Tiv thaiv lub hlwb Microcirculation: Ib txoj hauv kev tshawb fawb los tiv thaiv mob stroke
Lub Tsib Hlis 25 yog Hnub Ntiaj Teb Stroke, ib qho kev tshwm sim txhua xyoo uas qhia txog kev pheej hmoo ntawm kev noj qab haus huv uas cuam tshuam rau pej xeem. Lub ntsiab lus ntawm lub xyoo no yog "Tau paub cov cim ceeb toom, tiv thaiv koj lub hlwb kev noj qab haus huv." Raws li cov kab mob cerebrovascular loj uas cuam tshuam rau pej xeem kev noj qab haus huv, mob stroke yog qhov tshwm sim los ntawm qhov tshwm sim siab, cov neeg xiam oob khab siab, cov neeg rov muaj dua, thiab cov neeg tuag siab, ua rau muaj kev hem thawj rau kev noj qab haus huv thiab kev ua neej zoo ntawm nruab nrab- cov neeg laus thiab cov neeg laus, nrog rau cov neeg hluas. Hmoov zoo, mob stroke tsis yog ib qho mob tam sim ntawd, kho tsis tau; Nws yog kev tiv thaiv, tswj tau, thiab kho tau. Los ntawm kev tiv thaiv ntxov, kev saib xyuas, thiab kev cuam tshuam txog kev tshawb fawb, peb tuaj yeem txo cov kev pheej hmoo mob stroke zoo thiab tsim kom muaj kev tiv thaiv zoo rau lub hlwb.
Ntau tus neeg paub tias ntshav siab, ntshav qab zib siab, thiab ntshav lipids yog qhov tseem ceeb ntawm kev pheej hmoo rau mob stroke, tab sis lawv feem ntau saib xyuas qhov tseem ceeb hauv cov hlab ntsha: cerebral microcirculation. Lub paj hlwb yog cov khoom nruab nrog hauv tib neeg lub cev uas siv cov pa oxygen thiab cov as-ham ntau tshaj plaws; nws yog ob qho tib si intricate thiab fragile. Microcirculation ua haujlwm ua "terminal network" ntawm cerebral vascular system, nthuav dav thoob plaws hauv lub hlwb thiab tsim cov hlab ntsha, capillaries, thiab venules -tseem ceeb ua rau lub hlwb "capillary network." Yog hais tias cov hlab ntsha loj ntawm lub hlwb yog cov hlab ntsha tseem ceeb rau kev thauj mus los ntawm cov ntshav, ces cov microcirculation yog "sab txoj kev" ua rau txhua lub hlwb. Nws lub xub pwg lub luag haujlwm tseem ceeb ntawm kev xa cov pa oxygen thiab cov as-ham rau lub hlwb hlwb thiab tshem tawm cov khoom pov tseg tam sim ntawd, ua qhov kev tiv thaiv tseem ceeb rau kev tswj lub hlwb ua haujlwm.
Kev noj qab haus huv ntawm microcirculation yog txuas ncaj qha rau kev pheej hmoo ntawm mob stroke. Kev ua neej nyob tsis zoo-xws li kev pw tsaug zog ntev, siab - ntsev thiab siab - noj zaub mov muaj roj, ua kom tsis muaj zog, thiab haus luam yeeb thiab haus cawv ntau dhau - nrog rau cov xwm txheej xws li ntshav siab, ntshav qab zib siab, thiab cov roj (cholesterol) siab, tuaj yeem ua rau muaj kev puas tsuaj rau lub paj hlwb thiab microvasaturation. Thaum cerebral microcirculation tsis zoo, cov ntshav khiav qeeb thiab cov ntshav viscosity nce, tsim kom muaj ib puag ncig zoo rau kev tsim cov microthrombi. Cov hlab ntsha no tuaj yeem thaiv cov hlab ntsha peripheral hauv lub hlwb, ua rau ischemia thiab hypoxia hauv hlwb hlwb thiab ua rau ischemic stroke. Nyob rau tib lub sijhawm, cov kab mob microcirculatory tuaj yeem ua rau cov phab ntsa ntawm cov hlab ntsha me tsis muaj zog thiab nce lawv cov permeability, ua rau lawv muaj kev cuam tshuam rau kev tawg thiab ua rau hemorrhagic stroke. Feem ntau cov cerebral infarctions uas ntsiag to thiab asymptomatic cerebral ischemia tshwm sim los ntawm ntev - lub sij hawm microcirculatory puas. Nyob rau tib lub sijhawm, qhov no sib sau ua cov kab mob vascular, thaum kawg hloov cov kev pheej hmoo me me rau hauv lub neej -kev hem thawj mob stroke. Nws tuaj yeem hais tias kev thaiv thiab kev puas tsuaj rau lub paj hlwb microcirculation yog lub hauv paus, zais qhov ua rau mob stroke.
Txhua hnub tus kheej-kev saib xyuas yog thawj kab ntawm kev tiv thaiv kab mob stroke thiab tiv thaiv microcirculation; nws kuj yog qhov tseem ceeb tshaj plaws thiab cov kauj ruam tseem ceeb. Txhawm rau tiv thaiv lub hlwb kev noj qab haus huv thiab txo txoj kev pheej hmoo ntawm mob stroke, nws yog ib qho tseem ceeb uas yuav tsum tau txais kev kawm txuj ci thiab kev noj qab haus huv txoj kev ua neej uas txhawb nqa cerebral vascular microcirculation ntawm nws qhov chaw. Nyob rau hauv cov nqe lus ntawm kev noj haus, lo rau ib tug tsawg- ntsev, tsawg- rog, thiab lub teeb zaub mov; txo kom tsawg ntawm cov khoom noj uas muaj roj, ntsev, thiab qab zib kom txo cov metabolism hauv cov hlab ntsha; Nyob rau hauv lub neej txhua hnub, tswj kev ua haujlwm tsis tu ncua, txiav luam yeeb, txwv tsis pub haus cawv, thiab tsis txhob nyob lig kom txhawb nqa tag nrho cov ntshav ncig thiab ua kom lub paj hlwb microcirculation tsis muaj kev cuam tshuam; ib txhij, tswj cov mob ntev kom zoo los ntawm kev saib xyuas cov ntshav siab, ntshav qab zib, thiab cov ntshav lipid kom tsis txhob muaj kev puas tsuaj rau microvessels los ntawm "peb siab" (cov ntshav siab, ntshav qab zib siab, thiab ntshav lipids). Tsis tas li ntawd, tau txais tsawg kawg yog ib qho kev ntsuam xyuas kev noj qab haus huv txhua xyoo thiab kev tshuaj xyuas microcirculation tshwj xeeb txhawm rau txheeb xyuas cov teeb meem muaj peev xwm xws li kab mob hauv nruab nrog cev thiab microthrombi, ua kom pom ntxov, kev cuam tshuam ntxov, thiab kev tiv thaiv ntxov.
Rau cov tib neeg uas tsis muaj microcirculation los yog cov neeg muaj kev pheej hmoo siab mob stroke, kev hloov kho txoj kev ua neej nyob ib leeg tsis txaus. Kev tshaj lij, kev cuam tshuam txog kev tshawb fawb yog tsim nyog los kho microcirculation thiab tshem tawm tag nrho cov kev pheej hmoo mob stroke. PMR (Pulsed Magnetic) microcirculation therapy, raws li kev nyab xeeb thiab ua haujlwm zoo microcirculation thev naus laus zis, muaj cov kev daws teeb meem tshiab los tiv thaiv lub hlwb kev noj qab haus huv thiab hais meej txog cov teeb meem ntawm cerebral microcirculatory disorders.
PMR (Pulsed Magnetic) microcirculation therapy maj mam tshem tawm cov blockages hauv cov hlab ntsha peripheral, ua kom cov ntshav ntws mus rau hauv lub hlwb, txhim kho cov ntshav viscosity, zoo dissolves thiab tshem tawm cov microthrombi, thiab kho cov ntshav thiab oxygen rau lub hlwb hlwb. Nyob rau tib lub sijhawm, nws txhim kho vasodilation, txhim kho cerebral metabolic ncig, tshem tawm cov hauv paus ua rau mob stroke ntawm lawv qhov chaw, thiab thim rov qab microcirculatory puas. Txoj kev kho no tsis yog -invasive, nyab xeeb, thiab siv dav, haum rau cov tib neeg hauv kev noj qab haus huv zoo, cov neeg muaj ntshav siab, ntshav qab zib, lossis cov roj cholesterol siab, thiab nruab nrab- cov neeg laus thiab cov neeg laus muaj kev pheej hmoo siab mob stroke. Ntev - kev cuam tshuam lub sij hawm muab kev saib xyuas kom ruaj khov rau cov hlab ntsha hauv hlwb thiab txhim kho microcirculation muaj nuj nqi, tiv thaiv lub hlwb kev noj qab haus huv.
Kev tiv thaiv kab mob stroke thiab tswj pob khawm ntawm kev tiv thaiv, thiab cov hauv paus hniav nyob hauv microcirculation. Qhov tseem ceeb ntawm World Stroke Day txuas ntxiv tshaj li kev txhawb nqa pej xeem kev paub txog kev pheej hmoo ntawm kab mob cerebrovascular; nws tseem hu rau txhua tus kom tso tseg txoj kev ua neej tsis zoo, ua raws li kev tshawb fawb ntawm tus kheej txhua hnub - kev saib xyuas, thiab muab cov kev coj ua no nrog cov kev cuam tshuam microcirculation los tshawb fawb ntxiv dag zog rau lub hlwb kev tiv thaiv thiab zam lub nra ntawm mob stroke.