Discirculatory encephalopathy

Dyscirculatory encephalopathy ndi matenda osokoneza bongo omwe amatha kuwonongeka pakapita nthawi. Kuperewera kwamphamvu kwa magazi kumabweretsa kusintha kwa ubongo, komwe kumakhudzanso ntchito zake. Discirculatory encephalopathy ili ndi magawo atatu, mitundu ingapo, komanso chidziwitso chosiyanasiyana cha gawo lililonse. Kuphatikiza apo, matendawa, ngati sanapatsidwe, amatha kutsogolera munthu wathanzi yemwe ali ndi vuto la dementia ndikulephera kwathunthu kusintha magwiridwe antchito.

Mitundu yamatenda

Atherosulinotic discirculatory encephalopathy

Matendawa amapezeka chifukwa cha matenda a ziwongo ndipo ndi mtundu wofala kwambiri wamatenda a m'mimba. Ndi atherossteosis, ziwiya zazikulu zimakhudzidwa makamaka, zomwe zimayendetsa magazi kupita ku ubongo, komanso zimayendetsa kuchuluka kwa magazi athunthu. Chifukwa chake, ndi kupita patsogolo kwa matendawa, kuthamanga kwa magazi m'magawo am'mbuyomu ndikovuta, chifukwa chake, ntchito zaubongo zikuchepa.

Venous discirculatory encephalopathy

Matendawa amapezeka ndipo amakula mosemphana ndi kutuluka kwa magazi a venous kuchokera kumiyendo. Zotsatira zake, kusunthika komwe kumapangidwa kumabweretsa kutsekeka kwa mitsempha, mkati ndi chigaza ndi kunja. Ntchito yamaubongo imasokonekera nthawi yayitali chifukwa cha edema, yomwe imachitika chifukwa chovuta kutuluka kwa magazi kudzera m'mitsempha.

Hypertensive discirculatory encephalopathy

Matendawa amasiyana ndi mitundu ina ya encephalopathy chifukwa imatha kuchitika ali aang'ono. Zimagwirizanitsidwa ndi kukhalapo kwa zovuta zamankhwala oopsa komanso zimachulukitsa mwachindunji pakati pawo. Popeza kukhalapo kwa zovuta kumakulitsa matendawa, kumakula msanga.

Ophatikizira discirculatory encephalopathy

Kuphatikiza zomwe zimapangidwa ndi matenda oopsa komanso atherosselotic discirculatory encephalopathy. Mitsempha yayikulu ya ubongo imayamba kugwira ntchito bwino, ndipo zinthu zimakulirakulira chifukwa cha mavuto ena oopsa, omwe amachititsa kuti zizindikiridwe zomwe zidalipo kale za matenda.

Gawo la discirculatory encephalopathy

Discirculatory encephalopathy, kutengera zizindikiro ndi kuuma kwawo, agawika magawo atatu, iliyonse yomwe imakwaniritsa njira zina.

Inesiteji - zimaphatikizapo zotupa zazing'ono zaubongo, zomwe nthawi zambiri zimatha kusokonezedwa ndi chizindikiro cha matenda ena ndi zovuta (mwachitsanzo, ndi zovuta za kuvulala kwa ubongo kapena kuledzera). Komabe, ndi matenda a "discirculatory encephalopathy" pachiwopsezo cha matendawa, nthawi zambiri amatha kuchitika pakukhululuka kwawo kwazaka zambiri. Gawo loyamba la discirculatory encephalopathy likuwonetsedwa pazizindikiro izi:

IIsiteji - yodziwika ndi mawonekedwe oyesa pamavuto awo ndi kulephera kuzindikira zolakwa za anthu ena, kuphatikiza apo, boma limakonda kupititsidwa ndi nthawi yodziletsa kwambiri. Disadaptation yamagulu imayamba, m'machitidwe a wodwalayo pali zikhalidwe za hypochondria, nkhawa yowonjezereka. Gawo lachiwiri la discirculatory encephalopathy limayimiridwa ndi zizindikiro izi:

• Kuchita chidwi
• Kuchepetsa kwakukulu kukumbukira
• Kuphwanya mphamvu yakuwongolera zochita zawo
• Pseudobulbar Syndrome
• Kuchulukirachulukira
• Zovuta

Gawo lachiwiri la discirculatory encephalopathy likuwonetsa kukhalapo kwa kulumala, komabe, wodwalayo amakhalabe ndi mphamvu yodzisamalira.

IIIsiteji - amatanthauza kusintha kwa matendawa kukhala mtundu wa mtima wofunidwa, kupatsa chidwi kwa malingaliro omwe apezeka ndi dementia ndi kuthekera kwakukulu kokhala ndi maluso atsopano. Matenda a mitsempha amayamba kuwonekeranso. Gawo lachitatu la discirculatory encephalopathy limaphatikizapo:

• Kuphwanya kwakukulu pakuyenda
• Kuchepetsa kwamitseko
• Mkulu wa Parkinsonism
• Kulephera kudzisamalira
• Chowonetsa
• Matenda amisala

Mu gawo lachitatu la matendawo, wodwalayo amayamba kudalira kwathunthu anthu ena ndipo amafunikira chisamaliro chamanthawi ndi chisamaliro.

Ndikofunikira kudziwa kuti discirculatory encephalopathy ili ndi miyeso yosiyanasiyana ya momwe imayambira: kuchokera pang'onopang'ono, kwa zaka 5 kapena kupitirira, kusala, pamene magawo ake amatha kusintha osachepera zaka 2.

Zomwe zimayambitsa matendawa

Pamtima pazomwe zimayambitsa discirculatory encephalopathy ndikuphwanya magazi: zovuta zimachitika mu ziwiya zazikulu za bongo, zomwe zimayambitsa kuthamanga kwa magazi, kapena m'mitsempha, zomwe zimasokoneza kutuluka kwa magazi kuchokera ku cranium. Mwa zomwe zimayambitsa matendawa, titha kusiyanitsa:

Kuphatikiza apo, nthawi zambiri zomwe zimapangitsa kuti matendawa apite patsogolo komanso kusinthika kwake kukhala magonedwe akuluakulu kumatha kukhala uchidakwa, kupsinjika kwa m'maganizo, osteochondrosis yamchiberekero ya khosi pachibelekeropo.

Kuneneratu komanso kupewa discirculatory encephalopathy

Ndi matendawo omwe amapita patsogolo kwambiri, matendawa sakonda kwenikweni kuposa amodzi pang'onopang'ono. Okalamba akamadwala, matchulidwe a discirculatory encephalopathy amakhala. Nthawi zambiri, poyambira, zimatheka kuti pakhale kusintha kwakukulu pochiza matendawa ndikuyimitsa nthawi yayitali, ndipo nthawi zina amachira. Gawo lachiwiri ndilabwino kwambiri pankhaniyi, koma nthawi zambiri limakupatsani mwayi wokukhululuka. Chidziwitso chovuta kwambiri cha gawo lachitatu la discirculatory encephalopathy ndikuti wodwalayo sangathe kubwezeretsedwanso, luso lake lodzisamalira komanso kuzisala pafupifupi limatheratu, ndipo chithandizo chamankhwala makamaka chimakhala chothandizira pakhungu.

Popewa kukula kwa discirculatory encephalopathy mpaka magawo ovuta kwambiri, ndikofunikira kuchitapo kanthu pochiza kumayambiriro kwa matendawa, akapezeka. Kuphatikiza apo, anthu omwe ali ndi jini la thrombophilia, kapena kuchuluka kwa magazi chifukwa cha zifukwa zina, ayenera kudziwa kuti ali pachiwopsezo cha matendawa. Izi zikutanthauza kuti amafunika kuwunika mosamala za momwe magazi amaphatikizidwira ndipo ngati kuli kotheka, funsani dokotala kuti akupatseni mankhwala omwe amachepetsa magazi.

Discirculatory encephalopathy, m'mbuyomu, matenda a anthu a zaka zopumira asanapume komanso zopumira. Koma muzochitika zamakono zopanda ntchito, kuperewera kwa zakudya m'thupi ndi kuvutikapo kwa malingaliro, matendawa asanduka "achichepere" ndipo anthu azaka zapakati pano akuvutikira.

Discirculatory encephalopathy - ndi chiyani?

Discirculatory Encephalopathy (DEP) - Kusokonezeka kwapang'onopang'ono pakugwira ntchito kwa ubongo komwe kumachitika chifukwa cha njala ya oxygen. Matendawa samatupa mwachilengedwe. Mu gawo lotsogola, zimayambitsa kuwonongeka kwa minyewa yaubongo, yomwe imayambitsa kuphwanya kwathunthu ntchito zake.

Ndi matenda a mtima komanso minyewa ya m'mitsempha pamodzi ndi matenda am'mimba, angina pectoris ndi aneurysm ya ubongo. Zimatengera kutsogolera mwa matenda amitsempha.

Ngati mukufuna yankho la funso loti kodi majini am'mimba ndi chiyani, mutha kulipeza patsamba lina patsamba lathu.

ODWANITSITSA AMALANDIRA!

Pangani ubongo wanu kugwira ntchito! Pambuyo masiku atatu, kukumbukira kuli kwakukulu ... » Amayambitsa encephalopathy yamitundu yosiyanasiyana

Zomwe zimayambitsa chitukuko cha encephalopathy zitha kugawidwa m'magawo awiri akuluakulu:

1. Congenital encephalopathy. Amayamba chifukwa cha majini mukukula kwa mwana wosabadwayo, mwina amakwiya chifukwa chogwiritsa ntchito maantibayotiki, mowa kapena mankhwala osokoneza bongo, kapena osakwiya ndi chilichonse. Zitha kukhalanso chifukwa cha kuvulala kubala kwa chigaza.
2. Anapeza Encephalopathy.

Kukula kwa encephalopathy kumatha kuyambitsidwa ndi zifukwa zotsatirazi:

• Atherosulinosis,kuthamanga kwa magazi, zosokoneza kayendedwe ka magazi m'mitsempha ya ubongo. Vascular atherosulinosis, muopitilira theka la milandu, ndi omwe amachititsa kukula kwa discirculatory encephalopathy.
• Kuwonetsedwa nthawi yayitali ndi zinthu zoopsa (mowa, mankhwala, mankhwala, zitsulo zolemera) umabweretsa zowononga thupi lonse komanso makamaka pakugwira ntchito kwamachitidwe am'kati mwa ubongo.
• Matenda a ziwalo zamkati(chiwindi, impso, kapamba). Matenda apakati a ziwalo zamkati angayambitse kusokonezeka kwa metabolic komwe kumapangitsa kuti masoka azigwira ntchito. Mwachitsanzo, uremic encephalopathy yomwe imayamba chifukwa cha kusokonekera kwa impso ndi zina mwazomwe zimapangitsa kuti magazi azikhala ndi matenda oopsa, omwe, amachititsa kukula kwa discirculatory encephalopathy.
• Poizoniyu poizoniyu. Rediation encephalopathy imayamba chifukwa chakuwonongeka kwa ubongo komwe kumayambitsa kuyatsidwa nthawi yayitali ndi ma radiation.
• Chifukwa cha kuvulala kumutuZigawo za Ischemic zimatha kupanga kupanga magawo osasunthika omwe amasokoneza kayendedwe kabwinobwino ka okosijeni ku minofu.

Mitundu ya matenda osokoneza bongo a dyscirculatory encephalopathy

Dyscirculatory encephalopathy imagawidwa m'mitundu iyi:

1. atherosulinotic encephalopathy,
2. matenda oopsa a encephalopathy,
3. encephalopathy yosakanikirana (encephalopathy yokhala ndi zovuta zovuta),
4. venous.

Atherosulinotic encephalopathy akufotokozera chifukwa cha kuwonongeka kwa mtima. Mphamvu ya zotupa zam'mimba zotsekedwa ndi atherosulinosis imakhala yovuta kwambiri, ndipo monga lamulo, imagwirizana kwambiri ndi matenda oopsa.

Mu mkhalidwe wabwinobwino, mkati mwa chotengera (endothelium) ndi yosalala komanso yokhala ndi voliyumu yokwanira ndi kuthamanga kwa magazi, ma cholesterol oyikamo alibe nthawi yopanga.

Pali zinthu zingapo zomwe zingasokoneze kapangidwe ka Endothelium, mwachitsanzo:

Maonekedwe a endothelial kuwonongeka, zoyambitsa kuchira kwamankhwala, popanga lipid banga (LDL) pamalo owonongeka. Pambuyo pobwezeretsa minofu ya endothelial, banga la lipid limakanidwa ndikusambitsidwa ndi mtsempha wamagazi. Ngati njirayi ikasokonekera, njira yotsogola yosayamba atherosclerotic zolembera pakuwala kwa chotengera.

Zifukwa zomwe zimatha kusokoneza kayendedwe ka metabolic m'matumbo:

• matenda oopsa
• vuto la endocrine (shuga mellitus),
• achina,
• matenda obwera mthupi

Kupezeka ochepa matenda oopsa zimasokoneza kayendedwe kabwinobwino ka magazi, chifukwa cha kuchepa kwa mitsempha yamagazi, yomwe ndi chimodzi mwa zifukwa zomwe zimapangitsa kuti atherosulinosis ichite. Nawonso, atherosclerosis, kuchepetsa mtima wamitsempha wamagazi, kumayambitsa kuthamanga kwa magazi.

Mu ubongo, ochepa matenda oopsa, chifukwa cha "kukakamiza" kwa magazi kudzera m'magazi othinana, amachititsa ma microstroke pa capillary level, kupanga ma necrotic madera.

Kuchokera pazomwe tafotokozazi, zikugwirizana kuti ndi chitukuko cha hypertonic mtundu wa encephalopathy, monga lamulo, zotupa za mitsempha ya mitsempha imapangidwanso, chifukwa chake, akapanga matenda a atherosselotic kapena hypertensive encephalopathy, mapangidwe omwe amavomerezedwa ndi encephalopathy a chiyambi chosakanikirana.

Malinga ndi kuchuluka kwa kuchuluka, matendawa amagawidwa m'magulu:

• wodekha (nthawiyo imatha zaka zoposa 4),
• kuchotsa (ndi magawo ochulukitsa ndi chikhululukiro),
• mwachangu (ndi nthawi 1 chaka).

Munkhaniyi mutha kupeza tsatanetsatane wamitundu ina ya encephalopathy: kuwalanga, kuwopsa, kukhala wotsalira komanso uchidakwa.

Limagwirira a zimachitika discirculatory encephalopathy a genesis osakanikirana

Ma discepulopathies onse amadzimadzi amachitika chifukwa cha kuphwanya kwamphamvu magazi muubongo. Zomwe zimayambitsa chitukuko cha zovuta zimatha kukhala zambiri, koma chimodzi mwazofunikira ndi zotupa zamatenda a mtima, makamaka, atherosulinosis ya mitsempha ya brachiocephalic ndi mitsempha ya m'magazi.

Chitsa cha brachiocephalic ndicho chotengera chachikulu chomwe chimapereka magazi kuchokera ku msempha kupita ku:

• mtsempha wamagetsi wamanja
• mitsempha yamanja yolondola,
• mtsempha wam'manja wam'manja.

Zimatengera ntchito ya mtengo wa brachiocephalic magazi athunthu bongo.

Komanso werengani za hepatic encephalopathy ndi cirrhosis.

Kulephera atherosulinosis ya mitsempha ya brachiocephalic, kumabweretsa kuphwanya kosalekeza pakupereka kwa okosijeni ku ubongo. Mu chikhalidwe cha hypoxia, kuchuluka kwa maselo amitsempha kumachepa, kusokonekera kwa ma neural chikuyambika kumayamba, ndipo zotupa zingapo zoyang'ana mbali zimawonekera m'kupanga kwa ubongo.

Zoyang'ana zowonongeka zimatha kukhala m'malo osiyanasiyana a ubongo, ndipo madera omwe ali ndi mayanjano osungidwa amatha kukwaniritsa ntchito zawo. Pankhani imeneyi, gawo loyambirira la matendawa limatsalira osadziwika. Kutengera kutengera kwina kwa madera omwe ali ndi trophic chisokonezo, zochitika zaubongo zimasokonekera.

Mwambiri, chitukuko cha discirculatory encephalopathy chikufanana ndi ischemic matenda am'mimba, ndikusiyana kokhako chifukwa chakuti kochitikayo kumakhala kovuta ndi kutulutsa kwina m'dera linalake, ndipo ndi discirculatory encephalopathy, zotupa zimachitika pamlingo wawung'ono wokhala ndi malo ochulukirapo a lesion.

Monga lamulo, kuwonongeka kumachitika mokwanira mwachisawawa, koma nthawi zina zimatha kuchitika mwachangu.

Magawo a chitukuko cha discirculatory encephalopathy

Kutengera kuchuluka kwa kuwonongeka kwa ubongo, magawo otsatirawa amasiyanitsidwa:

1. Dyscirculatory encephalopathy ya 1 degree. Gawo loyambirira la matendawo. Zowonetsa zambiri za discirculatory encephalopathy nthawi zambiri zimadziwika chifukwa cha kutopa kapena kusintha kwa nyengo. Zizindikiro zotsatirazi zitha kudziwika:
   • kutopa,
   • misozi
   • mutu
   • Kukhumudwa
   • chizungulire
   • kusakhazikika
   • kufooka
   • lingaliro lazidziwitso zatsopano ndilovuta
   • kuthamanga kwa kuganiza kumachepetsedwa kwambiri.
2. Discirculatory encephalopathy 2 madigiri. Mu gawo lachiwiri, mukupitiliza kuchuluka kwa vutoli, zizindikiro zodandaula poyambira matendawa, khalani ndi mawonekedwe osakhazikika:
   • kupweteka mutu
   • mavuto amakumbukiro
   • Mavuto otanthauzira
   • phokoso m'makutu kapena m'mutu,
   • zowonongeka kapena zamakutu,
   • kupuwala ziwalo
   • kugwedeza miyendo yam'munsi (kumapeto kwa miyendo),
   • kukokana
   • kusatsimikiza
   • kusowa kwa mgwirizano
3. Dyscirculatory encephalopathy 3 madigiri. Mu gawo lachitatu la discirculatory encephalopathy, zizindikiro zosokoneza mu gawo lina laubongo zimayamba kuonekera. Mwachitsanzo:
   • paresis
   • kulimbikira kumva kapena kuwonongeka kwamaso,
   • palibe kuthekera kokungoyang'ana m'mlengalenga,
   • Zizindikiro za kukomoka kwa mitsempha zimawonekera
   • kwamikodzo kapena fecal kusakwanira

Mu gawo lachitatu, munthu sangathe kugwira ntchito yantchito. Chifukwa chakuti magawo 1 ndi 2, kulumala kumakhala kosungirako kapena kochepa, wodwala ali ndi ufulu wolumala ndi madigiri atatu okha a chitukuko.

1. Computed tomography (MZKT). Amakulolani kuti muwone kuwonongeka kwa minofu ya muubongo yomwe imalumikizidwa ndi kusintha kwa kachulukidwe, chifukwa cha kupezeka kwa zotupa zingapo.
2. Doppler ultrasound. Limakupatsani mwayi kuti muyeze momwe magazi alili ndi voliyumu komanso kuthamanga kwa magazi.
3. Akupanga kupanga mawonekedwe a mitsempha. Kuphatikiza kuthekera kwa ultrasound dopplerography ndi kusanthula kwa ultrasound. Panthawi yowunikira, imalola kuwona, kuphatikiza zolakwika zomwe zapezeka, chifukwa cha kuthamanga ndi kuthamanga kwa magazi, mkhalidwe wamakoma amitsempha (makulidwe, kukana), kuphwanya kapangidwe ka anatomical, kukhalapo kwa thrombus (kukula kwake, friability, kuyenda), ndi zina zambiri.
4. X-ray ya khosi lachiberekero. Amagwiritsidwa ntchito kuti azindikire zovuta za anatomical zomwe zimalepheretsa kuthamanga kwa magazi ambiri. Pofuna kuzindikira kupatuka koteroko, osati kuthekera kwa mankhwala, maupangiri ndi njira zina zochiritsira kuti musinthe, njira yogwiritsira ntchito opaleshoni imagwiritsidwa ntchito.
5. Electroencephalography.
6. Rheoencephalography (REG). Zimakupatsani mwayi wofufuza magazi ndi momwe mitsempha yamagazi ilili mu ubongo.
7. Magnetic resonance imaging a mutu ndi mitsempha yamagazi muubongo.
8. Magnetic resonance poganiza za malowakhosi lachiberekero.

Komanso, popanga matenda, zotsatira za njira zoyeserera zamankhwala amodzi zimatengedwa:

• magazi magazi (coagulogram),
• magazi a cholesterol (LDL, VLDL, HDL).

Dokotala panthawi ya mayeso aulula:

• kuchuluka kamvekedwe ka minofu ndi mawonekedwe a tendon,
• mawonekedwe osakhala achilengedwe komanso zolakwika za autonomic mantha dongosolo ndi magalimoto oyendetsa galimoto amapezeka.

Chithandizo cha dyscirculatory encephalopathy cha osakaniza chiyambi ndi mankhwala mankhwala matenda oyambitsa omwe adakwiyitsa chitukuko cha DEP. Kuti tikwaniritse kukonzanso kwakukulu mankhwalawa atherosclerosis ya brachiocephalic mitsempha mpaka pano zosatheka.

Pachifukwa ichi, mitundu yonse ya mankhwalawa, kupatula chithandizo cha opaleshoni, cholinga chake ndi:

• kupewa kupitirira kwa atherosulinosis,
• kuthamanga kwa magazi,
• Kubwezeretsa kwa ma microcirculation mu zimakhala zomwe zikuchitika ndi hypoxia.

Njira zotsatirazi zochizira zimagwiritsidwa ntchito:

1. Chithandizo cha mankhwala:
   • Mankhwala a antihypertensive. Mankhwala a antihypertensive amaphatikiza magawo angapo osiyanasiyana okhala ndi cholinga chochepetsa kuthamanga kwa magazi:
     • okodzetsa
     • calcium blockers,
     • ACE zoletsa
     • Mankhwala omwe amateteza kukhathamira kwa khoma la mtima.
   • Angioprotectors:
     • kulimbikitsa kusinthika kwa minofu ndikubwezeretsa ma microcirculation pamlingo wapamwamba,
     • gwiritsani ntchito kutuluka kwa zamimba, kuchepetsa kutupa,
     • zimathandizira kulimbitsa khoma la mtima.
   • Madera ntchito kuchepetsa chiopsezo cha kupitirira kwa atherosulinosis, chifukwa cha katundu wawo kuti aletse kupanga kwa LDL ndi chiwindi.
   • Ma antiplatelet. Kuchita kwa ma antiplatelet othandizira ndikolepheretsa magazi kuwundana ndikuyenda bwino kwa magazi.
   • Zowonetsedwakugwiritsa ntchito mavitamini a B, vitamini C (pamodzi ndi chizolowezi), vitamini PP (nicotinic acid) monga antioxidant mankhwala ofanana ndi chithandizo chachikulu.
2. Opaleshoni ntchito ngati kuwonongeka kosasintha kwa ziwiya zikuluzikulu, ndimatenda omwe amapita patsogolo.
3. Physiotherapy. Physiotherapy imapereka chithandizo chambiri m'njira zosiyanasiyana zochizira matenda a m'mimba omwe amachokera mu ntchito:
   • electrophoresis
   • phonophoresis mankhwala,
   • oxygen, ma radon osambira.
4. Katemera
5. Zochita zolimbitsa thupi.Mankhwala othandizira:
   • imakhala ndi phindu pazochitika zamtima,
   • amathandizanso matenda a kuthamanga kwa magazi,
   • amalimbikitsa kugwiritsidwa ntchito kwa shuga m'magazi.
6. Chithandizo ndi njira zopewera matenda zimaphatikizapo:
   • kusiya kusuta
   • kukana kumwa mowa,
   • zoletsa pazakudya zamafuta
   • zolimbitsa thupi zolimbitsa thupi
   • kutsatira boma (ntchito yopuma),
   • chithandizo cha spa

Chithandizo chikuyenera kuchitika pafupipafupi, munthawi yayitali, kubwereza osachepera 3-4 pachaka.

Kugwiritsa ntchito wowerengeka azitsamba zochizira kwa Dep 1 degree

Discirculatory encephalopathy matenda oopsa komanso kugwiritsa ntchito mankhwala a wowerengeka azachipatala siothandiza.

Chithandizo cha mankhwala a folks chiyenera kugwiritsidwa ntchito ngati chithandizo chokonzanso pakati pa maphunziro oyambira kapena ngati a njira zothandizira mogwirizana ndi mankhwala.

Chithandizo cha anthu ku matenda a DEP:

1. Kulimbitsa magazi ndikusintha kwamtima dongosolo kumathandiza:
   • phula mowa
   • tincture wa clover (madzi kapena mowa),
   • tincture wa zipatso za hawthorn,
   • kulowetsedwa kwa udzu "makutu a chimbalangondo" (ali ndi okodzetsa, kumathandiza kuchepetsa kutupa)
2. Kugwiritsa ntchito mankhwala osokoneza bongo kumawathandizanso kuthandizira magwiridwe antchito amthupi:
   • mankhwala chamomile,
   • mbewa
   • mafuta a ndimu,
   • udzu waku valerian
3. Limbikitsani kamvekedwe ka mtima ndi mafuta am'munsi othandiza:
   • kulowetsedwa kwa adyo,
   • msuzi wa nyemba,
   • decoction a rose m'chiuno.

Muyenera kudziwa: munthawi ya chithandizo ndi wowerengeka azitsamba, mankhwala osokoneza bongo sayenera kuletsedwa.

Munkhaniyi, tikupenda mwatsatanetsatane 2-degree DEP.

Kodi chithandizo chingathe?

Kulosera zakuchiritsidwa kwa DEP kwa 1 degree yochepa pang'onopang'ono matendawo ndikokwanira chiyembekezo. Ndi chithandizo chachikulu, ndikotheka kuchepetsedwa pang'ono, ndipo nthawi zina, siyani kupititsa patsogolo matendawa. Kuti mukwaniritse zotsatira zosatha, ndikofunikira kusankha payekha mankhwala ndi njira yolumikizira chithandizo.

Madera otsogola pa chithandizo ndi awa:

• kuchita mankhwala oletsa antihypertensive,
• matenda a lipid kagayidwe (kugwiritsa ntchito zakudya, mankhwala),
• kubwezeretsanso magazi m'thupi.

Chofunika kwambiri pazamankhwala a DEP ndi kuzindikira kwakanthawi, izi zimawonjezera mwayi wa kusintha kosinthika, komanso zimatha kukonza moyo wabwino.

Discirculatory encephalopathy (DEP) ikupita patsogolo, kuwonongeka kwakanthawi kwa minyewa ya ubongo chifukwa cha kusokonezeka kwa magazi. Pakati pa matenda onse am'mitsempha, minofu imachitika koyamba.

Mpaka posachedwa, matendawa adalumikizidwa ndi ukalamba, koma m'zaka zaposachedwa zinthu zasintha, ndipo matendawa apezeka kale mwa anthu akuluakulu azaka 40-50. Kufunika kwa vutoli kumachitika chifukwa chakuti kusintha kosasintha kwa ubongo kumabweretsa osati kusintha kwamakhalidwe, kaganizidwe, ndi mkhalidwe wamaganizidwe a odwala. Nthawi zina, kulumala kumavutika, ndipo wodwala amafunikira thandizo kunja ndi chisamaliro pochita ntchito wamba.

Kukula kwa discirculatory encephalopathy kumakhazikitsidwa pakuwonongeka kwakanthawi kwa minyewa yamanjenje chifukwa cha hypoxia yoyambitsidwa ndi mtima wam'magazi, chifukwa chake, BUS imawerengedwa ngati matenda a cerebrovascular matenda (CVB).

• Kuposa theka la milandu ya DEP imagwirizanitsidwa ndi atherosulinosis, pamene ma lipid malembedwe amasokoneza kayendedwe ka magazi kudzera m'mitsempha yamagazi.
• Chinanso chomwe chimayambitsa kusokonezeka kwa mitsempha muubongo ndi kuchuluka kwa matenda oopsa, komwe kumakhala kuchuluka kwa mitsempha yaying'ono ndi ma arterioles, kusintha kosasinthika m'makoma a mtima mu mawonekedwe a dystrophy ndi sclerosis, omwe pamapeto pake amabweretsa zovuta pakupereka magazi ku ma neurons.
• Kuphatikiza pa atherosulinosis ndi matenda oopsa, chomwe chimayambitsa kupanikizika kwa mitsempha imatha kukhala matenda a shuga, matenda a msana, magazi akamayenda kudzera m'mitsempha yama vertebral imavuta, vasculitis, kuvulala kwamitsempha yamagazi.

Nthawi zambiri, makamaka odwala okalamba, mumakhala kuphatikiza kwa zinthu zingapo za causative - atherosulinosis ndi matenda oopsa, matenda oopsa ndi matenda ashuga, ndipo mwina kupezeka kwa matenda angapo nthawi imodzi, ndiye amakambirana za encephalopathy ya chiyambi chosakanikirana.

pamtima wa DEP - kuphwanya kwamomwe magazi amapititsa ku ubongo chifukwa cha chinthu chimodzi kapena zingapo

Dep ali ndi zofanana ndi zomwe zimayambitsa matendakumabweretsa kutsika kwa magazi kulowa muubongo: kunenepa kwambiri, kusuta fodya, kumwa mowa mwauchidakwa, zolakwika zakudyera, kukhala moyo wosakhalitsa. Kudziwa za chiopsezo kumathandizira kupewa kwa DEP ngakhale isanayambike zizindikiro za matenda.

Kukula ndi kuwonetsa kwa discirculatory encephalopathy

Kutengera zomwe zimayambitsa, mitundu ingapo ya mtima yozungulira encephalopathy imasiyanitsidwa:

1. Zopatsa chidwi.
2. Atherosulinotic.
3. Zoyipa
4. Zosakanizidwa.

Zosintha m'mitsempha zimatha kukhala zosiyana, koma popeza zotsatira zake ndi kuphwanya kayendedwe ka magazi, mawonekedwe amitundu yosiyanasiyana ya encephalopathy amasokonekera. Odwala okalamba ambiri amapezeka ndi matenda osakanikirana.

Mwa mtundu wa maphunzirowa, encephalopathy imatha kukhala:

• Pang'onopang'ono pang'onopang'ono, gawo lililonse likatenga pafupifupi zaka ziwiri,
• Kukumbukira ndi kuwonjezeka pang'onopang'ono kwa zizindikiro, kusintha kwakanthawi komanso kutsika kwamphamvu kwa nzeru,
• Pakalepo, matendawa atatha zaka zambiri, posakhalitsa kumayambitsa matenda a dementia.

Odwala ndi abale awo, omwe akukumana ndi matenda a DEP, amafuna kudziwa zomwe angayembekezere kuchokera ku matenda a zam'mimba komanso momwe angathanirane nawo. Encephalopathy imatha kudwala matenda angapo omwe gawo lalikulu laudindo ndi chisamaliro zimagwera anthu ozungulira odwala. Achibale komanso abwenzi ayenera kudziwa momwe matenda amapangidwira komanso momwe angakhalire ndi wachibale wake wodwala.

Kulankhulana komanso kucheza ndi odwala omwe ali ndi encephalopathy nthawi zina zimakhala ntchito yovuta. Si nkhani yongothandizanso thupi ndi chisamaliro. Chovuta chachikulu ndikumalumikizana ndi wodwalayo, komwe gawo lachiwiri la matenda limakhala lovuta. Wodwalayo sangamvetsetse ena kapena samamvetsetsa mwanjira yake, pomwe nthawi zambiri samataya nthawi yomweyo kuchita ndi kulankhula.

Achibale omwe samamvetsetsa bwino tanthauzo la matendawa amatha kukangana, kukwiya, kukhumudwa, kuyesa kutsimikizira wodwalayo china chake chomwe sichingabweretse zotsatira. Wodwalayo, nawonso amagawana ndi anansi ake kapena omwe amawadziwa malingaliro ake pazomwe zikuchitika kunyumba, amakonda kudandaula za mavuto omwe kulibe. Zimachitika kuti zimabweretsa madandaulo m'malo osiyanasiyana, kuyambira pa Nyumba ya Nyumba ndikutha ndi apolisi. Zikakhala zoterezi, ndikofunikira kukhala oleza mtima komanso osamala, kukumbukira nthawi zonse kuti wodwalayo sazindikira zomwe zikuchitika, sadziletsa ndipo sangathe kudzidzudzula. Kuyesa kufotokozera wodwalayo kanthu sikothandiza, chifukwa chake ndibwino kuvomereza matendawo ndikuyesetsa kuti mugwirizane ndi vuto lokhala ndi nkhawa la wokondedwa.

Tsoka ilo, milandu siyachilendo pamene ana achikulire, akugwa kukhumudwa, akukumana ndi mphamvu komanso mkwiyo, amakhala okonzeka kusamalira kholo lomwe likudwala, ndikupereka izi kwa boma. Kutengeka kotereku kumatha kumvetsetsa, koma muyenera kukumbukira nthawi zonse kuti makolo kamodzi adapatsa kuleza mtima kwawo ndi mphamvu kwa ana omwe akukula, sanagone usiku, kuchiritsidwa, kuthandizidwa ndipo anali kupezeka nthawi zonse, chifukwa chake kuwasamalira ndi udindo wachindunji wa ana akuluakulu.

Zizindikiro za matendawa zimakhala ndi kuphwanya kwa luntha, malingaliro, malingaliro, magalimoto, kutengera kuuma kwa komwe kumapangitsa gawo la Dep ndi kudwala.

Chipatala chimasiyanitsa magawo atatu a matendawa:

1. Gawo loyamba limayendera limodzi ndi zovuta zazing'ono zomwe sizilepheretsa wodwala kugwira ntchito ndikuwatsogolera. Mkhalidwe wamitsempha sili wolakwika.
2. Gawo lachiwiri, Zizindikiro zakula, pali kuphwanya kwanzeru, kusokonezeka kwama mota, kusokonezeka kwa malingaliro kumawonekera.
3. Gawo lachitatu ndilovuta kwambiri, ndikusokonezeka kwa mitsempha komanso kutsika kwakukalipira kwa nzeru ndi kuganiza, kuphwanya kwa mitsempha, komwe kumafunikira kuwunikira komanso kusamalira wodwala wosatha.

Dep 1 degree

Dyscirculatory encephalopathy nthawi zambiri imachitika ndi chiwonetsero chazovuta zam'maganizo. Chipatalachi chimakula pang'onopang'ono, pang'onopang'ono, anthu akuzindikira kusintha kwamunthu, chifukwa cha ukalamba kapena kutopa. Oposa theka la odwala omwe ali ndi gawo loyambirira la DEP ali ndi nkhawa, koma osakonda kudandaula za izi, ndi hypochondriacal, apathy. Matenda okhumudwa amachitika pazifukwa zazing'ono kapenanso popanda izo, motsutsana ndi maziko azomwe zimakhala bwino pabanja komanso kuntchito.

Odwala omwe ali ndi Dep of 1st degree amangoyang'ana madandaulo awo pamatenda amodzi, kunyalanyaza kusintha kwa kusintha kwa mikhalidwe. Chifukwa chake, ali ndi nkhawa ndi zowawa zam'minyewa, kumbuyo, m'mimba, zomwe sizikugwirizana ndi kuwonongeka kwenikweni kwa ziwalo zamkati, pomwe chidwi ndi kukhumudwa sizivutitsa wodwala kwambiri.

Wodziwika kwambiri kwa DEP ndi kusintha pamakhalidwe am'maganizo, ofanana mu neurasthenia. Kusintha kwakukuru kusintha kwa kukhumudwa kukhala chisangalalo mwadzidzidzi, kulira kopanda pake, kulimbirana mtima kwa ena ndizotheka. Nthawi zambiri kugona kumasokonezedwa, kutopa, kupweteka mutu, kusokonezedwa ndi kuyiwalika. Kusiyana pakati pa DEP ndi neurasthenia kumawerengedwa ngati kuphatikiza kwa zomwe zafotokozedwazo ndi kuwonongeka kwanzeru.

Zowonongeka zazidziwitso zimapezeka mwa 9 mwa 10 odwala ndipo zimaphatikizanso zovuta ndizovuta, kuiwala kukumbukira, kutopa mkati mwa zochitika zam'mutu. Wodwala amataya gulu lake lakale, amavutika kupanga nthawi ndi maudindo. Kukumbukira zomwe zidachitika m'moyo wake, samatulutsa zomwe adalandira, samakumbukira bwino zomwe adamva ndikuwerenga.

Pa gawo loyamba la matendawa, mavuto ena amayenda kale. Madandaulo a chizungulire, kusakhazikika, ngakhale mseru wokhala ndi kusanza ndizotheka, koma amawonekera pokhapokha akuyenda.

Dep 2 madigiri

Kupita patsogolo kwa matendawa kumabweretsa digiri 2 DEP, liti Zizindikiro zake pamwambazi zimakulirakulira, kuchepa kwambiri kwa luntha ndi kuganiza, kukumbukira komanso kusamalirana, koma wodwalayo sangadziwe bwinobwino momwe akumvera, ndipo nthawi zambiri amakulitsa mphamvu zake. Ndizovuta kusiyanitsa momveka bwino pakati pa digiri yachiwiri ndi yachitatu ya DEP, koma kutayika kwathunthu kwa ntchito ndi mwayi wokhala ndi kudziyimira pawokha kumaganiziridwa mosakayikira kwa digiri yachitatu.

Kutsika kwakukuru kwa nzeru kumalepheretsa kukwaniritsidwa kwa ntchito ndipo kumabweretsa zovuta zina pamoyo watsiku ndi tsiku. Ntchito imakhala yosatheka, chidwi chazolowera ndi zinthu zosangalatsa chimatayika, ndipo wodwalayo amatha maola ambiri akuchita zinthu zopanda pake kapena kungokhala chabe.

Zoyang'ana m'malo ndi nthawi ndizosweka. Atapita ku malo ogulitsira, munthu yemwe ali ndi vuto la KU akhoza kuiwala zamomwe anakonzera, ndipo akachokapo, samakumbukira nthawi zonse njira yakunyumba. Achibale ayenera kudziwa zizindikiro ngati izi, ndipo ngati wodwalayo achoka mnyumbayo, ndiye kuti ndi bwino kuonetsetsa kuti ali ndi chikalata kapena cholembera ndi adilesi, chifukwa nthawi zambiri mumapezeka kunyumba ndi abale a odwala otayika mwadzidzidzi.

Gawo lazomvera likupitilirabe. Kusintha kwa machitidwe kumapereka njira yosasamala, kusayang'anira zomwe zikuchitika ndi ena. Kulumikizana ndi wodwala kumakhala kovuta kwambiri. Mavuto owoneka bwino amagalimoto. Wodwalayo amayenda pang'onopang'ono, akumagwedeza miyendo yake. Zimachitika kuti poyamba zimakhala zovuta kuyamba kuyenda, kenako ndizovuta kuyimitsa (monga Parkinsonism).

Zambiri

Discirculatory encephalopathy (DEP) ndimatenda ofala mu neurology. Malinga ndi ziwerengero, pafupifupi 5-6% ya anthu ku Russia ali ndi matenda osokoneza bongo. Pamodzi ndi mikwingwirima ya pachimake, kuwonongeka kwa mitsempha komanso ziwongo za ziwongo zam'mimba, DEP ndi ya mtima wam'mitsempha yam'mitsempha, momwe zimakhalira malo oyamba pafupipafupi.

Mwachikhalidwe, discirculatory encephalopathy imadziwika ngati matenda makamaka okalamba. Komabe, chizolowezi chofuna “kukonzanso” matenda amtima kumaonekeranso poyerekeza ndi Dep. Pamodzi ndi angina pectoris, myocardial infarction, matenda am'mimba, discirculatory encephalopathy imawonekera kwambiri mwa anthu osakwana zaka 40.

Zifukwa za Dep

Kukula kwa DEP kumadalira matenda osokoneza bongo omwe amapezeka chifukwa cha ma mtima osiyanasiyana a mtima. Pafupifupi 60% ya milandu, dyscirculatory encephalopathy imayamba chifukwa cha atherosulinosis, ndiko kuti, kusintha kwa atherosulinotic m'makoma a ziwiya zamadzimadzi. Malo achiwiri mwa zomwe zimayambitsa kuti BUS amakhala ndi matenda oopsa oopsa, omwe amawoneka ngati matenda oopsa, matenda a glomerulonephritis, matenda a impso, pheochromocytoma, matenda a Itsenko-Cushing, ndi ena otero.

Mwa zina mwazomwe zimapangitsa kuti magazi asamayende bwino, omwe amapezeka m'mitsempha ya vertebral, yomwe imapereka 30% ya kufalikira kwa ubongo, imasiyanitsidwa. Chipatala cha vertebral artery syndrome chimaphatikizapo mawonetseredwe a discirculatory encephalopathy mu vertebro-basilar ubongo dziwe. Zomwe zimayambitsa kusakwanira kwa magazi kudzera m'mitsempha ya vertebral yomwe imatsogolera ku DEP imatha kukhala: osteochondrosis of the spine, kusakhazikika kwa chikhalidwe cha khomo lachiberekero kapena pambuyo povulala kwa vertebral, kusokonezeka kwa mitsempha ya Kimmerly, vertebral artery.

Nthawi zambiri, discirculatory encephalopathy imachitika motsutsana ndi maziko a matenda osokoneza bongo, makamaka ngati sizotheka kukhala ndi shuga m'magazi pamlingo wapamwamba wabwinoko. Zikatero, matenda ashuga a macroangiopathy amatsogolera ku mawonekedwe a Dep. Zina mwazifukwa zina za discirculatory encephalopathy zimaphatikizapo kuvulala kwam'mutu, ubongo vasculitis, cholowa cha angiopathies, arrhythmias, kulimbikira kapena pafupipafupi kwa hypotension.

Zomwe zimapangitsa kuti magazi azisokonekera, motero zimapangitsa kuti matenda ena asokonekere ku matenda a ubongo. Zotsatira zake, maselo aubongo amafa ndikupanga madera osowa muubongo (leukoaraiosis) kapena magawo angapo ang'onoang'ono a omwe amatchedwa "kugunda kwamtima kwachete".

Vuto lomwe limatetezedwa kwambiri chifukwa cha kuperewera kwa magazi ndi vuto loyera la mbali zakuya za bongo ndi gawo lathu. Izi ndichifukwa cha malo omwe ali m'malire a vertebro-basilar ndi carotid bas. Matenda a ischemia a mbali yakuya ya ubongo amabweretsa kusokonekera mu kulumikizana pakati pa gawo lachiberekero la m'magazi ndi chithokomiro chotupa, chomwe chimatchedwa "disconnect phenomenon". Malingana ndi malingaliro amakono, "chododometsa chachikulu" chomwe ndi njira yayikulu kwambiri yopangira matenda am'mimba ndikuyambitsa zizindikiro zake zazikulu: zovuta zam'maganizo, kusokonezeka kwa gawo lamalingaliro ndi magalimoto. Ndizodziwika kuti discirculatory encephalopathy kumayambiriro kwa maphunzirowa imawonetsedwa ndi zovuta zomwe zimagwira ntchito, zomwe, ndi chithandizo choyenera, zimatha kusintha, kenako vuto lolimba lamitsempha, lomwe nthawi zambiri limayambitsa kulumala kwa wodwala, limapangidwa pang'onopang'ono.

Zinadziwika kuti pafupifupi theka la zochitika, dyscirculatory encephalopathy imachitika limodzi ndi mitsempha ya neurodegenerative mu ubongo. Ichi ndi chifukwa cha kufala kwa zinthu zomwe zimatsogolera pakupanga matenda onse a m'mitsempha ndi malingaliro osintha mu minyewa ya ubongo.

KALIMA CHA

DEP ili ndi dementia yayikulu, liti wodwalayo amataya konse kulingalira ndi kuchita zinthu zomwe akufuna, opanda chidwi, sangayende mu danga komanso nthawi. Pakadali pano, kulumikizana bwino kumasokonezeka kapena ngakhale kulibe, zizindikiro zazikulu zamitsempha zimawonekera mu mawonekedwe a chizindikiro cha automatism yapakamwa, kusokonezeka kwa ziwalo zamkati, kusokonezeka kwamagalimoto mpaka paresis ndi ziwalo, ndikugwidwa mwamphamvu.

Ngati wodwala amene ali ndi vuto la dementia akadali wokhoza kudzuka, ndiye kuti muyenera kukumbukira za kuthekera kwa kugwa, komwe kumadzaza ndi ma fractures, makamaka kwa okalamba omwe ali ndi vuto la mafupa. Zovuta zazikulu zowonongeka zimatha kupha gulu ili la odwala.

Matenda a dementia amafunikira chisamaliro ndi chithandizo chopitilira. Wodwala, ngati mwana wakhanda, sangathe kudya payekha, kupita kuchimbudzi, kudzisamalira yekha ndikuwononga nthawi yayitali atagona. Maudindo onse opitilira moyo wake amagwera pa abale, kupereka njira zaukhondo, chakudya, zomwe zimavuta kuzimitsa, amawunikiranso momwe khungu limafunikira.

Mwa njira ina, yokhala ndi encephalopathy yayitali, imatha kukhala yosavuta kwa achibale. Kusiya, kufuna kuchita masewera olimbitsa thupi, sikufunikira kulumikizana, zomwe zikutanthauza kuti palibe njira zoyambitsirana, kukwiya komanso kukwiya pamawu omwe wodwala sazindikira. Mu gawo la dementia, samalembanso madandaulo ndipo samadandaula ndi nkhani za oyandikana nawo. Komabe, kuwona kusunthika kosasunthika kwa wokondedwa popanda kukhoza kumuthandiza ndi kumamvedwa ndi iye ndi mtolo wa nkhawa yayikulu.

Gulu

Mwa etiology, dyscirculatory encephalopathy imagawidwa mu hypertonic, atherosulinotic, venous komanso yosakanikirana. Ndi chikhalidwe cha maphunzirowa, kupita patsogolo pang'onopang'ono (kwapakale), kutulutsa ndikusintha mofulumira (galloping) discirculatory encephalopathy imasiyanitsidwa.

Kutengera ndi kuopsa kwa mawonetseredwe azachipatala, dyscirculatory encephalopathy imayikidwa m'magawo. Gawo I dyscirculatory encephalopathy imadziwika ndi kugwirizika kwa mawonekedwe ambiri, kuwonongeka kofatsa, komanso kusasinthika kwa mawonekedwe a minyewa. Gawo II dyscirculatory encephalopathy imadziwika ndi kuwoneka bwino komanso kuwonongeka kwa galimoto, kuwonjezeka kwa kusokonezeka kwa gawo lam'maganizo. Msambo wa dyscirculatory encephalopathy kwenikweni ndi vuto la mtima losiyanasiyana, lokhala ndi zovuta zingapo zamagalimoto ndi malingaliro.

Mawu ochepa pofotokoza za matendawa

Zizindikiro za encipihal encephalopathy mwina sizingaoneke kwa wodwala kapena abale, chifukwa chake kufunsira kwa ma neurologist ndi chinthu choyamba kuchita.

Gulu lachiwopsezo limaphatikizapo okalamba onse, odwala matenda ashuga, matenda oopsa, anthu omwe ali ndi atherosulinosis. Dokotala sangowerengera zokhazokha, komanso amayesa mayeso osavuta pakuwoneka kuti ali ndi vuto la chidziwitso: adzakufunsani kuti mujambule wotchi ndikuwunika nthawi, abwereze mawu omwe adalankhulidwa munjira yoyenera, ndi zina zambiri.

Kuti mupeze matenda a DEP, a ophthalmologist amafunika kufunsidwa, electroencephalography, ultrasound yokhala ndi ziwalo zam'mutu ndi khosi. Kupatula matenda ena aubongo, CT ndi MRI akuwonetsedwa.

Kufufuza pazomwe zimayambitsa kwa BUS kumaphatikiza ECG, kuyezetsa magazi kwa lipid sipekitiramu, kuphatikizika, kutsimikiza kwa magazi, shuga wamagazi. Kufunsira kwa endocrinologist, cardiologist, ndipo nthawi zina, dokotala wamankhwala olimbitsa mtima alangizidwa.

Chithandizo cha discirculatory encephalopathy

Chithandizo cha dyscirculatory encephalopathy iyenera kukhala yokwanira, pofuna kuthetsa osati kokha zizindikiro za matendawo, komanso zifukwakuyambitsa kusintha muubongo.

Kusamalira kwakanthawi komanso kogwira mtima kwa matenda a muubongo sikuti ndi gawo la zamankhwala zokha, komanso kwachuma komanso kwachuma, chifukwa matendawa amatsogolera kulumala ndipo, makamaka, kulumala, ndi odwala omwe ali pamagulu oopsa amafuna thandizo lakunja.

Chithandizo cha DEP ndicholinga chopewa misempha yam'mimba mu ubongo (mikwingwirima), kukonza njira ya matenda opatsirana ndikubwezeretsa ntchito yaubongo ndi kuthamanga kwa magazi mkati mwake. Chithandizo cha mankhwala osokoneza bongo chitha kupereka zotsatira zabwino, koma pokhapokha ngati nawo nawo akukhudzidwa komanso kufunitsitsa kwa wodwalayo kuti athe kulimbana ndi matendawa. Choyambirira kuchita ndikuwonanso moyo wanu ndi machitidwe anu kudya. Mwa kuthetsa ziwopsezo, wodwalayo amathandiza dokotalayo polimbana ndi matendawa.

Nthawi zambiri chifukwa chovuta kuzindikira magawo oyamba, chithandizo chimayamba ndi giredi 2 DEP, pomwe kuwonongeka kwazidziwitso sikukayikiranso. Komabe, izi zimangolimbikitsa kuchepetsa kuchepa kwa encephalopathy, komanso kubweretsa mkhalidwe wa wodwala pamlingo wovomerezeka wokhala ndi moyo wodziyimira pawokha ndipo, nthawi zina, wogwira ntchito.

Mankhwala osagwiritsa ntchito mankhwala a discirculatory encephalopathy akuphatikizapo:

• Matendawa, kapena kuchepa thupi pang'ono pamiyeso yolandirika,
• Zakudya
• Kuthetsa zizolowezi zoipa,
• Zochita zolimbitsa thupi.

Kulemera kwambiri kumawerengedwa kuti ndi vuto pachiwopsezo cha matenda oopsa komanso matenda a m'magazi, motero ndikofunikira kuti zibwezeretsedwe. Izi zimafuna zonse ziwiri zakudya komanso zolimbitsa thupi, zomwe zingatheke kwa wodwala mogwirizana ndi vuto lakelo. Kubwezeretsani moyo wanu ku nthawi yayitali, kukulitsa zolimbitsa thupi, muyenera kusiya kusuta, komwe kumakhudza makoma a mtima komanso minyewa yaubongo.

Zakudya kwa DEP ziyenera kuthandiza kuteteza kagayidwe ka mafuta komanso kukhazikika kwa magaziChifukwa chake, tikulimbikitsidwa kuti muchepetse kudya mafuta a nyama, ndikuyiyika ndi mafuta a masamba, ndibwino kusiya nyama yamafuta m'malo mwa nsomba ndi nsomba zam'nyanja. Kuchuluka kwa mchere sikuyenera kupitirira 4-6 g patsiku. Zakudyazo ziyenera kukhala ndi chakudya chokwanira chokhala ndi mavitamini ndi michere (calcium, magnesium, potaziyamu). Mowa nawonso uyenera kusiyidwa, chifukwa kugwiritsidwa ntchito kwake kumathandizira kuti chiwopsezo cha matenda oopsa, ndipo zakudya zamafuta kwambiri komanso zopatsa mphamvu ndizo njira yodziwikiratu yopita ku atherosclerosis.

Odwala ambiri, atamva za kufunika kwa zakudya zopatsa thanzi, amakwiya, zikuwoneka kuti ataya zakudya zomwe amakonda ndi zinthu zabwino, koma izi sizowona, chifukwa nyama yomweyo sayenera kukazinga m'mafuta, ingophikani. Ndi Dep, masamba atsopano ndi zipatso zomwe zimanyalanyazidwa ndi anthu amakono ndizothandiza. Pazakudya pali malo mbatata, anyezi ndi adyo, zitsamba, tomato, nyama zamafuta ochepa (venal, turkey), mitundu yonse ya zinthu zamkaka, mtedza ndi phala. Masaladi amawerengeka bwino ndi mafuta a masamba, koma mayonesi ayenera kusiyidwa.

Kumayambiriro kwa matendawa, pamene zizindikiro zoyambirira za vuto laubongo zangowonekera, ndikokwanira kuti tionenso moyo ndi zakudya, kulipira mokwanira masewera. Ndi kupita patsogolo kwa matenda a pathology, pakufunika mankhwala othandizira, omwe amatha kukhala pathogenetic, omwe cholinga chake ndi matenda oyambira, komanso chidziwitso, chopangidwa kuti athetsere zizindikiro za DEP. Woopsa milandu, chithandizo cha opaleshoni ndiyothekanso.

Mankhwala

Pathogenetic chithandizo cha discirculatory encephalopathy imaphatikizanso kulimbana ndi kuthamanga kwa magazi, kuwonongeka kwa mitsempha ya mitsempha, kuchepa kwamafuta ndi chakudya. Kwa chithandizo cha pathogenetic cha DEP, mankhwala a magulu osiyanasiyana ndi omwe amapatsidwa.

Pofuna kuthana ndi matenda oopsa, gwiritsani ntchito:

1. Angiotensin-converting enzyme inhibitors - akuwonetsedwa kwa odwala omwe ali ndi matenda oopsa, makamaka achinyamata. Gululi limaphatikizira capropril yoipa, lisinopril, losartan, etc. Zimatsimikiziridwa kuti mankhwalawa amathandizira kuchepetsa kuchuluka kwa hypertrophy ya mtima ndi pakati, minofu, mawonekedwe a arterioles, omwe amathandizira kusintha kayendedwe ka magazi mokulira komanso ma microcirculation makamaka.
   ACE zoletsa amadziwitsidwa kwa odwala matenda a shuga, kulephera kwa mtima, zotupa za mitsempha ya mitsempha. Kufikira kuchuluka kwa kuthamanga kwa magazi, wodwalayo samatetezeka kokha chifukwa cha kuwonongeka kwa ubongo wa ischemic, komanso mikwingwirima. Mlingo ndi mndandanda wa mankhwalawa amadzisankhira payokhapokha kutengera momwe matendawa aliri.

1. Beta-blockers - atenolol, pindolol, anaprilin, etc. Mankhwalawa amachepetsa kuthamanga kwa magazi ndikuthandizira kubwezeretsanso ntchito ya mtima, yomwe imathandiza kwambiri kwa odwala omwe ali ndi arrhythmias, matenda a mtima ndi matenda a mtima osalephera. Beta-blockers ikhoza kufotokozedwera limodzi ndi ACE zoletsa, komanso matenda ashuga, mphumu ya bronchial, mitundu ina yamatenda amtundu wa mtima imatha kukhala zolepheretsa kugwiritsa ntchito kwawo, chifukwa chake, mtima wamasankhidwe amasankha mankhwalawo atatha kufufuza mozama.
2. Ma calcium antagonists (nifedipine, diltiazem, verapamil) amachititsa chidwi kwambiri ndipo amatha kuthandizira kukula kwa mtima. Kuphatikiza apo, mankhwalawa a gululi amachotsa kuphipha kwamitsempha, kuchepetsa nkhawa ya makoma a arterioles, ndipo potero amatha kusintha magazi mu ubongo. Kugwiritsa ntchito nimodipine odwala okalamba kumachotsa kusokonezeka kwazinthu zina, kukhala ndi zotsatira zabwino ngakhale mu gawo la matenda a dementia. Kugwiritsa ntchito mankhwala opatsirana ndi calcium pamutu wovuta womwe umagwirizanitsidwa ndi DEP umapereka zotsatira zabwino.
3. Ma diuretics (furosemide, veroshpiron, hypothiazide) adapangidwa kuti achepetse kupsinjika ndikuchotsa madzi ochulukirapo komanso kuchepetsa kuchuluka kwa magazi. Amatumizidwa limodzi ndi magulu omwe ali pamwambawa.

Kutsatira kwachilendo kukakamiza, gawo la chithandizo la DEP liyenera kukhala kulimbana ndi zovuta zamafuta a metabolism, chifukwa atherosulinosis ndi chiopsezo chofunikira kwambiri cha mtima wam'mitsempha yama bongo. Choyamba, adotolo azilangiza wodwalayo pazakudya komanso zolimbitsa thupi zomwe zingayambitse mawonekedwe a lipid. Ngati patatha miyezi itatu zotsatira zake sizikupezeka, nkhani ya chithandizo chamankhwala ndi yomwe ingaganizidwe.

Pokonza hypercholesterolemia, muyenera:

• Mankhwala ozunguza bongo a nicotinic acid (acipimox, enduracin).
• Fibates - gemfibrozil, clofibrate, fenofibrate, etc.
• Ma Statin - okhala ndi lipid-kuchepetsa kwambiri, amathandizira kukonzanso kapena kukhazikika kwa malo omwe alipo mu ziwiya zaubongo (simvastatin, lovastatin, leskol).
• Omwe akukhathamiritsa mafuta acids (cholestyramine), kukonzekera kochokera m'mafuta a nsomba, antioxidants (vitamini E).

Mbali yofunikira kwambiri ya chithandizo cha pathogenetic ya DEP ndikugwiritsa ntchito othandizira omwe amalimbikitsa vasodilation, mankhwala a nootropic ndi neuroprotectors omwe amasintha kagayidwe kachakudya mu minyewa yamanjenje.

Vasodilators

Mankhwala osokoneza bongo a Vasodilating - Cavinton, Trental, Cinnarizine, amathandizidwa kudzera m'mitsempha kapena mawonekedwe a mapiritsi. Ndi vuto la kuthamanga kwa magazi mu beseni la carotid artery, cavinton ali ndi zotheka, wokhala ndi kusowa kwa vertebrobasilar - stugeron, cinnarizine. Sermion imapereka zotsatira zabwino komanso kuphatikiza kwa atherosulinosis ya ziwiya zaubongo ndi miyendo, komanso kuchepa kwa nzeru, kukumbukira, kuganiza, matenda am'maganizo, kusokoneza chikhalidwe.

Nthawi zambiri, dyscirculatory encephalopathy kumbuyo kwa atherosulinosis imayendera limodzi ndi zovuta mu kutuluka kwa magazi a venous kuchokera ku ubongo.Muzochitika izi, redergin yoyendetsedwa kudzera mu minofu kapena mapiritsi ndi othandiza. Vazobral ndi mankhwala a m'badwo watsopano omwe samangochulukitsa mitsempha ya magazi ndikuwonjezera magazi mkati mwake, komanso amalepheretsa kuphatikizika kwa mawonekedwe, omwe ndi oopsa kwambiri ku atherosulinosis ndi mtima spasm chifukwa cha matenda oopsa.

Nootropics ndi neuroprotectors

N`zosatheka kuchiza wodwala ndi discirculatory encephalopathy popanda mankhwala omwe amasintha kagayidwe kachakudya mu minyewa yamanjenje ndikuteteza ma neurons pansi pa hypoxia. Piracetam, encephabol, nootropil, kufewetsa kagayidwe kachakudya michere mu ubongo, kupewa mapangidwe omasuka, kuchepetsa kuphatikizira kwa michere yama cellcirculation, kuthetsa kuphipha kwamitsempha, kugwiritsa ntchito vasodilating.

Kukhazikitsidwa kwa mankhwala a nootropic kumatha kusintha kukumbukira ndikuyika chidwi, kuwonjezera ntchito zamaganizidwe ndi kukana kupsinjika. Ndi kuchepa kwa kukumbukira ndikutha kuzindikira zambiri, Semax, Cerebrolysin, Cortexin akuwonetsedwa.

Ndikofunikira kuti chithandizo cha mankhwala a neuroprotectors chichitike kwa nthawi yayitali, chifukwa mphamvu za ambiri zimachitika pakadutsa masabata atatu atatha kuyamba kwa mankhwalawa. Nthawi zambiri, kulowetsedwa kwa mankhwala osokoneza bongo kumayikidwa, komwe kumasinthidwa ndi pakamwa. Kuchita bwino kwa mitsempha ya neuroprotective kumalimbikitsidwa ndikuwonjezereka kwa maultivitamini owonjezera omwe ali ndi mavitamini B, nicotinic ndi ascorbic acid.

Kuphatikiza pa magulu awa a mankhwalawa, odwala ambiri amafunikira kugwiritsa ntchito antiplatelet agents ndi anticoagulantschifukwa thrombosis ndi chimodzi mwazomwe zimayambitsa kuvulala kwamitsempha yolimbana ndi maziko a Dep. Kupititsa patsogolo magazi mosiyanasiyana a magazi ndi kuchepetsa kukhuthala, ma spirin ang'onoang'ono (thrombo ACC, cardiomagnyl), ticlide ndi yoyenera, koma warfarin, clopidogrel akhoza kuikidwa poyang'anitsitsa magazi pakuwonetsetsa. The normalization wa microcirculation amalimbikitsidwa ndi chimes, pentoxifylline, omwe akuwonetsedwa mu okalamba odwala omwe ali ndi mitundu yotchuka ya atherosclerosis.

Chithandizo cha Zizindikiro

Chithandizo cha Syndrome ndi cholinga chofuna kuthetseratu matenda ena a matenda. Kupsinjika ndi kusokonezeka kwa malingaliro ndizizindikiro zofala za Dep, momwe ma tranquilizer ndi sedative amagwiritsidwa ntchito: valerian, mamawort, relanium, phenazepam, etc., ndipo psychotherapist amayenera kupereka mankhwalawa. Pa kukhumudwa, antidepressants akuwonetsedwa (Prozac, Melipramine).

Mavuto osunthika amafunikira chithandizo chamankhwala ndi kutikita minofu, ndi chizungulire chodziwika bwino cha betaserk, cavton, sermion. Zizindikiro zamagetsi operewera, kukumbukira, kusamalitsa kumawongoleredwa pogwiritsa ntchito ma nootropics ndi ma neuroprotectors omwe atchulidwa pamwambapa.

Mankhwala othandizira

Pakuyenda kopitilira patsogolo kwa DEP, kuchuluka kwa kufupika kwa mitsempha yaubongo kumafikira 70% kapena kuposerapo, ngati wodwalayo adakumana ndi zovuta zamitsempha zamagazi muubongo, maopareshoni monga endarterectomy, stenting, and anastomosis akhoza kuchitika.

Kuzindikira kwa matenda a DEP

Dyscirculatory encephalopathy ndi imodzi mwazofooka matenda kulumala kumatha kukhazikitsidwa m'gulu lina la odwala. Zachidziwikire, pakuyamba kwa kuwonongeka kwa ubongo, pamene ntchito zamankhwala zimagwira bwino ntchito ndipo palibe chifukwa chosinthira ntchito, kulumala sikuloledwa, chifukwa matendawa sachepetsa moyo.

Nthawi yomweyo, encephalopathy yayikulu ndipo, makamaka, kuchepa kwa mitsempha, monga chiwonetsero cholimba cha matenda amiseche, amafuna kuti wodwalayo azindikire kuti ndi olumala, popeza sangathe kugwira ntchito ndipo nthawi zina amafunikira chisamaliro ndi thandizo pa moyo watsiku ndi tsiku.Nkhani yopereka gulu linalake la olumala imasankhidwa ndi akatswiri odziwa ntchito zamankhwala zamankhwala osiyanasiyana malinga ndi kuchuluka kwa kuphwanya maluso a antchito ndi kudzisamalira.

Matenda a DEP ndi akulu, koma osataya chiyembekezo.

Ndi kuzindikira koyambirira kwa matenda a zam'mimba komanso kuyambitsa kwakanthawi chithandizo chokhala ndi vuto la ubongo wa 1 ndi 2, mutha kukhala ndi moyo kwa zaka zoposa khumi ndi ziwiri, zomwe sizinganenedwe za dementia yayikulu.

Matendawa amakula kwambiri ngati wodwala yemwe ali ndi BUS amakumana ndi mavuto obwera pafupipafupi komanso akuwonetsa kuwonongeka kwa matenda amitsempha yamagazi.

Kanema: zokambirana pa DEP - kuzindikira, digiri, kapangidwe

Gawo 1: lipirani malangizowo pogwiritsa ntchito mawonekedwe a Gawo 2: Mukamalipira kufunsa funso lanu mu fomu ili m'munsiyi Gawo 3: Muthanso kuwonjezera kuthokoza katswiriyo mwakulipira kwina chifukwa chotsutsana ndi ndalama ↑

Matenda aliwonse aubongo ndi oopsa kwambiri kwa anthu, chifukwa amatenga chiopsezo cha kulumala ngakhale kufa. Ngati tizingolankhula za vuto lalikulu kwambiri monga dyscirculatory encephalopathy wa digiri yachiwiriyo, ndiye kuti madokotala nthawi zambiri amapatsa chiyembekezo chokhumudwitsa. Ndi chitukuko chake chowonjezereka, zizindikiro monga kuchepa kwa nzeru, kulephera kuwongolera machitidwe aumunthu, komanso kugwidwa kwa mtundu wa khunyu kumachitika.

Ndizosatheka kuchotsa matendawa kwathunthu, komabe, chithandizo chanthawi yake chimatha kuthetsa ziwonetsero zake zowopsa, kuletsa kupititsa patsogolo ndikubwezeretsanso zochitika wamba zamunthu.

Zifukwa zachitukuko

Discirculatory encephalopathy sizimachitika zokha - zimangokhala zovuta za matenda ena. Madotolo akuti kulumala kwa munthu kulinso chifukwa choyambitsa ma syndromes, osati mkhalidwe waumoyo. Kuwonetsera kodziwika kwambiri ndi atherosulinotic encephalopathy, yomwe imakhala ndi njira yayitali yodutsika pang'onopang'ono muumoyo wa wodwalayo, ngakhale motsutsana ndi maziko a chithandizo choopsa.

Nthawi zambiri, zizindikiro za matenda oopsa zimasinthanso kukhala encephalopathy - mu nkhani iyi, madokotala nthawi zambiri amapereka chidziwitso pakuwoneka bwino kwaumoyo wathanzi, ngati chithandizo chanenedwa munthawi yake. Ngati munthu ali ndi kuphatikiza kwa mitsempha ndi matenda oopsa, izi zimatsogolera ku discirculatory encephalopathy yokhala ndi mwayi wa 90%. Pankhaniyi, amalankhula za matenda omwe anali ndi magwero osakanikirana - kuzindikira kwake ndi chithandizo chake nthawi zambiri kumakhala kovuta.

Kuphatikiza pa matendawa, encephalopathy imatha kukhala:

• kusintha kwamasamba m'thupi lathu,
• matenda akulu a magazi
• vasculitis (zotupa zam'mimba),
• kuchuluka kwa magazi mu ubongo,
• vegetovascular dystonia,
• matenda a hemodynamic.

Mosasamala kanthu za genesis ya discirculatory encephalopathy, imawoneka chimodzimodzi. Matendawa amayambitsa kuperewera kwa mpweya muubongo, kutsatiridwa ndi kuwonongedwa kwa maselo ake komanso kusintha kwa njira. Zizindikiro zazikulu zosasinthika zimachitika zomwe zimapangitsa munthu kukaonana ndi dokotala. Zikuwonekeratu kuti kusiya izi ndi mankhwala wowerengeka sikugwira ntchito - wodwala amafunikira thandizo loyenerera mwadzidzidzi.

Chithunzi cha chipatala cha encephalopathy discirculatory

Atherossteotic, hypertonic, osakanikirana (atherosulinosis ndi ochepa hypertension), komanso venous encephalopathy, amadziwika.

Dyscirculatory atherosulinotic encephalopathy ndizofala kwambiri. Magawo atatu a encephalopathy amadziwika.

• Gawo I - lofotokozedwa mwanjira yabwino (kulipidwa). Amawonetsedwa ndi cerebrosthenic syndrome (kuiwala kukumbukira, kusakhazikika m'maganizo, kusakwiya, kupweteka mutu, chizungulire chosadziwika), dystonic autonomic-vascular reaction, mitundu yosiyanasiyana ya psychopathological syndromes: astheno-depression, asthenoipochondria, paranoia, othandizira. Zizindikiro zakukula zamitsempha zamitsempha sizimapezeka, koma kufatsa kwakanthawi, zovuta za paroxysmal ndizotheka. Mu gawo loyambirira la discirculatory encephalopathy, mawonekedwe a hyperdynamic omwe amapanga kukula kwa matenda a ubongo, omwe amawonetsedwa ndi disinhibition, excitability, kugona, kugontha, komanso kugona.
• Gawo II - lofotokozedwa (wophatikizidwa). Kusintha kwachilengedwe kumachulukanso, zizindikirazo zimangokhala zowonjezereka, komanso zimapitirira. Mutu umakhala pafupifupi, kumakhala phokoso losalekeza m'mutu, ma psychopathological syndromes amachepa, kutsekemera kumakhala hypodynamic (kufinya, kutopa, kulira, kugwiritsidwa mwala, kutsika chidwi, kukumbukira kukumbukira, kugona tulo). Kuchepa kwa mphamvu ya cerebrovascular kumabweretsa magawo ang'onoang'ono amitsempha yama ubongo, pomwe ophatikizana amtundu wa neurological amapangidwa. Nthawi zambiri, pseudobulbar, amiostatic syndromes, komanso mapiramidi osakwanira (dysarthria, dysphonia, reflexes of oral automatism, kusokonezeka kwa mkati mwa nkhope ndi lilime - kupatuka, kuyenda kwapang'onopang'ono, kugwedezeka kwamphamvu, kuwuma, kugunda kwa manja ndi mitu yambiri, kusunthika kwakukulu. manja, kuwonongeka kooneka mu mawonekedwe a zithunzi, kukomoka kwamakutu, kugwidwa kwa khunyu Jackson, anisoreflexia, pathological adapor Reflexes.
• Gawo lachitatu - lotchulidwa (lopangidwira). Amadziwika ndi kusintha kwakukuru kwa morphological mu minyewa yaubongo, mawonekedwe a perivascular lacunae, ma granular atrophy ya ubongo. Pa CG ndi MRI, madera ochepetsetsa a zinthu zoyera kuzungulira mbali zamitsempha zam'mimba komanso m'magawo a m'magazi ozungulira (leukoariosis) amatsimikiza.

Kuzama ndi kukulira kwa zizindikiro zomwe zilipo kale zimadziwika, zizindikiro zowonongeka m'dera lililonse la ubongo zimayamba kuchuluka: kusokonezeka kwa cerebellar, paresis, kusokonekera kwa mawu, mavuto a kukumbukira, kukula kwa mtima. Nthawi zambiri kuposa gawo lachiwiri, nthawi ndimadwala khunyu. Kusintha kwamalingaliro kambiri nthawi zambiri kumayambitsa kudwala kwamphamvu. Kuphatikiza pa kusintha kwamphamvu mu mitsempha, anthu ambiri amakhalanso ndi vuto. Muchigawo chino, ngozi yam'mimba kwambiri imatha.

Hypertensive dyscirculatory encephalopathy, mosiyana ndi atherosulinotic encephalopathy, imayamba ali aang'ono, imapitirira mwachangu, makamaka motsutsana ndi maziko a vuto la matenda oopsa, Zizindikiro zatsopano zimakonda kuchitika nthawi ya mavuto. Pakati pa kusintha kwa malingaliro, kudziwitsa, kukwiya, kusakhazikika pamaganizo.

Ophatikizira discirculatory encephalopathy. Amadziwika ndi kuphatikiza kwa atherosulinotic ndi hypertensive encephalopathy.

Venous encephalopathy ndi mtundu wapadera wa discirculatory encephalopathy ndipo imachitika mikhalidwe yomwe imayambitsa kusokonezeka kwakukulu kwa venous Outness kuchokera ku cranial patsekin (matenda oyamba a kutsata kwa kamvekedwe ka venous ndi ubongo wa venous dystonia, matenda a mtima; Kukumana kwamphamvu ndi edema yosakhazikika kumayamba mu ubongo. Matenda obwera chifukwa chodwala matenda oopsa obwera chifukwa cha matenda: kupweteka kwa mutu, kuwonda, kutsokomola, kusisita, kupindika, kusala chizungulire, kusokonekera, kusowa tulo, zizindikiro za kufalitsa kwa ubongo kumachitika pafupipafupi. kuchulukana mu fundus, zizindikiro za meningeal.

Kusiyanitsa mitundu ya encephalopathy discirculatory

Mu gawo loyambirira, dyscirculatory encephalopathy iyenera kusiyanitsidwa kuchokera ku neurosis (ntchito yofooka) ndi autonomic-vascular dystonia, pambuyo pake - kuchokera pakupanga kwa ubongo (chotupa, cyst), parkinsonism ya non-vascular source (postencephalitic, toxic, chotupa, matenda a Presinsal's) ndi maganizo a senile, magawo oyamba a matenda a Alzheimer's ndi Peak, khunyu. Mitundu ina yosiyanasiyana ya mtima wam'mimba yotupa (matenda a Binswanger) iyeneranso kusiyanitsidwa ndi matenda a Schiller's periaxial encephalitis.

Chithandizo cha dyscirculatory encephalopathy

Magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito:

- Hypolipidemic ndi hypocholesterolemic mankhwala (miskleron kapena clofibrate, polysponin, tribusponin, cetamiphene, essentiale, phytin, polyunsaturated fat acids, lipamide ndi methionine, etc.) akuwonetsa atherosranceotic encephalopathy.
- Mankhwala a antihypertensive (enap, clonidine, prestarium, atenolol, capoten, arifon, vincopan) amasonyezedwa kuthamanga kwa magazi.
- Mankhwala a Phlebotonic (eskusan, esflazide, Troxevasin, anavenol, aminophylline, redergin, iv cocarboxylase, glivenol, caffeine) akuwonetsedwa kuti adadzazidwa.
- Angioprotectors (parmidin, anginin, ethamylate - akuwonetsa kuthamanga kwa magazi, ascorutin, vazobral).
- Zosagwirizana (curantyl, aspirin mu Mlingo wocheperako, maulalo, sermion, anturan, ticlide) amagwiritsidwa ntchito pokonzanso miccirculation ndikuletsa micothrombosis.
- Mankhwala osokoneza bongo, kuphatikiza calcium antagonists (cavinton, vincamine, compliment, cinnarizine or stugeron, nifedipine, flunarizine, halidor, no-spa) - - kusintha magazi a m'magazi, kupewa angiospasm.
- Dihydrogenated ergot alkaloids (dihydroergotamine akuwonetsedwa kwa ochepa hypotension, dihydroergotoxin chifukwa cha kuthamanga kwa magazi) amakhala ndi vasoactive, nootropic, michereropotic.
- Nootropics (piracetam, encephabol kapena pyriditol, aminalon, picamilon, pantogam, cerebrolysin, glutamic acid, glycine, acefen).
- Mankhwala a metabolism ndi antioxidants (mavitamini B1, B6, ascorbic acid, retinol, aevit, lipoic acid, tocopherol, emoxipin, phosphaden, ATP, actovegin, lipostabil, pantothenic acid).
- Mankhwala a Sedative ndi ena a psychotropic (tranquilizer, antidepressants, antipsychotic - omwe ali ndi psychopathological syndromes).
- Mankhwala a Anticholinesterase (galantamine, stefaglabrin, sanguirytrin, amiridine) akuwonetsa kuti ali ndi vuto la mtima, eti? encephalopathy kuti muchepetse zovuta zama psycho-vegetative.
- Njira za physiotherapeutic zimagwiritsidwa ntchito (makina a galvanic molingana ndi Shcherbak, electrophoresis kupita kolala ya aminophylline ndi magnesium sulfate, electrophoresis malinga ndi Bourguignon wa noshpa, electros sleep, oxygenation, hyperbaric oxygenation, massage of the collar zone, etc.).

Home About Encephalopathy Classified Atherosulinotic encephalopathy: zimayambitsa, Zizindikiro, mankhwalawa

Atherosulinotic encephalopathy: zimayambitsa, Zizindikiro, mawonekedwe a chithandizo ndi matenda am'mimba

Encephalopathy amatanthauza matenda omwe amayamba chifukwa cha zochita za thupi. Atherosulinotic encephalopathy ndi dzina lalifupi la mawonekedwe, mawu oti "kulanga" akuyenera kuwonjezeredwa kwa iwo, chifukwa atherosclerosis yamitsempha yamagazi ndi njira yovuta ndipo nthawi yomweyo imayambitsa mwachindunji atherosclerotic encephalopathy.

Atherosulinosis ya mitsempha ya chithokomiro imayamba pazifukwa zingapo, koma chachikulu ndikuphwanya kagayidwe ka lipid. Mikhalidwe yofananayi imawonedwa mwa anthu onenepa kwambiri omwe ali ndi vuto la metabolic, komanso odwala okalamba omwe metabolism imasokonezeka makamaka chifukwa chogaya chakudya cham'mimba, osati chifukwa cha kuperewera kwa zakudya komanso kugwiritsa ntchito mafuta osokoneza bongo.

Atherosulinosis ndi encephalopathy: ubale ndi chiyani?

Mwachiwonekere, anthu omwe amachimwa nthawi zambiri amamatira pa mbale yokhala ndi miyendo ya nkhuku yonenepa kapena mbatata yokazidwa sadziwa kuti izi zingayambitse matenda a atherosranceotic encephalopathy komanso kusokonezeka kwa malingaliro. Koma zilidi.Popita nthawi, thupi limataya mphamvu yake yopuma ndikutenga mafuta, zomwe zimapangitsa kuti magazi azikhala ndi magazi ambiri. Zotsatira zake, cholesterol plaques amapanga pamakoma amitsempha yamagazi, ndipo amaphimba gawo limodzi la lumen ya mtima. Izi matenda amatchedwa atherosulinosis, chifukwa chomwe minyewa yaubongo imakhala ndi magazi osakwanira. Zotsatira zake, ubongo umakhalanso ndi vuto la kusowa kwa mpweya, womwe umapangidwanso kudzera mthupi.

Zojambula pachipatala

Atherosulinotic encephalopathy imatha kukhala ndi zizindikiro zofanana ndi mitundu ina yonse ya matendawa. Makamaka zikafika gawo loyambirira (loyamba), ndipo njira yothandizira matenda ikusintha. Nthawi zambiri, odwala amadandaula:

- Kuchulukitsa kutopa, kupweteka kwakanthawi ndi kufooka.

- Mutu, chizungulire.

- Kuyiwala, kusasamala. Nthawi zina odwala samawona zinthu zoonekeratu, zimagwera mwa anthu, amagwetsa pansi kapena kukankha zinthu zazikulu.

- Mavuto ogona mu mawonekedwe awo aliwonse.

- Kuchulukitsa kwa kuyipa, kusokonezeka kwa manjenje, kukhumudwa.

- Kutsekeka, mitundu yoyambirira ya manic syndrome.

Atherosulinotic encephalopathy ya digiri ya 2 imadziwika, choyambirira, mwakuvuta kwambiri kwa zizindikirozi, ndipo chachiwiri, zimayamba kudziwika ndi zizindikiro zoyambitsa matenda a atherosulinosis. Zizindikiro zake ndi monga:

- Kumva kulemera m'mutu.

- Nausea, foggy state.

- Kumverera kwa "goosebumps" ozizira pamanja ndi miyendo.

Nthawi zambiri, zizindikiro za dziko lisanafike la stroke zimadziwika: khungu lotuwa kapena loyera, kuthamanga kwa magazi, komanso kutulutsa mphamvu yamphamvu.

Zolemba zamankhwala

Chithandizo cha atherosulinotic encephalopathy imakhala ndi zinthu zochizira zomwe zimayambitsa. Izi zikutanthauza kuti ndikofunikira kutsatira zakudya zomwe sizimaphatikizapo kumwa zamafuta, komanso kumwa mankhwala. Pali njira zina zochiritsira, koma zonse zimasankhidwa ndi adokotala ndipo nthawi zonse kuyezetsa thupi kwathunthu.

Ndikofunikira kuzindikira kupezeka kwa matenda omwe ali paliponse, kuphatikiza anamnesis ndikupanga dongosolo la chithandizo poganizira machitidwe onse a wodwalayo.

Kuchipatala chathu mupeza akatswiri oyenerera omwe amasiyanitsidwa ndi maluso odziwa bwino zamankhwala. Chida chofufuzira chogwiritsidwa ntchito poyeserera mikhalidwe ya malo athu amatipangitsa kuti tilingalire zolondola zomwe zimatitsogolera.

Ngati ndi kotheka, timapereka malo ogona kwa odwala, timakhalanso ndi malo aulere m'nyumba yokhalamo yabwino momwe mungapezeko chithandizo chamankhwala apamwamba komanso kubwezeretsa thanzi.

Musati mudzikhumudwitse kukhala ndi moyo wabwinobwino, pimayesedwe nthawi yake ndikutsatira malangizo a akatswiri!

Encephalopathy discirculatory

Discirculatory encephalopathy ndi kuphatikiza kwa kusintha kwa pang'onopang'ono kwa minyewa yaubongo chifukwa cha zovuta zingapo za cerebrovascular.

Chithunzi cha chipatala cha encephalopathy discirculatory

Atherossteotic, hypertonic, osakanikirana (atherosulinosis ndi ochepa hypertension), komanso venous encephalopathy, amadziwika.

Dyscirculatory atherosulinotic encephalopathy ndizofala kwambiri. Magawo atatu a encephalopathy amadziwika.

• Gawo I - lofotokozedwa mwanjira yabwino (kulipidwa). Amawonetsedwa ndi cerebrosthenic syndrome (kuiwala kukumbukira, kusakhazikika m'maganizo, kusakwiya, kupweteka mutu, chizungulire chosadziwika), dystonic autonomic-vascular reaction, mitundu yosiyanasiyana ya psychopathological syndromes: astheno-depression, asthenoipochondria, paranoia, othandizira.Zizindikiro zakukula zamitsempha zamitsempha sizimapezeka, koma kufatsa kwakanthawi, zovuta za paroxysmal ndizotheka. Mu gawo loyambirira la discirculatory encephalopathy, mawonekedwe a hyperdynamic omwe amapanga kukula kwa matenda a ubongo, omwe amawonetsedwa ndi disinhibition, excitability, kugona, kugontha, komanso kugona.
• Gawo II - lofotokozedwa (wophatikizidwa). Kusintha kwachilengedwe kumachulukanso, zizindikirazo zimangokhala zowonjezereka, komanso zimapitirira. Mutu umakhala pafupifupi, kumakhala phokoso losalekeza m'mutu, ma psychopathological syndromes amachepa, kutsekemera kumakhala hypodynamic (kufinya, kutopa, kulira, kugwiritsidwa mwala, kutsika chidwi, kukumbukira kukumbukira, kugona tulo). Kuchepa kwa mphamvu ya cerebrovascular kumabweretsa magawo ang'onoang'ono amitsempha yama ubongo, pomwe ophatikizana amtundu wa neurological amapangidwa. Nthawi zambiri, pseudobulbar, amiostatic syndromes, komanso mapiramidi osakwanira (dysarthria, dysphonia, reflexes of oral automatism, kusokonezeka kwa mkati mwa nkhope ndi lilime - kupatuka, kuyenda kwapang'onopang'ono, kugwedezeka kwamphamvu, kuwuma, kugunda kwa manja ndi mitu yambiri, kusunthika kwakukulu. manja, kuwonongeka kooneka mu mawonekedwe a zithunzi, kukomoka kwamakutu, kugwidwa kwa khunyu Jackson, anisoreflexia, pathological adapor Reflexes.
• Gawo lachitatu - lotchulidwa (lopangidwira). Amadziwika ndi kusintha kwakukuru kwa morphological mu minyewa yaubongo, mawonekedwe a perivascular lacunae, ma granular atrophy ya ubongo. Pa CG ndi MRI, madera ochepetsetsa a zinthu zoyera kuzungulira mbali zamitsempha zam'mimba komanso m'magawo a m'magazi ozungulira (leukoariosis) amatsimikiza.

Kuzama ndi kukulira kwa zizindikiro zomwe zilipo kale zimadziwika, zizindikiro zowonongeka m'dera lililonse la ubongo zimayamba kuchuluka: kusokonezeka kwa cerebellar, paresis, kusokonekera kwa mawu, mavuto a kukumbukira, kukula kwa mtima. Nthawi zambiri kuposa gawo lachiwiri, nthawi ndimadwala khunyu. Kusintha kwamalingaliro kambiri nthawi zambiri kumayambitsa kudwala kwamphamvu. Kuphatikiza pa kusintha kwamphamvu mu mitsempha, anthu ambiri amakhalanso ndi vuto. Muchigawo chino, ngozi yam'mimba kwambiri imatha.

Hypertensive dyscirculatory encephalopathy, mosiyana ndi atherosulinotic encephalopathy, imayamba ali aang'ono, imapitirira mwachangu, makamaka motsutsana ndi maziko a vuto la matenda oopsa, Zizindikiro zatsopano zimakonda kuchitika nthawi ya mavuto. Pakati pa kusintha kwa malingaliro, kudziwitsa, kukwiya, kusakhazikika pamaganizo.

Ophatikizira discirculatory encephalopathy. Amadziwika ndi kuphatikiza kwa atherosulinotic ndi hypertensive encephalopathy.

Venous encephalopathy ndi mtundu wapadera wa discirculatory encephalopathy ndipo imachitika mikhalidwe yomwe imayambitsa kusokonezeka kwakukulu kwa venous Outness kuchokera ku cranial patsekin (matenda oyamba a kutsata kwa kamvekedwe ka venous ndi ubongo wa venous dystonia, matenda a mtima; Kukumana kwamphamvu ndi edema yosakhazikika kumayamba mu ubongo. Matenda obwera chifukwa chodwala matenda oopsa obwera chifukwa cha matenda: kupweteka kwa mutu, kuwonda, kutsokomola, kusisita, kupindika, kusala chizungulire, kusokonekera, kusowa tulo, zizindikiro za kufalitsa kwa ubongo kumachitika pafupipafupi. kuchulukana mu fundus, zizindikiro za meningeal.

Kusiyanitsa mitundu ya encephalopathy discirculatory

Mu gawo loyambirira, dyscirculatory encephalopathy iyenera kusiyanitsidwa kuchokera ku neurosis (ntchito yofooka) ndi autonomic-vascular dystonia, pambuyo pake - kuchokera pakupanga kwa ubongo (chotupa, cyst), parkinsonism ya non-vascular source (postencephalitic, toxic, chotupa, matenda a Presinsal's) ndi maganizo a senile, magawo oyamba a matenda a Alzheimer's ndi Peak, khunyu. Mitundu ina yosiyanasiyana ya mtima wam'mimba yotupa (matenda a Binswanger) iyeneranso kusiyanitsidwa ndi matenda a Schiller's periaxial encephalitis.

Chithandizo cha dyscirculatory encephalopathy

Magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito:

- Hypolipidemic ndi hypocholesterolemic mankhwala (miskleron kapena clofibrate, polysponin, tribusponin, cetamiphene, essentiale, phytin, polyunsaturated fat acids, lipamide ndi methionine, etc.) akuwonetsa atherosranceotic encephalopathy.
- Mankhwala a antihypertensive (enap, clonidine, prestarium, atenolol, capoten, arifon, vincopan) amasonyezedwa kuthamanga kwa magazi.
- Mankhwala a Phlebotonic (eskusan, esflazide, Troxevasin, anavenol, aminophylline, redergin, iv cocarboxylase, glivenol, caffeine) akuwonetsedwa kuti adadzazidwa.
- Angioprotectors (parmidin, anginin, ethamylate - akuwonetsa kuthamanga kwa magazi, ascorutin, vazobral).
- Zosagwirizana (curantyl, aspirin mu Mlingo wocheperako, maulalo, sermion, anturan, ticlide) amagwiritsidwa ntchito pokonzanso miccirculation ndikuletsa micothrombosis.
- Mankhwala osokoneza bongo, kuphatikiza calcium antagonists (cavinton, vincamine, compliment, cinnarizine or stugeron, nifedipine, flunarizine, halidor, no-spa) - - kusintha magazi a m'magazi, kupewa angiospasm.
- Dihydrogenated ergot alkaloids (dihydroergotamine akuwonetsedwa kwa ochepa hypotension, dihydroergotoxin chifukwa cha kuthamanga kwa magazi) amakhala ndi vasoactive, nootropic, michereropotic.
- Nootropics (piracetam, encephabol kapena pyriditol, aminalon, picamilon, pantogam, cerebrolysin, glutamic acid, glycine, acefen).
- Mankhwala a metabolism ndi antioxidants (mavitamini B1, B6, ascorbic acid, retinol, aevit, lipoic acid, tocopherol, emoxipin, phosphaden, ATP, actovegin, lipostabil, pantothenic acid).
- Mankhwala a Sedative ndi ena a psychotropic (tranquilizer, antidepressants, antipsychotic - omwe ali ndi psychopathological syndromes).
- Mankhwala a Anticholinesterase (galantamine, stefaglabrin, sanguirytrin, amiridine) akuwonetsa kuti ali ndi vuto la mtima, eti? encephalopathy kuti muchepetse zovuta zama psycho-vegetative.
- Njira za physiotherapeutic zimagwiritsidwa ntchito (makina a galvanic molingana ndi Shcherbak, electrophoresis kupita kolala ya aminophylline ndi magnesium sulfate, electrophoresis malinga ndi Bourguignon wa noshpa, electros sleep, oxygenation, hyperbaric oxygenation, massage of the collar zone, etc.).

Home About Encephalopathy Classified Atherosulinotic encephalopathy: zimayambitsa, Zizindikiro, mankhwalawa

Atherosulinotic encephalopathy: zimayambitsa, Zizindikiro, mawonekedwe a chithandizo ndi matenda am'mimba

Encephalopathy amatanthauza matenda omwe amayamba chifukwa cha zochita za thupi. Atherosulinotic encephalopathy ndi dzina lalifupi la mawonekedwe, mawu oti "kulanga" akuyenera kuwonjezeredwa kwa iwo, chifukwa atherosclerosis yamitsempha yamagazi ndi njira yovuta ndipo nthawi yomweyo imayambitsa mwachindunji atherosclerotic encephalopathy.

Atherosulinosis ya mitsempha ya chithokomiro imayamba pazifukwa zingapo, koma chachikulu ndikuphwanya kagayidwe ka lipid.Mikhalidwe yofananayi imawonedwa mwa anthu onenepa kwambiri omwe ali ndi vuto la metabolic, komanso odwala okalamba omwe metabolism imasokonezeka makamaka chifukwa chogaya chakudya cham'mimba, osati chifukwa cha kuperewera kwa zakudya komanso kugwiritsa ntchito mafuta osokoneza bongo.

Atherosulinosis ndi encephalopathy: ubale ndi chiyani?

Mwachiwonekere, anthu omwe amachimwa nthawi zambiri amamatira pa mbale yokhala ndi miyendo ya nkhuku yonenepa kapena mbatata yokazidwa sadziwa kuti izi zingayambitse matenda a atherosranceotic encephalopathy komanso kusokonezeka kwa malingaliro. Koma zilidi. Popita nthawi, thupi limataya mphamvu yake yopuma ndikutenga mafuta, zomwe zimapangitsa kuti magazi azikhala ndi magazi ambiri. Zotsatira zake, cholesterol plaques amapanga pamakoma amitsempha yamagazi, ndipo amaphimba gawo limodzi la lumen ya mtima. Izi matenda amatchedwa atherosulinosis, chifukwa chomwe minyewa yaubongo imakhala ndi magazi osakwanira. Zotsatira zake, ubongo umakhalanso ndi vuto la kusowa kwa mpweya, womwe umapangidwanso kudzera mthupi.

Zojambula pachipatala

Atherosulinotic encephalopathy imatha kukhala ndi zizindikiro zofanana ndi mitundu ina yonse ya matendawa. Makamaka zikafika gawo loyambirira (loyamba), ndipo njira yothandizira matenda ikusintha. Nthawi zambiri, odwala amadandaula:

- Kuchulukitsa kutopa, kupweteka kwakanthawi ndi kufooka.

- Mutu, chizungulire.

- Kuyiwala, kusasamala. Nthawi zina odwala samawona zinthu zoonekeratu, zimagwera mwa anthu, amagwetsa pansi kapena kukankha zinthu zazikulu.

- Mavuto ogona mu mawonekedwe awo aliwonse.

- Kuchulukitsa kwa kuyipa, kusokonezeka kwa manjenje, kukhumudwa.

- Kutsekeka, mitundu yoyambirira ya manic syndrome.

Atherosulinotic encephalopathy ya digiri ya 2 imadziwika, choyambirira, mwakuvuta kwambiri kwa zizindikirozi, ndipo chachiwiri, zimayamba kudziwika ndi zizindikiro zoyambitsa matenda a atherosulinosis. Zizindikiro zake ndi monga:

- Kumva kulemera m'mutu.

- Nausea, foggy state.

- Kumverera kwa "goosebumps" ozizira pamanja ndi miyendo.

Nthawi zambiri, zizindikiro za dziko lisanafike la stroke zimadziwika: khungu lotuwa kapena loyera, kuthamanga kwa magazi, komanso kutulutsa mphamvu yamphamvu.

Zolemba zamankhwala

Chithandizo cha atherosulinotic encephalopathy imakhala ndi zinthu zochizira zomwe zimayambitsa. Izi zikutanthauza kuti ndikofunikira kutsatira zakudya zomwe sizimaphatikizapo kumwa zamafuta, komanso kumwa mankhwala. Pali njira zina zochiritsira, koma zonse zimasankhidwa ndi adokotala ndipo nthawi zonse kuyezetsa thupi kwathunthu.

Ndikofunikira kuzindikira kupezeka kwa matenda omwe ali paliponse, kuphatikiza anamnesis ndikupanga dongosolo la chithandizo poganizira machitidwe onse a wodwalayo.

Kuchipatala chathu mupeza akatswiri oyenerera omwe amasiyanitsidwa ndi maluso odziwa bwino zamankhwala. Chida chofufuzira chogwiritsidwa ntchito poyeserera mikhalidwe ya malo athu amatipangitsa kuti tilingalire zolondola zomwe zimatitsogolera.

Ngati ndi kotheka, timapereka malo ogona kwa odwala, timakhalanso ndi malo aulere m'nyumba yokhalamo yabwino momwe mungapezeko chithandizo chamankhwala apamwamba komanso kubwezeretsa thanzi.

Musati mudzikhumudwitse kukhala ndi moyo wabwinobwino, pimayesedwe nthawi yake ndikutsatira malangizo a akatswiri!

Encephalopathy discirculatory

Encephalopathy discirculatory - pang'onopang'ono kusintha kwa organic mu minofu ya ubongo komwe kumapangidwa motsutsana ndi maziko a matenda osiyanasiyana a mtima - atherosulinosis, matenda oopsa, etc.Malinga ndi etiological factor, atherosulinotic, hypertonic ndi mitundu ina ya encephalopathy imasiyanitsidwa.
Discirculatory encephalopathy, yomwe imachitika m'magulu osiyanasiyana, imakhala yofanana pakumawonetsera kawiri kawiri ndipo, komabe, zina mwazinthu zake zimadalira etiological.

Zowonetsera zamankhwala a dyscirculatory encephalopathy

Zizindikiro zoyambirira za atherosclerotic discirculatory encephalopathy zimawonedwa mwa anthu azaka za 50-60, nthawi zina azaka za 45. Nthawi yoyamba ya matendawa (gawo I) imadziwika ndi pseudo-neurasthenic syndrome: kusakhazikika mu mtima, kusokonezeka, kusokonezeka kwa kukumbukira, kupweteka kwa mutu, chizungulire, kusowa kwa tulo, tinnitus, etc. Kuchulukanso kwamitsempha yamagazi. Zizindikiro za kuwonongeka kwa ma organic mu gawo lino nthawi zambiri sizipezeka. Pa fundus - kuchepa kwa mitsempha ya retina. Kuchita kwa odwala kumachepetsedwa nthawi ndi nthawi, chithandizo ndi njira zothandizira zimatha kubwezeretsanso ndalama zonse.
Ndi vuto losavomerezeka la matendawa, makamaka ngati zinthu zakunja zimagwira, zizindikiro zamatenda zimakula ndikugwirizana ndi gawo II discirculatory encephalopathy. Kutopa, kupweteka mutu, chizungulire, kusokonezeka kwa kugona kumakhalapo, nthawi zambiri kumachitika. Kusavutika kwamalingaliro kumakulirakulira. Kufufuza kwamitsempha kumawunikira zizindikiro zosakhazikika: asymmetry of cranial innervation, tendon reflexes, minofu kamvekedwe, zizindikiro zakuzizira za piramidi, mawonekedwe a subcortical Reflex. Typical autonomic vasility lability, kusakhazikika kwa ischemic kumachitika kawirikawiri, pambuyo pake organic / symptomatology imakulirakulira. Kusintha kwamalingaliro kumawonedwa nthawi zambiri: wodwala amakhala ndi kukayikira, chizolowezi cha kukhumudwa, kudzikonda, kukumbukira kumakulirakulira, makamaka chifukwa cha zochitika zaposachedwa, zochita, zoyambira, ndi kuchepa kwa magwiridwe antchito. Zosintha
pa fundus ikakula, amayamba chifukwa cha atherosulinotic kapena hypertensive angiosulinosis. Kuchita kwa odwala kumachepetsedwa.
Ndi gawo la III dyscirculatory encephalopathy, kukumbukira ndi kusasamala kumapita patsogolo, machitidwe osiyanasiyana amachepa komanso kuchepa kwa malingaliro kumayamba. Njira yamatendawa imakulirakulira chifukwa cha zovuta komanso mikwingwirima ya ubongo. Munthawi yamitsempha, panthawiyi, zikuwoneka zodziwikiratu: kuperewera kwa malo amkati, kuperewera kwa malekezero, kusokonekera kwamphamvu, kupweteka, kusokonezeka, kusokonezeka kwa mitsempha. Nthawi zambiri pali pseudobulbar syndrome, dysphgia, dysargria, dysphagia, kuphatikiza ndi chizindikiro cha automatism mkamwa, kuchuluka kwa pharyngeal ndi mandibular Reflex, kulira mwankhanza ndi kuseka. Kuwonongeka kwa subcortical node, amiostatic syndrome imachitika. Kusintha kwakukuru kumaonekera pang'onopang'ono pa siteji iyi: atherosulinosis - retinal vascular sclerosis, nthawi zina chizindikiro cha waya wamkuwa ndi siliva, ndi matenda oopsa - hypertensive angiosselosis ndi retinopathy ndi zochitika za arteriovenous molumikizana (Salus-Hunn I, II, III), chochitika cha Guist . nthawi zina zotupa.

Zizindikiro

Ngati tirikunena za gawo lachiwiri la matendawa, ndiye kuti zimakhala zosavuta kuti munthu azindikire.

Nthawi zambiri, zizindikiro zimatha kuwerengedwa m'chifaniziro cha nkhope ya munthu, kuwulula mawonekedwe ake omwe amayamba chifukwa cha kupuwala kwa minofu pang'ono.

Nthawi zambiri, mawonekedwe a chilengedwe a munthu amwalira, ndipo amabwezedwa m'malo ndi amisala, mwachitsanzo, Photophobia kapena kupindika kwa miyendo.Ndi kukula kwambiri kwa gawo lachiwiri la discepulopathy, miyendo imatha kupuwala kapena ziwalo kwathunthu.

Ndi matenda okhala ndi zovuta zovuta, kuchotsedwa kumatha kuchitika, kodziwika ndi kubwezeretsa kwa kuyenda - ichi ndi chomwe chimapangitsa kuphatikiza kwapadera kwakachitidwe komwe kumachitika m'matumbo amunthu.

Kulemala kungayambike chifukwa cha kuwukira kwa ischemic, komwe kumadziwika ndi kuchepa kwakanthawi, kuchepa kwa mgwirizano kwa maola angapo, chisokonezo kapena kusazindikira. Ngakhale kuti kuukira kumeneku kumakhala kwakanthawi, ndiye kuti, kukubwera, nthawi zambiri zizindikiro zomwe zimachitika zimatha kubweretsa gawo limodzi la ubongo.

Kuunika kwa fundus ndikofunikira kwambiri, komwe kumakupatsani mwayi kuti muwone kuchuluka kwa mitsempha ya encephalopathy komanso kuchepa kwa mitsempha imodzi.

Kuti apereke mankhwala, madokotala amatumiza odwala omwe akuwaganizira kuti amadzawerengera. Njira yayikulu yodziwira matendawa ndi ya compact tomography (CT), yomwe imawonetsa bwino madera asinthidwe am'thupi mwa thupi loyera la ubongo. Izi zolimba ndi minyewa yochepetsedwa mu gawo lachiwiri nthawi zambiri zimayikidwa m'magulu pafupi ndi ventricle ndi mizere yayikulu.

Njira inanso yopezera zizindikiro za discirculatory encephalopathy kudzera mu kafukufuku wina wotchedwa rheoencephalography. Zotsatira zake, kusintha kwa ma pathological komwe kumabwereza chithunzi cha atherosclerosis ndi matenda oopsa kwachidziwikire.

Mankhwala amathanso kuikidwa pambuyo powerengera magazi kwambiri. Ndi discepulopia encephalopathy, makulidwe amapezeka, kuphatikiza (mawonekedwe a ma cell) am'magazi ofiira a m'magazi ndi ma cell amawonedwa. Malinga ndi zotsatira za kafukufuku wamitundu mitundu, mutha kuwona kuchepa kwa kuchuluka kwa milomo yapamwamba kwambiri komanso kuchuluka kwa zinthu zamagetsi otsika kwambiri komanso otsika kwambiri.

Ngati dokotalayo akuwona zizindikiro zonse za discirculatory encephalopathy, ayenera kuchitapo kanthu mwachangu kuti wodwalayo asakhale wolumala.

Zizindikiro za matenda

Zizindikiro za discirculatory encephalopathy mwina sizingakhale zodziwikiratu. Pafupifupi theka la anthu, kuvulaza kwakanthawi kumachitika pokhapokha ndikukula kwachiwiri.

Zikatero, matendawa amathanso kukhala olakwika chifukwa chotopa, monga momwe akunenera:

• mutu
• phokoso m'mutu
• kusowa tulo
• chizungulire chachikulu
• kusakhazikika
• mikhalidwe yovuta.

Komabe, chizindikiro chake ndi kuchepa kwa kukumbukira kosakhala kwatsatanetsatane. Mosiyana ndi sclerosis wamba, munthu amasunga chidziwitso chonse cha akatswiri ndipo amatha kugwira ntchito yake popanda vuto laling'ono, koma amamwazika modabwitsa m'moyo watsiku ndi tsiku.

Njira zothandizira thupi

Zakhala zikunenedwa pamwambapa kuti kuchiritsa kwathunthu kwamunthu mu boma lino ndizosatheka. Komabe, chithandizo chimatha kuyimitsa njira zosasinthika ndikukula nthawi yokhazikika kwa miyezi ndi zaka. Sizigwira ntchito ndi wowerengeka azitsamba, chifukwa ndikofunikira kwambiri kuthetsa matenda oopsa. Njira zamankhwala zimayenera kusankha dokotala yemwe adzakupatseni mankhwala kuti azilamulira kuthamanga kwa magazi, ma block a adrenergic ndi ma diuretics.

Wodwala yemwe ali ndi discepulopathy ya discirculatory amaletsedwa kumwa mowa, kusuta, kusewera masewera ndikuwonetsa masewera olimbitsa thupi kuti apewe kuwonongeka kwa ischemic.

Kuti awongolere magazi a lipid, pamafunika mankhwala angapo omwe amawongolera kupanga ma enzymes ndi bile acid. Nthawi zambiri, madokotala amatiuza ma cell a discepulopathy, omwe amathandizanso kusintha kagayidwe kazinthu. Ngati pali chiopsezo cha stenosis (kutseka) kwamitsempha yamagazi, opaleshoni imasonyezedwa.

Tisaiwale za kuchuluka kwa magazi kupita ku ubongo. Pano, wowerengeka azitsamba sangathenso kuthandizidwa, popeza kuchuluka kwa mankhwalawa kuyenera kuyang'aniridwa ndi katswiri wodziwa bwino. Mkhalidwe monga discirculatory encephalopathy umathetsedwa mothandizidwa ndi antihypoxants - nthawi zambiri glutamic acid amachita ngati mankhwala.

Ndikofunikira kwambiri kuyambitsa chithandizo ndi nootropics munthawi yake - mankhwalawa amatha kuchedwetsa kuyambika kwa malingaliro am'maganizo ndi kuiwalika.

Komabe, kulumala ndi zotsatira zosalephera za discirculatory encephalopathy. Monga lamulo, magawo awiri oyamba amakhala zaka 5 osachiritsika kapena zaka 10-15 pamaso pothandizidwa ndi akatswiri. Gawo lachitatu nthawi zonse limatenga pafupifupi zaka 4-5, chifukwa chithandizo chimangochepetsa kuwonongeka kwa zizindikiro. Zotsirizira zake ndi dementia yathunthu, ndikutsatiridwa ndi zotsatira zoyipa zomwe zimachitika chifukwa cha kuwonongeka kwa mbali zofunika mu ubongo wa munthu.

Pa gawo lachiwiri la discirculatory encephalopathy, odwala amaletsedwa kugwira ntchito molimbika, komanso kuchita njira zomwe zimafuna mgwirizano wabwino ndikupanga chisankho mwachangu. Kuphatikiza apo, siziyenera kugwira opareshoni yayikulu kapena mwapamwamba kwambiri. Kwa odwala, njira yapadera yogwiritsira ntchito imaperekedwa ndi kupumula aliyense pakapita mphindi 30 mpaka 40, zomwe zimalepheretsa kulumikizana. Pa gawo lachitatu la matendawa, munthu amapatsidwa gulu la olumala, popeza amakhala olumala kwathunthu.

Mawonetsero oyambira

Khalidwe ndi pang'onopang'ono komanso pang'ono pang'onopang'ono discirculatory encephalopathy. Mu gawo loyambirira la Dep, zovuta zam'maganizo zimatha kubwera patsogolo. Pafupifupi 65% ya odwala omwe ali ndi discirculatory encephalopathy, ndiko kukhumudwa. Mbali yodziwitsa za kupsinjika kwa mitsempha ndikuti odwala samangokhalira kudandaula za kupsinjika ndi kukhumudwa. Nthawi zambiri, ngati odwala omwe ali ndi hypochondriac neurosis, odwala omwe ali ndi BUS amakhala okhazikika pazinthu zina zosasangalatsa. Discirculatory encephalopathy muzochitika zotere zimachitika ndi zodandaula za kupweteka kwa msana, arthralgia, kupweteka mutu, kulira kapena phokoso m'mutu, kupweteka kwa ziwalo zosiyanasiyana komanso mawonekedwe ena omwe samakwanira kwambiri kuchipatala cha matenda a wodwala omwe amapezeka. Mosiyana ndi kukhumudwa kwa mitsempha, kukhumudwa ndi discepulopathy ya discrulopathy kumachitika motsutsana ndi maziko azinthu zovuta kapena popanda chifukwa konse, ndizovuta kuchitira mankhwala ndi antidepressants ndi psychotherapy.

Mbali yoyamba ya dyscirculatory encephalopathy imatha kufotokozedwa pogwira ntchito mwamphamvu: kukwiya, kusinthasintha modzidzimutsa, milandu yolira mosavutikira chifukwa chaphokoso, kuwukira kwaukali kwa ena. Mawonetseredwe ofanana, komanso madandaulo a wodwalayo kutopa, kusokonezeka kwa kugona, kusokonezeka kwa mutu, zosokoneza, koyamba discirculatory encephalopathy ndi ofanana ndi neurasthenia. Komabe, pa discirculatory encephalopathy, kuphatikiza kwa zizindikiro izi ndi zizindikiro za kusokonezeka kwa chizindikiritso kumachitika.

Mu 90% ya milandu, kuwonongeka kwawonetsero kumawonetsedwa koyambirira kwa chitukuko cha discirculatory encephalopathy. Izi zimaphatikizapo: kusokonezeka kwamaganizidwe, kusokonezeka kukumbukira, kuvuta kukonzekera kapena kukonzekera zochitika zilizonse, kuchepetsa liwiro la kuganiza, kutopa pambuyo pamavuto amisala. Mtundu wa DEP ndikuphwanya kapangidwe kazomwe zalandira ndikusunga kukumbukira zochitika za moyo.

Mavuto osuntha omwe amayenda ndi gawo loyambirira la discirculatory encephalopathy amaphatikizanso madandaulo a chizungulire komanso kusakhazikika poyenda.Kusanza ndi kusanza kumatha kuchitika, koma mosiyana ndi vestibular ataxia, iwo, monga chizungulire, amawonekera pokhapokha pakuyenda.

Zizindikiro za DEP II-III gawo

Gawo II-III dyscirculatory encephalopathy imadziwika ndi kuwonjezeka kwa kuzindikira komanso kuwonongeka kwa galimoto. Kuwonongeka kwakumbuyo kokulirapo, kusazindikira chidwi, kuchepa nzeru, zovuta zomwe zidalembedwa, ngati kuli kotheka, kugwira ntchito yam'maganizo yoyambirira, zimadziwika. Nthawi yomweyo, odwala omwe ali ndi BUS okha sangathe kuwunika bwino momwe aliri, kuwonerera momwe amagwirira ntchito komanso luso lawo lanzeru. Popita nthawi, odwala omwe ali ndi discirculatory encephalopathy amalephera kupanga mitundu yambiri ndikuyamba kupanga pulogalamu, akuyamba kuyenda molakwika munthawi ndi malo. Mu gawo lachitatu la discirculatory encephalopathy, adatanthauzira zosokoneza pamaganizidwe ndi praxis, kusokonekera kwa umunthu ndi machitidwe zimadziwika. Dementia ikukula. Odwala amalephera kugwira ntchito, ndipo akaphwanya kwambiri amalephera luso lawo lodzisamalira.

Pa zovuta zam'magawo amtundu, dyscirculatory encephalopathy ya magawo amtsogolo nthawi zambiri imakhala limodzi ndi chidwi. Pali kutaya chidwi ndi zomwe anachita m'mbuyomu, kusowa kwa chilimbikitso pa ntchito iliyonse. Ndi gawo la III dyscirculatory encephalopathy, odwala atha kuchita zina zosabereka, ndipo nthawi zambiri samachita chilichonse. Sadzikondera okha ndipo zomwe zikuchitika zikuwazungulira.

Kusuntha kosagwirizana ndi gawo 1 la discepulopathy ya m'mimba, kenako kuonekera kwa ena. Kuyenda pang'onopang'ono ndi masitepe ang'onoang'ono, limodzi ndi kugwedezeka chifukwa choti wodwalayo akulephera kuthyola phazi pansi, ndizofanana kwa DEP. Kuvina kotereku komwe kumapangitsa kuti munthu azingokhala wosachedwa kuwonongeka kumatchedwa "gait of skier". Ndizodziwika kuti mukamayenda, zimakhala zovuta kuti wodwala yemwe ali ndi BUS ayambe kusunthira patsogolo komanso zovuta kusiya. Zowonetsera izi, monga gait wodwala wokhala ndi DEP, ali ndi kufanana kwakukulu ndi chipatala cha matenda a Parkinson, koma mosiyana ndi izi siziphatikizidwa ndi zovuta zamagalimoto m'manja. Pachifukwa ichi, chiwonetsero chazachipatala cha discirculatory encephalopathy chofanana ndi Parkinsonism amachitidwa ndi madotolo kuti "m'munsi parkinsonism" kapena "mtima parkinsonism".

Mu gawo III la DEP, zizindikiro za kutsekemera kwa pakamwa, kusokonezeka kwa mawu kwambiri, kunjenjemera, paresis, pseudobulbar syndrome, ndi kwamikodzo amkati zimawonedwa. Kuwoneka kwa khunyu khunyu ndikotheka. Nthawi zambiri, gawo II-III discirculatory encephalopathy limatsatiridwa ndi kugwa poyenda, makamaka poyimitsa kapena kutembenuka. Kugwa kotereku kumatha kudzetsa manja ndi miyendo, makamaka ndikuphatikizana kwa DEP ndi mafupa.

ENT chithandizo

Chothandiza kwambiri pokana ndi discirculatory encephalopathy ndi chithandizo chokwanira cha etiopathogenetic. Iyenera kukhala ndi cholinga chobwezera matenda omwe alipo a causative, kukonza ma microcirculation ndi ubongo wamagazi, komanso kuteteza maselo amitsempha ku hypoxia ndi ischemia.

Etiotropic mankhwala a dyscirculatory encephalopathy atha kuphatikizira kusankha kwa antihypertensive ndi hypoglycemic othandizira, chakudya chothandizira, etc. Ngati dyscirculatory encephalopathy imayamba motsutsana ndi maziko am'magazi a cholesterol ambiri omwe samachepa pakudya, ndiye kuti mafuta amthupi a cholesterol (kutsitsika kwa ndende) .

Maziko a chithandizo cha pathogenetic cha dyscirculatory encephalopathy ndi mankhwala omwe amasintha ubongo wa hemodynamics ndipo samatsogolera ku zotsatira za "kuba".Izi zimaphatikizapo calcium channel blockers (nifedipine, flunarizine, nimodipine), phosphodiesterase inhibitors (pentoxifylline, ginkgo biloba), a2-adrenergic antagonists (pyribedil, nicergoline). Popeza dyscirculatory encephalopathy nthawi zambiri imayendera limodzi ndi kuwonjezereka kwa kupatsidwa zinthu za m'magazi, odwala omwe ali ndi BUS amalangizidwa kuti azitenga ma antiplatelet othandizira amoyo: acetylsalicylic acid kapena ticlopidine, ndi dipyridamole ngati pali zotsutsana nawo (zilonda zam'mimba, magazi am'mimba, etc.).

Gawo lofunika la mankhwalawa la discirculatory encephalopathy ndi mankhwala omwe ali ndi vuto la neuroprotective, lomwe limapangitsa kuti ma neurons azigwira ntchito mu zochitika za matenda a hypoxia. Mwa mankhwalawa, odwala omwe ali ndi dyscirculatory encephalopathy amalembedwa pyrrolidone derivatives (piracetam, etc.), GABA derivatives (N-nicotinoyl-gamma-aminobutyric acid, gamma-aminobutyric acid, aminophenylbutyric acid), mankhwala a nyama (hemodialysate kuchokera ku magazi amhuru zamkaka, hemodialysate , cortexin), michere yolimbitsa thupi ya nembanemba (choline alfoscerate), cofactors ndi mavitamini.

Milandu yomwe dyscirculatory encephalopathy imayamba chifukwa cha kufupika kwa lumen ya mkati mwa carotid artery, mpaka 70%, ndipo amadziwika ndi kupita patsogolo msanga, zochitika za PNMK kapena stroko yaying'ono, chithandizo cha opaleshoni ya DEP chikusonyezedwa. Ndi stenosis, opareshoni imakhala mu carotid endarterectomy, yokhala ndi kuphatikizira kwathunthu, pakupanga kwapadera kwa intracranial anastomosis. Ngati dyscirculatory encephalopathy imayamba chifukwa cha kuperewera kwa mtsempha wamagazi, ndiye kuti kumangidwanso kumachitika.