Dyscirculatory encephalopathy 2nd degree: how much can you live?
Encephalopathy develops due to an abnormal nutrition of the brain. This pathology occupies the second place in structure of diseases of the Central nervous system. The incidence increases with age in people older than 60 years is recorded at up to 15% of cases of pathology.
What is encephalopathy?
Cells of the nervous system (neurocity) for normal functional activity require a fair amount of energy, so they are very sensitive to insufficient intake of glucose (the primary energy provider) and oxygen (necessary for oxidation of glucose). These substances enter in neurocity the bloodstream.
When changes in vessels (arteries, veins or capillaries) reduces the intake of necessary compounds in nanocity, which leads to their starvation and the development of dyscirculatory encephalopathy. The term in Latin is translated as a pathology of the brain caused by impaired blood supply to its tissues. In this disease a decrease in the intensity of the blood flow gradually.
The reasons for the development
Change of cerebral blood flow, leading to the starvation of narocito is polietiologic condition. To develop it can lead to various aetiological triggering factors, which include:
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- Prolonged increase in blood pressure levels (hypertension), which leads to reflex spasm (narrowing) of blood vessels in the brain.
- Neurocirculatory (vegetative-vascular) dystonia – a condition associated with impaired regulation of the tonus of the arteries, which leads to periodic spasm.
- Cerebral atherosclerosis – lesions of the walls of the arteries that are localized in the brain, in which they deposited cholesterol in the form of plaques, reducing the lumen.
- Toxic damage of the arteries after infectious diseases, on the background of the systematic use of alcohol, Smoking (alcohol and nicotine are cardiovascular toxins).
- Venous thrombosis – formation of microthrombi inside the veins of the brain with the deterioration of the outflow of blood from them and reducing the intensity of blood flow.
- Inflammation of the arteries leading to edema of their walls and reduced lumen.
Dyscirculatory encephalopathy (DEP abbreviation) under the influence of various precipitating factors develops over a long period of time (years). It is sometimes possible combined effects of multiple etiological factors, leading to more rapid development of the disease.
Forms of the disease
In matter under the influence of any precipitating factors progresses the blood circulation in the tissues of the brain, there are several basic forms of dyscirculatory encephalopathy:
- Atherosclerotic form is a major factor in the development of the pathological process is the formation of atherosclerotic plaques in the arteries.
- Venous form – is the result of deterioration of the return current of blood from venous vessels, in particular when thrombosis or increase the level of intracranial pressure.
- Dyscirculatory encephalopathy of mixed origin – in the development of the disease involve several factors, this form is characterized by more rapid progression of disease.
The division into forms is first necessary for the subsequent effective treatment is aimed at eliminating exposure to the cause of the disease.
Severity and symptoms
Because encephalopathy is a slowly progressive disease, the pathological process is conditionally divided into several degrees of severity:
- 1 degree is characterized by minimal changes of blood vessels and narocito, might be a slight noise in the ears, dizziness and periodic insomnia.
- Stage 2 – changes in the blood vessels are more pronounced, leading to greater starvation of neurocytol. It manifests pronounced tinnitus, insomnia, headache, focal symptoms (weakness of muscles, paralysis of, a violation of skin sensitivity), impaired coordination of movements. In the case of the predominance of headache on the other symptoms there is pathology with cephalgic syndrome.
- Stage 3 – on the background of the progressive devascularization occurs damage and destruction of part of narocito of the brain. This is accompanied by a sharp decline in the intellectual abilities of the sick person (dementia), memory loss, intense headache. With this degree of disability is made, as in most cases the sick person is unable to care for themselves due to the irreversible changes in narocito.
Discirculatory encephalopathy of 2 degrees is a boundary condition in which changes in brain cells might be reversible.
Treatment of dyscirculatory encephalopathy
Therapeutic approaches and interventions in discirculatory encephalopathy can only be effective for early start before the development of irreversible changes in neurotitan (1 and 2 stage pathology). They include medicines to improve blood circulation in the brain and neuroprotective agents (drugs that increase the resistance of narocito in terms of reduced blood supply). The treatment of the disease is lifelong.
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How long can you stay under 2 degrees of the disease?
The duration of life in the development of the 2 severity of the pathological process is the individual. If untreated, it can vary from 3 to 7 years (in the absence of other cardiovascular complications, particularly stroke). Proper and timely treatment significantly improves the duration and quality of life (it is possible to live to a ripe old age).