Chepfungwa microangiopathy - chii, zvinokonzera, kuongorora chirwere uye kurapwa

Angiopathy uropi chirwere vascular, izvo nezvikonzero zvakasiyana ndiwo matauriro avo, zvichiguma masero uropi kurega kuti yaipiwa neropa. Iyi haisi chaizvo zvokurwara, izvo zvingaita kuti ropa uye kunyange rufu. Mune zvimwe zviitiko tinogona kutaura zvirwere zvakadai chepfungwa microangiopathy. Chii? Muchiitiko ichi kwakakanganiswa duku capillaries. Funga chirwere ichi zvizere.

zvokurwara mamirire

Vakawanda vakanzwa uye vamwe kunyange atarisana nezvirwere zvakadai chepfungwa microangiopathy. Chii? Izvi pathological mutoo iyo kunokanganisa capillaries nemidziyo diki kuti anowana refu. In uropi, kufamba kweropa kwakakanganiswa. Sezvo nokuti kuipa ropa riyerere mukupindura okisijeni uye shuga, ari kuramba kushaya izvi zvinhu kunotungamirira nokuvhiringidzirwa duku ropa nhumbi uropi.

siyana microangiopathy

Izvi uropi zvokurwara zvinobva nokuvhiringidzirwa midziyo duku. Izvi zvinoratidzwa pakarepo, saka rokuongorora chirwere ichi zvikuru zvakaoma tanga.

Cerebral microangiopathy kunoitika kunyanya vanhu vakwegura. A boka chaiyo ngozi chirwere cheAlzheimer. In chirwere chakadaro tsinga masvingo anotanga kuunganidza amyloid (glycoprotein). Uyewo kucherechedza ndezvokuti zvokurwara ndiye havaratidzi chirwere uye kurapwa.

Lentikulostriarnaya microangiopathy kazhinji inobata vana uye hachisi chirwere, asi zvakakurumbira kweropa hurongwa. Panofanira kuva chichiitwa zvichiongororwa.

Chirwere cheshuga microangiopathy kunoitika nokuda kweropa nepfungwa muuropi kuti kunokonzera chirwere cheshuga.

Vane chirwere cheBP microangiopathy anokonzerwa nokuvhiringidzirwa ropa hurongwa anomuka nokuda neBP. Zvakakosha kudzora BP uye kudzivirira RINOFAMBIRA.

Zvinokonzera chirwere

Kugadzirwa microangiopathy kunoitika pamusoro zvimwe zvirwere. Izvi zvinogona kuva chirwere cheshuga, kenza, chiropa zvokurwara, hemolysis.

Pakati zvikonzero ndedzinotevera:

• Utachiona hweHIV (gwirikwiti, rubella);
• zvokurwara muve kukundwa ropa;
• chirwere cheshuga;
• neBP;
• kukwegura;
• nhaka chirwere anokonzera vascular matauriro;
• siyana zvinokuvadza;
• zvakakomba kudhaka;
• kushungurudzwa muropa.

Kakawanda, munhu zvokurwara kukura somugumisiro zvinotevera pezvakaitwa:

• Necrosis - rufu nyama uye masero.
• Hyalinosis - kuperevedza mapuroteni necheseri hyaline deposits.
• Yakawedzera vascular permeability. Somugumisiro, mashoko fibers uye STRUCTURAL zvinhu connective zvinyama vanosangana kusingarapiki kuchinja.
• Thrombosis, dzinoratidzwa paumbwe imwe ropa clot iri lumen ari mudziyo, zvichiguma ropa riyerere kwakakanganiswa.
• Dysfunction pamusoro vascular endothelium, iyo inotungamirira spasm yavo. Kana akadaro ezvinhu ipfupi zvigadzirwa antithrombin, prostacyclin, thromboxane wevasungwa inowedzerawo.

Mamirire zvinhu microangiopathy

Clinical zvinoratidza chirwere kuvimba yakananga nhengo uye zvinyama kukuvadza iyo kwakaitika pasi pokudzora zvimwe zvimwewo zvinoitika. Varwere kazhinji vanotsutsumwa kurwadziwa uye nokupisa manzwiro pamakumbo, ndokuramba chiratidzo, ropa kubva mudumbu uye mhuno, kukura kwakaita inoratidza claudication, ganda kuoma chemabhazi hemoptysis.

Saka, pane zvinotevera zvinhu microangiopathy:

• vakakanganisa kuvimbika midziyo diki;
• nekukudziridza renal kukundikana;
• dzaparadzwa masero matsvuku;
• nokushushikana kweropa kwacho;
• kuti ndingangokuvara panowanikwa kupwanywa.

zviratidzo

chepfungwa microangiopathy ane zvinotevera zviratidzo: murwere anotanga chokunyunyuta okuyeuka nyonganyonga, dzungu, simba uye pane causeless nomusoro. Vanoonekwa nokuti kuti muuropi capillaries kutyora kweropa. The zvichiguma kukuvara kumasvingo midziyo duku zvaanopa simba ari oxidative dzinotsanagura lipids, vakasununguka radicals vari kuumbwa izvo deleteriously kukanganisa masero uropi.

Sezvo chirwere mberi murwere anova inattentive uye hanganwa. Agozviratidza inoshamisa gait, kugumbuka convergence, mudzidzi dhayamita anova zvakasiyana, kuipa kuona basa. Uyezve, pane kakawanda nasal ropa uye dumbu kusagadzikana makumbo pa zororo, uye tsoka yakaoma peeling ganda, ropa clots iri weti.

Diagnostics

Kana paine fungidziro kwouropi zvokurwara, zvakakosha kuziva, apo muhomwe dziri microangiopathy uye chii mwero kuvadza mudziyo madziro. Kuti izvi zvidaro, zvinotevera chirwere nzira dzinoshandiswa:

• MRI uropi;
• zvenyukireya rinobva resonance;
• Doppler Ultrasound.

Kuti tiwane ruzivo rukuru sezvinobvira vachishandisa hwakanyatsorwisa ngozi nokuda muviri, kufanana muuropi MRI, izvo mutengo chinguva nokuruma. nzira iyi nechirwere ndiyo inonyanya kufarirwa. Kunoitawo kuziva zviratidzo chirwere akadai chepfungwa atrophy, leykoareoz, perivascular dzezvimwe nokuwedzera, nemaziso ropa, lacunar infarcts. MRI uropi, mutengo iyo kunoenderana uwandu kusiyana svikiro kushandiswa, anobvumira kuisa zvakarurama zvawanikwa. Kana murwere anoyera asingasviki 69 makirogiramu, nhamba 2,700 rubles, kubvira 70 kusvika 99 makirogiramu - 3200 rubles, kubva makirogiramu 100 uye mamwe - 4400 rubles.

rinobva resonance kuri nzira kunoita kuti kudzidza uropi pacharo uye vasculature. Muchiitiko chino, zviri pachena zvinoonekwa zviratidzo hypoplastic arteries. infarct nyore zvinoonekwa, izvo kuitika nokuda vascular occlusion, chepfungwa hypoperfusion, nemaziso kubuda ropa.

Doppler Ultrasound nzira kunoita kuziva zvarakasiya nemidziyo, blockage kana aienda.

mabatiro

Varwere havasi kuziva kana vari chirwere "chepfungwa microangiopathy", chii uye kana zvichibvira kurapa. Kazhinji chiremba rinogadza kunzwisisa kurapa.

Chokutanga, murwere unofanira kutora zvinodhaka kuti normalize BP. Kuti kubvisa kushaya okisijeni muuropi, tichishandisa antihypoxants, akadai sokuti "Emoksipin". Zvinokoshawo yokugadziridza lipid yomuropa vachishandisa statins, fibrates, bile asidhi sequestrants. Izvi zvingasanganisira zvinotevera zvinodhaka: ". Rosuvastatin" "Atorvastatin", "Simvastatin",

Uyewo, kana akaonekwa microangiopathy, kurapwa yaifanira nokushandiswa nootropics izvo kuvandudza pfungwa simba. Izvi "Piracetam," "Nootropil", "Tserebrozilin", "Encephabol." Kuti normalize kweropa nicotinic asidhi kugadzirira akashandisa "Pikammilon", "Ksantilona nicotinate."

mhedziso

Saka, takakurukura zvirwere zvakadai chepfungwa microangiopathy. Chii, imi ikozvino munoziva. Iyi haisi zvokurwara kuti inoda pakarepo kupindira. Nokukurumidza anowanikwa, apo vemunyika pfungwa chirwere uye rwakadini vascular maronda, ari nyore zvichava kurerutsa nemigumisiro chirwere ichi.