Спазм сосудов головного мозга подразумевает сужение их стенок и уменьшение между ними просвета. Такое состояние грозит серьезными расстройствами работы организма в целом, поэтому необходимо обратиться в консультативно-диагностический центр «ИнтеграМед» (ранее НДЦ) для проведения обследования.
От чего случаются сосудистые спазмы
Церебральный ангиоспазм (так по-другому называют спазм сосудов головного мозга) может возникать по разным причинам. Тому служат проблемы не только в мозгу, но и в шейном отделе, где идут артерии, поставляющие кровь к клеткам головного мозга.
Продолжительная сильная усталость, недостаток сна, кислородное голодание, слабое снабжение кровью значительно влияют на состояние сосудов, как и некоторые сосудистые заболевания.
Наиболее частые причины мозговых сосудистых спазмов:
- хронический стресс и утомление;
- дефицит сна и кислорода;
- никотин;
- дистрофия стенок сосудов вследствие возрастных изменений.
- шейный остеохондроз;
- гипертония;
- ВСД;
- почечные нарушения;
- опухоли.
Столь серьезные факторы – не единственные виновники возникновения симптомов спазма. Резкое сужение сосудов может произойти, например, при охлаждении головы в отсутствие шапки, принятии большой дозы алкоголя, резком всплеске эмоций (в т.ч. и положительном). Если раньше заболевание считали возрастным, когда сосуды теряли эластичность и изменялись в силу природных закономерностей, то сегодня патология значительно «помолодела», став частой спутницей жителей мегаполисов, где экология, ритм жизни, загазованность воздуха оставляют желать лучшего.
Спазм сосудов головного мозга грозит определенным категориям людей, чей организм наименее защищен перед проблемой. Чаще всего это лица с отдельными заболеваниями или чувствительной сосудистой системой:
- перенесшие инфаркт, инсульт;
- диабетики;
- гипертоники;
- страдающие стенокардией;
- склонные к тромбообразованию;
- психически неуравновешенные;
- лица, остро реагирующие на перепады атмосферного давления.
Проявления мозгового спазма
Основной симптом церебрального ангиоспазма – это головная боль любой локализации. Она возникает из-за нарушения кровотока, когда через узкий просвет не поступает нужное количество крови.
Другие признаки спазма сосудов головного мозга:
- головокружение;
- низкая работоспособность;
- чувство сильного утомления;
- шум в ушах (при нагрузке усиливается);
- тошнота, рвотные позывы.
Симптоматика при тяжелых ситуациях:
- речевые нарушения;
- спутанность сознания;
- потеря координации и ориентации;
- провалы памяти;
- обморочные состояния.
Резкое развитие ангиоспазма дает клиническую картину сразу, но бывает и хроническое течение болезни, когда признаков почти нет. Такой вид очень опасен из-за риска осложнений, самый грозный из которых – ишемический инсульт.
Детский спазм сосудов головного мозга провоцирует ишемию отдельных областей мозга, а это чревато задержкой в развитии, слепотой, глухотой, парезами, невропатией. Впоследствии у повзрослевших пациентов случаются мучительные мигрени.
Нарушения кровообращения мозга крайне опасны, их лечение обязательно. Диагностируют заболевание при помощи следующих обследований:
Помощь в домашних условиях должна быть направлена на снятие острого спазма:
- холодная вода для умывания и ножной ванночки;
- поза лежа с приподнятым подголовьем (на подушке);
- пить теплую воду с добавлением меда;
- массаж височной и затылочной области.
Из средств, снимающих спазм сосудов головного мозга, рекомендуется принять обезболивающий спазмолитик.
Методы лечения ангиоспазма:
- Внутривенные инъекции спазмолитическими препаратами.
- Отказ от пагубных пристрастий.
- Сосудорасширяющие средства (антагонисты кальция).
- Излечение любых инфекций, включая кариес.
- Прием корректоров сосудов, адаптогенов, витаминов.
- Физиотерапия.
- Массаж воротниковой зоны.
Очень рекомендовано оздоровление в санаторно-курортных учреждениях. Борьба со спазмами сосудов головного мозга требует полного изменения образа жизни, питания, контроля веса, состояния психики, увеличения двигательной активности. Средства народной медицины для очищения сосудов, повышения их эластичности и крепости помогут улучшить кровообращение и устранить застойные процессы. Отличной профилактикой ангиоспазма станет йога, фитнес, плавание, пешие прогулки, танцы.
Заниматься самолечением не рекомендуется. Для верной терапии следует обратиться к врачу-неврологу. Запишитесь на прием в КДЦ «ИнтеграМед» (ранее «НДЦ») по телефонам, указанным на сайте.
Откуда возникает внезапная боль в сердце или задней области головы можно понять только при детальном обследовании в медицинском учреждении. Но частой причиной является спазм коронарных сосудов, по которым обеспечивается кровоток и поставка кислорода, питательных веществ по всему телу. Что является причиной спазмов? К чему приводит сосудистая патология? Есть ли возможность предотвратить спазм коронарных сосудов или вернуть пациенту здоровье?
Коронарные сосуды – что это такое?
Все органы в организме связаны между собой паутиной кровеносной системы, в которую входят:
- Артериальная ветвь — снабжает сердце, головной мозг, почки, печень и другие системы кровью, насыщенной кислородом и питательными элементами.
- Венозная ветвь — является каналом, по которому течет кровь с отработанными отходами и углекислым газом, позволяя утилизировать ненужный мусор из организма.
Диаметр обеих ветвей разнообразен, чем дальше от сердца, тем меньше их размер, — капилляры, посткапилляры, прекапилляры, артериолы, артерии, вены. Каждый сосуд имеет просвет, который выстлан гладкой мускулатурой, что способствует потоку крови двигаться с определенной скоростью.
Направление потоков по венам и артериям противоположное, к сердцу идет кровоток по артериальной ветке, от сердца по венозному каналу.
Коронарные сосуды — это крупные артерии, по которым кровь поступает в сердце и в мозг. Если в коронарном сосуде возникает резкий спазм, человек ощущает боль разной интенсивности в сердце или голове, что зависит от локализации спазма. При этом нарушается процесс кровообращения, потому что жидкость движется по кругу и любое препятствие тормозит ее.
Откуда возникает спазм коронарных сосудов?
Основные» причины спазмов в коронарных сосудах
Конечно, спазм в кровеносной артерии не возникает сам по себе. Почему спазмируются сосуды, часто задают вопрос пациенты, уже столкнувшиеся с приступом коронарных сосудов у себя или у родных.
Выделяют следующие причины:
- Зашлакованность сосудистого канала — образование холестериновых бляшек на стенках, которые постепенно увеличиваются в размере и могут перекрыть канал на 100%. Опасным состоянием, когда возникают сердечные и мозговые патологии, является перекрытие на 50–70%. Бляшки образуются по всей кровеносной системе и создают угрозу, но их наличие непосредственно в коронарных сосудах — это большая нагрузка на сердечную мышцу или клетки головного мозга.
- Остеохондроз или патологии в зоне шейного отдела — это факторы, способствующие сужению сосудов, отвечающих за снабжение головного мозга.
- Патология в желудочно-кишечном тракте приводит к спазму коронарных сосудов, потому что процесс пищеварения и усвоения продуктов нарушен, что напрямую влияет на качество крови в сосудах.
- Заболевания инфекционного характера — это дополнительная нагрузка на кровеносную систему, потому что вирусы приводят к сильнейшей интоксикации, загрязненности крови.
- Гипертония, сахарный диабет, аллергия и многие другие болезни.
- Злоупотребление алкоголем, никотином, неправильной едой, таблетками.
Чем больше провоцирующих факторов, тем быстрее возникнет спазм коронарных сосудов.
Классификация спазмов в сосудах
Все кровеносные сосуды условно подразделяются на:
- периферические, расположенные ближе к кожному покрову;
- центральные, снабжающие внутренние органы и мозг человека.
Исходя из такой классификации кровеносных артерий, спазмы сосудов подразделяются по локальному признаку: периферические и магистральные.
- Периферический спазм кровеносных сосудов возникает чаще всего в области верхних или нижних конечностей. Симптомы такого спазма проявляются на коже в виде бледности или посинения покровов. Иногда больные жалуются на судороги, покалывание или боль, потому что кровь не поступает к спазмированному участку. В медицине такие приступы называют вазоспазм.
- Магистральный спазм возникает в крупных артериях, что сопровождается болью высокой выраженности, чем при периферическом спазмировании. В области сердца — это спазм коронарных сосудов. Церебральный спазм — это сужение просвета в коронарных сосудах, снабжающих головной мозг. В анамнезе больного фигурирует термин ангиоспазм, — сокращение коронарных сосудистых стенок на короткое время из-за сужения просвета мышечного канала.
Любые спазмы сосудов неприятны и приводят к различным осложнениям, но спазмы коронарных и церебральных артерий без правильного лечения часто являются причиной сердечной и мозговой недостаточности.
Что ощущает человек?
Симптомы коронарного спазма проявляются неожиданно и независимо от физической или эмоциональной нагрузки. Коронарный сосуд сужается с разной степенью, что влияет на симптоматику.
Часто наблюдается следующая клиническая картина:
- Резкая боль за грудной клеткой. Сила боли заставляет человека интуитивно прикладывать руку к очагу спазма. Приступ длится 20 минут и более.
- Болезненность распространяется на лопатку, в левую руку.
- Страх, паническое состояние.
- Человек снижает активность, может полностью остановиться, не желая повторения приступа боли.
- Увеличение частоты сердечных сокращений.
- Снижение артериального давления.
- Выступает холодный пот.
- Ощущение холода в области рук и ног по причине сбоя в работе сердца и замедления кровотока в периферических сосудах. Иногда возникает кратковременная судорога.
- Возникает ощущение нехватки кислорода, дышать тяжело.
- Дискомфорт со стороны ЖКТ.
Головокружение и головная боль — это симптомы ангиоспазма в церебральных (коронарных) сосудах. При длительном приступе возможны признаки спутанного сознания, несвязной речи, чем-то схожие с инсультом.
Виды осложнений при спазмах сосудов сердца
Если возник сужение коронарных артерий с острой клинической картиной, то можно быть уверенным, что есть осложнения. В области сердца развивается стенокардия, как реакция на отсутствие кислорода и питания у сердечной мышцы, по причине чего происходит отмирание клеток ткани. Стенокардия — это промежуточный этап перед инфарктом. Если не начать своевременное лечение, то сердечный приступ не заставит ждать.
Стенокардия, возникшая из-за коронарного сужения, по форме проявления классифицируется на следующие виды:
- Напряжения — боль возникает на фоне чрезмерной физической или эмоциональной активности. Сужение сердца происходит по причине недостаточности крови для метаболических процессов. Такая стенокардия наблюдается при быстром подъеме на высокий этаж по лестнице, при беге, радостном или горестном событии, когда говорят, что дух захватывает.
- Стабильная — коронарный спазм возникает на протяжении нескольких дней, недель, месяца. Коронарные спазмы появляются при разных степенях нагрузки, что требует градации этого вида стенокардии на 4 класса.
- Спонтанная, или стенокардия покоя — коронарный спазм возникает неожиданно без каких-либо предшествующих факторов. Даже во время сна человек может ощутить приступ боли, потому что сердце испытывает недостаток кровотока из-за сужения коронарных артерий.
Любое нарушение в поступлении крови в сердечную мышцу не проходит бесследно и делает жизнь человека неполноценной. Пренебрежение симптомами спазмов в груди чревато приступом инфаркта, инвалидностью или летальным исходом.
Осложнения при нарушениях кровотока к мозгу
Ангиоспазмы в коронарных сосудах головного мозга не менее опасны, чем при сужении просвета в сердечных артериях. Патология церебральных сосудов наблюдается у людей старше 30 лет по причине переутомления, остеохондроза, несоблюдения режима сна и бодрствования, неправильного положения тела.
Бляшки в коронарных артериях перекрывают доставку кислорода и питания к клеткам мозга, что проявляется болью в затылке, висках, лобной части. Наблюдаются признаки гипертонии, потому что сердце усиливает работу, чтобы протолкнуть кровь по узким коронарным сосудам в мозг.
Головокружение, провалы в памяти, онемение конечностей, проблемы со слухом и зрением — это возможные последствия нарушенного кровообращения в коронарных сосудах головного мозга.
Если не решить проблему сужения коронарных сосудов, возможны последствия:
- снижение остроты зрения;
- снижение качества слуха;
- дезориентация в пространстве;
- нарушения в памяти;
- дисбаланс в нервной системе;
- речевые нарушения.
Боль, имеющая продолжительное течение, должна быть диагностирована, чтобы своевременно врач назначил профильное лечение.
К кому обратиться за консультацией?
Если сердечные или головные боли не купируются нитроглицерином, аспирином и другими препаратами, не проходят при полноценном отдыхе и исключении провоцирующих факторов, нужно пройти обследование у следующих специалистов:
В обязательном порядке назначается лабораторное и аппаратное исследование:
- Нужно сдать кровь, как общий, так развернутый анализ, чтобы понять, почему сводит сердце или болит голова.
- Пройти ЭКГ, эхокардиографию.
- Выполнить электрокардиограмму с нагрузкой, чтобы понять, какую нагрузку выдерживает сердечная мышца и при каких условиях возникает боль под сердцем, в грудине или в других зонах, свидетельствующих о коронарном спазме.
- Сделать УЗИ венозных и артериальных сосудов на предмет образования тромбов или бляшек в коронарных артериях и других сосудах. При обнаружении патологий у нижних конечностей, лечение должно быть назначено незамедлительно. Тромб или бляшка — это угроза закупорки коронарных артерий. Коронароспазм наступает мгновенно и может привести к инфаркту миокарда.
- При обнаружении нарушений в коронарной артерии во время ЭКГ с нагрузкой, назначается коронарография, при которой определяется локализация и степень поражения коронарных сосудов, в которых возможен спазм.
Собрав полный анамнез, врач выбирает метод лечения, чтобы исключить повторение спазмов коронарных сосудов, стенокардии или более серьезных болезней сердца и головы. Если коронарный спазм умеренный и первичный, предлагается медикаментозное и диетическое лечение. При серьезных коронарных приступах показано оперативное вмешательство.
Заключение
Что такое спазм коронарных сосудов, от чего происходит и к каким последствия может привести, предельно ясно. Важно исключить коронарную патологию на раннем этапе, учитывая, что современная медицина творит чудеса, если пациент сам заинтересован в своем здоровье. Профилактика в питании, в образе жизни, отказ от вредных привычек и посильная физическая нагрузка исключают коронарную патологию.
Каковы симптомы спазма сосудов головы, как быстро можно снять спазмы. Что вызывает спазм сосудов головного мозга? Чем опасен спазм сосудов? Как проводить диагностику спазма сосудов головного мозга. Медикаментозное лечение спазма сосудов головного мозга, и народное лечение спазмов сосудов.
Сосуды имеют различный диаметр. Он может варьироваться от достаточно широкой аорты, отходящей от сердца, и до тончайших капилляров, опутывающих все ткани. Но даже у одного и того же сосуда диаметр различается. На диаметр сосуда влияет температура окружающей среды, состояние организма, уровень кислорода, физические нагрузки. Расширяя и сужая сосуды, тело подстраивается под внешние условия. Так в холоде сужаются сосуды конечностей, что позволяет меньше охлаждать кровь, а вместе с ней – и внутренние органы.
Но такой спазм является естественной реакцией организма, и если он не длится слишком долго, то не представляет угрозы. Но если по какой-то причине он затянулся, это грозит множеством осложнений. И ситуация только ухудшается, если речь идет о спазме сосудов головного мозга
Что вызывает спазм сосудов головного мозга?
Переутомление и нервное напряжение — одна из причин спазма
Причины спазма сосудов головного мозга достаточно многочисленны. Чаще всего это явление вызывают следующие факторы:
- Переутомление. Длительная работа, в особенности, требующая внимания и усидчивости (за компьютером, с бумагами) утомляет, что может стать причиной сужения сосудов.
- Недостаток кислорода. Длительное нахождение в плохо вентилируемых помещениях, отсутствие ежедневных прогулок может привести к нарушению мозгового кровообращения.
- Вегето-сосудистая дистония. Это заболевание имеет множество проявлений, в том числе, может привести и к спазму сосудов.
- Курение. Никотин и другие вещества, содержащиеся в сигаретах, вызывают кратковременный спазм сосудов головного мозга. Выкуривая более 10 сигарет в сутки, человек в несколько раз увеличивает вероятность длительного спазма сосудов головного мозга.
- Остеохондроз. При этом заболевании нарушается строение шейных позвонков, из-за чего может ухудшиться снабжение мозга кислородом.
- Пожилой возраст. С годами сосуды теряют эластичность, и им становится сложнее расправляться после сжатия. Это может привести к долговременному спазму.
Перечисленные факторы приводят к стойкому спазму сосудов головного мозга.
Чем опасен спазм сосудов?
Расширение и сужение сосудов – это естественный адаптивный механизм организма. Но если он выходит из-под контроля, то может привести к множеству достаточно тяжелых последствий.
Чем уже сосуды, тем хуже снабжение мозга свежим кислородом и питательными веществами, необходимыми ему для работы. Это снижает возможности мозга, его эффективность и работоспособность.
Из-за того что стенки сосудов постоянно напряжены, они испытывают повышенные нагрузки. При наличии слабых, истонченных участков повышается риск формирования аневризмы (патологического расширения), инсульта и кровоизлияния. Эти заболевания крайне тяжелы, они могут привести к стойкому нарушению работы мозга, инвалидизации и даже смерти. Поэтому подобное состояние требует своевременной диагностики и начала лечения.
Симптомы спазма сосудов головы
Головная боль — основной симптом, но есть и другие
Существует несколько основных симптомов спазма сосудов головного мозга. В первую очередь к нм относят:
- Головные боли. Тяжелые, длительные боли, а также частые головные боли могут быть проявлением спазма сосудов головного мозга. Они появляться с утра, сразу после сна или ближе к вечеру. Локализоваться они могут в любой точке головы. Особенно часто боли появляются на фоне перемены погоды.
- Метеозависимость. Повышенная чувствительность к погодным условиям, ухудшение самочувствия при смене погоды – один из симптомов подобных заболеваний.
- Тошнота, рвота. Резкий спазм сосудов может иметь и такие проявления.
- Ухудшение памяти, снижение внимания, ухудшение работоспособности, повышенная утомляемость – все это проявления длительного спазма головного мозга, из-за чего он получает меньше кислорода.
- Шум в ушах. Частое ощущение шума и звона в ушах – одно из проявлений сосудистого спазма. Этот симптом может усиливаться при физических нагрузках.
Проблема в том, что симптомы спазма сосудов головного мозга не являются специфичными. Подобные же проявления могут иметь и многие другие заболевания, поэтому в подобных случаях необходимо проведение диагностики.
Диагностика спазма сосудов головного мозга
Проводя диагностику спазма сосудов головного мозга, врач обращает внимание на характерные симптомы и жалобы, наличие провоцирующих факторов и предрасположенности. Но для постановки окончательного диагноза врачу требуется проведение более тщательного обследования, которое включает в себя следующие методы:
- Рентген шейного отдела. С его помощью можно обнаружить характерные для остеохондроза изменения.
- УЗИ сосудов. Ультразвуковое исследование сосудов шеи позволяет узнать их диаметр, состояние, определить кровоток и ряд других важных параметров.
- МРТ. Это сложный, дорогостоящий и пока ещё не слишком распространенный метод диагностики дает весьма точную информацию о состоянии сосудов головного мозга.
Помимо этого могут потребоваться и другие методы диагностики, к примеру, биохимический анализ крови.
Как быстро снять спазм
Таблетки помогут снять спазм сосудов
Кратковременный спазм сосудов головного мозга устранит достаточно просто. Достаточно лечь или удобно сесть, расслабится, обеспечить приток свежего воздуха, растереть виски и лоб, помассировать шею. Хорошо помогают травяные успокаивающие средства, такие как экстракт валерианы или настой пустырника.
Если спазм вызван переохлаждением, то поможет теплый душ или ванна. Когда сосуды в порядке достаточно просто согреться.
Всем известно, что алкоголь расширяет сосуды, но использовать его для этого крайне опасно и нерационально. После временного облегчения ситуация может только ухудшиться. Единственный напиток, который допускается в подобных случаях – это коньяк. Но разовая доза не должна превышать 30-50 грамм. Его можно применять как средство от сильного стресса, переохлаждения, нервного напряжения и так далее, но лишь в исключительных случаях.
Медикаментозное лечение спазма сосудов головного мозга
Современная фармакология располагает широким спектром препаратов, которые позволяют снять спазм сосудов головного мозга. Вот только подбирать их самостоятельно достаточно рискованно. Каждое лекарство направлено на определенную причину сужения сосудов головного мозга, поэтому нельзя их самостоятельно выбирать, менять дозировку или схему приема.
Чаще всего назначают следующие препараты:
- Экстракт валерианы. Она не только успокаивает, но и снимает спазм, в частности, с сосудов головного мозга.
- Гинко Билоба. Это растение сегодня активно используют для лечения заболеваний, связанных с нарушением мозгового кровообращения. На его основе выпускается несколько препаратов, обладающих схожим эффектом.
- Средства для экстренного расширения сосудов головного мозга – эуфелин и папаверин. Принимать их следует только при резком спазме, и, желательно, под назначением и контролем врача.
- Статины. Это обширная группа, куда входят такие препараты, как атомакс, липофорд и так далее. Они позволяют поддерживать сосуды в стабильном состоянии, не допуская их спазма.
- Фибраты. Атромид, адромидин, клофибрат – эти препараты также назначают при склонности к сосудистым спазмам.
Подбор препаратов для лечения спазма сосудов головного мозга – достаточно сложная задача, решить которую может только опытный и квалифицированный специалист.
Как правило, лечением подобных проблем занимается врач-невропатолог, а не кардиолог, как считают многие. Специализация кардиолога – сердечная мышца, тогда как спазм сосудов влияет в первую очередь на головной мозг.
В то же время, существует множество методов немедикаментозного лечения спазма сосудов, которые основаны на целебных свойствах растений и некоторых продуктов.
Народное лечение спазма сосудов
Целебные растения помогут избавиться от спазма
Существует множество народных методов лечения спазма сосудов головного мозга. Некоторые из них рассчитаны на экстренное воздействие, другие необходимо принимать для достижения эффекта длительное время. Также различается и их эффективность, но благодаря большому количеству рецептов каждый может подобрать оптимальный вариант:
- Холодный компресс из отвара подорожника, зверобоя и корня одуванчика. Быстро снимает спазм сосудов, облегчает головную боль.
- Отвар шиповника. Его можно заваривать и пить как чай. Он тонизирует сосуды и облегчает спазмы, а также выступает как легкое мочегонное, понижая артериальное давление.
- Отвар из листьев чабреца и чеснока. Травы заваривают и пьют как чай. Длительность курса составляет один-два месяца.
- Спазм сосудов снимают ароматические масла лаванды и жасмина. Их нужно можно использовать в аромалампе или в индивидуальном ароматическом кулоне.
- Репешок обыкновенный. Это растение можно высушить и принимать в виде порошка по полграмма трижды в день или же заваривать. Для этого две столовые ложки травы заливают тремя стаканами кипятка и настаивают в течение часа. Принимают отвар трижды в день по стакану. Длительность курса составляет месяц.
- Барвинок малый. Это средство хорошо известно своими сосудорасширяющими свойствами. Столовую ложку заливают 300 граммами воды и в течение 15 минут настаивают на водяной бане. После настой выдерживают ещё 45 минут, процеживают и охлаждают. Принимают настой по трети стакана трижды в день.
- Калина. 200 грамм цветков калины заливают 300 граммами кипящей воды и настаивают в течение часа. Затем принимают по половине стакана 3-4 раза в день.
- Софора японская. Две столовые ложки смеси из плодов и цветков софоры японской заливают 500 миллилитрами кипятка и в течение 5 минут кипятят. После этого отвар процеживают и хранят в холодильнике. Принимать нужно по трети стакана дважды в день.
- 500 грамм жидкого меда смешивают с измельченными 5 лимонами и 5 головками чеснока. Принимать средство рекомендуют по столовой ложке с утра. Хранить средство нужно в холодильнике, периодически помешивая. Оно может быть опасно для людей, имеющих заболевания желудка и двенадцатиперстной кишки.
Также полезно нормализовать питание: снизить количество животных жиров в рационе, заменив их растительным маслом и рыбой, больше употреблять рыбы и свежих фруктов и овощей. Важен питьевой режим. В день нужно выпивать не менее полутора литров жидкости. Прогулкам следует уделять не менее получаса в день.
Видео: Эхоэнцефалография – обследование сосудов головы
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