Microangiopathy oziziritsa - icho chiri, zimayambitsa, matenda ndi mankhwala

Angiopathy ubongo ndi matenda mtima, amene zosiyana ndi kamvekedwe yawo, maselo ubongo Kusiya kuti aperekedwe ndi magazi. Izi ndi kudwala kwambiri, tingayambe kukha mwazi ndi imfa. Nthawi zina tikhoza kulankhula za matenda monga microangiopathy ubongo. Ndi chiyani icho? Pankhaniyi akusokoneza capillaries ting'onoting'ono. Taganizirani matenda mwatsatanetsatane.

kudwala khalidwe

Ambiri amva ndi ena ngakhale anakumana ndi matenda monga microangiopathy ubongo. Ndi chiyani icho? Izi ndondomeko pathological izi zimakhudza capillaries ndi ziwiya kakang'ono kamene amapeza aakulu. Mu ubongo, kufalitsa magazi akusokoneza. Popeza kuti otaya yachibadwa magazi poyankha mpweya ndi shuga, kupanda mosalekeza zinthu izi zimabweretsa kusokonezeka kwa mitsempha ka ubongo.

mitundu microangiopathy

Izi kudwala ubongo zimachitika kusokonezeka kwa mitsempha yaing'ono. Izi anawonetseredwa kamodzi, kotero matenda kuli kovuta kwambiri magawo oyambirira.

Oziziritsa microangiopathy kumachitika makamaka anthu okalamba. A gulu lapadera vuto matenda enaake osokoneza ubongo. Mu matenda amenewa malinga mtsempha wayamba kudziunjikira amyloid (glycoprotein). Komanso Dziwani ndi kuti kudwala ndi bwino matenda ndi mankhwala.

Lentikulostriarnaya microangiopathy zambiri imagwira ana ndipo si matenda koma chizindikiro cha m'thupi. Payenera kukhala mosalekeza polojekiti.

Ashuga microangiopathy kumachitika chifukwa matenda magazi mu ubongo akapsa shuga.

Hypertensive microangiopathy chifukwa cha kusokonezeka kwa dongosolo la mwazi akuwuka chifukwa oopsa. M'pofunika kuchepetsa magazi ndi kuteteza kukakhala.

Zimayambitsa matenda

Development wa microangiopathy amapezeka ndi matenda ena. Izi zikhoza kukhala matenda a shuga, kansa, chiwindi kudwala, hemolysis.

Mwa zifukwa zazikulu izi:

• HIV ndi kachilombo (chikuku, chikuku);
• kudwala zimathandiza kuti kugonjetsedwa kwa magazi;
• shuga;
• oopsa;
• ukalamba;
• cholowa matenda kuchititsa mtima kamvekedwe;
• kuvulala osiyanasiyana;
• aakulu kuledzera;
• nkhanza mankhwala osokoneza bongo.

Nthawi zambiri, ndi kudwala akufotokozera chifukwa cha njira zotsatirazi:

• Necrosis - imfa ya zimakhala ndi maselo.
• Hyalinosis - kusowa kwa mapuloteni mu madipoziti maziko hyaline.
• Kuchuluka mtima permeability. Chifukwa, Ulusi ndi zinthu structural minofu connective zimasintha sizingasinthe.
• Thrombosis, yodziwika ndi mapangidwe ndi magazi aumirira ku lumen chotengera, chifukwa mu akusokoneza magazi.
• Kukanika kwa endothelium mtima, imbaenda kuphipha awo. Pamene ngati boma yafupika mankhwala antithrombin, prostacyclin, thromboxane ndende ukuwonjezeka.

mbali khalidwe microangiopathy

Chipatala kuwonekera kwa matenda kumadalira yeniyeni limba ndi minofu kuwonongeka kumene kunachitika mchikakamizo cha zinthu zina kunja. Odwala zambiri amadandaula kuwawa ndi moto kutengeka ku mapazi, utachepa masomphenya, magazi kuchokera m'mimba ndi mphuno, chitukuko cha claudication likukulira, khungu dryness amasiya hemoptysis.

Motero, pali nkhani microangiopathy:

• linaphwanya umphumphu wa ziwiya yaing'ono;
• akutukuka kulephera aimpso;
• kuonongeka maselo ofiira;
• kutanganidwa magazi clotting ndondomeko;
• Mwina zosayembekezereka wa kufinya.

zizindikiro

microangiopathy oziziritsa ali ndi zizindikiro zotsatirazi: wodwala wayamba kudandaula wachisokonezo kukumbukira, chizungulire, kufooka ndi pali mutu causeless. Iwo amaoneka chifukwa chakuti mu capillaries ubongo ndi kuphwanya magazi. The kuwonongeka chifukwa malinga ziwiya yaing'ono imayendetsa njira zobwera chifukwa cha okosijeni a lipids, free ankafuna kusintha zinthu mopitirira anapanga amene deleteriously bwanji maselo a mu ubongo.

Monga matenda ili m'kati wodwala akukhala sasamala ndi Woiwala. Zikuoneka achipambano gait, kukhumudwa mgwirizano, mwana awiri amakhala osiyana, chatsika ntchito zithunzi. Komanso, pali pafupipafupi m'mphuno magazi ndi m'mimba kusapeza mu miyendo pa mpumulo, ndi mapazi youma ukuchoka khungu, magazi kuundana mu mkodzo.

diagnostics

Ngati pali kukayikirana ubongo kudwala, ndikofunika oterewa, kumene m'matumba zili microangiopathy ndi digiri zimene kuwonongeka kwa mpanda chotengera. Kuti zimenezi zitheke, zotsatirazi njira yodziwira ntchito:

• Kujambula ubongo;
• nyukiliya maginito malumikizidwe;
• Doppler ultrasound.

Kuti mudziwe mmene ndingathere ntchito njirayi ndi otetezeka kwa thupi, monga a MRI ubongo, zomwe mtengo ndi kuluma pang'ono. Njira imeneyi matenda ndi otchuka. Timatha kuzindikira zizindikiro za matenda monga manja oziziritsa, leykoareoz, perivascular malo thambo tosaoneka kukha mwazi lacunar infarcts. Kujambula ubongo, mtengo wa potsata kuchuluka kwa Mosiyana sing'anga ntchito, zimathandiza kuika matenda zolondola. Ngati wodwala akulemera makilogalamu zosakwana 69, chithunzi ichi ndi 2700 rubles, kuchokera makilogalamu 70 mpaka 99 - 3200 rubles, kuchokera makilogalamu 100 ndipo zambiri - 4400 rubles.

maginito kumveka kulingalira njira amalola kuphunzira ubongo minofu yokha ndi vasculature. Pankhaniyi, kuoneka bwino zizindikiro za mitsempha hypoplastic. infarct mosavuta looneka zimachitika chifukwa occlusion mtima, hypoperfusion oziziritsa, tosaoneka magazi.

Doppler ultrasound njira zimathandiza kudziwa zolakwika mu zotengera, blockage kapena kuchepetsa.

chithandizo

Odwala si nthawi zonse mukudziwa pamene iwo anapezeka ndi "microangiopathy oziziritsa", chomwe chiri ndi ngati n'zotheka kuchiza. dokotala zambiri anaika mankhwala zovuta.

Choyamba, wodwala ayenera kutenga mankhwala matenda a kuthamanga magazi. Pofuna kuthetsa kupanda mpweya ku ubongo ntchito antihypoxants, monga "Emoksipin". M'pofunikanso kukweza milingo zamadzimadzi ntchito statins, fibrates, sequestrants ya ndulu acid. Malowa angakhale monga mankhwala zotsatirazi: ". Rosuvastatin" "Atorvastatin", "Simvastatin"

Komanso, ngati matenda microangiopathy, mankhwala ayenera kuchitidwa ntchito nootropics zomwe kusintha mphamvu ubongo. Izi "Piracetam," "Nootropil", "Tserebrozilin", "Encephabol." Kuteteza matenda a magazi kukonzekera asidi nicotinic ntchito "Pikammilon", "Ksantilona nicotinate."

Pomaliza

Choncho, tinakambirana matenda monga microangiopathy ubongo. Kodi izo, inu tsopano mukudziwa. Izi ndi kudwala kwambiri kuti amafuna alowererepo mwamsanga. Mwamsanga izo zimapezeka kumene m'madera cholinga cha matenda ndi mmene zotupa mtima, kosavuta zidzakhala kuchepetsa zotsatira za matenda.