Uropi Angioentsefalopatiya - chii? Zviratidzo, kurapwa uye fungidziro

Dzimwe nguva vanachiremba vanoti syndromic nechirwere, Somuenzaniso, uropi angioentsefalopatiya. Chii? Chirwere ischemic kurwisa. Zviya, zvikuru nevakawanda chirwere, chete vanhuwo haana kuteerera ayo mashoko. Kazhinji kumbowanikwa vakwegura, dzinenge - mune muduku uye vakura. The chirwere anotora nguva chakavigwa, uye kana zviratidzo achizoonekwa, zviri kunonoka kutora zvikuru matanho.

epidemiology

Pamusana nonspecific zvichemo, kurapwa anokuzviratidza uye kuzivikanwa kuchinja pfungwa kuri, kuunganidza Statistical mashoko kwakaoma. Kusvika pamwero mutongi angioentsefalopatii Kuwanda anogona kuva pamusoro nhamba kurohwa. gore rose Russia pane anoda kusvika hafu yemiriyoni nyaya yacho rikwanise ezvinhu.

Nyanzvi vanosimbisa kuti zvikuru kukosha Detective zvirwere muuropi dyscirculatory vari zvishande zvinetso, zvishande mabasa uye kakawanda echirwere chepfungwa kweropa insufficiency. Asi ichi haaratidzi mufananidzo kupararira kwechirwere chacho wechokwadi.

etiology

On chii zvingamuka pfungwa angioentsefalopatiya? Zvinokonzera chisingaperi kusagadzikana kweropa muuropi, uye somuenzaniso, mwoyo kana mumapapu - zvakafanana. Huru etiological chinhu - maviri:
- atherosclerosis;
- kuwedzera BP.

zvaitika panguva uye kazhinji kusimbisa mumwe. Uyezve, sei chepfungwa ropa kuparadzirwa uye zvinopa vamwe mwoyo uye vascular zvirwere, zvakadai dysrhythmia uye chirwere chemwoyo. Zvikuru kukosha ndechokuti kuvapo vascular malformations muuropi, mutsipa, kana nhumbi zhinji. Havagoni hakuiti unooneka kwenguva refu kusvikira vave nezvimwe zvirwere systemic. Secondary muchinangwa Kuparadzwa uropi kweropa chinoita compression hari huru, uyewo unopinza kuderera kumanikidzwa, kunyanya vanhu vakwegura.

zvirwere Storage anogona kuva chikonzero nekuda iyo kusimukira uropi angioentsefalopatiya. Chii? Izvi mamiriro, apo masero yakafanira kuti pathological muitiro kuunganidza vamwe zvimwe zvinhu: mapuroteni, kwemafuta uye makabhohaidhiretsi.

Panyaya iyi vakwegura vascular amyloidosis kunoitika, iyo inotungamirira kuupenyu chinopedza kuchinja kwemasvingo avo. Kwemakemikari anobudiswa zvirwere vanewo mumwe uremu. Somuenzaniso, micro - uye makroantiopatii mu cheshuga kukonzera chirwere chepfungwa ischemia. Nokuti zvakafanana pavanonzwa dzinotungamirira maitiro zvirwere: rheumatic fivha, vasculitis, zvirwere ropa.

Kazhinji, sarudza munhu chinhu hazvibviri, saka hosha anonzi polyetiological. Chiremba akataura pamberi chikuru zvinhu, uye comorbidities zvose vaiona hako.

pathogenesis

The pamusoro zvirwere uye mamiriro vanotsamwisa vasanyanye wokufambisa ari uropi, uye, naizvozvo, nzara dzayo (kusava okisijeni uye shuga). Pakutanga, pathological pezvakaitwa (zviratidzo pfungwa angioentsefalopatii) kungowanikwa mumidziyo diki. Kukudziridza microangiopathy. A dzakawanda dzakachinja arteries kukonzera ischemia nemishonga chena nyaya, uyewo vakawanda lacunar infarctions. Tikafunga izvi ezvinhu kunotungamirira nokuvhiringidzirwa kuuropi zvivako.

Kana chikonzero ndiyo atherosclerosis angioentsefalopatii ipapo advantageously sei tsinga hunde. Izvi zvinotungamirira chokuti padanho ropa riyerere muuropi hunotsigirwa systemic hemodynamics. Kana chirwere cheBP pakutanga, ishemiziruyutsya perforating tsinga wouropi.

Munguva ichangopfuura, neurologists uye neurosurgeons Classified chisingaperi kweropa zvirwere nenzira mbiri: hunhu zvaparadzwa yayo localization. Diffuse kana diffuse angioentsefalopatiya akaratidza sezvo chepfungwa urwere, izvo rakakamurwa leykoentsefalopatichesky uye binsvangerovsky.

Pane achiri zvatichiri pfungwa angioentsefalopatiya. Chii? Ndicho kuvapo etsinga rinenge kuti aumbe vakawanda maburi ropa. In okurapa, anonyanya vakavhengana dzakasiyana, sezvo hazvibviri govera munhu pathogenetic mashandiro.

zvekuchipatara mufananidzo

Sezvineiwo, vakawanda vaiita hapasi rakakodzera kuita chirwere chakadai pfungwa angioentsefalopatiya. Zviratidzo zviri non-chaiwo uye kunyanya kutyisa kana unyanzvi kana murwere. Saka, zvinoreva, zviri mupfungwa lability, izvo tinoberekwa vanhu vakwegura uye pasina pathologies, uyewo kurasikirwa okuyeuka kugona kudzidza. Pamwe chete, izvi zvitatu zvinhu kungaita kuti maladaptation wevarwere nokuremara yavo.

Uyezve, nomusoro, dzungu, ndangariro vanotaura uye hope, kuzviitira ruzha mumusoro, kana achirira munzeve, ndokuramba chiratidzo, simba, uye kuneta unogona kuva zviratidzo kwete chete kuti munhu ari kufambira mberi uropi angioentsefalopatiya. Chii chinogona kuva? Kuvapo vascular malformations, siyana zvirwere, BP, asthenic urwere uye mimwe nosology. Uyewo, muviri saka anotuma anonongedzera simba kuneta.

Pane kuwirirana pakati uwandu zvichemo nekuomarara vascular encephalopathy. Kunokonzera kutambura ndangariro, kufunga uye mafungiro, kashoma kuti munhu ari kutaura pamusoro chiremba uyu. Saka, muna Muzviitiko zvakaipisisa, murwere anogona kuva nechokwadi chokuti hapana kanganisa.

siteji

Pane matanho matatu angioentsefalopatii:

1. Nyaya zvichemo okuyeuka vanotaura uye kutarisirwa pamwe diki zvatichiri zviratidzo: ungaderedza pupillary dzepanguva, kuti chidzoke vasiri akasimba hunenge nomumukanwa automatism. Zvishomanana rokuchinja gait, kushaya chivimbo, kugumbuka.
2. In danho iri, chetsinga zviratidzo uye kunowedzera crystallizes mumwe kureva chiratidzo. Zvingava extrapyramidal zvinetso, pseudobulbar mitezo, ataxia, cranial tsinga dysfunction. Simba chirwere zvishande basa, akaderedza nyanzvi nemagariro kwadzakabva.
3. Varwere vakatonga syndromes akawanda. Chinokosha ine gait chinovanetsa, cerebellar zvirwere, chirwere chinonzi Parkinson, nokuvhiringidzirwa ari pelvic zvomukati. Panguva iyi, uchitsoropodzwa rake ezvinhu rovira uye zvichemo haagoni kuva zvachose. Varwere vave vasingabatsiri savana, nokuti kuva dementia.

chetsinga zviratidzo

Pane zvinhu zvinoverengeka syndromes pematanho uropi angioentsefalopatiya. Chii? Izvi renyeredzi zviratidzo kuti anoratidza kukundwa chesamende nemamiriro nechepakati tsinga.

1. Vestibular syndrome. Varwere kuratidza kugunun'una pamusoro dzungu, unsteadiness kana achifamba, vakaona nystagmus uye murombo Kufambisa. kiriniki kwakadaro kunoratidza kukuvara kana kukunda cerebellum fronto-hunde turakiti nokuda ropa riyerere kuderedzwa munyaya dzomunyika carotid tsinga.
2. Pyramidal chirwere anoratidza zvakawedzera mudzira hunenge, uyewo kwaita pathological siyana, kazhinji asymmetrical. Kuvapo paresis anoratidza kuti nhoroondo murume nesitiroko.
3. chirwere chinonzi Parkinson kunoratidzwa kunonoka kufamba, kudukupiswa mu chiso chedu, Rigidity kuti tsandanyama pamusoro makumbo. Varwere vanowanzotadza pasi nokuti handigoni kumira panguva yakafanira kune kutyora pakufamba. izvi zvose anonongedza kukunda cortico-striatal uye cortical Tutsinga tunofambisa mashoko utwu yacho brainstem.
4. Pseudobulbar mitezo kunoitika kana kukundwa pamusoro cortico-yenyukireya anotenderera. Murwere arikutadza nokutaura uye kumedza, uyewo Zvikamu manzwiro "chisimba".
5. Psihorganichesky urwere, kazhinji achiperekedzwa kufunganya-zvokuora mwoyo, zvishande dysfunction.

Diagnostics

Sezvinongoita mimwe chirwere, wetsinga anofanira kuunganidza zvizere upenyu nhoroondo uye chirwere kuona mwero kunoita zviratidzo uye kuvapo comorbid zvokurapa zvirwere. Ipapo chaiko kuongororwa: overenga kwemwoyo uye akayera BP, teerera mwoyo ichirira, ropa riyerere huru arteries yokumusoro hafu muviri. Zvadaro shandisa mashoko chetsinga nemiedzo.

Akatevera danho - rabhoritari Diagnostics. Izvi zvinobatsira kuti kujekesa chikonzero angioentsefalopatii. Murwere akakumbirwa unzi kuverenga ropa, ropa nemakemikari omuviri uye kuongorora coagulation ropa, shuga siyana. Zvadaro nepa pfungwa kuri: computed tomography (CT), rinobva resonance kuri (MRI), electroencephalography (eeg). izvi zvose anotibvumira kusarudza pachiyero chepfungwa kuparadzirwa, uye kuona zvinhu zvokurwara. Anogona anowedzera basa electrocardiography (ECG) uye Ultrasound kuzosimbisa chirwere kumwoyo.

Zvairatidza kuti muchipatara

Hapana kurapwa dzakati hariratidzi kudikanwa kunorapwa muchipatara wevarwere nechirwere pfungwa angioentsefalopatiya. Treatment, fungidziro uye kudzivirira zvirwere izvi, sezvo mutemo, tora nzvimbo pamusoro outpatient hwaro. Anosiyiwa ndivo zviitiko apo chirwere yakanga rakaoma nokuda decompensation somatic zvokurwara kana kuva nesitiroko.

Neurologists vanodavira kuti kumanikidza kubviswa varwere kubva zvatinosiita mamiriro ezvinhu anogona chete kuipa. Saka, pakupedzisira chikuva zvinganaka kuitwa patronage kumba uye kwete kutakura murwere kuchipatara.

mabatiro

Vavariro kunokwanisika, akaonekwa angioentsefalopatiya uropi, kurapwa vanofanira kutanga nekukurumidza, kuti kuderedza kuchinja ari pathological muitiro. Uyezve, kuitisa kudzivirira uye kurapwa kurohwa somatic pathologies.

Treatment chinotungamirwa kuwedzera perfusion of uropi kuburikidza kukanganisa kumwoyo, uyewo kurangwa pamusoro rheological zvivako ropa. Izvi zvinoratidza atherosclerosis kurapa uye BP sezvo huru zvinhu zviri kukura ischemia.

zvavo mishonga

Vamwe varwere vakwegura vanodavira kuti varege "muchetura" Mahwendefa, uye zvakakodzera kuti kutsvaka dzimwe nzira. Saka, ndezvokuti mafungiro anogona kuratidza angioentsefalopatiya uropi. chinyakare dzokurapa hazvisi kugamuchirwa pakati vanachiremba, nokuti chinokurwadzai ane kuwedzera zviratidzo.

Nyanzvi vanokurudzira nzira mushonga anatsiridze chepfungwa akaparadzirwa kushandisa midzi madder uye hellebore Caucasian, pemashanga Marsh cinquefoil, bharisamu "Magic Trio", tincture kuti negariki uye cranberries uye zvakawanda. Kubudirira potions izvi ndizvo chaizvo chokwadi, saka haufaniri kuwana zvematongerwo kuedza kwakadaro. Zviri nani kuenda chiremba anokwanisa.