Chirwere chepfungwa ischemia

Chirwere ischemia uropi chokuita imwe chimiro chepfungwa vascular zvokurwara. mhando iyi zvokurwara kunokonzerwa diffuse kushaya ropa wedzerai munyama. Kukundikana mberi zvishoma nezvishoma uye inotungamirira nokuvhiringidzirwa muuropi chaitika.

Diffuse zvinoderedza ropa riyerere mwero muzviitiko zvakawanda, kunokonzerwa neBP, atherosclerosis kana mubatanidzwa kwayo. Chirwere chepfungwa ischemia zvakare achiperekedzwa vachivavhiringidza pamusoro neurogenic mutemo chepfungwa uye systemic hemodynamics.

kuitika dambudziko kunokosha chaizvo. Mental uye chetsinga zvirwere pematanho chisingaperi chepfungwa ischemia, kunowanzokonzera zvikuru vakaremara.

Development of chirwere vagara vandifungira siyana zvinhu. Aimbova zvinosanganisira hypoxic ischemic pfungwa lesion uye kunoramba kuderera simba pezvakaitwa, ari activation pamusoro dzinotsanagura lipid peroxidation. By afunge zvinhu zvinosanganisira uye kutyorwa Ionic homeostasis, zvichiita kuti kukundwa mashandiro anoita masero ari tsinga. Kunyanya, kuti kukundwa biosynthetic mashandiro, izvo zvakafanira kuitira zvokurarama nazvo zvavo uye anokwanisa kubvisa, kubudiswa uye kuchengetera ruzivo.

Chirwere chepfungwa ischemia (zvichienderana navanachiremba kwokuomerwa zvirwere) rakakamurwa muzvikamu zvitatu.

Kana kuratidzwa wokutanga pachikuva, pane kutonga pakati kuzviitira zvirwere muchimiro hope nenyonganiso, akaderedza hanya uye ndangariro. Uyezve, pane nomusoro, manzwiro waziya, dzungu. Chetsinga chinzvimbo kunoratidzwa pamberi duku zvatichiri chetsinga zviratidzo, zvisina zvakakwanira chirwere chakakomba zvakajeka chetsinga syndrome.

Mune Danho rechipiri echirwere pfungwa ischemia akaratidza zviratidzo zvimwechete wokutanga. Panguva iyo pane unopinza Kuipa ndangariro. Uyezve, zvikuru raidudzwa zviratidzo chetsinga, makemikari uropi.

Kana kuratidzwa rechitatu padariro vasanyanye Vhoriyamu murwere zvichemo, pamwe vasanyanye kutsoropodzwa yayo kuna ezvinhu ake. Chetsinga chinzvimbo ari dzinoratidzwa kwemimwe syndromes, uchapupu multifocal pfungwa maronda akabatana vascular dementia.

Modern zvakarurama chirwere kwechirwere chacho, kunyanya mukutanga mumatanho rokuratidzwa zvinosanganisira zvidzidzo paraclinical uye neuroimaging. Kushandisa nezviyero izvi kuridza inokosha basa nechirwere kwechirwere chacho, sezvo vanopa mukana musimbise vascular yaro zvakasikwa uye kuziva ukama kunotoda kurapwa zvirwere ane vascular lesion. By paku chirwere maitirwo ezvinhu anosanganisira computed tomography, electroencephalography, Doppler Ultrasound pamusoro intracranial uye extracranial nemidziyo, echoencephalography.

Treatment. Chirwere ischemia uropi, achiperekedzwa zvishande vanotaura, kaviri kurapwa pasina muchipatara. Kuchirapa matanho zvainanga pakudzikamisa rokuparadza kwendangariro. Mukuwedzera, kurapa anewo kudzivirirwa kubva ischemic sitiroko.

To optimize ropa chokubuda aishandisa mishonga. The vanachiremba vari aiming kuramba hwandaiva BP. Izvi zvinotungamirira kushandisa mishonga izvo zvine antihypertensive kushanda.

In pamberi atherosclerotic vascular maronda uye taurira zvinodhaka lipid-richikwidibira. kuita kwavo, Inter Alia, zvainanga nani endothelial nerevane dzikira ropa viscosity. The kuchirapa kosi zvinosanganisirawo antiplatelet nevamiririri.

Muzviitiko zvakaipisisa zvinoda kuvhiyiwa.