Hemorrhoidal sitiroko: Zoyambitsa ndi Zotsatira

Malinga ndi gulu lonse la matenda, izo lagawidwa mitundu iwiri chachikulu cha sitiroko. Zikuphatikizapo hemorrhoidal ndi ischemic. Aliyense wa matenda amenewa ndi zovuta ndi zoopsa kuphwanya makope ubongo.

Yoyambirira sitiroko amagwirizana ndi blockage wa ziwiya magazi ndi kutha kwa magazi mu okwana kapena tsankho mawonekedwe. Hemorrhagic (hemorrhoidal) sitiroko akhoza yodziwika monga magazi intracranial. Mtundu wa choipa ubongo, malinga ndi ICD 10 malamulo anapatsidwa.

Kodi hemorrhoid (hemorrhagic) sitiroko?

Childs, hemorrhoidal sitiroko, zotsatira zimene ziri mwachindunji amadalira zifukwa koyamba vozniknuvshey matenda kumachitika chifukwa kusintha pathological mu dongosolo mtima. Atrophic ndi zochitika necrotic chifukwa cha kuwonongeka kwa bongo zachitika kale, nawonso, kudziwa zina matenda chithunzi. Kuti timvetse, chifukwa chimene njira nanga hemorrhoidal sitiroko, icho chiri ndi mtundu wa matenda kulibe, m'pofunika kumvetsa mwatsatanetsatane.

M'kagulu hemorrhagic sitiroko yotentha ndi chikhalidwe cha yatsoka ndi. Pali mitundu anayi a zotupa ubongo:

• Parenchymal hemorrhagic sitiroko mtundu - ndi zovuta kwambiri mtundu wa matenda. Kuwonongeka kwa mitsempha amene anachitika chifukwa cha parenchyma ndi, makamaka chifukwa kwambiri, magazi katundu mabasi.
• Subcortical hemorrhagic sitiroko mtundu - kumachitika chifukwa cha matenda oopsa yaitali kapena kuthamanga kwa magazi. Malo ambiri kukha mwazi ndi kukhudza wa lobes kanthawi ndi parietal.
• Subarachnoid hemorrhagic sitiroko mtundu - ndi chifukwa chotupa cha aneurysm ziwiya. The etiology matenda amagwirizana ndi kukha mwazi wolumikizira kumene magazi chimadzaza M'mimbamo pakati pa Mater zofewa ndi arachnoid. Milandu yaikulu ya mtundu wa sitiroko ndi kuvulala m'mutu. Makamaka, akhanda subarachnoid sitiroko bwino zimayamba mu njira ya ntchito yaitali kuvulazidwa mayi ndi mutu.
• Arachnoid haemorrhagic sitiroko mtundu akufanana ndi mtundu wakale kukha magazi. Iwo chimasiyanitsa yekha chifukwa cha kukha magazi. Childs, chotero sitiroko chikwiyire hemorrhoidal chotupa chosaopsa enaake zotupa.

Malangizo a njira zachipatala ndi odwala mankhwala amalola ntchito matenda mmodzi wa mitundu pamwambapa. Hemorrhoidal matenda opuwalitsa ziwalo, ndi Mapa yomweyo sangachite dotolo aliyense. Kaya mtundu kuvulazidwa ubongo, zizindikiro ndi zochita matenda ndi zofanana kwambiri. Kugwiritsa phased Kupenda akhoza kukhazikitsa mlingo wa efficacy wa mankhwala ndiponso opaleshoni rationality.

Mitundu ya zikwapu hemorrhagic chifukwa cha mtundu wa zosayembekezereka

Gulu zotsatirazi magazi hemorrhagic ndiye matanthauziro a mitundu ya matenda, chifukwa cha chitukuko. Popeza mwayi wa mankhwala ndi yolingana mwachindunji ndi etiology ndi anachititsa hemorrhoidal sitiroko amachititsa zotupa ubongo ndi zofunika kwambiri ndipo pa chithandizo chodzidzimutsa ndipo yaitali konzanso ndondomeko. Ndikuzigawa m'magulu awa:

1. Chifukwa choipa - Pankhaniyi chiwonongeko cha ubongo maselo m'dera ndi anakonzeratu kuvulazidwa, voliyumu ake, ndi digiri ya kuwonongeka.
2. Chifukwa cha kulumpha mwadzidzidzi magazi - pali anawononga wa M'mimbamo mtima (angakhale capillaries, mitsempha ndi mitsempha zikuluzikulu). Aakulu yaitali oopsa amalimbikitsa pang'onopang'ono kupatulira makoma mtima. Pamene kuchuluka permeability ndi wamba kuthamanga kuwonjezeka amapezeka hemorrhoidal sitiroko, zotsatira zake za amene ali kovuta kulosera.
3. Chifukwa cha aneurysms mtima - kudwala nthawi zambiri amapezeka chifukwa cha imfa ya elasticity a mpanda mtsempha wamagazi, amene palokha ndi zotsatira za osauka aneurysms.
4. Chifukwa cha blockage wa mitsempha - waukulu kapena thunthu mtsempha chifukwa blockage bwanji mphamvu krovoottoka.
5. Zachititsa phwando asatayike - zambiri hemorrhoidal sitiroko kumachitika chifukwa pachithunzichi anayamba mankhwala mu overdosage mankhwala kwambiri kapena digiri kuledzera. Unadjusted zochita madokotala kungachititse kusisita.

Iwo ayenera kukumbukira kuti chiopsezo kuukira wina Mwina apamwamba kwa masabata awiri loyamba pamene sitiroko choyamba. The lonse Chaka choyamba akuvutika matenda pali kuthekera kwa kukha mwazi kubwereza. Kupewa zisadzachitikenso wodwalayo mu njira ya moyo wa mankhwala.

Symptomatology ya kukha mwazi kwa muubongo

Poganizira hemorrhoid sitiroko, kodi m'pofunika kukhala zizindikiro zake zazikulu. Kugonjera chithunzi cha chiwonongeko cha ubongo minofu akhoza anasonkhana Daisy unyolo wa zochitika zina.

Chinthu choyamba chimene chimachitika - kusiyana ndi zimakhala mtima osati wolingalira kuthamanga pa nyumba yawo. Mwadzidzidzi anatsegula magazi amadzadza pafupi ubongo patsekeke. Pa nthawi imeneyi, hemorrhoidal sitiroko (chithunzi Ufumuyo kwa momveka) ndi maganizo mwamuna ndi kuukira wokonda mutu.

Pafupifupi nthawi yomweyo anayamba kutupa meninges lapansi. Kutupa tsinde ubongo chifukwa cha kupondereza ntchito mitsempha minofu. Yaikulu magazi zambiri kumayambitsa chitukuko cha hydrocephalus kapena occlusive hydrocephalus. Mutu kukula ukuwonjezeka, kukula intracranial hematoma, amene kumathandiza normalization ndondomeko ya kufalitsidwa ntchito cerebrospinal. Pa nthawi imeneyi, ndi woopsa kwambiri hemorrhoidal sitiroko. Chikomokere (amene anapulumuka pambuyo mavuto amenewa amakumana ndi mavuto ambiri) - chodabwitsa pafupipafupi, amagwirizana ndi njira kusalabadira kwa matenda.

Kuwonjezera hematoma mapangidwe, zokhudza oziziritsa anapambulwa Wamaliza chilema mtima milandu pafupifupi 90%. Kulankhula kukanika ndi kuwonongeka kwa ntchito kupuma pafupifupi kupitirira kukonza.

Manja ndi imfa ya ubongo minofu ndi mankhwala thandizo yake, ndicho opaleshoni, amathandiza yaikulu. Pamene mwazi ukutayika yaing'ono mwayi wa kuchira bwino alipo, onse zotayika ubongo ntchito ungakonzedwe. Komabe mpaka kalekale njira necrotic zingaoneke mu kukha magazi chochuluka. ubongo minofu salinso ntchito, ndiyeno nkubwera imfa. Zotsatira zake woopsa n'zotheka patangotha maola ochepa pambuyo pakutchulidwa kuukira ngati malo owonongeka wa kotekisi oziziritsa omwe amalamulira njira ya kupuma ndi dongosolo mtima.

Yaikulu magazi wosasiyapo mwayi kuchira, pakalibe ndi craniotomy mwadzidzidzi.

Kodi kuzindikira sitiroko?

Monga zowoneka asankhe hemorrhagic sitiroko sizingatheke kufotokoza bwino kukhala pa chitukuko yogwira matenda amalola madokotala wodwala mwiniyo anapereka matenda kuyambirira ndi madigiri kuwonongeka. Komanso, nthawi isanafike kafukufuku m'makoma apadera madokotala kuchipatala amatha kuthandiza Katswiri chimene chimapangitsa kuti kuchepetsa mphamvu ya mavuto.

Aliyense ayenera kudziwa za zizindikiro, amene amagwirizana ndi matenda. Hemorrhoidal sitiroko, ukugwira moyenera, n'zotheka kudziwa m'njira yake ndi kuthandiza nokha kapena wodwala anzake. The akulimbana ndi choipa ubongo khalidwe monga:

• moto kutengeka mwadzidzidzi kuwonjezeka ululu;
• nseru kwambiri, analimbikitsa ndi kusanza;
• maso kukhala hypersensitive kuti kuwala;
• kusintha boma amazindikira: wodwala kuchira mu pafupi chabe;
• akamataya magazi yaikulu zotheka amanyansidwa chikomokere;
• ntchito kulephera nthambi galimoto pang'ono kapena kwathunthu, wakhunyu khunyu.

Ngati mukubwera neuro-hemorrhoidal sitiroko (otchedwa kukha mwazi muubongo chikwiyire psychoemotional mopambanitsa), khunyu, khunyu akhoza atathana ndi zizindikiro zokha likunena za matenda.

Kodi kuthandiza anthu a sitiroko ndi?

Kukayikitsa pang'ono magazi ayenera yomweyo hule zoyenela ena. Izo zimatengera iwo wotsatira mtima liwiro kuchira. Choyamba, muyenera itanani ambulansi, koma asanafike ake zedi kuchita zinthu zingapo kupewa chitukuko cha matendawo.

Choyamba, munthuyo ayenera kuikidwa mu malo yopingasa ndi kukweza wanu madigiri mutu 30. Nkofunika kwambiri kuchita pofuna phunzirani kutulutsa magazi kuchokera ku ubongo.

Kachiwiri, mutu wodwalayo ayenera zimayenda pambali. Potero mutsogolo kupuma ochitiridwayo, n'zosavuta kulamulira isanayambike kusanza (ndi misa oopsa anagunda ziwalo kupuma). N'kofunikanso kuti wodwalayo mwayi kupuma mpweya wabwino.

Chachitatu, pamene wodziimira yonyamula wozunzidwa kusamutsidwa monga momwe chikhalidwe mapulani kulamulira thupi kutentha ndi anzawo.

Medical matenda a matenda

Akusonyeza hemorrhagic sitiroko pa kuyendera zithunzi kuli kovuta. Ngakhale pamaso pa zizindikiro khalidwe, kukhazikitsidwa kwa njira mwamsanga kupulumutsa wodwalayo yekha ndikatha kumfunsafunsa malangizo, chifukwa matendawa ali ndi kufanana kwa mawonetseredwe a khunyu, chitukuko a khansa chosaopsa formations ubongo. Ndikuganizira mu kuchipatala phwando mtima wa imatumizidwa:

• CT jambulani (mu magawo oyambirira a matenda CT jambulani amati ndi yofunika kwambiri yodziwira njira, ngakhale kuti Kujambula kwambiri nkhani njira ya kafukufuku);
• MRIs (ntchito pa magawo onse a matenda a hemorrhagic matenda opha ziwalo ndipo ali ndi yotakata nkhani pa alili, zolosera pa amadza sikhala, ndi zina zotero. D.).

Mwayi kuchira

Popeza gulu chiopsezo makamaka odwala achikulire, Zoneneratu awo kuti apeze ndi zokhumudwitsa kwambiri. Only mu 25-40% milandu, chithandizocho kutsazikana bwinobwino, kupewa kuukira mobwerezabwereza ndi kukwaniritsa tsankho ayambe ntchito kwambiri.

Mwachangu wa thupi anthu amene anali hemorrhoid sitiroko (chithandizo nthawizina sachiza), mu m'badwo uno yafupika pafupifupi ziro, imbaenda ku chiwonongeko mosalephera. Kuneneratu za m'tsogolo Inde kuchira ku matenda a achinyamata kwambiri zambiri mu mphamvu positive.

Zotsatira za mtundu sitiroko hemorrhoidal

Pambuyo hemorrhoidal sitiroko zotsatira za zikunena achire mwachindunji zokhudzana ndi zovuta matendawo. Nthawi zambiri zotsatira za mtundu hemorrhagic a sitiroko amadziwika:

• chibayo (chifukwa cha, kawirikawiri anafooka kunama malo ndi mkhutu ntchito kupuma chikwiyire minofu necrosis kapena manja);
• septicemia (matenda anakumana ndi m'thupi angayambe okwana kugonjetsedwa thupi, nthawi zambiri ndondomeko anati pamaso pa hematoma volumetric);
• kuthamanga zilonda pa thupi (khungu kuukira kukumana kupanda kotunga magazi ndipo timakhala nzothandiza uliwonse);
• thrombosis (yafupika mtima kaimbidwe kumabweretsa mfundo yakuti kuundana magazi kulowa m'magazi);
• chikomokere (imodzi mwa mavuto oopsa kwambiri amene akhoza kubweretsa hemorrhoid sitiroko, chikomokere ukhoza kwa maola angapo zaka zingapo, kubwezeretsa zonse ubongo wodwalayo ntchito si anachita).

Monga tafotokozera kale, Mwina zisadzachitikenso za kuukira atangobadwa kukha mwazi woyamba amakhalabe ndithu. Komanso, sitiroko chachiwiri zambiri otsiriza, monga mwamphamvu ake apamwamba. Nthawi ya machiritso pambuyo hemorrhoid sitiroko kachiwiri - zozizwitsa weniweni.

Chilonda chilichonse, kuphatikizapo hemorrhagic, sitinganene kuti matenda kudziletsa osauka. mtima thrombosis, arteriosclerosis ndi zinthu zina pathological a dongosolo mtima ndi muzu wa pakutchulidwa a kukha magazi mu ubongo patsekeke.

Mwachidule za chiwembu cha matenda a sitiroko m'chipatala

Mankhwala chithandizo cha hemorrhagic sitiroko ndi kugwiritsa ntchito mankhwala zovuta, ntchito yaikulu ndi n'chiyani kubwezeretsa yachibadwa oziziritsa kotunga magazi. Chinthu ndi kuti kusapezeka kwa mphindi zochepa mpweya, umene munthu wathanzi chimadzera mu magazi kuti ubongo zinadzala ndi kusintha mpaka kalekale, necrosis ndi minofu ya manja.

Si zophweka kupeza njira yoyenera, chifukwa pa koyamba zikuoneka ngati kuti zonse ndi losavuta: muyenera kuonjezera mabuku kubwera kwa magazi meninges. Komabe, izi zimawonjezera vuto ndi kusokoneza alili.

Mwa mankhwala omwe amalimbikitsa saturability matenda ubongo minofu mpweya madokotala olekanitsidwa "Aktovegin". Chili kwanuko, kuteteza chitukuko cha zochitika necrotic ndi kukula kagayidwe.

Yofunika kwambiri mankhwalawa hemorrhagic sitiroko kusewera neoprotektory ndi yotakata-sipekitiramu mankhwala. Ngati kugonjetsedwa kwa meninges ndi limodzi ndi matenda a mtima ndi chiopsezo thrombosis, n'zosatheka kuchita popanda wothandizila antiplatelet: mtundu wa mankhwala ndi chotchinga chachilengedwe ndi clotting magazi. M'badwo watsopano wa mankhwala m'dera lino monga "Etamsylate".

Pambuyo njira ya mankhwala chithandizo chachikulu amapezeka mu gawo kuchira, kumene mfundo yaikulu ndi kuyesetsa kuti n'zotheka konzanso yachangu wodwala. Yaitali mankhwala ndi konzanso wa kungasokoneze wodwala, kupereka kumafooketsa pa mlingo psycho-maganizo.

nthawi konzanso

Chifukwa odwala amafunika nthawi yaitali kuchira pambuyo sitiroko hemorrhoidal masiku angati chipatala adzafunika osachepera ayambe tsankho ndi chosadziwika. Komabe, mwayi wakuti kuchenjeza inu ndi okondedwa anu matenda aakulu, si bwino kumadzinamiza paudindo madokotala, malangizo a akatswiri a zinthu zakudya ndi kutsogolera moyo wathanzi, amapezeka aliyense.

mapulogalamu kuchira amakonzedwa madokotala payekha. Malinga ndi zaka wodwala, ndi thupi kupewa matenda ndi mavuto ake zimadalira nthawi zotsatira woyamba positive. Mwatsoka miyezo konzanso litenge kwa zaka, kotero ndi ofunika kwambiri kuleza mtima ndi kulimbikira.

Koma aliyense ulamuliro ali kuchotserapo wake, ndipo mu nkhani ya mapulogalamu mabuku zothandiza bwinobwino wodwalayo silingathe m'kanthawi kocepa. Makamaka, pamene neobshirnom kukha magazi ndi kugwiritsa ntchito mapulogalamu amaphatikizidwa chithandizo ongokhala mankhwala thupi, kutema mphini, thupi maphunziro ndi maphunziro kutikita, panali nthawi zambiri mu yochizira matenda, pamene odwala kubwerera ku moyo wake wakale ndi pafupifupi 100%.

M'zaka zaposachedwapa, kachitidwe madokotala ndi akatswiri konzanso odwala anali kulolerana wa zikuchitika masiku ano gymnastic mu remediation zovuta. Makamaka zogwirizana Zochita kupuma, anati yoga, pilates.

Healthy kudya - sitepe kuchira

Sinthani mawonekedwe chakudya - sitepe yachiwiri ndi zofunika konzanso ndi reparation, amene anamenya thupi la wodwalayo hemorrhoidal sitiroko. Kodi izi zikutanthauza idzawonetsedwa pa maziko a mndandanda otsatirawa mankhwala enieni:

• mitundu nyama mafuta;
• kusuta mankhwala;
• ufa, wokoma mitanda, mikate yoyera.

Ine ndikutsimikiza ambiri amadziwa mfundo zimene zigawo zikuluzikulu tsiku zakudya chimawononga yaikulu boma la lake lonse. Atherosclerosis - matenda mtima, limene anapanga mipukutuyi atherosclerotic, kuteteza yachibadwa magazi - nthawi zambiri anali precipitating chinthu magazi hemorrhagic.

Mu nkhani ya moyo kuchiritsa pambuyo sitiroko sangakhale ndi buku lenileni la munthu m'mbuyomu. Wodwalayo adzayenera kuchepetsa ndekha zonse, kupewa kumwa mowa, kusuta fodya. Kupanikizika ndi zokumana mantha ayenera kupewedwa mu malo oyamba. Komanso, zonse cheke akuluakulu ndi kupita kwa dokotala ayenera kukhala mbali yosatha ya miyezo thanzi wothandiza.

Pofuna kupewa kobwereza kuukira hemorrhagic sitiroko mtundu madokotala mankhwala odwala zolimbikitsa, ikuthandizira mankhwala, vitamini maofesi. Mmodzi wa mankhwala ambiri amaona "Cardiomagnyl".