chiwindi - kuthekera kopanga cholesterol ndi lipoprotein ndikuwongolera kagayidwe ka lipid.
• matenda endocrine
• kudya kosayenera ndi kuchuluka kwa mafuta ndi mchere, komanso kunenepa kwambiri.
• zosintha zokhudzana ndi zaka mthupi,
• kusuta fodya komanso kumwa mowa mwauchidakwa,
• Matenda ena a mtima, makamaka mitsempha ya varicose,
• Matenda a mahomoni mwa akazi (kuphatikizapo kusintha kwa msambo),
• 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 komanso chovuta 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 zoperewera mu theka limodzi la thupi.

Ngati zotengera za gawo la mu ubongo zawonongeka, kukayikira kwamaso, chizungulire komanso kuwonongeka koyambika 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. Vutoli litatha masiku opitilira awiri, chiopsezo chogundidwa chimakula kwambiri.

Vuto lamaubongo amatchedwanso kuukira. Kusintha kwawo nthawi zambiri kumawonetsa kuti akhoza kukhala kuti akuchitidwa sitiroko. Wodwala akakhala ndi vuto, sizovuta kudziwa kuti matendawa angatenge nthawi yayitali bwanji. Izi zimachitika mchaka chimodzi kapena ziwiri.

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 cholesterol, kumapangitsa kuti khungu la mitsempha ya ubongo liwonongeke komanso kusokonezeka pafupipafupi kwa zovuta.

Zizindikiro zamakhalidwe

Zizindikiro za gawo loyambirira la CA ndizoperewera - mwa odwala ena zimawonetsedwa ngati ma mutu, mwa ena - pamavuto azikhalidwe.

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. Kuwonongeka kwakanthawi kochepa. 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 kusakondera ena nthawi zambiri chimawonetsedwa.
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.

• kuphwanya mgwirizano, zomwe nthawi zambiri zimafotokozedwa pakusintha kwa gait, kusatetezeka pakuyenda,
• kugwedezeka kwamalire am'mwamba, kuwonongeka kwa mota,
• thukuta kwambiri, Hyperemia wa nkhope,
• mutu
• Hypersensitivity kumveka 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 zoyambirira za matenda zimayamba chizungulire.

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.

• kuyezetsa magazi kwa biochemistry ndi immunological,
• ochepa angiography
• Ultrasound yamitsempha yama bongo
• magazi a heestasiogram - kutsimikiza kwa coagulability,
• CT angiography
• kusanthula kwa magazi ndi mkodzo,
• MRI ya zombo.

Angiography ndi MRI amathandizira kudziwa kuphwanya kwa patency ndi kuchepetsa mitsempha, kukhalapo kwa zolemba pamakoma. Maphunzirowa ndi othandiza kwambiri pakuwunika kwa matenda a chithokomiro cha ubongo.

Mankhwala

Magulu otsatirawa a mankhwala ndi omwe amaperekedwa:

• kukonza kufalikira kwa mtima ndi mtima,
• odana ndi yotupa
• antiplatelet agents
• 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, amapanga zolembera.

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

Gulu la mankhwala otchedwa statins amathandiza kukhazikika kwa mafuta kagayidwe. Komabe, njirayi sinakhazikike mthupi. Mankhwala amafunika kumwa nthawi zonse.

Lipidograms ikuwonetsa kuti kutenga ma statins kumatsitsa cholesterol yoyipa m'magazi ndikupanga thanzi lamankhwala. Zina zoyipa zamagwiritsidwe 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 kutumizidwa - kufotokozedwa 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 zovuta. 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 kupangidwa 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 kumalo am'madzi otsekedwa ndikulikulitsa.

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. Palibe nthawi yowononga njira zomwe sizothandiza.

Kugwiritsa ntchito mafuta a flaxseed kumathandizira kusintha kwamitsempha yamagazi. Amatengedwa supuni 2 pa tsiku.

Zochizira ndi kupewa atherosulinosis ntchito:

Ndikofunika kugwiritsa ntchito misuzi ya masamba - anyezi, mbatata, karoti.

Ndalamazi zithandizira gawo loyambirira kuti lisawonongeke.

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 matendawa, kuchita masewera olimbitsa thupi komanso moyo wogwira ntchito ndikofunikira. 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, moyo wabwino komanso kupewa zithandizira kuti zisamayang'anire komanso kupewa zovuta zoopsa.

Zizindikiro za Cerebral Atherosulinosis

Matendawa akuwonetsedwa ndi zovuta za kuthupi ndi minyewa. Mulingo wawo wowonekera umatengera gawo la kuwonongeka kwa mtima.

1. Ndi kupendekera pang'ono kwa kuwala kwa minyewa ya minyewa yaubongo, pamakhala kuchepa kochepa kwa mpweya ndi michere, motsutsana ndi kumbuyo komwe kumakhala ndi kupweteka kwakanthawi. Amasokoneza odwala nthawi yayitali komanso atatha kuchita masewera olimbitsa thupi, komanso amakhala atapanikizika.
2. Pamene chilolezo chichepetsedwa ndi 30% kapena kupitilira, chidwi chimachepa ndikutha kuloweza chidziwitso chimachepa. Wodwalayo sangathe kuyang'ana kwambiri kanthu, akukumana ndi kutopa kwakuthupi, komwe kumathandizidwa ndi kupweteka kwamutu. Pali zovuta ndi kugona: kugona tulo kumakhala kovuta, wodwala amazunzidwa ndi zoopsa usiku.
3. Ndi kuchepa kwa 50% kwa lumen ya mitsempha, kuwonongeka kwa kukumbukira kumapitirira. Zizindikiro zamitsempha yamagazi (kupweteka kwa mutu komanso kusokonezeka kwa kugona) zimathandizidwa ndi kusintha kwa kusintha kwa thupi, kufooka miyendo, kulumikizana kwamphamvu, kusokonekera bwino kwa luso la magalimoto.
4. Ndi kufupika kwa lumen ya mitsempha ya chithokomiro ndi 70%, Zizindikirozo zimakulirakulira. Khalidwe la munthu limapeza zinthu zomwe zimakulitsa kwambiri. Mwachitsanzo, anthu olandirana ndalama amayamba kudziunjikira zinyalala mnyumba, ndipo omwe amakonda kupsa mtima amakhala okwiya. Komanso, mwa odwala omwe ali ndi mtundu wa atherosulinosis, kusintha kosakwanira kwa kuwala, mawu, ndi kukoma kwa zinthu zina zimawonedwa. Paresis imachitika nthawi ndi nthawi, kuwonongeka kwamakutu pang'onopang'ono, ndikuwonongeka kwamaso m'diso limodzi kumawonekera.

Kuzindikira kwa atherosulinosis yokhala ndi chitsimikizo cha 100% kutengera izi sizikuchitika. Chowonadi ndi chakuti kuphwanya komwe kwatchulidwa kungakhale zizindikilo za matenda ena. Chifukwa chake, ngati matenda akukayikiridwa, kufufuza kokwanira kumachitika kuti muwone kusintha m'mitsempha yamatumbo.

The pathogenesis of atherosclerotic zotupa

Tsoka ilo, zomwe zimayambitsa matendawa sizikudziwika. Kumayambiriro kwa atherogenesis, ntchito yoteteza mtima ya endothelium imasokonezeka, zomwe zimapangitsa kuti ma cell a lipid azilowera munsana. Kuwatsata, leukocytes amayamba kusunthira kukhoma lamitsempha, kumayambika kutupa komwe kumabweretsa zotsatira zoyipa kwambiri.

Imfa ya cell ya Endothelial, kuchuluka ndi kusuntha kwa maselo oyera oyera kumachitika. Kukonzanso kwa chinthu chophatikizira kumayamba. Choyamba, mawanga a lipid amapezeka m'mitsempha, omwe pamapeto pake amakula ndikupanga zigawo. Ndiwo kuphatikiza mamolekyulu a lipid ndi maselo oyera oyera omwe azunguliridwa ndi minyewa yolumikizana. Kuchokera ku lumen ya zombozo, zolendazo zimasiyanitsidwa ndi chivundikiro cha minyewa.

Chakumapeto, mitsempha imakhala yopapatiza ndikudutsa magazi ochepa nthawi iliyonse. Izi zimadzetsa kuti ma tishu omwe amawapatsa magazi samalandira mpweya wofunikira ndi michere. Chifukwa cha izi, matenda a ischemia osachiritsika amakula, omwe amatsogolera kuwoneka kwa zizindikiro. Izi zimatchedwa stenosing atherosulinosis.

Izi ndizofunikira! Ndondomeko ya atherossteotic imasiyanasiyana ndi khoma lamitsempha, motero, pakapita nthawi, magazi amawanza kuzungulira mozungulira.

Kuphwanya magazi kwamankhwala opangira laminar pamalo opangira zolembazo kumathandizanso kuti azioneka bwino. Popita nthawi, kuundana kwa magazi kumatha kutsekeka kwathunthu ndikuwonetsa m'mitsempha. Komabe, choopsa china ndi pamene magazi amapaka pafupi ndi cholengeza ndi "tayala" lothina. Chikwangwani chotere chimatha kuphulika mosavuta, chifukwa cha zomwe zimachitika kuti chikutuluka chikhale pampanda ndipo, pamodzi ndi zomwe zalembedwazo, chimasunthira m'sitimayo mpaka itatsekeka kwathunthu.

Chifukwa cha izi, ischemia yacute imayamba, zomwe zimapangitsa kufa kwa minofu yomwe idaperekedwa kale ndi magazi ndi chotengera chomwe chidakhudzidwa.

Vuto la kuwonongeka kwa bedi lamitsempha laubongo, pakachitika sitiroko.

Njira Zodziwitsira

Ngati zizindikiro za matenda a m'matumbo amtundu wa m'magazi zikuwonekera, muyenera kulumikizana ndi katswiri wamitsempha. Katswiriyu amasanthula wodwalayo ndikutola anamnesis kuti adziwe zomwe zikuwonetsa matendawa. Kenako kudziwitsidwa kokwanira kumachitika, komwe kumaphatikizapo maphunziro otsatirawa:

• kuyezetsa magazi kwa digiri ya coagulability komanso zam'mapulogalamu apamwamba kwambiri (cholesterol) - ngati zizindikirozi ndizambiri, mwayi wa kusintha kwa atherosulinotic ukuwonjezeka,
• Dopplerography yamitsempha yama carotid ndi ziwiya za khosi motsogozedwa ndi ultrasound - imawulula za kupezeka kwa cholesterol malo,
• transcranial dopplerography ya zombo mkati mwa cranium - imawulula kusintha kwamphamvu ndi kukhulupirika kwa zombo, kupezeka kwa mafuta a cholesterol mkati mwawo,
• electroencephalogram - imawulula cholingalira cha matenda osokoneza bongo a cortical omwe amawonetsa ischemia kapena minofu necrosis,
• Angiography yamitsempha yamatumbo (kuwerenga pogwiritsa ntchito X-ray ndi njira yosiyanitsira) - imawulula mtima stenosis, imazindikira madera a ischemia,
• MRI ya mutu ndimaphunziramo momwe zimatha kuwona m'mitsempha yamaubongo mkati mwa cranium, kuti muwone kusintha kulikonse ndikuwona foci ya ischemia.

Awiri omalizawa amatengedwa ngati njira zofunikira kwambiri zodziwitsira matenda amisempha. Nthawi zambiri, mutha kuchita ndi iwo okha, koma njira zina ndizotsika mtengo ndipo zimapezeka ngakhale m'makliniki ang'onoang'ono, motero amakhalabe ovuta.

Chithunzi cha kuchipatala

Chodabwitsa cha cerebrosulinosis ndikuti chimakula pang'onopang'ono, ndipo magawo oyamba amadutsa popanda chizindikiro, odwala ambiri satha kukayikira kuti akudwala. Akatswiri amasiyanitsa magawo angapo a chitukuko cha matenda:

• Gawo lanyimbo. Arterial sclerosis ndi yocheperako, popanda zizindikiro.
• Gawo loyamba. Stenosis siyotsutsa, kawirikawiri imaposa 30-35% ya lumen. Amawonetsedwa ndi zovuta zamagulu, zizindikiro zake zimakhala zochepa.
• Stenosis wa digiri yachiwiri. Plaque imakuta pafupifupi theka la chotengera. Pakadali pano, pali kusintha konse kwamphamvu ndi chamoyo m'thupi lathu. Zizindikiro zimakhazikika, zina mwa izo zimakhala zosatha.
• Stenosis wa digiri ya 3. Subtotal artery occlusion kumachitika, zomwe zimapangitsa kuti ischemia yayikulu yamitsempha yamanjenje. Zizindikiro zikupita patsogolo, ambiri amapezeka nthawi zonse.

Mu magawo oyambirira, zizindikiro zazikulu ndi neurasthenia, kuwonjezeka kukwiya, kufooka. Odwala amawona mavuto ndi chidwi, kupirira komanso kugwira ntchito. Malingaliro awo amasokonezeka, sangathe kuyang'ana kwa nthawi yayitali pogwira ntchito imodzi, nthawi zina ngakhale kukumbukira kumasokonezeka. Komanso, odwala amatha kusokonezedwa ndi tinnitus, chizungulire chambiri, ndipo nthawi zina mutu.

Ndi kukula kwa matendawo, odwala amadwala kwambiri. Amakhala ndi nkhawa, kupsinjika, mwina kuwoneka kwa nkhawa-yachinyengo komanso ngakhale kuyerekezera zinthu zina. Pakadali pano, pali kale zizindikiro zakuwonongeka kwa minyewa yamanjenje.

Izi ndizofunikira! Pakali pano, odwala ena amakhala ndi vuto la dementia ndi encephalopathy.

Chimodzi mwazinthu zomwe zikuwonetsa dementia chikubwera. Odwala amakhala ndi mawonekedwe osakhazikika, omwe amasintha mosavuta motsogozedwa ndi zinthu zazing'ono. Anthu amayamba kuchita mantha, kulira, kapena,, kusangalala ndi kuseka chifukwa chazifukwa zazing'ono. Zosokoneza zimakonda kupezeka - odwala amawopa, kupsinjika mosavuta, amakhala ndi nkhawa chifukwa cha zifukwa zosamveka. Nthawi zambiri izi zimakhudzana ndikusintha kokhudzana ndi ukalamba, koma kutali nthawi zonse chifukwa chake ndi kukalamba.

Madokotala amazindikiranso kuti anthu omwe ali ndi matenda amtundu wa ubongo nthawi zambiri amadandaula za kusokonezeka kwa tulo. Kusowa tulo kumawavutitsa kale kuchokera kumayambiriro a matendawa, koma nthawi zambiri palibe amene angagwirizane ndi izi. Zizindikiro zina zosasangalatsa zimadziwikanso chifukwa chosowa tulo, kuganiza kuti kugona tulo ndizomwe zimayambitsa, ndipo sichimodzi mwazotsatira zake.

Kumbukirani! M'magawo apambuyo pake, kuchepa kwamphamvu kwa thupi, kusintha kwa umunthu ndi kusintha kwa mikhalidwe, kukopeka ndi zizolowezi zimawonedwa.

Odwala amatha kudandaula za senestopathy - zachilendo, nthawi zambiri zamatsenga. Ngati mitsempha yomwe ikupereka cerebellum ikhudzidwa, odwala amatenga ataxia, osakhazikika, chizungulire, komanso mavuto ena a vestibular.

Kufufuza kwamatenda a matenda a ubongo

Tsoka ilo, matendawa alibe kutchulapo zisonyezo zapadera. Chifukwa chake, kupezeka kwa matenda a ubongo opatsirana m'magazi kungakhale magawo ambiri. Kufunsira akatswiri angapo nthawi zambiri kumafunikira kamodzi:

• Cardiologist.
• Neurologist.
• Opaleshoni ya mtima.
• Neurosurgeon.
• Endocrinologist.

Katswiri wamkulu yemwe amapangitsa kuti adziwike pamlanduwu ndiwopeza zamatsenga. Komabe, ndi mtima yemwe ayenera kupereka mayeso ake pamtima wamtima.

Zofunika! Chithandizo chikuyenera kutumikiridwa potengera kutha kwa akatswiri awa.

Kuti mutsimikizire za matendawa, pali njira zingapo zogwiritsa ntchito popangira zida. Odwala amadziwika kuti ndi ultrasound ya mtima ndi mitsempha yamagazi ya khosi. Ngati ndi kotheka, imathandizidwa ndi kusanthula kwa Doppler - imakupatsani mwayi wofufuza momwe mulili komanso kuthamanga kwa magazi m'mitsempha yama extracranial.

Chifukwa cha izi, madotolo amatha kuyesa kukula kwa malo amodzi aherosselotic, kudziwa malo omwe ali, kuti athe kuyesa kuchuluka kwa kuchepa kwa lumen. Kuti muwerenge za dziwe la mtima mkati mwa cranium, njira yosinthidwa mwapadera imagwiritsidwa ntchito - transcranial dopplerography.

Chidziwitso chokwanira bwino chokhudza misempha yamagazi ndi mawonekedwe awo chimapereka angiography. Iyi ndi njira ya X-ray momwe wogwirizira wosakanikirana amadzibaya m'magazi a wodwala, pambuyo pake chithunzi. Njirayi ndi yothandiza makamaka pakakhala ma stherotic atherosulinosis, omwe ndi ovuta kudziwa.

Tomography yophatikizidwa imagwiritsidwa ntchito kupenda mkhalidwe wamisempha yamanjenje ndikumveketsa bwino malo a lesion pambuyo pa stroko.

Izi ndizosangalatsa! Magnetic resonance imaging imawonedwa kuti ndi yolondola kwambiri, koma njirayi siigwiritsidwa ntchito kawirikawiri chifukwa cha mtengo wake wokwera komanso nthawi yayitali yodikirira.

Ma diagnostic Laborator amachitidwanso. Kuyesedwa kwa magazi ndi a biochemical kumatenga kwa odwala, mothandizidwa ndi mbiri ya lipid. Madokotala amayang'ana kuchuluka kwa cholesterol m'magazi a odwala, ndi momwe amawagawira tizigawo ting'onoting'ono. Zotsatira zakuwunika kumeneku kumazindikira cholinga cha mankhwala ena mtsogolo.

Kuchiza matenda

Chofunikira kwambiri pa mankhwalawa matenda amitsempha yamagazi ndi kusintha kwa njira yamoyo, momwe amagwirira ntchito ndikupumula. Njira yayikulu yothanirana ndi ziwiya za matenda a cerebrovascular (CVB):

• Kuchotsa kwa zinthu zopsinjika - phokoso losasinthasintha, kukokomeza thupi, malingaliro komanso chikhalidwe,
• bungwe la kugona - ngati usiku wodwala agona moyenera kapena kudzuka, muyenera kupanga nyengo za kupumula kwa maola 2-3
• kachitidwe ka thupi - nthawi yopuma iyenera kusinthana ndi kuchuluka koyenera (kuyenda modekha, kugwira ntchito zosavuta, kuchitira masewera olimbitsa thupi, kusambira),
• kusiya zizolowezi zoipa,
• kudya kuchepetsa magazi m'thupi.

Wodwalayo akatsatira malangizowo, amatha kuchepetsa kupitilira kwa kusintha kwa mitsempha yotupa ya m'magazi komanso kuchepetsa chiopsezo cha vuto laubongo. Pa magawo oyambilira a chitukuko cha matenda, mungathe kuchita ndi izi. Zochizira matenda osokoneza bongo atherosulinosis, kumwa mankhwala kwa nthawi yayitali kumafunikira, komanso pakakhala zovuta komanso zizindikiro zazikulu, opareshoni.

Njira zochizira

Cerebral atherosulinosis ndi matenda osachiritsika omwe sangathe kuchiritsidwa kwathunthu. Cholinga chachikulu cha chithandizo ndikuchepetsa cholesterol yamagazi, kusiya kupititsa patsogolo kwa atherosulinosis. Mankhwala osankhidwa bwino amatha kukwaniritsa kusintha kwa atherosulinosis, komabe, ndikofunikira kuti wodwalayo amvetsetse kufunikira kwa izi komanso amathandizanso madokotala. Kupatula apo, sizingatheke kuchiritsa wodwala ngati iye mwini safuna kutero.

Udindo wofunikira kwambiri ndikusintha kwamachitidwe. Odwala amalimbikitsidwa kudya kwapadera. Odwala ayenera kusiya kudya mafuta, okazinga zakudya. Komanso, simungagwiritse ntchito zokometsera zambiri mukaphika, makamaka mchere. Ayenera kudya zipatso zambiri, masamba. Ndikofunika kuphika mbale zothira kapena zopopera. Ndiosafunika kugwiritsa ntchito nyama yamafuta, makonda ayenera kuperekedwa kwa nkhuku, nkhuku, mitundu yosavuta ya nsomba. Ndikofunikanso kusiya mowa ndi kusuta. Zizolowezi izi zimakhala ndi zotsatira zoyipa kwambiri pa thanzi la anthu omwe ali ndi atherosulinosis.

Atherosclerosis palokha siyomwe imapangitsa kuti munthu afe. Komabe, kuwonekera kwa zolembera kumawonjezera chiopsezo cha kuwundana kwa magazi ndi mikwingwirima yotsatirapo, yomwe ingayambitse imfa zaka zingapo pambuyo poti matendawa atayamba. Chifukwa chake, odwala omwe ali ndi vuto la ubongo amatha kudziwikanso mankhwala a antiplatelet.

Cerebral atherosranceosis ya mitsempha yamatumbo ndi matenda opatsirana. Amayamba pang'onopang'ono, osawonetsa zizindikiro kumayambiriro. Nthawi zambiri, odwala amakhala ndi madandaulo osakhazikika, chifukwa chake, kufufuza mozama ndi kuzindikira koyenera ndikofunikira. Chithandizo, komabe, chimafuna osati chidziwitso cholondola, komanso chidwi cha wodwalayo pa moyo wake.

Komabe, ngati wodwalayo atsatira malingaliro a adokotala, ndiye kuti titha kukambirana za zabwino zomwe zachitika - ndizotheka kukwanitsa kukhazikika, kuchepetsa kuchuluka kwa madandaulo ndikupititsa patsogolo thanzi la odwala.

Atherosulinosis ya ziwiya: Zizindikiro ndi chithandizo - Jozef Krynicki Momwe MUNGAPANGITSE ZOPANDA CHIYANI KUCHOLESTEROL. Kuyeretsa kwa mtima kwa FOLK MEDICINES Cerebral atherosulinosis: mankhwala, Zizindikiro, zakudya

Mankhwala othandizira

Kuthandizira pakuchita opaleshoni kumagwiritsidwa ntchito ngati mawonekedwe a stenotic a ubongo a chithokomiro, pamene ziwiya zimataya kusakhazikika kwake ndikuchepa kwambiri kotero kuti salola magazi kudutsa. Popanga ndalamazo, adotolo amafufuza khungu ndi minyewa yofewa, pomwe pansi pake chimatengera chithokomiro, kenako ndikumabalalitsa mtsempha ndikuchotsa cholesterol plaque ndi membrane wamitsempha. Kenako mapikisheniwo amawoterera ndipo ngalowayo imakhazikitsidwa kwa tsiku limodzi. Ndi stenosis yayitali, kupindika kwina komwe kumaloza m'mitsempha ya chithokomiro ngati chubu chapamwamba kumaikiratu.

Ntchito zotseguka zimachitika kokha m'mitsempha ya ziwalo yomwe ili kunja kwa cranium. Ngati stenosis imawonedwa pamatumbo mkati mwa ubongo kapena pamwamba pake, kukokomeza ndi kubalalitsa kumagwiritsidwa ntchito. Amachitika pogwiritsa ntchito zida zing'onozing'ono zomwe zimalola kutumiza masilindala ndi mafinya ku malo a stenosis mwachindunji kudzera pakazungulira. Chithandizo cha matenda amtundu wamatumbo ndi njirayi ili ndi mawonekedwe ake, ndipo kuthandizira kwa opaleshoni sikudalira kokha pakubwezeretsa molondola, komanso pamankhwala othandiza pakatha.

Matenda obwera ndi matenda

Kuneneratu kwa matenda atherosulinosis kwathunthu komanso kwathunthu kumatengera kuzindikira kwa nthawi komanso njira yodalirika ya dokotala komanso wodwala pochiza matendawa. Akuyang'anizana ndi ntchito yoletsa zovuta zomwe zimakhala zowopsa pamoyo wa wodwalayo. Ndi mankhwala osalekeza, kudya, ndi kusiya zizolowezi zoipa, chiyembekezo cha moyo chingakhale chofanana ndi kwa anthu opanda zotupa za mitsempha ya mitsempha yaubongo.