I-encephalopathy yesifo sikashukela ibhekwa njengenye yezinkinga zokuqala ezivela kwisifo sikashukela. Kutholakala iziguli ezingaphezu kwengxenye ezinalesi sifo.
Imvamisa, ukuphazamiseka kohlelo lwezinzwa kuzwakala ngumuntu ngaphambili kwezimpawu zesifo sikashukela.
Izimbangela kanye nomshini wokulimala kwezicubu zobuchopho
I-encephalopathy yesifo sikashukela inekhodi i-E10-E14 ngokwe-ICD 10 futhi ihambelana nesigaba G63.2. Lesi sifo sivame ukutholakala ezigulini ezinesifo sikashukela sohlobo lokuqala.
Ukutholakala kwenkinga kutholakala ngesisekelo se-microangiopathy eqinisekisiwe, ebonakala ngokulimala kwemithambo, kanye nezinguquko ekutholakaleni kwezindonga zazo.
Ukuguquguquka okuvama kumanani we-glucose aqukethe ukuphazamiseka kwe-metabolic. Imikhiqizo yokulahla imfucumfucu ephumela ngaphakathi ingena egazini bese isakazeka emzimbeni wonke, ifinyelela izicubu zobuchopho.
Ukuthuthukiswa kwe-encephalopathy kwenzeka ngenxa yezizathu ezimbili ezinkulu:
- amandla ezindonga ze-vascular ayancipha, nokuqina kwazo kuyakhuphuka;
- ukuphazamiseka kwe-metabolic kuyaqhubeka, okuholela ekulimaleni kwemicu yezinzwa.
Ukuvela kwalesi sifo, ngaphezu kwezizathu ezifakiwe, kungavusa ezinye izici ze-pathological:
- ubudala
- isifo sokuqina kwemizwa;
- ukukhuluphala noma ukukhuluphala ngokweqile;
- ukungondleki kahle;
- ukuphazamiseka ku-lipid metabolism;
- cholesterol ephezulu yegazi;
- ukunganaki izeluleko zezokwelashwa;
- amanani aphakeme kashukela.
Izinguquko ze-Metabolic zithinta kabi isimo somzimba, zidale ukuhleleka kabusha kwesakhiwo sayo yonke imicu yezinzwa ekhona futhi yehlise ijubane ukudluliswa kwezifiso ngokusebenzisa izinzwa.
Ukuchezuka okunjalo akubonakali ngokushesha, kodwa ngemuva kweminyaka eminingana, ngakho-ke, okokuqala, iziguli zingahlangabezana nenkinga echaziwe esegugile.
Ezimweni ezingandile, imbangela ye-encephalopathy ingaba ukuhlaselwa yisifo sobuchopho, isimo se-hypoglycemia, kanye ne-hyperglycemia.
Izimpawu ze-encephalopathy kushukela
Le nkinga yesifo sikashukela ivela kancane futhi iqhubeke ngaphandle kwezimpawu ezisobala iminyaka eminingana. Ukubonakaliswa kwe-encephalopathy kuvame ukwenziwa iphutha ngezibonakaliso zezinye izifo, okwenza kube nzima ukuthola ukutholwa kwe-pathology.
Esithombeni senqubo ye-pathological kukhona:
- I-Asthenic syndrome - kuvezwe ukukhathala ngokweqile, ukusebenza okwehlile, ukuqwasha, izinkinga zokuxineka.
- Cephalgic syndrome - kuboniswa ngokwenzeka kwezihlungu zekhanda. Le mizwa ifana nesimo ngemuva kokugqoka isigqoko esiqinile.
- I-vestonia yemifino, okuhambisana nokuhambisana nezimo zokufiphala, ukukhula kwe-paroxysm, noma ukulahlekelwa ukwazi.
Iziguli ezinenkinga yesifo sikashukela esivame ukutholwa ziba nokukhubazeka kwengqondo, okuvezwa kulezi zimpawu ezilandelayo:
- izinkinga zenkumbulo
- amazwe acindezelayo;
- ukunganaki.
Izimpawu ezihambisana nale nkimbinkimbi:
- ukozela
- ikhanda;
- umehluko wokushisa komzimba;
- ukuphikelela okuqhubekayo;
- ukugqashuka okungenasisekelo komoya omfushane;
- ukukhohlwa
- ukwethuka;
- ukulahleka kwesizungu;
- ukukhathala.
Iziguli zivame ukungazinaki lezi zimpawu.
Ngenxa yalokhu, lesi sifo siyaqhubeka futhi sihamba kuzo zonke izigaba zokukhula kwaso:
- Eyokuqala. Okwamanje, izimpawu zesifo empeleni azihlukile ekubonisweni kwe-vegetative-vascular dystonia.
- Owesibili. Isimo sesiguli siba sibi kakhulu ngenxa yokuvela kokhanda nokuxhumana okungahambi kahle.
- Elesithathu. Lesi sigaba esinezinkinga zengqondo ezinzima. Iziguli zivame ukucindezelwa. Ukuba khona kwe-manic syndrome, ukungaphatheki kahle kubonisa ukukhombisa inqubo.
Isigaba sokugcina se-pathology sivezwa yizinkinga ezilandelayo:
- ushintsho olushiwo kuzo zonke izingxenye zohlelo lwezinzwa;
- ukuphambuka okungathi sína emsebenzini wezimoto;
- ukuphefumula kobuhlungu obukhulu ekhanda;
- ukulahleka kwemizwa (okuyingxenye noma okuphelele) kwezinye izingxenye zomzimba;
- ukungaboni kahle
- ukubanjwa kufana nokuquleka;
- izinhlungu azizwe ezithweni zangaphakathi.
Ukufinyelela ngokungadingekile kudokotela kusenza kabi isimo sesiguli futhi kunciphise amathuba okuqedwa ngokuphelele kwezimpawu.
Ukwelashwa nokuqunjelwa yisifo
Ukwelashwa kwe-encephalopathy kusekelwe ekubuyiseleni isinxephezelo sayo esizinzile ngokuhlangana nezifundo ezithile zokwelashwa.
Inqubo yokuqeda izimpawu nokubuyisa umzimba kufanele ibe ngaphansi kokuqondisa udokotela.
Inkambo yokwelapha ithatha inyanga nenyanga. Isikhathi esidingekayo sokubuyisela umzimba emzimbeni kanye nokuvimbela ukuqhubeka okwengeziwe kwezinkinga kuncike esimweni ngasinye sesiguli kanye nezimpawu zokuthuthuka kwe-pathology.
Ungazihlukanisa izimpawu zesifo ngosizo lokwelashwa okuyinkimbinkimbi, okubandakanya lezi zindawo ezilandelayo:
- ukuqapha okuqhubekayo kwe-glycemia;
- ukufezekiswa kwezinkomba zeglue ezinzile ngaphakathi kwemikhawulo ejwayelekile;
- ukulawulwa kwezinqubo ze-metabolic emzimbeni.
Lezi zincomo kufanele zilandelwe yizo zonke iziguli ezinesifo sikashukela esivele zikhonjiwe, ngoba ziyizindlela zokuvimbela ezisebenzayo ezingavimba ukwenzeka kwe-encephalopathy.
Izidakamizwa eziphambili ezibekelwe iziguli ezinalezi zinkinga:
- i-alpha lipoic acid antioxidants;
- ama-celebroprotectors;
- imithi esetshenziselwa ukuxubana (Milgamma, Neuromultivit);
- izimali ezivela eqenjini lama-statins - ezisetshenziselwa ukwenza ngokwejwayelekile i-lipid metabolism;
- amavithamini (B1, B6, B12, kanye A no C).
Ukwehla kokuthuthuka okuqhubekayo kwezinkinga kuncike ezicini eziningana:
- iminyaka yesineke;
- izinga le-glycemia, kanye nokuvama kokuqapha kwayo;
- ukuba khona kwezinye izifo ezihlangene;
- degree yokulimala kobuchopho;
- amandla esiguli okuhambisana nokudla okunqunyiwe, ukuphumula.
Ukukhetha irejimeni yokwelashwa, udokotela ubheka imiphumela yazo zonke izivivinyo eziphasiwe bese kuphela onquma ezinye izidakamizwa. Le ndlela yokwelashwa kwalesi sifo ikuvumela ukuba ulondoloze impilo ejwayelekile yesiguli namandla ayo okusebenza iminyaka eminingi, kodwa nokho akuniki ithuba lokuthola ukwelashwa okuphelele.
Isifundo sevidiyo sokuphazamiseka kwengqondo kanye nemithambo yesifo sikashukela:
I-Encephalopathy, eyaqhamuka ngemuva kwesifo sikashukela, ithathwa njenge-pathology engalapheki engavinjelwa kuphela isinxephezelo esizinzile nesizinzileyo sesifo. Akunakwenzeka ukumisa ukuqhubekela phambili kwe-encephalopathy yesifo sikashukela ekhaya.
Isiguli kufanele sibonane nodokotela futhi sikhethe naye inkambo efanelekile yezindlela zokwelashwa zokuvuselela. Ukuqapha ngokucophelela isimo sezempilo kanye ne-glycemia kuvumela abantu abanesifo sikashukela ukuba baphile impilo ephelele iminyaka eminingi.