{"id":4499,"date":"2016-03-25T07:24:52","date_gmt":"2016-03-25T07:24:52","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=4499"},"modified":"2016-03-25T07:25:24","modified_gmt":"2016-03-25T07:25:24","slug":"accidentele-vasculare-cerebrale","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/accidentele-vasculare-cerebrale\/","title":{"rendered":"Accidentul vascular cerebral"},"content":{"rendered":"

Accidentul vascular cerebral (AVC) se soldeaz\u0103 cu tulbur\u0103ri grave prin oprirea circula\u021biei sanguine spre creier, neuronii fiind lipsi\u021bi de oxigenare \u0219i substan\u021be nutritive.<\/p>\n

Prin debut \u0219i evolu\u021bie, AVC este o urgen\u021b\u0103 neurologic\u0103 \u0219i, uneori, neurochirurgical\u0103.<\/p>\n

Instalarea AVC poate fi o chestiune de minute, iar identificarea leziunii (localizare \u0219i tip de leziune \u2013 ischemic\u0103 sau hemoragic\u0103) se impune, pentru a ini\u021bia un tratament etiologic \u00een contratimp.<\/p>\n

\u00cen accidentul vascular hemoragic<\/strong> se va opri s\u00e2ngerarea \u0219i se va urm\u0103ri sc\u0103derea presiunii intracraniene. \u00cen func\u021bie de extinderea AVC, prin amploare \u0219i gravitate, se poate produce exitusul \u00a0pacientului la scurt timp de la debut.<\/p>\n

\u00cen cazul accidentului vascular ischemic<\/strong> se reduce afluxul de s\u00e2nge bogat \u00een oxigen \u0219i substan\u021be nutritive.<\/p>\n

Semnele AVC pot ap\u0103rea brusc: amor\u021beli, sl\u0103biciune, incapacitate de a mobiliza bra\u021bele, picioarele, tulbur\u0103ri de vedere, de vorbire, de mers. Aceste semne atrag aten\u021bia medicului specialist, ceea ce impune un set amplu de investiga\u021bii profesionale.<\/p>\n

Prin stabilirea diagnosticului se aplic\u0103 un algoritm terapeutic adaptat cazului. Stresul termic – canicula -, poate agrava ireversibil bolile cerebrovasculare printr-un mecanism dublu:<\/p>\n

    \n
  1. primul mecanism, transpira\u021bia excesiv\u0103, care produce deshidratare \u0219i pierderea de electroli\u021bi esen\u021biali prin cre\u0219terea v\u00e2scozit\u0103\u021bii sanguine, urmat\u0103 de tromboz\u0103, ischemie \u00een teritoriul afectat;<\/li>\n
  2. al doilea mecansim, c\u0103ldura excesiv\u0103, care cre\u0219te tensiunea arterial\u0103 sistemic\u0103, cu ruperea vaselor intracerebrale.<\/li>\n<\/ol>\n

    Atitudinea cea mai simpl\u0103 \u0219i cea mai util\u0103 pentru pacientul este evitarea stresului termic. \u00cen cazul \u00een care pacientul nu poate evita expunerea la c\u0103ldur\u0103, se administreaz\u0103 lichide pentru restabilirea unei mase circulante cu un debit cardiac corespunz\u0103tor unei fiziologii normale.<\/p>\n

    \u00cen cazul pacien\u021bilor cu ischemie cerebral\u0103 se va asigura profilaxia aterogenezei s\u0103 aib\u0103 \u00een vedere \u0219i oprirea aterogenezei.<\/p>\n

    Conduita de lung\u0103 durat\u0103 fa\u021b\u0103 de pacien\u021bii cu afec\u021biuni cerebrale ischemice ar trebui (care este factorul determinant \u00een evolu\u021bia acestei boli).<\/p>\n

    \"infralipid-U\"<\/a>Noi avem \u00een vedere administrarea de Infralipid U (Elidor),<\/strong> c\u00e2te 3-4 cpr.\/zi pe durata stabilit\u0103 de medicii speciali\u0219ti, care normalizeaz\u0103 nivelul de lipide din circula\u021bia sanguin\u0103.<\/p>\n

    Fiind un produs din plante, nu s-au remarcat efecte secundare fa\u021b\u0103 de preparatele de sintez\u0103 chimic\u0103 (afectarea ficatului sau a altor organe).<\/p>\n

    Pentru asigurarea unei circula\u021bii cerebrale compatibile cu o activitate normal\u0103, mai ales la persoanele de peste 50 de ani \u0219i la cei cu antecede\"neuroforte\"<\/a>nte heredocolaterale pozitive, recomand\u0103m administrarea de Neuroforte (Elidor)<\/strong> c\u00e2te 2-4 cpr.\/zi \u2013 orele 10 \u0219i 14 \u0219i Ergonic (Elidor)<\/strong>, tot 2-4 cpr.\/zi \u2013 orele 10 \u0219i 14.<\/p>\n

    Acest tratament a avut un efect favorabil la pacien\u021bii cu tulbur\u0103ri de memorie (de scurt\u0103 durat\u0103), ca \u0219i la pacien\u021bii la care s-a instalat afazia \u00een stadiul postoperator (hematom subdural). Evolu\u021bia favorabil\u0103 a fost evident\u0103 (nu s-au observat rec\u0103deri).<\/p>\n

    \u00cen deficitul de potasiu \u0219i magneziu, ca \u0219i pentru cardioprotec\u021bie, Kali Mag (Elidor),reprezint\u0103 solu\u021bia optimal\u0103, 2-4 cpr.\/zi.<\/p>\n

    \"Dr.<\/a>
    Dr. Sorin Godeanu, Laboratoarele Elidor<\/em><\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"

    Accidentul vascular cerebral (AVC) se soldeaz\u0103 cu tulbur\u0103ri grave prin oprirea circula\u021biei sanguine spre creier, neuronii fiind lipsi\u021bi de oxigenare \u0219i substan\u021be nutritive. Prin debut \u0219i evolu\u021bie, AVC este o […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[107],"tags":[],"class_list":["post-4499","post","type-post","status-publish","format-standard","category-cardiologie"],"yoast_head":"\nAccidentul vascular cerebral - Jurmed - Pacienti<\/title>\n<meta name=\"description\" content=\"Accidentul vascular cerebral (AVC) se soldeaz\u0103 cu tulbur\u0103ri grave prin oprirea circula\u021biei sanguine spre creier, neuronii fiind lipsi\u021bi de oxigenare \u0219i subs\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/accidentele-vasculare-cerebrale\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Accidentul vascular cerebral - 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