Для чего проводится обследование?
Зачем вообще необходимо выполнение УЗДГ сосудов головы и шеи? Это простое ультразвуковое исследование, дополняемое эффектом Допплера, помогает оценить магистральные артерии, которые обеспечивают кровью головной мозг. Если определяется какое-либо сужение этих артерий или изменение их хода, врач может заподозрить то или иное заболевание.
Дополнительно такое исследование позволяет оценить состояние сонных артерий и тех сосудов, что кровоснабжают позвоночный столб.
Показания и противопоказания
Допплерография сосудов, как и любое иное исследование, имеет ряд своих строгих показаний и противопоказаний. Назначают исследование сосудов головы и шеи в следующих случаях:
- пациент страдает от неврологической симптоматики, свидетельствующей о недостаточном кровотоке в головном мозге (приступы головных болей, бессонница, шум в ушах и др.);
- есть нарушения со стороны ритма сердца;
- выявлено наличие факторов, повышающих риск инсульта (например, высокие показатели холестерина);
- повышенная утомляемость;
- наличие остеохондроза шейного отдела позвоночного столба;
- эпизоды инфаркта или инсульта в анамнезе;
- сахарный диабет в наличии в течение длительного времени;
- тромбозы вен или или артерий и др.
Допплеровское исследование хорошо тем, что для него нет противопоказаний. Ультразвуковые волны, дающие картинку, совершенно безопасны для всех пациентов, включая людей с хроническими заболеваниями, опухолевыми процессами. Ультразвуковая диагностика используется даже для беременных женщин, так как не способна нанести вред плоду.
Подготовка и техника проведения
Доплер сосудов – одно из тех исследований, для проведения которых нет необходимости как-либо специально готовиться. Единственная рекомендация заключается в том. Чтобы за 24 часа до процедуры отказаться от алкогольных напитков, сигарет и препаратов, оказывающих влияние на деятельность сердца. Допплерографическое исследование шеи и головы, проводимое на фоне приема сердечных препаратов, может дать недостаточно точные результаты.
Диагностика сосудистой патологии с помощью УЗИ полностью безболезненна. Ход исследования прост. Врач наносит на тело больного специальный гель, а затем водит по нему датчиком, слегка нажимая, чтобы улучшить картинку. На экране отмечаются необходимые показатели, после чего их распечатывают и отдают пациенту или лечащему врачу.
Допплерография сосудов в современной медицине выполняется несколькими методами. Выбор зависит от особенностей пациента и предполагаемого заболевания. Могут выполняться:
- классическое УЗИ сосудов головного мозга позволяет понять, проходимы ли вообще сосуды, но не дает возможности оценить степень сужения и их расположение;
- дуплексное обследование сосудов – способ, который позволяет не только понять, проходимы ли сосуды вообще, но и оценить, какова скорость кровотока в них, более информативен, чем классическое УЗИ;
- триплексное сканирование – подход, сочетающий в себе дуплекс и классическое УЗИ, наиболее информативный и широко используемый на сегодняшний день.
При подозрении на поражение сосудов шеи или головы врач самостоятельно выбирает наиболее подходящее в том или ином случае обследование.
Расшифровка результата
Доверять расшифровку всегда стоит врачу, однако иметь общее представление о нормах может и сам пациент.
Нормы
Нормальными называют усредненные показатели, характерные для мозговых и шейных сосудов. Если отклонения от нормы и допускаются, то только по усмотрению врача.
Выглядят нормы следующим образом:
- толщина сосудистой стенки от 0,9 до 1,1 мм;
- в просвете отсутствуют новообразования и иные препятствия;
- в областях без разветвления отсутствие турбулентных потоков;
- диаметр позвоночных артерий не более 2 мм;
- скорость течения крови в венозном русле позвоночника не более 0,3 м/с;
- отсутствие мальформации, т. е. патологических сеток сосудов;
- отсутствие признаков компрессионного воздействия на сосуды извне.
Распространенные нарушения и диагнозы, которым они соответствуют
Допплеровское исследование сосудов направлено в первую очередь на определение нормы. Существует ряд распространенных патологий, которые можно диагностировать с его помощью. Среди них:
- атеросклероз, при котором в просвете сосудов определяются препятствия, представленные атеросклеротическими бляшками, и сужающие просвет;
- артериит темпорального типа, при котором стенка артерии утолщается;
- гипоплазия артерий, кровоснабжающих позвоночный столб, при которой отмечается уменьшение просвета менее 2 мм;
- мальформации сосудистого типа, сопровождающиеся формированием патологической сосудистой сетки.
Чаще всего допплерография сосудов дает возможность поставить диагноз атеросклероза, так как эта патология считается наиболее распространенной.
Преимущества и недостатки метода
УЗДГ сосудов головы и шеи – простое, но высокоинформативное исследование. К его преимуществам относят легкость выполнения, отсутствие у пациента неприятных ощущений и необходимости в специальной подготовке. Однако, увы, метод имеет и недостатки. Самый существенный из них – цена. В клиниках России стоимость УЗДГ начинается от 3 тысяч рублей за исследование, и доходит до 9 тысяч. Еще один существенный недостаток – необходимость в расшифровке специалистом.
Доплер сосудов головы и шеи – эффективное, хоть и дорогое исследование. Если есть подозрение на поражение сосудов каким-либо заболеванием, не стоит отказываться от этого диагностического метода.
Автор: Арина Волкова, врач,
специально для xVarikoz.ru
Полезное видео об УЗИ сосудов шеи и головы
Одним из безопасных и эффективных методов выявления разных заболевания является ультразвуковое исследование. Изучение таким способом сосудов головы и шеи называется допплерографией. Для этой процедуры используют специальные ультразвуковые аппараты, связанные с работой Допплера. Они помогают изучить и оценить структуру и функционирование сосудов, что позволяет обнаружить ключевые факторы нарушения кровотока. Основными показаниями к УЗИ сосудов шеи и головы являются атеросклероз, тромбоз, стеноз и ряд других патологий сосудистой системы.
Что такое УЗИ сосудов головного мозга
Так называется современный способ оценки состояния кровотока в капиллярах, венах, артериях, снабжающих кровью головной мозг. Его ультразвуковое исследование проводится разными методами. Первые опыты такой процедуры были проведены еще в 1955 году. С того времени ультразвуковое исследование совершенствовали, поэтому оно стало безопасным, доступным и информативным. Эта методика обладает высокой точностью, поскольку подробно помогает изучить любые органы или ткани.
Ультразвуковое исследование головы может проводиться тремя разными методами. В основе каждого лежит изображение, которое выводится на экран за счет движения специального датчика по телу человека. При этом пациент не чувствует боли или дискомфорта. Вовремя сделанное УЗИ сосудов головы и шеи помогает:
- выявить ранние стадии нарушения кровоснабжения мозговых тканей;
- предупредить кислородное голодание, а также инсульт, инфаркт;
- наблюдать за больными с сосудистыми патологиями;
- оценивать эффективность назначенного лечения заболеваний, связанных с артериями или венами.
Показания к диагностике
Исследование сосудов головного мозга и шеи имеет четкие показания к проведению. Поскольку процедура помогает выявить сосудистые заболевания и нарушения мозгового кровообращения, ее назначают при следующих патологиях или случаях:
- остеохондрозе шейного отдела;
- нарушениях сердечного кровообращения (аритмии);
- вегетососудистой дистонии;
- выраженных неврологических симптомах (нарушениях координации движения, головокружениях, шуме в ушах, бессоннице, потемнении в глазах, обмороках, ухудшении памяти);
- тромбозах вен или артерий;
- инсульте или инфаркте в анамнезе;
- хронической артериальной гипертензии;
- планируемой операции на сердце;
- аневризме, стенозе, атеросклерозе;
- ишемической болезни;
- слабости, повышенной утомляемости, головных болях, мушках в глазах;
- повышенном холестерине в крови;
- перенесенных черепно-мозговых травмах;
- резкой потере зрения;
- пониженной чувствительности в области лица;
- ожирении;
- курении.
Преимущества и недостатки
Главными преимуществами ультразвукового исследования являются высокая информативность и безопасность. Процедура не имеет противопоказаний, поскольку не является инвазивной. Исключаются даже возрастные ограничения. УЗИ разрешено в том числе для грудничков. К преимуществам такой методики изучения сосудистой системы головного мозга можно отнести и следующее:
- безболезненность;
- возможность изучения исследуемой области в нескольких проекциях;
- хорошая визуализация мягких тканей;
- возможность частого использования ввиду безвредности для организма;
- достоверность за счет проведения в режиме реального времени;
- невысокая стоимость.
Некоторые объекты все же трудно визуализировать из-за их сложного проекционного наслоения. Это один из минусов ультразвуковой диагностики. Среди других недостатков данной процедуры выделяют такие:
- меньшее пространственное разрешение по сравнению с магнитно-резонансной и компьютерной томографиями;
- избыточный вес может затруднять диагностику, поскольку жировая ткань поглощает часть ультразвука;
- затруднение визуализации костной ткани.
УЗИ головного мозга проводится разными способами. Все они основаны на ультразвуковых волнах, которые помогают выявить статические и динамические процессы в организме. Изучив варианты исследований, можно выявить их отличия. В целом выделяют три типа этой процедуры:
- ультразвуковая допплерография сосудов головы и шеи;
- дуплексное или цветное сканирование головы;
- трехмерное (триплексное) сканирование.
Первым видом является допплерография – процедура, основанная на использовании ультразвука с эффектом Допплера. За счет отражения волн от кровяных телец на экране формируется картинка, изображающая сосуды с их кровотоком. Полное название процедуры – ультразвуковая допплерография (УЗДГ). Она проводится двумя методами, такими как:
- УЗДГ экстракраниальных сосудов. Это процедура УЗИ крупных артерий или вен, которые проходят в области шеи: позвоночных, сонных, подключичных, яремных.
- Транскраниальная допплерография. Это исследование непосредственно сосудов головы. Для их изучения датчик аппарата устанавливается в областях черепа, где кости имеют наименьшую толщину.
Допплерография – это двухмерное исследование, при котором изучают сосудистый кровоток вне полости черепной коробки в области. Плюсы и минусы данного вида исследования:
- Недостаток допплерографии – не выявляет анатомию артерий и вен, из-за чего не помогает точно установить скорость кровотока.
- Преимущество же в том, что УЗДГ выявляет сердечные, сосудистые, неврологические заболевания на ранних стадиях.
Под термином «УЗИ сосудов в головном мозге» большинство специалистов понимают процедуру УЗДС – ультразвуковое дуплексное сканирование. По сравнению с УЗДГ этот вид УЗИ является более глубоким. В результате проведенной процедуры врач получает цветное изображение внечерепной и интракраниальной сосудистой структуры. Дуплексное сканирование чаще назначается пациентам с уже поставленным диагнозом. Минус УЗДС – стоимость по сравнению с УЗДГ мозга более высокая. Список преимуществ дуплексного сканирования включает:
- возможность увидеть анатомическую структуру артерий или вен;
- отражение скорости кровотока;
- выявление самих нарушений и их причины (тромбов, бляшек, стеноза, врожденных аномалий развития).
Новейшим методом исследования сосудов мозга является трехмерное УЗИ. Оно проводится отдельно от допплерографии. Процедура сочетает в себе дуплексное сканирование и цветовое картирование – дифференциацию скоростей сосудистого кровотока. Преимущество трехмерного УЗИ – более точно отражает проходимость артерий и вен. Недостаток метода в том, что он не дает оценить функциональные характеристики кровотока, из-за чего необходимо дополнительно проводить обычную допплерографию.
Подготовка
Специфической подготовки ультразвуковая диагностика не требует. Пациенту рекомендуют за 24 часа до процедуры отказаться от продуктов и медикаментов, которые могут исказить результаты:
- алкоголь;
- лекарственные препараты, включая спазмолитики, сосудистые, обезболивающие;
- энергетические напитки, особенно с экстрактом гуараны в составе;
- кофе, чай.
Воздержаться необходимо и от острых продуктов. Соль должна использоваться умеренно. За 5 часов до проведения УЗИ требуется исключить курение, поскольку никотин способствует повышению давления. По поводу отмены принимаемых препаратов стоит проконсультироваться с врачом. Специалиста нужно обязательно уведомить о приеме лекарств. Если УЗИ проводится ребенку до года, то его нужно кормить не позже, чем за час до процедуры. Это связано с тем, что у сытого человека уменьшен приток крови к голове.
Как делают УЗИ сосудов
Перед началом УЗИ пациент ложится на кушетку, кладет голову на небольшую подушечку. В этот момент ему необходимо расслабиться, восстановить дыхание. Далее специалист ощупает сосуды, чтобы определить степень и глубину их пульсации. После этого начинается исследование при помощи специального датчика, излучающего ультразвуковые волны.
Допплерография, дуплексное сканирование и трехмерное УЗИ имеют практически одну и ту же технологию проведения. В ходе процедуры врач может попросить пациента произвести следующие действия:
- принять вертикальное положение;
- задержать дыхание;
- поморгать быстрее;
- часто и глубоко подышать (гипервентиляция).
Еще одна функциональная проба – прижатие сосудов пальцами. Это помогает более точно диагностировать механизм регуляции кровотока. Перед началом диагностики на изучаемую область наносится специальный гель, который смывают по завершении сеанса теплой водой или удаляют влажной салфеткой. Процесс ультразвуковой диагностики может занять около 45-50 минут. Никакого дискомфорта или болезненных ощущений оно не приносит. Разница видов УЗИ лишь в местах, по которым специалист проводит датчиком:
- При транскраниальном исследовании (сосудов, находящихся в голове) датчик располагают на тех участках черепа, где ультразвук легче преодолевает костную ткань: над глазницами, в области затылка, в районе височной кости.
- При экстракраниальном УЗИ изучают сосуды еще до впадения их в полость черепа. Для этого датчик располагают в области шеи.
Что показывает УЗДГ сосудов головы и шеи
Из показаний к проведению УЗИ сосудов головы и шеи можно понять, какие заболевания может подтвердить эта процедура. Диагноз ставят с учетом характеристик, которые были определены во время ультразвукового исследования. Основными из них являются следующие:
- фазность кровотока, его характер и симметричность по одноименным артериям;
- изменение эхогенности тканей;
- пульсационный и резистивный индексы;
- толщина и диаметр стенки сосуда;
- скорость кровотока – максимальную (систолическую) и минимальную (диастолическую), их соотношение.
Расшифровка результатов
Для каждого из перечисленных выше критериев определены нормальные значения. По ним врач выявляет различные отклонения, которые помогают подтвердить тот или иной диагноз. Так, для расшифровки результатов используют следующие усредненные показатели и условия:
- диаметр позвоночных артерий должен быть одинаковым и не превышать 2 мм;
- просвет сосудов считается нормальным, если не наблюдается его стеноз (сужение) и он свободен от новообразований;
- турбулентный кровоток не должен наблюдаться в областях, где отсутствует разветвление сосудов;
- мальформация (патологическая сосудистая стенка) считается отклонением;
- компрессия сосудов означает, что они находятся под давлением извне, что требует проведения дополнительных исследований, например, УЗИ нижних конечностей;
- в позвоночных венах до 6 позвонка скорость кровотока должна быть менее 0,3 м/с;
- толщина сосудистой стенки менее 0,9 мм считается нормальной, но иногда допускаются показатели 0,9-1,1 мм.
Отклонения от указанных норм и условий указывает на нарушение кровообращения по тем или иным причинам. Самыми распространенными патологиями, которые диагностирует УЗИ сосудов головы и шеи, являются:
- стенозирующий и нестенозирующий атеросклероз (закупорка артерий или вен холестериновыми бляшками);
- опухоли, травмы или смещений, которые приводят к венозному или артериальному сдавливанию;
- гипертоническая болезнь;
- остеохондроз;
- васкулит (диффузное уплотнение и утолщение сосудистых стенок);
- сосудистые мальформации;
- темпоральный артериит;
- гипоплазия позвоночных артерий.
УЗИ сосудов шеи – это современное информативное сканирование с помощью специальной аппаратуры вен и артерий, которые расположены вне контуров черепа и отвечающих за обеспечение кровью головного мозга. Метод делится на несколько разновидностей. Результаты сканирования выдаются на руки сразу.
Общее описание процедуры
УЗИ сосудов шеи и головы входит в категорию высокоинформативных диагностик. Метод позволяет определить изменения в брахиоцефальном стволе, позвоночной или сонной артериях. Сканирование сосудов происходит изнутри и с наружной стороны. Во время ультразвуковой диагностики определяется:
- есть ли тромбы;
- признаки сосудистых заболеваний;
- диаметр артерий;
- просвет сосудов;
- стадия стеноза;
- состояние артериальных и сосудистых стенок;
- окклюзия;
- состояние холестериновых образований и их месторасположение.
Во время диагностики изучается не только скорость, но и характер кровотока. Он может быть:
- турбулентным, когда жидкость течет в разных направлениях;
- ламинарным;
- линейным.
С помощью УЗИ диагностируется изменение скорости на различных участках. Проверяется, насколько симметричны характеристики. Во время сканирования есть возможность обхода кровопотока при наличии окклюзии. Главный поставщик кислорода в головной мозг – сонная артерия. Ее изучение – одно из основных направлений УЗИ головы и шеи.
Виды УЗИ
Ультразвуковая диагностика имеет три разновидности. Несмотря на один основополагающий принцип, они существенно различаются.
УЗДГ – 2-х мерное ультразвуковое исследование сосудов, дающее исчерпывающую информацию о кровопотоке. В основу методики вошел эффект Допплера. При помощи исследования оценивается проходимость сосудов, скорость кровотока и векторы его движения. Во время диагностики датчики ставятся на участки с крупными артериями.
Так как они могут находиться в нестандартных участках, то изначально находится месторасположение сосудов. Иначе датчики устанавливаются вслепую. Проходимость сосудов выявляется по графику движения кровопотока. Однако метод позволяет выявить нарушения, но не причину их появления.
УЗДС-обследование позволяет получить наиболее полную информацию об артериальном и венозном кровоснабжении. Метод охватывает сразу 2 функции, поэтому иначе называется дуплексным ультразвуковым исследованием. На экране компьютера отображаются мягкие ткани с сеткой сосудов. Диагностика позволяет обнаружить:
- стеноз;
- перевитость;
- появление тромбов;
- стыки сосудов после оперативного вмешательства;
- наличие стентов.
Во время УЗДС оценивается состояние артерий и вен, определяется скорость кровоснабжения.
Триплексное исследование
Принцип триплексного сканирования однотипный с УЗДС. Разница только в изображении. При триплексном исследовании на экране появляется цветная картинка. Она помогает получить более полную и точную информацию. По изображению изучается строение вен и артерий, определяется скорость кровотока. Его направление отмечается разными цветами. Красный – кровопоток с вектором движения в сторону датчика, от него – обозначается синими оттенками.
Показания и противопоказания
УЗИ шейных сосудов обычно назначается перед аналогичной диагностикой головного мозга. Такая схема позволяет найти причины отклонений в кровообращении. Другие показания к УЗИ:
- сахарный диабет;
- эпилепсия;
- перепады АД;
- пульсация в руках;
- метеочувствительность;
- слуховые нарушения;
- падение зрения;
- длительная гипертония;
- перенесенные в прошлом инсульты и инфаркты;
- сильное ожирение;
- заболевания сосудов шеи;
- высокий уровень холестерина;
- шейный остеохондроз;
- сделанные хирургические операции на сосудах в области шеи;
- повреждения головного мозга и черепа;
- нейроциркуляторная дистония.
УЗИ сосудов головного мозга проводится, если у кого-то в роду был атеросклероз. Диагностика обязательна при подготовке к оперативному вмешательству или для контроля заболеваний. УЗИ может быть показано при появлении некоторых симптомов:
- предобморочные состояния;
- бессонница;
- шатающаяся походка;
- тяжесть, тупая или острая не проходящая боль в голове;
- склероз;
- онемение конечностей;
- хруст, слышимый во время вращения шеи;
- кратковременные обмороки;
- постоянные головокружения;
- боли в шее;
- точки, мелькающие перед глазами;
- шумы в ушных раковинах;
- нарушение концентрации внимания.
УЗИ может делаться новорожденным, если их голова имеет неправильную форму, перенесшим гипоксию, при подозрениях на ДЦП. Диагностика показана недоношенным детям, при появлении у малышей судорог или нарушении мозговой деятельности. УЗИ показано новорожденному, если он родился с помощью кесарева сечения или с конфликтом резус-фактора крови.
УЗИ шейного отдела назначается даже без наличия признаков заболевания людям старше 45-ти лет. Противопоказаний обследование не имеет. Диагностику можно делать многократно при любых заболеваниях, независимо от возраста.
Плюсы и минусы исследования
Полностью заменить ультразвуковое исследование нельзя, все обследования имеют свои преимущества и недостатки. Есть усовершенствованные методики – КТ и МРТ, но УЗИ более доступно. Во всех медицинских учреждениях установлена специальная аппаратура для диагностики ультразвуком. Преимущества метода:
- исследование в разных проекциях;
- безопасность;
- проведение процедуры в реальном времени;
- безболезненность;
- отлично просматриваются мягкие ткани;
- для диагностики не требуется делать проколов и разрезов;
- в связи с отсутствием вредного излучения, процедура может проводиться так часто, как требуется.
К недостаткам УЗИ относится частично поглощаемый жировой тканью ультразвук. Это затрудняет обследование. Из-за сильного наслоения проекций некоторые органы просматриваются плохо. Ультразвуковое исследование имеет меньшее пространственное разрешение, чем КТ и МРТ.
Подготовка к сканированию
Накануне УЗИ сосудов шеи и головы (уже с вечера) нельзя пить крепкий чай, спиртное и кофе. Перед сканированием следует воздержаться от курения. Все перечисленное может повлиять на точность результатов. Накануне УЗИ из рациона исключаются продукты, которые содержат много клетчатки.
Временно нужно ограничить любые физические нагрузки, в том числе и спорт. Если УЗИ шейного отдела назначено в период лечения АД или сердечно-сосудистой системы, то специалист должен быть поставлен в известность о принимаемых препаратах заранее.
Техника проведения УЗИ
Пациент укладывается на спину, на кушетку. Специалист подкладывает ему 10-ти сантиметровую подушку под плечи. На шею пациента мажется гель-проводник, который убирает воздушный слой между дермой и датчиком и обеспечивает тесный контакт ультразвука с телом.
На приборе регулируется уровень чувствительности, пока на мониторе не появится четкая картинка. Врач начинает водить датчиком по шее. Сначала осматривается нижний отдел одной сонной артерии, ее глубина, прибор постепенно поднимается до челюсти.
Затем процедура дополняется допплер-сканированием, которое показывает участки с пораженными сосудистыми стенками и нарушенным кровоснабжением. При обнаружении таких отклонений эта область исследуется более тщательно. Затем сканирование производится тем же способом для другой сонной артерии.
После совершается переход на шею. Датчик устанавливается так, чтобы получить картинку сосудистой сетки. Во время исследования врач может попросить пациента поворачивать в разные стороны голову. В итоге получаются срезы разных направлений. Во время УЗИ сосудов головного мозга и шеи диагност водит прибором по затылку пациента, векам и вискам. Процедура длится не больше 30 минут. Результаты и заключение выдаются на руки пациенту сразу.
Расшифровка
Расшифровкой полученных данных во время исследования занимается врач, выполняющий УЗИ шейного отдела. Определяется анатомия и проходимость сосудов, диас- и систолический кровопоток, его характер, направление. Конечный итог исследования выглядит как трехволновой график (начало, середина и конец). Он должен быть симметричным, допускается смещение стандартных значений до двух миллиметров.
- отсутствие заболеваний, наружной компрессии сосудов и турбулентности кровотока в местах с отсутствующими капиллярами;
- артериальные стенки головного мозга и шеи 0,9-1,1 миллиметров толщиной;
- полная проходимость сосудов;
- скорость движения кровотока– не выше 0,3 м/с;
- позвоночные артерии равного диаметра, по 2 мм, не меньше.
Нормальное количество крови, транспортируемое в мозг, должно быть не меньше 15 процентов от всего объема, движущегося от сердца. Сонная артерия находится с левой стороны от дуги аорты, а справа ее длина всегда немного меньше (7-12 и 10-15 см). При проведении исследования в норме внутричерепные ветви должны находиться в наружной части. При этом скорость движения кровотока различаться не должна.
Если толщина артериальных стенок более 1,2 мм, это обозначает появление атеросклеротических изменений. В данном случае требуется немедленное лечение, чтобы предотвратить формирование на сонной артерии бляшек. Кровоток должен пульсировать непрерывно.
Расшифровка УЗГД – признаки основных заболеваний
Извитость и перегибы сосудов свидетельствуют об атеросклеротическом поражении. Его второй признак – толщина артерий. При заболевании показатель общей – больше 0,87 мм, а сонной – свыше 0,9 мм. Эти значения считаются ключевыми при определении патологии.
Для тромбоза характерно закупоривание просветов и изменение их диаметров. Деформация артерий сопровождается их перегибами, извитостью. Болезнь Такаясу определяется по воспалению внутренних сосудистых стенок, что приводит к их утолщению и закупорке.
Метаболическая ангиопатия относится к синдромам. При этом наблюдается повышенная чувствительность сосудов. Ангиопатия может быть двух видов, при:
- микро- поражаются мелкие капилляры;
- макро- страдают крупные сосуды.
Для определения заболевания проверяется скорость движения крови, пиковую в диастолу. При выявлении патологии в просветах появляются новообразования, изменяется толщина стенки и появляется стеноз.
Диссекция артерии – это деформация интимы. Через нее просачивается кровь и распространяясь, вызывает расслоение стенок. В результате формируется стеноз. Диссекция артерии сопровождается утолщением сосудистых стенок.
Венозная церебральная дисциркуляция при диагностике встречается часто. В латентной стадии признаки отсутствуют. При активном развитии патологии появляется венозная энцефалопатия с четкими симптомами. Это нарушение артериального кровотока, повышенное давление в черепе и расширение вен. Самым распространенным заболеванием является поражение брахицефальных артерий.
Где делается УЗИ и какова его стоимость?
УЗИ шейного отдела делается в поликлиниках по месту жительства. Для обследования требуется направление от невропатолога. Процедура проводится бесплатно, поэтому сопровождается большими очередями. Их можно избежать, сделав УЗИ в любом многопрофильном медицинском центре.
В них такое обследование проводится платно. Стоимость варьируется от региона и статуса учреждения. Например, в Белгороде и Владимире цена УЗИ – 700-1400 рублей, в Тюмени и Москве – от 2100 до 3500 руб.
Ультразвуковое исследование не всегда делается только при наличии показаний или тревожных симптомах. Обследование показано и в качестве профилактики. Особенно для людей старше 55 лет.
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