Kuyini abanomfutho wegazi ophakeme encephalopathy? Izimbangela, izimpawu, ukwelashwa

ischemia Cerebral, unhlangothi, isifo senhliziyo, futhi encephalopathy ezibhekwa iziyaluyalu ezinzima. bavame ziyabulala. Phakathi inombolo enkulu pathologies ubuchopho libanakekele encephalopathy ekhethekile. Lona iqembu elikhulu izifo. Basuke izimpawu izinguquko esiwohlozayo e nezicubu ubuchopho phila yokuphula imisebenzi yawo ngokupheleleko. Etiology izifo ezahlukene zici, futhi isithombe emtholampilo. Omunye amafomu obujwayelekile encephalopathy abanomfutho wegazi ophakeme. Izimpawu kanye nokwelashwa zokugula uzobe okuxoxwe ngazo kulesi sihloko.

Izinguquko ebuchosheni on isizinda nomfutho wegazi ophezulu

Ngisho ukukhuphuka yesikhathi esisodwa wegazi kunomthelela omubi isimo izicubu sezinzwa. Ngo ukuphendula sokugembula kancane kancane bahlanganyele zonke izitsha ezincane, kodwa iningi kakhulu abathintekayo zazaziwa izitho. Lezi zihlanganisa izinso, inhliziyo kanye nobuchopho.

Phakathi ukwanda alinganiselayo blood pressure enza zokuzivikela indlela vasoconstriction, okuyinto kubavikela breaking. Lapho umfutho wegazi ophakeme esitebeleni ungqimba kwemisipha kancane kancane sikhula izindonga lwemithambo, hypertrophy. semithambo inesikhala olugcwele, okuholela unomphela ukuntuleka komoya-mpilo emzimbeni. Utfutfukisa ifomu abanomfutho wegazi ophakeme ischemic, olubizwa nangokuthi encephalopathy kwegazi.

Ukwanda okusheshayo futhi wamemezela wegazi avuse umonakalo emgodleni semithambo yangaphakathi. spasm Strong arteriole sithathelwe indawo ukukhubazeka. Kanyekanye yokwenziwa esisuka we Imithambo encane yegazi. Lesi simo kuthiwa i encephalopathy abanomfutho wegazi ophakeme. It libhekene zavela kancane kancane. Ngakho-ke, uma efike ngesikhathi izimpawu isaziso futhi bafune iseluleko yezokwelapha, ungagwema imiphumela engemihle.

encephalopathy unesifo sikashukela - kuyini?

Kuyinto isimo sokugembula esakheka emisipheni zobuchopho ngenxa eziphikelelayo ukwanda engalawuliwe wegazi. Yini imingcele abhekwa okungavamile? Kwegazi kubhekwa anda systolic blood pressure kuka 140 mm HG. Ubuciko diastolic -. 90 mm HG. Art. Ngo-1928, ososayensi kanye Fishberg Oppenheimer ukuchaza izimpawu kanye pathogenesis izifo ezifana abanomfutho wegazi ophakeme encephalopathy (ikhodi ye-ICD-10 - I-67.4).

zokugula Izimbangela

Ukuze uqonde etiology lesi sifo, kubalulekile ukuqonda indlela sokuthuthuka. Enye yezinkinga-high blood pressure kuyinto encephalopathy abanomfutho wegazi ophakeme. Ngokwe-ICD-10, lesi sifo ezihlobene pathologies sokuhamba kwegazi. Zonke izizathu kuzuba abukhali wegazi zingahlukaniswa zibe azalwa naso futhi atholwe. Odokotela bathi ingozi yomfutho ophakeme wegazi kukhuphuke ngo izikhathi eziningana, uma izihlobo eziseduze yesiguli ukuphathwa yilesi sifo. Nokho, ifomu lezinceku isifo sitholakale ikakhulukazi entsheni. Lapho esegugile, indima eyinhloko ekuthuthukiseni nomfutho wegazi ophezulu udlalwa okuthonywa nayizimo ezihlobene yokuphila lomuntu. Lezi zihlanganisa lokhu okulandelayo:

• eziluthayo;
• cholesterol aphezulu;
• ukudakwa;
• izidakamizwa ukweqisa izidakamizwa;
• ezinye izifo.

Kufanele kuqashelwe ukuthi njalo ingcindezi akuvamile kunomthelela isifo. izitsha ubuchopho kancane kancane ukuzivumelanisa ngalesi simo. Ngokuzumayo ingcindezi iphakama ezibhekwa ayingozi kakhulu. Abakwazi kuvuse vasospasm futhi ischemia.

ukubonakaliswa emitholampilo

Hlukanisa izinhlobo ezimbili Yiqiniso isifo. Acute abanomfutho wegazi ophakeme encephalopathy libhekene iziyaluyalu emuva. Bathandana nalo babuye bathandane ngemva ngempumuzo ukuvuvukala kanye nokubuyiselwa ukugeleza kwegazi. Izimpawu encephalopathy ezingamahlalakhona ekuqaleni oluncane kanye kuphela itholwe ngenkathi lapho ngihlolwa. Ukudlondlobala kwalesi sifo ephelezelwa motor, nemizwa abanokukhubazeka engqondweni yethu. Imininingwane engeziwe mayelana inkambo isifo samuntu ngamunye kuchaziwe ngezansi.

Ifomu acute lesi sifo

Acute abanomfutho wegazi ophakeme encephalopathy eba ngesikhathi kunezinkinga samanje, futhi umfutho wegazi amazinga ziyahlukahluka. Iziguli banda ingcindezi ubhekwa ezibucayi ezingeni 180-190 mm HG. Art. Ngo Abantu abasondelene hypotension, lokhu embundwini kancane ngesikhathi 140/90 mm HG. Art.

Phakathi izimpawu eziyinhloko amafomu okukhulu lesi sifo yilabo okulandelayo:

• ubuhlungu bekhanda zendawo occipital ingxenye;
• ukucanuzela kwenhliziyo, ukuhlanza,
• ukulahlekelwa ngokuzumayo umbono;
• ukuquleka;
• engavezwanga ngamazwi paresis neuropathy;
• ngenkathi ethukile.

Uma ubona lezi zimpawu kumele aluthole usizo oluphuthumayo.

Ifomu ezingamahlalakhona lesi sifo

Okungalapheki abanomfutho wegazi ophakeme encephalopathy eba kancane kancane. Isigaba ngasinye libhekene isithombe esithile emtholampilo.

Encwadini esigabeni sokuqala kukhona izimpawu zezifo eziyinhloko ezingase kudidaniswe ukubonakaliswa nezinye izifo. Ngokwesibonelo, izinhlungu zekhanda ezinamandla kusolwa ukucindezeleka, bezama ukumisa analgesics yabo evamile. Iziguli futhi ezikhala ngezinhlungu lingekho enhle, enkeneneza ezindlebeni, ubuthaka umzimba wonke. izimpawu ezinjalo azivamile nakani, ikakhulukazi eminyakeni yokuguga. Ngenxa abanomfutho wegazi ophakeme uhamba encephalopathy esigabeni esilandelayo sokuthuthuka.

In esigabeni sesibili izimpawu akukashintshi, kodwa zenziwe zaba zimbi kakhulu futhi babe evelele. Basuke bajoyine izimpawu ezihambisana ne isimo psycho-ngokomzwelo umuntu (abantu bengasinaki, ukucobeka, ukushintshashintsha kwemizwelo). Abanomfutho wegazi ophakeme encephalopathy 2 ithonya ukusebenza komuntu. Ngokushesha ukhathele, ulahlekelwe ugqozi, ikhono ahlele imisebenzi yabo. Ngezinye izikhathi iziyaluyalu ezihambisana kokuziphatha siyisizathu ngoba ngokuxhumana kudokotela wezifo zengqondo.

In esigabeni sesithathu iziyaluyalu zezinzwa ekhona zenziwa nzima. Lapho ebalulekile izilonda Ingqondo ayikwazi ngaphandle nokuquleka. Ezigulini esezikhulile, unesifo sikashukela encephalopathy ngokuvamile kuphakamisa ukuthuthukiswa Parkinson sifo.

ngihlolwa

Sitholakele isifo Kwenziwa okusekelwe izikhalazo lesiguli, idatha umlando, izimpawu jikelele. imiphumela vo odlule nazo asetshenziswa. nobunzima zokuxilonga angase alale e yokuthi izenzo encephalopathy efana nezinye izifo emtholampilo. Lesi sakamuva ingase ihlanganise ukuthi unesimila ebuchosheni, isifo sokufa kohlangothi. Ngakho-ke, ngaphambi kokuba aye kudokotela yokwelapha isiguli kumelwe ibhekane kokuxilongwa:

• ukuhlolwa kwegazi ne umchamo;
• MRI, CT scan ingqondo;
• echocardiography;
• electroencephalography.

Ngaphezu kwalokho, kungase kudingeke ukuba uxhumane Ochwepheshe ngaphandle (wenhliziyo, wemithi yangaphakathi, Nephrologist, endocrinology).

izinkombandlela ukwelashwa

Ifomu acute lesi sifo kudinga esibhedlela ngokushesha. Isiguli kunqunywa legatsha ukuze athole ukwelashwa olunzulu, okuyinto yengamela imingcele zonke ezibalulekile.

Imiphi imithi kuyabekwa sitholakele "abanomfutho wegazi ophakeme encephalopathy"? Ukwelashwa iqala nge zokunciphisa blood pressure. Ukuze wenze lokhu, sebenzisa izidakamizwa ezilandelayo:

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

"Diazoxide" has nekusebenta enkulu. Ngaphansi kwethonya izingcindezi zalo equalized kungakapheli imizuzu emihlanu, futhi umphumela umuthi amahora 6 kuya 18. Lesi sidakamizwa akuphazamisi ukwazi lesiguli kanye akakubangeli ukozela, okuyinto inzuzo enkulu. Nokho, ukusebenzisa kwayo kungase kumkhathaze ukuthuthukiswa tachycardia reflex, ngakho-ke is contraindicated in iziguli ischemic isifo senhliziyo.

Ganglioplegic basetshenziswe kujwayeleke igazi kwengcindezi encephalopathy abanomfutho wegazi ophakeme. Leli qembu izidakamizwa kuhlanganisa imikhiqizo ezilandelayo:

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

Le mithi zinezikhathi isinyathelo ngokushesha, kodwa futhi kufanele eminingi engemihle. Ngo sokukhulelwa, ukusetshenziswa kwazo akuvunyelwe nhlobo, ngoba kukhona kungenzeka yisisu.

Ifomu njalo lesi sifo, kanye acute, ICD-10 ine code mina-67.4. encephalopathy unesifo sikashukela uhlobo Kancane kancane ngezigaba kokuqala ingabe nezimpawu ezifanayo, kodwa ukwelashwa Kuthi ezahlukene. Ngendlela ezingamahlalakhona lesi sifo ngokuhlanganyela izidakamizwa antihypertensive ebekiwe ejenti umzimba, amavithamini, nootropics. I esetshenziswa njalo kunazo "Trental" izidakamizwa aspirin, "Dipyridamole". Lapho ezibangela ukuziphatha okuyinqaba cwe, sine futhi antidepressant izindlela ezisetshenziswa. ukwelashwa abanekhono futhi okuhambisana nesikhathi kusiza sinciphise izinga lokutholakala kwengculazi ukuqhubeka kwezifo ezifana abanomfutho wegazi ophakeme encephalopathy.

kungakhathaliseki iqembu ukukhubazeka lufakwa?

Lena kuphakama umbuzo bemvelo iziguli eziningi, izihlobo, lapho isithombe emitholampilo ye isifo iqala force okugcwele. Isimo jikelele isiguli liwohloka, intuthuko yenqubo sokugembula kuba sobala njengoba phuca umuntu izici ubudala futhi impilo egcwele. Ukukhubazeka encephalopathy kungenzeka, ikakhulukazi lapho ngezinga wesibili nowesithathu. Yena sabelwe isinqumo we Abezokwelapha. Ukufaneleka impilo nesineke azenziwanga kuphela ngokuvumelana nomlando wayo, kodwa futhi imiphumela luhlolo kanye nokuhlaziywa ukusebenza.

izinyathelo

encephalopathy unesifo sikashukela - ukuphazamiseka sina esithinta umsebenzi wonke umzimba. Kungenzeka ukuba ngokuqiniseka futhi ukuthi lesi sifo singumbulali inkinga nomfutho wegazi ophezulu ngibopha ngokungabi bikho ukwelashwa eliphezulu. Ukuhlonipha imithetho okulula prophylaxis ukuvimbela ivela khona.

Isinyathelo sokuqala siwukuba ukulawula nemingcele blood pressure. Ngokuvamile nge yokucindezela nezinkinga ekuphileni komuntu kwanamuhla ezingavela ngenxa yendlela yakhe yokuphila kokuthanda. nokungondleki kahle, ukucindezeleka njalo, ukungawuvivinyi umzimba, imikhuba emibi - zonke lezi zici luholele isifo. Ngakho-ke amakilasi ezemidlalo nokwenzeka, nokudla okufanele futhi unesimo sengqondo esihle kuyosisiza ukuba sihlale imithambo yegazi enempilo isikhathi eside.