Kev cuam tshuam ncig ntawm lub cev vim muaj ntau pathologies, tshwj xeeb hauv kev mob ntshav qab zib mellitus, ua rau lub hlwb puas. Cov kab mob ua mob hnyav yog hloov ntawm cov qauv ntawm cov nkoj me me.
Dab tsi yog microangiopathy nrog muaj foci ntawm gliosis? Qhov no yog qhov kab mob pathological ntawm cov txheej txheem peripheral ntawm cov hlab ntsha thiab cov hlab ntsha, nrog rau ntawm cov leeg ntawm phab ntsa voos, nqaim ntawm lumen, thiab tom qab ntawd muaj qhov nce ntawm permeability ntawm phab ntsa kom txog thaum lawv sib tsoo.
Cov qauv ntawm tus kabmob
Microangiopathy mob yog ib cov tsos mob ntawm ntau cov kab mob thiab tuaj yeem ua rau mob thrombosis, hyalinosis thiab cov nqaij mos necrotization.
Muaj kev ua txhaum ntawm cov hlab ntshav vim kev noj tsis txaus ntawm cov piam thaj thiab oxygen, ua rau muaj kev cuam tshuam ntawm cov ntshav ntshav hauv cov hlab ntsha ntawm lub hlwb.
Oxygen kev tshaib plab muaj feem cuam tshuam rau kev ua haujlwm ntawm kev ua haujlwm hauv nruab nrog, ua rau lub cev tsis pom kev zoo, cuam tshuam rau lub raum, ua rau tuag ntawm cov hlab ntsha hlwb thiab cuam tshuam rau lub hlwb. Thaum tsis muaj kev kho mob sijhawm, kev txhim kho lub raum tsis ua haujlwm, mob plawv thiab mob hlab ntsha tawg yog ua tau, thiab kev tuag tsis raug cais.
Muaj ntau hom microangiopathy:
- Ntshav qab zibCov. Nws mob siab vim yog cov ntshav qab zib cov ntsiab lus nyob hauv cov ntshav ntshav. Qhov no ua rau kev puas tsuaj rau cov hlab ntsha thiab cov hlab ntsha me uas muab cov ntshav xa mus rau cov nruab nrog cev. Nyob rau hauv kev cuam tshuam ntawm cov piam thaj, vascular phab ntsa thicken, lumen ntawm cov hlab ntsha nqaim thiab cov khoom noj ntawm lub hlwb tau ntxhov. Cov neeg mob muaj kev nce siab hauv kev hnyav thiab o nrawm dua.
- CrebralCov. Atherosclerotic hloov pauv ntawm cov hlab ntsha thiab ntshav siab, uas yog txais tos cov neeg laus, ua rau lub hlwb tsis zoo ntawm lub hlwb, qhov twg cov hlab ntsha puas. Tus mob pathological nyuaj rau kuaj thiab tuaj yeem tsim qhov tshwm sim ntawm lacunar infarction, ischemia thiab encephalopathy.
- HypertonicCov. Kev ntxhov siab tshwm sim tawm tsam keeb kwm ntawm lub siab ntev nce.
- Kev qiv qisCov. Nws yog feem ntau pom muaj nyob rau hauv menyuam yaus thiab yog qhov tshwj xeeb ntawm kev mob ntshav, thiab tsis yog tus kabmob ywj pheej. Thaum tsis muaj kev loj hlob qeeb, nws tsis tas yuav tsum tau kho mob, tab sis xav tau kev soj ntsuam tas li.
Ua rau muaj kev hloov pauv pathological
Lub pathogenesis ntawm microangiopathy cov tsos mob yog txoj kev hloov pauv ntawm cov qauv ntawm vascular phab ntsa thiab ntshav ntom ntom.
Cov hlab ntsha hauv nruab nrab uas pub cov ceg ntawm lub hlwb mus rau cov hlab ntsha me thiab cov hlab ntsha, uas ua cov ntu ntu kev ua kom ncaj ncees rau cov khoom noj khoom haus hauv nruab nrog cev. Vim tias kev mob ntshav khov, txhua lub cev muaj feem cuam tshuam.
Microangiopathy ntawm lub hlwb feem ntau txhim kho tiv thaiv keeb kwm ntawm ntshav qab zib mellitus, hlav hlav oncological thiab lwm yam kab mob ntawm cov nruab nrog sab hauv, nrog rau cov xwm txheej zoo li no:
- Mob SiabCov. Kev txhaws ntawm cov hlab ntshav lumen los ntawm cov ntshav txhaws.
- HyalinosisCov. Kev ua txhaum ntawm cov txheej txheem ntawm cov protein metabolism, ua rau muaj kev puas tsuaj ntawm cov vascular phab ntsa vim yog kev tso nyiaj ntawm hyaline rau lawv.
- Endothelial kawgua rau vas voos txhav.
- Vascular pathologyua rau muaj kev permeability ntawm cov hlab ntsa. Raws li qhov tseeb, cov hlab ntsha deformed thiab ntshav tawm ntawm cov phab ntsa.
- NecrosisCov. Ib txoj kev pathological hauv lub cev cov nqaij mos atrophy thiab tuag.
Cov hauv qab no tuaj yeem ua rau mob microangiopathy mob:
- hnub nyoog yam - kab mob feem ntau pom nyob rau hauv lub hnub nyoog laus;
- taub hau raug mob;
- kev ntxhov siab ntawm lub cev;
- mob raum
- endocrine cuam tshuam ntawm cov metabolism carbohydrate;
- cawv thiab quav yeeb quav cawv;
- kis mob thiab kis mob;
- raug mob qub txeeg qub teg;
- ntshav kab mob;
- atherosclerosis;
- lom lub cev nrog tshuaj lom thiab tshuaj lom neeg;
- ntshav siab
Cov yam ntxwv ua cim thiab cov tsos mob
Cov tsos mob ntawm tus kab mob pathology yog nyob ntawm cov kab mob concomitant thiab qhov hnyav ntawm kev puas tsuaj rau peripheral thiab central circulatory system. Nyob rau theem pib, cov neeg mob tsis xav tias qhov kev coj ua tsis zoo.
Yav tom ntej, cov cim qhia tau tshwm sim, uas tuaj yeem tshwm sim lawv tus kheej hauv daim ntawv ntawm:
- qhov ntswg thiab lub plab los ntshav;
- kev ntxhov siab hauv kev sib koom ua ke thiab sib npaug;
- tsis muaj zog thiab qhov mob nyob hauv qis qis
; - hloov gait;
- pom kev tsis zoo;
- insomnia
- nco tsis taus;
- txo qis hauv kev paub tab thiab saj kev hnov mob;
- mob taub hau tawm tsam;
- khaus thiab tev ntawm daim tawv nqaij ntawm qhov qis qis;
- hnov;
- kiv taub hau thiab poob qis qhov tshwm sim;
- cov tsos ntawm tinnitus.
;Yog hais tias microangiopathy nrog mob raum, ces cov tsos mob hauv qab no tau pom:
- mob hnyav o;
- mob hauv lub lumbar;
- cov tsos ntawm cov ntshav hauv cov zis.
Cov tsos ntawm hematomas thiab nqaij doog yog yam ntxwv, los ntshav hauv cov leeg yuav pib. Ib qhov tshwj xeeb ntawm microangiopathy yog qhov mob uas qhia tias tsis mob los yog kho tsis tau los ntawm kev ua kom loog.
Pathology feem ntau ua rau cov ntshav khiav tsis zoo thiab ua rau lub raum tsis ua haujlwm.
Daim ntawv muaj mob ntsig ua mob microangiopathy pom muaj nyob rau hauv cov neeg mob qog nqaij hlav thiab ntshav siab, hauv cov poj niam cev xeeb tub thiab menyuam yaus, thiab tus cwj pwm los ntawm lub cev ntau zaus uas hloov pauv ntawm lub caij ntuj sov. Thrombocytopenic purpura yog nrog los ntawm kev tshem tawm ntau dhau thiab muaj cov tsos mob tshwm sim ntawm tus kab mob.
Kev kuaj mob
Kev kuaj mob ntawm tus mob pib nrog kev sau cov ntaub ntawv, uas them sai sai rau lub hnub nyoog ntawm tus neeg mob, nws cov lus yws, yav dhau los thiab cov kab mob cuam tshuam.
Cov kauj ruam tom ntej yuav yog kev teem sij hawm los ntawm cov ntshav biochemistry, kev kuaj ntshav dav dav thiab kev kawm txog qhov coagulation tus nqi.
Kev tshuaj xyuas yog ua los ntawm cov kab mob vascular, lawv cov peev xwm ntawm permeability, muaj qhov tsis meej, thiab muaj cov ntshav sib xyaw ua ke.
Txhawm rau kom paub tseeb kev kuaj mob, cov kev tshawb fawb zoo li no tau nqa tawm:
- dopplerography;
- electroencephalography;
- xam tomography;
- MRI
- yog tias tsim nyog, sab laj nrog tus kws kho qhov muag tawm.
CT thiab MRI pab txhawm rau kuaj foci ntawm gliosis, ntsuas qhov loj me ntawm kev puas tsuaj rau cov hlab ntsha thiab capillaries, thiab nrhiav cov chaw nthuav dav hauv cov hlab ntsha.
Kev kho thiab ntsuas qhov tseeb
Microangiopathy mob siab ntsws xav tau txoj kev kho kom zoo.
Kev kho mob suav nrog kev noj cov tshuaj xws li:
- antihypoxants - tshuaj uas tshem tawm cov tsos mob ntawm oxygen oxygen tshaib plab ntawm lub paj hlwb (Emoxipin);
- tshuaj kho mob kom txo siab;
- Cov tshuaj Nootropic uas txhim kho lub hlwb kev noj haus ntawm tes (Cerebrolysin, Piracetam);
- Cov tshuaj ua kom rov ua ntshav (nicotinic acid);
- cov statins uas txo qis cov ntsiab lus ntawm lipid hlwb (Simvastatin, Atorvastatin);
- qab zib-txo cov tshuaj, yog tias tus kab mob tau tsim tawm tsam keeb kwm ntawm ntshav qab zib;
- vitamin complexes muaj lipoic acid, selenium, B vitamins thiab vitamin E;
- tshuaj pleev xim rau kom tshem tawm qhov mob;
- angioprotectors, rov qab kho cov phab ntsa ntawm cov hlab ntsha.
Nws yog ib qho tseem ceeb kom maj mam hloov ntawm kev hloov pauv ntawm atherosclerotic hauv cov hlab ntsha, uas kev noj haus tau hloov kho. Txwv tsis pub siv cov nqaij tawm rau 2 zaug hauv ib lub lim tiam, tsis suav nrog kib thiab roj cov tais diav.
Kev siv ntawm kev siv dag hauv lub cev qhia tau zoo tshwm sim: plasmophoresis, electrophoresis, ntaub pua av. Yog tias qhov chaw mob tseem ceeb, tom qab ntawd ib txoj kev ua haujlwm raug tso cai ua kom rov qab ua kom phab ntsa thiab vascular lumens.
Raws li rau kev kwv yees, kab mob pathology yog qhov nyuaj los kho, tshwj xeeb tshaj yog nyob rau cov neeg laus cov neeg mob kev txom nyem los ntawm kub siab. Cov theem pib tshwm sim microangiopathy yam tsis muaj kev kho kom tsim nyog tuaj yeem ua neeg tuag taus.
Nws muaj peev xwm kom txo tau txoj kev pheej hmoo ntawm kev mob ntshav siab los ntawm kev saib xyuas tiv thaiv kev tiv thaiv:
- tso tawm cov nicotine thiab cawv quav;
- cais tawm lub cev thiab kev ntxhov siab;
- ua raws li kev noj haus nrog kev txwv ntawm kib, ntsev thiab zaub mov rog;
- soj ntsuam kev qoj ib ce tsim nyog.
Cov vis dis aus hais txog kev kho mob cerebrovascular:
Ib qho kab mob txaus ntshai yuav tsum kuaj mob kom sai thiab kho mob thaum maj nrawm. Tig mus rau tus kws kho mob thaum pom thawj cov tsos mob tshwm sim yuav ua rau kev kwv yees ntawm kev rov zoo dua thiab tiv thaiv qhov ua tsis tiav.
