Chirwere cheshuga encephalopathy: zviratidzo, zviratidzo, dziviriro uye kurapwa mamiriro

Chirwere cheshuga encephalopathy ndiko kukundwa nevamwe hurongwa muuropi. Izvi kunoitika somugumisiro kuvhiringidzika muviri uye vascular ino, iyo inomuka kana kuva chirwere chakadai sechirwere cheshuga.

chirwere ichi - haisi yakazvimirira zvokurwara, sezvo inogona kukura chete somugumisiro pre-yaivapo kuvhiringidzika nokushanda kwenhengo dzomuviri.

Ndiani kazhinji kurwara?

Maererano Statistical zveBhaibheri, inonyanyoshandiswa vanotambura kubva chirwere mhando I chirwere cheshuga. Uyezve, zvichienderana Statistical zvakabudiswa, kakawanda chirwere anogona kunge yakawanda 80%.

DE dzinoti - kunzwisisa kwayo Kusiyanisa nemamwe marudzi encephalopathy.

zvikonzero

Chirwere cheshuga encephalopathy anogona kuva nezvikonzero zvinoverengeka unokosha:

• Microangiopathy. Zviri neurongwa anovandudza rwakavhunika rakatsiga uye permeability kwemasvingo midziyo arteries diki uye capillaries.
• Metabolic zvirwere kuti kukonzera kuparadza mubishi tsinga fibers uye masero.

pathological zvikonzero

Kuwedzera zvikonzero nokuda iyo chirwere zvikamuka, panewo pathological zvinokonzera kukonzera chirwere cheshuga uye kutungamirira kukudziri- DE. Idzi dzinosanganisira:

• Murwere zera (akwegura uye vakura).
• Kuvapo kufutisa, entailing kufuta.
• Lipid muviri, uyewo atherosclerotic kuratidzwa.
• Persistent kuwedzera padanho ropa shuga.

Huru kukuvadza zvinhu

Asi pakugadzirwa chirwere cheshuga encephalopathy (ICD 10) microangiopathy Nde chinhu kukanganisa. Somugumisiro, izvozvo tsinga fibers uye masero vanosangana okisijeni uye simba nenzara. Nokuda kwaizvozvi kutsanya muviri anomanikidzwa kuenda munzira anaerobic kubudisa zvinokosha zvinhu kuitira kuti ishande. Izvi hakusi vakarongeka uye somugumisiro masero ake uropi kuunganidza muchetura uye nezvimwe zvinhu zvinokuvadza. Yakanga pasi kwavo simba uye kusingarapiki kwazvinoita uropi kunoitika.

Huripo mumuviri metabolic zvinetso zvine Chinowedzera zvainoita hurumende yakabuda, uyewo catalyze kuvakwazve etsinga fibers. Izvozvo zvinobatsira kuti muitiro kuderera nokupfuuridzirwa etsinga nomunhu.

zvekuchipatara kuratidzwa

Clinical kuratidzwa chirwere cheshuga encephalopathy (ICD-10) zvinoda nguva refu kutanga. Chikonzero ichi, DE kakawanda chirwere Varwere vakwegura. Mune zvisingawanzoitiki nguva imwe encephalopathy vanogona nokukurumidza kukura pamusoro colour ose apoplexy kana chakasimba ezvinhu hypo- kana hyperglycemia hunhu.

zviratidzo

Zvinosuruvarisa chirwere cheshuga encephalopathy haisi pamwe chero zviratidzo chaizvo chinoita kuti zviome rokuongorora uye kusiyanisa. Izvi mhando encephalopathy zvinogona pamwe zviratidzo kuti vari zvakare runozivisa atherosclerosis kana BP.

A murwere anenge vaifungidzirwa ED, vangave nechirwere zviratidzo zvakadai:

• Nomusoro - vangava zvakasiyana nekuomarara uye pachena sezvo zvishoma indisposition, uye kunzwa zvizere kana kudzvinya.
• Asthenic chirwere kungaratidzwa muchimiro muutera, kushatirwa, havachanyatsogoni wevasungwa, uye lability pfungwa uye kwakawedzera emotionality.
• Chetsinga kuratidzwa - murwere anogona kuva mubvunzo gait, vanonzwa vertigo uye tinnitus.
• Hadzina kufambiswa zvakanaka zviri yepamusoro muuropi mabasa. Murwere vanogona havachanyatsogoni ndangariro nemicheka injini unyanzvi, matambudziko ari maonero mashoko, kurasikirwa kuverenga, kuratidzwa mwoyo uye kusakendenga.
• Chimwe chiratidzo chirwere cheshuga encephalopathy - mamiriro kufenda nokugwinha. Uyezve, pfari inogona kuratidza sezvo vemunyika kana generalized.

Kazhinji, murwere asingagoni zvakakwana kuongorora kwavo ezvinhu, saka regai kuva okushamisira kushandisa dzakakomba chirwere kutsvaka, uyewo rubatsiro hama neshamwari dzose.

Kuratidza DE

Panguva kutanga pavaipfuura chirwere zviratidzo akaratidza zvishoma. Naizvozvo, murwere nyore kupindura, kana zviratidzo vokutanga akazviratidza.

The chikuru zviratidzo chirwere cheshuga encephalopathy nyanzvi dzinodavira haawanzotauri oneka vachivavhiringidza okuyeuka, nematambudziko akotsira, uyewo kuchinja psycho-mupfungwa hweHIV.

Zvirwere izvi zvinogona kutsanangurwa ndechokuti uropi anofanira kushanda pasi ezvinhu yokushaya simba uye okisijeni. Mumamiriro ezvinhu akadaro, masero etsinga havagoni kushanda zvakazara uye vanotanga simuka kompensatoriki zvigadziriswe. Zvisinei, kana nzira idzi vanobatanidzwa kwenguva refu, vari kukundikana, iyo inosvitsa nedanho kuunganidza zvinokachidza muuropi.

encephalopathy pavaipfuura kukura vane chirwere cheshuga

Panguva dzakawanda nzendo chirwere, uye murwere haafungi chero zviratidzo pakutanga pachikuva. Chete kana chirwere hwapedyo uye kunoita kuti Danho rechipiri, zviratidzo rokutanga:

• Pakutanga rwakazara. Kuratidza dzinenge vasipo. Kusagadzikana BP uye panowanikwa zvirwere zvemapapu, dzungu zviratidzo zvinowanzotaurwa kuvhiringidzwa chitarisiko vegetative-vascular dystonia. Wetsinga - ndiyo yakashanyira nyanzvi Panguva iyi.
• At chechipiri rwakazara. Rinotanga kuwana nemusoro, anetseka dzidziso, chetsinga chinzvimbo hunowedzera raidudzwa.
• In pachikuva rechitatu zviratidzo zviri kutaurwa. Cerebral anotengeswa kuipa yekudyidzana. Headache rinowanika unsteadiness pamusoro gait, dzungu, simba, uye kushaya hope. Pane kazhinji lightheadedness.

Syndromes vaiona chirwere

Shuga Encephalopathy ari MCU remitemo 10 anoratidzwa sezvo syndromes akawanda, izvo zvinogona kunzi inokosha:

• Asthenic syndrome. Dzinoratidzwa mamiriro vakawanda simba, lethargy uye kuneta. Kazhinji, chirwere ichi kunoratidzwa nechimwe rokutanga. Sezvaiitwa asthenic chirwere murwere kusangana kuvhiringidzika kugona kushanda, inogona kunyanya kutsamwa uye mupfungwa kusagadzikana.
• Cephalgic syndrome. DE inogona pamwe musoro kunosiyana zvikuru. Kana iwe vimba rondedzero varwere pachavo, ipapo vamwe vanhu kungazviratidza muchimiro kumanikidza kana Kudzvinya pamusoro "mhete" mhando, apo vamwe - akafanana migraine nezvekufadza, wechitatu - kwakaratidzwa muchimiro pfungwa Kutambudzika musoro. Vamwe varwere kunyange kutaura kuti nemusoro zviri zvakanaka nyore hunhu.
• Vegetative dystonia. chirwere ichi kumbowanikwa vakawanda nyaya anokwidziridza DE. Dystonia kunoratidzwa muchimiro kupisa yomuka manzwiro, uye kufenda -headed. Uyezve, autonomic dystonia anogona dzinoratidzwa zvinetso zvakadai anisocoria (apo mboni murwere vane yakasiyana saizi), unga zvirwere (zvakaoma kutamira yeziso), pyramidal zvirwere (semuenzaniso, kuremara). Murwere kurwara vestibular ataxia symptomatology, akadai Somuenzaniso, kuchengeteka gait kana yokurwiswa dzungu.
• Zvishande zvirwere. Ichi chirwere cheshuga encephalopathy chirwere yekubvuma 10 kunoratidzwa vasingadzoreki ndangariro, ane zvachose retardation, nekusagona nezvairehwa ruzivo. Kungawedzera kutanga mwoyo uye vasingakendengi mamiriro.
• Anogumisa siteji. Danho iri chirwere chinogona dzinoratidzwa kwazvo kusagadzikana tsinga. Murwere kutyora gwenya basa, rine zvinouraya tichibatwa nomusoro uye convulsive zvinetso, havachanyatsogoni aikanganiswa dzakasiyana nhengo dzomuviri, pachena kurwadziwa chiropa, neitsvo uye dzimwe nhengo.

mabatiro

Mabatirwo chirwere cheshuga encephalopathy inogona kupatsanurwa munzvimbo huru nhatu:

1. Kuramba yakakwana nhanho yomuropa. It chengetedzo muropa shuga pamwero panguva yakakodzera pamwero ndiyo nzira huru kwokurapa uye kudzivirira DE. Vanachiremba uyewo rayira kusaregeredza chokudzivirira kurapa. Izvi kunonatsiridza kweropa uye tsinga trophism.
2. Mabatirwo metabolic zvirwere. In ichi mhando yokurapa vanachiremba vanokurudzira antioxidants (semuenzaniso, "Espa-lipon"), mavhitaminzi A, E, C uye B uyewo kunan'anura cerebroprotectors varwere ( "Pyracetam", etc.).
3. Treatment microangiopathy. Vascular zvirwere vanachiremba kuchinja kushandisa "Pentoxifylline" normalizing ropa riyerere mumuviri uye kunoderedza ropa viscosity. mushonga uyu kuzvigona basa dzichibvisa tsvina kubva murwere uropi netambo.

Pamwe izvi, vanachiremba inowanzoshandiswa nokuda kurapa nokuda angiopathy kugadzirira akadai "Cavinton", "Sermion", "Vinpocetine" uye vamwe.