Ischemia yehupfungwa chirwere chakakomba chinokonzera kutyisidzira kwakakomba kwete kungofanana nekushanda kwomunhu anorwara, asiwo kune hupenyu hwake. Sezvinoratidzwa nhamba, mumakore achangopfuura nhamba yezvirwere zvakadaro inoramba ichiwedzera, uye chirwere hachifariri vakwegura, kana vanhu vemazera, kana vechidiki.
Ischemia yeuropi - chii ichocho?
Ischemia yeuropi, kana chirwere cheschemic, chirwere chepfungwa umo mauropi europi haagamuchiri okisijeni muhuwandu hwakakwana nekuda kwevarombo patency yemidziyo yeropa iyo inodyisa chikamu ichi chinokosha. Uropi ndiye mutengi mukuru we oksijeni mumuviri uye anonyatsonzwa hypoxia, saka mumamiriro ezvinhu ekushayikwa kweokisijeni munguva yekutsanya, kune kukanganisa kwezvinhu zvakasiyana-siyana, izvo zvinogona kuva chinhu chisingazogadziriswi.
Mukuwedzera pakushayikwa kwomweyaji, neuropi ischemia nekuda kwekushayikwa kwezvibereko zvinopa neropa (vitamini, glucose, nezvimwe zvakadaro), pane kuchinja kwehutano hwemagetsi. Somugumisiro, kuparadzwa kwemakumbo emagetsi emakumbo anotanga, uye, zvichienderana nenzvimbo uye ukuru hwezviremera, migumisiro yeiyi ingave yakasiyana.
Ischemia yeuropi - zvinokonzera
Cerebral ischemia inokonzerwa nekuda kwezvikonzero zvakasiyana siyana zvinotungamirira kuoma mukupa ropa kuuropi. Zvinogona kugoverwa mumapoka akawanda:
1. Maitiro ekuchinja mumidziyo inopa uropi, inobatanidza nechitarisiko chavo nekushanda kwepamusoro. Muboka iri, chinonyanya kukosha ndeye atherosclerosis , iyo inowanikwa muzhinji rwevarwere vanorwara ne "cerebral ischemia." Izvi zvinoreva kuti cholesterol plaques yakaumbwa mukati memadziro emukati emakemikari emakemikari, zvishoma nezvishoma kuwedzera muhukuru, kuwedzera uye kukura mukati mehupamhi hwomudziyo. Kuvapo kwecholesterol mari inotungamirira kune kuderera kwevhenekisi yemakumbo, kusvikira yakazara yakazara. Mukuwedzera, boka iri rinosanganisira:
- kuchinja mumasvingo emidziyo yeropa inobatanidza nehutachiona hwehutano, umo mune kuwedzera kwezvibatanidza mukati mavo;
- thrombi iyo inogona kuumbwa kune imwe nzvimbo, inopinda mukati memidziyo yeperebral neropa rinoyerera uye inokonzera kuvhara;
- arterial aneurysms - maitiro asina kujairika pamadziro evascular;
- nguva refu vasospasm (inopesana nemamiriro ekudzvinyirirwa kwakanyanya, osteochondrosis yemutsipa wecervical, hypertension, etc.);
- kuberekwa kusakwana kwemasvingo emidziyo yeropa;
- kuwirirana kweyeri kubva kune imwe kunze (semuenzaniso, kuora kwemaitiro).
2. Kuchinja muropa ropa - kuwedzeresa mavhisikiti uye coagulability, izvo zvinokonzera kuoma kwekuyerera kweropa, kuumbwa kwemakumbo. Chikonzero chacho chingave chiri kuchinja muhutano hwe electrolyte weropa, nekuda kwahwo hunotadza kukwanisa kutakura oksijeni nemaprotheni makemikari.
3. Shanduko muhuwandu kana hutachiona humodynamics , inocherechedza neanemia, mwoyo kusagadzikana kana kutyisa kwakanyanya.
4. Kusvibiswa kwemasabetism ye-neurons , anosanganiswa nezera kana kuti maitiro evanhu.
Acute ischemia yeuropi
Kana pane chirwere chinonzi acere cerebral ischemia, izvi zvinoreva kuti kwaive nekukanganisika kwekuyerera kweropa nechirwere chetachiona chechirongwa. Kuvhara kwekuyerera kweropa kunowanzokonzerwa nekuvhara mukati memudziyo ne thrombus kana cholesterol plaque yakasimbiswa kubva pamadziro edzimba. Ischemia yeuropi munyaya iyi inokura maererano nemutemo wekurwisa kwechemere ischemic ine kukuvadza kukuru kweuropi tissue kana ischemic stroke nekuumbwa kwenzvimbo yeperectional infarction .
Chirwere chisingaperi chinonzi ischemia
Chirwere chisingaperi chinonzi ischemia chinokura zvishoma nezvishoma zvichienderana nehuwandu hwekuwedzererwa kweropa. Zvinonyanya kukonzera ndeye atherosclerosis uye arterial hypertension, iyo yakawanda yevarwere inosanganiswa. Zvakakosha zvakakosha zvipembenene zvevascular, matenda epfungwa, uye kushandiswa kwevascular. Zvimwe zvinokonzerwa nehutachiona hwechirwere ichi zvinosanganisira kukwegura, kuzvidzora nhaka, miitiro yakaipa, kusagadzikana kwekudya.
Ischemia yeuropi - zviratidzo
Kana pane chirwere chinopisa chinonzi ischemic, zviratidzo zvekusawirirana kwemhirizhonga zvakaoma kusaona. Zviratidzo zvinoenderana nekunzvimbo kwechiremera uye zvinogona kusiyana. Zviratidzo zvekurwisana kwenguva refu uye chirwere cheschemic zvakafanana, asi munyaya yekutanga ivo ndezvenguva duku, kuchinjwa uye nekubatsira panguva yakakodzera nokukurumidza kugadzirisa, uye muchiitiko chechipiri dzimwe dzadzo dzisingabvumiri. Ngatitangei maitiro ezviratidzo zvemaitiro akaoma:
- chizoro;
- kurwadziwa kunorwadza mumusoro;
- slurred speech;
- kukanganisa kana kukanganiswa kwemaonero;
- kusagadzikana kunyoresa, kusarura;
- fainting ;
- kurasikirwa kwekunzwisisa mune dzimwe nzvimbo dzomuviri;
- kupera kwemuviri zvikamu;
- kuderera kwehuwandu hwekufamba mumakumbo kune rumwe rutivi;
- kukanganisa kwekubatanidzwa kwekufamba;
- kuora kwehutano hwakanaka hwemotokari;
- kuvhiringidzika kwekuziva;
- kushungurudza, kurutsa;
- kushungurudza chirwere.
Mune chimiro chisingaverengeki, zvitatu zve cerebral ischemia zvinoratidzika:
- yekutanga ndiyo danho rekuratidzwa kwekutanga;
- wechipiri - subcompensation;
- chechitatu ndechekubhadhara.
Cerebral ischaemia ye 1 degree
Muchikamu chekutanga, cerebral vascular ischemia inogona kuitika zvisinganzwisisiki kumurwere uye neshamwari dzake, kana zviratidzo hazvina hanya nokuti nzvimbovyrazhennosti. Zviratidzo zvikuru ndezvi:
- kuwedzera kuneta;
- general weak;
- kunzwa kusuruvara mumusoro;
- ruzha munzeve;
- kazhinji manzwiro anochinja;
- kutsamwa;
- kuora mwoyo;
- kukanganisa kwekubatanidzwa kwekufamba;
- shuffling gait;
- kukanganwa, kusavapo-pfungwa.
Cerebral ischemia yechipiri chechipiri
Apo cerebral ischemia inokura 2 degrees, zviratidzo zvekutanga zvinowedzera kuipa, zvinova pachena. Zviratidzo zvakajeka ndezvizvi:
- kazhinji misoro , mutsipa;
- chiyeuchidzo chakakosha;
- kuzviparadzanisa, kusafarira;
- Muongorori uye matambudziko oculomotor;
- kurasikirwa kwekwanisi kushanda;
- zvinetso zvepfungwa.
Cerebral ischaemia ye 3rd degree
Nehutatu hwehutano hwehutano, huwandu hwehutano hwehuro uye izvo zvinokonzerwa zvakarasika zvinoregererwa. Zviratidzo zvehutachiki zvinosanganisira:
- frequency syncope;
- kupera simba;
- urinary incontinence;
- kutadza uye kusazvidzora;
- kusakwanisa kutama;
- kurasika kwekuyeuka;
- kugumbuka kwemafungiro epfungwa kusvika pakudemenha.
Ischemic disease - kuongororwa
Kana chiremba achifungidzira kuti murwere anoumba chirwere cheschemic muuropi, huwandu hwezvidzidzo zvakasarudzwa kuti dzisimbise kuongororwa, tsanangura chiyero chekufambira mberi, tsvaga zvinokonzera zvinokonzera. Kuongorora kwepanyama kunoongorora hutano hwemapfupa ehutano uye hwemwoyo, hunogadzirisa maitiro eurouro (kujekesa kwekuziva, kutaura, chirangaridzo, kunzwisisa, kuwirirana kwemafambiro, pupillary response to light, etc.). Akagadzirwa shanduro uye zvidzidzo zvebhoratori:
- kombiyuta kana magnetic resonance imaging yeuropi;
- ultrasound dopplerography yemidziyo midzi yeropa;
- kudhinda kunokwana kwemidziyo;
- angiography yemidziyo yemakumbo;
- brain electroencephalography;
- echocardiography yemwoyo;
- electrocardiogram;
- ophthalmoscopy ye fundus;
- X-ray yepervical spine;
- kuongororwa kweropa nokuda kwezvinyorwa zviduku zvinoputika, glucose uye cholesterol.
Ischemia yeuropi - kurapa
Varwere vanofungidzirwa kuti vane chirwere chinonzi cerebral ischemia vanofanira kupiwa mushonga nokukurumidza sezvinobvira, izvo zvinoda kukurumidza kuendeswa kuchipatara. Chokutanga pane zvose, matanho anotorwa kuti adzorere kupararira kweropa, iyo inogadziriswa nemaitiro anochengetedza kana okuvhiya. Kushanda kupindira kunoitwa munyaya dzakaoma zvikuru nechinangwa chokubvisa shrombus kana atherosclerotic plaque kubva pamagetsi akavharidzirwa muchero, zvichiwedzera kubwinya kwemudziyo.
Apo cerebral ischemia inoratidzwa, chikamu chinokosha mukurapwa chinopiwa kune kudya kwekudya. Varwere vanoda kuderedza kudya kwemafuta emhuka, kuchengetedza, zvinonhuwira, muffin, shuga uye munyu. Zvokudya zvinobatsira zvakagadzirwa mu potassium (maapricko akaomeswa, mazambiringa akaomeswa, mbatata yakabikwa), iodini (gungwa rezvokudya), mishonga yakakisi-mukaka, miriwo, michero, zviyo. Nhamba yezvikamu zvisina kuroorwa inofanira kuderedzwa, kuwedzerwa nhamba yezvokudya kusvika 5-6. Kurapa kunowanzowedzerwa nekuita muviri, kupisa muviri, physiotherapy nzira.
Ischemia yeuropi - madhiragi
Nzira yekurapa cerebral ischemia, chiremba anosarudza, zvichibva pane dambudziko rekuongorora. Kushandisa zvinodhaka ndiko kwechikonzero chekutambudzika kwakanyanya, nemishonga inogona kujowa kana kutorwa nemuromo. Tinonyora mapoka makuru evanhu vanogadziriswa kurapa chirwere ichi:
- antiplatelet agents, anticoagulants - kudzivirira ropa clots nekuumbwa kwe thrombi (acetylsalicylic acid, Aspirin cardio, Cardiomagnum, Dipiridamol, Clopidogrel, Fraksiparin);
- zvinodhaka zvinodhaka-kuderedza ropa (Lizinopril, Enap, Ramipril, Amlodipine);
- neuroprotectors - inodzivirira neuroni kubva kune zvinhu zvisina kunaka (Actovegin, Citicoline, magnesium sulfate);
- anticholesterol zvinodhaka - kuderedza muzinga weketseroti muropa (Atorvastatin, Rosuvastatin);
- thrombolytics - nekuda kwekuparadzwa kwe thrombi (Activaz, Retaplase, Aktilis);
- nootropics - kuvandudza uropi hunoita (Piracetam, Cerebrolysin, Nootropil);
- antispasmodics uye vasodilators - nokuda kwekubviswa kwezvinyorwa zvevascular, kuwedzera kwemwenje wemidyo yeropa (Papaverin, Euphyllinum, Bilobil, Vinpocetine).
Kurapa kwechiremba ischemia nemishonga yevanhu
Zvakakosha kunzwisisa kuti yakarongerwa kurapwa kwechirwere chisingaperi chine ischemia, uyewo yakaoma, haigoni kuchinjwa nenzira ipi zvayo yakakurumbira, saka izvi zvinogona kuuraya. Mikana yekushandisa chero imwe nzira inoshandiswa yekurapa inofanira kukurukurwa nachiremba, uye chete nemvumo yake vanogona kuonekwa. Semuenzaniso, tinopa ruzivo rwemishonga inogadzirisa iyo inogona kusimbisa kukura kwehutano, kuwedzera lumen yemidziyo yeropa, kuisa ropa rekuyerera uye kushandiswa kwemagetsi mumasero europi.
Mishonga yemishonga
Zvisungo:
- Oregano - 1 tafura. spoon;
- nettle - 1 tafura. spoon;
- goose goatee - 1 tafura. spoon;
- maruva immortelle - 1 tafura. spoon;
- akasimuka mahudyu - 1 tafura. spoon;
- michero ye hawthorn - 2 tafura. makapu;
- St. John's Wort - 3 tafura. makapu;
- Firakisi mbeu - 1 teaspoonful. spoon;
- chidimbu cheminti - 1 teaspoonful. spoon.
Kugadzirira uye kushandiswa
- Sakanidza uye funganisa zvishandiso.
- Tora tafura 2. spoon kuunganidza, kudurura hafu yeitare yemvura inodzika.
- Simbikidza usiku, saka kuoma.
- Inwa mukati mezuva, kugovera kupindirwa muzvokudya zvitatu.
- Nzira yekurapa ndeye mwedzi 2-3.
Migumisiro yecherebral ischemia
Chirwere cheIschemic cheuropi chinogona kutungamirira kumigumisiro ine ngozi, pakati payo:
- kupora muviri kwepamuviri yepumusoro;
- edema yeuropi;
- thromboembolism ye pulmonary artery;
- heart failure;
- dementia;
- paresthesia;
- kuora mwoyo.
Prophylaxis yeconary disease
Nechinetso chiduku, zviratidzo zvehupfungwa zvinokonzera kune vanhu vasina tsika dzakaipa, vanoita zvemitambo, vanotevedzera mitemo yezvokudya zvinovaka muviri uye vanorarama munzvimbo dzakanaka. Nezvozvi mupfungwa, nekuda kwekudzivirira kwehutachiona, ikozvino ikozvino:
- Nguva yakawanda yekushandisa mumhepo itsva.
- Rega doro uye kusvuta.
- Zvakanaka, kudya zvakanaka.
- Kutungamirira nzira inoshingaira yehupenyu.
- Dzivisa mamiriro ezvinhu anonetsa.
- Nenguva yakakodzera, itai kushandura zvirwere.