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Клетки мозга испытывают кислородное голодание (гипоксию), что приводит к разрушению нейронных связей и ухудшению передачи нервных импульсов [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). \n\n**Степени заболевания** [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/): \n1. **Первая** — незначительное снижение кровотока, эпизодическая слабость, головокружение, утомляемость [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). \n2. **Вторая** — дефицит кислорода усиливается, страдают когнитивные функции: ухудшается память, внимание, координация движений [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). Возможно изменение речи [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). Появляются эмоциональные нарушения: раздражительность, апатия, депрессивные состояния [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). \n3. **Третья** — критическое нарушение кровообращения разрушает нейронные связи, появляются выраженные двигательные расстройства [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). Развивается сосудистая деменция, пациент утрачивает способность к самообслуживанию [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/).\n\n\n\n## Причины\nНекоторые причины хронической ишемии головного мозга: \n* **Атеросклероз** — бляшки на стенках сосудов уменьшают просвет артерий [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/)[6](https://pu.kdc6.ru/him-prichiny-simptomy-lechenie/). \n* **Артериальная гипертензия** — сосудистые стенки повреждаются из-за регулярного повышенного давления [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/)[6](https://pu.kdc6.ru/him-prichiny-simptomy-lechenie/). \n* **Сахарный диабет** — стойкое сужение мелких мозговых артерий [6](https://pu.kdc6.ru/him-prichiny-simptomy-lechenie/). \n* **Заболевания вен** — нарушение тонуса стенок, воспаление стенок (васкулиты) [6](https://pu.kdc6.ru/him-prichiny-simptomy-lechenie/). \n\nЧасто патология развивается при сочетании нескольких факторов одновременно [8](https://polyclinika.ru/tech/ishemiya-golovnogo-mozga-simptomy-stepeni-lechenie/).\n\n## Симптомы\nПостепенное ухудшение кровоснабжения мозга влияет на работу нервных клеток и приводит к появлению симптомов [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). Некоторые из них: \n* головокружение [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/); \n* головная боль [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/); \n* шум в ушах [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/); \n* утомляемость, проблемы с памятью [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/); \n* нарушение координации [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/).\n\n## Диагностика\nДиагностикой заболевания занимается врач-невролог [3](https://comfort.sovamed.ru/zabolevaniya/khronicheskaya-ishemiya-golovnogo-mozga/). Для подтверждения диагноза могут назначить: \n* **Нейровизуализационные методы** — КТ, МРТ головного мозга, МР-ангиографию [13](https://ProBolezny.ru/hronicheskaya-ishemiya-golovnogo-mozga/). \n* **Нейропсихологическое обследование** — тесты на внимание, память, речь, мышление, двигательную координацию [13](https://ProBolezny.ru/hronicheskaya-ishemiya-golovnogo-mozga/). \n* **УЗИ сосудов шеи и головного мозга** — позволяет выявить признаки гипертонической ангиопатии и атеросклероза [13](https://ProBolezny.ru/hronicheskaya-ishemiya-golovnogo-mozga/).\n\n## Лечение\nЦели терапии — улучшить кровоснабжение, предотвратить повреждения нейронов и замедлить прогрессирование заболевания [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). Некоторые методы лечения: \n* **Медикаментозная поддержка** — препараты, которые улучшают кровоток и повышают эластичность сосудов (антиагреганты, сосудорасширяющие средства) [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). \n* **Коррекция образа жизни** — питание, физическая активность [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). Нужно уменьшить содержание в рационе насыщенных жиров и сахара, чтобы снизить вероятность образования атеросклеротических бляшек [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). \n* **Оперативное лечение** — может потребоваться в случаях выраженного сужения артерий на поздних стадиях [1](https://gutaclinic.ru/articles/khronicheskaya-ishemiya-golovnogo-mozga/). 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