Hana i ka microangiopathy - he aha ia, nā mea, nā maʻi a me nā maʻi
ʻO Microangiopathy (microangiopathy) kahi ala i kuhikuhi ʻia e nā palaka o nā kīʻaha koko liʻiliʻi (ma mua o nā capillaries. ʻO ka pinepine, ʻo ka hōʻailona kēia o nā maʻi kūʻokoʻa. ʻO nā ala maʻalahi o nā moku o ka retina o ka maka a me nā capillaries i loko o nā kuli ua manaʻo ʻia ʻo ia kekahi o kāna mau ʻano. Hoʻokumu ka maʻi ma nā pūnaehana vascular a me nā ʻāpana o kahi kūmole o nā ʻano maʻi like ʻole o nā maʻi ʻeha a me nā maʻi oncological, diabetes mellitus, nā maʻi ʻōpū, a me ka hemolysis (kahi ala kulou i hele pū ʻia e nā luku koko ʻulaʻula a me ka hoʻokuʻu ʻana o ka hemoglobin mai o lākou).
I ka nui o nā hihia, ʻo ko microangiopathy ka hopena o:
- ʻO ka make a me ka make o nā ʻāpana a me nā ʻoka o ke kino (necrosis),
- ʻO ka thrombosis kahi hana i hele pū ʻia e ka hoʻokumu ʻana o nā māhina koko ma loko o nā moku koko e hoʻokaʻawale i ke kahe koko maʻamau,
- ʻO ka Hyalinosis (a i ka hyaline dystrophy) - kahi kūlana o kekahi o nā ʻano o ka dystrophy o ka protein a ke ʻano me ka hoʻoiho ʻana o ka hyaline i nā kiko.
- ʻO ka Fibrinoid (a i ke ʻano nui o ka fibrinoid) kahi kūlana i hikiʻole ke hōʻike ʻia e ka nui o ka piʻi ʻana i ka vascular permeability a me nā hōʻike ʻana o kahi hoʻoneʻeneʻe hohonu loa o nā kiko huakaʻi, i kau ʻia ma ka luku ʻia o kāna waiwai kumu a me nā fibers.
ʻO ke kiʻi pōpoki o microangiopathy holoʻokoʻa i ke ʻano o ke kiko i hoʻopili ʻia, ma nā hiʻohiʻona anatomical a me morphological o nā kino i hoʻopili ʻia, a me ke ʻano o kekahi mau ʻaoʻao o ka waho ma ke kino. ʻO kāna mau kumu nui ka: hōʻino i ka palekana o nā paia o nā moku koko liʻiliʻi a me ka hana i ʻole ke ʻano o ka pūnaehana coagulation koko (hemostasis).
Hoʻomaʻa pinepine ʻia ka maʻi me ka hiki ʻole o ka renal, purpura (subcutaneous hemorrhage - kahi hōʻailona lapaʻau, ʻo ia hoʻi kahi hōʻailona o ka patology o nā ʻano o nā hemostasis) a me ka hōʻino ʻana i nā ʻāpana koko ʻula.
ʻO nā kumu o ka hoʻomohala ʻana o ka microangiopathy
Ke alakaʻi nei ka microangiopathy i:
- ʻO ke ala i hoʻoiho ʻia e ka hua genetic ona mana, ka mea i hoʻopili ʻia e ke kaʻe o ka leo o nā paia o nā kīʻaha koko,
- Kekahi mau maʻi e pili ana i ke koko a me ka plasma,
- Hoʻohālikelike kino
- ʻO nā ʻano hōʻeha kino like ʻole.
Manaʻo ia ka hiki ke hoʻonāukiuki i ka microangiopathy he hiki i ka uahi a me ka hoʻohui ʻana i ka waiʻona, a me ka hypertension hoʻi, kahi nāwaliwali nui o ke kino, ka mea, no ka hana ʻana i ka hana ʻalike a me kekahi mau loli e pili ana i ka makahiki.
Nā ʻano o ka microangiopathy
Hoʻololi ka lāʻau lapaʻau i nā ʻano ʻelua i nā maʻi:
- Cerebral microangiopathy (a i ʻole microangiopathy),
- Ma ka maʻi microangiopathy maʻi maʻi.
ʻO kahi hiʻohiʻona hiʻohiʻona o ka cerebral microangiopathy ʻo kaʻino i nā kīʻaha koko mikroskopona i loaʻa i ka lolo. Hoʻolālā ʻo ia i ke kū'ē pinepine ʻana e pili ana i ke kahe o ke koko maʻamau i loko o ka lolo, atherosclerosis, a me ke ʻano nui o ke koko (hypertension).
ʻO ka maʻi microangiopathy maʻi ʻo ia kekahi o nā hōʻailona e pili ana i ka maʻi mellitus, a ʻo ke kumu o ka hoʻomohala ʻana i ka iwi (a i ka histotoxic) hypoxia - kahi hopena i loaʻa mai i ka hoʻohana ʻole o ka oxygen i loko o nā kī.
Ma ka maʻi microangiopathy maʻi maʻi
Kūkaha kēia ʻano o ka microangiopathy ma muli o ka hoʻonui o ke kaila o ka glucose i ke koena o nā pae maʻamau. E pale aku i kēia kiʻi, ua hōʻino nā mea maʻi i nā paia o nā moku liʻiliʻi-kaliber (venules, capillaries a me arterioles) e pili kokoke i nā kiko o ke kino. I kēia hihia, hilinaʻi nui ʻia nā kiʻi haumania i kahi o ka lesion.
ʻO ka microangiopathy ʻano maʻi ʻo ia kekahi o nā mea i hōʻike ʻia e pili ana i ka maʻi diabetes. ʻO kēia ma muli o ka manaʻo i ka patology e hoʻonāukiuki i nā hana o ke aʻalolo a me ka hoʻoneʻe ʻana i nā ʻano metabolites mai lākou. Ke hoʻomau nei ka maʻi, hele mai ka vasoconstriction, ʻoi aku ka maikaʻi o nā hōʻailona o ka pololi o ka oxygen.
Ke kūleʻa ʻole ʻia o nā pā o nā kahe koko.
- Hōʻino i nā membrane o nā arteri liʻiliʻi,
- Hoʻopukaʻia ka Endothelial,
- Pāwili ʻana o nā membrane papa.
- Nā kuʻina o nā mucopolysaccharides i nā paia o nā huawai.
Eia kekahi, ma muli o ka hoʻonui ʻana o ke kaomi osmotic ma muli o ka hoʻonui nui ʻana o ka fructose i loko o ke koko a me ka hoʻoulu ʻana i ka wai nui, ʻike ka poʻe maʻi i ka hoʻonui ʻana i ka edema i loko o nā puna, a me ka ʻano ʻana o nā moku ma muli o ka pale ʻole o ka metabolism o nā protein a me nā momona.
ʻO ka hōʻike ʻano like loa o kēia ʻano microangiopathy:
- ʻO ka nephropathy Diabetic (ʻike ʻia ma kahi hapakolu o nā poʻe maʻi a hōʻailona i ka hana renal impaired, renal edema, a me ka nui o nā waihona nui i loko o ka urine)
- ʻO ka angopeetinopathy Diabetic (hoʻopōʻino i nā moku o ka retina o ka eyeball),
- ʻO Microangiopathy o nā moku e kau ana ma nā pae haʻahaʻa.
Hoʻoponopono a me ka mālama ʻana o ka microangiopathy
E hōʻike i ka microangiopathy, pono ia e hoʻokō:
- ʻO ka nānā aku ana i ka hoʻohana ʻia o nā kīʻaha koko,
- ʻO ke ultrasound nui,
- Imaging resonance wikiō,
- X-ray hōʻike,
- Hoʻohālikelike tomography.
A no ka mālama ʻana i ka microangiopathy, ʻo ia nō ia e hilinaʻi nei i ka hoʻokalakupua o ke kaʻina pili a me kāna etiology. I ka nui o nā hihia, hōʻike ʻia nā mea maʻi i ka lāʻau lapaʻau, e ʻimi ana i ka hoʻomaikaʻi ʻana i ka maikaʻi o microcirculation i nā kiko. Hoʻohui ia, hiki ke kuhikuhi pū ʻia ka physiotherapy.
Pono ke komo ʻana i ka maʻi lawaiʻa inā pono ia e hoʻihoʻi i ka vascular patency. Hoʻoholo ʻia ia me ka hoʻohana ʻana i nā ʻano o ka cryosurgery a i ʻole ka coagulation laser.
Hoʻoikaika palapala
Nui nā mea i lohe, a hele maila kekahi i kekahi maʻi e like me microangiopathy o ka lolo. He aha kēia ʻO kēia kahi kaʻina hana i hiki ke pilikia i ka capillaries a me nā moku liʻiliʻi, ka loaʻa ʻana o kahi ʻano maʻi. I ka lolo, pioloke ka helehelena koko. No ka mea ke kuleana ka oxygen a me ka glucose i ka kahe koko maʻamau, hiki ke lōʻihi i ka lōʻihi o kēia mau mea a hiki ke hōʻemi i ka hana ʻana o nā kīʻaha liʻiliʻi o ka lolo.
He aha ka lolo microangiopathy?
ʻO ke kumu nui o ka agoraphobia - hōʻike, ke ʻano hana a me nā hana hoʻomohala
ʻO ka immunotherapy no nā neoplasms malignant
He aha ka hoʻonā uila transcranial: ʻo ka manaʻo o ka hana a me ka hana o ka hana
Rekognan: ʻelua ma ka mākeke citicoline
ʻO nā ʻōlelo aʻo
E kiʻi i ka kūkā maʻa me ka neurologist a i ʻole psychologist
Aloha I kekahi lā, lawe wau i kahi haki 5l ma kaʻu manamana lima. Aia ka lepo i nā wahi āpau, akā he pono ia.
ʻO Goosebumps me ka haʻalulu i koʻu kino e holo pinepine ana, he aha paha?
ʻOi maikaʻi ka lā! Nui koʻu pilikia, he makahiki i ke kakahiaka (a i hope o koʻu hele ʻana i ka hiamoe.
Aloha. He 33 makahiki wau. ʻO Marina Huli lauoho. Vsd Hoʻomaʻaina kōpailila atheroscler 25%. Lawe ʻia Atarax. Ned
Aloha awakea No 2 wiki, hōʻeha ke poʻo i ka manawa āpau - ʻo ka ʻeha ma luna o ka ʻāʻī e hele i ka ʻaoʻao hema.
E hana i nā hoʻokolohua e kōkua iā ʻoe e aʻo hou e pili ana iā ʻoe iho.
ʻO ka hoʻokolohua no ka hoʻoholo ʻana i ke kiʻekiʻe o ka sociophobia
ʻO ka mea kaulana loa, ʻo ia ka hoʻāʻo no ka hoʻomaopopo ʻana i ka sociophobia ma ka māka ʻo Leibovich. E kamaʻilio me ka ʻenehana a hele i ka pūnaewele.
ʻO ka wehewehe ʻana o ke ʻano a hoʻokau iā Eysenck ma IQ - e hoʻoholo ana i ke kiʻekiʻe o ka naʻauao ma ka pūnaewele
ʻO nā hoʻokolohua e hoʻoholo ai i ke pae o ke akamai, ʻo ka hōʻike ʻO Eysenck IQ ka mea maʻamau a ʻono.
Nā hopena kūpono e hoʻoholo i ke kiʻekiʻe o ka empathy: hoʻāʻo iā Yusupov a me Boyko
Hōʻike ʻo Empathy ma ka pūnaewele. ʻO nā ala o ka hoʻonāukiuki i ke kiʻekiʻe o ka empathy I.M. Yusupova a me V.V. Hōʻailona.
ʻO kahi wahi o ka pathomorphology
ʻAʻole kū mai ka Microangiopathy o ka lolo mai kahi e noho nei. Hiki i nā hōʻemi ke pā o ka vascular i nā kumu 4.
- ʻO ka thrombosis kahi paʻa i ka lumen o ke koko koko.
- ʻO ka Necrosis ka make o nā ʻoihana me nā kiko.
- Hyalinosis - waiho i nā paia o ke kīʻaha koko o ka ʻaina - ka maʻi hyaline.
- ʻO Fibrosis kahi hana hou e hikiʻole ai i ka permeability kiko, ke alakaʻi nei i kona luku ʻana.
Aia i ka ʻano o ka microangiopathy, hiki i ka pathology ke loaʻa nā hopena maikaʻi loa, no laila he mea nui loa ia e nānā i kou kūlana a ʻimi i ke kōkua i nā hōʻailona mua.
Nā mea hoʻohilahila
ʻO ka ʻōpū o ka pōʻino ischemic i kumu e ka microangiopathy ʻaʻole i hoʻokomo i kekahi mau hola. Hoʻopili lākou mua i kahi kaʻina lōʻihi, ʻo ia hoʻi, me ke ʻano kānāwai, ua pili me nā ʻano mea:
- ka moekolohe kūlia kumu i kahi kue ʻana o ke ʻano vascular,
- i ka ulaula a me ka inu hewa,
- huki koko ʻaʻā koko
- nā hōʻeha
- nā maʻi ʻohi
- nā maʻi endocrine, kūikawā diabetes mellitus,
- nā maʻi o ka ʻōnaehana cardiovascular, ma ke ʻano, ke kau o hypertension,
- hana kaumaha kino kino a me nā kūlana hana hōʻino;
- makahiki ma hope o 50 makahiki.
Nā ʻano o ka maʻi
Wahi a ka nui o nā hōʻailona, māhele ʻia ka cerebral microangiopathy i nā ʻano 4.
- He maʻi maʻi ka cerebral amyloid microangiopathy. Nā maʻi e ka haʻalele ʻana o ka protein kalaiwa. ʻAʻole hoʻomaʻamaʻa a ua ʻike maikaʻi ʻole i ka lāʻau lapaʻau.
- ʻO ka angathyathy Lenticular e pili ana i nā keiki. Pono e nānā pono i ke keiki i nā dinamics.
- Hoʻopilikia ke kāpena microangiopathy holoʻokoʻa holoʻokoʻa o kahi maʻi me ka maʻi maʻi. Ke ulu nei ke ʻano o ka mea maʻi, ua hōʻike hou ʻia nā hōʻailona cerebral. Pono ke ʻano o ka mālama ʻana i ka maʻi lalo.
- Hoʻokumu ka microangiopathy hypertensive i nā mea maʻi me ka hypertension arterial. Pono e nānā i ka paū a pale i nā loli koke.
I kēia manawa, aia kahi manaʻo he maʻi ʻo ka lenticulostriary he maʻi maʻi, akā he ʻano kūikawā o ke kahe o ke koko. Inā ʻaʻole alakaʻi ia i nā kuʻe ʻana i ka hoʻolālā ʻana o ke kino a me ka psychomotor o ke keiki, ʻaʻole pono ka hoʻoponopono.
Nā kiʻi haukapila
Hāʻawi ʻia ke kūlana o ka mea maʻi e ka hele ʻana a me ka hoʻohui ʻana o nā syndromes koʻikoʻi. Hoʻopiʻi pinepine nā mea maʻi i nā poʻo o ka hōʻeha, kahi mālama maikaʻi me ka lāʻau lapaʻau, i hele pū ʻia e ka vestibular syndrome. ^ E Ha yM. A eia nō hoʻi, ua hoʻākāka maoli ʻia nā maʻi astheno-neurotic i kēlā mau mea maʻi: ke hele maikaʻi lākou, huhū, pākuhi i ke kaumaha a ma ka manawa hoʻokahi ua wikiwiki lākou, e hiamoe maikaʻi, hiamoe maikaʻi ʻole, hopohopo pinepine, hoʻoluhi ʻia. Hoʻomaopopo lākou i kahi emi nui o ka hana hana. Wahi a ke kahua o ka foci o ka gliosis a me kā lākou nui, hiki i ka mea maʻi ke loaʻa autonomic polyneuritis syndrome: kahi hōʻino o ke ʻeha a me ka hoʻohuihui ʻana o ke kino i nā wahi like ʻole. ʻO kekahi ʻano hōʻailona a me ka pilikia e pili ana i ka hemorrhagic. Hiki iā ia ke hōʻike iā ia iho ma ke ʻano o nā mea kīwī a me ka hamo, a me ke ʻano o ka nosebleeds. ʻO ka pōʻino o ke koko i loko o ka wahi i waena o nā membran a i ʻole e komo i ka waiwai o ka lolo.
ʻO Microangiopathy o ka lolo ka mea e hoʻopili ai ka encephalopathy o kēlā me kēia ʻeha. Inā hoʻomaka ʻia ka maʻi a ʻaʻole mālama ʻia kūpono, ma nā mua mua e loli wale nō ke ʻano, ke alakaʻi nei i ka maʻi kīnā, a ma hope iho e make ai ka mea maʻi.
Nā kumu kumu o ka maʻi
ʻO ke kumu nui nui ka hala ʻole o ka kaʻe o ke koko i loko o ka lolo, i hōʻike ʻia e ke ʻano kino. Hoʻopilikia ʻia nā mea keʻokeʻo, ʻoiai ʻaʻole lawa nā oxygen a me nā glucose. Hoʻopuka kēia mau mea i ka kahe o ke koko, a me kā lākou hemahema e hoʻopilikia i nā moku cerebral liʻiliʻi.
Ua hui pū ʻia ʻo Cerebral microangiopathy me nā maʻi ʻē aʻe. Hiki paha ia ia nā hopena o kēia mau ʻano kino.
- Ka huluhulu Fibrinoid. Me kēia maʻi, lilo nā ipu, e luku ʻia ka pili hoʻohui.
- Necrosis. Make ke kino nā kino.
- Hoʻokomo ʻia Hōʻalo ka ke kahe a kaʻe ke koko.
- Hikina. Hōʻiliʻili ka Hyaline i loko o ke kino.
ʻO nā kumu ke komo i ka palake i ka hana o kēia mau kaʻina metabolic:
- hoʻoulu o ka lipid peroxidation,
- hoʻoneʻe ʻia o ka protein protein,
- nā hana hōʻiliʻili o nā mea (prostacyclin, nitrogen),
- huina ʻaʻano,
- hoʻonāukiuki i ka hopena o ka glucose oxidation,
- ʻO ka hypoxia kiko ma muli o ka nui o ka hemoglobin glycosylated.
ʻO ka maʻi hiki ke hoʻowalewale i kekahi mau ʻōhua:
- ka make ʻana i nā inu ʻona me nā ʻāpana nui,
- ulaula
- nawaliwali o ka pale ole,
- nā hōʻeha mechanical a me nā lāʻau
- kekahi mau maʻi (rubella, ʻehā),
- ʻaina (ke kiʻekiʻe o ke koko),
- māhuahua hoʻoikaika kino.
Kahi ʻano makahiki (mai ka 50 mau makahiki) hiki ke microangiopathy.
ʻO ka hōʻailona o ka maʻi ka:
- nā wahi hiamoe hiamoe
- poʻomanaʻo
- ho'ēmi i ka huahana
- e moe lā, i ke ao
- noʻonoʻo noʻonoʻo
- nā hoʻomanaʻo hoʻomanaʻo
- hāmeʻa
- nā wāwae wāwae i ka wā e holo ana a e hele ana,
- koko i loko o ka urine
- kahe koko mai ka ihu a me ka ʻōpū
- ka paʻakikī o ka ʻili ma nā wāwae,
- ka nui haumāna.
Pehea e hoʻokō ai ke kaʻina hana?
Pono e kūpono ka mālama ʻana. Pono ʻoe e hōʻalo i ka maʻi ma lalo o ka mālama paʻa ʻana o kahi loea. ʻO ka mea mua, pono e hoʻoholo i kāna pae, a laila kuhikuhi i kekahi mau lāʻau lapaʻau. ʻOi aku ka makua o ka mea maʻi, ʻo ia ka mea pono e alakaʻi ʻia. Ma ke makahiki o 50, ʻo microangiopathy o ka lolo ka wikiwiki loa.
ʻO ka hana mua a nui hoʻi e lawe ʻia ma ke alo o kahi maʻi he hoʻohaʻahaʻa i ke kaomi. ʻO ke hypertension kahi kumu e wikiwiki nui ai i ke ʻano o ke kino. ʻOiai ke ʻano o nā lāʻau lapaʻau o luna loa ia e hoʻokahe i ke koko, pono ke ʻae ʻia ka lāʻau lapaʻau e kāu kauka.
Me ka maʻi, pono e hoʻomaikaʻi i ka pēpē cerebral. He kūpono nā Nootropics (Nootropil, Cerebrozilin, etc.) no kēia. Loaʻa i nā lāʻau lapaʻau e pili ana i ka acid nicotinic i ka hopena maikaʻi. Aia kēia me Picammilon.
ʻO kekahi hana nui o ka mālama ʻana, ʻo ka hōʻemi ʻana o lipids. Hiki iā ʻoe ke hoʻokō i ka pahuhopu me ke kōkua o nā fibrates, statins. Hiki i kāu kauka ke kuhikuhi i simvastatin.
ʻO ka liʻiliʻi o ka oxygen i ka lolo, ka wikiwiki e hoʻomohala ka maʻi. Hoʻohana ʻia nā antihypoxants e hoʻopaʻa i ka ʻōnaehana cerebral me ka oxygen.
Hoʻokomo ʻia ka regimen lapaʻau i nā lāʻau lapaʻau e hoʻolauleʻa ai i ke koko manini. ʻO ka Aspirin lāua ʻo Trenal nā lāʻau lapaʻau e pili pono ana i ka kahe koko a pale i ka nānā ʻana o nā clots.
Me nā pae holomua, pono ia i nā lāʻau ʻē aʻe. No ka mea, ke kaemae i na aneurysm. Hoʻonui ia i ka pilikia o ka make, no laila, pono ka hoʻohemo ʻana inā hiki.
Inā pili koʻikoʻi nā moku, hiki ke hoʻoweliweli ʻia ke kaʻina hana a me nā kaʻina hana kūikawā (cryosurgery a me ka coagulation laser) pono. Kahi ka poʻe maʻi i kuhikuhi i ka physiotherapy i kahi kahi inpatient.
I ka hihia i hui pū ʻia aku ka maʻi me ka maʻi maʻi maʻi koʻikoʻi, e hāʻawi koʻikoʻi kahi meaʻai. Hoʻopiʻi ia i ka wehe ʻana o nā huahana o ke kō a me ka hoʻopau ʻana o ka meaʻai maʻamau. Pono nā maʻi i ka maʻi insulin a me nā lāʻau lapaʻau ikaika.
Nā kumu kumu o ka maʻi
Ke kū nei ka hoʻolālā ʻana o ka microangiopathy i hope o nā maʻi ʻē aʻe.Hiki ia i ka maʻi diabetes, oncology, pathology ate, hemolysis.
Ihele nā kumu nui.
- maʻi ʻehā (measles, rubella),
- mau ala e kōkua ai i ka hoʻopilikia koko,
- maʻi mellitus maʻiʻi
- haʻi maʻi
- elemakule
- nā ʻōhua hoʻoili nā kumu o ka leo vascular,
- nā hōʻeha like ʻole
- pōʻino nui,
- ka hana ino ana i na hana ino.
I ka manawa pinepine, ulu ka patology ma muli o kēia mau hana:
- ʻO ka Necrosis ka make o nā kolo a me nā ʻoihana o ke kino.
- ʻO ka Hyalinosis ka hemahema o ka protein ma waena o ka hoʻohemo ʻana o kahi maʻi hyaline.
- Hoʻonui ka paila vascular. A ke kumu, ua hoʻohālikelike nā huapalapala a me nā kumumanaʻo o ka ʻili hoʻohui hoʻohui i nā loli.
- ʻO ka thrombosis, hōʻike ʻia i ka hoʻokumu ʻia ʻana o ke kahe koko i loko o ka lumen o ka moku, ua hopena i ke kahe koko.
- Vascular endothelial dysfunction, ka mea e alakaʻi ai i kā lākou pupu. I kēia kūlana, hōʻemi ka hana o ka antithrombin, a emi ka prostacyclin, a me ka nui o ka thromboxane.
ʻO nā hōʻailona ʻona o ka microangiopathy
ʻO ka hōʻike ʻana o nā lāʻau lapaʻau o nā maʻi e pili ana i nā kikoʻī o nā ʻōpala a me nā kiko, ka pōʻino o nā mea i hele mai ma lalo o ka mana o kekahi mau kumu o waho. Hoʻopiʻi pinepine nā mea maʻi i ka hōʻeha a me ka puhi ʻana i nā wāwae, hōʻemi ka ʻike, kahe koko mai ka ʻōpū a me ka ihu, ka hoʻomohala ʻana o ka claudication intermittent, ka maloʻo maloʻo o nā wāwae, hemoptysis.
Pēlā i hoʻokaʻawale ʻia nā hōʻailona ma hope o ka microangiopathy:
- ua luku ʻia ka kū pololei o nā moku liʻiliʻi,
- kaule ka maʻi liʻiliʻi
- ʻopala ʻia nā ʻula ʻulaʻula,
- neʻe ka hana o ke kōkoʻe koko,
- aia kekahi kiʻekiʻe nui o ka hemorrhage subcutaneous.
Nā hōʻailona o ka maʻi
ʻO nā Microangiopathy o ka lolo he mau hōʻailona ma lalo nei: hoʻomaka ka mea maʻi e hoʻopiʻi i kahi maʻi hoʻomanaʻo, nā mālamalama blurred, nāwaliwali ʻole kūpono a me nā hōʻeha. Hōʻike lākou ma muli o ka loaʻa mai o ka hakakā o nā lolo i ka hōʻino ʻia o ke kahe koko. ʻO ka hopena hūnā i nā paia o nā moku liʻiliʻi e hoʻolaʻa i nā kaʻina oxidative o nā lipid, ua hoʻopiʻi ʻia nā mea ʻala manuahi, e hoʻoneʻe i nā ʻili o nā lolo.
Ke ulu nei ka maʻi, lilo ka mea maʻi i nānā a hoʻopoina. He lana lana kahi hihohilohi, kahi hui i hoʻohālikelike ʻia, ʻokoʻa ka lōʻihi o nā haumāna, a emi ka hana ʻike. Eia kekahi, hoʻoulu pinepine ka ihu a me ka ʻōpū, nā hōʻoluʻolu ma nā wāwae i ka hoʻomaha, maloʻo a me ka ʻike ʻana o ka ʻili o nā wāwae, kahe koko i loko o ka urine.
ʻO ke ʻano o kahi manaʻo
ʻO Microangiopathy o ka lolo - kahi maʻi e hoʻopilikia i nā paia o nā capillaries, e alakaʻi i kahi hōʻino o ko lākou patest, e hōʻea ana i kahe o ke koko i nā kiko o ke poʻo. Ke alakaʻi nei ka maʻi maʻi i ka neʻe ʻana o nā palekona pōkole olakino e nā kumu focal (nā wahi o ka gliosis), ʻike ʻia ka ʻili ʻōpala ma ka pūnaewele o ka lesion. ʻO nā loli alakaʻi i nā moku liʻiliʻi e hōʻeha i nā hopena pōʻino a hiki ke alakaʻi i ka make o ka mea maʻi.
ʻO ka ʻōnaehana neʻe i ka maʻi microangiopathy kahi maʻi maʻi maʻi i puka mai ma muli o nā hopena maikaʻi loa e pili ana i ke olakino kanaka, ma waena o lākou:
- predisposition genetic (pilikia me ka elasticity a me ka leo),
- maikaʻi ʻole (nā palaka, ka waiʻona),
- coagulation koko maikaʻi
- ʻeha nā poʻo
- cardiovascular pathology,
- hopohopo a me nā lipo kino o ke kino (rubella a i ʻole ʻōpala, hoʻoneʻe ʻia i ka wā kamaliʻi)
- maʻi maʻi system endocrine (diabetes mellitus),
- oncological neoplasms,
- hana hana ʻole
- ʻōpiopio.
ʻO Microangiopathy pinepine ʻia kahi hoʻopiʻi kū'ē i nā maʻi ʻē aʻe o ke kino kanaka, i hoʻonāukiuki ʻia e kēia mau mea.
Wahi a ka papa helu honua āpau o nā maʻi, aia ka huaʻōlelo "microangiopathy" inā loaʻa nā ʻano loiloi wale nō inā he mau wehewehe ʻana o ke ʻano o ka loʻi a me kona ʻano, eia, no ka: ʻo peripheral microangiopathy o ka lolo.
He aha nā ʻano o microangiopathy?
Ke hōʻike nei i kahi maʻi, hoʻokaʻawale nā kauka i kekahi mau ʻano i hōʻike ʻia e kekahi mau hōʻike a me nā hōʻailona.
- ʻO ka cerebral microangiopathy o ka peʻa.
Loaʻa ka maʻi nui i kēlā me kēia kanaka makua. ʻO ke kumu o ka makahiki a me nā ala e pili ana i nā maʻi pēpē e like me ka atherosclerosis, maʻi ʻo Alzheimer, alakaʻi i ka hōʻiliʻili ʻana o kahi mea i kapa ʻia ʻo "glycoprotein" ma nā paia o nā capillaries. Ma lalo o ke kumu o nā moku liʻiliʻi e luku mau ʻia. He mea paʻakikī ke heleʻana o ka pathological ke hoʻomohala a mālama. ʻO ka hala o ka manawa, ulu ka maʻi i loko o ka discirculatory encephalopathy, ma hope i kahi maʻi ischemic maʻi.
- Diabetic syndrome of microangiopathy.
ʻO nā mea maʻi e loaʻa nei i ka maʻi diabetes hiki i nā maʻi pathological maʻi. ʻO ka haunaele paʻakikī i ka lolo o ka mea maʻi ʻo ia kekahi o nā pilikia o ka maʻi.
- Hypertonic ʻano.
Loaʻa ka maʻi maʻi i nā maʻi e loaʻa me ka hypertension. Hiki i ke hypertension kuauhau ke hoʻonāukiuki i ke kahe o ke kahe ma o ke kao.
- Lenticular form.
Hōʻike ʻia ke ʻano pathological i nā keiki hou a me nā keiki ʻōpio. Wahi a nā pathology i ka hoʻolālā kūikawā o ka ʻōnaehana vascular, ka hoʻolako ʻana i ke koko i nā kumu ʻehā subortortical brain, ʻaʻole i manaʻo ʻia he maʻi. ʻO kahi keiki me kahi striatal form of pathology e pono ka mālama mau ʻana e ka neurologist.
Hoʻohana ʻia nā Metode Diagnostic
E hōʻike i ke ʻano o ke ʻano palola, hōʻiliʻili ke kauka i ka moʻolelo olakino holoʻokoʻa o ka mea maʻi, e nānā pono ana i nā hoʻopiʻi i lalo:
- hōʻeha ʻeha nui ʻole ke hele ʻole ma hope o ka lawe ʻana i nā hōʻeha,
- hana ʻino o nā hana vestibular,
- asenaio-neurotic syndrome (ʻano hiʻohiʻona: ka huhū maikaʻi ʻole, ka huhū, ke kaumaha, nā luhi mau, ka moe hiamoe)
- hoʻemi ʻia ka hana
- nā pale ʻana o ka ʻiliʻili o ka ʻili i kekahi mau wahi,
- ke hiʻohiʻona o ka bruising ma ke kino,
- Nā ʻōpiopio.
He mau ʻano pilikia kēia mau pilikia, no laila, ʻoi aku hoʻi, ua kau ʻia ka mea maʻi i nā hoʻokolohua:
- hōʻikeʻike koko ololi,
- Holo ʻaila koko
- hoʻāʻo ʻia ka ʻaila koko,
- Encephalogram.
E hoʻomaopopo i ka maʻi, ua noi ʻia nā kaʻina e hiki ke ʻike i ka hoʻokokoke ʻana o ka pathology, a me ka nānā ʻana i ke kūlana o ka ʻōnaehana maʻi vascular.
ʻO ke kaʻina hana MRI ua manaʻo ʻia ʻo ia ka mea palekana a ʻoi loa ka ʻike.
Hiki i ke kaʻina hana iā ʻoe ke ʻike i nā leʻaleʻa wahaheʻe o nā moku koko, e ʻike ai i ko lākou nui a me nā localization.
Ke ʻano nei i kahi kipa ʻana i kahi kanaka maʻi maʻi e nānā i ke ʻano o nā moku i loko o ka waihona kālā.
ʻO ka maʻi maʻi
No ka mālamaʻana i kahi kūlana patological, ua hoʻohana ʻia kahi ala hoʻohui, ʻo ia nā lāʻau lapaʻau e hōʻike nei i ka mea maʻi:
- nā lāʻau lapaʻau e hoʻomaʻamaʻa i ke koko,
- nā mea lawelawe e hoʻonui ai i ka ʻike o ka oxygen ma nā ʻili o ka lolo (antihypoxants),
- hoʻānuʻu ʻia ka lipid koko
- nā lāʻau e hoʻihoʻi ana i ka kahe koko i loko o ke kino,
- nootropic nā lāʻau e hoʻomaikaʻi ai i ka lolo palaki olakino.
Hoʻokumu ke kauka i kahi meaʻai kūikawā i mau momona no ka mea maʻi. Hoʻomaopopo ʻia ka mea maʻi i ka hoʻokō hoʻomaʻemaʻe kino (kahi pūʻulu o nā hoʻomaʻamaʻa therapeutic).
ʻO kahi kōkua kōkua i ka mālamaʻana o nā maʻi:
- kipa ʻaila lawaiʻa
- ke kino make
- Acupuncture
- physiotherapy.
Hoʻohana ʻia ka hana ma nā hihia koʻikoʻi. Nā hōʻailona no ka hana: ʻo ka hiki ʻole ke hoʻihoʻi i ka vascular patency me ka lāʻau lapaʻau, puni koko ʻole ʻia.
ʻO kahi ʻano hou e mālama ai i kahi ʻano o ke ʻano o ka maʻi maʻi hānai he hirudotherapy (hoʻomaʻamaʻa ʻia me nā leeches). Ua ʻike ʻia kahi ʻano hana ʻole ʻole o ka mālama ʻana mai ka wā kahiko. I kēia manawa, ua hoʻohana pōmaikaʻi ia e hoʻopaʻa i kahi papa inoa o nā maʻi.
Loaʻa ka maʻi lapaʻau Leech i kēia hopena ma ka ʻōnaehana vascular:
- kiko (trano penikala koko),
- ke hoʻoponopono ʻana (hoʻihoʻi i nā paia o nā kīʻaha koko),
- analgesic (hoʻomaha
- hypotensive (hoʻohaʻahaʻa i ke koko.
ʻO ka hopena therapeutic o ke kau ʻana i ka leeches he hopena lōʻihi, ʻaʻohe mea e hoʻohālikelike ai, kūleʻa a palekana.
ʻO nā mea ikaika e kau nei ma ka lawehala o ka lepa lapaʻau e loaʻa i ka hopena maʻamau i ke kino o ka mea maʻi, hoʻolaʻa i ke kahe o ke koko a me nā hana kaʻina, hoʻoneʻe i nā pae o ka glucose, a hoʻomaikaʻi i nā microcirculation capillary. ʻO ka mea maʻi me nā pathology vascular e kuhikuhi i ka hana 2 mau papa o ka hirudotherapy i kēlā me kēia makahiki.
Hiki i nā hopena a wīwī
ʻO ke ala o nā capillaries kahi maʻi maʻi nui e pono ai ka ʻoihana paʻakikī. Ma kāna nalowale ʻana, e ʻinoʻino paha ke ʻano o ka mea maʻi. ʻO nā hopena kūpono ʻole paha ka mālama kūpono ʻole a:
- ka nele o ka mea maʻi
- make o ka mea maʻi.
Hiki i ke komo ʻana i kahi kauka ke alakaʻi i ka hoʻomohala ʻana:
- māhā
- puʻuwai puʻuwai
- ischemia
- nalowale o ka hihio
- nā mālamalama maikaʻi ʻole.
ʻO ka huli ʻana ma ke ʻano o ke ʻano o ke kuamoʻo, ke kahi o ka lesion a me ka kiʻekiʻe o nā loli like ʻole i nā pā vascular hiki ke hoʻēmi i nā hopena o ka maʻi.
ʻAʻole hiki ke ʻoki loa i ka hōʻailona o ka maʻi, akā hiki i ka mālama kūpono ke hoʻolohi i ka papa a hoʻopaʻa i nā hōʻeha.
Nā hana kūpono
ʻO nā mea maʻi me ka palaka maʻi e pono ai e hana i nā pale pale e kōkua i ke pale ʻana i ka hoʻomohala ʻana o nā hoʻopiʻi:
- hele pinepine i ke kauka hele mai, hoʻokō i nā hana lapaʻau āpau,
- e hahai i kahi meaʻai
- hāʻawi i nā hana maikaʻi (ulaula, inu wai),
- nānā i ke koko a me ke kahe koko,
- komo i loko o ke ʻano haʻuki, e hoʻolōʻihi i ka manawa i ka lewa wai.