Mmebi nke ọgụgụ isi, ọkachasị mmerụ ahụ vaskụla vaskụla, bụ nchegbu siri ike na-emetụta ndị nwere ihe egwu cerebrovascular dị ka ọbara mgbali elu, ọrịa shuga, na hyperlipidemia. Ọ na-egosipụta dị ka ụdị dị iche iche nke mbelata ọgụgụ isi, sitere na nhụsianya dị nro ruo nhụsianya, nke a na-ebutekarị na ọrịa cerebrovascular, gụnyere ọnọdụ abụọ pụtara ìhè dị ka ọrịa strok na ndị dị nro dị ka ọnyá ọcha na ụbụrụ ụbụrụ na-adịghị ala ala. Iji jikwaa ọrịa a nke ọma, ntinye aka na mbụ na ọgwụgwọ dị oke mkpa.
Ịghọta Mmebi Nghọta Vascular
Enwere ike ekewa nhụsianya ụbụrụ akwara ụzọ abụọ:
1. Na-abụghị Dementia Vascular cognitive impairment
Ndị ọrịa na-enwekarị ihe ndị dị ize ndụ maka ọrịa cerebrovascular ma na-egosiputa mpe mperi nghọta dị nro nke na-emezughị ụkpụrụ maka mgbaka. Mbelata nke ọgụgụ isi nwere ike ịpụta na mberede ma ọ bụ nke nta nke nta, a na-ahụkarị ya dị ka mbelata nke ebe nchekwa, echiche nkịtị, na ikpe, na-esonyere mgbanwe ụdị mmadụ. N'agbanyeghị nke ahụ, ikike ibi ndụ kwa ụbọchị na-anọgide na-adịgide adịgide.
2. Ọkpụkpụ akwara
Nke kachasị na-eme mgbe afọ 60 gasịrị, ụdị mgbaka a na-ebutekarị akụkọ ihe mere eme nke ọrịa strok ma bụrụ nke a na-eji na-aga n'ihu na-aga n'ihu na ọrụ ọgụgụ isi nke na-ezute njirisi dementia. Ndị ọrịa nwere ike ịnweta mmebi dị ịrịba ama na ọrụ ndị isi - gụnyere nhazi ihe mgbaru ọsọ, atụmatụ, na ngwọta nsogbu - yana mbelata pụtara ìhè na ebe nchekwa obere oge na ikike mgbakọ. Ihe mgbaàmà nke akwara ozi na-eso ya nwere ike ịgụnye enweghị mmasị, mbelata nkwurịta okwu ọnụ, nchekasị, na ọgba aghara ọnọdụ.
Ụzọ ọgwụgwọ izugbe
Amụma maka mmerụ ahụ nke akwara vaskụla na-akawanye mma site na nyocha mbụ. Usoro ọgwụgwọ gụnyere ihe ndị a:
1. Ọgwụgwọ Etiological
Ịkwado na ịgwọ ọrịa cerebrovascular na ihe ndị dị ize ndụ ya bụ isi nkuku nke ijikwa nkwarụ vaskụla ụbụrụ. Nke a gụnyere ọgwụgwọ antiplatelet, ọgwụgwọ na-ebelata lipid, na njikwa ọbara mgbali elu na ọrịa shuga.
2. Nlekọta ihe mgbaàmà nke ọgụgụ isi
Cholinesterase inhibitors, dị ka Donepezil, na NMDA antagonists anabata, dị ka Memantine, nwere ike melite cognition ọrụ na vaskụla dementia ọrịa. Otú ọ dị, ịdị irè ha na nkwarụ vaskụla na-abụghị dementia ka edoghị anya. Ngwọta mgbakwunye nwere ike ịgụnye Vitamin E, Vitamin C, Ginkgo biloba extracts, Piracetam, na Nicergoline.
3. Ọgwụgwọ Symptomatic
Maka ndị ọrịa na-egosipụta mgbaàmà ịda mbà n'obi, nhọrọ ndị na-emechi ihe nchịkwa serotonin (SSRIs) nwere ike ịba uru. Enwere ike ịdepụta ọgwụ antipsychotic, dị ka Olanzapine na Risperidone, maka nlekọta obere oge nke ịhụ anya, aghụghọ, na nnukwu nsogbu omume.
Ọrụ Hyperbaric Oxygen Therapy
Hyperbaric Oxygen Therapy (HBO) na-enweta nlebara anya dị ka ntinye aka ọhụụ maka ịkwalite ọrụ ụbụrụ n'ime ndị mmadụ nwere nkwarụ.Usoro ọgwụgwọ ya gụnyere:
1. Ọkwa oxygen na-abawanye
HBO na-abawanye ọdịnaya oxygen na nrụgide akụkụ, na-eme ka mgbasa oxygen dịkwuo mma ma na-eme ka ọbara na-enyefe ụbụrụ ụbụrụ emetụtara, nwere ike ịba uru na ebe nchekwa na ọnọdụ uche.
2. Mmalite Njirimara cell ọbara uhie
Ọ na-ebelata hematocrit ma na-amụba mgbanwe mkpụrụ ndụ ọbara uhie, si otú a na-ebelata viscosity ọbara.
3. Mweghachi nke Mpaghara Ischemic
HBO na-akwalite mgbake nke penumbra ischemic,na-eme ka neurorecovery na mmeghari ohuru.
4. Mbelata mmerụ ahụ reperfusion
Site n'ibelata nrụgide oxidative na ibelata mmepụta onye mgbasa ozi mkpali, HBO na-enyere aka ichebe anụ ahụ akwara site na mmebi.
5. Mmelite Neurovascular Dynamics
HBOna-akwalite hemodynamics cerebral, na-abawanye BDNF endogenous, ma na-akwalite ọrụ ọgụgụ isi.
6. Ọbara mgbochi ụbụrụ emelitere
Ọ na-eme ka ihe mgbochi nke ụbụrụ ụbụrụ dịkwuo mma, na-abawanye uru ọgwụ ọjọọ na ọnụ ọgụgụ absorption.
Mmechi
Mmebi nke ụbụrụ akwara na-ebute nnukwu ihe ịma aka, mana nchọpụta mmalite na ntinye aka nwere ike ibute nsonaazụ kacha mma. Hyperbaric Oxygen Therapy na-enye ụzọ dị mma maka imeziwanye ọrụ ọgụgụ isi na ichebe ụbụrụ ka ọ ghara ịdaba n'ihu.
Oge nzipu: Dec-02-2024