TCD chepfungwa midziyo. Transcranial Doppler chepfungwa midziyo

Nomusoro uye basa kuderedzwa mupfungwa ikoko chikonzero. Kakawanda, zviratidzo izvi zvichiitika munguva vascular zvirwere. akaparadzirwa Poor ari arteries uye mutsinga uropi kunotungamirira ischemic kukuvara. In Muzviitiko zvakaipisisa, nokuti kushaya okisijeni kunogona kukonzera sitiroko. Zvinozivikanwa kuti chirwere ichi chiri zvikuru ngozi. Chenjera kweropa chirwere nemidziyo muuropi ropa kazhinji kunotungamirira nourema, pave pfari mu Muzviitiko zvakaipisisa kungatungamirira rufu. Chirwere hypoxia kunoitika nokuda kuderedza pamusoro lumen ari atherosclerotic tsinga vachirwisa (plaques). Somugumisiro kuputswa mashandiro akadai ndangariro, kurara, njere.

Kuongorora mamiriro wokufambisa, kuita TCD chepfungwa midziyo. Kudzidza uku kunokosha vanenge vanofungidzirwa discirculatory encephalopathy, sitiroko, kanganisika arteries uye mutsinga. Izvi yokuongororwa nzira inogona kuenda chero kiriniki.

TCD kudzidza - chii

Munyika yanhasi pane pathologies zvizhinji nechepakati tsinga kuti chirwere nzira. With kudzidza nerimwe gore nani kuva zvishoma kukuvadza muviri uye zvavataura. The date zvinodiwa akasangana ne yokuongororwa nzira sezvo transcranial Doppler ropa midziyo wouropi. Nokudzidza ichi tinogona kufungidzira kwete chete mamiriro arteries uye mutsinga, asi ropa riyerere mukati kwavari. The TCD hwakavakirwa ultrasonic chirwere nzira. Nzira kunoratidzwa kuti mudziyo anokwanisa utape ungira anonongedzera anobva kubva erythrocytes. Pashure ruzivo urwu kunoratidzwa pamusoro tarisisa iyo kwakabatana kuti Switch.

With midziyo yakadai chiremba anogona kuongorora chimiro uye nzvimbo midziyo, avo ezvinhu ari lumen, mirayiridzo ropa kuyerera. Data Ndivo chirwere rinokosha, sezvo vanobvumira kutonga pamberi pathologies akadai encephalopathy, malformation, aneurysm, sitiroko. Zvirwere izvi dzinokosha mumagariro, sezvo kazhinji kutungamirira kuremara. Saka, vanenge vanofungidzirwa zvokurwara zvakafanana TCD chepfungwa midziyo zviri zvairayirwa chirwere nzira. Kudzidza yakachengeteka nokuda muviri uye kwazvo anodzidzisa.

Zvairatidza kuti Doppler trankranialnoy

Doplerography Kuongorora uropi uye mutsipa midziyo rinoitwa munguva outpatient ezvinhu, sezvo hazvisi invasive chirwere nzira. Hazvina nyarara zvachose uye akachengeteka. TCD haina achiperekedzwa kugara nemwaranzi pamusoro chitunha murwere uye chiremba. Zvairatidza kuti Doppler ropa nhumbi pamutsipa uye musoro dzinofungidzirwa kukanganisa ropa kuyerera uye aienda pamusoro arteries kana mutsinga. Kuchinja kwakadaro kunoratidza vascular zvirwere, umo dzose kudzora chiremba uye kurapwa zvinodiwa. Zvairatidza kuti Doppler:

1. Chenjera kusagadzikana pfungwa kutenderera. Izvi zvinosanganisira Hemorrhagic uye ischemic sitiroko, uyewo mamiriro asati sitiroko.
2. Atherosclerosis pakati arteries kwemitsipa uye musoro. Kana chirwere ichi ndicho aienda pamusoro lumen rwengarava ropa nokuti kuti endothelium kuunganidza mafuta kuifukidza - remafuta akawandisa plaques.
3. Encephalopathy. It kunoitika pamusoro mamiriro echirwere hypoxia. DEP anogona kuva somugumisiro atherosclerosis uye osteoarthritis. In Muzviitiko zvakaipisisa kunotungamirira dementia.
4. vascular malformation. Rinoreva vachiberekwa anomalies uye ari isiri nzvimbo uye kubatana zviri arterial uye venous hurongwa.
5. Vascular aneurysm mutsipa uye musoro, uyewo kuwedzera BP.

TCD zvinofanira kuitwa kwete chete nokuda vanofungidzirwa chirwere, asi kana munhu upi. Zvakakodzera rokuongorora richiona kurapwa.

Options nokuti transcranial Doppler

Doplerography Kuongorora uropi midziyo uye mutsipa zvinogona kuitwa nenzira dzakasiyana-siyana. Chisarudzo nzira inoenderana chirwere zviratidzo. Pachishandiswa kunotoda mufananidzo, chiremba anogona kufungidzira kuti localization pakati njodzi mudziyo. Govera 3 shanduro ongororo:

1. Carotid ultrasonography - akaita apo wakateya Switch pamusoro zvachero nemidziyo mumutsipa. Yandakapiwa carotid tsinga zvinogara cerebral midziyo, kudzidza ichi anopa kunoratidza kuvapo kana kusavapo kwouropi ischemia. Zvinoratidza vachapera simba, kutadza kuyeuka, chetsinga zvirwere.
2. TCD chepfungwa midziyo - zano kuiswa iri fungidziro mikuru chepfungwa arteries. With kuwana vanofungidzira transcranial uropi mamiriro. Tikadzidza rwenyama, occipital nezvenyama kumatunhu.
3. Transorbital kushanda pakuvheneka. Kunze vanenge vanofungidzirwa midziyo alterations ziso.

Contraindications kuti TCD

The chikuru mukana TCD chepfungwa midziyo ndezvokuti kutsvakurudza yakachengeteka nokuda muviri. Inogona kuita varwere chiremba, vakadzi vane pamuviri uye vanhu vachitambura nekuora pathologies. Contraindications nokuti transcranial Doppler haisi. Kunyange zvakadaro, hazvina chinodiwa kuita mu chakasimba yokurwiswa cardiac uye kufema kukundikana.

Kugadzirira TCD arteries uye mutsinga musoro uye mutsipa

Doppler Ultrasound pakati arteries musoro uye mutsipa haisi achiperekedzwa zvinokonzerwa uye nyarara. Naizvozvo, gadziriro nokuti TCD ndiye tingasarudza. Kunyanya varwere kuororwa vanofanira kujekesa chinangwa nzira. Sedatives hadzina kuratidzwa somunhu gadziriro. Pamberi nzira, unofanira kubvisa zvishongo uye kuchenesa mbozha.

achiita rokuongorora midziyo

Transcranial Doppler rinoitwa murwere vagere chair. With ichi mapindiro rinoitwa duplex kana triplex kushanda pakuvheneka. The ultrasonic Switch yakaiswa chokuita nzeve. The yokudzidza Kuvamba pamberi, ipapo mudziyo inodedera kumusoro (mu zvenyama parietal nharaunda), pashure iyo - kare. Izvi zvinobvumira kuti kutendeukira kuongorora ropa riyerere munzvimbo dzese uropi. At kudzidza pakupedzisira Switch anoiswa mukati mumutsipa. Saka zvinobvira kutonga mamiriro cerebellar mapazi tsinga pamusoro Galen uye Rosenthal. Uyewo panguva transcranial Ongororo vakafunga mamiriro ari vertebral tsinga.

TCD chepfungwa midziyo: decoding zvabuda

Results midziyo TCD dzinoongororwa mu-zvechokwadi nguva chiremba kuti dzichipfekeka Diagnostics. Nokuti kuti mufananidzo chinobuda chidzitiro, chiremba wacho anogona pakarepo vafunga pamusoro ezvinhu arteries kana mutsinga. Kana triplex kushanda pakuvheneka midziyo inopendwa mu tsvuku uye zvitema. Rinopa chiratidzo pamusoro kukurukurirana pamusoro venous uye arterial gadziriro. Nemhaka TCD anogona kuyera ropa riyerere velocity nemidziyo, ayo mirayiridzo. Doppler rinopawo rairatidza vharuvhu midziyo wenyika, yomukati madziro arteries. ropa kuyerera Slow kana mhirizhonga kunoratidza aienda pamusoro mudziyo lumen. Muchiitiko chino, unofanira kubvunza chiremba wetsinga uye vascular chiremba.

Ndezvipi makiriniki vanoita TCD

Kana uchifungidzira munhu vascular nepfungwa wetsinga dzinenge nguva dzose anotaura varwere kuti TCD chepfungwa midziyo. Apo kuongorora kuitei? Kusarudza kukiriniki asingadi kukanganisa mugumisiro nzira, saka murwere anogona kusarudza: kuita nzira iri panzvimbo ipi. TCD aakaitira zvinenge zvose anobhadharwa wezvokurapa nzvimbo uye makiriniki iri rakafara Profile pamwe weDhipatimendi dzichipfekeka Diagnostics.