Vasospasm ntawm cerebral hlab ntsha: cov tsos mob ntawm pathology, ua tau, hom kev kho mob, kev tiv thaiv

Cov txheej txheem:

Vasospasm ntawm cerebral hlab ntsha: cov tsos mob ntawm pathology, ua tau, hom kev kho mob, kev tiv thaiv
Vasospasm ntawm cerebral hlab ntsha: cov tsos mob ntawm pathology, ua tau, hom kev kho mob, kev tiv thaiv

Video: Vasospasm ntawm cerebral hlab ntsha: cov tsos mob ntawm pathology, ua tau, hom kev kho mob, kev tiv thaiv

Video: Vasospasm ntawm cerebral hlab ntsha: cov tsos mob ntawm pathology, ua tau, hom kev kho mob, kev tiv thaiv
Video: 6 Nqi Lus Qhia Kev Ua neej ( leej twg mloog lub neej yuav zoo tuaj) 2024, Hlis ntuj nqeg
Anonim

Nqaim ntawm cov hlab ntsha hauv hlwb yog ib yam mob uas tau kuaj pom los ntawm kev txiav txim siab txog cov txheej txheem ntawm cov ntshav ncig. Cerebral vasospasm yog ib lub sij hawm luv luv paroxysmal txo cov khoom noj khoom haus rau lub hlwb. Nyob rau tib lub sijhawm, tsis muaj kev hloov pauv tseem ceeb, txawm li cas los xij, nws yuav tsum raug sau tseg tias tawm tsam xws li keeb kwm yav dhau, cov leeg nqaij hloov pauv. Tom qab ntawd, qhov tshwm sim no tuaj yeem ua rau mob stroke.

Yog li ntawd, cov cim qhia ntawm cerebral vasospasm yuav tsum tau ua tib zoo kho txhua lub hnub nyoog. Tsuas yog kev ntsuas raws sijhawm tuaj yeem tiv thaiv ischemia.

Vasospasm ntawm cerebral hlab ntsha hauv cov menyuam mos
Vasospasm ntawm cerebral hlab ntsha hauv cov menyuam mos

Nws yuav tsum tau muab sau tseg tias nyob rau hauv neurology xws manifestations yog txhais raws li ib tug vascular ntsoog.

Vasospasm ntawm cov hlab ntsha hauv plawv kuj ua tau. Qhov no yogib tug ntse thiab cia li nqaim ntawm lub lumen ntawm cov hlab ntsha, los yog es cov nqaij leeg du uas kab lawv. Xws li ib tug spasm yog ib ntus, tab sis tshwm sim nyob rau hauv daim ntawv ntawm angina pectoris, ua rau ib tug ntau ntawm tsis xis nyob.

Feem ntau, pathology raug kuaj pom hauv cov txiv neej hauv nruab nrab hnub nyoog. Vasospasm kuj tuaj yeem tshwm sim hauv tus menyuam mos yug tshiab uas tau raug mob thaum yug menyuam lossis cov tub ntxhais hluas thaum muaj kev hloov pauv loj hauv cov tshuaj hormonal tshwm sim.

Cov kev hloov pauv dab tsi yog qhov raug?

Lub xeev ntawm cerebral vasospasm hais txog qhov tshwm sim ntawm qhov tsis xws luag hauv cov ceg me ntawm cov hlab ntsha nrog cov leeg nqaij du.

Cov leeg nqaij leeg ib txwm qis qis, thaum:

  • dhau ntawm cov hlab ntsha tshwj xeeb, impulses nkag mus rau hauv cov hlab ntsha los ntawm cov tshuaj hormonal tshwj xeeb;
  • tshwj xeeb electrolyte ions hloov cov nqi ntawm cov cell membranes;
  • cov leeg cog lus nrog kev hloov ntev.

Kev ua txhaum cai tuaj yeem tshwm sim ntawm ib qho ntawm cov theem no. Nws yuav tsum tau borne nyob rau hauv lub siab hais tias angiospasm yuav manifest nws tus kheej raws li ib tug natural tshuaj tiv thaiv ntawm tib neeg lub cev kom txias.

Qhov kev siv ntawm qhov tshwm sim ntawm cov tsos mob ntawm cerebral vasospasm hauv cov xwm txheej zoo li no yuav raug txo kom tsawg. Hauv qhov xwm txheej hnyav, tus neeg yuav hnov mob qee qhov ntawm cov kabmob hauv nruab nrog cev, cov ntshav ncig hauv lub ncauj tsev menyuam raug cuam tshuam.

Pathology ntawm cerebral hlab ntsha
Pathology ntawm cerebral hlab ntsha

Ntau yam spasm raws li nws qhov hnyav

Lub ntsiab lus ntawm vasospasm tau muab, txawm li cas los xij, nws yuav tsum tau muab sau tseg tias kev mob spastic tau muab faib ua peb.hom, txhua tus uas muaj nws tus yam ntxwv ntawm chav kawm ntawm spasm:

  • Cerebral vasospasm ntawm cerebral hlab ntsha. Tus neeg mob tsis nco qab, kev hloov pauv ntawm lub cev muaj zog, lub peev xwm hais lus tsis muaj zog lossis ploj, tsis pom kev cuam tshuam, kev tsis txaus siab tau txais txog qhov tshwm sim ntawm tinnitus thiab mob taub hau. Cov txheej txheem rov qab los yog txiav txim siab los ntawm thawj lub xeev ntawm tib neeg kev noj qab haus huv. Yog lub cev noj qab nyob zoo, nws yuav rov zoo tag nrho.
  • Angiodistonic spasm. Tsis muaj zog tshwm sim ntawm cov tsos mob neurological. Kev noj qab haus huv ib txwm rov qab los sai sai.
  • Angioedema spasm. Muaj cov cim qhia ntawm lub paj hlwb tsis zoo nyob rau hauv daim ntawv ntawm asthenia. Cov phab ntsa ntawm cov hlab ntsha mus txog lub xeev dystrophic, yog li ntawd, cov tshuaj siv los kho cov kab mob neurological.

Koj yuav tsum tau xyuam xim, thaum mob hnyav, qhov khoob thiab cov hlwv tuaj yeem tshwm sim hauv medulla.

Cerebral vasospasm los ntawm qhov xwm txheej ntawm vascular puas tuaj yeem ua rau thaj tsam thiab dav dav.

Hom dav dav feem ntau ua rau muaj kev ua txhaum ntawm tag nrho cov kab ke thiab kab mob hauv cov neeg mob: kev hloov ntshav viscosity; ntshav siab; ua txhaum ntawm cov txheej txheem metabolic hauv lub hlwb; hloov raum; Kev hloov pauv pathological hauv pancreas.

Yog tias muaj qhov mob hauv zos, tom qab ntawd ib qho chaw hauv lub hlwb raug tsim los nrog kev hloov pauv. Tsuas yog tus kws kho mob tuaj koom tuaj yeem txiav txim siab qhov tseeb ntawm qhov ua txhaum cai. Koj yuav tsum tsis txhob xaiv kev kho koj tus kheej.

Yuav ua li cas

Cerebral vasospasm tuaj yeem tshwm sim nyob rau hauv lub xub ntiag ntawm xws li predisposing yam:

  • cuam tshuam hauv kev ua haujlwm ntawm cov leeg nqaij ntawm phab ntsa hlab ntsha;
  • hloov lub tshuab ntawm kev ua haujlwm tau ua;
  • tsis ua haujlwm ntawm cov leeg phab ntsa;
  • nce contraction ntawm phab ntsa arterial.

Qhov ua rau vasospasm tuaj yeem ua rau pathologies xws li:

Vasospasm ntawm cerebral hlab ntsha
Vasospasm ntawm cerebral hlab ntsha
  • Yhydrocephalus;
  • mob ntshav siab;
  • angina;
  • osteochondrosis ntawm sab qaum vertebral;
  • aneurysm ntawm cerebral hlab ntsha;
  • meningeal pathology;
  • kab mob raum;
  • kab mob ntawm cov thyroid caj pas tshwm sim los ntawm kev ua txhaum ntawm nws txoj haujlwm;
  • mob hlwb raug mob los ntawm tus neeg mob;
  • diabetes.

Nws yuav tsum tau muab sau tseg tias cerebral vasospasm tshwm sim vim kev puas tsuaj rau cov hlab ntsha. Spasm nws tus kheej yog ib qho kev tiv thaiv tshwj xeeb ntawm lub cev, uas ua kom muaj kev tiv thaiv cov ntshav tawm.

Cov kws tshaj lij tau sau tseg tias qhov sib txawv ntawm qhov tshwm sim ntawm vascular pathologies yog nce. Qhov no feem ntau yog vim lub suab ntawm tib neeg lub neej nyob rau lub sijhawm tam sim no thiab qhov teeb meem ib puag ncig nyuaj. Kev nyob hauv nroog loj ua rau muaj kev nyuaj siab rau lawv cov hlab plawv.

Dab tsi ua rau qaug dab peg?

Nyob rau hauv daim ntawv teev cov ua rau dyscirculatory ntshawv siab, ib tug tuaj yeem tawm:

  • kev ua siab ntev;
  • kev npamtib neeg lub cev nrog hnyav tshuaj lom;
  • ua kom lub cev muaj zog;
  • overwork;
  • psycho-emotional exhaustion;
  • hmo ua haujlwm thiab pw tsaug zog;
  • hloov hauv atmospheric siab;
  • dej tsis txaus hauv lub cev;
  • overindulgence hauv dej haus caffeinated.

Nws yuav tsum nco ntsoov tias qhov kev hloov pauv tseem cuam tshuam rau qhov tshwm sim ntawm vascular spasm, uas yog, qhov kev xav tau pib tuaj yeem tso rau ntawm qib caj ces.

Cov tsos mob ntawm pathology

Muaj cov tsos mob ntawm cerebral vasospasm, qhov tshwm sim ntawm lawv yog qhov laj thawj tshwj xeeb rau kev mus ntsib lub tsev kho mob.

Ntawm cov npe ntawm cov cim qhia uas tshwj xeeb tshaj yog nrog vasospasm yog:

  • kiv taub hau;
  • mob taub hau hnyav uas yog nyob hauv zos lossis dav dav;
  • nco deterioration los ntawm kev hloov pauv hauv cov qauv ntshav;
  • tinnitus;
  • faus;
  • txo qis hauv kev ua haujlwm.
  • Vasospasm ntawm cerebral hlab ntsha, cov tsos mob
    Vasospasm ntawm cerebral hlab ntsha, cov tsos mob

Nws yuav tsum nco ntsoov tias cerebral vasospasm tshwm sim nws tus kheej tsis tau xav txog thiab tam sim ntawd. Nws cov tsos mob tsis txawv ntawm lwm hom vascular spasms.

Ib qho tshwj xeeb yog qhov muaj lossis qhov hnyav dua ntawm cov cim ntawm vasospasm ntawm cov hlab ntsha, tus yam ntxwv ntawm pathology, rau ob peb hnub.

Tam sim no cov kev hloov pauv hauv cov ntshav raug ntsuas yog tias muaj cov tsos mob hauv qab no:

  • leeg tsis muaj zog ntawm ib sab ntawm lub cev;
  • bunted teb;
  • kev hais lus tsis ua haujlwm;
  • poob lub cev muaj zog;
  • pom qhov tsis xws luag;
  • mob caj npab thiab ceg;
  • nausea.

Tsuas yog tus kws tshaj lij tuaj yeem kuaj pom qhov muaj tus mob spasm raws sijhawm thiab kuaj xyuas nws. Qhov no yog vim qhov tseeb tias cov cim qhia tsis txawv, lawv tuaj yeem tshwm sim hauv vasospasm thiab lwm yam mob ntawm lub cev.

Ntau tus neeg xav tias puas muaj vasospasm ntawm lub paj hlwb hauv cov menyuam mos?

Diagnosis

Tus neeg mob tom qab pom cov tsos mob ntawm pathology yuav tsum tau kuaj tag nrho, uas txhais tau tias:

  • kev tshawb fawb hauv chav kuaj ntshav thiab tso zis;
  • xam tomography;
  • Magnetic Resonance Imaging.

Vim dhau qhov kev kuaj xyuas dav dav, qhov muaj peev xwm ntawm cov kab mob sib kis tuaj yeem raug cais tawm.

Vasospasm kuj tuaj yeem yog qhov cim ntawm cov kab mob txaus ntshai hauv qab no:

  • Yvegetovascular dystonia;
  • mob ntshav siab;
  • hypoxia;
  • Yhydrocephalus;
  • hyponatremia.
  • Vasospasm ntawm lub hlwb
    Vasospasm ntawm lub hlwb

Txhawm rau txhawm rau txheeb xyuas vasospasm, siv cov tswv yim xws li:

  • MRI (cov hlab ntsha ntawm lub hlwb ntawm lub taub hau raug tshuaj xyuas thiab cov txiaj ntsig ntawm kev tshawb fawb tau txiav txim siab);
  • convention angiography;
  • cerebralangiography;
  • vascular dopplerography ntawm lub hlwb;
  • electroencephalogram;
  • hloov lub zog ntawm cov ntshav ntws mus rau lub hlwb.

Kev kuaj xyuas siv cov txheej txheem no tuaj yeem ua tiav hauv tsev kho mob ntiag tug lossis hauv tsev kho mob pej xeem. Tus nqi ntawm qhov kev tshwm sim yuav txawv heev.

Daim duab qhia paub ntau tshaj plaws ntawm cov kab mob tuaj yeem tau txais los ntawm kev ua cov kev xeem. Yog li, txhawm rau kom tau txais cov duab tseeb ntawm cov kev hloov pauv, nws yog ib qho tsim nyog yuav tsum tau ua cov kev tshawb fawb raws li ntau yam txheej txheem.

Vim qhov tseeb tias thaum lub sijhawm kuaj thawj zaug nws tsis tuaj yeem tsim qhov tsis tuaj lossis muaj kev hloov pauv, yuav tsum tau kuaj xyuas nruj. Txawm li cas los xij, tus kws kho mob yuav tsum ua raws li cov lus qhia, uas suav nrog kev nug tus neeg mob thiab tshuaj xyuas cov duab kho mob ntawm tus kab mob.

Lo lus "mob" txhais tau tias, feem ntau, muaj kev hloov pauv hauv kev ua haujlwm ntawm tib neeg lub cev. Txij li thaum nws lub cev yog ib qho kev sib koom ua ke, cov kev hloov pauv no tsis tuaj yeem tso tseg yam tsis muaj kev kho mob kho.

Vasospasm, uas tshwm sim hauv ib qho me me, tsis txaus ntshai, txawm li cas los xij, thaum mob hnyav, tus mob no tuaj yeem ua rau muaj qhov tshwm sim loj uas yuav ua rau tus neeg tsis taus.

Kev kho mob ntawm cov kab mob no yuav tsum yog los ntawm kev tsim cov laj thawj. Rau cov hom phiaj kho mob, lawv siv cov tshuaj uas muaj cov nyhuv hauv qab no:

  • tshem tawmnervous nro;
  • kev so ntawm cov leeg nqaij ntawm phab ntsa vascular;
  • normalizing ntshav siab;
  • tshem tawm spasms.

Yuav tsum ua tib zoo saib xyuas lub cev tiv thaiv cov ntshav txhaws.

Vasospasm, angiospasm
Vasospasm, angiospasm

Tshuaj tsis yog tshuaj kho mob

Cov neeg mob feem ntau tsis kam kho mob thiab tig mus rau cov tshuaj ib txwm muaj.

Cov kev txiav txim siab li no tuaj yeem tsim nyog yog tias tsis muaj contraindications. Nws yog ib qho tsim nyog los tham txog qhov muaj peev xwm tsis siv tshuaj nrog koj tus kws kho mob ntawm tus kheej.

Ntawm cov npe ntawm cov zaub mov pej xeem, qhov kev txiav txim uas tso cai rau koj tshem tawm vasospasm, koj tuaj yeem xaiv:

  • tau txais ib qho infusion ntawm kev sib xyaw ntawm cov tshuaj ntsuab: St. John's wort, dandelion cag, chamomile;
  • siv cov txiv ntoo qhuav chokeberry;
  • taub hau massage.

Nws tseem yuav tsum ua raws li cov lus pom zoo ntawm txoj kev noj qab haus huv:

  • haus dej kom zoo;
  • ua ib ce muaj zog;
  • kho koj cov zaub mov.

Yuav tsum tsom ntsoov rau qhov tus neeg yuav tsum haus dej huv.

Tshwj xeeb pathology hauv tus menyuam yug tshiab

Hauv tus menyuam yug tshiab, vasospasm ntawm cov hlab ntsha hu ua angiospasm. Nws yog ib qho mob uas lub lumen ntawm cov hlab ntsha txo qis, uas ua rau muaj kev hloov pauv hauv cov ntshav thiab cov ntshav ntws mus rau lub hlwb.

Vascular spasm hauv menyuam yaus, tshwj xeebtus menyuam yug tshiab, txuas ntxiv mus ntev, tuaj yeem dhau los ua cov pa oxygen tshaib plab thiab ua rau muaj ntau yam kev puas hlwb. Qhov ua rau ntawm qhov tshwm sim no tuaj yeem yog ntau yam tsis zoo, feem ntau hauv cov menyuam yug tshiab no yog cov kab mob ntawm tus txha caj qaum thiab tus txha caj qaum, feem ntau ntawm kev raug mob.

Muaj kev pheej hmoo rau cerebral vasospasm yog cov menyuam yug tshiab thiab cov menyuam loj uas muaj cov xwm txheej hauv qab no:

  • txoj kev yug me nyuam;
  • CP;
  • mob rau sab qaum;
  • rov qab raug mob;
  • tsis muaj siab;
  • siab;
  • kab mob ntawm lub paj hlwb;
  • huab cua rhiab heev.

Cerebral vasospasm hauv cov menyuam mos tuaj yeem tshwm sim nws tus kheej hauv ntau txoj kev, tab sis muaj qee qhov cim tshwm sim hauv txhua qhov chaw kho mob.

Cov tsos mob tshwj xeeb tshaj plaws ntawm angiospasm ntawm lub hlwb ntawm lub taub hau thaum yau yog kiv taub hau thiab mob taub hau. Cov menyuam yug tshiab hauv thawj xyoo ntawm lub neej feem ntau quaj yuav luag tas li vim mob taub hau thiab pw tsis zoo. Feem ntau, cov menyuam mos tsis xav noj, lawv coj tus cwj pwm tsis zoo.

Ntxiv rau qhov mob mob, vascular spasm hauv lub hlwb tuaj yeem nrog ntau cov tsos mob:

  • nrawm nrawm nrawm;
  • tsis muaj qhov tsis zoo;
  • qaug zog ob txhais ceg thiab caj npab;
  • nausea.

Cov menyuam yaus lub hnub nyoog tseem ceeb kuj yws txog lub suab nrov thiabringing hauv pob ntseg, nrog rau flickering "flies" ua ntej lub qhov muag.

Yog qhov chaw kho mob ntau dua, ces cov tsos mob hauv qab no ntawm angiospasm yuav raug pom:

  • kev sib koom tes;
  • fainting;
  • Spatial disorientation ntawm tus neeg mob.

Cov menyuam yaus loj tuaj yeem ntsib teeb meem lus thiab kev nco.

Vim qhov mob hnyav thiab ua rau lub paj hlwb vasospasm hauv tus menyuam, tus kws kho mob yuav txiav txim siab txog qhov yuav tsum tau txhaj tshuaj. Yog hais tias qhov spasm yog ib ntus, provoked los ntawm qhov tsis zoo ua rau thiab muaj kev ntxhov siab, nws yuav txaus los hloov kho rau tus menyuam txoj kev niaj hnub, kev pab uas yuav muab rau hauv tsev.

Kev kho mob nrog rau kev siv ntau hom tshuaj.

Cov tsos mob ntawm vasospasm
Cov tsos mob ntawm vasospasm

Cov lus qhia piav qhia txog qhov tso cai ntawm cov tshuaj rau kev kho mob cerebral vasospasm, txawm li cas los xij, cov koob tshuaj tshwj xeeb raug xaiv los ntawm tus kws tshaj lij tom qab kuaj xyuas tus menyuam tiav.

Anspasmodics txo qis cov leeg nqaij leeg. Lawv sawv cev los ntawm "Eufillin", "Papaverine", "Revalgin", "No-Shpa"

Nootropics normalize ntshav txaus, lawv sawv cev los ntawm Trental, Piracetam, Nootropil.

Adaptogens txhim kho lub hlwb trophism thiab kho cov ntshav ntws, sawv cev los ntawm Actovegin thiab Cerebrolysin.

Biogenic stimulants normalize ntshav siab, suav nrog tinctures ntawm eleutherococcus, lemongrass thiab Zelenin tee.

NrogTxoj kev kho mob, koj tuaj yeem txhim kho tus neeg mob tus mob nrog kev pab los ntawm kev ntsuas hauv qab no: kev kho spa, kho lub cev thiab zaws.

Ntxiv rau, koj yuav tsum tau saib xyuas tus menyuam txoj kev noj zaub mov - nws yuav tsum sib npaug, tab sis tsis txhob muaj cov khoom noj ua kua ntau dhau. Yog tias tsis ua raws li kev tiv thaiv kev tiv thaiv thiab kev kho mob tsis txaus, ntau yam teeb meem loj tuaj yeem tshwm sim.

Yuav ua li cas tiv thaiv kab mob ntawm lub paj hlwb?

Kev Tiv Thaiv

Yuav tsum nco ntsoov tso txhua yam kev phem phem kom raws sijhawm thiab hloov koj txoj kev ua neej.

Ib tug neeg yuav tsum:

  • tso tseg kev quav tshuaj nicotine tag nrho;
  • tsis txhob haus cawv ntau;
  • hloov koj tus cwj pwm rau kev ua lub cev;
  • ua gymnastics thaum sawv ntxov txhua hnub;
  • nyob deb ntawm cov dej haus uas muaj caffeine;
  • yuav muaj txiaj ntsig kom paub txog cov tswv yim kev xav;
  • saib xyuas noj mov, txwv tsis pub so ntev.

Cerebral vasospasm yog ib qho teeb meem loj uas yuav tsum tau kho. Thaum cov pathology nyuam qhuav pib tshwm sim nws tus kheej, thiab tsis muaj kev hloov pauv tseem ceeb hauv cov hlab ntsha, nws tuaj yeem ua rau tus neeg mob lub cev tsis muaj kev siv tshuaj. Nws yuav txaus los tswj kev noj zaub mov, kev tsis lees paub tus cwj pwm phem. Yog tias qhov xwm txheej tau ua haujlwm, vasospasm xav tau kev saib xyuas kev kho mob tas li thiab kev kho mob tshwj xeebcov tshuaj kho mob. Lub hom phiaj tseem ceeb yog tiv thaiv qhov tshwm sim tsis zoo nyob rau hauv daim ntawv ntawm mob stroke.

Peb tau tshuaj xyuas cov kab mob ntawm cov hlab ntsha xws li vasospasm.

Pom zoo: