I-encephalopathy yesifo sikashukela: ukwelashwa kanye ne-prognosis, kanye nezimpawu ezikhona ku-pathology

Ukuphazamiseka kwemetaboliki nemithambo yegazi okubangelwa isifo sikashukela i-mellitus kubangela zonke izinhlobo zezinkinga emzimbeni womuntu.

Ikakhulu ikakhulukazi ngesifo sikashukela sohlobo 1, sikhula sikashukela. Yini le

I-Pathology yisilonda sobuchopho. I-Pathology ayikhuli ngokuzimela, ingumphumela wokungasebenzi kahle emzimbeni.

Kunzima kakhulu ukuthola inqubo ye-pathological esiteji sokuqala sokukhula, ngoba iqhubeka icishe ibe yimbumba. I-encephalopathy yesifo sikashukela ayelapheki futhi iyingozi ngemiphumela yako, ibangela izinkinga ngendlela yokuqunjelwa, ubuhlungu obukhulu kwizitho ezibalulekile nokukhubazeka okwalandela. Ukwelashwa ngesikhathi nangendlela efanele kuzosiza ekunciphiseni ukukhula kwesifo futhi kunikeze isiguli ikhwalithi yempilo ejwayelekile.

Izici eziyinhloko ezidala ukwenzeka kwe-pathology

Izici zokubikezela ukukhula kwe-encephalopathy ku-mellitus yesifo sikashukela zifaka:

• iminyaka engaphezu kuka-40;
• ukukhuluphala ngokweqile noma ukukhuluphala;
• izinga eliphakeme le-lipid peroxidation;
• ukwehluleka kwe-lipid metabolism;
• isifo sokuqina kwemizwa;
• ukwanda kokuxineka koshukela egazini esikhathini eside.

Ngokuthuthukiswa kwe-encephalopathy yesifo sikashukela, i-patency yemithambo iyaphazamiseka futhi ukuqina kwabo odongeni kulahlekile. Ngenxa yalokhu, imicu yezinzwa namaseli akakutholi ukondliwa okufanele, okudala indlala yomoya-mpilo emangqamuleni.

Njengomgcini, umzimba uqala izinqubo ze-metabolic ezingenawo umoya-mpilo. Kuyizinqubo ze-anaerobic eziholela ekuqokeleleni kancane kancane kwemikhiqizo enobuthi, okwenza umphumela ube yingozi emisebenzini eyisisekelo yobuchopho.

Ukuphazamiseka kwemetabolic kusibhebhethekisa kakhulu lesi simo futhi kuthande ukwakhiwa kabusha kwezakhi zemicu yezinzwa, okuholela ekuvinjelweni kwezihibe.

Imvamisa le nkinga ihlangabezana nabantu abadala.

Ukuthuthukiswa kwengxaki enjalo kungenzeka ngokuphathwa isikhathi eside kwesigaba esithuthukile sikashukela.

Ngakho-ke, izimbangela eziyinhloko zesifo:

1. ukwephulwa kwamandla nokuqina kwemikhumbi yama-capillaries, kanye nemithambo emincane yemithambo;
2. ukuphazamiseka kwe-metabolic okubangela ukulimala kumaseli nemicu yezinzwa.
   

Izimpawu ze-pathology

Izimpawu ze-encephalopathy yesifo sikashukela ziyafana nezimpawu zokuqina komfutho wegazi, ingozi yengozi yokuqina kwengqondo, njll.

Lapho nje i-pathology ingena esigabeni esithuthukile, izimpawu ezilandelayo ziqala ukuhlukumeza umuntu:

• amakhanda okuhlukahluka kobukhulu nomlingiswa. Kwezinye izikhathi zivezwa buthaka, futhi kwesinye isikhathi "ziqhuma" ngaphakathi noma "zinyakaze" igebhezi;
• ubuthakathaka obujwayelekile nokukhathala okungapheli;
• ukungahambi kahle njalo nokuba novalo;
• ukukhubazeka nokunaka okungahambi kahle;
• ukungakwazi ukugxila kunoma yini;
• ukukhuphuka komoya kanye nokuqina;
• ukuphazamiseka kwengqondo;
• umfutho wamehlo
• ushintsho lwe-gait;
• isiyezi nokubona okuphindwe kabili;
• tinnitus;
• Izinkinga zokukhuluma;
• ukwephulwa kwamakhono emoto enhle;
• isifiso sempilo siyanyamalala bese kuba khona ukudangala;
• iminyakazo.

Ukuze uvikele ukuwohloka okunjalo, kufanele uqaphele impilo yakho. Futhi yize isigaba sokuqala sesifo singenazimpawu, umuntu angaqaphela ushintsho oluncane esimweni sakhe.

Izimpawu zesigaba sokuqala zifaka:

• ukukhubazeka kwememori emincane;
• ukuqwasha
• ukuphazamiseka kwengqondo emnene.

Kunama-syndromes amabili aphambili we-encephalopathy yesifo sikashukela:

• isifo se-cephalgic inokubonakaliswa kwesimo ngendlela ekhanda lekhanda. Ubuhlungu bungaba buthakathaka kakhulu, futhi buvele ngendlela yokuhlaselwa kobuhlungu bokuxineka noma ukuqhuma. Imvamisa, ukuhlaselwa okunjalo kuyiphutha ngobuhlungu be-migraine. Umuzwa wesisindo ubonakala ekhanda, kufiphala kuqala. Ngokuhlolwa okuningiliziwe kwesiguli, uzophawula ukuthi umfundi oyedwa usekhulu kunomunye, futhi ukunyakaza kwama-eyebalk kukhubazekile. Ukulahleka kokuxhumana kuyaqala, isiyezi, kuthi gaqu engaqinisekile ivele. I-Cephalgic syndrome iba futhi ifake izingqinamba ngendlela yemisipha engasebenzi kahle. Isiguli sihamba kancane, size singavinjelwa, futhi amakhono akhe obuhlakani ancishiswa kakhulu: inkumbulo iya iba mbi, amandla akhe okufunda okuthile okusha, acabange, njll. Umuntu uba nengcindezi futhi isifiso sempilo siyanyamalala;
• i-asthenic syndromeokuvela ngaphambili kunabanye. Umuntu uba nobuthakathaka, ubuthakathaka emzimbeni wonke nokukhathala. Le yi-encephalopathy yesifo sikashukela enokuphazamiseka kwengqondo okunzima. Isiguli siba nolaka futhi singazinzi ngokomzwelo. Ngenxa yobuthakathaka emisipha, amandla okusebenza ayancipha.

Esigabeni sokugcina se-pathology, lezi zinkinga ezilandelayo ziqala:

• ukuphazamiseka okukhulu kwazo zonke izingxenye zesistimu yezinzwa;
• ukungasebenzi kahle kwezimoto;
• ukuphefumula kwekhanda le-migraine elingabekezeleleki;
• ukwephulwa kokuzwela kwezingxenye ezithile zomzimba;
• ukungaboni kahle
• ukuhlaselwa okufana nokuxhuga;
• Ubuhlungu ezithweni zangaphakathi: izinso, isibindi, njll.

Musa ukubambezela ukwelashwa kwe-pathology ukuze uvikeleke emiphumeleni engenhla yobudedengu bakho.

Ukuxilongwa nokwelashwa

Uma kwenzeka uphawu olulodwa noma ngaphezulu lwalesi sifo, thintana nodokotela wezempilo. Udokotela ofanelekayo uzokwenza ukuhlolwa kokuqala, alalele izikhalazo futhi anikeze nezindlela zokuhlonza ezidingekayo. I-encephalopathy ye-ICD-10 yesifo sikashukela ifakwe njenge-E10-E14.

Brain electroencephalogram

Njengomthetho, ukunquma ngokunembe ubucayi be-diepleopathy yesifo sikashukela, kwenziwa i-electroencephalogram, kanye ne-MRI. Into ebaluleke kakhulu yokwelashwa okulandelayo ukuthola ngokunemba okuphelele izimbangela zokukhula kwe-encephalopathy yesifo sikashukela.

Ngokusekelwe emiphumeleni yocwaningo, udokotela oholayo unquma ukwelashwa kwe-encephalopathy yesifo sikashukela, kusukela kusilinganiso sokuthuthuka kwe-pathology, izimbangela zokwenzeka kwayo, iminyaka yesiguli, nezinye izinto ezibalulekile ngokufanayo. Izindlela zokwelapha kufanele zithuthukise isimo sesiguli ngokunciphisa izimpawu.

Ukunciphisa izimpawu, kusetshenziswa ukwelashwa okuningiliziwe, okubandakanya lezi zindawo ezilandelayo:

1. ukuqapha okuqhubekayo kokuhlushwa kweglucose yegazi;
2. ukufezekiswa kwezinkomba zikashukela ezamukelekayo nezineshukela sikashukela;
3. ukwelashwa kanye nokwenziwa okujwayelekile kwezinqubo ze-metabolic emzimbeni.

Kwesinye isikhathi isiguli sinqunywa i-anticonvulsant therapy, esetshenziswa ezimweni ezinzima zesifo sikashukela.

Ukwelashwa kwenziwa ngaphansi kokuqashwa njalo kukadokotela futhi kuthatha izinyanga ezi-1 kuye kwezingu-3. Ngaphezu kwalokho, ukwelashwa okunjalo kuyindlela yokuvimbela esebenza ngempumelelo.

Isibikezeli nemiphumela

Ukwelashwa ngesikhathi nangendlela efanele isikhathi eside kuzosindisa isiguli ikhwalithi yempilo ejwayelekile.

Ngeshwa, ukwelashwa okuphelele kwe-encephalopathy yeswekile akunakwenzeka.

Uma i-pathology ingabhekelwa ekwelashweni okwanele, izongena ifomu elinzima, elibonakaliswa yimiphumela engenakuphikwa. Ngenxa yalokho, umuntu uba umuntu okhubazeke ngokuphelele ongenakukwenza.

Amavidiyo ahlobene

Ividiyo yokufundisa mayelana nokuthi yini i-encephalopathy ekuso sikashukela:

I-Encephalopathy kusifo sikashukela kuyindlela engalapheki ongazama ukuyivimba ngokuthola isinxephezelo esiqhubekayo sesifo sikashukela. Inkambo yalesi sifo iyahamba kancane, futhi lapho kukhona khona ikhambi elifanele, isiguli siyaqhubeka nokuphila impilo ephelele yeminyaka eminingi.