Impaired cerebral ncig nyob rau hauv cov neeg laus yog ib tug complex pathology ntawm cerebral hlab ntsha, uas yog fraught nrog tsis taus thiab tuag. Yog tias ua ntej nws tau pom feem ntau hauv cov neeg laus, tam sim no tus kab mob tau dhau los ua hluas dua. Ntau zaus pib kuaj mob pathology hauv cov menyuam yaus. Tus txheej txheem mob hnyav tuaj yeem ua mob sai sai.
Vim txoj kev loj hlob
Kev kho mob ntawm lub paj hlwb yuav tsum tau pib ua ke nrog kev tshawb nrhiav qhov ua rau tus mob no. Feem ntau nws tshwm sim los ntawm atherosclerotic lesions ntawm cov hlab ntsha. Nyob rau tib lub sijhawm, cov quav hniav tsim hauv lawv cov lumen, uas tiv thaiv cov ntshav ncig. Txij li thaum platelets maj mam sau rau ntawm nws, tom qab ib ntus cov ntshav txhaws hauv cov hlab ntsha, uas ib nrab los yog tag nrho thaiv nws. Vim yog cov kab mob pathological no, mob stroke tshwm sim.
Ntxiv rau, muaj lwm yam ua rau mob hlab ntsha tawg:
- Heredity.
- Tranio-cerebral raug mob (nrog lossis tsis muaj cov ntaub so ntswg nkag mus).
- Keeb kwm ntawm lub hlwb lossis CNS qhov txhab.
- Nyob zoo lub siab lub ntsws.
- Tsis muaj zog.
- Mob ntshav qab zib mellitus thiab lwm yam kab mob uas cuam tshuam rau cov hlab ntsha.
- Hypertension or pressure spikes.
- YThrombophlebitis.
- Nkauj kho siab.
- Kab mob ntawm tus txha caj qaum, vim yog oxygen tshaib plab ntawm lub hlwb tsim.
- Ntau tshaj.
- tus cwj pwm phem.
- siv tshuaj mus ntev.
mob cerebrovascular raug mob tej zaum yuav yog vim muaj hnub nyoog, raws li lub sijhawm dhau mus, cov txheej txheem dystrophic thiab degenerative (kev laus) txhim kho hauv lub cev.
Qhov tseem ceeb uas ua rau muaj qhov tshwm sim zoo li no yog kev ntxhov siab, kev ntxhov siab.
Kev faib kab mob
Raws li ICD, kab mob cerebrovascular hais txog ntu "Cerebrovascular kab mob" code I60 - I69. Muaj ntau ntau hom pathology:
- Kev ua txhaum loj heev. Nws loj hlob sai heev. Cov pab pawg no suav nrog txhua yam mob stroke uas tshwm sim uas tus neeg yuav tsum tau mus pw hauv tsev kho mob xwm txheej ceev. Muaj ib qho mob cerebrovascular raug mob ntawm hom ischemic thiab hemorrhagic stroke. Hom thib ob yog qhov mob hnyav dua ntawm lub cev, uas yog tus cwj pwm los ntawm kev puas tsuaj rau cov hlab ntsha nrog cov ntshav ntws tawm ntawm lawv. Vimnyob rau hauv xws li ib tug lub xeev, lub cev shrinks, teeb meem tshwm sim nrog rau kev ua hauj lwm ntawm tag nrho cov kab mob. Nws nyob qib thawj ntawm kev tuag. Ischemic mob stroke tshwm sim vim qhov txhaws ntawm cov hlab ntsha hauv hlwb nrog nws cov pa oxygen tshaib plab tom qab. Tsis tsuas yog cov kab mob hauv nruab nrog cev raug kev txom nyem, tab sis kuj yog lub chaw hais lus, lub cev muaj zog thiab lub siab xav ua haujlwm
- Kev mob cerebrovascular. Hauv lwm txoj kev, nws tuaj yeem hu ua dyscirculatory encephalopathy. Ib tug feature ntawm tus kab mob no yog hais tias nws tsim rau ntau xyoo. Nyob rau theem pib, tsis muaj cov tsos mob tshwm sim.
Txhua hom kev mob no yog tus yam ntxwv ntawm qee yam tsos mob. Lawv qhov kev siv zog nyob ntawm qhov hnyav ntawm lub hlwb puas.
Symptomatology of txhaum
Cov tsos mob ntawm kev sib tsoo cerebrovascular yog:
- mob taub hau.
- Ntaus thiab ntuav.
- Zoo kiv taub hau.
- Mob qhov muag uas mob zuj zus tom qab ua haujlwm hnyav thaum hnub kawg, qaug zog tas li.
- Nyob tsaug zog, qaug zog, teeb meem nco.
- Tinnitus thiab fullness.
- Poob tsis nco qab.
- Txhawj xeeb.
- Ntsuag ntawm lub cev.
- Kev puas siab puas ntsws.
- Teeb meem nrog kev sau thiab hais lus.
Thaum tus kab mob no zuj zus lawm, cov tsos mob yuav tshwm sim. Tus neeg mob tuaj yeem ntxhov siab, chim siab, ntxhov siab, ntxhov siab.
Txhua yammob mob los yog mob ntev ntawm lub paj hlwb ncig yog cov cim los ntawm qee tus neeg. Nrog rau kev tawm tsam ischemic tsis tu ncua, cov tsos mob ntawm lub paj hlwb tshwm sim nrog cov teeb meem hauv kev sib koom tes ntawm kev txav, kev hais lus thiab kev sau ntawv. Ischemic stroke ua rau xeev siab thiab ntuav.
Kev kuaj mob nta
Kev kho mob cerebrovascular raug mob nyob ntawm seb yuav kuaj tus neeg mob li cas. Nyob rau hauv daim ntawv mob hnyav, ib tug neeg yuav tau txais kev pab thaum muaj xwm ceev, tom qab ntawd nws yuav raug kuaj xyuas. Diagnostics suav nrog cov kev tshawb fawb hauv qab no:
- Kev kuaj ntshav rau cov roj cholesterol, qabzib.
- Coagulogram.
- Kev tshuaj xyuas txhua hnub ntawm kev hloov ntshav siab,
- Neuropsychological kuaj siv MMSE nplai.
- X-ray ntawm lub ncauj tsev menyuam hauv cheeb tsam, vim tias osteochondrosis tuaj yeem ua rau mob ntev lossis mob cerebrovascular.
- Fundus exam.
- MRI lossis CT. Cov kev tshawb fawb nthuav tawm no pab nrhiav cov teeb meem ntawm lub paj hlwb, cov hlab ntsha. Tsis tsuas yog tawv, tab sis kuj cov ntaub so ntswg yog suav tias yog nyob rau hauv cov khaubncaws sab nraud povtseg. Tomography ua rau nws muaj peev xwm txheeb xyuas qhov kev puas tsuaj rau lub hlwb ntawm lub paj hlwb thaum ntxov.
- Angiography ntawm cerebral hlab ntsha.
- Doppler ultrasound nrog qhov sib piv nruab nrab. Txoj kev tshawb no qhia txog thaj chaw uas cov ntshav ntws tau qeeb.
- EKG. Cov kev tshawb fawb no yog xaiv tau.
- Electroencephalography (txiav txim siab los ntawm kev coj uapaj hlwb impulses).
Yog tias kuaj pom cov tsos mob ntawm cov hlab ntsha tawg, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd. Nws yuav sau ntawv kho mob kom rov ua haujlwm ntawm lub cev, zam kev tsis taus thiab txhim kho lub neej zoo.
pab thawj rau tus neeg raug tsim txom
Thaum lub sijhawm txhim kho tus mob hnyav, tus neeg raug tsim txom yuav tsum tau txais kev pabcuam thawj zaug thaum lub paj hlwb tsis zoo. Qhov no ua tiav sai dua, qhov zoo dua qhov yuav rov qab los.
Ua ntej koj yuav tsum paub seb qhov mob ntshav qab zib puas mob. Ua li no, hais kom tus neeg raug tsim txom luag nyav, tsa ob txhais tes rau pem hauv ntej, thiab muab nws lub npe. Thaum muaj mob stroke, nws yuav ua tsis tau li no. Tom ntej no, lub tsheb thauj neeg mob hu ua, qhia meej qhov kev kuaj mob.
Ua ntej cov kws kho mob tuaj txog, yuav tsum tshem tawm tag nrho cov khaub ncaws nruj ntawm tus neeg kom muaj cua nkag. Tus neeg yuav tsum nyob rau hauv txoj hauj lwm kab rov tav. Nws yog ib qho tseem ceeb los saib xyuas cov mem tes thiab ua pa ntawm tus neeg mob tas li. Tsis txhob muab tshuaj rau ib tug neeg ua ntej cov kws kho mob tuaj txog, vim nws qhov mob yuav hnyav dua, thiab kev kuaj mob yuav nyuaj.
kev kho mob
Kev kho mob cerebrovascular kev sib tsoo yuav tsum yog, raws sijhawm thiab dav. Nws lub luag haujlwm tseem ceeb yog los tiv thaiv cov neurons los ntawm kev puas tsuaj, rov ua kom cov ntshav zoo li qub, ntxiv dag zog rau cov hlab ntsha, ua kom muaj zogrestoration ntawm lub functionality ntawm lub cev. Yog hais tias tus kab mob yog mob, ces nws yog ib qho tseem ceeb los tiv thaiv nws rov tshwm sim.
Kev kho mob ntawm cov hlab ntsha hauv hlwb nrog cov tshuaj cuam tshuam nrog kev siv cov tshuaj xws li:
- Anticoagulants. Lawv tiv thaiv ntshav txhaws.
- Neuroprotective tshuaj.
- txhais tau tias txhawm rau txhim kho cov ntshav ncig "Reopoliglyukin", "Eufillin".
- Tshuaj txhawm rau txhim kho lub plawv dhia, ua kom lub siab "Korglikon", "Dibazol".
- txhais tau tias tiv thaiv cerebral edema "Furosemide".
- Txhim kho cov hlab ntsha "Atomax", "Mefakor".
- txhawm rau txhim kho cov txheej txheem metabolic hauv cov ntaub so ntswg ntawm lub cev "Cerebrolysin", "Aminalon".
- Raws li kev kho mob: Cinnarizine, Diazepam.
- Sedatives: Oxazepam, Elenium.
Hauv kev ua txhaum ntawm lub paj hlwb, cov tshuaj raug xaiv nyob ntawm qhov mob hnyav. Yog hais tias lub pathology yog mob stroke (stroke), ces nws yog ib qho tseem ceeb rau normalize lub functionality ntawm lub ua pa system, hlab ntsha, lub plawv, tshem tawm cov convulsive syndrome.
Tsis tas li ntawd, kev kho mob suav nrog kev siv tshuaj ntsuab uas pab ua kom lub cev muaj cov vitamins thiab minerals, thiab ntxiv dag zog rau kev tiv thaiv. Cov txheej txheem metabolic hauv qhov no rov qab sai dua.
Kev zaws thiab phau ntawv kho yuav pab txhim kho cov ntshav khiav. Txawm li cas los xij, cov txheej txheem zoo li nokuj muaj kev txwv, piv txwv li: vascular thrombosis. Khoom noj khoom haus plays lub luag haujlwm tseem ceeb hauv kev kho cov teeb meem cerebral ncig. Cov zaub mov muaj xws li cov ntses hiav txwv, cereals, taum, zaub thiab txiv hmab txiv ntoo, berries, ntsuab tshuaj yej. Tsis txhob noj cov zaub mov muaj roj, khoom noj khoom haus, khoom noj haus, haus cawv thiab dej qab zib.
kev kho neeg zoo
Cov tsos mob ntawm kev sib tsoo cerebrovascular tuaj yeem raug tshem tawm tsis yog siv tshuaj, tab sis kuj los ntawm kev kho pej xeem. Txij li cov kab mob pathological uas nthuav tawm ua rau muaj kev phom sij rau kev noj qab haus huv thiab lub neej, koj yuav tsum sab laj nrog kws kho mob ua ntej siv lwm yam tshuaj. Nyob rau hauv daim ntawv mob ntawm tus kab mob, pej xeem zaub mov yog tsis tsim nyog.
Rau kev kho mob ntawm cov kab mob ntev, cov tshuaj hauv qab no yuav pab tau:
- Clover tincture rau cawv. Inflorescences yuav tsum tau ntim nrog kua thiab insisted rau 3 lub lis piam. Haus cov tshuaj yog xav tau rau 1-2 tsp. peb zaug ib hnub ua ntej noj mov.
- Thaum muaj qhov mob tshwm sim, koj tuaj yeem siv tshuaj yej los ntawm kev sau tshuaj ntsuab, uas suav nrog rosehips, valerine, motherwort, yarrow, anise. Nws yog txaus rau brew Art. l. sib tov nrog ib khob ntawm boiling dej thiab haus tam sim ntawd tom qab spasm tshwm.
- Koj tuaj yeem txo cov ntshav nrog nettle decoction.
- Txhim kho cov hlab ntsha, koj tuaj yeem siv rosehip decoction, nws yog enriched nrog vitamin C.
- Decoction siv me me periwinkle. Yuav tsum tau Art. l. tshuaj ntsuab, nrog rau 300 ml ntawm boiling dej. Tom ntej no, qhov sib tov yuav tsum tau hais rau hauv ib da dej rau 20 feeb. Nws yuav siv sij hawm 45 feeb ntxiv rau infuse. Cov tshuaj yog siv peb zaug ib hnub twg rau 1/3iav. Qhov no decoction yuav pab kom cov hlab ntsha.
- Ib compress nrog vinegar (diluted nrog dej) thiab ib tug txias ko taw da dej tib lub sij hawm yuav pab txo qhov mob thiab spasm.
- Infusion ntawm viburnum paj.
- Dandelion cag. Nws yuav tshem tawm cov hlab ntsha ntawm cov cholesterol plaques. Txhawm rau npaj cov khoom, 200 g ntawm raw cov ntaub ntawv thiab ib liter ntawm boiling dej yog yuav tsum tau. Cov tshuaj yuav tsum tau noj txhua hnub, 50 ml ua ntej noj mov.
- cawv infusion ntawm valerian. Nws txaus los nqus nws cov ntxhiab txhua hmo.
- Infusion ntawm celandine. Yuav tsum tau 1 tbsp. tshuaj ntsuab yog nchuav nrog ib khob ntawm boiling dej thiab infused rau ib quarter ntawm ib teev. Cov kua lim dej yuav tsum tau noj hauv 2 tbsp. peb zaug ib hnub twg. Lub sijhawm kho yog 21 hnub, tom qab ntawd koj yuav tsum tau so. Nws yog ib qho tseem ceeb uas yuav tsum tau soj ntsuam qhov tseeb npaum li cas ntawm cov tshuaj.
Kev kho mob ib txwm tsis yog panacea, tab sis nws tuaj yeem pab daws qhov teeb meem thaum siv nrog kev kho tshuaj.
Yuav tsum tau phais
Kev kho mob cerebrovascular raug mob qee zaum ua los ntawm kev phais. Txoj kev kho no yog tsim nyog rau stenosis ntawm cov hlab ntsha (txo ntawm lawv lumen los ntawm ntau tshaj 70%), blockage ntawm lawv cov cholesterol plaque. Qhov kev txiav txim siab los cuam tshuam yog ua los ntawm tus kws kho mob. Feem ntau nws raug sau tseg rau kev noj qab haus huv.
Txhawm rau tshem tawm stenosis, ib feem ntawm lub nkoj raug tshem tawm, ua raws li nws cov kev hloov nrog lub prosthesis. Tsis tas li ntawd, tshwj xeeb nthuav stents tuaj yeem muab tso rau hauv nws.
Rehab
Yog tias nyob rau hauv daim ntawv mob ntev ntawm pathology txoj kev kho muaj nyob rau hauv kev txhim kho kev ua haujlwm ntawm cov hlab ntsha, ces yog tias muaj mob hnyav, tus neeg yuav xav tau kev kho mob. Tsis tas li ntawd, qhov pib sai dua, qhov muaj feem ntau tus neeg raug tsim txom yuav tsum rov qab ua txhua yam haujlwm ntawm lub cev.
Rehabilitation suav nrog:
- saib xyuas tus neeg mob kom raug. Thaum xub thawj, nws yog ib qhov tsim nyog los ua passive gymnastics rau tus neeg mob, tiv thaiv bedsores. Chav tsev yuav tsum muaj qhov kub thiab txias - 19-23 degrees. Chav tsev uas tus neeg raug tsim txom yuav nyob yuav tsum tau ua raws li nws cov kev xav tau (nruab tes tuav, ua rau hauv pem teb kom tsis txhob plam, ua kom cov phab ntsa muaj kev nyab xeeb, nruab ib lub txaj tshwj xeeb multifunctional).
- Cov khoom noj muaj txiaj ntsig thiab muaj txiaj ntsig zoo. Nws yuav tsum yog feem ntau, yooj yim zom.
- Txoj kev hais lus. Cov chav kawm nrog tus kws kho mob hais lus-aphasiologist yuav tsum tau pib tam sim ntawd tom qab kev ruaj ntseg ntawm tus neeg mob tus mob. Nyob rau tib lub sijhawm, tus neeg xav tau kev saib xyuas thiab kev sib txuas lus nrog lwm tus kom nws tsis txhob thim rov qab rau hauv nws tus kheej.
- Kev kho lub cev thiab kev tawm dag zog. Lub nra nce zuj zus.
Nyob rau hauv thawj lub lis piam tom qab ib tug mob circulatory disorder, ib tug relapse yog ua tau, yog li nws yog ib qho tseem ceeb ua txhua yam kom tsis txhob nws. Tsis tas li, tus neeg mob yuav tau txais txiaj ntsig los ntawm kev so hauv lub chaw kho mob, sanatorium.
Yuav muaj teeb meem thiab tiv thaiv
Cov neeg mob uas muaj kev sib tsoo cerebrovascular yuav tsum ua tib zoo saib xyuas lawv txoj kev noj qab haus huv, vim hais tias cov kab mob nthuav tawmtshwj xeeb los ntawm ntau qhov teeb meem, txawm tias kho tau raws sijhawm. Ntawm lawv yog cov hauv qab no: mob stroke, kev tsis taus, teeb meem nrog kev hais lus, kev puas siab puas ntsws, kev tuag.
Raws li kev tiv thaiv, nws muaj nyob rau hauv kev tswj hwm txoj kev noj qab haus huv thiab ua raws li cov kws kho mob cov lus pom zoo:
- Kev saib xyuas ntshav siab tas li, noj tshuaj tiv thaiv ntshav siab.
- Kev noj zaub mov zoo tshwj tsis yog cov khoom noj rog thiab kib, cov nqaij haus luam yeeb, cov khoom noj uas txhawb cov ntshav txhaws.
- Kev zam kev ntxhov siab hnyav, kev xav ntau dhau, kev ua lub cev ntau dhau.
- kho raws sijhawm ntawm txhua lub plawv pathologies, ntshav qab zib mellitus.
- Kev tawm dag zog lub cev tsis tu ncua.
- Txo ntsev kom tsawg.
- Ua raws li kev ua haujlwm ib txwm ua thiab so.
Kev mob hlwb tsis zoo, tsis hais nws daim ntawv, muaj qhov tsis taus thiab tuag, yog li nws zoo dua tsis txhob cia tus kab mob zoo li no.
