Kurohwa: Zviratidzo uye migumisiro. The chikuru Zviratidzo sitiroko uye microstroke

Chenjera Shamhu wamuka cerebral riparadzirwe, zvichiguma zvishomanana kana zvachose chinomisa ropa riyerere munzira chaiyo pfungwa dziri. ezvinhu akadaro kunoita kuti kukuvara rinenge kunoitika nokuda kurasikirwa kwavo functionality. Kana kwazvo hadzina kufambiswa zvakanaka mubasa uropi angava kusingarapiki migumisiro utano hwevanhu, zvichitungamirira kwete chete dzake urema, asi dzinogona inouraya.

Mashandiro chirwere

Zvichienderana kukura mashandiro uye zvinokonzera chirwere asiyanise ischemic uye Hemorrhagic zvokurova. Hemorrhagic sitiroko, zviratidzo izvo kukura nokukurumidza chinovapo somugumisiro uropi ropa. Long-izwi BP kunotungamirira pathogenic kuchinja ngarava masvingo, vanorasikirwa simba ravo uye elasticity, hazvichaiti zvakazara kushanda sechinhu rukoronga kuti kuramba kukunaya vhoriyamu ropa. Aneurysms sokuti mushure kwemasikati kunogona kuva chikonzero ropa. Pakarepo akazviratidza ropa rukova azara uropi, zvichikonzera edema, uye yakawedzera kuomesa pamusoro pavo. Masero kufa, vanorasikirwa functionality yavo.

A anonyanya uye vanenge 80% vose nyaya ischemic sitiroko. Zviratidzo zviratidzo wokutanga kunofanira kuonekwa mangwanani sezvinobvira. Development Mechanisation pamusoro ischemic sitiroko kwakatosiyana zvinokonzera Hemorrhagic. Ischemic Chirwere kunoitika pashure kumira ropa kuti vamwe pfungwa kumatunhu. ezvinhu akadaro anoita blockage pamusoro vascular thrombus kana atherosclerotic Dombo. Nokufamba kwenguva pamusoro pamasvingo midziyo womunhu muviri kuonekwa lipid deposits kuti anogona kuumba guru thickening, zvishomanana kana zvachose pindana muropa. Uyezve, kutungamirira vasoconstriction siyana anogumbura zvirwere, vachiberekwa abnormalities, zvimwe zvirwere chisingaperi zvakadai sechirwere cheshuga, vertebral kukuvara. Muviri womunhu ane simba compensatory hurongwa kuti unobvumira kuramba zvakajairika kweropa, kunyange panyaya kuparadzwa huru tsinga hunde. Panguva iyoyowo kutarisana multiple maronda midziyo ropa uye paumbwe vakawanda atherosclerotic plaques kweropa hurongwa asingagoni.

zvinokonzera njodzi

Kune vamwe ngozi zvinoita kuti vawedzere mukana zvose ischemic uye Hemorrhagic zvokurova. Idzi dzinosanganisira:

1. Atherosclerosis. Kunyanya ngozi ndiyo chirwere nekuda ari carotid uye vertebral arteries.
2. Older zera. C kurasikirwa functionality dzavo pamusoro nguva dzose nyama dzomuviri. Izvi zvinoshandawo nhumbi. Uyezve, pane avo masvingo kuunganidza zvikuru atherosclerotic lipid deposits, zvichiita kuti paumbwe plaques.
3. BP. Izvi ezvinhu zvinotungamirira pave zvose ischemic uye Hemorrhagic chimiro chirwere.
4. Diabetes mellitus. Pasi zvinoitwa chirwere ichi chirwere midziyo anoparadzwa uye handichisiri kuzadzikisa basa ravo nyama uye nhengo dzose nerubatsiro okisijeni uye zvinovaka muviri, ropa nezvipembenene.
5. Zvirwere zvomwoyo, zvichiguma kwakakanganiswa kunowanzoitika muitiro ropa kuparadzirwa munzvimbo dzakasiyana nhengo uye munyama.
6. Bad Miitiro akadai kusvuta uye kudhakwa.

The mhando uye nguva ischemic sitiroko

Ischemic Shamhu uropi, zviratidzo izvo dzimwe nguva kukura nokuda 3 days, zvinogona Classified maererano siyana zvinodiwa:

Sezvo nokufamba paumbwe chetsinga zviratidzo:

1. Zvinopfuura ischemic kurwisa - a chetsinga chirwere kuti rine muzinda hunhu. It haazombotaurwi masikati kubva kuratidzwa vokutanga. Nokudaro nyonganyonga zvinogona Somuenzaniso, upofu ziso rimwe.
2. Microinsult richimirira kutaridza refu-kuita ischemic kurwisa. Muchiitiko chino, chetsinga zvikanganiso kuitika munguva 2 kusvika 22 mazuva.
3. Progressive sitiroko. Zviratidzo zvokutanga zviratidzo kuonekwa kukura chetsinga zvirwere kwemazuva anoverengeka. Mushure vagumirwe dzose anoita ukama zvikamu uropi rukaporeswa apo neapo.

Inopera Kurohwa kunoratidzwa kuramba mukana wokuzvidzivirira kuuropi uye kuramba chetsinga zvirwere.

Maererano mwero kukuvara rinenge uye varwere Munokudzwa:

1. Kurohwa nyoro zvidiki zviratidzo uye zvachose akadzorera uropi.
2. Kurohwa mwero nekuomarara ane predominance pakati zvatichiri maronda ari uropi uye zvikuru chetsinga vanotaura. Kuziva pavarwere idzi kazhinji haana vasingadzoreki.
3. Zvakakomba Kurohwa chimiro kunoratidzwa vanotaura kuti pfungwa, kwazvo zviratidzo chetsinga dhefisiti, multi-functionality kuti uropi kurasikirwa.

Kuparadzaniswa nevamwe nguva chirwere. Mumwe nomumwe izvi nguva zvikamu anoenderana vamwe chirwere zviratidzo uye kurapwa nzira.

• The chenjera nguva anofukidza mazuva matatu pakatanga chirwere rokutanga;
• chenjera danho urwere kunotora inenge mwedzi - kusvikira mazuva 28;
• Panguva yokutanga kupora muupenyu murwere zvinotora inenge 6 mwedzi;
• Mukupera kupora mberi kwemakore anenge maviri;
• residual Migumisiro anogona vagovani munhu kwoupenyu pashure sitiroko.

Hemorrhagic Kurohwa: Zviratidzo

Hemorrhagic chirwere mhando, kusiyana ischemic, pakarepo kuoneka. Zviratidzo sitiroko uye microstroke kusimukira tichitsanya chaizvo uye hapana zvikuru nguva kudana amburenzi uye kuwana munhu upenyu hwakanaka. The chikuru unhu Hemorrhagic sitiroko dzinosanganisira:

• kusimba wamativi, kunyanya richiratidzwa kurutivi rumwe kwemuviri;
• murombo kunzwisisa kutaura, kutadza kutaura;
• pakarepo kwakaonekwa madzerere;
• ataxia, runobva kufamba Mbabvu;
• pakarepo kwakaonekwa simba uye asingafungi nomusoro.

Kazhinji murwere zvakaitika involuntary weti, kuda kurutsa uye kurutsa. Muscle hunenge kutyora kurutivi rwakatarisana kuti apo extravasation kwakaitika.

Zviratidzo ischemic sitiroko

Zviratidzo ischemic sitiroko kungawedzera zvishoma nezvishoma uye kwete pakarepo kuonekwa sezvo muchimiro Hemorrhagic chirwere. Zviratidzo sitiroko wokutanga kuvimba nzvimbo uropi, ropa riparadzirwe pazviri nyore. Vakawanda mhando ischemic chirwere kunoratidza kutaura zvirwere. All zviratidzo sitiroko uye zviduku ronda inogona kupatsanurwa muzvikwata:

1. Speech zvirwere. Man zvakaipa anoona kutaura yakanyorerwa kwaari, havagoni kutaura pfungwa dzavo. Emashoko Zvinoipisisa, kutaura murwere haanzwisisiki uye incoherent. Kazhinji kutaura zvirwere - Ndivo zviratidzo sitiroko vakadzi yokutanga.
2. Movement zvirwere. Movement murwere simba, Kufambisa vasingadzoreki. Symptomatology inobata kunyanya rumwe muviri. Pangava nezvinetso kumedza. ari aikanganiswa muviri akashatirwa kakawanda neruoko rumwe.
3. Vestibular zvirwere. Murwere anonyunyuta kuti majana zvinhu pamberi pemaziso, kurasikirwa spatial nemunhu.
4. Kutadza kuona zvakanaka. For ischemic Kurohwa kunoratidzwa kukwana kana kwakakwana kurasikirwa chiratidzo ziso rimwe, avhiringidzwa uye madzerere.
5. Unhu nyonganyonga. Murwere asingakwanisi kuita mazuva mabasa, iye chibharo kuyeuka uye maonero zviitiko.

Munguva ischemic Kurohwa kazhinji anooneka nemusoro, kuda kurutsa, kurutsa. Panogona kuva zvakakurumbira zviratidzo sitiroko uye mwoyo kurwisa - uso Flushing, disruptions kufema, nokukurumidza mwoyo urove.

Diagnostics

Kuchengetedza upenyu uye hutano hwehama anenge nesitiroko, anofanira nokukurumidza sezvinobvira kubatsira. Zvimwe ari uropi zvingaitika kusingarapiki kuchinja entailing zvakakomba chetsinga zvirwere. Naizvozvo zvakakosha chaizvo kuziva chii zviratidzo sitiroko uye kutsvaka rubatsiro. Kana paine mubvunzo, unogona kukumbira murwere kuita zviito shoma:

1. Kumbira munhu wacho kuti kunyemwerera. Itai kuti vaya nesitiroko, zvakaoma. Achinyemwerera vakawana nokushapira, muromo pamakona vari asymmetrical. Mumwe wavo achawisirwa pasi.
2. Bayirai munhu kurera vose maoko. Kana paine sitiroko, ruoko neinotevera vamwe kufanira.
3. Bvunza murwere kutaura nyore mutsara. Munhu achava zvakaoma kuita kudaro, kunyange pfungwa nhatu kana ina mashoko zvichabviswa akochonorwa.
4. Kana murwere vanotanga kubudisa mutauro, zvichava zvava rimwe divi, ndiye nokushapira.

All ichi - zviratidzo sitiroko uye zviduku sitiroko, izvo zvinogona vanofungidzirwa urwere, kunyange munhu asina chokuita nemishonga. Doctors wo chirwere kwakavakirwa kuvapo chetsinga zvirwere, abnormalities pamafambiro evanhu, kuti zvidzidzo zvakasiyana-siyana. The cores ndivo nemiedzo rwevanhu uye nokukanganisika ropa, BP nekuyera, kombiyuta uye rinobva kuri wouropi.

rwekutanga

mumunda neNeurosurgery nyanzvi dzinodavira kuti kudzoka murume anenge nesitiroko, chaiko upenyu sezvinobvira, kana rubatsiro kutanga kuva papera pane 3 maawa kubva pakatanga chirwere, kuti ndiyo nguva apo zviratidzo sitiroko uye zvishoma nesitiroko rokutanga. Mune zvimwe zviitiko, nguva ino chinowedzera maawa 6. Kana rubatsiro rava, zvingangoita kusingarapiki kuchinja uropi kuti zvingakanganisa kwete chete utano asi upenyu murwere. Naizvozvo, kukurumidza kutarisirwa yakapoteredza munhu ezvinhu sitiroko vanofanira kutanga rudano amburenzi. Zvadaro unogona kuisa murwere, ndokusimudza musoro wake zvishoma pamusoro pamutsago. It akavhura hwindo kupa kuwana mhepo yakachena. Zvakakodzera kwenyama mabhandi siyana uye mabhatani, kunotadzisa munhu kufema. Kana BP kuwedzera kunogona zvakabayirwa murwere mishonga avo, kazhinji anotora. Kakawanda munguva sitiroko ari munhu otanga kurutsa. Muchiitiko chino, inofanira kuiswa parutivi kudzivisa kuwana kumarutsi pahuro yake.

Kurohwa kutarisirwa

Clinical utariri sitiroko kunobva nguva yapfuura kubva pakatanga chirwere, murwere uye kwokuomerwa kurwisa. mishonga Used uye zvomusejari nzira. Kana kubva pakatanga sitiroko haana refu achiita mishonga chaiyo kuti wokuparadza clot. It rinogonawo surgically kubviswa. Kana Hemorrhagic sitiroko rwaibva uropi ropa uye hematoma inotungamirwa, yokupedzisira anofanira kubviswa. zviyero izvi kuti tikwanise nokukurumidza kudzorera ropa kuparadzirwa Munzvimbo uye kuderedza zvichibvira matambudziko. Kurohwa kurapwa hazvina inonzi anokosha akarasika somugumisiro kurwisa. Zvakakosha kuramba murwere kurova kwehana uye kufema, kupa zvakajairika kwevari shuga uye electrolytes muropa. Kugadzirira inokosha akagadzirisa BP. pamwero Its asiyiwa zvishoma yakakwirira, sezvo akurumidze kuderera kungaita necrosis.

Nguva kupora chinotungamirwa kuwedzera kurapwa kwouropi basa, muripo kubva chetsinga zvirwere. Zviratidzo zvavo pashure sitiroko inogona kuchengetwa kwenguva refu. Varwere ushandiswe mishonga kuti kuvandudza kweropa. Big basa panyama kurapa, kutaura marapirwo makirasi. Kana murwere ezvinhu achibvumira, shoma kurovedza muviri inogona akatanga mumazuva okutanga pashure rubvumo. Mukakurumidza kutanga vapore kurapwa, chikuru mukana kunonyanyisa kupora kwouropi chaitika. Murwere hazvo chinodikanwa pakuongorora nemunhu ophthalmologist.

Zvakaipira chirwere

Muchiitiko chimwe nechimwe zvingava zvakaoma kunzwisisa yakasiyana munhu anenge nesitiroko. Zviratidzo uye Migumisiro dzinoratidzwa kwete chete kune kwokuomerwa chirwere choga, asiwo nguva apo munhu rubatsiro wokutanga, uyewo localization imwe kutyorwa wokufambisa yakanga inopiwa. Zvikuru ngozi hunde sitiroko, izvo chinoita kuvadza kufema uye vasomotor nzvimbo. Muchiitiko chino, pane mukana rufu nokuda cardiac kusungwa kana kumira kufema basa. Varwere vanogona yakakwana kana kukwana paresis nomunhu Mbabvu kana zvose rimwe divi muviri, kazhinji zvakasiyana foci. Vakagovera kutaura vachivavhiringidza, kutadza kuyeuka, kusanganisira avo zvinowanikwa kubva pfupi-rokuyeuka matambudziko. Mumwe anogona kunyora zvakanaka uye kutungamirira masangano avo. Kakawanda kutyora ichi chokuita sitiroko, kuitika cerebellum.

Impact kwayo sitiroko nemigumisiro rinewo kuti akakanganisika pfungwa. Vanhu vane kweropa iri hemisphere kuruboshwe vanotambura zvikuru raidudzwa kuchinja psycho-mupfungwa zviratidzo. Vane zvinetso zvakakomba nokutaura playback. Kunzwisisa kupi, havatombobvumi ataure mutongo nyore. Panguva sitiroko chete vemunyika mu hemisphere kuruboshwe akakurumidza akadzorera motokari chaitika.

Kurohwa Prevention

Kudzivirira Kurohwa hunonyatsobatana pakurwisa atherosclerosis. Zvakakodzera kugara remafuta akawandisa ropa, zvokudya chairayirwa nachiremba wako, mushonga, kutadzisa deposition kuti Dombo iri pamasvingo tsinga. Zvikuru dzakateerera dzavo zvakanaka zvinofanira kuva vanhu vakuru makore 50. Kurohwa, hunokonzera, zviratidzo zviri kunewo chokuita yokufutisa kungaita kuti cheBP nokufamba uye chitarisiko chirwere cheshuga. Yekuzvidzivirira chirwere chinogona kubatsira kusvuta uye kunwa doro. Under chaiyo kuzvidzora kuchengeta chirwere, zvichiita kuti paumbwe thromboses. Strong hafu vanhu vari mungozi huru sitiroko kupfuura vakadzi. Saka, zviratidzo sitiroko nevanhu, kunyange zvizere, hazvigoni kungotariswa. Healthy upenyu Style, nzeve dzavo utano uye okuderedza kuzvidya mwoyo kuderedza mukana sitiroko.