Microangiopathy bokong - hore na ke eng, bakang, phumano le ho kalafo

Angiopathy boko ke lefu le vascular, eo ka mabaka a fapaneng ke molumo oa bona, ho fellang ka lisele tse boko khaotsa ho ho fuoa mali. Ena ke bolwetse tebileng haholo, e leng ho ka etsa hore hemorrhage esita le lefu. Maemong a mang re ka bua ka mafu a kang microangiopathy bokong. ha e le eng? Tabeng ena sitisa methapong nyenyane. Nahana ka lefu lena ka ho qaqileng le ho feta.

bolwetse bath

Ba bangata ba 'utloile' me ba bang ba bile ba tobane le mafu a kang microangiopathy bokong. ha e le eng? Tsamaiso ena e pathological eo ama methapong le lijana tse nyenyane hore fumanang foleng. Bokong, ho ajoa mali e sitisa. Ho tloha bakeng sa phallo tloaelehile mali a arabela oksijene le tsoekere, lebaka la ho hloka e tsoelang pele ea dintho tsena isang kgoreletsego ea methapo ea mali e nyenyane ea bokong.

liforomo microangiopathy

Sena bolwetse boko tlisoang ke ho le qhala likepe tse nyenyane. Ena e bontšoa hang-hang, kahoo ho hlahloba lefu lena ke ho le thata haholo ka mekhahlelo ba pele.

Bokong microangiopathy le hlaha haholo-holo ka batho ba hōlileng. A sehlopha se khethehileng kotsi ba nang le lefu la Alzheimer. Ka lefu le joalo ka mabota mothapo qala ho ipokellela amyloid (glycoprotein). Hape habohlokoa ho hlokomela ke hore bolwetse ke hampe tepelletse maikutlong le kalafo.

Lentikulostriarnaya microangiopathy hangata e ama bana le ha se lefu, empa tšobotsi ea tsamaiso ho potoloha ha mali. Ho na le e lokela ho ba tsoelang pele go baya leitlho.

Lefu la tsoekere microangiopathy le hlaha ka lebaka la ho mafu a ho potoloha ha mali ka boko ba hore ho etsa hore lefu la tsoekere.

Hypertension microangiopathy bakiloeng ke ho qhala ba tsamaiso ea mali hlahang ka lebaka la ho kgatelelo ya madi. Ho ke ke ho hlokahala hore a laole khatello ea mali le ho thibela ho lelemela.

Lisosa tsa lefu lena

Ntshetsopeleng ya microangiopathy le hlaha khahlanong le maloetse a mang. Sena se ka ba le lefu la tsoekere, kankere, sebete bolwetse, hemolysis.

Har'a ka mabaka a ka sehloohong ke ho latelang:

• kokoana-hloko tshwaetso (maselese, rubella);
• bolwetse tlatsetsa ho hlōloa ha mali;
• lefu la tsoekere;
• kgatelelo ya madi;
• botsofali;
• lefa lefu le utloisang vascular molumo;
• likotsi tse sa tšoaneng;
• matla botahoa;
• tšebeliso e mpe ea li lemaletse.

Hangata ka ho fetisisa, e le bolwetse develops ka lebaka la dithulaganyo tse latelang:

• Necrosis - lefu la lisele tse le ho liseleng.
• Hyalinosis - khaello ea protheine ka mobung semelo sa hyaline.
• Eketseha vascular e lumellang metsi ho kena. Ka lebaka leo, le likhoele le thepa ea motheo mehaho ya dinama tse nyenyane tse connective feta liphetoho etsolloa.
• Thrombosis, tšoauoa ka sebopeho sa e clot mali ka lumen sejana sa, ho fellang ka ho ferekanya phallo ea mali.
• Ho se sebetse ea endothelium vascular, leng isang spasm bona. Ha joalo boemong ba ho e fokotsehile lihlahisoa antithrombin, prostacyclin, thromboxane mahloriso eketseha.

makgetheng bath microangiopathy

Clinical liponahatso tsa lefu lena itšetlehile ka itseng lekala le dinama tse nyenyane tse tshenyo eo e hlahile ka tšusumetso ea lintlha tse itseng ka ntle. Bakuli ba hangata tletleba a bohloko le a tukang a ikutloa joang ka maoto, fokotseha pono, tsoa mali ho tswa ho mala le nko, ntshetsopele ya claudication hill, letlalo omile setopong hemoptysis.

Kahoo, ho na le tsena tse latelang makgetheng microangiopathy:

• hataketse botšepehi ba lijana tse nyenyane;
• ho ntshetsa pele ho hloleha renal;
• senyehile lisele tse khubelu tsa mali;
• khathatseha mali hoama mosebetsing;
• kgonego ya ketsahalo ea ho longoa.

le matšoao

microangiopathy bokong o na le matšoao a latelang: mokuli qala ho tletleba oa ho hloka taolo ya memori, molikoalikoane, ho fokola le ho na le hlooho causeless. Ba hlaha ka lebaka la 'nete ea hore ka methapong boko ke tlōlo ea ajoa mali. Tšenyo sephetho le ho marako a methapo ea tse nyenyane activates dithulaganyo le oxidative tsa lipids, free radicals di thehoa e deleteriously ama lisele tse boko.

E le lefu lena le tsoela pele ho ba le mamello e fetoha inattentive le ba lebalang. O bonahala ho thekesela gait, koatile convergence, thaka bophara fetoha fapaneng, bo ntse bo mpefala mosebetsi bonwang. Ho phaella moo, ho na le khafetsa nasal mali le mala boemong bo sa thabiseng ka maoto le phomotse, 'me maoto a ommeng gommage letlalo, clots mali ka moroto wa.

tlhathoba

Haeba ho na le ke belaelloa ka hore boko bolwetse, ke habohlokoa ho hlahloba, moo lipokothong a teng microangiopathy le lengolo la seo ba senyeheloa marako sejana. Ho finyella sena, e latelang mekhoa tekotshupo sebelisoa:

• MRI ea boko;
• a nyutlelie a khoheli a gomoso;
• Doppler oa ultrasound.

Ho fumana tlhahisoleseding e ngata kamoo ho ka khonehang ho sebedisa tsamaiso batlang e sireletsehileng bakeng sa 'mele oa motho, ho tšoana le ho MRI boko, e theko e loma hanyane. mokhoa ona oa ho fumanoe ke ka ho fetisisa ratoa. E lumella ho khetholla matšoao a lefu le kang felloa ke matla bokong, leykoareoz, perivascular libaka tjaleho, nyenyane hemorrhage, lacunar infarcts. MRI ea boko, theko ea eona e itšetlehile ka chelete ho bapisoa mahareng sebelisoa, lumella ho beha tepelletse maikutlong nepahetse. Ha mokuli a boima lik'hilograma ka tlase ho 69, palo eo ke 2.700 li-ruble, ho tloha lik'hilograma tse 70 ho 99 - 3200 li-ruble, ho tloha lik'hilograma tse 100 'me ho feta - 4400 li-ruble.

matla a khoheli gomoso litšoantšo mokhoa o lumella bakeng sa thuto ea boko dinama tse nyenyane tse ka boeona 'me vasculature. Tabeng ena, ka ho hlaka bonahalang lipontšo tsa methapo hypoplastic. infarct habonolo bonahalang, e leng hlaha ka lebaka la ho occlusion vascular, hypoperfusion bokong, nyenyane mali.

Doppler oa ultrasound mokhoa o dumella ho lemoha bopengwi ka lijaneng, blockage kapa narrowing.

kalafo

Bakuli ba hase kamehla tseba ha ba na le boloetse ba "microangiopathy bokong", hore na ke eng le hore na e ka etsahala ho ba phekola. ngaka hangata beha ka phekolo e rarahaneng.

Pele ho tsohle, mokuli o lokela ho nka lithethefatsi hore normalize khatello ea mali. E le hore ho felisa ho hloka oksijene bokong, ho sebedisa antihypoxants, tse kang "Emoksipin". Ho boetse ke habohlokoa ho ho fetoloa maemo lipid sebelisa statins, fibrates, sequestrants bile acid e. Sena se ka akarelletsa lithethefatsi tse latelang: ". Rosuvastatin" "Atorvastatin", "Simvastatin",

Hape, haeba fumanoa microangiopathy, kalafo lokela ho ho phethahatsoa le ho sebelisa ha nootropics e ntlafatsa matla a boko. Sena "Piracetam," "Nootropil", "Tserebrozilin", "Encephabol." Ho normalize le ho potoloha ha mali litokisetso acid e nicotinic sebelisoa "Pikammilon", "Ksantilona nicotinate."

bofello

Kahoo, re ile ra buisana mafu a kang microangiopathy bokong. ke eng ho eona, hona joale u tseba. Ena ke bolwetse tebileng hloka kenella hang-hang. Kapele e fumanoa, moo localized bua haholo ka lefu lena le le ho isa tekanyong ea diso vascular, ho ba bonolo e tla ba ho fokotsa liphello tsa lefu lena.