Cerebellar stroke: ua, tsos mob, kuaj mob, txoj kev kho mob, kho dua tshiab

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Cerebellar stroke: ua, tsos mob, kuaj mob, txoj kev kho mob, kho dua tshiab
Cerebellar stroke: ua, tsos mob, kuaj mob, txoj kev kho mob, kho dua tshiab

Video: Cerebellar stroke: ua, tsos mob, kuaj mob, txoj kev kho mob, kho dua tshiab

Video: Cerebellar stroke: ua, tsos mob, kuaj mob, txoj kev kho mob, kho dua tshiab
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Cerebellar stroke yog qhov ua txhaum loj ntawm cov ntshav hauv cov ntaub so ntswg ntawm cerebellum. Mob stroke nyob rau hauv cheeb tsam no ntawm lub hlwb yog tshwm sim los ntawm blockage ntawm lub nkoj txaj los yog nws rupture nrog hemorrhage. Hom tom kawg yog tsawg dua li qub. Cerebellar stroke yog lub neej hem. Qee zaum nws tuaj yeem siv sijhawm ntau xyoo los tshem tawm nws cov teebmeem. Dab tsi yog qhov ua rau muaj tus kab mob txaus ntshai xws li mob hlab ntsha tawg, nws qhov tshwm sim thiab qhov tshwm sim? Wb tham txog qhov no kom ntxaws ntxiv.

Cerebellar stroke: yog dab tsi?

Cerebellar stroke feem ntau tsim muaj mob circulatory disorders nyob rau hauv cov ntaub so ntswg ntawm lub cerebellum. Qhov kawg yuav zoo npaum li cas yog nyob ntawm seb tus neeg mob yuav pab tau sai npaum li cas. Kev puas tsuaj rau lub cerebellum tam sim ntawd manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib tug ntse deterioration nyob rau hauv kev noj qab nyob zoo thiab kev loj hlob.coma. Nws zoo li tias cerebellar edema yuav pib. Raws li, lub hlwb qia yuav maj mam compressed.

Cov cerebellar tonsils nyob rau hauv lub foramen magnum. Hom mob stroke no provokes tag nrho tuag tes tuag taw. Yog tias tus neeg mob tsis ua haujlwm raws sijhawm, ces qhov tshwm sim ua rau tuag taus.

mob stroke cerebellar stroke
mob stroke cerebellar stroke

Tus kab mob no tshwm sim vim qhov tseeb tias cov hlab ntsha uas pub lub cerebellum puas lawm. Xws li qhov txhab tshwm sim vim thrombosis (kev tsim cov ntshav txhaws hauv cov hlab ntsha uas tiv thaiv cov ntshav tsis txaus), embolism (kev thaiv ntawm lumen ntawm cov hlab ntsha), lossis rupture ntawm cov hlab ntsha.

Symptoms

Cov tsos mob ntawm tus kab mob tshwm sim tam sim ntawd. Ntau tus ntawm lawv yog tus cwj pwm los ntawm kev ua tsis zoo ntawm cov ntshav ncig hauv lub hlwb.

ischemic cerebellar stroke cerebral cerebellar stroke
ischemic cerebellar stroke cerebral cerebellar stroke

Cov tsos mob zoo ib yam li cov uas tshwm sim nrog tus kab mob hu ua qia stroke. Lub cerebellum raug cuam tshuam, thawj cov cim qhia yuav yog:

  • ua pa nyuaj;
  • kub nce siab;
  • tsis nqos muaj nuj nqi;
  • kev nco qab ntxhov siab;
  • dry mouth;
  • tsis txaus siab rau qhov kub, txias thiab mob.

Qhov xwm txheej ntawm cov tsos mob ntawm tus kab mob cerebellar ncaj qha nyob ntawm qhov mob thiab ntim.

Kev faib tawm

Raws li qhov ua rau thiab cov txheej txheem ntawm kev txhim kho tus kabmob, cov kws tshaj lij faib cov hlab ntsha hlwb rau ntau hom: ischemic thiabhemorrhagic. Cerebellar stroke los ntawm ntau qhov sib txawv. Yog li, muaj ob hom: dav thiab cais.

Kev cais tawm ntawm cerebellar stroke cuam tshuam cov ntshav xa mus rau cov hlab ntsha hlwb hauv thaj chaw qis dua tom qab. Cov tsos mob yog kiv taub hau, thiab qee zaum manifests nws tus kheej raws li ib tug complex ntawm vestibular teeb meem. Tus neeg mob hnov mob hnyav nyob rau sab nraub qaum ntawm lub taub hau, yws ntawm xeev siab. Nws muaj kev cuam tshuam kev sib koom tes, taug kev thiab hais lus.

hemorrhagic stroke ntawm cerebellum
hemorrhagic stroke ntawm cerebellum

Ib leeg mob stroke tuaj yeem tshwm sim hauv thaj tsam ntawm cov hlab ntsha sab hauv sab hauv. Cov tsos mob tshwm sim yog nrog los ntawm kev tsis sib haum xeeb ntawm kev txav, kev hais lus, kev mus, kev txawj tsav tsheb zoo thiab teeb meem hnov lus. Kev hnov lus tsis zoo ntawm sab xis yog tias txoj cai hemisphere ntawm cerebellum raug cuam tshuam, thiab rov ua dua.

Thaum cov hlab ntsha sab sauv raug cuam tshuam, kev sib koom tes ntawm kev txav mus los ua ib qho tsos mob sab nraud. Nws yog ib qho nyuaj rau tus neeg mob kom muaj kev sib npaug thiab ua kom meej meej. Lub gait hloov tam sim ntawd, lub taub hau yog spinning, xeev siab tshwm sim thiab teeb meem tshwm sim thaum hais lus.

Yog hais tias lub hom phiaj ntawm kev puas tsuaj rau cov paj hlwb loj txaus, ces sab hauv otitis media yuav raug pom ntawm cov tsos mob saum toj no.

Kev mob stroke ntau nrog kev puas tsuaj rau sab xis thiab sab laug hemispheres. Qhov no yog ib qho mob hnyav uas tuaj yeem ua rau tuag taus. Feem ntau hom mob stroke no tau pom nyob rau hauv lub superior thiab posterior inferior cerebellar hlab ntsha. Yog hais tias lub cerebellum yog muab nrog ib tug muaj zog network ntawm collaterals, ces tag nrho peb ntawm nws cov hlab ntsha yog nyob ze interconnected. Ntxiv rau cov tsos mobqia thiab cerebral.

Kev mob stroke ntev tau tshaj tawm cov tsos mob: mob taub hau, xeev siab, ntuav, ua haujlwm tsis zoo ntawm kev txav, hais lus thiab sib npaug. Muaj tsawg zaus, ua tsis taus pa thiab mob plawv yuav tshwm sim. Kev nqhis dej ua haujlwm tsis zoo vim yog kev puas tsuaj rau lub hlwb qia.

Yog tias qhov ntim ntawm qhov txhab mob hlwb ntau dua li ib feem peb, tom qab ntawd cov kab mob tuaj yeem ua rau mob hnyav ntawm thaj chaw necrosis. Yog li ntawd - squeezing lub paj hlwb qia thiab tuag. Qhov tshwm sim ntawm kev tuag yog 80% nrog kev saib xyuas kev kho mob. Nws yog ib hom mob stroke uas yuav tsum tau phais neurosurgery tam sim.

Ischemic cerebellar stroke

Ischemic hom kab mob cerebellar tshwm sim nyob rau hauv kwv yees li 75% ntawm tag nrho cov mob. Raws li qhov tshwm sim ntawm daim ntawv no, muaj qhov txo qis lossis ua tiav cov ntshav ntws mus rau cov ntaub so ntswg ntawm cerebellum. Qhov tshwm sim yog cov ntaub so ntswg necrosis. Ischemic stroke ntawm cerebellum feem ntau tshwm sim nyob rau hauv cov neeg mob uas raug kev txom nyem los ntawm lub plawv pathology. Qhov kev pheej hmoo ntawm kev txhaws ntawm cov ntshav txhaws nyob rau hauv cov hlab ntsha cerebellar yog nce tawm tsam keeb kwm ntawm myocardial infarction tsis ntev los no. Yog li, intracardiac ntshav txhaws nrog arterial ntshav ntws nkag mus rau hauv cov hlab ntsha ntawm lub hlwb, ua rau txhaws.

Thrombosis ntawm cerebellar hlab ntsha feem ntau cuam tshuam nrog atherosclerosis. Ntawd yog, nyob rau hauv rooj plaub thaum muaj roj deposits loj hlob. Plaque rupture yuav luag tsis tuaj yeem zam.

Kev ntshav rau hauv cerebellum ua rau cov ntaub so ntswg txav mus thiab compression ntawm cov qauv vim cov ntshav ntau dhau. Hematomas feem ntau tshwm sim vim ntshav siab (hypertension). Tawm tsam keeb kwm yav dhau los ntawm kev kub siab, cov hlab ntshatawg, thiab cov ntshav tam sim ntawd nkag mus rau hauv parenchyma ntawm lub cerebellum.

Hemorrhagic stroke ntawm cerebellum tshwm sim vim rupture ntawm cov hlab ntsha, tsawg zaus - muaj kev nce hauv lawv cov permeability. Qhov kev kwv yees hauv qhov no feem ntau yog kev poob siab. Cov kab mob muaj zog dua nrog kev puas tsuaj ischemic. Kev sib koom tes tsis zoo, kiv taub hau, ntuav yog peb qhov tsos mob tseem ceeb.

Yog vim li cas

Nyob rau hauv ischemic stroke ntawm cerebellar ib feem ntawm lub hlwb, muaj ntau yam ua rau kev loj hlob. Yog li, cov tsos mob ischemic provoked los ntawm xws li:

  • vasospasm;
  • clots;
  • hlab ntshav siab;
  • - Atherosclerosis.

Hemorrhagic stroke tsawg dua. Txawm li cas los xij, nws tuaj yeem tshwm sim txawm tias me ntsis kev puas tsuaj rau cov hlab ntsha. Qhov tshwm sim ntawm qhov tshwm sim no nce tawm tsam keeb kwm ntawm aneurysm thiab arterial dissection.

Risk factors

Cov kws kho mob tshwj xeeb txheeb xyuas cov xwm txheej tseem ceeb uas ua rau mob stroke. Yog li, lwm yam tseem ceeb suav nrog:

  • lipid spectrum tsis meej;
  • laus;
  • txiv neej;
  • rog, lub cev tsis ua haujlwm, kev ua haujlwm tsis zoo;
  • congenital pathology ntawm phab ntsa vascular;
  • pathology ntawm hemostasis;
  • kab mob plawv (lub plawv nres, endocarditis, prosthetic valve).

Cerebellar stroke tuaj yeem tshwm sim los ntawm qhov tsis zoo sab nraud. Cais, kab mob ntawm lub paj hlwb, plawv thiab endocrine systems yog txawv:

  • mob ntshav qab zib mellitus;
  • thrombosis;
  • hlab ntshav siab;
  • yav dhau los lub plawv nres thiab mob stroke;
  • nce ntshav khov;
  • ntau dhau ntawm cov roj cholesterol thiab qabzib hauv cov ntshav.

Txoj kev ua neej ntawm tus neeg kuj cuam tshuam rau: tus cwj pwm phem, kev ntxhov siab ntau zaus, lub cev thiab lub hlwb qaug zog, kev ua neej tsis muaj zog, pw tsaug zog, tsis txaus noj haus.

Muaj kev cuam tshuam rau qhov tshwm sim ntawm tus kab mob no thiab kev siv tshuaj. Ntawm lawv yog cov tshuaj insulin (yog tias tsis noj raws sijhawm rau ntshav qab zib), tshuaj hormonal hauv kev kho mob plawv thiab endocrine kab mob, nrog rau cov tshuaj tiv thaiv kab mob rau cov poj niam.

Nyob tsis tshua muaj neeg, hnub nyoog, keeb kwm thiab qhov tsis zoo ntawm ib puag ncig ecological tej zaum yuav cuam tshuam.

Kev kho mob

Thaum kuaj pom tus mob hlab ntsha tawg, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob sai sai. Nyob ntawm hom thiab hom mob stroke, cov kws kho mob xaiv ib tus neeg txoj kev kho mob. Tej zaum nws yuav suav nrog kev kho mob nkaus xwb, thiab tej zaum yuav phais.

Cerebellar stroke prognosis
Cerebellar stroke prognosis

Kev kho tshuaj yog tsom rau kev txo qis theem mob stroke:

  • ntshav thinners (rau ischemic cerebellar stroke);
  • tshuaj uas nws qhov kev txiav txim yog txhawm rau ua kom cov ntshav txhaws (rau hemorrhagic stroke);
  • tshuaj tiv thaiv hypertensive kom normalize ntshav siab;
  • tshuaj tiv thaiv kab mob (yog tias koj muaj qaug dab peg thiabconvulsions);
  • sedatives thiab tranquilizers (yog tias tus neeg mob muaj kev puas siab puas ntsws overexcitation).

Kev phais yog qhia nyob rau hauv rooj plaub uas qhov mob loj.

Nyob rau hauv daim ntawv ischemic ntawm mob stroke, kev phais yog ua kom lub lumen ntawm lub nkoj txaj, tshem tawm cov hlab ntsha uas thaiv cov ntshav ntws, thiab tseem xa cov ntshav ntws los ntawm lub nkoj hloov.

cerebellar stroke tshwm sim
cerebellar stroke tshwm sim

Nyob rau hauv cov ntaub ntawv ntawm hemorrhagic stroke, kev phais yog ua los tshem tawm hematomas, txo qhov o ntawm lub hlwb cov ntaub so ntswg thiab rov ua kom muaj kev ncaj ncees ntawm cov hlab ntsha puas. Nrog mob stroke ntawm cerebellum ntawm lub paj hlwb, kev rov qab los thiab kev kho mob yuav tsum tau mus kho mob tam sim.

theem rov qab

Tom qab kev phais, cov ntshav mus rau lub cerebellum rov qab los. Tsis muaj kev hem thawj rau lub neej yav tom ntej. Tom qab mob stroke cerebellar, rov qab pib nrog lub sijhawm rov ua haujlwm. Feem ntau nyob rau hauv lub sij hawm nws kav ntau tshaj 1.5 xyoo. Lub sijhawm no, tus neeg mob mob siab rau thiab mob siab rau ua haujlwm kom rov qab muaj peev xwm ploj.

Kev kho kom rov zoo yog pom zoo kom ua raws li kev saib xyuas ntawm cov kws tshaj lij. Muaj cov kev kawm tshwj xeeb rau kev rov qab los nyob rau hauv cov chaw nqaim nqaim. Qhov kev pab cuam rov qab muaj xws li cov chaw kho mob hauv qab no:

  • massage;
  • kho lub cev;
  • kev tawm dag zog;
  • qhia los qhia kev hais lus (ntawm koj tus kheej lossis nrog kev pab ntawm tus kws kho hais lus);
  • psychologicalpab;
  • lub cev ua si ntawm simulators los kho kev sib koom tes ntawm kev txav;
  • siv lwm txoj kev kho mob: acupuncture, phau ntawv kho, hirudotherapy.

Tus neeg mob yuav tsum ua siab ntev thiab npaj tus cwj pwm zoo kom rov zoo.

cerebellar stroke cerebral rov qab cerebellar stroke rov qab
cerebellar stroke cerebral rov qab cerebellar stroke rov qab

Cov kws tshaj lij hais tias tsuas yog kev ntseeg ntawm nws tus kheej lub zog thiab ua haujlwm ntawm tus kheej xwb thiaj li yuav pab rov qab tau cov txuj ci uas ploj lawm.

Yuav ua li cas thiaj yuav tshwm sim

Hemorrhage nyob rau hauv cov ntaub so ntswg ntawm lub cerebellum, txhaws ntawm cov hlab ntsha uas pub lub cev tseem ceeb no, hem muaj teeb meem loj. Cerebellar stroke qhov tshwm sim tuaj yeem ua rau xws li:

  • o ntawm cerebellar cov ntaub so ntswg;
  • kev hloov pauv ntawm cov qauv hauv lub cerebellum;
  • extensive necrosis ntawm paj hlwb;
  • kev loj hlob ntawm coma;
  • faus.

Tsis pub dhau ib hlis, qhov tshwm sim ntawm cov teeb meem no tuaj yeem ua tau: mob ntsws, plawv tsis ua haujlwm, mob stroke.

Yog tus neeg mob muaj txoj sia nyob thiab raug mob rau theem mob stroke, tom ntej no nws yuav ntsib ntau yam kev txwv hauv lub neej ua haujlwm:

  • kev sib cav;
  • kev ua haujlwm tsis zoo ntawm lub cev muaj zog;
  • kev ua txhaum ntawm kev hais lus (qee zaum nws tsis ua tiav);
  • tshee ntawm nqua vim nce suab nrov ntawm cov leeg leeg.

Ntau tus neeg mob, txawm tias tom qab rov zoo los, tsis tuaj yeem sawv ntawm ib ceg. Cov teeb meem feem ntau tshwm sim hauvsim zaum saum lub rooj zaum. Muaj kev cuam tshuam hauv lub plawv dhia, theem ntawm hws nce.

Txhawm rau txo qhov tshwm sim ntawm cov teeb meem, yuav tsum muaj txheej txheem rov qab ntev. Txawm li cas los xij, nws yuav tsis tuaj yeem rov ua haujlwm tag nrho lub cev muaj zog.

Huab cua

Cerebellar stroke prognosis muaj, muab nws me me, poob siab. Tsis muaj kev cia siab rau kev rov zoo tag nrho. Txawm li cas los xij, txhua yam nyob ntawm qhov kev puas tsuaj rau lub cerebellum.

50% muaj feem yuav tuag. Ntau tus neeg mob tau muaj sia nyob tom qab tus kab mob no, tab sis tseem ua tsis taus pa.

Qhov kev cia siab yog qhov txaus ntshai nyob rau thawj lub lim tiam tom qab mob stroke. Cov neeg uas muaj sia nyob ib hlis lossis ntau dua yog nyob rau hauv txoj haujlwm zoo dua - lub neej expectancy thiab txoj hauv kev rov qab los nce.

Ua haujlwm nrog tus kws kho hlwb thiab tus kws kho mob hais lus yuav pab txhim kho koj tus mob. Nws yog ib qho tseem ceeb kom ua tiav cov haujlwm uas yuav ua rau kom txo qis kev ntxhov siab thiab tso tseg cov cwj pwm phem. Nco ntsoov pab cov neeg nyob ze. Tsuas yog nrog tus cwj pwm zoo thiab ua raws li txhua tus kws kho mob cov lus pom zoo tuaj yeem rov zoo, txawm tias qee qhov.

Yog tias koj muaj kev pheej hmoo ntawm mob hlab ntsha tawg, ces koj yuav tsum ua tib zoo xav txog kev tiv thaiv:

  • ua kis las;
  • thauj lub cev kom txaus;
  • saib ntshav siab;
  • zam qhov xwm txheej ntxhov siab;
  • tshawb xyuas cov roj cholesterol hauv cov ntshav;
  • pab hlwb scan.

Tau kawg, ua raws li cov nokev tiv thaiv tsis tuaj yeem pab kom zam tau tus kab mob. Txawm li cas los xij, nws yuav txo qhov kev pheej hmoo ntawm nws txoj kev loj hlob.

kev tiv thaiv mob stroke
kev tiv thaiv mob stroke

Yog ua tau, tau txais kev kho mob los ntawm cov kws tshaj lij uas muaj kev paub dhau los. Rehabilitation yog ua tau zoo tshaj plaws nyob rau hauv ib qho chaw tshwj xeeb. Cov neeg ua haujlwm paub txog thiab tau txais kev cob qhia, nrog rau cov cuab yeej tsim nyog, yuav pab koj rov qab sai dua tom qab raug mob stroke.

Thaum koj hnov cov tsos mob thawj zaug ntawm tus kab mob, tam sim ntawd nrog tus kws kho mob tham. Kev kuaj mob sai thiab kev kho mob yog tus yuam sij rau koj txoj sia nyob mus ntev.

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