ʻEphlelo ʻōpilika

ʻO ka Dyscirculatory encephalopathy ka maʻi paleha o ka pale kino i hiki ke hoʻomohala i mua o ka manawa. Ka hemahema o ka maʻi o ke koko e alakaʻi i nā loli hoʻoili i loko o ka lolo, a ma ka hopena e hoʻopiʻi i ka maikaʻi o kāna mau hana. ʻElua mau ʻāpana ʻircpiopio, a he ʻano like ʻole kekahi. Eia kekahi, ʻo kēia maʻi, inā hiki ʻole ke loaʻa, ke alakaʻi i kahi kanaka olakino piha piha i ka dementia a me ka hiki ʻole i ke hoʻoponopono ʻana i ka nohona.

Nā maʻi maʻi

Atherosclerotic encephalopathy

Hoʻopilikia ʻia ka maʻi ma muli o ka atherosclerosis o nā moku cerebral a ʻo ia ka mea maʻamau ka ʻupena o ka discirculatory encephalopathy. Ma ka atherosclerosis, hoʻopili ʻia nā kīʻaha nui, e lawe ana i ke kahe koko nui i ka lolo, a hoʻoponopono pū kekahi i ka nui o nā kahe koko o cerebral. Wahi a ia, me ka holomua o ka maʻi, he paʻakikī ke kahe o ke koko ma mua o ka hoʻopiʻi mua ʻana, a no laila, e hōʻiliʻili ka hana o ka lolo.

Venous discirculatory encephalopathy

Hele mai ka maʻi a holomua i ka hana hewa ʻana i ke kahe o ke koko venous mai ka ana cranial. ʻO ka hopena, hana ka stagnation i alakaʻi i ka hoʻopiʻi ʻana o nā veins, i loko o ka ʻolo a i waho. Hoʻopilikia ʻia ka hana o nā pōʻai i ka manawa ma muli o ka edema, ka mea i loaʻa i ka pilikia i ka kahe ʻana o ke koko ma o nā veins.

Homo hypertensive encephalopathy

ʻOkoʻa nā maʻi mai nā ʻano ʻē aʻe o ka encephalopathy hiki i kēia mea i ka wā ʻōpio. Ua hui pū ʻia me ka hiki ʻana o nā kūlike hypertensive a hoʻomaikaʻi pololei i ka wā o lākou. Ma ke ʻano o nā popo e hoʻomāhuahua i ka papa o ka maʻi, e holomua ana ka wikiwiki.

Ka huina ʻinepili encephalopathy

Hoʻohui i nā hiʻohiʻona o ka hypertensive a me atherosclerotic discirculatory encephalopathy. Hoʻomaka ka hana ʻana o nā kīʻaha nui o ka lolo i ka palaka, a hoʻopili ʻia ke kūlana e nā ʻano kiʻekiʻe o hypertensive, ka mea e alakaʻi ai i ka hoʻonui ʻana i nā hōʻailona o ka maʻi.

Hana o ka discirculatory encephalopathy

ʻO ka encephalopathy kāpili, ka mea i kau ʻia i ka maʻi a me kā lākou ukana, ua hoʻokaʻawale ʻia i ʻekolu mau wahi, kēlā me kēia e hoʻokō ʻia kekahi mau koina.

Owaukahua hana - pili i nā ʻōmona liʻiliʻi liʻiliʻi o ka lolo, i hiki ke hilahila me nā hōʻailona o nā maʻi ʻē aʻe a me nā hoʻopiʻi (no ka laʻana, me nā hopena o ka hōʻeha o ka hōʻeha o ka traumatic a i ʻole nā ​​pōkole). Eia nō naʻe, me ka loaʻa ʻana o ka "discirculatory encephalopathy" i kēia hoʻomaka mua o ka maʻi, i nā nui he nui i hiki i kēia ke loaʻa i kona kala mau no nā makahiki he nui. ʻO ke ʻano mua o ka discirculatory encephalopathy i hōʻike ʻia i loko o nā kiʻi e like nei:

IIkahua hana - ka hōʻailona o ka hoʻāʻo ʻana i kā lākou mau pilikia a me ka hemahema e ʻike i ka hewa o nā poʻe ʻē aʻe, ʻoi aku, ua hele pinepine kēia aupuni ma mua o ka manawa o ke kāohi ponoʻī. Hoʻomaka ka hoʻopaʻapaʻa ʻana o ka nohona, ma ke ʻano o ka mea maʻi i nā hiʻohiʻona o ka hypochondria, hoʻonui i ka hopohopo. ʻO ka mahele ʻelua o ke ʻae ʻā ʻana o ka encephalopathy hōʻike ʻia i kēia mau hōʻailona me ka ʻike ʻana:

• ʻO ka mahalo
• Hoʻomanaʻo nui i ka hoʻomanaʻo
• ʻO ka paleʻana i ka hiki ke kāohi i kā lākou mau hana
• ʻNdlelo Pseudobulbar
• Hoʻonui ka huhū
• Kēlā manawa

ʻO ka lua o ka helehelena discirculatory encephalopathy e hōʻike i ke kaomi o ke kīnā ʻana, akā naʻe, hoʻomau ka hoʻomau i ka hiki i ka mālama pono.

IIIkahua hana - ka mea e hoʻoneʻe i ka maʻi i kahi ʻano o ka dementia vascular, e hōʻike ana i kahi dementia i loaʻa ʻia a me kahi hiki ke hoʻēmi i ka hiki ke loaʻa nā loea hou. Ua ʻike ʻia nā maʻi neurological. ʻO ke kolu o ka papa wīwī o ka encircalopathy pili:

• He mea nuiʻole ka hele wāwae
• Ka huhū ʻana
• Papa Kahuhua
• Ka lohi o ka mālama pono
• Hōʻike
• Dementia ka hopena

Ma ke kolu o ke ʻano o ka maʻi, hoʻomaka ka mea maʻi i ka mea ʻē aʻe a pono i ka mālama ʻana o waho a me ka mālama.

He mea pono ke hoʻomaopopo i ka encircalopathy discirculatory e loaʻa i nā helu like o kona neʻe ʻana: mai ka lohi, no 5 mau makahiki a ʻoi paha ka wikiwiki, i ka wā e hiki ai ke loli i kona pae ʻana i lalo o 2 mau makahiki.

Nā kumu kumu o ka maʻi

I ka naʻau o nā kumu āpau o ka discirculatory encephalopathy he mea ʻole ke kahe a ke kahe: ke pilikia nei a pilikia paha i loko o nā kīʻaha nui o ka lolo, ka mea e kuleana ai i ke kahe koko nui, a i ʻole nā ​​uaua, e hoʻopau i ka kahe o ke koko mai ka cranium. I waena o nā kumu o ka maʻi, hiki iā mākou ke hoʻokaʻawale.

Eia kekahi, pinepine ka hoʻonāukiuki no ka holomua hou o ka maʻi a me kona neʻe ʻana i nā kūlana ʻoi loa ka hiki ke inu, ka hoʻonaninani, ka naʻau, osteochondrosis o ka kuʻekuʻe cervical.

Ka wānana a me ka pale ʻana i ka encephalopathy discirculatory

Me kahi papa holomua wikiwiki o ka maʻi, ʻo ka prognosis ka mea i ʻoi aku ka maikaʻi ma mua o ka lohi. ʻOi aku ka makua o ka mea maʻi, ʻoi aku ka nui o nā huaʻōlelo o ka discirculatory encephalopathy. I ka manawa pinepine, ma ke ʻano mua, hiki ke hoʻokō nui i ka hoʻomaikaʻi ʻana i ka maʻi o ka maʻi a hoʻomanawanui iā ia i kahi manawa lōʻihi, a ma kekahi mau mea e ola holoʻokoʻa kekahi. ʻAʻole kūleʻa ka papa hana ʻelua i kēia ʻike, akā ua hōʻoluʻolu pinepine ia iā ʻoe e hoʻokō i ke kala. Ka ʻike pono ʻole ʻana no ke kolu o ka hana o ka encircalopathy discirculatory ke hiki ʻole i ka mea maʻi hou ke hoʻihoʻi hou ʻia, ka hoʻoikaika kanaka a me ka mālama ponoʻi a aneane ua nalo loa nā hana, a ma ka mālama pono ʻana i ka lāʻau lapaʻau ka mālama ʻia ʻana i ka maʻi hōʻailona.

I mea e pale ai i ka hoʻomohala ʻana o ka encephalopathy discirculatory i nā ʻanuʻu koʻikoʻi loa, he pono e hana i nā hana e mālama ai i ka hoʻomaka ʻana o ka maʻi, i ka wā i ʻike ʻia ai. Eia kekahi, ʻo ka poʻe i loaʻa i ka hua no ka thrombophilia, a i ʻole nui o ka coagulation koko ma muli o nā kumu ʻē aʻe, pono e ʻike e hopohopo lākou i kēia maʻi. ʻO kēia ke ʻano he pono lākou e kiaʻi ponoʻī i ke ʻano o ke koikoi koko, a inā pono, e kipa i ke kauka e kuhikuhi i nā lāʻau lapaʻau i ke koko.

ʻEphlelo ʻōpilika, i ka manawa ma mua, he maʻi ka poʻe o ka wā mua o ka lūlū a me ka wā hoʻomaha. Akā i loko o nā kūlana o kēia wā i ka hana ʻole ʻana, nā maʻi a me nā hoʻonui i ke kaumaha, ua lilo ka maʻi "ʻōpio" a ua lilo nā mea waena i waena o kāna mau kānaka.

Ke ʻopa ʻāhewaea - he aha ia?

Ka Hoʻonohonoho Encephalopathy (DEP) - Ke ulu wikiwiki nei i ka hana o ka lolo i hiki mai ka pololi oxygen. ʻAʻole maʻi ka maʻi ma ke ʻano. I ka hana e holomua ana, hiki iā ia ka atrophy o ka lolo, ka mea e hoʻopiʻi i kekahi hana paʻa i kāna mau hana.

ʻO ia kahi kulekele o ka vascular a me neurological genesis me ka cerebral stroke, angina pectoris a me cerebral aneurysm. Laulahi wahi alakaʻi i waena o nā maʻi neʻe.

Inā makemake ʻoe i ka pane i ka nīnau no ke aha o ka vascular genesis o ka lolo, a laila hiki iā ʻoe ke ʻike ma kekahi ʻatikala ma kā mākou pūnaewele.

KAUAHIKE KAHOHOLOPO!

Hana i kou lolo! Ma hope o 3 mau lā, ua ʻike ʻia ka hoʻomanaʻo ... » Nā kumu o ke encephalopathy o nā ʻano kumu

Hiki ke hoʻokaʻawale ʻia nā kumu o ka hoʻomohala ʻana o ka encephalopathy i ʻelua mau wahi nui:

1. ʻO ka encephalopathy congenital. ^ E Ha yM. Aia ia ma muli o nā hopena o ke akea me ka hoʻomohala ʻana o ka fetus, i hoʻonāukiuki ʻia e ka hoʻohana ʻana i nā maʻi antibiotika, nā ʻākena a i nā lāʻau lapaʻau, a i ʻole hoʻonāukiuki ʻia e kekahi mea. ʻO ia paha kekahi hopena o kahi hōʻeha hānau ma ka ʻōpala.
2. Ka loaʻa ʻo Encephalopathy.

Hiki i ka hoʻomohala ʻia o ka encephalopathy ke kiʻi i nā kumu penei:

• Anaismaiskoko koko kiʻekiʻe, hana ʻino ma ka hoʻokahe koko i loko o nā moku o ka lolo. Vera atherosclerosis, i ʻoi aku ma mua o ka hapa o nā hihia, ʻo ia ke kumu o ka hiki ʻana o ka discirculatory encephalopathy.
• ʻOi ka lōʻihi o nā kūkākūkā me nā mea maʻi (ka waiʻona, nā lāʻau lapaʻau, nā lāʻau lapaʻau, nā metala kaumaha) e hana ai i ka hopena hōʻino i ke kino ma ke ʻano holoʻokoʻa a ma nā ʻano pono i nā hana o ka mokuʻina o ke ʻano nui o ka lolo.
• Nā maʻi maʻi o nā kino kūloko(nā ate, nā palaka, pancreas). Hiki i nā pathological maʻi o nā kino kūloko ke hoʻoiho i nā maʻi metabolic e hōʻole i ka hana o ka ʻōnaehana vascular. No ka laʻana, uremic encephalopathy i hoʻokumu ʻia e ka renal disfunction kekahi o nā kumu o ka hoʻomohala ʻana o ke ʻano o ka hypertension, ʻo ia hoʻi, e hoʻolilo i ka hoʻomohala ʻana o ka discirculatory encephalopathy.
• Ke hoʻomohala ʻana. Kūkulu ka encephalopathy māmā ma muli o ka hōʻino o ka lolo i ʻike ʻia i ka lōʻihi o ka ʻike ʻana i ka radiation radioactive.
• Ma muli o ka hōʻeha o ke poʻoKūkulu paha nā pāpaʻi Ischemic ka hana ʻana i nā kikowaʻe kūʻē e hoʻonāukiuki i ka lawe ʻana o ka oxygen i nā kino.

Nā ʻano o ka cerebral dyscirculatory encephalopathy

Ua hoʻokaʻawale ʻia ʻo Dyscirculatory encephalopathy i loko o kēia ʻano:

1. kinaunlou
2. hoʻopomo hypertensive,
3. kāwili a ka encephalopathy (encephalopathy o ka puka paʻakikī),
4. nani.

Atephosclerotic encephalopathy hoʻomohala ma muli o ka hōʻino o ka vask atherosclerosis. ʻO ka loli o ke kuʻi vascular e ka atherosclerosis ka paʻakikī a, ma ke ʻano he kānāwai, e pili pono ana me ka hypertension.

I kūlana maʻamau, ka maemae o loko o nā moku (ʻo ka endothelium) e palahalaha a me ka nui o ka nui a me ka wikiwiki o ke kahe ana o ke koko, kolamu polapika ma luna o ia manawa, ʻaʻohe manawa e kau ai.

Aia kekahi mau hiʻohiʻona e hiki ke hōʻole i ka hana holistic o ka endothelium, no ka hana ʻana:

ʻO ka helehelena o ka luku endothelial, mau pākuʻi pū hoʻihoʻi ʻano hana, e ka haku ʻana i kahi lipid stain (LDL) ma kahi o ka luku. Ma hope o ka hoʻihoʻi hou ʻana o nā kiko endothelial, hoʻowahāwahā ʻia ka lipid lipine a holoi ʻia e ke kahe koko. Inā pilikia kēia kaʻina hana, hoʻomaka ʻia ke kaʻina o ka hoʻomohala ʻole ʻia. hoʻāla ʻehā atherosclerotic ma loko o ke aniani o ka moku.

ʻO nā kumu e hiki ke hoʻopau i nā kaʻina metabola i loko o nā moku:

• haʻi maʻi
• nā huakaʻi endocrine (maemae mellitus),
• huahuʻi,
• nā maʻi kūlohelohe

Loaʻa haehae maʻi hoʻokaʻawale i ke kahe o ke koko, ma muli o ka hoʻopili ʻana i nā kahe koko, ʻo ia kekahi o nā kumu no ka hoʻomohala ʻana i ka atherosclerosis. I ka huli, a atherosclerosis, hōʻemi i ka vascular patency no ke kahe koko, e hoʻonui ai i ka piʻi o ke koko.

I loko o ka lolo, ka hā o ka hypertension, ma muli o ka "hoʻoikaika" o ke koko ma o ke kahakaha kuʻikiʻu, e hoʻoulu ai i ka microstrokes ma ka pae capillary, e hana ana i nā ʻehā necrotic.

Mai ka wā i hala aku nei, ua ukali ia me ka hoʻomohala ʻana o ka ʻano hypertonic o ka encephalopathy, ma ke ʻano he kānāwai, ua loaʻa hoʻi nā leʻaleʻa atherosclerotic o nā uʻi, no laila, i ka wā e hana ai i ka maʻi maʻi o ka atherosclerotic a i ʻole hypertensive encephalopathy, ʻo ka hoʻopiʻi ʻana i ʻae ʻia he encephalopathy o ka ʻano i hui ʻia.

Wahi a ka helu o ka holomua, ua māhelehele ʻia ka papa o ka maʻi.

• ka hoʻolohi (hiki ke lōʻihi aku ma mua o 4 mau makahiki),
• remitt (me nā ʻōpū o ka exacerbation a me ke kala ʻana),
• ka wikiwiki (me nā manawa 1 o ka makahiki).

Ma kēiaʻatikala hiki iā ʻoe ke ʻike i ka wehewehe kikoʻī o nā ʻano ʻē aʻe o ka encephalopathy: hoʻopaʻi, post-traumatic, residual a me nā waiʻona.

ʻO ke kaohi o ka hopena o ka discirculatory encephalopathy o nā genesis i hui pūʻia

ʻO ka encephalopathies discirculatory āpau e kau ʻia ko lākou hopena ma kahi kolohe maʻi ʻole o ka loaʻa o ke koko i ka lolo. Hiki i nā kumu o ka hoʻomohala ʻana i nā maʻi he nui, akā ʻo kekahi o nā mea nui nui ka loaʻa ʻana o ka atherosclerotic lesions o ka ʻōnaehana vascular, a, atherosclerosis o nā arteri brachiocephalic a me cerebral arteriosclerosis.

ʻO ka ʻāpana brachiocephalic ka moku nui e hāʻawi ana i ke kahe koko mai a aorta:

• pololei arebli kūloko
• arotika ʻākau pono,
• ʻĀkuhi subclavian pololei.

Ke hilinaʻi nei i ka hana o ka pahu brachiocephalic piha piha koko ka noʻonoʻo.

E heluhelu pū e pili ana i ka hepatic encephalopathy me cirrhosis.

Mihoihoi atherosclerosis o nā lāʻau brachiocephalic, e alakaʻi i ka hana hoʻomau i ka hāʻawi ʻana o ka oxygen i ka lolo. I ka'āina o ka hypoxia, ua emi ka nui o nā cell nerve, hoʻomaka nā kaila o ka pili neural, a ua ʻike ʻia nā ʻōkuhi kiko o ka puhipuhi i ke ʻano o ka lolo.

Hiki i nā limahana o nā leona ma nā wahi like ʻole o ka lolo, a me nā wahi i koe e pili ana i nā pilina palekana i mālama ʻia i kā lākou mau hana. I kēia hiʻohiʻona mau ke noho mau ka mua o ka maʻi ka maopopo ʻole. ^ E Ha yM. Ma muli o ke kālailai ʻana o nā wahi me ka haunaele trophic, pilikia ka lolo.

Ma ka holoʻokoʻa, ka like o ka hoʻomohala ʻana o ka encephalopathy discirculatory ka like me ka ischemic cerebral stroke, me ka ʻokoʻa wale nō ka mea i paʻa ke ʻano o ke koka me ka hoʻokomo ʻana ma kekahi wahi, a me ka encircalopathy discirculatory, kū ka leʻa ma kahi lua ma kahi pae hākana.

Ma ke kānāwai, ua lawa ka hōʻino ʻolua, akā ma nā hihia līpona hiki ke wikiwiki koke.

Nā papa o ke kūkulu ʻana o ka encephalopathy discirculatory

Ma muli o ke kiʻekiʻe o kaʻino i ka lolo, e hōʻike ʻia nā pae aʻe:

1. Dectcirculatory encephalopathy o 1 kēkē. ʻO ke kumu mua o ka hoʻomohala ʻana o ka maʻi. Nui nā hōʻailona o ka discircal encephalopathy e pinepine i ka luhi a i ʻole ka loli i ka hoʻoilo. Kānā ʻia paha nā ʻōuli like ʻole:
   • luhi, luhi
   • waimaka
   • lie kanikela
   • Hōʻikeʻike
   • āhāhuʻe
   • huhū
   • nāwaliwali
   • He mea paʻakikī ke ʻike ʻana i nā ʻike hou
   • ua hoʻemi nui ʻia ka wikiwiki o ka noʻonoʻo.
2. Hoʻopilikole ka encephalopathy 2 kūloko. Ma ka lua o ke ʻano, aia ka hoʻomau i ka ulu ʻana o ke kūlana, hopohopo hōʻailona i nā hoʻomaka mua o ka maʻi, loaʻa ka ʻano maʻi:
   • nā kuʻuna pilikia
   • nā hoʻomanaʻo hoʻomanaʻo
   • Nā pilikia paʻakikī
   • ka leo hū ma nā pepeiao a i ke poʻo paha.
   • nānā 'ole paha a lohe' ole,
   • ʻōpū maʻi ʻōpū
   • hoʻoweliweli lima haʻahaʻa (lalo o ka wāwae parkinsonism),
   • nahoa
   • ʻaʻole maopopo
   • nele i ka hoʻonohonoho ʻana
3. Nā encectal encephalopathy 3 kūloko. I ke kolu o ka lāʻina o ka encircalopathy discirculatory, ʻike ʻia nā hōʻailona o ka haunaele ma ka hana o kekahi hapa hapa o ka lolo. Ma ke ʻano he:
   • Paresis
   • ka lohe pinepine ʻana a i ʻole ka ʻike maka.
   • ʻaʻohe hiki o ka ʻenehana i ka lewa,
   • hele mai nā hōʻailona o ka neuromuscular dysfunctions
   • nā maʻi waʻa a i ʻole ka fecal incontinence

I ke kolu o ke kolu, ʻaʻohe hiki i ke kanaka ke komo i nā hana hana. Ma muli o ka hōʻike i nā pae 1 a me 2, ka mālama ʻia ʻana o ka maʻi i kahi nui a i ʻole ka liʻiliʻi, ua ʻae ʻia ka mea maʻi i ka maʻi me ke kolu o ka hoʻolālā ʻana o DEP wale nō.

1. ʻO ka moʻoʻōlelo kūhelu (MZKT). Hāʻawi ʻoe iā ʻoe e ʻike i ka pōʻino i ka ʻili o ka lolo e pili ana i kahi loli i kona kuleana, ma muli o ka loaʻa ʻana o nā lehelehe kuikahi.
2. ʻO ka leka uila Doppler. Hāʻawi ʻoe iā ʻoe e nānā i ke ʻano o ka ʻōnaehana vascular ma o ka nui a me ka wikiwiki e holo ai ke koko.
3. ʻO ka ʻōlohelohe ʻana me ka pehu uila. Hoʻohui i ka hiki o ka ultrasound dopplerography a me ka nānā ʻana i ka ultrasound. I ka wā o ka hoʻokolokolo, hiki iā ia ke hōʻike, ʻo ka ʻoi aku i nā hemahema ʻike ʻia, ma muli o nā loli i ka wikiwiki a me ka nui o ke kahe koko, ke kūlana o nā paia o nā moku (ka mānoanoa, ka kūʻē), ka pale hewa ʻana o ke ʻano anatomical, ka hele ʻana o kahi thrombus (kona nui, friability, mobility), etc.
4. X-ray o ka spine cine. Hoʻohana ʻia e ʻike i nā abnormalities anatomical e hōʻole i ka kahe o kahi kahe koko maʻamau. I ka mea ke ike aku i kēlā mau hemahema, a me ka hiki ole o ka lāʻau lapaʻau, manual a me kekahi mau ano o ka lapaʻau e hana i ka hoʻoponopono ʻana, ke hoʻohana ʻia ke ʻano o ka wawao ʻana.
5. Electroencephalography.
6. Ka Rheoencephalography (REG). Hāʻawi iā ʻoe e nānā i ke kahe koko a me ke ʻano o nā moku koko i loko o ka lolo.
7. Hoʻonohonoho nā magneton resonance o ke poʻo a me nā kīʻaha koko o ka lolo.
8. Ka hoikehonua o ka wili hoʻomehana hoʻomau o ka wahipuneteke pōpio.

Eia kekahi, i ka wā e hana ai i kahi maʻi hopena, ua noʻonoʻo nā hopena o nā ʻano hoʻokolokolo biochemical:

• kōpū koko (coagulogram),
• koko no cholesterol (LDL, VLDL, HDL).

Hōʻike ke kauka i ka wā hōʻike.

• hoonui ka māno a me ka tendon reflexes,
• ʻikea ʻole nā ​​reflexes a me nā hewa maikaʻi o ka pūnao autonomic a me ka hoʻokūkū kaʻa.

ʻO ka mālama ʻana o ka encephalopathy dyscirculatory o ka hoʻoili komo ʻana Hāmeʻa pono i lalo o nā maʻi i hoʻonāukiuki i ka hoʻomohala ʻana o DEP. E hoʻokō i ka regression koʻikoʻi ma ka mālama ʻana i ka atherosclerosis o nā lāʻau brachiocephalic a hiki i kēia lā hiki ʻole.

No kēia kumu, ke nānā ʻia nei nā ʻano ʻano hana like ʻole, koe wale nō me ke ʻano hui

• ka pale ʻana o ka holomua ʻana o ka atherosclerosis,
• neʻe ke koko,
• hoʻihoʻi hou o ka microcirculation i loko o nā lau e hoʻopiʻi ana i ka hypoxia.

Ke hoʻohana ʻia nei ʻo nā ʻano hana i lalo nei:

1. Ka lapaʻau lāʻau:
   • ʻO ka lāʻau antihypertensive. Hoʻokomo ʻia nā lāʻau antihypertensive i nā ʻano haʻahaʻa ʻē aʻe e kuhikuhi ana i ka hoʻohaʻahaʻa i ke koko:
     • hoʻoiho
     • alaka
     • ACE paleai
     • nā lāʻau lapaʻau e hoʻōla pono i ka pane o ka pā vascular.
   • Hoʻopuka:
     • hoʻolaha i ka hoʻoponopono ʻōnaehana ʻana ma o ka hoʻihoʻi ʻana i ka microcirculation ma ka pae capillary,
     • Hoʻohuʻi i ka puka ʻana o ka lymph, e hōʻemi i ka huehue.
     • komo i ka hoʻoikaika ʻana o ka pā vascular.
   • Nā ʻāpana hoʻohana i ka hōʻemi ʻana i ka hopena o ka holomua o ka atherosclerosis, ma muli o kā lākou mau waiwai e pale ai i ka hoʻouka ʻana o LDL e ka lime.
   • Nā hui Antiplatelet. Hoʻohana ʻia ka hana o nā ʻoihana antiplatelet e pale i nā kahakaha koko a me ka hoʻomaikaʻi ʻana i ke kahe koko.
   • Kāho ʻiaka hoʻohana ʻana o B huaʻai, vitamina C (me ka hana maʻamau), vitamika PP (waikama nikotinic) e like me ka terapi antioxidant i hoʻohālikelike ʻia me ka mālama nui.
2. Nā mea lawelawe i hoʻohana ʻia i ka hihia hōʻino ʻole i nā moku nui, me ka piʻi wikiwiki o ka maʻi.
3. Physiotherapy. Hāʻawi ka Physiotherapy i kahi lawelawe ākea ākea no ka mālamaʻana i ka encephalopathy discirculatory:
   • electrophoresis
   • nā phonophoresis o nā lāʻau lapaʻau,
   • oxygen, ʻauʻau kāwele.
4. Acupuncture
5. Hoʻomakai hoʻomaʻamaʻa photherapyotherapy.Ke ʻano hoʻolaʻa kino:
   • he hopena maikaʻi paha i ka hana cardiovascular,
   • Kōkua i ka hoʻōho o ke koko,
   • hāpai ka hoʻohana ʻana i ka glucose i ke koko.
6. Ma muli o ke ʻano hana a me ka pale ʻana:
   • ka ulaula
   • hōʻole no ka inu ʻona,
   • kau palena no nā mea momona
   • hana kino kino,
   • ka hoʻokō ʻana i ka ʻoihana (hana-hoʻomaha),
   • hana lapaʻau hale

Pono e mālama pono i ka mālama ʻana, ma nā papa lōʻihi, e hana hou ana ma ka liʻiliʻi he 3-4 i ka makahiki.

ʻO ka hoʻohanaʻana i nā kuʻuna o ka lāhui no ka mālama ʻana i ka pae DEP 1

ʻEphlelo ʻōpilika kahi maʻi koʻikoʻi a me ka hoʻohana ʻole ʻana i nā pono o ka lāhui no ka mālama ʻana ʻaʻole pono.

Pono e hoʻohana ʻia nā lāʻau lapaʻau e like me ka mālama mālama ʻana ma waena o nā papa aʻoaʻo o a i ʻole e like me a ʻano kaulua ua pili a me ka hoʻōla lāʻau.

Hoʻopau i nā kānaka ma ka mālamaʻana i ka DEP:

1. E hoʻomau i ke kahe o ke koko a hoʻomaikaʻi i ke kūlana o ke ʻano o ka ʻōnaehana cardiovascular:
   • propolis alakula
   • ka hikiʻole o ka ʻūhā (wai a i ʻole waiʻa)
   • hawewe hua
   • ka hūnū o ka mauʻu "mau pepeiao pepeiao" (he hopena diuretic, e kōkua ai i ka hōʻemi ʻana i nā māmai)
2. E kōkua ka hoʻohana ʻana i kahi hōʻiliʻili i nā koina ʻano lāʻau e hoʻāla i nā hana o ke kaila maoli:
   • pharmacy chamomile,
   • mint
   • lemon lemon,
   • mauʻu valerian
3. E hoʻoikaika i ka leo vascular a hoʻoemi i ka lalo haʻahaʻa:
   • alikaʻi ʻona o ke kāleka,
   • alfalfa wahine,
   • kahi decoction o nā honu maʻa.

Pono ʻoe e ʻike: i ka wā o ka mālama ʻana me nā mea kuʻuna, ʻaʻole pono e hōʻemi ʻia ka lāʻau lapaʻau.

I kēiaʻatikala, nānā mākou i nā kikoʻī o ka 2-degree DEP.

He maʻi paha?

ʻO ka wānana no ka ho'ōla ʻana o DEP o ka papa 1st me ka papa lohi o ka maʻi ua lawa manaʻo maikaʻi. ^ E Ha yM. Me ka mālama ulu ʻana, hiki ke hoʻohaʻahaʻa i ka lohi, a i nā hihia hōʻino, e hooki i ka holomua o ka maʻi. No ka hoʻokō ʻana i kahi hopena mau loa, pono ia koho kūʻokoʻa nā lāʻau lapaʻau a me kahi paʻa komo i ka mālama ʻana.

ʻO nā alakaʻi alakaʻi i ka mālama ʻana i nā:

• e hoʻokō nei i kēlā me kēia lāʻau antihypertensive,
• ka hoʻōla maʻamau o nā lipid metabolism (ka hoʻohana ʻana i nā meaʻai, nā lāʻau lapaʻau),
• ka hoʻihoʻi ʻana o ka waiwai rheological o ke koko.

ʻO ka mea nui i ka mālama ʻana i ka DEP ka hopena maʻi no, ke hoʻonui nui nei kēia i kahi kaʻina hana e hiki ai, a hiki ke hoʻomaikaʻi i ka maikaʻi o ke ola.

ʻO ka decircal encephalopathy (DEP) he holomua ka holomua, hōʻeha kino i ke aʻa o ka nerve ma muli o ke kuli. I waena o nā maʻi āpau o ka vascular o ka profile neurological, ʻo DEP e hana mua i ke alapine.

A hiki i kēia manawa, ua pili kēia maʻi me ka ʻelemakule, akā i nā makahiki i hala ua loli nei ke kūlana, a ua ʻike ʻia ka maʻi i ka hiki o ke kino o ka nui o ka nui o 40-50 mau makahiki. Ma muli o ke ʻano o ka pilikia e ka hoʻololi ʻia ʻana o ka mauʻu i ka lolo, ʻaʻole i ka loli wale ʻana i ka ʻano, noʻonoʻo, a me ke kūlana psychoemotional o nā maʻi. I kekahi manawa, pilikia ke maʻi, a me ka mea maʻi e kōkua ma waho o ka kōkua a mālama i ka hana ʻana i nā hana maʻamau.

Kūkulu ʻia ka hoʻokumu ʻana o ka encephalopathy discirculatory i ka ʻehaʻeha o ka nerve me ka hypoxia i kumu ʻia e ka vascular pathology, no laila ua manaʻo ʻia ʻo DEP i kahi maʻi cerebrovascular (CVB).

• ʻOi aku ka hapalua o nā hihia o ka DEP e pili ana i ka atherosclerosis, i ka wā e hoʻopili ai nā pli lipid i ka neʻe maʻamau o ke koko ma o ka arero cerebral.
• ʻO kekahi kumu nui i nā pilikia haunaele i ka lolo o ka hypertension arterial, a me ka wā o ka nui o nā kīwaha liʻiliʻi a me nā arterioles, kahi hoʻololi i hiki ke hoʻololi ʻia i nā paia vascular i ke ʻano o ka dystrophy a me ka sclerosis, ka mea e alakaʻi i ka pilikia i ka hoʻopuka ʻana i ke koko i nā neurons.
• I ka hoʻonui ʻana i ka atherosclerosis a me ke hypertension, ʻo ke kumu o ka vephoneopathy vascular hiki i ka diabetes mellitus, spinal pathology, i ka wā hiki ke kahe ana o ke koko ma waena o ka arebeka vertebral, vasculitis, abnormalities i ka hoʻomohala ʻana o nā moku cerebral, trauma.

I ka manawa pinepine, i ka poʻe maʻi ma waena o ka maʻi, aia ka hui ʻana o kekahi mau kumu kumu - atherosclerosis a me hypertension, hypertension a me ka maʻi maʻi maʻi, a aia paha ke hele ʻana o kekahi mau maʻi i ka manawa hoʻokahi, a laila ke kamaʻilio nei lākou e pili ana i ka encephalopathy o kahi kumu i hui pū ʻia.

ma ka naʻau o DEP - kahi kīʻaha i ke kahe o ke koko i ka lolo ma muli o kekahi mea a hoʻokahi paha

Loaʻa i ka DEP nā hopena kūʻokoʻa e like me nā maʻi i laloalakaʻi ia i ka emi ʻana o ke kahe koko i loko o ka lolo: ka nui o ke kaumaha, ka uahi ʻana, ka inu ʻawaʻawa, nā hala kaiʻaiʻai, ke ʻano hana maʻalahi. ʻIke i nā ʻike koʻikoʻi e ʻae i ka pale ʻana o DEP a ma mua o ka hoʻomaka ʻana o nā hōʻailona o ka pathology.

ʻO ka hoʻomohala a me nā hōʻike o ka discirculatory encephalopathy

Wahi a ke kumu, hoʻokaʻawale ka nui o nā ʻano o ka encephalopathy vascular.

1. Hertertensive.
2. Atherosclerotic.
3. Kaulana
4. Kuiia.

ʻOkoʻa paha nā loli i loko o nā moku, akā no ka mea ʻoiai ke kuhi hewa ʻana i ke kahe koko, ke hōʻike ʻia nei nā ʻano ʻano like ʻole o ka encephalopathy. Hoʻonui ʻia ka hapa nui o nā maʻi maʻi me ke ʻano ʻokoʻa o ka maʻi.

Ma ke ʻano o ka papa, hiki i ka encephalopathy:

• Ka holomua ka holomua, i kēlā me kēia makahiki e hele ana i ʻelua makahiki.
• Ke kali nei me ka hoʻonui pinepine ʻana i nā hōʻailona, ​​hoʻomaikaʻi iki ʻana a me ka hoʻolōʻihi mau ʻana i ka naʻauao,
• Kānaka, i ka wā e piʻi ai ka maʻi no nā makahiki he nui, a ʻoi paha ka hopena i ka dementia.

ʻO ka poʻe maʻi a me ko lākou mau ʻohana, kū pū me ka mālamaʻana i ka DEP, makemake e ʻike i ka mea e manaʻoʻia mai ka patology a pehea e hana ai. Hiki ke hoʻopili ʻia ʻo Encephalopathy i kekahi mau maʻi o ka maʻi Ua kau ka kaumaha nui o ke kuleana a me ka mālama ʻana ma luna o ka poʻe e maʻi nei. Pono nā ʻohana a me nā hoaaloha i pehea e hoʻomohala ai ka palaka a me ke ʻano e hana ai me kahi lālā maʻi maʻi.

ʻO ke kamaʻilio a me ka pilina ʻana me nā mea maʻi me ka encephalopathy he hana paʻakikī ia manawa. ʻAʻole wale ka mea kōkua ola a me ka mālama ʻana. ʻO ka paʻakikī mau loa ka pilina me ka mea hoʻomanawanui, ka mea i lilo i ka lua o ka maʻi e lilo ai ka paʻakikī. ʻAʻole maopopo ka mea maʻi i kekahi a maopopo paha iā ia ma ke ala, ʻoiai ʻaʻole ia e nalowale koke i ka hiki ke hana a ʻōlelo.

ʻO nā pilina e ʻike maopopo ʻole i ke ʻano o ka pathology hiki ke hoʻopaʻapaʻa, huhū, huhū, hoʻāʻo e hōʻoia i ka mea maʻi o kekahi mea ʻaʻole ia e lawe mai i kahi hopena. ʻO ka mea maʻi, ke huli pū nei me kāna mau hoalauna a i ʻole ʻike paha i kāna mau manaʻo e pili ana i ka mea ma ka home, ke makemake nui nei e hoʻopiʻi e pili ana i nā pilikia ʻole. Ua hiki mai kēia i nā hoʻopiʻi i nā ʻano like ʻole, e hoʻomaka ana me ka Hale Hale ʻaʻa a hoʻopau i nā mākaʻi. I kēlā kūlana, he mea nui e hana me ke ahonui a me ke kāwili ʻana, e hoʻomanaʻo mau ana ʻaʻole e ʻike ka mea maʻi i ka mea e hana nei, ʻaʻole ia i ka hoʻokaumaha iā ia iho a ʻaʻole hiki iā ia ke hoʻomaopopo iho iā ʻoe iho. ʻO ka hoʻāʻo ʻana e wehewehe i kahi mea i ka mea maʻi ua make ʻole ʻo ia, no laila ʻoi aku ka maikaʻi o ka ʻae ʻana i ka maʻi a hoʻāʻo e hiki ke ʻōlelo pū me nā mea ulu o kahi mea aloha.

ʻO ka mea pōʻino, ʻaʻole maʻamau ka hihia i ka wā o nā keiki makua, ke hāʻule nei i ka minamina, ke ʻike nei i ka mana ʻole a me ka huhū, ua mākaukau e hōʻole i ka mālama nei i kahi makua maʻi, e hoʻoneʻe ana i kēia kuleana ma ka mokuʻāina. Hiki ke hoʻomaopopo ʻia kēlā mau ʻano, akā e hoʻomanaʻo ʻoe i ka wā i hāʻawi aku ai nā mākua i ko lākou hoʻomanawanui a me ka ikaika i ka wā e ulu ai nā pēpē, ʻaʻole i moe i ka pō, hoʻōla, kōkua a kū mau i laila, a no laila ka mālama ʻana iā lākou he kuleana pololei o nā keiki makua.

ʻO nā ʻōmaʻomaʻo o ka maʻi e kau nei i ka mau hewa ʻana o ka naʻau, ʻona-psycho-emotional, ʻeha nā huakaʻi, ma muli o ka paʻakikī o ka mea e hoʻoholo i ke ʻano o ka DEP a me ka prognosis.

Hoʻololi ka haukapila i nā ʻekolu mau manawa o ka maʻi.

1. ʻO ka papa hana mua he mea hele pū me ka hemahema cognitive hemahema ʻaʻole i pale i ka mea maʻi mai ka hana ʻana a alakaʻi i kahi ʻano maʻamau. ʻAʻole loaʻa kahi kūlana neurological.
2. Ma ka lua o ka ʻōpū, hoʻohui ʻia nā hōʻailona, ​​aia ka hewa hewa o ka naʻau, ʻike lōlō, ʻike ʻia nā mea ulu ʻole.
3. ʻO ke kolu o ka mea paʻakikī loa, ʻo ia ka vascular dementia me ka hoʻokaʻawale ʻana i ka naʻauao a me ka noʻonoʻo, he kipi ʻana i ke kūlana o ka neurological, e koi ana i ka mālama mau a me ka mālama ʻana i kahi maʻi maʻi kīnā ʻole.

DEP 1 kekē

Kuhi i ka makahiki 1 dyscirculatory encephalopathy me ka helu nui o nā pilikia o ka mokuahi. ^ E Ha yM. Hoʻololi ka haukapila, me ka hoʻololi iki, nā kānaka a puni kahi nānā i ke ʻano o ka helehelena, e hōʻike ana iā lākou i ka makahiki a i ʻole ka momona. ʻO ka hapa ma mua o ka hapalua o nā mea maʻi me ka hoʻomaka mua o ka DEP e loaʻa ana i ka pohō, akā ʻaʻole i hoʻohālikelike ʻia e pili ana iā ia, he hypochondriacal, ʻehā. Hoʻokumu ʻia ke kaumaha ma muli o ke kumu liʻiliʻi a i ʻole ʻole me ke kū ʻole o ka pono, e kū kūʻē i ka maikaʻi o ka maikaʻi o ka ʻohana a ma ka hana.

ʻO ka maʻi me ka DEP o ke kolamu 1 ka hoʻopiʻi ʻana i kā lākou hoʻopiʻi ma ka pathology somatic, ke nānā ʻole i nā loli pili. No laila, hopohopo lākou i nā ʻeha i nā kuʻekuʻe, hope, ʻōpū, ʻaʻole i pili i ka pae maoli o ka hōʻino ʻana i nā kino o loko, aʻo ka ʻeha a me ke kaumaha ʻole e hoʻopilikia nui i ka mea maʻi.

ʻO ka ʻano maoli no ka DEP he hoʻololi i ka ʻōiwi o ka naʻau, e like me ka neurasthenia. Hoʻololi ka helehelena kūlike mai ka minamina i ka hauʻoli koke ʻana, ke uwē ʻana me ka leo o ka hoʻoulu ʻana i nā poʻe ʻē aʻe. Hoʻomaʻamaʻa pinepine ka hiamoe, mau hele luhi, nā poʻo, hōʻeha a me nā poina. ʻO ka ʻokoʻa ma waena o ka DEP a me ka neurasthenia e manaʻo ʻia ana he hui pū ʻana o nā hōʻailona i wehewehe ʻia me ka hoʻokaʻeha cognitive.

Loaʻa ka hōʻeha kino o nā maʻi ma ka 9 mai 10 o nā mea maʻi a komo i nā pilikia me ka neʻe ʻana, ka hoʻomanaʻo ʻana, ka nalowale i ka wā o ka hana noʻonoʻo. Ua nalowale ka mea maʻi i kāna ʻoihana mua, nā pilikia i ka hoʻolālā ʻana i ka manawa a me nā kuleana. I ka hoʻomanaʻo ʻana i nā hanana mai kona ola ʻana, ʻaʻole ʻo ia e hōʻano hou i ka ʻike i loaʻa wale mai, hoʻomanaʻo ʻole ʻia ke hoʻomanaʻo ʻana i nā mea āna i lohe ai a heluhelu hoʻi.

Ma ka pae mua o ka maʻi, ua ʻike ʻia kekahi mau luhi kilohi. Hiki i nā hoʻopiʻi kūlohelohe, gaʻa mau loa, a me ke ʻano puʻupuʻu me ka luaʻi, akā ʻike wale nō i ka wā o ka hele ʻana.

DEP 2 kūloko

ʻO ka holomua o ka maʻi e alakaʻi i kahi pae 2 DEP, i ka hoʻohui ʻia nā hōʻailona i luna aʻe, aia ka ʻokoʻa nui o ka naʻauao a me ka noʻonoʻo, nā hoʻomanaʻo a me nā pilikia pili, akā, ʻaʻole hiki i ka mea maʻi ke kuhikuhi hoʻomʻo i ke kūlana, hōʻike pinepine i kona hiki. He mea paʻakikī ke hoʻokaʻawale maikaʻi i ka papa ʻelua a me ke kolu o ka DEP, akā ʻo ka nalowale ka nalowale o ka hana a me ka hiki ʻana o ke kūʻokoʻa kūlohelohe i ʻike ʻole ʻia i ke kolu ʻekolu.

ʻO ka emi ʻana o kahi ʻike naʻau e hoʻoluhi i ka hoʻokō o nā hana hana a hoʻokumu i kahi pilikia i ka nohona o kēlā me kēia lā. Ua lilo ʻole ka hana, nalowale ka makemake i ka leʻaleʻa a me nā hana hoihoi, a hiki i ka mea maʻi ke hoʻolilo i nā hola e hana ai i kahi mea ʻole a ʻaʻole hoʻi e noho hana ʻole.

Ua wāwahi ka papa kuhikuhi ma ke ana a me ka manawa. I ka hele ʻana i ka hale kūʻai, hiki i ke kanaka e hōʻeha nei i ka DEP hiki ke poina i nā kūʻai i hoʻolālā ʻia, a ke haʻalele nei ia iā ia, ʻaʻole hoʻomanaʻo koke ʻo ia i ke ala o ka home. Pono e ʻike nā ʻohana pili i kēlā mau ʻōuli, a inā e haʻalele ka mea maʻi i ka hale iā ia iho, a ʻoi aku ka maikaʻi o ka hōʻoia ʻana iā ia i kekahi palapala e hōʻike ai i kekahi mea e pili ana i ka kikoʻī, no ka mea aia nā hihia pinepine i ka loaʻa ʻana o ka home a me nā ʻohana o nā mea maʻi e nalowale me ka nalowale.

Ke hoʻomau nei ka ʻona naʻau. Hāʻawi nā loli i ka lewa e ka apathy, ka hopohopo i nā mea e hana nei a me nā mea'ē aʻe. ʻO ka pilina me ka mea maʻi e lilo ʻole hiki ʻole. Loaʻa nā maʻi i ka ʻike pono ʻole. E hele mālie ka maʻi maʻi, lohi i kona mau wāwae. Ua hiki i ka hoʻomaka mua ʻana e hoʻomaka e hele, a laila paʻakikī i ka hoʻōki (e like me Parkinsonism).

Hoike ʻike

ʻO ka ʻōpū decircalopathy (DEP) kahi maʻi maʻamau i ka neurology. Wahi a nā heluʻepekema, e pili ana i ka 5-6% o ka heluna o Rūsia e hōʻeha ʻia i ka encephalopathy dyscirculatory. Me nā ʻehaʻeha, nā hana hoʻopukapuka a me nā aneurysms o nā moku serebral, nona ka DEP no ka vascular neurological pathology, i ke ʻano o kahi e hana mua ai i ka hapanui o nā hanana.

Ma ke ʻano maʻamau, ʻo ka dyscirculatory encephalopathy ua manaʻo ʻia he maʻi nui ia o ka poʻe kahiko. Eia naʻe, ʻike pinepine ʻia ka "hoʻihoʻi" i nā maʻi cardiovascular ma ka pili ʻana i ka DEP. Me ka angina pectoris, myocardial infarction, cerebral stroke, discirculatory encephalopathy e nānā pinepine ʻia i nā kānaka ma lalo o ka 40 makahiki.

Nā kumu no DEP

Hoʻokumu ka hoʻokumu ʻana o DEP i ka ischemia cerebral e ulu ana ma muli o nā ʻano ʻano like ʻole vascular. Ma kahi o 60% o nā hihia, loaʻa ka dyscirculatory encephalopathy e ka atherosclerosis, ʻo ia hoʻi, ʻo nā loli atherosclerotic i loko o nā paia o nā moku cerebral. Aia ka lua ma waena o nā kumu o DEP i kaʻi ʻia e ka maʻi hypertension arterial, i ʻike ʻia ma ka hopena o ke hypertension, glomerulonephritis kronis, maʻi ʻōpiopio polycystic, pheochromocytoma, maʻi maʻi Herenko-Cush, a me nā mea hou I ke hypertension, hoʻopuni ka encephalopathy ka hopena ma ka hopena o ka māla o ka moku cerebral i hiki aku ai i ka nalo.

Ma waena o nā kumu i hōʻike ʻia ai ka encircalopathy discirculatory, ke ʻano o ka pathology o nā arebular vertebral, ka mea e hāʻawi iā 30% o ka pelekula cerebral. ʻO ka ke kikowaena o ka pāpaʻi vertebral artery e hōʻike pū ana me nā hōʻike o ka discirculatory encephalopathy i loko o ka loko wai o koebebro-basilar. ʻO nā kumu o ka hiki ʻole o ke kahe koko ma waena o ka lāʻau me ka vertebral e alakaʻi ana i ka DEP hiki: ʻo osteochondrosis o ka kuʻi, ka hiki ʻana o ke ʻano cplical cebical a i ʻole a ma hope o kahi hōʻeha vertebral, Kimmerly anomaly, malebations malia.

ʻO ka pinepine, loaʻa ka discirculatory encephalopathy e pili ana i ke kua o ka maʻi mellitus, no ka mea i kahi hiki ʻole ke mālama i ke kō o ke kō o ke koko ma ke pae o ka palena o ka maʻamau. I kēlā mau kūlana, alakaʻi ka macroangiopathy maʻi maʻi i ke ʻano o nā hōʻailona o ka DEP. ʻO nā kumu kumu'ē aʻe o ka encircalopathy discirculatory e pili ana i ka hōʻeha o ka lolo traumatic, vasculitis systemic, angiopathies hoʻoilina, arrhythmias, mau a i ʻole pinepine o ka hypotension arterial.

ʻO nā mea etiological a DEP i ke ala a i ʻole kekahi ke alakaʻi i ka hoʻopōʻino ʻana o ka hele ʻana o ka cerebral, a no laila ke hypoxia a me ka pelu o nā ʻāpana o ka lolo. A ke kumu, make nā selika lolo me ke ʻano o nā wahi i loaʻa ʻole o ka ʻōpū o ka lolo (leukoaraiosis) a i ʻole mau pūʻulu liʻiliʻi o nā mea i ʻōlelo ʻia "kūlohelohe naʻau kūlohelohe".

ʻO ka mea eʻoi aku ka pilikia i ka ulia cerebrovascular me ka mea keʻokeʻo o nā wahi hohonu o ka lolo a me nā hana subortortical. ʻO kēia ma muli o ko lākou wahi ma ka palena o nā waihona pālani pālua. ʻO ka ischemia mānoanoa o nā ʻāpana hohonu o ka lolo e alakaʻi ai i kahi pilikia i waena o nā pilina ma waena o ka ganglia subcortical a me ka cerebral cortex, ka mea i kapa ʻia ʻo "the disconnect phenomena". Wahi a nā kumuhana hou, ʻo ia ka "uncoupling phenomenon" ʻo ia ka papa hana pathogenetic nui no ka hoʻomohala ʻana o ka encircalopathy discirculatory a hana i kāna mau hōʻailona lapaʻau koʻikoʻi: pilikia kognitive, pilikia o ka pehu a me ka hana motor. He ʻano ia a hiki i ka dyscirculatory encephalopathy i ka hoʻomaka ʻana o kāna papa e hōʻike ʻia e nā maʻi like, a, inā hoʻomaʻamaʻa pololei ʻia, hiki ke hoʻololi ʻia, a laila ka maʻi mau neʻokeʻo mau, ka mea pinepine ke alakaʻi i ka maʻi maʻi, e hana iki.

Ua hoʻomaopopo ʻia, ma kahi o ka hapalua o nā hihia, kūlohelohe ʻia ka enccirculatory encephalopathy i hui pū ʻia me nā kaʻina neurodegenerative ma loko o ka lolo. ʻO kēia ma muli o ka maʻamau maʻamau o nā kumu e alakaʻi ai i ka hiki ʻana o nā maʻi maʻi vascular o ka lolo a me nā loli degenerative i loko o ka lolo.

ʻO DEP koʻikoʻi

Hoʻopilikia nui ka DEP i ka dementia, i ka wā ua pau ka mea hoʻomanawanui i ka hiki ke noʻonoʻo a hana i nā hana i kuhikuhi ʻia, apathetic, ʻaʻole hiki ke hoʻokele i ka lewa a me ka manawa. I kēia manawa, hoʻohālikelike ʻia ka ʻōlelo neʻe a i ʻole i ka neʻe ʻana paha, ʻike ʻia nā hōʻailona neʻe o ka neʻe i loko o ke ʻano o nā hōʻailona o ka automatism waha, ka maʻi ʻeha o nā kino pelvic, nā mākaʻi i nā paresis a me ka maʻi paralysis, a me nā mea hoʻomau.

Inā hiki i kahi ʻeha i ke ala o ka dementia ke ala aʻe a hele, a laila pono ʻoe e hoʻomanaʻo e pili ana i ka hāʻule ʻana, e kuhi ʻia ana me nā pōkole, ʻo ia hoʻi i nā poʻe ʻelemakule me osteoporosis. Hiki i ka mea hōʻeha koʻikoʻi ke hōʻeha i kēia mahele o nā mea maʻi.

Pono ʻo Dementia i ka mālama mau a me ke kōkua ʻana mai. ʻO ka mea maʻi, e like me kahi keiki ʻuʻuku, ʻaʻole hiki ke hele kūʻokoʻa ʻole i ka meaʻai, hele i ka lua, ka mālama ʻana iā ia iho a hoʻolilo i ka manawa nui o kona noho ʻana a moe paha i kahi moe. ʻO nā kuleana āpau i ka mālama ʻana i kona ola e kau ʻia ma luna o nā hoahānau, e hoʻolako ana i nā kaʻina kūlohelohe, kaʻai ʻana i ka meaʻai, ka paʻakikī i ka pīhoihoi, ke nānā aku nei lākou i ka ʻano o ke ʻano o ka ʻili, i ʻole e hala i ke ʻano o nā mea kaumaha.

I kekahi ākea, me ka encephalopathy koʻikoʻi, hiki ke lilo i mea maʻalahi no nā ʻohana. Ke haʻalele nei, e koi ana i ka hoʻoikaika kino, ʻaʻole ia e komo i ka kamaʻilio, ʻo ia hoʻi, ʻaʻohe mea e pono ai ka hoʻopaʻapaʻa, huhū a me ka huhū i nā ʻōlelo a ka mea ʻike ʻole mai. Ma ke ʻano o ka dementia, ʻaʻole lākou palapala hou e kākau i nā hoʻopiʻi a mai hō ʻole ʻole ʻole i nā moʻolelo o ko lākou hoalauna. Ma ke ʻano ʻē aʻe, ʻo ka nānā ʻana i ka kahe ka nee ʻana o kahi mea aloha a ʻaʻole hoʻi e hiki ke kōkua a hoʻomaopopo ʻia e ia, he koina kaumaha kaumaha.

Kahi helu

Ma ka etiology, ua wehe ʻia ka dyscirculatory encephalopathy i hypertonic, atherosclerotic, venous a me nā kāwili ʻana. Ma ke ʻano o ke papa, holomua ka holomua (classical), ʻae i ka wikiwiki a me ka holomua (galloping) discirculatory encephalopathy.

Mamuli o ka paʻakikī o nā hōʻike kulekele, dyscirculatory encephalopathy ua heluʻia i nā papa. Hoʻomaopopo ka stage I dyscirculatory encephalopathy e ka pilikino o ka hapanui o nā hōʻailona, ​​hoʻohaʻahaʻa maikaʻi ʻole cognitive, a me ka ʻole o nā loli i ke kūlana neurological. Hoʻomaopopo ka Stage II dyscirculatory encephalopathy e ka cognitive motor a me ka hoʻopilikia ʻana o ka motors, hoʻohui ʻana i nā pilikia o ka ʻōpū o ka naʻau. ʻO ka maʻi III dyscirculatory encephalopathy he mea pono i ka vementia dementia o ka ʻano paʻakikī, ka hele ʻana me nā pilikia like ʻole o ka motor a me ka noʻonoʻo.

ʻO kekahi mau huaʻōlelo e pili ana i ka maʻi maʻi

ʻAʻole ʻike ʻia nā ʻōmaʻomaʻo o ka incephopopathy incipient e ʻike ʻia i ka mea maʻi a i kona mau hoahānau paha, no laila ke kūkā kamaʻilio neurological ka mea mua e hana.

Hoʻokomo pū ka pūʻulu hanana i nā ʻelemakule āpau, maʻi maʻi maʻi, hypertension, poʻe me ka atherosclerosis. E loiloi ke kauka ʻaʻole wale i ke kūlana maʻamau, akā ke hana nei i nā hoʻokolohua maʻalahi no ka hiki ʻana o nā maʻi cognitive: e noi ʻoe iā ʻoe e huki kiko a me ke hoaina i ka manawa, e haʻi hou ʻia nā ʻōlelo i ʻōlelo ʻia i ka pae kūpono, a laila.

No ka ʻike ʻana i ka DEP, pono ke kūkākūkā ophthalmologist, electroencephalography, ultrasound me doppler o nā moku o ke poʻo a me ka ʻāʻī. E hoʻokaʻawale i kekahi ʻaoʻao o ka lolo, ua hōʻike ʻia ka CT a me ka MRI.

ʻO ka wehewehe ʻana i nā kumu o DEP e pili ana i kahi ECG, kahi hōʻike koko no ka molopalopihi lipid, coagulation, hoʻoholo i ke koko, kaila o ke koko. Kūkākūkā nā kūkākūkā o kahi endocrinologist, cardiologist, a ma kekahi mau manawa, e ʻōlelo ʻia ke kauka maʻi vascular.

Ke mālama nei i ka encephalopathy discirculatory

Pono e hoʻopiha nui ʻia ke ʻano o ka enccirculatory encephalopathy, e ʻoki ana i ka hōʻoki ʻana ʻaʻole wale i nā hōʻailona o ka maʻi, akā pū kekahi. mau kumuka hopena o ka loli i ka lolo.

ʻO ka mālama ʻana i ka manawa kūpono a me ka maʻi o ka lolo o ka ʻuluna ʻaʻole wale nō i kahi mea olakino.

Hoʻomaʻo ka mālama ʻana i ka DEP i ka pale ʻana i nā hana hōʻiliʻili vascular i ka lolo (mau hōʻeha), ka hoʻoponopono ʻana i ka papa o ka maʻi kumu a me ka hoʻihoʻi i ka hana o ka lolo a me ke kahe o loko. Hiki i ka lāʻau lapaʻau ke hāʻawi i kahi hopena maikaʻi, akā wale nō me ka komo a me ka makemake o ka mea maʻi ʻo ia iho e hakakā i ka maʻi. ʻO ka hana mua, e hoʻomaʻamaʻa maikaʻi i kou ʻano a me kou ʻano ʻai. I ka hoʻopauʻana i nā mea pōʻino, kōkua nui ka mea maʻi i ke kauka ma ke kaua ʻana i ka maʻi.

Ma muli o ka paʻakikī o ka ʻike ʻana i nā hana mua, hoʻomaka ka hoʻomaʻamaʻa i ka pae 2 DEP, i ka wā i ʻike ʻole ai ka hoʻomohala ʻana. Eia naʻe, ʻae hiki i kēia ke hoʻolalelale i ka hoʻomohala ʻana o ka encephalopathy, akā, e lawe pū i ke ʻano o ka mea maʻi i kahi pae e pono ai no ke ola kūʻokoʻa a, i kekahi mau hihia, hana.

Non-lāʻau lapaʻau lāʻau no ka disircalopathy discirculatory e pili ana:

• ʻO ka hoʻokaʻawale ʻana, a i ʻole ka liʻiliʻi o ka mea hoʻolilo i nā waiwai i ʻae ʻia.
• Kauʻai
• Ka hoopau ana o ka hewa ino.
• Hoʻohana pilikino.

Manaʻo ʻia ke kaupaona ʻana he kumu pōpilikia no ka hypertension a me ka atherosclerosis, no laila he mea koʻikoʻi loa ia e hoʻihoʻi hou i kēlā. Pono kēia i ka ʻaina a me ke ʻano kino, hiki i ke kanaka maʻi me ka ʻike ʻana. Ke lawe hou nei i kou ola i ka maʻamau, ka hoʻonui ʻana i ka hana kino, pono ʻoe e haʻalele i ka ulaula, ka mea e hoʻopilikia pili i nā paia vascular a me ka lolo.

Pono kaʻai no ka DEP i ka hoʻololi ʻana i ka momona o ka momona a hoʻonoho i ke kokoNo laila, ua ʻōlelo ʻia e hōʻemi i ka ʻai ʻana o nā momona holoholona, ​​ke hoʻopili nei iā lākou me nā momona momona, ʻoi aku ka maikaʻi o ka haʻalele ʻana i ka momona momona i ke aloha ʻana i ka iʻa a me ka kai. ʻAʻole iʻoi aku ka nui o ka paʻakai ma mua o 4-6 g i kēlā me kēia lā. Pono ka mea ʻai eʻai i nā meaʻai a pau i nā huaora a me nā minelala (calcium, magnesium, potassium). Pono e haʻalele ʻia ka waiʻona, no ka mea ke hoʻohana ʻia kona hoʻohana ʻana i ka holomua o ka ulu o ka hypertension, a me nā momona momona a me ke koikoi kiʻekiʻe ke ala pololei i ka atherosclerosis.

Ua lohe ʻia nā maʻi he nui e pili ana i ka pono o ka meaʻai maikaʻi loa, me ka ʻeha loa, me ka manaʻo e hoʻohiki lākou i nā mea maʻamau a me nā mea maikaʻi, akā ʻaʻole maoli kēia, no ka mea ʻaʻole ka moʻa like ʻole i loko o ka aila, hoʻolapalapa wale. Me ka DEP, maikaʻi nā meaʻai a me nā huaʻai i mālama ʻole ʻia e nā poʻe hou. I loko o ka papaʻai, aia kahi wahi i ka uala, nā aniani a me ke kāleka, nā mea kanu, nā kamato, nā ʻiʻo momona haʻahaʻa (veal, turkey), nā ʻano ʻano momona, nā huaʻai a me nā mea ʻai. Hoʻokomo ʻia nā saladi i ka aila ʻaila, akā, e haʻalele ʻia ka mayonnaise.

I nā hoʻomaka mua o ka maʻi, i ka wā i puka mua mai ai nā hōʻailona mua o ka hana lolo i hoʻopuni ʻia, ua lawa ia e noʻonoʻo hou i ke ʻano o ke ʻano a me ka hoʻōla ʻana, uku pono i nā hana ʻakena. Me ka hoʻomohala ʻana o ka pathology, aia he pono no ka lāʻau lapaʻau, hiki i ka pathogenetic, ke kuhikuhi ʻana i ka maʻi lalo, a me ka hōʻailona, ​​i hoʻolālā ʻia e hoʻopau i nā hōʻailona o DEP. I nā pilikia koʻikoʻi, hiki nō ke mālama ʻia ka mālama ʻana.

ʻO ka lāʻau lapaʻau

Hoʻokomo ʻia ka pathogenetic o ka encircalopathy discirculatory me ka hakakā ʻana ma ke koko kiʻekiʻe, ke ʻano ʻōnaʻi vascular me ka hoʻōla ʻana o ka atherosclerotic, ka momona a me ka metabolism. No ka mālamaʻana i ka pathogenetic o DEP, ua kuhikuhi ʻia nā lāʻau o nā hui like ʻole.

E hoʻopau i ke hypertension, e kau:

1. ʻO Angiotensin-hoʻololi i ka wili o ka enzyme - i hōʻike ʻia no nā mea maʻi me ka hypertension, ʻoi aku ka ʻōpio. Kuhi pū kēia hui i ka capropril kaulana, lisinopril, losartan, etc. A ua hōʻoia ʻia kēia mau lāʻau e kōkua i ka hōʻemi ʻana i ka kiʻekiʻe o ka hypertrophy o ka puʻuwai a me ka waena, ka naʻau, nā kaha o ka aniani, e kōkua ana i ka hoʻomaikaʻi ʻana i ke kahe o ke koko ma ka laulā a me ka microcirculation i loko.
   Ua hoʻopaʻa ʻia nā inhibitor ACE no nā poʻe maʻi me ka maʻi mellitus o ka maʻi ʻōpio, ke kūpeʻe ʻana o ka naʻau, nā lesi atherosclerotic o nā māla no ka maʻi. Ke kiʻi nei i nā helu maʻamau o ke koko, ʻoi aku ka liʻiliʻi o ka mea maʻi i ka hōʻemi kino ʻana o ka lolo ischemic, akā pili pū kekahi. Ua koho ʻia nā kumupaʻa a me ka regimen o nā lāʻau lapaʻau o kēia pūʻulu e pili ana i nā ʻano o ke ʻano o ka maʻi i loko o kahi maʻi maʻi.

1. Nā Beta-blockers - atenolol, pindolol, anaprilin, etc. A me kēia mau lāʻau lapaʻa ke hōʻemi i ke kahe o ke koko a kōkua i ka hoʻihoʻi ʻana i ka hana o ka naʻau, ʻo ia ka mea pono no nā poʻe maʻi me ka arrhythmias, maʻi ʻeha coronary a me nā pilikia puʻuwai. Hiki ke kuhikuhi ʻia nā mākāla me ka pale me ACE, a me ka maʻi maʻi, ka maʻi bronchial, kekahi mau maʻi o ka maʻi maʻi a hiki ke lilo i pilikia i ko lākou hoʻohana ʻana, no laila ke koho nei ka cardiologist i ka hana ma hope o ka loiloi kikoʻī.
2. ʻO nā antagonist kaleka (nifedipine, diltiazem, verapamil) i kahi hopena hypotensive a hiki ke kōkua i ka hoʻomaʻamaʻa i nā kuʻuna puʻuwai. Eia kekahi, hōʻalo nā lāʻau o kēia pūʻulu i ka spasm vascular, hoʻemi i ka luhi o nā paia o nā arterioles, a ma laila e hoʻomaikaʻi ai ke kahe koko i loko o ka lolo. ʻO ka hoʻohana ʻana o ka nimodipine i nā poʻe maʻi maʻi e hoʻopau i kekahi o ka maʻi cognitive, me ka hopena maikaʻi loa i ka hana o ka dementia. ʻO ka hoʻohana ʻana i nā calcium antagonist ma mau poʻo hōʻeha nui e pili ana me ka DEP e hāʻawi i kahi hopena maikaʻi.
3. Hoʻolālā ʻia nā diuretics (furosemide, veroshpiron, hypothiazide) e hōʻemi i ka neʻe ʻana ma o ke kaalo ʻana i ka nui o ka wai a me ka hoʻohaʻahaʻa i ka nui o ke koko kahe. Hoʻohui ʻia lākou me ka hui ʻana o nā pūʻulu o luna i luna.

Ma hope o ka hoʻololi ʻana o ka paʻakikī, pono ka pae o ka mālama ʻana i ka DEP i ka hakakā ʻana i nā pilikia o ka momona metabolism, no ka mea ʻo ka atherosclerosis ka mea nui loa e pili ana i ka vascular pathology o ka lolo. ʻO ka mea mua, e kuhikuhi ke kauka i ka mea maʻi i kahi mea ʻai a me nā papa hana i hiki ke hoʻoponopono i ka spectrose lipid. Inā ma hope o ʻekolu mau mahina e ʻike ʻole ʻia ka hopena, e hoʻoholo ʻia ka pilikia o ka lāʻau lapaʻau.

No ka hoʻoponopono ʻana i ka hypercholesterolemia, pono ʻoe:

• ʻO nā huaʻai e pili ana i ka acid nikotinic (acipimox, enduracin).
• Nā huaʻi - gemfibrozil, clofibrate, fenofibrate, etc.
• Kuhi - loaʻa ka hopena o ka lipid-kahe hou ʻana, e hāʻawi i ka regression a i ʻole ka hoʻonohonoho ʻana i nā pli i loaʻa i nā ipu o ka lolo (simvastatin, lovastatin, leskol).
• Sequestrants o nā momona momona (cholestyramine), hoʻomākaukau e pili ana i ka aʻai iʻa, antioxidants (vitamin E).

ʻO ka mea nui o ka mālama ʻana i ka pathogenetic o DEP ka hoʻohana ʻana i nā mea lawelawe e hoʻolaha ai i ka vasodilation, nā lāʻau nootropic a me nā neuroprotectors e hoʻomaikaʻi i nā kaʻina metabolic i loko o ka wahī.

ʻO nā Vasodilator

ʻO ka lāʻau Vasodilating - ʻo Cavinton, Trental, Cinnarizine, e lawelawe ʻia a hana hewa paha i ke ʻano o nā papa. Me nā pilikia o ke kahe koko i loko o ka palaki carotid areli, ʻoi aku ka hopena o ka ivinton, me ka nui o ka vertebrobasilar - stugeron, cinnarizine. Hāʻawi ʻo Sermion i kahi hopena maikaʻi me ka hoʻohui pū ʻana o ka atherosclerosis o nā moku o ka lolo a me nā limu, a me ka hoʻemi ʻana i ka naʻauao, ka hoʻomanaʻo, ka noʻonoʻo, ka ʻaoʻao o ka ʻōpū o ka naʻau, ka hoʻohālikelike ʻana i ka nohona.

ʻO ka pinepine, ʻo ka dyscirculatory encephalopathy ma ke kua o ka atherosclerosis e hele pū me ka paʻakikī ma ka puka ʻana o ke koko venous mai ka lolo.I kēia mau hihia, ua hoʻōla maikaʻi ʻo redergin i loko o nā māhina a papa paha. ʻO Vazobral kahi lāʻau lapaʻau hou hou ʻaʻole i hoʻopili pono ʻia i nā kīʻaha koko o ka lolo a hoʻonui i ke kahe koko i loko o lākou, akā pale pū i ka hoʻohui ʻana o nā mea i hana ʻia, ʻano maikaʻi loa no ka atherosclerosis a me ka vascular spasm ma muli o ka maʻi hypertension.

Nootropics a me neuroprotectors

ʻAʻole hiki ke mālama i ka mea maʻi me ka encephalopathy discirculatory me nā lāʻau lapaʻau e hoʻomaikaʻi i ka metabolism i loko o ka nano a loaʻa ai kahi hopena pale ma nā neurons ma lalo o ka hypoxia. ʻO Piracetam, encephabol, nootropil, mildronate e hoʻomaikaʻi i nā kaʻina metabola i loko o ka lolo, pale i ka hoʻokumu ʻana o nā radical manuahi, hōʻemi i ka hōʻiliʻili ʻana o platelet i nā moku microcirculation, kāpae i ka vascular spasm, hoʻopiʻi i kahi hopena vasodilating.

Hiki ke koho i nā lāʻau nootropic e hiki ke hoʻomaikaʻi i ka hoʻomanaʻo a me ka noʻonoʻo, hoʻonui i ka hana noʻonoʻo a me ke kūpaʻa i ka kaumaha. Me ka hoʻokaʻawale ʻana o ke hoʻomanaʻo a me ka hiki ke ʻike i ka ʻike, hōʻike ʻia Semax, Cerebrolysin, Cortexin.

He mea nui ia e mālama ʻia ka mālama ʻana me ka neuroprotectors i ka wā lōʻihi, ʻoiai ka hopena o ka hapa nui o lākou i nā wiki he 3-4 ma hope o ka hoʻomaka ʻana o ka lāʻau. ʻO ka maʻamau, hoʻokaʻawale ʻia nā infusions intravenous o nā lāʻau lapaʻau, a laila hoʻololi ʻia e ka waha waha. Hoʻonui ʻia ka maikaʻi o ke kāhiko neuroprotective e ka hoʻohui hou ʻana o nā mea paʻakikī multivitamin e loaʻa ana i nā huaora B, nā nikotinikika a me nā ascorbic acid.

Ma kahi o kēia mau pūʻulu o nā lāʻau lapaʻau, ʻo ka hapa nui o nā poʻe maʻi e koi i ka hoʻohana ʻana i nā hana antiplatelet a me nā anticoagulantsno ka mea, ʻo ka thrombosis kekahi o nā kumu nui o nā ulia vascular e ulu kūʻē nei ma hope o ka DEP. E hoʻomaikaʻi i ka waiwai o ka rheological o ke koko a hoʻemi i ka nānāʻana, aspirin i loko o nā liʻiliʻi liʻiliʻi (thrombo ACC, cardiomagnyl), kūpono ka ticlide, akā warfarin, hiki i ka clopidogrel ke kuhikuhi ma lalo o ka mālama mauʻana i ka coagulation koko. Hoʻomohala ʻia ka maʻamau maʻamau o ka microcirculation e nā chimes, pentoxifylline, i hōʻike ʻia i nā poʻe maʻi me nā ʻano maʻamau o ka atherosclerosis.

ʻO ka mālama maʻi

Hoʻokomo ʻia ka therapy Symptomatic e kāpae i nā hōʻike pilikino o nā pathology. ʻO nā mea haʻahaʻa a me nā hana hoʻolalelale nā ​​hōʻailona maʻamau o DEP, i mea e hoʻohana ai nā tranquilizer a me nā mea hoʻomehana: valerian, motherwort, relanium, phenazepam, etc., a me kahi psychotherapist e kuhikuhi i kēia mau lāʻau. No ke kaumaha, ua hōʻikeʻia nā antidepressants (Prozac, Melipramine).

Pono nā maʻi hakahaka i ka hoʻoulu ʻia ʻana o ke kino a me ka hoʻouka ʻana, me ka dizz kua ʻōlelo ʻia ʻo betaserk, cavinton, sermion. Hoʻoholo nā nā hōʻailona o ka ʻike hoʻopāʻi, hoʻomanaʻo ʻana, ka nānā ʻana me ka nootropics a me nā neuroprotectors.

Hana hoʻomaʻamaʻa

Ma ka hana holomua nui o ka DEP, i ka manawa e hiki ai ke kiʻekiʻe o ke kaʻo ʻana o nā moku koko o ka lolo i ka 70% a i ʻole, i nā mea i loaʻa i ka mea maʻi ke ala i nā ʻano aʻeha o ke kahe koko i loko o ka lolo, ka hana o ka hoʻokele e like me ka endarterectomy, stenting, a me ka anastomosis hiki ke hoʻokō.

ʻO ka hoʻomaʻamaʻa ʻana no ka loaʻa ʻana o ka DEP

ʻO ka Dyscirculatory encephalopathy kekahi o nā maʻi e hoʻohaumia nei, no laila Hiki ke hoʻokumu ʻia ka maʻi kīpē i kekahi ʻano o nā maʻi. ^ E Ha yM. ʻO kaʻoiaʻiʻo, ma ka hoʻomaka mua o ka pohō o ka lolo, i ka wā e mālama ai ka lāʻau lapaʻau a ʻaʻohe pono o ka loli i ka hana hana, ʻaʻole ʻae ʻia ka maʻi kīnā, no ka mea, ʻaʻole i palena ka maʻi i ke ola.

I ka manawa like, ʻo ka encephalopathy koʻikoʻi a, inā paha, ʻo ka vascular dementia, me kahi hōʻike keu loa o ka cerebral ischemia, pono ia i ka mea maʻi e hoʻomaopopo ʻia no ke kīnā, ʻoiai ʻaʻole hiki iā ia ke hana i nā hana hana a ma kekahi mau mea e pono ai ka mālama a me ke kōkua i ke ola maʻamau.Hoʻoholo ʻia ka hopena o ke kau ʻana i kahi hui kīnā kūikawā e ka komisina loea o nā kauka o nā ʻano like ʻole e pili ana i ka pae o ka hōʻole ʻana i ka ʻike hana a me ka mālama pono ʻana.

He koʻikoʻi ka paʻaʻike o ka PRP, akā ʻaʻole hopohopo.

Me ka ʻike mua o ka pathology a me ka manawa kūpono e mālama ai i ka hoʻonaninani me kahi 1 a me 2 i ke ʻano o ka lolo, ʻaʻole hiki iā ʻoe ke ola e pili ana i nā makahiki he ʻumikūmākahi, ʻaʻole hiki ke ʻōlelo ʻia e pili ana i ka maʻi vascular dementia koʻikoʻi.

Hoʻonui nui loa ka prognosis inā ʻike ka mea maʻi me ka DEP i ʻike pinepine ʻia i nā ʻano hypertensive a me nā hōʻailona hōʻike o nā maʻi kahe o ka cerebral.

Video: kaukaukau ma DEP - hoʻoiliʻana, kiʻekiʻe, keʻelima

Pahi 1: uku no ka kūkākūkā me ka hoʻohana ʻana i ke ʻano → Hana 2: ma hope o ka uku ʻana i kāu nīnau ma ka pepa i lalo ↓ Laki 3: Hiki iā ʻoe ke hoʻomaikaʻi hou i ka loea me ka uku ʻē aʻe no kahi uku palena ʻole ↑

ʻO kahi maʻi ʻeha he pilikia kino loa no nā kānaka, no ka mea, ʻo ia ka mea no ka hona o ka maʻi a me ka make. Inā mākou e kamaʻilio e pili ana i kahi kūlana koʻikoʻi e like me ka enccirculatory encephalopathy o ka pae lua, a laila e hāʻawi pinepine nā kauka i kahi maʻi kuhihewa. Me kāna hoʻomohala hou, ʻike ʻia nā mea like e like me ka hoʻemi ʻana o ka naʻauao, nalowale ka hoʻokele o ke ʻano o ke kanaka, a me ka hopu ʻana i nā ʻano epileptic.

ʻAʻole hiki iā ia ke hoʻopau piha i ka maʻi, inā naʻe, hiki i ka mālama manawa ke hoʻopau i kona mau pōpilikia, pale i ka holomua a hoʻihoʻi i ka hana maʻamau o ke kanaka.

ʻO nā kumu no ka hoʻomohala ʻana

ʻAʻole ʻike ʻia ka Discirculatory encephalopathy i ona iho - ke hoʻopiʻi wale nei nā maʻi ʻē aʻe. Wahi a nā kauka, he hopena o ke kanaka he hopena o ka ulu ʻana i nā syndromes, ʻaʻole ia he ʻano olakino ʻē aʻe. ʻO ka hōʻike maʻamau maʻamau ʻo ka atherosclerotic encephalopathy, kahi papa lōʻihi loa me ka neʻe ʻana o ka maʻi i ke olakino o ka mea maʻi, ʻoiai i ke kāʻei o kahi mālama maʻi.

ʻO ka pinepine, ʻo ka hōʻailona o ka hypertension arterial e huli pū i loko o ka encephalopathy - i kēia hihia, hāʻawi pinepine nā kauka i kahi maʻi kūpono me ka hiki ʻana o kahi hoʻomaikaʻi koʻikoʻi i ke kūlana olakino, inā ua kuhikuhi ʻia ka mālama ʻana i ka manawa kūpono. Inā hui kekahi o ka atherosclerosis a me hypertension, alakaʻi kēia i ka discirculatory encephalopathy me ka hopena o 90%. I kēia hihia, ke kamaʻilio nei lākou e pili ana i kahi maʻi o ka mea i hoʻohui ʻia - ʻo kona maʻi ka maʻi a me ka mālama ʻana.

Hoʻohuiʻia kēia mau maʻi, hiki i ka encephalopathy ke hoʻomohala:

• hoʻololi i ka ʻōnaehana o ka kiko,
• nā maʻi koko nui
• vasculitis (ʻōpio vascular),
• uhaʻi koko i loko o ka lolo,
• vegetstascular dystonia,
• nā maʻi hemodynamic.

ʻO kaʻaeʻana o nā genesis o ka encircalopathy discirculatory, e kū like ia. ʻO kēia mau maʻi ka hopena i ka pololi o ka lolo o ka lolo, e ukali ʻia e nā mea make o kāna mau puna a me ka loli pathological. ʻO nā hōʻeha kūpono ʻole e hoʻohemo i ke kanaka e nīnau aku i ke kauka. Hōʻike ia ka haʻalele ʻana i ia ʻano ʻano me nā nolo neʻe e hana ʻole - pono ka mea maʻi e kōkua kōkua.

ʻO ke kiʻi paʻi kino o ka encephalopathy discirculatory

Atherosclerotic, hypertensive, hui ʻia (atherosclerosis a me ka hypertension arterial), a me ka encephalopathy venous, hoʻokaʻawale.

ʻO Dyscirculatory atherosclerotic encephalopathy ka mea maʻamau. ʻEkolu mau ʻōpū o ka encephalopathy.

• Stage I - ʻ expressedlelo maʻalahi (hai ʻia). He mea i hōʻike ʻia e ka cerebrosthenic syndrome (ke hoʻomanaʻo ʻana, ka hiki ʻana o ka naʻau, ka huhū, ke poʻo, ka hōʻulaʻi ʻole ʻana), nā ʻano huakaʻi dystonic autonomic-vascular, nā ʻano like ʻole o ka sindromop psychopathological: astheno-depressive, asthenoipochondria, paranoia, affective. ʻAʻole ʻike ʻia nā maʻi neʻe o ka maʻi neʻe, a he maʻi maʻalahi, he maʻi paroxysmal. I ka hoʻomaka mua o ka encircalopathy discirculatory, ʻo ka hyperdynamic form o ka ulu cerebral predominates, i hōʻike ʻia e disinhibition, excitability, incontinence, hana hana, a hiamoe hiamoe.
• Stage II - i hōʻike ʻia (subcompensated). Hoʻonui ke koʻikoʻi o nā loli kūlohelohe, ʻaʻole ʻoi aku ka ikaika o nā maʻi, akā he hoʻomau nō naʻe. ʻAno kokoke ke poʻo, he kani mau loa i loko o ke poʻo, hōʻano hohonu ka ʻeha psychopathological, cerebration lilo a hypodynamic (lethargy, luhi, luhi, hōʻemi ke kaumaha, hoʻemi ka manaʻo, hoʻomanaʻo ʻana, hiamoe ka hiamoe). ʻO ka hoʻohālikelike o ka cerebrovascular insufficiency alakaʻi i nā liʻiliʻi liʻiliʻi o nā ʻōnaehana o ka lolo, ʻoiai kahi neʻeneʻe neʻeneʻe e pili ana i ka neurological syndrome. ʻO ka pinepine loa, pseudobulbar, syndromes amiostatic, a me ka pyramidal insufficiency (dysarthria, dysphonia, reflexes o waha automatism, he kīnā i loko o ka maka o ka waha a me ka alelo - hoʻowahāwahā, ke neʻe lohi nei, hypomimicity, nā koʻikoʻi, ka pīhoihoi manawa o ka lima a me ke poʻo, discoordination, he kikowaena neʻe o ka lima) nā lima, ʻike hoʻopiʻi ʻana ma ke ʻano o nā kiʻi paʻi, lohe luhi, epileptiform Jackson's seizures, anisoreflexia, pathological flexor reflexes).
• Stage III - i hoʻopuka (decompensated). Hōʻike ʻia ia e nā loli loli morphological i ka lolo o ka lolo, i ke ʻano o ka lacunae perivascular, hoʻonui ʻia ka nui o ka cerebral cortex. Ma CG a me ka MRI, ua hoʻoholo ʻia nā wahi o ka hoʻemi ʻana o ka mea keʻokeʻo a puni nā ventricles lateral a i nā ʻāpana subortical o ka hemispheres cerebral (leukoariosis).

Hoʻomaopopo ka hohonu a me ka hoʻonui ʻana i nā hōʻailona i hala, ʻike ʻia nā hōʻailona o ka hōʻino i kekahi wahi o ka lolo. ʻOi aku pinepine ma kahi o II kani, ʻo ka epileptiform ka holo ʻana. ʻO ka hoʻololi noʻonoʻo noʻonoʻo pinepine e alakaʻi i ka dementia hohonu. Me nā loli koʻikoʻi o ka ʻōnaehana piʻi, ʻeha pū ka kūlana kūlana somatic. Ma kēia hana, hoʻomohala ai ka pilikia cerebrovascular.

Hypertensive dyscirculatory encephalopathy, ʻaʻole like me ka atherosclerotic encephalopathy, e hoʻomaka ana i ka wā ʻōpio, hele wikiwiki, ʻo ia hoʻi nā ka wā hou o ka cerebral hypertensive crises, nā hōʻailona hou e kū pinepine i ka wā i ka wā o nā wā ʻino. Ma waena o nā loli noʻonoʻo, disinhibition, ka huhū, ka ikaika a me ke ʻano, euphoria ma ke mua.

Ka huina ainepolea pū ʻia. Hoʻohālikelike ia me ka hui pū ʻana o ka atherosclerotic a me hypertensive encephalopathy.

ʻO Venous encephalopathy kahi ʻano kūikawā o ka discirculatory encephalopathy a ua kū i nā kūlana e hiki ai i ka hoʻopiʻi ʻana i ka maʻi o ka mana venous mai ka palu cranial (nā pilikia mua o ka hoʻoponopono ʻana i ka leo venous he cerstral venous dystonia, maʻi heart pulmonary, craniostenosis, compression e ka extrapathic a me ka intracranial). Hoʻopilikia ka Venous me ka edema maʻi i ka mea o ka lolo. ʻO ka hōʻeha ʻana i nā maʻi maʻi hypertension e hoʻonui i ke kiʻi o ka lāʻau lapaʻau: nā puʻupuʻu kīwī palū nui, i hoʻopā ʻia e ka ʻōpū, ka ʻā ʻana, ka hele ʻana, ka maʻi maʻamau, ka lethargy, ka hopohopo, nā hana like ʻole, nā hōʻailona o ka hoʻomōhala ʻana i nā kīʻaha palupalu liʻiliʻi. makepū i loko o ka waihona kālā, nā hōʻailona hōʻailona meningeal.

ʻOkoʻa ka maʻi ʻokoʻa o ka encephalopathy discirculatory

I ka hoʻomaka mua ʻana, he ʻokoʻa nā dyscirculatory encephalopathy mai ka neurosis (hoʻokaumaha hana) a me ka autonomic-vascular dystonia, i nā hanana hope loa - mai nā hana volumetric o ka lolo (tumor, cyst), parkinsonism no ka mea ʻole-vascular (postencephalitic, toxic, tumor, maʻi Parkinson), mai presenal a me ka dementia senile, nā hoʻomaka mua o ka maʻi o Alzheimer a me Peak a i kahi pōkole. Eia kekahi mau ʻano o ka vement dementia (maʻi ʻo Binswanger) a ʻokoʻa nō hoʻi mai kahi Schiller periaxial encephalitis.

Ke mālama nei i ka encephalopathy dyscirculatory

Ke hoʻohana ʻia nei nā pūʻulu o nā lāʻau lapaʻau:

- Nā hua maʻi Hypolipidemic a me ka hypocholesterolemic (miskleron a clofibrate, polysponin, tribusponin, cetamiphene, ponoe, phytin, polyunsaturated fatty acid, lipamide a me methionine, etc.) i hōʻike ʻia no ka atherosclerotic encephalopathy.
- ʻO nā lāʻau antihypertensive (enap, clonidine, prestarium, atenolol, capoten, arifon, vincopan) hōʻikeʻia no ke koko kiʻekiʻe.
- Hōʻike ʻia nā lāʻau lapaʻau Phlebotonic (eskusan, esflazide, troxevasin, anavenol, aminophylline, redergin, iv cocarboxylase, glivenol, caffeine) no ka venous discirculation.
- Angioprotectors (parmidin, anginin, etamzilate - hōʻike ʻia no ke koko nui, ascorutin, vazobral).
- Hoʻonāukiuki ʻia nā ʻaihue (curantyl, aspirin i loko o nā liʻiliʻi liʻiliʻi, nā maʻi luhi, sermion, anturan, ticlide) e hoʻomaikaʻi ai i ka microcirculation a pale i ka microthrombosis.
- Nā lāʻau lapaʻau Vasoactive, e komo pū ana me ka antagonis kalima (cavinton, vincamine, hoʻokō, cinnarizine a i stugeron, nifedipine, flunarizine, halidor, no-spa), - e hoʻomaikaʻi i ke kahe koko cerebral, pale i ka angiospasm.
- Ua hoʻohālikelike alkaloid ka dihydrogenated (dihydroergotamine no ka hypotension arterial, dihydroergotoxin no ke koko koko kiʻekiʻe) loaʻa i ka hopena vasoactive, nootropic, vegetotropic.
- Nootropics (piracetam, encephabol a pyriditol, aminalon, picamilon, pantogam, cerebrolysin, glutamic acid, glycine, acefen).
- ʻO ka lāʻau metabolic a me nā antioxidants (mau huaora B1, B6, acid ascorbic, retinol, aevit, lipoic acid, tocopherol, emoxipin, phosphaden, ATP, actovegin, lipostabil, pantothenic acid).
- Nā hua lāʻau sedative a me nā maʻi psychotropic (tranquilizer, antidepressants, antipsychotics - me nā pilikia psychopathological koʻikoʻi).
- Nā lāʻau lapaʻau Anticholinesterase (galantamine, stefaglabrin, sanguirytrin, amiridine) i hōʻike ʻia no ka maʻi vinalia,? encephalopathy e hōʻemi i ka maʻi psycho-vegetative.
- Ua noi ʻia nā kaʻina physiotherapeutic (kūloko galvanika e like me Shcherbak, electrophoresis i ke kolamu o ka ʻĀmophylline a me ka koni oka konika, electrophoresis e like me Bourguignon o noshpa, electrosleep, hyperbaric oxygenation, kaʻai ʻana o ke kola kolona, ​​a me kekahi mea).

Home E pili ana i ka papa helu ʻana ʻo Encephalopathy Atherosclerotic encephalopathy: nā kumu, nā hōʻailona, ​​nā hiʻohiʻona a me ka prognosis

Atherosclerotic encephalopathy: nā kumu, nā hōʻailona, ​​nā hiʻohiʻona a me ka prognosis

ʻO ka Encephalopathy e pili ana i nā maʻi he hopena o ke kaʻina pili ma ke kino. ʻO ka atherosclerotic encephalopathy he inoa pōkole o ka ʻano, pono e hoʻohui ʻia ka huaʻōlelo "hoʻopaʻi", no ka mea, ʻo ka atherosclerosis o nā moku cerebral he hana maʻi a ma ka manawa like ia ke kumu pololei o ka atherosclerotic encephalopathy.

Hoʻoulu ʻia ka atherosclerosis o nā moku cerebral no nā kumu he nui, akā ʻo ka mea nui he mea hoʻonāukiuki i ka hana lipid metabolism. Loaʻa nā ʻano like i loko o ka poʻe me ka hoʻonāukiuki, nā hana metabolic, a me nā poʻe maʻi ma waena o nā mea maʻi e hoʻopilikia nui nei ka metabolism ma muli o ke kūwele ʻana o ka huehue, a ʻaʻole hoʻi ma muli o ka pōʻino a me ka hōʻino ʻana i nā meaʻai momona.

Atherosclerosis a me encephalopathy: he aha ka pilina?

ʻO ka hapa nui, ka poʻe i lawehala pinepine ʻia ma ka hoʻopili ʻana i ka pā i nā wāwae moa momona a i ʻole nā ​​mea iʻa a ʻalapula ʻole i ʻike maopopo a hiki i kēia ke alakaʻi i ka atherosclerotic encephalopathy a me nā maʻi noʻonoʻo. Akā he ʻoiaʻiʻo nō kēia.I ka lōʻihi o ka manawa, hemo ka hanu i ka hiki ke wāwahi i lalo a lawe i nā momona, kahi e alakaʻi ai i ka hoʻonui ʻana i ke kolamu o ke koko. A ke hopena, puka mai nā poli palaka ma nā paia o nā pili koko, a uhi ʻia lākou i kahi o ka venne lumen. Ua kapa ʻia kēia pathology me ka atherosclerosis, no ka mea he ʻano nui ka kahe o ka lolo. ʻO ka hopena, ʻeha ka naʻau i ka nele o ka oxygen, lawe ʻia i ke kino e nā kahe koko.

Nā hiʻohiʻona o ke kiʻi lapaʻau

Hiki i nā Atherosclerotic encephalopathy ke loaʻa i nā hōʻailona e like me nā ʻano ʻē aʻe a pau o ka maʻi. Inā ʻoi loa aku ia i ke ʻano mua (mua), a ʻokoʻa nā ʻōnaehana pathological. ʻO ka pinepine, ʻōhumu nā maʻi i nā:

- Hoʻonui i nā momona, nā maʻi manawa a me nā nāwaliwali.

- Paha, poʻo.

- E kala mau, ke aloha ʻole. I kekahi manawa ʻaʻole ʻike ka poʻe maʻi i nā mea ākea, nāheʻe i loko o nā kānaka, e kikeke a hōʻole paha i nā mea nui.

- ʻO nā maʻi hiamoe ma kekahi o kā lākou hōʻike.

- Hoʻonui i nā huhū, nā hopohopo lewa, ke kaumaha.

- Ke pani ʻana, nā puka mua o ka maʻi manic.

Hoʻomaʻamaʻa ʻia ka atherosclerotic encephalopathy o ka pae 2, ʻo ka mea mua, i ka nui loa o kēia mau ʻōuli, a me ka lua, e hoʻomaka ka hōʻailona ʻana i nā hōʻailona i hoʻonāukiuki ʻia e ka atherosclerosis. Aia i kēia mau ʻōuli:

- Ka mea kaumaha i ke poʻo.

- ʻAno maikaʻi, kūlana foggy.

- Ka hopena o nā "goosebumps" maikaʻiʻole i ka ili o nā lima a me nā wāwae.

ʻO ka pinepine, ua hele i ka mua o ka hōʻailona o ke kūlana pre-stroke: pale a hōʻoki paha i ka ʻili o ke kino, hoʻonui ʻia ke koko, a haʻi ʻia ka pulu poliki.

Nā hiʻohiʻona Therapy

Hoʻomaʻamaʻa ka mālama ʻana i ka atherosclerotic encephalopathy i nā hana e pili ana i ka mālama ʻana i ke kumu kumu. ʻO kēia ka mea pono e hahai i kahi meaʻai e hoʻokaʻawale i ka hoʻohana ʻana i nā momona, me ka lawe ʻana i nā lāʻau lapaʻau. Aia kekahi mau ala lapaʻau ʻē aʻe, akā ke koho wale ʻia nā mea a pau e ke kauka komo ʻana a ma hope iho o ka hoʻokau ʻana ʻana o ke kino holoʻokoʻa.

He mea nui e nānā i ka hele ʻana o nā maʻi concomitant, e hōʻiliʻili pono i kahi anamnesis a hana i kahi hoʻolālā hana e mālama ai i nā ʻano āpau o ka mea maʻi.

Ma ko mākou kahua mālama olakino, ke kali nei ʻoe no ka hoʻokipa ʻana i nā loea loea, i ʻike ʻia e nā loea loea e hoʻomaʻamaʻa i ka lāʻau lapaʻau. ʻO nā mea diagnostic i hoʻohana ʻia no ka hoʻokolokolo ʻana i nā kūlana o ko mākou kikowaena e hiki iā mākou ke hana i nā hopena kūpono e alakaʻi ana i ke ʻano loiloi kūpono loa.

Inā pono, hāʻawi mākou i nā kūlana i waiho ʻia no nā poʻe maʻi, loaʻa iā mākou kahi wahi ʻole ma kahi hale hoʻoluʻu e hiki ai iā ʻoe ke loaʻa nā lawelawe kiʻekiʻe no ka mālama ʻana a me ka hoʻihoʻi ʻana i ke olakino.

Mai haʻalele iā ʻoe iho i kahi ola maʻamau, e nānā i ka nānā ʻana i ka manawa kūpono a hahai i nā ʻōlelo aʻoaʻo a nā poʻe loea!

ʻEpiliea ʻo Encephalopathy

ʻO ka Discirculatory encephalopathy ka hui pū ʻana o nā loli kūlohelohe holomua i ka lolo lolo ma muli o nā pilikia cerebrovascular.

ʻO ke kiʻi paʻi kino o ka encephalopathy discirculatory

Atherosclerotic, hypertensive, hui ʻia (atherosclerosis a me ka hypertension arterial), a me ka encephalopathy venous, hoʻokaʻawale.

ʻO Dyscirculatory atherosclerotic encephalopathy ka mea maʻamau. ʻEkolu mau ʻōpū o ka encephalopathy.

• Stage I - ʻ expressedlelo maʻalahi (hai ʻia). He mea i hōʻike ʻia e ka cerebrosthenic syndrome (ke hoʻomanaʻo ʻana, ka hiki ʻana o ka naʻau, ka huhū, ke poʻo, ka hōʻulaʻi ʻole ʻana), nā ʻano huakaʻi dystonic autonomic-vascular, nā ʻano like ʻole o ka sindromop psychopathological: astheno-depressive, asthenoipochondria, paranoia, affective.ʻAʻole ʻike ʻia nā maʻi neʻe o ka maʻi neʻe, a he maʻi maʻalahi, he maʻi paroxysmal. I ka hoʻomaka mua o ka encircalopathy discirculatory, ʻo ka hyperdynamic form o ka ulu cerebral predominates, i hōʻike ʻia e disinhibition, excitability, incontinence, hana hana, a hiamoe hiamoe.
• Stage II - i hōʻike ʻia (subcompensated). Hoʻonui ke koʻikoʻi o nā loli kūlohelohe, ʻaʻole ʻoi aku ka ikaika o nā maʻi, akā he hoʻomau nō naʻe. ʻAno kokoke ke poʻo, he kani mau loa i loko o ke poʻo, hōʻano hohonu ka ʻeha psychopathological, cerebration lilo a hypodynamic (lethargy, luhi, luhi, hōʻemi ke kaumaha, hoʻemi ka manaʻo, hoʻomanaʻo ʻana, hiamoe ka hiamoe). ʻO ka hoʻohālikelike o ka cerebrovascular insufficiency alakaʻi i nā liʻiliʻi liʻiliʻi o nā ʻōnaehana o ka lolo, ʻoiai kahi neʻeneʻe neʻeneʻe e pili ana i ka neurological syndrome. ʻO ka pinepine loa, pseudobulbar, syndromes amiostatic, a me ka pyramidal insufficiency (dysarthria, dysphonia, reflexes o waha automatism, he kīnā i loko o ka maka o ka waha a me ka alelo - hoʻowahāwahā, ke neʻe lohi nei, hypomimicity, nā koʻikoʻi, ka pīhoihoi manawa o ka lima a me ke poʻo, discoordination, he kikowaena neʻe o ka lima) nā lima, ʻike hoʻopiʻi ʻana ma ke ʻano o nā kiʻi paʻi, lohe luhi, epileptiform Jackson's seizures, anisoreflexia, pathological flexor reflexes).
• Stage III - i hoʻopuka (decompensated). Hōʻike ʻia ia e nā loli loli morphological i ka lolo o ka lolo, i ke ʻano o ka lacunae perivascular, hoʻonui ʻia ka nui o ka cerebral cortex. Ma CG a me ka MRI, ua hoʻoholo ʻia nā wahi o ka hoʻemi ʻana o ka mea keʻokeʻo a puni nā ventricles lateral a i nā ʻāpana subortical o ka hemispheres cerebral (leukoariosis).

Hoʻomaopopo ka hohonu a me ka hoʻonui ʻana i nā hōʻailona i hala, ʻike ʻia nā hōʻailona o ka hōʻino i kekahi wahi o ka lolo. ʻOi aku pinepine ma kahi o II kani, ʻo ka epileptiform ka holo ʻana. ʻO ka hoʻololi noʻonoʻo noʻonoʻo pinepine e alakaʻi i ka dementia hohonu. Me nā loli koʻikoʻi o ka ʻōnaehana piʻi, ʻeha pū ka kūlana kūlana somatic. Ma kēia hana, hoʻomohala ai ka pilikia cerebrovascular.

Hypertensive dyscirculatory encephalopathy, ʻaʻole like me ka atherosclerotic encephalopathy, e hoʻomaka ana i ka wā ʻōpio, hele wikiwiki, ʻo ia hoʻi nā ka wā hou o ka cerebral hypertensive crises, nā hōʻailona hou e kū pinepine i ka wā i ka wā o nā wā ʻino. Ma waena o nā loli noʻonoʻo, disinhibition, ka huhū, ka ikaika a me ke ʻano, euphoria ma ke mua.

Ka huina ainepolea pū ʻia. Hoʻohālikelike ia me ka hui pū ʻana o ka atherosclerotic a me hypertensive encephalopathy.

ʻO Venous encephalopathy kahi ʻano kūikawā o ka discirculatory encephalopathy a ua kū i nā kūlana e hiki ai i ka hoʻopiʻi ʻana i ka maʻi o ka mana venous mai ka palu cranial (nā pilikia mua o ka hoʻoponopono ʻana i ka leo venous he cerstral venous dystonia, maʻi heart pulmonary, craniostenosis, compression e ka extrapathic a me ka intracranial). Hoʻopilikia ka Venous me ka edema maʻi i ka mea o ka lolo. ʻO ka hōʻeha ʻana i nā maʻi maʻi hypertension e hoʻonui i ke kiʻi o ka lāʻau lapaʻau: nā puʻupuʻu kīwī palū nui, i hoʻopā ʻia e ka ʻōpū, ka ʻā ʻana, ka hele ʻana, ka maʻi maʻamau, ka lethargy, ka hopohopo, nā hana like ʻole, nā hōʻailona o ka hoʻomōhala ʻana i nā kīʻaha palupalu liʻiliʻi. makepū i loko o ka waihona kālā, nā hōʻailona hōʻailona meningeal.

ʻOkoʻa ka maʻi ʻokoʻa o ka encephalopathy discirculatory

I ka hoʻomaka mua ʻana, he ʻokoʻa nā dyscirculatory encephalopathy mai ka neurosis (hoʻokaumaha hana) a me ka autonomic-vascular dystonia, i nā hanana hope loa - mai nā hana volumetric o ka lolo (tumor, cyst), parkinsonism no ka mea ʻole-vascular (postencephalitic, toxic, tumor, maʻi Parkinson), mai presenal a me ka dementia senile, nā hoʻomaka mua o ka maʻi o Alzheimer a me Peak a i kahi pōkole. Eia kekahi mau ʻano o ka vement dementia (maʻi ʻo Binswanger) a ʻokoʻa nō hoʻi mai kahi Schiller periaxial encephalitis.

Ke mālama nei i ka encephalopathy dyscirculatory

Ke hoʻohana ʻia nei nā pūʻulu o nā lāʻau lapaʻau:

- Nā hua maʻi Hypolipidemic a me ka hypocholesterolemic (miskleron a clofibrate, polysponin, tribusponin, cetamiphene, ponoe, phytin, polyunsaturated fatty acid, lipamide a me methionine, etc.) i hōʻike ʻia no ka atherosclerotic encephalopathy.
- ʻO nā lāʻau antihypertensive (enap, clonidine, prestarium, atenolol, capoten, arifon, vincopan) hōʻikeʻia no ke koko kiʻekiʻe.
- Hōʻike ʻia nā lāʻau lapaʻau Phlebotonic (eskusan, esflazide, troxevasin, anavenol, aminophylline, redergin, iv cocarboxylase, glivenol, caffeine) no ka venous discirculation.
- Angioprotectors (parmidin, anginin, etamzilate - hōʻike ʻia no ke koko nui, ascorutin, vazobral).
- Hoʻonāukiuki ʻia nā ʻaihue (curantyl, aspirin i loko o nā liʻiliʻi liʻiliʻi, nā maʻi luhi, sermion, anturan, ticlide) e hoʻomaikaʻi ai i ka microcirculation a pale i ka microthrombosis.
- Nā lāʻau lapaʻau Vasoactive, e komo pū ana me ka antagonis kalima (cavinton, vincamine, hoʻokō, cinnarizine a i stugeron, nifedipine, flunarizine, halidor, no-spa), - e hoʻomaikaʻi i ke kahe koko cerebral, pale i ka angiospasm.
- Ua hoʻohālikelike alkaloid ka dihydrogenated (dihydroergotamine no ka hypotension arterial, dihydroergotoxin no ke koko koko kiʻekiʻe) loaʻa i ka hopena vasoactive, nootropic, vegetotropic.
- Nootropics (piracetam, encephabol a pyriditol, aminalon, picamilon, pantogam, cerebrolysin, glutamic acid, glycine, acefen).
- ʻO ka lāʻau metabolic a me nā antioxidants (mau huaora B1, B6, acid ascorbic, retinol, aevit, lipoic acid, tocopherol, emoxipin, phosphaden, ATP, actovegin, lipostabil, pantothenic acid).
- Nā hua lāʻau sedative a me nā maʻi psychotropic (tranquilizer, antidepressants, antipsychotics - me nā pilikia psychopathological koʻikoʻi).
- Nā lāʻau lapaʻau Anticholinesterase (galantamine, stefaglabrin, sanguirytrin, amiridine) i hōʻike ʻia no ka maʻi vinalia,? encephalopathy e hōʻemi i ka maʻi psycho-vegetative.
- Ua noi ʻia nā kaʻina physiotherapeutic (kūloko galvanika e like me Shcherbak, electrophoresis i ke kolamu o ka ʻĀmophylline a me ka koni oka konika, electrophoresis e like me Bourguignon o noshpa, electrosleep, hyperbaric oxygenation, kaʻai ʻana o ke kola kolona, ​​a me kekahi mea).

Home E pili ana i ka papa helu ʻana ʻo Encephalopathy Atherosclerotic encephalopathy: nā kumu, nā hōʻailona, ​​nā hiʻohiʻona a me ka prognosis

Atherosclerotic encephalopathy: nā kumu, nā hōʻailona, ​​nā hiʻohiʻona a me ka prognosis

ʻO ka Encephalopathy e pili ana i nā maʻi he hopena o ke kaʻina pili ma ke kino. ʻO ka atherosclerotic encephalopathy he inoa pōkole o ka ʻano, pono e hoʻohui ʻia ka huaʻōlelo "hoʻopaʻi", no ka mea, ʻo ka atherosclerosis o nā moku cerebral he hana maʻi a ma ka manawa like ia ke kumu pololei o ka atherosclerotic encephalopathy.

Hoʻoulu ʻia ka atherosclerosis o nā moku cerebral no nā kumu he nui, akā ʻo ka mea nui he mea hoʻonāukiuki i ka hana lipid metabolism.Loaʻa nā ʻano like i loko o ka poʻe me ka hoʻonāukiuki, nā hana metabolic, a me nā poʻe maʻi ma waena o nā mea maʻi e hoʻopilikia nui nei ka metabolism ma muli o ke kūwele ʻana o ka huehue, a ʻaʻole hoʻi ma muli o ka pōʻino a me ka hōʻino ʻana i nā meaʻai momona.

Atherosclerosis a me encephalopathy: he aha ka pilina?

ʻO ka hapa nui, ka poʻe i lawehala pinepine ʻia ma ka hoʻopili ʻana i ka pā i nā wāwae moa momona a i ʻole nā ​​mea iʻa a ʻalapula ʻole i ʻike maopopo a hiki i kēia ke alakaʻi i ka atherosclerotic encephalopathy a me nā maʻi noʻonoʻo. Akā he ʻoiaʻiʻo nō kēia. I ka lōʻihi o ka manawa, hemo ka hanu i ka hiki ke wāwahi i lalo a lawe i nā momona, kahi e alakaʻi ai i ka hoʻonui ʻana i ke kolamu o ke koko. A ke hopena, puka mai nā poli palaka ma nā paia o nā pili koko, a uhi ʻia lākou i kahi o ka venne lumen. Ua kapa ʻia kēia pathology me ka atherosclerosis, no ka mea he ʻano nui ka kahe o ka lolo. ʻO ka hopena, ʻeha ka naʻau i ka nele o ka oxygen, lawe ʻia i ke kino e nā kahe koko.

Nā hiʻohiʻona o ke kiʻi lapaʻau

Hiki i nā Atherosclerotic encephalopathy ke loaʻa i nā hōʻailona e like me nā ʻano ʻē aʻe a pau o ka maʻi. Inā ʻoi loa aku ia i ke ʻano mua (mua), a ʻokoʻa nā ʻōnaehana pathological. ʻO ka pinepine, ʻōhumu nā maʻi i nā:

- Hoʻonui i nā momona, nā maʻi manawa a me nā nāwaliwali.

- Paha, poʻo.

- E kala mau, ke aloha ʻole. I kekahi manawa ʻaʻole ʻike ka poʻe maʻi i nā mea ākea, nāheʻe i loko o nā kānaka, e kikeke a hōʻole paha i nā mea nui.

- ʻO nā maʻi hiamoe ma kekahi o kā lākou hōʻike.

- Hoʻonui i nā huhū, nā hopohopo lewa, ke kaumaha.

- Ke pani ʻana, nā puka mua o ka maʻi manic.

Hoʻomaʻamaʻa ʻia ka atherosclerotic encephalopathy o ka pae 2, ʻo ka mea mua, i ka nui loa o kēia mau ʻōuli, a me ka lua, e hoʻomaka ka hōʻailona ʻana i nā hōʻailona i hoʻonāukiuki ʻia e ka atherosclerosis. Aia i kēia mau ʻōuli:

- Ka mea kaumaha i ke poʻo.

- ʻAno maikaʻi, kūlana foggy.

- Ka hopena o nā "goosebumps" maikaʻiʻole i ka ili o nā lima a me nā wāwae.

ʻO ka pinepine, ua hele i ka mua o ka hōʻailona o ke kūlana pre-stroke: pale a hōʻoki paha i ka ʻili o ke kino, hoʻonui ʻia ke koko, a haʻi ʻia ka pulu poliki.

Nā hiʻohiʻona Therapy

Hoʻomaʻamaʻa ka mālama ʻana i ka atherosclerotic encephalopathy i nā hana e pili ana i ka mālama ʻana i ke kumu kumu. ʻO kēia ka mea pono e hahai i kahi meaʻai e hoʻokaʻawale i ka hoʻohana ʻana i nā momona, me ka lawe ʻana i nā lāʻau lapaʻau. Aia kekahi mau ala lapaʻau ʻē aʻe, akā ke koho wale ʻia nā mea a pau e ke kauka komo ʻana a ma hope iho o ka hoʻokau ʻana ʻana o ke kino holoʻokoʻa.

He mea nui e nānā i ka hele ʻana o nā maʻi concomitant, e hōʻiliʻili pono i kahi anamnesis a hana i kahi hoʻolālā hana e mālama ai i nā ʻano āpau o ka mea maʻi.

Ma ko mākou kahua mālama olakino, ke kali nei ʻoe no ka hoʻokipa ʻana i nā loea loea, i ʻike ʻia e nā loea loea e hoʻomaʻamaʻa i ka lāʻau lapaʻau. ʻO nā mea diagnostic i hoʻohana ʻia no ka hoʻokolokolo ʻana i nā kūlana o ko mākou kikowaena e hiki iā mākou ke hana i nā hopena kūpono e alakaʻi ana i ke ʻano loiloi kūpono loa.

Inā pono, hāʻawi mākou i nā kūlana i waiho ʻia no nā poʻe maʻi, loaʻa iā mākou kahi wahi ʻole ma kahi hale hoʻoluʻu e hiki ai iā ʻoe ke loaʻa nā lawelawe kiʻekiʻe no ka mālama ʻana a me ka hoʻihoʻi ʻana i ke olakino.

Mai haʻalele iā ʻoe iho i kahi ola maʻamau, e nānā i ka nānā ʻana i ka manawa kūpono a hahai i nā ʻōlelo aʻoaʻo a nā poʻe loea!

ʻEpiliea ʻo Encephalopathy

ʻEpiliea ʻo Encephalopathy - ka holomua i ka hoʻololi i nā palupalu i ka lolo o ka lolo e ulu i ke kūmole o nā ʻano maʻi like ʻole - atherosclerosis, hypertension, etc.Wahi a ka etiological factor, atherosclerotic, hypertonic a me nā ʻano like ʻole o ka encephalopathy.
Discirculatory encephalopathy, e hele ana i nā maʻi like ʻole, i nā mea like loa me nā hōʻike kulana āpau a ma waena hoʻi, ke kū nei kekahi o kāna mau hiʻohiʻona e pili ana i ka etiological factor.

Nā hōʻike maʻi o ka maʻi encephalopathy dyscirculatory

ʻO nā hōʻailona lapaʻau mua o ka atherosclerotic discirculatory encephalopathy e nānā i nā poʻe i nā makahiki 50-60 mau makahiki, i kekahi manawa ma 45 mau makahiki. ʻO ka manawa mua o ka maʻi (hoʻāla I) ka mea i hōʻike ʻia e ka maʻi pseudo-neurasthenic: ka huhū ʻana o ka naʻau, ka huhū, ka waimaka, ka hoʻoluhi ʻana o ka hoʻomanaʻo, ka ʻeha, ka dizz, ka hoʻomaha hiamoe, ka tinnitus, a me nā mea i hoʻonui ʻia i ka maʻi vascular, ka maʻamau o ke kahe koko. ʻO nā hōʻailona o ka hōʻino kino o ka ʻōnaehana o ka pōpilikia i kēia hana ke ʻike ʻole. Ma ke kumukūʻai - hoʻopili ʻia o nā wahī o ka retina. Hoʻomaʻamaʻa ka hana o nā mea maʻi i nā manawa maʻamau, mālama a me nā mea pale ʻana e hiki ke kōkua i ka uku hoʻomau.
Me kahi papa kūpono ʻole o ka maʻi, inā i ka wā o ka nui o nā mea exogenous i hana, lilo ka maʻi koʻikoʻi i nā maʻi haukaʻi a pili i ka stage II discirculatory encephalopathy. ʻO ka palupalu, hōʻeha, ka ʻeha, ke kāohi ʻia nei ka hiamoe, mālama pinepine ʻia kahi kūlana ʻike. Hoʻonui ka naʻauʻole. Hōʻike ka hōʻike neurological i nā ʻōpū palupalu paʻakikī: asymmetry o cranial innervation, tendon reflexes, muscle tone, fuzzy pyramidal signs, subcortical reflexes. ʻO ka hana maʻamau vascular autonomic, neʻe pinepine ʻia ka hōʻiliʻili ischemic, ma hope o ka nui o ke kūmole organic / symptomatology. Hōʻike pinepine nā hoʻololi noʻonoʻo: ka mea maʻi i ke kanalua, ka makemake i ke kaumaha, i ka naʻau ponoʻī, ua nui ka hoʻomanaʻo ʻana, ʻoi aku ka nui o nā hanana o kēia manawa, ka hana, ka hoʻolālā, a me ka hoʻohaʻahaʻa ʻana. Nā loli
ma ka waihona kālā e lilo i kukui, ka poʻe lākou e atherosclerotic a hypertensive angiosclerosis. Hoʻemi ʻia ka hana o nā mea maʻi.
Me ka entale III dyscirculatory encephalopathy, e hoʻomanaʻo nei ka hoʻomanaʻo a me ka nānā ʻana, e ulu maikaʻi nā wahi i makemake nui ʻia. Hoʻonui ʻia ke ʻano o nā maʻi e ka hoʻomau ʻana o nā holomua cerebral a me nā hōʻeha. I loko o kahi kūlana neurological, i kēia manawa, ʻike ʻia nā hōʻailona kūlohelohe: ʻaʻole lawa o ka cranial innervation, paresis o nāʻaoʻao, hoʻopiʻi ka naʻau, aphatic, vestibular, cerebellar disorders. I ka manawa pinepine, aia ka pseudobulbar syndrome, dysphonia, dysarthria, dysphagia, i hui pū ʻia me nā hōʻailona o ka automatism waha, hoʻonui nui pharyngeal a me nā refibes mandibular, uē nui a me ka ʻakaʻaka. Me ka hoʻopilikia ʻana i nā nū subkortical, hele mai kahi hanana amiostatic. Hōʻike nā loli nui i ka waihona kālā i kēia manawa: me ka atherosclerosis - sclerosis vascular retinal, i kekahi manawa he hōʻailona o ka keleawe keleawe a me ke kālā, me ka hypertension - angiosclerosis hypertensive a me ka retinopathy me nā mea kikoʻī o ka intersection arteriovenous (Salus-Hunn I, II, III), ka hanana Guist . ^ E Ha yM. i kekahi manawa hemorrhages.

Nā huapau

Inā mākou e kamaʻilio e pili ana i ka lua o ka maʻi o ka maʻi, a laila e maʻalahi no ke kanaka i ka maʻi ʻana.

ʻO nā manawa pinepine, hiki ke heluhelu ʻia i nā hōʻailona ma ke ʻano maoli o kahi maka o ke kanaka, e hōʻike ana i ka asymmetry i kumu o ka hōʻeha puʻuwili o ka pūlima.

I ka manawa pinepine, ua make nā ʻano kūlohelohe o kahi kanaka, a ua hoʻololi ʻia lākou e nā mea pathological, no ka laʻana, photophobia a i ʻole twingching o nā wāwae.Me ka hoʻomohala hohonu o ka lua o ka hōʻea o ka encephalopathy discirculatory, hiki i nā ʻāpana ke wahi a ʻokiʻoki paha.

Me kahi maʻi maʻi koʻikoʻi, hiki mai kahi kala ʻana, hōʻike ʻia e ka hoʻihoʻi hou o ka ʻahoʻōlelo - lilo ia i ke kumu no ka hui like ʻana o nā kaʻina hana i loko o nā moku o ke poʻo kanaka.

Hiki ke hōʻeha ʻia ka maʻi ischemic, ka mea i hōʻailona ʻia e ka immobilization me ka manawa ʻole, pau ʻole o ka pilina ʻana no kekahi mau hola, hilahila a i ʻole hemahema. ʻOiai ke ʻano o kēia mau hōʻino, ʻo ia ka mea e hele mai ana, ʻo ia hoʻi ke hōʻike pinepine nei i nā hōʻailona like ʻole e hoʻopau i kahi ʻāpana o ka lolo.

He mea koʻikoʻi loa kahi hōʻike o ke kālā kālā, kahi e hiki ai iā ʻoe ke ʻike i ka hoʻonui ʻia o nā veins ʻano o ka encephalopathy a me ka hoʻokaʻawale ʻana i nā ʻili.

No ka kuhikuhi ʻana i ka mālama ʻana, hoʻouna i nā kauka i nā mea maʻi me ka kānalua o ka encircal encathy e pili ai i ka hoʻokolokolo piha. ʻO ke ʻano nui o ka diagnostic mea hoʻohālikelike tomography (CT), ka mea e hōʻike maopopo ana i nā wahi o nā loli pathological i ke kino keʻokeʻo o ka lolo. ʻO kēia mau lime me ka hoʻēmi ʻia ʻana o nā kiko i ka lua o ka hana i hōʻāʻulu ʻia ma kahi kokoke i ka ventricle a me nā ʻōpū pū nui.

ʻO kekahi ala e ʻike ai i nā hōʻailona o ka discirculatory encephalopathy ma o ka noiʻi ʻana i noi ʻia ʻo rheoencephalography. Ma nā hopena nā hualoaʻa, ʻike pono ʻia nā loli o ka pathological e hōʻike hou ana i ke kiʻi loea o ka atherosclerosis a me hypertension.

Hiki ke kuhikuhi ʻia ka lāʻau lapaʻau ma hope o ka helu koko. Me ka encircal encephalopathy, ua ʻike ʻia ka nunui, i ʻike ʻia ka hōʻuluʻulu ʻana (ke ʻano o nā clots) i nā ʻāpana koko ʻulaʻula a me nā platelets. E like me nā hopena o nā noiʻi biochemical, ʻike ʻoe i ka hoʻemi ʻana o ka nui o nā lipid kaʻo kiʻekiʻe a me ka hoʻonui o ka nui o nā mea haʻahaʻa a me ka haʻahaʻa haʻahaʻa haʻahaʻa.

Inā ʻike ke kauka i nā hōʻailona a pau o ka discirculatory encephalopathy, pono nō ʻo ia e hana i nā hana wikiwiki e pale aku ai i ka mea maʻi.

ʻO nā hōʻailona o ka maʻi

ʻAʻole i ʻike maopopo ʻia nā hōʻailona o ka discirculatory encephalopathy. Ma ka hapa hapalua o nā kānaka, e hele wale ana nā hōʻemi ischemic hōʻeha me ka hoʻomohala hohonu o ka papa ʻelua.

I kēia mau hihia, hiki ke lilo i ka maʻi no ka luhi o ka maʻi, e like me ka mea i hōʻike ʻia ma ka:

• poʻomanaʻo
• paoho ana i ke poo
• ʻōpala
• ʻeha kaumaha
• huhū
• nā kūlana kaumaha.

Eia nō naʻe, ʻo kona ʻōpū nui ka emi ʻana o ka loaʻa ʻana o ka hoʻomanaʻo mau ʻole. ʻAʻole like me kahi sclerosis maʻamau, mālama ke kanaka i ka ʻike ʻike āpau a hiki ke hoʻokō i kāna hana me ka ʻole o ka pilikia liʻiliʻi, akā e lilo ʻo ia i pālahalaha loa i kēlā me kēia lā.

Nā ʻōnaehana kākoʻo kino

Ua ʻōlelo ʻia ma luna aʻe o ka hoʻōla piha ʻana o kahi kanaka ma kēia mokuʻewa ia he hikiʻole ke hiki ʻole. Eia naʻe, hiki ke hoʻomaikaʻi ka lāʻau lapaʻau i nā kaʻina hoʻolimalima a hoʻonui i ka manawa o ke ola maʻamau no nā mahina a me nā makahiki. ʻAʻole ia e hana me nā hōʻola kanaka, ʻoiai he mea nui loa ia e kāpae i nā hypertension arterial. Pono e koho i nā ala e koho ai i ke kauka e kuhikuhi i nā lāʻau lapaʻau e mālama i ke kahe koko, adrenergic blockers a me diuretics.

Hoʻokomo ʻia ka mea maʻi me ka enccirculatory encephalopathy e inu i ka waiʻona, ka uahi, hoʻokani pāʻani a hōʻike i ka hana kino kino i mea e pale aku ai i ka hoʻouka ʻana i ischemic.

E hoʻoponopono i ka lipid spectra o ke koko, ua helu ʻia i nā nui o nā lāʻau ke pale i ka hana ʻana o nā huina a me nā aila bile. I ka hapanui o nā manawa, kuhikuhi nā kauka i nā statins no ka discirculatory encephalopathy, e kōkua ana i ka hoʻololi hou i nā hana metabolic. Inā loaʻa kekahi pilikia o ka stenosis piha (pani) i nā moku koko, hōʻike ʻia ka hana.

ʻAʻole e poina iā mākou e pili ana i ka hāʻawi ʻana o ke koko i ka lolo. Eia ʻae, ʻaʻole hiki ke mālama ʻia nā lāʻau lapaʻau, ʻoiai pono e hoʻopaʻa ʻia nā kaila o nā lāʻau lapaʻau e nā loea. ʻO ke ʻano e like me ka discirculatory encephalopathy e hoʻopau nei me ke kōkua o antihypoxants - ʻoi aku ka hana pinepineʻana i ka glutamic acid e like me ka lāʻau.

He mea koʻikoʻi loa ia e hoʻomaka i ka mālama ʻana me ka nootropics i ka manawa kikoʻī - hiki i kēia mau lāʻau ke hoʻohemo i ka hoʻomaka ʻana o nā hōʻailona noʻonoʻo a me ka nalowale o nā hoʻomanaʻo.

Eia nō naʻe, he hopena kūpono ʻole ka kīnā o ka discirculatory encephalopathy. Ma ke kānāwai, ʻo nā hana mua he ʻelua mau makahiki 5 i ka hala ʻole o ka mālama ʻana a i ʻole 10-15 mau makahiki i ka hele ʻana o ke kōkua o ka mea maʻi i ka mea maʻi. Hiki ke kolu i ke kolu o ka makahiki he 4-5 mau makahiki, ʻoiai e hiki ke hōʻemi i ka lāʻau i ka hōʻemi o nā hōʻailona. ʻO ka hopena hope he piha dementia, ukali ʻia me kahi hopena wikiwiki e hōʻoli ʻia i nā wahi nui o ka lolo o ke kanaka.

I ka lua o ka ʻae ʻana o ka encircalopathy discirculatory, ua pāpā ʻia nā mea maʻi e hana i ka hana hoʻoikaika kino, me ka hana ʻana i nā kaʻina e pono ai ka hoʻonohonoho maikaʻi ʻana a me ka hoʻoholo wikiwiki. Eia kekahi, ʻaʻole pono lākou e hana ma ka pae kiʻekiʻe a i ʻole ke kiʻekiʻe kiʻekiʻe o ka pehu. No ka mea maʻi, ua kau ʻia ke ʻano hana hana kūikawā me ka hoʻomaha i kēlā me kēia 30-40 mau minuke, i mea e pale ai i ka nalowale ʻana o ka hoʻonohonoho ʻana. Ma ke kolu ke kolu o ka maʻi o ka maʻi, ua kau ʻia kahi kuhi kahi maʻi kīnā, ʻoiai ua ʻoki ʻole ʻia kāna maʻi.

Hōʻike ʻia ka mua

ʻO ka hiʻohiʻona kahi mea maʻalahi a me ka hoʻomakaʻana o ka discirculatory encephalopathy. Ma ka hoʻomaka mua o DEP, nā hōʻeha o nā puʻuwai manaʻo e hiki mai i ka mua. Ma kahi o 65% o nā mea maʻi me ka encephalopathy discirculatory, ʻo ia ke kaumaha. ʻO kahi hiʻohiʻona hiʻohiʻona o ka vascular kaumaha i hikiʻole i nā mea maʻi ke hoʻopiʻi e pili ana i ka haʻahaʻa haʻahaʻa a me ke kaumaha. ʻOi aku ka pinepine, e like me nā mea maʻi me ka hyposisondriac neurosis, paʻa nā mea maʻi me DEP i nā ʻano sensatic somatic pono ʻole. ʻO ka encircalopathy discirculatory e like me nā hoʻopiʻi o ka ʻeha hoʻi hope, arthralgia, ʻeha, hōʻeha a kani paha hoʻi i ke poʻo, ʻeha i nā ʻōpū āpau a me nā hōʻailona ʻē aʻe i kūpono ʻole i ka lolo o ka maʻi āpau o ka maʻi. ʻAʻole ia e like me ke neʻe, a me ka hopohopo a me ka encircal encephalopathy e kū i ke kua o ke kūlana traumatic a i ʻole he kumu no ka mea, ʻaʻole paʻakikī ke mālama olakino me antidepressants a me psychotherapy.

Hoʻomaka ka hoʻāla a me ka hiki ke hoʻāla ʻia e ka ulu ʻana i nā ʻano ulu ʻana i ka ʻāʻī ʻana. Nā hōʻike like like, a me nā hoʻopiʻi o ka mea maʻi no ka hoʻoluhi, nā hōʻeha hiamoe, nā hōʻeha, nā hōʻeha, nā encircalopathy mua e like me ka neurasthenia. Eia naʻe, no ka encircal encephalopathy, ua hui pū ʻia ka hui ʻana o kēia mau hōʻailona me nā hōʻailona o ka hana cognitive impaired.

I ka 90% o nā hihia, hōʻike ʻia ka hoʻohaʻahaʻa nui ʻana ma nā hoʻomaka mua o ka hoʻomohala ʻana o ka encircalopathy discirculatory. Hoʻopili kēia mau: hiki i ka hiki ke hōʻiliʻili, hoʻomanaʻo i ka hoʻomanaʻo, paʻakikī i ka hoʻonohonoho a hoʻolālā paha i kekahi hana, e hoʻolohi ana i ka wikiwiki o ka noʻonoʻo, luhi ma hope o ke kaumaha o ka noʻonoʻo. ʻO kahi maʻamau no DEP kahi mau hōʻeuʻeu o ka hana hou o ka ʻike i loaʻa aʻo ka mālama ʻana i ka hoʻomanaʻo o nā hanana ola.

ʻO ka neʻe o ka neʻe i ka hele ʻana o ka hana mua o ka discirculatory encephalopathy me ka nui o nā hoʻopiʻi o ka dizziness a me kekahi manawa kūpono i ka wā e hele ai.Hiki paha ke ʻano ke ʻano kuʻi a loiloi, akā ʻaʻole i like me ka ataxia vestibular ʻoiaʻiʻo, like lākou me ka dizziness, ʻike wale ʻia i ka wā e hele ana.

Hoʻomaka o nā ʻano DEP II-III

Hoʻomaopopo ka Stage II-III dyscirculatory encephalopathy e ka hoʻonui i ka cognitive a me nā hana hoʻokae. Kuhi nui ka hoʻomanaʻo ʻana, ka nele o ka nānā ʻana, ka hoʻokaʻawale ʻana o nā naʻau, nā hōʻailona paʻakikī, inā pono, e hana i ka hana noʻonoʻo mua ma mua. Ma ka manawa like, hiki i nā mea maʻi me DEP lākou iho ke lawa pono ka loiloi i ko lākou kūlana, ʻokoʻa loa kā lākou hana a me ka hiki ke ʻike pono. ʻO ka hala ʻana o ka manawa, ua lilo ka poʻe maʻi me ka encephalopathy discirculatory i ka mana e hoʻomohala a hoʻomohala i kahi papahana o ka hana, e hoʻomaka me ka hoʻokele maikaʻi ʻana i ka manawa a me kahi. Ma ke kolu o ke kahua o ka discirculatory encephalopathy, ua'ōlelo ʻia nā pilikia i ka noʻonoʻo a me ka praxis, ua ʻike ʻia nā maʻi kūlohelohe a me nā ʻano. Hoʻokumu ka Dementia. Hōʻalo ka poʻe maʻi i ko lākou hiki ke hana, a me nā hōʻino hohonu e nalowale ana lākou i ko lākou mālama mālama ponoʻī.

ʻO nā hōʻeha o nā pilikia pilikino, ʻo enccirculatory encephalopathy o nā manawa i hala e hele pinepine i ka apathy. Loaʻa ka makemake nui ʻana i nā leʻaleʻa o mua, nā hemahema o kahi hana. Me ka papa III dyscirculatory encephalopathy, hiki i nā mea maʻi ke komo i kekahi hana maikaʻi ʻole, a hana pinepine ʻole i nā mea āpau. Hoʻoleʻa lākou iā lākou iho a me nā hanana e hana nei a puni lākou.

Hiki ke ʻike ʻia ka neʻe ʻana i ka helehelena i ka discirculatory encephalopathy, a laila ʻike ʻia i nā poʻe ʻē aʻe. Hōʻemi ka hele ʻana me nā ala liʻiliʻi, i hele pū me ka shuffling ma muli o ka hiki ʻole i ka mea maʻi hiki ke hōʻoki i ka wāwae mai ka papahele, ka mea maʻamau no DEP. Kēia mau pahuhopu kūloko me ka encircalopathy discirculatory i kapa ʻia ʻo "gait of a skier". ʻO kahi ʻano ka mea a i ka hele ʻana, hikiʻole i kahi mea maʻi me DEP ke hoʻomaka i ka neʻe i mua a paʻakikī hoʻi ke hoʻokaʻawale. ʻO kēia mau hōʻike mau, e like me ke ʻano o ka gait a ka mea maʻi me ka DEP, he mau mea like nui me ka haukapila o ka maʻi maʻi o Parkinson, akā ʻokoʻa ʻole ia ʻaʻole i hele pū ʻia e ka pilikia holo kaʻa ma nā lima. Ma kēia noʻonoʻo, ʻike ʻia nā hōʻike maʻi o ka encircalopathy discirculatory e like me ka maʻi a Parkinson e kapa ʻia e nā kahu lapaʻau "parkinsonism haʻahaʻa haʻahaʻa" a i ʻole "vascular parkinsonism".

I ka pae ʻana o ka DEP, ua ʻike ʻia nā hōʻailona o ka automatism waha, nā māka ʻana o ka waha, nā haʻalulu, paresis, pseudobulbar syndrome, a me nā maʻi o ka urinary. Hiki ke kūpono ke hele aku o nā epileptic seizure. ʻO ka pinepine, ʻo ka hōʻike II-III discirculatory encephalopathy e hele me ka hāʻule i ka wā e hele ana, ʻoi aku hoʻi ke kū a haʻalele paha. Hiki i kēia hāʻule ke hoʻopiha i nā hana o nā wāwae, me ka hoʻohui pū ʻana me ka DEP me ka osteoporosis.

Hoʻolaha ʻana ka DEP

ʻO ka ʻoi loa e kūʻē i ka encephalopathy discirculatory kahi mahele etiopathogenetic ākea. Pono e kuhikuhi i ka uku no ka maʻi kumu o ka manawa, e hoʻomaikaʻi ana i ka microcirculation a me ka cerebral sirkulasi, a me ka pale ʻana i nā nīnē o neula mai ka hypoxia a me ischemia.

Hoʻopili paha ka hoʻonaninani ʻo Etiotropic o ka encephalopathy dyscirculatory ma ke kūloko ʻana i nā lawena antihypertensive a me hypoglycemic, he meaʻai antisclerotic, a me nā mea hou. . ^ E Ha yM.

ʻO ke kumu o ka mālamaʻana o ka pathogenetic o ka discirculatory encephalopathy he mau lāʻau lapaʻau e hoʻomaikaʻi i ka hemodynamics cerebral a ʻaʻole i alakaʻi i ka hopena o ka "ʻaihue".Hoʻopili kēia me nā pākēnaki kalima (nifedipine, flunarizine, nimodipine), nā inhibitor phosphodiesterase (pentoxifylline, ginkgo biloba), a2-adrenergic antagonist (pyribedil, nicergoline). Mai ka hoʻohui pinepine ʻana o ka encephalopathy me ka hoʻonui ʻana i ka platelet aggregation, ʻōlelo ʻia nā mea maʻi me DEP e lawe i nā ola antiplatelet ola: acetylsalicylic acid a me ticlopidine, a me dipyridamole inā aia mau contraindications iā lākou (ulsole ʻōpū, hoʻoweliweli gastric, a pēlā aku).

ʻO kahi ʻāpana koʻikoʻi o ka mālama ʻana i ka encephalopathy discirculatory ʻoi aku ka lāʻau me ka hopena neuroprotective, e hoʻonui ai i ka hiki ke neʻina e hana i nā kūlana o ka maʻi hypoxia. ʻO kēia mau lāʻau lapaʻau, nā mea maʻi me ka encephalopathy dyscirculatory e kuhikuhi i nā derivatives pyrrolidone (piracetam, etc.), nā derivatives GABA (N-nicotinoyl-gamma-aminobutyric acid, gamma-aminobutyric acid, aminophenylbutyric acid), nā lāʻau lapaʻau (hemodialysate mai ke koko o nā keiki waiū, hemodialysate , cortexin), membrane ka hoʻomalolo ʻana i nā lāʻau (choline alfoscerate), cofactors a me nā mea vitamina.

I nā hihia i loaʻa i ka dyscirculatory encephalopathy e ka hoʻopili ʻana i ka lumen o ka arote carotid kūloko, e hōʻea ana i 70%, a hōʻailona ʻia e ka wikiwiki wikiwiki, nā episod o PNMK a i ʻole hōʻeha liʻiliʻi, e hōʻike ʻia ka hana lapaʻau o DEP. Me ka stenosis, hana ka hana ma ka carotid endarterectomy, me ka hoʻopiha piha ʻana, i ka hoʻokumu ʻia ʻana o ka anastomosis extra-intracranial. Inā hoʻokomo ʻia ka dyscirculatory encephalopathy e kahi hōʻino o ka artery vertebral, a laila hoʻōla ʻia kāna kumu.