Iqhosha yobuchopho

iqhosha ebuchotsheni (stroke kobuchopho) senzeka kwimeko ukuncitshiswa ebalulekileyo yokumpompoza kwegazi lobuchopho. Phakathi izifo ezibangela uphuhliso wayo, indawo yokuqala yegazi, utshabalalisa izinto ezinkulu. Kudla kuqatshelwe ukuba nodibaniso yalo umfutho wegazi, isifo seswekile sinwenwa. Kwiimeko ezinqabe kakhulu, arteritis ezahlukeneyo, samathambo, iziphene intliziyo azalwa decompensated, izifo igazi, izifo ezosulelayo, ukunxila, wamqumbisa iqhosha. Izizathu kwesi sifo efihliweyo uxinezeleko engqondweni nasemzimbeni. Amaninzi zithandwa abantu abaphakathi kweminyaka yobudala okanye nangaphezulu mahlanu mathandathu.

Ukuphuhlisa necrosis focal ingachongwa kwiingingqi ezahlukeneyo ebuchotsheni. Kaninzi kwenzeka uhehema lwesitya kwemithambo ephakathi. iqhosha lengqondo kuba esingwevu (white) okanye obomvu mixed. Avamise kakhulu amhlophe. Ingqondo iqhosha ebuchotsheni iindlela pathogenetic zahlukahlukene kakhulu. Ezi ziquka thrombosis semithambo, Embolism, spasm. Malunga nesiqingatha zonke iimeko iqhosha yobuchopho ngasemva ngenxa yamafutha kwavela ngezifo le extracranial vertebral kunye yegazi carotid.

Ezandulela uphuhliso sifo ukuphazamiseka idlule ngayo igazi. Zibizwa rhoqo kukuhlaselwa kobuchopho. Bona luphawulwa yokubonakalisa iimpawu ezingazinzanga focal (paresthesia, ukuphazamiseka intetho, paresis). Ngenxa umthetho, ukuba ngenxa yokunqongophala elifutshane elide igazi kwindawo yobuchopho, othi iphuhlisa isifo sentliziyo. Kwezinye iimeko, sihlasela transistor kobuchopho zidla nje kokuba imbonakalo yakhe. Ngenxa yoko, kwakha ikliniki "prodrome" stroke. Maxa wambi kukho intlungu elibukhali entloko, ubuhlungu jikelele.

Khuphani ngokubethwa kobuchopho unokuthi nangaliphi na ixesha. kaninzi kwenzeka ngokukhawuleza emva yokuvusa okanye ebusuku. Kwezinye izigulane, iimpawu zokuqala zinxulunyaniswa ngobume umthwalo omkhulu, impembelelo umba ngokweemvakalelo, utywala, nayiphi jikelele, kuquka izifo ezosulelayo okanye ukulahleka igazi. stroke kobuchopho udla ngokwenza iposi engabalulekanga.

Kuba imeko kunazo le nzuzo kwemiqondiso localized luvo ngcembe, zisenzeka phezu iiyure eziliqela, kunye neentsuku ngamanye amaxesha amabini okanye amathathu. Ngelo xesha ukuze kubekho abonakalisa ukunyuka ngumdolomba ifomu. Ngamanye amaxesha iqondo ubungqongqo ukunyuka, lo buthathaka. Kwezinye iimeko, kukho apoplectiform imeko yophuhliso.

iqhosha Cerebral. Unyango.

izilonda olubanzi luphawulwa imeko enkulu kakhulu izigulane. Kubonakaliswa kweempawu focal lixhomekeke isitya abachaphazelekayo.

amanyathelo kwezonyango ngexesha ithi infarct zobuchopho kwenziwa ngohlobo labagula kakhulu.

thromboembolism wentliziyo zibandakanya nolawulo lweeHedfowuni okanye izithako ephantsi ubunzima molekyuli (klivarina, fraxiparin). isicelo esilandelayo senziwe phantsi kolawulo igazi ekunqandeni.

Used kunye Antioxidants (iziyobisi "Unitol" IM okanye e-vitamin), amalungiselelo inwebu ( "Essentiale", iv). Namhlanje emzimbeni therapy olunzulu usebenzisa saluretikov, osmouretikov phantse zange isetyenziswe ngenxa kakuhle. Indlela eziluncedo ngayo glucocorticoids na imibuzo.

Iziphumo zixhaphakileyo pathways ngayo imithi. Ezi ziquka iziyobisi "Instenon" yaye "Aktovegin". Kule internal aerobic luvuliwe kwi imvelaphi hypoxia kunye ischemia ngokwandisa ukusetyenziswa ioksijini kunye glucose zivuselela lipid peroxidation kunye nezinye.