Uropi hune simba rekutonga nzvimbo yemuviri wose, saka kukanganisa kwayo kunowanzova mungozi inouraya kana mabudiro akaipa. Kurwiswa kwechikafu chinonzi ischemic chirwere chepfungwa chinoshanda, chinogona kupera kubva pamaminitsi maviri kusvika maawa makumi maviri nemana uye kupera nekurova.
Zvinokonzera kushandiswa kwechikafu chinonzi ischemic
Izvo zvinorondedzerwa mamiriro ezvinhu zvinobuda kubva panguva yekukuvadza kusvika kuhutachiona hwehutachiona.
Chikonzero chikuru chekurwisana ndiko atherosclerosis ye-cerebral arteries (yakakura uye yakasvibirira caliber), pamwe chete nemidziyo huru. Panguva imwecheteyo, atherosclerotic plaques inoumbwa nechinoshandiswa pakugadzirisa uye kuparadza, hutachiona hunotarirwa, atherostenosis, atheroembolia, atherothrombosis. Kunewo humwe hutano hwemasimba mumidziyo yeropa.
Chimwe chinhu chinowanzoita kuti chirwere chisingaperi chiwedzere kuwedzera. Nguva dzose kuwedzerwa kudzvinyirira kunotungamirira kuchokwadi chokuti rusvingo rwemasvingo runoshandura kusinganzwisisi (hyalinolysis) uye kuwedzera nemhaka ye fibrin inowira mukati maro mukati.
Vanenge makumi maviri kubva muzana zvekushungurudzika kwezvinhu zvose zvinokonzerwa nehutano hunotevera:
- rheumatic heart damage;
- cardiopathy;
- atrial fibrillation;
- endocarditis;
- myocardial infarction;
- aneurysms;
- calcification of the mitral valve;
- inopera;
- congenital heart disease;
- aortic stenosis ;
- kusagadzikana kwemasayeri (stratification);
- primary vascular disorders of inflammatory genesis;
- gynecological changes (mushure mokuberekwa, panguva yekuzvitakura);
- fibro-muscular dysplasia;
- Moya-Moya syndrome.
Zviratidzo zvekushungurudzika kwenguva refu kwechiropi
Makiriniki ezviratidzo zvehutano huri mubvunzo anobva pane imwe dziva remvura rakaparadzwa.
Zviratidzo zvenguva refu-ischemic kurwisa kana karotid kukanganisa kweropa kuparadzirwa kwemaketari emakarotid:
- kuora mitezo yemakumbo kana muviri wose, hafu yechiso;
- kuora kwekunzwisisa;
- kushungurudzika kwemapurogiramu ekutaura (aphasia, dysarthria, mutism);
- kuchinja mukuonekwa kwakanaka, kupofu kune rimwe kana maziso ose;
- kuderera kweunyanzvi hwepfungwa;
- kuwedzera kwekuwedzera kwebasa rekuita.
Zviratidzo zvekurwisana mujecha regungwa re vertebrobasilar:
- shaky walk;
- systemic tsvina;
- kudengenyeka;
- uncoordinated movements;
- nystagmus;
- kushungurudzika kwekufema mabasa;
- kurasikirwa kwekuziva.
Sezvakamboitika, pane kupera simba, kuderera kwemaziso, kutaura, maitiro ekuchenjera, kusava nehanya mukati memakumbo kana mumuviri wose.
Migumisiro yekurwisa ischemic inopera
Icho chinetso chikuru chechiitiko ichi ischemic stroke yeuropi pamwe nekugadzirwa kwakagadzikana kwehutano hwakagadzikana neurological defects:
- kukanganisika kwepfungwa;
- kusakwanisa kutama;
- dysarthria (kutaura kusakanganiswa, kutaura kusinganzwisisiki kwemashoko akataurwa).
Muzviitiko zvakawanda, kurwiswa kunowanzoendesa kurufu.
Kurapa kwechirwere chinokanganisa ischemic
Sezvo mutemo, munhu haagoni kufanotaura mberi kwekufambira mberi kwechirevo chinorondedzerwa chirwere, saka kuparidzirwa kwekukurumidzira kwechiremera kunoitwa. Kurapa kwechirwere chekuita ischemic chinoshandiswa kunoitwa muchipatara chebato rezvepfungwa uye rinosanganisira zvinotevera:
- Kugamuchirwa kwema antiggregants uye anticoagulants zvechiito chakananga uye chisingaoneki (Aspirin, Clopidogrel, Dipiridamol).
- Kushandisa zvinodhaka zvinodhaka uye nzira dzokuderedza kushanda kweropa (pazuva repiri mushure mekutsvaira kwechisimba).
- Kushandiswa kweeuroprotectors uye nootropic zvinhu.
- Kusarudzwa kwezvipembenene zveprombolytic kuparadza zvigadziri zvakavhara arteri.
Kudzivirirwa kwechirwere chekuita ischemic
Kudzivirira hutachiona huno kuburikidza nekudzikisa njodzi zvinokonzera, nekutora mishonga inoderedza ropa inonzi viscosity (acetylsalicylic acid, Cardiomagnesium). Inokurudzirwawo kunwa statins, disaggregants uye antihypertensives (kana zvichidiwa).
Zvakakosha kuchengetedza mararamiro ehutano uye kunyatsotarisa kudya, kudzivisa kushandiswa kwecholesterol yakawandisa.