Microstroke yog ib qho kev mob tshwm sim ntawm kev mob hnyav tag nrho hauv cov ntshav mus rau lub hlwb, uas yog mob stroke. Txhawm rau tiv thaiv cov teeb meem zoo li no, koj yuav tsum ua tib zoo saib xyuas koj txoj kev ua neej: tso tseg tus cwj pwm phem, ua raws li kev noj haus, tswj lub cev ua haujlwm siab thiab noj cov tshuaj tsim nyog. Txwv tsis pub, kev tawm tsam ntau dua thiab ua rau muaj kev puas tsuaj loj tuaj yeem ua raws li hauv ib xyoos (thiab qee zaum txawm tias ib hlis) tom qab thawj zaug. Txhawm rau tiv thaiv kev loj hlob ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum kuaj xyuas cov tsos mob hauv lub sijhawm thiab ua raws li kev kho mob raws li kws kho mob sau tseg. Hauv qhov no, koj tuaj yeem ua rau koj txoj hauv kev uas lub tshuab yuav tsis tshwm sim dua.
Definition
Tsis muaj ib lo lus hais txog tus kab mob piav qhia. Qee tus ntseeg tias microstroke yog txheej txheem nrog kev tuag ntawm ib feem me me ntawm lub hlwb. Lwm tus hu lub sij hawm no yog ib qho mob tshwm sim los ntawm qhov tsis muajntshav nyob rau hauv ib cheeb tsam ntawm lub hlwb.
Los ntawm txoj kev, tsis muaj qhov txhais li no hauv phau ntawv kho mob txhua. Cov kws tshaj lij piav qhia tias microstroke yog lub npe nrov rau cov pa oxygen tsis txaus hauv ib feem ntawm lub hlwb. Qhov tsis muaj oxygen yog ib ntus, thiab qhov teeb meem raug tshem tawm tsawg dua ib hnub. Vim li no, cov hlwb tsis tuag, xws li mob stroke. Lub npe kho mob tiag tiag rau tus mob no yog kev sib tsoo cerebrovascular.
Kev faib tawm
Kev sib tsoo cerebrovascular tau muab faib ua 3 hom:
- Kev mob ischemic nres.
- Hypertensive cerebral crisis.
- Cerebral vascular disorders.
Microstroke yog thawj hom ntawm cov kab mob no, uas yog nrog los ntawm cov tsos mob ntawm lub paj hlwb ntev li ob peb feeb mus rau teev. Lub npe kho mob nws tus kheej muaj kev txiav txim siab ntawm tus kab mob:
- lo lus "ntev" yog hais txog lub sijhawm ntawm qhov tshwm sim;
- "ischemic" - lub xeev tsis muaj oxygen;
- thiab ib qho kev tawm tsam hu ua mob hnyav.
Hom thib ob yog tus cwj pwm los ntawm kev nce siab, tawm tsam cov tsos mob ntawm lub paj hlwb thiab lub plawv. Thiab qhov thib peb tsis tshua muaj, nws cov cim qhia tsis ruaj khov thiab sib txawv ntawm ib tus neeg mus rau lwm tus. Qee lub sij hawm lawv tuaj yeem tshwm sim raws li fainting lossis tsis ua haujlwm ntawm cov hlab ntsha. Txij li thaum microstroke yog ib qho kev tawm tsam ischemic, peb yuav tham ntxiv.
Yog vim li cas
Muaj ntau qhov laj thawj rau kev tawm tsam, tab sis muaj qee qhov uas dhau los ua qhov tseem ceeb hauv feem ntau. Ntawm lawv:
- Atherosclerosis ntawm cerebral hlab ntsha. Lub tshuab ntawm microstroke nyob rau hauv cov ntaub ntawv no yog detachment ntawm cov quav hniav, kev loj hlob ntawm cov ntshav txhaws ntawm nws, los yog nce nyob rau hauv lub thickness ntawm phab ntsa ntawm lub hlab ntsha. Ib qho ntawm peb cov txheej txheem no ua rau ib nrab (55-75%) sib tshooj ntawm lub lumen tom kawg. Kev tuag ntawm tes tsis tshwm sim tsuas yog los ntawm resorption ntawm cov quav hniav lossis cov ntshav txhaws los ntawm lub zog ntawm lub cev.
- Thrombosis ntawm qis extremities. Kev thaiv cov hlab ntsha tuaj yeem yog qhov tshwm sim ntawm kev noj cov tshuaj tiv thaiv qhov ncauj lossis varicose veins. Qhov xwm txheej nyuaj yog tias, ntxiv rau, ib tus neeg raug kev txom nyem los ntawm arrhythmia. Hauv qhov no, thrombus tuaj yeem tawg tawm thiab hloov nrog cov ntshav ntws mus rau lub paj hlwb, uas cuam tshuam cov khoom noj khoom haus ntawm cov neurons. Yuav tsis muaj kev tuag yog tias cov hlab ntsha tawg.
- Kev noj cov tshuaj uas ua rau vasospasm, tshwj xeeb yog nicotine los ntawm luam yeeb. Spasm yog manifested nyob rau hauv compression ntawm cov hlab ntsha nyob rau hauv ib qho ntawm cov cheeb tsam. Feem ntau, cov kab mob cuam tshuam los ntawm qee yam pathology, xws li mob lossis mob ntshav qab zib, raug ntaus. Oxygen muab tau rov qab thaum qhov spasm dhau mus.
- Kev phais ntawm cov pob txha loj, kub hnyiab lossis nqaij ntshiv ntawm cov ntaub so ntswg subcutaneous tuaj yeem ua rau microstroke. Hauv qhov no, kev ncua nrog cov roj molecules nkag mus rau hauv cov hlab ntsha, uas ua rau muaj kev cuam tshuam luv luv.
- Subclavian steal syndrome. Lub sij hawm nyuaj no zais qhov nqaim ntawm cov hlab ntsha subclavian hauv ib qho chawanterior ceg ntawm vertebrate uas pub lub hlwb. Yog hais tias ib tug neeg uas muaj tus mob no nquag ua hauj lwm nrog nws txhais tes, cov ntshav khiav rushes mus rau lub nqua, thiab lub paj hlwb pib muaj kev noj haus tsis txaus.
- Npaj. Qib qis ntawm hemoglobin ua rau muaj qhov tseeb tias cov molecules tsawg dhau los koom nrog hauv kev thauj cov pa oxygen, yog vim li cas txhua lub cev thiab lub cev muaj kev tsis txaus, feem ntau ntawm lub hlwb.
- Tshuaj lom los ntawm cov pa roj carbon monoxide lom. Ib zaug hauv cov ntshav, carbon monoxide molecules thaiv hemoglobin, thiab nws tsis tuaj yeem thauj oxygen.
- Ntau cov ntshav viscosity. Qhov mob no tshwm sim nrog ntau cov qe ntshav liab, kab mob ntawm lub plawv thiab bronchi, nquag, tab sis tsis haus dej ntau. Cov ntshav khov tsis dhau qee cov hlab ntsha nyias, thiab lub hlwb tsis tau txais cov khoom noj zoo li qub.
Yog li, muaj kev pheej hmoo yog cov neeg mob atherosclerosis, txawv txav ntawm cov hlab ntsha, ntshav qab zib mellitus, kub siab, kab mob plawv thiab ntshav, migraine, osteochondrosis, qog nqaij hlav ntawm caj dab lossis hauv pob txha taub hau, aneurysm, vegetative-vascular. dystonia, varicose veins, rog dhau, kev ntxhov siab ntev, kab mob ntawm cov kab mob. Thiab kuj yog cov uas tsim txom tus cwj pwm phem, ua siab ntev rau lub cev hnyav, noj tshuaj tiv thaiv kab mob lossis tau ua haujlwm loj.
Tshwj xeeb txaus ntshai yog qhov xwm txheej uas tus neeg muaj ntau yam txaus ntshai rau kev loj hlob ntawm microstroke ib zaug. Hnub nyoog kuj ua lub luag haujlwm tseem ceeb ntawm no. Kev pheej hmoo yog ncetom qab 30 xyoo thiab ob npaug tom qab 60. Yog vim li cas rau qhov no yog ib tug slowdown nyob rau hauv metabolism, uas, zoo li lwm yam kabmob, muaj feem xyuam rau lub vascular phab ntsa. Qhov no ua rau kom txo qis ntawm txoj kab uas hla ntawm cov hlab ntsha uas xa cov ntshav mus rau lub hlwb, thiab kev ua tsis zoo ntawm lawv cov lus teb rau cov lus txib los ntawm lub paj hlwb uas tswj kev nthuav dav thiab kev cog lus.
thawj kos npe
Ib qho zuj zus microstroke feem ntau yog nrog los ntawm thawj cov cim, suav nrog:
- mob taub hau thiab kiv taub hau;
- loog ntawm ceg lossis qhov chaw ntawm lub ntsej muag;
- pom kev tsis pom kev, tsaus muag ua ntej qhov muag;
- muag qaug zog;
- nausea;
- ua tsis tiav hauv kev ua haujlwm ntawm vestibular apparatus thiab lub hlwb;
- tsis xis nyob ntawm daim tawv nqaij.
Hmoov tsis zoo, ob peb tus neeg mob siab rau cov tsos mob no thiab thawj cov tsos mob ntawm microstroke. Kev kho mob qeeb, thiab mob stroke tseem tshwm sim hauv feem ntau. Qhov no yog vim hais tias xws li tshwm sim ntawm tsis ua hauj lwm nyob rau hauv lub cev yog cov yam ntxwv ntawm ib tug ntau yam ntawm cov kab mob, thiab nws yog ib qho nyuaj rau kuaj tau ib tug transient ischemic nres raws li lawv. Tab sis ntawm qhov cuam tshuam, cov tsos mob tau tshaj tawm.
Ua raws cov tsos mob
Cov cim qhia ntawm micro-stroke nyob ntawm seb lub nkoj puas raug puas tsuaj. Yog tias nws yog cov hlab ntsha uas muab lub hlwb qia thiab occipital lobes, mob stroke yuav tshwm sim nws tus kheej ua ke ntawm ntau cov tsos mob los ntawm cov npe hauv qab no:
- poob ntawm qee thaj chaw los ntawm kev pom ntawm ob lub qhov muag;
- mob nraub qaum;
- kev txav ntawm lub qhov muag mus rau sab;
- tsis muaj peev xwm kov qhov ntswg nrog tes kaw qhov muag;
- suab nrov thiab nrov hauv pob ntseg;
- daim tawv nqaij;
- tawm hws ntau dhau;
- Zoo nqos qaub ncaug.
Thaum cov hlab ntsha carotid raug cuam tshuam, cov cim qhia muaj raws li hauv qab no:
- ua tiav lossis ib nrab qhov muag tsis pom kev;
- kev puas tsuaj ntawm qhov rhiab ntawm ceg ceg (ntxiv rau, yog tias qhov muag tsis pom kev ntawm qhov muag sab xis, sab caj npab thiab txhais ceg tsis muaj zog, thiab rov ua dua);
- tsis muaj zog ntawm cov leeg masticatory;
- kev hais lus tsis zoo;
- kev tsis sib haum xeeb ntawm kev txawj tsav tsheb zoo.
Cov tsos mob ntxiv muaj xws li:
- temporal amnesia thiab spatial poob;
- tsis muaj peev xwm tsim tau ib qho kev xav thiab hais kom meej;
- ib feem ntawm lub cev tuag tes tuag taw.
Yog cov cim qhia ntawm micro-stroke tsis ploj mus ntev tshaj li ib hnub, muaj laj thawj ntseeg tias muaj mob stroke tag nrho tau tshwm sim.
cov yam ntxwv tshwj xeeb
Poj niam ntaus ntau dua. Qhov no yog vim muaj ntau dua predisposition rau thrombosis vim physiological yam ntxwv thiab tsis tshua muaj kev ntxhov siab. Cov tsos mob ntawm mob stroke thiab microstroke hauv cov poj niam yuav txawv ntawm cov txiv neej. Yog li, lawv feem ntau muaj qhov tsis xis nyob ntawm cov ceg, tingling nyob rau hauv lawv, tsis paub meej ntawm kev hais lus, liab ntawm lub ntsej muag, ua tsis taus pa, convulsions, qhov muag tsis pom kev, thiab mob taub hau loj. Tsis tas li ntawd, hiccups, kev nyuaj siab,Tsis muaj peev xwm tswj tau tus kheej li kev xav, mob ntawm caj npab, ceg, hauv siab lossis plab, xeev siab, kiv taub hau, tsis meej pem, qhov ncauj qhuav, txhaws ntswg, plawv palpitations.
Cov cim tshwj xeeb ntawm mob stroke thiab microstroke hauv cov txiv neej kuj muaj. Lawv yog cov yam ntxwv los ntawm huab cua ntawm kev nco qab, tsis muaj zog tswj tsis tau, hnov lus thiab hais lus tsis zoo, tsis muaj kev sib koom tes, nyuaj rau kev nkag siab.
Vim txhua tus neeg txoj kev noj qab haus huv sib txawv, tsis hais poj niam los txiv neej, cov tsos mob yuav tshwm sim rau qib sib txawv lossis tsis tag nrho. Ib lub cev muaj zog txaus tuaj yeem tiv taus lub tshuab kom tus neeg tsis tuaj yeem cuam tshuam qhov tseem ceeb ntawm qhov tsis zoo ntawm nws tus mob thiab txuas ntxiv coj nws txoj kev ua neej ib txwm muaj. Cov cim qhia ntawm microstroke raug mob ntawm ob txhais ceg zoo ib yam li cov lus piav qhia saum toj no, tab sis qhov tshwm sim tuaj yeem loj dua.
Txhais tau
Nrog qhov tshwm sim ntawm 50%, tom qab micro-stroke, tag nrho-fledged stroke yuav tshwm sim. Feem ntau qhov no tshwm sim hauv ib xyoos, tab sis nws tuaj yeem tshwm sim tom qab ob peb hnub, thiab ib hlis, thiab txawm tias tom qab 5 xyoos. Qhov no tuaj yeem zam tau los ntawm kev ntsuas los txhim kho cov ntshav. Txhob ntshai lub xeev. Kev tawm tsam ischemic nyob rau hauv nws tus kheej tsis ua rau tuag, thiab yog tias mob stroke tshwm sim tom qab nws, lub cev yuav zam tau zoo dua yog tias mob stroke tshwm sim yam tsis tau npaj ua ntej. Qhov no yog vim tias tom qab lub microstroke, cov hlab ntsha nce ntxiv, uas ua rau nws muaj peev xwm faib tau ntau qhov sib npaug ntawm lawv.
Txawm li cas los xij, qhov kev tawm tsam tsis dhau yam tsis muaj kab mob rau lub cev. Tej yam tshwm sim tom qab nws yog:
- kev nyuaj siab;
- memory deterioration;
- kev xav tsis thoob;
- repeated strikes;
- kev puas siab puas ntsws.
Cov txiaj ntsig ntawm microstroke no tshwm sim hauv cov txiv neej thiab poj niam.
Kev pab ib zaug
Yog tias muaj kev xav tias ib tus neeg tau mob stroke, thawj qhov ua yog hu lub tsheb thauj neeg mob. Thaum tos cov kws kho mob, tus neeg mob yuav tsum tau muab cov khaub ncaws tsis nruj (xws li txoj siv sia lossis khi) thiab tso nws kom nws tsis txhob poob ntawm kiv taub hau thiab nkim lub zog uas nws xav tau kom rov zoo.
Microstroke tuaj yeem nrog cov kua dej ntau hauv pob txha taub hau, thiab qhov no cuam tshuam nrog o ntawm lub hlwb, yog li tus neeg raug mob lub taub hau yuav tsum tau muab tso rau ntawm lub hauv ncoo ntawm lub kaum sab xis ntawm lub cev. Nws yog qhov yuav tsum tau ntsuas ntshav siab thiab, yog tias tsim nyog, muab tshuaj kom txo qis, tab sis nws yog qhov zoo dua los tham nrog kws kho mob hauv xov tooj ua ntej. Yog tias tus neeg mob pib ntuav, nws yog qhov zoo dua los tig lub taub hau mus rau ib sab. Yog hais tias lub plawv dhia thiab ua tsis taus pa, resuscitation yuav tsum tau ua nyob rau hauv daim ntawv ntawm kev ua pa.
Diagnosis
Hauv lub tsev kho mob, thawj qhov uas yuav tsum tau ua yog tsim cov cim thiab cov tsos mob ntawm microstroke, kev kho mob yog ua raws li lawv. Qhov kev kuaj mob ntawm "tam sim no ischemic nres" yog tsim los ntawm cov kws tshaj lij tom qab kev kawm tomographic. Koj tuaj yeem pom thiab tshawb xyuas lub hlwb hauv cov txheej txheem siv cov hauv qab no:
- computertomography;
- Magnetic resonance imaging kom pom lub hlwb qauv;
- positron emission, qhov tseeb uas tso cai rau kuaj pom qhov chaw ntawm ischemia thaum cov tsos mob tshwm sim thaum lub sijhawm kuaj.
Thaum kev tshawb fawb pom tias muaj qhov tuag ntawm lub hlwb, kuaj mob stroke. Yog tias lawv tsis nyob, ces cov hlab ntsha raug kuaj xyuas seb puas muaj cov plaques thiab cov ntshav txhaws. Yog tias lawv pom, muaj kev ua haujlwm kom tshem tawm lawv, yog li txo qhov kev pheej hmoo ntawm mob stroke.
Ntxiv rau cov kev tshawb fawb no, kuaj cov leeg ntawm ob txhais ceg, electrocardiogram thiab kuaj ultrasound ntawm lub plawv, ntshav tau coj los tshuaj xyuas. Yog tias pom muaj cov kab mob pathologies, kev ntsuas raug coj los tswj cov ntsuas. Tag nrho cov no yuav pab kom muag qhov cuam tshuam.
Kev kho mob
Tom qab kev kuaj mob, kev kho mob thiab kev ntsuas rov qab los. Lub microstroke ua rau tsis muaj oxygen; thaum mob hnyav, lub npog ntsej muag oxygen muab tso rau ntawm tus neeg raug tsim txom lossis txuas nrog lub tshuab ua pa. Nrog kev pab los ntawm kev npaj tshwj xeeb, lawv nthuav cov hlab ntsha, txhim kho kev nqus ntawm oxygen los ntawm cov neurons, normalize ntshav siab, stabilize lub plawv ua hauj lwm, nyias cov ntshav, thiab tshem tawm tau o ntawm lub hlwb.
Kev phais yuav tsum tau ua yog tias angiography qhia cov hlab ntsha nqaim ntau dua li ib nrab. Hauv qhov no, kev teeb tsa ntawm stent, endarterectomy lossis angioplasty yog xav tau. Kev kho mob ntxiv rau cov cim qhia ntawm microstrokefeem ntau tsis xav tau thaum lawv hla dhau ib teev thiab qee zaum feeb.
Tom qab tus neeg tau txais kev pab thawj zaug, nws raug xa mus rau tsev kho mob paj hlwb, thiab yog tias muaj kev txhim kho tseem ceeb thiab tsis muaj kev hem thawj rau lub neej, nws tseem nyob hauv tsev. Txawm li cas los xij, hauv tsev, kev kho mob ntawm microstroke tseem yuav tsum tau ua. Nws yuav muaj nyob rau hauv kev ntsuas kev kho mob.
Ua ntej tshaj plaws, koj yuav tsum ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob, tab sis ntxiv rau, koj tuaj yeem sim ua kom rov zoo ntawm koj tus kheej:
- Ib qho infusion ntawm celandine yog pab tau rau qhov no. Nws yog npaj los ntawm 1 tablespoon ntawm kws tshuaj, sau nrog ib khob ntawm boiling dej thiab hnub nyoog rau 2 teev. Kev noj 20 tee peb zaug hauv ib hnub yuav pab kom rov qab ua haujlwm.
- Hloov celandine, koj tuaj yeem siv sage. Rau 500 ml ntawm dej, 3 tablespoons qhuav nyom yog noj, ces lawv yog infused rau ob peb teev. Koj yuav tsum noj 100 ml 3 zaug ib hnub.
- Yog tias ua tau, koj tuaj yeem ua kom muaj kev sib xyaw ntawm spruce cones. Lawv raug crushed, ncuav nrog dej txias, kaw nruj nreem thiab infused nyob rau hauv ib qho chaw tsaus rau ob lub lis piam. Cov tshuaj strained yog noj 25 tee ib hnub twg.
- Koj tuaj yeem ua kom rov qab zoo ntawm cov hlab ntsha ntawm tus txha caj qaum nrog ib qho tincture ntawm 1 teaspoon ntawm qhuav peony paj, ncuav rau hauv ib khob dej kub npau npau thiab hnub nyoog 2 teev. Cov kua strained yog noj 4 zaug hauv ib hnub rau ib tablespoon.
Cov zaub mov Folk siv tau zoo, tab sis ua ntej siv lawv, koj xav taunrog koj tus kws kho mob tham. Qee cov tshuaj yuav tsuas yog contraindicated nyob rau hauv tej yam mob.
Kev Tiv Thaiv
Yuav kom tsis txhob ntsib teeb meem ntawm qhov tsis muaj oxygen hauv cov ntaub so ntswg hauv lub hlwb, lossis tsawg kawg txo nws txoj kev pheej hmoo, koj yuav tsum tshem tawm cov teeb meem tshwm sim. Txhawm rau ua qhov no, ua raws cov lus qhia hauv qab no:
- muab tus cwj pwm phem;
- txo cov rog thiab kib;
- kho cov kab mob tshwm sim raws sijhawm;
- saib xyuas cov ntshav qab zib;
- tswj ntshav siab;
- zam lub cev ntau dhau;
- kom xeem dhau sijhawm.
Kev ua raws li cov cai no tseem tsim nyog tom qab thawj zaug tawm tsam txhawm rau tiv thaiv kev rov ua dua, thiab yog tias tus neeg tsis tau ntsib qhov teeb meem no, tab sis muaj kev pheej hmoo. Nws yog qhov zoo dua los tiv thaiv kev txhim kho ntawm tus kab mob dua li kev ua kom rov qab mus ntev. Micro-stroke tsis yog kab lus, tab sis kev ua haujlwm tsis zoo hauv lub cev tuaj yeem ua rau muaj qhov tsis zoo.
