Nā kumu, nā hōʻailona a me ka mālama ʻana i ka Diephic Diopalopathy

Hoʻomaopopo ka encephalopathy Diabetic ma ke ʻano o ka lesen degenerative o nā lolo olakino e ulu kūʻē nei i ke kūlana o kahi kūlana kiʻekiʻe o ka maʻi mellitus o ka maʻi mellitus. I kekahi mau hihia, hōʻike wale ka ʻatikala ʻo ia wale nō me ka hōʻeha o ka maʻi maʻamau, a ma kekahi mau mea e alakaʻi i ka hōʻeha nui o ka cognitive. Hiki iā ʻoe ke pale aku i nā hopena koʻikoʻi o ka maʻi ma ka familiarizing iā ʻoe iho i nā kumu a me nā hana pono o kāna hanana ʻana, me nā ʻano pale.

Nā mea ʻoliala

ʻO ke hoʻonui nui o ke kōʻai koko, nānā ʻia no ka manawa lōʻihi, e hoʻonāukiuki i nā hana hou ʻole i loko o ka lolo. Ma muli o ka piʻi nui o ka ʻike a me ka mānoanoa o ke kahe o ke koko, ua loli nā moku i nā loli pathological - ʻo ko lākou mau pā i palalulu a paʻa paha, a lilo i nāwaliwali a palupalu. ʻO kēia mau mea āpau e alakaʻi i ka nalo pōpilikia, ma muli o kēlā me kēia o nā ʻāpana o ka lolo e hoʻomaka e ʻike i ka pōloli oxygen.

Ma muli o nā maʻi metabolic, hōʻiliʻili nā mea i loko o ke koko, e ʻuʻuku ʻia e ke kino mai ke kino. ʻO nā huahana hope o nā hopena biochemical e komo i ka lolo a hoʻonui i ke kūlana. I ka wā mua, he hoʻohemo kekahi o nā neurons, a ma hope, inā ʻaʻole i normal ʻole ke kahe koko, e make ʻiʻo lākou. ʻO ka hapa nui o nā ʻili o nā lolo, ʻoi aku ka maikaʻi o ke ʻano o ke kanaka.

I ka nui aʻe o ke kiʻekiʻe o ke kō koko koko, ʻike ʻia nā kūlana ʻē aʻe, ma kahi e a i ʻole e hoʻonui i ka pilikia e hoʻomohala ai i ka encephalopathy i ka maʻi mellitus o ka maʻi mellitus:

• mākeke - inu a me ka inu ʻona
• elemakule
• māhuahua hui kino kino,
• maʻi mūhū wā nui
• koko koko kiʻekiʻe
• uhaola hooulu pila
• Ke hoʻololi nei nā dystrophic i ka kolone o ka'āpana.

Minamina, ʻaʻole hiki ke maopopo ka hapanui i ʻole e alakaʻi i nā pilikia koʻikoʻi me ka hoʻokahe koko i ka lolo, ʻoiai ʻo ka moʻo akahuli ka maʻi nui e pili ana i ka hana pono o nā mea āpau. ʻO ka loaʻa ʻana o ka moʻolelo o nā pilikia me ka pae o ka glucose, inā ʻole ʻoe e haʻalele i ka noho ʻana o ka lawe ʻana i nā lāʻau lapaʻau a me nā mea ʻai, no ka mea, me ka hopohopo wikiwiki ʻana i ke kō koko koko, kahi e waiho ai i kahi mākaʻi i ke ʻano o nā kīʻaha koko a me nā aho, ka māhuahua.

ʻO pathogenesis a me nā pae o ka maʻi

I ka puʻuwai o ka encephalopathy maʻi maʻi āpau ka piha o ka maʻi ma waena o ka mīkini āpau. ʻO nā maʻi ʻeha ma muli o ka microangiopathy e hoʻopilikia i ka hemodynamics cerebral, e hoʻoiho ana i ka hypoxia o nā kuli o ka papa o ka lolo. ʻO nā kaʻina pathobiochemical e hele pū ana me ka hyperglycemia triggly glycolysis anaerobic, kahi e lilo ai i ka maluhia o ka neurons.

Ka hopena hoʻohālikelike i nā ʻōlohelohe manuahi e hoʻopiʻi i nā ʻili cerebral, a me ka hiʻohiʻona o ka hemoglobin glycosylated e hoʻoneʻe i nā kumumua o nā lolo. Hypoxia a me ka metabolic hikiʻole ke hoʻonāukiuki i ka make ʻana o nā pūlima o ka lolo, ʻoiai i ka wā like i ka hoʻopalulu ʻana a i ʻole nā ​​loli iki o nā molika liʻiliʻi i loko o ka puʻu cerebral. Ma muli o ka luku ʻana o nā pili neural, e hōʻino ka hana cognitive. Hoʻomaʻamaʻa nā kauka i nā ʻakolu he nui o ka encephalopathy i ka maʻi diabetes:

1. Initial. ʻO ka mea mua, ke kīkē nei i loko o ke koko ke hoʻomaopopo ʻia, e hoʻopiʻi ana ka mea maʻi i nā poʻomanaʻo pinepine, ka pouli ma nā maka, he ʻano ʻeha a me nā haʻaluhi. ʻO nā manawa pinepine, ua hilahila ʻia kēlā mau hōʻailona e ka maikaʻi o ke ʻano, ka makahiki, a i ʻole nā ​​vegetovascular dystonia.
2. ʻO ka lua. ʻO ke poʻo pinepine e lilo i mau manawa pōkole pono ʻole, ka lula ʻana i ka manawa pōkole, hiki i ke kanaka ke loaʻa nā pilikia me ka orientation i ka manawa. Hoʻomaʻamaʻa pinepine nā mau hōʻailona o ka hoʻolālā neurological - ua hana ʻino nā haumāna i ka mālamalama, ka haʻi ʻana a me nā ʻōuli aliʻi. Ma ke kānāwai, aia i kēia la kahi ka poʻe kokoke o ka mea maʻi e hoʻomaka i kahi kani ʻana.
3. O ke kolu. ʻO ka hiʻohiʻona hōʻailona o ka maʻi vascular pathology e haʻi. Hoʻopilikia ka mea maʻi i ka insomnia a me ke kaumaha. Ma kēia hana, ʻaʻole hiki ke hoʻomohala pono i ka ʻike maʻamau a me ka mākaukau.

Nā kiʻi haukapila

ʻAʻole hele ka kaʻina hana i ke uila wikiwiki. I ke wā ʻōpiopio o kekahi kanaka, ʻo nā maʻi maʻamau o ka encephalopathy maʻi maʻamau e hoʻokaʻawale iā lākou iho ma hope o ka hōʻeha ʻana o ka hyp- a me ka hyperglycemic attack. I ka poʻeʻelemakule, hōʻike pinepine ʻia nā hōʻailona maʻamau o ka maʻi ma hope o kahi hōʻeha.

ʻO nā hōʻailona o ka patology he nonspecificka hoʻohui ʻana o nā hana cognitive, ka maʻi asthenic, ka maʻi neurotic a me ka maikaʻi ʻole focal. I ka hoʻomakaʻana o ka maʻi, ua lanakila ke kanaka i ka nāwaliwali. E hoʻopiʻi ka mea maʻi ma kahi o ke poʻo, hopohopo i ka hopohopo o ke kaumaha a me nā pilikia me ka hoʻokūkū.

Hoʻokumu ke ʻano e like me ka neurosis-ʻano like ʻole e nā ʻano like me psychatic a me somatic. Pono ka pōʻai o ka mea maʻi e hoʻomanawanui, hoʻomau mau ʻo ia i nā maʻi i nā manawa, nā puʻupaʻa ʻana o kahi ʻano kuhi hewa i maʻamau. Ma kahi o 40% o nā maʻi e kamaʻilio mua ana i ke kauka me ka maʻi kaumaha. Loaʻa paha ka hoʻomohala ʻana o ka maʻi hysterical, hopohopo-phobic a me ka manic.

No ka maʻi asthenic, ʻike nā luhi i ka lethargy, ka pīpī, nā abnormalities vegetovascular, nāwaliwali i hoʻokumu ʻia i kahi manawa pōkole o ke kahe koko. Hōʻike nā pilikia Cognitive e ka uē i ka hana noʻonoʻo a me ka hūnā. Hōʻike ʻia nā hōʻailona ma o ka hemahema o ka hoʻololi ʻana, anisocoria (ʻokoʻa nā haumana haumana), ataxia (dizziness, pilikia me ka coordination) a me ka pyramidal insufficiency (nāwaliwali o ka pae haʻahaʻa a ma luna a me ka naʻau, hypertonicity maʻa).

Nā hana hoʻohālikelike

Hiki i kahi maʻi kūpono ke hoʻopuka wale ʻia e kahi neurologist ma muli o nā hopena o kahi hoʻokolokolo o ke kūlana neurological o ka mea maʻi. E loiloi pehea pehea ka hiki ʻana o nā loli a me ka hoʻololi i nā hoʻolālā cerebral i ka wā nui o ke ʻano diagnostics. me nā ʻano hana penei:

1. Electroencephalography. Hōʻike ia i nā loli kūlike i ka mea pili cerebral. ʻO ka hoʻemi ʻia ʻana o ka mele alpha a me ka loaʻa ʻana o ka anta maʻamau a me nā delta i hoʻopaʻa ʻia.
2. Hoʻonohonoho nā magneton resonance o ka lolo. I ka hoʻomaka ʻana o ka maʻi, ʻaʻole i ʻike ʻia nā lōkō. Ma hope aʻe, ʻike ʻia nā lūlū liʻiliʻi o nā loli loli degenerative-atrophic.
3. ʻO ke aʻo ʻana o ka hemodynamics cerebral. Hoʻohana ʻia ia me ka hoʻohana ʻana i ka nānā ʻana duplex, angiography a me rheoencephalography.

Hāʻawi i nā hoʻokolohua Laboratory kahi manawa e nānā ai i ke ʻano o ka hana ma ka metabolic, kahi e hoʻoholo ai ke ʻano o ke koko o ke kō, lipids, insulin a me cholesterol. Hoʻololi ʻia ka ʻokoʻa ʻokoʻa no ka hoʻokaʻawale ʻana i nā manamana maʻi a me nā malignant o ka lolo.

ʻO ka hoʻolālā Therapeutic

Nā neurologists a (ma kahi ʻoi aku ka liʻiliʻi) endocrinologists i loko o ke ʻano o ka maʻi diabetes encephalopathy. ʻO ke kūlana koʻikoʻi nā kauala kūpono e mālama i ka lawa o ka glucose i loko o ke koko. Hiki ke loaʻa i kēia ma o ka hahai ʻana i ka papaʻai i hoʻomohala ʻia e ke kauka a kau i nā lāʻau hoʻohiolo haʻahaʻa i ka manawa. ʻO nā mea maʻi i hōʻike ʻia me ke ʻano type diabetes mellitus i hōʻike ʻia ma ke ʻano ʻoi e hoʻohana ana i ka insulin.

Ke hoʻokau i ka hemodynamics cerebral a hoʻonui i ka pale ʻana o nā neurons i ka hypoxia, ke mālama pono nei ka hana neʻe ʻana me ka hoʻohana ʻana i nā lāʻau vasoactive, cerebroprotective, antioxidant a me nā lāʻau antiplatelet. Kuhi pū ʻia ka mea maʻi i ka paʻakikī o ka laikini, nā mea hōʻala o ka hoʻōla o ka ikehu.

Inā aia nā pilikia e pili ana i ka hana ʻikepili, a laila hōʻike ʻia ka mea maʻi e lawe i nā lāʻau anticholinesterase. Wahi a nā hōʻike, komo nā lāʻau antihypertensive a me nā lāʻau antisclerotic mai ka pūʻulu o nā statins i komo ma ke ʻano loea. Kōkua nā Vasodilators e hoʻololi i ka microcirculation a hoʻopau i nā kahe koko nui e pale ai i nā maʻi vascular.

ʻO ka mālama ʻia ʻana o nā pilikia o ka pae a me ka psychotic level e koi ai i kahi koho kūpono o nā lāʻau lapaʻau, ʻoiai ʻaʻole e noʻonoʻo nā mea hoʻonaninani i ke ala maikaʻi loa ma nā hana cognitive o kahi kanaka. ʻO ka manawa maʻamau, ʻo ia nā mea hana atypical tranquilizer. He mea pono e kūkā i ka psychotherapist a me kahi psychiatrist.

ʻO nā ʻōhua hiki

ʻO ka hopena o ka hopena maikaʻi loa i ka encephalopathy e pili pili i ka makahiki o ke kanaka a me ka pae o ka haʻalele ʻole i ke kaʻina pili. Hiki i kahi hoʻolālā therapeutic hoʻokūkū i hiki ke lōʻihi ke mālama i ka kūlana o ka lolo i kahi pae paʻa, me ka makaʻu ʻole o ka hōʻalo koke ʻana mai. He mea nui ia ʻaʻole ka haʻalele i ka maʻi hana.

Akā inā hoʻomaka ʻia ka mālama ʻana, me kahi kiʻekiʻe o ka hopena ka mana e alakaʻi ai i ka maʻi maʻamau. Ma hope koke ai, e hoʻomaka ana ka mea maʻi e hele makapō; nā migraines koʻikoʻi a lilo hoʻi i mau hoa hana mau. Ke hele nei ka palauwai, hoʻomaka ka lolo i kāna mau hana, a lilo ʻole ke kanaka i hiki ʻole ai. Loaʻa paha ka hoʻomohala ʻana i ka encephalopathy maʻi me nā maʻi noʻonoʻo kino, i ka manawa a ka mea maʻi i nā auditory a me nā hallucitions ʻike, nā manaʻo kuhi hewa, ʻike pono ʻole ʻia.

Nā hana kūpono

ʻOiai hiki i nā ʻōmole liʻiliʻi o ke encephalopathy hiki ke hoʻopilikia i kahi kanaka i ke kaumaha, hiki i ka ʻōnaehana kūpono ke pale i kēia hoʻopiʻi ʻana i ka maʻi maʻi. ʻO kekahi o nā ala e pono ai ke pale ʻana ke mālama nei i ka kaʻe koko i kahi pae kūpono a hahai i nā ʻōlelo ʻana a kauka e pili ana i ka papaʻai i kēlā me kēia lā. Pono ka papa o ka mea maʻi e kau me nā huahana me kahi haʻahaʻa glycemic index. ʻO ka ʻai maʻamau ʻana i nā kīkō, nā ʻaka, nā ʻulaʻula, nā kāleka a me nā aniani, hiki iā ʻoe ke hoʻomaikaʻi i ke ʻano a me ka hana ʻana o ka ʻōnaehana kao a laila pale iā ʻoe iā ʻoe iho i ka hōʻemi ʻia ʻana o ka lolo.

ʻO nā lau a me nā huaʻai i loaʻa i ka hapa nui o ka lau mea kanu indigestible a me ka hoʻomaʻamaʻa ʻana i ke kahe koko, e mau ʻoliʻoli nui i ka mea maʻi maʻi. Hiki iā ʻoe ke hōʻemi i ka hopena o ka diabetes encephalopathy inā hoʻopau ʻoe i nui mau punetamu o ka huaʻala olakino E-waiwai i kēlā me kēia lā.

ʻO nā maʻi āpau āpau, ʻoi aku ka poʻe me nā pilikia kīʻaha puʻuwai a me ke koko, e poina i nā mea ulaula a me nā waiʻona. ʻO kaʻoiaʻiʻo, ʻaʻole hiki iā ʻoe ke hana me ke ʻano ʻole o ka hoʻoikaika kino. Ke hele nei i ka lewa hou e hoʻomaikaʻi i ke kahe koko o nā kino āpau. Pēlā ʻaʻole e hōʻeha ka paʻakikī o nā hana kino i ka olakino, pono ia e hoʻonohonoho i nā nuances āpau me kahi loea.

ʻO ka encephalopathy maʻi maʻi he ʻano palaka lohi, ʻaʻole hiki ʻole ke lanakila a hiki i ka hopena me nā makemake āpau. Ka hilinaʻi nui loa ma ka papa kahi i hana ai ka maʻi, a ma ka nui o ka maʻi maʻamau. ʻO ka manawa wikiwiki ka mea maʻi i nā hana drastic, ʻoi aku ka nui o ka manawa e lohi i ka holomua o ka encephalopathy a mālama i kahi ʻano maʻamau o ke ola no ka wā lōʻihi.