Cutar na sanayya da hadaddun yaduwa da canje-canje a cikin kwakwalwa na yanayin ischemic saboda cututtukan bugun jini na jijiyoyin bugun gini. Rashin wadataccen isashshewar jini yana haifar da canje-canje a cikin kwakwalwa, wanda hakan ke shafar ingancin ayyukansa.
Encephalopathy Discirculatory yana da matakai uku, nau'ikan da yawa, da kuma tsinkaye daban-daban ga kowane ɗayan matakan sa. Kari akan haka, wannan cutar, idan ba a kula da ita ba, na iya haifar da mutum mai cikakken lafiya mai cikakken rauni zuwa ciwon kai da kuma cikakkiyar rashin daidaitawa game da zamantakewa.
Haɗin tsakanin atherosclerosis da encephalopathy a bayyane yake kuma masana kimiyya da yawa sun tabbatar da hakan. Tare da haɓaka ƙwayar plasma cholesterol, an samar da filayen cholesterol, waɗanda ke ɗaukar jirgi a jikin ɗan adam. Saboda wannan, kewayawar jini na yau da kullun yana da damuwa a cikin kyallen kwakwalwa, kuma basa karɓar adadin oxygen.
Encephalopathy Discirculatory, lambar a cewar ICD-10 wacce ke cikin cututtukan I60-I69 "Cerebrovascular", na iya zama da nau'ikan da yawa:
- Encerosclerotic encephalopathy, wanda ke faruwa a gaban maƙarƙashiya arteriosclerosis. Yana ɗayan nau'ikan cututtukan da suka fi yawa. mafi yawan lokuta, atherosclerosis yana shafar manyan tasoshin, waɗanda suke da alhakin samar da mafi yawan jini zuwa kwakwalwa, da kuma daidaita ƙarar dukkan jijiyoyin jini. Abin da ya sa, idan ilimin ya ci gaba, gudanawar jini a cikin girman da ake buƙata yana da wahala, wanda ke haifar da rikice-rikice a cikin ayyukan kwakwalwa;
- Wararren fasali na disherosclerotic encephalopathy yanayin rarrabewar ƙwayar cuta shine alama ta yiwuwar faruwa a cikin matasa masu adalci. Pathology yana haɗuwa da kasancewar hauhawar jini da tashin hankali na hauhawar jini. A yayin tallar su, ana ganin ya tsananta yanayin. Ana lura da ci gaba mai saurin ci gaba da cutar, wanda ke da alaƙa da rikice-rikicen da ke kara dagula yanayin;
- Cakuda encephalopathy. Ya haɗu da sifofin hypertensive da atherosclerotic discirculatory encephalopathy. A wannan yanayin, akwai keta alfarmar ayyukan manyan tasoshin ƙwayoyin cuta, waɗanda ke haifar da tasirin rikicewar jini. Wannan yana haifar da mummunan yanayin alamun cututtukan da suka rigaya.
- Encephalopathy na ciki. Ana gano wannan binciken a cikin yanayi yayin da zubar jinni mai narkewa daga cikin jijiyoyin cranial. Stagnation na plasma yana haifar da gaskiyar cewa veins ciki da waje kwanyar suna cikin matsananciyar yanayi. An lalata aikin kwakwalwa har tsawon lokaci saboda edema, wanda ke faruwa saboda matsala a cikin zubar jini ta hanyar jijiya.
Ya danganta da bayyanar asibiti, an rarrabe matakai da yawa (encephalopathy) na matakai daban-daban:
Mataki na farko ana saninsa ta kasancewar bayyanar cututtuka masu laushi na lalacewar kwakwalwa. A wannan yanayin, ana iya lura da bayyanar asymmetry na nasolabial folds; karkatar da harshe; earancin yawan lalacewar jiki da kuma sauyawar fata akan hagu da dama na jikin.
Marasa lafiya sau da yawa suna korafi game da ciwon kai, dizzness, tinnitus, asarar ƙwaƙwalwar ajiya, ƙaramin rauni mai da hankali da aiki. Marasa lafiya basa da hankalin-mutum, mai sa haushi, mai saurin fushi, yanayin su yana yawan yin baƙin ciki. Abu ne mai wahala musu su sauya daga wani aiki zuwa wani;
Mataki na biyu na cutar an san shi ta hanyar ci gaban ƙwaƙwalwar ci gaba (har ila yau ƙwararre). Mutum yana da takaitaccen da'irar da'irarsa, akwai canji a cikin tunani da halayen mai haƙuri. A wannan matakin, bacci na dare yana wahala, yayin da rana take haƙuri da mai bacci yana bacci. Idan aka kwatanta da matakin farko, alamomin jijiyoyin jiki suna ƙaruwa, adadinsu yana ƙaruwa. Mysa dysarthria, farfadowa da jijiyoyin jiki, alamun amiostatic suna faruwa: bradykinesia, danko sautin tsoka. Idan a matakin farko ana kiyaye karfin aiki a asirce, to a mataki na biyu an rage sosai.
A mataki na uku, an lura da bayyanar babban canje-canje a cikin ƙwayoyin cerebral da subcortical. Wannan yana taimakawa haɓaka lamba da tsananin cututtukan kwayoyin halitta, da haɓakar rikicewar tunani da haɓaka alamun bayyanar cututtukan zuciya:
- Pseudobulbar syndrome, wanda shine dysphonia, dysarthria da dysphagia, waɗanda aka haɗu tare da haɓakar farfadowa na fitsari da mandibular, kukan tashin hankali da dariya. Yana haɓakawa tare da canje-canje da yawa mai da hankali a cikin fararen maganganu na hemispheres ko kuma ƙwaƙwalwar ƙwaƙwalwa tare da lalata hanyoyin haɓaka a garesu. Symptomswaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa: rikicewa mai ban tsoro, babban taurin kai, jinkirin motsi, rawar jiki, da sauransu suna faruwa lokacin da aka shafi ƙananan ƙwayoyin cuta;
- Ana nuna cututtukan vestibulo-cerebellar ta hanyar damuwa, damuwa, damuwa yayin tafiya kuma lalacewa ta haifar da lalacewar ginin vestibulo-cerebellar.
Haɓaka encephalopathy na iya haifar da wasu dalilai da yawa. Menene daidai tsokani cutar?
Da fari dai, kasancewar cutar kamar atherosclerosis, wanda shine sanadin haɓakar encephalopathy a cikin sama da kashi hamsin na lokuta. Ana haifar da tasirin ne ta hanyar rikicewar hauhawar jini, kazalika da keta sauran wurare dabam dabam a cikin jini.
Abu na biyu, lalata lalacewar tsarin jijiyoyin jiki yana da tasirin gaske a jikin jikin duk nau'ikan abubuwan guba. Wadannan sun hada da abubuwan shaye-shaye, magunguna daban-daban, karafa mai nauyi.
Abu na uku, kasancewar kowane nau'in cututtukan cututtukan ƙwayar cuta na gabobin ciki a cikin marasa lafiya. Suna haifar da rikicewar metabolism a cikin jiki, wanda hakan ya shafi mummunan aikin jijiyoyin jiki. Don haka, alal misali, uremic encephalopathy, wanda aka haifar ta hanyar cin zarafi a cikin aikin kodan, yana shafar farkon hauhawar jini. Hawan jini, bi da bi, yana ɗaya daga cikin sanadin ci gaban encephalopathy dyscircular.
Encephalopathy na rana yana faruwa sakamakon lalacewar kwakwalwa da aka fallasa ta hanyar radiation;
Sau da yawa, wuraren ischemic suna kasancewa ne sakamakon rauni na kwakwalwa. Suna kirkirar abubuwa masu dindindin wadanda ke hana oxygen shigowa kyallen.
Kowane mataki na cutar ana saninsa da yawa alamomin nasa, amma, zamu iya bambance alamomin gabaɗaya na encephalopathy, wanda ke kasancewa a cikin matakai dabam dabam na tsananin cutar a duk matakai na ci gaban cutar.
Mai haƙuri yana damuwa da ciwon kai; zzarfin haske, paarancin iko na mai da hankali, aiki mai illa na hankali, rashin aiki. Hakanan ana iya lura da jihohi masu matsananciyar wahala da rikice-rikice, damuwa, da asarar 'yanci a hankali.
Idan kowane daga cikin alamun da aka lissafa ya bayyana, ana ba da shawarar tuntuɓar ƙwararren likita don cikakken ganewar asali kuma, idan ya cancanta, nadin ƙarin magani
Don gano cutar, ana amfani da hanyoyi da yawa, waɗanda aka fi amfani da su sune:
- Janar gwaje-gwaje na jini, fitsari, ƙwayar cerebrospinal;
- MRI na kwakwalwa, wanda zaku iya gano kasancewar rikice-rikice iri-iri;
- Multispiral na lissafin tomography, yana ba da bambancin ganewar asali da ilimin cuta;
- Duplex angioscanning na tasoshin kwakwalwa da wuya - ba ka damar gano yanayin cututtukan da ke tattare da tasoshin brachiocephalic;
- Electroencephalography don gano tsarin ayyukan kwakwalwa;
- Zane-zane na Neuroenergy - yana ba ku damar kimanta ayyukan metabolism na kwakwalwa.
- Angiography na tasoshin wuyansa da kwakwalwa - yana ba ka damar bayyanar da matsayin sihiri da kuma wahalar da aka bayyana yayin angioscanning na duplex, don tantance mahimmancin su na hemodynamic.
Kulawa da cutar ana yin ta ne da dama.
Sake gina sabbin jiragen ruwa da ake ɗauka ana ɗauka ɗayan hanyoyin ingantattu.
Bugu da ƙari, ba tare da la'akari da ko anyi amfani da hanyoyin tiyata ba ko a'a, ana buƙatar abinci na musamman, ana nuna magunguna:
- Phenotropil mai dangantaka da neuromodulators. Godiya ga amfani da shi, ya zama mai yiwuwa ne a sake yin haƙuri da mara lafiyar. Jiki ya yarda da maganin sosai;
- Mexidol, wanda ke cikin rukunin antioxidants. Abubuwan da ake buƙata na ci shine saboda hanzarta tafiyar matakai necrosis na ƙwaƙwalwar kwakwalwa. Magungunan yana allurar sau 2 a rana don makonni 2, bayan haka sun canza zuwa nau'ikan kwamfutar hannu;
- Cytoflavin, wanda ya haɗa da succinic da nicotinic acid, rifoflavin da riboxin. Ana amfani dashi a cikin nau'i na dropper dangane da glucose ko saline. Ana aiwatar da hanya sau 1 cikin makonni 2-3.
Ana gudanar da aikin tiyata na cututtukan cututtukan a jikin bangon manyan jiragen ruwa a lokuta inda yin amfani da kwayoyi ba ya haifar da kyakkyawan sakamako da ake buƙata.
Stenosis (jijiyoyin bugun jini) tsari ne, wanda bayan haka an dawo da lumen canal na jijiya. Don yin wannan, an saka bututu na musamman a ciki, tare da taimakon wanda likitan ya gabatar da wasu kayan aikin. Inda jirgin ya zama kunkuntar, an saka bango na musamman.
Tare da taimakonsa, lumen artery yana fadada zuwa girman da ake buƙata.
Wata cuta mai saurin ci gaba tana da karancin dacewa idan aka kwatanta ta da jinkirin ci gaban cututtukan dabbobi. Babban mahimmanci shine shekarun mai haƙuri - mafi girma shi ne, mafi ƙayuwa shine alamun bayyanar encephalopathy diski.
Tare da siffofin farko na cutar da ganewar asali, sau da yawa ana iya samun sakamako mai kyau a cikin maganin cutar, kuma a wasu yanayi don samun cikakken warkewa.
A mataki na biyu, za'a iya samun gafarar sau da yawa. Mafi rauni a cikin sharuddan tsinkaya shine mataki na uku na cutar, a cikin abin da mara lafiyar baya batun cikakken murmurewa.
An bayyana abin da ke cikin encephalopathy a cikin bidiyon a cikin wannan labarin.
