Ho ferekana hoa potoloha ka lebaka la li-pathologies tse fapaneng, haholo-holo lefu la tsoekere, ho baka tšenyo ea kelello. Mathata a lefu lena ke phetoho sebopeho sa likepe tse nyane.
Microangiopathy ke eng ka ho ba teng ha foci ea gliosis? Ona ke lesapo la methapo ea methapo ea methapo ea mali le li-capillaries, tse tsamaeang le ho teba ha marako a methapo, le lesoba la lumen, 'me kamora nako eo, keketseho ea matla a marako ho fihlela e putlama.
Mefuta ea lefu lena
Microangiopathy syndrome ke letšoao la maloetse a mangata mme e ka baka thrombosis, hyalinosis le tisy necrotization.
Ho na le tlolo ea methapo ea mali ka lebaka la ho se lekane ha tsoekere le oksijene, ho fokotseha ha sekhahla sa phallo ea mali methapong ea boko.
Ho bolaoa ke tlala ea oksijene ho ama tšebetso ea litho tsa ka hare, ho lebisang tšebetsong e sa bonahaleng ea mahlo, ho ama liphio, ho baka lefu la lisele tsa methapo ea kutlo le ho ama ts'ebetso ea boko. Ha ho sa tšoaroe kalafo ka nako, nts'etsopele ea ho se sebetse hantle ha masapo, ho nyekeloa ke pelo le ho otloa hoa etsahala, mme lefu ha le qheleloe ka thoko.
Ho na le mefuta e 'maloa ea microangiopathy:
- Lefu la tsoekere. E hlaha ka lebaka la tsoekere e ngata maling a lero la mali. Sena se baka tšenyo ho capillaries le lijana tse nyane tse fanang ka phepelo ea mali ho litho tsa ka hare. Tlas'a tšusumetso ea tsoekere, marako a methapo a matlafala, khanya ea likepe ea nyenyefala le phepo e ntle ea lisele e khathatsehile. Bakuli ba na le keketseho ea khatello le ho ruruha ho matla.
- Cerebral. Liphetoho tsa methapo ea methapo ea methapo le khatello ea methapo ea mali, tse fumanehang ho batho ba baholo, li baka pherekano ea nako e telele phepong ea kelello, moo li-capillaries li senyehileng. Boemo ba pathological bo thata ho bo lemoha ebile bo ka tsosa ho hlaha ha infarction ea lacunar, ischemia le encephalopathy.
- Hypertonic. Ho tsitsipana hoa potoloha ho etsahala khahlano le semelo sa khatello e telele.
- Lenticular. E fumanoa khafetsa bongoaneng ebile ke tšobotsi ea phallo ea mali, eseng lefu le ikemetseng. Ha ho e-na le tieho ea nts'etsopele, ha e hloke kalafo, empa e hloka ho hlahlojoa khafetsa.
Lisosa tsa liphetoho tsa pathological
Pathogenesis ea microangiopathy syndrome ke phetoho ea methapo ea methapo ea methapo le methapo ea mali.
Meroalo e bohareng e fepang lekala la boko ka har'a likepe tse nyane le li-capillaries, e leng mokhoa oa ho potoloha oa mali o ikarabellang bakeng sa phepo ea litho tsa ka hare. Ka lebaka la mathata a ho potoloha, litsamaiso tsohle tsa 'mele lia ameha.
Microangiopathy ea boko e qala haholo khahlanong le semelo sa lefu la tsoekere, ho hlahala ha marang-rang le mafu a mang a litho tsa ka hare, le maemong a joalo:
- Thrombosis. Ho koaloa ha lesapo la mokokotlo ke mokokotlo oa mali.
- Hyalinosis. Ts'ebetso ea ts'ebetso ea metabolism ea protheine, e lebisang ho ts'oaroe ha marako a methapo ka lebaka la sebopeho sa hyaline ho tsona.
- Endothelial dysfunctione lebisang ho li-spasms tsa methapo.
- Psychology ea methapoe lebisang ho eketso e eketsehileng ea marako a methapo. Ka lebaka leo, lijana li senyehile mme plasma e tloha maboteng.
- Necrosis. Ketsahalo ea methapo eo ho eona lisele tsa 'mele li ikatisang ebe li shoa.
Lisosa tse latelang li ka baka lefu la microangiopathy:
- factor factor - botsitso hangata bo fumanoa botsofaling;
- leqeba la hlooho;
- khatello ea maikutlo;
- lefu la liphio
- mathata a endocrine a metabolism ea carbohydrate;
- joala le tahi ea nikotine;
- mafu a tšoaetsanoang le a vaerase;
- bokamoso bo futsitsoeng;
- mafu a mali;
- atherosulinosis;
- chefo ea 'mele ka lintho tse nang le chefo le lik'hemik'hale;
- khatello ea mali
Matšoao a nang le tšobotsi le matšoao
Letšoao la methapo ea methapo e itšetlehile ka mafu a kopaneng le ho teba ha tšenyo ea ts'ebetso ea potoloho le ea potoloho e bohareng. Boemong ba pele, bakuli ha ba utloe lipontšo tse sa thabiseng.
Nakong e tlang, matšoao a boletsoeng a hlaha, a ka iponahatsang ka tsela ea:
- ho tsoa mali le nko;
- likhathatso mabapi le tšebelisano le tekano;
- bofokoli le bohloko libakeng tse tlase
; - liphetoho tse mpe;
- ho senyeha ha pono;
- ho hloka boroko
- ho senyeha ha mohopolo;
- ho fokotseha ha maikutlo a tactile le tatso;
- ho hlaseloa ke hlooho;
- ho hlohlona le ho hlonepha letlalo la lipheletso tse tlase;
- tahlehelo ea litsebe;
- ho tsekela le ho theola tshebetso;
- ponahalo ea tinnitus.
;Haeba microangiopathy e tsamaisana le lefu la liphio, joale matšoao a latelang a bonoa:
- ho ruruha ho matla;
- bohloko ho lumbar;
- ponahalo ea mali ka har'a moroto.
Ponahalo ea hematomas le ho longoa ke tšobotsi, ho tsoa mali ho meninges ho ka qala. Karolo e ikhethileng ea microangiopathy ke polelo e hlalosang bohloko e sa tsebeng ho imoloha ke li-analgesics.
Pathology hangata e lebisa ho tsitsipano ea mali le nts'etsopele ea ho se sebetse hantle ha renal.
Sebopeho sa thrombotic sa microangiopathy syndrome se bonoa ho bakuli ba nang le mofets'e oa mofets'e le khatello ea mali, ho basali ba baimana le bana, 'me se tšoaetsoa ke khafetsa ea matšoao a feto-fetohang le ho feta lehlabula. Thrombocytopenic purpura e tsamaisana le ho ata khafetsa le matšoao a tloaelehileng a lefu lena.
Mekhoa ea ho Tseba
Ho tseba lefu lena ho qala ka ho bokella tlhahisoleseling, e lebisang tlhokomelo ho lilemo tsa mokuli, litletlebo tsa hae, mafu a fetileng le a amanang le ona.
Mohato o latelang e tla ba ho khethoa ha biochemistry ea mali, tlhahlobo ea mali ka kakaretso le thuto mabapi le sekhahla sa ho eketseha ha mali.
Tlhahlobo e etsoa ka methapo ea methapo, matla a bona a boteng, ho ba teng ha tšubuhlellano, le mali a ithutoa.
Ho hlakisa lefu lena, lithuto tse joalo lia etsoa:
- dopplerography;
- electroencephalography;
- compression tomography;
- MRI
- haeba ho hlokahala, buisana le ngaka ea mahlo.
CT le MRI e thusa ho bona sepheo sa lefu la gliosis, ho lekola boholo ba tšenyo methapong ea mali le li-capillaries, le ho fumana libaka tsa katoloso ea likepe.
Phekolo le ramatiki
Microangiopathy syndrome e hloka kalafo e rarahaneng.
Phekolo e kenyelletsa ho sebelisa meriana e joalo:
- li-antihypoxants - lithethefatsi tse felisang matšoao a tlala ea kelello ea moea (Emoxipin);
- meriana ea ho kokobetsa khatello;
- Lithethefatsi tsa Nootropic tse ntlafatsang phepo ea lisele tsa boko (Cerebrolysin, Piracetam);
- li-ajoa tse khutlisetsang mali (nicotinic acid);
- li-statins tse theolang litaba tsa lisele tsa lipid (Simvastatin, Atorvastatin);
- lithethefatsi tse theolelang tsoekere, haeba lefu le tsoile khahlanong le semelo sa lefu la tsoekere;
- li-vitamini complexes tse nang le acidic acid, selenium, livithamini tsa B le vithamine E;
- li-painkiller ho tlosa bohloko;
- angioprotectors, e khutlisetsa marako a methapo ea mali.
Ho bohlokoa ho fokotsa tsoelo-pele ea liphetoho tsa atherosselotic likepeng, tseo phepelo ea tsona e fetoloang. Fokotsa tšebeliso ea lihlahisoa tsa nama habeli ka beke, kenyelletsa lijana tse halikiloeng le tse mafura.
Ts'ebeliso ea physiotherapy e bonts'a litholoana tse ntle: plasmophoresis, electrophoresis, masela a seretse. Haeba manonyeletso a bohlokoa, joale ts'ebetso e reriloeng e laetsoe ho khutlisetsa marako a methapo le methapo ea methapo.
Ha e le lefu lena, ho thata ho le phekola kalafo ea mafu, haholoholo ho bakuli ba tsofetseng ba nang le khatello ea mali. Mehato e boletsoeng ea microangiopathy ntle le kalafo e nepahetseng e ka bolaea.
Ho a khonahala ho fokotsa kotsi ea mafu a ho potoloha ka ho bona mehato ea thibelo:
- inehela ho tsuba le bokhoba ba tahi;
- qolla khatello ea 'mele le ea maikutlo;
- khomarela lijo ka mokhoa o thibelang lijo tse halikiloeng, tse letsoai le tse mafura;
- hlokomela ho ikoetlisa ka tsela e loketseng.
Pale ea video e mabapi le kalafo ea lefu la ho ferekanya kelello:
Psychology e kotsi e hloka ho hlahlojoa ka nako le kalafo ea tšohanyetso. Ho fetohela ho ngaka ha matšoao a pele a lefu lena a hlaha ho tla etsa hore kholo ea ho hlaphoheloa e be e ntle le ho thibela sephetho se sa atleheng.
