Lub hlwb yog ib hom kev tswj ntawm tag nrho lub cev, li ntawd nws txoj kev puas tsuaj feem ntau hloov mus rau qhov kev ua rau neeg tuag los yog muaj qhov tsis zoo. Transient ischemic attack yog ib qho kev tsis meej ntawm lub hlwb kev ua haujlwm, uas tuaj yeem siv li 2 feeb mus txog 24 teev thiab xaus nrog lub plhaw.
Ua rau kev qaug qaug dab peg
Cov lus piav qhia tshwm sim los ntawm ib qho kev puas tsuaj rau ib ntus ntawm cov kab mob cerebral.
Lub hauv paus tseem ceeb ntawm txoj kev tawm tsam yog qhov atherosclerosis ntawm cov hlab ntsha ntawm cov hlab ntsha loj (loj thiab nruab nrab ntawm cov caliber), nrog rau cov hlab ntsha loj. Nyob rau tib lub sij hawm, atherosclerotic plaques raug tsim nrog cov kev hloov hauv qhov kev kho thiab qhov kev puas tsuaj, atheroblation tau pom, atherostenosis, atheroembolia, atherothrombosis. Nws kuj muaj cov kev hloov hauv cov hlab ntsha.
Lwm qhov tseem ceeb tshaj uas cuam tshuam tus kab mob ntev ntev yog kev mob siab kub nyhiab. Nrawm nce siab ua rau qhov tseeb tias cov phab ntsa vascular hloov irreversibly (hyalinolysis) thiab thickens vim fibrin deposits ntawm nws sab hauv.
Kwv yees li 20% ntawm tag nrho cov qog nqaij hlav qog yog tshwm sim los ntawm cov pathologies nram no:
- rheumatic plawv puas;
- cardiopathy;
- atrial fibrillation;
- endocarditis;
- myocardial infarction;
- aneurysms;
- calcification ntawm mitral valve;
- prolapse;
- mob plawv;
- aortic stenosis ;
- kev sib daj sib deev (stratification);
- thawj vascular mob ntawm inflammatory genesis;
- hloov pojniam txivneej (tomqab yug menyuam, thaum cev xeeb tub);
- fibro-npag dysplasia;
- Moya-Moya mob.
Cov tsos mob ntawm tus mob qog nqaij hlav ntawm lub paj hlwb
Cov kev mob tshwm sim ntawm cov kab mob pathology nyob ntawm nug seb qhov twg vascular pas dej puas ntsoog.
Cov tsos mob ntawm kev kis mob qog nqaij hlav hauv lub cev thaum muaj kev cuam tshuam ntawm kev mob ntshav siab ntawm carotid hlab ntsha:
- tuag tes tuag taw los yog tag nrho lub cev, ib nrab ntawm lub ntsej muag;
- deterioration ntawm rhiab heev;
- mob ntawm kev hais lus nruab nrab (aphasia, dysarthria, mutism);
- kev hloov hauv kev pom tseeb, qhov muag tsis pom ib los yog ob qho tib si;
- txo cov peev xwm kev txawj ntse;
- kev phem dua ntawm kev ua kom qis dua.
Cov tsos mob ntawm kev raug mob hauv qhov lesion ntawm vertebrobasilar phom:
- thawv taug kev;
- kev kiv taub hau;
- tremor;
- tsis muaj kev ua haujlwm;
- nystagmus;
- teeb meem ntawm kev ua pa;
- tsis nco qab.
Raws li hauv yav dhau los, muaj kev ntxhov siab, txo qis hauv kev pom, kev hais lus, kev txawj ntse, tsis muaj kev txhawj xeeb hauv cov ceg los yog hauv tag nrho lub cev.
Qhov yuav tshwm sim ntawm kev mob qog nqaij hlav
Qhov teeb meem tseem ceeb tshaj plaws ntawm tus mob no yog kev qoj ib ce ntawm lub paj hlwb nrog rau cov tom qab ntawm kev tsim muaj cov kab mob tsis muaj zog:
- kev puas siab puas ntsws mob hlwb;
- tsis muaj peev xwm tsiv;
- dysarthria (kev hais lus tsis sib xws, inarticulate hais lus ntawm cov lus hais).
Feem ntau, kev rov qab sib tw ua rau tuag taus.
Kev kho mob ntawm kev sib kis ischemic
Raws li txoj cai, ib qho tsis tuaj yeem twv seb qhov kev mob ntxiv ntawm cov lus piav qhia li cas, vim li ntawd thaum muaj xwm ceev hauv tsev kho mob ntawm tus neeg raug tsim txom. Kev kho mob ntawm kev sib kis ischemic raug ua nyob hauv tsev kho mob ntawm chav tuam tsev neurological thiab ua raws li hauv qab no:
- Txais tos ntawm antiaggregants thiab anticoagulants ntawm kev ncaj thiab tsis ncaj ncees (Aspirin, Clopidogrel, Dipiridamol).
- Kev siv cov tshuaj antiarrhythmic thiab txhais tau tias kom txo cov ntshav siab (ntawm ob hnub tom qab tus kab mob sib zog qis).
- Kev siv cov neuroprotectors thiab cov tshuaj tsis muaj cuab yeej.
- Lub sij hawm ntawm cov tshuaj thrombolytic kom yaj cov deposits uas clogged cov leeg.
Tiv thaiv kom txhob qis qis dua
Tiv thaiv kab mob no los ntawm kev txo cov teeb meem, los ntawm kev noj tshuaj uas txo cov ntshav viscosity (acetylsalicylic acid, Cardiomagnesium). Nws kuj tseem pom zoo kom haus dej haus cawv, tsis pom zoo thiab tshuaj tua (yog tias tsim nyog).
Nws yog ib qho tseem ceeb rau kev noj qab haus huv txoj kev ua neej thiab ua tib zoo saib xyuas kev noj haus, tsis txhob siv cov cholesterol ntau dua.