Cerebral Infarction

Kodi Cerebral Infarction ndi chiyani?

Cerebral infarction imadziwikanso kuti ischemic stroke, ndiko kuwonongeka kwa minofu yogwirizana ndi ubongo pambuyo pa kutsekeka kwa mitsempha ya ubongo, yomwe imatha kutsagana ndi magazi.The pathogenesis ndi thrombosis kapena embolism, ndipo zizindikiro zimasiyana ndi mitsempha yomwe imakhudzidwa.Cerebral infarction imayambitsa 70% - 80% ya milandu yonse ya sitiroko.

Kodi Etiology ya Cerebral Infarction Ndi Chiyani?

Cerebral infarction imayamba chifukwa cha kuchepa kwadzidzidzi kapena kuyimitsidwa kwa magazi m'mitsempha yamagazi yaubongo, zomwe zimabweretsa ischemia yaubongo ndi hypoxia m'dera loperekera magazi, zomwe zimatsogolera ku necrosis yaubongo ndi kufewetsa, limodzi ndi zizindikiro zachipatala. minyewa yofananira, monga hemiplegia, aphasia, ndi zizindikiro zina zakusokonekera kwaubongo.

Zinthu zazikulu

Kuthamanga kwa magazi, matenda a mtima, shuga, kunenepa kwambiri, hyperlipidemia, kudya mafuta, ndi mbiri ya banja.Zimapezeka kwambiri mwa anthu azaka zapakati komanso okalamba azaka 45-70.

Kodi Zizindikiro Zachipatala za Cerebral Infarction Ndi Chiyani?

Zizindikiro za matenda a infarction ya ubongo ndizovuta, zimagwirizana ndi malo a kuwonongeka kwa ubongo, kukula kwa mitsempha ya ubongo ya ischemic, kuopsa kwa ischemia, ngati pali matenda ena asanayambe, komanso ngati pali matenda okhudzana ndi ziwalo zina zofunika. .Nthawi zina wofatsa, sipangakhale zizindikiro konse, ndiko kuti, asymptomatic cerebral infarction Inde, pakhoza kukhala mobwerezabwereza ziwalo ziwalo kapena vertigo, ndiko kuti, kusakhalitsa ischemic kuukira.Nthawi zina zovuta, sipadzakhala ziwalo za ziwalo zokha, koma ngakhale chikomokere kapena imfa.

Ngati zotupa zimakhudza ubongo kotekisi, pangakhale khunyu khunyu mu pachimake siteji ya cerebrovascular matenda.Nthawi zambiri, kuchuluka kwakukulu kumakhala mkati mwa tsiku limodzi pambuyo pa matenda, pomwe matenda a cerebrovascular ndi khunyu monga zomwe zimachitika koyamba ndizosowa.

Kodi Mungachiritse Bwanji Cerebral Infarction?

Chithandizo cha matenda ayenera kudziwa za mankhwalawa matenda oopsa, makamaka odwala lacunar infarction awo zachipatala mbiri.

(1) Nthawi Yovuta

a) Kupititsa patsogolo kayendedwe ka magazi m'dera la cerebral ischemia ndikulimbikitsa kuchira kwa mitsempha mwamsanga.

b) Pofuna kuthetsa edema yaubongo, odwala omwe ali ndi madera akuluakulu komanso owopsa atha kugwiritsa ntchito ma dehydrating agents kapena okodzetsa.

c) Dextran yolemera kwambiri imatha kugwiritsidwa ntchito kupititsa patsogolo kayendedwe ka magazi komanso kuchepetsa kukhuthala kwa magazi.

d) Magazi osungunuka

f) Thrombolysis: streptokinase ndi urokinase.

g) Anticoagulation: gwiritsani ntchito Heparin kapena Dicoumarin kuti muteteze kufalikira kwa thrombus ndi thrombosis yatsopano.

h) Kufanuka kwa mitsempha ya magazi: Anthu ambiri amakhulupirira kuti mphamvu ya vasodilator ndi yosakhazikika.Kwa odwala kwambiri omwe ali ndi vuto la intracranial, nthawi zina zimatha kukulitsa vutoli, chifukwa chake, sizikulimbikitsidwa kugwiritsa ntchito atangoyamba kumene.

(2) Nthawi Yochira

Pitirizani kulimbikitsa maphunziro a ziwalo zopuwala ndi ntchito yolankhula.Mankhwala ayenera kugwiritsidwa ntchito limodzi ndi masewero olimbitsa thupi ndi acupuncture.