I-cerebral ischemia engapheliyo

I- cerebral ischemia engapheli ibhekisela kuhlobo oluthile lwe-pathology ye-cerebral vascular pathology. Loluhlobo lwe-pathology lubangelwa ukungakwazi kahle kwegazi emasongweni. Ukwanele kuyaqhubeka kancane futhi kuholela ekusebenzeni kobuchopho obunzima.

Ukunciphisa ukujula kokugeleza kwegazi ezimweni eziningi kubangelwa ukucindezeleka komfutho wegazi, ukuxoshwa kwe-atherosclerosis noma inhlanganisela yazo. I-cerebral ischemia engapheli nayo ihambisana nokuphulwa komthetho we-neurogenic we-cerebral ne-systemic hemodynamics.

Inkinga yokuhlukumeza ibalulekile kakhulu. Izifo zengqondo nezengqondo ezihambisana ne-cerebral ischemia engapheli ivame ukuba yimbangela yokukhubazeka okukhulu.

Ukuthuthukiswa kwalesi sifo kunqunywa izici ezihlukahlukene. Owokuqala uhlanganisa ukulimala kwengqondo yobuchopho be-ischemic, kanye nokwehla okuqhubekayo kwezinqubo zamandla, ukuvuselelwa kwezinqubo ze-lipid peroxidation. Izizathu ezicasulayo zihlanganisa ukwephulwa kwe-homeostasis ionic, okuholela ekunqothulweni kwemisebenzi yamaseli emithanjeni. Ngokuyinhloko, ukunqotshwa komsebenzi we-biosynthetic, okudingekayo ukuqinisekisa umsebenzi wabo obalulekile kanye nekhono lokudlulisa, ukucubungula nokugcina ulwazi.

I-cerebral ischemia engapheli (kuye ngokuthi ukucindezeleka komtholampilo wezinkinga) ihlukaniswe ngezigaba ezintathu.

Ngokubonakaliswa kwesigaba sokuqala, kunokubaluleka kokucindezeleka kwe-subjective ngendlela yokuphazamiseka kokulala, ukulahlekelwa ukunakwa kanye nenkumbulo. Ngaphezu kwalokho, kunezinsizwa, umzwelo wokuzizwa, ugozi. Isimo senhliziyo sibhekene nokutholakala kwesimiso esincane sokugxila kwengqondo, esingakhulumi ngokwanele ukuxilonga i- neurologic syndrome ecacile .

Esigabeni sesibili, ubuchopho obungapheli ischemia bubonakalisa izimpawu ezifanayo njengeyokuqala. Kulesi simo, kukhona ukuwohloka okubukhali ememori. Ngaphezu kwalokho, izimpawu zesimonakalo se-neurologic kanye nobuchopho bomzimba zibizwa kakhulu.

Uma kubonakala isigaba sesithathu, kunciphisa umthamo wezikhalazo zesiguli, kuhlangene nokunciphisa ukugxeka kwakhe esimweni sakhe. Isimo sezinkanyezi sibonakala ngenhlanganisela ye-syndromes ngayinye, ebonisa i-lesitif multifocal cerebral lesion ngokuhambisana nokuwohloka komqondo kwegazi.

Ukuxilongwa okulungile kwesimanje kwesifo, ikakhulukazi ezinkathini zokuqala zokubonakaliswa, kufaka phakathi izifundo ze-paraclinical kanye nezindlela zokwaziswa kwe-neuroimaging. Ukusetshenziswa kwalezi zinyathelo kudlala indima ebalulekile ekuxilongweni kwalesi sifo, ngoba kungenzeka ukuthi uqinisekise uhlamvu lwawo lwesisindo futhi wembule uxhumano lwezinkinga zomtholampilo nge-lesion ye-vascular. Imisebenzi yokuxilonga nge-Instrumental ihlanganisa ikhompyutha ye-tomography, i-electroencephalography, i-ultrasound dopplerography yezinsimbi ezingenayo i-intracranial and extracranial, i-echoencephaloscopy.

Ukwelapha. I-cerebral ischemia engapheli, ihambisane nezinkinga zokuzizwa, isebenzisa ukwelashwa ngaphandle kokuguliswa kwesiguli. Izinyathelo zokwelapha zihloswe ekuqiniseni izinqubo ezilimazayo. Ngaphezu kwalokho, ukwelashwa kuhilela ukuvimbela isifo sochungechunge.

Ukwandisa ukugeleza kwegazi, imithi isetshenziswa. Kulesi simo, ochwepheshe babeka umsebenzi wokugcina izinga elivamile lomfutho wegazi. Lokhu kubangelwa ukusetshenziswa kwezidakamizwa ezinomthelela omncane.

Lapho izilonda ze-atherosclerotic izicucu zikhona, ama-hypolipidemic agents futhi anqunywe . Isenzo sabo, phakathi kwezinye izinto, senzelwe ukuthuthukisa imisebenzi ye-endothelium nokunciphisa i- viscosity yegazi. Inkambo yokwelashwa ibuye ihlanganise nama-antiplatelet agents.

Amacala ikakhulukazi ahlanganisa ukungenela okuhlinzayo.