author: u. b. lushchyk coauthors: v.v. novytskyy, i.p.contacts center of innovative medical...

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Diseases of the blood circulation system take first places by their spreading and

they cause more than a half of all death cases and

one third of incapability. Despite of significant achievements of scientists today there is not a tendency to decreasing of indexes of the disease and death of cardiovascular diseases.

This says for an insufficient study of the cardiovascular system according to the position of its adequate functioning.

Issues for consideration:

1.The venous system is not studied enough.

2. It is considered to be in a shadow and hardly accessible for life-time functional

investigation.

3. Medical investigations of the cardiovascular system don’t take into account peculiarities of hemodynamic regularities in norm and pathological

reconstructions of moving of non-Newton liquid in case of various illnesses.

StrokeStroke = Brain catastrophe = Brain catastrophe

According to laws of hemodynamics and our extensive practical

experience of controlling influence on hemodynamics we have a right

to say that it is necessary to implement new innovative

technologies of applied usage of knowledge of hemodynamics to

examination of a condition of the cardiovascular system as an integral

system of closed tube line of arterial, venous and capillary

channels.

Present examination of the vascular system Present examination of the vascular system should take into account should take into account

•a state of elasticity of the vascular wall,

•its ability to transfer pulsate wave,

•expressiveness of the tonus of the vascular wall,

•size of the hydrodynamic intravascular pressure,

•its correspondence with pumping function of the myocardium

•vessels’ caliber,

•formation of the angioarchitectonic model for one or another reservoir.

Adequate diagnostics of disbalanced vascular system both on preclinical

patients’ examination and during treatment of the cerebral dysgemia

requires:

-detailed examination of all parameters of the multisided vascular system,

-assessment of synchronization of various functional properties of the

vascular system.

Presence of a clinical picture of stroke says for expressed disbalance in functioning not only of the blood supply system but also of the blood ouflow system in a certain patient

that comes into a level of uncontrolled chaos during stroke.

Very in these situations patient’s vascular system requires constant monitoring of many hemodynamic parameters for the

purpose of well-timed dynamic indication and adequate reaction for sanogenic

correction of detected changes.

Neurorehabilitating courses in the Clinic of Ulyana Lushchyk proved increasing

of quality of the performed medical care by criteria of decreasing of

psychoneurological deficiency on 40-45% on the background of restoration

of scarce and disbalanced blood supply in the cerebral reservoir on 50-60%.

Our experience of examination of the vascular system according to logic of functioning of the living

system generally and cardiovascular system in particular, shows the urgent necessity in changing

priorities in investigation stroke patients – to discard ordinary verification of atherosclerotic plaques,

thrombosis in the lumen of vessels.

Only analytical approach to multisided investigation of various functions of blood supply, which is based

on knowledge of hydrohemodynamic laws, gives essential results in decreasing of number of

cardiovascular and cerebrovascular diseases.

Київ, 2007

All patients had complex clinical- instrumental examination with application of EEG- mapping, USD of vessels and organs (US scanning and dopplerography), in particular USD of brain vessels, ECG, smart optic capillaroscopy.

According to the hierarchy of the living system functioning we consider the organism as the uniform system with numerous indicators,

which act by the principle of the feedback and are subject of one center.

Only this hierarchy enables to make a principle of subordination and precise subordination

(hierarchy) of various levels of control.

It is necessary to consider polyvectorly the complex hierarchy of the living system and virtually it can be presented at least in 3D.

Київ, 2007

Macro- and microlevels of organization of processes in

living organism macro- and microlevel of blood supply, macro- and

microlevels of functioning of the nervous system – ascending and descending conducting ways and cellular cortical field of

the higher cortical functions.

Level of preservation (support) of living and providing

vital activity of the living organism:

Minimal for providing living; Medium (background) – for providing vital activity of the organism;

High (reserve) – for supporting the organism under overloads.

Hierarchic level of intersystem balance:

• Hydrodynamic level

•Hemodynamic level

•Neurodynamic level

Київ, 2007

Hydrodynamic level of the system’s functioning

intracellular and extracellular edema as the motive force of “circuit” of electric wiring in the organism

Patients with hypertension in ACF in the height of the seizure of the cephalalgia had headache, light

and loud sounds intolerance, nausea, vomiting, hyperosmia that are quite often accompanied by phenomena of sense of heat or cold (signs of the

intracellular hypertension).

Hemodynamic level of blood supply for vital activity of organs

and systems

With disturbances in blood supply in the vertebral-basilar reservoir there are darkening or blinking in eyes (area of vascularization of the posterior cerebral artery), sleep disorder, dizziness, loss of consciousness (expressed

deficiency of blood supply in the basilar artery), disorders in movement coordination

(reservoir of cerebellar arteries).

Neurodynamic level of the higher control via nervous fiber and central nervous

system

Paradoxical reactions can be an exception, which say about disbalance or

failure in one or another regulation system, and they must be taken into account and foreseen before starting

treatment.

Paradoxical reactions of the disbalanced organism can cause significant

worsening of the patients’ condition in comparison with background ill state.

1.All living organisms function on a principle of stable balance of two interdependent vectors of

influencing: arterio-venous balance, harmonic development –

disproportional ontogenesis, excitation-braking, and etc.

2. According to laws of mathematical modelling living organisms exist as an integral system with the precise system of hierarchy. Disturbance of subordination of any system of the brain causes reorientation of size

and vector of excitation, disturbance of processes of synchronization of

all involved links.

3. The living system functions as a hybrid system with combination and simultaneous existence of 2

systems: mechanical and electronic control with their partial

mutual submission. The mechanical system is more lasting

in comparison with hybrid.

Hierarchical approach to reactions of the living system

and disbalance of one or some levels of indication and control

of the state of the organism, enables to understand in more

details the complex mechanism of the living

system responses.

Thank you for your attention!