Microangiopathy cerebral - kuyini, izimbangela, ukuxilongwa kanye nokwelashwa

Angiopathy ubuchopho yisifo semithambo, okuyinto ngenxa yezizathu ezahlukene kuyinto yisimo sazo, okuholela amangqamuzana obuchopho phezani lunikezwe ngegazi. Lena zokugula sina, okungaholela ukopha ngisho nokufa. Kwezinye izimo singase sikwazi ukukhuluma ngezifo ezifana microangiopathy palsy. Kuyini lokhu? Kulokhu iphazamiseke emincane. Cabangela lesi sifo kabanzi.

zokugula isici

Abaningi baye bezwa futhi amanye aze ngisho sibhekene izifo ezifana microangiopathy palsy. Kuyini lokhu? Le nqubo sokugembula esithinta capillary nezitsha ezincane ukuthi izuza ezingamahlalakhona. Ebuchosheni, ukuzungeza igazi iphazamisekile. Njengoba for evamile igazi ligeleze ekuphenduleni oxygen ne-glucose, ukuntuleka okuqhubekayo kwalezi izinto kuholela ukuphazamiseka izitsha ezincane igazi zobuchopho.

amafomu microangiopathy

Lokhu zokugula ubuchopho kubangelwa ukuphazamiseka izitsha ezincane. Lokhu kubonakala ngesikhathi esisodwa, ngakho-ukuxilonga lesi sifo kunzima kakhulu kuzo lapho kusaqalwa.

microangiopathy Cerebral kwenzeka ikakhulukazi abantu abadala. Iqembu elikhethekile bazibeka engozini yokuhlupheka okubangelwa isifo i-Alzheimer. Ngo leso sifo e umthambo izindonga iqala buthelela amyloid (glycoprotein). Futhi uzinake ukuthi zokugula kuyinto uphethwe kahle kanye nokwelashwa.

Lentikulostriarnaya microangiopathy ngokuvamile esithinta izingane akusona isifo, kodwa isici isimiso sokujikeleza kwegazi. Kufanele kube nokuqapha okuqhubekayo.

microangiopathy Diabetic kwenzeka ngenxa iziyaluyalu kwegazi ebuchosheni elibangela isifo sikashukela.

microangiopathy abanomfutho wegazi ophakeme okubangelwa ukuphazamiseka uhlelo igazi ezivukayo ngenxa nomfutho wegazi ophezulu. Kuyadingeka ukulawula umfutho wegazi futhi kuvimbele yokwanda kwama.

Izimbangela zesifo

Kutfutfukiswa microangiopathy kwenzeka ngokumelene nezinye izifo. Lokhu kungaba isifo sikashukela, umdlavuza, isibindi zokugula, hemolysis.

Esinye sezizathu eziyinhloko okulandelayo:

• virus ukutheleleka (isimungumungwane, rubella);
• zokugula iqhaza ekunqotshweni yegazi;
• sikashukela;
• nomfutho wegazi ophezulu;
• sokuguga;
• esiwufuzo okubangela ithoni semithambo;
• ukulimala ezihlukahlukene;
• ukudakwa ezinzima;
• ukuhlukunyezwa eziluthayo.

Ngokuvamile, i-pathology eba ngenxa izinqubo ezilandelayo:

• Necrosis - ukufa kwezicubu namaseli.
• Hyalinosis - ukushoda amaprotheni ku ezifakwa isizinda hyaline.
• Ukwandiswa permeability semithambo. Ngenxa yalokho, le micu kanye timphawu tesakhiwo sezicubu zezinzwa nezinguquko engelapheki.
• Thrombosis, libhekene kumiswa ihlule legazi mafutha anciphisa isikhala esingaphakathi bomkhumbi, okuholela iphazamiseke ukugeleza kwegazi.
• Dysfunction ka endothelium semithambo, okuholela spasm yabo. Lapho isimo esinjalo kuyehla imikhiqizo antithrombin, prostacyclin, thromboxane lokuhlushwa iyakhula.

izici Isici microangiopathy

ukubonakaliswa Clinical lesi sifo zincike isitho nezicubu umonakalo ethize okwenzeka ngaphansi kwethonya izici ezithile zangaphandle. Iziguli ngokuvamile esekhala ubuhlungu futhi ukuncinza ezinyaweni, kwehle umbono, ngopha isisu nekhala, ukuthuthukiswa of claudication ngakanye, isikhumba ukoma stop hemoptysis.

Ngakho, kukhona izici microangiopathy ezilandelayo:

• wephule ubuqotho izitsha ezincane;
• ekuthuthukiseni ukwehluleka kwezinso;
• ezilimele amangqamuzana abomvu egazi;
• okhathazekile inqubo igazi ekunqandeni;
• ematfuba okuvela nokulimala.

izimpawu

microangiopathy cerebral has zimpawu ezilandelayo: isiguli siqala ukukhononda memory disorder, isiyezi, ubuthakathaka kanye kukhona ubuhlungu bekhanda causeless. Babonakala ngenxa yokuthi ukuthi capillary ubuchopho kungukuphula kwegazi. I okudalwa ukuba Imithambo emincane oyenza izinqubo oxidative of lipids, akhiwa radicals khulula okuyinto deleteriously kuthinte amangqamuzana obuchopho.

Njengoba isifo siqhubeka isiguli iba ongatjhejisisiko futhi abayizikhohlwa. Ubonakala Gait ngokumangalisayo, Kuhlangana ecasukile, umfundi ubukhulu iba ezahlukene, eziwohlokayo umsebenzi ezibukwayo. Ngaphezu kwalokho, kukhona acinene njalo ukopha esiswini ukungakhululeki emilenzeni uyaphumula, izinyawo ezomile uyaxebuka isikhumba, amahlule umchamo.

ukuhlola

Uma kukhona izinsolo ubuchopho zokugula, kubalulekile ukuhlola, lapho emaphaketheni zitholakala microangiopathy nalokho izinga lomonakalo ezindongeni umkhumbi. Kuze kube yimanje, izindlela ezilandelayo zokuxilonga asetshenziswa:

• MRI zobuchopho;
• zenuzi resonance kazibuthe;
• Doppler ultrasound.

Ukuze uthole ulwazi ngangokunokwenzeka usebenzisa inqubo ophephile mayelana nomzimba womuntu, efana le-MRI ingqondo, okuyinto intengo yokudla okuncane. Le ndlela ukuxilongwa ithandwa kakhulu. It ivumela ukuhlonza izimpawu zezifo ezifana yoma-cerebral palsy, leykoareoz, izikhala perivascular ukunwetshwa, ukopha ngesibonakhulu, lacunar infarcts. MRI zobuchopho, intengo zazo kuncike inani Ngokuphambene naphakathi esetshenziswa, ivumela ukubeka uphethwe yini. Uma isiguli ukala engaphansi kuka-69 kg, bangamaphesenti ruble 2,700, kusuka 70 kuya 99 kg - ruble 3200, kusukela kg 100 nokuningi - ruble 4400.

magnetic resonance imaging ndlela ivumela ukuba isifundo ijwabu ingqondo uqobo kanye vasculature. Kulokhu, ngokucacile izimpawu ezibonakala lemithambo hypoplastic. infarct sibonakala kalula, okuyinto zenzeka ngenxa occlusion semithambo, hypoperfusion palsy, ukopha encanyana.

Doppler ultrasound ndlela ivumela ukuthola ngeziphambeko izitsha, ukuvaleka noma ukuvaleka.

ukwelashwa

Iziguli musa njalo wazi lapho uxilongwe "microangiopathy cerebral", ukuthi kuyini nokuthi ingabe kungenzeka ukwelapha. Udokotela ngokuvamile limisa yokwelapha eziyinkimbinkimbi.

Okokuqala, isiguli kumelwe athathe izidakamizwa ukuthi kujwayeleke blood pressure. Ukuze kuqedwe bikho oxygen ebuchosheni, usebenzisa antihypoxants, njengokuthi "Emoksipin". Kubalulekile futhi ukuthi iguqule amazinga lipid usebenzisa statin, fibrates, Bile acid sequestrants. Lokhu kungafaka izidakamizwa ezilandelayo: ". Rosuvastatin" "Atorvastatin", "Simvastatin",

Futhi, uma kutholakala ukuthi uphethwe yini microangiopathy, ukwelashwa kufanele kwenziwe nokusetshenziswa nootropics okuyinto ngcono amandla ubuchopho. Lokhu "Piracetam," "Nootropil", "Tserebrozilin", "Encephabol." Ukuze kulesetayelekile kwegazi nicotinic acid amalungiselelo wasebenzisa "Pikammilon", "Ksantilona nicotinate."

isiphetho

Ngakho, saxoxa izifo ezifana microangiopathy palsy. Kuyini, manje wazi. Lena zokugula okungathí sina okudinga kokungenela ngokushesha. Ukushesha butholakala, lapho focus ehunyushelwe lesi sifo nezinga izilonda semithambo, kubalula kuyoba zokudambisa imiphumela yalesi sifo.