Binswanger ta cuta: Bayyanar cututtuka da kuma Jiyya

Kwanan nan, kuma da a cikin likita yi, akwai cututtuka da cerebral ischemia. Su ne mafi yawa gani a mutane suke cũtar barasa da taba, tare da wani tarihi na kiba, ciwon sukari, hauhawar jini. Wata irin wannan pathological alama ne Binswanger ta cuta ko wani - Binswanger ta cutar. Cutar da aka bayyana a cikin 1894 da kuma aka mai suna ga bincike Otto Binswanger godiya ga kokarin Alois Alzheimer, wanda samarwa da ra'ayin. A mafi cikakken nazari wannan Pathology iya Olszewski Canadian neurologist a tsakiyar karni na ashirin da.

definition

Binswanger ta cuta - wata cuta da cewa halin da illa subcortical cerebral wurare dabam dabam saboda thickening daga cikin ganuwar jini da kuma rage iya aiki. Wannan yana rinjayar ingancin da fari al'amari na kwakwalwa iko. Tasowa ta ischemia. A cikin sauri m kan kaiwa zuwa babban neurological cuta, gigin-tsufa da kuma sauran rikitarwa. Bugu da ƙari, akwai iya bayyana mahaukaci Gait, cuta na innervation na pelvic gabobin. A karshe na cuta, marasa lafiya zama gaba daya dogara a kan waje taimako, da kuma bukatar da sabis na sana'a m.

etiology

Predisposing dalilai domin ci gaba da cutar na iya zama na kowa somatic jijiyoyin bugun gini pathologies, kamar hauhawar jini. Amma wasu yanayi haddasa m takaita da kananan tasoshin kwakwalwa, iya shafar ci gaban tsarin. Wadannan su ne amyloid angiopathy, kuma cerebral autosomal rinjaye angiopathy. By da sosai mas'ala ta "Binswanger ta cuta" ya kamata a bi da hankali, tun da shi ne ba mai raba nosological naúrar, da kuma pathological ciwo muhimmi a cikin wani yawan cututtuka irin metachromatic leukodystrophy, ko m leukoencephalopathy.

pathogenesis

Saboda hawan jinni cuta na kwakwalwa jini ne a Jihar spasm. Su lumen aka quntata ba kawai ta rage m tsoka Layer, amma kuma saboda gaban atherosclerotic canje-canje. Saboda haka, ikon da aka lalace fari al'amari na kwakwalwa, da kuma da shi ya auku ischemia, sa'an nan atrophy. A takaita na jijiya cibiyar sadarwa akwai cysts, hemorrhage da necrotic foci. The abu na kwakwalwa da rage-rage a juz'i, zama kasa mai yawa, da ruwa iya maye gurbinsu, ko matse saboda da compensatory kara girma na na ramin zuciya cavities. Nature kan kin wani injin.

cututtuka

Cuta da sa Binswanger ta cuta, zo hankali. Akwai iri biyu na cuta:

1. Cigaba da progradiently lokacin da haske lokaci na wani cututtuka da kuma rikitarwa a kan lokaci.
2. Slow ci gaban da lokaci na Filato a lokacin da dogon lokaci ba hargitsa a cikin asibitin da aka ba lura.

Yawanci, marasa lafiya koka Gait tashin hankali da kuma incontinence. Da suka ci gaba na ilimi da kuma wani tunanin gigin-tsufa, bayyana matalauta wucewa neurological bayyanar cututtuka. Akwai tabarbarewar memory da kuma fahimi ikon.

A kan tushen da m bayyanar cututtuka masana rarrabe dismnesticheskoe, amnestic da psevdoparaliticheskoe gigin-tsufa. Criticism ga yanayin marasa lafiya rage ko ba ya nan gaba ɗaya, da yanayi ne yawanci tsaka tsaki, ko murna yiwu mantuwa a halin yanzu events. Saboda haka a hankali da kuma zare jiki sneaks Binswanger ta cutar. A asibitin za a iya supplemented da seizures, neuroses.

bincikowa da

A likita dogara ne a kan tattara tarihin, na asibiti da kuma awon kuma instrumental analysis. Dalili ga likita records, "Binswanger ta cuta" ne resistant tabbatar gigin-tsufa, a hade tare da wani ãyõyi biyu daga jerin:

- Gait tashin hankali.
- pseudobulbar palsy.
- bradykinesia.
- take hakkin da pelvic gabobin.
- frontal bayyanar cututtuka.

Har ila yau, a tabbatar da kasancewar hauhawar jini, arrhythmia, tsokar zuciya infarction ko ciwon sukari.

Bambanci ganewar asali da Alzheimer ta cutar ta amfani da jijiyoyin zuciya Khachin sikelin, kazalika da CT da MRI data.

magani

A marasa lafiya bincikar lafiya tare da Binswanger ta cuta, jiyya ne kawai likitoci biyu - neurologist kuma likita hauka. Suna tambayar da endocrinologists, ciki da, cardiologists, kamar yadda far kamata rufe dukkan fannoni na pathogenesis da kuma dakatar da cututtuka.

A milestone a cikin far etiopathogenetic wãyi rage hawan jini ga al'ada dabi'u. Hakika, tare da bayyanar cututtuka a lokaci guda ba ci baya ba, amma shi zai iya hana tabarbarewar. Bugu da ƙari, ya nada kwayoyi da inganta cerebral wurare dabam dabam, anticoagulants su hana bugun jini ci gaba, nootropics don adana fahimi aiki. Idan dole, saboda gaban tawayar yanayi ko shafi tunanin mutum yanayin, ko rubũta antidepressants, antipsychotics.

A hangen nesa ga rayuwa da kuma kiwon lafiya

Bayan makonni biyu, za ka iya ganin wata alama kyautata a cikin haƙuri da yanayin bayan da farkon magani. Fiye da rabin mutanen da suka kamu da tare da "Binswanger ta cuta" m hangen nesa. Duk da haka, suna bukatar su sha yau da kullum jarrabawa da wani neurologist, internist, likita hauka da kuma likitan zuciyar a cikin asibitin a cikin al'umma.

Dace ganewar asali ba zai iya kawai mika rayuwar mutum, amma kuma inganta da inganci. Ga mazan mutane yana da muhimmanci ba ya zama m, ba su zama nauyi ga iyali. Suna bukatar su san abin da ya sa ran daga cikin ganewar asali "Binswanger ta cutar." Tawaya II-III kungiyar - shi ne quite m sakamako da cutar. Kana bukatar ka tunani shirya haƙuri ga gaskiya cewa magani ne kawai ya dakatar da tsari, amma ba ya magani, da kuma illar kuma su hadu da, fãce kaɗan daga baya.

Binswanger alama ne na kowa ƙarewa na hauhawar jini da kuma atherosclerotic bangaren. The kawai zai yiwu rigakafin shi - yana da dama abinci da kuma salon a matasa da kuma magidanci, su hana ci gaba da kuma ci gaban hauhawar jini. Sai babban etiological factor na kasar gona da kuma ba za a cire don ci gaban da cutar.

Shin, ba kai-medicate da kuma zama lafiya!