Chii chinonzi chirwere cheBP encephalopathy? Zvinokonzera, zviratidzo, kurapwa

Cerebral ischemia, sitiroko, hosha yomwoyo, uye encephalopathy vanoonekwa kwazvo zvirwere. kazhinji zvinouraya. Pakati guru nhamba kwouropi pathologies vakakodzera vainyatsotarisirwa encephalopathy. Iri boka guru zvirwere. Vari ne chinopedza zvachinja uropi uye kungaita kuti kutyorwa mabasa ayo. The etiology zvirwere zvakasiyana-siyana, uye sokuora mufananidzo. Chimwe chezvinhu zvakafanana siyana ndiyo vane chirwere cheBP encephalopathy. Zviratidzo uye Mabatirwo zvokurwara ichakurukurwa munyaya ino.

Zvakachinja uropi pamusoro yaitwa neBP

Kunyange mumwe-nguva kuwedzera BP inokanganisa pamusoro mamiriro ari huta tishu. In pathological maitiro zvishoma nezvishoma tichiita zvose midziyo diki, asi vakawanda zvakasimba sei chipfuro nhengo. Izvi zvinosanganisira netsvo, mwoyo uye uropi.

Panguva mwero kuwedzera BP zvaanopa simba rwokudzivirira mashandiro vasoconstriction, izvo kunotadzisa kubva nokuputsa. Kana yakadzikama neBP tsandanyama rukoko zvishoma nezvishoma richikora ari arterial masvingo, hypertrophy. vascular lumen kuderedza, zvichitungamirira zvachose okisijeni kushayiwa mumuviri. Anovandudza vane chirwere cheBP ischemic chimiro, rinonziwo kweropa encephalopathy.

The kufambira uye kutaurwa kuwedzera BP vanotsamwisa kukuvara pezviri vascular mumuhara. spasm simba arterioles ne rutivi rwomuviri. Panguva imwe chete kungogara Munotatamura kwemasvingo zviduku tsinga. Ichi chirwere anonzi vane chirwere cheBP encephalopathy. It kunoratidzwa zvishoma nezvishoma. Naizvozvo, kana nenguva chiziviso zviratidzo uye kutsvaka zano zvokurapa, unogona kudzivisa nemigumisiro yakaipa.

Vane chirwere cheBP encephalopathy - chii?

Chinhu mamiriro pathological kuti anova munyama uropi somugumisiro anosimbirira dzisingadzorwi kuwedzera BP. Chii parameters vanoonekwa kuti kanganisika? NeBP anoonekwa dzichiwedzera systolic BP pamusoro 140 mm HG. Art uye diastolic -. 90 mm HG. Art. Muna 1928, masayendisiti uye Fishberg Oppenheimer kurondedzera zviratidzo uye pathogenesis zvirwere zvakadai vane chirwere cheBP encephalopathy (bumbiro ICD-10 - I-67.4).

zvokurwara Zvinokonzera

Kuti tinzwisise etiology kwechirwere chacho, zvakakodzera kunzwisisa mashandiro ayo kukura. Mumwe matambudziko anoitika cheBP ane chirwere cheBP encephalopathy. Maererano ICD-10, chirwere nechokuita pathologies ari kweropa hurongwa. All zvikonzero unopinza akasvetuka BP zvinogona rakakamurwa vachiberekwa uye vawana. Vanachiremba vanoti ngozi neBP yakawedzera kanoverengeka, kana pedyo nehama murwere chirwere ichi. Zvisinei, nhaka chimiro maperembudzi chirwere ainyanya pakati vechidiki. Pakukwegura, chikuru basa kukura neBP iri reDare zvinhu chokuita nomunhu mararamiro. Izvi zvinosanganisira zvinotevera:

• muropa;
• mukuru remafuta akawandisa;
• kudhaka;
• zvinodhaka ovhadhozi;
• zvimwe zvirwere.

Zvinofanira kucherechedzwa kuti kuramba pressurizing kazhinji zvinobatsira kuti chirwere. midziyo uropi zvishoma nezvishoma kujairana mamiriro ichi. Sudden kumanikidzwa nhongonya vanonzi zvikuru ngozi. Ivo kungamutsawo vasospasm uye ischemia.

zvekuchipatara kuratidzwa

Kusiyanisa mhando mbiri kosi chirwere. Chenjera chirwere cheBP encephalopathy kunoratidzwa reversible zvirwere. Vanoenda pashure zvakazorodza pakazvimba uye kudzorerwa ropa kuyerera. Chirwere encephalopathy pakutanga munyoro uye vari chete dzakaonekwa panguva kuongorora zvokurapa. Kuchiita chirwere achiperekedzwa injini, kutsinga dzinouya uye urema zvishande. More chokuita weboka chirwere mumwe musimboti inorondedzerwa pazasi.

The chenjera chimiro chirwere

Chenjera chirwere cheBP encephalopathy hwapedyo munguva kuitika dambudziko, uye BP prices anogona siyana. Varwere noruzivo kuwedzera kumanikidza anoonekwa kuti kutsoropodza kusvikira pachiyero 180-190 mm HG. Art. In vanhu pachena kuti hypotension, kuchikumbaridzo iyi zvishoma kudzika pana 140/90 mm HG. Art.

Pakati huru zviratidzo chakasimba siyana hosha ndedzinotevera:

• anotemwa nemusoro vemunyika muna occipital chikamu;
• kuda kurutsa, kurutsa;
• vafirwa wokuratidzwa;
• pfari;
• unexpressed peripheral paresis;
• apo vakashamiswa.

Paunoona Zviratidzo izvi vanofanira kutsvaka zvashata kurapwa.

The chirwere chimiro chirwere

Chirwere vane chirwere cheBP encephalopathy hwapedyo zvishoma nezvishoma. Danho rimwe nerimwe kunoratidzwa yakati kunotoda mufananidzo.

In wokutanga Danho rimwe pane zviratidzo chirwere chikuru kuti raigona kuvhiringidzwa kuratidzwa vamwe zvirwere. Somuenzaniso, kwazvo nomusoro mhosva mwoyo, kuedza kumisa achiita analgesics dzavo. Varwere uyewo chokunyunyuta pamusoro ndisipo kufunga, achirira munzeve, kusimba muviri wose. Zviratidzo kwakadaro kashoma teerera, kunyanya pakukwegura. Somugumisiro vane chirwere cheBP encephalopathy inofamba unotevera Danho okukura.

In chechipiri Danho zviratidzo kuramba chete, asi tiri yakawedzera uye huchawedzera raidudzwa. Vari vakabatana zviratidzo chokuita psycho-mupfungwa kufara munhu (nokusakendenga, lethargy, chinja kwemanzwiro). Vane chirwere cheBP encephalopathy 2 simba pamusoro mabasa evanhu. Akakurumidza aneta, kurasikirwa chido, kukwanisa kuronga mabasa avo. Dzimwe nguva zvinenge maitiro asina kutsarukana ndivo chikonzero zano chiremba wezvirwere zvepfungwa.

In pachikuva rechitatu huripo zvinetso chetsinga vari kuwedzerwa. Kana zvatichiri pfungwa maronda hazvigoni dziripowo pfari. In varwere vakwegura, vane chirwere cheBP encephalopathy kazhinji chinokurwadzai kukura Parkinson syndrome.

Medical ongororo

Chirwere chirwere rinoitwa inobva murwere zvichemo, nhoroondo data, mukuru zviratidzo. migumisiro yapfuura kuongorora vari kushandiswa. chirwere chinetso anogona vavete ndechokuti kuratidzwa encephalopathy zvakafanana nemamwe zvekuchipatara zvirwere. Ekupedzisira zvingasanganisira munhu rouropi, sitiroko. Saka, asati kugadzwa yokurapa murwere aifanira nhevedzano miedzo:

• ropa uye weti miedzo;
• MRI, CT scan uropi;
• echocardiography;
• electroencephalography.

Uyezve, ungafanira kubvunza kunze unyanzvi (cardiologist, internist, nephrologist, endocrinologist).

kurapwa Guidelines

The chenjera chimiro chirwere kunoda pakarepo muchipatara. The murwere akatsunga davi rimwe ndichibvunza kurapa, iyo nguva monitors parameters zvose zvinokosha.

Chii mishonga nachiremba nechirwere kuti "vane chirwere cheBP encephalopathy"? Treatment rinotanga chete rutapudzo kuti BP. Kuti aite izvi, kushandisa zvinotevera zvinodhaka:

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

"Diazoxide" ane mukuru kunyatsoshanda. Under nawo zviri equalized mukati maminitsi mashanu, uye kubata mushonga 6 kusvika 18 maawa. mushonga izvi hazvina chokuita murwere kuziva uye haakonzeri hope, iyo inokosha zvinobatsira. Zvisinei, kushandiswa kwayo anogona kutsamwisa pave dzepanguva tachycardia, saka zvinonzi contraindicated mu varwere ischemic mwoyo chirwere.

Ganglioplegic chinoshandiswawo normalize BP mune chirwere cheBP encephalopathy. Ichi boka zvinodhaka inosanganisira zvinotevera zvigadzirwa:

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

zvinodhaka izvi vanoonekwa ne nokukurumidza chiito, asi vane zvakawanda nemishonga. In pamuviri, avo unoshandiswa zvaisambobvumirwa, nekuti pane mukana nokupfupfudzika.

The chirwere chimiro chirwere, uyewo chenjera, ICD-10 ane I-67.4 romutemo. Vane chirwere cheBP encephalopathy chinhu mberi mhando iri kwokutanga matanho zviri zviratidzo zvakafanana, asi mishonga siyanei. Mugore chirwere chimiro chirwere pachiimbwa antihypertensive zvinodhaka ushandiswe metabolic vamiririri, mavhitaminzi, nootropics. Inonyanyoshandiswa kushandiswa "Trental" zvinodhaka aspirin, "Dipyridamole". Kana zvakakomba maitiro asina kutsarukana, kunyaradza uye antidepressant kushandiswa nzira. Nomazvo uye nenguva kurapa kunobatsira kuderedza mwero kunoita zvirwere zvakadai vane chirwere cheBP encephalopathy.

kana boka urema rakaiswa?

Uyu dzinongoitika mubvunzo unomuka Varwere vazhinji, hama, kana chiremba mufananidzo hosha inoitika zvizere simba. The vakawanda ezvinhu omurwere kuipa, kufambira mberi pathological muitiro pachena sezvo kumira munhu wekare zvinhu uye upenyu huzere. Disability encephalopathy zvichibvira, kunyanya kana dhigirii rechipiri uye rechitatu. Ari basa Mutongo yezvokurapa basa. Qualification murwere utano rinoitwa kwete chete maererano nenhoroondo yaro, asiwo migumisiro kuongororwa uye ongororo functionality.

matanho

Vane chirwere cheBP encephalopathy - kwakakomba chirwere chinobata basa rose muviri. Zvinokwanisika kutaura nechivimbo kuti hosha iri kuomesa kwakaita neBP tichisunga pasina yepamusoro kurapwa. Kuomerera mano nemitemo prophylaxis kudzivirira chiitiko chacho.

Danho rokutanga kudzora BP parameters. Kakawanda kwete kumanikidzwa ane matambudziko ano yevanhu dzinomuka nemhaka yemararamiro ake. Usava zvokudya, kugara mupfungwa, kushaya muviri, zvakaipa tsika - zvose izvi pakupedzisira kutungamirira chirwere. Naizvozvo makirasi noitika mitambo, kudya kwakakodzera uye mafungiro akanaka kuchatibatsira kuchengeta midziyo ropa utano kwenguva refu.