Chepfungwa infarction

Cerebral infarction (ischemic sitiroko) anova panyaya dzinokosha rutapudzo ropa kuyerera chepfungwa. Pakati zvirwere zvinokonzera kukura kwayo, nzvimbo yokutanga ndiyo atherosclerosis, anoparadza midziyo makuru. Kazhinji rinozivikanwa mubatanidzwa waro chirwere cheBP, chirwere cheshuga mellitus. Mune zvisingawanzoitiki nguva yakasiyana arteritis, rheumatic fivha, vachiberekwa mwoyo kuremara decompensated, zvirwere ropa, zvirwere, kudhaka, vakatsamwisa infarction. Zvinokonzera hosha zvakavigwa mupfungwa uye mumuviri mupfungwa. Kakawanda kubatwa vanhu pakati makumi matanhatu nemakore kana vakura.

Kuumba zvatichiri necrosis anogona kuzivikanwa dzakasiyana kumatunhu uropi. Kazhinji zvaitika mu mudziyo wokushambidzira pakati tsinga. chepfungwa infarction kungava pfumbu (chena) kana yakavhenganiswa dzvuku. Zvinonyanyozivikanwa chena. Afunge chepfungwa infarction pathogenetic zvigadziriswe vari siyana chaizvo. Izvi zvinosanganisira vascular thrombosis, embolism, spasm. Inenge hafu zvose zviitiko chepfungwa infarction iri pakanyorwa atherosclerosis yakabuda munzvimbo zvokurwara pamusoro extracranial vertebral uye carotid arteries.

Asati Kugadzirwa chirwere kupfuura kweropa zvirwere. Vari anowanzonzi ischemic kurwisa. Vari kuzivikanwa kutaura kusagadzikana zvatichiri zviratidzo (paresthesia, kutaura zvirwere, paresis). Kazhinji, ndivo mugumisiro pfupi-rokuti kushayikwa ropa wedzerai imwe nzvimbo uropi, vakazochinja anovandudza chomwoyo. Mune zvimwe zviitiko, kazhinji transistor ischemic kurwisa vakarurama pamberi chitarisiko chake. Saka, zvinoumba kiriniki "prodrome" sitiroko. Dzimwe nguva pane marwadzo ari musoro, mukuru kusagadzikana.

Kuita kuti ischemic sitiroko zvingaitwa chero nguva. kazhinji kunoitika pakarepo pashure chisinga- kana panguva yokurara. Mune vamwe varwere, kutanga zviratidzo chokuita mamiriro mukuru mutoro, simba mupfungwa chinhu, doro, chero zvayo, kusanganisira zvirwere kana kurasikirwa neropa. Ischemic Kurohwa kunowanzokonzerwa anoteverwa myocardial infarction.

Nokuti mamiriro zvikuru unhu ndiyo inoponesa vemunyika chetsinga zviratidzo zvishoma nezvishoma, yokuvamba pamusoro akawanda maawa, uye dzimwe nguva mazuva maviri kana matatu. Panguva iyo pangava kuwedzera kuratidzwa undulating fomu. Dzimwe nguva mwero kwokuomerwa kuwedzera, kuderera. Mune zvimwe zviitiko, pane apoplectiform mamiriro okukura.

Cerebral infarction. Treatment.

maronda akakura zviri dzinoratidzwa kwazvo nemamiriro varwere. Kuratidza zvatichiri zviratidzo kuvimba zvakakanganisa mudziyo.

Kuchirapa matanho panguva infarct inoti uropi vakatakudzwa kubva ari muchimiro yevanorwara zvikuru.

Cardiac thromboembolism inosanganisira kwokubatsira heparin kana pasi samolecular uremu nomukaka (klivarina, fraxiparin). Tevera chikumbiro chakaitwa kudzorwa kweropa.

Used uye antioxidants (zvinodhaka "Unitol" IM kana e-vhitamini), Kamudzira kugadzirira ( "Essentiale", iv). Nhasi kupera mvura mumuviri ndichibvunza kurapa vachishandisa saluretikov, osmouretikov akapotsa harimboshandiswi nokuda inefficiency. The kushanda glucocorticoids ndiyo zvikuru nemibvunzo.

Vakawanda metabolic zvinokonzerwa mishonga inoshandiswa. Izvi zvinosanganisira mishonga "Instenon" uye "Aktovegin". In ichi Kurovedza afemeruke ari kusashanda pamusoro pakanyorwa hypoxia uye ischemia kuburikidza dzekugonesa okisijeni Utilisation uye shuga zvinoita lipid peroxidation uye nezvimwe.