Kulumikizana pakati pa Amyloid Angiopathy ndi Stroke
Matenda otchedwa amyloid angiopathy nthawi zambiri amagwirizanitsidwa ndi sitiroko. Angloopathy ya Amyloid ndiyo kusungunula mapuloteni m'magazi. Kawirikawiri, kupezeka kwa ubongo mu ubongo kumayambitsidwa ndi matenda a Alzheimer, matenda a Parkinson ndi mitundu yosiyanasiyana ya matenda a dementia.
Komabe, kumangirira kwa amyloid mu ubongo kungasokonezenso mitsempha ya magazi, kuwapangitsa kukhala ofooka komanso othetsera magazi.
Izi zimayambitsa kutuluka kwa ubongo mu ubongo, omwe nthawi zambiri amawatcha kuti sitiroko ya magazi kapena introrebral.
Chizindikiro
Zizindikiro za amiopathy amyloid zimasiyana malingana ndi momwe mitsempha yamagazi imayambira komanso kuchuluka kwa mitsempha ya magazi yofooka. Ngati pali magazi ochepa, sipangakhale zizindikiro konse.
Ngati zizindikiro zowonongeka zowonongeka zimapezeka, zizindikiro zimayamba kuoneka. Nthawi zina, zizindikirozo zimakhala zosawoneka bwino, zomwe zimapangitsa kukumbukira bwino kapena kuchepa kwa ubongo, monga masomphenya owonetsa. Ngati pali malo ambiri otuluka m'magazi, izi zimayambitsa zizindikiro zazikulu za ubongo zomwe zimaphatikizapo hemiparesis, hemiplegia, kutaya chidziwitso, ndi kugwidwa.
Zowopsa
Zomwe zingayambitse vuto loyambitsa matenda a amyloid angiopathy silingamvetsetse bwino ndi madokotala pa nthawi ino. Chinthu chokhacho chowopsa chowopsa chikuwoneka ngati cha msinkhu, monga ma deposy amyloid amapezeka kwambiri mwa anthu omwe ali achikulire kuposa 55 kuposa omwe ali achinyamata.
Zikuwoneka kuti pali chiyanjano cha amyloid angiopathy, koma anthu akhoza kupanga angiopathy ya amyloid popanda mbiri ya banja.
Zimayambitsa
Mapulogalamu a Amyloid angapangidwe mkati mwa makoma a mitsempha mu ubongo. Izi zimatchedwa angiopathy ya amyloid.
Kusungunuka kwa amyloid kungayambitse mitsempha ya magazi pang'onopang'ono, mpaka potsirizira pake iphulika ndi kutuluka magazi.
Amyloid yakhala ikugwirizananso ndi kutupa, komwe ndi njira ya thupi yothetsera vuto lililonse kapena matenda. Kutupa, makamaka kutsekula kosafunikira kapena kupitirira malire, kumagwirizanitsidwa ndi kupwetekedwa.
Kawirikawiri, magazi omwe amayamba chifukwa cha amiloid amyloid ndi ochepa kwambiri, amakhudza mitsempha yaing'ono yamagazi. Malo ochepa omwe amachotsa magazi amatchedwa petechial kutaya magazi, ndipo amakhala ndi mawonekedwe a Brain CT kapena Brain MRI.
Chimodzi mwa zizindikiro za kutaya thupi m'mimba (kutuluka magazi mu ubongo) chifukwa cha amiopathy amyloid, ndikuti zimachitika makamaka m'madera omwe ali pafupi ndi ubongo, pogawikana komwe kumatchedwa "lobar."
Kuchokera kwa angloopathy ya Amyloid kungathenso kumabweretsa zigawo zazikulu zamagazi mu ubongo, zomwe zingakhale zowopsya.
Kudziwa
Njira yodalirika yogwiritsira ntchito matenda a angiopathy amyloid ndi ubongo wa ubongo, umene suli njira yothandiza. Ubongo wa ubongo ndi opaleshoni yomwe imayambitsa kuika magazi ndi / kapena matenda. Choncho, biopsies sizinachitike pokhapokha ngati chiri chofunikira kwambiri.
Dokotala wanu akhoza kugwiritsa ntchito mawonekedwe a MRI otchedwa "gradient echo" (GRE) kuti adziwe zina zomwe zingathandize kudziwa ngati mungakhale ndi angiopathy ya amyloid.
Izi ndi mayeso abwino omwe amachititsa kuti magazi alowe mu ubongo. GRE ingadziwe malo akulu kapena ang'onoang'ono omwe amachotsa magazi omwe anachitika maola kapena zaka zisanachitike. Kuoneka kwa maonekedwe a angiopathy amtundu wa GRE kumatchulidwa kuti "khungu lachilengedwe."
Kuchiza
Mwazi ukatha, ubongo wa m'mimba chifukwa cha amiopathy amyloid ndi wosiyana ndi chithandizo cha intracrebral magazi chifukwa cha chifukwa china chilichonse.
Choyamba, ngati kutuluka kwa magazi kumayambitsa kuchuluka kwa intracerebral pressure (ICP), kuchokera ku kutupa kapena kuchuluka kwa thupi, gulu lanu loyang'anira matenda a stroke liyenera kuchitidwa opaleshoni yosayembekezereka kapena kukhazikitsa njira zina zothetsera vutoli.
Kuchokera ku swellimg Gulu lanu lachipatala lingakupatseni mankhwala osokoneza bongo kuti muteteze kufooka, komwe kungayambitse mwazi mu ubongo.
Mawu Ochokera
Pakalipano, pali zochepetsetsa zomwe zingatheke kuti zitsitsidwe pulojekiti ya amyloid. Ngati mwapezeka kuti muli ndi matendawa, muyenera kukhala ndi matenda a magazi komanso kupewa ochepa magazi, monga aspirin kapena plavix, chifukwa izi zikhoza kuwonjezera kuika magazi mu ubongo.
> Zotsatira:
> Maphunziro a m'maganizo a ubongo wa Amyloid Angiopathy, Schrag M, Kirshner H, Curr Neurol Neurosci Rep. 2016 Aug; 16 (8): 76