Cerebral vasospasm yog ib qho kev nqaim ntawm lub lumen ntawm cov phab ntsa ntawm cov hlab ntsha. Tus mob no txaus ntshai vim nws ua rau muaj kev cuam tshuam loj hauv kev ua haujlwm ntawm lub paj hlwb.
Txhawm rau tiv thaiv nws qhov pib, koj yuav tsum paub cov laj thawj vim li cas nws feem ntau tshwm sim. Hais txog cov tsos mob ntawm spasm ntawm cerebral hlab ntsha, thiab yuav ua li cas kho cov kab mob no, tam sim no peb yuav tham.
yam ntxwv dav dav
Ua ntej peb tig mus rau cov tsos mob ntawm cerebral vasospasm, peb yuav tsum tham txog dab tsi cov txheej txheem hauv lub cev qhia qhov tshwm sim no.
Yog li, cov txheej txheem txav ntshav los ntawm cov hlab ntsha yog nrog los ntawm kev cog lus thiab so ntawm lawv cov phab ntsa. Thaum twg spasm tshwm sim? Nyob rau hauv xws li, thaum cov phab ntsa raug txo, tab sis so tsis tshwm sim. Vim li no, cov txheej txheem ntshav khiav tsis zoo thiab mob tshwm sim.
Thiab ntawm no yog cov cim qhia rau spasm yog yam ntxwv:
- Tsuas cov hlab ntsha me hauv lub hlwb raug cuam tshuam.fabrics.
- Hloov pauv tsuas yog ib lossis ob peb thaj chaw ntawm hemisphere, tab sis tsis yog tag nrho lub hlwb.
- Spasm ua rau muaj zog ntawm cov leeg nqaij ntawm cov phab ntsa vascular.
- Qhov tshwm sim yuav xaus rau ib pliag lossis kav ntev li ob peb teev, tab sis tsis muaj ntxiv lawm.
- Tib lub sijhawm, kev ua haujlwm ntawm cov paj hlwb ua haujlwm tsis zoo vim qhov txo qis hauv kev siv thiab ceev ntawm cov ntshav khiav.
Qhov tseem ceeb tshaj plaws yog kev cuam tshuam ntawm lub hlwb ua rau tsis ua haujlwm hauv txhua lub cev thiab lub cev. Vim tias lawv ua haujlwm tag nrho, kev noj zaub mov tas li yog qhov tsim nyog. Thiab nws tau ua tiav los ntawm cov hlab ntsha uas tso ntshav.
Symptoms
Tsis muaj cov cim tshwj xeeb ntawm cov kab mob no. Ib qho kev mob tshwm sim ntawm cov hlab ntsha ntawm lub paj hlwb yuav tshwm sim, thiab ib tus neeg yuav tsis xav tias qhov no qhia tau hais tias muaj teeb meem nrog kev cog lus ntawm lawv cov phab ntsa - nws yuav tsuas sau nws tawm rau lwm yam.
Tab sis feem ntau ob peb lub cim qhia lawv tus kheej ib zaug. Namely:
- mob taub hau.
- Flashing "goosebumps" ua ntej ob lub qhov muag.
- kiv taub hau.
- Kev ua haujlwm qis dua thiab ua rau qaug zog ntxiv.
- Ntaus thiab ntuav.
- Tinnitus aggravated by exercise.
Hauv qhov tshwj xeeb yog mob hnyav, cov tsos mob hauv qab no ntawm cerebral vasospasm tshwm sim:
- hais tsis taus.
- Poob kev taw qhia hauv qhov chaw.
- Memory gaps.
- Poob tsis nco qab.
- Kev sib koom teskev txav chaw.
Raws li txoj cai, txhua yam tshwm sim sai sai. Ib tug neeg tuaj yeem ua siab ntev mus txog lawv txoj kev lag luam, tab sis qhov thib ob tom ntej lawv ntsib ib qho ntawm cov saum toj no lossis txawm tias tag nrho cov tsos mob ib zaug.
Txawm li cas los xij, kuj tseem muaj cov neeg mob hnyav. Nws manifests nws tus kheej nrog cov tsos mob me, tab sis yog fraught nrog teeb meem, thiab ntawm no, ischemic stroke yog qhov hnyav tshaj plaws. Nws txhim kho yog tias lub lumen ntawm lub nkoj raug thaiv tag nrho.
Yog tias koj tsis muab kev pabcuam raws sijhawm rau ib tus neeg, vim tsis muaj ntshav txaus, kev tuag ntawm cov neurons yuav pib.
Vim li cas thiaj muaj kev txwv?
Hais txog cov tsos mob ntawm cerebral vasospasm, yog vim li cas kuj tsim nyog sau cia. Tus txhais feem ntau yog ib qho ntawm cov hauv qab no:
- Ua haujlwm dhau. Thaum ib tug neeg ua haujlwm hnyav heev, nws cov ntshav poob qis. Qhov no yog fraught nrog spasms.
- Tsis tsaug zog. Lub paj hlwb, zoo li lwm yam kabmob hauv lub cev, xav tau kev so. Yog hais tias ib tug neeg tsis tsaug zog txaus, nws qhov qaug zog tsis tau tshem tawm tag nrho. Qhov no ua rau mob taub hau thiab vasospasm.
- Tsis muaj oxygen. Vim li no, kev noj haus ntawm lub hlwb deteriorates ho, thiab cov hlab ntsha ua ntej ntawm tag nrho cov teb rau qhov no. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nquag tso cua tawm hauv chav uas tus neeg siv sij hawm ntau tshaj plaws, thiab taug kev hauv huab cua ntshiab.
- Kev haus luam yeeb. Cov neeg haus luam yeeb ntau dua ib pob luam yeeb hauv ib hnubpawg txaus ntshai.
- Vegetovascular dystonia. Cov tsos mob muaj xws li mob plawv, lub plawv dhia ceev, ntshav siab thiab kub, tawm hws, xeev siab, ua tsis taus pa thiab tinnitus.
- Tachycardia thiab lwm yam mob plawv.
- Oncology.
- Kev mob ntawm cov thyroid caj pas thiab lub raum.
- Osteochondrosis ntawm lub ncauj tsev menyuam qaum.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov xwm txheej niaj hnub no tuaj yeem ua rau pom cov tsos mob ntawm cerebral vasospasm hauv cov neeg laus. Piv txwv li, raug bareheaded nyob rau hauv txias ntev heev, haus dej cawv ntau los yog raug kev nyuaj siab.
Diagnosis
Pom pom cov tsos mob ntawm lub paj hlwb vasospasm, kev kho mob yuav tsum pib sai li sai tau. Tab sis ua ntej ntawd, koj yuav tsum xyuas kom meej tias mob taub hau thiab lwm yam tsis kaj siab tshwm sim yog cov cim qhia ntawm no tshwj xeeb pathology. Yog li xav tau kev kuaj mob. Raws li txoj cai, nyob rau hauv cov xwm txheej zoo li no, ib tus yuav tsum hu rau tus kws kho mob angiosurgeon lossis kws kho mob hlwb.
Tom qab nug thiab tshuaj xyuas qhov muag, tus neeg yuav raug qhia kom ua raws li cov txheej txheem hauv qab no:
- Ultrasound, uas txiav txim siab pom muaj teeb meem nrog cov ntshav txhaws, nrawm ntawm cov ntshav khiav thiab qhov xwm txheej ntawm cov hlab ntsha.
- MRI nrog qhov sib txawv. Txoj kev tshawb fawb no yuav pab txheeb xyuas yuav luag txhua qhov pathologies ntawm cov hlab ntsha hauv hlwb, txawm tias me me metastases uas tsis pom nrog cov pa MRI. Nws yog nqa tawm nrog kev qhia txog cov tshuaj tshwj xeeb rau hauv cov ntshav, uas txhim kho cov duab zoo.
- X-ray nrog qhov sib txawv. Cov txheej txheem zoo ib yam li yav dhau los.
Txawm li cas los xij, nyob ntawm tus yam ntxwv ntawm tus kabmob, tus neeg mob yuav raug tshuaj ib lossis lwm txoj kev kuaj mob.
Kho nrog antispasmodics
Tam sim no peb tuaj yeem tham txog yam koj yuav tsum tau coj los daws cov tsos mob ntawm cov hlab ntsha hauv hlwb. Cov tshuaj los ntawm pab pawg ntawm antispasmodics pab tshem tawm qhov mob, yog li kev kho mob tsis tiav yog tsis muaj lawv. Txawm li cas los xij, lawv cov nyhuv yog ib ntus, ploj mus tom qab ob peb teev, yog li noj cov tshuaj no ua ke nrog kev siv lwm yam tshuaj. Tab sis ntau ntxiv txog lawv tom qab.
Cov tshuaj tua kab mob zoo yog:
- "Papaverine". Cov tshuaj myotropic uas inhibits phosphodiesterases (enzymes), ua rau cov hlab ntsha loj, txo cov leeg nqaij thiab cov hlab ntsha, thiab txhim kho cov ntshav khiav. Kuj tseem muaj cov nyhuv hypotensive.
- "Drotaverine forte". Nws muaj cov nyhuv myotropic thiab vasodilating. Txo kev ua haujlwm ntawm lub cev muaj zog ntawm cov leeg nqaij ntawm lub cev thiab lawv lub suab. Cov tshuaj muaj pes tsawg leeg zoo ib yam li cov tshuaj yav dhau los, tab sis tshaj nws hauv kev ua tau zoo thiab lub sijhawm raug.
- "No-Shpa". Cov tshuaj muaj npe nrov no muaj hypotensive, vasodilating, myotropic thiab antispasmodic teebmeem.
- "Bellalgin". Nws muaj cov nyhuv analgesic, me ntsis tshuaj loog, antacid thiab antispasmodic nyhuv. Pom zoo kom tshem tawm spasms thiab mob syndromes nyob rau hauv cov kab mob ntawm lub plab zom mov.
- "Spazmolitin". Cov tshuaj no muaj cov tshuaj anticholinergic, muaj cov tshuaj loog hauv zos. Cov cuab yeej siv tau zoo, pab daws txawm tias muaj neuralgiathiab neuritis.
Txhua cov tshuaj uas tau teev tseg siv los tshem tawm cov tsos mob thiab kho cov hlab ntsha hauv hlwb yog cov khoom siv ntawm atropine (ib qho m-cholinergic receptor blocker).
Koj tuaj yeem noj "Andipal" - spasmoanalgesic, kev sib xyaw ua ke uas ua ke cov khoom ntawm "Papaverine", "Dibazol" thiab "Analgin"
Eufillin, Atromidin, Atomax thiab Mekavor cov ntsiav tshuaj kuj tseem tuaj yeem pab tshem tawm cov tsos mob thiab kho mob cerebrovascular spasm.
tshuaj tiv thaiv kab mob
Lawv tus kws kho mob kuj yuav sau ntawv. Kev kho mob ntev ntev yuav tsum tau noj cov tshuaj uas pab kho cov suab nrov thiab ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha. Cov tshuaj hauv pawg no suav nrog:
- "Vinpocetine forte". Cov cuab yeej no txhim kho lub hlwb metabolism thiab cov ntshav ncig. Nws muaj cov nyhuv vasodilating ncaj qha rau ntawm cov hlab ntsha ntawm lub hlwb, vim nws cov khoom myotropic. Txhim kho microcirculation thiab ntshav hauv cov ntaub so ntswg hauv hlwb, normalizes rheological zog ntawm cov ntshav thiab txo platelet aggregation.
- Cavinton. Nws kuj tseem txhim kho lub hlwb metabolism thiab cov ntshav ncig. Nws nce kev noj cov pa oxygen thiab qabzib los ntawm lub hlwb cov ntaub so ntswg thiab kev tiv thaiv ntawm neurons rau hypoxia, txhim kho kev sib pauv ntawm serotonin thiab norepinephrine. Nws kuj txo cov ntshav thiab txo cov platelet aggregation.
- Bravinton. Muab tag nrho cov saum toj no, thiab kuj ncecov ntsiab lus ntawm catecholamines nyob rau hauv cov ntaub so ntswg hlwb.
- Telectol. nthuav cov hlab ntsha, muaj antiaggregant thiab antihypoxic nyhuv. Ua kom ntshav txaus (tshwj xeeb tshaj yog nyob rau hauv cov cheeb tsam ischemic).
- Nicotinic acid. Qhov no lipid-txo tus neeg sawv cev them nyiaj rau qhov tsis muaj vitamin PP, normalizes cov concentration ntawm lipoproteins thiab cov roj cholesterol hauv cov ntshav, thiab tseem txhim kho microcirculation thiab muaj vasodilating nyhuv ntawm cov hlab ntsha me.
Qhia txog cov tshuaj twg tiag tiag pab txhawm rau tshem tawm cov tsos mob ntawm cerebral vasospasm, nws yuav tsum tau muab sau tseg tias periwinkle tshuaj nroj tsuag thiab cov khoom tsim los ntawm nws cov derivatives - nitrogen-muaj cov organic tebchaw muaj kev cuam tshuam ntev. ntawm cov ntshav ncig.
Calcium channel blockers
Cov tshuaj no pab kho cov kab mob sib kis thiab so ntawm cov hlab ntsha hauv hlwb. Cov blockers ua tau zoo tshaj plaws yog:
- Kordafen. Dissociates cov txheej txheem ntawm excitation thiab contraction, normalizes tam sim no ntawm calcium ions, txhim khu cov ntshav coronary thiab txhim kho cov ntshav ncig. Kuj txo qis peripheral vascular kuj.
- "Diltiazem". Nws muaj antiarrhythmic, antihypertensive thiab antianginal teebmeem. Cov tshuaj no kuj ua rau cov hlab ntsha coronary, txo cov suab nrov ntawm cov leeg nqaij thiab ua kom cov ntshav ntws.
- "Isoptin". Nws muaj tib yam spectrum ntawm kev ua raws li cov tshuaj yav dhau los. Nws cuam tshuam rau ob qho tib si myocardium thiabperipheral hemodynamics.
Nyob rau hauv txuas ntxiv ntawm zaj dab neeg hais txog cov tsos mob, ua rau thiab kev kho mob ntawm spasms ntawm cerebral hlab ntsha, kuv xav kom nco ntsoov tias cov tshuaj tau teev saum toj no, txawm hais tias lawv dilate cov hlab ntsha, tsis cuam tshuam rau cov hlab ntsha nyob rau hauv txhua txoj kev. Qhov no yog lawv qhov txiaj ntsig tseem ceeb. Tsis tas li ntawd, ntawm tag nrho cov blockers uas twb muaj lawm, lawv suav hais tias yog qhov tsis zoo tshaj plaws thiab ntau yam.
Yuav ua li cas kho tau, tsuas yog kws kho mob qhia tau. Ntawm cov tshuaj hnyav dua, Nimodipine feem ntau yog tshuaj.
Sedatives
Txuas ntxiv mus sau cov tshuaj uas pab txo qis cov tsos mob thiab kho cov hlab ntsha hauv hlwb, peb yuav tsum tau tshwj tseg uas ib tus tsis tuaj yeem ua yam tsis muaj tshuaj uas muaj cov nyhuv sedative.
Qhov zoo tshaj plaws yog: "Motherwort forte", "Corvalol", "Valerian" thiab "Novopassit". Nws yog qhov zoo dua los noj cov tshuaj no nyob rau hauv daim ntawv ntawm tee - dilute nyob rau hauv ib tug me me npaum li cas ntawm cov dej thiab haus. Yog li cov tshuaj nquag nqus tau sai dua, thiab cov nyhuv tuaj yeem tshwm sim hauv 20-30 feeb.
Yog tias cov tshuaj no tsis muaj txiaj ntsig, tus kws kho mob paj hlwb tau sau tshuaj ntawm cov khoom siv hluavtaws, uas muaj txiaj ntsig zoo dua.
Los ntawm txoj kev, ib tug neeg kuj yuav tsum tau noj tshuaj uas tshem tawm cov teebmeem ntawm spasms. Cov no suav nrog Cortexin, Piracetam, Glycine Forte thiab Nootropil. Kev kho mob feem ntau yog 2-3 lub hlis.
Gingko biloba npaj
Nws tsis tuaj yeem hais txog lawv, vim peb tab tom tham txog kev kho mob hlwb vasospasm nrog tshuaj. Cov tsos mob thiab lawv qhov tshwm sim tuaj yeem txo cov tshuaj, uas suav nrog kev rho tawm ntawm cov nroj tsuag tshuaj - gingko biloba.
Lawv muaj kev sib xyaw ua ke ntawm cov ntshav cerebral. Cov tshuaj no suav nrog Tanakan, Gingium, Bilobil, Ginkor Fort thiab Biloba.
Tag nrho cov tshuaj saum toj no txo qhov mob ntawm lub paj hlwb thiab cov hlab ntsha hauv tsev menyuam, ua kom cov ntshav khiav zoo, ua kom nyias nyias, thiab ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha thiab cov hlab ntsha. Ntxiv rau, lawv qeeb cov txheej txheem ntawm oxidation ntawm cov organic tebchaw, tshem tawm cerebral edema thiab txhim kho kev ua haujlwm.
kev kho neeg zoo
Lawv yuav tsum tau teev nyob rau hauv qhov kawg ntawm cov ncauj lus hais txog qhov ua rau, cov tsos mob thiab kev kho mob ntawm cov hlab ntsha hauv hlwb. Cov tshuaj pej xeem ua ke nrog cov tshuaj yuav muaj kev tiv thaiv zoo.
Txoj kev kho zoo tshaj plaws yog infusions. Nov yog ob daim ntawv qhia nrov:
- Nyob rau hauv ib lub thermos koj yuav tsum tau sau 1,5 tbsp. l. qhuav thyme. Ncuav nyob rau hauv ib liter ntawm boiling dej. Cia nws brew rau 2-3 teev. Lim, sib tov nrog kua txiv los ntawm stems thiab nplooj ntawm golden mustache (5-6 tee yog txaus). Yog tias tsis muaj cov khoom xyaw no, koj tuaj yeem ntxiv 1 tsp. freshly squeezed qej kua txiv. Haus lub resulting infusion ntawm 2 tbsp. l. ob zaug ib hnub, tab sis tsis pub ntau tshaj peb zaug hauv ib lub lis piam.
- Ncuav crushed periwinkle nplooj rau hauv enamel saucepan. Ncuav rau hauv ib khob dej txias. Boil, thiab ces simmer rau lwm 10 feeb ntawm tsawg tshav kub. Tshem tawm ntawm qhov cub, qhwv nrog phuam rau 1-2 teev. Hausinfusion nyob rau hauv loj feem thoob plaws hnub.
Txawm hais tias cov khoom no muaj cov khoom xyaw ntuj, nws raug nquahu kom sab laj nrog koj tus kws kho mob ua ntej siv lawv. Kev tswj tsis tau siv cov tshuaj no tuaj yeem tsim kev puas tsuaj.
