Drugs that improve cerebral blood flow in cervical osteochondrosis
Cervical osteochondrosis is a disease which in recent years have increasingly seen in people of young age. In addition to the appearance of pain syndrome in the pathological process of this disease can manifest violation of blood circulation in brain tissues with relevant clinical symptoms. Therefore, comprehensive treatment must include drugs to improve cerebral circulation.
What is cervical degenerative disc disease, how it affects the blood circulation in the brain?
The term «osteochondrosis» identifies chronic pathological process that affects the joints, the intervertebral cartilaginous discs and ligaments of various parts of the spine. The main mechanism of disease development is the development of degenerative-dystrophic processes (the destruction of cartilage and connective tissue due to violations of their food). The properties of cartilage change, and the disks between the vertebrae are flattened. This leads to changes in the anatomical structures of the spine with infringement of the roots of the spinal cord containing motor and sensory nerve fibers.
With cervical osteochondrosis, consequences of the degenerative process also include the curvature of the channel transverse processes, which passes the vertebral artery is responsible for the power structures of the brain. Therefore, in addition to neurological disorders, the pathology of the cervical backbone leads to disruption of blood circulation in the brain of different severity.
Manifestations of disorders of cerebral circulation
The main symptoms of cervical degenerative disc disease are pain in the neck that can give in the shoulder girdle, shoulder or head, numbness of the skin (mainly in the region of the belt of the upper extremities on the side of the pinched nerve spinal cord), as well as signs of impaired circulation in the brain, which include:
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- Periodic dizziness.
- Headaches with diffuse preferentially localized in the neck, at least – temples.
- Sleep disorders with insomnia at night and sleepiness during the day.
- General weakness and fatigue, emotional lability (mood swings).
- Ringing in the ears, hearing loss – a common symptom of malnutrition of brain cells.
- Reduced visual acuity and double vision (diplopia), which may be permanent or periodic.
For a reliable diagnostics of the pathological process with blood circulation in the structures of the Central nervous system is necessarily performed for more objective diagnosis using various imaging techniques (CT, MRI, ultrasound using Doppler scanning, angiography). On the basis of objective diagnosis and the clinical examination, the doctor makes a conclusion about the degree of circulatory disorders and appoint adequate treatment, using different groups of drugs.
Drugs that improve cerebral blood flow
Since the development of cervical degenerative disc disease results in partial compression of the vertebral artery, to improve blood circulation used several pharmacological groups of drugs, which include muscle relaxants, vasodilators, and combination drugs.
This group of drugs has a relaxing effect on striated skeletal muscles, which is the focus of the degeneration of the cartilage and the inflammatory process usually spazmirovannah (muscle fibers are in a shortened state). Local relaxation of skeletal muscles of the cervical spine allows you to enlarge the lumen of the vertebral artery and thus improve blood circulation in the brain. The main representative of this group of drugs is Mydocalm used in oral (tablets) and parenteral (injection) form.
In addition to compression of the arteries in the canal of the transverse processes of the cervical vertebrae osteochondrosis additionally comes a spasm of the smooth muscle of their walls, due to which even more decreases the lumen. Drugs the pharmacological group «vasodilator drugs» act on the smooth muscles of the vessel walls, lead to its relaxation and extension of the lumen. To improve cerebral circulation used Pentoxifylline, and Aminophylline ksantinola nicotinate. They basically come in the form of a solution for intramuscular or intravenous injection.
The representatives of this pharmacological group are used in neurology for various disorders of blood circulation and nutrition of the brain structures. They have several therapeutic effects that different drugs expressed differently:
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- Strengthening endoneural blood flow – effects on the microcirculatory vessels, thereby improving blood flow in them (Berlition).
- Neuroprotective effect – improve energy metabolism in neurotitan (cells of the nervous system), as well as increasing their stability in the conditions of insufficient supply of glucose and oxygen (Tiocetam, Piracetam).
- Restoration of damaged intracellular structures of narocito, which include lysosomes, endoplasmic reticulum (Cerebrolysin, b vitamins).
- The increase in the intensity of blood flow in the brain structures through the inclusion of collateral arteries (Actovegin).
When disturbed blood flow in the brain structures, which is a consequence of cervical degenerative disc disease, the doctor after the study and evaluation of the severity of violations assigns multiple drugs simultaneously. The choice of drugs is carried out individually.