Discirculatory encephalopathy of the third degree: how much can I live? Dyscirculatory encephalopathy: signs, symptoms, diagnosis, treatment
Severe disease is associated with damage to the vessels of the brain. The earlier the symptoms are seen, the greater the chance of slowing the process.
What to look for
So, you noticed the strange behavior of loved ones: the destruction of social skills, slovenliness, speech disturbance - it can signal a very serious illness. In some cases, if you delay with the reference to the neurologist, you will receive a diagnosis - dyscirculatory encephalopathy of the third degree.
How much you can live with him, no doctor will say for sure. The disease has the ability to progress over time.
Dyscirculatory encephalopathy is a chronicdamage to brain cells caused by various factors. The disease is divided into three stages. Each period is characterized by its symptoms. There is also a differentiation of the disease by species. The most dangerous is discirculatory encephalopathy of the third degree. How much can you live with such a diagnosis, it is difficult to say. The disease occurs in the period from several months to five years.
Types of disease
Depending on the cause, the disease is divided into several varieties:
- Atherosclerotic - is caused by the defeat of the main cerebral vessels. It occurs most often.
- Venous - is associated with a difficult outflowvenous blood from the brain. Stagnation causes compression of the veins, as a result, the outflow becomes even more difficult, brain activity is inhibited due to the formed edema.
- Hypertensive - occurs already in the youngage and occurs in periods, at times of increased blood pressure. After the crisis passes, the brain functions come back to normal. In this case, frequent hypertensive crises significantly worsen the patient's condition, and the disease progresses. Increased jumps in blood pressure in combination with the diagnosis of "dyscirculatory encephalopathy of the third degree" predict the life of the patient is very unfavorable.
- Mixed - the patient may have venousor atherosclerotic dyscirculatory encephalopathy. At the same time the disease is constantly aggravated by hypertensive crises. Discirculatory encephalopathy of the third degree of mixed genesis is especially difficult to treat, as neurological disorders become more obvious.
Causes of discirculatory encephalopathy
The mass of vascular disorders can cause the diagnosis of "discirculatory encephalopathy of the third degree". The outlook is extremely disappointing. It is very important to warn her offensive.
- Arterial hypertension is an increase in blood pressure.
- Atherosclerosis of cerebral vessels is a violation of the functioning of the arteries.
- Simultaneous presence of atherosclerosis and arterial hypertension.
- Inflammatory processes - vasculitis of various genesis.
They contribute to the progression of the disease: alcoholism, neglected osteochondrosis of the cervical region, chronic stress and overstrain.
The first stage of the disease
The first stage proceeds imperceptibly, and the symptoms can be confused with other diseases, the consequences of injuries.
- Noise in the head.
- Dizziness.
- Headache.
- Sleep disturbances, insomnia, disanias (weakness, poor health when you wake up, it's hard to get out of bed).
- Memory disorders, absent-mindedness.
- Decreased cognitive activity.
- The appearance of instability in walking, stiffness of movements.
Development of the disease
The second stage of the disease is characterized by the visiblemental disorders, followed by a violation of the brain. Patients experience frequent attacks of hypochondria, depression. From the outside it seems that the character of the patient deteriorates. The ill person tries to adapt, to shift the blame to others. Characteristic manifestations:
- Violation of attention.
- Significant memory impairment.
- Violation of self-control.
- Pseudobulbar syndrome - difficulty in swallowing food.
- Irritability, frequent change of mood.
- Depressive states.
The disease involves a disability, butthe patient is still capable of serving himself. On the basis of the above symptoms, of course, there is no diagnosis: discirculatory encephalopathy of the third degree. How long you can live, you will not be answered either. Disturbances at this stage may coincide with other vascular diseases. In any case, you need to identify their cause. A comprehensive survey using modern technologies is necessary.
Discirculatory encephalopathy of the third degree. Symptoms
The third stage of the disease is the transition of the disease to the phase of vascular dementia. The patient loses the ability to self-service and self-control. At this stage, there may be:
- Significant violations of motor activity.
- Incontinence.
- Tremor in the hands and feet, trembling of the head (parkinsonism).
- Disinhibition.
- Pronounced dementia.
- Loss of social skills, difficult speech.
At this stage, the sick person completely depends on the people around him, he needs continuous guardianship and control.
The question of whether discirculatory encephalopathy entails 3 degrees of disability remains open. A patient with a complex of cardiovascular diseases may not survive to this stage.
Diagnostics
Dyscirculatory encephalopathy is able to doperson completely incompetent. The development of the disease is predicted extremely difficult. Deterioration can occur quickly enough, so that close ones do not notice the passage of one of the stages. Also, the patient can hold out for a long time in one condition. Calculate the duration of the next period can be using the age of the patient and the stage of the disease. But to identify the first phase is difficult. A single history is not enough. Special investigations are needed.
To make a final diagnosis, the specialist records:
- Violations of the neurological nature, the dynamics of these disorders. Evaluation is performed by a neurologist on the basis of anamnesis, checking reflexes, interviewing loved ones.
- Evaluation of the patient's neuropsychic state alsois performed by a neurologist or psychiatrist. It is necessary to identify serious disorders of the psyche, which led to the disease. The doctor determines the ability of the patient to focus, navigate through time and space, the ability to respond to criticism. The speech is tested, the vision is checked.
- REG (Rheoencephalography) allows you to assess the state of the vessels of the brain, their filling and the tone of the vascular walls.
- Typical changes in cerebral vessels, revealed on a computer tomogram. The degree of brain damage, the stage and the assessment of remission are determined.
- Changes in cerebral vessels, recorded by ultrasound dopplerography, also reflect the state of the vessels. The study allows you to identify thrombi and clogged vessels.
- Changes in the patient's blood can speak of increased coagulability, as an additional risk for blood vessels.
The final verdict reads: dyscirculatory encephalopathy of the third degree. How much can you live with such a disease? This can not be determined. Most often this diagnosis is made for very old people.
Treatment of dyscirculatory encephalopathy
In addition to the analyzes, the patient's condition is evaluated, the stage and rates of the disease development, as well as its type are revealed. Only after this treatment is prescribed.
In the hypertensive type of illness are appointeddrugs that reduce blood pressure. This prevents new attacks, and the disease goes into the stage of remission. The pressure must be reduced smoothly and not allowed to oscillate. Atherosclerotic discirculatory encephalopathy is used lipodemic therapy, which reduces the rate of progression of atherosclerosis as the main source of the disease. With mixed types of disease, the treatment of atherosclerosis is also very important. The third type of treatment is the support of the work of neurons and restoration of brain functions.
In the first two stages of the disease, the onset of remission after drug treatment is realistic.
Surgery
Sometimes surgical intervention is required forrestore or clean the vessel. The operation is complex and requires a long rehabilitation, but some of the brain functions can be restored. However, without treatment of the underlying disease, such an intervention is impractical.
After the stenosis of the cerebral vessels, it is necessary to constantly observe a neurologist, to undergo examinations. The operation does not cancel drug treatment and compliance with all the doctor's recommendations.
Prevention of disease
A healthy lifestyle is an integral parttaking care of your health. Observing the diet, leading an active lifestyle, you will delay the moment of onset of mental disorders. In the event that discirculatory encephalopathy of grade 3 is detected, decompensation by surgical intervention will not improve the patient's position. If your blood relatives have had high blood pressure and vascular disease, you need to have regular checkups with a neurologist, regardless of whether discirculatory encephalopathy was detected in someone close or not. Assess your condition with the help of doctors necessary, even if no symptoms are observed.
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