Lolo Angioentsefalopatiya - aha ka ia? Symptoms, lapaau a me ka prognosis

I kekahi manawa kauka paipai syndromicʻike, no ka laʻana, lolo angioentsefalopatiya. He aha ka mea? Maʻi ischemic hoouka. Ma ke alanui, o kona kulana he mau maʻi, e ano o kanaka ole e lohe i kona mau hua'ōlelo. Ua pinepine ia lŘlŘ i loko o ka poʻeʻelemākule, ma ka liʻiliʻi loa - i ka opiopio, a oʻo. I ka maʻi i ka lōʻihi manawa huna, a me symptomsʻikeʻia ka wā, mea, ke ole e lawe drastic ana.

epidemiology

No ka mea, o nonspecific hoopii, lapaʻau hoike ana a me ka hōʻike 'loli ma ka lolo kiʻi, e ohi ana helu ikepili mea pilikia. I kekahi nui ka Lunakanawai angioentsefalopatii prevalence hiki ia ma ka helu o ka hahau ana. Kela a me keia makahiki ma Rusia he mea aneane hapalua o ka miliona na hihia o ka huʻi ke ano.

Mau loea, Ua kuapo i mau cia ma kaʻimiʻana lolo dyscirculatory maʻi i cognitive kāna hana, cognitive oihana a me ke alapine (frequency) o ka maʻi cerebral circulatory insufficiency. Akā, i kēia 'aʻole e hōʻike i ke kiʻi oiaio o ka prevalence o ka maʻi.

etiology

Ma mea e hoʻomōhala lolo angioentsefalopatiya? Kumu o ka maʻi kāna hana o ke koko holo i loko o ka lolo, a, no ka mea hoike, o ka naau a me na ia maʻiʻaʻai - ka ia. I ka papa kuhikuhiE etiological ololi - na mau:
- atherosclerosis;
- mahuahua ana i loko o ke koko,.

ka mea, i hoʻomaka ai ka poʻe a pinepine hoʻohuiʻana paha i kekahi i kekahi. Eia kekahi, i ke kanawai ma cerebral koko holo, a hōʻike i nā naʻau, a me ka vascular maʻi, e like me dysrhythmia a me ka maʻi naʻau ole. O ka pau nui o ke alo o vascular malformations i loko o ka lolo,'ā'ī, a me nā kīʻaha nui. Lākou hiki 'Aʻole i hoike ia iho no ka lōʻihi manawa a ka mea e hoʻomōhala systemic maʻi' ē aʻe. Secondary kūlana ma ka depletion o ka lolo koko holo Radio ka mīkini'opihia o na moku nui, e like me ka pono me kaʻoi emi ka puʻe, o ka oi aku ma mua kanaka.

Waho pūnaewele maʻi hiki no hoi ia i ke kumu no ka mea, o ka mea a ka mea ulu lolo angioentsefalopatiya. He aha ka mea? Kēia moku'āina, i ka wa a na keena aie i ka pathological kaʻina loaa kekahi mau manaʻo waiwai: nā polokina, i ka momona, a me nā carbohydrates.

Ma keia hihia i ka kūpuna vascular amyloidosis i, i hiki aku ai i degenerative loli i loko o ko lākou mau pā pōhaku. Endocrine maʻi no hoi i ka kekahi kaumaha. No ka laʻana, anakahi iki - a makroantiopatii ma mimikō i maʻi cerebral ischemia. No ka like 'ole alakai'ōnaehana kāna hana: rheumatic wela, vasculitis, koko maʻi.

E like me ka rula, koho i kekahi i kekahi ololi mea,ʻaʻole e hiki, no laila, i ka maʻi ua noʻonoʻo polyetiological. Ke kauka huki ae hoʻolohe i ke alo o ka papa aʻe, a me nā mea a pau comorbidities noʻonoʻo ponoʻole.

pathogenesis

Ka luna maʻi a me na kumu hoonaukiuki i ka emi ana o holo i loko o ka lolo'aʻaʻa, a, nolaila, kona pololi (muli o ka oxygen a me ka monakō koko). Initially, ka pathological keʻano o ka hanaʻana (na hoailona o ka lolo angioentsefalopatii) hōʻike wale i loko o na moku uuku. ? Ac? Aaioea microangiopathy. A nui helu o ka loli arteries ma o na la ischemia hoʻopale keʻokeʻo mea, e like me ka pono i mau lacunar infarctions. I ka hoʻohuiʻia o kēia kūlana hiki aku ai i ka hoʻohuikau o ka lolo hale.

Inā ke kumu o atherosclerosis angioentsefalopatii laila advantageously loli artery kumu. Ua hiki aku i ka mea ana i ka nui o ke koko i loko o ka lolo mea e kaukaʻi ma systemic hemodynamics. Ma ka hihia o ka arterial hypertension ma ka wahi mua, ishemiziruyutsya perforating artery o ka lolo.

Nei, neurologists a me neurosurgeons hoʻolaha maʻi circulatory kāna hana i loko o nā aoao: ke ano o ka poino a me kona IIeEeAIEUAA. Eiei? A eiei? Angioentsefalopatiya hoike aku me cerebral maʻi pale, i ua maheleia i leykoentsefalopatichesky a me ka binsvangerovsky.

Aia He nō he mea nui lolo angioentsefalopatiya. He aha ka mea? He ke alo o nā aʻalolo'aʻaʻa e lilo mau wahi i wāhiʻia hemorrhage. I ka 'inikua hana, oi, he pono ole i hui Lolina, no ka mea, he mea hiki ole ke kālā līkaia no kekahi i kekahi pathogeneticʻano papa hana.

lapaʻau kiʻi

Eia naʻe, ka mea mau practitioner i ole mau manaʻoi hoʻokoe 'e like me kaʻike, me lolo angioentsefalopatiya. Symptoms i ole-kekahi, aʻaʻole he makau kekahi mākaukau 'ole' Isaaka. No laila, holo nōhie, ka mea, ka mea naʻau lability, i mea hoʻomaopop 'ana i ka poʻe o ka holomua makahiki, a me kekahi pathologies, e like me ke kumulilo o ka iaiyoe a me ka hoʻonaʻauao hiki. Together, kēia mau hiʻona ekolu alakai i ka maladaptation o nā mea maʻi a me kā lākou kīnā o ke kino.

Eia hou kekahi, headache, pōniuniu, iaiyoe hoʻopilikia a me ka hiamoe, pilikino halulu ma ke poo, a ringing i loko o ka pepeiao, ua hoʻemi hihio, nawaliwali, a me ka luhi hiki e na hoailona o ka ole wale no ka mea i kekahi kanaka ua holo pono lolo angioentsefalopatiya. He aha ka mea hiki e oi? Ke alo o vascular malformations, na infectious maʻi, hypertension, asthenic maʻi pale a me nā nosology. Nō hoʻi, i ke kino o ka mea, ke'ōlelo e hoouna mau lepa a ikaika luhi.

Aia He He mea hoʻopili ma waena o ka helu o ka hoopii a me ka oolea o ke vascular encephalopathy. Ka oi aku o ka ehaeha hoomanao ana, maliu a me ka manaʻo, me ka emi ke kanaka e olelo ana e pili ana i keia kauka. No laila, ma ka loa hoopii, i ka hoʻomanawanui hiki eʻoiaʻiʻo i ka mea aole e hoopilikia.

ke kahua me

Aia i ekolu kahua o ka hoʻonaʻauao angioentsefalopatii:

1. Pilikino hoopii o ka iaiyoe hoʻopilikia a me ka noonoo pu ma ka mea uuku mea nui symptoms: ua hoʻemi pupillary reflex, i ka muli o ole-waiwai nui reflexes o ku una automatism. Hōʻemi iki loli o ke ana, 'nele o ka wiwo ole, irritability.
2. Ma keia anu u, neurological symptoms a me ka piʻi pū crystallizes kekahi Hoʻohaku symptom. Ua hiki e extrapyramidal kāna hana, pseudobulbar lolo, ataxia, cranial nā aʻalolo dysfunction. Ikaika poino cognitive hana, hoemiia 'oihana a me ka nohona ka hoʻololiʻana.
3. Hoʻomanawanui iki mai Kīwala'ō mau syndromes. Noteworthy hoʻonaninani gait haunaele, cerebellar kāna hana, Parkinson ka maʻi, hoʻohuikau o ka pelvic nā loko. Ma keia ke kahua, ka noʻonoʻo loi i kona kulana aku kakou, a hoopii hiki ole ia i nā mea a pau. Nā mea maʻi e palupalu iho e like me na keiki, no ka mea, ka mea e hoʻomōhala dementia.

neurological symptoms

Aia nō i ka helu o ka syndromes e pili ana i lolo angioentsefalopatiya. He aha ka mea? Ua huihui o symptoms i hōʻike mai ai i ka pio ana o ka pōhaku puna 'ole o ka Central ko mākou hopohopo kahua.

1. Vestibular maʻi pale. E hoomanawanui i hōʻike hoopii o ka pōniuniu, naueue wale no hoi, i ka wa e hele ana, e malama nystagmus a me ka poe ilihune ōhumu. Oia? Aaieou Hōʻike poho a hoʻolilo i ka cerebellum fronto-anei i'āpana ma muli o ka hoemi koko i loko o ka maloko carotid artery.
2. Pyramidal maʻi pale hoike mai ai ia, a mahuahua nui tendon reflexes, e like me ka muli o pathological reactions, pinepine asymmetrical. Ke alo aku o ka paresis paipai i i ka mōʻaukala o ke kanaka i ka hahau ana.
3. Parkinson ka maʻi ua wehewehe aku ma slowness o ka neʻe, emi iho i loko o lehalehu t, ka 'aoʻao, rigidity o nāʻiʻo ma luna o nā wāwae. Nā mea maʻi pinepine hāʻule ia no ka mea, au hiki ole ana i ka manawa ku pono ana i ka 'aʻe' ana o locomotion. A pau keia maka e hoʻolilo i ka'ōlelo cortico-striatal a me cortical neurons o ka brainstem.
4. Pseudobulbar lolo ia lŘlŘ ka wā o ka pio ana o ke cortico-nukelea mau alahele. Ke hoomanawanui i ka pilikia me ka olelo a me ka moni 'ia, e like me Episode o "ikaika" Emotions.
5. Psihorganichesky maʻi pale, nui pu ia e ka iini-depressive kāna hana, cognitive dysfunction.

lapaʻau '

Like me kekahi 'ē mai, neurologist pono ohi i ka piha ola mōʻaukala, a me ka maʻi e hooholo i ka uku o ka Holomua o symptoms a me ke alo o comorbid' inikua kāna hana. A laila, he physical ninaninau: ho omaulia naau uku, a ana aʻela ke koko, e hoolohe mai i ka naau kani, koko i loko o ka arteries nui o na keena hapalua o ke kino. A laila, ke lilo aku i ka neurological ho'āʻo ma.

Na kekahi pae - keʻena hoʻokolohua lapaʻau 'ana. Kēia kōkua e möakäka hou i ke kumu o ka angioentsefalopatii. Ke hoomanawanui Ua noi e haawi aku ma ke koko helu, ke koko biochemistry a me Ka Ikepili o ke koko coagulation, monakō koko pae. A laila, e hele ma lolo kiʻi: Me tomography (HI),ʻume mākenēki resonance kiʻi (MRI), electroencephalography (EEG). A pau keia e leie aku mākou, e hooholo i ke kiʻekiʻe o cerebral holo, a hōʻike mau mea o ka pathology. Hiki aiiieieoaeuii hāʻawi aku electrocardiography (ECG) a me ka ultrasound e hōʻoia i ka maʻi o ka mea'ōnaehana mānowai koko nenoaiu.

Nāʻikepili no ka hospitalization

None o ka lapaʻau Hola Pūnaewele 'aʻole e hōʻike i ka pono no ka lapaau i loko o ka haukapila o nā mea maʻi diagnosed me ka lolo angioentsefalopatiya. Lapaau, prognosis a me Kāohiʻana o kēia maʻi, e like me ka rula, e wahi ma luna o ka outpatient manawa. 'Ia nā hihia i ka wa o ka maʻi i huikau e decompensation somatic pathology ' ole e kūkulu i ka hahau ana.

Neurologists manaʻo i ka forcible wehe 'ana i nā mea maʻi, mai ka mau pilikia hiki wale kiʻi ino. No laila, i loko o ka hope ke kahua ua kaʻoi loa lawe mai patronage ma ka home a me ka ole, e lawe aku i ka hoʻomanawanui i ka haukapila.

lapaʻau

Ka pahuhopu ua loaʻa, diagnosed angioentsefalopatiya lolo, lapaʻau e hoʻomaka me ka hikiwawe e loaa, e 'ūlōlohi i ka Holomua o ka pathological kaʻina. Eia kekahi, hoʻomaka Kāohiʻana a me ka hana o ka hahau ana somatic pathologies.

Lapaʻau ua kuhikuhi ma ka hoʻomaikaʻi perfusion o ka lolo'aʻaʻa ma ka mea e pono ai i ka mea'ōnaehana mānowai koko'ōnaehana, e like me ka? Iaea o ka rheological waiwai o ke koko. Ua paipai atherosclerosis Inc a me hypertension like me ka nui aʻe o? Acaeoey o ischemia.

hoolaʻi Kids

Kekahi mau kūpuna e hoomanawanui i manaoio ole ai lakou e ole "make" na papa, a me ia mea e pono ke nana i na aoao. Penei, paradoxically manaʻo ke hoike angioentsefalopatiya lolo. kuʻuna therapies mea i waena o kauka hookipa ana, no ka mea, ka mea hoʻonāukiukiʻana mai o ka worsening o symptoms.

Poe akamai i paipai aku kekahi papa hana lapaau no ka hoʻomaikaʻi cerebral holo hoʻohana i ka aa o madder a me ka hellebore Haole, lalo iho o Marsh cinquefoil, 'aila "Magic Trio", tincture o kālika a me cranberries a oi. I ka laulā o kēia mau potions ka loa kanalua, pela no oe e ole e hoʻomau ana i loko o ia mau mea. E aho e hele i ka mea kupono kauka.