Yog xav tias muaj kab mob hauv lub hlwb, cov neeg mob tau muab tshuaj magnetic resonance imaging. Feem ntau, cov txiaj ntsig ntawm kev tshawb fawb qhia tias tus neeg mob tau nthuav dav perivascular qhov chaw. Nws txaus ntshai npaum li cas? Thiab cov kab mob dab tsi tuaj yeem qhia tau tias muaj cov tsos mob zoo li no? Peb yuav xav txog cov teeb meem no hauv kab lus.
Perivascular qhov chaw nyob nruab nrab ntawm cov phab ntsa ntawm cov hlab ntsha thiab cov teeb meem dawb ntawm lub hlwb. Cov formations no kuj hu ua criblures los yog Virchow-Robin chaw. Lawv tau ntim nrog CSF thiab tswj cov dej ntws tawm ntawm cerebrospinal.
Feem ntau, criblures me me heev uas lawv tsis pom ntawm MRI. Txawm li cas los xij, muaj cov xwm txheej thaum qhov kev ntsuam xyuas txiav txim siab nthuav dav perivascular qhov chaw. Qhov kev kuaj mob no txhais li cas? Qhov no qhia tau hais tias criblures pom thaum lub sij hawm kuaj MRI. Lawv zoo li cov pob dawb hauv daim duab.
Yog vim li cas
Dilated perivascular qhov chawRobin - Virchow tsis yog ib qho cim ntawm pathology. Qhov txiaj ntsig ntawm kev kuaj mob no kuj tau pom nyob rau hauv cov neeg noj qab haus huv heev. Feem ntau, kev nthuav dav ntawm criblures tau pom nyob rau hauv cov neeg mob laus thiab cuam tshuam nrog cov hnub nyoog hloov pauv hauv lub hlwb.
Txawm li cas los xij, qee zaum, qhov chaw loj ntawm cov hlab ntsha tuaj yeem yog qhov cim ntawm cov kab mob hauv qab no:
- cerebral atrophy;
- leukoareosis;
- cerebral ischemia (xws li cerebral infarction);
- disseminated encephalomyelitis.
Nyob rau hauv cov neeg laus, kev nthuav dav ntawm txaj yog feem ntau sau tseg nrog kub siab, atherosclerosis, dementia. Cov kab mob no feem ntau yog nrog los ntawm kev puas hlwb thiab lwm yam kev puas hlwb.
Txoj kev kuaj mob ntxiv
Yuav ua li cas yog tias MRI cov txiaj ntsig qhia tias koj tau nthuav dav perivascular Virchow-Robin? Nws yog ib qho tsim nyog los qhia cov ntawv sau tseg ntawm txoj kev tshawb no rau tus kws kho mob neurologist. Tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem txiav txim siab seb qhov no yog qhov txawv ntawm cov qauv, qhov muaj hnub nyoog ntsig txog, lossis kos npe ntawm pathology.
Muaj cov xwm txheej thaum MRI tsis qhia txog kev hloov pauv hauv lub hlwb, tab sis daim duab qhia txog qhov loj ntawm qhov chaw Virchow-Robin. Qhov no txhais li cas? Raws li txoj cai, xws li cov tsos mob tsis qhia txog pathology. Cov kws kho mob txiav txim siab txog kev nce hauv kev ntxhov siab tsuas yog ua ke nrog lwm cov kev hloov pauv tau pom thaum kuaj MRI.
Yog tias tsim nyog, tus kws kho mob tuaj yeem sau ntawv mus kuaj ntxiv:
- multispiral xam tomography;
- vascular angiography;
- doppler;
- cawv tshawb fawb.
Cia peb saib ze dua ntawm cov kab mob thiab cov xwm txheej uas tuaj yeem ua rau Kriblure nthuav dav.
Brain atrophy
Yog tias tus neeg mob tau nthuav dav perivascular qhov chaw thiab tib lub sijhawm lub paj hlwb txo qis, ces cov kws kho mob tham txog atrophy ntawm lub cev. Feem ntau nws yog ib qho cim ntawm cov kab mob hauv qab no:
- senile dementia;
- Alzheimer's disease.
Nyob rau hauv cov kab mob no, kev tuag ntawm neurons tshwm sim. Qhov no yog nrog los ntawm kev puas hlwb, kev puas hlwb, kev puas hlwb. Feem ntau, cov kab mob no tshwm sim hauv cov neeg laus.
Hauv qee kis, nthuav dav perivascular qhov chaw ntawm Virchow - Robin tau txiav txim siab hauv cov menyuam yug tshiab. Qhov no yuav yog ib qho cim ntawm cov kab mob loj heev, nrog rau kev tuag ntawm cov neurons.
Yuav ua li cas kho cov kab mob zoo li no? Tom qab tag nrho, nws tsis tuaj yeem rov qab kho cov neurons ploj lawm. Koj tsuas tuaj yeem qeeb cov txheej txheem ntawm kev tuag ntawm cov paj hlwb. Cov neeg mob tau muab cov tshuaj hauv qab no rau kev kho mob:
- nootropics: Piracetam, Cavinton, Nootropil;
- Ysedatives: Phenazepam, Phenibut;
- tshuaj tiv thaiv kev nyuaj siab: Valdoxan,"Amitriptyline".
Qhov kev cia siab ntawm cov kab mob no feem ntau yog qhov tsis zoo, raws li lub hlwb atrophy thiab neuronal tuag zuj zus.
Cov kws kho mob Leukoareosis hu rau qhov tsis tshua muaj tshwm sim ntawm cov teeb meem dawb ntawm lub hlwb. Vim muaj kev hloov pauv hauv cov ntaub so ntswg, cov neeg mob tau nthuav dav perivascular qhov chaw. Qhov no kuj yog ib qho cim ntawm cov kab mob uas tshwm sim rau cov neeg laus:
- mob ntshav siab;
- senile dementia.
Hloov cov teeb meem dawb ntawm lub hlwb ua rau lub hlwb tsis zoo. Cov neeg mob tau txais kev kho mob nrog cov tshuaj nootropic. Cov tshuaj no txhim kho cov khoom noj khoom haus ntawm cov neurons thiab nres lawv txoj kev tuag. Nrog atherosclerosis, statins tau qhia. Cov tshuaj tiv thaiv kab mob siab yog muab rau cov ntshav siab.
Ischemic mob
Thaum ischemia ua rau cov ntshav txaus rau lub hlwb. Qhov no feem ntau yog tshwm sim los ntawm kev hloov atherosclerotic hauv cov hlab ntsha. Tus neeg mob ib ntus muaj kev kiv taub hau, ob lub zeem muag, kev sib koom ua ke, kev hais lus thiab kev nco. Vim muaj kev hloov hauv cov hlab ntsha, qhov chaw nyob ib ncig ntawm lawv cov phab ntsa kuj nthuav.
Cov neeg mob tau sau tshuaj nootropic ("Piracetam", "Cerebrolysin", "Actovegin"), nrog rau cov tshuaj uas normalize metabolism hauv hlwb hlwb ("Cortexin", "Ceraxon"). Nyob rau tib lub sijhawm, nws tseem ceeb heev rauKev kho etiotropic ntawm atherosclerosis nrog statins. Muab tshuaj "Lovastatin", "Atorvastatin", "Simvastatin". Qhov kev kho no tshem tawm qhov ua rau ischemia.
Cerebral infarction
Ntau zaus, qhov chaw perivascular tau nthuav dav hauv cov neeg mob uas tau mob hlwb. Tus kab mob no yog qhov tshwm sim ntawm lub sijhawm ntev ischemia. Qee zaum, cerebral infarction yog asymptomatic thiab mus tsis pom los ntawm tus neeg mob. Nws cov teebmeem tsuas tuaj yeem pom ntawm MRI scan.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias yog tias tus neeg mob muaj kev pheej hmoo (cov ntshav siab, atherosclerosis, ntshav qab zib mellitus), ces lub plawv nres tuaj yeem rov ua mob hnyav. Cov tshuaj tiv thaiv kab mob siab, cov tshuaj hypoglycemic, thiab cov ntshav thinners raug sau tseg los tiv thaiv kev rov tshwm sim ntawm tus mob ischemia.
YDisseminated encephalomyelitis
Disseminated encephalomyelitis (REM) yog ib qho mob hnyav ntawm lub paj hlwb. Hauv cov kab mob no, myelin sheath ntawm cov paj hlwb raug rhuav tshem. Lub perivascular qhov chaw ntawm Virchow - Robin tau loj hlob vim qhov swb ntawm cov teeb meem dawb thiab grey. Demyelination foci pom ntawm daim duab MRI.
Cov kab mob no muaj keeb kwm autoimmune. Daim duab kho mob ntawm tus kab mob zoo li cov tsos mob ntawm ntau yam sclerosis. Cov neeg mob muaj gait thiab txav mus los, hais lus tsis meej, kiv taub hau, o ntawm lub paj hlwb.
Tsis zoo li ntau lwm yam kab mob demyelinating, REM kho tau. Mobsau tshuaj corticosteroids los tiv thaiv autoimmune teb:
- "Prednisolone";
- "Dexamethasone";
- "Metipred".
Tom qab kev kho mob, 70% ntawm cov neeg mob rov zoo tag nrho. Nyob rau hauv cov neeg mob siab heev, qhov tshwm sim ntawm tus kab mob tuaj yeem tshwm sim hauv cov neeg mob: kev cuam tshuam ntawm cov ceg ceg, kev tsis pom kev, pom kev cuam tshuam.
Kev Tiv Thaiv
Yuav ua li cas tiv thaiv cov kab mob saum toj no? Nws tuaj yeem txiav txim siab tias cov neeg laus laus raug mob ntau dua rau cov kab mob no. Yog li ntawd, txhua tus neeg muaj hnub nyoog 60 xyoo yuav tsum tau mus ntsib kws kho mob hlwb tsis tu ncua thiab kuaj MRI ntawm lub hlwb.
Nws tseem ceeb heev uas yuav tsum saib xyuas cov qib roj cholesterol nyob rau hauv cov ntshav thiab ntshav siab. Tom qab tag nrho, cov kab mob nrog rau kev hloov pauv pathological hauv cov teeb meem dawb feem ntau tsim tawm tsam keeb kwm ntawm atherosclerosis thiab kub siab.
