Infarction oziziritsa

Oziziritsa infarction (ischemic sitiroko) akufotokozera pa nkhani ya kuchepetsa kwambiri akulowera oziziritsa magazi. Ena mwa matenda amene amayambitsa chitukuko, malo oyamba ndi atherosclerosis, wawononga ziwiya kwambiri. Nthawi zambiri taonera kwa kuphatikiza ake ndi oopsa wolumikizira shuga. Nthawi zina, arteritis osiyana, enaake ophwanya m'thupi, olumala mtima decompensated, matenda magazi, matenda opatsirana, kuledzera, chikwiyire infarction. Zimayambitsa matenda zobisika m'maganizo ndi kuthupi. Nthawi zambiri atengeke wa anthu pakati pa makumi asanu ndi makumi asanu ndi zaka kapena kuposerapo.

Akutukuka focal necrosis akhoza kuzindikiridwa mu zigawo zosiyana za ubongo. Kawirikawiri zimachitika ku chigwa cha mtsempha wamagazi pakati. infarction oziziritsa kungakhale imvi (woyera) kapena wosanganiza wofiira. Ambiri mwayera. N'zothandiza oziziritsa infarction njira pathogenetic ndi yosiyanasiyana. Zikuphatikizapo mtima thrombosis, embolism, kuphipha. Pafupifupi theka la milandu onse infarction oziziritsa ku maziko a atherosclerosis anatuluka mu kudwala wa extracranial vertebral ndi carotid mitsempha.

Patsogolo chitukuko cha matenda chosakhalitsa matenda magazi. Iwo nthawi zambiri amatchedwa kuukira ischemic. Iwo yodziwika ndi mawu a zizindikiro wosakhazikika focal (paresthesia, lokhudza kulankhula, paresis). Monga ulamuliro, iwo amakhala yochepa kupanda kotunga magazi kudera la ubongo zomwe kenako akufotokozera mtima. Mu zina, transistor ischemic matenda zambiri kusanachitike maonekedwe ake. Choncho, iwo apanga chipatala "prodrome" sitiroko. Nthawi zina pali kupweteka kwambiri m'mutu, ambiri nkhawa.

Kuyambitsa sitiroko ischemic mulole nthawi iliyonse. zambiri kukuwonekera mwamsanga kudzutsidwa kapena nthawi yogona. Odwala ena zizindikiro koyamba imakhudzana ndi boma la katundu mkulu, zochita za chinthu maganizo, mowa, aliyense, kuphatikizapo matenda opatsirana kapena kutaya magazi. Ischemic sitiroko ndi zambiri mumachita infarction m'mnyewa wamtima.

Wa boma la khalidwe kwambiri ndi phindu zizindikiro isanafalikire ubongo pang'onopang'ono, zikuchitika pa maola angapo, ndipo nthawi zina masiku awiri kapena atatu. Pa nthawi yomweyo pangakhale nyamuka mawonetseredwe undulating mawonekedwe. Nthawi zina mlingo wa kukula kwa kuwonjezeka, ndi kufooka. Nthawi zina, pali apoplectiform boma la chitukuko.

Oziziritsa infarction. Chithandizo.

zotupa yaikulu yodziwika ndi chikhalidwe kwambiri odwala. Mawonetseredwe a zizindikiro focal zimadalira chotengera akhudzidwa.

miyeso achire pa limati infarct ubongo akutsatiridwa mu mawonekedwe a anthu odwala mwakayakaya.

Mtima thromboembolism kumafuna utsogoleli wa heparin kapena otsika zotumphukira maselo kulemera (klivarina, fraxiparin). ntchito wotsatira wopangidwa pansi pa ulamuliro wa clotting magazi.

Ntchito ndi antioxidants (mankhwala "Unitol" IM kapena e-vitamini), kukonzekera Kakhungu ( "Essentiale" iv). Today madzi m'thupi tima mankhwala ntchito saluretikov, osmouretikov pafupifupi konse ntchito chifukwa cha inefficiency. Phindu la glucocorticoids kwambiri zokayikitsa.

Ambiri zotsatira kagayidwe kachakudya mankhwala ntchito. Zikuphatikizapo mankhwala "Instenon" ndi "Aktovegin". Mu kupuma izi aerobic ndi adamulowetsa pa maziko a hypoxia ndi ischemia ndi utithandize mpweya magwiritsidwe ndi shuga yotithandiza zamadzimadzi peroxidation ndi zina.