Atherosclerosis nke akwara intracranial akwara bụ ihe na - ebutekarị ọrịa strok. Ọ bụ ihe kwesịrị ịrịba ama na ihe ize ndụ nke ọrịa ahụ dabere na agba akpụkpọ ahụ, ndị Europe anaghị enwe nsogbu na pathology karịa ndị nnọchi nke agbụrụ Eshia na Negroid.
Ihe ndị na-akpata mmebi ahụ bụ ọnụnọ nke oghere atherosclerotic na ọnụ nke obere akwara ozi, arterio-arterial embolism, hyperfunction nke ụbụrụ. A na-eme ka oge nlọghachi laghachi azụ site na ike nke na-eme ka ọbara na-erugharị.
Ọrịa ụbụrụ na - akpata oke mgbasa akwara na ụbụrụ, dịka mgbanwe atherosclerotic na akwara akwara. Ejikọtara ihe iyi egwu ahụ na mbufụt na ihe omume, ọganihu na mmebi nke mbadamba nkume atherosclerotic.
Site n'ịdị njọ, ọrịa ahụ nọ n'ọnọdụ nke abụọ mgbe atherosclerosis nke akwara ọbara na obi. Mgbaàmà nke ọrịa bụ:
- ncheta;
- arụmọrụ nke uche;
- ike gwuru.
Ndị ọrịa na-enwe ike nkwụsi ike, nrụgide intracranial na-ebili, isi ọwụwa na-akawanye njọ na-amalite, karịchaa mgbe ha na-esikwa n’apata na ọnọdụ kwụ ọtọ. Ndị ọrịa nwere nkwarụ siri ike, ahụ erughị ala na spain.
Forzọ maka ịchọpụta ọrịa
Maka nchoputa nke atherosclerosis nke akwara intracranial arteries, a na-enyocha onyunyo onyunyo, onyonyo onyonyo, akuko tomography, a na acho iwepu ihe dijitalụ. Ofkpụrụ ọla edo nyocha ya bụ usoro nke ikpeazụ, mana n'otu oge ahụ ọ na - alụ ọgụ, chọrọ iwebata ụzọ dị iche. Ọ na-enyekwa ihe ize ndụ nke adịghị ike akwara ozi.
Banyere izizi nke ụzọ ndị anaghị achọ iji ọgwụ na ngwaọrụ ahụike, ozi adịghị. Ebe ọ bụ na anya nke lumen na-adabere n’ichepụta ọbara, ịdị n ’ọnya akwara nwere ike ịzọ agbagọ.
Iji wepu mmebi nke akwara intracranial, transcranial dopplerography, MRI ka a na-eme, mana ha abụghị ndị a pụrụ ịtụkwasị obi nke ịchọpụta ọnụnọ nke stenosis ma guzobe ịdị ogo ya. Dopplerography na-enye echiche nke ọnọdụ arịa arịa, na-enyere aka ikpebi mmeghachi omume ụbụrụ.
Omenala usoro ọgwụgwọ iji gwọọ ọrịa bụ naanị iji gosipụta ịdị nfe nke akwara art.
Yabụ, enwere ọtụtụ ndọghachi azụ, nke bụ isi enweghị ike ịchọpụta:
- usoro ihe omimi nke ihe ncheta;
- ogo nke enweghi ike ncheta;
- ihe ndị ọzọ na-akpata stenosis.
N'oge a, onyonyo ụda ndọta, nyocha intanet na-enyocha elu intravascular enwetawo ihe pụrụ iche. Usoro eji enyere aka ichota oria a n'uju. Nke a dị ezigbo mkpa na mmalite nke ọrịa, mgbe vaskụla lumen emetụta obere.
MRI na-enyere aka iji anya nke uche mee ka ọbara dị n’ahụ, lee anya n’otú o si akọwa ya, guzobe ihe mejupụtara, ọnụnọ ọbara ọgbụgba, ogo ọrụ ahụ etuto ahụ. Nnyocha nke intravascular na-ekpughekwa ọbara ọgbụgba n'ime ihe ncheta, ihe mejupụtara ya, na ogo. Usoro ndị a na-enye ohere ịkpa ike n'ihe egwu na ụzọ ọgwụgwọ nke atherosclerosis nke akwara intracranial.
Researchzọ nyocha na-aga n'ihu dị mkpa ọfụma maka mmerụ ahụ na ọgaghị adaba na akwara ndị ahụ, ma ọ bụrụ na enweghị ike ịchọpụta ọnọdụ nke paịlị ahụ n'ihi usoro nchọpụta oge ochie.
Mgbapụta nke ọrịa
Maka nchoputa, oria obodo nke oria di nnukwu nkpa. Ọ bụrụ na mmadụ nwere atherosclerosis nke akwara ndị na-enye medulla oblongata, ọ na-amalite iku ume Cheyne-Stokes. Site na mmerụ ahụ na-adịte aka na mpaghara akụkụ okuku ume, cyanosis, a na-ahụ ntụpọ akụkụ akwara nke ihu dị. Igwe ikwu okwu, ìsì, ntị chiri, nkwarụ nke aka ahụ dịkwa ike.
Ihe nrịbama a dị mkpirikpi nke ihe mgbaàmà na-akpata ya bụ oghere nke akwara ụbụrụ, na-enwe njigide oge, lumen na-emechi, na ihe nke akwara mmiri ahụ ga-eme ka ọ dị nro na ọkwa ọzọ nke ọrịa.
Site na mgbazigharị art art ụbụrụ, ọ nwụrụ. Site na mgbaze nke mgbidi akwara, a na-achọpụta ọbara ọgbụgba n'ime anụ ahụ. Thrombosis kpalitere imebi ọrụ ụbụrụ, ọbara ọgbụgba ngwa ngwa. Mmebi nke ebe ndị dị mkpa na-akpata ọnwụ. Ndi dibia bekee na ndi dibia bekee gha elebara ndi oria anya.
Ihe ịrịba ama dị egwu nke atherosclerosis nke akwara intracranial bụ:
- ọgụ ọgbụgba;
- ọbara mgbali elu
- ọria aru.
Stenosis nke akwara etiti na-enye infarction lacunar, ischemia nọ na mpaghara ọkọnọ ọbara dị. A na-egosipụta Stenosis nke akwara carotid elu site na foci dị ike, ihe isi awọ na-esonyekwa na usoro pathological. N'okwu a, ọdịda akwara ozi na-ekwupụta nke ọma karịa na stenosis nke ụbụrụ akwara.
Na mgbakwunye na erughị ala nke mmetụta na moto na ọnya nke akwara caudate, isi awọ ma ọ bụ thalamus, onye ọrịa mamịrị nwere ike inwe mmebi. Ha na ebuputa na enweghi nkụchi obi site na mbelata nke isi oroma A na - ewepu akpo asymptomatic nke oria a, ya na oria na - eme ka onwe ya nwee obi uto site na otutu ihe.
Atherosclerosis nke akwara intracranial nwere ike:
- ọganihu;
- iji kwụsie ike;
- n'ịchịkwa.
Ọ bụrụ na enweghị ihe mgbaàmà, a kwenyere na nsonaazụ ọrịa ahụ dị mma. Site na mbadamba nkume nke etiti ụbụrụ, a na-ebu amụma mgbanwe. Neoplasms na -akpọ, na-egosi site na ike ọ nwere ike ịta ụta. N'oge ọmụmụ ihe ahụ, ndị dọkịta na-achọpụta ọdịiche dị n'etiti usoro stenosis na nsonye.
N'inwepụta usoro nke ọrịa strok mbụ, dọkịta nwere ike ịkọ usoro nke ugboro ugboro nke ọrịa ahụ.
A na-ahụkarị ọnya atherosclerotic na etiti akwara akwara na akwara carotid.
Ọgwụgwọ na Mgbochi Ya
Ọgwụ nke atherosclerosis nke akwara intracranial na-enye maka igbochi nlọghachi nke akwara ọbara.
Maka ebumnuche ndị a, a na-egosipụta nyocha nke ọkwa ọbara mgbali elu, ịkọwa ọdịmma nke ihe dị ka abụba. A na-eme mgbanwe na-adịghị mma nke ihe ndị ọzọ dị ize ndụ: ịbelata ibu, ịba ụba nke arụ ọrụ, ịjụ omume ọjọọ, mmezi nke glycemia nkịtị. Ọzọkwa, a ga-achọ ọgwụgwọ antithrombotic.
A na-ahọrọ usoro monotherapy na ndị nnọchi antiplatelet, maka mgbochi nke ịmaliteghachi ọrịa strok na mbido mbụ, a na-egosipụta ọgwụgwọ antiplatelet ugboro abụọ. Medicationsakingụ ọgwụ na ntinye siri ike nke ịkọ ihe.
Ogologo oge, a nwalere ịwa ahụ ọrịa atherosclerotic stenosis nke akwara intracranial, nsonaazụ nke ọrịa ahụ. Usoro omumu izizi bu itinye akwukwo ozo n’ime anastomosis. Agbanyeghị, n’oge a ka ejighi usoro ahụ.
Ọtụtụ mgbe, a na-eme usoro ọgwụgwọ ọhụụ karị:
- ntinye endovascular iji balloon angioplasty na stenting;
- balloon angioplasty.
Ntinye aka nke ịwa ahụ na-enye nsonaazụ dị mma, stent dị mfe ịwụnye. Ọzọkwa, n'ọnọdụ ụfọdụ, a na-ahọrọ ọgwụ maka ọgwụgwọ ọgwụ.
Na ashempcleic asymptomatic, a ga-ebu ụzọ gbochie ọrịa ischemia, na-eburu n'uche ihe ndị nwere ike ibute ya. Ebe ọ bụ na enwere ike nwee ọganihu nke ọrịa ọnya akwara, ọ dị mkpa iji nyochaa ọnọdụ akwara ndị ahụ otu ugboro n'afọ abụọ.
Stenosis nke akwara intracranial akwara sitere na nzụlite nke dysregulation nke usoro ọbara ọgbụgba, nguzobe akụkụ nke oke mmanụ. Ọrịa dị otú a kwesịrị ịkọ ọgwụ maka nsonaazụ ya:
- neurotrophic;
- antihypoxic;
- metabolic.
Actovegin nwere ihe ndi a, o nwere ezigbo nchekwa nchekwa.
Nnyocha egosila na ịdị mma Actovegin dị mma n'oge ọgwụgwọ nke ndị ọrịa agadi nwere ọrịa dementia dị nro na-agafeghị oke, gụnyere etiology vaskụla. Ọgwụ na-esokwa mmụba dị ukwuu na njiri omume, nsonaazụ nke ọmụmụ neuropsychological.
Actovegin na - emetụta nlebara anya, ncheta, na - eme ka ọnọdụ psychomotional nke ndị ọrịa mamịrị daa, na - egbochi mmepe nke nsogbu nke atherosclerosis. O kwere omume belata ịdị njọ nke asthenic, ihe mgbawa obi, mee ka ụra gharazie, ọdịmma izugbe.
Endoterioprotective mmetụta, mmetụta dị mma na microcirculation abụrụla nke pụtara ìhè ugboro ugboro. Ntinye ọgwụ a na usoro ọgwụgwọ maka ndị ọrịa nwere atherosclerosis intracranial, yana usoro mgbochi, na-enyere aka iwepụ ọdịda ọbara na ụbụrụ ma melite ọnọdụ onye ọrịa.
Dị ka ị pụrụ ịhụ, atherosclerosis nke intracranial arteries bụ ihe dị njọ na mmepe nke nsogbu mgbasa ọbara, na-enye ụzọ pụrụ iche iji gwọọ ọrịa na ọgwụgwọ. N'ihi ọganihu n'ọmụmụ ihe banyere ọrịa ahụ na ụzọ nyocha ya, mmadụ nwere ike ịtụkwasị obi na mgbanwe dị mma nke usoro pathological.
A tụlere usoro ọgwụgwọ Atherosclerosis na vidiyo n'isiokwu a.
