Mob ntshav qab zib encephalopathy yog qhov mob ntawm qee yam hauv lub hlwb. Qhov no tshwm sim los ntawm cov kab mob metabolic thiab vascular disorders uas tshwm sim thiab tshwm sim nrog cov kab mob xws li ntshav qab zib.
Tus kab mob no tsis yog ib qho kev ywj pheej, vim nws tuaj yeem txhim kho tsuas yog los ntawm cov kev cuam tshuam uas twb muaj lawm hauv kev ua haujlwm ntawm lub cev.
Leej twg mob ntau zaus?
Raws li kev tshawb fawb txheeb cais, hom kuv mob ntshav qab zib feem ntau raug tus kab mob no. Tsis tas li ntawd, nyob ntawm cov qauv kev txheeb cais, qhov zaus ntawm tus kab mob no tuaj yeem ncav cuag 80%.
Feature ntawm DE yog qhov nyuaj ntawm nws qhov sib txawv ntawm lwm hom encephalopathy.
Yog vim li cas
Mob ntshav qab zib encephalopathy tuaj yeem txhim kho rau ntau qhov laj thawj:
- YMicroangiopathy. Nws yog cov txheej txheem uas ua txhaum cai txhim kho nyob rau hauv kev ruaj ntseg ntawm phab ntsa thiab permeability ntawm cov hlab ntsha ntawm cov hlab ntsha me, nrog rau cov hlab ntsha.
- Metabolic ntshawv siab,ua rau cov txheej txheem ntawm kev puas tsuaj hauv paj hlwb thiab hlwb.
Pathological ua rau
Ntxiv rau qhov laj thawj tseem ceeb ntawm kev txhim kho tus kab mob, kuj tseem muaj cov kab mob pathological uas ua rau mob ntshav qab zib mellitus hnyav dua thiab ua rau kev loj hlob ntawm DE. Cov no suav nrog:
- Hnub nyoog ntawm tus neeg mob (senile thiab laus).
- Kev rog rog ua rau rog dhau.
- Impaired lipid metabolism, nrog rau cov tsos mob atherosclerotic.
- Persistent ntshav qabzib.
Qhov kev puas tsuaj loj
Tab sis tseem nyob hauv kev tsim cov ntshav qab zib encephalopathy (ICD 10) microangiopathy yog qhov tseem ceeb ua rau puas tsuaj. Yog li ntawd, cov paj hlwb thiab cov hlwb raug oxygen thiab lub zog tshaib plab. Raws li qhov tshwm sim ntawm kev tshaib kev nqhis, lub cev raug yuam kom hloov mus rau txoj hauv kev ntawm kev tsim tawm anaerobic ntawm cov khoom tseem ceeb rau nws txoj haujlwm. Cov txheej txheem no tsis muaj txiaj ntsig zoo thiab yog li ntawd, cov co toxins thiab lwm yam teeb meem tshwm sim hauv lub hlwb. Nws yog nyob rau hauv lawv lub zog uas irreversible hlwb puas tshwm sim.
Cov kab mob metabolic nyob rau hauv lub cev muaj kev cuam tshuam rau cov xwm txheej uas tau tshwm sim, thiab tseem ua rau lub cev rov ua haujlwm ntawm cov paj hlwb. Uas, nyob rau hauv lem, contributes rau tus txheej txheem ntawm slowing down kev kis ntawm paj hlwb impulses.
Kev kho mob tshwm sim
Kev kho mob tshwm sim ntawm ntshav qab zibencephalopathies (ICD 10) siv sijhawm ntev los txhim kho. Nws yog vim li no uas DE feem ntau kuaj pom hauv cov neeg laus. Muaj tsawg zaus, encephalopathy tuaj yeem txhim kho sai heev tiv thaiv keeb kwm yav dhau los ntawm kev mob stroke ntawm lub hlwb lossis hauv cov xwm txheej hnyav ntawm hypo- lossis hyperglycemic xwm.
Symptoms
Hmoov tsis zoo, mob ntshav qab zib encephalopathy tsis tau nrog cov tsos mob tshwj xeeb, ua rau nws nyuaj rau kev kuaj mob thiab sib txawv. Hom kab mob encephalopathy no tuaj yeem nrog cov tsos mob uas kuj yog yam ntxwv ntawm atherosclerosis lossis kub siab.
Tus neeg mob xav tias muaj DE tuaj yeem muaj cov tsos mob xws li:
- Headache - tuaj yeem muaj qhov sib txawv ntawm qhov hnyav thiab tshwm sim raws li qhov mob me me, lossis raws li qhov xav tau puv lossis nyem.
- Asthenic Syndrome tuaj yeem nthuav tawm nyob rau hauv daim ntawv ntawm kev qaug zog, chim siab, tsis txaus siab, nrog rau kev puas siab puas ntsws thiab kev xav ntau ntxiv.
- Kev tshwm sim ntawm cov kab mob neurological - tus neeg mob yuav muaj qhov tsis xis nyob, kiv taub hau thiab tinnitus.
- Kev cuam tshuam hauv kev ua haujlwm siab dua ntawm lub hlwb. Tus neeg mob yuav ntsib kev puas hlwb thiab kev txawj tsav tsheb zoo, nyuaj rau kev nkag siab cov ntaub ntawv, tsis muaj peev xwm nyeem ntawv, tshwm sim ntawm kev nyuaj siab thiab apathy.
- Lwm cov tsos mob ntawm mob ntshav qab zib encephalopathy yog lub xeev ntawm fainting thiab convulsivesyndrome. Ntxiv mus, convulsions tuaj yeem tshwm sim ob qho tib si hauv zos thiab dav dav.
Raws li txoj cai, tus neeg mob tsis tuaj yeem ntsuas nws tus mob kom txaus, yog li nws yuav tsis muaj txiaj ntsig los siv kev tshawb nrhiav mob hnyav, nrog rau kev pab ntawm cov txheeb ze thiab phooj ywg.
DE manifestations
Nyob rau theem pib ntawm tus kab mob, nws cov cim qhia tsis meej heev. Yog li ntawd, feem ntau nyuaj rau tus neeg mob teb thaum thawj cov tsos mob tshwm sim.
Cov kws tshaj lij ntseeg hais tias thawj qhov tshwm sim ntawm tus mob ntshav qab zib encephalopathy yog qhov ua rau tsis nco qab, teeb meem nrog kev pw tsaug zog, thiab kev hloov pauv ntawm kev puas siab puas ntsws.
Cov kev ua txhaum cai no tuaj yeem piav qhia los ntawm qhov tseeb tias lub hlwb yuav tsum ua haujlwm hauv cov xwm txheej tsis muaj zog thiab oxygen. Nyob rau hauv cov xwm txheej zoo li no, cov paj hlwb tsis tuaj yeem ua haujlwm tag nrho thiab cov txheej txheem them nyiaj pib tshwm sim. Txawm li cas los xij, yog tias cov txheej txheem no tau qhib rau lub sijhawm ntev, lawv ua tsis tiav, uas ua rau cov txheej txheem ntawm cov co toxins hauv lub hlwb.
theem ntawm kev txhim kho encephalopathy hauv cov neeg mob ntshav qab zib
Tus kab mob muaj ntau theem, thaum tus neeg mob tsis hnov cov tsos mob ntawm thawj theem. Tsuas yog thaum tus kab mob no tshwm sim thiab dhau mus rau theem ob, thawj cov cim tshwm sim:
- Thawj theem. Yeej tsis muaj kev tshwm sim. Tsis ruaj tsis khov ntshav siab, me me malaise, kiv taub hau feem ntau tsis meej pem nrog cov tsos mob ntawm vegetative-vascular dystonia. Tus kws kho mob neurologist feem ntau tuaj xyuastus kws tshaj lij ntawm theem no.
- Nyob rau theem ob. Lub taub hau pib mob ntau dua, kev taw qhia muaj kev cuam tshuam, cov xwm txheej ntawm lub paj hlwb tau hais ntau dua.
- Nyob rau theem peb, cov tsos mob tau hais. Cerebral ncig deteriorates ho. Mob taub hau, unsteadiness ntawm gait, kiv taub hau, general tsis muaj zog, insomnia. Kev ua tsis taus pa feem ntau tshwm sim.
Syndromes of disease in question
Mob ntshav qab zib encephalopathy hauv ICD nrog code 10 tshwm sim nws tus kheej hauv daim ntawv ntawm ntau yam mob uas tuaj yeem hu ua theem pib:
- Asthenic Syndrome. Nws yog tus yam ntxwv los ntawm lub xeev ntawm kev qaug zog, lethargy thiab qaug zog. Feem ntau qhov no syndrome manifests nws tus kheej ib tug ntawm cov thawj. Tsis tas li ntawd, tus neeg mob uas muaj tus mob asthenic muaj kev xiam oob khab, tej zaum yuav chim siab heev thiab kev xav tsis ruaj khov.
- Cephalgic syndrome. DE tuaj yeem nrog mob taub hau ntawm qhov sib txawv. Yog tias peb tso siab rau cov lus piav qhia ntawm cov neeg mob lawv tus kheej, tom qab ntawd hauv qee qhov nws tuaj yeem tshwm sim nws tus kheej hauv daim ntawv nyem lossis nyem zoo li "ntiv nplhaib", hauv lwm tus nws zoo ib yam li mob taub hau, hauv lwm tus nws pom nws tus kheej nyob rau hauv daim ntawv ntawm ib lub nplhaib. kev xav ntawm hnyav nyob rau hauv lub taub hau. Qee cov neeg mob feem ntau nco ntsoov tias mob taub hau me ntsis.
- Ntawm dystonia. Qhov no syndrome tshwm sim nyob rau hauv feem ntau ntawm cov neeg mob ntawm manifestation ntawm DE. Dystonia manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib qho kev xav ntawm tshav kub, fainting thiab pre-syncope. Tsis tas li ntawd, vegetativedystonia tuaj yeem tshwm sim los ntawm cov teeb meem xws li anisocoria (thaum tus neeg mob muaj cov menyuam kawm ntawv sib txawv), convergent disorders (nyuaj qhov muag pob), pyramidal disorders (piv txwv li, tuag tes tuag taw). Tus neeg mob kuj yuav raug kev txom nyem los ntawm cov tsos mob ntawm vestibular-ataxic xws li tsis khov kho lossis kiv taub hau.
- Kev paub tsis meej. Qhov no syndrome ntawm ntshav qab zib encephalopathy nrog code 10 yog tus cwj pwm los ntawm kev nco tsis zoo, kev qaug zog, tsis muaj peev xwm nqus tau cov ntaub ntawv. Tej zaum yuav ua rau muaj kev nyuaj siab thiab tsis xis nyob.
- The final stage. Cov theem ntawm tus kab mob no tuaj yeem ua rau muaj kev cuam tshuam loj heev ntawm txhua qhov ntawm lub paj hlwb. Tus neeg mob muaj kev ua txhaum ntawm lub cev muaj zog, muaj kev tawm tsam tseem ceeb ntawm kev mob taub hau thiab convulsive syndromes, rhiab heev ntawm qhov sib txawv ntawm lub cev cuam tshuam, kev hnov mob tshwm sim hauv daim siab, ob lub raum thiab lwm yam kabmob.
Kev kho mob
Kev kho mob ntshav qab zib encephalopathy tuaj yeem muab faib ua peb qhov tseem ceeb:
- Txhim cov ntshav qab zib kom txaus. Nws yog kev saib xyuas cov ntshav qabzib hauv qib uas yuav tsum tau ua uas yog txoj hauv kev tseem ceeb ntawm kev kho thiab tiv thaiv DE. Cov kws kho mob kuj qhia kom tsis txhob tsis quav ntsej txog kev tiv thaiv kev kho mob. Qhov no txhim kho cov ntshav txaus rau cov ntaub so ntswg ntawm lub paj hlwb thiab trophism.
- Kho cov kab mob metabolic. Nrog hom kev kho no, cov kws kho mob pom zoo kom nojantioxidants (piv txwv li, "Espa-lipon"), cov vitamins ntawm pab pawg A, E, C thiab B. Tsis tas li ntawd, cov neeg mob tau muab tshuaj cerebroprotectors ("Piracetam", thiab lwm yam).
- Kev kho mob ntawm microangiopathy. Cov kws kho mob kho cov kab mob vascular nrog kev pab ntawm Pentoxifylline, uas normalizes ntshav khiav hauv lub cev thiab txo cov ntshav viscosity. Cov tshuaj no ua haujlwm zoo heev ntawm kev tshem cov co toxins los ntawm tus neeg mob lub hlwb.
Tib lub sijhawm, cov kws kho mob txhua qhov chaw siv tshuaj xws li Cavinton, Sermion, Vinpocetine thiab lwm yam rau kev kho mob angiopathy.
