Chosakhalitsa ischemic kuukira

Chosakhalitsa ischemic kuukira, kawirikawiri amatanthauza kuwononga chilichonse focal zidzachitika mwadzidzidzi, kwathunthu regressed mu maola makumi awiri ndi anayi. tanthauzo limeneli losiyana m'lifupi ndi zizindikiro zosiyanasiyana. Tikumbukenso kuti boma sangathe nthawi zonse zidzayambike ndi ischemia. Mwachitsanzo, migraine kapena matenda akhunyu limodzi ndi mawonetseredwe focal ubongo. Kupulumutsa zizindikiro ischaemia pa ola limodzi zingasonyeze kuti dera la ubongo minofu infarction kakusintha.

Specific mawonetseredwe boma limasonyeza kuti ndondomeko nawo gawo pathological omwe umaperekedwa ndi magazi kudzera ndi mtsempha wamagazi yeniyeni (pakati oziziritsa, carotid, ndi zina).

Chosakhalitsa ischemic kuukira ali zimagwirira pathophysiological. Pa mfundo imeneyi ikuimira stereotypical chilengedwe, nthawi ndi pafupipafupi nkhani kobwereza.

Mwachitsanzo, yochepa nthawi (mphindi khumi ndi zisanu kapena zochepa) mobwerezabwereza (kasanu ndi khumi pa tsiku) mtundu wina wa khunyu kufooka mu dzanja onse kapena dzanja ndi kukhalapo (kapena kusapezeka) matenda kulankhula kungasonyeze kuchepetsa proximal kapena occlusion ya mitsempha ya limodzi akusowa mu kotunga ina magazi. chikhalidwe ichi kumabweretsa ischemia focal mu kotekisi wa zosiyana Chigawo. Komabe, Komano, yanthaŵi wina wachisokonezo kulankhula ndi zofooka mu dzanja kapena dzanja patsikulo khumi zimawonedwa pa otaya otsika magazi chifukwa embolism. Pamodzi ndi mwina ichi kupanga infarct malo anachoka mazunzo Lobe.

Pachimake ischemic sitiroko mu dziwe lina la mitsempha ozama chimachititsa chitukuko cha chotupa, osati choposa centimeter wina. boma Izi amaimira ngati transiently-lacunar kuukira ischemic. Ataima mu dongosolo basilar-vertebral, mu ngati iwo anali chifukwa cha wapotalikira (amgwirizano) kapena proximal basilar mtsempha wamagazi stenosis mu inakhala, zambiri akuwonetseredwa mfiti chizungulire, dysarthria ndi masomphenya awiri.

Choncho, chosakhalitsa ischemic kuukira chikwiyire ndi zinthu ziŵiri: embolism ndi madontho focal a kapezedwe magazi. Mbali yoyamba, boma la limagwirira ndi zoonekeratu. Pamlingo wamng'ono anaphunzira yatsoka TIA maziko m'dera kuchepetsa kotunga magazi ku ubongo. Mwina kuchepetsa inflow chifukwa wolumikizira stenosis kapena occlusion wa digirii yovuta. Chofunika kwambiri ndi kupanda ina magazi kudera la ischemia. Komanso, m'pofunika kuganizira elasticity wa chotengera khoma, kukhuthala magazi ndi zinthu zina. Chosakhalitsa ischemic kuukira ku mitundu ina amaonedwa monga woona, ndiye ngati zochititsa si embolic chiyambi.

State amayambiranso kwathunthu. Komabe, maonekedwe awo ndi chenjezo zokhudza imabwera sitiroko m'tsogolo. Choncho, njira pathophysiological ndi mayiko awiriwa tikambirana pamodzi. Tikumbukenso kuti dokotala sangathe kuwasamalira odwala ndi kufupika kuukira ischemic, osadziwa zimayambitsa. Pamene chikhalidwe ichi n'kofunika wakhala akudwala matenda enieni.

Mokakamizidwa m'chipatala poyera odwala wamkulu kuposa makumi asanu zaka ndipo ndi madandaulo pa yapita zaka zisanu (popanda kutenga zaka nkhani). Therapy akusonyeza kuti matenda a mtima, kuphatikizapo atherosclerosis, pambuyo palibe masiku opitirira awiri kuchokera panthawi imene panali chosakhalitsa ischemic kuukira. Chithandizo ikuchitika mu chipatala pambuyo zinthu zofunika kafukufuku pofuna kutsimikizira matendawa. Therapy Cholinga pa kuteteza udindo zisadzachitikenso, komanso pakutchulidwa a sitiroko, matenda a mtima.