Kukanganisika kwepfungwa, kunyanya kukanganisika kwepfungwa kwetsinga dzeropa, idambudziko guru rinobata vanhu vane zvinhu zvinokonzera njodzi yetsinga dzeropa dzakadai seBP, chirwere cheshuga, uye mafuta akawanda mumuviri. Izvi zvinoonekwa sedambudziko repfungwa, kubva pakushaya simba kwepfungwa kusvika kukushaya pfungwa, kunokonzerwa nezvirwere zvetsinga dzeropa, kusanganisira zvirwere zvinoonekwa sestroke nezvisina kusimba zvakaita semaronda machena uye ischemia isingaperi yeuropi. Kuti chirwere ichi chirapwe zvinobudirira, kupindira nekukurumidza uye kurapwa kwakakosha.
Kunzwisisa Kukanganisika Kwetsinga Dzeropa
Kukanganisika kwepfungwa dzeropa kunogona kupatsanurwa muzvikamu zviviri zvikuru:
1. Kusava neDementia Kukanganisika kweTsitsi dzeMtsipa dzeMutsinga
Varwere vanowanzova nezvinhu zvinokonzera chirwere chetsinga dzeropa uye vanoratidza kusaziva zvakanaka kwepfungwa kusingasvike padanho rekuti munhu adementia. Kudzikira kwepfungwa kunogona kuoneka kamwe kamwe kana zvishoma nezvishoma, kazhinji kunoonekwa sekuderera kwekuyeuka, kufunga zvisina musoro, uye kutonga, pamwe nekuchinja kwehunhu. Asi, kugona kurarama kwezuva nezuva kunowanzo gara kwakasimba.
2. Dementia yetsinga dzeropa
Rudzi urwu rwechirwere chepfungwa, chinowanzo itika mushure memakore makumi matanhatu, runowanzo tanga nenhoroondo yekurohwa nesitiroko uye runoratidzwa nekuderera kuri kuita mashandiro epfungwa kunosangana nezvinodiwa nechirwere chepfungwa. Varwere vanogona kusangana nematambudziko makuru mumabasa epamusoro - kusanganisira kuronga zvinangwa, kuronga, uye kugadzirisa matambudziko - pamwe nekuderera kunoonekwa kwekuyeuka kwenguva pfupi uye kugona kwekuverenga. Zviratidzo zvetsinga zvinogona kusanganisira kushaya hanya, kudzikira kwekutaurirana nemuromo, kuzvidya mwoyo, uye kusagadzikana kwemafungiro.
Nzira Dzekurapa Dzakajairika
Kufanoona chirwere ichi se "vascular cognitive impairment" kunovandudzika zvikuru kana munhu achinge aongororwa nekukurumidza. Nzira dzekurapa dzinosanganisira zvinotevera:
1. Kurapa Kwezvirwere
Kurapa nekurapa chirwere chetsinga dzeropa pamwe nenjodzi dzacho ndiyo musimboti wekugadzirisa kukanganisa kwetsinga dzeropa. Izvi zvinosanganisira kurapwa kwekuderedza maplatelet, kurapwa kwekuderedza mafuta mumuviri, uye kurapwa kweBP nechirwere cheshuga.
2. Kutarisira Zviratidzo zveKuziva
Mishonga inodzivirira cholinesterase, yakaita seDonepezil, uye NMDA receptor antagonists, yakaita seMemantine, inogona kuvandudza mashandiro epfungwa muvarwere vane dementia yeropa. Zvisinei, kushanda kwayo mukurapa kweropa kusina dementia hakusati kwajeka. Mishonga yekuwedzera inogona kusanganisira Vitamin E, Vitamin C, Ginkgo biloba extracts, Piracetam, uye Nicergoline.
3. Kurapa Zviratidzo
Kune varwere vane zviratidzo zvekushungurudzika, mishonga inodzivirira kubatwa kweserotonin (SSRIs) inogona kubatsira. Mishonga yekurwisa pfungwa, yakadai seOlanzapine neRisperidone, inogona kunyorerwa varwere kwenguva pfupi yekurapa zvinhu zvisipo, kufungidzira, uye matambudziko ehunhu.
Basa reHyperbaric Oxygen Therapy
Kurapa neHyperbaric Oxygen Therapy (HBO) kuri kuwedzera kutariswa senzira itsva yekuvandudza mashandiro europi muvanhu vane matambudziko ekuziva.Nzira dzayo dzekurapa dzinosanganisira:
1. Kuwedzera Kwemazinga eOxygen
HBO inowedzera huwandu hweokisijeni uye kumanikidzwa kwechikamu, zvichivandudza kupararira kweokisijeni uye kuwedzera kuendeswa kweropa kunhengo dzeuropi dzakakanganiswa, zvingangobatsira ndangariro nemamiriro epfungwa.
2. Hunhu Hwakawedzerwa hweMasero Matsvuku eRopa
Inoderedza hematocrit uye inowedzera kuchinjika kwemasero matsvuku eropa, nokudaro ichideredza kusimba kweropa.
3. Kudzorerwa kweNzvimbo dzeIschemic
HBO inokurudzira kupora kwe ischemic penumbra,kubatsira kupora kwetsinga dzeropa nekuvandudza mashandiro etsinga dzeropa.
4. Kuderedza Kukuvara Kwekudzoreredza Mvura
Nekuderedza kushushikana kwe oxidative uye kuderedza kugadzirwa kwemukati wekuzvimba, HBO inobatsira mukudzivirira tsinga dzetsinga kubva mukukuvadzwa.
5. Kuvandudzwa kweMashandiro eMitsipa yeMutsinga
HBOinovandudza hemodynamics yeuropi, inowedzera BDNF yemuviri, uye inowedzera mashandiro epfungwa.
6. Kugona Kupinda Muropa Neuropi Zvakavandudzwa
Inowedzera kupenya kweropa kubva muuropi zvichivharira ropa, zvichiita kuti mishonga ishande zvakanaka uye kuti ikwanise kupinza mishonga mumuviri.
Mhedziso
Kukanganisika kwetsinga dzeropa kunonetsa zvikuru, asi kuongororwa nekukurumidza uye kupindira kunogona kuita kuti pave nemigumisiro yakanaka. Kurapa neHyperbaric Oxygen kunopa nzira yakanaka yekuvandudza mashandiro epfungwa uye kudzivirira uropi kubva pakuderera zvakanyanya.
Nguva yekutumira: Zvita-02-2024