In the article, we consider the treatment of cerebral atherosclerosis of the cerebral vessels. It is a serious pathological process, due to which cholesterol formations appear on the internal arterial walls. Due to plaques, their lumen decreases, they can come off spontaneously and block the flow of blood.
What is cerebral arteriosclerosis of cerebral vessels?
Slowly growing disease causes an increase in symptoms, followed by circulatory failure of the brain. When the blood vessels are completely blocked, this interferes with the supply of oxygen and the necessary substances, as a result of which necrotizing of certain areas of the brain occurs.
Cerebral form
Atherosclerosis of cerebral arteries adversely affects the central nervous department, and its performance is impaired. The degree of influence is determined by the level of vascular damage. Due to a lack of necessary substances and oxygen starvation, the activity of neurons is disrupted.
Many are interested in the fact that this is cerebral arteriosclerosis of cerebral vessels. With this pathology, clinical features are determined by the area of brain damage.
Significant deviations
Significant deviations include:
- memory impairment;
- recurrent headaches;
- tremor of the upper or lower extremities;
- depressed state and lethargy;
- insomnia - sleep disturbances at night;
- increased activity of sweat glands;
- decrease in intellectual abilities;
- hearing pathology and loss of visual acuity;
- expressed fear of light.
Before considering the treatment of cerebral atherosclerosis of the cerebral vessels, let's talk about the causes of its occurrence.
Causes and risk factors
Pathologies of fat metabolism are the main prerequisites for the occurrence of the disease. The source of the disease can be both internal and external factors.
The immutable prerequisites of this ailment are:
- age - the likelihood of atherosclerosis increases over the years several times;
- belonging to a certain gender - most often the problem occurs in men due to a deficiency of estrogen, which is responsible for the breakdown of fats;
- genetic factor - in the presence of repeated cases of atherosclerosis in the family, the likelihood of a disease in subsequent generations doubles.
Background
The variable prerequisites for cerebral artery atherosclerosis are:
- various deviations of fat metabolism - primary and secondary hypercholesterolemia, the concentration of a significant amount of low-density cholesterol, a decrease in high-density cholesterol, as well as an increase in the amount of triglycerides in the bloodstream;
- hypertension with a steadily elevated level of blood pressure;
- pathology of material metabolism;
- overweight, up to various degrees of obesity;
- chronic patient dependence on nicotine for a long time;
- Passion for low-alcohol and alcoholic drinks;
- deviations in the metabolism of carbohydrates - diabetes;
- lack of exercise, that is, the rejection of the required physical or motor activity;
- violation of the daily rules of the menu when animal fats prevail in the diet;
- insufficient renal performance;
- stable inflammatory processes in the body with a chronic type of course;
- high rates in the bloodstream of homocysteine;
- increased degree of blood coagulability - hyperfibrinogenemia;
- constant conflict and stressful situations that cause psycho-emotional overstrain;
- precerebral arterial lesion with atherosclerosis;
- euthyroidism.
In women, the disease is more often diagnosed after sixty years, when hormonal disorders and menopause affect the body. At this time, the symptoms of the disease in both sexes are smoothed out - at a young age, indicators prevail in the strong half of humanity.
Signs
There are no exceptions to the clinical features of cerebral arteriosclerosis - it does not matter at what age the disease started. Common symptoms are:
- Memory impairment - most often this symptom occurs in elderly patients. They are characterized by forgetfulness - the patient cannot remember any moments of his own life.
- Headaches - their frequency and severity of manifestation are determined by the stage of development of the disease. Deviation can be varied - point, aching or oppressive syndrome. With each stage, an increase in painful sensations is observed in geometric progression.
Doctors pay attention to the fact that pain syndrome appears with increased physical activity, but patients attribute the problems to accumulated fatigue. The pain after rest passes spontaneously, and the patient forgets about it until the next attack occurs. The situation is dangerous because professional help is required, but patients at such moments do not seek it.
- Accelerated fatigue - in the performance of any daily duties, work or home, fatigue occurs very quickly. Due to the unstable state of a person, insomnia and irritation increase - he does not understand why problems arose, he tries to find non-existent causes.
- Extraneous sounds in the ears - the manifestation of the symptoms is the same as with headaches. An anomaly is initially caused by excessive physical activity, and later appears without exposure to external stimuli. Patients at this time experience dizziness, as oxygen does not reach the brain enough.
With increased functioning of the sweat glands, when an abundant secret is secreted, ripples in front of the eyes, flickering of black dots in front of them, hyperemia of the skin of the face come when the pathological process continues to progress. The deterioration of the condition as a whole is directly determined by the severity of the disease - in advanced cases, problems of motor activity in the form of intermittent claudication, etc.
When the clinical symptoms of primary atherosclerotic inflammation appear, immediate professional help is needed. The rate of diagnosis of the disease is determined by a further forecast regarding the recovery of the patient's body.
How is cerebral arteriosclerosis of cerebral vessels detected (ICD code 10 I67.2)?
Reliable diagnostic methods
The patient at the reception of a phlebologist is asked in detail about all the clinical manifestations of the disease, the deterioration of the condition as a whole.
When complete anamnestic information has been collected, a diagnosis is first made.
Thanks to modern diagnostic procedures, the presence of atherosclerotic inflammation can be quickly confirmed. For this purpose, separate instrumental and laboratory techniques are used:
- ultrasonic duplex scanning - makes it possible to assess the state of blood vessels;
- blood test for the concentration of cholesterol elements contained in it;
- angiography - required to determine the degree of arterial obstruction and establish the speed of blood flow;
- Ultrasound - allows you to establish structural abnormalities of the muscles of the heart and internal organs;
- MRI is a complete diagnosis of brain tissue and arterial vessels that are located in them.
Treatment of cerebral atherosclerosis of the cerebral vessels
Treatment of the pathological process consists in using a complex of therapeutic measures. In addition to the drug direction, dietary nutrition, physiotherapeutic procedures are also used, which are designed to strengthen the body as a whole and improve blood circulation, in particular, physical therapy.
The main pharmacological types that are recommended for atherosclerosis are:
- vasodilator drugs;
- medicines that strengthen the walls of blood vessels;
- medicines to lower the level of cholesterol that is present in the blood.
In addition to the main medications, tranquilizers and antidepressants may be prescribed as additional measures. Conservative therapy is prescribed by a doctor based on the individual characteristics of the human body, the degree of inflammation of the arterial vessels, as well as existing contraindications and limitations.
Surgical intervention
Doctors warn that prolonged ignoring of painful symptoms can cause a patient to lose his ability to work and further disability. When the required effectiveness of drug treatment is not available, the appointment of surgical intervention is assumed.
For a planned operation, an indication is a narrowing of the arterial clearance by more than 70% - the pathology is determined by ultrasound. The specialist will choose a technique that is suitable in a particular case:
- carotid endarterectomy - it means dissection of the inflamed wall of the vessel, extraction of the thrombus from there and further restoration of the integrity of the vessel with suture material;
- resection - a medical procedure is performed to excise the affected area and further restore arterial integrity;
- balloon angioplasty and stent implantation - a special catheter is inserted into the problem artery, the balloon is inflated when the blockage limit is reached, the structure is inserted into the dilated vessel.
What else is used in the treatment of cerebral atherosclerosis of cerebral vessels?
Folk preparations
All qualified professionals unanimously deny home methods. This negative attitude is explained by the fact that there are no truthful clinical studies that would confirm their effectiveness.
Healers from the people advise using methods to alleviate the condition of patients in general:
- use freshly squeezed potato juice every day - one tablespoon;
- take vegetable oil during the day (several tablespoons);
- natural honey should be mixed with garlic, crushed to a mushy state, and taken before meals, one small spoon;
- you need to abandon any fatty foods;
- a lot of raw onions are introduced into the diet.
Treatment of cerebral atherosclerosis of cerebral vessels with alternative methods must be coordinated with a qualified specialist, and only after medical approval can they be used. Also, one should not forget about spontaneous reactions of an allergic nature. They can be manifested in the form of a response to medicinal herbs, which are part of the funds. Without preliminary testing for the possibility of an allergic reaction, their use is strictly prohibited.
Real forecast
Cerebral atherosclerosis is a chronic disease process with a long course. If the pathology was timely diagnosed in the first stages, adequate treatment was selected, then the patient's condition can be stabilized and the disease progression prevented.
In acute forms, the prognosis is poor. Subsequent strokes and ischemic lesions often deprive a person of disability, leading to disability or death.
Reviews on the treatment of cerebral atherosclerosis of the cerebral vessels
Reviews about this ailment and its therapy are abundant. Success depends entirely on the stage of the pathology. If treatment is started in a timely manner, then recovery is quite real. The condition stabilizes, and the disease stops progressing.
In case of untimely access to a doctor, unfortunately, paralysis and death are possible.
We examined the treatment and symptoms of cerebral atherosclerosis of the cerebral vessels.