Kufarirwa kweuropi ndeimwe yehutachiona hwehutachiona hukuru, paunenge uine humwe hunojairika, kusanganisira pakati pevanhu vepakati-kati. Kufanirwa kwechirwere ichi kunonyanya kugadziriswa nekugadzirisa kwekupa kwekurapa kwakakodzera uye kuchengetwa kunoitwa nemurwere.
A cerebral infarction - chii ichocho?
Chirwere chiri mubvunzo chirwere chinoputika chirwere, chinoratidzwa nehutano hwehutano husina kunaka nekuda kwekuregererwa kweropa kune rimwe rematare aro. Nzvimbo uye rutivi rwechiremera chinogona kusiyana. Apo ropa risati rasvika pauropi mashu, zvisinei nokuti chii chinokonzera, hypoxia (oksijeni nzara) uye zvimwe zvinetso zvemagetsi, pathobiochemical shanduko, zvinoonekwa. Aya maitiro, anonzi "ischemic cascade", anotungamirira kukuvhiringidzika kusingagadziriswi kune neuroni dzakakanganiswa uye rufu rwavo - chirwere.
Apo inchemic cerebral infarct inowanzoitika, nzvimbo inoumbwa yakakomberedza necrosis foci, apo ropa rekuyerera rinodengenyeka, asi harina kusvika pahutano hunokosha ("ischemic penumbra"). Munharaunda iyi, neuroni haisati dzaiswa pasi morphological change, uye kwenguva yakati dzinoramba dzichiita basa ravo. Kana kurapwa kwakatanga munguva (pasina nguva maawa matatu kusvika maawa matanhatu mushure mokurwiswa), kupararira kweropa kunowanzoitwa, hutachiona hwemutsipa hunodzorerwa. Mukusabatwa kwerapi, masero aya anotanga kufawo.
Ndechipi musiyano pakati pecherebral infarction uye cerebral stroke?
Vakawanda vanofarira kana pfungwa dze "cerebral infarction" uye "stroke" dzakaenzana, chii chiri kusiyana pakati pavo. Izwi rokuti "infarct" mumishonga, rinoreva chimiro checacciseis nekuda kwekushayikwa kweropa, rinoshandiswa kune nhengo dzakawanda, asi "kurohwa" kunoreva zvakafanana, asi chete kuuropi. Izvi zvakasiyana-siyana zvemazano zvinotorwa kuti zvirege kuvhiringidzika, saka kuora kweperection uye chirwere chepfungwa chinowirirana.
Lacunar infarction yeuropi - chii ichocho?
Inenge makumi maviri kubva muzana yematambudziko inoita kuti munhu asarudze chirwere chinonzi cerebral infarction, chinoratidzika nechitarisiko chechidiki chinokonzerwa necrotic mumadzikidzi akadzika echeperesi hemispheres kana mumatunhu. Ukuru hwemazana ehutachiona hwakakanganiswa ndi 1.5-2 cm muhupamhi. Iyo hutachiona kazhinji inokonzerwa nekukundwa kwemaminiti emakemikari anopa nzvimbo idzi dzeuropi. Pakupedzisira, pane nzvimbo yefa yakafa, cyst inoumbwa, izere nezvakakonzera mvura. Dzidzo yakadaro, sekutonga, haina ngozi uye haina kukonzera kukanganisika kukuru.
Kuwedzera kwechiremba chinonzi infarction
Apo chirwere chakakura chechirwere chinoparidzirwa chinoratidzwa, izvi zvinoreva kuti kuchinja kwechirwere kunobata nzvimbo huru dzehutachiona hwemhepo dzinokonzerwa nekuguma kwekuyerera kweropa mune rimwe remaketari carotid. Zvichienderana nokuti ndezvipi zvehemispheres zvinoshungurudzwa (kuruboshwe kana kurudyi), kubatwa kwakadaro kwakadaro kune zvakasiyana. Mune zviitiko zvakawanda, kushandiswa kwemhando iyi yehutachiwana hakusi kunaka.
Cerebral infarction - zvinokonzera
Cerebral infarction inobatanidza cerebral vascular kukuvadza kazhinji haiiti kamwe kamwe, panguva imwe chete, asi inokura zvishoma nezvishoma muhupo hwehumwe zvirwere uye zvinokonzera zvinokonzera. Kushandiswa kwemidziyo yeperebral kunogona kumutsa:
- thrombi (blood clots);
- akaparadza atherosclerotic plaques;
- zvidimbu zvezvipfuva zvakapwanyika;
- intravascular air embolus;
- mafuta embol.
Mukuwedzera, chirwere chekupararira kweropa chinogona kuitika kana kuvimbika kwemidziyo kuchiputsika kana nekuda kweropa ravo rakareba. Zvinokonzera zvinowanzoitika:
- hypertension ;
- atherosclerosis;
- rheumatic endocarditis ;
- ischemic heart disease ;
- kukundikana kwemoyo pamwe chete nekuderedzwa;
- atrial fibrillation;
- migraine;
- chirwere cheshuga mellitus;
- hematological diseases;
- chirwere chekukura kwevascular;
- matumbo emavutu;
- osteochondrosis yecervical spine;
- kuwandisa muviri zvakanyanya;
- kushungurudzika;
- kunwisa doro;
- kusvuta;
- kusava nekufamba;
- kuwandisa muviri, nezvimwewo.
Mufaro hwehuropi - zviratidzo nemigumisiro
Ischemic cerebral infarction nezvipembenene zvechidiki chemuviri wevhundutsi pane dzimwe nguva zvakaoma kuziva nekuda kwekudzikana kwezviratidzo, asi nechirwere chikuru, chirwere chemakiriniki chinodamwa, uye migumisiro haibvumi mhinduro inouraya inenge makumi mana kubva muzana yevanotambudzwa. Kana rubatsiro runopiwa panguva yakakodzera, mikana yemugumisiro wakanaka unofadza.
Mufaro hwehuropi - zviratidzo
Necherebral infarction, dzimwe nguva zviratidzo zvinofananidzira, zvichionekwa kune vanorwara vakawanda mangwanani-ngwanani kana usiku kwemaawa akawanda uye kunyange mazuva kusati kwaitika kurwisa. Kazhinji izvi ndezvi:
- chizungu chakasimba chinopfurikidza nerima mumeso;
- kupera mune chero chikamu chepamusoro kana chikamu chepasi;
- kupfupika kwekutaura kushungurudzika.
Tinonyora zviratidzo zvikuru zvehutachiona hutachiona, humwe hwahwo hunoonekwa mune izvi kana kuti rudzi rwehutachiona:
- kurasikirwa kwekuziva;
- kushungurudza, kurutsa;
- headache;
- manzwiro anononoka ekupisa;
- kunetseka;
- utera hwakasimba;
- kutadza kutaura;
- kuora mwoyo;
- manzwiro eve matsi;
- kushaya kukwana manzwiro;
- kurasikirwa kwenyasha mumakumbo;
- kurasika kwekuyeuka;
- kusagadziriswa kufamba;
- chiso chakakanganiswa kune rumwe rutivi, nezvimwewo.
Mufaro hwehuropi - migumisiro
Kuongororwa kwe "cerebral infarction" kunogona kutungamirira kune dzimwe dzakawanda zvirwere, zvinowanzoonekwa pakati padzo ndezvi:
- congestive pneumonia;
- thromboembolism ye pulmonary artery;
- acute heart failure;
- edema yeuropi;
- zvinodzvinyirira;
- immobility;
- kuputsa kwekutaura, kuona, kunzwa;
- kuora kwekuita kwepfungwa;
- kuora mwoyo kwakagumburwa;
- coma;
- kurasikirwa mupfungwa.
Cerebral infarction - kurapwa
Kana kuratidzwa kunowanikwa kune munhu ari pedyo iyo inogona kuratidza kuora kweperection, iwe unofanira kubva uchitumidza vanachiremba uye upe rubatsiro rwekutanga rubatsiro:
- akaisa murwere pamusana wake, achiisa duku mupfudzi pamapfudzi ake, mapepa, uye musoro;
- kubvisa zvipfeko zvekupwanya, zvigadzirwa;
- kupa mweya mutsva;
- apo kurutsa - tendeuka musoro wako kune rumwe rutivi, tsanidza mhepo yemhepo yemarutsi;
- kupima ropa.
Varwere vanoonekwa kuti vane chirwere cheperection infarction vanobatwa mune zvinotevera zvinotevera:
- kumira kwemabasa ekufema;
- kugadzikana kwebasa romwoyo;
- kudzora ropa;
- mutemo wemvura-munyu kuenzana, glucose level;
- kuchengetedza kupisa kwemuviri;
- kuderedzwa kwechiremba edema ;
- chirwere chinoratidzira zvichienderana nezviratidzo zvemakiriniki;
- kudzivirira kwezvinetso.
Varwere uye hama dzavo dzinofanira kurongedzerwa nekurapa kwenguva refu, ivai nemoyo murefu, tenda mukurapa uye kutevera mazano ose ezvehutano, izvo zvinowedzera mukana wekubudirira. Mune zvimwe zviitiko, mapurogiramu europurgical anodiwa kuti adzore kushandiswa kwevascular, asi kazhinji kacho chete kurapwa kwakakodzera kunodiwa. Kushandisa zvinodhaka kunosanganisira mapoka emarudzi anotevera emishonga:
- antiplatelet agents (Aspirin);
- anticoagulants (Heparin, Warfarin);
- nootropic zvinodhaka (Cerebrolysin, Pyracetam);
- vanopikisa calcium (Nimotop, Akatinol);
- zvinoreva kuvandudza rheological yeropa (Reopoliglyukin, Pentoxifylline);
- mishonga yepamusoro (lisinopril, Furosemide);
- antidepressants (Fluoxetine, Amitriptyline);
- kunyomba-kuderedza zvinodhaka (rosuvastatin, simvastatin).
Cerebral infarction - kugadzirisa
A cerebral infarction inokonzerwa nezvinhu zvakasiyana-siyana inoda nguva refu yekudzikinura, iyo iyo yakawanda yehutachiona yakarasika inogona kudzorerwa. Kuvandudza mushure mekuda kwehutano uku kunosanganisira matanho anotevera:
- physiotherapy (parafini mabhesti, electrostimulation, nezvimwe);
- therapeutic gymnastics;
- massage;
- psychotherapeutic miitiro;
- anodzidzira kuti adzorere kutaura;
- kurovedzwa kwebasa rekuyeuka (kuverenga ndima, mitambo yematafura nezvimwe zvekuyeuchidza);
- kushandiswa kwemagariro evanhu (kutsvaka zvinokuvaraidza, kushanyira kumitambo, maonesheni).